14715 SW 84TH COURT _ i4715 SW 84T9 COURT
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INSPECTION NOTICE
City of Tigard Puilding Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-41A
1
Address — ----- -- ''� �r; .. rf,' '� �..�' '%c" — — Permit
�
" Type of Inspection _. C
The following Building Code deficiencies are required to be corrected:
— ter-
Presented to _ — _ Inspector
Date --
C4LL FOR RE1W1--CTIO.N
I_]YES ❑ NO
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BUILDING JCPARTMEIVT, TIGARD ;
PLOMOING PERMIT N0. i
Shoemaker's Plnmbi ng holder of a valid plumbing contractors license is 7crejy
authorized to cause piurnbing work us herein nosed to be i;,s;a.,ed in accordance with the Nlumbin, cote of
Tigard. Such instaiiations require inspection by the City inspector who shaii be notified not less than four
;4j hours prior to the time ,he instziiations arp ready for inspection. City o` Tigard Business License required
for ail contractors and sub-contractors. Bldg. #3526
L`y r1- SheltermLx Addrr.ss__L4715.-SU 84TH-CT,.—.
NUMBER OF TOTAL. PERMIT NO."
TYPE OF PERNi`r ITEF'S -ZE ON &ACh AMOLNT iO!Iice Usn Cli'
-ir1..,P �IA-L- 5
Single *a-n:ly-1 beth—each 1 25,v'0 4
1c,t'ax—i:ech 1 bath unit _ 25.00
A(al.t.ono bathrooms—each I 1 10.00
Vnbt.a HontA Sc ace—each. I 16.00
V7IVIDUAL FIXTORE FEES
1 to --0 Fixture. in 1 buddin —aoeh 3.00 I _
j1 to 1C0 Fixtures ;n 1 build:ng—each 2.50I— —�
•n 2000 Fixtures in 1 building—each 2.00
nr more Fixtures in 1 buildin —each rt; 1,50 _M 1
Y.SCCL6ANE0L!S
_uuiiu;nl Sewer-1st 50 ft-__
S wr—each additional 100 ft. � 10.00
W.uc•Service to building 5.00
vi;o W,ter Sysicros—each 100 't, i 10.00
sao0vl;
'-?' -- 35.00 for Plumbing Inspection Phone 63144191
`tj— _.ate 1 .40 Plumbin5 contractor A ti
! _J)7A,. RECEIPT N0. Issued Ry
TWIMP
City;-,of Tigard Mechanical Permit NO.
New Installation 1' Replace M Relocation 0 Addition El Alteration C1 DATE: 1-1''-°�
HEATING
CONTRACTOR 'leaeral Furnace A/C Inc. OWNER Sheltermax Corp.
ADDRESS L- n P- (.98 ADDRESS_/11L'lr) S. W. 84th Ct.
Clack. Ore. ') '_ l5
PHONE 456_n42F APPLICANT
Heat Input Rating(BTU per Hour) O�020 _ Vent Size_""__ Flue Size _
FUEL OIL E] GAS Q 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 i 6.00 , Commercial Hood System — _ 7.50
New 100.000 BUT's & over — 7;50 Other Equipment_• Each 4.50
Woodburning Stove 4.50 1 Trip Inspection_
Walt-Floor Suspended_ _ 6.00 Air Condition Compressor . up to& incl. 3 H.P 6.00 —
Vent System w/Fen 4.50 1 Air Condition Compressor-3.1_to 15. H.P. incl. 11.00
Repair -Heat Cooling 6.00 — —
GITY BUSINESS LICENSE REQUIRED By ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE _ 10.00 Comments: r� —
FEES 7700
SUBTOTAL ^ .0_ - ----- --- __,
% STATE _ Issued By M
256 PIAN CHECK
TOTAL 1'
ON w I1wAAKI !�
BUILDING PERMIT APPLICATION TIGARD DATE = 19_� 352
THE UNDERSIGNED HEPEBY APPLIES FOR A PERMIT FOR THE:WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND AFPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. –F14M C,"! g rk
OWNERM,'ical Dev. Corp. JOBADDRESS 14715 5W 64th Court
ARCHITECT
ENGINEER
BUILDER Salle ADDRESS 6850 oytn• DESIGNER Piercy-13�rclsy
STRUCTURE CA NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
KYRESIDENCE L] COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS r] PATIO ❑ CARPORT O GARAGE ❑ STORAGE ❑ SLA911 FENCE
OCCUPANCY "'3 —LAND USE ZONE BLDG.TYPE 5N FIRE ZON'7_--PLAN CHECK BY 41 h HEAT gaS
- Construct sir;glp family dualling w/attached ganxq_q. 3 Bedrooms 2 Bathe. -
SCr CORRECTION SHEET ATTACHEL.
SEWER PERMIT q .. s7:,U•QQ aergQe 5.14 8th• f t. __ r
OCC.LOAD FLOOR LOAD gal') HEIGHT 13 NO.STORIES 1 AREA 14;b NO.BEDROOMS :5 VALUE
BUILDING-DEPARTMENT _- SETBACKS FRONT 2n REAR 31.0 I.F.FTE DE 6 RIGHT SIDE
Permit $205.00 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
Plan Check 102•50 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH .ALL APPLICABLE CODES ANu OR'JINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total ^I RESTRICTIVE COVENANTS. WNTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANS HEATING.
State Tax 41, �)
Total °>�;,�.' � r(; SDC — S40tJ.pf! `7 _ .�
PD N T -APP ICAT OR A►GE`NTt ly_ �
e c I �6&OB.q.a �+
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Receipt No. ,r<-
Approved duh I !` ADDRESS — PHONE --
DATE INSPP, TYPE INSPCCTION REMARKS PL JMBIN:; DATE
Co.tractor — --
/�/ ��— Permit No.
_ ► &.Sz�c.,,,.._ 7--5/G
2-1
Fixture
Final
HEATING
rsu
. —
— T Final
— �_--------- �__� S�j� SEWER —
Fine
-- ---- ---�.M�-- --------- ---__DRIVEWAY` -
Finet
Storm Drainage
(Rain Drain)Final
Sidewalk
— — — Curb&Jtreet Final
BLDG. DEPT.FINAL TEMPORARY rCERTIFICATE OCCIIPANCY - — u —
CIrl"IFICATE OCCUPAN"11 7 9� / I Final — -
l U Land%capng
7omng Final —
— tear
IF
BUILDING PERMIT APPLICATION DATE-IA"1
1HEUNDERSIGNED HERE BY APPLIES FOR A PERM IT FOR TIME W&IK HEREIN INDICATED BUILDER IPH^,N£&gj:j
OR AS-HOWN AND APPROVED IN THE ACCON"PANYING PLANS AND PECIFICATIONS, OWNERPHONE
4 ADDRESS f'r`
/� ��� � LOT NO.�
^ ","•ER�_->�r ,�!�'
ARCHITECT -
�, ENGINEER �BUILD-ERADDRESS DESIGNER
2.�4.� _ GS�sv_��.tQ�:,AsI�`.�u. �'
BUILD-ER a��
STRUCTURE NEW CI REMODEL :1 A00I_TION 'I-REPAIR ❑ RENEWAL— ❑ FIRE DAMAGE 0 DEMOLI T ION
RESIDENCE C CCM.M ❑ EDUCATIONAL � GOV'T C RELIGIOUS i1 PATIO C CARPORT ❑ GARAGE u STOR GE ❑ SLAE❑ FENGL
vLC-OPANC.Y —_LAND a-:;E ZONE -�-•BLCG.TYPE ,Z.—uFIRE ZONEPL.AN CHECK 8Y — _ HEAT CjA*_._
102 �-------- �
SEWER PERMIT N _ .101 �q-
UCC.LOAD FLOOR LOAD ^HEIGHT 13 NO.STURIES AREA I41(0 NO.BEDROOMS YFLUESp ,�jpd
BUILDING DEEPARTMENTQ
SET BACKS FRONT 20 _ REAR 1-0LEFT SICE RIGHT SIDE 7
vnrrnt rJS b THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EU'ILDiNG CGDE,70P::!.1C,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINXJCE.S, AND IT IS HERE3Y AGnEED TF-AT i NE:
PlanCherk 102• Sfl ,WORK. WILL. BE DGNE IN ACCORC'ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COlnPLIANC_
I,Sub-tctal /3 n WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT ',VAIVt
n E . RESTRICTIVE' COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP.ENT CITY EuG'%ESC
LICENSE.SEPARATF.PERMITS REQUIRED FOR SEWFR,PLUMBING AND HEATING_
::atB Tax _ 8 .2
Total �1_ S� 1�
POCK A PUCANT OR AGENT -- —- --
6y
Receipt No.
Approved ADDRESSphpNE `- --"�
L
10Cfoe)� ._
EWER CONNECTION S 7,2J__
EWER INSPECTION S Z�_
EWER SuRcliARC_• s Cr. _,_....�
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