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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. blain St.
Tigard, Oregon 97223
Phone 639-4171
Address---�_ •�. ? ' — - �.- _ _— ,_ Permit
I
Type of Ins,-lection
The following Building Code deficiencies are rec•,r;ed to be corrected: ��+ -r
I
Presented to _-- Inspector
DNte
(ALL FOR REIWECTION
Q rrs lJ No
1
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 be corrected: `1� ~ �• —
I
..P
Presented toInspector
[late — —-- _ ---- -- --
C411 FOR REIAWECTION
C� VES ❑ NO
i
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 be corrected:._
Presents. to___—_---. - -_. Inspector
Data --- — ---- — — - ----- --- — __—�
CALL FGP REIWEC:TION
r VES C] No
City, of Tigard Mechanical Perms NO.
New Installation Replace 0 Relocation❑ Addition 0 Alteration 0 (/ DATE:
HEATING � OWNER
/s+JL WTom-
CONTRACTO;}R, iia-►.�h4_ -
ADDRESS �'•v' - -L—i�,G "q ��JOB ADDFI,.,SS Q,:,
PHONE APPLICANT
Heat Input Rating(BTU per Houo c0r_) Vent Size Flue Size_—_`g
r
FUEL OIL GAS ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance o1 Permit SEE BELOW _ Each Air Handling Unit or Duct System 7.50
New-up to & incl. 100,000 BTU _ 6.00 Commercial Hood System 7.50
me
New 100,000 BUT's & over 7.50_ Other E ui nt_ Each _ 4.50
�'Joodburnin Stove 4.50_ 1 Tri Inspection _4.50
Wall-Floor- Sus p nded _ 6.90 Air Condition Compressor - up to& incl. 3 H.P. _
e6.00
-
Vent S sy tem w/Fan —_ 4.50 Air Condition Compressor-3.1 to 15. H.P.h1cl. 11.00
Repair -Heat Cooling _ 6.00
_ CITY,BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 -
FEES G' --
SUB-TOTAL 1192
%STATE O Issued By�_.—_
25"6 PLAN CHECK (�
TOTO LL— 74 REC. #
If)/7/80 Lot 1
BUILDING PERMIT APPLICATION TIGARD DATE 1D/7/8D ,19 3434
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE 639`4869
OR AS,;I-IOWN AND APPHOVED iN THE ACCOMPANYING PLANS.AND SPECIFICATIONS OWNER PHONE
LOT N0..�.���V
OWNER 58111 Gutter i UrlStrJOBADDRESS 10330 SIJ tlie_w 1 et l z)(,u __-___`_,
ARCHITECT
ENGINEFR
BUILDER same ADDRESS 12635 9W bOef urand Rd.-DESIGNER Hef fermsn
STRUCTURE [I NEW ❑ REMODEL 0 ADDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOL11ION
n RESIDENCE ❑ COMM ❑ eDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
R-3 fr_ — JN — ---�-h - yes
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_— PLAN CHECK BY_�_HEAT�__
Construct 3ingle family rJuellinq u attached urrage. J 4E3edroorna - 3 Bathe
_—— SEE CORRECTION SHEET ATTACHED,
SEWERPERMIT# .?nfi2 6d9--�.q�f�.- --- -
OCC.LOAD FLOOR LOAD 4 v HEIGHT 22 NO.STORIES 2 AREA 2;377 NO.BEDROOMS 4 VAL067E e CIOQ
BUILDING DEPARTMENT --� SET HACKS FRONT 3 4 7 LEFT SIDE {i RIGHT SIDE 7
t REAR
Permit '443.L,i i I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING- CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AUREED THAT THE
Plan Check 1 L'L. 5U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 4N COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total �•�lI RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM91NG AND HEAT ii:+.
State Tax 4,/!'.1 9. 7
IDC- $ADO.DD
Total �,3 7 Q.2. --
P.1— PDC# i i $1.00.001 APPLICANT OR AGENT
By
duh No. / �J ADDRESS_ -------'--`-- __—_ PHOME
Approved
DATE INSP. TYPE INSPECTION _ REMARKS PLUMBING - aATE
�b—��� ----Jlj l _ Contractor
d+`a- — c%..s��Q,._r•s_ Permit No. -2 z/9-713( Rough-in
7 U
.0 ,(y3._-- �- DA' Fixture
2 Final —
C74_/ _ O� HEATING
Contractor
Permit No.
Gas or Oil
hough sn
Final
SEWER
Final
—_ DRIVEWAY
_ Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Ff at
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATEOCCIP CY Final
CERTIFICATE OCCUPANCY _ c/ tl I
[ a / Landscaping
1\ i_ Zoning Final —
BUILDING PERMIT APPLICATION TIGARD DATEe ? 19 �,D �4 3�
THE UNDERSIGNED HERESY APPLIES COR A PERMIT FOR ThE LVORK HEREIN INDICATED BUILDER PF'ONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHGNE
� u� p LOT NO.
/
�.�n'XJ •JOB ADDRESS ID 330 �N (PFJ OtQ Ce
• AFICHITECT
Q ENGINEER
BUILDER _ Q, ADDRESSIZ03s t Q.DESIGNF_R_
STRUCTURE NEW 0 REMODEL 0 ADDITION ❑ REPAIR ❑ RENEWAL C7 FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C COMA ❑_EDUCATIONAL ❑ GOWT ❑ RELIGIOUS,❑ PATIO C CARPORT ❑ GARAGE ❑ STOR ❑ S_LAB❑ FENCE
OCCOPANCY R-1--l-AND USE ZONE �-BLDG TYPE S Y_FIRE ZONE-=PLAN CHECK BY T
SEWER PERMIT N __—
OCC.LOAD FLOOR LOAD HEIGHT ,2,2,E NO.STORIES �AtREEA 2 377 N0.BEDROOMS 4 VALUE 76 Q�Q
r
BUILDING DEPARITTMEENT _ SETBACKS FRONT REAR 17 LEFTSICE ,29) RIGHT SIDE
Permit THIS PERIMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDi,IG CODE, 7oWNG
REGULATIONS AND ALL APPLIC4,aLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT THE
Plan Check _ �2 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO.,?PLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FFR`AIT DOES NOT WAVIS
ISub-total �• RESTRICTIVE COVENAN(S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CLIFIRMT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM81NG AND HEATING.
i stat®TAX
LSUC—
Total i 74f' ZZ --- ---
POC!► APPLICANT OR AGENT —"
By
-- - _ Receipt No.
Approved - —" - ADDRESS PHONE
]D C -
RDC -
SEWER CONNECTICN
jEWER INSPECTION S
SEWER SIJRCNARG S
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