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INSPECTION NOTICE
V". g P t City of Tigard Building Ur_ artrnen
a
- �� 1220 S.W. Main St.
r, .a Tigard, Oregon 97223
Phone 639-4171
Address ✓ �pit . ,... c
- -- #
rYpp of Inspection Permit____._�_..__ --•- -
'The following Building Cnde deficlencies are required to be corrected:
—
Presented to_ � r
Ciete
(,TILL. 60R REIWEC77ON —�
lJ Yes ED NO
CITY OF TIGA,RD SLAG. DEPT.
12420 S W. AMAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sec,ion(s) of the Uniform Building Cotte, the
following item(s) require correcting:
Date:_ �i?-�'.� Permit No.
InspeQ��
CALL FOR REINSPECTION
Per 1711
Cify of fif-jard Mcclio-jfcol Pui-lit N?
New Installa ion Feplece Relocation LI Addition Alteration UJ /t%5 ta t 0
TOTAL_ULATING
CON t
-.0 TO F,
W
'IUMER
V40HK ADDRESS
%
PHONE APPLICANT
HC3t lnf%li Rdtino (BTU Vent Sire Flue Sitc,
FULL OIL 0 GAS U EL.Eq!'VN, ovirm
ITEM NO. FVC ITEM NO. FEE
ABOVE Ir C-011 c 't 11-Itu 01-1
J
4.00 Air I lowllinj 10,00)Ci 3,00
15.00-1 Air ,1widIiiij Ovi 10 0U0 CPO— 5:60
L-
nr I d 4.00 llam)! Vvnt Fan I
2.00 Vent Syst.vii 3.n0
4,00 I'lUrd CO-m'111 I(J-11 .14 U
3 Commurckil I. Sy3tert.
./.bf)
=-.v
INSPECTOR'S COMMENTS
ci ry BUSINI LICENSE REOUIRM FOR ALL CON IIfIr,'lQH'i OH SUB CUINITHACTO1,15
APPfIC)I/Fj) 13Y---. DATE ISSUE EJY::z DATE
RUCE IPT ; fo
4 14-61t
IIA SiIndture, of AKIflicant
MW
BUILDING DEPARTMENT, TIGARD
�� / PLUMBING PEHMIT Nn
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed In accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not lees than four
(4) hours prior to the time the installations are ready for inspection. City of Tiqard Business License required
for all contractors and sub-contractors,
:]ab
Own+?rlAC,4yE/7?/�/I�� ,,�ld,yj Address /L;2�—S'e' Z> 411 k t�`�s'_;:2Date__3341-..7
NUMBIHR OF TOTAL
TYPE OF PERMITITEMS FEE ON EACH — AMOUNT !
Single Family-1 bath—each _ 25.00 F�]'
Ou lax—Each 1 bath unit
Additional bathrooms--each I 10.00 _ �^
Mobile Home Saace—each 16.00
INDIVIDUAL FIXTUReS(COMMERCIAL)-
1
COMMERCIA 1 to 50 Fixtures iii 1 building.—each 3.00 a1
51 to 1G0 Fixtures in 1 building—each
101 to 200 Fixtures In 1 buildin —each 200
_201 or more Fixtures in 1 building—each 1 50
MISCELLANEOUS
Sewer—each add;t anal 10o ft.
10.00
Water Service to building 6.00
Other 15 ecil
PERMIT Ci 00 For Plumbing lnspoction Phone 639.4171 i
4 o State p Plumbing Contractor By 1
7. �_
TOTAL 5� RECEIPT NO leenprl RV
3057
BUILDING PERMIT APPLICATION TIGARD DATE— IQ—_—
THE LINDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHDN
Oil AS SHOWN AND APPROVED IN THE f=OMPANYING PLANS AND SPECIFIGATIONS. OWNER PHONE _
_ LOT NO.-_-_.-
:rAi +rlliar�. :ira�nea: JOB ADDRESS
OWNER a°:�5''i ""l i1Rw+ittl >�rtaxcl �• _`,rz., ar I.J�, ---
ARIIHITECT
it1 eE! 71115 .N3 Salndburp, St. ENGINEER
DESIGNER
BUILDER ADDRESS _ - -
STRUCTURE LM NEW ❑ REMODEL D ADDITION P- REPAIR ❑ RENEWAL _❑ FIRE DAMAGEY ❑ DEMOLITION
CI RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 1 :1 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 4. _.LAND USE ZONE * BLDG.TYPE- �� t FIRE ZONE — .PLAN CHECK BY _iHEAT
t„wWtInict si.:x,•.*le family %nlling W!ztItaChed g,,arnff,e ------
j,A—i,senw of parmit (2927 (1(IS25 Sw stn.-slier 1..n1w tr.) 3 Ivedrefy"'.9
t"ATU 921
2
SEWER PERMIT# T
OCC.LOAD FLOOR LOAD 40 HEIGHT _'"_(_ NO.STORIES _ AREA NO..BEDROOMS VALUE
71
BUILDING DEPARTMENTSE7 BACKS FRONT REAR n l LEFT SIDE _ RIGHT SIDE
Permit !)l�f)O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
RLGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED TmAT THF
Plan Check WORK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMpI.IANCE
001 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT .NAIVE
SubtotalRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT CITY BUSINESS
- 7.64�. LICENSE.SEPARATE PERMITS Rl7UIRF�FnR SEWER,PLUMBINCJ AND HEATING.
State Tax -- SDC— 4(A)r _ _ -.� .�� �
04
Tutal 203 r F. r A—P�LICANt OR AGENT
-- PDCM
By
ADDRE$8
Receipt No. .�__ .----•---___._�__._.�_ __ r H SNF
Approved_ �} or �'
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
' Contractor -�
.'j• ok _. 0 0 onTr
IA"O Permit No.
ri/o-f-u &., —R OVT Rough-in --
Fixture
Final
HEATING -
_ (/ 't� ---- _— Contractor
_—� Permit No. _!�
Gas or Oil
Rough-in `-
�____._ Final v�
-- ---- -- -------
SEWER-----
-_— Final Q1._
DRIVEWAY
��— - Final
Storm Drainage
M (Rain Drain)Final 1
�y� —-- -- - Sidewalk -- I
Curb&Street Final
AP_Proach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCC UP CY
CERTIFICATE OCCUPANCY �-
�ILardaraning
Zoning Final