8930 SW REILING STREET �m
Li
0
rn
t=]
r'
H
7
U)
y
k�]
tTJ
r
8930 SW REILING STREET _
CI7Y OF TI67A D
MEMGA'N I CAI PIEWEA
CTYOF�AD IEANO MEBH2T
64
COMMUNITY DEVELOPMENT DEPARTMENT 021604
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)6394175 DATE!: 15511.11;A) :1.2/19 88
ADDFIL:!a!i; 091150 !.iw 14L.11-INt"'; !'l I
I Ax MAI:.,/I crr SUB .
1.AND 051.-
1,01
TTEA NO N(.1
W(,)I:,Il< G'I r'lYl (41. 11: PA1 'I.ON 1AMNACE: <10'.)K 1. A4134 I-IANEAJ4 <10
.'b I E: 1':(0111..Y 1-:014NAGIF. 1.001<4- ATP I-IONDLI1 iOK
'I.:. C
(J) J';' I ! '% I I V LOOP V(.11:4NAC. F.Ah, I;_;:P
i It,t.:(.114 GI 11VIE.ATE"R Vl:::N*I' FAN
VE N'( VI'::N I
I.A.A/ClOMP <'MAV, HUCK)
NO . !'-0 0 1-41'.L."I 1:41I.J.11COMI.) 3-11.11I.A.-IF-1 1.NU1 NI--'PATOP DOM
I)WE'll-I.. UNT T*'.i li'll-Ph"101VIP :1.115-30HI:)
111. 1 YPF ('.'Wl` 30 REPAM (.1W)
i iAX I N P LIT !;.W-f+IP OTIC EA
I 1,111F. OMPR5'� C-,Alt; P11-U.M.1-1 0011I I I '
1.)11 E"S)5i I*i
0
W HAVIV
N 19:' SW I I tj
E
[CAF-ID se. oo
(VIM.A) I'AX 90
I FIL P
C
0
N
T CA.A.-A)MV41 A III rn
R
A
C L k.1 in,1.in t'A 1.1 cir woe-,i:'
T ( IAONL: (,30'13)
0
R (41t,T'0A 1':I'.(.)N NO M10P(!l TO TAl- - $1.IF) , go
This permit is issued subject to the regulations contained in Title 14 RE %15::1:PT NO 7
........... .............................. ........... ........
of the TMC. State of(1regon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby 1.41;A41,11PEA.) TN1ar*'k;.(.,'I 'I.('A15i
agreed that the work will be done in accordance with the plans and I (,'i I-1:NI::'.
spr.-c if icat ions and in compliance with all applicable codes and a I-OKAM
or(linances The issuance of this permit does not waive restrictive
coveoqnts Contractor and subcontractors shall have current city NAL
business 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
abandoned for a period of 180 days a. v time after work has
commenced It shall be the responsibility of t.e permittee to assure
all required Inspections are requested and ap iroved
Permigre-e Si ure
Issued By -T-T---1 7 TTTr",T*71—i TTT1TT--r7r7-7T.-7'r�)--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt#_—
Permit# �N
Description
City of Tigard
robte 3A Mechanical Code PTY PRICE AMT
-
13125 S.W. Hall Blvd. 1) Permit Fee 4- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplements,Permit 3,00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents I 6.00
2) Furnace 100,000 BTU +
incl.ducts&vents 7.50
Nan,-of Development 3) Floor Furnace
incl.vi)nt 6.00
Job Addresa r.. —-- --- - Susr�anded heater,wall heater
Address ��, 4) or fioor mounted heater 6.00
CIIIWI
Tex Lot Map 5) Vent not incl.in
Lot Block subdivision appliance permit 3.00
Name(or name of business) 6) Repair of heating,ref rig.,
cooling,absorption unit 6.00
Owner
Mailing Address Phone 7) Boller or comp to 3 HP
r I - } absorp.unit to 100,000 BTU 6.00
K ;-
City/State Zip Boiler or comp to 3 HP-15 HP
e)
absorp,unit to 500,000 BTU 11.00
Name 9) Boilerorcomp15-30HP
V i absorp.unit112-1 million 15.00
Mailing Address Phone 10) Boiler or comp to 30-50 HP
i absorp.unit 1 -1.75 million 22.50
Contractor �' �C� .�..� �il� >,- ( P� ,-
City/State Zip 11) Boiler or comp to 50 HP
-lI.rt l.. ; :r r 1�
absorp,unit 1,750,000 BTU 31.50
Stets Registration Na City Bus,Tax No 12) Air handling unit to
10,000 CFM 4.50
I hereby acknowledge that I have read thia application that the information given is 13) Air handling unit
correct,that I am the owner or authorized agent o the owner.that plans submitted are in 10,000 CFM + 7,50
compliance with State laws,that I am reglsteiud vlth the State Builders'Board,that the Non portable
number given Is correct (I1 exempt from State regis';afion please give reason below) 14) evaporate cooler 4.50
--- --� 15) Vent fan connected
to a single duct 3.00
- Ventilation Syster..not
16) included in appliance pet mit 4.50
- meHood served by
f,!.lll't 17) chanical exhaust 4.50
9lgnature(dr
nv e�t�t► Cate Domestic type
Describe work 18) incinerator 7.50
addition 1-1 alteration �_—repair [-I _
to be done residential,,,Q non-residential ❑ Commercial or industrial
Existing use of i 19) type incinerator 30.00
building or properly 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property --
- 21) Gas piping one to four outlets I 2.00
Type of fuel- oil F] natural gas,ki LPG f I electric I 1 ( --
22) More than 4-per outlet
N1 T� ICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- _ SUB-TOTAL c
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ < .,*5C3URCHAROE � `1
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER PLAN REVIEW 25%OF SUB-TOTAL
WORK IS COMMENCED, TOTAL
Special Conditions
Date Issued ,by _ _
r*R'—
Fl� /! t�IPa k�' •,�lr t�yl r �� ��t h•7 y 1� ��. rj, �,.� r p� d �b
Y .. wr,, (�!t�, ,�„t A,�.,¢�C•ro.� d�i�'�y IU �:�. .a '� ffi,, ,n��� �r/��Y�Natry '�11�: , �� ..T'!a,'6j9}
�P, ?_!, ,► ' " d '�f M� hl1q,L�'r�11Y' FrF' .� a'y M. 1�)to rA 'r
co
w z ►ro, CdC
' ) '� ►.
ro rJ
r b cto
tyl
I
V
'� tea► ra t-A
fT � I
04
u �,
o b l
r+ m u
t) ODcto
p
tA ro,
4- ro
nom' �rn'i�v •ti. _tip_ 9
FN:I, _-CTION NOTICE
City of Tigard Building Department
2420 S.W. Main St.
Tigard,Oregon 97223
Phone: 171
Type of Inspection
Date Requested me A.M. P.M.
of
Address ( k -4e- Permit #---
Owner, Lot #
Builder
The followlin Btj1ld;',q Code deficiencies are required to be corrected:
42---
Presented to FlApproved
Inspector LrDisapproved
Date
CALL FOR REINSPECTION
rj�YES 0 140
y\
INSPECTION NOTICE
r
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
V
Type of Inspection _ ( , I N.1
Date Regier.ted /W t'h " 6/24 Time ____ A.M. P.M
Address
Addressy ���� I'I'loa 54. — — Permit
OwnerLot
' Builder
The following Building Code deficiencies are required to be corrected:
y
Presented to _ — ❑ Approved
i v'.ector �� ' ✓`'r' WDiwpproved
Late
CALL FOR REINSPECTION
Uk YES 0 NO
E
INSPECTUN NOTICE
City of Tigard Building Department if
12420 S.W. Main St.
Tigard,Oregon 97223
P' one: 639-4171
Type of Inspection
Date Requested Time Mr_-_-t� ^P.M.
Address 4�3 n - �Gs. �� .2�r s•* _ Permit #
t
Owner_. __-_ _ -__ _ 4 lot #
Builders, _. .------
The fallowing Building Code deficiencies are required to be corrected:
.�
r
I
Presented to _ �I kpprovP(I
Inspector 1::' _ Disapproved
Date,
CALL FOR REINSPECTION
❑ YES *NO
f r'1
BUILDING PERMIT APPLICATION TIGARD DATE_. 41'1" 6,—,19_8' 4065
THF LINDEI,SIG SEG HEREBY APPLIES FOR A PERMIT FCR'I HE WORK HEREIN INDICATED BUILDER PHONE 246-4 04 1
OR AS SHnVVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO., 27 —_3.r ---G� In
OWNER,., inLc !)OVel.CO. JOBADDRESS 8930 SCJ Reilinr+ Streor. Perk �:�*, :It
ARCHITEH_
ENGINEER
BUILDER Bg'aa ADDRESS10175 4 Aarbutr Thad. DESIGNER 00-ainic
STRUCTURE _-_5',NEW ❑ REMODEL ❑ ADDITION 0 REPAIR ❑ RENEWAL_ G FIRE DAMAGE _❑ DEMOLITION
13 RESIDENCE ❑ COMM ❑ EDUCArIONAL ❑ GOV'T C7 RELIGIOUS U PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 11-3_. LAND USE ZONE — R-1 BLDG.TYPE _ 5�'_FIRE ZONE_`_-PLAN CHECK BY (`3 —HEAT 'T L C
Cona_t-v+ct sinule_C.amilY dwe�llinp �aeLtraChed �;Ar,��e . 3 *a o,irc�ona�
CORRI�,CT1:Q'; Sft.ET AT'"A HEI).
SEOIER PERMIT# 23514 — $810.00 4 24 s o . [t .
OCC.LOAD FLOOR LOAD 4 D HEIGHT 11.1 NO STORIES ? ARE41 3 i 2 NO.BEDROOMS ? VALUE`)9 6 O0
BUILDING DEPARTMENT SET BACKS FROM) REAR q LEFT SIDE 5. 3 RIGHT SIDE ti.3
Permit 43139 DC THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2103.4 REGULATIONS AND ALL APPI-ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORT( WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
516.l� WITH .ALL APPLICABLE CODES AND ORDINANrES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
r
State Tax 12.52 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— ,& ?j.Qu
1 �2 X3.9'i �, . ,.,.,._... ..
I'DC# T APPLICANT OR AGENT
Total— ,1()+wl.(1
By
.j wh Receipt No.
Approved PHONE
- N_ w— -_ I -
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
1-5
Permit No. j-4- -ez
Rough-in
�-1i-8? '��y,,,C � •— Fixture
r ZIP
— Final
HEATING
Contractor 7
ermit No. 2&34)
/ Gas or Oil
4 Rough-in
Final
6 -� ����•� ___. ,.__ -- SEWER
Final
DRIVEWAY
Final
Storm nrainagr
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
d,.Ot3.DEPT FINALI TEMPORARY CERTIFICATE OCCUPANCY Final
r!4
IC:ERTIFICATE OCCUPANCY �G� -----
(��3 G I.andscaping
i � Zoning Fin-0
I�r rra
01
BUILDING PERMIT APPLICATION TIGARD DATE Ie g.2
ndd/ 1J
THE UNDERSIGNED''EREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN I DICATED BUILDER PHONE�t?"_70��
OR AS SHOWN AND HNPROVED IN THE ACCOMPANYING PLANS AND
-SPECIFICATIONS. OWNER PHONE _
. ems' Z� �LLl1!
LOT No
27 -
O'ANER Y91G JOB ADDRESS hQ__a1 • —
•.•33�, ARCHITECT F..d
ENGINEER ^1 p
BUILDER ADDRESS `LL � DESIGNER - YUMIVI(:
STRUCTURE NEW ❑ REMODEL - ❑ ADDITION ❑ REPAIR U RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
-RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ (NATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAS❑ FENCE
r�
OCCUPANCY=M�< LAND USE ZONE I��SLOG.TYPE s�.._L FIRE ZUN PLAN CHECK BY HEAT_�_ —_
SEWER PERMIT k ---
OGC.LOAD FLOOR LOAD & HEIGHT �� NO.STORIES �,M_NO.BEDROOMS YA.LU �y Qv
BUILDING DEPARTMENT SET B -�p
BACKS FRONT ,24� REAR ,7 p LEFT SIDE Y,*3 RIGHT SIDE S,3
Permit 3 1 •Ga THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ���•7� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
_ WITH ALL APPLICABLE CODS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal ��. _� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:hate Tax •��
Total
rr� Q SDC--
—..� _.Z/'��`_f Z APP
POC# LICANT OR AGENT
- --^ Receipt No. ADDRESS -PHONE —
Approved
SDC
Poc
SEWER CONNECTION
SEWER INSPECTION $
SEIJER SURCHARGE 8 r
CnmmenfsI
SA
yllz,
2 704
13- 4)c 29 '3$7
20--8 x 13-7 .292)(
- . 707