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INSPECTION NOTICE
City of Tigard 21-ilding Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection -
Tate Requested Time!�'� A.M. P.M.
c
Address,-_If!�L 7—'S.� ---�1 �� >`- '— Permit
Owner �–?cam. _ �-- —' Lot #
Builder – _ ----
�The following Building Code deficiencies are required to be corrected:
00,
r asented to _ — �1 ___._._ I Approved
Inspector Disapproved
Date --- –s #p- 3
CA T'_ FOR REINSPF,CTION
❑ Yes LU Pio
i1E w
City- of Tigard Mechanical Permit NO.
New Installation Q Replace u Relocation E] Additie n Ej Alteration LJ DATE:
HEATING
CONTRAC"i OR General Furnace & Air- Conti, laic. OWNER David Church
ADDRESS 15536 S. E. 82nd Dr,_ JOB A,7DRESS 12931 C_
PHONE 656-0326 APPLICANT L, Be Ll -
Heat Input Rating(BTU per Hour) `=1.000 Vent S',te 411 Flue Size
FUEL OIL GAS Imo] ELECT u OTHER _
ITEM NO. FEE ITEMNO. FEE
For Issuance of Permit _ SEE BELOW Each Air Handling Unit or Duct Sjstern 7.50
New-up to & incl. 100,000 BTU ; 6.00 Commercial Hood System _ _7.50
New 100,000 BUT's & ovyyr _ 7.50 Other Equipment - Each — 4.50!
Woodburning Stove 4.50 1 Trip Inspection _ 4.50
Wall-Floor- Suspended — 6.00 Air Condition Compressor.- up to& inc-l. 3 H.P. 6.00 _
Vent System w/Fan _ 4.50 Air Condition Compressor-3.1 to 15. H.P.incl. 11.00
ReQair Heat Cooling_ _ 6.00
CITY BUSINESS LICENSE REQUIRE[' BY ALL CONTRACTORS OR SUB-CONTRACTORS !
PERMIT ISSUANCE 10.00 Comments:
FEES -- —_._� ---- --
SUB-TOTAL 16.00
_ X STATE •64 Issued By
25%PL61N CHEC
sfO fAL _ 1 REC. --
M
BUILDING DEPARTMENT, IIGARD
PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the piumbing cone of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the tinge the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Job > ��':,
Owner _ ;.��'?`` 'f ( /'''.�zr�� Address _ Date
NUMBER OF TOTAL
TYPE OF PERMIT IrEMS FEF ON EAC" A.MOLINT
R"iDL N T I l31
Sin le Family-1 beth—each _ 25.00
Duplex—Eoch 1 bath unit _25,00
Additional bathrooms—each _— _ _. _ 10.00 _
Mobile Home She-each
INDIVIDUAL FIX'rUREB COMMERCIAL —
1 to 50 Fixtures in 1 building—each
51 to 100 Flr.tures In 1 building—each — — _-2.50
101 to 200 Fixtures In 1 building—each_ 2,00
_201 or more_Fixtures in 1 building—each — 1.50
MISCELLANEOUS —'
Sewer—each additional 100 ft 10.00
Yater Service to building 5.00 —
Other N2ecify):
_PERMIT_ For Plumbing Inspection Phone 639-4171
4''o State_— Plumbing Contractor By
TOTAL. RECEIPT NO. Isttuerl RV
BUILDING PERMIT APPLICATION TIGARD DATE _______.__-_ 19 3882
THE UNDERSIGNED HERESY APPLIES FOR A PERMIT F>R THE*CHK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPFf�)VED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
LOT N0.
oWNF_R -io f'} iirch JOB ADDRESS 1L:'',:: ;ra3 t AVO Ville _
ARCHITECT
ENGINEER
BUILDER snlrte ADDRESS i'3: ` a-ines Ave, DESIGNER L`I. C:hurc1i
STRUCTURE ^ D NEW _ rJ REMODEL ❑ ADDITION_ _ ❑ REPAIR ❑ RENEWAL _L7 FIRE DAMAGE ❑ DEMOLITION_
❑ RESIDENCE ❑ CUMM Ci EDUCATIONAL ❑ GOV'T ❑ RELInIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY --L4 3 LAND USE ZONE k'� BLDG. ,YPE X11 FIRE ZONE-=—PLAN CrIECK BY dWh HEAT__-
— ------ „qt:!'1ict: sincile farf ly Sjwellin- _ 3 Redroor-' �`---_
1- COPPY"'T1017
SEWERPERMITM 1 " e c.jilYi�.GF 2c,11
OCC.LOAD FLOOR LOAD_ °I r'i HEIGHT _NO.STORIES AREA 13 1. NO.BEDROOMS VA UE —_—
BUILDING DEPARTMENT SET BACKS FRONT " — REAR 34 LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLWABLE CODES AND ORDINANCES, AND If iS HEREBY AGREED THAT THE
Plan Check _ _ -i' _ WORK WILL BE DONE IN ACCORDANCE WIT4 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITI4 ALL APPLICABLE CODES AND ORDINANCES. ThE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 2k 3•50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBINGAND HEATING.
State lax 7•5�+ ,I
-- i�
Total 2 14 1•t}F, SDC
ppCp APPLICANT OR AGENT
By F'1
—pro -- Recelpt No. -------- --- ---
Apved ADDRESS PHONE
i
DATE INSP.� TYPE INSPECTION REMARKS —_~ PLUMBING r.ATE
Conti actor 'K
a �V IJ► Ago, Ok Permit No. %
r Rough-inFixture P,0,7,z�
�- ----- Final — —
HEATING
IV
Permit No,
/ 7-6 2 Gas or Oil —
{ L Rough-in
Final
- SEWER
Final _
DRIVEWAY
Final
Storm Drainage
— (Rain Drain)Final
Sidewalk
Curb&Street Final
— —"- -- Approach
HLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Friel
CERTIFICATE OCCUPANCY _ ----
Landscaping
Zoning Final
)