10925 SW DERRY DELL COURT MEW
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10925 SW DERRY DELL COURT
C17YOIF TIVA RDTc
PE�MIT"NOa i rP1ER92798
e„,, TF: ISSUED: 12/26/89
COMMUNITY DEVELOPMENT DEPARTMENT 1 M.PMT.N0. 892798
13125 S.W.Hall Blvd.,P.O.Pow 23397.Tigard,Oregon 97223,15631839-4175
JOB ADDRESS' 18925 SW DERRY DELL CT
TAX MAP/LOT SUBC LT: BK:
LAND USE:
LOT ST7C.
ITEM: NO: N0!
WORK CLASS: ALTERATION FURNACE <198K AIR HANDLR (18
USE TYPE: SINGLE FAMILY FURNACE 188K+ AIR HANDLR 19K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP QHP H00D
NO.STORIESs DLR/COMP 3-15HP INCINERATORtDOM j
DWELL.UNITSil BLR/COMP 15-39HP INCINERAIORfCOM
FUEL TYPE OTHER RLR/COMP 39-58HP REPAIR UNITS
MAX. INPUT BLR/COMP 58+HP OTHER 1
FIRE DMPRS? OAS PIPING OUTLETS
HIGH PRESS?
LOW PRESS”
h REMARKS:
REPLACING FIREPLACE WITH A PELLET STOVE
FEES:
O EVA BORSCHOWA PERMIT 110.(30
N 10925 SW DERRY DELL CT PLAN REVIEW
E r1GARD OR 97223 FIXTURES $4.50
R STATE TAX f. 73
OTHER
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A
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p TOTAL: f15.2a
-�- RECEIPT
This permit is Issued subject to the regulations contained in Title 14 ----------------------
of the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinarces, and It Is hereby FINAL
agreed that the work will be done in acc--dance with the plans and FIREPLACE
specifications and In compliance with SII apolicable codes and
ordinances The issuance of this permit does not waive restrictive ROUGH-IN
covenants Contractor and subcontractors shall havt current city FINAL
husiness 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 s/ time after wark has
commenced I shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Permittee Signature - - -
i
ISsund y
CALI IPR INSPECTION 639-4175
96r' -f� __ _ _ - — ---- --
SEPARATE PERMITS REOUIREC° FOR WORK OTHER THAN DESCRIBED ABOVE
MW A. �. ... �.. ..
1
INSPECTION NOTICE
(;ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 197223
,15
Phone: 639-4175
Type of Ina coon ._ / ?
Date RequestedZQ / ._ �Time A.M. P,M.
r
Address �� yL_ i L
Permit 0 ,
Owner -__ _-_- Lomat,,,#
Builder
The following Building Code deficiencies are requited to be corrected:
r
--- -- —�
Presented to 6'
Z
' Approved
Inspector Disapproved
Date ----
CALL FOR REINSPECTION
D YES ED NO
w IWAMM
CITYOF T1 FAM
OREGON
May 4, 1.988
Ilerbert Nowell Permit #: 6515
Eva Borschowa Date Issued: '/27/87
Ed Hunziker Address: 1492.1 SW Derr; Hill Ct
Rt 1 Box 253 Job Description: Single Family Addition
Hillsboro, OR 971.24 Date of Lasa. Inspection: 6/22/87
Dear Contractor:
Our records indicate that the above described job has not been completed as
noted:
Needs approved final inspection
Needs Certificate of Occupancy
Please advise us of the status of this -job immediately. Permits become void
if no action has taken place for more than 180 days from date of last
inspection.
Sincerely,
Brad Roa9t
Building, Official-
r t/4 5110D
13125 SW Hall Blvd.,P U.Box 23397,Tlgard,Oregon 97223 (503)63Y-4171 ----- --
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r
Type of Inspection
1"J XTT
Date Requested TimeM. F.M.
Addressl L��4 ✓�/ //' y�= ` ; _ T
Permit #�
Owner _ t Lot #
Build4r
The following Building Code deficiencies are required to be corrected:
Presented to _ _ l Approved
Inspectorv ___ Disapproved
Date —
CALL FOR REINSPECTION
❑ YES ❑ NO
ilei Jt q i aa1 i i A I
P.O.Ibx 2W/
CITY OF HGARD PLUMBING 13125 aveHaU alvd.
Applicants must hold Oregon Registration to conduct a plumbingPERMIT li(�U M 9721
business ar must,*property owner/operator nut hiring outside help. 634 175
ve
Nems of Dekxwwl - `` i
Plumbing Permit No.S I_
AAdresa Oe�ecx'p11on - .-
Job '-&W-L-- Mapp.-No. - 09S 314.21-910 DUAN. PRICE AMT.
d --- -- •-
Address
-- - - FIXTURES
tnl Bock Subdivision • - - -- --- _.
Skgc 7.60
INvne,or name o srna,;.i1 _ Lavatory 7.50 .
Tub or Tub/Shower Comb. 7.50
Mailirfg Adkess
Shower Only -- -- r - 7.50
Owner / tats Water Closet 1
/" _- M _( 7.50
f,.�4C L 7i1 (�C Dishwasher 7.50
Phone -� Garbage Disposal _ 7,50 l
Name Washing Machine 7,50
Floor Drain -
ar rng�ress —� Phonei Walor Healer.-._��.__-- -_ -_ 7,50 -
Occupant CUyiutate �--- Zip �Laundry Room Tray - — -- 7.50-
Urinal _ _ 7.50
Phone Oar Fixtures(Specify) 7.50
Phare ------ 7.50 -
7.50
Contractoristato - ---- �� 7.50
MISCELLANEOUS
City Hue. Tax No --—
Sewer I at 100' _ 30;p
31, W3 pari01- :ate Bus.jc�o- Sewer-ea.Addle,100- 15.00
_— (ResldenHall Water Service Ist 100• _1.0.00 _
I hereby acknowledge that I have reed this applir..ation•thud the I Mon Water Servios as Addit2 t 15.00
given N Coated,tlW I am rapielered with the State Builder's Board.and alsoj
have a Stals Stam 6 Rain Drain t n.100' X0.00
Pkrmhktg iloenes tl1n ttso rxurnbera given are oomK�,that all
Pkmt>;rtg elt wwit be done h arxordar"witli appilr able provision%of Ore Stam A 93,Jn Drain Addit.100' 15.00 I
gon l,evlsod Statutes Chapters 447 and 1193 and oppacable codes end that Mobile Horne Spam 25.00
ess I
no help will be employed unllk stood under OAS 693 in exempt from - - -�
State reprstallon,please Illus reason bobw) flack FlowPrwention
HOMELOWNERS-I hereby osrWy 9W I arri ft owner of the property de- Devba or Anti-Pvlkkon Device 7.50
sorbed above.M whim brtYon I propose fo make a pMm+bbV irWeleNon for Avy Trap or Waft Not --
my own use and thle property Is not bek+g eansk uded per sale.Nast or fern Oonrwcbd b Fixture _ 7.50
Catch dssln - 7.50 -
II knp.of Exist.Pkmnbktg 40.00 Per Hr.
SP c4k*f Rettuestsd home Ions 40.00 Per Hr
ARK.of Ptumbi q wllhkt - - --
LLU�
on E>IOV Bldg. 1&00 min.ZED SK31NATURE ate Nall'"•or Build.Addition 26.00 min.
_.._____ -- a family
Describe work new U] addition p alWation E] fepWt C 7 c�PI I- -- 15.E
_
los done resldenNal ice._,rlpn-reeldV*al
Esdafktp use of -- -
bUV*V or prop" -
- L,.
.L
"�a �,x 6>u�DaA�o�l
OWTOTM
Yf1h1 PIM NaMIM null.fed troM fO Mork or fin r-uo6on auM►or+ted is ort} -
M 1W dWUK M 0WV*lotion or aorkM l l ft a ids ordwtdoned-
•farm"of
-, "an»aI*WA is otrnwainad.
Daft leas" _- by
INSPECTION NOTICE
1 City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
P one: 6394175
Type of Inspection /
Date Requested)am Time A.M._ _P.M.
Address sl� �^��� Permit
Owner Lot #
guilder
The following Building Code deficiencies are required to be corrected:
Presented to Approved --
Inspector _ _
❑ Disapproved
Date
CALL FOR REINSPECTION
❑ yea ❑ No
651. 5
CITY OF TIGARD 639.4171 DATE'��uu`� _
BUILDING PERMIT 1-3llA 220)
TAX MAP LOT NO. .--_SUBDIVISION
OWNER Flerbert 'q.E:uaelliEva L. tio'rachowa JOB ADDRESS 10925 SW Derry Dell lits _
i:J1 ilu:ta1.ker STATE REG NO. 3289 EXP.DATE. 5/2t5/ii 1
BUILDER _ - - - —
BUILDER'S PHONE —
ARCHITECT _ PHONE _OTHER
YY� ' ) OTHER � i DEMOLITION
STRUCTURE ( ': NEW C1 REMODEL L'j ADDITION REPAIR _ MOVE
RESIDENCE COMM 1-1 EDUCATION 1 I IND RELIGIOUS ACCES^-ORY GARAGE I OTHER FENCE
OCCUPANCY '` LAND USE ZONE BLDG TYPE ' FIRE ZONE—i P-AN CHECK.BY 1 '` HEAT,
lg_iiwpl I fi]i`, al I -jt� t_1.�yLyW
r n Yt�s� t ncicti tori � aiigtin a i'
require,uente. Y1bp,. ptirmit required.
SEWE9 PERMIT N -
OCC.LOAD FLOOR LOAD 40 HEIGHT N") STORIES AREA NO.BEDROOM VAI UE 1 �l1UU
BUILDING DEPARTMENT_ ''; 1 PEAR l-EFT SIDE 12 RIGHT SIDE 1 A
____.� SET RACKS FRONT _
�-=
tisin
mit 112.50 IS PERMIT IS ISSUED SUBJECT TO THE REGU:.ATIONS CONTAINED IN THE BUILDING CODE, ZONING
.cGULA'.IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Cher* 19.63 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
—i — WITH ALI. APPLICABLE CODES AND ORDINANCES. i HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
CkkFIre F.ESTnICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIIIFD FOR SEWER,PLUMBING AND HEATING.
te Tax 6.90
SDC.
total 207*40 PDCN APPLICANT OR kGENT
-
Prepl, 79.63 --- -----
. Receipt No./ -�i'1: � ADDREaB _ ---- PHONE
Bal.Due - - 171.4(?----
Issued BY_ _-_—___-Approved By
,sn'nr*µ,. ...q ....,..:..;:.,ti....•.r,.....MeY.,.�.v....iM.Y.,.w......a4.,c....._ .. .s....iuf-i..._
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/ Contractor 0tArxx^--,'
pi O l Ma L,(��,�•.y���� Permit No. S;2✓�
�-�• r fit— ---
4e4-0./WC7 Rough in
Fixture
.4 Gsj Final
HEATING
Contractor
Permit No.
Ga or Oil
Rough in
Final
SEWER -
Final
DRIVEWAY
—-- --- -- - -- Final
Storm Drainage -
(Rain Drain)Final
Sidewalk
Curb R Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATEOCCUPANCY — -- ,
landscaping
Inning Final
7
Y
1
I
t
City of Tigard Mechanical Permit
New Installation [] Replace ❑ Relocation❑ Addition Alterations DATE: /� -
HEATING ��
CONTRACTOR _ OWNER /•:-fi
_ e `pK,�_
ADDRESS JOB ADDRESS
PHONE. APPLICANT
Heat Input Rating(BTU per Hour) —A Vent Size—T Flue Size
FUEL OIL GAS ELECT f-j OTHER
i ITEM NO. FEE ITEM NO. EtE
SEE BEI-OW Each Air U
For Issuance of Permit AHandli Unit or Duct System 750_
New-up to & incl. 100,000 BTU 6.00 Commercial Hood System 7,50
New 100,000 BUT's & over 7.50 Other Equipment - Each 4.50
Woodburning Stove 4.50 1 Trip Inspection _ 4.50
Well-Floor- Suspended 6.00 Air Condition Compressor - up to& incl.3 H.P. 6.00
Vent System w/Fan------ 4_50 Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
Re it-Heat Cooling 6.00
CITY BUSINESS (CENSE REQUIRED BY ALL_CONTRACTORS OR SUB-COIJTRAC ORS ! !
PERMIT ISSUANCE 10.00 Comm'ants:
FEES _ 1_ ��L _� .�I�
SUB-TOTAL IF .
96 STATE_ Issued By
251 PLAN CHECK
TOTAL _ / REC.
' Signature of Appilcamii
I