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INSPECTION NOTICE
City of Tigard Building Depart,.ient
12420 S.W. Main St.
Tigard,Oieaon 97223
Phone: 639-417 1.
Tvpe of Inspection
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Date Reraue�sted7 / ,.�_�� Time
Address X11.2 L, Permit
Owner—,Jed-s%lLJL�7L'Y7 t N J Lot #-- -- -—---
Buil(er --_--
The following Building Code deficiencies are required to be corrected:
----------
Presented t0 .---.--�_� r' I Apvlrovfid
�nsp,+ctor —_ -- ---._—_._____— [ _� Disappr,)v.d
Date ---
CALL FOR REINSPECTION
YES NO
City of Tigard Mechanical Permit N° 3 4 8 1
New Installation Replace 17-1 Relocation❑ Addition ❑ Alteration DATE: _
HEATING /
CONTRACTOR OWNER
� " I /�_.r9�Jhc14� JOB ADDRESS .��
ADCRESS 'L1//.�''�-��-.�� �'
PHONE APPLICANT
Meat Input Ratmg(BTU per, Hour) _ - Vent Size- Flue Size
F',IEL OIL GAS L ELECT OTHER -- ----- -
ITEM -- NO. FEE F ITEM NO. FEE
For issuance of Permit _ SEE BELOW Each Air Handling Unit or Duct System _ 7.50
New-upto & incl. 100,000 BTU—_ 6.U0 Commercial Hood System - - 7.60 _
111000 BUT', & raver 7.5U Othcr Equipment Each __— 4.50
New
Woodborning Stove 4.50 1 Trip Inspection -_ _- 4.50
Wall-Fluor- Suspended _ 6.00 Air Condition Compressor • up to& incl.3 H.P. 6.00
' \!int System w Fan —�� 4.5_0 Air Condition Compressor 3.1 to 15.H.P. incl. 11.00
Re riP r_F!:at Cooling_ -____ 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
--------- --
PERMIT IS.SUAN -E 10.00 Comment : .-_-_____.______.-__.____..-_—_____
FEES ------ - S ---- ---_ --------- - -- - -----
SUB ___
36 STATE � Issued B�__..
26%PLAN CF+EEK �! T
1'0TAL- REL.-- - > �. t
:a�•/� # ---- �� -------•
ignatur 1 Applicant
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INSPECTION NOTICE
City uf Tigard b,jilding Department
12420 S.0. Main St.
Tigard,Ore(j-in 97223
Pho7ne�Y,65L 11.71
Type of Inspection
Date Requested —;FY Tirrm A.M. P.M.
'I
-!',
Address Permit
Owner Lot #,_4 I
Buildar lap rzk
The followin,,4 Building Codu deficiencies are required to be co— *Ll-
PrPsPrited to -App.overl
Inspector
Disapproved
Datf!
CALL FOR REINSPECTION
YES I0 NO
,NSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Muin St.
Tigard,Oregor 97223
Phone: 839-4171
Type of Inspecti�crT�.-irme' _-- -
P.M.iequestad
Address ,�'�L-G;L: �r'�.� LPermit # f
Owner._----_-.— -_ Lot —
Builder _ —_--_• _-_ —�-- —
'The following Building Code deficiencies are required to be �jrrectPd:
j _2•� �'Z -. G�''c.��'` [1t�i/` sem' -A
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PrTsynted to .__-._., — ❑ Approved
Inspe1tor �„y� y, �� Disapproved
Date _ V
CALL FUR REINSPECTION
JZ�YES 0 NO
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BUILDING PERMIT APPLICATION TIGARD DArEl:ebruarry 14 4740
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED 131IILDER PHONE 692-3615
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LUT N0, G
OWNER _ Jay !ill�zr JOB ADDRESS 7t,5 $y1 i,yurs St. Bond Pari:
ARCHITECT
ENGINEER
BUILDER 8aurr ADDRESS
P10. 301K 23291 _DESIGNER
STRUCTURE ChcNEW ❑ REMODEL _❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
QJRESIDENCE ❑ COMM 11 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT E GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -An-l-LAND USE ZONE R-12 BLDG.TYPE 5N' FIRE ZONE PLAN CHECK BY t�K_HEAT.{%+SIB
Caar+tructoxigmla family dwilii; 11attachrA
_ 3 bedroom 3 gathroo h
SEWER PERMIT M 27169 -� 449
OCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO.STORIES AREA 1),fes NO.BEDROOMS VALUE <
BUILDING DEP ATMENT SETBACKS FRONT REAR 33 LEFT SIDE 4 RIGHT SIDE.
Permit 341.+.111) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULAT!nNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan(heck 221.x}(► WORK WILL BL CJNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 56 1.QO RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
13.60 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total `,14.(.)o SDC- ',A4)U.(N1
BY L (:t2 PDC# j 1 I UQ.00 APPLICANT OR AGENT
Receipt No.
Approved _ � lick ADDp 9— PHONE
DATE 11rsR TYPE INSPECTION -_ RIMARKS PLUMBING -- DAZE
.� �LV� -iContrHct-.,
4atia 11 Perml,"Ju
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Pe ml No
Vas or Oil
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