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10860 SW PARK STREET 10860 SW PARK STREET i th H a O �O 00 O .NISPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection PI Date Requested—_ �� Time�/A.M. P.M. Address �` — Permit __ &3Q �loNbB Lot #- Owner-4t. - Builder—The following Building Code deficiencies are required to be corrected: WWI— U O d — UIA- Presented to AApproved Inspe(for _ ��rt` [__ Disapproved Date CALL FOR REINSPECTION DYES 0 NO City of Tigard Mechanical Permit N° 3 7 3 o New Insta lation 1 Reiilace 0 Relocation[] Addition Alteration ElDATE:1Q._2_x5 HEATING �e/'� ��e, CONTRACTOR ����t-�' OWNER /_ - - ADDRESS r p 'sem __ JOB ADDRESS ��$ GCS S LTJ �'K PHONE�{o 3—[ - A -Y�� APPLICANT Heat input 'riating(BTU per Hour) Vent Size Flue Size_ FUEL OIL�� GAS [] ELECT OTHER _ — ITEM NO.�FEE ITEM NO. FEE For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7.50 New-up to & incl. 100,000 BTU _ T b.00 Commercial Hood System _ 7.50 New 100 000 BUT's & over 7.50 Other E uipment - Each _ 4.50 Woodburning Stove 4.50 1 Trip Inspection 4.50 Wall-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 Repair•Heat Cooling 6.00 _ CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! �` PERMIT ISSUANCE 10.00 Comments: FEES --- — '— SUB-TOTAL — 50' % STATE Issued By 25%PLAN CHECK REC. Signature of/Applicant MIT APPLICATION TlGARD DATE_ '("eptember 71.. ,t9 - '� 4593 BUILDING PER �,� -rt�f3 THE UNDERSIGNED HLRE93Y APPLi � FOR A PERMIT FOH-1 Hr-WORK HEREIN INDICATED BUILDEP PHONE _ -g . --- OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT OWNER PHONE OWNER Irix'dj T• FpengtQADDRESS Std Yark -'t• — ARCI,ITECT - ---_�— ENGINEER l ADDRESS + ' DESIGNER BUILDER Sam r _STRUCTURE_ ❑ NEW aREMODEL _D;ADDITION —_ C] REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION [YRESIDENCE ❑ COMM_ Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS [-j PATIO ❑ CARPORT_❑ GARAGE ❑ STORAGE El SLAB❑ FENCE LAND USE ZONE R--7__ BLDG.TYPE _ S'+� FIRE ZONE PLAN CHECK BY_ " HEAT '- — OCCUPANCY __._ — CoirlBLrtlet sit! addition to "inSle r-Mmilp Imlade niaw bath _ I rt�tl; i lmdro+xl SEWEF PERMIT# (541lu'X �� II,�• 20 NO.STORIES I AREA 3?.0 NO.BEDROOMS 1 VALUE �w OCC.LOAD FLOOR LOAD 4t. HEIGHT------- _—_BUILDING DEPARTMENT SET BACKS FRONT _REAS LEFT SIDE RIGIiT SIDE F'ermli 74.511 THIS PERMIT 15 ISSUED SUBJECT';0 THE IiEIiULAT;ONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODE'. AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE F'Ian Check 'IE3iA 4 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES ANO ORDINANCE,;. THE. ISSUANCE OF THIS PERMIT DOES NOT WAIVE 112.91 RESTRICTIVE COVENANTS. CONTRACTOR AIJD SU3 CONTRACTORS TO HAVE pub-total__ CURRENT CITY BUSINESS ----- LICENCE.SEPARATE PERMITS REQUIRED FOR SEWE?,PLUMBING AND HEATING. State tax 2,9k? SDC— ,.'° Total PDCk APPLICAN ORA E T 81, C?1 _ Receipt No. ADDRE9fi -- --— PHONF Approved t' ' _ DATE IN3P. TYPE INSPECTION REMARKS PLUMBING DATE y/ o Contractor ���� - IL - t ------- ,i Permit No. Rough-in Fittw s /o %�✓ �l�c� CO' �— Final HEATING_ �I f Contractor y Permit No. Gas or Oil —�--- Rough-in � - - Final SEWER i - --- ---- Final DRIVEWAY -- ---- - — --`_—�— Final — Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final h.Approach DEPT. VINAL TEMPORARYCERTIxICATE OCCUPANCY 'CERTIFICXrEOCCUPANC�'T --^_-- Final Landscaping ?-ming Final fi r 1 5 C BUILDING �'r---RMIT APPLICATION T ISARD DATE, G" Z� --t0 S �� �rGk THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA ED BUILDER PHONE �_— OR AS SHOWN AND APPROVED IN THE ACCUIf PANYING PLANS AND SPECIFICATIONS. OWNER,PHONE _ ��4kADDRESS LOT NO..---i)'lJNER �� d W �'�'• —� u V -- -- ARCHITECT ENGINEER BUILDER S'a4yt., AOORESS ��.���� _,DESIGNER �S�TRRUCTURE ❑ NEW /G kMODEL _�_DDI_TION ❑ FGPAIR C1 RENEWAL ❑ FIkE DAMAGE C1 DEMOLITION {G RESIDENCE ❑ COMA ❑ EDUCATIONAL ❑ GOV'T 0 RELIGIOUS C PATIO 0 CARPORT C1GARAGE C] STORAGE ❑ SLAEi❑ FENCE UGGiiPANCY —JF&L LAND USE ZOtJE " _ BLDG.1 YPE _FIRE ZONE__._PLAN CHECK BY r � SEWER 3.., OCC.LOAO FLOOR LOAD HEIGIiT,"?& NO.STORIES J ARE_A3;C) NO.BEDROOMS VrU4Fdd C) BUILDING DEPARTMENT 5ET BArKS F90NT O REAR % LEF;F SIDE �)• RIGHT SIDE F'ermlt _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 6UILDIVG CODE, ZONING I � �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANU IT IS HERESY AGREED TxAT TPA PlanCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC! WITH ALL APPL.ICADLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEPMIT DOES NOT WAIVc RESTRICTIVE COVENANTS.CONTRACTOR AND SU9 CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. State tax sou -"- Total - POCK APPLICANT OR AGENT -------�-- ---- By -- Receipt No. Approved / ADDRESS PHONE^ PDC — SEWER CONNECTION $ _, SEWER INSPECTION _ SEWER SURCHARGE 5 ••�'-:t•+�KK •R�° +�"!f �"btf't�•�� '9„ M 3+A•n 01.p�tt'rnid�vaa`K1� -f��r �Mt'h i�'i'� �� A 1 t: ,�y � �•. / e.+u � �s:, '.Yi}�` s!!t �� bN'-`.^.•c j. 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'���.�p,,111 ` '•P� Permit— City ermit — — City of Tigard Mechanical Permit Fee ax state_ Ne.j Installation ❑ Replace U Relocation [I Addition ❑ Alteration ElTOTAL_- OWNER OTAL - OWNER — CONTRACTOR %"JORK ADDRESS _ ADDRESS____ _---- APPLICANT__. — PHONE _._ Vent Size —� Flue Size Heat Input Rating (6TU Per Hour)_------ — FUEL OIL r GAS ❑ ELECT ❑ OTHER NO FEE NO FEE ITEM ITEM -- J 10.00 For Issuance of Permit _ 3.00 Air Condition— Compressor 15 to 30 HP — 3.00 New Under f Permit BTU 4.00 Air Handling 10,000 CFM 5.00 New 100,00']BTU &over 5.00 Airn9_ � Over 111,000 CFM — — _ 3.00 _ REvaen aporative Cooler — Z,00_ I Floor Furnace _---- — 4.00 _ nge Vent ran Wall -Floor -Suspended _ 3.00 _2.00 Vent System_____________ _ '-3.00 Install Vents Only - 4.00 _Hood Commercial __ _�_ ___.—_ ---- Repair - Heat&Cooling _ -- _ 10.00 4.00 Commercial Duct System Air Condition Compressor Under 3 HP 7.50 Air Condition Compressor 3 to 15 HP _— INSPECTOR'S COMMENTS____._.___ ----- i CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS DATE APPROVED BY- -- DATE ISSUED BY RECEIPT NO. .�____.s___ -- Signature of Applicant 774 INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639-4171 Address__ Permit # Type of Inspection The following Building Code deficiencies are required to be corrected: Presented to - —_- Inspector Dot, -- CALL FOR REIWF_CTION VES [] FNO City of Tigard INSPECTION REQUEST fo INSPECTION TIME: PENMIT DATE: DATE_,, _ DATE ISSUED :.__ .../_-/ OWNERS NAME : .__ e, ADDRESS: CONTRACTOR : - -- --- ?'EST : Air D, Water C7 . Visual (Z . Labcratory (Z RESULT: Appravd Pending !J SKETCH: IVS TOR DATE NOTE. Attuch supplemental tt,;: re1] BUILDING PERMIT APPLICATION 11 Y i IGARD DATE.-______ THE UNDERSIGNED HEREBY APPLIES FOR .A PERMIT FOR THE WORK HEREIN !NDICATED RUILDERPHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE.--- LOT HONF ._._._LOT NO. OWNER T ''I' Ti?f'IC'T.f JOB ADDRESS 10h60 SU Park :t.rlli'- +HOME ADDRESS _ I - ARCHITECT ENGINF-ER BUILDEFtr # �^r��--11 `ADDRES5/23�� �.-1 �, r-1 DE51GNEftr-1 STRUCTURE _ ❑NEW LJRF'MODEL _ ❑ADDIT_ION _ OREPAIR I„_.1RENEWAL OFIREDAMAGE,❑DEMOLITION ❑ RESIDENCE [:)COMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS[-]PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENCF ❑&OND [:1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS, OCCUPANCY__._LAND USE ZONE_ BLDG.TYPE__.-___—FIRE ZONE.— PLAN CHECK BY___ HEAT. . . I Ic;a' ��� , � ;�ri��Ic�G1.�k.lUr! t1 �nisr'tirI�, ��.n}��w r�s+T►i ly L:w�ill..>, ,., _—.---_ jD Pl.tll MING 2,1 QQ__ QAU _.._&QQ LQAD__ HEIGHT ,_NQ$T.4�1�51_��Ar''EA` N0.B DRO MS ^VALUE BUILDING DEPARTMENT SET BACKS FRONT '�F` REAR LEFT SIDE RIGHT SIDE IFPermit .,;7„[7C �_-- - THIS PERMIT IS ISSUED FL1BJFrT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check O(, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE –� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total o 4. ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS State Tax 4n w,', LICENSE. SEPARATE PERMITS REOUIRFO FOR SEWER, PLUMBING AND HEATING. Total BY -- - - ----- - �__.I_..._ APPLICANT OR AGENT I Approved Receipt No DATC INSP. TYPE INSPECTION REMARKS PLUMi31N3 I DATE k, - `, �\ —` Contractor VA Permit No. z 3% i�— �_ GI Rough-in Fixture " Final c HEATING Contractor Permit No. Gas or Oil — Rough-in Iz Final SEWER Final DRIVEWAY Y Final Storm Drainage (Rain Drain)Final S idewe I k Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCiRA Final CERTIFICATE OCCUPANCY / Landscaping Zoning Final e 1 i UNH : 11-- D S1--VVFRAGE AGENCY NO. WAS HINGION COUN-1-Y DATE 1-28-77 CA-j-Y APPLICATION FOR SEWER CONNECTION PERMIT OWNER: __._ Fredrick Jan Epeneter OWNER'S ADDRESS: 10860 SW Park St. STREET STATEZIP BUILDING SITY: AT Tax Map 25 A BLOCK ADDITION TAX LOT NO. -'4-0-00— TYPE OF OCCUPANCY -xasi,derli a ADDRESS .10860 SW Park St. DWELLING UNITS FIXTURE SURCHARGE IF APPLICARI-E 3 PE 13MIT FEE - 300- INSPECTION FEE TOTAL DEPOSITED 25. (NF.W) (EXISTING) BUILDING SEWER SYSTEM Fanno Creek The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT,,�V�-A-i 04 SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION 'TO THE SEWER SYSTEM. LINE SIZE INSTALLER RECEIVED BY -4 (AGENCY CIF�.ITS AGENT) /`` COAMENTS: PeL USA Drder #70-12. Premises existed prior i,o 1970 Bower facilities become available l-'/'? This Application and permit expires in one hundred ind twenty (120) days. The arnount paid will be forfeited should expiration occur. ADDRESS 0 �}ca " PERMIT NO.�� PERMIT CHAPGE none OWNER _ a.r � -n CONNECTION FEE PAID BY TYPE OF BUILDING DATE CONNECTED SERVICE RATE S/q INSPECTION FEE CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID