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INSPECTION NOTICE
City of Tigard Building Department
13420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection /•G�^es-�_--_
Cate Requested iJ' / 7 �? _ Time A.M. _ �, P.M.
Address --" -'5'2-2 --rev y: �Permit #
Uwner —1-<1-1, Lot #
Builder
t
The following Building Code deficiencies are required to be corret-ted:
i
Al
— — J
Presented to (� Approved
Inspector � -��aG�s�� -- ------ WDlsepproved
Date ---
CALL FOR REINSPECTIOA i
YES ❑ NO {
INSPECTION NOTICE !
City of Tigard Building Department
12420 S W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested TU 5 1( Time
A.M. _P.M.
Address _(�_���� gL�—S�UO Perini: #__ �—
Owner -- -- ------- Lot # —_—
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to 1, Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YE8 LINO
Y 1Tigard Mechanical PermIt
New Installation C3 Replace C3 Relocation l__J Addition AlterationHEATINGnCj DATE:
7,11
ro CONTRACTOR � OM�NER �'7 r7(J1 ��C'
p _
L! i i i J 8 ADDRESS it V,,
y /ALtDRESS _. -
PHONE �� r���.-_._ APPLICANT- ~
�. T.
Nut Input Rating(BTU per Hour) ��S" ''rrn-Z-rte Vent Site A �� Flue !Site
fUEL OIL C] GAS n ELECT OTHER
—~ ITEM _ :NO.: FEE _ ---ITEM NO. FEE
fqLIssusnce of Permit � _ :E BELOW _ Each Ali Handling Unh or Duct System 7.50_
Now-up to b incl. 100,000 BTU _ 8.00_ Commercial Hood S stem _ 7.50
flew 100000 RUT's di over__. 7.150 Other Equipment Euh _ �C _ti.50_
Woodhurning Stove 4.50 1
_1 Trip lw±TcUon_
Wall-Floor- Suspended _ 8.00 Air Condition Compressor - u to o&incl. 3 H.P. .~`13.00
VerL&s ern w/Fan _4.50 Air Condition Camp-assor-3.1 to 15.H.P. incl. 11.00
x
Pie ap 1r Heat Cooling- � 8.00_
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRA 1.ORS OR SUB-CONTRAC 0RS ! !
PERMIT ISSUANCE 10.00 Comments: .,
FES
. UT L `J
STATE Issued By
,25%PLAN ---CK I
REC.
O?A4- _ __ _Si9aeittore of Appi .__
BUILDING PERMIT APPLICATION TIGARD DATE— 4047
T HE UNDEHSIGNED H.F-F;EEI r APPI_ii-S FOR A PER.' lT FOH THE WORK HEREIN INDICA i JD BUILDER PHONE
OR AS SHOWN AND/\'PROVED IIJ THE ACCOMPANYING', OLANS AND SPECIFICATIONS. OWNER PHONE,__ —
LOTNO. 7-�C��nf ?.
OWNER -m. GOt'ter constsmADDRESS i5225 SW Gentle woodo Court_
ARC-hl -CT
CNUINEER
BUILDER ya71e ADMESS 12635 ;4 Beef Rend Rd DESIGNER ----cotter
—_ cotter -�-
STRUCTURE� ❑?THEW O REMODEL_ ❑_ADDITION ❑ REPAIR O RENEWAL U FIRE DAMAGE _ ❑ DEMOLITION
-3 RESIDENCE ❑ COMM_u_EDUCATIONAL ❑ 3OV'T O RFLIGIJIJS f] PATIO U CARPORT U GARAGE O STORAGE ❑ SLABU Ff:NCF
OCCUPANCY _ " _LAND USE ZONE ��—IT'BLDG.TYPE �P`_.__FIRE ZONE " '� PLAN CHECK BY HEAT ___ �r`P E
rortstruct single family awrelling w/attoched naracte, 4 llt drnmrs 7 ka•'r,R
F.r,v t::()!?RB.CTION SflT:F;T Al'TACPETI•
SEWERPERMITII $910,On Qara 63$ wit...fte - ---.—_---
OCC.LOAD FLOOR LOAn 4n HEIGHT 12 NO. STORIES 1 AREA 1 R 2F NO.BEDROOMS 4 VALUE
BUILDING DEPARTMENT SET BACK`:, FRONT 13 REAR t LEFT SIDE RIGHT SIDE
Permit_ ]'1'' THIS PERMIt iS ISSUED SUBJECT TO THE REUULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIC,NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 244.411 WORK Wli'- BE DONE IN ACCOADANCE Willi THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
,� WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS "ERMIT DOES NOT WAIVE
Subtotal _ t]' r' 4O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1.�,.fl A
Total s:035,4A IT I1D(' ,,�n _
---- - ppr✓ APPLICANT OR AOENTt`% _
By !�1
-- -�_— Receipt No. �: !
Approved r'It-rh ADDRE88 PHOlil'
DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE
y
Contractor 7S &7yt�! —/ /H
- � L Permit No. 30 7 /G4. ^-5--8z �-
Rough4n — --
Fixture
/f Final
HEATING --
�r-L � --.act ii��'1sk Contractor b� ,�L U
Permit No7 `/3-e)
rot
c — Gns or Oil
F
-in
--- — A SEWER --
Hnal
DRIVEWAY `
Fird
T Storm Drainage,
- -------`— (Rain Ominlelo/ftl J4
S idewel k
T - Curb&Street Final
Approach
BLDG. DEPT.FINAL l'EMP0RARY CERTIFICATE OCCIIPnNCY -.net
!CERTIFICATE JCCUPANCY
Landscwping
Zoning Final