9023 SW REILING STREET ING STREET
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INSV:^TION NOTICE
City ct Tigard Building Depariment
P.O. Box 23397 CC /C Cle
Tigard, Oregon 97223
ItZe ,'� Phone: 639-4175
Type of Ins, :tion
Time.� A.M. P.M.
Date Requested_
Z ----- --- Permit
Address
Lot #_,
Owner —�--- --- — —--- -
Builder —._ -- —_
The following Building Code deficiencies are required to be corrected:
.4 AtIt
At: @too
- � Elpproved!
Presented to
Inspector _ _— [� MsapprovPd
Date
CALL FOR F'OR REINSPECTION
OYER ❑ NO
( � CITY OF TIGAR D PLUM 131 NCI jj� q"I-
Applic-ants must hold Oregon Reglztration to conduct a plumbing PF,R M IT 639-1175
business or must be property owner/operator not hiring outside help.
Name of 1W"k>lxnen1
Plumbing Permit No.-2'
(P AddressDescription
_
`70-3 ��1 k�lti ORS 814-21.810 DUAN. PRICE AMT
Job 1,x Lot Map.No. � �—
Address _ FIXTURES
Lot Brod; S MMelon Sink 7.50
meor/nJanx+a,)wsJn-e-S Lavatory -- 'so
��Lt�� Tub or Tub/Shower Comb. _ 7.50 5
MaT g-Address Shower Only 7.50 -
Owner Gty/ tate zip Witter Closet - 7.50 - :1
_ Dishwasher 7,50
Phone Garb;go Disposal 1 _ _7;50
-----
NameWashing Machine ( J 7.50 c^
-------._ -
Floor Drain — -_ 7.50
Mailing Address Phone Water Heater 7.50 j L�
Occupant City/State -- zip Laundry Room Tray 7.50 - -
Urinal _ _ 7.50
- ame :-T ---Phone Other Fixtures(Specify) 7.50
Kb,9.4-, -N!c'�Cii 7.50 -
rens Phww s9s7.50
Cordractor y/State ZIP Gf
MISCELLANEOUS
City Bus. Tax No SOWN 10 100' 30.00
M O 0060 7 Sewer-ea.AWN.100' 15.00- -
7( tate s. o. tate izkiir�ier1 a. IC" o. - - -
(Residential)q)&-7-7d "J f' Water Service 1 st 100' �- - 20.00- (`
I hereby acknowledge that I have reed this applicatkxt,that the information Water Service ea.Addit. t ____--15.00
given is correcl.that I Lm registered with the State Bu kfer s Board,and also storm 6 Rain Drain 1 sl.100' 90.00
have a Stale PkxnbkV Soon"Mat the, rrtb es gtven are correct,that All .
-
pturnbiny worlder
will be dcxte in accordxw with applicable provisioof Ore Stone 8 Px1n Orcin Audit.100' - -y 15.00
gon Revised StaWtes Chapters 447 and 8911 and applicable codes and that Mobile Home Space25,00
no help wiN be employed unions licensed under URS 683. (N exempt frorn
State registration,piaase give mason below). (lack Flow Prevention
HOMEOWNERS-I herby certify dvo I am the owner of the property de Device or And-Polkrfion Device _ 7.50
scrMed above.at wltidt loeaftri 1 propose b make a pkmytbinp ltetaMallan kw Any Trap or Wsew Not
my own u oe and thle property Is not bekV cor»Inused for Asia,I"no nr rent f Axwoclled b a Flxtul � - 7.50
i akxt Basin 7.50
Ir op.of Ex'st.Pkxrtbksg 40A0 Per rk -
b"Ball+ Requested InspeWorts 40.00 Per Fl
ANN.of Pkxrtblftp within
p�f an EAI*p Bldg 15.00 Mn
Al. D sl= Naw Blip or Build.��ri:�r+ - ".00 nun
.�.
a. . Baia Asir efartnl
[?e�cxibe worts newaddition(] alteration❑ repair Cl a.--uing1`'•W
to bo do" reedentlel fA non•reakJontial
Exis np use of
txt k*V t.,q pr"rty ---------- MJWTOTAL
Fl)u+`s cd Nb K1"OHAA,R
TOTAL
i`>S► t>.poor..�r'ty - - -----.-__.V- -- �
NOTICE
This parr baoor, null and void N work or oon trucarin suthoruAd is not oon+
111e11t0 W WMMn 100 dayartlr M oarwourAla`or w*rk is MlaporwW or al mx)oned hx
a pwW of 180 emys at arty time af1M wall M oowatimosd
Dade bstrod ._� by
1 AMY 1 1-
b "Mall,
CITY OF TIGARD 839.4171 DATE 1 66619_
BUILDING PERMIT
TAX VIAP _Aw. LOT t•10. _ _SUBDIVISION
OWNER_..__- x 'r: '
- _ JOB ADDRESS
_
BUILDER ' r' STATE REC;.NO, -__ —_EXP.DATE
BUILDER'S PHCNE
ARCHITECT - -- PHONE _- —�
OTHER
STRUCTURE ['I NEW i.I REMODEL L7 ADDITION Li REPAIR I MOVE OTHER DEMOLITION
iJ RESIDENCE. i COMM f I EDUCATION IND -I RELIGIOUS I ACCESSORY GARAGE 1I OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE --FIRE ZONE_ PLAN CHECK BY HEAT_
SEWERPERMITM
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
wBUILDING DEPARTMENT _1 SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit "r ,THIS HERMIT 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 _` 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 NOr WAIVE
Pi.Ck.Fire _ _ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONT13ACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIREQ FOR SEWER,PLUMBING AND HEATING.
State Tax
--1 SDC— '"' '•
Total i'' ;ju; fstjl,),t APPLIGAN T(DR AGFNT—_—
Prepd.
-- V IC.x) PDCN-
rims e Ey Receipt No. AD7RESS PHOt
Bal.Due
Issued By -___. . . _ .__.Approved
6 Oil'
DATE INSP. TYPE INSP .TION R ARKS PLUMBING j DATE
Contractor f{rij 60
t u Permit No,
Rough-in
t �U Fixture
Final
HEATING
Contractor
-2,Z. r Permit No.
3
g�/V Gas or Jll
- - Rough-in
�(0 Final
�1= SEWER
Final ---
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
-- -- --. - Sidewalk
Curb 8 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY — -- - - -- �-
Landscaping
Zoning Final
CITYOFTIGARD
OREGON
April 9, 1987 25 Yeors of Service
1961-1986 /
Mr. Eldon Edwards, St . Ives Properties
91840 G Charbonneais Drive re: plan check #)4-3-R
Wilsonville OR 97070 9023 SW Reiling
Lot 21, Mallard Lakes
Dear Mr. Edwards:
I am returning your house plans for the above -:eferenred lot for correc-
tions as follows :
1. Building eave line too close to property line
2. Code requirements missing on foundat _on
3. Ventilation requirements
4 . Fireplace details
5. Framing details
6. Sheetrock specifications
7 . Stair construction detail,
8. Drainage
9. Smoke detection
10. Garage separation
Please make the necessary corrections(as per the 1985 UBC -ith the Oregon
amendments ) and then resubmit the plans to this office. If you hnve any
questions , please call this office at 639 -4171.
Sincerely,
George Steele
Plans Examiner/Building Inspector
13126 SW Hail Blvd.,FSA,Box 23397,Tigard,Oregon 97223 (503)639-4171 — ---
CITY OF TIGARD BUIL)iNG DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: �� -''' S%7
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:_
This is to certify that the attached c sets of plins have been submitted for plan
check pursuant to the Oregon Structural Code and Tire b Life Safety Code, edition.
PROPERTY OWNER: J-4 . p. %. OWNER'S ADDkFSS:
CONTRACTOR: TEU: P:iuNE: Jyy�yJ
JOB ADDRESS: _ 021�_e 2D—�-+1 _ LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
O21anning Dept . O Reissue
OEngineering Dept . D Flood Plain/Sensitive Lands
OFire District O Sewer Availability
OOther Other
Items Required
�I.ist of subcontractors
Business Tax
L� Calculations
/( )JTruss Details
Parking Plan
OLandscape Plan
00 Other,; il./ � G%wf a
COMMENTS:
City of 'Tigard Building Department
BY: �
I'LAN „t1t0N NU. T '
for inspect iocis call 6j9--1#175
PERMIT N0.
CITY OF TIGARD 639 X171 DATE --
BUILDING PERMIT �l�l, !,17�A►
P.O. Box 23397, Tigard OR 91223 TAX MAP Cal•„ nyeOT N0. � iC/ SU0DIVV' ION ACT
OWNER �'• 2
_ JOB AOORESS
BUILDER e--) 1• Y —, � ��__ STATE REG.NO.F17.&—_EXP.DATE �• ��•
BUILDER'S PHONE C/
ARCHITECT :1.�rhf` � t PHONE � 1 ,�r�' OTIIER
STRIh:TURE NEW ❑ REMODEL ❑ AOOITION ❑ REPAIR (J MOVE ❑ OTHER i.) DEMOLITION
OUIOENCE ❑ COMM ❑ EDUCATION ❑ INO ❑ RELIGIOUS, ❑ACCESSORY U GARAGE CI OTHER ❑ FENCE
OCCUPANCY '1” .5 LANO USE ZONE Fa_97_/LYBLDG.TYPE y� ' FIRE ZONE_ PLAN CHECK BY Y _►t'£AT ,1 'r _
CooStruct single family dweilIPdnarapp all ppL annrnved nlaq`
_ S111)tjerr to :5 code
SE WERPERMIT#.j:3013'2- '(Idu) bathsi traps �4> aaraoe areat.
OCG.LOAD FLOOR LOAD HEIGHT ,' " NO.STORIES Z- AREA NO.BEOROOMS -_ VALUE
BUILOING DEPARTMENT SET BACKS FRONT 70-A3 REAR LEFT SIDE RIGHT SIDE
=41 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE/UILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE
Plan Check Z �°C, 740 WORK WILL BE DONE IN ACCORDANCE WITH THE PLJINS AND SPECIFICATIONS AND IN COMPLIANCE
WTTII ALL APPLICABLE rnnES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
PI.Ck.FkiRESTRICTIVE COVEN/.NTS,CunTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�s TAX PERMI'M SEPARATE PERMITS REOUIRED W SEWERUMTIW AND HEATINII
d/ 7 ,.r �. �- --
Slate Tax aSC?C. .z.-•=
�___..
Total V�.7 •� L" �tWQA ORA F_NT_,--"
Prepd -A/ 06 ...�...w POLI ADD ; ..--`
Bal.Due '`so. 07,,,,• Recelpl No k)f�-jcvN VIILL�
•7 --Approted By
SSDC S
SOC
RECEIPT a
PUC - DATE PD.
SEWER CONNECTION s _ AMOUNT Pb.
SEWER INSPECTION S
SEWER SURCHARGE S
ewr
INSPECTION NOTICE
City of Tigard building Department
P.O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested --� - r,--= Time,_._ .�- A.M. P.M.
Address ` D � _�� _ Permit
Owner -----��-- c Lot
BuilderThe following Building Code deficiencies are required to be :orrerted:
Presented to --4—Approved
Inspector
❑ Disapproved
Dite - -------- —
CALL FOR RFUNSPECTION
❑ YES ❑ NO
IN xxr vis
CITY OF TIGARU MECHANICAL PERMIT Permit#
Description
Table 7A Mechanical Code CITY PRICE AW
City of Tigard / 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 --
639-4175 1) Furnace to 100,000 BTU l 6.00
incl,ducts 6 vents
2) Furnace 100,000 BTU + 7M
incl.ducts&vents
Narne of Development 3) Floor Furnace 8.00
incl.vent _.� ----- ---
Job Address 4) Suspended heater,wall heater 600
9c3-Z,3 �'G or 11oor mounted heater
AddressG,1 j
Tax t-ot Map No 2S/-i/ 5)p Vent not incl,in 3.00
Lot Z / Block Subdivisicxt appliance permit _.
Name(or name of business) 6) Repair of heating,refr ig., 800
cooling,absorption unit
Mailing Address (/- phone 7) Boiler or comp to 3 HP 8
Owner absorp unit to 100,000 BTU
City/State Zip 8) .00
Boiler or comp to 3 HP-15 HP 1100
absorp.unit to 50_0,000 BTU
Nartx+ - g) Boiler comp HP 15.00
absorp.. -I mil unit 1/2- million
uiawnq 10)Andreae :G�/►+1 i ,s ---�- Boiler or comp to 30-50 HP 22.80
- absorp unit 1_1.75 million
ContractorCity/state Zip ,-- 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
State Registration W) CRY Bus,lex i�io. 12) Air handling unit to 4.50
10,000 CFM _
13) Air handling unit - _ 750
1 hereby ackrxwwhdge. that I hays read t4in application that the information given Is 10,000 CFM 4
correr:I,that I am the owner nr authorized agent of the-Now,that piens submitted are in -
rxompNarxos wrd,stall laws,that i am registered with the state Builders'Board,that the 14) Non portable 9.50
rKart"piyon is coned (If exempt from Stain r"gistration piense glue resson below) evaporate cooler
15) Vent fan connected 300 L __
to a single duct_ --___ `
-_---.__-_-_- Ventilation system not 4,50
16) Included in appliance permit ,
17 Hood served by 4.50 y J
mechanical exhaust
s+gnatae(owpent) Date 18) Domestic type 7.50
ners ---------------- ----_-_—-
Describe work El addition i I _ alteration [._1 repair U incinerator
to be done�,- residential nonnrr+sidential O 19) Commercial or Industrial 30.00
- type Incinerator
Existing use of
building or properly _ �'�-'4-) j� 20) Other i.e,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Proposed use of
building or property -/ 21) Gas piping one to four outlet / 2.00 Z -
Type of fuel- oil El natural gas IFI LPG O electric ❑ - - - - -
22) More the,.;-oar outlet
NQTJCESUB-TOTAL
THIS PERMIT BECOMES NULL ANLL VOID IF WORK OR CON --��- -- -_-
STRUT LION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION Oq WORK IS SUSPENDED OR PLAN REVIEW 21M9t OF SUB-TOTAL / Z
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --' TOTAL 74
WORK I3 COMMENCED.
Date issued -- by ---
— -- - -- I - 0---- - M -- -
CITY OF TIGARD Building Permit ll
P.O. Box 23397
Tigard OR 97223 Location
639-4175
Date
CERTIFICATION OF REGISTRATION WITH BUILDER'S BOARD
I, l-��N • � �s doing business as(DBA)�" I1��s 0��2-TINS
(print name)
am registered under the provisions of URS Chap.701(0regon Homebuilders Law) .
My Builders Board Registration Number is
My registr-a-tionn is in full force and effect and expires on j• ��• 8��
J
gnature