13023 SW KATHERINE STREET 13023 SN KATHERINE STREET
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l+U 1 LO I NU PERMIT
CITY OF T117A RD �'E PM I T NO. Il 9U870255'
IIPYCi TtGARD
COMMUNITY DEVELOPMENT DEPARTMENT 00100" DATE ISSUE: 's 12✓ 7,,871
13125 S.W.Hu.i Blvd..P.O.Box 23397.T herd.Oreclon 87223,(503)62S-4175 PRIM.PMT.hltJ. 870259
JOE: AMVRESSt 131:123 SW KATHER?NE : T
TA)( MAP/LOT 291 4AS 6601t.) SUP LT I Bl,.;s
LAND USES4.5
LOT SI1Es VALLlA1 1ONt # 2.510 'SETBACKS
FPONTt ?1:1 REAF s 20
WORK CLASS, N .. DWELL. UNIT'1.+s LEFT't n RIGHTS 5
USE TYPES AI..CESt'OPY FLDG. NO. DEPROOMS. EXT.WAL.I_ CONST,
CONST. TYPEt VN NO. BATHSr No St Es Ws
OCCUP. URP. s Mi PPOT.OPENINGSit
OCCIJP.LOAD Ns St Et Wt
TOTAL AREA: 224
NO. STORIES, 1 1STs -124 ROOF CONST# FIRE R—,-T-'
Hf I GH T ii 1'a 2ND t APEA SEPAR? FATED I
BASEMENT'` "-RDt OCCUP. SEPAR? RATE:Ds
ME,7 ZAtI I NE? BASEM'T
FLOOR LOADS 0 GARAGEt FIRE FPRKL.R'`' AL.ARI17'
FLOW(OPM) DETE:CT"'
HEAT TYPE# H)CP. ACCE SS7 CARR
PLAN CHECK 01(i r 1 t
REP1ARk'S t
REISSUE OF NO.
LAST REISSUE
Ffr.ESt -
o tibbestts Wt, I 1 imm_a:mi)r tri I rERMIT 03t�.�:►�7
W
N 13043, wo. 1!mtherinv nt I PLAN REVIEW $2"5. 03
E tigard ot- g7223 FIFE OEP'T
R PHONE (501) 671711-586q STATE. TAY $1 .971
r THER
— - --- DEVELOPMENT CHAPOESI
C
JIM HAPT ST)C (STCRM)
T HAFT CONST SDC ('STR'EE'T 1
R 126.191SW 131ST AVE PE)C i#
C t i gard or 9122"! PPEPA I D r
'r PHONE (501) 245-2525
O PEG I STRAT T ON NO. 137q TOTAL sCP-I, $AAwj 1M-
R
PECE I PT NO. ,26 q,T,
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Cedes.zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby FOOTING
anrt,.:d that the work w ll be done In accordance with t ie plan.,aqd
specifications and in compliance with all applicable codes N`ri POST & BEAM
ordinances. The issuance of this permit does not waive restrictive FRAMING
covenants Contractor and su'.)contractore shall have current city INSLILA AT ION
business tax permits. This permit will expire and become null and GYP. BOARD
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 FINAL
commenced. It shall be the responsibility of the pet mlitee to Assure
all required inspections Are requested and Approved
s✓ Iii ;' , ':''
Parmittee Signature
Iayu.•I BY:
SEPARATE PERMIT, REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C17NT OF TIFA RD FLAN CHECK APPLICATION
COMMUNITY DEVELOPMW(DEPAWMENT � PLAN CHECK # ' 7, t
171'5 SW Hall BAvd.F.O.8m 23.197,11gve,Orbpon 97M(SW)63D4176 �^ PERMIT # e,�;0
--• DATE TSSUED /
JOB ADDRESS: t. ,, , i :',J TAX MAP/LOT
SUB:__ LOT° LAND USE:
VALUATION: r v SETC',{S: FRONT: REAR: LEFT: RIGHT:__
WORK CLASS: HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST:
)NSTR TYPE: HEAT TYPE: 2ND:
'CUP GROUP: DWELL/UNITS: 3RD:
OCCUP LOAD: NO BEDROOMS:- BASEMENT:
NO STORIES: NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS RE D 1"��.-X A " j(/SPECIAL NOTES ITEMS REQUIRED
PLANNING: 1),yelt) REISSUE OF: LIST S►,BCONTRACTORS: _
ENGINEERING: -_ _ �,n,rj�,� �, LAST REISSUE: BUS T/JC:
FIRE DEPT. : FLOOD PLAIN/ CALCU.ATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN: -
LANDS,"APE PLAN:
PIAN CHECK BY: OTHER:
COMMENTS: ),vC-d
- DESCRIPTION AMOUNT
OWNER 10-432. Building Permit Fees 10d
NAME: j rflra,�,(�,a 10-431-600 Plumbing Permit Fees
ADDRESS:_ 10-4.31-601 Mechanical Permit Fees s
10-230-501 State Building Tax (5%) s '�
10-43? Plans Check Fee
PHONE30-443 Sewer Connection (20X) t
30-202 Sewer Connection (80X)
CONTP.ACTOR 30-444 Sower Inspection t
NAME: ...�_,_` ✓1�c.1.-�' .51.-448 Street System Dev. Charge (SDC)
"DDRESS:_ 52-449-610 Parka I System Deer. Charge (PDC) _
52-449-620 Parka II Systelo Dev. Crerge (PAC) S _
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: - _ 10-230-505 TRFD (95X)
10-435 TRFD (5x)
ARCH/ENGINEFR10-230-•506 Washington Cjunty Fire 01 (9521 _
NAME: 10-435 Washington County Fire #1 (5X)
ADDRESS,. r 10-22.0 Amart/Wedgewood S�
PHONE: -' ^+ TOTAL
—V_- PREPAID # Co (4 .1 L
REC
BALANCE DUE
�
APPLICANT SIGNATUFRRF,
eived By: Date Received: 0.
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Bo c 23397
Tic rd, Oregon 97223
Phone: 639-4175
Type of inspection
Date Requested/ Z.9 p-1 _— Time A.M..__—_P.M.
Address _ Peronit
Owner _-- _— Lot
Builder
The following Building Code defic,encies are required to be corrected:
Presented to ___ _ Approved
Inspector �--` � �_� Disapproved
Date —�_ Z— --
CALL FOR REINSPECTION
❑ YES ONO
I�tr tstor w tt�r ae arr wo .�
CITY OF TIGARD MECHANICAL PERMIT
Permit M --f-A-` - -
Description
TatLW 7A Mechanical Code OTY PRICE AMT
City of Tigard 1) Permit Fee -0- 4 10.00
13125 S.W. Hall Blvd. ----
P.O.
—_P.n. Box 23397
Tigard, OR 97123 2) supplemerl<al 3.00
Petmtt —._ _
839-4175 1) Furnace to 100,000 RTU 6.00
incl.ducts&vents
Fumaoe 100,000 BTU t- -- - -- 7.50
2) Ind.ducts 8 vents -- --..---
Name of Devok prnerrt 3) Floor Furnace 6.00
incl.vent
Job Add 4) Suspended!'heater,wall heater 6.00
Address / 3 D 2 3 or"lour rrrAunted heater-- -- —
Vent not incl.in
T9 I.ot Map No 5) 3.00
_ Jnr Block Subdivision Repair
permit.---- , ------- __ _—
Name,
---
Name, ame of twsineae) 8) P,epair of i)eating,heir ly 6.00
jrJ . cooling,absorption unit
M oddress Ptnrre n 1X)Boiler or comp to 3 HP s
Owner - absorp.unit to 100, 0 BTU
CRY/Slate - t}p - 8) .00
Bober or comp to 3 HP-15 HP")0 1!.QO
absnrp.unit to 500,( BTU_- _..._.
- — Name 9) )oiler or comp 15-30 HP 15.00
ibsorp.unit rh-1 Irtillion
Borer or comp to 90.60 HP-�
q�ddnaa t�+olM 10 22.50
absorp.unit 1-1.75 million - - -
�� i Contractorcity/state -- ZIP 11) Boller or oomp to 50 HP T------ _ 31.50
unit 1,750,000 BTU
Stale Wptevallon No t�fy arw.Th. o. 12 Air handling unit to ---- ----- 4.50
10,000 CFM
is 13)ack that I have rwd M aPPkwfti tie�� Air handling unit
I
hereby r,a,,,�, sn i
�„ 10,000CPM + 7.50
_
oortsc(.VW I am the owner a and iced wgerrt of the owner,tud purrs atitrO ed ars In ----- ——------- ---_---- - - '--
compliarm with state Iowa,rrw I am rsgWW d with rhe Stall HuMdsrs•Dowd.wAP,the 14) Non portable I 4.50
pr«r Is owrsd.(n mrsmpt hom s(re nogW*wbrh pI - i dw r.�.on trror w) evaporate cooler
Vent tan connected 3.00
—� - to a single duct
�U -- 18) Ventilation system not
included in applia roe permit- 450
rnHood served by
�l 17) ec.ianical exhaust T50
Deb18) Domestic type 7 50
work [Iaddition Cl alteration repair ❑ Incinerator _to be tle _ residential R non-residential ❑ 19) Commercial or Industrial 3000
Existing use of
type incinerator -_-
txdldlr —y � if 72� Othe e.,wtwdatove, vsler 4.50 i
ig property 20) heater svtar;ts dryers,etc. `
Pfuprq ed use of '
txtllort rg or property — I 21) Gas piping one to four outlets 2.00
Type of luel oil I I natural gas I 1 LPG f 1 electric f +
---- -- 22) More than 4-per outlet
NQTItYE
SLIB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _— S%O 0%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WOR,r IS SUSPENDED OR PLAN REVIEW 211%OF 9U1140TAL
ABANDONED FOR A PERIOD OF If10 DAYS 4T ANY TIMF AFT FR ------ --_ _—._--- -_-
WOKS' IS COMMENCED TOTAL �J
Spedel Cortditlons._-
Date 1'"t ed l�/.Z�/.C� 7 by
at r x104 a[li � � +sr aw
C 1 i Y OF TIGARD PLUMBING 13125 EW RiU Blvd'
Applicants must hole! Oregon Registration to conduct a plumbing PL MIT Tn"� CR 972,23
business omc must be Property owner/operator not hiring outside help. 6334175
N YI: G l _ Plumbing Permit N-i
•� �� Description
/X _ ? i ORS 814-21.610 l?UAN. PRICE AMT.
Job Tax lot fes' — Map.No._
Address ,(c� 41 4,� W�
Lot Block Subdivision - FIXTURES
Sink — -_ 7.50
jor name noss'• :avalory ' 7.506Tub or TubtShower Comb. �- 7.50 )
a inres --- -
_
_/•� �
Shower Only -- --�- -- 7.50 ,
Owner lee � z Water Closet 7.50 la,
:' - Dishwasher`- -� - - ( - 7.50 7,
Phone GarbageDisposal -� - - - I -%.50 ]
Name Washing Machine `-- - ! - 7.50
Floor Drain _ 7.50
Mailing ress Phone Water Heater i _-r 7.50 S(
Occupant -ZiP laundry Room Tray -" �.- 7.50 Y �,
Urinal 7.50
e e Other Fixtures(;;pacify) ----•- 7.50
- -
i ss phone --- --- --7.50-- -
_ 7.50
Contractor City/State - 7 50--
MISCELLANEOUS
City Bus. Tax No. Sir 1 at 100'
30.00
_------"--- ----- _.
eta br o -fit"ate
Plumbers s. . o. SeN'e'ea.Addle.100" _ 15.00
(14=17,1111) �t�/' f�3 d/t Water Service 1 at 100" - ( - 20.00
I her6W acknowledge that I have read this spplicatlon,that! the InformationVV Water Servios ea.Addit.7 ' 15.00
given is correct,that 1 am regfatwed with the State Builder's Board,and also ----
have a State koense that the numberri Strom 6 Rain Drain 1 at,trN_ ;10"00
Pkxnf;kng � given are corroct.that all -
plumbkV work will be done in soawdaixe with applicable provisions of Ore Slonn 6 P.}n Drain A.&A.100' 15.00
9041 Rsv+sed Statutes Chsiplers 447 and 893 and applicable codes and that Mobile Home --
no help will be ernploytd unIb"licensed under ORS 603.(If exempt from -- a ----- _._ -- 25 W
State registration,please"reason below). Back FhwvPrevention
HOMEOWNERS -1 hereby axtlty that 1 am the owner of the property de- Device or Anti-Polfution Device 7.50
scribed above,at which"Son 1 propose to make a pkrmbktg Installation for Any Trap er Waste Not _ ~
my own use hind this property is not b"oonsfnx:fet for"is,kwso or rent. Connected'h a Fixwm 7.50
--- --`----- Calot Bash _ -- ---- 7.50
kt p.of Ex1M.Plumbing - - 40.00 Per Hr.
Specialty Requested Inspections 40.00 Per Hr ----
- - - - --- --- ------- Alter.of PMxnbkqan Exit"Bldg _ IS,00 min
AUTHORIZED SI RE ,-- ----- - Rte New Bldg.or BuNd.AddNion -- -- 25.00 min.
•i,sirgl.e fanny
Uescribe work (] addition❑ alteration❑ ropNr 11 dwellir _ 15.00
be doneresidentie ran•roslds�ttial - - ---• _
Fxtstirlp Lm of -- V— ---
bwdkVfx property
U"of 5�;�a •wi Dllllf'11i A/tlt�
arpsop
NOTICE TOTAL
bear,x 9 nuti and weld M work Or oonstruodon authorWaid he not mm -- -
wi Mn 1901ifiya�8r ft Oer1�11GtlCMt or worlds strop rdad orabandoned 104
d i90 days at any tlme hitter work b 00mcrAnned
- - -- ----- ------ Date %sued r / _ by
__ (x1D 489/11185 Isv.
� sir Ifaw ff� Iw 1� la1 tis ser
U I Y U1- I IUAHU MLQHANI(:AL PEHMI !
Permit N
oeeedistlon
Table 3A Mechanical Code OTV mice AMT
City of Tigard
13125 S.W. Hall Blvd. (p(o _1)_Permit Fee '- -.0• -0_— _10.00
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 _
639-41751) Furnace to 100,000 BTU 6
incl.ducts&vents _
00
2) Furnace 100,000 BTU t 7 50 ^
incl.ducts&vents
Name of Development 3) Floor Furnace 600
incl.vent
Job Address - -- Suspended heater,wall heater
Addross t. 4) or floor fnounled heater 6.00
A�
Tax LotVent not incl in
_ Lot elltck Subdivision 5) appliance permit -_ 300
-
(r;r 7twstne i 6) Repair of heating,refr ig., 6
y� /d - cooling,absorption unit . ----- -__
�M' ;n�q Address Phone BoilBr or Comp to 3 HP
Owner ) absorp.unit to 100,000 BTU b 00
oiry1si,te z;o- - T8) Boiler or comp to 3 HP- 15 HP 1100
absorp.unit to 500.000 81'U
Name 9) Boiler or comp 15-30 HP 1500
_ absorp.unit!/2-1 million _ _
Mailing Address _ Phone 10) Boiler or comp to 30-50 H P 2250
absorp.unit t -1.75 million _
Contractor city/State - - zip —T - 11) Boiler or comp to 50 HP 31 SO
absorp.unit 1,750,000BTIJ_
Stale Registration No City Bus Tax No 12) Air handling unit to 450
-__ 10,000 CFM
I hr-eb acknowledge 13 Air handling unit 7 50
y wipe that I have read this applr;atxm Ilial the information given�s )
10 000 CFM +
oorre�.;,that I am the owner or authorized agent of the owner,that plans submitted are In --- - --
o xInpilan-e wfNi State laws,that I am registered wth the Slate Builders'Board,that the I4 Non periable , ,�
number g0ion is correct (If exempt from State,regi dralion please give reason below) ) evaporate cooler
_ 15 Vent fan connected 3.00
to a single duct
--- _-------._ .-- -- - ----- ---- 16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 450
mechanirni exhaust J�
swalli-(,trna.-saw) _ Dots 16 Domestic;type ----� - 750
Describe titwork [-] addition (Aalteration [Irepair [Iincinerator-
to be done --residential V non-residential CJ �_ 19) Commercial or industrial 3000
type incinssrator
Existing use o1 -
building or property _�2-t-t) 20) Other i.e.,woodstove,water 4 so
hector,solar,clothes dryers,etc
Proposed use of -.
buikling or property __.-.- ----- -_ _-_---- -- 21) Lias piping one to lour outlets ( -200 z
Type of fuel•- oil F1 natural gas [A LPG D electric
-" --- 22) More!han 4-per outlet
sus-TOTAL _ 31,s-�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN! 180 4%BURCKAR ( � L
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH _Y PLAN REVIEW 29%OF s111WTOTAL ,` 7 f
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTFR - - -------- - -- -
WOHK IS COMMENCED. TOTAL y!1(a5
Sp dal Cctndltbns
�7 \
---------- ----- __ - Date issuod _-by -
I
CITY OF TIGARD 639.4171 6665
DATE A:-r� L 6.
��
BIIILDING PERMIT - - Moth Hill
TAX MAP L01 NO _s r~'-_._____.SUBDIVISION
OWNER .-- 7tvu Eiaxt JOB ADDRESS 1�G3-SWelrrr+`e� —.
BUII.bERsi>Ii!@ - STATE RE( NO. _ �.EXP.DATE
BUILDER'S PHONE _- 245"2525
ARCHII ECT �a�^�a�t PHONE t5l97e_ OTHER
STRUCTURL !Kl NEW ❑ REMODEL U ADDITIOIJ 1 REPAIR MOVE OTHER DEMO'_TION
r RESIDENCE C COMM ❑ EDUCATION IND I RELIGIOUS ACCESSORY GARAGE I I OTHER FENCE
OCCUPANCY �'� LAND USE ZONE BLDG TYPE al+ FIRE ZONE PLAN CHECK BYf,"AJ MEAT ",;'AS
; Lcur:t zinylw fdwi dwelliny w/attached gacac}e all Ixec approved plarJ. 3ubjeCt to 85 cycle.
Sutwi t plan for af4w oval.-chimney with stoge alcove.
SEWER PERMIT N 3J084 (1 du) 2 baths R tr4ps gacage aced 5U_+
OCC.LOAD FLOOR LOAN 40 HEIGHT 15+` NO.STORIES I AREA )65() NO.BEDROOMS VAI_UE85
BUILDING DEPARTMENT SET BACKS FRONT e RFAR fig! LEFT SIDE RIGHT SIDE _
Permit �� �$ �$- THIS FfRMIT 15 ISSUED SUBJECT TO THE IECULATIUNS CONTAINED IN THE BUILDING CODE, ZONING
T 257.2U REGULATIONS AND ALL APPLICABLE COD iS AND ORDINANCES, AND iT IS HEREBY "GREED THAT THE
Plan Check_ WORK WILL BE DONE IN ACCORDANCE W TH THE PLANS AND SPECIFI...ATIONS AND IN COMPLIANCE
WITI1 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TI;; PERMIT DOES NOT WAIVE
PI.Ck.Fire "�` RES-RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
15.52 TAX dERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax S5LK: 'e!)U.flt�
�— sac--bo t)_tx)
Total 655./2 - -
1�'1 00APPLIOANT riH r�GFrat
_ PDCN '
Prepd. 100.00 1 12228 Sw 131st Ave.
Bel.DUe $ 555.72 Receipt No. AW)RESS ---._. .�__ .._ PHONE
Issued 6y _ . -_ Approved By....______.__.
....«'aa.= :dr•'.. ...eeArx4WYaLw^,-•rAeLra.1tirJ4i�:.::w,Wti..�Vl -••••_•,.•..,,. ... ,....,,W.aL,..rr.,wY-.w+rw.a�.+wdW+iwwwr:.i.w+_1.........:..a-ww rnwa..�tw:..:w..
I
----DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
C-9-8 Cordiactor
VPermit No.
t 4c ')-7 a,
--1.
7-14 Rough in
Fixture
Final
HEATING
Contractor
ILI Permit No.
<-8,so)Oil
Rough in
Final
Q1,2 01 -2—� SEWER It ct— V
Final
30,vl DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach —4 7
BLDG.DEPT.FINAL TEMPORARY CEFiTIFICATEOCCUPAN,f Final
CERTIFICATE OCC1JPANC'% I- -----
Ill.-andscaping
Zoning Final