Permit QTYOF
.,..4A
CITYOF TI ARD
COMMUNITY DEVELOPMENT DEPARTMENT / MASTER PERMIT
13125 SW Melt Blvd. P.O. Box 23397. Tigard, Oregon 97223 (603)639 -4176
PERMIT # • MST92 -0322
639 -4171 DATE ISSUED: 01/29/93
SITE ADDRESS...: 14104 SW LIDEN DR PARCEL: 251O4BB -03700
SUBDIVISION • CASTLE HILL ZONING:
BLOCK LOT -030
BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT •Qi sf
CLASS OF WORK.:NEW BEDRMS:3 BATHS:3 GARAGE :438 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST 1222 sf LEFT..:15 ft RIGHT.:5 ft
OCCUPANCY GRP.: R3 SECOND...:614 sf FRONT.:20 ft REAR..:24 ft
STORIES -2 THIRD •0 sf REQUIRED
HEIGHT -21 ft TOTAL :1836 sf SMOKE DETECTORS.:Y
FLOOR LOAD •40 psf VALUE $• 92340 PARKING SPACES..:1
Remarks: PATH I
PLUMBING
SINKS -1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:O
LAVATORIES 5 WATER HEATERS... :1 TRAPS •0
TUB /SHOWERS :3 LAUNDRY TRAYS... :0 CATCH BASINS •0
WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS •0
DISHWASHERS •1 WATER LINE (ft). -1O0 OTHER FIXTURES •0
GARBAGE DISP... :1 RAIN DRAIN (ft).:O
WASHING MACH...:1 SF RAIN DRAINS..:1
MECHANICAL FEES
FUEL TYPES UNIT HTRS.. :0 type amount by date recpt
/GAS/ / / VENTS •0 TIF $ 1460.00 JH 01/29/93 —
MAX INPUT:0 BTU VENT FANS..:4 BPRT $ 412.00 JH 01/29/93 —
FURN ( 1O0K ..:1 HOODS •1 BPLC $ 267.80 JLH 12/22/92 92- 234912
FURN )=1O0K ..:0 WOODSTOVES.:0 B5PC $ 20.60 JH 01/29/93 —
FLOOR FURN •0 CLO DRYERS. : 1 SSDC $ 280.00 JH 01/29/93 —
BOIL /CMP ( 3HP:0 OTHER UNITS:1 PARK $ 500.00 JH 01/29/93 —
GAS OUTLETS:1 MPRT $ 43.50 JH 01/29/93 —
Owner: MPLC $ 10.88 JH 01/29/93 —
YOUNIQUE HOMES M5PC $ 2.18 JH 01/29/93 —
P 0 BOX 2016 PPRT $ 155.00 JH 01/29/93 —
PSPC $ 7.75 JH 01/29/93 —
LAKE GROVE OR 97035
Phone #: 624 -5766
Contractor:
TOM KENYON
12904 SW BEDFORD
TIGARD OR 97224
Phone #: 624 -5766
Reg #..: 556343
• $ 3159.71 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTI
Tigard Municipal Code, State of Ore. Specialt Codes and - other Foot/ ound Insp Fireplace Insp
applicable laws. All work will be done iI acco •ance w' approved P. /Beam Struct Gas Line Insp
plans. This permit will expire if wor is no start ithin 180 'ost /Ream Meehan Insulation Insp
days of issuance, or if work is sus!. ded fo• more . 180 days. Plm /undslab Insp Gyp Board Insp
PLM /Underfloor Rain drain Insp
Permittee Signature: ` Mechanical Insp Water Line Insp
Plumb Top Out Appr /Sdwlk Insp
Issued By:
11 Plumb
Insp Mechanical Final
Call for inspection — 639 -4175 .
131al E;wa PLNCK /RECT #f� �3
CITY OF TIGARD 1'O 15 sw 8o =733Hl 97 PERMIT # /Y).S 7 3Z z
COMMUNITY DEVELOPMENT DEPARTMENT Tigard' 0cegon972Th
(503) 639 -4171 DATE ISSUED
JOB B ADDRESS: / I / SA) L1 cP/).li TAX MAP /LOT 2s 1 O q a 8- U 3)o U
SUB: e A-5116 kYl- LOT: : � LAND USE:
VALUATION: / '0 3 70
OWNER SPECIAL NOTES
NAME: 7av J f II - lDvfl c REISSUE OF:
ADDRESS : Q0 C k.Vp :)19 l (o LAST REISSUE:
A frWz' a 1 9 7135 FLOOD PLAIN/
PHONE: /' / - x t . SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED ScA 6 9b -ttof
NAME: /3) //en p9 PLANNING: (9/L
ADDRESS: // -'0i/ SG✓ 13eAcorD • ENGINEERING:
A- I-' 6?C �7'y FIRE DEPT:
PHONE: 6 .Py c OTHER: 7if
CONTR. BOARD # : 556 3 3 EXP DATE: /D -30 3
( 5� ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: bed el 14iA r'1 k . LIST /SUBCONTRACTORS: 4�- >
e6
MECH: se4 ►mot o,,► D �f1r . BUS TAX: -
ARCH /ENGINEER 7. 6 CALCULATIONS:
NAME: • /"l1 k-r K ' 7 .. re 0, .. TRUSS DETAILS:
ADDRESS: S / `I . h /IA Stj 17� ,pD 7 , OTHER:
PHONE: 9 2 `f 7 50
PROPOSED BLDG. USE:
COMMENTS: 7 -- �' . —7;777 -,/ iir1�1�_
a.S
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APPL ANT SIGN' 'IRE
Received By: Date Received: At/V114-----
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
fsffZ_0 3 2 - 10 -432 00 Building Permit Fees i 4/2—= 4/
10-431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees 4/3.0 q3.5
10 -230 01 State Building Tax (5 %) 3u. s 3 3o.s3
Building 01040
Plumbing 7. 7�
Mechanical AO'
10 -433 00 Plans Check Fee ? �. ��' � c�v 8.6s,
Building ac7.b
Plumbing
Mechanical /o. ' /
10 -230 06. Fire
.5c-07-04/03 30 -202 00 Sewer Connection -z-/ u o .2/00
30 -444 00 Sewer Inspection 3 r 3,
25 448 - 02 Commercial TIF Fees
,• 25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees /3 1 135 u
25- 448 -05 Mass Transit TIF Fees I I tf
52 -449 00 Parks System 0ev Charge (POC) — Sou .fo
31 -450 00 Storm Drainage Syst Dev Chrg
(SSOC) .. s
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL �52? / te) SD y I
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line
Post /Beam Struct. San. Sewer Framing
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: /93 Time: AM PH
Address: / 4*0 { Permit #: X4. / � —
Builder: s
�('
THE FOLLOWING CORRECTIONS ARE REQUIRED: - 7 U I - V
CZ) 4 (-4,6„:„.4 01
Inspector / / ' Date: 7 ' / - /
!/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.