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INSPECTION NOTICE
City of Tigard building Department
12.44 S.W Main St.
A Yi(lard, OreTin 97223
Phone 639.4171
/Address
Permit
Type of Inspection
The. following Building Code deficiencies are required to be corrected:
a.� 4
Ap
Presented to Inspector
Dole
(ALL FOR REIWEMON
YES Q NO
asst
SPECTION NOTICE
r' 6 of Tigard Building Department
C 1242%S.W. Main St.
.Tigard, Oregon 87223
Phpne 638-4171
Address ----- - - .'��_ �r -- '— � _�—_G. - Permit
Type of Inspection
The following Building Code deficiencies are n,yurred to be corrected.
or
Az bb
____-__-__-_I`.afSC-.�'� .x'.._30.__._. _�.�w'�i.NC1r 4c_._.-.__.__(.rF�._ .---'�•.��c������✓
Presented to Inspector
Date ----
M b CALL FOR RFlWEC 77ON
•lr
I-TT-TT-11,I 1-1 IF F. IF F IF.1 IF
f
U U."U- U IOUUU
4
INSPECTION NOTICE
City of Tigard Building Depa,twent
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
3
Type of Inspection
The following Building Code deficiencies are required to be corrected: —oz
PrPsented to__.- _ _ �� Inspector
Date .Z---a
CALL FOR REINSPECTION
YES El NO
BUILDING DEPARTMENT, TIGARD N9
PLUMBING PERMIT �
holder of a valid plumbing contractors license is hereby
authorized to cause plum'hing work hamin roted to be installed in accordance with the plumbing code of
Tigerd. Such installations require inspection by the City Inspector who shall be notiried not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
fJob
or all c tr for nd s contrraa tors. Q"
C-Gn Addsessi AMY r A � Dat r/ �
,,,veer --
riuNm."R of V)TAL
�_..."
TYPE OF PER
ITEMS FEF ON EACH AMOUNT I
A —�
Single Family-1 bath-each 1500 _ YS
_Du I..x-Each 1 bath unit
Aclirional bathrooms•-each
Mobilo Home 5 ace-each 15.00
INDIVIDUAL f1XTUREe COMMERCIAL
1 to SO Fixtures in 1 building-each 3_00 _
!--V to IOU Fixtures in 1 building-.each _ _ 2.50
I- 1L. , 200 Fixtures in 1 buildin1=13ch —_---- 2.00
701 ormore Fixtures in 1 building-each _._ 1.50 -- -
—
IMISCELLANEOUS
` Sewer-each additional 100 ft. 10.00
(_waver Service to building �_� 5.00 S�
ether ISo,-:IFYI: --�
t_PERMIT Frrr Plumbing Inspection Phone 639.4171
I 4�;State n Plumbing Contractor By
I TOTAL r 6 U RECEIPT NO. Issued By
w
r %'c
�T1� Permit_
Fee-
Addition 0 Alteration ❑ 4%State_ '
Nevv Imst311atlon e Replace ❑ Relocation TOTAL_
HEATING //������ ��((��' +�t v/� OWN ��
CCINT'RACI'Of�"-V;z&/"e'4:, • 16. ' • /
ORK A00RES5IC .3`!S`5-
V
F+ipR:-i;�0�9� ' /� �K., �•�,; l�Ll2�k.'Cca.- - ems.,
PHONE c�3� `f���' - - APPLICAVT Oil' s
Vent Slee FI a Size___,
h!F:it Input Rating (BTU Per Hour)__ ,�Q L�-_-_—• - -- �'
i UEL 0!L rJ GAS ® ELECT ❑ OTHER,_____
ITEM N0. FEE ITEM NO. FEE *
_ 10.00
ror Issuance of Permit LE ABOVE _ Air Condition Compressor 15 to 30 HP
4.00 Air_FI ndling 10,000 CFM 3,00
�Na -up to & inc1.100,000 BTU _ _ _ -
�1.�w..1p 0,0r)1 BTU's & over -5.00 - Air Flandling Over 10,000 CF Pl 5.D0
--" 4.00 Evaporative Cooler --T-
3O
r'�eer Furnace 2.00
-Nail • Flocr •Susp°nded _ _ 4.00 Range Vent Fan
Z,00 Vent System 3.00
Initall Vents Only _ _ _ _ 3.00
Reoair •Heat&Cooling 4.00 Hood Commercial_ _
10,00
_Air Condition Compres,vr Under 3 1 IP 4.00 �Contmercial Duct System __
l it Condition Cor;:pressor 3 to 15 HF' _7.50
!N';:PECTOR'S COMMENTS _- --- _
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
r.PP!?OVEO 8'f DATE _ ISSUED BY _ DATE
FIECEIPT N0. -
�ya Signature of Applicant
BUILDI1,43 PERN41TAPPLICATION TIGARG GATE___ '-`' — 19-- - 3345
THE 11NDE� ,iIGNED H'i REBY APPLIES FOR A PERMIT FORTH EVVORt.HEREIN INDICATED RUILDER PHONE
OR AS SHOWN AND Ai PROVED i`l THE ACCOMPANYING PLANS AND SPECIFIGATIONS. OWNER PHONE
LOTNO._-� Wirt-SUmIT TL•i'TZ'.
OWNER JOB ADDRESS L;(J u k 'i
ARCHITECT
ENGINEER
BUILDER rams: ADDRESS 000 51.1 I'array. Bytn. DESIGNER�Piervy_ 8artA.%Ay _
STRUCTURE 0 NEW ❑ REMODEL GI ADDITION ❑ REPAIR ❑ RENEWAL. El FIRE DAMAGE ❑ DEMOLITION
F=7 RESIDENCE I_l COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE O STORAGE ❑ SLABO FENCE
OCCUPANCY R 3_LAND USE ZONE ---P=-7 BLDG.TYPE FIRE ZONE_-PLAN CHECK BY .— u W_h HEAT___.yan__
t.arlstruft single fr,mily dwelling w/attached garage. `3 Bedrooms 2 "lathe,.
SEE CORRECT InN Slip I T ATTACHED.
SEWERPLRMITMZal� SO.Q�_ -- tei(Jte.1e 441-4- ailaf t, — -
OCC.LOAD FLOOR LOAD 40 HEIGHT 1:5 NO.STORIES1 AREA 13201 NO.BEDROOMS 3 VALUE--r39800-
BUILDING
ALUE_ r39$Otl+BUILDING DEPARTMENT �- SET BACKS FRONT 21 REAR !-�.l LEFT SIDE RIGHT SIDE 17
Permit $19b,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 97.50 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL NPPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOE„ NOT WAIVE
Subtotal 292,50 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC—
State Tat �► �.kin 1,400.130
_
_Total IT ,C1
PDCM = $10 0.0 rW0CICANT OR At3ENT
ey R1
Approved -
tli,li Receipt No. ( f ADDRESS --- ... —------ PHONE —
uffmmuLmqAm
`DA'E INSr. TYPE INSPECTION ______REMARKS
____REMARKS _-_ PLUMBING DATE
Contractor
�v - ---- — _— Permit No. X-
q�'J��� —� ---
Rough-in —
L 0 RQP CIA.MWIkV,__ -
_ Future
\d..1'��CO �� 0 t� ko:}-s-0 - Final
%4-yu dl �1t1Q - HEATING ---
��_V I rti � ��.,� y ti►��. _—_._.._._—.__�---_ Contractor
Permit No. y� •�'� q'y2-s3
JAJA(, P Gas )r Oil -- --
/•J17_Sy ! Rough-in
Final
-- ---- -- r3EWER —_
— ---• ---- - c --- it
-- — — -----
Final
DRIVEWAY
Final
Storm Drainage
(Rein Drain?Final
Sidewalk
curb&Street Final -
��- Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OC
CERTIFICATE OCCUPANCY Final —
/-30
Landscaping
Zoning Final