8595 SW PINEBROOK STREET it e�s�■■��s�
8595 SW Pinebrook '
/\ .�eeee • y� t^-�Y �,�t[������ �F.�w4 c�,.��r�"4R.�y� ,�r�� " Sri ��• A: � ^,.��l
/ '` .�� �>7,�,.•y,;_. r� • ,�,."�-e! .x .,.�;�f•ti �.°oL- .'1��:y' �1" �_J a^�j y ^�'�'� ,Y'�"'4��\
�{ •./rI+1`�+ r%L e t y+. � ....1 i �!�+ -.:� ....i .J �+�: r .ya,!^ z<:T,{
L� se1P' e' •.i , ,` r e, ,'� 1/� ` ,,,,,, � alar''" '�f
a 1
cd
a e, N
F , r
to
o
In D
4J rk
pO w v� o U
a) cn
A
( x a CIN ►aLn
a Ln
co goo
co
24
to
'll 12
•d {7 m k.
arm � oo 5 U a � ;
± � Y_ lv
ah
.'ft�\.' �I 9SYxW Y'nc��trtY'G�NmCi�iltrGSltC�IIbt7yif�t'a�4aa•C.:Y��ro a re.• w�'`c���.:� -.-�.j-.: ., �---- y�r I_QyfJ!
\ �A" ' 7, OA' 'k r ' .fit.. ••sy.rr' '• :..._' ,,,h ,r. t
1) t ,r '~ J' A -�!l�`..,lw":.,ems �,'�'v'g0y,,4'��" 4 °•i�,,�q� -;.f �::; '"q'�° - ^,:`�� a � "
.N �'r.na.r • ryilAeNal y�Y.ir1�r
INSPECTION NOTICE j
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type cf Inspection _ ;1-1
Date Requested_�_ L---- Time A.M. P.M.
Address Permit
Owner_—.- —— ----- — -- ----- Lot # _—
Builder
The following Building Code deficiencies are required to be corrected:
I
I
Presented to _�— roved
Inspector _-- _ — — —._ — I I Disapproved
-�� -
Date �------_,.
CALL FOR REIM4PECTION
C 1 YES I J NO
01 - TIGARD PLUMBING jjtlapW CR 97223
/Applicants must hold Oregon Reg'Aration to conduct a plumbing PERMIT 639.4175
business rx must be property owner/operator not firing outside help.
Nannie of Development PlumhinK Pemnit No. _y
Address Description
J t� ORS 814-21-610 gUAN PRICE AMI
Job Tar Lot Map,No.
Address _ FIXTURES
I�1 — Blxk :Subdiivis'WO Sink ___ _. 7.50Lavatoryanis (w name c srnes7.50 7
_ Tub aTub/Shower Comb. _. __
Al lnpf re5g �1 Shower Only
-------- ---
Water Closet
Owner Clry/ tele zip - ' - - .7.50
rn
50
Dishwasher �_._ _-.-
_--__.__^--------- -. -�
Phone---e . 150
Garbage Disposal
Washing Machine
Name 7 50
Floor Drain750
Ph" Water Heater
�i'lmg�3dross - _ - _ -_-.--
LaundryRoom Tray f 5o
Occupant City/State ------ -- zip Ur;nal W 750 -
-- -----1%none Other Fixtures(Specify) -� _ - ----—
anis )tS _ -� 7.50
Malling rens 750
7.50 ---
Contractor City/State ZIP --
30
_3. � � �MISC=U�NEOUS -_
Gly Tax Ne I S«._dr 161 100' __.._ ___ 00•--
r-ea.Addit.100' _ _-- __.1500
tats'T s. �ardTlo- Sewe
�-�Ula s>�uus w: o ( � �
pResidential) water Servlos t St 100 20 00
_. -
water Servioa ea.Addil.2�r 15.00
I hereby adux,wledge that I have read this application,that the inkxrnet{on .._
fi n is axrera,that I am regisiered with the State EkrWw,s(card,and also Storm&Rain Dram 1 at.100' _ 30.00
have a SWe Plui. Moenae that the n uffitws givenare aorred."I all _ 15.00
or
plumbing wk dorm in be doIn accx,rdance with applicable Provisions of Or,- Storm b Pert[rain AddH.100' -
gon Revised Stabiles Chepters 44 7 and 69:1 and apPk6bM codes end the; Mob*@ Home SPOCS _ - 2!100
no he',)will be empbyed unless W-,er,sed under ORS 693 IM ur
exempt'tn Back Flow Proventbn
State registration,pie"*give reason hNowr. Devloe or Ar*Pci kMion Device 7.50
t1OME()wNERS--1 her"owiffy t W I am the owner Of the Pmperty de-
eoxbed abave.N which to SOW I P'Wre to mala a pkent*V 'kw Any TnP or Waslrs Not
my own use and thle properly is nco taring axatrtnded kw sale,k4m or rent Ctxmscbed to a Fixture _ _..___7_..0
Calch Basin _..f 50
- 40.00 Per Hi
a Fes.Plurnwng _ _ .-----
- -Spelcialty 40.00 Pat Hr
A ier of Pkmbkq wNhY+-
-", A — an Exls*V Bldg _1 s 0o nrn
µw„jllldp.of Bu1Rl.AddV*M lb.00 rom
AL1TrK)RIZED gi(3NATuPrt Vale
_ LXam,gliti le fatttily
Describe wak „sw,[�j addition❑ alteretbn❑ repelf❑ dwell'
be tions _ residential LIG non-r" tial Ll
E)*AkV use of Miff TOTAL r,
bUYdlrlp or property - - -
b� Ot - _—_—._ ' .
or�,ty_ TOTAL09
NOTICE -
ThIff pelf be0tutses mo and voidill v-,xk or oar,MIX1Mon audwhirod ianot o0m-
ntert0ed wMttln/K1 dayttyer M mw* ow or worn 1s Mimper+ded or df wKkwwd kv
a period of 150 days a►ant ime alter wort M oor+w"WIoed
1111111"11110AL.00011017K09
Data isetned (�._:,�� •-_- L'y "'! � � `
Ull I Y Vtr 1 IUAKU MtUHANIGAL ♦TIMI I Permit N
Description
Table 3A Mechanical Code _ _ OTV PRICE AMT
City of Tigard 1) Permit Fee Y -0- -0- 10.0
13125 S.W. Hall Blvd. _ --- f-------
P.O. Box 23397 2) Supplemental Permit 300
Tigard, OR 97223
639-4175 1) Furnace to 100,000 BTU 600
incl.ducts&ve, _ (p
2) Furnace 100,000 BTU + 7.50
incl.ducts&lents _.
Name of Development — 3) Floor Furnace 600
incl.vent
V Jpb Address 4) Suspended heater,wall heater 600
or floor mounted heater _
Address Vent not incl.in
Tax Lot Map No. 5) 3.00
appliance permit
Lot Block subdivision _
Name(or name of bu teas) 6) Repair of heali , ,. r ig , 6.W
oox cooling,absorption unit
Boiler or comp to 3 HP 6.00
Owner Malin Plarw 7) absorp.unit to 100,000 BTU
cttyfstate Zip - A) Boiler or comp to 3 HP-15 HP t t 'to
absorp.unit to 500,000 BTU _
Boiler or comp 15-30 HP 1500
absorp.unit'h- 1 million
�talw,g Address Ph" 10) Boiler or comp to 30-50 HP 22.50
absorp unit 1 -1 75 million _ -
Contractor ---- -- Boiler or comp to 50 HP
City/Slate Zip 11) absorp.unit 1,750,000 BTU `- 31.50 -�
Slate Registration No City But Tax No 12) Air handling unit to 450
--t 0,000 CFM
Air handling unit 750
I hereby acluiowledge that 1 have reed this application that the information on riven is 10,000 CFM +
oorrecf,that I am the owner or suit--red agent of the owner,that plane submitted are In -
=npliance with State laws,that I am registered with tM State BuildersBoard,that the 14) Non portable 4.50
number given is r"rw.l (If exempl from State regletrelionn n ploase give ressbxrinw) evaporate Cooler -_
--- --- - - - -- 15) Vent fan connected - - ---- 3.U0
b a single duct
----- -- Ventilation system not
--- 16) inclwied In appliance permit 4.90
—
t 7) Hond served by 4.50
j mechanical exhaust ��71)
Date t 8t Domestic type 750
Dwitcribe work Ition F1 alteration L I repair 11 Incinerator
to be+lone re I non-residential ❑—� 19) Commercial or Industrial 3010
Existing use of _type lmc nerNa _- --- ---- -- _ _
building or property __-.. 1 -- 20) Other I e.,woodslove,water A.50
Proposed use of heater,solar,clothes dryers,-alc
building or property�— 21) Gas piping one to four ou"ets /� 2 00 21
type of fuel-- oil ❑ natural gas LPG ❑ electric ❑ -
T---— 22) More tt -.,4-per outlet
SkWTOTAI. 27.�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR (;ON- _ �%Su���S
'-1 AUCTION AUTHORIZED IS NOT' COMMENCED WITHIN 180 _ 43
DAB'S, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PUN AEVIEW n%OF S &T'OTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTFR TOTAL
WORK IS r,OMMENCED.
$pedal Conciftions
__—� Date issued4-��
r
.e
w
6694
CITY OF TIGARD 639.4171
DATE
BUILDING PERMIT __ —19-------
TAX MAP •' ;]3 j OTT NO. _400— SUBDIVISION
OWNER- -.-.,,�,��� ii<rYi JOB ADDRESS
BUILDER 7tor1lc:2' EXP.D TE __ _,_. ._
,�ate_ _ STATE REG.N0. ____—_
BUILDER'`iPHONE & A.W,xx, tJ1yt #EM')
ARCHITECT PHONE _ OTHER
STRUCTURE 1 NEW ❑ REMODEL ADDITION I REPAIR MOVE U OTHER _ DEMOLITION
RESIDENCE COMM C) EDUCATION ! IND I 1 RELIGIOUS L1 ACCESSOi,v I 1 GARAGE OTHER FENCE
OCCUPANCY LANE JSE ZONE -'13LDG TYPE r' _FIRE ZONE PLAN CHECK BY _ HEAT_
Ix-'r m �L�4 T"L
.r�tFKx2''. .-x,.•,r„^ i.t 7'r.:.111 b M,.'Li•!':1?�1C'�?.tt7CZ(C�][LY�-�;; Nl(1(1 t7(y.Iti�. ii:i).
SEWER PERMIT N IG�t3 _.
— _ P 17
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA _ N”.BEDROOMS VALUE
BUILDING DEPARTMENT ,� SET BACKS FRON' -1(1 REAR - LEFT SIDE RIGHT FiDF
Permit I'00 THIS PERMIT IS ISSUED SUBJECT TO THE RE+uULATIONS CONTAINED IN THE BUILT;VG CODE, ZONING
.��7.�Q ^— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HERFd" AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND ,PECIFICATIO�S AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.FireRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- _ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEINER,PLUMPING AND HEATING.
Stele Tax
r APPLI- CTI�OR AOEN I -�—
Tutal ,
Prepd. **127.0N !'r.xt 9 t Ctt, 1 -150,.OP�'v'
Receipt No..t —ADDRLSS
Bal.Due ?.77. ___ &-
— Issued By--Approved®y _
I
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING DATE
Contractor lti
Permit No.
Rough-in
--
, - - -
Fixture
!" l4
r-") f Incl
HEATING—
R Contractor
Permit No. w 7F
Gas or Oil
Rough-in
Final _
SEWER
-- Final _
DRIVEWAY
Final
- - Storm Drainage
(Hain Drain)Final
Sidewalk
Curb d-.-treat Final
P pproach
BLDG.DEPT.FINAL TEMPORARY
CERTIFI:ATE OCCU?ANCY Final
CERTIFICATE OCCUPANCY
Landscapi;rg
Zoning Final
Nr