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N- -
INOPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
1 ' , l/.
Type of Inspection ____ ___,_—___----�,�Yl�7
Date Requested �,/r L O Time A.M. P.M.
Address .__ � _ /7 3 ^�[ _ Permit *,6 /� Q
Owner ice, Lot #
Builder
The fo wing Building Code deficiencies are required to be corrected:
YXI
_.—_�^�+ �G sem.,-• I
Presented to ❑ Approved
Inspector ppprovej
Uate
CALL FOR REINSPECTION
❑
YES ❑ NO
Y.
w iwwww ww
INSPECTION NOTICE
City of Tigard Building Depw0ment
P O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Requested `` - �' Time A.M. P.M.
Address
Address S2 J — Permit ' ri
Owner_ � '1�=-?x - Lot #_—
Builder
The following Building Code deficiencies are required to be corrected:
tA,CC- d4e-
Presented to rr-- ❑ Approved
Inspector __ pproved
-f—=—
Date -
CALL FOR REINSPECTION
[_ E$ U No
v
CITY OF TIGARD PLUMBING IM25 9,q1-hU W�
Applicw* must hold Orrgon Registration to conduct a plumbing PERMIT figm-d J 97Mbusiness or must be property owner/operator not hiring outside help.
Name of awlopin"
PlumbinK Permit No -
Address Description
"L. �� ORS 814-21-010 OUAN. PRICE V"T
Job Tai Lot
Address
FIXTURES
-
7.50&brfivisbn --- - -
7.50
or name as Lavatory
Tub or Tub/Shriwer Comb _ 750 �QD
Mmling Address _ -
s' Shower Only -- -- t'_ 750
Ownertale zip Wale rClosel - 7.50 ,?
E- « �- X43' aahwasher _ / 7 so _ 7SD
Phone Garbage Disposal
Name Washing Machine 7 50
Floor Drain _7_50
ai mq AC fess Phase Water Healer - - 750 ''rO
Laundry Room Tray - — 750
Occupant t%KY/Stab Zip ---- ••— - - -
Urinal ?so-
Phone
Other Fixlures(Specity) ?SO -
•L���Gts'1.�� �CSL ��� Lf _ - -
C,
.aS M
Cordreclor C:hy!,,%hte 50
MISCELLANEOUS
City&N Tax No sir 101100, 3000
uta s-Aoa, 140 le as f c o Sewer-es Add. 100 --, 15 00- _
f'4 ) .y _ �!'�� ' Water Service ist 100 y oo �.
I Neby adawMedge*tat I haw reed OW appy,~,Oab the ktkorrratlon Water Service as Add.. ' _ -- 1500 _
given is correct.Oak I am re0islsred with Ow Ste*Binders Boen1.and also Storm 6 Rein Drain I M 100' 3000
have a Stage PknnWV Icer"Oat the numbers plvrn are oomoct,that as
r*-*fv worts will be done In e000rdenoe with slppacable provil+ of Ore. Storm s P an Dram Add. 100'_ - - 1500
Ibon Revised SWItAn Chapters 417 and E*3 and apptoatt*oodea and lhal Mobile Hurry Spoor 20100
ne heV vA be employed unless wwwod under ORS 003. (M exempt hum
Stale:epWreMon.please"reason bel-) 8#Fiew t revw*w
1IOMEOMVNER: I hereby ow*Ow I am rte omner of IM property de Device rn MY-PbllUron Do-V" - 1 SO---
sorted*bogs,el wMctt kx*Wjn I prop ses to make a t*ffft*7 ku laktatirt for Any Trp or Weele Not
wry own use and Otla prapeRy Is rd'.*V cam we okeo tior so".tear.or WA Gottnsclad to a Fba" 7.50
i Catnh basin -.-- - 7 SO -
kw of Exist PkxritwV 40 00 Per 0410
-- - - ggedaJ" RpusMsd IM►+al" - a 00 P«w
r� AW dPkrnttlkn0 wW*
Z /l
AUT ��%. an E rierMtq Bvsp _..__. 1 S On nw
0 SMA"F !�'—'-Dasa New Bldg of t'flAd_Adt>Mon WOO rtan r -
r. -- Riia UAILetaTtily
Deacrbe workrWWJw ] addrtrOn[j operation f_] repair(7 �.arelllrt] 15.C110
IND resklentiaF ��j rwnr+tla. LLJ___ — T-
Esdatlnp we Of
bAdbtp tx pwpeirty _ 1MATOf>AI /y
Of
x _ ,i'pGf�lt4
Manor � _ —
flrs PS Ml gsdtllllss mug .N told*work or am ruclbn o Olonaed iomol com
ttlsavload wNln MOtMstals�*anw�uotlflft er wolttr atfsoardad or abanrfmae ter
a*afbd to tib duos M any*fsas fill weft*6 odmraMsosd j \
_ DOW Ifted
by
V
o,.l N y Vf" � 11„aME'1U IVIC.�rn/-P�v�\,.ML rc.niv�i i
PDrrn't N -
Description
Table 3A Mechanical CodeOTY PRIL'E AMT
City of Tigard 1) Permit Fee — -0• .0• 10.00
13125 S.W. Hall Blvd,
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit _'— — 300
639-4175 1) Furnar;e It;100,000 BTU — _ 6 00 r
incl.ducts 8r vents
Furnace 100,000 BTU a
2 incl.ducts&vents 7.50
Name of Development - 3) Floor Furnace 600
Qb
r4incl.vent Address Suspended healer,wall heater
Address 7Z,�B /3�r�f ) or floor mounted heater 131 00
Tax Lot Map No. q 5) Vent not incl.in ;t 00
Lot Block %�ililio appliance permit - -
Nairreja name of business) 6) Repairof heating,
eati tion utni9 600
ailing Address Phone 7) Boiler or comp to 3 HP 600
Owner absorp.unit to 100,000 BTU _
City/State zip 8) Boiler or comp to 3 HP-15 HP 1100
absorp,unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Mailing Address r l .na t 0) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million _
Contractor Ctty'stats Zip 11) Boiler or comp to 50 HP _ 31 50
_ absorp.unit 1,750,(00 BTU
State Feglenarbn No City Bus Tax No 12) Air handling unit to 4.50
10,OCO CFM
Air handling unit 50
I hereby acknowledge that t have read this application that the information given is 13) 10 000 CFM + J
coirroct.that I am the rnvner nr authorized agent of the owner,that plans submitted are in - ---
compliance with State laws,that I am registered wMh the State Builders Board that the 14 Non portable `
number given n correct.III exempt from Slate registration please give reason h.lnw) ) evaporate cooler _-
Vent fan connected
15) to a single duct =S 1.00 / -
18) Ventilation system not 4,50
C Included in appliance permit
— �- ` —_- Hood served by _
17) mechanical exhaust 450
1 OF EWW I -_ --- Dale Domestic type
Describe work CI addition C] aftetation 0 repair I 19) Incinerator 7.50to be done residential ) non-residential O _ t 9) Commercial or industrial
Existing use of
- lin_—gips incinerator
F --- --- - -
buildirig or properly _ r 0 — ;>O) Other i Bolero dslovclothe ,water91c 4 W
po
Prosed use of - -- — dryers.
building or property 21) Gas piping one to four outlets poo
Type of fuel- oil f 1 natural gas l6 LPG O eltttM& ❑ -
-- 22) More than 4-per outlet
NOT] I --- •t»-Tor►i -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -_ ---- - - -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _4%wRCH""
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW N%OF•ti11>FTOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -
WORK IS COMMENCED TOTAL y;
Spedal Conditions
111
Date Issued _.. by
Y
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : L� 32lLj. 33
PLAN CHECK APPLICATION DATE RECEIVED:- -q - 12-87
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: Z M
This is to certify that the attached Z Co. sets of plans have been submitted fur plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, S edition.
PROPERTY OWNER t� far c) La—j , OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: elq -.S D�' /
JOB ADDRESS: '2228 2 r3/ P GJ LOT NO. 6 MAP:
DESCRIPTION OF WORK:
!Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other Other
Items Required
List of subcontractors
Business Tax
Calculations
0 Truss Details
OParking Plan
OLandscape Plan
O Other.
COMMENTS:
City of Tigard Building Department
BY:� L _._
W
wo,-ksh Pe'�-E m I
PLAN LHLLK NO. L/• 3 2
CITY OF TICARO 69.4171
for inspections call 639-4175 /��
PERM, f N0. ((j
DATE A p r i 1 16
BUILDING PERN9IT
P.O. Box 23397, Tigard OR 97223 TAXMAP LOTNO. 86 SUnDIVISION h1orning
OWNER JOB ADDRESS !Z 2 5 =— /3/c)l 4Fk y Hill
BUILDER — Shaw Devel opillf.nt _('n STATE rEG.NO. _ _EXP.DATE
BUILDER'S PHONE ( 5 0 3 ) 644- 5001
ARCHITECT- L a r r y7 ,T a f t a_ / 99 PHONE ( 50 3 ) 645-0202 OTHER
ST TUBE 'N FW ❑ REMOOE_ ❑ -.00ITION ❑ REPAIR ❑ MOVE _ ❑ OTHER 0 DEMOLITION
.RESIDENCE ❑ COMM ❑ EDUC.,kTION ❑ INC) ❑ RELIGIOUS 0'11CCESSORY ❑ GARAGE O OTHER ❑ FENCI:
•
OCCUPANCY -IL-L-LAND USE ZONE !�pP BLDG.TTYPE FIRE ZON(` +_PLAN CHECK
Construct single family dweiling w/attached �arae�, all ,,.r approved plap-
1thjec—t _Lo 85 code
SEWERPERWT1.0 /e):7 -(ldu) �j baths, /#2 traps garage araa
OCC.LOAD FLOOR LOAD HEIGHT �C _NO.STORIES LL^^ AREA���`� NO.BEDROOMS VALUE / �QV
_ ' RIGHT SIDE
BUILDING DEPARTMENT SET BACKS FRONT .. Zi REAR LEFT SIDE
I
a 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 AGREED THAT THE
�- f WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVc COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT('.TTY 3US4NESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC-
APPLICANiORAGENT — -- —
(J G' —
ADDRESS
Bal,Due
Issued By dproved 8y__— —_
SSDC
5DC
RECEIPTN
POC - _ � f Fb �.f,f 360
//
DATE PD. Y w' 7
SEWER CONNECTION s < t,y,��`-�V AMCI;`IT FD.� Q
5EWEF INSPECTION S
SEWER SURCHARGE: S
CITY OF TIGARD 639.4171 F n 9 0
BUILDING PERMIT DATE -
TAX MAP LOTN:.1. —__ ' SUBCI%'ISION
OWNER a�aT+4 UC1.'C`� JRX`!11 11h '! 1,3i.;f- a'ttR*. '+
JOB ADDRESS • _-- -- _,---
BUILDER ,}-- ___-- STATE REG.NO. __- - 17"f!f! EXP.DATL_ --- 132,
BUILDER'S PHONE
ARCHITECT %-,=7 `laft PL:m .19971 �A�._C'?.^,
--__ -- PHONE --OTHc.R --
STRUCTURE Q NEW ( REMODEL 0 ADDITION [. 1 REPAIR MC✓E L] OTHER DEMOLITION
RESIDENCE ❑ COMM EDUCATION r IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE _FIRE ZONE PLAN CHECK RY HE AT
SEWER PERMIT N .43407 (':'t'hi� --
OCC.LOAD FLOOR LOAD HEIGHT M �0 NO STORIES AREA %.?`':` NO.BEDROOMS VALUE __ {
BUILDING DEPARTMENT_- ] SETBACKS FRONT REAR _ LEFT SIDcrRIGHT SIDE
Permit 191.06 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
—� 254.?� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan CheckWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
e ` TAX PERMITS.SEPARATE PERMITS REO'JIRE.D FOR SEWER,PLUMBING
State Tax AND HEATING.
— SDC (.�' '
TotalARAN#ORA�ETVFt'� �
PDCN
Prepd. l.C�.00
Bal.Due 560.79 Receipt No, y' ADORESS PHChd
Issued By 4k: Approved By
nZIM
I im" --- E 0 1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7 Contractor 4 —
�,/a ��1 yv 6. 9•�s ,
L-/s ,fiLd 1� n- �j S' - t�iC l�ic�s Permit No.
Rough-in
r Fixture
Final
HEATING l
Contractor �q -1-S-1e /;h
-K Permit No. Ll Lot -
7- Gas Oil
Roughin
----- --
R—�/ Final —�
L �T t„ 'S SEWER
Final --
( DRIVEWAY
Final
t r
Storm Drainage
(Rein Drain)Final
Sidewalk '
Curb&Street Final
Approach M
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
S
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