10668 SW KENT STREET-1 10668 sw KENT sem .
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�NfiPSCPION_NOTICE .;
City of Tigard Building Depart'� ut
13125 611 Heli Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 6311-4175 BusLness Phone: 639-4171
Inspections._-- ------
Footing Plbg. UnderalAb Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line t �FINALt�
post/Beam strict. San. Sewer 'eraminn
Poet/Neem Neck. Rain Drain Insulatton -plumb.
Plbg. Underfloor Nater Line Gyp. B3., C-N ..00h 7
Date Requestedt rte"- 'ice �� Timet AM PH
h6a,-eas s „C,_ ''c.v .C„�-��^� T Permit ft
Builder
^HE FOLLOWING CORRECTIONS ARL► RRQUMEDt
2 Dates //^c
�----�__
APPROVED DISAPPPOVBG d--"' APFP.sN*.D SURJRCT TO AROVF,
Call 'or Relnsp.
C17YOF71FARD B 11-DING PERMIT
OFTWX PERMT714. . . I P1,
A� w
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PERMIT #. SUP90 0 1.27
13126 SW HWI BW. P.O.Box 23397,Tigard,OrfVon 97223 (15�3)O'Afl-417 I.-.1 R 1:
'ilzl. ISSUC E D: H4/ '1/'3 2:. 0
;7, I)Ojt,"
ITE ADDRL:iii. ,. . :! 10668 SW KENT ST
�117 PARCEL: 2SI15AA--02800
SUBDIVISION. . . . s DOVER LANDING NO.2 ZONING: R-4.5
BLOCK. . . . . . . . . . 1 L07•. . . . . . . . . . . . . 167
R F."J S 6 U E C FLOOR AREAS------ EXTERIOR WALL CONSTRUCTION-
CLASS OF* WOf'�K—flIEW F7IRST. . . . I sf H4, S3 EI Wo
TYPE OF USE. . . -S�r SECONA). . . I sf PROTECT
Tyr,:,E OF CUI ("'T . ISN N f N: S.- Eg Wg
OCCOrlp"Cy Ukr. . -IMP TOTAL----1 0 S-f ROOF "UNSTi FI RE R El"."i
OCCU y LOAD: BASEMENT. ; sf AREA SEP. RATED:
STOR. HT. s ft GARAGE. . . i sf OCCU SEP. RATEDc
H S IT17 I ITI E Z 7? REVD SETBACKS-------- R Q U I R E D
FI. 00 R LOAD. . . . 1 psf LEFT: I I ft RGHT,,. 11 ft FIR SPKL-. SMOK DET. . :
DWELLING UNITS: F'RNI t ft REAR 12 J. ft FIR ALRMS HNDICP ACC:
BE::DRMSs P OTH 1:'i- IMP, SURFACL:1 PRO CORR: PARKING:
VALUE. J.Q)8 0 0
Owl.)e.r." FEES
JED ROBERSON type amount by (]Ate r e c.,p
1.0F*''pC',8 SW K LN'T PR M T $ 86. 50
P I..C K $ 56.23
I'! JORD OR 97224 5PCT $ 4. 133
,'halle #: 639--2980 PA Y M $ 147. 05 JLH 04/27/90
STEPHEN KRAHN
1.0308 N OREGONION
PORTLAND OR, 97203
I
PIIarle 09 L' 86-9'.)25 147.06 TOTAL
Reg 0. . z 4801.8
PEOUIRED INSPECTIONS --------
This permit is issued subject to the requiations c,intiined in the MeehaiiicAl Insp
Tigard Municipal Code, State of Ore. Specia)ty Codt: and all other Gas Line liisp
applicai-ie laws. All work will be done in accordance with Reirif Stee-I Insp
approve] plans. This permit mill expire if toork is not started
Slab Insp
within 181 days of issuance, or if work is suspended for more Plm/Linds1b Insp
than 188 days.
Prrmittpe »....___...._.....
BY.
41.75
-—-------------------------------
MECHANIC.AL
PL R M IT
CI�OFTIFARD F,ER M T T #. . . . . . . : MEC90----00813
�00-f W—A T:1 , -1
Rl�l. 1"'ERMIT #,.., DUP90-0127
COMMUNITf DEVELOPMENT DEPART ftDDOTE I G UEDc 4/27/90
13125 SW HWI Blvd. P.O.Bo.23397,T*M,Oregon 9-AI24 ,.,EJ7r,
�:&.L- 2S I 15AA-0280c)
:r�L--
SITE ADDRESS. SW KENT ST P
J F 4. 5
.4DIVISION,. . . . DOVER LANDING MO. ZCJMINGc R—
.. . . . . . . . . . .. . . . . . . . .
C1L()13i*3 OF-' WORK. . -NEW FLOOR FURN. . . . EVAP COOLIZARS:
TYPE OF-- USE. . . . 2 SF- UNIT HEATE'253. . VENT F:'AMS. . . -.
UCCUPANCY GRP. . :M2 VENTS WIT) Ar.11--,L..- VENT' SYSTEMS:
9 TO RI E S. . . . . . . . I B 0 1 L ER S/C 0 M PR E 9 9 0 R S HOODS. .
FUEL TYPES.......... 0-3 H DOMES. C "IN:
C.),A S/ 3-15 HF*,. . ., . COMML. INCINr.
MAX INPUTu255000 B 7'U 1.5—;30 H F-:'. REPAIR UNITSa
1':*IRE DAMPERS"). . a 30-50 HP. .. WOODSTOVES. . :
GAS PRESSURE. . . fl.. 50, Hf'. . CI—O DRYERS. . c
MO. OF AIR HANDLING U N 11'� OTHER UNITS. s
F--URN ( 100K BTU: 1.0000 efill: GAS OUT' CTS. a I
F'URN )m- tOOK BTO.-I i 10000 cf"I:
FEES
:,ED ROBERSON type amount by date -rec�pt
10668 SW KENT PRMT $ 19.50
5P(,'I s 0. 97
TIGARD OR 97224 1:1 A Y 11 $ 20. 47 JLH 04/27/90
r-'1hc)ne 0: 639---2980
Cc)rit—aetc)-r-
CONTRAC,T(IR NOT ON FILL
28. 47 TOIAL
P e 9
REPUTRIED TNSt-*1ECTTJNG
This permit is issued subject to the regulations contained in 'he Gas Line Irisp .............
Tigard Municipal Code, State )f qrp. Specialty Ladf-s and all other Mechart j.(--,al. Ilisp .................
applicable laws. All work will be done in accordance with Fiiial li-isPeet iciii
approved plans. This permit will expire if work is not StATtPd
within 180 dams
Ys of issuance, or if work is suspended for more ...............
than 180 days.
Pe-rnli.ttee
By:
Cll' Y Clf-� M-36RD Rrc-.cirr OF" PAYMENT RECTEIPT NO. 90—"A"Uf.")4 rib'
CHECK AMOUNT 16"',. T.71
OME b ROPERISON, PATRIC'.1f1 CASH AMOUNT e G.00
ODDRESS a 111668 KENT PAYM E N GMAT):'. 04/2'7/':�O
T !GARD. OR 1771Z`f 4—
PURPOS17 OP PAY1"' AMOUNT PAT D Fl.)PPOSE 01" PAYMENT AMOUNT PAID
PUTLDING PEPM PPI"0-1.31;2—, 86. 50 HEA"HANICAL. PE MECtk'I---00S3 19.50
S7 . PLIM) PER 45. ��o Pl—t-'0 CHFCF-' FE 56.
TOTAL ()MOU'AT PPM) t 6 7.
ITYOFTIFARD 13125S.W. PLAN aI� ION
P.0.&>r 977 PL, Q (
t xd 639-4,m PERIVaT # '_y v C�1.2 7
COMMUNITY DEVELOPMENT DEPARTMENT 223
��oa)e�9�,71 7,
[GATE ISSUED
JOB ADDRESS: 0 k1r, , ' TAX MAP/IIYI'
SUB: i)�„� �' v �� � cit -� .- IDI': /� zAt1D USE: _
VAIXAnGN: /'J, GAJ
OWNER - ) SIVB JAL NC,.ES
NAME: _ 'i� _ I i/ l�o p r n r' REISSUE OF:
ADDRESS: 1 0 (e !e RETS-AM: _
----Y. IT" PLAIN/ -
_ SE9S.T1W LAN
''IXVE:
APPROVALS FEQUIRED
CONTRACPOR PLAPIl IW,: _ ,fL-- -_--
NAME: ENGINEERIM:
ALIN*->S: tn . - FIRE DE Ir
-
BVIIDERS BMRD #: '-I ZO/ '1 EXP Dl1T'E: _ jet LIST/ . — ----
BUS TAX: _
A RMI 2 INEER CALCUU TIONS: _ -v
NAME: TRLrZ DEPAIIS: _
PHONE: -� —
0319 IFNI"S: —(1 'f_ t a i/ ' "V&
Lyak►J pay /ic(.rll�e�E�] rQ,/ 1ff �(/0 i/_r lC 11t t .rls► --
SUBODAIMCIURS: PI,LMB: - — - MFJCH:
PERMIT if ACCT if DESCRIPTION ION 3Lw AMAW PD. BAL. DUE
13G4/'9,j 10-432`00 Building Permit Fees ! v -
10-431 00 Plumbing Permit Fees
?9„c yo 9.3 10-431 01 Mechanical Permit Fees ✓� _ /�,.S�
10-230 Ol State Wilding Tax (5%) �U �— � S•�ta
Building
Plumbing _
Mem ”T
1.0-433 OU Plans C iedt
Bui.Idi.ny _ J" �z
Plumbilig
Mec h
------ 30-202 00 Sewx Connection _
30-444 00 Sewer Inspection -�
51.-448 00 Street System Dev Charge (SDC) -
52-449 00 Parks S)rstF-- nev Charge (PDC)
31--450 00 Storm Dtairw-j,= Syst Dev a rg (SSDC) _ �-
10-230 06 Fire
TOTAL
RDC
APPLICANT SIC$1A`fi
Received By: Date Received:
of/3587P.WP '
ars sit war aw r� sae et sari art
iCBO Evaluation Service, Inc .
tow
A subsidiary corporation of the International Conference of Building Official
( Report No.4204
EVALUATION REPORT February, 1989
i.wr..t.o n®v.x,) .duns n 1 ,. „„
FIIIng Category:SWIMMING POOLS AND SPAS
IMPERIAL VINYtAANED IN-GROUND collar tocarn to resist the resulting vertical and lateral loads. See Figures
RESIDENTIAL.SWIMMING POOLS Nos. 2 and 4 for typical pool cross section. The pool is to be filled with
IMPERIAL POOLS,INC. water and simultaneously backfilled, puddl_d and tamped by Land The
vinyl liner is installed in compliance with the manufacturer's instructions to
33 WADE ROAD ensure a smooth waterproof surface conforming to the pool wall and bottom
LATHAM,NEW YORK 12110 surfaces. Plumbing and electrical equipment must be in compliance w-th
theplumbing and electrical codes in effect at the construction site. The
1. Subject: Imperial Vinyl-lined In-ground Residential Swimming pools may be, installed without a soil investigation by a qualified sails
Pools. engine^.r,provided none of the following conditions are encountered and the
II Description: I.General:imperial Pools are of various sizes,shapes site is approved by the local building official:
and depths(or use as residential in-ground swimming pools.Refer to Table a. The existence of groundwater within the depth of the pool excava
No. I for pool sires, depths and capacities. The general construction in.. tion.
eludes excavation, installation of galvanized steel wall panels and angle b. Existence of any uncompactcd fill in contact with any portion of the
braces,installation of pumps,filters,etc.,the placing of a one-piece vinyl pool.
liner,back filling the panels snd pouring a concrete walkway at the lop.The c. Existence of any expansive or adobe-type soil at or within the.
steel wall panels ere manuracuued with No 14 gauge steel conforming to confines of the pool area.
ASTM Iksignalion A 529 and galvanved in accordance with coating d. Existence of any soil which will not support the walls of excavation
designation G 165 of ASTM lks ignation A 525.The panels ar available in at the desired slope.
standard sections 3 feet 6 inches high by I to g feet in length, in I foot
increments. A 4 foot 6 inch-long panel is also produced.Curved sections e. Location of the proposed pool excavation that could cnoanger adja-
have an arc length of 6 feet 3 inches.Steel wall panels are laterally sup xirted cent structures.
by A-franc bracing systems at each panel joint,it maxi.num of g feet on If one or more o(the above conditions are encountered,excavation nr st
center. The bract. consists of a 2-inch by 1-inch by I/ii-inch steel angle cease until site conditions have been reviewed and recommendations made
conforming to ASI M Designation A 216 and galvanized in accordance with by a qualified soils engineer.The engineer's report rust be submitted to the
ASTM Designation A 123. Panels are joined by five s/a-inch-diameter building official having.juri3diction for review and approval prior to,,ontin-
inachipe tolls and nuts conforming(it ASTM Designations A 307 Grade A trance of work.Thepwis are for installation only by factory trained and
and A 563 Grade A,respectively. rhe bolts are cadmium plated in accord- approved distributors and in strict compliance with the requirement,of this
ance with ASTM Iksignation A 165 and the nuts galvanized in accordance report.
with ASTM Designation B 633.Foi further details,refer to Figures Nos. 1, 3.Identification:A label is attached on each panel identifying the part,
2, 3 and 4.Tlr_liner is a polyvinyl chloride sheeting of minimum:0 mil the manufacturer's name and address and the evaluation report number.The
thickness manufac:tired by Canadian General Tower Limited.A permznent pool liner has a label identifying the manufacturer's name and address.
sign must be attached to the pumping equipment and read as follows.
NOTICE: Pool is to remain full of water at all Ili.Evidence Submitted:Plans,manufacturer's installation instructions
tines Pool may be damaged if water level is and structural calculations.
allowed to drop below the pool inlet. When Findings
appreciable draw-down is noticed or if it be-
comes necessary to drain the pool, contact IV Findings: That the Imp-4z: Virv' t;oe:d In-ground Reside ilial
Imperial Pails,Inc.,or its agents for instruc- Swimming Pools as described in this report comply v,ith the 1988
tions. piriform Building Code;subject to the following conditions:
A permanent label must be insta led adjacent to the above sign by the I. M1taterials and pool Installation comply with this report and the
manufacturing licensee hearing his name,address and telephone number. manufacturer's recommendations.
2.Installation:The pool site is initially ercavated to a grade below the 2. The electrical and plumbing instaflatians comply a ith lire re-
venwasl wall area. The sides are over excavated approximately 2 feet 6 spective codes In effect jai the construction site.
inches aroupd the pool perimeter, which allows the panels, the A-frame 3. The pools are Installed toy factory-trained InsfAlers approved by
bracing systems and a minimum 9-inch concrete collar beam encasing;the Imperial Pools,Inc.
A-frame base a id steel leveling plate.Fine grading of the bottom and side 4, The pad must he set back more than 7 fe c( from the top of
slopresutilizesea-inch layer of sand,concrete,vermiculite orsconciete and descendingslopxs.
sand mixture which is applied as recommended by the manufacturer's
instructions. The base of the sidewall panels is anchored in the concrete This report is subJecl to re-examinrlion In two years.
Evaluation reports of ICHO Evaluation Service,Inc.,are issued sok,y to provide-ftrfornratian to Class A members of ICBII,utilizing the code upon
which the report is based.Evaluation reports are not to be conte std o:representing w:thetics orary otherattributes not specifically addressed nor as
an endorsement or recommendrition i'or use of the tub ect report.
This report it based upon independent tests or other technical data submitted by rhe applicant.The IC80 Evaluation Service,Inc.,technical staff has
reviewed the tell re.tults and/or other data, but dogs not po.ssets test facilitirs to make an independent verification. There is no warranty by I('It0
Evaluation Service, Inc., express or implied,at to anv "Finding"or other matter in the report or as to any product covered by tht report. This
disclaimer includes,but is not limited to,merchantability.
page t of 6
mamw
PI"Z 0f 4 Report No.4304
TABLE NO.1--POOL SHAPES AND CAPACITIES
DEPTH _ /CITSURFACE APPROKIIIATE
SIZE i6allow ONO AREA CARr
lIIAPE __ _ FiM _End End LONIon1__
SERIES 7(X)and 7511 2(1 x 36 3'-(Y' N'dl" 593 211,9(9)
17 x 37 Y.0" N'dY' 540 19,51X1
20x 44 3'-(Y' 8'-IY' 656 23,4(X)
SERII S 71X11-and 7501. 20 x 43 3'-0" H'-o" 826 27,8(X)
SMES KM and
20 x 40 3'-o" 8'-o" 800 29,(XX)
S13KILS 800L and 8501. 18 x 26 3'-0" 8'-0" 822 26,828
SERIES 900and 95o 14 x 26 3'-(Y' 6'-(Y' 36) 11,4(X)
IK x 34 3'-(Y 6'-0" 61X) 19,6(X1
22 x 42 3'-0'* 6'•0" 920 31,600
SERIES 10(X)(ux11USo 17 x 33 3'-0" 8'-0" 544 18,6:19
19 x 31 3'-0" 8,-0" 686 23,300
21x 41 3'-(Y' 8'-o" 844 30,11X)
SERIES I(XXiL and(050L 19 x 42 3Ar 8'0" 822 12,5(X)
SERIES 550 16 x 32 3'4r 8'-0" 457 19,6(X)
I8 x 36 3'-0' 8'•o" 503 23,7(K)
20 x 40 3'-0" 8'-0" 745 28,300
SERIES 650 20 x 37 3'-0" 8'-0" 464 15,600
SERIES 50(1 16 x 32 3'-0" tl'-0" 448 16,800
16 x 28 3'-0" 8'-0" 384 14,400
16 x 36 3'-0" 8'-0" 512 19,200
18 x 38 3'-0" 8'-0" 603 22.611(1
SERIES 400 21 x 21 3'-0" 8'-0" 312 9,9(X)
26 x 26 1 3'-0" 8'-0' 496 I6•tlW
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FIGURE 110.4
CORIE
FTIGARD
GON
January 8, 1990
Mr. Roberson
10668 SW Rent
Tigard, OR. 97223
Re: 10668 SW Kent Permit #BUP90-•0127
MEC90-0083
Dear Mr. Roberson,
The last inspection conducted on the above project was a gas line
on June 20, 1990. The next required inspection will be a final.
Please advise the Building Division of the status of this project
as soon as possible so the file may be kept current.
Please note that any permit without activity for over 180 days
becomes void. If you need additional time to complete the project,
please contact this department so that an extension can be
discussed.
Sincerely,
►brad Roast
Building Official
Notice. l
13125 SW Hall Blvd„P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171---—
■i � .! .R a. ,rt Isar .� .. ..
382.00 +
132.50 +
36.00 +
27.53 +
257.30 4-
220e00 +
880.00 +
35.00 F
600.00 +
150,00 +
250.00 +
2970.33 0 Sales, Service, Installation
Pool Accessories, Spee
100.00 - and Chdmicals
2870 a 33 # imr'th;n:. ?. OOLS
r. Portland, Vancouver
Stephen D. Krohn
(503) 286-9925
10308 N. Oregonian Portland, Oregon 97203
17 iY41111Y
z
'7YOF TIOARD cm n ARo SEWER F FkM I T
PERMIT NO. : SE8 71")-1 6
OalOON
COMMUNITY DEVELOPMENT DEPARTMENT DAl fi 1 )QED: 12/16/8 77
13125 S W.Hall Blvd..P.O.Box 23397,Tigard,Orogon 97223.(503)639-0175 R.1 M. PMT.rJ U 87().?' '
JOB ADDf EES% i 04,,x8 SW KENT 6T USA NUMBED t 7,4915
TAX. MAP /LOT 2S1 15AA 28001 17UE3 DOVER LANDING LT-. 67 8k.:
LANE) USE%
LOT SIZE:
SECTION% 15 TWP: 2s RNfa: I
WOFRI CLASS% NEW
USE TYPEe SIN13LE FAMILY
The ap? lir_+ant agi^eee to comply with all rules and r,Pgt.11ation'�s of the Unified
`�,ewr?t-agG? Agency. The pef-mit a .p i.res 12'() days from the (late i=sued. The total
amol.fnt paid will be forffnited if the permit e�;pirPs. The Agerrl-y dt7rn�b not w�l.lar
%thee the 51 CUra+cy of the^ location of they side sewer later-als. 1f the seawet- is,
r,ot located at the rneagc.lrement gi.vf=n, the installer- shall prospect 7 foot in
all directionsfrom the distanc-re raiven. If not so located, the installer' shrsal '1
Ft.1r•cha~ace a "Tap and `,5itie Sewer-" Permit and the Agency will. i.ns,tall a lateral .
r-- IrISTALI._. TYPEe BUILDING SEWER IMPERVIC1l_IS APEAt
F"I X T 1JPE UN I'TS 1 TENANT I MPPOVEME'NT'%
OWELLING UNITS% 1
r4o. f_1F PI_DGS. % 1
FEES:w MIL_I_EP JAY PERMIT �• �►
ra P. O. BOX 23291 CONNECTION CHARGE $i , 100.00
E
T I OARI) OR 97223 LINE TAP INSTALL.
PHONE (15i!7) 684-7543
OTHER
" MIL.LEP fA
T tF,r MIL._LER. BUILDEP
R
f .C . PDX 23291
G TI(3ARD OP
l PHONE (503) 684-75147-1
is FE�GISTRATION NO. 30.1109 TQTAL% 1 , t::"5.Cr0
RECEIPT NO. ,2 ;V1)
This pprrml igissupdsubject tothe regulations contained inTitle 14 _________---_.
of It,e TMG State of Oregon Specialty Codes, zoning regulations F;.FGll.I IRED INSPECTIONS
�+ -f all )ther applicable codes and ordinances, and It Is hereby
aqr •r d that the work will be done In accordance with the plans and ROUGH -T N
sper,firahons anti in compliance with all applicable codes and
u•fe,ances The issuance of this permit does not waive restrictive
nvnnant% Contractor and subcontractors shall have current city
hug ness tax permits This permit will expire and become null and
void it work is not started within 180 days.or if work is suspended or
ahannonr-d for a period of 180 days any time after work has
, , rr.r ir.ed It shall be the responsibility of the permittee to assure
an wrluirel inspections are requested and approved
Pnrrnilip e lire
N-ovd Ry
t ALL FOR INSPPCT ION 6'_;9-41745
5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
870297 7 1, 2
??PLUMBING PERMITCITYOFTIGARD FERMI NO. : F'LB-10294.
C111YOF1101111)
COMMUNITY DEVELOPMENT DEPARTMENT °a'°°" DATE 12 1,5
.8 7
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 h'RIM.PMT.NO.
!OB ADDk'ESSt i t"166R SW KENT ST
7AX MAP%I._OT 2SI 15AA 281:►t7 SUP t DOVER LANDING :' LT:67 E*
I-AND USE:
L.OT SIZE=.:
I TEM: NO: NO.-
14081! Cl.ASS t NEW WATER CLOSET TRAP
USE TYPE s SINGLE. FAMILY UR I NAL 1jkF1..OW PRVNTR
CONST. TYPE t VN I..AVCIRATORY 7� TRAP PR I MEF
1]CC:UP. PP. t R?; TUB SHOWER 2 GREASE •TRAP,
DISHWASHER 1
GARBAGE DISPOSAL 1
NO. STOR 1 E::S It 4. WASHING, MACHINE. 1
DWELL.UNIT`;: 1 LAUN1`1PY TRAY BLDG. DRAIN (DIA
FI,OOP DRAIN
S I NI! 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT ]
r.TT'HER
REMAR1,.S t
FEE G:
MILLER JAY PERMIT
N P. rh. RCIX 23291
t TIGARD OR 97�27 F I XTURE S
f1 PHONE (503) 684-764- STATE TAX
OTHER
C WATTS i'EN
T KEN WATTS PLUMBING
R 890() SW PUPNHAM
A t i gam 'or 722
T PHONE (5C►;) 684--662 b
R REGISTRATION NO. 50878 TOTAL: fj Y?. 17
RECE I F-T NO.
This permit is issued subject to the regulations contained in Title 14 _•-_____.•-__.__.._____.__..__._..._
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby PLR. UNDERSLAEI
agreed that the work will be done in nccordence with the piens and
specifications and in compliance with all applicable codes and POST & BEAM
at finances The issuance of this permit does not waive restrictive WATER LINE
covenants. Contractor and subcontractors shall have current city FLET. TOPOUT
business tax permits This permit will expire and become null and RAIN DRAINS
void if work Is not started within 180 days,or if work is suspended or FINAL
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 and approvrd.
Porryti►! SI ® •
Issued By: --`"'r ALL FRR 10 i1PEPT S 7 4.-.az --- _—_--- --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFT167ARD ME''-:HAN'.CAL PERMIT 7
PE.R,'1I T rlO. : ME=F3?n�9�;
MYOF T �V
COMMUNITY DEVELOPMENT DEPARTMENT °a"0Nc n
DATE I,.t�lJf' . a 12/1 E,:0'
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)5394175 M r �N
, 870221-
JOB ADDRESS: 1o'"')6 0 Sid KENT 5T 11
TAY MAP,-LOT 251, 15AA 481')r:) SUSII DOVER LANDER 2 LT1167 bK3
LAND L.5E :
LOT SIZE:
ITEM: NO II N1:?
WOPIl' CLASS; NEW FURNACE *:100K 1 AIR HANDL R <10
USE TYPE: S i rJ(3LE FAMILY FURNACE 1001-:+ AIF; HANDLR t OK
CONST „ TYPE: '•!N FLOnR FURNACE '_.VAF'. COOLER
OCCUR'. (3PF. 3 R7, HEA'T'ER VENT FAN
VENT VENT SYSTEM
PL.R/C:OMP !'7,HP HOOD
NO.STOR 1 ES: FIL.R/C'OMP 7-- i SHF I.NC;I NERATOP(DOM
DWELL.UN IT S it 1 BLR:COMP 15)--7--(.)HP INCINERATOR (I OM
FUEL.. TYPE GAS BL R/COMP �%0-50HP REPAIR UNITS
MAX . INPUT 8L.R/COMP 50+HF' OTHER
FIRE DMPPS AA5 PIPING OUTLETS i
HIGH PPESS-'
REMAPk 9
O
FEES:
w MILLER -TAY PERMIT !FiCt. CtC
IF P. O. BITY 023291 FLAN REVIEW $'?.t:lt t
t� T 1.GARD OR 97 2:' F I XTURE S $26. 1.)()
PHONE (51)3) 911 - 754') '. STATE TAY $1 . 80
O THEE'
C
N ROBERT HEDIN
N
T HE DIN 'S HEATING
R
A 84" NW T"_'"1ST
T h i l l sborca or 9712'-.
p PHONE (!!#C►',) 648--1159
R REGISTRATION NO. 47211 TO TAL: $46. 8()
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, toning regulations
and all other applicable codes and ordinances, and It is hereby V"EOL.I I RE D INSPECTIONS
agreed that the work will be done in accordance with the plr.ns and (SAS LINE
sped. cations and in compliance with all applicable codes and F'C1ST & RE=AM
ordinances. The issuance of this permit does not waive restrictive DOUGH~I N
covenants. Contrartor and subcontractors shall have turret 1 city
business tax permits. This permit will expire and become null and F lNAL.
void If work is not started within 180 days,or if work Is suspended)r
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to ar3ure
all required Inspections are requested and approved.
Permit ee Si e
Issued By: - � ------
CAL..L. FOR INSPECTION 6 ?•-41 7C
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
— _ �— aIJIL[YTN<3 PERMIT
r-----__-_-------
CITY QF T167A RD PERMIT NO. : PLIE17,1293
CITYOF 1't6A
COMMUNITY DEVELOPMENT DEPARTMENT 01100" DATE: 1 SUEDs 1 , /,16/87
13125 S W Hell Blvd,P.O.Bow 23397,Tigard,Oregon 97223.(503)639A175 _ PR 111.PM 7 .NO. P 0,a O'�
------------------------------ - --- -
-_Py'e d Z 7
_TOE? F4[d.)RE SS s J -.1668 5W KENT ST
T'A Y MAP/LUT 251 1 SAA 280 4) SUEt: DOVER LAMD I NO 11 1-Ts 6 F+f :
LAND USEs
LOT SIZES VALUATION1 82, 169 SETBACM'S
FRONTS A. P.EAl'- c
WOPIe' CLASSs IJEW DWELL..LINT TS 1 LFFTs 5 RIGHTS
(.ISE TYPE s SINGLE FAIL I LY NO. BEDROOMS s _ E�T.WALL CONST I
CONST. TYPE's VN NCI. PATHS s 3 IV: ':J s E I 1 17
OCCLIP.GRP. s P'* PP r.OPE N I NOSS it
OCCLIP. LOAD N2 5s E: Ia:
TOTAL AREAS 1770
NO.ST OR T E S: 2 I ST s 1020 ROOF CONST s C F T PE 1;4: 1
HE IOHT s 20 2ND: 750 AREA SEPAR'T' PATF_.C.:
BASEMENT 3REts OCCUP. SEPAP7' RATEIDs
MEZZANINE", BA5EM'T
F L OOP L OAD s 4t:1 GARAGEI: 598 F' T RE SPRk:LPA`' ALARM"'
V-LOW(GPM) DETECT' YE'',
HEAT T yPEs l i•+s HDCP.ACCESS'' COPT-`
PLAN CHECR BY s r 1 t•
F'EMAPI'C,s
REI+SI.JE OF tin.
LAST REISSUE
h E
W MILLER JA,f i PERMIT !'_82,
N p.a. PDX 23291 PLAN REVIEW 111248. '
R TIOARD OR 97223 FIRE DEFT
PHrtl,IE r50 11 tL94- 7511', STA'T"E TAk $19. 1 .
OTHE P
C -- DEVELOPMENT CHAPSES:
O MILLER JA,( SOC (STORM) 1«2!�.. . . ...
JAY MTL.LER Still-DEP SDC (STRE:E•T.l 461''
T
T
A P.a. BOX 232gi PDC(M2 ) i1'5'
C 'T I GAP UP 9722-1. PPEPA T P 11110'I. '
T PHONE: (50!t l 684-754
R REGISTRATION NO, 301(19 TOTALS 16 .'549. 41::'
RECEIPT NO.
This permit Is Issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations REOU T RED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby
Agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and In compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances. The issuance of this permit does not waive restrictive P13ST !1- BEAM WATER LINE
covenants. Contractor and subcontractors shall have current tv PLS.UNDERSLAN L IT'r AFPPCH 'Cid
business tax permits. This permit will expire and become null and
void If work Is not started within 180 days.or if work Is suspended or SLAB F I NAL
abandoned for a period of 180 days any time after work has PLP. TOPOUT
commenced It shall be the responsibility of the permittee to assure FPAM I NG
all required Inspections are requested and approved FIREPLACE
CTAS LINE
I NSUL.ATI ON
GYP. P13APD
Permittee Slg
Issued ey' rARATE
�
-
- _
SE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
rm
�1711011'1'jl,
4
CITYOFTIFARD No. 28010
13125 S.W. HALL BLVD.
P.O. BOX 23397 Dale
TIGARDD,,�OR 97223
Name
Address
Lot Blocklblap Subdivi ion/Address
Permit M's Bldg. Plumb !'t— Cash Check
9b'Z9 3 -55--)0 7 1 11 Zai(". 3j
Sewer c�� �,Zq� Other �vA r�__ Other Rec,By
7o29S
Acct. No. Description Amount pp
10.432 Building Permit Fees
10.431-600 Plumbing Permit Fees
10.431.601 Mechanical Permit Fees
10.230.501 State Bldg. Tax 7-63 -
10.433 Plans Check Fee _ _ 1 '7. 30
30-443 Sewer Connection ZO 2
30.444 Sewer Inspection 5S.
51.448 Street Syst. Dev,_Charge _ ARD e�'t
52.449.610 Parks I Syst. Dev. Charge -
52.449-t'20 Parks II Syst. pev. Charge Pt
31-450 Storm Drainage Syst. Dev. Charge 25v�9_
10.430 Business Tax _
10.434 Alarm Permit _
10.227� Bail
10 455• Fines - TrafficlMisdlParking
10.230- CPTA Traffic/Misd/Vic. Asst.
10.456 Indigent Defense _
30-122.401 Sewer Service/USA _
30-122.402 Sewer Service/City 30%
30.123 Sewer 0,Pvic;e1Clty Maint.
0125 Unmatched
31.124 Storm Drainage
40.4 Bancroft Prin. Pymt.
40.471 Bancroft Int.Pymt.
TOTAL , 33
ACCOUNTING COPY
l
31 z
J2
PLAN CHECK APPLICATION
PLAN CHECK # i%- -�_
PERMIT # R'7 U.j S,__4
DATE ISSUED
JOB ADDRESS: TAX MAP/LOT C. i - /Sfj� k�u
SUB: Dio V,7 LOT: LAND USE;
VALUATION: SETBACKS: FRONT _ REAR: Sb LEFT: S RIGHT:,
WORK CLASS: r,.'e cJ HEIGHT: .'�y _ TOTAL AREA: /77y
USE TYPE: �. FLOOR LOAD: 4 1ST: /pzp
CONSTR TYPE: HEAT TYPE: 2ND: 7 SO
OCCUP GROUP: - DWELL/UNITS: / 3RD: _
OCCUP LOAD: NO BEDROOMS:_ BASEMENT:
NO STORIES: - NO BATHS: 3_ GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS RE UIREL
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS: _
OTHER: SEN IND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PIAN:
PLAN CHECK ,BY: OTHER:
COMMENTS:
CT f DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees s o3 .2,00
NAME: 10-431-600 Plumbing Permit Fees
ADDRESS: 10-431-601 Mechanical Permit Fees s h
10-230-50.1 State Building Tax (5X) 'V6*`0f1*`
10-433 Plans Check Fee :(46:3 f
PHONE: 30-443 Sewer Connection (202) Z o
30-202 Sewer Connection (80x) a;
CONTRACTOR I 30-444 Sewer Inspection
NAME: A A,, 1�1 C51-448 Street System Dev. Charge (SDC) d
ADDRESS: 52-449-610 Parks I System Dev. Charge (PDC) $
� &X_-5." a 52-449-620 Parks II System Dev. Charge (PDC) $ /s o
�•Ci r 31-450 Storm Drainage Syst Dev Chrg(SSDC) ��� X0
PHONE: j 10-230-505 TRFD (95X) S
10-43`. TRFD (52)
ARCH/ENGINEER 10-23C-506 Washington County Fire 01 (95X) $
NAME: JAS 10-435 Washington County Fire #1 (52) S
ADDRESS: 10-220 Amart/Wedgewood S�
TOTAL !llz 74,31
PHONE:
= ��1(h16y y 87C� 2 L _— PREPAID
C BALANCE DUE ��� 3 _t
.n
APPLI E
Received y: �_ _ DFte Received:_ /.? i
GRADINWEROSI ON CONTROL INFORMATION
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
S 4- - 1 o I _ PERMIT NO.:
o r+ 1 0 APPLICANT NAME:AND ADDRESS:
EXCAVATION CONTRACTOR --
NAME&ADDRESS:
�I) OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS:
APPLICANT: c�� � PROPERTY DESCRIPTION:
OWNER i� r� 4 STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR:
EXCAVATION CONTRACTOR:'
.«e
SITE/JUB: Ca n"�-_J.. D 9 3 V
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION:
SITE SIZE,ACRES:_ _
—_ DISTURBED/WORK AREA,ACRES_ _
LOCATION& ADDRESS WHEEZE SPOILS
LEAVING SITE WILL BE TAKEN S1TE_wNQFF DRAINS TO:(CIRCLE ONE)
(NOTE:PERMITS MAY BE REQUIRED) (CATr:H-BAST DITCH PIPE CREEK
1 (CIRCLE ONE.l,,'-PRIVATE PROPER
PI�I3I.7�itIGETI'OF WAY
EROSION/SEDIMENTATION 'ON' ,_LL�5rl MEASURU
MINIMUM ESC REQUIREMEN'T'S MINIMUM TSC REQUIREMENT'S
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMAt FACILITIES
CONSTRUCTION SEQUENCE OTHER _
OT HER_
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH"TECHNICAL.GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCFIEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
I HAVE READ ANT)WILL COMPLY WTTII THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE.
OWNER SIGNATURE APPLICANT SIGNATURE
0M- CIAL USE ONLY
REC'F IP 1' DATE AC'('Frl'1=.D
ITT", NLIMBI-.R RECEIVED _.___.. BY
Roceo N
ITY Of- TIGARD MECHANICAL PERMIT
rbta3A Mact-rlcal Gude CITY MUM MAT
yof Tigard ) Permit Fee -0- 10.00
125 S W Nall Blvd-
)_Box 23397 2) Supplemental Pwnit 3-00
pid.OR 97223
9-4175 - 1) wmaoew too 000 BTU � 6.00
ilt:.ducds&vecds _
rAKna0e 100.000 BTU 4
icviducts&vCn(s V15-34.eu c'
Hama«oewioprr..nl 3) i(eLv�ectt 600
.lobSuspendedheaw.wagheaw 6.100
ortlooraw ntedheatier
Addte= tdap VentadincLin
11rclac
Hr� appean—cetea 3A0
tae Obck s'act"ts'°" Repairotheadn-cetrig- 6jou
Ham.(a nsnw d businew4 6) 0006(v.sbsolpoon u(it-
"Add. - M— 7) EaWocoo(pto3HP 600
Ovrttd, absocp a*101000001371.1 _
TV 6) 663erorcompto3HP-15HP 1100
_ absocp.tx*to 500 000 BTU _
Hance - 9) Pkiaerorconp1530NP 15J00
absocp.txvl%-1 ttRym
IAa>Gq�ddrrs: MOM 10) t3oilerorcompto22-55030-50tiP t
absorp.ur it 1-1-75 mZk n
c'1cx tndcx � --- -- 2 p 11) Bodcror comp loSo HP 31M
abs(xp.ura 1.750.000 BTU
Silo rL�gavaeo+.rb -- CXY Bra.Tu No. 1 Air utlrt to 450
10.00(1 CFI
13) Aur hanang tttfd 7 i0
.e
l ..6y rdawMdpa e.ar 1 ha.v mad e.S atX,�4dn e d M:4omwbon 0-onn 10,000 CFM.4- _
r,rt.r�,Mt l ant M owner or swK.or:red a'D�'�d M e..rrx,M!p4r.c tub^welsd an in
nnr,,ian0a wllh SLAa t",%.awd 1 arm cogtowed-1d,9w Srai%Buidari board Ml rhe 14) Non portat><e 450
...trr Q;~k aan.at.IN wawrpr kora State reyatraion OMn".y«e mason bu"- evaporate Oookx --
---- ----- 15) Vent Tnan connected 3.00 — —
___....__ to a duct
_ --_—-- --- 1 ven[dation system not 50
included in appliance permit
------- 17) 1tu»dserved by 4.50
mecttanical exhaust --
os" rt>eAic
to) Ootype -- 7.50
--- �ir incinerator
M..cid�e mock O addition_O alteration O r -
o Im doge _ residential O -- -- rxxl4esdcnttal O ------ 19) ndusinal — 30.00 --
type kx*wcakx
-riding use of Other i-e_woodsk e.water 450
201 heater.solar.clothes dryers.etc_ --
�Iroposod use of ^
x"Wv or Ix ol�y --------- 211 Gas pipirg one to lour outlets 2.00 U
typo of fuel- od O natural gas O 1 PG O electric O
-� --- 221 Moce than 4-per outlet
NOTICE — — SUB-TOTAL
III(S, PERMIT (3F=COMES NUU_ AND Vol() IF WORK Oil CON- 5/- SUR-HARGE �j
STIJUCTION AUTIlOR17FD IS NOT COMMENCED WITI{IN 180
DAYS. M IF CONSTRUCTION OR WORK IS SUSPENOFO OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER _ TOTAL
WORK IS COMMENCFO __--__
Special Condittons -
I
�. .. L
i f
1 �