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INSPECTION NCfICE
City o'. T n and Building De
artment
?420
S.W. Main St.
Tigard,Oregon 97223
' Phone; 639-4171
1
Type of Inspection –* ---
Date
—Date Requested _ Z-wd-1 — 11MG — - A.M. _P.M.
Address _ yi": Ps►mit #
Owner; - Lot #__
Builder
The following Building Cc de defi0encies are required to be corrected:
4-1/
p
Presented to _.— ❑ Approved
Inspector !' [A-Disapproved
Date _
i
CALL FOR REINSPEC770N
[,, ^YES ❑ NO
ser—A—w--JEMEL—mff
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 9722?
P'ione: 639-4171
Type of Inspection
Date Request 1-----Z– –14 il? A.M.--k—P.M.
Address 9!27,6[�� .4
—tfo< Permit #
Owne Lot
Builder
The following Building Code deficiencies are required t-) be corrected:
z
4-
Presuntetl Approved
InspictorU Disapprnved
Date 4Z
CALL FOR REINSPECTION
El YES 14 NO
ese nnr awr �. WIN AL�JIIIIIIIIIIII
10
C ®f Tig;art; Mechan!17al Permit NO.�...�._
New Inst3llat; 'Replace C] Relocation[j Addition n Alteration 1 DATE:
HEATING ) I
CONTRACTOR _W. `'Y OWNER
ADDhF:SS__jb _"5rj' �J "IuALml►.� , t V.�, .y 1–Y
JOB ADDRESS - - ,,. !'L iJ�A6
PHONE � .= '1:r1--{ ,APPLICANT
y
Heat Input Rating(BTU per Hour) Vent Sita Flue Size
FUEL OIL C] GAS C] ELECT C OTHER _
ITEM N( FEE ITEM NO.1–
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct S sty rm 17.50
New-up to & incf. 100,000 BTU J 6.00 Commercial Hood System 7,50_
New 100,000 BUT's & over _ 7.50 Other Equipment - Each _ ^4.50_
Woofturning Stove 4.50 1 Trip Inspection - 5.50 .
Wall-Floor- Suspended _6.00 _ Air Condition Compressor - up to&incl.3 H.P. 6.00
Vent System w/Fan _ 4.50 Air Condition Com rp essor_3.1 to 15.H.P.incl. 11.00
Repair Heat Coo,in9 - - 6.00
CITY BUSINE55 LICENSE REQUIRED BY ALL C'XITRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
_FEES
SUBTOTAL.____
_ % STATE Issued By----
25%
y_ -__ -25%PLAN CHECK
TOTAL REC, -
-
.S:,-.nature of Aoolicant ��
IN 'ECTION NOTICE
City of 'i iyard Building Department
12420 S.W. Main Si.
Tigard, Oregon 97223
Phone 639-4171
Address Permit
Type of Inspection
The following Building Code deficiencies eve required to be corrected:
Presented to Inspector
Date
-^L' FOR REIWEMON
0 YEB 0 NO
2, �i7sS�S v✓"'Ce"S' -�-- BUILDING DEP 'Eh' TIGARD---- '—.
�'�.:��/ra• � ,�, G�`�' / `� /`'4.. � P UM ART4. ,T, ARD��Y' .....__._.�_.�._.._\_.. _ _..._�._.....�
L 61NG PERMIT N?
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein rioted to be installed in a('cordance- with the plumbing c.)de of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hour:; prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and subcontractors. /
Owner_ ss Addre '
-- . -_ _ Date_..-_' L/
TYPE OF PERMIT NUMBER OFTOTAL
ITEMS FEE ON 'EACH AMOUNT PERMIT NO.'S
R N T to (Office Use Only)
Sin la Femil -) bath--aech -----_
Ou lex-Each 1 bath unit 25.QU
Additional bathDome-aech r _.-.25.00
- �
Mobile Home Space-each�- I 10.00 -
INDIVIDUAL FIXTURE ltEES 15-00
t to 50 Fixtures in 1 buil.ling-each
51 to 100 Fixtures in 1 Duildi�eac� h -^ 3.00 -'-
2.50 "-- -----
101 to 200 Fi et ties in 1 building-each ------
_201 or e Fix
mo, rVj iii i b - w 2.5 -
tuuildirt�-each
MISCELLANEOUS 1.50
FFP'r;vate
Sewer-1st 50 It. _ --
10.00
ch edditi,,nal i00 It__
--W rvice to buildln� 10'00
ater S trams- ah 100 It, 10,00
peci_fVl:
PERMIT c c For Plumbing lnsoection Phone 539.4171
State
Plumbing Contractor By
��tttttttttt�
BUILDING PERMIT APPI..ICATIJN TIGARD DA`" — .19 '_--
THE UNDLI,SiGNED he.9F:FIY APPI-IES FOR A PERMIT FOR i HE WORK HEREIN INDICATEC. RUILDER PHONE
OR A5;'HOWN AND APPIT IV FD IN THL ACCOMPANYING PLANS AND SPEC Ir'ICATIONS, OWNER PHONE.—
LOT
HONE _..LOT NO. 93—P1(Li)
OWNEq a3 :?{ Lull it:T. JOB ADDRESS .ice __
B IU LDER
Safi" ADDRESS 21525 SU 713th DESIGNER Piercy Barclay
i _ ._.—
STRUCTURE 1XNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ;7 EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE _❑_SLAB❑ FENCE
OCCUPANCY _3_—_A__LAND USE ZONE —_7_P(J BLDG.TYPE ' FIRE ZONE —:-PLAN CHECK SY _— dwtt HEAT_ I]3 D
Construct single fam-i.1y dwelling w/,, Ltachsd garage. --4 bef';_,,Jrrls 3 klsVic.
SEE CORRECTICIF` 5BEET ATTACHU.
SEWEH PERMITk 't2031 .. B750.pp –_ - - —y€arsgs 479
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO STORIES AREA 2173 N0.BEDROOMS 4 VALUE_
_BUILDING DEPARTMENT SET BACKS FRONT REAR ��`' LEFT SIDE RIGH r SIDE
renin — +2!.7.0'0 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONINU
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Ci 9ck 113. 50 WORK WILL. BE DONE IN ACCO;IDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
4JO WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE
Sub .total RESTRICTIVE COVENANTS, CONTRACTOR AND SIJB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE,SEPARATE PERMITfi REQUIRED FOR SEWER,PLUMBING AND HEATINCI.
Stats T,-,x fl. 9.08 $400.00
.,�jfly. �1 IC—
Total SD —Y X 1 .00_-. -- ---
—— �� ppCH tS0aPPLICANT OR AGENT
B
t,�h Receipt No. _� ----- -
ApproveJ ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractoi 1,
+ -- --- �. Permit No
..t/ J_// �/1 Rough-in -- - O
y Fixture ~-
Final
HEATING
/ ,r�_n��l Contract r
�7 It7t kt,. r,�((�. �CLf �L`��-�� Pcrmit No.
orOil
Rough-in
Final
SEWER
Final
DRIVEWAY
---�_-- Final .�
^—_ Storm Drainage
:_
_ (Rein Drain)Final
Sidewalk
Curb&Street Final
Approach �4 `
BLDG. DEPT.PINAL TEMPORARY CERTI:ICATF OCCUPANCY
CERTIFICATE t?CCV PANCY Final
Landscaping
Zoning F anal
ii
;1
BUILDIIG PERMIT APPLICATION TIGA;?:) DATE
THE UNDERSIGNED HEREBY APPLIES FOP A FEFt{AIT FOR ThE WORK HEREIN INDICATED BUILDER PHONE V' •�V
OR
AS SHOW d AND APPROVED IN THE ,CGOr,'Parl`!!rl : PLANS AND SPECIFIC ATIOt1S OVINER PH0114
JOB ADDRESS �gbX-
S L� k C,'}•
►�E R �_ �—--_
r- ARGi C �T
BUILDER A Q. AODRF_CS,l/ 0 DESIGNER
c1RUCTURE�` NEW ❑ REMODEL ADDITION REPAIR_❑ RE_PAIR ❑_RENEWAL ❑ -IRE DAMAGE Q DF►AOLITION
RESIDENCE C COMA ❑ EDUCATIONAL ] GCV'T ❑ RELIGIOUS G PATIO ❑ CARPORT Cl GARAGE G STORAGE__❑ SLAE.❑ FENCE
Cri--COPANCY R 3 LAND USE ZONE W 810 G.TYPE FIRE ZONE- PLAN CHECK BY 47 HEp
SEWER PERMIT M -..-
OCC.LOAD FLOOR LOAD A) HEIGHT NO.STOWIES AREA NO.BEDQOOMS VALUE
—NG-DEPART M_F..NT � -}» -"�►"'--__
n
SET BACKS_FRONT 20 _REAR oS_ LEFT SICF RIGHT SIDE to
P^rrnit 22 . ba THIS PERMIT IS !SsiJED SUBJEC? TO THE PCGULATIONS CONTAINED IN THS BUILDING COLE,70WN3
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AN11 IT IS HERt'3Y AGREED THAT THE
planChetk ( � 3. WORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
~ _� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER?AIT DOES NOT WAIV
1Suh toial D b RESTRICTIVE COVENANTS. CONTRAr:TOR AND SU9 CONTRACTORS TO HAVE CURRENT CITY 6USINESSa
State Tex
LICENSE-SEPARATE PERMITS REQUIRED FOR SEWER.PLUMaING AND HEATING-
Total �' SDC- Q. C�;��lr���:r• �� /�t_�1�10
PDC# APPUCANTORAGENT ---
By
-� Receipt No.
Approved ADDRESS
0C —
ac
EWER CONNECTION �, Wr
iEWEF�INSfiECTICIN o
E W E n S U R C H I R G E
\V���,. Cao��. �-� . .��► �,,�,�� ��,
43 V r Cr lof - 13 PtL L,,4AX
/�ti(N FIOoY►
6- 8 x
/¢ k
L l � ,--, 8
u���a�- loo•r- �� x 2�f- log L� 2o. 4a zz, ,rl iS
Jlt 90
/4. x s 7o
47q O'D