10785 SW RIVER DRIVE 1 , �
10785 SW RIVER DRIVE
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INSPECTION NOTICE
City o. Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phoney 639-4175
/fvType of In3pection
Date Requested _ -_ i2-� ' _ Time AA,� P.
Address _/Q?� ,... Q� -ham`' Permit # �•
i
Owner — -- _-- — ---- wt * ----Builder
Th.-
---
The following Building Code deficiencies are required to be corrected:
17
Af
Presented to _ __ &-Approved
Inspector _.e T ❑ Disapproved
Date —
CALL FOR REINSPECTION
C7 YES 0 NO
V.I*--'('3HANICAL. FSH 91'7
CITY OF TIFA RD kvielkl EPM11* NO . : ME891-767
CITY01FTWAIM
COMMUNITY DEVELOPMENT DEPARTMENT
7i � DATE*.: ISSUED: 6 1.El 89
13125SW Hall Blvd�P O.Box 23397,7!gaid Oregon 97223.(5A)6394175
..OH ADUPE"55 : 10783 SW PIVER DP
TAX MAP/LOT L T EIK :
LAND USE :
LOT SIZE:
ITEM: NO : NO:
WOPK CLASS : ADDITION FIJANACE (100K AI44 HANDLP (10
USK. TYPE : '51WA.-E FAMILY FURNACE 100K+ AIP HANDLP 10K
CONST . I'YPF : FLOOR FURNACE E.VAP.COOLER
(KI311UP. GRP . IAEATLA VENT FAN
VENT VENT . SYSTEM
MLR/COMP (3HP HOW
NO . STORIEKS : )L-A/C(:)MP INCINEPATOWDOM
DWELL .UNITS EILP/COMP 1.5---301-11:) INCINEPATOR(COM
FUEL TYPE: EILP/(XItAp 30-5011r) PEPAIR UN]''T'S
MAX . INPUT HLIVIDOPIP 50-t-1-11P OTHER
DMPPS,? GAS PIPING OUTLETS
11-4161-1 PRESS?
1:41-EMARKS ;
0
W r C)in t3 PERMIT' $10 . 00
N 1.0,785 St, PLAN IIIEVIEW
E
R t J.g Nk r,1:1 IXTURES $1 . 150
(.503) 6SA-9703 si,A*rE. 'rAX 13
01HE'P
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O
TOTAL: 15 .23
PK*(*A;::TP,T NO,
This permit is issued subject to the regulations contained in Title 14 ........
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all oth,r applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications .,nd in compliance with all applicable codes and
ordinance, The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
businessl tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work Is suspended or
abanflored for a perlrd of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all req fired Inspections are requested and approved
Lo A4
P,rmitt Signature
Issued By CAI.J.. OR 639-1-.L7c3
5E1=ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
z P !t!f A1s. t �h �V' � ! Y:� '4 t R 1� t k r N! .tt" .s. Q�`'•r•��
w y4�� '�r �' ��r ��a^4, d ,« ..� l d�`'^ �q 'ql'l4Ih�R�••ny, � �4Wrt
OP$ a 4+ , 0ti'/NA 'R1 ���AAA t t t •F e mA 4h'1P' •1lAA,
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p.o.ibx 23347
CITY OF TIGARD PLUMBING Ticjar 94 ball °1`�
C'
Applicant must hold Oregon Registration to conduct a plumbing PERMIT 639-4175
business o riusi be property owner/operator not hiring outside help.
Narn_ �/= Y
a of Developmentpmen
lo +
—�-_-- Plumbing Permit No.
Address Description
� ORS 914-21.910�7�r�c-� �r/� -(��Z__
Ot1AN. PRICE AMT
Job Tax Igoe Map.No.
Address _ FIXTURES _
�75
�Elkch Subdivtelon Sink wcavatory -
ams or name o1&rsiness
/ F� Tub or Tub/Shower Cornb. 7. _
—1 = 7.50
aruig esu Shower Only _ _� _
---•7--- ---- Water Closet` 7.50
Owner �tyi�iteta 7.50
Dishwasher
Garbage Disposal - L. . _ 7.50
Washinct MachineL 7.50
7.50
Floor Drain
--..--_--."- - 7.50
_-_-. P,cele Water Heater
ailing-mess
Laundry Room Tray - - 7.50
Occupant City/Stale — Z'p Urinal 7.50
Other Fixtures(Specyh) - - 7.50
19 an j� �. - 7.50
7.50
MMWV Address
------- ---. _�_ 7.50
Contractor Ckyrsteft _ ZIP 9
MISCELLANEOUS
City&m.Tax No gsvw4r tet 100' 30.00
�/ Sewer-ea.Addit.100 15.00
a late s s ^ - 20.00
(Resdertial) � - Water Servios 1$11100'
_ -.
Water Servioe es.Addit.�'1' 15.00
hereby I ock nowkx4e trod haw haread INS 40)0c~,that the intrti
0ratk)n -
green is correct,that I am regWorad wiNi"Stale 6rAder's Board,and also 3rpm 6 Rain Drain 1 St.100' 90.00
have a Stale Pkrnbing loan*"trier numbers given are a'rTeQ that all15.00
plumping"x*will be done in WXordan0e with t>W�WT�Ofw of Of a Sloan 6 Pyin Drsrrn AddN.10C'
gon Rsivised Statutt"Ctu►plers 447 wv1893 ane'appWAbie oodes and that MoblkHrfflm S,po'ce -- - -25 00 _
no halp will be empitryed unless NrbWOO(der ORS 603 (M exempt from Back Flow Prevention
State reglsta".please"reason Wow). DevfasorArNMPoputionpevice 7.50
HOMECWNERS--I horeby Dertify trial 1 am the uwrim of tie properly do- -- --
satw d above.at which betbm 1 WOP00e 10 nuke a pk►mbfiV ina ls"doh kr Arty Trap or Wade Non 7.50
my ole n use and Otis pmp"M nod bokV oo viper l`a1 lar*W0-4010 or rein Po
ft"
to a kee -�
GIOh Basin 7.50
It".of Exist.Pllurrb" 10.00 Par He
t!'8—P0 oma 40.00 Per Hr
�..
Allier.of Pkanbing wNhYn 15.00 min
--- - an Exiswng ---- ---
-
New aft or BuNd.Addition 25.0t1 min
AUTFKJRIZEDY31.M / Y sir a fatdl --
_—
Describe work newr$'j WW"jon[] ahem]lion[ lepaJr❑ d 11' 15.07
to be done reskientiel j' ria, liierltiiltl _—
BUS-TOTAL '
t:xlat►ng u+o of _.._.
btO**p of property
GPull p t uN of - --- - .
TOTAL -
nxp�Operty_-_-�_________�-_.-- - -
NOT'K�
Thlis pa lrN beoanea nuN aired maid*nark or ocxuatalbn authoexed is rout Dom .�_.......�,
fnenaad W"tA0 daylMs►M oarerrlaoMen u worst is SUIPWW«f or abandoned for
a period cf 100 days M anti Mira utter weak M oon+nwwd
i
BUILDING PERMIT APPLICATION L)ATE._ —_LL to --'' &9719
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WOPK.HEREIN INDICATED BUILDER PHONE l5��_�?��-t J.
OR AS SHOWN AND APPROVED IN THE ACCOMPANY!NG PLANS AND SPECIFICATIONS. OV VER PHONE—_
yJZ�V LG r NO.__ '�Z 9mc
OWNER �' JOB ADDRESS _ 2 f;i
- - ��- ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
_STRUCTURE NEW O REMODEL ❑ ADDITION - L7 REPAIR _ ❑ RENEWAL �❑ FIRE DAMAGE ❑ DEMOLITION
E RESIDENCE ❑ COMM [a EDUCATICNAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE O STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONd E4•5PNLDG.TYPE —FIRE ZONE --PLAN CHABY HEAT
CczT►str�trt single family c�wcsll >nc w/atto<.;iC3(1 gf-z;-41c0 I no approvo P
SUbjo Ct to 85 CCK10. --
3�1C1? ( 2 ciu 1 garage aref.1 �.
SEWER PERMIT M
11940
--
OCC.LOAD SIR FLOOR LOAD 40 HEIGHT 1.66 NO.STORIES 1 AREA 1723 NO.BEDROOMS VALUE
BUILDING DEPARTMENT__ SET BACKS FRONT _ry t` REAR 2.1 LEFT SIDE RIGHT SIDE
Permit 367 •�)H THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Tim-Y REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 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
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAJE CURREN( CITY BUSINESS
i LICENSE.SEPA'Mj P"MITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex
- ---- --_ soc- 000.00
Total f,23_ Q
-- - PDCM
By 2'J0.(�tt -�
----- - .r, - f
AP (CANT ORA E T
Receipt No. J.r��--= -- -� --
e1 �.: _N ADDRESS —- - PHONE
� � � ■r s t si
DATE INSP TYPE INSPECTION RE RKS PLUMBING DATE
contractor � � I /L 9• y•*17
j — Permit No._4
-316
Ag
—
Hough-in
I6� �,tlitozG- � Fixture
/ _/ Final
� /'i_,�-) o / ��q —_ HEATING
�
67 Contractor— . 1 �� /< %,
Permit No.
j2!r Oil
Final � _r
SEWER
---- -------- —.. Final
---------------- -- —...------- DRIVEWAY
--.�_..._—___.-------- ----- Final
Storm Drainage
(Rain Drain)Final
Sidewel k
Curb G Street Final
----- —_—__� rLsiodscaping
roechBLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCl/PANCYl
IFICATE OCCUPANCY
ing Final
CITY OF TIGIARD MECHANICAL, PERMIT
Permit# �qS_7 -
Description
Table 3A Mechanical Code CITY PRICE AMT
Cityof Tigard 1) PetTnit Fee -0 0 10.00
13125 S.W. Hall Blvd. —
P.O. Box 23397
Tigard, OH 9722:1 2) Supplemental Permit 3'10
G39-4175 1) Furnar:i to 100,000 BTU / 6.00 �D J
incl ,lucts&vents __
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents _
Name of Development 3) Floor Furnace 600
(A incl.vent
VU j"bib Address -- _ r.._._._. 4) Suspended heater,wall heater 6.00
Address '
/D �f'.5 ��(.(�� ,���,t,+t„ or floor mounted heater
Tax Lot Map No. 5) Vent not Incl.in 3.00
_ Lot 3 Block Subdivision n" appliance permit
Na for name of business) 6) coolieRepai , heating, u it 6.00
cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU _ _
City/State — Zip 8) 3oiler or comp to 3 HP-15 HP 1100
_ absorp.unit to 500,000 BTU
Nan* -_- 9) Boiler or comp 15-30 HP 15.00
—44"— absorp.unit 1/2-1 million
Mei ess Phone — 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor �G�ystate ---'-71-,- -— —-- 11 Boiler or comp to 50 HP 31.50
_ absorp.unit 1,750,000 BTU _
Stale Reglshat—on No- City Bus Parc No 12)--- _ Air handling unit to 4.50 -
10,000 CFM
I hereby acknowledge that ! have read this epplicetiai that the Information given 3) Air handling unit 750 is 10,000 CFM 4
oorrecl,that I am the owner or auNxxl7ed agent of the owner,that pians sulrnNted are in ----- — —
compliance with Slate laws,that I am regMiarod with the State Buiktera'Board,that the 14) Nen portable 450
number given is correct (11 exempt from Stale egistintion please give reason below) evaporate cooler
15 Vent fan connected 300
to a single duct
16) Ventilation system not 450
Included in appliance permit
Hood served by
17) mechanical exhaust 4.50 y
Npnahxe or.g.m10 Date 18 Domestic type 7.50
Incinerator
Describe we* O addition L-1 alteration ❑ repair CJ ___to be done sidentiab4g.— non-residential ❑ 19) Commercial or industrial 30.00
Existing us of _ type Incinerator
building or properly 20, Other I.e.,woodstove,water 4.610
Proposed use of heater,solar,clothes dryers,t c.
building or property 1 21) Gas piping one to four outlets % 2.00
Type of fuel- oil L 1 natural gas- t\ LPG I I electric
- N 1 22) More than 4-per outlet
NQTI(;E --------
SUB-TOTAL f.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON --- -- ---
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S% 06SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25`16 OF SUB-TOTAL fib'
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- --- -
WORK IS COMMENCED. TOTAL (J.1 6
Special Conditions-----_—_- ---
_ Date issued- by n
� s � �-
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK h0. : 3`I
P'.AN CHECK APPLICATION De\TE RECEIVED:
P.U. Box 13397, Tigard OR 97223 P/C DEPOSIT PAID:AD o
This is to certify that the attached Z sets of plans have been submitted for Flan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: -L_ OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: /
JOB ADDRESS: �p 7S_S ti�� LOT NO. & MAP:
DESCRIPTION OF WORK: 1--��Q��.1 10 ?0
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
UEngineering Dept . O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
0 Other 0 Other
Items Required
V List of subcontractors
OBusiness Tax
L� Calculations
OTruss Details
OParking Plan
0 Landscape Plan
O Other
COMMENTS:
City of Tigard Building Department
BY:
ae �
worksheel- FLAN 0LCK NO. ZS ; �<
for inspections call 639-4175 / 11
PERMIT N0. G y Z
CITY OFTIGARD 639-4171 DATE —11---- a-v-Pr-
BUILDING PERMIT L-�nc�"`�_
P.O. Dox 23397, Tigard OR 0'223 TAXMAP __LOTNO. 3 �>8uoO1VIS�ON
JOB.+r?pRESS _� Z 4 S -s Pt/ 1'
OWNER alo /1-/6 ' 7
1 r STATE REG.NO._ 3 9_ ExP,GATE
BUILDER =-� --'
BUILDER'S PHONE !i S 2
M
ARCHITECT PHONE______OTHER.—
STRUCTURE NEW ❑ REMOOEL ❑ ADDITION O REPAIR ❑_MOVE O CTHER C] DEMOLITION
RESIDENCE ❑ COMM O EDUCATIONO IND O RELIGIOUS, SO
O ACCESRY (3GARAGE 0 OTHER O FENC(
OCCUPANCY LAND USE ZONE RAILELeLDG.TYPE -�- FIREZONF P"NCHECKBY �[ t_1►1EAT -(� S _
Construct single farm 1 dwel I my H/at ached oar age,_all_ pr AYp'a"''.-d-Plapri
Sithiect tlL�i
G
SEWERPERI ITs,L� 7 '(ldu) 7 baths. �/ traps _ aarayg area 1 (r 1 — 77) ---
OCC.LOAD _FLOOR LOAD HEIGHT /C>� NO.STORIES _
AREA/723 NO.BEDROOMS `/A_ t UE,�� °M
HFI",.
G DEPARTMENT SET BACKS FRONT ?(1 REAR I LEFT SIDE RIGHT SIDE,'.5,
THIS PERMIT IS ISSUE?SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING;REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT lS� HEREBY AGREED THAT THE
WOhK WILL BE DONE IN AGCOROAMCI..WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH All APPLICABLE ACO AND ORDINANCU. THE M,%UANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS OCINTRACTOR AND UB CO RAC'..RS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS SEPARATE PERMITS RE IR-D FO SEW PLUMBING AND HEATING
Slats Taa 3 Ssx
Total .0 3� w SOC— AVPI
/ '?
Pre pd. / (� '� 90--]
o-✓ � IAC' Y3D X 4 -
-- -��� _/� ReCe1P1 No AGGRESS N(
Bal.Due
_ Ie,ueO dY—_— _-APDroved BY_
55DC -5 v
SUC - '� C'oy� —
RECEIPT N
POC _11 5 0
- DATE PD.
SCUER CONNCCT ION $ // 0 d _ AMOUNT PU_.
SEWER INSPECTION 4_ t-3 1
SEWER SURCHARGE S
��- 53. 90
:ommwnte: '
- i �
City of Tigard Raooipt a
13125 S.W. Hall Blvd. MECHANICAL PERMIT r,crrttit a EDZ_
P.O. Box 23397
TigTigard, lOR 97223 oercrtp(ton
� Table 3A Mechenkal Code QTY_ PRICE AMT_ !!II
639-4175 1) Permit Fee -0. -0- 10.00 I
Narne of Development ---- 2) Supplemental Permit 3.00 II
{ --- Furnace to 100,000 BTU
Ade:ess �`�0 1 ; C 7(,V I�v,y rj 1\1t5- 1) incl.duct,&vents G.00
TuI
tor r Furnace 100.000 BTU +
�O No. 2) incl.ducts 8r vents 7'0
-- Floor Fumace
Name(*r a bu*kM 3) in6A0
. DSS ���3 incl.vent- —
_ Suspended heater,wall heater
Owner urea �Sb� n 4)- or flow mpunted heater 6.00
city/state ZIP5) Vent not incl-In 3.00
�
' P
appliance permit
F/t'-(� R�7k
Repair of healing,tett ig.,
Name 6) cooling,abso Rion unit --` 6.00
Boiler or camp fo 3 HP
T.iao >p Address 7) absorp.unit to 100,000 BTU 6.00
Boilerfrcon to3HP-15HP --
Occupant City/ Itte 8 absorp.unit 10 5W.00013TU 11.00
Name -- - Boiler orcxxnp15-3o HP
absorp.unit'h-1 million ---- --- 15.00
Boiler or to 30-50 HP
�cat�,g�� Plate —� 10 ce
absorp.unit nl�-1.75 million 22.50
Contractor E4tyrstate zo 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No city Bus.Tom,No 1 2) Air handling unit to 4.50
10.000 CFM
- All-handling
1 hereby acknowledge that 1 i.aoe nage ods application that the:domAir tiandling unitution given Is 13) 7.50
caned,tut I am the owner or authorized agent of rhe ownw.that plants wAxT~are in 10,000 CFM 4 —�
oompiarme with State taws,tud I am registered with the Slate Builders*[hoard,that t o ) Non portable
rxamber given Is caTbct.(t exe.i"trom Stats mgwratioo please gi'n's reason below). 1~ evt;r-orate coolor 4.50
Vent fan connected 3.00
1 to a single dud
- -—- ----- 16 Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
mechanical exhaust
SV-twv(owner or agent) --- — !` Dare ) Domestic type 7'50
Describe work (I addition C1 alteration L7 repair ❑ i e incinerator
to be dote residential ❑ non-residential p ) Commercial or industrial 30.OG
Existing use of --- 19 type incinerator
building or properly _ — 20) Other i.e.,woodstuve,water 450
heater,solar,clothe yers,etc. r
Proposed use of - _—
building or property 21) Gas piping one to tour outlets 2.00
Type of fuel- oil ❑ natural gas O LPG O electric ❑ —
22) More than 4-per outlet
NOTICE - —
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
SUB-TOTAL L �;
AUTHORIZED IS NOT COMMENCED WITHIN 180 5% SURCHARGE
—
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SU13-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL j
Special Conditions --