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12223 SW 131ST AVENUE-1 ice.. 1 •'_fir,.: A K a ��/ \/\�-�.i- .N� y,���/�/ 'lam `yam, � gyp✓ �;y"/��"�'G• � ✓-' .r d•.+,� -- _iy�,� - w'y;, - ,.,�, � � � J� '�`r.R)s P^d yti.1'.f r•'1 t'�t�,+„' �.0^' � �7 �``+'��t ��YI � '��i.i ."M ,,,y�P��!��yQ�pyyy��-.�yySa•w 1�R,i� "'wQ�Se•�j1�y�1�'"y� C�p +�•t q���,y 3�1,R.�n � cy/�p ��{q`p�•, > �k4:. 111'. �1,+;� �,/�� '.1�u+' ^'Q�,,�►'�i� .lma`+ r •2t'��'mR�1�,1,' �r 'Clav�,i�)•' � �, �I� 00 r-4 rn y o � d t 00 to to A. .� o ca rj) to wo q +� h F C1 O x 0t �b noIt to U C ;' ► e i �rM .a ,fes. U + ��� �,'!!� .,�r ��� �' •r 1 I� t• SCUT rn y ��� may._ ��� �� {i����y u. ,., 'yS \ {h,�d'.^' Ra4C,��' A�► a�',.• f tet:=�r .. `�h_:_._.•.,c�� �`� ..a+,` .n.•.v�• 1 f 1 Cvc� buX cJY7 host INSPECTION NOTICE S�d City of Tigard Building Department ( 1 P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested J Time---- A.M.—P.M. Address ��_� i S� _ _ Permit Owner Lot # Builder a'� U lCLL) +Ac-yn 7� r , �� t/, L(' �r,�7 /y 4 lu The following Building Code deficiencies are required to be corrected: Presented to Pr Approved Inspector _ — ❑ Disapproved Date CALL FOR REINSPECTION YES L1 NO INSPECTION_NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection - - — -- Date Requestbd_— ��'"� C.. �_ Time A.M. P.M. Address .-` Z?' ' s _ Permit *— Owner -- -- I - Builder ���.2�The following Building Code deficiencies are required to be corrected: Y Presented to __—�_.�___ u Approvad Inspector L_1 Disapproved Date CALL FOR REINSPECTION LtT YES Ll NO i P.O.Bax 23397 r- ITY OF TIGARD PLUMBING 13125cMHaU Blvd. PERMITM IT Tigard tR 97�� M Applicants must hold Oregon Registration to conduct a plumbing 539`-11175 business or must be pmpy owner/operator not hiring outside help. Nwrw of Dewlppnent Plumbing Permit No. zL 2- Aadresz Description 2 2 2 ',D r` ORS 814-21-410 DUAN, PRICE AMT Job Tax Lot Map.NO. --^-- - -- Address - FIXTURES hl Block Subdlvlskm __. -_---- Sink / 7.50 -75-6 No.,,,or name or - -- _v - business) Lavatory7.50 i 7 U Tub or Tub/Shower Comb / 7.50 7 �� __— Shov.erOnly - --- -- -L- - 7.50 Owner City/ tet-3 0--- rip WaterClosel - - -- _3 - 7.50 12 Dishwasher / 7.50 J — Phone Garbage Disposal -- — -_1.-- - -- 7.50J 9�z - Nome Washing Machine _-^-- - / - 7.50 9J�� Floor Drain 7.50 _ fAddress - __ » Water Hcater / -- -— 7.50 --- --------- OccupantCdy/State ------ Laundry Room Tray--- --� �- - 7.50 Urinal 7.50 Name Phone Other Fixtures(Specify) _ _- r--7,50 _ 7.50 er rq Address Phone �- 7 50 COntractor iy-/State rp ---- ��- MISCELLANEOUS City Bae Tax No. Sewer,1 at 100' 3000 Tate and No.- tate s sTW SO~-03,AddA.100 _ _ 15.00 (R tial) Water Service 1 st 100 / _20.00 Vo I hereby acknowledge that I have react this applicattun,that the Information Water Sennos ea.Addil.2M' 15.00 given is oarsct,Olaf 1 am rsgisiered with the State Builders Board,and also Storm 6 fiairr Drain 1 sl.100' 30.00 th have a Sta,e pkxnbkV Oconee at the n urntws gh.n are correct,that all pkxnbwv work will be dais w,accordance with appW-sible provisOns or Ore Storm 8 R Jn Drain Addd.100' 15.00 gon Revised Statutes C+u filen 447 and 893 and applicable codes and that Moblb Horne Space 25.00 no help wig be employedns urress licensed un dw ORS BOJ. (If exempt frau --- - - --- State ro&trakn.please give reason betov,). Back Flow Prevention HOMEOWNERS-1 hereby certify that I am the owner of hero property de- Device or Anti-PolkMion Device 7.50 sorbed above,at which location I pnopoe i to male a pkxnbktp installation for Any Trap or Waste Not mY own use and this prop"Is rid bokV oonstrugd for sae,lease or ren Connected to a Fixture - Cakri BasMt__ 7.50 -- - kisp.of Exist Pkrrrbwy W. 40.00 Per Hr. - -- - Specially Requested InspeCti na 40.00 Per Hr - - AIIM.of Plumbing w0diin an Exlalk>q Bldg 15.00 ruin -- AuTi4onizith 8KwATUR bat* Now Bldg.or Budd.Addltlon _ 25.00 nNn. --- Pain , Sillily f ulil Dsatxibts work new« addition L� aMMstbn❑ repair( l AA--U im 15.00 _be dons _ residential L7 non•Maidentlal - - 6dstiry use of - --- tx WoPer1Y =TOTAL / .+ Priciposed to"of ( TCYTAI 162 7 ir NOTICE - Ttts1 pwrnrll b000rnae null and sold a worts or oonetrucslan outh"ed Is rk-A oom- marroad WW h 1110 daya,er 0 oarttrur len or work in suspended r»sk)o Boned lox s poring of 1110 csaye d any eine crier wurr is orwm"onosd tlhCIAL OONOf til)"_ _ .- Dau+ issued f BUILDING PERMIT APPLICATION DATE (4641 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOn THE WORK HEREIN INDICATED BUILDER PHONE 657-7444 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPE('IFIC 4TIONS. OWNER PHOT f -- LOT NO. �_ JOB ADDRESS 1 >>N 1 7 Z — OWNER 5kwicvr 1lL.ni_�s �_� -' " — �7 � g $1411 ARCHITECT same [{8 44315 3/4/88 ENGINEER J. Gerrard DESIGNER BUILDER ADDRESS ---- --"6'5r3r 295'i" STRUCTURE 044EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION a RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS [I PATIO ❑`CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY F_LAND USE ZONE BLDG.TYPE __5h ___FIRE ZONE PLAN CHECK BY __&CR-HEAT— _ Con eruct single family dwellital w/attachesd �Iraan, m] 1 per t9pp> vco lana. gitbject to 85 cock. — SEWER PERMIT# 3 34 7 7(di.t) 3 berth 13 t raps ganige area 462 OCC.LOAD FLOOR LOA_D__ HEIGHT NO.STORIES 2 AREA 7.107 NO.BEDROOMS 4 VALUE 93`;00— BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 44 LEFT SIDEy RIGHT SIDE 24 Permit 415.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING .75 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Z6A Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS, CONTRACTOR A,-40 SUO COIITRACTORS TO HAVE CURRENT CITY BUSINESS 16.60 LICEI�$�"'.,4�.PARATE PERMITS REQUIRED FfjR SEWER,PLIYIMBING AND HEATING. State Tax _ tt' 703 . 35 SDC- 600.00 Total APPLIAN 'R ' - PDC# By 100.00 T 150.00- /' ��� �3 S -� Receipt No. -DDS- _- PHONE Approved _ DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Q !� ContractvC� /6L7' 11 /G-8? 0-12 �1 of(1 �o5f' 4, f Permit No, s�.2 ��— u� .yif1 LO?G Rough-in Fixture — e oyg� Final — S�zs`" �.. HEATING Contractor — Permit No. �O--lj �/l► �j// �Kr� Gas or Oil Rough•in — I /Mi/J t✓ ��� Final ILL SEWER 11-0-8 ' (A� tiS iLaerrs IE. Final —� es.,c CDRIVEWAY Final _ Storm hrainage Main Drain)Final —_ Sidewalk Curb&Street Final Approach BLGDEPT. INAL TEMfir• CERTIiCATE:�CCU�"ANCYCERTIFICATE OCCUFNFinal Landscaping Zoning Final a i 1 i J 1 1 t PLAN CHLCK Nu. Lor inspect ions call 639--4175 PERMIT N0. C "IOF TIGARD 639.4171 DATE BUILDING PERMIT P.O. Box 23397, Tigard OR 97223 TAXMAP _LOTNO. g2 SUBDIVISION rn N�uG H/K A/d OWNER. r'., N L__ JOBADORESS t� '-- s c i / �_/ s� �� -- BUILDER �5�DL 7 H 00 y'r1 % -M - STATE_REG.NO. `1 '� EXP.OATE 7 q� -It i BUILDER'S PHONE ' ' ARCHITECT TO ERRRRI) PHONE OTNI:R _ STRIICTURF_ NEW ❑ REMODEL— O ADDITION 0 REPAIR ❑ MOVE ❑ OTE ER 0 OEMOLITION ORESIOENCE ❑ COMM ❑ EDUCATION ❑ 1':J ❑ RELIGIOUS. C)ACCESSOkY L)_GARA E O OTHER ❑ FENCE OCCUPANCY _3 LANG USE ZONE X' 'V -S BLDG.TYPE 'v FIRE ZONE,_ PLAN CHECK BY 14,E AT l� — Construct single farm ly dwel lino w/attached grgr;age a] I per apprc,v,ari — Sub.ipet to 85 code - - — - ---- -- SEWER^ERMITI, 33 -/f z' '( Idu) 3 baths, /•J traps garaye arcam'! OCC.LOAD FLOOR LOAD `,/ 0 HEIGHT NO.STORIES %_ AREA ' t'NO.BEDROOMS VALUE '.j .� BUILDING DEPARTMEN'T, SET BACKS FRONT :.1- 171 REAR yy LES SIDE RIGHT SIDE Pa rrit _ yi, THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE OUILDINQ CODE. ZONING REGULATIONS AND ALI.APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE Plan Chock 2, 46 9 JWOIRK WILL Or DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAnONS AND IN COMPLIANCE .r WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THL'C PERMIT DOES NOT WAIVE Pt.Ck.Fki RESTRICTIVE COVENANTS CL`NTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERM[T5.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AMC HEATING. Slats Tax.-- JSoc SDC ._ __ - -- - ToIaI (7 APP,►CANT ORAGENI --.---- PUG Prepd. O ' -- -- ' —. --' PNON[ .3S Recelpl No AODRESS Bal.Due 7 Issued By - --Approved By SSDC SOC - _� fir' �' — RECEIPT b POC — Y' DATE PD. SEWER CONNECTION S ' -KAMOUNT PD. SEUER INSPECTION S� .� S SEUER SURCHARGE S -" :0mmente : _ — - — — — _-- (:1 I Y VI- I IUAHU Mh(,;HANI(;AL PhHMI 1 Pormit M Description City of'Tigard Table U nl Mcchacal Code CITY PRICE AMT - — ------ -- 1,3125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 2.3397 _ - Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 Furnace to 100,000 BTU 1) incl.ducts 8 vents 6.00 G Furnace 100,000 BTU + `) incl,ducts 8 vents 7,50 1�g Name of Development 3) Floor Furnace incl.vent 6.00 Job Suspended heater,wall heater 600 Address /,�,�2 3 s r 4) or floor mounted heater Tex Lot Map No 5) Vent not incl.in _ 00 Lot Block subdivision appliance permit 3 Name(or name of business) 6) Repair of heating,refr ig., � — �j,t.-�� .��✓ 00 woiing,absorption unit 133 Halling Address r�gne Boller or comp to 3 HP Owner 7) absorp.unit to 100,000 BTU 6.00 ciryistate zip Boiler or romp to 3 HP-15 HP _ 8) absorp.unit to 500,000 BTU 1 1.00 Name 9) Boller or comp 15-30 HP - absorp.unit 112-1 million 15.00 Matting Address - 10) Boller of comp to 30-50 HP Contr2ctor absorp.unit 1-1.75 million 22.50 ----- - -- — — GiyrStata zip 11) Boiler or comp to 50 HP absorp,unit 1,750,000 BTU 31•SO State rtegfatrot No. — city&A TaxAir handling unit to 12) 10,000 CFM 4.50 1 twOby aClnowledge that I have read tiws appi"lron that the informationgiven is 13)— Air handling unittx,nact,that I am Ina mvr,er or autlnonred agent of the owner,that plena submitted aro M 10,000 CFM 1 7.50 _._.. rxxr+p &noa wlth State laws,tha!1 am registered will'the Slate Bulkier•Board,that the 11 Non portable nn gNon is c orred (11 ove(TO from Slate registration please give reason below) ) evaporate Cooler 4.50 ---- - - 15) Vent fan connected to a single duct 300 4F --- -- -- Ventilation system not 16) 50 ----"----- ------ �—_ aIncluded lot aYrfiance permit — -- -- -- Hood served by —---- -- 17) mechanical exhaust / 4.50 y 1"0 S17nalur+(owrw ix so")--- _ [Hu Dofflos CtypA Y-- Descrlbe work I'( addition O alteration O repair p 18) Incirwallor _ 7.50 to be done residential __ C!lmmerdal or Industrial �— ,f'l non-residential [] 19) type Inoinerelor 30,00 Existing use of building or properly20) Other I.e., iroodsto".Quer Proposed use of - -— --- - -- healer,solar JapthWiffryers,etc 1 y n° building Or property--�_- — - - 21) Gas p1pin9 one to four outlets 2,00 Type of fuel- oil (-1 natural gas LPG (I electric I 1 — - -- 22) More than 4"r outlet MCI — THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB TOTAL STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE I• y a DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR — -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTFR PUN REVIEW 251 OF fSUWTOTAL q WORK IS COMMENCED -- TOTAL 145- Y of l--,V .nal Conditions 1)AIR ISSIIe(1 --- --- by --