10624 SW KENT STREET N wa ,-
10624 SW KENT STREET
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'7/11
BUILDING PERMIT APPLICATION DATE
THE UNDE9SIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 1684--1543
0"1 AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS LWNER PHONE
LOT NO.65 Pb"r liindi.n'n
OWNER_ ?.Iy JOBAD09ESS 10624 S.W. Kiinit St. __ _ X51-15t111
T,i. ENGINEER EE
gaiA R
P!]!11@ P.O. Box 23291 X37223 ENGINEER
BUILDER ADDRESS DESIGNER
-iUCTURE Ift, GW ❑ REMODEL ❑ ADDITION ❑ REPAIR G RENEWAL ❑ FIRE UAMAGE ❑ DEMOLITION
Ill RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PACO ❑_CARPORT ❑ GARAGE ❑ STORAGL FA SLAB❑ FENCE
OCCUPANCY _—.8,3—LAND USE ZONE _�__.�BLDG.TYPE __'a$l _FIRE ZONE -LAN CHECK BY K4 k B 14%AT Gas
Construct singly family dwelling w/attached gaaraga, n11 per approved plans.
ub ject to 85 code. Re-issue #6744
SEWERPERMIT# 281911 34567 3 baths. �13trans______qqrj +~_area 40C
OCC.LOAD FLOOR LOAD 4 0 HEIGHT 20' NO,STORIES 2 AREA '5 1_9NO.BEDROOMS 3 VALUE 55,0004
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 35' LEFT SIDE 1.0 1 RIGHT SIDE 61 _
Permit 298. 00 THIS PERMIT IS !SEIIED SUBJECT TO THE REGULATIONS CONTAINED IN THE B'JiLDING CODE, ZONWG
40. }n REGULATIONS AND Ai I_ APPLICABLE CODES ANF) ORDINANCES, AND IT IS HEFEBY AGREED THAI'THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION,: AND IN (:OMPLIANI,E
WITH A'.L APPLICABLE C,')Df:S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WI&WE
Subtotal _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
14 I)n LI ^�� ScPA1T�PE(�i.-ITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 352.'3UBy � RDC— 60G."'0
40.00 PDC# T I 15(,.0 0 AF LIOANrOR Ad-ENT'
Approved ' 312.9(} Receipt Nc.�71r' ADDR633
PHONE
1
EELMKML-M-.ALE
DATE INSP. TYPE INSPECTION .,REMARKS PLUMBING DATE
Contractor/
t 17 V, Permit No. 'ZI
Ro,iqh-in
Fixture
Final
HEATING
Contractor r- 2-1
Permit No. 'TV%4 1
Gas or Oil
/7 L/_ 4-J. Rough-in
Final SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Siceywalk
Curb&Street Final
Approach
_I;I1 _E _
6c
BLDG. DEPT. FINAL TEMPORARY CFFzTlCATC. 'PANCY
CERTIFICATE OCCUPANCY rinat
Landscaping
7oning Final
xahT
'CITY OF TIGARD MECHANICAL PERMIT Permit Hermit#
#) _��
Description
hankal Code 3TY PRICE. A#T
City or Tigard Table 7A Mee-- _ --
13125 S.W. Hail Blvd, 1) Permit Fee •0- -0- 10.10
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Fumace to 100,000 BTU—
1) incl.ducts&vents_ 8.00 -
-- Furnace 100,000 B'rU 4---— ---- —
Z) incl,duets&vents 7.50
— Name of Devebprneni ra FloFurnace —
3) incl.vent_ 8.00
.Job Address __----__— Suspended heater,wall heater —
Address �(� SGJ prf S 4) or floc,mounted heater 6.00
Mwello.c C r,u �) Vent not incl.in 300
— Lot j' Clock subdivision Cb✓•t/w,./, appliance permit _..--
Na (or name M,bu ness) Repair of heating,ref ig ,
n cooling,absorption unit 8'00
MaMinggl�.ddresg Phone �) Boiler W cern;,to 3 HP 6.00
Ot .her absorp.unit to 100,000 BTU
Boiler or ccrrip to 3 HP-15 HP
6)_ absorp uo.!Io_500,000 BTU 1 1'00
Nemo 9) Boiler or comp 15-30 HP --- -- -- - - -
��� -- 15.00
absorp.ur`t'i2.1 million — - - -
Boiler or comp to 30-50 HI`
rrlsw,gAddreaa ptgM
10) absorp.unit 1 -1.75 million 22.50
Contractor cnyistate zip-- -- Boller or comp tc 50 HP ---
11) absorp.unit 1,750,000 BTU 31.50
state pagiewetloo Na --- City Bun Tax No - Air handling unit to-�—
12) 10,0_OOCFM 4.50
1 hereby acknchvledpe tlhal t t n e fool this pplk aanon that to Inf(xmetbn given is 13) Air handling unit -- -- --- 7.50 -
correct."Mi I am Die owrhsr or autrorbad agent of ft owner,that plane eubmllted are in 1.1),000 CFM 4 —
oompNuhce With Stals laws.that I am regbtered won the dale Flullidem'Board.that the Non potable _ --
nharhber given Is(t rwct (t exempt tnxn state registration please give reason below) 14) evaporate Cooler 4'50
- ------- -- - -------
- 15) Vent fan connected 3.00
to a single duct
-- --- Ven'ilation system riot
_ Y, S.
16) incluued in appliance permit 4.50
Hood served by
�— 17) mechanical exhaust 1_ .4.507
horn a _ Dime DorrtPitir tm-
Desctibe ,,,J addition U alteration O repair F] 18) incinerator _ 7.50
to be done 1 residential t] m-i-realdential Ll Commercial or industrial
30.00
Existing use of - _i 9) type incinerate,-
building or properly_- -- _ 20) Other I.e.,woomtove,water -- -- 4.50 1
Proposed use of heater,solar,cloh�hes dryers,etc. y
building or property - 21) Gas pipinp one to four outlets / 2.00
rype of fuel-- oil ( 1 natural gas Fa LPG Ll electric ( 1I
-
22) More then 4-per outlet
-W__ ____ _ _ i -
_ICE
1HIS 1''EIlMIT F3ErOME-S N(ILI ANI) Vol!) II Wuf{,� ()ti CON -- SUB-TOTAL
STRUC:TION AUTHOflIZED IS N(11 (.OMMFNCFD WITHIN 1805% 416 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 26%OFSU111111.710TAL
ABANDONED von A PFFTIOI)Of 180 DAYS:nT ANY T IMF AF-TFFt --- ----- - ------- _ t
WORK IS COMMENCED TOTAL � (r• J
Special Conditions
_ � r
by
CITY OF TIGARD BUILDING DEPARTMENT
PLAN CHECK N0. : /U . ,;2-
PLAN
„1PLAN CHECK APPLICATION
DATE RECEIVED: /c)
P.O. Box 23397, Tigard OR 97223
P/C UEPO; IT PAID:_
This is to certify that the attached --
been subm
check pursuant to the Oregon Structural-Code sand ets o.i.rel&nLifevSafety Code,tted for`pii
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR- � (�'.y y�,�_-_
TELEPHONE:
JOB ADDR'sSS:
LOT
NO, & MAP:
DESCRIPTION OF WORK:
Approvals Required
SPECIAL NOTES
0 Planning Dept.
Reissue
O Engineering Dept. O Flood Plain/Sensitive Lands
Fire District
Sewer Availability
0 Otilni'
Other
Items Required
OList of subcontractors
0 Business Tax
l� Calculations
nTruss Details
OParking, Plan •
OLandscape Plan
O Other
COMMENTS:
City of Tigard Building Department
BY: \ i
CITY OF TIGARD PLUMBINGprid CR 97223
Appikants must mold Gregor Registration eo conduct a plumbing PERM I F3 -0175
business of must be property owner/operator not hiring outside help.
Name of Devskspntsrrl PiumhrnµPermit No.
C- /��✓! ONS 814.21-810 GUAM. PRICE AMT
Z y
Job Tax Lot ►WP•NO.
Address —_____---- FIXTURES
1�1 �•-
Block Srbdrvlsbn7.50
Sit* %
Lavatory -- - - -- - !� --- 7.50
rn -
ee or name " ) 7.50
Tub or Tros/Stxnver Ccxnb- - 1
IV ' a Shower Only 7.50
7.50
—— Water Closet __`—.. --
Owner / to J �_— Ino Dishwasher --- 7.50
P" Garbage Disposal _ 7.50
Washing Mactunc+ _ __ L_. -- 7.50
Name Floor Drain W ---- __ __7-50 — -
f'ttone WalerHealor- =L -
750
ress _- - 7.50
LaundryRoom Tra} _-
�_____-_------- -
Occupant C,ky/Stato -- Zip Urinal 7.50_ _ --_
Other Fixtures(Specify) 7.50
Address P.p R 925 --- -- 7.50
7.50
Contrrctor t�iyi8taa MISCELLANEOUS 7 S
ewe No �Q.OU
3awer
lot t 00' _ _
-- 15.00
rs s. tiiwusr•ea•Addil 100' -�- -
s oF�dra Fro � le 20_00
(Residential) 7 _ / e/ /"'0' JWrier Servloe t st 100'_— -
g 7>$ (S Water Servloa ea.Addit,=e - 15.00 - --
t hereby od nowledge that 1 haw read this NPOIC~.that the tnAL—tion - - 90.00
aw _ --
yn is corfad,OW I am ragls(ared with the State Hulldoes Board.and also Strom 6 Rain Drain t at.100' -
have a Stow Pkrmt�lrq loaneat s Mthe nurrrbaro 91wn am corms Mat ON Storm&Py15.00
n Drain Addit.100- _ _
pourriw p walk will be done in atze"anoo with aPPilitpnvW""o1 Oro; -- 25.00 V
Motile Home�wv
pcxl Revised Sts*Aes ' aro 417 and e93aid „°OWs frmn -- --! —— -
t>Atp
No be WMAWW unless IFoartaad uWW ORS W3 ( ti'"" Back Flow Prevention
Stater reglstrateon,pteraue give rwason below) Dsvk>s or Anti-PalhAion Devicedo-
- 750--- -
HOMEOWNERS-I hereby c*fWy 11111101 am tht owner of see p Verly akado
acxted above.as wtrlch toutl0n 1!owpoaa to reeks a pkxrbfrrp tallNton for Any trap or walla Nd bo
rtry own use arw toms prop"to not bong clxevuolad for sale,lease Of font Correcod to a Fixture
7.50
Qddr Basin
------- k'r
trap.d ExW PW"ing --- 10.00 Par Hr
40.00 PM Por --
-----�..
Specialty ipMkx's
_- AIMn
Of Pkerrt*V 15.00 min
an E.xiatlng 8,169
_
Now Bldg of fivad Ad~ 25.00 min .r -
AUTNORIZFD S#GNATURIF/r - • -- -- -. -Lx�171i917T�e fcYiU
alW tion Q mpWr f 7 taleD
r*vascxtbo work naw o addition[] _ -•-_.__-__ --
I t 1 be done
Lresberirlel non nsiMntial -
Fxrwknp use 01 9LWT0TAL -
M of - - --
bo vi"
pmPer ty - y
HaT" -
Tt*pwvyd bitiow"s rut and wld11 work 0r 00nxsnricition autfrontied N�.�1 mm
1111101 d within tp de"W k oan trunoon 0,wof%40 ttMpwwW or obu,daed fa
a P~to 15o days N any&rte ahw wm*is wofwAnood
41111rB91AL
_ - (It'll 4"1114"ra.
Wpr�S�'lPC' PLAN CHECK Nu.
for inspections call 639-4175
PERMIT NO. 7
CITY OF TIGARO 639.4171 DATE is1
BUILOINO PIM. ;TS�_S q La"(I tic
P.O. Box 2 47, Tigard OR 97223 TAX MAP�_ _LorNG. SUBDIVISION
OWNER _F __ JOB ADDRESS
su1LDERNO.,
\ ig 1 rp,' i El{ STATE REG.NO.�s�1 I EXP.DATE
—7
BUILDER'S PHONE
ARCHITECT _ - PHONE —_ OTHER
STRUCTTIRE NEW E7 REMOOEL ❑ ADDITION ❑ REPAIR U MOVE O OTHER n OEMOUTIO�
t AESIOENCE ❑ COMM ❑ EDUCATION ❑ INO 0 RELIGIOUS, ❑ACCFSSORY C] GARAGE O OTHER 0 FENCE
(X.CUPANCY r�--i„Z_iU►NO USE IONS ,��''�7 BLDG,TYPE �1.-FOA'I:ZANE_...—PLAN CHECK BY SS AT '
Construct single fami1y dwel 1 i naw/asts�sh_�d aara�P,_aV_perappr-vsc -_
—SubjprL tQ 8code
SEWERPERMIT#.3 -(I du) _'7' baths. area
OCC.LOAD FLOOR LOAD �� HEIGHT NO STORIES AREA/J 1r f NO.BEDROOMS 15 VALUE.SJ0,-"
BUILDING DEPARTMENT SET BACKS FRONT 0-j-) REAR X _LEFT SIDE / 1 RIGHT SIDE
Wrmll THIS PERMIT is ISSUED SUBJECT TO THE 1EGULATIONS CONTAINED IN THE BUILDING CODE. ZONING:
-- REOULATTONS AND A..L APPUCABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THMT THE
Plan Chock U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A.40 IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pt CIL Fki RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS T AVE RRENTCITY BUSINESS
/ TAX PERMrTS.SEPARATE PERMITS REOUIRED FOR SEWEK PLUMBING A H N�41 ISlelr.Taut ! G Ss(x
SEC- _..1 A )"7TOId 2 G APPLICAH�p0A AGENT
Pr.pC. Cj , fill P(K•,e r() V 6X �-Jr�_"I ��L► _.
FLrcelpl No
ADDRESS PnONI
Bel.Due � �y
Issued By _- Allpfoved By
SSDC ---
"� --'- RECEIPT k __
POC - Z — DATE PD
SEWER CONNECTION 5 /�0 U AMOUNT Pp."
'SEWER INSPECTION S 3S�
SEWER SURCHARGE S cQulr'.� "o/ �
3 ,5