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'!S 8 v I .l� k � lam'.��-` _ /�"��\�'r' '�•'.,.`` M.. i ^w" '��`"''.%:•,:�� INSPECTION NOT13E City of Tigard Building Deoartment 12420 S.W. Main Sc. Tigard, Oregon 97223 Phone 639-4171 /Address_ _— ----_��•� t+„'' "`.- _. ✓�” Permit tM Type of Inspection ..._. --.------___�_ t =`r'e "rhe following Building Code deficiencios are required to he corrected: 4- �/4r1�w"'. Presented to _ _ __ Inspector _ . nate -- CALL FOR RRUSPEMON YES ❑ No m I L � Of I�CtI U l�'It�Ctltttilllll " tiTllll \ •` •,,,`_ --�'`"- - Fee-- ---- �� --- Rv:,!acv LD Relocation 0 0,%cl1ition Alit ration t( >%Stat e_ ADi)nE _ .J_Sa 9701J'1VOfiK A/O�bRESS.�D ��—� 5 . PHONE l J�(m _ APPLICANT(�t/�11C _•, f.. Heat Input Rating (BTU Per Hour) Vent Size _ Flue Size __- FUEL 011. CJ GAS ❑ ELECT E OTHER__ ��— ITEM NO. FEE ITEM NO. FE For Issuance of Permit - -_� x•00 Air Condition Com,.ressor 15 to 30 HF —� 10.0 New• Under 10D,OD0 BTU 4.00 V Air Handling 10,000 LFh1 3.0 New• 106,000 BTU&ovr.r M`-�_�_ 5..00 Air Handling Over 10.0" Ci M� � 5 0 Floor Furnace 4.00 Evaporative Cooler —_ 3.0 Wall - door •Suspended 4.00 Range Vent Fan 2.0 Install Vents Only 2.00 Vent System3.0 ^t Repair • Heat & Coaling 4.00 _Hood Commercial --, _ 30 •.y•. __ Air Condition Cumpr�ssar Under 3 HP 4.00 Commercial Duct Systcrn 10.0 7.50 .Vir Condition Compressor 3 to 15 HP ti. INSPECTOR'S COMMENTS_ CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS B DATE ISSUED BY_ _ _-, DAT: _ -ar APPROVED By------- ---- -- - t: RECEIPT NO. 774Signatr of Applicant ',fn• _. —�.-r++. ..-.. _f`�'°t•��S"%'wfM�'�.r�...w..•srsw�+.a+•L►,a•?+!.MOK"7,OG`N,W!b�I?'4?�'.Y:. BUILDING, DEPARTMENT, TIGARD O MILWAUKIL PLUMB i 1 PLUMBING PERMIT P. 0. BOX 393 _ holder of a valid plumbing contractors license is hereby I authorized MW ';I9 as herein noted to be installed in accordance with the plumbing code of I igard. Such installations require inspection by the City inspector who shall be notified not less than four i T (4) hours prior to the tirne the installations are ready fof i s e th`on`. Qty/ol;Tigard Bysiness License required for all contractors and sub-contractors, o i `i �C ,ft"� (/�J 7 .Job O �� / L) I t Avner. {./ ' � , Address? �� !'. . Data I dF NUMBER OF TOTAL TYPE F PERMIT ITEMS FEE ON EACH AMOUNT I LvTIAL Sin le Family-1 bath—ea^h 25.00 Du lax—Each 1 bath unit — _ 25.00 Additional bathrooms—each 10.00 .__ %/ cj'7 ". Mobile Home Space—each — _ 1rin0 INOIVeDUAL FItTUREB col-lPrIERCIA1 1 to 50 Fixtures In 1 building—each 3.00 51 to 100 Fixtures in 1 building—each 2.50 _ 101 to 200 Fixtures in 1 buildir1reach 2.00 201 or more Fixtures In 1 buildin —each____ 1.50 I MISCELLANEOUS — Sewer--each additional 100 ft. _ 10.00 Water Service to building � 5.00__ riF' Other (Specify):__ PERMIT �c .- f For Plumbing Insp,�Vion Phone 6394171 / c'%�� Plumbing Contractor B 4' rzzyw 4 State ..�- � 9 Y TOTAL. '°t PFrEIPT NO. IsauPri nv 1 SEWER PERMIT '33477 Uf nfiedSewerageA9enay CITY OF Tigard DATE 6`12-87 of Washington Coun'y -- — — 0WNER i rir.t i nn _.__.__�_ PHONE 629-8729 OWNER' S ADDRESSr <;w_ iirr-rwnnd Laces_ pard 97224 -- TYPE TYPE OF INSTALLATIONr E BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ LINE TAP TYPE OF OCCUPANCY: NEW L,^J^ EXISTING SINGLE FAMILY ❑ COMMERCIAL ❑ MULT . RFS . ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS , 1 ADDRESS OF STRUCTUREr 16450 SW 108th AV. 97224 Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling for an inspection, please refer to the Permit "lumbi The Permit expires one hundred twenty (1.20) days from the date of issuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance given. If not so located, the installer shall purchase a "Tip and Side Sewer" Permit at the current charge and the Agency will install a lateral. FEESr 3`.1 .00 PERMIT FFF CONNECTION CHARGE 300.00 LINE TAP INSTALLATION _ T I SsluD FiY�_._�____ OTHER TOTAL 335.00 %)ATE ALICANT DA E OF EXPIRATION SEWER PERMIT ADDRESS OF STRUCTURE 16450 SW108th Ave. 97224 TAX MAP ;2 TAX LOT W QUARTER _. _ SECTION -- LOT BLOCK OF _ _ ✓'t __ _ 88ccBB _ 6-12_Bj_ "! — APPROVED BY ! DATE ISSUE BY — DATE OF 1SSUANCF 1 4" ripe requ{ required . Septic tank to be D . U . ' S REMARKS pumped and filled and inspected by city. fA BUILDING PERMIT APPLICATION TIGARD DATE----.-'f ' --___.is L C__ 3223 THE I. ',IDFH SIC;NEr)HE W-11Y APPLIES FOR A PERMIT FOr+THE WORK HEREIN INDICATED BWLDER PHONL 981--6770 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE -'� LOTNO,__!�I- Picks OWNEK Javerly Lor>str.C._(JOB ADDRESS 101bb SI _ ivorwood Lane L nO�ny I — ARCHITECT ENGINEER BUILDER Sable _ ADDRESSfit.1-Bux 412C,Hubbard DESIGNER STRUCTURE ?IXNEW ❑ REMODEL ❑ 4DDITION ❑ REPAIR ❑ RENEWAL J FIRE DAMAGE ❑ DEMOLITION HESIDENCE ❑ comm, L7 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO .7 CARPORT C GARAGE ❑ STORAGE ❑ SLASO FENCE OCCUI ANCY -LAND USE ZONE _L1i)721) BLDt3.TYPI' _ _N__FIRE ZONE_ !.PLAN CHECK BY RL HEAT E le_C' _ Construct single family duelling w/attached garage. 3_Bedrooms - -,the. SEE SCE CORRECTION SHEET ATTACHED, SEWER PERMIT# G j �( — l0 j.QQ OCC.LOAD FLOORLOAD 40 HEIGHT 16 NO.STORIES 1 AREA L039 N0.BEDROOMS 3 VAU!'))i74 L 260. �BUILDING DEPARTMENT SETBACKS FRONT 16 REAR t I_FFT SIDE lb+ RIGHT SIDE Permit _ 237•1313 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING RF.GUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRErD THAT THE Plan Check 11U.60 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAiVE Subtotal 3`aJ.ail RESTRICTIVE COVENANTS. CONTRACTOrl AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICEN SKPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 14,' 9.46 SDC— t`. i_ i; Total S364,96 ''._/tJ� By PDC:H I I $100-0i' APPLICANT OR AGENT I'1 _ f Approved Receipt No. ' -ADOREss- --�-- PHOME j r,r DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ^ Contractor Permit No. Rough-in – Fixture _-- ��►s T/ Final H Cot /f✓1rL —J EATING O p,_ Contractor / Permit No. Gas or Oii — – Rough-in ---,_--_ ----------- Final SEWER –.—–. ---•— ---- Final - —`— ---�� ----- DRIVEWAY Final — �—` Storm Drainage (Rain Drain)Final ~ Sidewalk r V Curb&Street final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUP CY Final CERTIFICATE OCCUPANCY -- O landscaping Zoning Final r � BUILDING PERMIT APPLICATION TIGARD DA'r 19-90 0322 73 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN.AND APPROVED IN THE ACCOMPANYING PLA PIS AND SPECIFICATIONS. OWNER PHONE _-_ .- LOT NO. Z_ OWNER � !1p ADDRESS 1_0�_C1 -- .w- ARCHITECT BUILDER sa NIC.. ADDRESS r&,Xl�ll�� ENGINEER LING N ER STRUCTURE �I NEW ❑ REMODEL —r_ADDITION ❑_ REPAIR ❑ RENEWAL FIRE DAMAGE ❑ DEMOLITION _RESIOENCE I✓ COMtd ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE "1 BLDG.TYPE � _ ---FIRE ZONE_! PLAN CHECK BY�HEAT_ 01 ISP. r� au - SEWERPERMITM OCC.LOAC FLOUR LOAD 0 / _ HEIGHT_�i NO.STORIES _ AnEA,20 99 NO.LcOROOMS 3 VALUE J 2�p BUILCING DEPARTMENT " / SETBACKS FRONT �� REAR „� LEFT BICE IS •00- RIGHT SIDE f+_ Permit so THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TAE BUILDING COVE,ZOt4:NG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED THAT THE Plan Check 11 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMP'.IANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total .—40!— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 01 8 LICENSE.SEPARATE PERMWTS RFOIJIRED FOR SEWER,PLUMBING AND HEATING. tJ G!ar -9S SDG—� — Total PUC# APPLICANT OR AGENT By Receipt No. Approved -VD—OfTFH�S PHONE soc PDC — �3 # /0 0 SEWER CONNECTION S� (i SU SEWER INSPECTION $ 2j� SEWER SURCHARGE C0mmentS : ItQie�. 6 q 'g Ivu —v@ i 10 I"e. v 'V-10 Ply •�� ' x 36 17 S-z - < tka 73, .s/o I z0