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8U7'-DING PERMIT
CITY OF TIGA
RD c,�-�' PERMI
, N0. s PUB70067
MOO..O".. C)ATF ISSUED/ 1 1 /12/81
COMMUNITY DEVELOPMENT DEPARTMENT PF'I M.BMT.N01, 870067
13125 S.W.Hell Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)639-0175 I D; O ?O Q C-7
tit •i , f 'eG,'w,►'yCr `� 160 '1 0
TAX MAP/LOT 2S1 t5AA 3900 '5L1Bt dover landing 2 � ' -Tv '0 Fh It
LAND USE s P4.!;
LOT SIZE% VALUATIONI 7 1 . � 5 1.3ETPAC S
FRONT s� 21C) PEAPI T,
WORK CLASSit NEW DWE1.L.UN I TS I 1 LEFT: 5 R 113HT I 28 I
USE TYPE s SINGLE FAMILY NO. BEDROOMS s "_, E X T . 0104.L CON T s
CONST. T YPE s VN NCI.BATHS t d N.- NP S I FI NP W t PIR
Or.CUP. 13RF. t P.3 P P 13T. OPE NINGS t
OCCLIP.L OAC N: NP S I NP F t NP W I NP
TOTAL ARL:As I'.`4-,
NO.S1 w.' "ES I 1 I ST I 155';% ROOF CONST e C' F I FE PET -,
HEIGHT# 16 dNDI AREA SEPAR? PATEDI
PASEMENT;' 7F'DI ('r�CUF.SEPAP-' PATEDs
ME'Z7ANTNE BASEM'T
FLOOR L oAtl c 4471 GARAGE t 41:1r_r FIRE SPRV.L P" AL APIM17,
FLOW(GPM) DE fF_CT"' VES
HEAT TYPEI GAS HDCP.ACCES9" CORP
PE MAPF F,s
can :? "' n+ l ga t REISSUE OF NO.
LAST PFISSUE
MTLLEF' JAY —� PERMIT -v -- W� - _. e;t;49,t;►(7
P. rr. H1_!- .. .::.'y ! I PLAN P�wVIE:W $2226. 85
N rIGApn 1,)N FIPE DEPT
N
R STEtTE TAX •1 .7. 4"
GTHEP
DEVELOPMENT C'HARAESt
C f - 1J c IM.PI
0 I
N
T i p.o. BOX 23291
R TIGAPD OR 97
A
C PHONE (503) 684-71547
T REOISTPATION NO. '�41nq
0
R
This permit is issued subject to the regulations, )ntained In Tale 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all ether applicable codes and ordinances. and n is hereby
agreed Writ the work will be done In accordance with ihe plans and
spGCiflcatio:•a end In compliance with all applicable cc and
t•rdinances The issuance of this permit dnes not waive restrictive
rovenanis Contractor and subcontractors shall !,ave current city
b•isiness tax permits This uermit will expire and become null and
void:t,+ork is not started within 180 days,or if wnrk Is suspended or
abanuoned for a period of 180 days any time atter work has
commenced It sh,ll be the responsibility of the permittee to assure
all required Inspections are requested and approved
i i
Pernlittn@ SOV. e.
Issued By ---- — `--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
c. I �/
/S '� � ���G'G./� ���.--+� �/�jf' ter,-r9�
I
/ SEWER ERMITCITY OF TIVARD a �! OP. PERMIT' NO. - Ec87700
7C
n'a
TIARA
COMMUNITY DEVELOPMENT DEPARTMENT °x'°°"
13125 S.W.Hall Blvd.,P,O.Box 23397.Tigard,Oregon 97223•(503)639.4175 DATE ISS''S)UE D: 11/12/87
-- ----.__.-_-- F R I I'l-EM I-N13 r,, QOb7 _--
JOB ADDRESS: 10579SW k::ENT ST USA NUMBER: 45:'1
TAX MAP/LOT 2S1 15AA 391:1(") SUP: delver- landing 2 L'": 78 BK:
LAND USE:
LOT SIZE:
SECTION: TWP: RNG:
WORK ASS. NEW
USE SINGLE FAMILY
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 1201 days from the date issued. The total
amount paid will be forfeited if the permit exrires. The Agency does noi: guar-
antee the accuracy of the location of the side sewer laterals. If the sewer• is
not located at the measurement given, the installer shall prospect 3 feet in
all directions from the distance given. If not; so located, the installer, shall
purchase a "Tap and aide Sewer," Permit and the Agency will install a la'ceral .
INSTALL. 'TYPE: BUILDING SEWER IMPERVIOUS AREAS
FIXTURE 'NITS: 11 TENANT IMPROVEMENT: NO
DWELLING UNITS: 1
NO. OF BLDBS. : 1
o FEESo
W PERMIT
N 9+35.00
F CONNECTION CHARGE #1 ,
rt LINE TAP INSTALL.
c
- —a- OTHER
N MILLER JAY
T JAY MILLER BUILDER
A p,.n. BOX 2Z291
C TIGARD OR 97223
T
o F'HONE (503) 684-7543
R REGISTRATION NO. 301(-)9 TOTAL.: $1 , 135. f-
This
1y1a5. t-This permit is issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations ---- - ----- ------and all other applicable codes and ordinances, and It is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH-IN
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and h
void if work is not started within 180 days,or if work is suspended or
aband,)ned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
`.- e?Cl ' Sce�-
Perrmttee Sig re
Issued By
(',ALL FOR I NSPEEC;T I ON 639-41.75 ---
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
■s wr sr as � �
CITY OF TWARD EPM tJ I CAL EC'M I T
CITY ARD PERMITTNO. : MEC477006Q
COMMUNITY DEVELOPMENT DEPARTMENT
i 13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)6394175 _-- 1.)A T F I S SUE'D I 1 1r 12 •87 1-PF)1 M.PM-T.PIG. 879067,
JOB ADDRESS if 103719SW KENT ST
TAM MAP/LOT 291 15AA 3910 SUBt 1iover landing 2 LTII78 SKs
LAND USE%
LOT 9IZEo
I TEMI NCIa floe
WORK CL.A;S I NEW FURNACE a;i 0OK' 1 A 1 R HANDLR <10
USE TYPEi SINGLE FAMILY FURNACE 100K+ CIR HANDLR 10K
CONST.TYPEI VN FLOOR FURNACE JAP.COOLER
OCCUP.CRP. I P3 HEATER VENT FAN
VENT 4 VENT.SYSTEM
BLP/COMP -;ZHP HOOD 1
I117).STOR I ES I 1 BLR/COMP 3-1:5HP INC I NEF AT'OF.(DOM
DWELL.UNIT•3 I 1 BLP/COMP 15--:*1:►HP INCINERATOR(COM
FUEL TYPE OAS BLR/COMP 30-5(►HP REPA I R UN 1 TS
MAX. INPUT ALR/COMP 500AP OTHER
FIRE DMPPS'. OAS PIPING OUTLETS ]
HIGH PRESS?
REMARK'S I
u IFEESI
W Joy miller PEPMIT
N PLAN REVIEW
R F I x TUPES $"''a. WOO
STATE TAX
-- ----- --------- OTHER
C
O
N PUBEF-T HFDIN
T
R HEDIN' S HEATING
A 845 NW 211ST
T h i l l oborn or 971,--.1
T
O PHONE (507,) 6� d-1 159
RI REGISTR T1C1N NO, 47211 TO TALI $44.8",
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC, State of Oregon Specialty Codes, toning regulations ---- - - -------- --and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS,
agreed that the work will be done in accordance with the plans and OAS L.INE
specifications and in compliance with all applicable codes and POST & BEAMordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city ROUGH-I N
business tax permits This permit will expire and become null and FINAL
void if work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested rind approved
Per
mittee Sign1ure
I
Issued By
CALL FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED .ABOVE:
- --- Ititit! �.�Ir,�aaL�rrtf�rlr
C' ®� T l�r� R D PLUMBING PERMIT
CITYOFTWAV PERM 17 NO. t PI-87(71(7169
COMMUNITY DEVELOPMENT DEPARTMENT °�°°"
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 DATE ISSUE])s 1 1. 1"!/f.-117
-- — PPIM.Fml . IT 8717111:11S ."
JOP ADDRE=.SSt 1t0379SW EENT ST
TAX MAP/LOT 2S1 15AA 390(:► SUEe do%ier landing 2 LT1178 Bk: s
LAND USE r
LOT SIZE:s
I TE.Ms MOs ril01
WOR - CLASSit NEW WATER CLOSET y TRAP
USE TYPEr SINGLE FAMILY URINAL f.KFL.C►W F-PYNI-P
CONST. TYPES VN LAVORATORY ., 7RAP PRJMER
OCCUr.OPP. It P3 TUB SHOWER 2 i3REASF TRAPS
DISHWASHER 1
GARBAGE DISPOSAL i
NO.ST'OR.TESs 1 Wi4SHING MACHINE 1
DWELL.UN,TS s 1 LAUNDRY TRA BLDG.DPA I N (DIA
FLOOR DRAIN
SINM': I SEWER (ET)
WATER HEATER 1 STt' RM, R'N I N (FT i +►(r
OTHER
REMARKSI,
1o FEE'S s
N mi 1 le►r ia►y F'F-RM1 T $125. 01.E
E po box 23291
tlntard or 4722'' F'IXl"UPES
PHONE (5+;17) 684-7�4'' STATE TAX $6. 25
C _ OTHER
0
N WATT; KEN
R MEN WATTS PLUMBING
A 89011 SW BURNHAM
C
T t i g a rd 2r ' 722'*
R PHONE 684-6626
I� L C3I t4n 31.116;Z0 TOTAL s $1 "t . .";
Ns Kermit is issued subject to the regulations contained In Title 14 RECEIPT NV.
of the TMC. Swe of Orpgon Specialty Codes, zoning regulations _ ,,_•___.,,__,,,_,,,___
and all other applicable codes and ordinances, arid It is hereby REflll f IFtED INSPECTIONS
IONIa
agreed that the work will be done In accordance with the plans and
,specifications and in compliancr with all applicable codes and PLB.UNDEP'SLAB
ordinances The issuance of this permit does not waive restrictive POST & BEAM
covenants. Contractor and subcontractors shall have current city WATEF LINE
b,rsiness lax permits. This permit will—pire and become null and
PLB. TOPOUT
vn!d i'work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has RAIN DRAINS
commenced It shall be the responsibility of the permittee to assure p I PIAL
all required Inspections are requested and approved
Permittee Signa(ure '
Issued By:
LAL._L FOP INSPECTION 63Q-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
aw r
PLAN CHECK AP.'LICATION
Ct PLAN CHECK. r
� A PERM11. r U
\ DATE. ISSUED
JOB ADDRESS! /0 TiJC MAP/LOTS
SUB: I C , '�'r T: 7y LAND USE:
VALUATION: 7/0 SETBACIG4: FRONT: iLzAR:,:� Dy LEFT:
�3S .
WORK CLASS f HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: IST:
CONSTR TYPE: HEAT TYPE: !,"5 2ND:
OCCUP GROUP: � DWELL/UNITS: :3RD:
OCCUP LOAD: NO BEDROOMS:_--3—_ BASEMENT:
NO STORIES: —'r NO BATHS; - GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS RE U(�JRED
PLANNING: REISSUE JF: LIST SUBCONTRACTORS: �
ENGINEERING: LAST REISSUY:--- BUS TAX:
FIRE. DEPT. : FLOOD PLAT?;/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PIAN: _
LANDSCAPE PLAN:
PLAN CHEC5C BY: OTHER:
COMMENTS:
.L+ / 3 1-T
DWNFR 10-432 Building Permit Fees 15cl,
NAME: _ 10-431-600 Plumbing Permit Fees r, R 3%;2
ADDRESS: 10-431-401 Mechanics] Permit Fees (,9
10-230-501 State Building Tax (51
)
_ 10-433 Plans Check Fee =_ 3_S_� 3
PHONE:_ _ 30-443 Sewer Connection (20x" ! v Ny
30-202 Sewer Connection (80X) hry;' 0 c' ' s—AW,00
CONTRACTOR 30-444 Sewer Inspection 41�
NAMEi�� 51-448 Street System Dev. Charge (SD4 1 z,-,)
ADDRESS: 52-449--6.10 Parks I System Dev. Charge (PDQ
52-449-620 Parka II System Dev. Charge (FDC) S !_.5 O,
31-450 Storm Drainage Syst Dev Chrg(SSDC) SO,��'
PHONE: --- �� f(� - 10-230-505 TRFD (95x) S
�- 10-435 TRFD (5%) s _
ARCH/ENGINEFTt 10-230-''06 Washington County Fire rl (95x) 3 !�
NAME: _ 10-435 Washington County Fire
ADDRESS,: 10•-220 Amnrt/Wedgewood
PF10NF.: �
,_70
o�C'W•s'► �'trin� Y � � X00 7U Pa:F:!•n t�� ( /U , v
T-7oe fob
�j��nG REC r
#4 a -70 a 6 y y/
BATANr;F ht•1F; r• 2 ��y—
AMICAN 91 NATURE p�
Received Bv: Date Received:
CITY OF TIVA RD PLAN CHECK APPLICATION
CITYOFT ARD PLAN CHECK # - fu
COMMUNITY DEVELOPMENT DEPARTMENT oReooN PERMIT
#
131?5 SW Roll Wid P.O.Bax 73307.T1pW.Onpon 97=(SM)63"176 —
DATE ISSUED
10B ADDRESS: TAX MAP/LOT
3UB: A ^_ LOT: /b LAND USE:
VALUATION: SETBACKS: FRONT: REAR: LEFT: RIGHT:
WORK CLASS: HEIGHT: TOTAL. AREA:
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: _ 2ND:
OCCUP GROUP: DWELL/UNITS:_ 3RD:
OCCUP LOAD: NO BEDROOMS: BASEMENT:
NO STORIES: NO BATHS: GARAGE:
IriP SURFACE:
APP".)VALS REQ'D SPECIAL NOTES ITEMS REQUIRED
'i,NNING: REISSUE OF: LIST SUBCONTRACTORS: _
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DFPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
I.ANrs..APE PLAN:
PLAN CHECK. BY: / OTHER:
COMMENTS: k L7 !,,t f'_k iOi-1nje
r t �
GCT DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees
NAME: t.?�� y11( _ 10-431-600 Plumbing Permit Fees _
ADDRESS: 10-431-601 Mechanical Permit Fees
10-230-501 State Building Tax (5X) _
10-433 Plans Check Feey 'D
PHONE: _ 30-443 Sewer Connection (20%) �
30-202 Sewer Connection (80X) 3 _�
CONTRACTOR 30-444 Sever Inspection
NAME: ;01
// t3/�4�r�':51-448 Street System Dev. Charge OnC)
ADDRjlS:r �,�Lr �� ��i�14/ 52-449-610 Parks I System Dev. Charge (PDC) -
52-449-620 Parks II System Dev. Charge (PDC)
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: 10-230-505 TRFD (952)
10-435 TRFD (5%) 3
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95X) _
NAME: 10-435 Washington County Fire #1 (5%) _
ADDRESS: 10-220 Amart/Wedgewood
TOTAL $ /O p . yo
.PHONE:_
PREPAID c/
RFC # -'_(Poo _..
BALANCE DUE,
APPTAWIT SIR
Received By: �/~ l�� Date Received: Avi
■11 s� ase A. nw mjr
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, �_ edition.
PROPERTY OWNER: I� OWNER'S ADDRESS:
CONTRACTOR: y G"-��H-�r 1ELEPHONE: J-Y --13
JOB ADDRESS: /(� (o �e: LOT NO. & MAP: _ �Z ��ti &
DESCRIPTION OF WORK: G ° ✓ < '`0
Approvals Required SPECIAL NOTES
OPlanning Dept. _Reissue 7 y
QEnLineering Dept. 0 Flood Plain/Sensitive Lands
OFire District O Sewer Availabilitv
O Other 0 Other
Items Required
List of subcontractors ----- _------
0 Business Tax
L Calculations
OTruss Details
OParking Plan
0 Landscape Plan
O Other
COMMENTS:
City of T'gard Building Department
BY:
mm wv m AM � rr f
- "- --��- BOJILDING PERMIT
- - PEWAIT NO. : �—
'� ®F TIGA oMeM DATE ISSUED:MUNITY DEVELOPMENT -
Gt�MOPMENT DEPARTMENT PRIM•PMT-NO• -----
asp++"
s�us aw.sw w+.,r.o.so■spa-t,i:r'�,o»a�sem,�► -
- LT
30B -
TAT MAP/LOT -
LAND USE: 'h� `� C) 'Jc7^'O ---- - SE �
TBACKS REAR: �.
VALUATION: - "
LOT SIZE: FRONT: _
/ LEFT: RIGHT:
DWELL/UNITS: -_._.----
WORK. CLASS: _-- �- NO.BEDAOOMli:USE TYPE: F- n vo.BATHS: --
COMST.TYPE: =�-
OCCUP•GRP•• --•-,•�—"-
OCCUP.LOAD: _ TOTAL AREA: R00F CONST: _ FIRE RET' --
IST: ----
NO.STORIES: - 2ND; --.--- AREA SEPAR:
HEIGHT: •` 3RD: -
usaw T: -----------` WZH*T _ ALARil:
11�IR' - GARAat: = -1Id[E &PWLLR L 6'fEG-i:
VL OR LOAD: --- TL011 ( )' --- - COBB t -
HEAT TYPE: _- -� HDCP.ACMXS: --
__--
PLAN CHECK By?- �-
REISSUE OF NO. _
•�+b P•p.ti� LAS.I REISSUE
SEWER
o 7999:
W Add1 9 B S : pvxmT y G,
NYLAN Al9YI9Y
E _
Fm DOT
sTAn TAX --
OTHER
-4 �.r ` usVEIA cHARGgs
o Name: _-'� pWMT _ate
`- SDG (S 3MI)
T Address: SDC (MEET)
- - -
-
q -- PUC #�71. PREPAID
---_ PRE?AID - -
TPhones
o
R TOTAL: /t3 < •��
RECEIPT NO.
REQUIRED INSpUCTIONS SEWER
FOOTING
pOUNDATION WAT.•1.. RAIN DRAINS
POST, & DIM WATER LINE
PLB. UNDERSLAB CITY APPROCH/SW
SLAB FINAL
via.TOPOL
TRAKING
FIREPLACE
GAS LINE
INSULATION
n«si9naw�.
Gyp.BOARD