10591 SW KENT STREET-1 10591 SPI KENT STREET
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BUILDING PERMIT APPLICATION DATE __.:..��ir." ;-_ 14_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER P40NE
OP AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH9NE- -
LOT NO.-____
OWNER i��:: f tl I!E?'c:' JOB ADDRESS 10591 Kent
ARCHITECT
97223 ENGINEER
BUILDER_ Sam ADDRESS ' i:', 1�j,,; Yl- — DESIGNER
STRUCTURE FO NEW [I REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O DEMOLITION
URESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 0 PATIO ❑ CARPORT ❑ GARAGE C7 STORAGE ❑ SLAB C] FENCE
OCCUPANCY 1{j_—LAND USE ZONE __14.d_BLDG.TYPE _%__.-FIREZONE_ PLAN CHECK BY � ._�_HEAT
Cutlstcuct sim,le Canity dwelling w/BttAc:o a e, ali�c �r��y�rl plans. - -----
Subject to 85 cuie. � Reissue of 6758 `_ 1
SEWER PERMIT M 311564 ? bab i�,j 1) tr im , Gara a area 330 � -----.----------.-
OCC.LOAD FLOOR LOAD 4 1 HEIGHT t6l NO.STORIES t AREA 134Z_ NO.BEDRUOMS i VALIi= 61,60)
BUILDING DEPARTMENT SETBACKS FRONT REAR lr LEFT SIDE 't RIGHT SIDE
Permit THIS PERMIT 18 ISSI)ED SEaaJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIJN AND ),LL APPLICABLE CUBES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check • )^I f WORK WILL BE DONE IN ACCORDANCE WITH THE PLANTS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCE:,. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANT,',. CONTRACTOR AND SUB CONTRACT09S TO HAVE CURRENT CITY BUSINESS
r. t LICENSE.SEPARATE PERMI 3 REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax l.a. .l.a
SDC- jAX).C)+,
Total 374.95
BY O {i -- PDCq !T 150.00 AIIPLICANT DENT
Approved 95 Rereipt No. ADDRESS tt PHONE
!Raxw
ttei
pin
Auniot1''1 -W
DATE INSP. TYPE INSPECTION REMARKSDATE
PLUMBING
Contractor 0",rac,o,
Permit Nn
/�7 Rough-in
Fixture
Final
L_S—a--1 HEATING
Contractor
Permit No,
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
-Storm OrainAq-
(Pain Drain)Final
Sidewalk
Curb&Street
Approach
BLDG. DEPT.FINAL TEMP RARYClERTiFi'A &AN�
CERTIFICATE OCCUPAMY Final
Landscaping
Zoning
tit- I IUAHU MECHANICAL PERMIT `'t "
Permit#r
D.serlpdfon '—"—�
City Of Tigard
Table 3A Mechan"I Code _ _0TY_ PIRKE AMT
--
13125 S.W. Hall Blvd. 1) Permit Fee -0-- -0- 10.00
P.O. BOX 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1 i Furnace to 100,000 BTU
incl.ducts d vents 6.00
Furnace 100,000 BTU +
-) incl.ducts&vents 7.50
N.nw or 0evelofxnem -1 Floor Furnace
1) incl.vent 6.00
Job Addresv _ -- - ----._.__�__- -____ Suspended heater,wall heater
Address $ �r,, �` 41 or floor mounted heater 6.00
Tm Uo Map No 5) Vent not Incl.in
Lot 8106 sutxflvfakx, appliance permit�_-- 3.00
Na/e la name o+r�,esne�nj I bi Hepair of heating,refr ici., —
� / _ �' 7 j(� _-cooling,absorption unit 6.00
Owner Main Address IIr 7) Boiler or comp to 3 H P --- 6.00
I t absor .uni ;0 100,000 BTU
zip -1 r Boiler ui comp to 3 HP- 15 HP
8) absorp,unit to 500,000 BTU 11.00
— Narns7
9) Boiler or comp 15-30 HP
absorp unit'A- 1 million 15.00
V Addr.a p10"' 10) Boiler or comp to 30-50 HP 22.50
Cr Mractor ebsorp.unit 1-1.75 million- _--�
i CnWtttals ___ 11 Boller or 00-V to 50 H.
Sbs_ M.unit 1,750,000 BTU 31.50
ewe monNo ~- r;ly aw.Tax No 12 Air haroTft unit to
1_0,000 CFM, 4.50
f hereby eckn0w1-* n,at 1 hero rwW Mrls app"gon OW M,.W*WM@6on gw n Is 13) Air handling u,+t 7.50
oorreM lint I am Ih0 owner or authorized agent of nw owrw,Ow p1.ro aubrn*W we in __ 10,000 CFM +
�
oorrte (n.x I am sr1 ,s St
wnh aate Binder.'Board,ft!the Non portable
ro --__- _ -
enp from Srate ragbdatk,r1 pwaae�.,*re"M bMrwrl 14) evaporate cooler 4,50
15 Vent fan connected to a single duct _
-3.00
Ventilatlo i system not
16) in-ictuded i•1 appliance permit 4.50
f:.,c�r1 ser ved by
� .
17) mecha�ncal exhaunror 4.50 G.
meiborr,estictype
Desaft 16) 7.50
work [� addfNon C7 alteration El repair C] lncirw)mtof _
to be done residential
El EJ G;mmerdalorl►xhletrfel -- ,__
Existing use of i ------ t 9) type Incinerator 30.00
/ SD
Ikling or property 20) Other I.e., voodtttovc water
ler
Proposed use of v - heater,So ,clothes dryers,etc. 4.50
building rx property __--
- ---- - ----- - 21
1) t3ea piping one to four outlets
Tv;)e of fuel-- oil I 1 natural gas F1 LPG [-1 electric ( 1 — -
- -^`-- - 22) More than 4-per outlet
1HIS PEIIMIT R[COMES NULL ANDVOIDIF WORK OR CON -- - ------ SUB-TOTAL _
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 54,0 Mr.SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ( N REhEYV!S%OF slJWTbTAL l X
-.....-_. ___�_....___-___ __ _
WORK IS UOMMENCED TOTAL.
:Special CondRbns
Date issued
R p W
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : /(7--/'1
PLAN CHECK APPLICATION DATE RECEIVED: 7
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 h Life Safety Code, S edition.
FROPERTY OWNER: / �C,L e-'> OWNER'S ADDF ES S:
CONTRACTOR: y TELEPHONE:
/ '
JOB ADDRESS: ��`�-� ��Le 'C-9-c- 1 LOT N0. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
() Planning Dept. C Reissue
0 Enginee�;-ng Dept. O Flood Plain/Sensitive Lands
UFire District O Sewer Availability
O Other C Other
Item.. Requirud
CList of subcontractors L�-5
CBusiness Tax
L� Calculations / �,' %`v� (° y� 3 �'7.� G.%��z �•�_
OTruss Details
C Parking Plan
0 Landscape Plan
OOther
COMMENTS:
City of\Tigard Building Department
BY: \ :1
G
Wprkshee-4' PLAN CHECK NO.�
for inspections call 639-4175 PERMIT NO.. ).,,"05
CITY OF TIGAAO 639.4171 DATE ---It--
- I•-- a VIP✓
IUILOING PERMIT 7 // SUBDIVISION L �
.O. Boz 23397, Tigard OR 9727.3 TAX MA/ LOT NO.
JOB ADDRESS
OWNER ....,r.-----� —_ �
fy' - STATE REO.NO. s e/Oa_— _FXP.DATE "� , .
BUILDER , J ry
BUILDER'S PHONE
PHONE---OTHER- _..OTHER
ARCHITECT
STRUCTURE NEW ❑ REMODEL ❑ AODIT'ION ❑ REPAIR ❑ MOVr ❑ OTHER O DEMOLITION
RESIDENCE` ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS. C)ACCES.40RY CJ GAP.AGE (I OTHER ❑ FENCE
OCCUPANCY J LAND USE ZONE ".Z_._SLOG.TYPE FIRE ZONE_-__PLAN CHECK SY HEAT
Construct single family dwelling w/attached gara3P, All 2.r approuAd
�Rithiprt to 85 code
J
SEwERPEf1MIT., 3q3(, :LI du) sraneEa
OUC.LOA,0 FLOOR LOAD �Lb HEIGHT I/ NO.STORIES ACCREA_ ;!3 Y'Z NO.8EDNOOMS _j VALUE
BUILOIN PARTMENT SET BACKS FRONT � REAR o� d� LEFT SIDE RICHT SIDE
P.rrr4t THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED ;N THE B JILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HER":Y AGREED THAT -HE
Plan Chock p WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND Spf6CIFICJITIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
ry CI.Fki RESTRICTIVE COVENANTS.CONTRACTOR AND SU NT ORS TO HAVE CURRENT CITY BUSINESS
TAX PERMfTS.SEPARATE PERMITS REGU 0 FOR ER, BiHO AND HEATING.
Simla Ta: / r j SSOC
L-,
al .� G : SDC— v i-IR A PDG ')pd. �l/J� r/�J Plecelpl No ADDRESSl.Due . S
lesed By ,_ Approved 8y
SSUC
SOC - RECEIPT k
�s
POC v
_ -� �� ---- DATE P0. _
SCUER CONNECTION �/ �/ AMOUNT PD.
5CWCF INSPECTION S 3�
SEWER SURCHARGE S _ f�Gr �� `e`,
ear IU a m aw
[�
A 71g� M 97223
ITY OF -11"JARD PLUMBING
replicants must hold Oregon R-eglstration to condtx a plumbing PERMIT 639-41.75
business or mus(be property owner/operator not hiring outside help.
Nart►e of Dove Plumbing Permit No. r� -
ass T Description
c- L C_ Z_ P/U I ORS 814-21.610 DUAN. PRICE AMT
Job T Map.No.
Address _ FIXTURES
I.nt 7 Bk)ch Subdivision Sink - 7.50 _
ame?�r�ame�To s+ne'ssy Lavatory - -- 7.50
Tub or Tub/Shower Comb. 7_50
mp rasa Shower Only 7.50 -
Owner City/ tete - __-_-- Zip '— Water Closet --- - ',�_ - 7.50
_Dishwasher _ 7.50
-- -� Phone Garbage Disposal- _v �_ -- 7.50
Name J Washing Maditne -- --- -� 7.50 -
Floor Drain 7.50
aTj irxa Ad&,ass - ----- ---htx�ne Water Healer 7.50
Laundry Room Tray 7.50
Occupant Cary/Stsie -- - Z-P -� - -- 7.50
1;nnal
- e - -
Other Fixtures(Specify) --- `- - 7.50
KEN WATTS PLB A1C. 7.50
address,.-_�•� 7.50
TIGARD, OR 972223 —
Contractor /Stab -_ Zip —` 7.50
L_1/_7 MISCELLANEOVS 2S U
(,ity&n.Tax No.
8ewer tat tOhJ' _-_ �30.00state a".95iqW _
atePlur�r era s Tk. Sewer-es.AdcM.IV' - 15.00
(Re tion i er Water Servba 1 o t--OU' ?0 -- -
-- - - -----
I re
heby aduvoww iedga that I have reed#149 Ypplicari 1,MW 1M knMxrnatiae water Senrios ea_/4'dit.20'(Y 15.00
given is oornet,rat t am registered wM the Sub fit,tiidees 6osrar
d, xJ also SIOrm a pain[rain h at 1(,0' 90.00 _-
furve a Ste%Pkmnbktg boons teat On mmiltwe given are ported,"all --
pharg*g worst will be dor»in acrxxdwxe with eppMcabsli ptnvlsiora of(?re- Storm L Pdn Drain Addis.100 15.00 -----
gun Revised Statuses Clwph"sal and 893 and WPkshle oodes and that moW%Home space 25.00
no heip wat be enX*Nerl unie,"Ww*d under OR^-6R3 (if extwrhpt from
State raglsiratlon,please give reason below). Back Flow Prw~(W
HOMEOWNERS-I hereby cePof; Ifni 1 am the owner Of of the P^p
� «1V'de Device a Mtl F'olk�ltc)n[Hvioe � 750
aorbad above.at wNdt bcafkxh I propose to make a pkrrtt*V ktawAs0on b Any Trp or Waste Not
My Own use and Itis prgHwly is fx)9 bekq axubsa Md for sa{e,leve or rw* C irin_aC1aa b a Fixkre� - - .7'50 ---
Cateh,Basin 7.50
Insp of Eidat.PkrT" - - 40 00 Per Hr _.._
---- ---------- - - Specially Regtraetso k+M»ctions 40.00 Per Hr
_ Alla d Pkertbkq Milli-
an Exis*V BsdQ 15.00 rron.
AlJTFlOfilZEO 151I6NI1TlJ J.T''" Dale Now&dg,or Build.AddMlort _ _ 25.00 mon.0'a'
Describe work new l addition[] alteratuxh() repair F] t3rre1]i1 — 15.00
tq be done residential txxt•roewenbal
F-Xwkv use of � 7
btAdnp rx prorwlrtypvqppw
r
U"of -�41 VJIICI/Al1t>tE fC
[I"' orpjapeft
This pa4111M v srsomea tVA and void M worst or oontwuolian auexitUed Is not aortf
tt»rtOad r 4dm no dtyt#r M fsn sruollon or wok M suspenrw or abs Kim e:l t-.,;
a period to 1l0 days M any arra afbr work N ootwranoed
•MCiAL 00Ya(T10N3_._--------_-------.w� �- _
- Date IenNd .�- ___. by