11315 SW IRONWOOD LOOP 11315 SW IRONWOOD LOOP
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ADDRESSi/,�h ,d�� ccc � J PERMIT NO._
PERMIT CHARGE ��!-?�• --
OWNERN CONNECTION FEE
PAID BY ,1 �� i�.� [ � •'
TYPE OF BUILDING . ''� 1s %r.�rr ..- DATE cQNNECTEn �.
C / INSPECTION FEE
SERVICE_ RATE _ .�4 -
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PAID BY J DATE
CONTRACTOR �'x��_._ (7 v -- '-
SIZE OF CoriNECTION ASSESSMENT _ PAID �_
1XI Ile
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CITY. r 1/ 11 l
C I � Y OF T'IGARD C�
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Ox�-n�-1 � ...�:.e__.4i.9h-t11315...S-�.W.�'..Ironwond�Looit No.....= ......-..3...... � ,�(.
0 31
Building Address............I._ .. . . P
Certificate is hereby given this.....�.`�ti.h_(lay of_... r.......... 19.......7.5
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< that said buildingmay be occupied grad I
Y 1
ti at it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Courpil.
', I L l l.y l•�l // .......... Ir
Building Inspector
♦_�.� ^if t'.Y 4�ea �,/ i;G� -•^• "iu.�. �� T'e�' l�� n. '!)'�J 't`n �' 'i`w:-�' ['.� 'ts; ie�' �'.� b� a s'� >9• !1`r \
` �.. �.� '\._1� `h../ ` \:.! I `a:r,� - `wY"��� \✓ `�/ `WtEF W� - 4/� ��� t'h,.rr �a/ �+a� \i/ yi
uta.
i :SPECTION t t '�I�ST
for
,31 a
D AT E: °%�� J.a T E ;S 31;ED :_Z Z )
J
0 W N E^S y VM E :
R231Ji-T: Ap..,.ie l o J P9ndil7 E
3 i:T^N:
J - CT0R DATE
SHIP14MI"fill Iasi data ',niY to I
City of Tigard
INSPECTION R'EQUEST
for
INSPECTION TIME: 4 PERMIT NO. :
DATE: s"* PATE ISSUER : Z
OWNERS NAME : ---Z/ v�-j.__._.
..—------__. _ __
ADDRESS: _// 3
C0NTRACTOR
TEST : Air I-], Wooer 0 , Visual 0, Laboratory CJ
RESULT: Approved Disapp-oved El Pending p
SKETCH.
.. �
INSPECTOR DATE
[OTE: Attach ♦uoplemental tart dote hereto]
i
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OF TIGARD MECHANICAL PERMIT I
o RECEIPT N0.
YERMIT ^-_____�_ -_._---------
PATE _a �- -- N0. _ . . —
_ 'FEE
1. Permit shall be obtained prior to commencement of installation.
2. Permit .shall be obtained for all appliances which are to become
a fixture to the building.
3. Relocation, replacements, alterations, or changes to burners and
duct work 'require permits.
4. All work to be concealed must be inspected before cover up.
Replace Relocation 0 Addition [� Alteration L�
New Installation �1U OWNER . --
` SOMERSET PLUMBING & BATIK-- WORK ADDRESS
ADDRESS _______1. V� CORNELL RD.
APPLICANT
-
TELEPHO dE NO.
MANUFACTURER TELEPHONE u0.•
FURNACE
Vent Size Fl ie Size
HEAT Input rating (Btu Perrr Hour)
rr----��
FUEL OIL GAS K ELECT U OOTHEROTHER
U
Floor Main Floor -_.._. Basement
TOTAL SQ. FT. Top
--- -' GENERAL f
-- FEE ITEM NO. FEE
ITEM ( N .
For Xssuance of Permit X00 Boilers Gver 50 Hp ______: ..� -•�'+Q,
4.00 ____ A� NandllnR 1C,000 CFM
N&W - Under 100_000 Btu Atr_____and ng OV r 10 000 CFM -
New - Over 100 000 Btu - �0 E��oratiye C oler_ --�==-
Floor urnace --- .00 Vent Fan --2"�
Waw—Floor - Su.� en e _. II 'Ven�SYs em0
C.
Ke air - Heat Ec Coo.jun**_ Lomes c Inc Hera or 0 1
P ____. _
Bof lets nd-er 3 H __ 4.00 -- 7nc�nera or r'U.OG
a 1 H .50omm.13=6 ers3 t er No de
Bo a Is 1 j` to 30 Hp 10.00
Boilers - 0 HP -_.• �� �"�.'"'.� ._._.._""_'
INSPECTOR' S COMMENTS
--
APPROVED BY
DATE ISSUED BY _ _ DATE .____
T -
Signature of Applicant
w w w see w� ssr nw see
City of Tigard
INSPECTION REOUEST
for
a
INSPECTION TIME :. j,�_.� : PERMIT NO. : —
DATE '
O. : __._DATE : 7 1?.0 DATE ISSUED:.
OWNERS NAME : _,_._,Z�T _.
ADDRESS : --Jl.L _�c"' �U.-.• K1�.�
CONTRACTOR :.__. __ ��r•�� /L...,..�'�T— -_-
TEST: Air C7, Water t" Vieutalo/, Laboratory ❑
RESULT: Approved, Disapproved ❑ , Pending E
SKETCH: C 3;00F'—
,_ ;00F'—,_
INSPECTOR DATE
[NOTE Attach iupplementol +est data heret]
.._..-n.-..,,.,..K.._ •,ra+.wr....e.„,,._.....�,..,- r....,».,.'�I,�•,.w,n.,q,a,,,....r..,.....,,,�.f.....„.°1t�,�l".i,fl,,..- ..,..,y...
CITY Q!I
BUILDING PERMIT APPLICATION TIGAR® N° 0 313
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE----.-
11.31s-
HONE—.—_ .-
11.31 - SW r)- nu,uud
OWNER +• I-. '.t.. ght I.ClF1st:, ADDRESS iot 81 t'nglawood Sub. BUILDER PHONE
ENGINEER
"LjI1 r&R 13l*11t1k�L _ ARCHITECT DESIGNER —
STRUCTURE t..JNEW ❑REMODEL ❑ADDI'TION ❑REPAIR ❑RENEWAL DFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO GCAR PORT ❑GARAGE n- STORAGE ❑SLAB ❑FENCE
❑BOND ❑M^VING ❑CONDITIONAL USE C1 DESIGN REVIEW ❑COUNCIL APPF�OVED USIGNS
x
OCCUPANCY LAND USE ZONE _BLDG.TYPE__ ''! FIRE 20NE__ PL .N Cr1ECK BY_ I �dy HEAT_ " z�
----- t'. nistruct 1436 ark, ft, frame duallinl6 with attachae garage - --
- -- —+iu 6uaament according to approved plane) -- -- --
QCC, LCsAD FLOOR LOAD 40 HEIGHT NO.STORIES_ _ AREA 2012— VALUE0
700F
,
BUILDING DEPARTMENT 21) 10
—�-- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDt
Permit 130,00 --- -------=-- —__
Awe UM -- -------
—�- r- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cneck — REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
--- -- WORK WILL.BE DONE IN ACCORDANCE WITH THE PLANS ANU SPECIFICATIONS AND IN COMPLIANCE WITH
Recordirg ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 1,301 I.ICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, 7LUMBING AND HATING.
Tatar
BY
— -------- APPLICANT UR AGENT -
Approved Receipt Ni)
ADDRESS PHONE
DA*�SE 1NSPE.CTION REMARKS PLUMBING DATC
Contractor fuj
Permit No.9 t�C
�►'� •7� �y� �._ i'4s1`/�i�-►cs-.= ��1 G+�7.� c�„�,,. ou h i n _ -- - --
T�►2.7 .-...1 Fixture
7 _ Final _
7_30PA
Z�t��r11�_1;�_.._� �.��- —_HEATING Y-
-- lS � i C �1/1�,�,__�Ir12V$ COntractotSQp� -ft
Permit No__Z '71"
7s-
_ Gas or Oil — ---
��
Rough-in _
n E
/Q 3.7 '? _ '1�`��-� — �Gi • Final -- -
/A- 0- r`►i .C- ✓ �" - --_ SEWER _ .Il, 75'
��•��J-) .� / .— Final- ---
- DRIVEWAY
Final
�_-- Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A�'fpdch pK �11C- 5-1 -75
BLDG.DEPT,F11V TEMPORARY CERTIFICATE OCCUPANCY Final
— ,
Q �I CERTIFICATE OCCUPANCY
Landscaping
t \\\ Zoning Final
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LIGHT Construction Co.
15890 S.W. Colony Drive / '�igard, Oreg1,1 97223 I Phone 6398560
- -- 77
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