14551 SW 81ST AVENUE-1 s �► s it
! 55; sw a?st
INSPECTION NOTICE �C
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
}� Phone: 639.4175
Type of Inspection
Date Reauerted_l__-_ I (t- Time_ A.M. / �—P.M.
Address _ —_ _ Permit
Owner__\ ..� \ \ ( (1 _( Lot 2
Builder _ 11 s -� V Y l l�_1C_c/Y ����.LLSl (JJ
The following Building Code deficiencies are equired to be corrected:
, A & -s
3A�eecLf2llor�LA4- -
Presented 'it 4 ❑ Approlied
Inspector ' — �rmprrnvrd
Date
CALL FOR REINSPECTION
�L� NO
i l i i i i or
Y.U.Comic 7.3.3 "I
CITY OF J IGAR ® PLUMBING 13125 -cW HELU BIWI.
Tig3rd CR 97223
Applicants must hold Oregon Registration to conduct a plumbing PERMIT
639-81175
business a rnusl be properly owner/operator not hiring outside'IMP.
Name of D:rvelopmenl r --- Plumbing Permit No. �
Addrem,�-' �;T Dneriptlon
OFFS 81/-21.610 MIN. PRICE AMT.
Job; Tar 1-0 Map.No.
Address FIXTURES
Lai ,'l -Bock - Subdivision -_---- --- - -sir7.50 -
>k
Name or name of tx siness) Lavakry -__ 7.50
4�\ Tub or Tub/Shower Comb 7.50 -
vfing Shower Only 7.50
-- ---- h -- _--
Owner City/Slate ZIP Water Close) 7.50
-- --^ 6^ -----
-` q `' , '-7 Dishwasher 7.50
Phone Garbage Disposar- -- / _ 7.50 --
Name Washing Machine - --- - 1. -- 7.50
Floor Bt.vn7.50
Mailing dress - - Phone Water Heater - - _ _7.50 _ J
Laundry Room Tray --- 7.50
Occupant City/State ZIP 7,50
Urinal _
- a Other Fixtures(Specify)
,- -- 7.50
. / 9 7.50 ~
'iiAddravi Phone
r=° -- 750
-
Contractor City/State Zap
7"�6-A se o `17 3 MMELLAW.-OUS
—City Na.if ax No. sO"W 1st i 00' 30.00
�� /7 - _---- -- _-_ 15.00
State s Board fo. tate s. . Sewer ea.Addl.100
(Residential) 5-J)�7�, '- ; G y rl- Water Service l st 100' -- �^ 20.00 -
1 hereby acknowledge Burt I have read•his appllcallon,"Ifsa khlortn W Water Swvws as Addit.206 15.00 --
gKwi is cared,that I nm registered with the State Builder's Board.and alw Storm 8 Rain Drain 1 at.100* — 30.00
have a State Pkxnbk>C Scene that the numbers ghmn ars rxxrad.0181 an --
Mumbwhg worts will be drxxr in aexordw"with applicable provisions^t Ore. storm 8 Pyr Drain Addh 100' - 15.00 _
grin Revised Statutes Chapters N 7 and 693 arra eppih�Sble codes mild that 1AebNe Horne Space 25.00 -
no help will be eKvKAoyed unles7 kwvsod under ORS 693 (it exempt from - --
State regbfarallon,please give reason below). Bast Flow P•even io n
HOME.7WNERS--I hereby oertily omd I am the owner of the praperty ie- Dsm=orAr*4N*AlonD@wA 7.50
or~above.above.at which Iccation I propoes to nude a pkwr"V khaislis h ks Any Trw)or Waft Not
my own ins and fie protmty Is not baling con a ucled for cele.lease or rent COfN1on'ratl x s FitAurs - 7.50 _
Catch seek)— 7.50 - _-
- - -- IrW.of ExW.Pkwnbktg 19.00 Per Hr -
--- - -------- -- --
�R's41tas1ed l 10.00 Par Hr
Spedall rnspeoYaw_
-- -- ANN.Of PYatt*v w"ft
— min
---- �.—._ _ ----- an Etdsllnp� 15.00
AUTI/ORLZECD3ICiii 1TURF ---- - flet" Now Qldp_or Build.AAdltlon --_ 25.00 min
I-to
^A _ e fanal
.�,.
Dfscribs work drew n addrtlon(] 'alteration❑ rtapt0f f] dwell' -�_ 15-00
los dome residential MIwn rosirisntld
E use of
1xA4rtp ex prM*rty_ --_ _ __ OWTOTAL
pti b U"at �°f� Ma txN�ONAIIQ[
TO rAL
TMs pants beriMlie f%Al and wow*wa*or oonesrlf w a ffe ttesd is nol ca7v
rmanoad wlil% W dnyalee M osnout>tlrm ear wmkM lUWO ded or absrtdornd for
s period d 160 deer M any Orrw taller wall M oa-Irninosd
OPSCL&L 00"M10"
DOM Issteerl __.� .�.�_,c_ by ---
XWX
CITY OF TIGARD MECHANICAL PERMIT F'leceipt
Permit #
Description
Table 3A Mechanical Code QTY PRICE AMT
City of Tigard - -- -- - —
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
11 incl.ducts&_vents 6.00
Furnace 100,000 BTU +
2) incl ducts&vents 7.50
Name of Development 3) Floor Furnace 6.00 `
incl vent
Job Adiresa --- Suspended heater,wall heater
Address c�/ss/ s / _� - 4) or floor mounted heater 6.00
Tax Lot Map No. Vent nC t in(l.in
Lot Block Subdivision 5) appliannr permit -. 3.00
Nrme(or name of business) Repair of heating,refr ig..
°) cooling,absorption unit 6.00
Owner Mailing Address T Phone 7 Boiler or comp to 3 HP
absorp.unit to 100,000 BTU 6.00
cityrstete 4�.� 7ip Boiler or comp to 3 HP-15 HP
e) absorp.unit to 500,000 BTU 11'00
- Name 9) Boiler or comp 15-30 HP
--�� --
� absorp.unit'/7-1 million -- 15,00
Malting Address Phone Boiler or comp to 30 50 HP
10) absorp.unit-1--1. ;million 22.50
Contractor Cityhstite^ Zip11) Boiler or comp I;,50 HP~
absorp.unit 1 150,000 BTU
State Registration No c Bus Tax Air handling,mit to i
City 12) 10,000CF%I 4.50
1 hereby acknowledge that I have read this application that the inlo,mat on given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM +
compliance with State laws.that I am r,pistered with the State Builders'Hoard,that the, Non portable
number given is correci.(n exempt from State registration please give reason below) 14) evaporate cooler 4.50
- -- -- Vent fan connected
15) to a single duct 3.00
- -- Ventilation system not
18) Included in appliance permit 4.50
_ Hood served by
Z, 17) mechanical exhaust 4.50
Signntur
not or I oils Domestic type —
Describe work ❑ addition ❑ alteration ❑ repair El18) incinerator 7.50
to be done residential L] non-residential ❑ Commercial or industrial
Existing use of 19) type incinerator _ 30.00
building or property 20) Other i.e.,woodstove,water 4.50
Proposed use of _ heater,sc tar,clothes dryers,etc.
building or property __. -
-- - 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas I I LPG (j electric p
22) More than 4-per outlet
NOTICE - - -
THIS PERMIT PECOMES NULL AND VOID IF WORK OR CON ------- SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180S&10 406SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR — PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED, TOTAL
Special Conditions
— - - Dale issued-- by
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : ,
PLAN CHECK APPLICATION DATE RECEIVED: ly- / /. ,P
P.O. Box 23317, Tigard OR 97223 P/C DEPOSIT PAID
This is to certify that the attached Z sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, _ edition.
L �
PROPERTY OWNER: Z OWNER'S ADDRESS:
CONTRACTOR: _ !tea yx�_ TELEPHONE:
JOB ADDRESS: _ t��� LOT NO. & MAP:
DESCRIPTION OF WORK:
A vals Re wired SPECIAL NOTES_
CgF nning r-�,t. O Reissue
0 Engineering Dept. O Flood Plain/Sensitive Lands
0 Fire District Sewer Availability
0 Other O Ot er /
Items Required
OList of subcontractors
OBusiness Tax
0 Calculations
OTruss Details
O Parking Plan
OLandscape Plan
i1
U Other
COMMENTS:
City of Tigard Building Pepartment
BY: `,.
mV'
BUILDING PERMIT APPLICATION DArE___
THE UNDEtISIGNED HEREFjY APPLIES FOR A PEFIMIT FOP 'HE WORK HEREIN INDICATED BUILDER PHONE 684-7543
OR AS SHOWN AND APPROVED IN CHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER_ MIller JOBADDRESS 14551 SW 81st Ave. LO'�"��=izi3�`,zo�-
_._ _ — ARCHITECT
game ENGINEER
BUILDER _ ADDRESS _ DESIGNER
STRUCTURE OQIEW E] REMODEL ❑ ADDITION ❑ REPAIR _ ❑ RENEW AL ❑ FIRE DAMAGE ❑ DEMOLITION
l.-' RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT (7 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
114.5 � Al t
OCCUPANCY LAND USE ZONE —BLDG.TYPE �N FIRE ZONE_—PLAN CHECK BY HEAT
ngjA faj1:l s t -WI_� +shed _�4z agOn�.l ner app rove) iilan-s.
;2;j cmc
to 85 Code. _ -
SEWERPERMITN_ 24070( .Idu ) 2 baths. '3_traPe _ ! r arca X1_40
19 7 172' 3 7750(,
OCC.LOAD FLOOR LOAD_ .± HEIGHT NO.STORIES AREA 'ANO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR l 7 J I-EFr SIDE 8 RIGHT SIDE G
Permit 3�7 "0() THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
238.55 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan CheckWORK 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
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
113.3S LICENSE.SEPARATE PFRMITS REOU1RED FOR SEWER.PLUMBING AND HEATING.
State Tex
623.90 SDC- 600.00
By do xl 100.OC PDC# i_1 150.00 APPLICANT ,QENT—+ ---
By :� F ,
1523:9r1 J Receipt No --— ------ — PHONE
Approved ��__ ADDREBs—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE r
(b-- 1 Contractor
1 / Permit No.
Rough-.n ---
i2o_ ?_
Fixture
Final •
HEATING �)
Contractor
Permit No.
Gas or Oil
Rough4n
----
SEWER
IFinal Final
^� DRIVEWAY
Final
- _ Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
r
Pe4-
PLAN CHECK NO.
for inspections call 639-4175
CITY OFTIGARD 639-4171 PENT N0.
BUILDING P�RMIT GATE
P.O. Box 2 397, Tigard OR 97223 TAXNO. SUBDIVISION _
c �
JOB ADORESS T "1' t s �' T ! ('
OWNER-- -� / p
BUILDER \ >��/ NII P�-l' e) J _ �C. STATE REG.NO. Sar 7 EXP.GATE /_}_4-k-7-
BUILDER
'6- _
BUILDER'S PHONE / s
ARCHITECT M PHONE OTHER
STRUCTURE b(HEW O REMOOEL O ADDITION O REPAIFl O MOVE 0 OTHER Q OEMOLIV,0h
RESIOENCE 1 O COMM C7 EDUCATION 0 IND O RELIGIOUS ❑ACCESSORY [) GARAGE Cl OTHER Q FENCE
OCCUPANCY j1' .3 LAND USE ZONE ��s BLDG.TYPE_ - FIRE ZONEPLAN CHECK BY_�� �� fV.AT
Construct single family dwelling w/attached garanp- all nor apprnwafipiapc
5uhaertto SS codE --
SEWER PERM/TI., '(ldu) Baths, traps garage area
OCC.LOAD FLOOR LOAD / HEIGHT NO.STORIES AREA :."c NO.BEDROOMS _ VALUE
BUILDING DEPARTMENT SETBACKS FRONT r REAR LEFTSIDE 5 ' RIGHT SIDE 1
Pvrrtd! THIS PERMIT IS ISSUED SUBJECT TJ THE REOULATIONS CONTAINED IN THE BUILDING COL"t.ZONING
REGULATIONS AND ALl APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
PCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES ANLL ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES VOT WAIVE
Pi.Ck F" RESTRICTIVE COVENANTS, CUNTRACTOR AND UB COv TRACTORS TO HAVE CURRENT CITY BUSANESS
TAX PERMITS.SEPARATE PERMITS 11F�OUIRED S R.PLUMBING AND HEATINQ
SSOC
�
Toll a -5' APPLMA -
Pp
Rece4pl No ADDRFSS PHON1
Bal.Due
Issued B��- - --Approved BY----- -
SSDC
RECEIPT k
POC ���__[ �.LLLYYYf ///��
` DATF PD. _
SCWER CONNCCTION 5 ', AMOUNT PD._
SELIER INSPECTION S "
SEWER SURCHARGE S
:�mr�ente: ...-