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INSPECTION NOTICE
City of Tigan' 1ullding Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
" ldrow
-- - ---- ------------_ Permit #
•e of InspectionThe followimj Building Code deficiencies are required to be corrected:
Presented to—. _ Inspector
Date
CAL4 FOR RE111G'Ef7lON
lJ
YE-- ❑ NO A .._
ia� aI� � � w. +elr ■. � .s :s
4
Packard Plumhing BUILDING DEPARTMENT, TIGARD N�
'4128 S. �.,, Lohelia S#, PLUMBING PERMIT
_Porfland, OR 97219holder of a valid plumbino xntractors license is hereby
authorizeVU 4543Wumbing work as herein noted to be installed in accordi,occ with the plumbing code of
i igard. Such installations require inspection by the City In pector who shall be notified not less than four
(4) h,furs prier to the time th:3 installations are ready for inspection. City of Tigard business License required
for a!I contractors and sub-contractors.
Owner J+JC.J�.1 I_UAdd re.ss_._lLis _I — __" Date_
NUMBER Or TOTAL
TYPE OF PERMIT ITEMS FEE GM FACH AMOUNT
Sir.,1e Fr I ' hath -each _ _ 25.00
_ Oy.a!axxEaen 1 bath unit _ _25.00
Additional bathrooms—each _ 10.00
1 NM IV I>a u A L�t:e15.00
FIXT r u R E a C 0 r1 h1 E
1 to_ 50 Fixture,. 'n 1 bu ldin —each 3.00
51 to '00 Fixtures in 1 building—each 2.50_
101 to 200 Fixtures in 1 tayuildin e,trh —�Y '--� — .- 2.00
201
201 or more Fixture, in 1 building--each __ y 1.50 ^---
MISCELLANEOUS
Sewt:r—eich additional 100 ft. 1.0.00
�Na;:,r Service to building
' Other
_PERMIT , , For flum`iiog lnsp:>rtion Phone 639 4171 I
4 0 tbte Plumbing Contractor By
TnT41 foa r O PPr'f'IPT Nr) lnmpr1 Rv _._ f
BUILDING PERMIT APPLICATION TIGARD DATE Qj' so 3441
THE UNLIT '-,IGN-'--D HEREBY APPLIES FOR A PERMIT f-0h1HEwoHK HEREIN INDICATED BUILDER PHONE 639-6794
ORASS , ND APPROVED IN THE ACCOMPANYING PLANS AND SPEClf-WATION;1. OWNER PHONE
Land
OWNER 130b NO.Lu-11 JOBADDRESS 964 d 541 Kent Fours, I-OTNO. 91-Picke
inu
ARCHITECT
1-NGINEER
BUILDER COUI:,ADDRESS 15900 Std Serene - � DESIGNER StEvan-3's Deaign
STRUCTURE [YINEW 0 REMODEL 0 ADDITION 0 REPAIR El RENEWAL 0 FIRE DAMAGE Lj DEMJLliiON
IN RESIDENCE 11 COMM 11 EDUCATIONAL 11 GOV'T El RELIGIOUS D PATIO 0 CARPORT 11 GARAGE C STORAGE El SLABI7 FENCE
OCCUPANCY RnA.-LAND USE ZONE -ft17-11QBLDG.TYPE ZONE--PLAN CHECK BY HEAT----q-9@L.-
Construct, single family (,-It!jgllin(j w/atteched garage. 3 Bedrooms 4 brOe,
SEE CWHECTION SHEI'T A) :.I(,HEU*
SEWERPERMIT# 22068 - j050,00
OCC,LOAD FLOOR LOAD 40 HEIGHT 27 N0.STORIES AREA 19:32 NO.BEDROOMS 3 VALU662's 500.
MOLDING DEPARTMENT-
SETBACKS FRONT ;37.5 REAR j LEFT SIDE 11 RIGHT SIDE 46
Permit 5213,00
THIS PERMIT IS ISSUED SUBJECT TO ThE RE JULATIONS CONTAINED IN rHE BUILDING CODF, ZONING
REGULATIONS AND ALL APPLICABLE CCDFa AND ORDINANCES, AND IT 13 HEREBY AGREED THAT THE
Plan Check 106,t)o WORK WILL BE DONE IN ACCORDANCE 1,VITH THE PLANS AND SPECIrICATIONS AND IN COMPLIANCE
-5190 A WITH ALL APPLICABLE CODES AND OF&INANCES. THE '&,1iUANCE PF TPIS PERMIT DOES NOT WAIVE
Sub-total --- ,RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS rO H,,VE CURRENT CITY BUSINESS
6. j2 LICENSE.SEPARATE PERMITS REQUIRI-D FOR SEWFn,PLUMnING 'Nr!:iEA TING.
State Tax
SDO- 440Ue LIU
Total 32b.02
PDC#I I S 1 CII].fjl)-APPLICANT OR AGENI
By Receipt Ne.
Approved____ ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
��_ Contractor
M , -__.._ _
—�a1—� •uw,�3.� _1$-�]6 � --r�- - Pet mit No. 3,�0
,/j�✓J-fo ►1S�1t Rough-in -- -- .-
��1flq FixtureIlk
- -
Final
L-10, HEATIN,
'� - -- --_ Contractor
---_ _.-� __-- -- --- --- ParmltNo.
Gas or Oil (/
Rough-in
-- --__»__ - --_---- Final
SEWER
Final -Zoe,,
p�y o
---- -- - -..--�..—..�_ --------------._____-- �_.._. DRIVEWAY. ..y -
Final
Storm breh•aga
(Rain Dmi-.l Final
Sidr,.:alk
C4 r !4 Straot Final
�---- - ---- ------.�_.._� �
Approach
t31.DG-DEPT.FINAL TERTIFt ATE OCCUPANCY CERTIFICATE OCCUPA - -
Final
l andscaPl,g
7uninq Finns
.. ,. ,�� r;�+�rtc'+"rCr,;T;^TlrpPr`1vr;•r•p^•....,...
BUILEANG PERMIT APPLICATION TIGAI :) DATdfJ_Li ts1?10 "�r
THE UNDERSIGNED HEF;;:BY AF'PLIFS FOR A PERMIT FOR Ti;E WORK HEREIN IND!CATED BUILDER PHONE639 6 794
OR AS SHOWN AND APPROVED IN THE^,CCOM PANY ING PLANS AND SPECIFICATIONS, OWNER P ' 'r: --�-��
n'_I I LOT NCI.�_ P� _
J:^:_E,? �jD�" N(t SQk JOB ADDRESS 3l� �nJ`^'- - -_ L
ARCHITECT --
J ENGINEER Q
t3UlU^ER A h1 Ni ADDRESS ,��QQ@N�I C7' DESIGNER-./ lb
e3�h
STr,JCTURE NEW_ _❑ REMODELCi A00ITION _ _] R2PAIR Cl RENEWAL ❑ FIREDAMAGE Cl DEMOLITION
RESIDENCE C COMM ❑ SDUCATICNAL ❑ GOV'T Cl RELIGiOUS ❑ PATIO G CARPORT ❑ GARAGE ❑ STORA ❑ SLAB❑ FENCE
GCCUPANCY LAND USE ZONE P _BLDG.TYPE ----.-FIRE ZONE--=-PLAN CHECK 8Y NEAT CsA-b
"e-
ROWS
SEWER PERMIT M —
OCC.LOAD _ FLOOR LOAD HEIGHT HEIGHT 2�_ NO.STCRIFS y � AREA/rJ ,2, NO.BEDROOMS VAL_II Sr0
BUILDIfvG DEPARTMENT_ T - 4zr
SET BACKS FRONT-3��5 REAR /,��LEFf LiICE RIGHT SIDE
THIS PERMIT IS -*SSUED SUEJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZC,j'NG
IREGULATIONS AND ALL APPLICABLE CODES AND ORVINANCES, ARID IT IS HER-BY AGaEED THA`', THE
F;anCheck_ _ So- WORK WILL BE DONE IN ACCOP.DANCF WITH THE PLANS AND SPEC!FICATIONS AND IN CO,olPL1ANC£
-�-' WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES WY'E NOT Al
�Sut*tatal � �i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONT RACTORS TO HAVE CURRENT CITY BUSINESS
r LICENSE.SEPARATE PERMITS REQUIRED f OR SEWER,PLUMBING AND HEATING.
:StatATax •-�,
r SJG•-
otal -------
t Ljt >x APPUCANT OR AGENT
By __ I
-� Receipt No. _
Approved ADDRESv'--— -- --- PHONE
a c -__•s 4e)o '
Doc - S T
:EWER CONNECTION
iEWER INSPECTION
SEWER 5Uh!:HARGE S
t• C y 1 �� �_,_ -�-t- �'F�rJ_aC_�_•_.. _. ___.-.._.__
4c- P; h °
/*non,
//fA16K Sx 2ro 8
20X, ,22 Oleo
zo
6?2 33.40 3c
00e,carj Plow- 39 X 12-2 �to2
SS G,7 2,1."4O l 2, (3*
a- 4 X //--4 to
3 x (-e; _20
a
2p x 2Z
4 �c� �. r8•� , �r z.�
(PI 13
[,O'Clty- of Tigard Mechanical Permit NO.
r - ,
New Installati-)CLA Replace ❑ Relocation❑ Additinn ❑ Alteration ❑ DATF:
HEATING /
CONTRACTORs�l�hL� /rC�,( OWNER 01-2-11�.� �fl/
ADDRESS(/L Z_ &�_ L //l/�':.Y_ .JOB ADDRESS-
PHONE
DDRESS �fiL,SL
PHONE - ADPL"CANT
Heat Input Rating(BTU per Hour) — ��_.��� Vent Size Flue Size-----
FUEL
ize--- - __—FUEL OIL ❑ GA ' ELECT ❑ OTHFR
ITEM NO. FEE ITEM 00 FEE
dor Issuance of Permit SEE BELOW Each Air_handlin Unit or Duct System 7,50
New-up to & incl. 10,1,000 BTU_ +_ 6`00_ Commercial Hood System 7.50
New 100`000 BUT's & over _ _ _ 7.50 . Other_Er,uipment - Each 4.50
Woodburning Stove ^^ i 4.50 1 Trip Lispection _ _4.50_
Wall Floor- Suspended _ 6.000_ Air_Connition Compressor • up to& incl.3 H.P. G.00
Vent System w/Fan _ 4.50 Air Co•idition Compressor-3,1 to 15. H.P.incl. 11.00
Repair Heat Coaling^ _ 6.00
CITY BU:'INESS LICENSE REQUIRED BY ALL CONTRACT JRS OR SUB-CONTRACTORS ! ! n
PERM-IT ISSUi.N.CE_j _ 10.00 Comments:
FEES _
SUBTOTAL_
% STATE Issued By__
25%PLAN CHECK
I