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INSPECTION NOTICE
City of Tigerd Bui ding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phona: 639-4171
Type of Inspection
i/'�-j �_I`r
0,.;' - '
Date Requested 2 - ?-� Time
Address --
`y C.) ��' �'✓� _� Permit #1 5
Owner - A Lot #
Builder ._ _---_-- —
The following Building Code deficiencies are required to be corrected:
J,
..raw rig -rr ^i- li•✓. .i�. _ ...._.. _--__�.___ __�1. _._
I
Presented t, __ / _ Approved
Inspector _ C _ Disapproved
Date - -- ' �-�` - 133
CALL FOR REINSPECTION
YES IV NO
INSPECTION NOTICE
City of T:gard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
i
Phone: 639-4171
Type of Inspection
Date Requested_ � '� __—_— Time A.M.— P.M.
Address _�� � � `" " "`-- Permit #
Lot #---
Builder _—Builder
The following Building Code deficiencies are required to be corrected: IJ
i ---.....%3-..�--►'�--. —'*�'L ,--c�c�..r-c-pfd..•! __�
fPresented to r� —— — LK Approved
f
InspeCtnr _/ c H Ditepproved
`` _ --
� I Date ---.- �__
CALL FOR REINSPECTION
[ -I YES le NO r
sss sew asr ss6 seer .. sear ser seer as!
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
E Phone: 6$9-4171
f
Type of Inspection
Date Requested _ _ Time
1_'� A.M. P.M.
Address _r�Yl-- _..__- Perma
Owner-----— . s L a" __ __— Lot
Builder __ -- J 2. LP A.A_�—
� I
The following Building Cooe deficiem;es aro required to be corrected:
-- ..��-_- -c=C' ��,•-z � _...G--ems �..�...,.c
I
WOW�
Presented to -�— - � — 1- APprov,d
Inspector _— 'CDisapproved
Date
CALI, FOR REIN XTION
❑ Y1 W NO
� Q
,.BUILDING PERMIT APPLICATION TIGARD DATE^._ 3/251 —,19_'t- 4055
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR ]HE WORK HEREIN INDICATED BUILDER PHONE 6V0003
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE F� *57
(H3fT*1.1QfX*Xn1'X0TNO.1200 2a1-21,!
OWNERD6vid Leary —v` JOBADDRESS10020 SW Johnson St. (mrt t of io_�6, rr.T1Q�+r�V111r�
ARCHITECT
ENGINEER
BUILDER sQtnO n.
ADDRESS 51 0 SW 163rd svtDESIGNER kiercy,Harclay
3TRUCTURE IB NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR D RENEWAL 0 FIRE DAMAGE ❑ ):EMOLITION
Gl RESIDENCE l-! COMM ❑ EDUCATIONAL_❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ F,LABO FENCE
OCCUPANCY —!1--3 ,. LAND USE ZONE Y2-78LDQ.TYPE _LL FIRE ZONE --PLAN CHECK BY cwt'HEAT
1 -onstrurt single family dwelling w/ tttached garnaa. 3 Pedroons 2 lintbs.
SKU r-ORR . TION SHEF'7' A`I"rAC'F ID.
SEWERPERMITM 23907 -• JF10.91 (jarage 475 sq,ft,
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1551. NO.BEDROOMS 3 VALU4 65,r Or.
BUILDING DEPARTMENT_ SETBACKS FROM T 33 REAR 15 LEFT SIDE `�O RIGHT SIDE 117
Permit ¢32Et. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
ry � �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PliertcTeok F ' WORK WILL BE DONE IN ACCORDANCE WIIH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB C04TRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.1:
SDC— ':+ 00000
Total _ _ 34l .1 I S10a.0i� -- - -- -- -
��1 pD(rN APPLICANT OR AQENT
By
—
Approved (TNXI Receipt No. 10S3g ADDRESS PHONE
i i i i alt Pll i
— DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
- .z a.r- 1� -- --- ----_— ._ -- Contractor
Permit No. � /30,00 t� tgZ
Rough in
y_ Re ��, ✓ —,�� i
[Fixture
�.
°final -----
HFATING
y=.2.? ;v3 9—__ • C�vtractor
`� yQ—�i�y7
'e Pt _ Permit No. 24Z. 4 0 g-3/-�2• /�
Gas or Oil 6�-
ry r�.—9B "/ _—f�ii i�h, _.....— —_ Rough-in
_—
SEWER
-- Final ..:�+�_ !7•i
Ax"
DRIVEWAY
Final .—
_— Storm Drainage
(Rain brain)Final
Sidewalk
—__ --` Curb&Street Final
_ Approach
BLDG CEPT.FINAL TEMPORARY —T—CERTIFICATE OCCUPANCY
r•ERTIMCATE OCCUPAIICY Final
Landscaping
70ning''inal
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PERMIT TO CONNECT
Tigard Sanitary District
PEBMIT N9 665 DATE
PERMIT IS GIVEN TO
OF
TO -CONNECT A
TO THE Sy_qTEM OF TIGARD 9ANITART DISTRICT
AT
THIS PERMIT MUST HE POSTED ON THE DF,9URIBED PREMISES UNTIL CON.
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED,
PER.,x. FEE PAID ......................
1�2 ..........TIGARD SANITARY DISTRICT
.
----- - -- - ---- - - - - -----------
CONNECTION INSPECTED AND APPROVED
Date "i ."htpndent
Address __S_V_V Permit No.
of Occupant L --A I I Pe.--nit charge
.
Connection fee
Paid by
Date connected
Type of Building Inspection fee
Service Rate Pa,d by
Contractor Assessment Paid
Size of connection
Citi. ®f Tigard Mechanical Permit NO. _
New Installation EJ Replace ❑ Relocaticn❑ Addition ❑ Alteration ❑ DATE:
HEATING
CONTRACTOR /j / _ OWNER
ADDRESS / 9 / 3 0 a, (4 ) y � 66; A _ J08 ADDRESS / 0
PHONE (27_cL7-- APPLICANT ^l�� anfi-[ — —
�!
Heat Input Rating;87'U per Hour) ,- " Vent Size Flue
DULL UiL❑ GAS ELECT ❑ OTHEN --_--.___
-►—r
ITEM NO. FEE ITEM NO. FEE_ _ �^
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7,50
New-up to & incl. 100,000 BTU x 6.00 _Commercial Hood System 7.50 _
New 100,000 BUT's & over 7.50 Other Equi Ment - Each _4.50
Woodburnin Stove 4.50 1 1 T.ip Inspection _ 4.50 ----
Wall-Floor-
-_Wall-Floor- Suspended _ 6.00 Air Condition Compressor -up to&incl.3 N.P. 6.00
Vent system w/Fan 4.50 _ Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
Repair-Heat Cooling 6:J0 _ ----
CITY
—CITY BUSINESS LIC�NSE R IRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEES 2.00
SUB-TOT 1L a.00
—1. . % STArr Issued By
25%PLAN CHECK
TOTAL _ _ olal. R E C. #
TSiananire of Aoo irant