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12660 SW 111TH DRIVE t 12660 SW 111TH DRIVE r a) L) m CL L r-I r-1 3 LO O to l0 N � I 'ASPECTION NOTICE :rty of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97222 Phone: 6394171 Type of Inspection _ � Date Requested -- Time A.M. P.M. Address _, �L'47� ! / T ' Permit # Owner__--. Lot # Builder The following Building Code deficiencies are required to be corrected: Presenter) to ApprovedInspector - -- [..� Disapproved Date [� ' G' • CALL FOR REINSPECTION C7 YES 'oe NO r l ADDRESS I �6��> ��� , I t i;�c w PERMIT NO PERMIT CHARGE none OWNER ) CONNECTION FEE PAID BY tf r►cJe.—_ TYPE OF BUILDING /r,P.r/ DATE CONNECTED SERVICE RATE I� �- INSPECTION FEE vZ� CONTRACTOR PAID BY DATE SIZE OF CONINECTION ��_ -JASSE55MENT PAID CITY OF TIGARD BLDG. DEPT, 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s) require correcting: -- cSlo �f/. -ff -r - ---- _ O -- -> r)ate: M//1S' Permit No. lnspector'.-- ----_. CALL FOR REINSPECTION WE a � I LN/ Of l ( C-1L-3 ! d Mtt'ilaNiCal piri;tiit - _ _ .__ -�-� Fre __•-_'�' " �•__ ! td4r: Ini:61.2li01 ✓ RC:,'eCe _J FCl•:7Ca:ion r� Addy on _.� Pzi-rciion '� ! w' 4- ",; State _ IOTAL__ CQ;%-FRACTOR O'A' :EP. ADDRESS %�n, fC iS q ��s! WORK AODRESS� PHONE _ APPLICANT__�R t ' Heat Input Rating (BTU Per Hour) ^� c,CnL- �— Vent Size _y; _ -- Flue ize FUEL OIL `1 GAS 03' ELECT CJ OTHER ITEM NO. FEE ITEM NO. F For Iss.;antc_o' 10.? nnr _ _ _� _� 3,p't� Air Condition Compressor � 15 �1 New- Undtr 10.3,000 BTU ( -- _4.00 Air Handling 10,000 CFh�M-- 3 hery• ICK 000 BTU & over _-- --'� 5.00 _Air Handling Over 10_,000 CFM � i 4� - Floor Funac- — +� 4.00 E_a, 3 corative Cooler — %Vali Floor S_u:,randed �_M— _ -r _00 _Range Vent Fan 3.t ?.t Install Vsrits Only2.00_ Vent System F'r., •Haat-8 Cooling _Hood ---- _ _ _ commercial Air Condition Comp,eicor Under 3 HP'----- 4.00 � _-- — — -Commrrcra! Duc_S�stcrn i 1(� t Air Cond;:;on Compressor 3 to 15 HP 7.50 _—'-- .� +a.a•=._rzea_._-__ra.:��:;•—r.z:•:-n:..r•s_...spa-� :.a. -_. _. .. ._asr•aaz 1..:rrrj i.rs—a._:.�•mi:tea--�ow.Lir� —•zar3._ INSPEC ro={,s CO Mv.ENTS—.— 3 CITY EUSIr;FSS LICENSF REQUIRED FOn ALL CONTR.ACTURS OR SUBCONTRACTORS APPROVED RY_ _ — _ __ DATE -- — _--- ISSUED BY-- _ _ DATE w w W_XW-LWXW�MJMKAPff_XM_j= of a %;--!`rJ P!urnbin­ contractors !icc!ns.! is h.-.-euy 0 C2Li,2 plwnbltl� v.-, noted to be insZ,�H-_­0 ir, With the plumbing cod= of Tis,2,,.!. Such initIA--rioni insc:inilm by the C;ty ln�*,-ctcr who shall be notifie-A not les; than four (40 hour; prior to the time intit-i!13zions ara rasd-; For ins-pe.-tion. Citi c-F Tig:,,-c'l �ujsiness UcensL- required for ail cant.-2--tors and sL:b-conzr:,ccor3. 7A 0-fjryr A- Addrei; sk) //I -- Date NU.',t-3;.R Of: TOTAL PERMIT NO.'S TYP-' OF PER.MIT ITEVS FEE CN EACH (01ficc Ujm Only) RC I sir.11.2 Fr,nilv—I !)J*l)—.j1,:)i 25.00 Ll li.00 IINDIVIDIIAL FIXTUPE _F_E_rS � to !:0 Ll 1 ba;!4; :h 3.013 5S t, " ,. -lich 2.50 I Fi4"I'li j.1 I bu 1, 2.00 20, M I S Z:'z L L 0—US sowdi";_s 3,1 e!. S•w-fr-2!ch 41 10 ,00 1000 5.GU io cf7 p For Alur.,tp'.-; *r 6.3941 Plumbirg Contr3czor 81 4 2492 It/��� BUILDING PERMIT APPLICATION CITY TIGARD DATE —. 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ♦13�� OR AS SHOWN AND APPROVED IN! THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHON y LOT NO. rnr :i$ OWNER",Flrii JjJjLi.Jj1 JOBADDRESjL .660 .JW 111th PIMCC HOMEADDRESS ARCHITECT ENGINEER BUILDER �rir,f1 ADDRESS ld( 3 ) SU UNIf BIN; DESIGNER STRUCTURE_ ©NEW ❑REMODEL _❑ADDITION _❑REPAIR —_ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑C:AFIPORT ❑GARAGE ❑STORAGE❑SI.AB ❑FENCE ❑BOND ❑MOV INC, ❑CO�Nr�DITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPPOVED! ❑SIGNS OCCUPANCY_"M.3_LAND USE ZONE —," BLDG,TYPE 0111_^._FIRE ZONE— PLAN CHECK BY_�L" __ HEATiO�_ __�_- Cumstruut 3.kny11y family duellli(ly of&ttuCh6d gerlage• u uucst )Om PlumbinU ofia Mochanical ParMita Reyuit0de V Sower Paermit p17_,78 •• $625.00 "Ontir.10 413 —__HE1_GHT_..- ._.cO —�Q�I��'`__.. AREA�2C}.� IVO.8�12�G1S�M5 4 VALl�4 !4159 BUILDING DEPARTMENT SET BACKS FRONT -7 REAR LEFT SIDE S:.I RIGHT SIDE Z Permit 19 7 n 0 - -- — THIS PERMIT IS ISSIJFD SIJ"JECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING Plan Check 9E''.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WIL L BE DONE IN ACCORDANCE WITH 111E PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal dyALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tai 7060 LICENSE. SEPARAThffi�t f REQUIRED FOR SEWER, PLUMBING AND HEATING. Total lt303,33 I U 0 a 0 U By Pl --- _— —----_.. �^ APPLICANT OR AGENT Approved - --- Rwvipf No VI .... .._.,...a. �..-_ . _. _...._.__. .._.... .... .._.— - DATE INSP. TYPE INSPECTION REMARKS PLUVIDING DATE Contractor 3/S-7° � ��-C- ��rM.�i-- _ _...------ -- PermitN°•�7� �. !� 3 -IY_T� , Roughin Fixture Final -------- �7 j — - —_ HEATING Contractor Permit No, Gas or Oil — Rough-in �— Final SEWER -- Final DRIVEWAY Final Stom Drainage '� � (Rein Drein)Final. —__-- �-- �---- Sidewalk -� Curb&Street Final — � Approach BLDG. DEPT.FINAL — TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final i i XDING PERMIT APPLICATION cOF _� f�l "`RD OATEN° -!E i!NDEHSG INED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDEh . HONE_ 7� `` _qi_ JR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF LOT'NO_,$- r~---4 — JOB ADDRt5SL4IV III0. HOME ADDRESS `Tr" ARCHITECT r qr.-I,plN • l ENGINEER Eit__ _ �MP�//0 � ADDRESOSDESIGNER UNE . NEW ❑REMODEL ADUI1`10N _-- ❑REPAIR _ _EORENFWAL. ❑FIRE DAMAGE Y ❑DEMOLITION NCUyZ l *,VM ❑EDUCATIONAL - ❑GOVT r3REL,GIOUSC3PATIO COCARPORT_ I_JGARAGE ❑STORAGEUSLAB ❑FENCE 11;0ND �=❑MOVING ❑CINDITIONAI USE ^ _ DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS CUPANCY../_T3_.LAND USE ZONE!�_''!?--_BLDG TYPF•_-_L_" REZONE�2_ PLAN CHECKEIYr;g�--- SHEAT .. _.-_.—_.l' , ''� `1�rL"G� 9 `T- '/� � ,r.- - _•t'...c_�.1�1.1�. /'�-s .�`�_r �.f� �w �-- y ..—___. �:L.C�G' �•S /hl_C�i. /`!c _ •ter �G' -¢�. __ ' � �_t...�_._ —..r 11��. 1QAQ ._ F..L94R_IOAQw.-_ __HE;SaHT ,.Cc?___.N4._-STQRI $_ - -pRF�v'�'7_...N�@.m.D�4M� VALUE y . / BUILDING DEPARTMENT LET BACYS_�I:RONT "L _ REAR SS LEFT SIDE RIGHT 5!DE a� � 'errrlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check n ; =- RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE UONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub•totel^ �i l` S �- ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - -- RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS S.lete Tax->' �- LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. 1 vial °4 V APPI ICAN1 OR AGE NT A' I,,,.ved— — — - -- Receipt No ADDRESS ---ANON