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L "' ,�n.;:�fi.�.�+:...atM�"R9"',� l INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 539.4171 Address Typa of Inspection The following 'luilding Code deficiencies are required to be corrected Presentnd to_ _A _ Y_--- inspector Date CALL FOR REA(WECT.ION C' YES ❑ No CITY OF TMARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Cude, the following item(s) require correcting: ')ate: Permit No.._ Inspector-��, CALL FOR REINSPECTION CITY OF TIGARD BLDG. DEPT. 12420 S.W. MN;N STNEET TIGARC, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Soction(s) of the Uniform Buiidinq Code, the following itern(s) require correcting: Date: Permit No CALL FOR REINSPECTION xm ns .as arc BUILDING DEPARTMENT, TIGARD � PLUMBING PERMIT O MIL.WAUKIE PLUMBING CO. i nnV Io'l _ holder of a valid plumbing contractors license is hereby authorized toy i #jMoftivsiWi6as herein noted to be installed in accordance with the plumbing code of i igard. Such Installations require inspection by the City Inspector who shall be notified not less than four I (4) hours prior to the time the installations are ready for inspection. Cit t of Tigard Business License required i for all contractors and sub-contrar curs. j i ;fob I' Owner- / / �_?�t_r AddressLlL� � Dat •r NUMBER OF iGOTAL TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT R�S 14_E_N.I I A L Sin2'e Family-1 bath--each - 25.00 D r lap x-Each 1 bath unit 25.00 Additional bathrooms-each -- —�_— 10.00 __MoCire f•Iom_r.fn,ce�ua:h ____ -� 15.00 INDIVIDUAL, FIXTURE'8t7 COlyM-RCIAI. 1 to 50 Fixtures in 1 building each V 3.00__ _- 51 to 100 FixtUrel in 1 building-each 2,50 _�— 3 _ 101 to 200 Fixtures in 1 buildin -each �Z�Op �_ x -•- I r, 201 or more Fixtures in 1 buildin each _ _- t 1.50 MISCELLANEOUS -Sewer-each additional Wo ft_ — _ 10.00 Water Service to building_— _ _ _ -- ----- 5.00 _ +_--- - - PLRMIT n el For Plumbing lns,•?ction Phone 5394177 State GLC•` Plumbing Contractot 9 � Tr1TAI RFrFIPT Nr) :•. .ori RV f i kit- pERMI c ----- PERMI i CNAHGE ra N E.C T t O cJ r E E �� ..--------- i PAID TYPE OF BUILDING _. s.__..._-----, i INSPECTION FEE SERVICE RATE PAIL) By —.-------- U A T E. — ® 5 E5smEMT pAlo _ 5 1 Z E OF L O„N E C T I 0 N ,int-..,.. ,.,,;�w..".nwarw.a�.«.^^ �� 'I'�;taM�:7t5a"�!•;....,,IryNiy'+w�rs'�`y�yib�l#L4'".wn"FaIM"p.w^r�y�jaa}zzw}:&t{�"'rs"r�µ�.7?.`,:n1,�n'uplw'�veviia. *� BUILDING PERMIT APPLICATION 11T TIGARD GATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HFREIN INDICATED BUILDER PHONE_ �— OR AS SHOWN AND APPROVED IN -THE "lMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ._— LOT NO i e rir� IfW .a. i nN iVcR JOB ADDRL:'T �s � HJIE ADDRESS � rOr '�._ _ – AR--HITECT ENGINEER BUILDER u —_ ADDRE';S _ )P nESIGNE.R CT ❑ !, STRUURE ❑NEW 0 R� M�IDEL ADDITION0.REPAIR ❑RENEWAL I�FIRE DAMAGE. I_ ❑DEMOL.ITIOK 0 RESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T DRE,LIGIOUS❑PATIO CICAR PORT ❑GARAGE ❑STORAGE LISLAB nFENCE ❑BOND_ [I MOVING ❑CONDIT'IONAL USE — ❑DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS OCCUPANCY__.__,..--_-LAND USE ZONE BLDG,TYPE___FIRF. ZONL___�j PLAN CHECK BY._-__ HEA;—_—_.___--. )1A 40 o�G.�Q�3Q__._.- FJ.94R_LS2AJ�_._. _.. HEJS�.►jI—___ _ .1YS�.� 4 ► $._ EIB.�A -__NS,f�EDR0 MS BUILDING DEPARTMENT SET BACKS FRONT rel fiEAR �'« LEFT SIDE i RIGHT SIDE .._T Permit _ --` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COD , ZONI'�;G E Plan Check . REGULATIONS AND ALL APPLICABLE CODES AND ORDINAUCES, AND IT IS HEREBY AGREED THAT THF WORK WILL BE DONE IN ACCORDANCE WI I H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ` ALL APPLICABLE CODES ANC ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE. --- RESTRICTIVE COVE )ANTS. CONTRACTOR AND SIJ13 CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax • LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PL JMBING AND HEATING Total _gyp' ,'1`X v4+1. BVL' X ' Z r .— --- -- _ LAp APPLr!'ICANT OR Aoved – Receipt No i DATE INSP. TYPE INSPEC'ION REMARKS PLUMBING DATE Contractor .Z�li.,j17! INlr� stag. Permit No. (}Jr1i' At Rough-in tttJJJ Fixture •7v0-_v Ce .(� /'"LI P .n�^ _ _._...___ Final Y� — -----.------. HEATING � / -�f• — _ v_^ Contractor B•r I�r Cr v t o k Permit No. /�C7� d•3Y PT n 0 21�� ��Z_rb4�(,__-��—..--.-• Gas or Oil '—�-- Rough-in Final ---__..__---- -SEWER .-__....._. Final , y^moo-77 -� -- � DRIVEWdY--- �r. Final Stank Drainage (Rain Drain)Final. Sidevvalk Curb&Street Final Approach _ BL.IXI. DEPT.FINAL. TEMPORARY CERTIFICATE OCCOP.A r-j CERTIFICATE OCCUPANCY �\ / /� Final Landscaping Zoning Final If nn .�'A-DNG PERMIT APPLICATION '[')FTY TIC- ,"ADDATE Ne • 01 4 UNDE HSI(SNED HEREBY APPL I LF, [-OR APE RM IT FOR THE WORK HFRF IN I NDICATFD BUILDER PHONEE ,�R AS SHOWN AND APPROVED IN THE ACCOMPAN'y:NG PLANS AND SPECiF ICA1 IONS. OWNERPHONE LOT NO—,MZ,— HOME ADDRESS ARCHITECT E R ADDRESS '--7 05 T S- �Lj V ENGINEER c!!/, DESIGNER �1 cv ____QRE��21DIEL OADDIIION [3 Rt`0AIR [:]RENEWAL OFIRE DAMAGE DDEMOLITION URE [DRELIGIOLIFOPATIO OCARPORT (GARAGE [3STORAGE OSLAB OFENCE X-n 1)E 14 C F (3COMM [:3FDUCATIONAL 0(.-,OV'-r 140,,D LJ MOVING QCONnITIONAL USE 13DF-SIGN RF\I:EW DCOUNCIL APPROVED OSIGNS 7 C*Uf A NC YZ-!�..LAND USE 2'0 N F BLDG.TYPF F I A F 7ON E.:!- PLAN CHECK BY L� HEAT LO _).AQ_�e_jZ HF Ahk N A0-Bfj)�8-QQM a-bZ--V A L U F-3 OR—LC BUILDING DEPARTMEN SET BACKS FRONT O REAR LEFT SIDE RIGHT SIDE ,.el THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plar CheckAFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-intalAw ALL APPLICABLE CC.SES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 2/7 f RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY ROSINESS State'Tax 5, pe, LICENSE. SEPARATE PrRMITS FIFOUIFIED FOR ',EWER, PLUMBING AND HEATING. 41 Total APPI ICAN-1-04 AGEN7 Approved Receipt No 1\01"Mrss PHO.NE c" Permit Citi/ Of Tioard Mechanical Permit Foe New hutallatiott ® Repiwe ❑ Refoodlon ❑ Addition ❑ Alteration ❑ TOTAL Z,,2_ CONTRAS T'OR •SQ r C,1 Aj t'r DOWNER_�y r_..�r cd lye r—e,' ADDRESS Q r Ulf (V WOTAY, ADDRESS &2 21— PFIONE a 7 y 04/ APPLICANT Sous. CC, Heat Input Rating (BTU Per Hour) ',/6 0,,OCO- Vf'nt Sin _ Fitm Size FUEL OIL ❑ GAS ELECT ❑ OTNER� — iTFM_ NO. FEE - ITEM NO. FEE For Issuance of Permit .0Q Bui�crs Qver 50 HPZ6 New L. 100•000 BTU _ 4 0 Air Handlmg 10.000 CFM 3.0C New . Qver 100.000 BTU 00 _ J1i► Handling Over_1Q OCIO CFM ,_!_ �x 3.()CFloor Furnace .00 Eva rative Cooler_ 'Nail~- F" - Susnded -_ 4 00 Vent Fan 2 O1 Install Ventz 2.00 Vent System 3.()( Repair• Head& Coolin 4 OC_ Hood 3.00 Bailee Under-3 HP _ 4.00 Domestic incinerator Boilers 3 to 15 HP T 7 50 Comm. Incinerator 20•'X Boil 15 to 30 HP _ 10 00 IL Other het Listed 3•a I2oilers 30 ImSPECIOR'S COMMENTS* --- - --------- CITY BUSINESS 'LICENSE I'rEQUIRED FOR-ALL CONTRACTORS OR SU"ONTRACTORS APPROVED 13y—,--- DATE_ _— ______— ISSUED BY _ —.—D.ATE RECEIPT NO. --_ — vv+ $I0nature of Applicant