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INSPECTION NOTICE
City of Tigard Building Departaent
13125 9M Ball Blvd. Tigard, Oregon 972.23
Inspection • ',a (Rec-O-Phons): 639-4175 Businesas Phone: 639-4171
Inspections_
r00ti.n.g Plbg. Underelab Mach. Rough-in Appr/
Found. Plbg. Top Out oas Line` J FINAL i
Post/Berm Etruct. San. Bawer Framing -Bldg.
Post/Beam He-h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: �� �T s 47 AN PH
7t` ` rl
Pirmi.t
Buildor:_.. _ ^_
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: Z 4-
APPROVED DISAPPROVED APPROVED SUBJEC TO ABOVE
_Call For Reinep.
INS_P6CTION NOTICE
City of Tigard Building Departarnt:
1312S OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oaa Line FINAL:
Post/Roam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -P111m).
Plbg. Underfloor "'Nater Line Oyp. ad. -Mach.
Date Requesteds //��/ —�,Q�`7�` ?Tunes CW n �9 �fPM
Address:
_/� �L��!�/��c�l9c__�,
Builders
TBE FOLIOii�NB CpRRECTIt)N8 ARF. REQUIRED:
Inspectors _ Date:
APPROVED n1SAPPROVED APPRfri/ED SMIRCT TO ABOVE
i—Call For Reinnp.
CITY OF TIGARD
OREGON
July 7, 1992
Carl H. Johnson
8965 SW Burnham Street
Tigard, OR 97223
Project: Office Remodel, BUP 92-0190
8975 SW Burnham street
Dear Mr, Johnson:
The plans for this project were reviewed for conformity with applicable
codes, snd are conditionally approved, subject to than items listed below.
1. No plot plan to show building location on the property.
2. No floor plan of building to show exits and exit paths.
3. Method and materials for fram-ng and covering walls not
shown. Fastening schedules not shown.
4. Toilet room is required to have water-resistant gypsum
wall board to 48 inches above the floor. A seamless floor
covering and 5-inch base is also required.
5. Dimensions of the toilet room are inadequate to know the
spacing and clear area around fixtures.
Plans for changes to the mechanical or plumbing systema not shown on the
submitted plans will require additional review.
You may obtain the building permLt for the project when the items listed
above are satisfactorily addressed by submittal of revised plans or other
Information. If you have questions, or if we may be of assistance, please
contact us.
Sincerely,
. Jy-
/J im J a
Plans Examiner.
FAX (503)684-7297
1
13125 SW Hall BMd�P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171
11125 SW Hall uNa. PLNCK/RECT N
CITY OF TIGARI) Ti ORox 23397
PERMIT t
COMMUNITY DEVELOPMENT DEPARTMENT 6" Oregon
(503)639-4»z DATE ISSUED
JOB ADDRESS: ?�✓ jr l� ,�G uj 1;10TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION.
\ T S�PECIA.�,NOTES
OWNER `^
NAME: � _✓_� lU Gl!/1>�i}zt' r— REISSUE OF: —�_— --- ------...
ADDRESS: 9 l°r ., L(l, ,ace r-V Cl a �fx — LAST REISSUE
p oµ2, FL00D PLAIN/
i'110NE:—�� g 2 G __ SENSITIVE LANG:
,%TRACTOR APPROVALS RERUILRED
NAME: PLANNING: IW-' _.
ADDRESS: _ ENGINEERING:
FIRE DEPT:
"NONE: !_— ----- ----------- OTHER: 4f# ---
'ONTR. BOARD #: — _ EXP DAT-:
ITEMS REQUIRED
AUBCONTRACTORS: PLUMB: _—�.� _-_—_-- —_-- LIST/SUBCONTRACTORS:
MFCH: _-- �_ --______ BUS TAX: --
PRCI-i ENGINEER CALCULATIONS:
NAME: J� _�__ TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: --t� ►�F w�a ��p ! T'L) F
APPLICANT SIGNATURE_
Received By: � -� Date Received: .�,- Z5 -- �1,2. ,
i
0 1
PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. EAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10. 431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Buildi,
PIumbing
Mechanical
10-433 00 Plans Check Fee
Building _
Plumbing
Mechanical
10-230 06 Fire -
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees
2.5-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees _
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
CITY OF' TIC."AnD — RECEIPT OF PAYMENT RECr--'l PT NO. t92-228q27
U4 CK AMOUNT a 46. 73
NAME : JOHNSON, CARL CAGIA AMOUNT 0. 00
ADDRESS : A965 SW BURNHAM PAYMENT DOTE a 06/25/92
SL.Jr DT VISION
TIGARD, OR 97223--
r
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT PAID
PLAN CHECK FE 28. 9z TUALATIN WALL 17. SO
6975 13W BURNHAM
101AL. AMOON-f PAID
APPLICATION FOR SEWER SERVICE
The ui.dersigned agrees, in consideration of the sewer service connection by the
Th=ird Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently in effect ar hereinafter enacted and to pay sewer service charges as the same may be im
posed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and/or
bonded and licensed plumbers.
Owner
APPROVED BY
Superintendent
TIGARD SANITARY DISTRICT
8841 S.W. Commercial St.
Tigard, Oregon
Address �f Permit No.
Name of Occupant_ _ Permit charge
Jia&"GM�4Y 30,V-O-----.LZ
Paid
_.-.--_----.--__-_-- —� Date connected���0
Type of Building �( Inspection fee_________
Service Rate 1L12 _ Paid by __ Date
Contractor 1L1���•– Assessment
Size of connection
MECHANICAL.
CITYOFTIGrARD PERMIT 1
-1
CMOF7*AJW PERMIT #, . , . . . . : MEC92-0019
COMMUNITY DEVELOPMENT DEPARTMENT 0116m
13126 SW HWI Blvd. P.O.Box 23307,T4RM,Orejpn 97 ',503)&W4176
DAlt-
SITE ADDRESS. . . : 08975 SW BURNHAM 'ST PARCEL : 2SI02AD Q11800
SUBDIVISION. . . . : ZONING: C9P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
----------
CLASS OF WORK. . .-ADD FLOOR FURN. . . . : EVAP conLERSt
TYPE OF USE. . . . :COM UNIT HEATERS. . :;2 VE14T FANS. . . :
OLLUPANCY VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILEPS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HP. . . . 3 DOMES. INCINt
: /GAS/ 3-15 HP,. . . . : GOMML. INCIN-
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS% . : 30-50 HP. . . . - WOODSTOVES. . :
GAS PRESSURE. . . :L 50+ HP. . . . : CLO DRYERS. . .-
NO. OF AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 10000 cfm : GAS OUTLETS. .-2
FURN ) =100K BTU: > 10000 rfm :
Remarks :
Owner, . -------------------------------------- ------------------- FLES
CARL JOHNSON type aftlo".Int by date t,ecpt
B965 SW BURNHAM PRMT $ 25. 00 JLH 01/30/9E
5PCT $ 1. c:5 JLH 01/30/92
TIGARD Oil 97223
Phone #:
OWNER
Phone 26. 29, TOTAL
Reg #. . : OWNER
-------- REUUIRELY INSPECTIONS
This persit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code., State of Ore. Specialty Codes and all other .........
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Pet-mittee —64
Issi-ted By :
-Cal-1- f-o-r-.- inspection 639-4175
11
1,
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A�
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CITY OF: T I GARD - RECEIPT OF F)AYMENT RE-CE IPT NO., '2655
(;HECK AMOUNT a 6. 215
NAME s JOHNSON, CARL. CASH AMOUNT 0. 00
(II)PRESS 8965 5W BURNHAM PAYMENT DATE a 01 ' ;0/92
SUBDIVISION Y
T I OARD, OR 9-7e83—
PURPOSE
7e83-••PURPOSE: OF` PAYMENT AMOUNT PAID PURPOSE OF PAYME=NT AMOUNT PAID
MECHANIf'AL j;�__._. _. __.•__._�.,_ "�. 00 ST. -RUILD..`,ER__ 1. 25
8975 SW BURNHAM
TOTAL. AMOUNT PAID —> 26. 2'`1.1,
S
i
00
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08/19/96
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