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INSPECTION NOTICE:
City of I igard Building Department
1242.0 S.W. Main St,
Tigard, Oregon 97223
Phone 639-4171
Address Permit #
Type of Inspection
The following Building Cotte deficiencies are required to be corrected:
Presented to_ _. inspai.or
Detre ��_---
C/,LL FOR REPT ;r-tMOV
D YES 0 NO
i
ma�yy++ i
r-zut?d-,(n9 1-y1-y 2eelxp�ve BUILDING DEPARTMENT, I IGARD N? f
"QUITE POSSIBLY THE FINEST" PLUMBING PERMIT
19315 S E.MCLOUGHLIN BLVD. I
GLADSTONE,OREGON 97027 holder of a valid plumbing contractors lirense is hereby
r.uthorized to cause? plumbing work as herein noted w be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four _
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for a!I conti`raccl--orss and su�ontractors. Job �-}� _
rmer _ Address •y�-_- _ Dat .
--- NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
RES IQ E N_y1,9L ----- ---- --- - --- --- Ft
Sirye Family-1 bath-each
1►i
Du Ix- :ach i bath unit 25.00
p a ✓ -� - z1
Additional batwooms-each 10.00
Mobile Home Space-each _ _ 15.00
INDIVIDUAL FIXTUREe COMMERCIALLY
_ 1 to 50 Fixtures In 1 building-each 3.00
!�ted
51 to 100 Fixtures in 1building_-each _ 2.50 _ _ _•
101 to 200 Fixrures in 1 buildin -each -- 2.00__
f 201 or more Fixtures in 1 building-each 1.50
MISCELLANEOUS — -
Smur--_each additional 100 ft. - 10.00
Water Service to building - R.00
Other (Specify)
PERMIT U for Plumbing ln;pectiora Phone 639.4171
4 o State Plumbing Contractor By
rr1T�1 AFr'GIPT P.Ir1 kgl,orl RV
.r�J
w w s ® sr ■v It +le
BUILD;NG PERMIT APPLICATION TIGARD DATE_ _--_ -_ , is ___-- �S
THE UNDERSIGNED HEREBY A[-PLIES FOR A PERMII FOR THE WORK HEREIN INDICATED BUILDER PHONE.
OR AS SHOWN AND APPROVED IN THF ACCOMPANY!NL PLANS AND SPECIFICATIONS. OWNER PHONE � �-
LOTNO._ c31YQ3'. V !}lu-d'
OWNER �- - i;l,)�,ig7,1. -0. JOBADDRESS141UU �lJ �i1;►tj1 Court —
ARCHITECT
ENG NEER
BUILDER BLiPl O ` — ADDRESS 520$ SE 2']th p Ptlu, DESIGNER t,. Joar z, I"Laaiy;�a
STRUCTURE L3 NEW ❑ REMODEL FJ ADDITION 11 REPhIR U RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
KXRESIDENCE ❑ COMM C1 EUXATIONAL ❑ GOWT ❑ RELIGIOUS ❑ P<.TIO ❑ CARPORT ❑ GARAGE ❑ STORAGE. 0 SLAB❑ FENCE
OCCUPANCY R-7 ND USE ZONES "fiPO BLDG.TYPE r� FIRE ZONE 3 PLAiJ CHECK BY _ _'�Uh HEAT
Canstruet Ain le 7amil_yritJlf�1 w 8 aach�L� yer.atla.—_ _�j,-2a�tl> .
of Pk::mit !:131.37 (14160 514 60th
SEWER PERMIT# 21947 - &XQ- ��1.i 0 _ c�araa 4�•L_- 13• f t� �— __- —
OCC.LOAD FLOOR LOAD 40 HEIGHT 1< NO,STORIES AREA 10":VO.BEDROOMS 2 VALU644 r .10.
BUlLDINO DEPARTMENT THIS PERMIT IS ISSUED SI REAR 10 LEFT SIDE RIGHT SIDE r
SETBACKS FRONT 1
Permit S169.00
- - ---
-• SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND I IS HCREBY AGREED THAT THE
I�d
.
Plan Check -_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA I i; 'IS AND IN COMPLIANCE
Subtotal 179.017 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—�..._ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Cs*7 iJ
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
4',�:
Total 188. 76 SDC— 400.001 ,
—
PDC# Z %l(j0-f)rrAPPLICA T-'-_-ORAUENT-
By P1 t N
Receipt po.
___._ ADDRESS - PI+oNF
i - DATE tN8!'I TYPE INSPECTION - REMARKS PLUMBING _�
c- -,--.- _ DATE
`\Ti0 ��
`A Contractor
�E�M �-
Per No. 30 r(�' 9-y
' r Rough in
Fixture ^� --
Ct-sK 91 Final - -—
-'_� �` -- j�� �nav-ate• ,�!��- �r1r�_ Q r HEATING
1 7- ..c
t ( Contractor
_--- - - Permit No. �s
_ -- Gas or Oil
P.ough-in -
_. coral
SEWER�-
Final
-- DRIVEWAY
- !!-
Final
Storm Drainage
----- __� (Rain Drain)Final--
SitNa'k
Curb&Street Final
B.DQ DCPT.FINAL- R
:iL POARY CERTIllICA'i E OCCU+ NCY -------'-
CERTIPICATE OCCUPANCY I Fi,w
l'..�nAscaptr,N
_! 1�'Jnninp Fi•wal
LT
'~3;�F �r.0 r'", ,,tt,�,-..'. s `y p: �,',� •� '' ,{,. -- •'r t r -. �i. r r
���. 4� �teii;'.tw 3. ..gip 9k � ��-• j ...f� 't't5�4' .� .. +; ,..t .
a
t
a
� �/ ■f �' Is 111 � II � +
BUILDING PERMIT APPLICA,riON T I G A R OATE_!!�lee �o ,s 80
THE LINCERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA TED BUILD;:R PHONE ;23; 41
,
OR AS SHOVVIV AND APPROVE') IN THE ACCOMPANYING PLANS-AND SPECIFICATIONS, OVVl"4EP'PHONE _ _
��/�� ,11 `P pp LOT NO.ZryVij _
o+rJNERJ- ht til Geo. JOB ADDFCS'_LT1"���4��U -- C *. /A--
BUILDER .7�t_tale_ ADDRESS.5.20 SE 2' p l oFSIGNL (?.JgAnA7) s_
i i 4UCfUPE ANEW ❑ REMODEL ❑ ADD1 ION REPAIR ❑ RENE_tiVAL ❑ FIRE DAMAGE '0 UEMOL�T10N
RESIDENCE C CCNIM ❑ EDUCATIONAL .I GOVT ❑_RELIGIOUS ❑ PATIO Cl CAH PCRT ❑ GARAGE ❑ STORiNGE ❑ SLABO� FENCE
OCCUPANCY �._ LAND USE ZONE RJ_PD BLCG.TYPE s5 N—FIRE ZONF_3_PLAN CHECK BY � HEAT /
_-5,e�a9
_____._—_sltr'J .tom- 7.�.. FQ w�t k�°�{!I.►� w_!t' _
A—,
SUER P=-?.MITA
OCC.LO AC FLOOR LOAD p HEIGHT 12, NO STOR;E3 AREA/10,2f? NO.EEOROOMS VALUEyj(0010
13UILCINGOEPARrMENbT SETBACKS FRONT�� REAR /O LEFTSICE —4— RIGHT SIDE Q
Permit 7_��D _ THIS PESMIT IS ISSUED SUBJECT TO THE- REGULATIONS CONTAINED IN THE BUILDING CODE,ZOtL'Ns
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREaY AGREED THAT THE
Plan Check ! �0 I WORK WILL BE DONE IN ACCORDANCE 'WITH THE PLANS AND SPECIFICATIONS AND 114 CO.-APLIANCE
WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PER YT DOES NOT WAIVE
sub-total �� RESTRICTIVE COVENANTS, CONTRACTOR AND SU5 CONTRACTOT .t TO HAVE CURRENT CITY BUSIN-
Stats Tax •
6 .rte LICENSE.SEPARATE PERMITS REQUIRED FOR SEWI;R,PLUMBING AND HEATING.
Total LV�E- NO SDC— d
PDCM AA UAGENT
By I
. �. � /y
Receipt No14.l 5� r_-
Aperoved ADDRESS PHONE
:IDC
!)[)cd-
SEWER CONNECTION 5 ���� 4071a �� 33.4o '361 003'
?;•.-I,iER INSPECT1f1N lb,130 = 7�q
SEWER SURCHARGE 1131 549
_.� .�
---- 1,2- s o
CommerltS : �LS!'�tYI. (a -1�•$� t'`U-- �'.2G is — �._. -- -- ---- -------
�r.. �t►w lad on
0
C 1 +. y Of T ig ai r..j Mechanical Permit MPermit_ Qo
Fee_
New Installation Rep!::ce ❑ RelOGOiUn ❑ Addition U Alteration ❑ 4%State .23?
HEATING N) 37'ATOTAL '7—i%Z
CONTRACTORMMM E& CONDIITOi+11NG,INC. OWNER ,— - 01 T
�P.673dx` 5—` once i L32F
,QDORaSS 15536 S.E. 82nd Drive WORK ADDRESS .` / G-Jr
Clackamas Oregon 97015
PHONE APPL
1!2 �-1 A�-
___ _ _ 'SANT
Heat Input Rating (STU Pz:r Hour) ^"� Vent size ��� Flue Size
i-USL OIL ❑ GAS ELECT ❑ 01-HER'___
ITEM NO. FEE ITEM NO. FEE
yr Issuance of Permit GE ABOV Air Condition Compressor 15 to 30 HP 10.00 .,
Naw--up to & inc 1.10_0 r 000 BTU —~ 4.00 Air Handling 10,000 CFM_ 3.00
i•'law-100,001 STUrbs over 5.6U —Air Handling Over 10,000 CFM —� 5.00
rlcor Furnace 4.00 Evaporative Cooler_ 3.FO
,,'fall - Floor -Suspended 4.00 Range Vent Fan 2.00
Install Vents Only W _ 2.00 Vent System _ 3.00
rEoJir •Heat& Cooling 4.00 Hood Corr.,lerctul 3.00
Air Condition Compressor Under 3 FIP 4.00_ Commercial Duct System _ 10.00
Air Condition Compressor 3 to 15 HP 7.50_
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FC9 ALL CONTRACTORS OR SUET-CONTRACTORS
r.11P9OVE0 BY� DATE ISSUED BY DA/TE
l E C E I P? NO. /1) t-- G�1IM�2�
��a Signaturel Applicant