14090 SW FANNO CREEK PLACE-1 s
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140% °W FANNO CREEK PLACF.
INSPECTION NITICE
City of Tigard Building Department
P.O. Box 7.3397
Tige►d, Oregon 97223
Q/'y✓ � Phone ;;39••4175
type of Inspection /�//�'
Date Requested _ Time A.M. L�
Address % --- - 1�0/ Permit
Owner - ` : s Lott #,!
Builder ---_ �W (o .3i 9 /2, �� 3n--Z 3
The following Building Code definieneies ars required to be corrected:
r +�
Presented to — prrned i
Inspector
Date ---
CALI, FOR REINSPECTION
❑ YES C7 NO
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LAITY CSF TIGARD MECHANICAL PERMIT Receipt#F
�'�'•-�
Permit#
Description
Table 3A Mechanical Coda _ CITY PRICE AMT
City of Tigara �
13125 S.W. Hall Blvd. 1) Permit Fee -0- -o- 10.00
P,O. Box 2.3397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 ) Furnace to 100,u00 BTU
1) incl.ducts&vents 6.Of1
Furrace 100,000 BTU +
2 Incl.ducts&vents 7'50
Name cl Development 3) door Furnace f,00
incl.vent
-
Job Address — Suspended heater,wall heater
Address a \ , ,\� �'. �J i 4) __— 6.00
or floor mounted heater
Tax Lot Mop No. Vent not incl.in
Lot Brock £codlvisim 5) appliance permit -- 3.00
Name(or name of business) 6) R�olirttg absorptirof on ufnlig 6.00
--- — ---- — ..
Mailing Addre pho,i---� Boiler or comp to 3 HP
Owner .i 7) absorp.unit to 100,000 BTU 6.00
City state zip -� 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU __
Name -` Boiler or comp 15-30 HP
9) absorp.unit 112-1 million 15.00
MallingAddrass Phone ' 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million _
Contractor Clty,stato - zip 1 1) Boiler or comp to 50 HP 31.50
_ absorp.unit 1,75C,0.00 BTU
Slate Reglstrelk n No. Cily Bus Tax No 12) Air handling uni!io 4.50
10'000CFM _
I hereby acknowledge that I have read this application the; ins information given is 13) Air handling unit
10,000 CFM + 7.50
correct.thO I am the owner or authorized agent of the owner,that pia ie submitted are in ----- — �.
compliance with State laws,that I am registered with the State Bulld,us'Board,that the —14 Noo portable —
number green is correct (11 exempt from State registration riease give reason below) ) evaporate cooler 4.50
- - ----------- 15) Vent fan connected 3.00
to as single duct --
- -- ) Ventilation system not
16 included in appliance permit 4.50
Hood sewed by -
17) mecha_nirale_xhaust 4.50
Domestic type
18) 7.50 _-
Describe work I 1 addition lI alteration 6 repair L] --_incinerator
to be done residential (_1 — -non-residential r l 1g) Commerciai or industrial 30.00 —
Exintlnq use of _type incinerator -
building or properly,. _ _ ) Other i.e.,woodstove,water
[0 heater,solar,clothes dryers,etc. 4.50
Proposed use of _
building or property ._ 21) Gas piping one to four outlets 2.00
Type of fuel - oil L] natural gas !1 LPG 0 electric Cl
22) More than 4-per outlet
--
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ---- --- - --
STRUCT'ON AUTHORIZED IS NOT '01AMENCED WITHIN 100 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AI=TER - ---- — --
WORK IS COMMENCED, TOTAL
Special Conditions
-------- -- -_ ------- _ ----- -- Date issued- -- - by-- - -
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INSPECTION NOTICE -
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
A
Type of Inspe�-tion
Onto Requested J —1-7—a _— Time
A.M. __P.M. /
Address _I�1� Q 7LArd�A, ���C !_,_ -_ Permit tk ,fir,-57Z'6 -
Owner �✓''� - Lot # -
Builder
fhe following Buildh,g Code d-ficiencies are required to be corrected
- - y
Presentee" ;o Approved
Inspector ` _-- ❑ Ditappro-.gid
Date
CALL FOR RLINSPlECTION
D YE! 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspect on �
Date Requested Ti A.M. P.M.
Address
rmit
Owner Lot #.--.—
Builder
The following Building Code deficiencies are required to be corrected:
Presented to F-,l''Approved
Inspector Disapproved
Date
CALL POR REINSPEC770A
YES Ell NO
INSPECTION NOTXE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Address 0 9 Permit
Owner Lot
Builder
The following Building Code rip"riencies are required to be corrected:
Presented to /Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES Z NO
A at
BUILDING PERMIT APPLICATION TIGARD DATE 5521
THF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK.HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.��_ ^-
OWNER Ti{. k'2^ot>�YtjVs JOB ADDRESS 14U90 �i;; —dZ__�,,-"j r tali k S IAGi! LOT NO. 1 _
`"'"�_ �_o t Priv G=rim 1V
R110118 ARCHITECT
ENGINEER
B�1ILDER Samre ADDRESS r.'t+945 Sid 1'�: ilii+)• DESIGNER _
STRUCTURE CTXNEW ❑ REMODEL ❑ ADDITION D REPAIR 0 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
El RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS O PATIO_❑ CARPORT ❑ GARAGE 11 STORAGE El SLAB❑ FENCE
OCCUPANCY "' _LAND USE ZONE _ '"j BLDG.TYPE _ _FIRE ZONE_ PLAN CHECK SY }' HEAT Uz
Construct aingle Faindly uwlli>ng w/attached garage.
Re#Ieeue of Permit #4842�� _+—
___ 2 &athroa + `V
SEWERPERMITM :juS13 _ Garage 308
OCC,LOAD FLOOR LOAD 4 ) HEIGHT 15-6 NO.STORIES _ 2 AREA 1677 NO.BEDROOMS VALUE
BUILDING DEPARTMENT v SETBACKS FRONT 47 REAR ;#0+ LEFT SIDE 2't RIGHTSIDE `
Permit 3 19. A) THIS PERM;T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.., ZONING
4ta.i)U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
3r?��UU WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESI RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
17 76 UCE.SEPARATE PERMIT-S REG'JWED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total 311.76 SDC—
PDCNII 11150.00 PPLI AN OFAQPNT
Approved Receipt No. -gDDREBs
PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUK81ING DATE -
_ L _
Contractor
Permit No-
-
o.
r ----��i7 --- Rough-In _-
- Fixture —
Final
-- WATING
Contiaetot � �1
Permit No.
-
102 Gas or Oil
_ --------- -------- final
SEWER
----- - Final
nRIVEWAY
_ -.__-- --- -_--. Final
--._I---
_ Storm Drainage
-- ---- - IR&in Drain)Final
------- Sidewalk
—^- — Curb&Street Final _
- J Approach
BLDG. DEPT.FINAL M-TEMPORARY TIFICATE OCCLI�F.NCY
CERFinal
t.FRTIFICATE OCCUPANCY
Landscaping
--- — -- ---- -- --------_ ..�_ .__ - ���--- Zoning Flnei -
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