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10625 SW RIVER DRIVE 10625 SW River Drive BUILDING PERMIT APPLICATION t1Al THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR [HE WORK FERE N INDICATED �3UILDER 'JHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP;=Cl -ICATIONS. ZgWNER PmONE. LOT NO. 2MTy�+ OWNERJOB ADDRESS k � {, - ARCHITECT -':t.ra'rUy ENGINEER BUILDER ADDRESS P.O. BOX }3291 _ DESIGNER STRUCI URE F.3 NEW ❑ REMODEL _(_1 ADDI nON ❑ REPAIR _ ❑ RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ PELIGIOUS ❑ PATIO L7 CAA PORT ❑ GARAGE E STORAGE ❑ SLAB❑ FENCE OCCUPANCY _ a.3__._LAND USE ZONE4"'I BLOC.T YPE � FIREZONE PLAN CHECK BY BEAT i-A?. =y« txuc siCm It c a li..r_j w/ attached ga °�T—I a I I por Mna mi plrNm. -- - ?t.b t kU 85 c 1L-J.%sw G�' fA07 townC Fieri ?:�t1e r",�A', SEWER PERMIT N 33431)` ( .Lcl?!) 2 h.-lt:h, 0 t'rcips gn,roge 420 OCC.LOAD FLOOR LOAD 41" HEIGHT ! NO.STORIES ^RFA, a 460 NO.BEDROOMS VALUE !4tI"1l) BUILDING DEPARTMENT SET BACKS FRONT f'U REAR LEFT SIDE RIGHT SIDE Permit '''' _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING „r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND I; IS HEREBY AGREED THAT THE Plan Check � I WORK WILL BE [SONE 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 RESi;?ICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS �� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax ----130C— 1500.(9) Total i 409,141 _� — — 40100 y PDCN 150.x" APPLIC:A��T pR A(iFNT ---- q rt A30.20 pe� X► a�abJ°`' ADDPE88.... __. - --- -- PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE Contractor �� yQ 6, �7 S Zv Permit No. SZ fJ�'f _ 4 - Rough-in 6/y o Q 2 — Fixture A ` Final HEATING aContractor/Ju � 7Z Permit No. mm Gas or Oil Rough-in -- 1�-- f' Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final _ _ __ Approach BLDG. Gtrr.r NAL TEMPORARY T CERTIFICATE OCCUPANCY Final CERTIP'ICATF OCCUPANCY Landscaping Zoning Final — Wog FLAN LtiLLK for inspections call 639-4115 PERMIT N0. CITY OFTIGARD 639.4171 DATE ._� 5- --to- DeL-eK BUILDING PERMIT P.O. Box 23397, Tigard OR 91223 TAX.MAP ____LOT NO. � OWNER— suBDtvts{UN �.lt� - JOG ADDRESS 66.1 S�' /,-I ✓ r 0 l— J .� BUILDER i, / { ! �'r h STATE AEG.NO. EXP.DATE /.2 —' 8UILOER'S PHONE Iv 8 y 75"Y-3— Q L7�0—�-/�J/ OTHER ARCHITECT—pt p�� 1�� c _ PHONE ST TUBE NEW ❑ REMODEL LJ AJOITION ❑ REPAIR O MOVE ❑ OTHER U DEMOLITION RESIOENCE ❑ CORM (:1 EDUCATrON El INO U RELIGIOUS. (]'ACCESSORY (] GARAGE L] OY.�ER C) FENCE OCCUPANCY L/1ND USE ZONE " BLDG.TYPE -L'---FIRE ZONE PLAN CHECK BY $ ►tEAT "�"""" annrr�vvrl Construct single famil�_�lwei --- S-�� to 8!) code, _------ L_o s 1 IAF• ._i ss k r 6 SSS SEWERPERM,T# 3M -(idu) J,. baths_ ,B trams _ garage area Ql L� ----- ---___ ___-- OCC.LOAD _ FLOOR LOAD �V HEIGHTS NO.STORIES A AREA rf NO.BEDROOMS VAIUy 4 0 6k� 13VILDING DEPARTMENT ARTMENT SET BACKS FRONT ! REAR s LEI'?SIDE r'+.�.,....�... GHT SIDE 1N- Pwmlt „� " — THtS^PERMIT IS ISSUED SUBJF(;T TO THE REGULATIONS CONTAINC•O IN THE ' IILDING CODE., ZONING REGULATIONS AND ALL APP1;(:ABLE CODES AND ORDINANCES,ANI)IT IS HEVEBY AGREED THAT THE Kan Check 44 '" WORK WILL Be DOME IN AC'�:,RDANCE WITH THE PLANS AND SPE1;4r'CA110MS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE P1.Ck F" RF_STRICTTVE COVENANT&CONTRACTOR AND SUS CONTRACTOR!T HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SFWER,;LyMB!N ND HFATINQ State Taxi SDC— r Total APPLICANTORAGE - a T Receipt No ADDRESS J "DNI Bal.Due �i W Issued BY-- By----- S j, DC T-----SSDC 5 t2 �w�r SnC - I Fa fcECE I PT � DATE PD. SCWER CONNECTION 5 ��_ AMOUNT PD. SEWER INSPECTION S 1 SEUER SURCHARGE S_ CITY OF TIGARD PLUM 131 AJC► IAA) -CW ICU Rl%d. x anK must hold O Ti`d CR 9722-3 Appy Oregon Registration to conduct a plumbing PLR M IT 639-91.75 business or must be property owner/operator not hiring outside help. 7of DevOopmrid _ 0V tz Plumbing Permit No. A(;Iress Description () (I L_ `.) hl II vol I ' � AHS 614-21-010 DUAN- PRICE AMT Job Tax Lot Map,No. Address _.— FLKTU RES Lot Block Subdivision --- -- -� 7.50 -- antra a name suaess r.vat«y -- 7.50 - �' --C.(__f 2 _ /51 r?� , Tub or TuWShower Comb � 7.50 Brag A drifess C Shower Only - 7.50 �__ Owner /,�ta'e rip WeterC.�„et ---- 7.50 Dishwasher _ ( 7.50 P:K" Garbage DisposalC7.50 � Iso` _"> _.._ ---• - � _ - Name Washing Machine - f - - Floor Drain 7.50_ whg A c less PW" Water Heater - _ _L 7.50 Occupant CMylState -��— zip Laundry Room Tray _ — 7.50 Uriaaat _ 7.50 --Prion- Other Fixtures(Specify) 7,50F"WV Address Phone _. 7.50 Contractor /state ZIP Z 3 MISCELLANEOUS City/04m Tax No ,;-. 1st 1 W' _ _3 00___ _1;7 6~-ea.Addit 100 r-- — 1500 . `- tate --Board K0_ tate P�xrTisrs Bus o - - — (Resrferttia0�:�? -P6 Water Service 1 at 100 r 2000_ _. I hereby w*now4edpe that I have read this application,that the irdormatlon Water Service ea.AddiIX0c 15.00- -- given is coned,that 1 wn registered with the State Duildoes Bowl,and also Strum 6 Rain Dn yin I at.100 90.00 nave a SW*Pkxltbfrp Ikwvw that the nuntmrs pavan are oortaci.that oM Storm t n Drain Axtdil.100' 15(a0- - - pkxntwV work ao will be done in aondar"with applicable provisions of Ore' -_-- - ___ gal Revised StakAes Chapters 447 and 899 and%Vk tA%codes and that Mobile Norte Spam 25 t>V ra n-ip well be wrtp",ed woe"oceneed under ORS M3 (If exempt hxra State registration,pleats glue reason below). BDeviceack or Poli F o Pr on Device HOMEOWNERS-1 hereby owtily t W I am the�•wn w o/the property ds --- 150—o eort»d above,at which location I progoee to malts a pkarabktp kotaMellon for Any Trap oa W aaM Not my own use and 1h4 property is not bsing oonstueled for"is. -tree or rent Connected to a Fixture- - 7.50 Catch Basin 7.50_ IrW.of Exist.Pkxrk" r 40 00 Per Wr. Spools famed Inap9dAms- _ 40.0„t Per Mr -- - ----------- - _. Atter of Pkrnbing wtehtn an Ex"V Bldg 115_01)enln Aifn iZEO 9I104ATURE--��' ode Now Bldg.or Buil AddKbn flim Gal mini - ---.�_ sita fala.ly Describe work new addition❑ liftwo0on❑ iVpalr❑ dwelltr�_ _ 15.00 reelderltlal Etdatlnp use of - -f A-TOTAL _ �j ex property - --- _ PVW_-40d U"of 4%GUIP140HArAN Jc' or pmperty Th%partlM AAoort+w-toll tend vaW N"wit or oenstruo�xt stuWa seed Is not cam - --_ O atertoed MIM NO dM+N M oartaMtrotlon or woma 4Nlapa gw or atlano m Ion FA Pocbd of WO OM r WW Mn after work la owwAnmd W 011ila lasued _/,,? �-(� - by - CITY OF TIG/' RD MECHANICAL PERMIT MIT Permit Description -- - City of Tigard --- Table JA Mechanical Code CITY PRICE AMT 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 Furnace to 100,00n BTU 1) Incl.ducts&vents 6,00 Furnace 100,000 BTU 1 7.50 2 Incl.ducts&vents Name of Development Floor Furnace 3) incl,vent 6.00 Job Address Suspended heater,wall heater - Address �p ,5. �. 4) or fioor mounted healer 6.00 laxLot Map No. Vent lot Incl.in Lot Block Subdivision 5) appliance permit 3.00 N;gCO2 ( r name of business) 6) Repair of heating,refr Ig., 6.00 ccoling,absorption unit Owner M A s Pts„�- ;) Boiler or comp to 3 HP 6.00 absorp,unit to 100,000 BTU - cny/state Boller or comp to 3 HP-15 HP ,..� 8) absorp.unit to 500,000 BTU 11.00 Name Boiler or comp 15-30 HP 9) absorp,unit 1/2-1 million 15.00 Mallrng Address Phone i 10) Boiler or comp to;10-50 HP 22.60 absorp.unit 1 -1.75 million � 11 _ Contractor Cltyislate ) p to 50 HP Boiler or comp 31.50 absorp.unit 1,750,000 BTU _ State Regi5lreticn No City Bus.Tax No. ) Air handling unit to 12 10,000 CFM 4.50 I hereby acknowledge that I have read this Air handling u,�it application that the Information given Is 13) _-_--_-_---_-- -- 7.50 correct,that I am the ownar or authorized agent of the owner,that plans submitted are in 10,000C'FM �- compliance with State laves,that I am registered with the State Bullders'Board,that theNon portable number given Is correct14(If exempt from state registration please give reason below) ) evaporate cooler 4.50 ) Vent fan co,mected 15 to a single duct 9.00 _ { ) Ventilation system not 16 included in appliance permit 4.50 17) Hood served by 4.50 q XV mechanical exhaust Bipna►ure towner-"sq Date Domestic type Describe work ❑ addition ❑ alteration ❑ repair ❑ 18) Incinerator 7.50 to be done residential non-residential ❑ Commercial or Industrial Existing use of � t 9) type incinerator 30.00 — building or properly, - 20) Other I.e.,woodstove,water 4.50 Proposed use of — heater,solar,clothes dryers,etc. building or property__. 21) Gas piping one to four outlets 2.00 Type of fuel- oil C] natural gas J4 LPG ❑ electric I I - 22) More than 4-per outlet THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --— -- SUB-TOTAL -- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHAROE f �y DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL '� 3 ABANDONE,)FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- WORK IS COMMENCED. LTOTAL 1 31077 Special Conditions Date Issued_ ___- by r _