12320 SW NORTH DAKOTA STREET .r w .M
12320 S64 North Dakota
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INSPECTION NOTICE
City of Tigard Building Department
P Q. Box 23397
Tigard. Oregon 97223
Phone: 6339-4175
Type of Inspection - ! ,f�1r+�e.-�
Date Requested u-j z Time - A.M.�_�P.M.
Address L �'{ !(f �_G2.F�" Permit
Owner _ Lot
z
Builder
The following Building Code defic -ncies are required to be corrected: j
j
Present9d to _ ____ Approved
Inspector — -- ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ res �o
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date I;eques'ted -_-_• Time A.M._ �P.M.
AddressrC - i-'sem + Permit
Owner ot_ Lot # _
Builder
The following Building Code deficiencies are required to be coi ted:
s
'i
Presented to _ _ __— �T� Approved
Inspector `fDimpproved
Date __.1_. 'c 7
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- --------- — ---
Date Requested 2 Time _ A.M. P.M.
Address =-3 2 L,L)/ N _ Permit
Owner — _ �` Lot
Builder ------
The following Buifd'ng Code deficiencies are required to be corrected:
Presenter) to -- -- __..__ _-- — -- -- - Approved--
i
Inspector _ — -- — -- Disapproved
Date ---
CALL FOR REINSPECTION
YES L-I NO
CITY OF TIGARD MECHANICAL PERMIT Hompt"
- -
Pemwt 0
City of Tigard r.sa Medwip1oif code aTy tMMOe AXT
13125 S.W. Hall Blvd. 1) Permit Fee -0- 4 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3,00
6,19-4175 Fumace to 100,000 BTU
incl.ducts 6 vents 5.00 I
2) Furnace 100,000 BTU + _
incl.ducats 6 vents 730
Nara,of Develop//mem Floor Furnace-' ✓/ ( �"� 3) incl.vent 6•00
'ton fee" 00
Suspended healer,wall heater _
Address /2 32c� , /�/ a)
�j'`,� -or flc,or mounted heater 6.
'FAX Lot Map No. Vent not incl.in — --�-- ----- _--
Lot B"* Subdivision ') appliance permit `3.00
Na (or of business) Repair of heating,refr ig.,_ - - --— —
�e �- ,�1 .F' 6) cooling,absorption unit 6.00
OwnerMeikV Addretu {� - 7) Boiler or comp to 3 HP absorp.unit to 100,000 BTU 6.00
CifyiState Zip 6) Boiler or comp to 3 HP-15 HP - {
absorp,unit to 500,000 BTU 11.00
Nemo Boiler or camp 15-30 HP
A.�/, g1 absorp.unit 1/2 million _ «, 16.00
pf°8°— T' 10) Boiler or comp to 30-50 HP
Contractor _ _ absorp.unit 1 -1.75 million 22.50
CNyiSta� -zip 11) Boiler or comp to 50 HP
_ absorp.unit 1,750,00.0 BTU 31.50
amp
Vi City Bus.Tex No 12 Air handling unit to
10,000 CFM
1 hereby ar9cnowled9e fhef I haw reed this appwctllon that ft informationgiven Is Air handling unit
onrtect Nut 1 am the owrw or authodxed agerowner
,that of th*own ,that pane wbn*W ere In 13) 10,000 CFM 4 7,50
oompience wNh Stan awe,f t II Wn rrepW*rod with"titan eo"dens eoerd,that nie 14 Non portable
rwrntror given'S oorrecl (N ax reglahanon plea@*plve reason below) ) 4.50
evaporate cooler
- 15) Vent fan connected U
to a single duct 3 9.00
-- .W- Ventilation system not
-- _--- 18) included in appliance 4
_ PP permit
17) Hood served by -
mechanical exhaust 4.90
awrw or wl �'fe Domestic type �—
Deecrlbe�.t.� _additM�n efteratfon CJ repair F) 18) Incinerator 7,60
to be done _reskl,antiel ^( .reidenflal ❑
nonl _ Commercial or industrial - - i-
Existing use of _ 19) type incinerator 30.00
building of Property 17 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clotflM dryers,etc. 4.110 -
buffdr'tg or property
_-'�---� 21) Gas pong one to bur outlets 11 0.00 2
Type of fuel- ofl 0 natural gas itR- LPG fr elecdric CJ
22) More than 4-per outlet
f1tS?I1.�E
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- Bull-TOT" 31 5
STRUC Il" AUTHPIZED IS NOT COMMFNCED WITHIN 190 -—_-- !x I�4J1101tiAlIM � 1 4
DAYS' a" IF OOMTRUCTION OR WOHK IS SUSPENDED on
PERIOD OF"0 DAY*AT ANY TIME AFTER ____PLAN REVIEW N%of SU&TOUL
D, ► t Tom
ya
- Date Issued //'j by t'�r�
CITY OF 'TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : -7/ Z-I-lz IZ
PLAN CHECK APPLICATION DATE RECEIVED: 3-/8,
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 0-6G i
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: KJ`�t7,,^ 1�.,�¢ _ OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE':
JOB ADDRESS: 1 Z-3 2- D ) LOT NO. & MAL 1_
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
GPlanning Dept . O Reissue
OEngineering Dept . O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
O Other O Other
Items Required
List of subcontractors
0'.J Business Tax Q
Calculations
0 Truss Details
O Parking Plan
O Landscape flan
j
OOther
c'
COMMENTS
City of Tigard ,Building Department
BY: -C�
=-W-JLW w s00 s� er ssr ar
dpi n=,i lrc i PLAN CHECK Nd�
for inspections call 639-4175 IT NO. .
CITY OF TIGARD 639.4171 DATE —
gUILOaNG P€QMIT
P.O. ox 2 97T Tigard OR 97223 TAX MAP _LOT NO. f _B BolvlslOrm�4,1,t '� ��f``
JOB ADDRESS / L�� /11z=t��
OWN � `�
STATE REO.N06 `/'�L�G.� EYP.DATE
BUILDER 4-�
BUILDER'S PHONE OTHER
�' PHONE
ARCHITECT_=
STRUCTURE (Y NEW ❑ REMOOEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER Q DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ INC ❑ REAALI,� SSO
RELIGIOUS. ❑'ACCERY Q GARAGE C)OTHER ❑ FENCE
OCCUPANCY `' LAND USE ZONE BLDG.TYPE S A]/ FIRE ZONE PLAN CHECK BY ►1EAT—
Construct single family dwells --
�sjtj)jort to 85 code —_—_ _�---._--
SEWER PEF;44,0_ (ld
)- ' u) baths, ra uar�ae area ----r- j
OCC.LOAD FLOOR LOAD HEIGHT f-� NO.STORIES 'S_ AREA M / NO.BEOHOOMS V ALU
BUILDING DEPARTMENT 160 SET BAC}CS FRONT 210REAR LEFT SIDE '"Q RIGHT SWE Z t— I�
PIT" V THIS PERMIT RS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL'HNG CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINAHCES..AND IT IS HEREBY AGREED THAT THE
Plan Chock �.xj G E M1011K WILL BE DONE IN ACOORDANCE MATH THE PLANE AND 8!090FICATIONS AND IN COMPLIANCE
WTIN ALL ApIsILWAOLE CODES AND ONMNANCES.THE"10"CE OF TNIS PERMIT DOES NOT WAIVE
P1.CII.Fw RESTRICTfVE COVENANTS.CbNTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
----� u ��ERMIT&SEPARATE PERMITS REOt"R"FON EWE.14 PLUMBINA AMD NEATINII.
$i1ale Tax _L_
SOC—
Total .. APPLICAN RA N
Prepd. � � 1 J j /f1 �i/r.�4 L </ " jNSNE 1 /.,
fIzzRecelpl No �o9�E�j�J f(r G R-
Issued ay AWoved BT
SSDC - - $ *U
POC – '.. 11 l'r�--=--' DATE PD._ ""
SCWER CONNECTION-5 49 AMOUNT PD.
SEWER INSPECTION S_
SEWER SURCHARGE
-- - - v