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INSPECTION NOTICE
City of Tigard Euild ng apartrnent
12420 S.W. Ma`.(, St.
Tigard, Oregon 97223
Phone 639-4171
/yam= r #
Address Permit�' �`•• `�''
Type of Inspection �--� —
The following Building Code deficiencies are re quiiad to he corrected:
-+r)
Presented to
Inspector _1:2L
Date __._ 1/-
CALL FOR .RE-IAG'F'MCN
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address X -Z Permit
Type of Inspection
The following Building Code deficiencies arp i-equired to be corrected:%,
Presented lnsp#ctor
Date
G4LL FOR REMPECT/0N
[I YES El No
Bra_ M I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 91k23
Phone 639-4171
Address —_—
Permit #
I-,Pe of Inspection I ,4
The following Building Code deficiencies are required to be corracv.d:
Presented to Inspector
Date
CALL FOR REIWECTION
El Y rt s E] NO
E WILDING DEPARTMENT, TIGARD N9
PLUMBING PERMIT ly f
�._., holder of a valid olurntaing contractors license is h^-.:�y .
authorized to cause plumhing Ivor'- as hereiu/_noted to be installed in t,�.c:ordance with the plumbing code of
1 igard. Si-rch i:istall�itions require inspeCtion by the City Inspector who ,hall be notified not less than four
(4) hours prior to the lima the installations are ready fcr inspection. City of Tigard Business License required
for all contractors and sub-contractors.'
_LdN Ad i es;__G St c:lrr2 Date.—Y—_
TOTAL 1 —
TYPS OF PEPMIT_ -�- ITEMS FEF:O`I EAt;FI Af.tOVNT I �?
Single Family-1 h.tth-each ____,• -,,,,�• -__,L—_ 25.00 v II
Du Ier.-Esc± 1 by.: unit _ —_ _._ 29000_
Aedi•ional bathrooms-tach 10.00
h1ob0%P Home Spaea-eech �_ 15.00
INDIVIOUA.L F,XTUR_ESLgflwIMERCIAL _M_ -�
- I to 50 Fixturei IIn_t building-tach 3,00
to
_ _51 to t0U Fixtures in 1 buildir -e_iTh ___ ____,____—__ _— _ 2.50
101 to 200 Fixtures in 1 buildin -each2,01)
?01 or moxa Fixtures in I building.-each
� MISCELLANE0US
Sewn-each additional 100 It_. _. _ 10.00 _
Water Service to building - -_ _.� _ 5.00
1
r7ti•¢r lSoaCifvl!
I PERMIT For Plumbing Inspection Phage 639 4171
4y;StatePlumbing Contractor By
TOTAL — RECEIPT N0. Issued By
1
i
NIr rrrt
BUILDING PERMIT APPLICATION TIGARD DATE , �_ _ _,19 3340
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE iia -�i5r94
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 17 Lounalygda Yk.
OWNER ,.ob 0!– JOBADDRESS 1474io SW yluu Avc:.wu
ARCHITECT
ENGINEER
BUILDER ADDRESS 15900 SN' Seret,u Ct. DESIGNER – Piercy Barclay
STRUCTURE KI NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
IN RESIDENCE ❑ COMM L EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �� •� LAND USE ZONE '`�"'7--BLDG.TYPE _S.'`_FIRE ZONE PL0i CHECK BY _I1Wla HEAT Gab
~,, ruct sin>ale La ,!il.y dwditlinit wIIttache ,>ara – See corre tiov, iticet atr;�ctzea.
';vmw8 — 2 battag
SEWERPERMI7M 22U: ) – 75U.UU— - t_iraj_�, – 43 i
OCC.LOAD FLOOR LOAD 4(1 HEIGHT NO.STORIES I AREA 1520 NO.BEDROOMS 5 VALUE;9 J,bUO
BUILDING DEPARTMENT SET 13ACKS FRONT '�14 REAR+ LEFT SIDE RIGHT SIDE
Permit «U7.()tf _ _ 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_ 1,U3.5u WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OPDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 31U•50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 't•�rr
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— '$A 00-00 1
Total 3l�'�•7:' ,2.— ,I" ,i�,�-•�
- PDCM;i — R LUU.t11) APPLI NT OR AQENT
Approved �.. Receipt No. �7�/ l ADDRE88 PHONE
1
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d
r
� � t
DATE INSP. TYPE INSPECTION REMARKS PLUME.NG DATE
r*) LL
Contractor —
Permit No.��
•�.S-� �eP_ey.� oil _ _ .— --
�V�l0 �, _ ����__►1__ ��..��__ —�--v__ Fixture
Final
�Y���.. PA�d,�_� wJ►M�aTa..Ar O� _ -- HEATING -
,_�=�5 Q l
AL r _ Contractor --
P-3rmit No.
Gas or Oil
-- ------ -- Rough-inllOUr t. --
Final
SEWER
_.— -- -------- ------ Final
DRIVEWAY
_. _ —�— - ------- - Final II
Storm Drainage
— _ — — (Rain Drain)Final
---- - Sidewalk
— Curb&Street Final
_-- -- ------- —a_--
Approach
O.DG.DEPT. FIN;iL TEMPORARY J CERTIFICATE OCCIA°1A Y Final
-
OCERTIFICATE OCCUPANCY ----
�� Landscaping
7oning Final
i
BUILDING PERMIT APPLICATION TIGA�� DATE �//��
THE UNDER SIGNED HEREBY APPLI�-` FGR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHCNEtD39-471!�
CDR AS SHOWN
1AND APPRO�:ED IN TH=::,C</0' �1PANYINGrP.L�ANS A N 0 PE:CIFICATIONS OVINEr,PHONE
s,.,. Cllr I )F L.Sd)1k) JOB ADr;iESS �"�` 40 3W 74-��' AV Q - LOT r:0.
.�IA111 C7
ARGH
�a -- - K-Eef
I-,—Q - --
BUILDER ./�'���- ADDRESS I �tOQ S10 l I�1 L D GNE bFir�/
STRI lr'TIJQE NE'vV ❑ P'EMOOEL ❑ AODITfON ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE CCtvl%l ❑ EDUCATIONAL '3 GOVT ❑ PELIGiCUS u PATIO ❑ CARPORT ❑ GARAGE = STORAGE ❑ SLAB❑ FENCE
C-ZC1uFANCY M LAND USE ZONE ;R_-_ BLDG.TYPE N_FIRE ZONE— PLAN CHECK EKY
SEWER PERMIT p
OCC.LOAD FLOOR LOAD Lip HEIGHT ZINO.STORIES AREA !�'1"2, 0 NO.BEDROOMS 3 VA.?Ur��'�600
BUILDINGDEPARTWIN T�� SET BACKS FRONT 24 REAR �B LEFT SICE ,2f RIGHT SIDE
P^•rmit 07 QQ THIS PEFIMIT IS ISSUED SUBJECT TO THE REGULA71ONS CONTAINED IN THE BUILDING Cti%DE, Zow!,lo
-1 REGULATIONS AND ALL APPLICABLE COOTS AND ORDINANCES, AND IT IS HEREBY AGaEED THAT THE
IPIi� in Check I �I,WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO,riGLIANCF.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERDAIT DOES NOT WAIV:
sub-total 3 . S� RESTRICTIVE COVENANTS. CONTRACTOR AND SU3 CONTRACTORS)TO HAVE CURRENT CITY BUSINESS
` v1 LICENSE-SEPARATE PERMITS REQUIRED FGA SEWER,PLUMOING AND HEATING.
state Tax
-'— SDC—
Total , �-
PDCA APPl.1CAN i OR AGENT
By
- Receipt Na. _
Approved ADDRESS PHONE
0C — s #
EWER CONNECTION S r /
EWER INSPECTION S
EWER SURCHAPGE S
-_-
1.5o10
Ave 17 �ak�a lx�o�a ��.--�•�
Aftn- S ec� -s' c;,- Via. c.Q......,+
0
p�
F-�OG-'- R0.0
4o x
�s -9 x t4 2zr
I T2-0 33.40 41 yt 2(0,8
Pe o
3I, 00 z
s4 $�
VIF
C y Of Tigard Mechanical Permit N Permit— $300
Fee ll
New Installation Replace ❑ Relocation ❑ Addition ❑ Alteration C347.State.
-_TOTAL,
HEATING OWNER
CONTRACTOR
Ai7DRES", � p 46, WORK AUDRES / 7µo
PHONE APPLICANT !
Haat Input Rating (BTU Per Hour) Vent Site ` ,I Flue Size
FUEL OIL ❑ GAS L�1 ELECT ❑ OTHER��
ITEM NO. FEE ITEM NO. FEE
For issua rc=of Permit EE ABOVE FAirConditionCompressor_ '5to301-IP10.00 aRNP.`N-u I:C & inC 001000 BTL 4.00r_Handling 10,000 CFM 3.00� 5.00r Handling Over 10 000 CFM 5.00 `4
Pie•.v:100,001 BTUs & over Floor Furnace 4.00aporative Cooler 3.00 4:
Wall Flour Suspended 4.00nge Vent an
- - 2.00
Install Vents Only __ 2.00 Vent System 3.00 = '�
_ e 4.00_ Hood Commercial 3.00
Repair • He-3t& Cooling
g _ _ ---- '
a r Condition Compressor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP 7.50
^--."—
I
i
INSPECTOR'S COMMENT,,
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY_ DATE ISSUED BY DATE f
RECEIPT NO.____ -
„a Signature of Applicant