10360 SW MEADOW STREET-1 r
10360 SW MEADOW STREET
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INSPECTION NOPCE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
/ Phone: 639-4175
Type of Inspection
Date Requested / `��� p / Time -q M, —L' P.M.—
Address 16) 3 6�O _5�✓ %1%� �(�,�,�
Permit #—Y!F__/
Owner
--- ---- Lot #
Fuilder _
The following Building Code deficiencies are required to he corrected:
Presented to
Approved
Inspector
_- -- Disapproved
(.)atP.
CALL FOR REINSPECTION
C7 YEs C] No
CITY OF T'GA RDEMIANAL PEAMIIP 'P *t NO. ME(3919t.?6
CITY 01FTiGARD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGO" I.)A'TE 1651LIED: 9/1"3/89
13125 S W Hall Blvd,P O.Box 23397,Tigard,Oregon 97223,(503)634 4175 rnn.m PMT .NO (391.926
k10113 ADDPES5 : 1.0360 %W MEAD011.4
MAP/LOT 51JF:1 . LT : ICK :
I AND tJSr:-- :
1-CYT '..')IZE' :
I*TEM . NO: N( :
WORK CLASS : AL.'TEAA'TIC.)N FURNACE (1001K 1. i-)IR HANDLA 00
lKiE TYI:)I'--- : SINGLE" FAMILY FURNACE 1.00K+ AIR HANDLR 10K
C'0N'3*T . 'TYPF : VN FLUOR EVAP .GUOL.Ep
CKICUID . CVPP. : 1:43 HEATE'A VE'N'T FAN
WENT VENT . SYS51'11EM
BI-AMIUMP (31-4p HOOD
NC) . STURIE5 : 8L.R/CUMP 3-15HP INCINEPA'TUPWOM
DWELL .UNI'TS : 81-11/COMP INCINEPA'T(JA(U31h
V UFA- 'TYPE:.' (-19 AS 8I..P/L,'UI1I.*) 30--.".)OHF) REPAIR UNI'T'S
MAX . INPITT 90000 Hl-A/C0MI'-' 504-1-11P (XTHER t.
FIRE DMPIREVt NO GO)$ PIP'ING UILII'LILTS
HIGH IPES57 NO
I ()W PALSS? y I*-.,:S
REMARKS :
J.n vi t;aA.3. gati; -Flur,riaLue fi wilLtvi-,
V'FEES
0 t e?V E.! Dr 1.1 M M r.)1. PERMI'T $11.0 , 00
W
N PLAN PEVIEW
E Fly"TURES, $1.2 . 50
4-VA Ill-' TAX 1 . 13
S -
OTHER
C
0 1-401 C
SHEER M IC HAI;.:1
N CL)LUMBIA HEWTING
T
R 21*30WF)w 90'TI-I
C A t 1.1 R I P.11,t J.1-1 cii r 9*7 0 6 P2
T I:*1I+:)Nr::-. (50,311 692-43R.0
0 I4E-(',TS3'TPA'TIC)N NC). 300P6 1*01'AL : $23 - 63
R
R17-'C E I P T N(3.
This permit is issued subject to the regulations contained in Title 14
of the TMC State of Oregon Specialty Codes• zoning regulations REQUIRED INSPEC'TIONS
and all other applicable codes and ordinances, and it Is hereby GAS LINE
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and MGECHANCI.- .SYS'TEM
ordinances. The issuance of this perm!t does not waive restrictive V T Noll..
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void It work is not started within 80 days,c,r If work Is suspended or
abandoned for a period of 180 days aiy time after work has
commenced It shall be the responsibility cl the permittee to assure
all required inspections are requested and approved
Permit a iw
S �,o
Issued By L L F01 INSPEM ION—6:19—!917%
%
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
�—- Phone: 639-4171
Type of Inspuction __ ?` .■�'=?!��,�"G�r s _.__«
Date Requested— / Z � �rf �__ Time� _ A.M. P.M.
Address .�C7 ��=St�+► � t�/_ Permit #_
Owner--------, _-- Lot #
Builder
i
The following Building Code deficiencies are required to be corrected:
,GAJ ,D
1
-- ..�-�-� -�— -�--*� �3''= rte,.*-`' ✓---��-t--_...
Presented to ❑ Approved
Inspector �L_ -�' C —, �o] Disapproved
Date
CALL FOR REINSPECTION
a] YES 0 NO
liuqIr
BUILDING PEHMIT APPLICATION TIGARD DATE__.- 1s--
4 t57
1.HE.UNDERSIGNED HEREBY APPLIES-OR A PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE ._ .a �J
OR AS SF;':WN AND APPROVED IN T HE ACCOMPANYING PLANS AND SPECII"ICATIONS OWNER PHONE r
LOT NO.
OWNER -- JOBADDRESS 16Q ��!�• .xder it•
.A}�qq,P DESIGNER
BUILDER �h�!{0 _ ADDPESS _ _ -- — --
STRUCTURE ❑ NEW P REMODEL 1 ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLITION
[-l'RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T :] RELIGIOUS ❑ PATIO ❑ (!AR PORT [] GARAGE ❑ STORAGE [] SLAB❑ FENCE
OCCUPANCY _ 3 LAND USE ZONE E^F?-7 _.BLDG.TYPE FIRE ZONE—_PLAN CHECK BY I —HEAT
I"r?ngLruct 7 story addition to filw le family re stdonrr _
",aq ct reyr..t.ion sheet atto►rl►e!cl ___._-----_---
SEWER PERMIT M _ ----- --___---
0 20 2 AREA 137,' NO.BEDROOMS 1 VALUE
OCC.LOAD FLOOR LOAD a�• HEIGHT � NO.STORIES
BUILDING DEPARTMENT SETBACKS FRONT REAR 1 LEFT SIDE RIGHT SIDE
Permit24 r*00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON114G
160035 WORK
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
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T 41S PERMIT DOES NOT WAIVE
Subtotal 40 T'15 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIMESS
,10116 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State'fax _
%►11.1;3 SDC ...
Total PDC# APPLICANOH AGENT -
T
By aim j ;r
Receipt No. ADDRESS — -- PHUN(
REMARKS PLUMBING DI
DATE INSP. TYPE INSPECTION _ —
_ Contractor11 _
jf,y/ 452r Permit No.
/ Rough-in
Fixture
Final
I �i HEATING e
/—� r Contractor —
/ [ / Permit No. �5�0
Gas or Oil
�cr- p.�3 /•� i�. _�--- Hough-in. -_ ----
Final
—
.�•
SEWER
Final
DRIVEWAY
--- - _--_ _— Final —
Storm Drainage
— inain Drain)Final
Sidewalk
Curb&Street Final
— — Approach
SLOG. DEP f"IAL TEMPORARY^ CE.RTiFICAT6 OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
?oning Final
r
BUILDING PERMIT APPLICATION TIGARD oar t9�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IN CATED BUILDER PHONE �
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PUL,ANS�AND SPECIFICATIONS. rP>< LOOT N R PH��-;3-s'd
11A
JOB ADDRESS G !r �( �C+ `v' .5f
:rlEt� l7P/V ti I '
u�• �..L��i-�— �— ._ _.¢- -- —arnern"ees
BUILDER OC�T>rl4t ' _ AOORGS �LLYY. DESIGNER
Pte __ — ...
STRUCTURE ❑ NEW ❑ REMODEL AOOITION -:1 REPAIR Cl 'HENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
ld RESIDENCE ❑ COMM ❑ ECUCATICNAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE_❑ STORAfjE ❑ SL4B❑ FENCE
"��� FIREZONP v PLANCHEC�CBY HEAT—]�—_
GC(GUPANCY - _.LAND USE ZONE _� !-..t3LDG.TYPE ,Y __J _ _
� -
_�"
SEWER PERMIT M —"---
OCC.LOAD FLOOR LOAD HEIGHT �Zd NO.STORIES L AREA I�� NO.BEDROOMS I VP.LU 39b
BUILDING DEPAR`MENT SET BACKS FRONT `-- REAR, LE SICE /Q RIGHT SIDE
PermitI. OD THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'"J-,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Calan Check � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COLIPLIANCF
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
Sub-total ?' �r RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUaINtS: 1,
�" — � LICENSE.SEPARATE PERMITS RcOUIRED FOR SEWER,PLUMBING AND HEATING.
tate Tax _ i 94"m
A
SDC—
Tolyl `_ _�. P017u APPLICANT OR AGENT
�ey ��
�II Receipt No. ADDRESS — PHONE
;2 &0 2 —_
h
PDC - S __- —
SEWER CONNECTION
SEWIF INSPcCTION S
SEWER SURCHARGE 8
TL .2m•ry ' f I- 9^
Er
(z-lvx z 7a
?,-CPx I 30
v .1010
737 rdp Yo•`o° 2 , 97f
17 v 24.3 412.
14 )f /V-9 ?..07
Ict
Sao @. 2,9 y
tax 170
PERMIT TO CONNECT
City of Tigard
Permit Nu 825
PERMIT IS C41VFN
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETE%.
PERMIT FEE PAID $ CITY OF TIGARD
r,r►stir.„�►orro�,.rs.�s...r,...,.�.,w...�,r.,.o„�.�..,�./..r,.a..r„�.,�..�,..r.�..a..�o.w�
CONNECTION INSPECTED AND APPROVED
Date Sup�rinhndfnr
I
City Of Tigard Roceipt"
13125 S W Hali Blvd. MECHANICAL PERMIT
P.O. Box 23397 Permit "
Tigard, OR 97223 Ueecr;pttcn
639-4175 —
able 7A Gtech fnlcal Code CITY PRICE AWT
—
1) Permit Fee -0- -0- 10.00
'- Name of Developmem F e �- 2) Supplemental Permit 3-00
Job ,,, — Furnace to 100.000 BTU
Address 1) incl.ducts&vents 6-00
Tax to, M+P -- 2) Furnace 100,000 BTU+ ?-50
incl.duds&vents
tot Block SibA}visi n
Name(or name of buskum) 3) Floor Furnace 6.00
incl.vent
a tt v`• c�u,r.Y r E, Suspended heater,wall heater
iot
+rnp Address Phone 4) 6.00
Owner or floor nlourded heater
IdSGp ;ur G3`t-z'0` Vent notincl.h
colY ZIP 5) appliance permit 3.00
- Repair of itoating,ref(ig.,
KOM 6) cooling,absorption unit 6.00
ass Boilerorcompto3HP
Pbo 1e - - -�-�
7) absorp.unit to 100,000 BTU 6.00
Occupant City/State bp 8) Boiler orcomp to 3 HP-151IP 11.00
absorp.unit to 500,000 BTU
Name -'" Boiler orccxnp15-0OHP
T_ UO I u.a k, { 9) absorp.unit th-1 million 15.00
Ma"Address W Phone - Boiler or comp to 30-50 HP
�) *k 10) absorp.unit 1-1.75 million ?2.50
cityrslate ZO 1 I) Boiler or comp to 50 HP 31.50
4U Anj 1,�. 0a q7o U absorp.unit 1,750,000 BTU i- --
State negistration Nn. CRY am.Tu No. ) Air handling unit to
10,000 CFM 4 '�
li
I hereby acknowledge that I twee read this am"bon that the inrormoon ckvn k t3) Air00Crlgunit
ooneet,Uve 1 a'"the owner or authorited agerM d the owner.that{hleres sut>trhitted ala ti ,t 0,0000 Cf 1N + —_ 7.50
cOnX*arhoe with Stare laws,that 1 am registered with aro State Ikilders'Board,that the 14 Non portable
fuxv tw OvOn is cW*C1.(Ir elerf"Iron *r"r State regntra"please greason bebw). ) evaporate cooler 4.50
Vent fan connected
------- •------ -----.-. -- -- 15) to a single duct3.00
- -- ) Ventilation system not l6 included al appliance permit _- 4.50
Hood served by
17 mechanical exhaust 4.50
sign".IOM"1ef°r ag°^t) bate Domestic type
7.50
Describe work O addition U alteration 4d repair FJ 18) incinerator
to be done residential ran-residential C1 _ Commercial or,)dusltial
Eristing use of — 19) type incinerator 30.00
building or properly - --- 20) hhea(er,so a,clothes dryers,etc. V 4.50 4,50
Proposed use of
building or property 21) Gas piping one to four outlets I — 2.00 2,0 0
Type of fuel- oil ❑ natural gas p LPG O electric 0 1 -
--1 22) More than 4-per outlet
NOTICE SUB-TOTAL 2.1.50
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 18057. SURCHARGE i 13
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR _ PLAN REVIEW 25'j6 OF SUB-TOTAL
ABANDONED FOR A PERIOD Ot-180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL pg,v3
Special Conditions