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7715 SW GENTLE WOODS DRIVE ADDRESS: S r 0 11 . II i Arecords\micreflm\ta r(lets\bu i Id,i:-)(a.doc j fi R� p�y�tia�,�..,y�qct•�, i},rti +t.ns�, '+„w�q� q�Mt�W'mr.'r �,�P?'NW#°r"iM�^+A'R i�R`+u)s'yE"q�, " . 1; r w Id i�NSFGC7'ION_NOT�G� � � City of Tigard Bu.il.dleg DeparbMent- 13125 Bti n all B1M. Tigard, Oregon 97223 Inmpection Line (Rec1>-Phone): 6,39-4X75 �Business Phone: 639-4171 Inspectiont-- Footing p1bq. Underslab Mach. r<."ngh••1n Appr/Sdwlk ► k Found. Plbg. Top out Can Linn FINAL— Post/Beam Struct. San. Sawcr Framing -Bldg. � Poet/Beam Mech. Rain Drain Insulation -Plumt. f� Pl.bg. Underfloor Water Line Gyp. Bd. -Mach. Data Requestedt --Time- AN PM �. "+ — Addranet ( ��G� Q Val pr Petmi U_, Pf guilder:^......... ' TIIIS FOLLOWING WRRSC7'ION9 ARE REQUIRED: r f Inspector: ---���'-bbb��� Data._1_-1�•�Q L l / e `fAPPROVED DISAP-•, OD APPRC.VED SU3JECT To ABOVE Call For Rainsp. Y F .. 1 PL RMI TCITY OF T7/94 l.+ DATE 1155UED:. 07/`MEG94- 02.0 7 COMMJNITY DEVELOPMENT DEWA(RTMENT 13125 SW fall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PAPC:E.L: 2S 1 12CA-0181x'0 SITE ADDRESS. . . : 07715 SW GENTLE- WOODS DR SUBDIVISION. . . . : GENTLE WOODS ZONING: R-4. 5 PID i BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . P i q f CLASS OF WOR.K. . :AI._T FLC ]R TURN. . . . : EVAP CCIOLERS: -fY!--,E OF USE. . . :SF UNIT HEATERS. . : VENT FANS. . . : OCCUPANCY GRP. . :RL VENTS W/O APDL: VENT SYSTEMS: 5-(ORIES. . . . . . . . DOILERS/COMPRE:SSORS HOODS. . . . . . . : FUEL TYPES— __.___.____...._.__ 0__,; IIP. . . . : 1, DOMES. INCIN, :C HP. . . . : COMML. INCIN: MAX INPUT: RTU 1 --,�,0 HP. . . . : REPAIR UNITS: FIRE DAMPERS?_ : 30-50 HP. . . . : WOOT)STUVES. . : 1 CTAS PRESSURE. . . : 50+ HP). . . . : �L_O DRYERS. . : NO. OF' UNITS-•—•--------- AIR HANDLING UN 1-''5 OTHER UNITS. : FURN ( 100K BTU: ('= 10000 cfm: GAS OUTLETS. : [:!URN >=100K BTU: > 10000 efol : Remarks : WOOD STOVE INSERT Owner: -- --- ---_.__.______._____._.____.._____.__ .__._.._._____._______-- FEES ----_.----.---_ JOHN KF.EICK type :amount by date recpt 7715 SO GENTLEWOODS PRMT $ 2'5. 00 SW 07/27/94 — 5PCT $ 1. 25 CiW 1217/27/94 - TIGARD OR 97223 PI,on1F #: Contractor: OWNER ---------------- Phone #: $ P6. 25 TOTAL Req ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Woodsto.,e Insp Ti;ard Municipal Code, State of Ore. Sr.cialty Codes and all other Fina'_ In,;pec:tiorr applicable laws. 'll war', will be ;;one in acrordance with approved plans. This permit Noll expire if work is nct started within 180 days of issue,nce, or if work is suspended for more than 180 days. _ Permittee 1 s s f_r e d R y : Call for inspection - 6,39-417 f•' 4�Y�e 17�1��f l'�+� �x�a "� y 1 4 t t City of Tigard MECHANICAL PERMIT Pianck/Rec. # 13125 sw Hari Gird. APPLICATIGN Permit # __— Tigard, OR 97223 (503) 639-4171 Do;cnpnon -- -T— �� YS ,�l Li '� lr?itiG�s Table 3A Mechanical Code OTY PRICE AMT Job �' i <1 �r� �ZZ 1) Permit Fae G• •0- 10.00 ! Address - 2) Supplemental PemA 3.00 .•. at mace- l00,05C BTU-- — j L t t�_k ') in.-lI. ducts b vents 6.00 n&ce 100,000 Blu + Owner �1 U` S - 2) incl. ducts 8 vents -_-- -L 7.50 r-- --F-aT or�urnana� I 3) ;ncl. vent 6.00 «. —„err,wall eater- _ _— < <'�+)L Q 4) or Floor mounted heater 6.00 1 -- -- -- �`- -V©Tw rx-T"1Tin--'� Occupant 5) appl'ance permit 3.00 -'-moo -TleeFair oT tFeeating, rong. d) coo-ing,absorpti unit 6.00 - - -bier or r:,rrlp76a pump,air ron . r~ 7) to 3 HP absorp unit to LOOK BTU 6.00 - q --S-oi ert or comp,heat pump,air cond. H) 3.15 HP absorp unit to 500K BTU 11.00 Contractor - - --- —3p Boiler or comp, um — p, pump, air cond. 9) 15-30 HP absorp unit.5-1 mil BTU 15.00 `-`- ----ter i,er or comp, heat primp,air co—inc 10) 30.50 HP absorp unit 1.1.75 mil BTU 22.50 7-FeFe,ry ac naw a ge-ial Thave rii UUT is app ica ion, at the i er or comp,Yeat pump,air co3 -- information given is correct, tftat I am the owner or ruthorized agert 111 >50 HP absorp unit 1.75 mil BTU 37.-j of the owner,that plans submitted are in compliance 0h State Air an Ing urn to- laws,that I am registered with the Construction Contractor's board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from Sta.a registration, ithandlingAunit pleasegive reason below.) 13) 10,000 CTM+ 7.50 i - --- - on porta e — — 14) evaporate cooler 4.50 en an connec iiU 15) to a single duct 3.00 eon anon system not — 1 �ZT 16) included in appliance permit 4.5O Hood se' N by-- 171 mechanical exhaust 4.50 --079s(:nbo work new tS addition alteration repairCommercial or to ustna io be done residential,. non-residential n 18) type incinerator 30.00 -- Txis rng uaa ora (1 - _rMi r—10,w. s ove, water et r - �- building or property�-e r"i tt&tC� 19) heater,solar, c1,thes dryers,etc 4.50 Pr(mosed use of --------- ` 20) Gas piping one to four outlets 2.00 bu lding or property - r,e of fuel -oil natural as LPG electric 21) More than 4-per outlet _ � Y O 9 0 C� O -- - NICE Minimum Fey$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION - AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE ( Z 5 IF CONSTRUCTION OR WORK IS SUSPENDED OR - - -- ABANDONED FOR A PERIOD OF 180 DAYS Ar ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. -- - TOTAL Special Conditions - .--- ---_— — Date issued l l �--1- C1'-I by_ A.M CWPk4T rpWper,W • 1 C11"Y OF' T'If3AfT!) - Fik:(.;F 1I�I' OFT'A'YMf_:hl'T RF j. J IT NO, t 94- N;yk 5l1 f I;HF.GNx pl+4r)I.IN I' o F:6. P-S t f NAME I ��.RF T C.K, JOHN CASH RMS II JN I I �. 00 NL►l.)f7f .7 i I 7%1`i S'W 0FNTL.kMNN DR F"AYMk-1,41 1E. I �//r. ?/44 T L GARD, UREC...-JUN rAjbl)IV (lb 1 ON I C)r i'i:::S•- 5 ' E�UfZF"CISK OF PAYMF NT AML' UNI PAID PURPOSE OF F"AYW.N T' i-ft►1_IN I ISA 1 P MECHANICAL. PF MF 094—W*'NY' IAQA AT. BUILD PER i • �:"� a TOTAL. AMOUNT PAID 26.25 i JIM C Pe 1 ry' 'd i �• INSPECTION NOTICE t` City of Tigard Building Department••.-.... 13125 SN Ball Blvd. Tigard, Oregon 97223 nepection Line (Hoc--O-Phone): 639-4175 Business Phone: 639-4171 ) Inspection: _._-- —.�—_ —�--------_----� y Footing Plbg. Underslab Mech. Pough-in A,l,L/P-dwlk Fcund. Plbg. Top Out Gas Line FINAL: Poet/seam utruct. San. Sewer Framing14+. 1 0 j Poet/Beam Voch. Rain Drcin Insulation -1-.%,mb. Plbg. Underfloor Wateer7 Lineyep Gyp. Bd. -Hoch. �) Date Regumsteds �� / / —_ Times AN —PH Address:—/���l✓s ' ��✓t�'7 �Q Perm is V Builder: `.' TR'E FOLLOWING CORRECTIONS ARE REQUIRED: f ' rz� A52 F: (' 1 ,Ts 1 , Inspectors _-` Date: k~ 7- / — __APPROVED DI3APPROVRD APPROVED SUBJECT To ABOVE Call For Rainep. b' a '), Fil MECHANICAL CITYOFTIFARDPERMIT CJTYOFTWAWDIT #. . . . . . . .. MEC91-4�1 H7 COMMUNITY DEVELOPMENT DEPAPTMENT eoo►: 13126 8W HWI Bbd. P.O.Box 23397,Tigrrtl,Oregon 97223(603)639.4176 /9 1 61 TE i,�i ';:,W bL.NILE WJ(_II)S LjrK t'MIK�:CL ��.a11�Cfl��I:lts+lly. ' 9UBI?I V l 5I ON. . . . GEIVTLE WOODS Z ONN I NG: R-4. 5 P f) i BLOC:K. . . . . . . . . . . LOT, . . . . . . . . . . . . 1.2 CLASS OF WORK. . :At..T FLOOR FURN. . . . : EVAP COOLERS: TYPE OI=' USE. . . . :13F UNIT HEATER�3. . : VENT FANS. . . : OCCUPANCY GRP. . - R3 VENTS W/O A1PPL: VENT SYSTEMS: STORIES. . . . . HOODS. . . . . . . FUEL. 0-3 HP. . . . : 1 DOMES. INC:INs � :/EL.E/ / / 3--15 i-1P. . . . Cr]MMI._. INCIN. MOX INPUT: PTU 15--30 HFA. . . . : RCPAIR UNITS: FIRE DAMPERS". 3121 -51b 12 - 1b I- P. . . . : WO0j)97OVE5. . : GAS f.IRESEURE. . . . 50+ HFA. . . . . CLO DRYE'RS. . . � NO. OF ti=.1IR HANDLING UNITS OTHER UNITS. : FURN < 100K PTU: ( 10000 cfm • GAS OUTLETS. : F URN )=100K BTU: > 10000 r!,fm.. Re►nat*s : AIR CONDITIONER gaoner: _.._.__...______....__._._..__ _._,__.___.__._._._ _____. F=EES --------.___...____ ,JOHN KRE'JCK type a•.in aI.Rnt by date r,ec:pG l l/15 SW UE:NI LEWOUD5 PRMT t 16. 00 JL H 05/&9/91 5pC-( s 0. 80 JLH TIUARD OR WiRI'3 Phone #: Cwntrac•tor,: CL I MPTE CONTROL HTG tt A•-C 3315 NW 26TH AVE PORJLAND OR 97210 Phone #t : 2123--11393 16. 80 TOTAL ReU #!. . ; 6r 196 14,L !U 1 KE D I NSPk-.L f'I ONti ------- This perait is issued subject to the regulations contained in the Final Insper..tian Tigard Municipal Code, Et;te of Ore. Goecialty Codes and all other aoolicab)e lams. All Mork mill be done in accordance with approved plans. This cerait will expire if Mork is not sta-ter within 189 days of issuance, or if Mork is suspended for sore than 169 days. Af��i I►L ,_. _. ___._e�_.._ _...._ _ `__.._..�..... �-�-____...._ Call for inspection _ 639-•4175 `r I h �'UI��,K�)�I��gl�Aq� �I11i !�yp H pd11�"rYYS`"kJ'^"'�rummt4av�p; ay,�+ tMA� ':, J�►�' ..yh„r�tw+tpsnvy±N1 :� gnN,a 1,H�..p�„ .,urww►id�M40'�¢QI� ftlik ,. •.J^�5'r' q: x , CITY OI' TIGARD MECHANICAL PERMIT” f2�cr�,,t 13125 SW IIALL BLVD. f'ennit # _. .. P U. BOX 23397 Description _._----- - T I GARD, 01% 97223 O I D Table 3A Mechanical Code OTY 1 AICF .SMT (503)639-41 ,75 1) Permit Fee -0- -0- 10.170 i Name of Development 2) Supplemer"ltal Permit 3.00 Job ddress _ 11 Furnace to 100,000 BTU 6.00 Address incl,ducts&vents —.- --- - Furnace 100,000 BTU + Tax Lot Map No 2) 7.50 incl.ducts&vents Lot Block Subdivision Nae(or n�ama�of business) Floor Furnace/ness) 3) 6.00 incl.vent G, -r—• Suspender'f realer,wall heater 6.00 • Mailing Address Phone 4 ) Owner or floor mounted heater 5 Vent not incl.in c /S ate zm ) 3.00 appliance permit '~7. z 3 Repair of heating,refr tg., Name( name of lou. cess) 6) 6.00 cooling,absorption unit r Maaing Address — Prone — 7) Boiler or comp to 3 HP 6.00 Occ:upa.,l absorp.unit to 100,000 BTU City/Slate Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU _ --- Nam � 9) Boiler r•comp l5-30 HP 15.00 1 _ absorp.unit 1/2-1 million Malling Address Prone t 0) Boiler or tomo to 30-50 HP 22.50 absorp.unit 1 -'.75 million _ Contractor Boiler or comp to 50 HP /Stal'e I Zip 11) 31.50 �� 6t-2Z 16 _ absorp.unit 1,750,000 BTUM;0 state nnegistralion No. 4.50 � City Bus.Tax No. 12) Air handling unit to 10,000 CFM — --- Air handling unit 7.50 6 1 hereby acknowiedge that I have read this application that the information given is 13) 10,000CFM f oorrer-i,that I am The owner or aoitlxwiW agent of the owner,that plans submiltecc are in _ compliance with State laws,that I am registered with the Slate Builders'Board,drat the 14) Non portable 4.50 numt er given Is correct.(if exempt from State registration please g,ve reason below). evaporate C'^ler W 15) Vent tan connected _ 3.00 to a single duct 16) Ventilation system not 4.50 Included in appliance permit Y __ 17) Hood served by 4.50 �r. I ,`, � mechanical exhaustSigna fow'rx,1r or egenq bate t 81 Domestictype7.50 Describe work a Itlon El alteration (3 repair [3 Incinerator _ to be done r6sider tial non-residential ❑ 19) Commercial or Industrial 30.00 Existing use of type incinerator building or properly _ __ 20) Other i.e.,woodslove,water 4.50 Proposed use of healer,solar,cio".es dryers,etc. _Y _ building or property r 21) Gas piping one to four outlets 2.00 a Type of fuel-- oil ❑ natural gas ❑ LPG ❑ electric ----- 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — — -- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%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 —. Uate issued _ by v ai- - ; t � Receipt# •• _ CITY OF TIGARD MECHANICAL PERMIT c, 2 ,_ r Permit# �� _— Description Table 3A Mechanical Code _QTY PRICE AMT City of (•igard -- _ 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. 130x �2q97 2) Supplemental Permit _ Tigard, OR 97223 3.00 � 639-4175 Furnace to 100,000 BTU 1) incl.ducts&vents 6.00 Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of DevelopmentFloor Furnace -71 S LV (Al! `�IUd S l VQ 3) incl.vent s.o0 Job Addrecs Suspended heater,wall heater Address '`Aal 1- I-V C�h �� �.2. 4) or floor mounted heater _ 6.00 Tax Lot Map No. Vent not incl.in Lot Block Sulxliviaion 5) appliance permit 3.00 Name(or name of bal ass) Repair of heating,refr Ig., (�ti Y P('_K s) cooling,absorption unit 6.C3 Melling Address Phon Boiler or comp to 3 HP Owner P�1 `�ww� r t r✓ _7) absorp unit to 100,000 BTU 6.00 C7ctyfState Zip Boiler or comp to 3 HP-15 HP it r, .u to - l 8) absorp.unit to 500,000 BTU v 11.00 Name Boller or Comp 15-30 HP 9) absorp.unit'/2-1 million 15.00 Mailing Address Phone t0) Boiler or comp to 30-50 HP absorp.un"1 -1.75 million 22.50 Contractor city,stele Zip - Boiler or comp to 50 HP 1) absorp.unit 1,750,000 BTU 31.50 State Registration No. _ City Bus.Tax No. Air handling unit to 12) 10,000CFM 4.5G I hereby acknowledge that I have read this application that the information given Is 13) Air handling unit 10000 CFM + 7.50 , correct,that I am the owner or authorized agent of the owner,that plans submitted are In compliance with Stat9 laws,that I am registered with the State Builders'Board,that the Non portable number given is correct.(If exempt from State egistration please give reason below). 14) evaporate cooler 4.50 - Vent fan connected - ----- - - 15) to a single duct 3.00 Ventilation system not 16) included in appliance permit 4.50 --- - - Hood served by 17) mechanical exhaust 4.50 signature(owner or agent) Date Domestic type Describs work L] addition alteration [I repair El incinerator Incinerator 7.50 to be done residential ❑ non-residential ❑ Commercial or Industrial Existing use of 1 s) 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 of fuel- oil I I natural gas [ ) LPG [I electric C7 - -- 22) More than 4-per outlet NOTICE SUB-TOTAL �/ f THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 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 -- -- -- --- Data issued by � �.1*.t z_._. n ft P 1 C S INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 p Tigan' Jregon 97223 Phone* 639-4175 Type of Inspection i Date Regvest4� - / Ti A.M. .�'v�_P.M. - t A Address Permit # .�.._�,<.—t{— '����'4'"-!` — L Owner —._------------- --- �._— Lot # Builder -- 40 — .� — ------- --------- ------------ The following Building Code deficiencies are required to be corrected: r 42 i r 1 I Preserted to _ Approved Inspector ____— ❑ Disapproved i late --- _ CALL FOR REINSPECTION ' YES ❑ NO :i Sa'.l Y IM.. jig • r, INSPECTION NOTICE • a �- City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ____—_ ci�. 'C- _ —---� � r Date Requested Time M.�_F.M., �� I-_ A Ilnn _ Address ,._._ ' 1 �Lr ¢ ( ' , Permit # Owner -----__.__ _ /i/LL'Cfl� Lot # ----- Builder_ :✓/ 'rhe following Building Code deficiencies are required to be corrected: j Presented to LLAVOr,,ed Inspector r] D'isapnrow+d Date CALL FOR REINSPECTION F-1 YES ❑ NO r f• i i G�3q-yl7s City of ",71gard Mechanical Permit N° 3856 New Installation n Replace❑ Relocation E] Addition 0 oNA�eration4 DATE: '3 �J • HEATING 0 NER' �� CONTRACTOR - ADDRESS ..�:1b8 ESS ` � Z PHONE APPLICANTARL — -- - Heat Input Rating(BTU per Hour) -- N Size FI I _ FUEL O!L GAS 0 ELECT OTHER ---- ITEM NO. F NO. FEE Eo,X Issuance of mit S .JYIf r wwJ Unit stem _ 760 M*W-up so Ilk i .1.00,000 BTU f Hood 7.60 New,00Qa0�0 8 °e I t 4.00 Woodburnlno S Tt _ 4.60 Wall,Flax Su �-- 8. r:cxlrAdat Corn r u m&incl.3 H.P — 8.00_ V,!;,,r,Sretem w F X60 _"Llo�Compramw-3.T to 16.H.P.incl. 11.00 Flair-Heat C criir tl'ISINESS L.ICEME LIMEDE7Y ALlt C 'TRAACCT_ORS OR SC&CONTRACTORS I t PERMITISSUAWN 10.00 Comnatttat FEE$ r S AL 0 _STATE�. Issued SY 201 +D t TOT riEC, ... __. SIVMKUM O s k L i S INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. l T'gard, Oregon 97223 Phone: 339.4171 I Type of Inspection / j Date Rtquested ^� Time A.M._,L_I P.M. b i Address '771S ACU - Permit #_ Owner.�--- e�C( Lot # _ Builder he following Building Code deficienci Ore regi o be corrected: f —— — -- — , s e. I j Presented to _ A pproved Inspector _ _ �_� Disapproved Date L OR s SPECTION i ❑ C7 NO I I , y i py 4 Y Y T Mf' r Y ry. ,AA91A"JN41:4`:rSrh:l '~ I OF TIGARD Plumbing Perink 4 0 4 Q [Department No. Commercial [� wMdation Replace ❑ Addition Alteration ❑ Dasa TZI w Owner __ LL Job Address__. 1V Applicant --- ------ -- — ---------�� _ CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Traps 7.50 Sewer:First i 00 ft. _— 30.00 Ilher �- 7.50 Each Addit.100 ft. , , 15.00 Disposal 7.50 - Ejector Pump _ — 7.50 Nester 7.50 Water.First 100 ft. — 2000 l Presenter— 7.50 Eacti Addit.200 ft. _ 15.00 _ Storm&Rain Drain:First 100 ft. 30.00 -- Each Addit 200 ft._ 15.00 T _ Mobile Home Space 25.00 Rain Drain_Sinale Fam Dwelling 13.00 n Comments: MR FEE GZ� tJ' ---------_-------__.------ ATE q, Issued By:__^ ,--- _ -- Receipt No.o t• A Applicant J �.�Y �z ----- I AL �'� Signature � 'I For PlrrmNna Inspection Phone 639-4171 I E Ii i -;..; . Yq: r P. INSPECTION NOTICE go City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection -4L�..._-" ' Date Re-juested 3 �_' Time k_ A.M.. P.M Address ___1_ 7._l _.� _//1�m�i�Permit #_ _ v Owner �_. Lot # _ Builder The following 4uildii q Code deficiencies are required to be corrected: Ile— y. 1. k; Presented to Approved Inspector _! " _ [_� Disapproved Date CALL FOR REINSPECTION ❑ YES �7 NO } a 1 M1 IN ) BUILDING PERMIT APPLICATION TIGARD DATE_ THE UNDE.RSIG ILD HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILUER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE,---,-----' LOT NO.._ OWNER_ i T-tyr Cul JOB ADDRESS ' I '. Ontlc, C?t)dS Drive BUILDER i'1lter?la' iyo I eve. CfAVDRESS 11731 1VtDESI1GNtlER —•"�"r�'�it� a STRUCTURE 12 NEW ❑ REMODEL ❑ ADDITION Cl REPAIR RENEWAL [_] FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE 17 COMM C] EDUCATIONAL ❑ GOV'T C! RELIGIOUS ❑ PATIO ❑ CARPORT_ 1-J GARAGE El STORAGE 0 SLAB❑ FENCE OCCUPANCY "3 LANDUSEZONE h` ;BLDG TYPE r,L, FIREZONE _ PLAN CHECK BY HEAT_ .'anstruct Sin,71r: Fa!I i Dwnlllnq aft13:t4a.c12AlI �1�:.-i 7Fw. -- 'to IN` SEWER PERMIT# C.LOAD _ FLOOR! �-- - :.L r n0 UC _ LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT -- — -- I --- --�_ SET BACKS FRONT REAR iLEFT SIDE RIGHT SIDE r` Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATI JNS CONTAINED IN THE BUILDING COi - ZONING t - REGULATIONS AND ALL APPLICABLE ,;ODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMP!IANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE,SEPARATE PERMI fS REQUIRED FOR SEWER,PLUMBING AND HEATING. r I' ' 1 . �: SDC-- Total •• FDC#I APPLICANT OR AGENT By � I Approved "t R'=dipt No. ADDRESS ' PHONE - a w tt r J; r J. DATE INSP. TYPE INSPECTION REMARKS i--- --PLUMBING DAT ?� 8,j Contractor III Rough-in 1.2� ---- Q� � Fixture — — Final HEATING Contractor x' — h d Permit No. -z� .'1: [ �/ —r— Gas or Oil — Rough-in Final i_ —.�— ---- `— SEWER Final -. _ •> �' ''/r' DRIVEWAY Final � Storm Dralnap (Rain Drain)Final Sidewalk Curb 6 Street Final ___ Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIRICAr6 OCCUPANCY Final LandtcapIny Zoning Final Rogow J 1 ryt� '^s r BUILDING PERMIT APPLICATION TIGARD DA-rE_! THE UNDERSIGNED HEREBY APPLIES cOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE: '1"6070Z OR AS SHOWN.AND APPROVED IN THE ACCOMPANYING /P�LAN.`.i3AND tSPEEC`IFFII,C,ATIONS. OWNER,PHONE fe OWNER \ � Y�+ Lits on JOB ADDRES01�s & y �_ Ve LOT rJO. �- /3�� n Q 1 AR9H*FE6T BUILDERA14 �J�^`Jt�/�/�• ��J-ADDRESS I5Q MaIWIll BAK. DESIIGGNER STRUCTURE .N-EW ❑ REMODEL El ADDITION ❑_ REPAIR ❑ REN_EWAL`❑ FIRE DAMAGEC ❑ DEMOLITION RESIDENCE ❑ COMM L E`-OUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑ CAR PORT-C] GARAGE ❑ STOR GE Cl SLA Ei❑ FENCE O ZUPANCY —LAND USE ZONE =BLDG.TYPE —FV_FIRE ZONE PLAN CHECK BY HEAT_ A 3 t _ _-- _( ,n os rnt Q tc !y �►�•I!»kW bw a w11s zna'fN?4,-. --- 3 �1�' %+Y -- - - I ,.EWER PERMITN i OCC.LOAD FLOOR LOAD / HEIGHT �� NO.STORIES Z. AREA .CNO.BEDROOMS VALUt`� t BUIL"ING DEPARTMENTSETBACKS FRONT ,2 REAR LEFT SIDE RIGHTSIDE rS.S oo Pnrmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!N3 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check -' �� 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 NOT WAIVE !Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 9USINESS LICENSE.SEPARATE PERMITS t�UIRED FOR SEWER LUMBING AND TING. l ;Slaw Tax ��• !� .. Total ♦ /7� i -- PDCfl U 0T Receipt No. -- By �1, li Approved Apl.L _ PHONEDRESS �-�4�2-02� SDC - ! 4100 # PDC (00 70J�f et�'t ���. (R _ ln '�&g.•.)d�'ia•��l'. ' . SEWER CONNECTION PIaK oRI SEWER INSPECTION 35— d ,. ?QS n•�. L /?o*/ t0" SEWER SURCHARGE /3&o a, comments: 10-2&- Sz� PAI F4. a �u 9 J, M rl 1 2,� Q 62 f Alm* i. �o - a f) 21-gk /G-4- 3r'�F 'I upQIMi1� 7 x701 I z •a `t,soil 4 3 ► Qa� .2a-f° GL el,. r—ZL�rz e ; .•.. ,f YAR"'.',W"iq:m^.1M'.Y`li}P1Ri%+.r i:'Ntie pp.. ,,i I •i I CITYQF TIFARD WASHINGTON COUNTY,OREGON i BUILDING DEPARTMENT PLAN CHECK APPLICATION Date qvz This is to certify that the fallowing plans have been submitted 'or plan check pursuar't '.o the Oregon Structural Code and Fire ' & Life Safety Code, 1979 Edition. 1 Owner �W� 11� LG. Or+ Job Address /,yPoe&3�r Lot No, I��C �-`Pi IA7oo79'A Owner/Applicant Address ,� 7 �(,� Ie Wilio--,leCA q_20, Q • Phone No.� -(J 1� Description: g "Y Ikejeto s I a_ Bags 14</5-'5g� . Ci igard, 8uildin Dept. r By i ! 1247.0 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH- 639-4171 ,4M � •..'•.ro 1'%"x'.:;G 'C.a::rriik Yep.^.:',alrrgaM::J'UYf'iC}s':::ix:.w.JIMAin... n , CITU OF TIGARD—12420 S.W.MAIN—TIGARD,ORiGON 97223 1 RECEIPT DATE:X1-1 2 AMOUNT: $ O-LLARS l NAME: . 4C.1:2Q:� a _t, a. CASH: ADDRESS: G/gam _-- 1 J M.O.: _ 1 • OF FOR: ACCT.I PERMITS SURCNARGE AMOUNT { SEWER BILLINGS 40-364 _ S • BUSINESS LICENSE •05-331 PLUMBING PERMIT 05-332 $ MECHANICAL PERMIT 05-332 BUILDING PERMIT 05-333 j SEWER CONNECTION 40-363 '± _— SEWER INSPECTION 40-365 i SYSTEM DEV.CHARGE 25-366 PARK DEV.CHARGE ,xi 30-367 PARK DEV.CHARGE #2 30-368 ZONING ADJUSTMENTS 05-362 TOTALS RECEIVED BY: PERMIT NUMBERS ASSIGNED: Number Amount Number Amount Number Amount i RECEIPT #12091 f ti: ;4c c VA ' I. �..•�f r r �,4•�.. 1�/d��,�, � �• ��ti.� �9�ti Fl�n1,l,I � � Y F �ti .•�i '� 1•y,� 1 t �° kEL53F � j,Jf i 2 'kA '��'� ! / t \ 4�J•'1' Y '�._s�►:.,'� �.`,J,•64,." `[4 / S�b �, ��: r � ���`✓I .A"� r - 7• �'4�i }`'�\4 1��f1J'eu�� .� 1,,rTM'_'"y'16 _.�(�: _ •`�' `\11,��i :t } f�rN'v� '. `,,,� i; � _..,t,. c;,a (uGi(dC•4v6t...v6� ,mm:,a,:W.�...�!x � a�..1 C55''��1177 /,+\• • 7 51`7. �t'S kV / .� •Ln w Air � 74z mXAO co • f to 1 _ r i • •it Cd -4b r • N1 44 • _ 1 1, ', • ri) to cd -14 ti a * { • rl; bo ♦ • • ` ` • �� t r •� • �7)L --- - . � S - K .. •�,•nEt^.pi y!'4 �?�4(�//Cry'/."+r�, � . ?J"!' 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