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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W Main St.
Tigard, Oregon 97223
Phone 639.4171
Add,ass /.�.�' _r'' t"... Permit #
Type of Inspection
The following Building Code deficiencies are required to he corrected:
Presented to _ In spr ctor _
Date
CALL FOR RFl!1 IFC7/ON
CJ YES ❑ NO
LIZAI
City of Tigard Mechanical Permit Permit S3,QQ
Fee
Ne%r Installation El Replace ❑ Relocation l J Addition ❑ Alteration l_-1 3%State
TOTAL,—_
CONTRACTOR OWNER
ADDRESS WORK ADDRESS
PHONE _ _ _ APPLICANT
Heat Input Hating (BTU Per Hour) Vent Size — _� Flue Size_V_
FUEL OIL Lel GAS L_l ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP
New. Under 100,000 BTU 4.00 Air Handling 10,000 CFM _3.00
New- 100,000 BTU&over 5.00 Air Handling Over 10,000 CFM — 5.00
Floor Furnace 4.00 Evaporative Cooler 3.00
Wall • Floor-Suspended 4.00 Range Vent Pan 2.00
Install Vents Only _ 2.00 \er t System 3.00_
Rep - '.av.&Cooling _ 4.00 _ Hood Commercial_ _ _ 3.00
Air Condition Compressor Under 3:-;? 4.00 _Corr_merciai Duct System — _ III
Air Condition Corepressor 3 to 15 HP � 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LIf ENSE 1315-01.11FIED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY DATE
RECEIPT
' „A Signature of Applicant
CITY OF TIGARD BLDG. DEPT,
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4i7l
('ONTRACTOR:
Nursuant to Sectioni,$) of the Uniform Building Code, the
following item(s) rF ,4uire correcting:
aw!%
_zTee
Date:— permit No.
Inspector:'CALL FOR REINSPECTION
C1 Ly citi ic,3i'C7
Nev. Fer
1n %kation 1G Ren!ace ❑ Relocation ❑ .'•jj `.on Ah4ration .? 4X'„.State
\ 3"1—
TOTAL IA.
C"'TRACTOR ►�� � �-�:A 2�.a c tl[ 0�' h c i;��i_hl d ,\J�.bL•_�,�� Ir AL�..__
WORK ADDRESSIS'1dflDZ Uj
PH )NE _ Pt,S�i C3��G _� APPLICANT *, � E.IJ_lJC5�2.• _ I-`A+,j 4-_
f' Vent Size �'° �' Flus Size _
Heat Input Rating (BTU Per Hour) \��"i __. _
FUEL OIL r_1 GAS �ELECT ❑ OTHER___
�,:'-• ITEM NO. FEE ITEM NO. FE
For Issuance of Permit3.00 Air Condition Compressor 15 to 30 HP t0.1
� 4.00Y __Air Handling 10,000 CFM 3.0
New-_Under '100,000 BTU �.—.i
,`�'' Nei.+•
—I W,000 BTU &over _ 5.00 --*'-Air Handling Over 70,000 CFM _ 5.0
Flt,u7 Furnaca 4.00 Evaporative Cooler 3.0
Wall. Floor •SusM�nded 4.00 Range Vent Fan _ 2.0
r. --
Install Vents Only 2.00 Vent System 3.0
Repair• Heat & Conling �� 4.00 Hood Commercial _ 3 C
r,
�• _
- Air Condition Compressor Unoer 3 QIP 4.00 Commercial Duct. System _ 10.0
—rEssor 3 to 15 HP
::_ \ir Condition Com
�.� _�_ _____—�_—ter,--=__. _-�_ _...�._-._._ _-.��-•-- —
r INSPECTOR'S COMMENTS
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.,cCITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
B
APPROVED8Y DATE ISSUED BY GATE
RECEIPT NO.
774 Signature of Ajfplicj.
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AO'LIF;E55 ..-1 < ., PERP11T N0 .
y PERMIT CHARGE none
OWNER �d � � � CONNECTION FEE
PAID BY
TYPE OF BUILDING � DATE CONNECTED
SERVICE RATE AC �.• INSPECTION: FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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BUILDING PERMIT APPLICATION OF CITY TIGARp OATE � ?449_..—�_ _'�� —___., 19_�_.
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED 3UILDERPHONE_PHONE—, —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE�
L 3 1:,. LOT NO _._.
^JCltk'tL�� �,hb C .la
OWNER _;Ci atin LOUJOEI ADDRESY -.IBGQ •4k M,AIN&1ON HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER 'ALMA ADDRESS _ DESIGNER
STRUCTURE EINEW DREMODELDADDITION 0RP-PAI9 ❑RENEWAL ❑FIRE DAMAGE DEMOLITION
0 RESIDENCE GCOMM ❑EDUCATIONAL DGOV'T l JRELIGIOUS r]PATIO ❑CAR PORT ❑GARAGE C STORAGE DSLAR OFENCE
❑BOND ❑MOVING DCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCI'_ _.LAND JSE ZONE "` BLDG.TYPE J �el _FIRE ZONE.-- PLAN CHECK BY_i HEAT
_ ,`2►���-�, f��t—C��uI� �I��la as ,l;�til3 `iW :�ur+�t�r� �Y►,1r�i �fi��:�.
1'xiatnfi, duclJriu WZ*ttachad QLMx. u 09 3 300room
QC._-QLQAU-- _-_E.L4
DATE INSP. TYPE INSPECTION REMARKS PLUMBING i '--ATE
Contractor - —
i
,rad- - 7 / -1• �z% /sr.q r- v .k ----_.__ Permit No. �j �� 1��: 1-Y - (o -7E
Hough in
d k Fixture
-
y Final
HEATING
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__—.� ------- contractor --
Permit No• i?�7�� 7f�Y- /Y'/i-���
Gat or Oil
-— Roughan
Final
�_ — --- -- - SEWER _.
Final
-' — DRIVEWAY
Final
Stofm Drainage
— — (Rain Drain)Final
— Sldewas k
—� -- — —� Curb&Street Final
to Dli.DEPT.P IN JkL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY _�__ 9- I`-—
Laricb ting
Zoning Final
,.:•1. ••'l r.•. yr '„:fir r
77,t
s
3JLD GI IN PERMIT APPLICATION 11T' TIGAAD DAT -! _L ._._.-•--, 19_/V, N2.2yg4
`4F LINDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER FHC)N '3101
;-F AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICA-1 IONS OWNER PHONE_
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LOTNO d
�U �.Vn��(�nPnt�JOB ADDRESS =AZECJ`�.�k.Mi �J+UME ADD-ESS
pHCH1T ECT
ENGINEER
&',i
;��// '1 _.. DESIGNER
&
"RE ',iw []REMODEL ❑ADDITION�_OHEPAIFt �— []RENEWAL_ OFIRF DAMAGE ❑DEMOLITION
L.�' ,` Nr't ❑ rMm DEDUCATIONAL 0GOV'7lDRELIC•,IOLISI.3PA110 []CARPORT DGARAGE []STORAGE[]SLAB OFENCE
`ND []MOVING�— OCONDITIONAL USE LJDESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
LAN USE ZONE_T�.7--7 BLDG.TYPE -t --._F IRE ZONP�a PLAN CHECK BY. HES I
AD F t o.Qfl_�.�A�L,I_L/._____HE!4�Ht_�' /N-Q �7�p11<s_l-�._�R� :1L�_ a��szMS
BUILDING DEPART NT SET BACKS FRONT �� REAR LEFT SIDE La RIGHT SIDE
II
------ —
THIS PERMtT iS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Ian Cheek tT) 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 WITH
Sub Intal_ 1�(�W ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1_ RLSTRICTIVF COVENANTS CONTRAC70P AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
.Iatv Tax 5':' LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. p
OG -i�i
Hyi -ANI OR
ApLxuved
Receipt No
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