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Permit CITY OF TIGARD ,,, ,, 'COMMUNITY DEVELOPMENT DEPARTMENT . 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 MASTER PERMIT PERMIT # • MST94 -0405 639 -4171 DATE ISSUED: 11/01/94 PARCEL: 2S114A0 -WE031 SITE ADDRESS...: 08910 SW WAVERLY DR SUBDIVISION • WAVERLY ESTATES ZONING: R -12 BLOCK LOT •031 BUILDING .REISSUE: DWELLING UNITS:1 BASEMENT •0 sf CLASS OF WORK.:NEW 'BEDRMS:3 BATHS:3 GARAGE °470 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST.:5N FIRST •1026 sf LEFT..:10 ft ft OCCUPANCY GRP.:R3 SECOND...:1375 sf FRONT.:20 ft REAR..:15 ft STORIES •2 FINBSMENT:0 sf REQUIRED HEIGHT •29 ft TOTAL :2401 sf SMOKE DETECTORS.:Y FLOOR LOAD °40 psf VALUE '$• 162896 PARKING SPACES..:1 Remarks: PATH I PLUMBING -- SINKS •1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:1 LAVATORIES •4 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) .100 OTHER FIXTURES •0 GARBAGE DISP...:1 RAIN DRAIN (ft).:0 WASH I'NG MACH...: 1 SF RAIN DRAINS..: 1 MECHANICAL .FEES FUEL TYPES UNIT HTRS..:0 type amount by date recpt /GAS/ / / VENTS •0 TIF $ 1550.00 JF 11/01/94 - MAX INPUT:0 BTU VENT FANS..:4 BPRT $ 590.50 JF 11/04/94 - FURN < 100K ..:0 HOODS •1 BPLC $ 383.83 KF 10/21/94 94- 258042 FURN > =100K ..: 1 WOODSTOVES. : 0 BSPC $ 29.53 JF 11/01/94 - FLOOR FURN 0 CLO DRYERS.: 1 SSDC $ 280.00 JF 11/01/94 - BOIL/CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 JF 11/01/94 - GAS OUTLETS:1 MPRT $ 45.00 JF 11/01/94 - Owner: MPLC $ 11.25 JF 11/01/94 - MEL WAYMIRE M5PC $ 2.25 JF 11/01/94 - P 0 BOX 231164 3BTH $ 225.00 JF 11/01/94 - PSPC $ 11.25 JF 11/01/94 - TIGARD OR 97223 EROS $ 64.00 JF 11/01/94 - Phone #: 639 -6742 ERPC $ 20.80 JF 11/01/94 -• Contractor: ERPC $ 20.80 JF 11/01/94 - MELVIN WAYMIRE PO BOX 231164 TIGARD OR 97281 Phone #: 639 =6742 Reg #..: 35976 $ 3734.21 TOTAL This per ©it is issued subject to the regulations contained in the REQUIRED INSPECTIONS -- - -- - -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post /Beam Struct Gas Line Insp plans. This peroit will expire if work is not st rted within 180 Post /Beam Meehan Insulation Insp days of issuance, or if work is suspend d for oar than 180 days. Pim /undslab Insp Gyp Board Insp PLM /Underfloor Rain drain Insp Permittee Signature: low Mechanical Insp Water Line Insp Plumb Tup Out. ANF,r /3Jwlk Ii ..i Issued By Framing Insp Mechanical Final . Residential Building Permit Application ID' City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 ,ie - i 2 - Jobsite Address: ' ddress: ...") ,/e) 5 � � QV ly / �/ � �iv t :.:.:.: OfficeiJse Only :;. :` `: ::.:-.:".•:.•,••:•• : . Subdivislon:�.l vc� / y e�S a eS Lot # �3� ? .< Valuation: ��d coo . - ... .. Permit. #, �:`:. ..; ::.:::, . Corner Lot? Y N . •:.:: Reissue:of::. :.;. - Flag Lot? Y N . ">: .. ":::: > : .,.. . r:. Map. &,TL .: •, , ' ' - ' ' " . . . i a i We/ v Owner: i��/ / � !�i . ����: . ::Appro va l s . Required.' � . . ': � . � . � ;. �.� ' �:�` . ��. y Address: O °X 3/ /G• _ .,,, : :... >,::• ..• .::,:::.:::..::::d : `: :. plenp `' s, E x ..., /, Yci OY q 2 3 Phone: G 3 _ 7 4'"Z Contractor �v� /111/- • �/ .: .items Required • ::. . 0 / /( • Address: /9 3� '.` :Sub • . :..... „..:.::,::: 1 23 7 .'-:Truss Qetails::�� "'�� • ° � > °'• ��� �� Phone: 6 3 9 C Y-9-- a : ::.. , Contractor's License # 33 97 (attach copy of current Oregon license) Contact Name & Phone: We/4-A-)/J9//C 6'3 9 '7 y Z Subcontractors: �,( Architect/Engineer:./Aii .. Scv 1 Plumbing: I Q /h _ � J r Addre : ,„d5- 57J / �'/ �z V chanic- . C tva- /v : Q < < �✓ �ovt��c �%' ,,,,,..<1 lj (atta h copy of current OR Contractor's L • nse) l o (� • 0611 „ Phone: al025 ` ei JOB DESCRIPTION: c5 M •C Ae, / A SS Applica t Signature Phone number Received by: Date Received: /. c2/ � ' W:wvoRD1coMD . r Permit // # Account Description Amount Amt. Pd. Bal. Due ' - ///519(/- U 7u) Bldg. Permit (BUILD) 5V0, • .590d5a . • Plumb. Permit (PLUMB) 2 i . u .2 2.1 , Mech. Permit (MECH) 43 ‘, a State Tax (TAX) .03 13.6 $ Bldg: -9. S 3 o� / Plumb: / /• L J Mech: • L i Plan Check (PLANCK) .3qS. a Y ci /S/a v f Bldg: 3r3, F3 Plumb: Mech: //, z ,5 .t4Zr9∎/ --u 36e Sewer Connection (SWUSA) cA g o O . _ _ .. Sewer Inspection (SWINSP) 3 C Parks Dev Charge (PKSDC) A1116, 566 , SZZC) Storm Drainage Chg (SDSDC) d cAb-V Residential TIF (TIF -R) / 430 R(30 0 Mass Transit TIF (TIF -MT) /yU /) Commercial TIF (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) 6l/•ci`' 6 c Erosion Planck/USA (ERPLAN) dO 4 0 2ti •Y-v Erosion Planck/COT (EROSN) • el) TOTALS: 49!o4 .;t `. �6 S 7 City of Tigard . Plancic/Rec. # 13125 SW Hall Blvd. Thard. OR 97223 i:. PLUMBING PERMIT APPLICATION MECHANICAL PERMIT MINI $25.00 PERMIT FEE + ST. SURCHARGE APPLICATION , n New SW. Family Residences Ooly I Tabu 3A Mechanical Code OTY PRICE AMT - 0 1 BATH HOUSE $140.00 0 2 BATH HOUSE 8195.00 1) Permit Fee .0- -0- 10.00 0 3 BATH HOUSE $225.00 Fee includes al plumbing fixtures in the dwelfog and the fast 100 feet 2) Supplemental Permit 3.00 of water novice, sentry sewer and storm sewer. See fees below. Furnace b 100.000 D t U FIXTURES QTY PRICE AMT 1) in L duels & vents 6.00 Sink / 9.04 9 w Fnaoe 100 .000 M (U 4. ^ 1 Lavatory 7 9.00 3 (, 2) incl. ducts & vents / 7.50 U Tub or TubiShower Comb. 7 3 9.00 7 (Hoar Fumanoe Shower Only 9.00 3) I nl. wnt 6.00 Water Closet .j 9.00 Z 7 . 4) or floor mounted healer 6.00 Dishwasher / 9.00 9 vent not incl. un Garbage Disposal / 900 • 5) appliance penult 3.00 I Washing tntaarine J 900 9 Raper « erg. fig. 6 ) 4 p� unit 6.00 Floor Drain 9.00 • Mier or comp. heat pump, air cond. wad Heater . / 9.00 9- • 7) to 3 HP abeap unit to 100K BTU 6.00 Laundry Room Tray 9.00 Mier or comp, heat pump, air cord. Urinal I 9.00 • 8) 3-15 HP absap wit b 500K BTU 11.00 Other Fixtures (Sped,) 9.00 Molar or comp, heat pump. air cond. 9.00 - " 9) 1530 HP absorp unit .5-1 mi BTU 15.00 Mader or camp heat pump, air cond I 9.00 -- - 10) 3460 HP absorp unit 1 -1.75 mi BTU 2250 9.00 mew or comp heat pump. as cond. Sewer 1st 100' 30.00 - -- 11) > S0 HP absap wit 1.75 mil BTU 37.90 Sewer - w. Addt 107 25.00 Ar handing una to 12) 10.000 0FM 4.50 Water Service 1st 100' J 30.00 y M handling wai Water Service ea. Atka 200' 25.00 l 10.000 CM ♦ 750 Storm & Rain Drain 1st 107 30.00 - Non portable 14) ewpaate cooler 4.50 Storm & Rain Drain Mdi . 100' 25.00 Vert tarn connected IS) to a single duct 0' 3.00 / Z Mobile Home Space 25.00 VenNadon system not I Bacic Flow Prevention / 16) included in appiance permit 4,50 Device or Anti Polkdion Device / 9.00 y Hood served by / I Any Trap or Waste Not 17) medianical adraust / 6.50 . -,---/) Connected to a Future 9.00 Gommenxi or industrial Catdn Basin 9.00 18) type inanerabr 30.00 I Insp. of Exist. Plumbing 40.0011w Caner er ca woodsbve. water I Specially Requested Inspections �' r 19) healer, solar, clothes dryers. eta Z- 4.50 Rain Dom. single y *teem / 30.00 3 el 20) Gas piping one to tour outlets / 2.00 ?/ Residential baclmow prevention devices 15.00 21) More than 4-per oudet . '(Except nasidenaw beNdtow prevention devices) Leant= Fee $25.00 -- SUBTOTAL / - Z, 'M5nbnum Fee $25.00 SUBTOTAL 7 S e..,,,, s% SURCHARGE A J sic SURCHARGE / z-1 PLAN REVIEW 25% OF SUBTOTAL / f Z i TOTAL PLAN REVIEW 25% OF SUBTOTAL TOTAL Special Cotdidons - Date issued by CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 63• • 71 Inspection: Footing Susp. Ceiling Sprink. Rough -in A='•r /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line dg. Plbg. Underfloor Rain Drain Framing - lu Alarm Water Line Insulation -M ec h Underflr. Insul. Shear Wa I Gyp. Bd. - Elect. Date Requeste d: y ( l9S Time: AM PM Address: C� e Builder: - -' rmif #: - —C� T�,� THE FOLLOWING CORRECTIONS ARE REQUIRED: Insp ctor: Date: 9 75 PPROVE DISAPPROVED APPROVED SUBJECT TO OVE _Call For Reinsp.