10110 SW KENT PLACE-1 10'10 SW KENT PLACE
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INSPECTION NOTICE
i!
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Permit #
Typu rt hispectionThe following Building Code deficiencies are required to be corrected:
''resented to _ Inspector _.
Date
i ALL FOR RFYIiL9oECTION
❑ VES ❑ NO
ss, n� sw ss ss,
l INSPECTION NOTICE
City of Tigard BLINding Departmert '
111 12420 S.W. Main St.
Tigard, Oregon 97223
Phone 619.4171
-'
I Type of Inspection —�� _ _ -r. �`• _�' ,,. _.., —_�
The following Building Cm .vficiencies are required to be corrected:`-.-z -r'-- - �•_ ,�,,,�, ,��,�,. _ _—
�_._._._—.A.t_......�„_ -"----•-;,•�'� .cx'r:.c�ar�:l �..a�aoec rr �.e�.,,a �:..• ,err"' �— _.___
.—.—.. t4 ��_J,✓ 'Y'" seG.r.... �L✓"�e.�,n r`" .•l.�'• r ,�li �.. _<sw _. _�"--_--
Presented to Inspector
Date
CALL FOR REIIILD"EG7-/0N
a VES ❑ NO
r
Via . ®f Tigard Mechanical Permit NO-
Nevv Tns13T1'ititm Replace Relocation Z;5r
Alteration �'
❑ ❑ ❑ DATE:
HEATINGCONTRACTOR , - OWNER
ADDRESS r-iS� ` ''---- �� JON ADDRESS dlc2 .1,1Cd
PHONE �1% _— - _, APPLICANT—
Heat Input Rating(BTU per Hour) Vent Site. —• Flue Size
FUEL OIL GAS g ELECT ❑ OTHER
ITEM N0. FEE ITEM NO. _FEE _
or Issuance of Permit SEEBELOW Each Air Handling Unito• Duct System 7.60__-_
New-up to & incl. 100,000 BTU 6.00 Commercial Hood System 7.50
New 100,000 BUT's & over 7.50 Other Equipment - Each _ 4.50
Woodburning Stove 4.50 1 1'ri) inspection 4.50
Wall-Floor- Suspended 6.00 _Air Condition Compressor - up to&incl.3 N.P. 8.00'
Vent stern w/Fan 4.50_ Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
Repair-Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! I
PERMIT ISSUANCE 10.00 3, ' Comments:
FEES
SU13—TTOTAL
I.1•
X STATE
J151—PLAN CHECK
TOTAL_ REC. # __--
Signature of Applicant
BUILDING DEPARTMENT, TIGARD i
PLUMBING PERMIT N0. _
�e holder of a va!id plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbirg code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-con actors.
.1'e-)
Owner. � � 1 Q '���� �.�-- AddressZL �� / -'"`-' Date t
NUMBER OF TOTAL PERMITNO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AIYOIJN (Office U.w Only)
M T.Is\L ___
Sinal* Family-1 bath—each _25.00
Duplex—Each 1 bath unit 25.00 _
AcIditlonal bathrooms—each 10.00 _
Mobile Home Space -each _ 15.00
INDIVIDUAL FIXTURE FEES _
Ito 50 Flxtnres in 1 bulMing—each 3.00 '
51 to 100 Fixtures in 1 building—each 2.50
101 to 200 rixtures in 1 building—each _ 2.00_
201 or more Fixtures in 1 buiWll •—each_ 1.60
MISCELLANEOUS _
Bullding Sewer-1st 50 ft. _ 10.00
Sewer--each additional 100 ft. 10.00
Water Service to building _ �_ 6,00
Priyete Wow SysWna—eech 1Q0 ft. — 10.00
Other S
PERMIT- !-or Plwnblrp In4wdon Phone 6.394191
'!L Stan — Plumbing Contractor By t f kl
TOTAL `' = - RECEIPT NO. Isnrad By `Az
eiw wr � s
BUILDING PERMIT APPLICATION TIGARD DATE -_- _ » 110 3436
THE UNDERSIGNED HEREBY APPLIES FOR APE RM11 FORTHE WORK HEREIN INDiCATEE) BUILDER PhONE .143--8511
OFI AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE_.—___
OWNER :f-duards Ind* p Inc olOBADDRESS 101110 Sw Kent place LO' NO. 51—Picks Land 9
— _ ARCHITECT �--------_,._._.
ENGINEER
BUILDER same ADDRESS P.G. Faux C49,b tn. DESIGNER_ _Edwardla __
STRUCTURE VIEW ❑ REMODEL ❑ ADDITION ❑_REPAIR '❑ RENEWAL _❑ FIRE DAMAGE 0_ DEMOLITION
0 RESIDENCE ❑ COMM 11EDUCATIONAL ❑ GOV'T ElRELIGIOUS 11PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[] FENCE
OCCUPANCY LAND USE ZONE _BLDG.TYPE —FIRE ZONE. _.PLAN CHECK BY__...SWI?HEAT-_. t#_`
Construct single family dwelling wla3tt,achad_garage_. -V3 Bedrooms 3TBaths.
SEE C71P"UTION SHEET ATTACMED.
SEWERPERMIT# 22064 �_n&+OlJ—
"' OCC.LOAD FLOOR LOAD_ 40 HEIGHT 22 NO_STORIES 2 AREA 20[ 9 NO.BEDROOMS 3 VALUES 6FJ#000.
BUILDING DEPARTMENT SETBACKS FRONT 'C) REAR b 2 LEFT SIDE b• RIGHT SIDE P
- —
Permit 1.23.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 111.50 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
Sub-total X34•SQ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State tax G.92
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
4;�:
SDC— X4100.00
Total x;343. 44
Blv Pi PDC# ! 1 100.00 APPLICANT ORA(iEN1 —
-- dwh Receipt No. --- 7
Approved ------ —�
PH
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
-'Iwo Permit No, -;L0-ro
s;z
Rough-in
Fixture
Final
HEATING
Contractor
Permit No. C-3-7
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Dre!nW
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG- DEPT.FINAL TEMPORAWNERTIFICATEOCF ICY
CF N i AFOC
ICATE CUPANCY
Landscaping
Zoning Final
1 `
3'JILDING PERMIT APPLICATION CIT -1 C,%,RD DATE-6cL.__`. 19--� 3436LIFN° 34a
-E ,'•,':��-` '�tiED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILUERPM0NIE5
AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH°N`
LOT NO
—
0 �✓
OW II�_.G�^C�[trtt'Lel [� L��..�JGB ADDRESSs�Q �a1�L .r>C ~. IE AU;7;)P Ess
ARCHITECT
ENGINEER
Y _= _ _ - _ -'�U1 �$tDESIGNER
Ur-E X"ZEIN ❑REMODEL 0-DO'NON ^REPAIR ^ ENEWAL ❑�r1REwDAMAGE_ [-]DEMOLITION
'I_�NCE ,mm (3EDUCATIONAL 0-30V'T OPEL IGICIUS OPATIO
❑CAR PORT ❑GARAGE ❑STORAGE []SLAE ❑FENCE
(� ]!t,)NO _ []MOVING ❑CONDITIONAL USE (:)DESIGN REVIEW _ ❑COUNCIL APPROVED _SIGNS
NCYP"3_ .NLS USE ZONE _�siC BLDG TYPE _ FIRE ZONE PLAN PLAN CHECK BY__ HEAT- �
�� - --__ ------
US—
NO,
_
NOBEDROOMS-QLQAQ - F_LQOS9L --Hf�.b? � ri
-- K [
BUILDING DEPARTMENT SET BACKS tRONT jD --- -t
-
ALU
REAR �z LEFT SIDE G., RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 11 1 . 50 RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERF'RY AGREED THAT THE
- n WORK WILL BE DONF. IN ACCORDANCE WITH THE PLANS AND SPECIFICAI IONS AND IN COMPLIANCE WITH
' Sub total �- J *, ,� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!Iimte Tax o ,92I ICFNSE, SEPARATE PERMITS NFOLIIRFD FOIL SEWER. I'LLIPARING AND HEATING,
Total'
BY ...� _. _.._. APVi iCANi OA AGENT i•-�_..�
App.oved Receipt No.
_._ _.._....� ADUP SS HON _.
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