14170 SW 80TH COURT X 7WWR W
14170 SW 80TH CUURT -
0
0
u
0
m
0
N
a
!NSPECTIGN NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregcn 97223
Phone 639.4171
Address ------------_�� '�` t ��LcPermit #--
Type of Inspection
The following Building Code deficiencies are rrquired to he corrected:
_ _''"'7r '�✓ a . .may...__ •ffi.�./._.:� � i.C?. '.s_,, J �
._. _�: _. - __.�nG1�G,eyyc= _a.�.•-�_r,: �r �' -- -�.- �'' ��'� �r_'�ti y:t.s�_.
_? ✓x1
Presented to __ Inspector
Date
:ALL FU,-. ?FII1 SPE'CTION
❑ YES NO
�`. BUILDING DEPARTMENT, TIGARD
�T O
PLUMBING PERMIT l� '
holder of a vali plurnbing contractors license is hereby f
authorized to cause plumbing work as leer dill noted to be installed in a�:ccrdance with the I;lumF,,g code of I
Tigard. Such installations require inspection h•; ;ate City Inspector who shall be notified not ;ess than four I
(4) hours prior to the time the installat; ns are ready for inspection. City of Tigard Business �'Jcense required
for all contractors an sub-contractors.
Cl.vner — Job
AddressQlI�CI. _ Date_�2._�
_d- NUNISFR O1' TOTAL
TYPE OF PERMIT ITEMS FEE 0.1 EACH ANAUUNT
=E_5_1 0 EN Tit.______
Simla Family-1 hath-•each �i•_ _ _._I _ •_ 25_00 _ _i7.� "—�- �. '•
—Oupl�x_Exh 1 bath unit _ -�_ 25.00
� P.dditional bathroams-each — 10.00 -
_ Mobile Fie-.Space—eech 15.00 r
INDIVIDUAL FIXTURES lLl ''ILRC INI --
1 to 50 Fixtures in 1 building-each 3,00 _
51 to 100 Fixtures In 1 building--each _ -- 2:50
101 to 200 Fixtures in 1 build n each w _ 2.00 - `--
!_201 or more Fixtures in 1 building---each — �t.50 i —
11.115CELLAPJE0US —
l+ Sew.r_.each additional 100 ft ---- 10.00 —--- -- -
If Water Servic: ;u buiidin --y — 6.00
l PERMI"f ' '� For Plumbing Inspection Phone 639 4171
I 4,,,!�Sta;elz.
Plumbing Contractor By
{ -r-.TAI- ^ R-CEIPT NO, ISSUed By --
mlmTw
BUILDING PERM ITAPPLICATION TIGARD DATE - _ _ 19 _ 3.138
THE UNDERSIGNED HEREB','APPL!FS FOR A PERMIT FOR THE WORK HEREIN INUICATED G ;ILDER PHONE •>d"�R17�i
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECiFICATiUNS. OWNER PHONE
OWNER J�-Elit Constr. C04OBADDRESS ll-ll-'417L' �
ll-'417L' tjUtr j.,uUTt LOT NO. �� 1 fYlY Fowl.
ARCH!i ECT `—
BUILDER same ADDRESS5209 SE26LhL F't1d ENGINEER
DESIGNER
STRUCTURE ® NEW ❑ REMODEL ❑ ADDITION -IJ REPAIR ElRENEWAL ElFIRE DAMAGE ❑ DEMOLITION
Ll" RES'DENCE ❑ COMM 11EDUCATIONAL 11 GIOV'T ElRELIGIOUS ❑ PATIO ❑ CARPORT 11 GARAGE 11 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE E'_7`jQBLDG.TYPE 5►4 FIRE ZONE 3._PLAN CHECK 13Y I)tdH HEAT_QF)-k
:c - .1-LI C tai.ngla family attca0ed due 11in LV attaehed_uprage. _ 2 GariroL r,1: • ..
I.—ISSUE of P..:rmit ;;31:37 (1.41GO St.) 80th CUe4ct) _
SEWERPERMIT# ). Z.i3Q - � 7Q!.).pp
OCC.LOAD FLOOR I JAD !/O HEIGHT
_ 14• NO.STORIES 1 ARFA �,, /ti N0.BEDROOMS �c VALUE,
BUILDING DEPARTM' NT - - - =-
HES PERMIT IS ISSUED SUBJECT TOTBACKS FRONT 31. E HE REGULATIONS
DE 0 RIGHT SIDE
Permlt LATIONS CONTAINED IN THE BUILDING CODE', ZONING
Plan Check 10.Qp REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT T'IE
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
Sub—total ).'lb-0 J RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSI'4FS8
steteTax F.E,4
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�I;
Total 2.619 400.0n
By PDC# a 1 Z 1 Or).( PPLICAN- OR �-AG NT---- _---
-- -
Approved Receipt No.
--- -- ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Fixture _—_—
HEATING 111
Con r.actor
---- — ------- ----_ ---- Permit No.
------A Gas or Oil --Rough-in
Final
—� —_-. ---- SEWER ---
i Finel
----��-- -----_ .— ----- �__ DRIVEWAY —'—
Final
Storni Drainage
(Rain G•a,n(Final
Sidewalk
Curb&Street Final
Approach
1 OLM DEPT.FINAL TEMPORARY CERTIFICATE OCCIJPANCY -- —
CERTIFICATE OCCUPANCY Final
Landscaping
Z}n,ng Final
1 - -. �..-"�
• � �,3���r: ' 'fit:
s
IL
5,�+�il���ai�� jV'': ,, a ��l:•i}�: '�,�tir5' I Ix' " :•r�:..� t •� 'f'
• 1
}
1
I
1N 3 .38
BUiLDING PERMIT APPLICATION -i a DATE , °► 1�____, t9.$�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED siu.c .R P'-,oNF-2Vf#/ 73—
OR AS SHOWN AND A PROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERS •vF'
LOT NO ..0 4 II Okkrs
�1VNER.1 . ���li �.(JYjI_I_ ` 14 :� ADURLS514 17G!_Lf�J_ 9, _S.E? .
ARCHITEC
�SUIIDER - _ aI►�� - - AgDRE5Si0v7 IG�`� �`�'� I,, ENGINEER
DES G_NERT—
i_tRUCTURE X'.' ;. C7 :, ::L - ❑ADDITION _ — ❑REPAIR I�REWEWAL __- OFIRE DAI -CGF• 0C)E,• r+
T ORFLIGIOUSCIPATIO [[CAR PLJHT ( !:..%aAGF ❑StL �;-E �._�Sl t.p i :;r
JCCUPANCY Q'3 1 ,t s A) FIRE ZONE ,7- PLAN C-' ra -� HEAT
._.--- �� • i ..�- �a.r„��-�
_',EWER PERMIT
"C LrAp
FL('„ �D ar L�l•T /T N, S()HiES .. . APEA�D 8 Z .�?.l'- 7cjZoo
P 4CKS t RUNT ..�'� REAR LEI :� ,.r H' SIDE 116
00 -
'I'L DING UE°AF
F'�Imlt 1 t�p• _ -- --
PERMIT IS ISSUED SUBJECT TO THE I-CGULAtIONS CONTAINED IN IH: BUILDING, CO(lE
Pl.n Check I / / rCU :LJLAtIONS AND ALL APPLICABLE CODtS AND ORDINANCES AND IT IS HEREBY AGFEEC 7W.
" WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIVPLIANJ E 4'•
Sub total` / 7� �� APPI II.ABLE CODES AND ORDINANCES THE IISUANCE OF THIS PFHMIT DOES 'j%'-IT Y.AIVt
""ICT IVE COVENANTS. CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CIT\ BuSmh '
�,jtte TaxCo tE SEPARATE PERMITS REOUIRTO FOR SEWER, PLUMBING AND HEATING.
Total
APPL IC ANI IAP A N
Apu'nvrd I
RP;PIpt No
SOC
/GU
POC
SEWF R CONNECTION
SE0 R INSPLCTION 2,3
SEWER SURCHARGE
Comments:
w WIN E W t E
1 TO Permit.—
CILY of Tioard Mechanical Pcrnii '� .
\ew Installation Replace D Relocation D Additlun [__1 Alteration J 4% :;tat.-?--
•%��f_
fir-.---
TOTAL
CONTRACTO �.--
HEATING GENERAL FURNACE&AIR CONDITIONING,INC. OWNER
R � P.e.Box 38__-
155536 S.E. 82nd Drive ,_ W''O p K A 0 D R E S��1�
� � K
- CIa-c-I-tamo.s regan- I � ..��., � �
APPLICANT �_ ,
heat Input Rating (ETU Per Hour) 17_5 /� Vent Size Flue Size
UEL OIL GAS ELECT 0 0TH4ER
ITEM NO. FEE ITEM N0. FEE II
or Issuance of Parr-tit EE ABOVE _ Air Condition Compressor 15 to 30 HP y 10.00 _.
New-up to & iri 1.100 000 BTU _ 4.00 Air Handling 10,000 CFM 3.00
New.100,001 BTU's & over _ _5.00 Air Handling Over 10,000 CFM _- _ 5.00_
Ficor Furnace _ 4.00 Evaporative Cooler
r'/all- Floor.Suspended 4.00 Range Vent Fan
Install Vents Only _ 2.00__ _Vent System — — 3.00
Flepair -Heat&_Cooling 4.00 Hood Commercial —_ 3.00
Air Condition Comprassor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP
IN%:PECTCR'S COMMENTS_
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
i•.I'P.^-,OVEC RYDATE ISSILA.7 By ____ DATE. II A
r1ECEIPT NO. i
f—
r s Signature o Applican