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EMIR iM11IFUTT1� Ip Iii
INSPECTION NOTICE
City of Tigard Building Depi rtmnnt
1 A20 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
' ' _. Pat-mit
#_
Address–. Pe
_--- ---------- �'''f r � •r,- ._..� ---
Type of Inspection --__--- _ —_---_--- -- —
The following Building Code deficiencies a"9 required to he corrected:
P-esented to -- --- ---- — Inspector
Date �.
CALL FOR REIWECT','ON
❑ VES
II"r
Cit�,p- of Tigard Mechanical Permit NO.
New Installation lir.'J Replace ❑ Relocation❑ Addition ❑ Alteration DATE:
HEATING
CONTRACTOR (-T f.h A t"-02A9A-MO IL L4�/C OWNER " •• ' ,�" � !—IIL 'OSS-T'�6/!�t'�'•�tN r�
ADDRESS- Q X _ �T (2 c-Lc-"Q„RA".!5 JOB ADDRESS
P4QNC (n'�+(a -- d.�:tZ APPLICANT
Hest Insut Ratingi;BTU per Hour? n (aX22 Vent Site Flue Size
FUEL OIL CJ GAS [] ELECT [] OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7.50
New-up to & incl. 100,000 BTU 6.00 Commercial road System i.130
New 700,000 0UT's & over _ 7.50 Other Equipment - Each 4.50
Woodburning Stove 4.50 1 Tripnspection 4.50
Wall-Floor- Suspended 6.00 Air Condition Compressor - up to& incl. 3 H.P. 6.00
Vent S sty Cm w/Fan 4.50 Air Condition Compressor-3.1 to 15. H.P.incl. 11,00
Repair -Heat Codling _ 6.00
CITY-BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS I I
PERMIT ISSUANCE 10.00 Com"nts: —
FEES 6,co ----
SUB-TOTAL
_ % STATE Issued By
2596 PLAN CHFC
TOTAL AEG. #
_.
sr f
BUILDING PERMIT APPLICATION TIGARD DATE �7----. Ig-.-'�- '
THE UNDERSIGNED I IEREBY APPLIES FOR E.PERM:' i CR THE WORK HEREIN IiNDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS F'.ND SPECIFICAT'7NS. OWNER PHO;-:E _
LOrNO. _.�-llaveilr'(t _d.',
OWNER 58M Gotter Const XQBADDRESS !1'1105 SW Both Court.
ARCHITECT
ENGINEER
BUILDER Same ADDRESS12635 slat beef pend Rd. DESIGNER SCM Gatter
STRUCTURE PKNEW Fl REMODEL L] ADDITION 0 REPAIR D RENEWAL ❑ FIRE DAMAGE E] DEMOLITION
CXXIESIDENCE ❑ COMM ❑ EDUCATIONAL D GOV'T D RELIGIOUS D PATIO ❑ CARPORT Cl GARAGE L STORAGE D SLAB[.-] FENCE
OCCUPANCY _R:1_3 —LAND USE ZONE� BLDG.TYPE SN__FIRE ZONE---PLAN CHECK BY __41Jh HEATx.28--
Construct ciqqle Famil�r dtrallinc,Lw/attachedact rhge.� 3 Bedruums 2 Baths.
_ SEE CORRECTIC,' SHEET ATTACHED.
SEWERPERMIT - "7� .Q(] -- - ertit�e 4iE1
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES 2 AREA I b78 NC BEDROOMS 3 VALUE$54,OOD.
BUILDING DEPARTMENT SET BACKS FRONT 36 REAR 18- l EFT SIDE I U RIGHT SIDE G
Permit 0 THIS PERMIT IS ISSUED SJBJECT TO THE REGULATIONS CONTAINED IN 6!' BUILDING CODE, ZONING
REGULATIONS ARID ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 97.50 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
Subtotal_ 292. ,_-j0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
��. 7•C30 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC- �QUCI.UU ,.
Total 1300.3t] -�' V.. .� ;
— __. _ PDCN I I $l 0 O.O U APPLICANT OR AGENT" -- -
By Pl
Approved ---- dwh --- Recelpt No. 6934 A5M84-- _-PHONE
s
t
i
UUUU uuyu� 0,kzfW a, I
DATE INSP. TYPE INSPECTION REMAR" PLUMBING DATE
-Z 3 Contractor
11 Permit No. s--
TR..qh4n
Fixture
Final
HEATING
'Z zcr Contractor
Permit No.
7 /Y-S-�U
Gas
),-s--
Gai;or Oil b-50 go
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Diminar
(Rain Drain)Final
Sidewalk
Curb&Street Finel
Approach
icD—GDEPT.iVINAL TEMPORARY CER rIFICATE OC
ICY Final
CERTIFICATE OCCUPANCY
q Fmal
1111M.
-wi
BOILUING PERMIT AN l_ICATION SOF TIGARD DATE.lZNQ 3` q
THE UNDERSIGNED HEREBY APPLIESFOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE L 3`>'yS Ery
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CVlNER PHOtIr
C JNr) ( ,,, LOT No
jay NEP SA&x GC ,µms`-'Cr JbB ADDRESS/k gay JC y 8� c�
ARCHITECT
ENGIrJEER
3UILDC!3 , ADDRESS 1� c�h� OESIt,NER �Q�y►t�0
STRUCTURE —' M _NEW -- O
0RE'Mf10EL OADOITION r❑�-ttREPAIR ORENEWAL CIFiREDAMAGE QDEMOLITIJN
RESIDENCE LICOMIEDUCATIONIL GOV'T ORELIGIOUSLJPATIO OCARPORT OGARAGE OSTORAGEOSLAS ❑FENCE
OCCUPANCY,L�✓_LANA USE ZONE BLDG.TYPE 15- _-FIRE ZONE— PLAN CHECK BY�_ __M— MEATQ35
_��_ � i'��Q
SEWER PERMIT
Q55;_LOAA _. FLOOa 1ne►❑ �fC� hIEIGHT �C� NO.ST091U. yZ _AHfA j." N9� �� �.
Dp^nMS,a VALU
BUILDING DEPARTMENT SETBACKS FRONT 1� REAR / 7.f LEFT SIDE J ' RIGHT SIDE _0
�Perrmit ��,� m g
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIIJG CODE, TONING
F!-in Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
v'vORX WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ��� ,SV ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE CCVENANTS. COPITRACTOR AND SUB CONTRACTrAS TO HAVE CURRENT CITY BUSINESS
State Tax �._��$�f� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
_ - SOC
Total � O _
X00, 3 PDC# �
AP_PL EIA NT O AGENT
Approved _ Receipt No
AnngFS; PHONE
SDC - $ 400
PDC - ,IL # /Dd
SEWER CONNECTION 7.2>
SEWER INSPECTION $ 2y
SEWER SURCHARGE $
Comments: Red, Id `z-60 (0 7 1
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