10275 SW 69TH AVENUE `i
ADDRESS:
Ii \records\niicroflm\targets\building doc
0
N
v
c
C
N
'L
O
3
e
O O
0
O N
Z
Of O) O) Q> O) T ONi ONi ONi ONi � Q7 m Of O) O) O) 0) O� O) 07
C 0 0 0 0 a> c3 0 0 0 rn o 0 0 0 rn c3 0 0 �o' rn cTi
a1 OXY C-5
O
W a' a' W Lw a' J X W J J J J W (r X J J a� a 0�
a m rt] CO cfl D] C7 `� (� L F- 7 [G m C] CQ C7 C G 2 2
a a
o m
x�
�O
to
r
N N cn v) r N N v) N v) N N v) w cn r cn N N N to
t7 o < N N a a N a a N V) cn U) N In N N U) rL
N cn N N
a a a a d a a d d a a a a a a a a a d a- a a a a s
r
M
in C: Inm -
C O J J r r N U7 V) V) d N J J J J r r V) fn U) _j N fn
W N r-
� a a;
(tf � CT7
O, rn rn rn rn rn rn rn �
0 3 0 0a 0 o c3 t3
am rn rn rn rn 0
N
ry 01 Q
Q
v
0
ra
C:
(A
C a
Q)
Rn" 4 25 a H >y N
N r 7 CL N a C N C
¢ ti h o E iL �qq 'y�� o N n C o. C ny 18� 0 m
J Q. a C7E ro N VI Oa, 7 Q4. U X 8�.43
C E N N Cn}. LL
r d d � a4u LL a ��y l�l c 0 ITCH 'gip L. d a. d d d u LL
LLp ll' d a
Oco M O O N N O - N N et a O, O� O O - N t� 4 0 Q7 M O - n
co ( O G O O h h h h h h h O O O 1+ O O O h t, h O O O h
> d d d d d d d d d d d Q d Q d d d e
v) N 0 F- w r r F- r r ►d- Id-to v)ti H f H I-)
Q N V) N N N N N to fn N to v) to rn N N uJ !n N N iq N Vi
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
In&pection:
Footing Plbg. Underslab Mech. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing �Bldg-
Post/Ream
Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gvp. Bd. -Noah.
Date Requested: �� �� �/ Tl me: ____.AM �_PH
Address: Z� 7 S t l V g: nc _'permit f: f�L zyzz -
Builder:
THE FOLLOWING CORo,:"CTIONS ARE REQUIRED:
i
r
2"
H
N
H
J
C�
LA J
_J
Inepe, r„r��
API`Rc V}{r'. DISAPPROVED _ _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
CITYOFTIGARD MA,5TER PF.RMIT �/
cWMMUNITY DEVELOPMENT DEPARTMENT �CITY OF TWARD PERM I T #1. . . . . . . : MST91-011J6
o"GON
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(603)839-4175
I I" .) if.[ i i DATE 15SUFL)a QDZILA/91
SITE ADDRESS. 10275 SW 69TH AVE PARCEL: IG136AA-00302-,
SUBDIVISION. . . . : 70NING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :B
BUILDING ------
REISSUE: DWELL I NG UN I TS: I BASEMENT. . . . . . . . :0 5f
CLASS OF WORK. :ADD BEDRMS; l BA,rHS: l GARAGE. . . . . . . . . . :0 Sf
TYPE OF USE,, . . ,SF FLOOR AREAS- REOUIRED SETBACKS----•----_•.-•-
TYPE
ETBACKS------------
TYPIE OF' CONST. :5N FIRST. . . . :500 Sf L E FT. . :0 ft RIGH—f.:0 ft
OCCUPANCY GRP. :R3 SECOND. . . .0 sf FRDIqT. :O ft REAR. . :0 ft
SOR I ES. . . . . . . : 1 THIRD. . . . :0 s REO.0 I RED-------------------------
HEIGHT. . . . . . . . :20 ft TOTAL—____:51710 's f SMOKE DETECTORS. :
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 23000 PARK ING SPACES. . :0
Remar,ks : addition one bath room one bed room and one office 500sq ft
PLUMBING
S I NKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW 1--,REVNTRS. . :O
LAVATORIES. . . . . : 1 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHJWERS. . . . : 1. LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . : 1 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE (ft .l . :O 01-HER FIXTURES. . . . . :0
GARBAGE DISPI. . . -O RAIN DRAIN (ft ) . :O
WASHING MACH. . . iD SF RAIN DRAINS. . 0
MECHANICAL. FEES
FUEL TYPES-- UNIT IATRS. . :0 type amol.int by date t-ecpt
VENTS . . . . . :0 BPRT $ 158. 50 PILL 09/10/91 --
MAX INPUT:0 BTU VENT FANS. . : 1. BPLG t 103. 171,3 JLH 1719/09/91 21.71c'15
FURN ( 100K . . ,0 HOODS. . . . . . :0 B5PC $ 7. 93 PL.L 09/1X11/91 -
FURN ) =10011, 0 WOOD STOVE S. :0 MPRT $ 2.5. 00 PLL 09/10/91 -
FLOOR TURN. . . . :0 CLU DRYERS. : it M 5 P C 4 1. J.'5 PILL 09/10/91 -
BOIL/CMP ( 3HP:0 01-1-IER 1..)NITS:0 PPRT $ 25. 00 PILL 0.9/10/91 -
GAS OUTLETS:0 P15P(I" $ 1. 25 PLL 09/10/91
Owner-. ------ ------ HPLC $ 6. x'5 PLL 09/ 110 91
MIKE QUINN
10275 SW 69TI-I AVE
TIGARD OR 97223
P,hone #: 62'6 -7200
1,
0 W 114 F.R
Phone
Req #.
Ui $ 328. 21 TOTAL
This pervit is issded subject to the regulations contained in the REQUIRED INSPECTIONR
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Foot/fClUnd Insp Mechanical Final
applicable laws. All work will be done in accordance with approved Plm/Lind slab Insp Pli.imb Final
plans. This pervit will expire if work is not s,arted within 180 Mechanical Insp BUilding Final
days of issuance, or if work is suspended for eve than 180 days. PlUmb Top Oi.it Erosion Control
Fir,aminy Insp P111-imb Final
1-'Pr'•Mittee 5iyTI0tUt-e .- Lei 4.�1 Ins,_tlat ion InSp
Gyp Board Insp
1 s s ijed By Pain drain Insp
Call for inspection 639-4175
ail
ClrfY OT TI ARD 131ssw 23397 PE #CT #
ti LJ�-] l'O Box 23397 PERMIT #
COMMUNITY I)I;1r];LOPI�iI:N'C I)EPARTME.NT 1-1gard,Oregon 97223
(503)639-4171 DATE ISSUED
JOB ADDRESS: /02. 75 _5w 6 10,412�, TAX MAP/LOT
SUB: _ _ LOT: LAND USE: ^_
VALUATION: -
OWNER �, �� SPECIAL NOTES
"LAME: REISSUE OF:
ADDRESS: /D27-5 Sw 697 (/ — LAST REISSUE: _
/,S(Q 0,, FLOOD ?LAIN/
PHONE: c;2 3 a)16 2 00 SENSITIVE LAND: _
CONTRACTOR APPROVALS REEQUI D
NAME: 0:ulyo- -10 - wcc` PLANNING: . `
ADDRESS: ENGINEERING:
_ FIRE DEPT:
PHONE: OTHER: /0 o
CONTR. BOARD #: EXP DATE:
ITEMS RLQUIREa
SUBCONTRAC TORS: PI-IJMB: Aj'QA) ' _ LIST/SUBCONTRACTORS:
MFCH: ��N� BUS TAX:
ARCH ENGINFER CALCULATIONS: _
NAME: i"'i� '� ' TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
a
cr
V) PROPOSED BLDG. USE: AD017ioA�9l- be-&200M-
COMMENTS:
r
11
J
i AC // ------ ---
APPLICANT SIGNATURE
Received By: _ �� Date Received: _
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
fAjLj_1 . !S"eo 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 Ol Mechanical Permit Fees — •�3- _ ' �
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee .2 J-
Building /C?.-
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drairage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
L
ti
TOTAL
nm/3587P.WPF