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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address----- _./ ,�. , .m -'�
---� � � Permit #
Type of Inspection
The following Building Code deficiencies are required to he corrected: :
--- .. �,..• -=..3��_- .7 1 -�.�..c . tom-- y s. � , •
Presented to 4 _ Inspector
DateCAL
L FOR RE1A(<PEC7,*UN
lJ YES ❑ NO
W WjWxW W W
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT N0.
Shoemr-ker's Plumbint_ , hoider of a vaa is ;dumbing contractors license :s-hereat'+
authorized to cause plumbing work as herein noted to be i;,;,<:,.eo in accordance with the plumb n, code of
Tigard. Such instaiiations require inspection by the City Inspector who sha,i be notified not less than `our
Al hou.-s prior to the time the instaliations are ready for inspection. City o; lga.-6 Business License required
for aii contractors and sub-contractors. fildg.#3529 t
Slteltermax _ Add-r-4 14695 SW 84TH CT _ Jal;, I% 15/81
UWr�r _ _—
NUMUP OF T A. PERMIT NO.'S
TYPE• OF i- AV,T ITEMS =Ec ON CACH ;0:.`. Office Use Cr.y'
Sr^{Iia 7-r-nily-1 both-each 1 2G,C0 00
Dup ox-Each 1 bath a-it 4100
nrlwt.ona, bathrooms-vch l 10.00 1l) 00
N,ob,.eHomeSpace-each 15.00
„VOIVIGUAL FIXTURE FEES
i 'n ,;Q Fixtures in 1 bu;!dinfl-c-ach r—L 3.0 l
61 to 1L0 Fixtures in 1 bu;idin:each _ f 2.50
._01 10 200 Fixtturls in 1 buildinq_earh -
2 cr more Fixtures in t bullding-ecic', 1,50 I
,'A 5'�FLLANEOUS
`u;ui n Sower-1 it 50 ft. _ �1C.0 l
5o,var-cath oddidonal 100 tt, _ 10.06 ri
ic•Sarvieo to building 6.0
?r n,-e tyater S stems-arch .av ft. 10,00
35.00 ... .�_
c. For Plumbing Inspection Phone G19�4191
14 U
ix�_---W Plumbing Contractor ay
i —C?—,A,- 36.470 j RLCEiPT NO. Issued By
Q
�! ! 49 ® !H
BUILDING PERMIT APPLICATION TIGARD DATE_ _�1 3 5 "
THF UNDERSIGNED HE�EBY APPL!CS FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 641-0776
OR AS OHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_`
LOT NO..__ 4-HjMb_Ch Perk
OWNER Macal Dev. Corp. JOBADD_RESS 14695 S!J 84th Coort�
ARCHITECT
ENGINEERENGINEER
BUILDER same ADDRESS 6050 SW 1O',�th,8vtn. _DESIGNER�PiBrCy-BarCl
STRUCTURE [X NEW ❑ REMODEL ❑ ADDITION ❑ RFPAIR ❑ RENEWAL ❑ FIRE DAMAGE f7 DEMOLITION
KI RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS [_1 PATIO ❑ CAR PORT E GARAGE ❑ STORAGE SLAB❑ FENCE
OCCUPANCY R73 LAND USE ZONE H"�__BLDG.TYPE �N __FIRE ZONE—7-77 PLAN CHECK BY _ dwh HL.'T__9#8
(:onstruct single family dwelling w/attached garage._ 3 Bedrooms k Baths.
SEE CORRECTION SHEET ATTACHED,
SEWER PERMIT# 23226 — $750.00
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 1C33 a3 NO.BEDROOMS i JVALUM b9 r 600.
BUILDING DEPARTMENT SET BACKS FRONT 20.5 REAR_17.7_ LEFT SIDE G RIGHT SIDE 1G
Permit X207 1 C)U THIS PERMIT IS ISSUED SUBJECT TO THE REGULAI IONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ 1CI'• `..to 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 310.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACIORS TO HAVE OJRF;ENT CITY BUSINESS
+� LICENSE.SEPARATE PERMITSREOUIRED FOR SEWER,P'LU'MBING AND HEATING.
State Tax fl;' S.28 ,1 }
-- SDC— ;���IJU.u�a t}1 �, :e � t � t..4 R �� �na��7►
Total $318,7d __.. �1 •
PDC# : .f. 1 D E7.D APP ICANT OR AGENT--
By P.1
Receipt No. r
Approved dwh f ADDRESS— —. PHi)NE
■1 e � � � ! � t tl � � II
DATE IPISF.I TYPE�NSPECTION REMARKS —ry PLUMBING -_ DATE
/./Oz22- Permit No
Rough•in
--
�� Fixture
Final
'HEATING
Contra(Or=217 2�1116
�� Q� /
Permit 140. -
Gas or CIil VV"
_ - Rough-in
Final
SEWER --
Final
DRIVEWAY v —
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINgL TEMPORARY CER' IFICATE OCCUPANCY
CEFFPIFICATE OCCUPANCY / Final
Landscaping
Zoning Final
I
l� t 1• IRA
BUILT'NG PI`RMIT APPLIC'A T!O �i r �tq 3y
i"iCi,I�R� DATE 0 h
THE UNDERSIGNED HEREBY APPLIES FCUR A PEP;AIT F'FITHEWORK HEREIN INDICATED BUILDER PHONE6#1-6 Mo
OR AS SHOWN AND AFS VED IN THE ACCONIPAN1'NG PLANS AND'"ECIFICATIONS. OWNER PHONE
In1t' A m LOT N0..4
108 ADDRESS
ARCHITECT
ENGINEER
F.1U LD1 R AD0RFrS("0_ JU 'Amp, g,()ESIr'VER
STRUCTURE N NEW ❑ REMODEL __ADGITION ❑ REPAIR ❑ RENEWAL. ❑ FIRE DAMAGE. DEfAOLITIO
RESIDENCE C COMM Cl EDUCATV-;NAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Cl GARAGE G STORAGE a SLAB❑ FENCE
i- — C ^IEBLDG.TYPE ,�� FIREZONE�'�PLAN CHECK BY HEQT__C�A
OCCUPANCY LANDIIS LO u
SEWER PERMIT N !_
OCC.LOAC _ FLOOR LOAD HEIGHT__Z,L NO.STORIES AREA NO,B=-GROOMS 3 VALUtSf P
B ILDU ING DEPARTMENT
SE
'I '--
-- -r BACKS FRO14T :20.9' HEAR /7 2 LEFT SICE (o r RIGHT SIDE I$
ftrmit /2O , 00 TH.S PERMIT IS iSSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z01h:N
REGULATIONS AND ALL A.PPLICA&LE CODES AN:?ORDINANCES, AND IT IS HEREBY A.GPEED THAT TF
Plan Check �?. S"a WORK WILL BE DONE IN ACCORDANCE WITH WITH ALL APPLICABLE CODES AND ORDINAL:CESTHE ISSIANCE OF THIS PTHE PLANS AND SPECIFICATIONS AND IN CC.'OPLIANC
F.� . DOES NO. ,
, WAIVS
�� PERMIT
ISub-iota) _ _ O. RESTRICTIVE COVENANTS, CONTRACTOR AND "US CONM%CTOaS TO HAVE CURRENT CITY EUSINESS
IUCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Tc+tal �3�I—Q�'.•"#7 SDC— VOL. r
D PDC APPUCANT OR AGENT
Y _
Receipt No.
Appr,,ed ADDRESS v — PHONE
]DC - boa
ODC ( 0 O
EWER CONNECTION 8
SEWER INSPECTION S
SEWER SURCHARGE 5 +�.-�
t
14616- S W 04A- G4-.
Ak�vm.o�_ 6
F-lcao.f. ROL", : 10 x G 2 zzo
�4 x 3o 4 Zo
8 1 ��
145- 13 33 qql
Citi►- o¢ Tigard Mechanical Permit NO.
New Installation El Replace
�j Relocation Addition Alteration DATE:
HEATING
CONTRACTOR General. Furnace & A/C Inc. OWNER Sheltermax Corp.
ADDRESS JOB ADDRE' X4695 S. W. Roth ct.
PHONE 656-07,�( APPLICANT ,
Heat input Rating(BTU per Hour) `''Q-QQQ _ Vent Size Flue Size_
FUEL OIL GAS ELECT OTHER -
ITEM N0. FEE ITEM NO. FEE
For Issuance of Perm;t SEE BELOW Each Air Handlina Unit or Duct System _7.50r
New-up to & incl. 100,000 BTU 1 6.00 Commercial Hood System 7.50 _
New 100,000 BUT's & over 7.50 Other Equipment - Each 4.50
Woodburnin2_tove 4.50 1 Trip Inspection _4.50
Wall-Floor- Suspended 6.00 Air Condition Compressor - up to& ince. H.P. 6.00
Vent Svstetn w/Fen 4.50 Air Condition Compressor-11 to 15.H.P. incl. 11.00
Reeair-Feet Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: � _—
FEES 6.00
SUBTOTAL 1('.00
% STATE •E'4 Issued BV
25%PLAN CMEC
TOTALREC. N
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