9815 SW JANZEN COURT-1 9815 SW JANZEN COURT _
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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Pnone 639-4175
Tvpe of Inspection
Date Requested Time P.M.
Address 'A P"Mit
Owner 4. I-ot
Builder
The following Building Code deficiencies are required to be co-rected:
Pr-isented
Inspector Disapproved
Date
CALL FOR REINSPECTION
D YES 0 No
►�•� w w w w w w w w
(11TY OF TlGAHl) MECHANICAL. PFRMl'l
I �•ru�rl u
1.11y 0 Ti,;.rtd - - -- ----
1 3111 SW 11,111 Blvd. DeeotiPdon qTv •ttice /IMT
1'.0. Box 2332L. — - Table 3A Mechenkd Cods _
923
T39- OR-ORi/ 1) Permit Fee -0 0 110.00
- - --- 2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducats & vents 6.00
2) Furnace 100,000 BTU +
Name or Development - Incl. ducts& vents 7.50
3) Floor Furnace
Addr"s11 incl. vent _ 6.00
Job $ 1-5
J J a r) 2 en CL ' 4) Suspended heatc,r, wall heater
Address Tax Lot map °
or floor motr�ited heater _ - _ 6,00 _
La mock subdivision 5) Vent.not isirl. in
Nome I or ?ams of business) appli>'r_u permit 3.00
tq I I c E-k\ L-4A.-rS v I\ -— -- - —-
Mailing Address Peon. 6) Rerair of heating, re-rig.,
Owner J� , ��. ?_�� ��,3 --cool?ng, absorption unit 6.00 _
tffyf741e4s 7) Boiler or comp to 3HP
quo,
L i.U ;UD _9' absorp. unit to 100,000 BTU 6.00
Name C) Boiler or comp to 3HP-15HP
absorp. unit to 500,000 BTU
Mailing Address Pilules 9) Boiler or camp 15-30 HP
absorp. unit %-1 millinr 15.00 _
Contractcr Ctty(stete - 10)_ mHP
Bailer or cop 34 50
absorp. unit 1-1.75 million 22.50 _
Sia's Registration Nn. City Flus. Tax No. 11) Boiler or comp 50 HP
ah;orp. unit 1,750,000 BTU 31:50 -
i er
heby acknowledge that I haw read this application that the lnforffMlnn 12.) Air handling unit to
elven is oon•ect. filet I am °ho owner a outhorlred agent of the owner, that 10,060 CFM 4.50
ptans submitted are in compliance with state laws, that I am regletefed with - -- --the Mate 13u;:4:.s' Board, that the number given is correct. (If exempt 13) Air handling unit
from Sate reglelfatlon please give resew below). 10,000 CFM + ____._---- 7 -r)0 ---- --
—
/�� 14) Non portable 4 �0
evaporate cooler_ _ -
- 15) Vent fan connected
to a single duct _ 3.00 _
h -e 16) Ventilation system not
Signature (owns or agent) pate included in appliance permit 4.50
17) Hood server; by
Describe work 0 addition❑ alteration❑ repairf) mechanical exhaust - 4.50 _
to be done residential-0 non--residential ❑ 18) Domestic type
Existing us l of incinerator 7.50
r ` d� - --
building or properly.._ 19) Commercial or industrial
Propostld use of type incinerator 30.00
bullding of property - 20) Other i.e.. woodstove, water 7)
Typo of fuel — oil F1 nntural gas❑ LPG❑ c!eC!':-❑ heater, solar, clothes dryer:, etc - 4,50
21) Gas piping one to four outlets 2.00
NOTICE - - - -
TN _
IS PERMIT BECOMES NULI. AND VOID IF WORK OR 22) More than 4-per outlet
rXINSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN _ sWT'oTA:
IBD DAYS, On IF CONSTRUCTION On WORK IS SUSPENDED - 4% tCURCNAR01
On ARANOONEU FOR A PERIOD OF too DAYS AT ANY - ----- PLAN IIEV1FVl 26'X Of 11U0•TOTI1l.
TIME AFTER WORK IS Cr)MMf:NCFr) ----
101 Al h e
Special Gondltlons - - - --- -
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INSPECTION NOTICE
i City of Tigard Cluilding Department
124:')S.W. Main St.
Tigard,Oregon 97223
r Phone: 639-4171 r
i Type of Inspection
Date Requested, Time�_�_A.M. P.M.
i
Address —rJz Permit #_ 5 'x7 .j
Owner 'f✓ _ _— Lot
Builder
The fcilowing Building Code deficiencies are required to he corrected: i
----_---_�__.__ ?--------- ✓ r. —� � --- Ili
6-
Presented
Presented to _ Approved
i
Inspector Disapproved
Date,
CALL FOR REINSPECTION
C) YES E;i'NO !
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223 of
�
Phone: 639.4171 9
Type of Inspection .�
Date Requested Z Time _ A.M. _P.M.
t
i Address �J J �' 1- _. Permit
2
Owner J J _ Lot # ✓'
Builder Ina as 41
�I The following Building Code deficiencies are required to be co:rected:
� ��.�7't.�'�..�.__ f�Lr1.G' � ai_fir'7��•Z..S�'�. [-_�'.._ L.%•��
---4
I '
Presented to _ F1 Approved
Inspector &-1y Prrr Disapproved
Date
CALL F Oi REINSPECTION
YJ YES 0 NO
INSPECTION NOTICE
City of Tigard Building')epartment
12420 S.W.M:1in St. i
Tigard,OreWn 97223
Phon,. 639-4171 1
Type of Inspection
Date Requested _! Time_`� A.M._ Pel
Address 7sl Permit #k15.�~_r?—_ ,..
Owner_--_— --... �.! Lot
Builder
The following Building Code deficiencies are required to be corrected:
I
I
i
I
Presented to .._ ❑ Approved
Inspector � _ jy?'' �j Disapproved
Date
CALL FOR REINSPECTION
D YES [❑ No
a� a� sae sesz eR +mss wr �r err ns w
INSPECTION NOTICE 1
i
f City of Tigard Building Department
124'..10 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested____—._L__�_� Time —„ A.M.�—P.M.
f Address _ � _S `�,,.., Permit #S Z `�•�
Owner �_ Lot #
Builder ---
E The following Building Code deficiencies are required to be corrected:
--ems �•�'- – — --� t` ---
Presented to --_ r. ❑ Approved
Inspector -- _ •-� /j"' —_� Disapproved
Date
f CALL POR REINSPECTION' l
'eYES F--1 NO t
BUILDING PERM ITAPPLICATION TIGARD DATE _ --��-�'!._,�s.(t`D5343
THE UNDERSIGNED HEREBY APPLIFS FOR A PERMIT FOR I HL.WGRK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _—
LOT NO._�-3
OWNER UAAL Humes JOBADDRESS 91815 SRW Jansen Court hcU*ne.ld Ac•:em
— $DX 1957b - --ARCHI T ERT
F.U. -'--- —--
BUILDER — SA 4k ADDRESS LOLtla g Qxej013 972 12__.DESIGNER --
STRUCTURE11 NEW ❑ REMODEL —❑ ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE"NAMAGE D DEMOLITION
W(RESIDENCE 1_-1 COMM LJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE 1._] SLAB❑ FENCE
OCCUPANCY 1t-3__LAND USE ZONE A!AA BLDG.TYPE—__5_N FIRE ZONE---PLAN CHECK BY 11CR HEAT Gas
Construct single Emily dwlliv4z u/attached garage
3 bathroom---3 I*dromm Garage 567
SEWERPERMITB 28399
OCC.LOAD _ FLOOR LOAD 40 _ HEIGHT J7 NO.STORIES 2 AREA 1791 N0.BFDROOMS J_VALUE U 7,UW
BUILWNG DEPARTMENT � SET BACKS FRONT 20 REAR 25 LEFT SIDE i b RIGHT SIDE �—
Permit 334,00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 2 I] 1U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
55 1 �Ll WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total �— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
41 13�3g yF �ISE.SFfp
State Tax
6R6y PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 564 .46 SDC— 5UU.UU 1
PDC# L 15U.00 APPLICANT OR AGENT
By
lflClk s b Receipt No. __ _
Approved �� ADDRESS PHONE
■
DA rcP. T PE INSPECTION REMARKS PLUMBING DATIC
�Contructor/
Permit No.
Hough-in
V/t SS.1101, el **,,o FI)tura
Final
HEA IN
�
vnllr o"
Par',it N
�fRGas or Oil
ouqh-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Grain)Final
Sidewmik
Curb&Struet Final
Approach
-T TEMpOf4AFPY CERTI"GATE OCCLIPANCl
C':RTIMCATE OCCUPANCY Final
Landscaping
Zoning Final
'7
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Building Permit No. r�4 _
Locationf
Date �� ----------------
Certification of Registration
With the Builders Board
I, ��4 '� H✓k M?i J -
doing business as (dba) ,
DAA -- 1-4 cme-S am registered under the provisions
of ORS Chapter 101 Oregon Honebuilders Law).
toy Builders Board Registration dumber is aBc�4 .
My registration is in full force and effect and expires on
ignature
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