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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ �' �� Time___.—_ A.M. P.M.
`�_ :� Z2-
Permit
Address ._--_ #
�� - A- ---
Owner__---. —�-Q J Lot
Builder -------- — —y- -=-'x� _� --
The followinq Building Code deficiencies are required to be corrected:
A
a
Presented to
Inspector Disapproved
Date _-
-
CALL FOR REINSPECTION
❑ YFS (-J NO
INSPECTION NOTICE ,
City of Tigard Building Department s,lL
P
O. Box 23397 \ iL t�
< t,� Tigard, Oregon 973 / l
r, Phone: 839-417 ` y _..�.I L I
,ae
Type of Inspection
- ___
Date Requested r �,.� - ` me A.M. � _P.�M��,,.��
Address ��.2—f ��- 2.�._1r�1 Permit t-JI—li_i-._
Owner _-- Lot #
Builder � V � T-b _
e
The following Building Code deficiencies .eYegwred to be corrected:
ec
_e
se,
Presented to _ Approved
Inspector _ --___ L�,.Attaapprove.d
Cate --
CALL )R REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 �7
/�� Tigard, Oregoi• 97223
Phone: 639-1,175
Type of Inspection
Date Requested =i/C Time_V A.M.___P.M.
Address . _ Lt/a Permit #—"AO!;�—
Owner _ Lot #
Builder .01
The following Building Code deficiencies are required to be corrected:
s
Presented to ._ Approved
Inspector .' .._._ ❑ Disapproved
Date ✓ i
CALL FOR REIN ECTION r
CI YES 0 NO
N.v.t3Jx "1.3397
CITY OF TIGARD PLUMBING 13MTigard �2�`d.
Applicants must hold Oregon Registration to conduct a plumbing PERMIT 633-4175
business or must be property owner/operator not hiring outside help.
Nartle of
% Plumbing Permit No.
A- a.
OesoripDescriptionff 2_� 'n 'I--,1 -
Job ORS 814-21.610 DUAN. PRICE AMT.
Tax Lot Map.No.
Address
Ld'. ` Block Subdivision
n - -
"7 Sink 7.50
Or name Hess Lavatory _7.50
Tub or Tub/Shower Comb - 1.50
Address "' i' '—
Shower Only — - `7.50 l_
Owner City/Stat" ZIP Water Closer --- -- i.50 cl
Dlshwa.sher / 7.50 '
-'-J-J Phone--- Garbage Disposal
Namn Washing Machine- � / T- 7.50
1•
Floor Drain 7.51
11'I 1_-.P0{ress Phoma Water Heater — -7.50 - - -
Laundry Room Tray - i 7.50
Occupant Ckty/Stale Zip - -- - -
Urinal 7.50
Name Phone Other Fixtures(Specify)-- - _ 750
- 62 — 750
Phone 750
Contractor Cfly/State 7.50
_ MISCELLANEOUS _
--�--
"Bus Tax N- Sewer 1 st 100' 3000
Mate N)s UFYI Sewer-ea.Addit 100 15.00 _
(flesldenfial) _- WaterServicn 1st 100 - 20.00 L'
I hereby acknowledge Coral I have read this application,timet tin information Water Service ea.Addit.XO' 15.00
given is oorred,that 1 run registered with the State Builder's Board,and also SLxm 6 Rain Crain 1 d.100' :10.00
have a State PkmtVMxl lioxme that time n urntws given are correct.that all -_
Plumbing work vA be clone In slocordsrtce with applicable praywons of Ore- Storm 6 P:,pt Drain Addft too* -, —_15.00 _ --
gon Revised Staarles Gbh ers 447 and 693 end applk*bie oodes and that Mobile Borne Spsoe 2500
no help will be Arnplarod unless licensed under ORS 603.(M exempt from ---- - ------ -- — i
State registration,plemm give reason below). Back Flow Prevention
DwA"OMEOWNERS--1 hereby rectify Crap I am the owner d erty the propde or MfiPr�lluliu"Uevlco 7,50
scribed above,d winch location I propose to matte a plunmbktg irodalla0an kx Any Trap or Was%Not
my own use end this prorArty is not being corkonlrfed for sale.Maze or rent Connected b a Fixture 7.50
l;.alchBash ----.v -_--- - _ ---- --- 7.50
--------
Map of ExW L PturT" -- 40.00 Per Hr.
Specially Requested Mspucotmu -- -- 40,00 Per Hr
d Nkxtt�illg within
> an Existing Bldg 15.00 min.
AUTHORIZED IGIVATURE�__-_. Dam New Bldg.or Build.-Additon 26.00 nMn. {
e : Immu1
Describe work new• ] addition(") altecstlon❑ mpalr f_] d iellitt3 15.00
to be done reafrlential non•residentiaf -
Exh"use of
hAkJkV or prop", NWTOTAL
I bR�wp o1 4%e aao"Na!
ot �1 Y
TOTAL pooperta, - — - - --
- --- --- - -- L
INICYTYX
76,-,
Thla pert+tk beonrnee twit and vold io work or m. Aftuoron wjdwU*d Is not coxa
merw d vW0n 1004"aw If omsa6 uoikrt or wcx*1a etlaperoded or shwa on@d 1or
a period of 190 days Y any hone WW work N oorrMnwnoed
111PRpAL 00NOr 101f1_---------------
Data I.wed _ by
--- - _-_.� --- - - - -- - 0Clt 460 111165 10�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, on 97223
. 39-4175
Type of Inspection — ----- -- --- --
Date nequeited ___ _� _— Time--- A.M. P.M.
Address --_-..- �� r s - Permit
Owner— _ --- ---- - — Lot
Builder ---__—
The following Building Code deficiencies are required to be corrected:
Presented to __ __ ___—_ F- Approved
Inspector _ fCALL70R
Disapproved
Date - REINSPECTION
[.] YES 0 NO
WWAR max al raw iaarr aw �
Rocelpt+�_ —_—
CITY OF TIGARD MEt rHANICAL PERMIT Permit#
nPermit
!M Code w t7TY PfIICE AMT
City of Tigard 0 e -0 -0- 10.00
13125 SW Hall Blvd. /~
P.O. Box 23397 �j 2) Supplemental Permit 3'�
Tigard, OR 97223 Furnace to 100,000 BTU 6.00 p�
639-4175 1) incl.ducts&vents l/
2) Furnace 100,000 BTU + 7,50
Incl,ducts&vents
--H
9 Floor Furnace 6.00
Name of Osvewprnent ) incl.vent -
-- 4) Suspended heater,wall heater 6.00
JobAricimse
i�1 �� r or floor mounted heater —
Address Vent not incl.in r 3.00
Tax Lot Map No. �G 5) appliance permit
a_ot * � Repair of heating,refrig., 6.00
Name name of siness) 1 6) cooling,absorption unit _
- ,-."4-44-4-0 - Boiler or comp to 3 HP 6.00
Mailing xddrass PtVne 7) absorp.unit to 100,000 BTU _-
Owner
Tp 6) Boiler or comp to 3 HF-15 HP 11.00
t ryrstatd absorp.unit to 500,000 BTU _
Boiler or comp 15-30 HP 15.00
Nam9) absorp.unit 1/2-1 mlllloa:
Boiler or comp to 30 50 HP 22.50
Mea+ „ --- r►,o"e --- 10) absorp.unit 1 -1.75 million
Contractor11 Boiler or comp to 50 HP 31.50
r�ityrState 'n ) absorp.unit 1,750,000 BTU - --
State Flegisiratlon No �— -- CNy Bus.Tax No 12t0) Air handling unit to 4.5C
,000CFM^
13) Air handling unit 7.50
1 hereby acknowledge that I have read this application'hem the information given is 10,000 CFM 4-A, --- — —
correct.that 1 am M"ty*r r or authorized agent of tla owner,that plans submitted are in Non liable 4.50
nompliance with State laws,that I am registered with She State Bukk"'Board,that are 14) portable _
ntxnber gK w is orxred,(h exerntx tram state registration please give reason helow) _ evaporate cooler
15) Vent fan connected 3.00 Z—
T- to a single duct
- 16 Ventilation system not 4.50
included in appliance permit -
_-� 17) Hood served by 4.50
_ mechanical exhaust �-
t��wtr Of 18) Domestic type — ^ 7.50 -
Incinerator _ _ _ -
Describe work - �� I alteration ❑ repair U1Commercial or Irtdustrfal
to be die rsidentfal Q9' residential 019)
—-- 110.00
type Incinerator --
Existing use of 20) Other I.e.,woodslove,water 4.50
building or property heater,solar,clothes dryers,etc. _
Proposed use of F -M 2.00 2
building or property___ ---- 21) Gas piping one to four outlets
T�pe of fuel oil O natural gas JM LPG O electric ❑ 2,�)) MM than 4 Pitt outlet
SUWTOTAL
"S PERMIT BECOMES NULL AND VOID IF WORK OR CON 416 gLiRt lAhlt#E /, 5
pUOTtION AUTw.jRIZED IS NOT COMMENCED WIIHIN 180 --------
Y8.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL � G►
FORA PERIOD OF 180 DAYS AT ANY'i IME AFTER -- MThyy
t Dale Issued 3
CITY OF TIGARD 639.4171 6600
BUILDING PERMIT
TAX MAP2s llu _LOTNO, 4---SUBDIVISION wnait, AC
OWNER iialu�k4�T _ - - _ JOBADDRESS 9625 SN Y1auzen Ct•
--— -
BI, II-DER Cr,r 3A3
�ti.L-..-.1C�11Alu�&� #► _ _ _ STATE REG.N _ _ LXP.DATE -
RUILDER'S PHONE ir2U-5S`ZO
Larry Taft
ARCHITECT - - PHONE — OTHER
STRUCTURE F1 NEW f_1 REMODEL LJ ADDITION I REPAIR I�l MOVE Ll OTHER DEMOLITION 2
I
RESIDENCE I COMM f] EDUCATION I IND HEbGIOUS ACCESSOF. ❑ GARAGE OTHER I I FENCE
OCCUFANCY �LAND USE ZONE _,,Lp_BLDG TYPE 46, FIRE ZONE_ PLAN CHECK BY _ - HEAT
SiS�3ilriSr. `=�-nt-1z t.,ll, ly <lw all per approw ;,►. n<:. a! J <_L Lv , a roc]r.
SEWERPERMITN 1:1''SS (1Ju) nnth� 1'• t rrr3 s t;aza),e :13
OCC.LOAD_ FLOOR LOAD HEIGHT ?ia NO STORIES AREA l(j(I+NO.BEDROOMS + VALUE !-,3,00i,
_ BUILDING DEPARTMENT
—_ SETBACKS FRONT 31) HEAR L E F7:;IDE RIGHT SIDE
Permit 33 i•`)w___ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
L15 .U`i I REGULATIONS AND ALL APPI ICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIO,JCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck,Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
La.-►t TA}X PERMITS.SEPARATE PERMITS RFOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 'L i•UU
Total
;l��a SDC- wolo0
PDC lyU.uo APPLICANT 5RAGENT—
-
Prepd:._ - _ --- - ---
Bel.Due
46y.53 Receipt Nod�/.r:i . ADDRESS PHONE
Issued By.___r_rL __Approved By 13'
---
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I
-5k-
/-7,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Zermit No.
Rough in
Fixture
HEATING
e l/3
contractor 446",7
Permit No.
Gas or Oil
JI Rough-in
Final
SEWER
Final
------- 00- DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY