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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address-------- ,,; _ Permit #
Type of Inspection
The following Building Code deficiencies are required to he corrected:
--•---- �__ti�._ —x.' d-.ate ., :,. .. c,,i
---__���.-..���.1.L.�i�'1�,,.,rs,�._.G_rht_._��.`L.._ .�'�'Fes^_ llL�a•.S/rCS.e..._�._ -'—
Presented to -------.__—.,. _ _ Inspector
Date
CALL FOR RF-IWEC TION r
Cl Ves El NO
■
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171 t
Address -
Permit
Type of Inspection _... --- -- +CUT• °-'.-, :.._
The following Building Cn41e deficiencies are required to be corrected
--- - - ---_.st�:.. .___�..•,�'.,..t' ��a•�_ - -• Gam,.K-'��..__C '.� .� '1'`�.t�..c-. _�_„_•
. T
,i" ,,, r aµ �..`�:_p,•,�,�•�i,:9"t- /.1 �, ',r ,.x",-,sem•*.1•,w..._ r' �i� +�..
Presented to _ Ini'pector _
Date
CALL FOR RFl11PFCT101V
CJ YES Q NO
r
i
MINX
1` BUILDING DEPARTMENT, TIGARD M
PLUMBING PERMIT r
��.�:�.t-��.1..� , hul(jer of a valid plumbing contractors license is hereby
authorized to cause plurr:hing work as herein noted to be inst,illt:d in accordance with t;le plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall he notified not less than four
(4) hours prior to the tima the installations are ready for inspection. City of Tigard Business License required
for all ccn,tractors and sub-contractors. Jab C^ / ,
1 U�__ Address._��5�' Q l.�n;euc� Date�")C � j
Owner _ �'�-- -- - -
I l
-t.- NU`.1;3cR Or, T'.17AL
1. TYPE OF PERW i• 1•rEms. FEE O`l EACH —�M."OUNT a
Sinala Family-1 ba -
theach __ _. _ �.— __ _ 15.00_
— Oupl ••£ach 1 bath unit _ —_ _ — 25.011
�,additianal bathrooms—each _ - __ _ �_ •____10.00 —_ 1
I Mobila Hunte Space—each-----__
IIrJt71VIQVAL FIXTURE9�CO['.�Llli I 1
�^ 1 to 50 F;Awres in 1 buildiny�each
! 51 to 10u FiFixturesin 1 building-eoch � _ _ 2.50
101 to 100 Fixtures in 1 building—each ---
1_ 701 or more Fi■tires in 1 building.-each— M }•50
1., ISCHLLAI SOUS
E $e•.ver—em.h additional 100 It. _ 10.00
Wa:er$erve to building_. �._ 6.00
HERMIT For Plumbing Inspection Phone 639417! n
4°;State Plumbing Cnntractor By —
( TOTAL RECEIPT NO. Ivued By
INSPECTION NOTICE
City of Tigard Building Departrne;it
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
'' #
Address-------- Permit_ _._- ,1�_��`' � ._..... � =.1..._«
Type of Inspection -__-_�---___
The following Building Code deficiencief are required to be corrected:
t
Prese.nled to p .
Ing eCtOr
Date �_---
L AL1_ FOR REIWF_C77ON
�� VES ❑ NO
�} i
Ci Ly of
1 T r iga d mechotlica! E'ralir T(1 Fee- it
Ne.v Installation Replace ❑ Relocation n Addition ❑ Alteration J 47.State �—
+ TOTAL .
HEATING
CONTRACTOR l�Ar�.�,.� r.+� O�VNrR�
n �
z!70Rra Qt 3�_ �/L.�r •r.J� �t�_-- WORK ADDRESS c.�,
PHONE ��G -- Gam - APPLICANT
heat Input Rating (BTU Per H=r)— !14nS Ven! Size , _ Flue -size •-----
i
U E L OIL 'J GAS V/E_LECT�T❑�'oTEIER
ITEM NO. FEE ITEM NO. FEE
.-or Issuanre of Permit SEE ABOVE Air Condition Compressor 15 to 30 HP 10.0_0_ _
�1NT1, -up to inc1.100,000 B U � � _4.00 Air Handling 10,000 CFM_ _ 3.00
New-100,001 BTU's & over _ 8.00 Air Handling Over 10,000 CFM !� £,.OJ
ricer Furnace 4,00 Evaporative Cooler 3 0
,,'/all • Floor • Susp3nded _ 4.00_ Range_Vent Fan [.u0_
Insta!I Vents Only 12.00 Vent System 3.00
Repair • Heat& Coining _ _4.00 Hood Commercial —_ 3.00
Air Condition Compras;or Under 3_H4.00
_P _ _ Commercial Duct Systern� 10,00'
Air Condition Compressor 3 to 15 HP _ 750
INLPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUR.CQNTRACTORS
i•JNPROVED BY� C ATE ISSUED BY DT E
FIFCEIPT NO.
77 f Signature of App i t
i
BUILDING PERMIT APPLICATION TIGARD DATE �s 3312
THE UNDERSIGNED HEREBY APPLES FOR A PERMIT FORTH FW635-C3699ORK HEREIN INDIr,AI ED BUILDER PHONE ---
OP.A5 SHOWS! AND APPROVED IN THE ACCOMPANYING P1 ANS AND"WFCIFICATIONS OWNER 1*1 N�te-,. tXnZjtlIF
OWNER -'4m ',otter. Const. JOBADDRESS IOU50 `' ldveTwood Lane LOT NO.
- ARCNITEGI �-
Sam 12635 SW Beef Bv,,l "td. ENGINEER ' .1C TBn;; 6 '3ilff
BUILDER ADDRESS DESIGNER
STRUCTURE EkYNEW _ ❑ REMODEL D ADDITION D REPAIR ❑ RENEWAL ] FIRE DAMAGE ❑ DEMOLITION
I77- RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT F.] GARAGE 0 STORAGE ❑ SLAB FENCE
OCCUPANCY �t"3 LAND USE ZONE {711) BLDG.TYPE j a -FIRE ZONE 3 `PLAN CHECK BY 11Wk! HEAT __'
Canstmaer ��t,ii �e. i_1�_dcr 'n with attt3�he ; _ __—
See correction 11s l('_Ct attnC j c.%cj. -_-3-bed)r'uQ,-1p_
.3 15�3t j�9
SEWER PERMITM 21()A6
OCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO.STORIES 2 _ AREA 1622 NO.BEDROOMS 3 VALUE 66P l"
BUILDING DEPARTMENT42 51611
SETBACKS FRONT REAR LFFTSIDE RIGHT SIDE
Permit 2U9.00 THIS PERMIT IS IS.,JED SUBJECT TO THE REGULA71ONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 104.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEPcBY AGREED THAT THE
WORK NIL. BE DONE IN ACCORDANCE WIT4 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
313.5.1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
3.36 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total 321 .r.;ii SDC—
PDC# I I lUi).(!q APPLICANT OR AGENT � -
By
D1•?(! Receipt No. �',,, �.'`J�'
Approved PHONE
t�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
s1./-g0 IAt.I( iU Contractor
C
s' a �+�4t;w.+.� ----��.. _— — Permit No.
-1� fuAl _ -- Rough-in
(��1A _--- _ Fixture _
Cj_1 t] IC Final
HEATING
Contractor q c n
Permit No. I / 5 t7 7,>-k
--. ---- Gas or Oil
Rough-in —
3-) Final
�X
SEWER
—� _ —� ----- --- Final ��as—�O 3bN OsN
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Cu-b&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCLIP/k(lCY --
CERTIFICATE OCCUPANCY \J Final
Landscaping
Zoning Final
I
BUILDING PERMIT APPLICATION TIGAiRl) DA''c: 04
(J�6j
THE UNDERSIGNED HER:BY APPLIES FOR A PERMIT FOR THE WINK HEREIN INDICATED BUILDER PHONE G
ORAS SHOW' AND AAPPPQRC' ED IN THE ACCOMPANYING PL.A NG AND SPE:IFICATIONS. OVJNEH PHONE
LOT NO-A
OWNER ;Q JOB ADDRESS L0�,3'0 Sw ]c'�'Z'R.�✓.�fd..5t`�Ye, I
n u 1 A"Cilt TE(3T
r3UILDER 70 P1 ADDRESS I YJ DESIGNER rm",o `
STRUCTURE NEW ❑ REMODEL ❑ ADDITION 7-7 REPAIR Cl RENEWAL ❑ FIRE DAMAGE ED DEMOLITION
RESIDENCE C COMM 0 ED'UCATIONAI. 1:1GOWT Cl RELIGIOUS ❑ PATIO ClCAR PORT Cl GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R�3,_-LAND USE ZONE R7�PD BLDG.TYPEFIREZONE—3_-_PLAN CHECK BY^ F HEAT
SEWER PERMIT p `` _
CCC.LOAD _ FLOOR LOAD_ HEIGHT / NO.STORIES `+AREA 622, NO BEDROOMS VAIAJE(oot3oo
BUILDING DEPARTMENT SET BACKS FRONT 2(p REAR ?Z LEFT SIDE S (oRIGHT SIDE
P�!rmit —ITHIS PERMIT IS ISSUFD SUBJECT TO THE REGULATIONS CONTA1NEn IN THE EU1LDiNG CGDE, zou-NIB
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREES THAT -,XEPlan Check I �0�"'� WORK WILL HE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN CUL!PLIANCE
WITH ALL APPLICASLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERwT DOES NOT WAIVE
Sut-total 3 •S I FlFST4ICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY SUSINZs
� • ,1 LICENSE.SEPARATE PERMI IS REQUIRED FOR SEWER,PLUMBING AND HEATING.
estate Tax fd 36-
�.. —___ SDC
Total — — �"—1' b -� =- -----.�--�— __
p^C'il APPLICANI'ORAG .N
By 11
•-�--- _ — ---- Receipt No.
Approved - AQDRESS —� - -----PHONE
soc -
P D C - 8 -----#-
SEWER CONNECTION $� 74
SEWER INSPECTION $ �— 2
SEWER SURCHARGE S
5
'`�"-`=�-- ��:.L- -J 0111 ���1
Comment s . I 7'iZ-4-" � � 7740 -� `_`._-
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!8 x 3
A97-
6,
9z6, X 7
Z? X if 330
2 ( x Z) 2�
F h 2-f x �--/o
Z,g r, 33 40 142
L ower Looe 24-x /
1 D / lit 7
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