9365 SW JULIA PLACE 9365 5W JULIA PLACE
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INSPECTION NOTICE
City of Tigard Bjilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _- ---- -
Date Requested__ _ Time A•M• P•M-
Address1� �`' Permit #_ _
__L 1 --
1 � �G.ic'r� LotUwner .. �- -
Builder -- -- --��
The following Building Code deficiencies are required to he corn cted:
r
Presented to _ oved
Inspector U Disapproved
Dnte
CALL FOR REINSPECTION
Ci YES ONO
IA U1' T1GAKU MECItANiCAL PhRMII
13121► SW Hall Blvd.
DeeOltpll°" QTV /111C9 AMT
P.O. Box 23397 Table aA Mecfwnkd Cod$
Tigard OR 977.2.3
639-4175 1) Permit Fee O O 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducts & vents 5.00
2.) Furnace 100,000 BTU + -- - - �- -
Name of Usvelepment Incl. ducts & vents 7.50
Ad�r _ 3) Floor Furnace
`f 3(a S S Lj P1.0 C� incl. vent 6.00 ---
rob —
Address Tax Lot map NO. suspended heater, wall heater
or floor mounted heater 6.00
101 Block subdivision 5) Vent not incl. in
NoI a nem of amass) appliance permit 3.00 _ J
Mellln9 Address Phone 6) Repair of heating, refrig.,
Owner _ cooling, absorption unit 6.U(i
rtiy,slaa - -- zip 7) Boiler or comp to 3HP
absorp. unit to 10_i+ :JO BTU _ 6.00 -
Narr.e _ 8) Boiler or comp to 3HP-15HP
absorp. un't to 500,000 BTU 11.00 Y
Melling Address Phone 9) Boiler or comp 15-30 HP
absorp. unit Yz--1 million 15.00
Contracim CRY/Stals ZIP 10) Bjiler or comp 30-50 IIP
_ absor . unit 1-1.75 million _ 22.50 _
slate Registration No. laity Bus. Tax No. 11) Boiler or comp 50 HP
_ absorp. unit 1,750,000 BTU _-- 31.50
1hereby acknowledge that I have geed this application that the Information 12) Air handling unit to
given Is correct, that I am the rwrw or etrthalzed 890111 of the owner, that 10,060 CFM 4.50
puAns sutmlltsd w In compliance +rtti Etats laws, that 1 am registered with
the Siete Builders' Board, that the number given is correct. (if exempt 13) Air handling unit
from (o registration please give roman below).
All �f -�-- _10,00_0 CFM + 7.50
14) Nun portable ---- ------ -
evaporate cooit., 4.50
15) Vent fan connecteo
— to a single duct 3.00
16) Ventilation system not
S a urs (owner or e ) p�1e - included in appliance permit -4.50 _-
17) Hood served by
Describe work ❑ addition;] alteralioni. repair(-j _mechanical exhaust 4.50 _
to be done residential ❑ non-residential ❑ 18) Domestic type
Existing use of / incinerator - 7.50
building or properly - ''r — -- 19) Commercial or industrial
Proposed use of r, _type incinerator __- 30.00
bul Iding or property 20) Other i.e., woodstove, water
Type of fuel — of l❑ natural gas❑ LPG❑ electric❑ he;,'.er, solar, clothes dryers, etc - 4.50
21) Gas p ng one to four outlets 2.00
NOTICE ---- -- - - - -- - -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTH071ZED IS NOT COMMENCED WITHIN Sus-TR
AL _
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% SURCHARGE
R ABANDONED FOR A rL-.nIOD OF 180 DAYS AT ANY - ---- - -
IMF AFTER WONK IS COMMENCFCI - PLAN RIEVIE.W2S%OFSUB-TOTAL _
— vTOTAL TS U
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INSPECTION NOTICE
Cty of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639 4171
� '1
Type of IrspPction _ A.
Date Requested.__ ___—� e X A.'9. P.M.
Address ��� �� / __ Perrrlt #
Owner _____ Lot
BuilderThe foilowing Building Code deficiencies are required to be corrected:
eor
I
I
Presented to — .____ ,krApprovcd
iInspector —_. `� __ ___. L I Disapproved
Date __.__fir `'w
CALL FOR REINSPECTION
YES 'Ie NO
BUILDING PERMIT APPLICATION 'TIGARD DATE_"ctober I. 4628
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TI IE N'ORK HEREIN INDICATED BUILDER PHCNE t52U-74 16
OR AS SHOWN AND APPROVED IN THE ACCOMPANI ING PLANS AND SPECIFICATIONS OWNER PHONE
LOT NO.
OWNER luni Hiller _ -- JOB ADDRESS-93 5 ger .iulis ti, ---__--- Kneeland hater&#_jI
ARCHITECT
ENGINEER
.UUII DER Some ADDRESS DESIGNER
-- -- ___..-___ _ I827r). SN I3ooae� �:y�. r;tcl. _
SrRUCTUHE EkNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 113 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
11 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT El GARAGE Cl STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -moi'_„}__LAND USE ZONE _ k-7PD BLDG.TYPE 514 FIRE ZONE PLAN CHECK BY A(. HEAT
---- Construct Si.nglo Family Dwelling w/attached p;kraa4. —
1
SEWER PERMIT#+26 4f, Car"m 435
OCC.LOAD FLOOR LOAD HEIGHT -���] NO.STORIES - AREA I rw o NO.BEDROOMS 4 VALUE 73.11(1{).
_ BUILDING DEPARTMENT SETBACKS FRONT 20 • RFAR r11 LEFT SIDE 111 611 RIGHT SIDE 1
Permit 352.(11,1 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 2211..`+l) WORK WILL. BE DONE IN ACCORDANCE WITS THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
^�WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SubtotalI.riU RESTR CTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPa i0 HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND!ii:ATING.
State Tax 14.f1i;
SDC- ;;lf.iU.!i,
Total 594.W'. ►.►
PDC# 11 I00.UU APPLICWNTd9AGENT _ -- - - - -
By t:.
I
-- - - Receipt No. ------ ._n--------,-,-----PHONE
Approved ��" J.1 A�OREBS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
1011A 91
Rough-in
Fixture
Find
HEATING
44Ai
Contractor P
Pnrmit No.
e nr Oil
Ll 14, Rough-in
`1 Z11-4 1
Fmai
SEWER
Final
DRIVEWAY
Final
Storm 7rsir4r
(Rain Drain)Final
Sidovmlk
Curb&Street Final
Apprck,ch
BLDG DEPT,rINAL TEMPORARY CERTIFICATE OCCUPANCY
C:ERTIFICATS VCCUPAWIw' Fimai
Landscaping
11.,
Z,mlmfj Final