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11360 SW NOVA COURT-1 I E U C Ill m 0 L H c+ � I 1f i 11360 SW NOVA COURT SNS'BCTIOt1 NOTI1'1: city of Tiga,:1 Baildl.ng pepartmsnt 13125 SM Ball Bled. Tigard, Cregoo 97223 Inspection Line (Rec-o-Phone)s 639-4175 Businees Phone: 639-4171 Inspoct ions_ --- --� 1'00ting Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PINALs Poet/Beam St.ruct. '.an. Sewer Framing -Bld( 9• host/Beam Rech. Rain Drain Insulation -Plumb. Plbg. Uuderf.iaor Water Line Gyp. Bd. -Mach. Date Requested: —s' Times AN _�PM A idrues: LJ / �lO GJLE'Z.�"_C _ 4irmit #I Builders_ �- THE POLLONI COMMONS A' , RgQ1IB6Ds �. I nepector s ___ Dates AppR()VEp DISAPPROVED _ hPPROVED SUBJECT TO ABOVL' Call For Reinsp. City of Tigard Building DOPsrtwent 13175 SQ Bn1I Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections �.- ----- - -- Footing Plbg. Unders'ab Mech. Rough-in Appr/Sdwlk Found. P1,bg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Post/B.4am Mech. Pain Drain Insulation ) -plumb. Pl.bg. UndozZlocir Nater Line Glp. ed. -Meeh. Cate Requested:_ —;; — (_Q -1 y Til ---AM Address: ( � ��i+'� v` Permit i:i)'u Builders THE FOL:.OWING CARREC'fIONS ARE REQUIREDs Dates NPPROVRf, DISAPPROVED _ APPROVED SUBJECT To ABOVE Call For Reinap. SNS P6C1'SON�iOT_I CE City r.f Tigard Building Depaitneat 13125 SK Ball Blvd. Tigard, Oregon 47223 Inepection Line (Rec-O-phone): 639-4175 Husineas Phone: 639-4171 Inspection:.—_ Footing Plbrj. Underelab Hoch. Rough-in Appr/Sdwlk r Found. Plbg. Top Out Gan Line FINAL: Poet/ ,m Struct. San. Sewer F� ramtng -Bldq. Pont/.:,_m Moch. Rain Drain Insulation -Plumb. Plbq. Undarfloor Nater Line ) OYp• Bd. -Nech. Date Request ods ^Iv- .__,TAsws _ PN 1lddreee /I `,Xl�� ,/,�l�� C �_�r�it � �Q /^ / r� Builder- TBE FO OORRBCTI�ONS ARI: RF,QUIRRI)i Inspectors— nates �APPRDi(tD DIBNPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. TNSPig 9TION NOZ10 Pita- of Tigard Building Department 1?125 SV Ball Blvd, Tigard, Oregon 97223 Inspection Line (Rec L-Phone): 639-4175 Business Phone: 63Q-4171 I napect ion: Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: poet/Be ua Struct. San. Sewer raming -Bldg. � Post/Been Mach. Rain Drain Insulation _Plumb. plbg. Underflo*:r !:ate, Line aYP• • -Hech. -� 7—C� AM ^� Date Requestea:_ �7 Time: Addreees, Builder: TBE FOLLCOIING CORRECTIONS ARK REQUIRED: Ij C Inspwtcr s _ Date x APPROVED DISAPPROVED APPROVI SUBJECT TO ABOVE Call For Reinsp. I N-y�_F._CP�QON _NOT I CF: City of Tigard Building Department 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 B inose Phone: 639-4171 ' Inspection: Footing bg. Underelab M h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- post/Beam Struct. Sart. Gower Framing -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. ad. -Hoch. L"g AM PH Date Requested:_ — Address: Builder:,_" THE FOLI/IN G r"URRECTIONS ARE REQUIRED: * J Inspector:___- ___ Dates_ i APPROVED DISAPPROVED � APPROVED SUBJECT TO ABOVE Call For Reinap. �MSPECPION_NOTICE City of Tigard Building OeP811t1nent 13125 SN Hall 131-d- Tigard. Oregon 9/223 Inspection LLne (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171 'root' Plbg. Underslab Mech. Rough-in Appr/Sdwlk fo r' Plbg• Top Out Cae bine PIRAL: sound, Posy./Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Inaulation -Plumb' Plbq. Underfloor Pieter Line Gyp. Bd. -Mach. Time:(: _Am PM Date Requested: r / Permit 1: (0 Address: Builder: THE FOLI O CORRECTIONS ARE REQUIRED: Date: Inspector: ✓ -- APPROVED r,I.SAPPROVRD _-_ APPROVED SUBJECT TO ABOVE Cell For Reinap. i CITYOF I'GARD vo BUILDING P'ERMIT crty C 3F COMMUNrrY DEVELOPMENT DEPARTMENT offt" PERMI'l #. . . . . . . . BUP9 I 13126 SW HWI Blvd. P.O.Bac 2=7,Tlgwd.Oregmi 67223(6W)6394175 4 1 /1 QATF TqC_;11VT)- :SITE ADDRESS_ - 11,360 SW NOVA CT PARCEL' :7S103DB--Q71J'8Q711., SUBDIVISION. . . . : GENESIS 70NING.- R.-4. 5 BLOCK. . . . . . . . . . . !OT. . . . . . . . . . . . . f 4 REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION, CLASS OF WORK. :ADD F I RST. :200 sf N: S: E.. Ws TYPE OF USE. . . -5F SECOND. . . : Sf P'ROTECT OPENINGS?.--__._._._.._-.. TYPE OF CONST. :SN THIRD. . . . : s N: S: E.- W.- OCCUPANCY GRP. :F?—,' - 1::.'00 S f ROOF CONST: FIRE RET':' : OCCUPANCY LOAD: BASEMENT. - sf AREA SEP. RATED: STOR. : I HT. : ft GARAGE_ . : sf OCCU SEP. RATED: BSMT?: MEZZ?- RE OD SETBACKS--------- REQU I FLOOR LOAD. . . . : psf LEFT. ft RGHT- ft F I R 5PIKL.- SMOK r'171% DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACG: BEDRMS: PATIAS- IMP, SURFACE: 17,130 CORP; PARKING. VOLUE. $: 9 2 L71 @ remarks : 200 sq -Ft acIdition ------------------ FEES CRAIG WALKER t yTie Amal-knt by date t-ec.,F)t 11360 SW NOVA CT PRMT $ 80. 50 JLH IE/31/91 221360 Pl..rK $ 52. 33 JLH 12/31/91 221360 T'IGARD GR 97J..,23 SP("T 1, 4. 03 JLIA 12/31/91 821360 iJt)ov,e #: 684-006.i� Contractor: ---- _—_—__--__.--___.-------___ GTM CONSTRUCTION INC 17.735 MARDEE AVE LAKE OSWEGO OR 970,3) F--gone #: 136. 86 TOTAL Req 55557 ------- REQUIRED INSPECTIONS -his permit is issued subject to the regulations contained in the Foot/fuLtnd Insp Tigard —------- jigard Municival Code, State of Ore. Specialty Codes and all other Pt)sl./Beam Insp applicable laws. All work will be done in accordance with MeufiArijcc,Al Insp anproved plans. This permit will expire if work is not star'od Fr. amiTlp Insp within 180 days of issuance, or if work is suspended for more In!:-L11.4t1 .i0n Insp than 180 days. Gyp Board Insp Final Iyispection [-'et-miti,ee Ca.11 for inspection — 639-4175 T) client aTM � project Wa,-Kmr� Pr 1 REs�oEF�c.r--_ Pv9e _ o ect number dote 1 by pcf, to f6 �i �T I eco rc� 5n x 12 GFS _ J W LL 7-5(1J) + 40(1) z 3 tk�C✓ a��� 1Z� ��c_r�� 4 r-- � U) M w o Q Ci~ FbZ�c(1,15� - 27(.o pal U r o a`an c, Q I o W < « a W LL / 1 p ,S F, 1 ..S lI.I J) r t�J.7S P�` ` a r U M dY`= O.S� �►� �' �', 32..0 b. K, ~ ai CL L I m c� n Q. E O Cad — I.S(B/z) t 15�1 'J( rLf= h- J 4. m L a 1 -D� USIr 9 x IG 0 DCL. 07 annn�n F�^7v ..��n r ..r ,. ....... � ..-, �• ,r cm..�.. a. I u I i �Sr,r i i --- _ q1h-ZI r 5 cr 7 �I I osro2 i 4 � Q �� Il Lv- 3 n C1 t�1 W � 1 `✓ IN eil LU � v I Jl 1 y x ..1 t IL K z w Iu cc a � k 14 a I 20, a O LL 4 ?� LL �L .q PLNCK RECT G `'111125 r i SWHalllilvd. �� 1 1 OF 1 1`7ARD 1'O 13,)x 23397 PERMIT R �["�� Tiigard.Oregon 9722) (503)634-4171 DATE ISSUED JOB ADDRESS: I I ) /Vo JCL Lt. _ IAX MAP/l_0T SUB: LOT: '� _ LAND USE: . VALUATION: OWNER SPECIAL NOTES NAME: ��,�«� -- REISSUE OF: ADDRESS: c 1�� C fi I.AST REISSUE. CK FLOOD PLAIN/ PHONE: ,g►-� SENSITIVE LAND: 1 CONTRACIQI?� APPROVA'_S REQUIRED NAME: L--ifNn Gdnlsfrn�c+it:� PLANNING: -- — - -- ADDRESS: -1 -7 73S fA ENGINEERING: _.�._ L'Jkz Or" �� 7C�3:� r FIRE DEPT: PHONE: C�3�,�^ ice~ OTHER: CONTR. BOARDn: JJ^S j EXP DATE ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: MECN: ,Lig- _- BUS TAX: ARH[ENGINEER CALCULATIONS: NOME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: (.,3c, C) ?,q PROPOSED BLDG. USE: COMMENTS: y� _ APPLICANT S fmAT E r Received By: - � :� - Date Received: ) _ _ PERI-11T ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE yr _(410-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) G 3 Building Plurnbin9 Mechanical 10-433 00 Plans Check Fee Bui'IIJ?ng Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 2.5-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fecs 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL rim/3387P.WPF ........... CIT"Y' OF TWORD RECF-1VYi' r.)F PWYMENT RF-.CEIPl NO. a 91 1360 CHECK AMOUNT 136. 8C, NWIE a ATM CONSTRUCTION CAGH AMOUNT a 0. 00 PnYmENT DATE. a 1,2/31/91 S09DIVISION PURPOSE OF VIAYMENT AMOUNT PIA I D PURPDb*:,'. OF r-,Aym[-'.m,r AMO ANT PAID 4 U III' Pk.FtM A Q1. 50 PLAN CHECK FE 52. 33 ri-r. H411 l.» PER 4. 03 113617a SW PIUVA CT To-rPL AMOUNT 3i). 86 INSPECTION NOTICE ` City of Tigard Building Department P.O. Bax 23397 Tigard, Oregon 97223 > Phone. 6394175 Type of Inspection -- Date Requested- —___ —1/U ��-- ime _�.% __P.M. Addresst_�_s✓sc��___1 &Z�7 Permit Owner —_ —--- - - — - -- Lot #--- - - Builder -TM � _ J_ �L� OThe. follows Building Code deficiencies :,a required to tre corrected: Presented to __ _ — 'Approved Inspector Disapproved DateL---- CALL FOR REINSPECTION !—J YES 1-1 NO INSPECTION NOTICE G�,�,L� � City of Tigard Building Department P.O. Box 23397 Tigard, Oregcn 97223 Phone: 639-4175 �, lr r gyp= D,7 Type of In ction Date Requested r Time_—LL_ A.M. P.M. 7 Address Permit �- Owner --..-. —_----- —_ Lot # _ Builder lildigCodeThe following deficiencies are required to be corrected: Presented to — Approved Inspector 1 Disapproved Date _ CALL FOR REINSPECTION 0 YC! ❑ NO INSPECTION NOTICE City of Tigard Building Derartment P.O. Box 23397 Tigard, Jregon 0/223 L� Phone: 63^-4175 Type of Inspection _q4 _ '4 Date Requested_ r p `JC!� Time _ A�./M. Address -c1 �d� VQV_4 peJfmit *_`ie' C'U`�7 Owner Lot # Builder L� 1 _ The following Building Code deficiencies are required to be corrected: 75 Presented to _l Pproved nivuLtor - --- ❑ Disapproved Date •� — Z - f�� CALL FOR REINSPECTION Cl YES F.1 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97 / Phone: 639.4175 Type of InspectionF CIV Date Requested _ .� �' =-'�- �- Time /lJ L� __._' A.M.n---P.M. Address P Owner Permit # Builder L• — Lot *---------- The The following Suilding Code deficiencies are required to be corrected: -------------------------------------- i Presented 20 - - --- - - ---__ _—�'- _--------------_--- .;Approved Inspector Date GCX ---- 1 Disapproved CALL FOR REINSPECTION 0 Yes ID NO MECHANICAL H'ERMI'T' CITY OFTIFARD 1::1 E R M IT 0. . . . . . . .. rIEC90 0059 (J' 1Y0E-,&V4RD PRIII. PERMIT 14. -. MEC90-0059 Mq COMMUNITY DEVELOPMENT DF;P"WI�4T 0"GON DATE ISSULD: 03/26/90 13126 SW Hall Blvd. P.O.Box 23397,TIgard,Oregon 97223(503)639-4175 —77 1 V DRT77 --T PaUEL: 2S103DB— SUDDIV*P:;l.(.JH.. GENESIS ZONING: R-4. 5 DLOCK. L OT. . . . . . . . . . . . . :4 CLASS OF WORK. . :ALT FLOOR I'-'URN. . . . : EVAP, COOLERS: TYPE OF USE.. . . . :SF UNIT HEATERS. . : VENT FANS. . . : OCCUPANCY GRI'. . :R3 VENTS W/0 vFN*r sys,t,Ems: '-';'TORIES. . . . . . . . .. BOILERS/COMPRESSORS H 0 0 D S. . . . . . . .. FUEL 0-3 HP. . . . DO11E'13. INCIN.- s/GOS/ 3-15 HP. . . . : COMML.. INCINr MAX INPUT: E.4 T U 15-30 HP. . . . REPAIR UNITS: FIRE DAMPERS?. . » 30-50 HP. . . . WOODSTOVES. . : GOS PRE:-'SSURE. . . . 50+ HP. . . . . E . — . CLO DRYRS : NO. OF UNITS.............._......_....._._. AIR HANDLING UNIT'S OTHER UNITS. : TURN < 100K BTU: 10000 (:Jn1: GAS OUTLETS. : I TURN )-100K FTU: > :10000 cfm: Remarks: C)W1'1P,(,: FEES ...................- C 1:*%'0 1 G W A L K L Vk' type -AMOL111t k)Y (late -r,e c,1.1 t 11360 SW NOVA CT POYM $ 15. 75 J04 03/26/90 PRM I $ 1.5. 00 TTGARD OR 97P23 15PC 1 $ 0. 75 Pflarle 0: GT'M CONSTRUCTION INC 1 ?'7135 MARDEE AVE I AKE. OSWEGO OR 97035 ...... P ti 0 YI k- #: 1'5. '75 TOTAL Req c 55"i r'7 REPUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Filial 11-1spent iort Tigard Municipal Code, State of Ore. Specialty Codes and all other ...... applicable laws. All work will be done in accordance with ................... ......... ......... ------ approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than Ise days. Ap .......... .............................. .......... y Call for inspec:ti(3ii 639-4175 CITYOFTIGrARD PLUMBING COMMUNITY DEVELOPMENT DEPARTMENT IT 1#. . . . . . . » 1--'l 1190-0044 if 13125 IM Holl Stvd.P.O.Box 23327,T4pW,Oregon 97223(6031639.4176 PF-RMIT . » PLM90--0044 SITE ADDRESS. 11360 SW NOVA CT PORCE1.: i.-!G I 03DB--02800 SUBDIVISION.. . . « : GENF:.'GIS Z D N I N G R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4 CLASS OF' WORK. . :ALT GARBAGE DISPOSALS— : MOBILE HOME SPACES. : 'TYPE OF USE. . . . :Sl::' WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . .- OCCUPANCY 6RP. . '.R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . STORIES. . . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . LAUNDRY TRAYS. . . . . . s SF RAIN DRAINS- - ! SINKS. . . . . . . . . . ..2 URINALS. . . . . . . . . . . .. GREASF' TRAPS. I-AVATORIES. . . . . :2 OTHER FIXTURES. . . . . .. I TUB/SHOWERS. . . . : SEWER LINE wq*rER CLOSUTS. . :P WATER LINE (ft) - - z' DIGHWASHEPS. — . : RAIN DRAIN RemA-0,.s: U W)-I e-r FF:ES CRAIG WOLKI.-I.R type amourit by date -reept 11.1360 SW NOV() CI PAYM $ 5.J. 13 JLH 03/26/90 r,RmT s 52. 50 TIGARD OR 97223 .;PCT $ 2. 63 Phovie #% Ccir-t-ractci-r: UTM CONSTRUCTION INC: 17735 MARDEE AVE LAKE OSWEGO OR 97035 ...... Phatie It: 55. 13 TOTAL. Req V. 55557 REQUIRED INSPECTIONS This oprait is issued sub.iect to the rpqul&tlDns contained in the Trap-Out Insp Tigard 11unicipal rode, State of Ore. Specialty Codes and all other Final Iiispection ........... applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 189 days of Issuance, Or if Work IS Suspended fur More than IN days. ............ --—------------- SiPy�nl eite Z3te I t .-re: Isst.ted Bys ........... ...................... Call for inspection 639--4175 CITY OF TIGARD MECHANICAL PERMIT 13125 SW HALL BLVD. Permit#P_ O. BOX 23397 oescripti,n T I GARD r OR 9 7 2 2 3 {� //�✓ K Table 3A Mechanical Code CITY PRICE AMT (503)639-4175 7 l 1) Permit Fee -0- -0- 10.00 Name of Development 2) Supplemental Permit 3.00 Job Address I 11 Furnace to 100,000 BTU 6.00 incl.ducts&vents Tax La Map No. - 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Lot Block Subdivision --- --- -- - Name(or name of business) 3) Floor Furnace 6.00 incl.vent _ Suspended heater,wall heater Mia"Ade Plans q) 6.00 Owner - or floor mounted heater — City/Mate Zip 5) Vent not incl.in 3.00 (1' — appliance permit L -F'7namedbuskness) 8) Repair of heating,ref rig., 600 cooling,absorption unit - 1 — -�-- - Boiler or comp to 3 HP Mailing Address Plane 7) 6.00 Accuputt absorp.unit to 100,000 BTU — City/State Zip - 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU - Name - 9) Boiler or comp 15-30 HP 15.00 r, absorp.unit112-1 million -- Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50 _absorp.unit 1 -1.75 million Contractor Boiler or comp to 50 HP City/Slate Zip 11) 31.50 absorp.unit 1,70,000 BTU State Registration No. (` City Bus Tax No 12) Air handling unit to 4.50 Air handling unit 1 hereby acknowledge that I have read this application that the intonn10,000 CFM + alion given is 13) 7.50 mrr r!c1,that 1 am the owner cx authokized agent of the owner,that plans sub utted are in �"pfiance with State laws,that I am registered with the bY.:;^a-:,!jeri Board,that the 14) Non portable 4 50 fit rrnber given is correct.(1I exempt from Stare—1mtration- ase give reason below). evaporate cooler Vent fan connected 3.00 -------- --- 15 to a single duct 16) Ventilaticn system not 4.50 included in appliance permit - -��- _ Hood served by - ------ 17) 4.50 mechanical exhaust lure( r Q- _ Date 18) Domestic type 7.50 Describe ddition FI alteration (� repair a incinerator to be done residential ® non-residential O 19) Commercial or industrial 30.00 type incinerator Existing use of - building or properly— _-�__-_-_____.-.._ 20) Other i.e.,woodstove,water 4 heater,solar,clothes dryers,etc. Proposed use of building or property_ __---_ ._-_--.___-- 21) Gas piping one to four outlets r 2.00 Type of fuel- oil CI natural gas ;7 LPG [7 electric l_] -- -- 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- _— STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ 59'e SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DA`.'S AT ANY TIME AFTER TOTAL WORK IS COMMENCED. , Special Conditions -- a-_ Data issued by Y CITY OF TIGARD _,l)Mi3iN(; PEEZMiT 13125 �w HALL BLVD. F. O. BOX 23:397 Applicants must hold Oregon Registration to conduct a plumbing T I GARD, OR 97223 business or must be property owner/operator not hiring oudside help. - - Nam*odbevoloprnenl - (503)639-4175 Plumbing Permit No.96 - `l// Address-- --..�_ -- Description - ORS 814-21.610 WW. PRICE AMT. Job Taj_ _�- Map.No. -- ._ - - Address ----- FIXTURES tn1 [flock StAxIMSlon �� ,Sink7.50 ---�-�-'� Lavatury 7.50 sine Or matikr 151n09s) -1__- - - —Tub of or Tub7Shower Comb 7_50 lx;-UTfng�- - Shower Only -- 7.50 -- -- WalerClosel` I Owner Gty/$tete_..._._._.. � � .J- 7.50---------- Dishwasher 7.50 --------,-- Phase Gvbage0isposal - -^?• --- Washing Mactunti - 7.50 Name `-- - F3oor Drain -- 7.50 Pune—�----- Water Heater r-�— -- 750 . s_--- _ LaundryRaxn Tray 750 — Occupant City/State zip — - Urinal -- 7-50-- amePhone Other Fixtures(5pbdfy) 7.50 7.50 lav rens Ptsorxf 750 7.50 Contractor MISCELLANEOUS ----- City thre Tex No sewer 1511 W -- 30.00 Sewer-aa.Addit.100' -- 15.00 'tate F��3iMr3N�;____�Uite l�urrTter--s Busk':-Ro ---- (Rosxienbal) Water serAos I st 100' _ - - -._-20.00 - Water SeCAM ea.Mklit2mr 15.00 1 hon4rir adcncnvk►dgo tided 1 have reed this notilicatbn.OW the Information _ — given is coned.diel 1 am registered with tlw SMS BLQdW3 Board.and&%o Storm 6 Rain Drain t st"100' _ 30.00 have a Slate F3kxT"V manse that the nun4mrs given are coned•that all 15.00 plumbo plumbing wk wig be dose in aecordenom with appW-Ad<e provm*wts d Che Stam 6 Prin Drain Addrt,100' gon Revised Strtutes C4utptera 447 and 693 and applhabW ecdes and ttwt Motrib Florme Spnoo 25.00 no help will be employed unk"s Ik-ensed under ORS 6013.(If exsmpd from --Prevention Stater registration,pba" a(erurxt below). Back Flow ntWolluti � � Device tx Mtti-f'olluUon Oovrce 7.50 14)M(-OWNERS. 1 hw"candy Qui 1 am the owner of the prupetly do - arnbed&Ixrve,at wtslch location I propose to make a pla-nbing lr141ARS ktrt 1sx AnyTrap Qr Wasle Not my own tow end titin property kr not bektg axtstrvcisd for SAM.base or rm* Cernocled b s Ra" 7.50 Catch Basin 7.50 IrW.of Exist.Plumbing --40.00 Per Hr -- J 40.00 Per Hr Rain Drain, . Specialty Requested ktspadlars _ --- - ---- _ _ 15.00 Single Fats. Dwlq. _ AUT110RtIF-D SIGPtATURE Deacrlbo wodk new(-) addition[] alteration❑ -- t be done residential non-roeklentiaf MINIMUM PERMIT FSE 25.00 i_uesrinq use of SUB—TOTAL a P(01-11 irutldrlp Y - ---- _ Propoewl U"of - Y- 5% SURCHARGE _ biijb v or[>ro—tY - - – ----- -- 25% PLAN REVIEW (, 3 NaT" ThM pa �a tMransa rsufl arx]odd a work a ecxnatrurekxt urdnortlad V not rzxr� TOTAL m ennod*46*1 ISO Jaye Ar K rxtndn wfktn ry work v MwKwvbd or ftwv cwwA kw i prrrkxl nd Mil nays a!arty N1w afiw, v xil Is rrxmr�.x>h1 G"CU11_Cr?Nt)""q Ogle byue"I - by -- --- `I CITY OF T I GARD - RECEIPT OF F'AYMEhIT PEC NOt 00108029 CHECK AMOUNT t 70.86 NAME: GIM CONSTRUCTION CASH AMOUNT t UO ADDRE3St 177::5 MAPOEE AVE PAYMENT DATE t 03--"c.-6--90 LAKE OSWEGO, OPS 97035 BLOM NO/ADDPt i 11360 SW NOVA CT PURPOGS OF PAYMENT AMOUNT PAID PURPOSE OF PAYMEN7 AMOUNT PAID ' — +----~— MECHANICAL�PERM Y(70-0059) 15.00 STATE BUILD PERMIT TAX (SY.; . 7 FLUMBIN6 PEFMIT (90-0044) 52.50 STATE BUILD PEPMIT TAY, (5%) 2.61 i i i TOTAL AMOUNT PAID — — 70.(3Fi BUILDING. ; PERMIT CITYOFTIIFARD �, PERMIT NO. : CITror WArD COMMUNITY DEVELOPMENT DEPARTMENT 04190" DATE ISSUED: 13125 S W Hal!Blvd.,P.O.Box 23397,Tigard,Oregon 97223.15031639-4175 PRIM.PMT.NO. : JOB ADDRESS: 1136,0 -- TAX MAP/LOT 2. 5 ! "3 0 l3 / Z-s SUB: LT: z- LAND USE: k). LOT SIZE: VALUATION: Z-5*e &-e) SETBACKS FRONT: REAR: WORK CLASS: a ��° *-"' DWELL/UNITS: LEFT: RIGHT: USE TYPE: ��� NO.BEDROOMS: MNST.TYPE: ,��� NO.BATHS: OCCUP.GRP. : �� 3 OCCUP.LOAD: TOTAL. AREA: NO.STORIES: 1ST: ROOF CONST: FIRE RRT: HEIGHT: 2ND: AREA SEPAR: BASEMENT.- 3RD: OCCUP.SEPAR: MEZZANINE: BASEM'T FLOOR LOAD: GARAGE: FIRE SPRKLR: ALARM: FLOW (GPM): DETECT: HEAT TYPE: HDCP.ACCESS: CORR: PIAN CHECK BY: 62,5 REMARKS: REISSUE OF NO. SRWRR PREUT: LAST REISSUE 0 W FEES: E PERMIT 3 R PLAN REVIEW FIRK DEPT D 3 -- -- — STATE TAIL C- I O OTHER --- N DEVELOPMENT CHARGES: T SIC (STORM) R A SLN; (STRERT) C PDC T J PREPAID CL ' R - T01 AL: This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations RECEIPT NO. <� 7 7 --7 andall other applicable codes and ordinances, and It Is hereby agreed that the work will be done in accordance with the plans and REQUIRED INSPECTIONS specifications and in compliance with all applicable codes and ordinances. The issuance of this permit does not waive restrictive FOOTING SEWER covenants. Contractor and subcontractors shall have current city FOUNDATION WALL RAIN DRAINS business tax permits. This permit will expire and become null and POST & BEAM WATER LINK void if work is not started within 180 days,or if work is suspended or PL.B, UNDERSt AH CITY APPROCH/SW abandoned for a period of 180 days any time after work has commenced. It shall he the responsibility of the permittee to assure SLAP FINAL. all required inspections are requested and approved. PL.B.TQPOUT !r''RAAI NG� FIREPLACE (�I3rLTl1E_-- Permittee Signature INSULATION GYP.BOARD Issued By: (,ALL FOR INSPRCTION 639-4175 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE �. ��i�..._.._�..�r..�•..anYr�r..Ad.+►�uw.r•wWv W'Y.irir'�Iv-:r'r.��......r A.W�YW�i.4Jlr�1.M'�.s+u.N w•r�-..•.ter s.vr YW r��elYti1��Y.rryw..r..r..�......�.a.,......ia...,..rrr a�.. 7..,.� �k I i Uv�/NER `ONT"C-TUR CkA\G VJAKE - / GIM �N-Mu`-n0I,B4C-. IIZ4oCl N©\/F, C7lx7735 MRRUSE fJc'vF- Ti LAKE: APPRO"ED FOR CONSTRUCTION Cfi'Y OF TIGARD PERMIT N0.-jZ10 SITE ADD RES BY____ TITLE DATE op FLA ZAING A:-, FRor-,1 L_hAN(:3Koc)tA Ft-oc k \ 2—" V I1: it K 12"x 12' --EPRA GoiTA L_IN!VEA�" G.NIMNEY L(TF-PJLT, 2.4" /�b-)\/E ftAK �\ ISI l I � i ill �p dm- 10 ISI � I I T 1 III ISI i I i I I I I " r N I CITY OF TIGARP 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 Z— sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & L:fe Safety Code, edition. PROPERTY OWNER: G�Ccti�1�L OWNER'S ADDRESS: CONTRACTOR: _�z ry C' ,,, r_ TELEPHONE: 3 1 0 5 9 JOB ADDRESS: 'Q G LOT NO. 6 MAP: DESCRIPTION OF WORK: _0 ?�2 _ Approvals Required SPECIAL NOTES OPlanning Dept. O Reissue OEngineering Dept. O Flood Plain/Sensitive Lands 0 Fire District C, Sewer Availability ` O Other O Other r Items Required 0 List of subcontractors I 0 Business Tax L Calculations OTruss Details • O Parking Plan OLandscape Plan O Other COMMENTS: City of Ti.garu Building Department BY:_"_�� � c — i BUILDING PERMIT iv/c /D CITY OF 71FARD PERMIT NO. : .L'3J COMMUNITY DEVELOPMENT DEPARTMENT OM0" DATE ISSUED:-- 1312S SSUED:_1S12S S.W.Has Shrd,P.Q.Oft 2210.TIverik OP09m alts.(W)aa+»s PRIM.PHT.NO. JOB ADDRESS: TAX MAP/LOT -- . SUB: ----- — - -- -- -- IT: LAND USE: J1 �[ • _ LOT SIZE: _- VALUATION: _ 2500 SRUACKS FRONT• _ _ Rm: WORK CLASS: DWELL/UNITS: LEFT: _ RIGHT:_ USE TYPE: .r NO.BEDROOMS: G:mST.TYPE: NO.BATHS: - - OCCUP.GBP.: _ OCCUP.LOAD: - TOTAL AREA: NO.STORIES: IST: _ ROOF CONST: FIRE RET: • HEIGHT: _ 2ND: ARKA SEPAR: BASMU=: _ ..,- _ 3RD: --- OCCUP,SEPAR: MEZZANINE: BASSN T -- FLOOR LOAD: - v GARAG9: FIRE SPRKLR: -___-_- ALARM: _ FLOW (GPM): DETECT:- --HUT TYPE: HDCP.ACMS: CORR• PLAN CHECK BY: ,_ ^ J Jl UKARKS: ' F •._.� �:>� l RSISSUF OF N0. _ SEWER PERMIT: LAST REISSUE I W FEES: Ey� �`�-�- PERMIT 3 Sa R PLAN REVIEW 12-5. D 3 P_hoe: Fln DEPT _— STATE TAX 9 3 o Name: j'ry� ��}n io.�a�t-rig-_ OTHER DEVELOPMENT CHARGES: R Address : t-7-7r,< � - Je. SDC (STORM) __-- -,—• A --�k<-_�� �I�C��� SDC (STREET) PDC -- - ----- ----• o Phone: -� - Wig--- --- --- - --- PRTOTAL� R M— RECEIPT NO. REQUIRED INSPECTIONS FOOTING SEWER FOUNDATION WALL. RAIN DRAINS POST 6 REAM WATER LINE PLA. UNDERSLAB CITY APPROCH/SW SLA$ FINAL ri n.TQPOUT GAS LINE --------- INSULATION Permittee Signature GYP.BOARD Issued By: ---_------____ _ Jr 619- - -- CAlL i I ' ity of Tigard INSPECTION REGUEST for yYt :'JCPECTION TIME : ���_d� H PERMIT NO. : DATE ' S ;lS"L. .!L DATE ISSUED:_ Z I OWNERS NAME ' ADDRESG a _-�1& Uj ci ,)NTRACTOR _----- --- ' - I T' Air ❑, Wator p , Visual 0 , Laboratory ❑ - UI T: Approve ' ^ �K TCH� , � 7 I INSPECTOR UAFIL CQTE : Attach supplemental teat data hereto] J ADDRESS PERMIT NO._ 63 PERMIT CHARGE none OIINER - ' CONNECTION FEE PAID BY TYPE OF BUILDING , DATE CONNECTED J SERVICE RATE /f CC INSPECTION FEE P--C;, CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID ,.rte,,-„,�...,_._,-.�, _.__._.-.__ .._._......_....,, ._.._ .. _,- ._ ..__. ,..,•. .,.�-___.-__._..._. _ _ -.nr. r*.ig �.,,.".....,,,,........ r,.. ..,,..�.,...,ag.,.,,.,�,...,..... ,era•- .�...-_. _. BUILDING PERMIT APPLICATION 10 Y TIGARD DATE lU/17/ tg THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Ow' ERPHONF LOT NO. OWNER • , J'IL . ' CIa-ADDRESS I L 360 U %1(3,je I,0IJ. HOME ADDRESE ARCHITECT ENGINEER BUILDER ADDRESS DESIGNERr� _ STRUCTURE ❑NEW ❑RFM_nDEL _ ❑ADDITION C3 REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCAT ZONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT []GARAGE ❑STORAGE❑SLAB ❑FENCE r CBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED `❑SIGNS OCCUPANCY '�-_LAND USE ZONE-_'�7 BLDG.TYPE !-' FIRE ZONE- PLAN CHECK BY E�(�I HEAT__.'g rf'1t LrU .`.jinuli atf±1,L�,� tflJ19�-lY + J/$t $l;�t®CJ _ lL'F3 C?. )lf�bLliSttli :- S i.'ltt,t';e SSIJf , . 1. 117403 — 9 62 )AU LQAD_ r1,9pP_4��_ �P(.) --HEIGNZl� N9_ TURIES .._`.... AREAZ.LEt �Q1�E�H44M.$_____VALU_E__._ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 187.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check ` 3. •aU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY' AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total '"iO' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State T&)e �•X18 LICENSE. SEPARATE P fdjAIT8[qEOUIRED FOR SEWER, PLUMBING AND HEATING. Total 1. 1.901 nil APPI.ICANT OR AGENT Approved llllitiNtt Receipt No DATE INSP. TYPE INSPECTION REMARKS PLUMBING ' DATE ✓ Contractor 4 Permit No. /`cam p -137W 1-2 - ".Q>: e,--t,e, .BIZ v __Y_ _— Rough-in-- c _ K K Fixture Final HEATING r' Contractor Permit No. - Gas or Oil U N4 L Rough-in — :Z� _� fdA n1 jrP �,-,-y�I-r r r'Q Final S ) - /Ipowele •�it ef'�YN,� �M _ SEWER ^C� — Final _ _- DRIVEWAY Final Stom Drainage (Rain Drain)Final Cidewalk Curb R Street Final Approach BLDG. D-PT. F114AL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY ----- Landscapiig Zoning Final CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 6394171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s) require correcting: Date: _--z - -1=1 _ Permit No. Inspector CALL FOR REINSPECTION CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform building Code, the fol'owing item(s) require correcting: a t e: z,- ZZ Permit No.----- Inspector CALL FOR REINSPECTION CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, !!ie following item(s) require correcting: -)ate:-,% Permit CALL FOR REINSPECTION O I__ _ I •r V.1 S a ►rir°- v I o > -M zz CO L 1' p1 C - _ C, (1 Cl. Lit _ Lh Q > C� Q 2 LL ..I .•I . �~! • Ii M1 L'J ` 7J m lb o i pb n CLkkkS1SS JI L"J LL wL7 > p pUF�I Q � 11 c .. N � O D �' � [I 7 .J C 'U a ;I O C 2 �) v`t��l C�� C, CQ [1 n c >I L I c ���C I ( F t � W LJ 4-1Q W C Q r l._ N .�I .+ r U UO �d1 z d 0 3 ofol r _ _ c c �; a uJ • 7 L) n Z u_ LL� G ZI Lt �. R