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13103 SW CHIMNEY RIDGE STREET
!WSPECIION NOTICE
// City of 1 ig,srd Building Department %�Ly
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested 2" imp (4:M. P.M.
Address 1 �G� _�e --�/ I�
,�_ Permit # F-701 7 Z
0,A'nor ro Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
-- Cl Approved
Inspector
_ ❑ Ciseppro�•�f
Bate / =�
CALL. FOR REINSPECTION
❑ YEa 0 No
INELAqALMIRMLMMMM�
MECHANICAL PERMIT
CITY OF Tl�A RD PERMIT NO. r ME870177
(C I T Y 40'rT MV raD
COMMUN—Y DEVELOPMENT DEPARTMENT 011100H DATE ISSUEDs 1 1,120/87
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4'75 PRIM.PMT-NO. 870177
JOB ADDRESS: 1:5103 SW CHIMNEY RIDCE DR
T(.X MAP/LO1 SUBS LT.- P 1j:
LAND USES
LOT' SIZ77li
ITEM: NO 1`10,i
WORK CLASS ALTERATION FURNACE <10OK AIR HANDLR <1.0
USE rYF'Es SINGLE FAMILY FURNACE loop,+ AIR HANDLR 10K
CONST. TYPES VN FLOOR FURNACE EVAP.COOLER
OCCUP.n:RP. s R3 HEATER VENT FAN
VENT VENT - SYSTEM
BLR/0OMP <3HP HOOD
NO. STORIESif BLR/COMP 3--15HP INCINERATOR ,DOM
DWELL.UNITSi BLR/CDMF' 15-30HP INCINERATOR(COM
FUEL. TYPE WOOD BLR/COMP 30-SOHP REPAIR UNITS
MAY. INPUT BLR/CDMF, 50+HP OTHER
FIRE DMPRS'7 GAS PIPING OUTLETS
HIGH PRESS'
LOW r-RESS7
free %t--and ing stove t(3 masonry alcove (c 1
Make/model to be giveri to inspectut,
EES 1-
0 t,aridy PFRMIT $ 11 50
W 13103 sw chionney ridge drive PLAN REVIEW
N ti Bard ot- 177221- FIXTURES
E
R PHONE (503) 684-6012 STATE TAX
OTHER 77-
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TOTALS $15. 271
Fa
RECEIPT NO. 2 69 45
Tl^a permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is herrn,-,
agreed that the work will be done in accordance with the plans and
specificationt, and in compliance with all applicable codes and
ordinances. rhe issuance of this permit clops n it waive restrictive
covenants Contractor and subcontractors sh-1 leave current city
business tax permits This permit will expire an,l become null and
void it work Is riot cvtecl within 180 days,or If work issuspended or
abandoned for a ptriod of 180 days any lim, after work has
commenced It shall be the responsibility of the perj,,44-q to assure
all reouired inspections are requested and approved.
Permot,,ie. Sign-'drE
Issued By ALL FOR INSPFCTION 639-4175
SEPARAI E PERMITS REQUIRED FOR WORK OTHER THAN DESCMUED A60VE
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INSPECTION NOTICE
City of Tigc rd Buildi g Department
P.O. Box 13397
Tigard, Oregon 9t2"1
Phone: 639.417a
Type of Insnection
Oete Regafit2ed Time,-A.M.-P.M.
Addreu I A ermit
Owner , „lot #_
Builo•r�...
The following Building Code deficienr~'ee are required to be ectad:
/, f �
�,� �-0�'/�.�-._z� �Q �'�•-tom .-t>'�'L
r
Presented to LI Approved
Inspector _ 1-3-06approved
Date
CALL FOR REINSPECTION
Cl YES CJ NO
1
IN
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6"j-4175
Type of Inspection
Date Requestedgyp / Tims A.M. P.M.
Address �(/ 01-Le— hermit # Z
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approver!
Inspector /- [] DIMPlorowd
DYee A 7
CALL FOR REINSPECTION
❑ Yes ❑ NO
'i,
Wb
INSPECTION NOTICE
City of Tiqard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
2Type of Inspection '—
Date Requested Time-- A.M.—P.M.
AddressPermit
Ow,ler 27,VA Lot #
Builder
The t.11owing Building Code deficiencies ar: required to tie corrected:
Prewnted to _ �_ ❑ Approved
Intpeetor _ r"ippro'-ed
Dote —
CALL FOR REINSPECTION
❑ YES 0 NO
t
INSPECTION NOTICE
City of Tigard Buildirg Department cc�)
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 3 L 3 Time A.M. i,--" P.M.
Address — 3 D 3 Cf(&:�x�ev �U Permit *_(-_52_'1
_
Owner_ �� Lot #
Builder _
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector - disapproved
Date 3-' LS e
CALL FOR RF'INSPECTION
0 YES 0 NO
INSPECTION NOTICE
City of Tignrd.Build,, q Department
P.O. Box 23397
Tigard, Oregon 97223
P one: 639-4175
Type of Inspection
Date Requested _ _ Z.� Time Z- A.M. P.M.
Address 13U r14, Permit
Owner �. Lot #
Builder
Tha following Building Code deficiencies are regoiired to be corrected:
+_
~� -
a L. 4
6xrry —
ztiti
VV - -
Preanted to El App
Inspeator
approvaal
Date
CALL ') REINSPECTION
YIE� ❑ NO
INSPECTIO!Y NOTICE
City of Tigard Suildi-ig Department
P.O. Box 23397
Tigard, Oregon 97223
-� '�Phone. 639,-4411-6
/17
Type of Inspection � _Ql "` 41'r�
Date Requested_ "' 7 ' Time A.M._ �� P.M.
Address permit #
Owner - Lot #
Buildei
The following Building Code deficiencies are required to be corrected: -7
Presented to Approved
Inspector -'�
7 _ ❑ DDisapprovedDate . 5� `� -I
CALL FOL REINSPECTION
❑ YES F-1 NU
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested—_���.. Time A.M._ ✓�P.M�.
Address Permit #_C`�7L __
Owner—_- &/ joA�1 Q Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
--- --------— ---- —_f------
Presented to _ K Approved
Inspector _� �_� Disapproved
Date ---
CALL FOR REINSPECTION
VES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection ''~/ —,
Date Requested Z _ Time A.M. P.M.
Address _f�LJ G _�--�^^'^^" Ren nit #
Owner Lot #
Budder u ���''✓�
The following Building Code defic�ic ies are required to be corrected:
Presented to /__ ___ ___ ( Approved
Inspector _ ✓ H Disapproved
C — /
Date ---
CALL FOR RLJNSPECUON
I_-1 YES El NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time--A.M. P.M.
Address666�� Permit 46 52—
7'w"
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
---------------
Presented to Approved
Inspector U Disapproved
Date
CALL POR REINSPECTION
Cl YES FJ NO
i
CITY OF TIGARD MECHANICAL PERMIT Receipt
Permit#
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard --- —
13125 S.W. Hall Blvd. 1) Permit Fee 0 10.00
P.O. Box 23397 - - —
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU -
1) incl.ducts&vents 6.00
1%) Furnace 100,000 BTU +
` Incl.ducts&vents 7.50
Name of Development 3) Floor Furnace
_ incl.vent 6.00
Job Address —
- _ Suspended heater,;all heater
Address 4) or floor mounted heater 6.00
Tax Lot Map No. 5) Vent not incl.in
Lot Block Subdivision appliance permit 3.00
Name(or name of business) 6)
cooling,Repair
f heatinabsorpg,
unit f nig
6.00
Owner McIIIngAddress Phone 7) Boiler or comp to3HP
absorp.unit to 100,000 BTU 6.00
City/State Zip 8) Boiler or comp to 3 HP-15 HP
absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit 112-1 million 15.00
Milling Address Phone 10) Boiler or comp to 30-50 HP
absorp.unit 1-1.75 million 22.50
Contractor City/State Zip 11) Boiler or comp to 50 HP`
absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus.Tax No. 12) Air handling unit to
10,000 CFM — — 4,50 _
I hereby acknowledge that I have read this application that the Information given Is 13) Air handling unit
correct,that I am the owner or authorized agent of the owner,that plans submitted are In 10,000 CFM 1 7.50
compliance with State laws,that 1 am registered with the State Builders'Board,that the 14 Nor,portable
number given Is correct.(If exempt from State registration please give reason below). ) evaporate cooler 4,50
--- - — 15) Vent fan connected
to a single duct 3.00
18) VentllRtlon system not
included in appliance permit 4.50
17) Hood served by
_ _ mechanical exhaust 4.50
Signature(owner or agent) — Date Domestic type
Describe work 1 1 addltion ❑ alteration f 1 repair f 7 18) Incinerator 7.50
to be done residential ❑ non-residential I I_ Commercial or Industrial
Existing use of 19) type incinerator 30.00
building or properly _ --__ 20) Other I.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property�-
21) Gas piping one to four outlets 2.00
Type offuel- oil U natural gas C7 LPG ❑ electric ❑ --
22) More than 4-per outlet
NOTIC-
THIS PERMIT BECOMES NULL AND VOID IF WORii OR CON- — _SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR - PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER _
WORK IS COMMENCED. TOTAL
Special Conditions
-- _-_ Date Issued. _by
•n. r� .. .. .. .�..
CITY OF TIGARD 639.4171 6524
BUILDING PERMIT DATE - 19 i
TAX MAP 251-4A_kOTNO. 109 SUBDIVISION ►rAlu;; .illi
OWNER ornin ; Star Coast. _ JOB ADDRES513103 SW Ul itttn€y Kioy;e St.. 04
BUILDER _ Ji�tO� _ STATE REG.NO. - 506 .. EXP,DATE __ 5-12-01
BUILDER'S PHONE
ARCHITECT PHONE OTHER
STRUCTURE I I NEW I1 REMODEL ADDITION Ul REPAIR MOVE U OTHER DEMOLITION
RESIDENCE COMM ❑ EDUCATION 'ND RELIGIOUS ACCESSORY ❑ GARAGE 1 OTHER FENCE
OCCUPANCY LAND U5E ZUNE R4•'►i " BLDG TYPE FIRE ZONE PLAN CHECK RP;"' •'1, HEAT `
:s, rst.r.►�L sin;-,le tamily dwellit,,, wiatt.aChed garage, all per appro,j-' ,s. Subject to kis cord:,
to jiLiart a3bU Leen .1,150 sewer rurchar-cs.
tin itiiiud ,area on serand floor.
SEWER PER,,AITp J209 (l,tu) 3 batt,, l.t; traps t•arage 5UO
OCC LOAN_ FLOOR LOAD 4U HEIGHT NO.STORIES 2 AREA 1940 NO.BEDROOMS r VALUE y1,UUu
BUII DINAR
G DEPTMENT__ SET BACKS FRONT zU REAR L[FT SIDE I t' RIGHT SIDE �I'r
F imil I ht-Iy.UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUILDING CODE, ZONING
REGULATIOIJS t.ND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check k 5 _-_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES ASID ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Ck Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANIr HEATING.
Stale Tax 1"• �f '.Y5lx; ZSri/.i
I>;Il.Z1_ -- SDC- 6UU.U(i
Total PDC#1 150.00 APPLICANT ORAGENT
PrPpd -- �
---- - C/
Receipt No./����J ADDRESS Flir NE
_Bal Due I i
Issued Br—�.�.._ Approved By
._ _...._._........r......U.»:,...,.yy],1i�Yq.::rrl,..... ._,..... ...x.... ....... dr:.t+ua• - •.'WrLrs.wo,.rw ,.ra. - _.».
DATL INSP. TYPE INSPECTION REMF.RKS PLUMBING DATE
iL t 7
Z�/O-e/ AfJ
Permit No.
v Rough-in
o
leg
A�t p4i616�
3J.4 9 �=u Fixture
Final
HEATING
lContiactof
Permit Nu.
Oji 7M Gas or Oil
3 VI
0"'Itt
Rough in
Aff
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
lApproach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY I andscaping
Zoning Final
330 S.E. DIVISION PLACE--PORTLAND, 0 7EDDN 97202
234-9749
November 12, 1982
TO WHOM IT MAY CONCERN:
All glazing materials installed in doors and sidelites
sold to Suburban Door by Door Distributors of Oregon, Inc.
conform to the following:
A. U.S. Consumer Product Safety Commission glazing
standards - iE CFR 1201
B. Voluntary industry standard, ANSI 297.1
C. Oregon State Board of Health Minimum Safety
Standards for glass and plastics
Sincerely,
i G ele
f
William R. Vnritz,
President
WRV:mv
CITY OF TIGARD Plumbing Permit
Building Department 639-4175 P.o. box 23397, Tigard OR 97223 NO.
Residential ❑ Commercial ❑
New Installation Replace ❑ Addition Alteration ❑ Date __. _ _-.
Licensed - I
Plumbers ill�e_r_ 1 -�= -- - Owner
Addres
Job Address,./ _L�
Phone (1 _- Applicant - —
CITY_ BUSINESS 'r'Ax REQUIRED FOR ALL CONI RACTORS AND SUBCONTRACTORS -_
ITEM NO. FEE TOTAL _ ITEM _ NO. FEE TOTAL
Fixtures•Traps 7.50 o o`n Sewer:First 1001t. - — 30.00
5.00
Dishwasher 7.50 r t+ Each Addit. 1001t. 1 T50
Garbage Disposal 7.50 c"' Ejector Pump 7`�
Water Heater / 7.50 T Water:First 100 h. 20 ' -
Backllow Preventer 7.50 Each Addit.200 ft. 15.00
Storm&Rain Drain:First 1001t 30.00
- _ Each Addit.2001t - -� 15.00
-- Mobile Home Space 25.00
MINIMUM F $15-00 +4Z Other(Specify). Rel-i Drain-SI le Fam.Dwelling 15.OG
PERMIT FEE ,Z Comments: __ - -- -- — -- --- _-
issued By-
STATE (f
21Receipt No. _-....__ _ Applicantj�LIG_
TOTAL D 3ignaturc
d o For Plumbing Inspection Phone 639-417!