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INSPECTION NOTICE
City of Tigard Building Denartment
P.O. Box. 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —N.Jl'7l'AT r�C ��le
Date Requested
/'� � �, Time yr A.M.__ P.M.
?2C 1
Address . .s1SdL_ ty�� %/ L2/1 Permit
Owner _ _ lot
Builder
The following Building Coda d0iciencies ere required to be corrected:
Presented to �. ____ ['-�-ApprovPj
Inspector Disapproved
Dve
CALL FOR REINSPECTION
❑ YES ❑ NO
MiLT I we
INSPECT iON NOTICE
(,it,,, of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time I-- A.M. P.M.
Address 0-- Permit '(-0
Owner Lot #--
Builder
Builder
The following Building Code deficiencies are required to be correntod:
Presented to
Approved
Inspeutor
-),r wed
Date
CALL FOR REINSPTCTION
C
41V8 El NO
14MI I
PLUMBING Pr-
Pli".14ml T NO. : PL880862
C11Y OF TI67A RD CITYOFTWAND .)AI E: ViGUEL) 5 1.1. 08
Ct,.AMJNITY DEVELOPMENT DEPARTMENT MOO* F)W[M. PMT .NO
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639AI75
(Ax 111()P/11.01 U F)1 Ll
.ANE)
1.01
1:1*11".M NO :
WOPK CLASr.-; : Al-TIL'.]PATION WA'1 ETII CIL ME'A 14-4Af.:,
USE. TYPE : 151(41,1, 1:7 FAM11 Y UPINAL 8KF'L,OW PPVN1 P
CONST "I YI:+" V14 ILAVOPATOPY ThAp PWIMIKI:4
TUB !ii-IOWER GI-111-ASE. TPAPS)
D1 SHWASHEKA
WASIATNG MA-0-11NE.
DWE.I. I.. .LIN 11'5 : L..AIJNI:)F4'y' TPAY RI 0G . 1101PATINI ( Lr i'l
1'11-001:1 EMMA
SINK SIEMER (11-- 11 )
WATEP I'lli-4)TEA I.N I I
PFAARKS
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A PHONE* (5 665-89,
C ITO TAI. 15 P5
--4EG1GTPo'TON NO. 1.1-457
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T, PE.CF:JI--,T NO 311.4110
............
This permit is issued subject to the regulatloqs contained in Title 14
of the TMC, State of Oregon Specialty Cocips•zoning regulations
and all other applicable codes and ordinances. and it i^ hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does i,ot waive restrictive
covenants Contractor and subcontractors -;hall have current city
business tax permits This permit will expire and become null and
void It work is not started within 180 days.or if work is suspended or
abandoned for a period of 18b days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requpstiri and approved.
Permittee Signature
A., FOR T.N5r.)E.r1*TON 639--41- 1175
Issued By
SEPARATE PERMITSI REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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INSPECT ION NOTICE cwe
City of Tigard Building Department 1 4�6.S.
P.O. Box 23397
Tigard, Oregon 97223 C l
Phone: 639-4'75
Type of InspBction -_.__--
Date Requested.� __ Time A.M.. �fP.M.
Address __�- � ..f-_. er,
OwnP __ /_)— Lot #— ---_
.514111t
Builder _- � o.. — - --
The following Building Code deficiencies/are required to be ct•rrected:
------------ --
i
'resented to,-/?-� _ —_— 14'Rpprcved
Inspector / '_ — _ [_] Disapproved
Date _ --
CAI L FOR REINSPECTION
0 YE8 0 NO
tel.✓/�'f INSPECTION NOTICE
City of Tigard Building Department - f
P.O. box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Plan _. A,.W_
Address v= —� _ —t ?��tr Permit
Owner yf'�Y� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
dei
7'e�-
rive, 0-1
v-('
Presented to to _ FlApproved
Inspector -� Disapproved
Date,
CALL FOR REINSPECTION
El YES 'A NO
_ 0 6
BUILDING PFRMIT APPLICATION DATE__'
1 HC UNDFRSIGNED IILREBY r.:'PLIES FOR A PERMIT F('R TFIE WORK HEREIN INDICATED BUILDER PHONE 692' 6
ORAS SHOWN AND AIjPRO'✓ED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHD.E__ _,.__�
I� p nr.lm j-den
OWNER CM-18t. JOB ADDRESS 1.33153 .".W. Lauatio t, (;t:. —
'I u lat it 97062 ARCHITECT
ENGINEER
BUILDER `mile ADDRESS 7W43 S.W. Holviuk DESIGNER
STRUCTURE [) +NGW,_. :,L1 REMODEL ❑ ADDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE— — ❑ DEMOLITION
f��-RESIO'tNCE 0'4bA i ❑ EDUCATIONAL ❑ GOV'T 11 RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STOP'4E ❑ SLAB❑ FENCE
OCCUPANCY __} —LAND USE ZONE R1?E'U BLDG.TYPE `.ted _FIRE ZONE PLAN CHECK BY J"L� HEAT Gas taln�.ly dwelling w/att&.:NK1 ,n ply al' !� aEAjoovCi p l ar'.z — _— -
--
A. top85 ckxle. Subject to tvart sewer r3 tn:harge $3GO.00 ----- - — —
3EV✓ERPERMIT# 345J, ' bath. trap's, Garage 418 —
OCC.LOADF_OOR LOAD 40_ HEIGHT 1"j' NO.STORIES i AREA 1 NO.BEDROOMS VALUE(,()
RIJILDING DEPARTMENT r —. ' — ---r-1�--
--.----- —_ SET BACKS FRONT REAR la LEFT SIDE ' nIGHT SIDE
Permit THIS PF9MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
205.41) REG'ILATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEPEBY AGREED THAT THE
Plan Check WORM WILL 1'E DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ _ RESTRICTIVE£ COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 15.do
Total 5.37.20 SDC —
By 100. PDC# t 1.SO.(x) APPLICANT OR AGENT —
Rete It No,
Approved 437.21) _ p ,) ---------- -
y -- _ ---- --- -
�, ADDRESS PHONE
� w w w w w Iw Iw
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor S
/�- �Y r� -- Parmit No.
Hough-in
Futuro —
/2- _� ,q — Final — --
-L--7 e _ / _if HEATING
Contractors{Nte �-�// -�-("�•-yynt/U
Y —_ Permit Na.
Gas or Oil — —
f 2- ¢ , Rough-in
���� G ,• Final--- -- — —
SEWER
Final
—.__-------- DRIVEWAY — ---__
Final
__— Storm Drainage
(Rain Drain)Final
S idewal k
Curb&Street Final
_ Approach
a
BLDG. DEPT,FINL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCrUPANCY --
I
Landscaping
--- I — — Zoning Final
w• o Tw � a• � Aw rarr a�
U I u Vi- 1 IUAKU MhCHANICAL lJk:HMI I Per""#
_ w0ho"cod. - a"
City of Tigard
13125 a W Hall Blvd. t Pen^It F ° -0 -0 10.00
P.O. Sox 23397 2) 8A40W lW PSI11 3.00
Tigard,OR 97223 ta —_
639-4175 Fut'rtrM b 100,000 BTU
1) kid.deft&vetfta 6.00
2) Furnace 100,000 BTU + 7.50
_ Ind.ducts&Vents -A---_ - _
wrrra of DwNopenrw 3) Fk 6.00
ent
Suspended heater,wall heater
Job
Address /_rmin (� 5 c�, �.yC1,21+^ - -- 4 M floor mounteo heater — 6.00
Tax Lot ///o c) N'ap No. /S/-�,�3 5) eyipplianoenoti�ipertnH 3.00
Nara(a name of busk*,ss) 6) Repai it a�li bn Ur 19000l6.00
----_---- (� - it
Boiler or cornp to 3 HF - - 6.00 -- -
Md Addressptone
Owner _ ) absnrp.unit to 100,000 BT U _
Boller or comp to 3 HP-15 HP ---- 11.00 --
- una to 1500,OW BTU A—-- - --
9) Boiler or comp 15-30 HP 15.00
absprp.WA%-1 ntYlion
rrwia- lain
-1
ct�atw en 11) f'br 31.50
ST
sk"hN.408e1�
on No. COV%mL tat No b
10,000CF#A 4.50
1 rwrrby aclawwladpa to rrara r•.e Mia appsc.aon OW h MMwrrgeon Otwr k 13) >iO,000 Air hwa Mum 7.50 ---W---
c on+r1 Ow 1 an the owrw or aurrortmd opal of•a owner,►and plea vAndrad we In ——----
afrrpe.naa wAe,9ta,la lacca rw 1 am nglawrad wr,trra 9W*I%dM .'aawd.+rel Vm 14) Non portable 4.50
rMndar elrn Y axnct.tM aaarrgl lam Soft regim dim O wa� M
raon beim eyap"Ag cooler
Vont flan connected 1.00 -
15 to a single duct
-- ---- --- -- 16) Ventilation systenot 4.50
_ktckrdKI system not
In .rios pemlt
Hood mved Uy
1 1t of t�fM*exhaust / 4.50
°► - t>� 16) It" 7.50 -
Descrbework C) addition f7 alteration O repair ❑
to be done residential 11 nor-residential O 19) Commerciml or klduVrial - 30.00
-
xls3lrlg Use of qr_
Other I.e.,woodatow,water
txdldnp or property.___.._.-�-----------._.___--- --__ 20) 4�0
Propoeed use of heater,dour,doffs dryers,etc -— -
WfIrling or property._-_---_ -_ - --- _- ------_--_-_- 21) Gas piping one to four outlets I 2.00
TYix)of fuel oil I-1 natural gas U IPG I 1 electnc I_ I -- -
---- -- 22) More than 4-per outlet
ROM" 'SUB-TOTAI.
T > I1M11 ttLG(-)Mt- NULL AND VUILi If WORK UN (,ON
S T RUC;T IOC) AUTHORIZED IS NOT COMMENCED WITHIN 188) 5 41K SURCHARGE
DAYS. CIR IF CONSTRUCT" OR WORK IS SUSPENDED OA PLAN Ramw 1691►OF SUWTCITAL
ABANDONED FOR A "ERIOD OF 190 DAYS AT ANY TIME AFTFR --- ----
WORK IS COMMENCED �- TOTAL, (!
Special Corw*bna _.._.-
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : C)
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box X3397, Tigard OR 97223 P/C DEPOSIT PAID:
Thie is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Cade and Fire b Life S,,fety Code, ` edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: =`Jl'�'2�� �, TELEPHONE:
JOB ADDRES`: 1 � ,�� 'LOT
DESCRIrfION OF WORK:
�pprovals eZequired SPECIAL NOTES
OPlanning Dept. O Reissue
O Engine ring Dept. U Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other 0 Other
//Items uir
Re ed
0 List of subcontractors
o ��ti.
Business Tax
L Calculations
OTruss Details
OParking Plan
OLandscape Plan
0 Other
COMMNTS:
City of Tigard Buildipg Department
BY;_,� .
N0.
CRY Off'' TilSA R® � PEQI�IT : -
COMMUNITY DEVELOPMENT DEPARTMENT
DAT` ISSUED:
a,as s w.H,r■M+.�.o.res sqr�,T�.N�ciw�on mss,A�1 a�s+n PRIM.,PMT.NO.
JOB ADDII.R`3S: % ��--ALL^•� �_��h;�� �.�L LTA __
TAX HAP/LOT (-5/ -_�_3 !�: / SUB:._rLF- ` ��b!'.� - - LT:
LAND USE: i��rr--cwS•" / C-
LOT SIM VALUATION: • SETBACKS
FRONT: 2
WORM: CLASS: DWELL/UNITS: r LEF'T: .__"�' RIG'!{T: A_7
USE TYPE: UO.96DROOHS: 3
CONST.TYPR: No.BATIES:
oCCUP.CRP.:
CXXUP.LOAD: _
TOTAL AREA:
No.STORIES• _. IST: I of 9 1 ROOF CONST: `5-T`1-k_ FIRE imm
HEIGHT: 2ND: AREA SIPAR: _
BASEMENT � 3RD: OCCUP.SEPAR:__
MEZZANINE: ��° BASEM'T
FLOOR LOAD: GARkGR: ( FIRE SPRKLR: _ ALAIN:
FLAW (GPM): _ DETRrT:-___----
HEAT TYPE: ^' HDCP.ACCESS: CORR:
PLAN CHECK BY•
REMARKS: _ RpX=
OF Vn-
smm PERMIT: 'S5 LAST RXISSUR
Namu3����-
0
N Addre5$: PKMT
R ` -- - PLAN REVIEW /['S
wits D9PT
- STATE TAX
Name: (xR� T o,r✓k' Co►✓J f,�y[Ti a•.� 1901m
N 1��.—.— DIS1fELOPMR11T1 CHANCES: _
T Address _�w' �1Of}-N��k-- sw (STroMI) S U�
CtJ 1,,> D Y— f 1 G'L_— SDC (STaRST) --- &OO
/�., PDC
- ---T-- ---- - _.
T
Phones ��— �o �� -� _ - ---- - _ ._. --�....ptEPAYD /U Cl
Y7_3.I&_
,Nj� �T'.rr✓�_ �C f G RECRIPt IID.
RRQUIRED INSPLCT�ONS
ll FOOTING SEWER
I FOUNDATION MALL RAIN PPtA'HS
POST A BEAM WATER LiNe
O
111 / C.. V
PLH. UNDRRSLAA CITY +SPF"!l(�H/Sw
SLAB FINAL
PI.B.TOPOUT
TR.AMING
lrlRlKPLACR
"'i ZINE
_� ---_-- INBULATION
tllle S inure QYp.BOARD
L-FQR....IPS.PXCTTUW - --- ------- -- -