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CITY OF TIGARD PLUMBING 1:1125 9a "3u LU%a.
AP;)!icr,.,ts must hold Oregon Registration to conduct a plumbing PERM 1T X175 9x7223
twsi x..s or must be propert y owner/operator not hiring outside help.
Name Devslopme 1 f-�� `7
�- Plumbing Permit N<1.�
Address
07 ORS8141 Description 2610
MAN. PRICE AMT
Job Tax Lot Map.No.
Address
FIXTURES _
W Ok)ck "rvisicn - _ /
Sink 7.50 ---
ams err i►srne Anes/s Lavatory 7.50
IIRMTub or Tub/Shower Comb. 7.50 7.50 ---
trx'i ess -
Shower Only - -7.50 _--
Owner Water Closal
Dishwasher _---- - / 7.50
Phoie Garbage Disposal - . . _ 7.50
Name Washing Machine l 7.50
Floor Dram 7.50
ai rag-K&T, 1}xxu Water Heater 7.50
Occupant CftyiState -_-- _._�.7� Laundry Room T sy - - 7.50-
Urinal 7.50
Phoo-,) ,— Other Fixtures(Spedly) �Y 7.50
KEN WATTS PI Ra INC 7.50
P.O. 230925 7.50
Contractor � 9T223 --- 7.50
--_ ^ MISCELLANEOUS
City Bus. Tax No Sir 1 st 100' 30.00
la s. -Wjwo-- --s—tale Pktfrbm Bus.Lic.No. Sewer-ea.Adde 100 15.00 --
(Residential) " f y L, ---�, - C r1 Water Selene 1 at 100' -----20,00 -- - -
I hereby aeknowladgs OW I have read this appbcatlon.UW the Mloniiw' , Water Serooe as.Addit2Mr 15.00
grven n correct,fid I sm reoslered whh Via State Builder's Board.and also Storm A Rain Drain 1 et.100' 30.00
haw a Stale PkR*kV fake fiat"nurnbers given ars owred.that all --
pkxnbing work will be done in amwxisnca wfth applicable pn)yt4 nr of Ore. Storm A Pyn Drain Addle.100' 15.00
gon Revised Statutes Chapters 447 and 693 and applicable nodes and that Mobile Horne Space 25.00
no help will be oniploysd union Ifcensed undrw ORS 683 in exenXA from - -.- ------ -
State registration please"reason twinw) Back F"low Pr*V*tron
HOMEOWNERS -1 hereby certlfy IAA!I am the owner d the pmp"de- Devtm or Md-PolkAan Device 7 50
aorRaed Wxrm,at whk h locason I propose lo maM a pkertling Yrualtadon Inn Any Trap or Wash Not
my own use and file pr'op+ry is not be&V oenetructed kw sail.Idaws a nal Connected to a(RxMxa 750
_ Catch Basin -_ 7.50
Map of Exch Pkmw*lg 40.00 Per Hr --
--- S'adslly RsQ►wMdk�apaotloni !, 40.00 Per Hr
-- - -__ Aller of Pkartbktg wi f i
an Exis"Bldg 15.00 min
AUTHORIZED BIONATURE fl� New Bldg.or OitMd.l4ltMron 16.00 min r+
Bain a fame
[��dom�
k new® addition n aftershon O npdr n c�ellitL1 15.00
residential lot,, non•reskWitial
Lxtstirtp use of
txllk*V a property =TOTALbAakv c
1x pmwty TOT" / Z
NOT"
Tftt4 f��b�oarw•s etyp and add fl warrt�a aorwltruoaon MJtlYxtteel tr rr>t won
f14oad wM1Yt 160 day eir It oe tellies krn or work Is auparvW or sbierxk,neA for
a parW Of 190 days At any inns NOW wain Is aortrwersoad
t1"6CYAL
OOIr1117W f1 _ r ;
04W 199Wd by
__...------ - yes i��•�'
Permit 0
Daacrk)b-
City of Tigard —
TabW V,MaCtWM1C l Cod* OTY RUM MT A� --- —
13125 S.W. Hall Blvd. 1) Permit Fee -0- - -0- 10.00
P.O. BCx 23397 --- — - — -
Tigard, OR 97223 2) Sopplernental Permit
3.00
639-4175 1) Fuma(m to 100,000 BTU -
----incl.ducts&vents 6.00 G
2) Furnace 100,000 BTU +
incl.ducts&vents 7.50
Nonw of Devetopmsttt 3) Floor Furnace - --
incl.vent 6.00
Job add{... --__... -- -----------
Suspended heater,wall heater -- �-
Address /y A(;,-/ �8� 4) or fMor mcwrited heater - 6.00
Ta'La Map No. 5) Ven not incl.In --
La 2 e+a* SubrIw,;ott,t5vul t appliance permit-- 3.00
Nath.(or iris a bu*ne") '- - 6) Repair of heating,refr ig., - --_.
✓qtr✓.//,h s ���)• Gt�x y,.y�u�_ _ cooling,absorption unit -- 6.00
Owner MaiNnp --T- Ph" 7) Boiler or comp t0 3 HP
y a/o ,v 0 absorp.unit to 100,000 3TU 6.00
C fyiState Zip Boiler or comp to 3 HP-15 HP -
_ �biRaczl`�•- 8) absorp.unit to 500,000 BTU 11.00
9) Boiler Of comp 15-30 HP--_- --
absorp.unh'A-1 million 15.09
10) Boller or oonV to 30••50 HP -- ^
— Ramp.unit I-1.75 ndlon --� 22.50
�rttrLco� � _ ' 11) Boler or ooW to 150 HP 3
1
dAmp.unit 1,750,000 OTU
�• •�+'w �` coy ass Tarr No 12) A r 1w k* unit to_ 4.50
10,000 CFM
1 h-eby adwxwA@dW VW 1 Pile INA!tN gNen W ) Air hafld ft unit _--
aof I*em . Ifta YMo VANnn 13 10,000 CF)M 4 7.50
oonaG.ltal I am!ta arwta►a a4Mor4rd prlty d!ta otwn►,rile pfatn wbtalN�d fr to
00"W"n0s left a*ft W wo,stat 1 em r ' d wtah!w qtS%aukbm,Dowd,OW#w Non ---
ntrnbw Oven N cwww m a�ontpt Item Siam rrgyt�PW"pM mason beinw) 14) bye� 4.50
-- ----- __ --- _- 15) Vent fanoornected -
to a single duct 3.00 L-
- - - f 16) Ventilation system not
included In appliance permit 4.50
-- --
17) Hood Served by
rfto* >rtical exhaust i 4.60 -
fewo orsOsnp ---._W _ ..___
18) typa
Daacrbs work�aditw ❑ aMt*ra,'ktn iP6 repair ❑ incirnralor 7.50
_to be dots - g ncxl•+�+�,yr>tial ❑ Commarclaf a kxiusfrial�-__._ _--
Existing use of - -i 19) type kx*mrator 30.00
buillcling or proWly, 0ItW Le.,woodstove,water -
Prq mmd used `-- --___-_ 24) haater�solar,doom"",Mc. / 4.50
buWV or property-��. --- - 21 tau
- ) piping one to foot outlets 2.00 hr
Type d fuel oil C.7 natural pas QJ L PG I 1 electric I 1 -- — -
- �- - 22) More than 4-per outlet
ti4Il
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON __-_ -__ SUB-TOTAL
STRUCTK)N AUTHORIZE") IS NOT L)OMMENCED WITHIN 180 S%D 06 SURCHARGE � �f
DAYS, OR IF CONSTRUC rM OR WORK IS SUSPENDED OR --
ASANDOWn POP A W"30 W 1@0 bAYS AT ANY TIME AFTEn PLAN~mow 1111111%OP NIWMAL f 7
WORK IS CCMAMFNt"FD TOTAL p 70
Spedal CorwhIlons
- unte,ssuedby Ll/ Ll
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—7 D°6
BUILDING PEHM7 APPLICATION DATE--
THE
ATE_THE Ut-IDEPSIoNED HLRERY APPLI -S FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
ORAS:SHOWN AND APPROV'c-D IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
L p)ef)12C'C.:7Z�Eond
OWNER °i• i,f 4rC.: �_3 nt3 JOB ADDRESS 15867 :inti 81st Ct.
M. Td aymire+ 10845 S4 Dover Ct. ARCHITEcf A. Mascor l,M
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE_ EYNEW ❑ REMODEL 11ADDITION ❑ REPAIR EJ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑-RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _-LAND USE ZONE _BLDG.TYPE �t FIRE ZONE--PLAN CHECK BY _ ----HEAT—H
--- — _- —_— .��---=UCS—
Construct
S
Construct si.ngl.e family dwelling w-/attached garage, all par approved 1�lann.
SLib ect to 85 code. _ --
SEWER PERMIT# 34559( �.� 3u 1 3 baths 11 trap3 garage aroa 414
OCC.LOAD FLOOR LOAD HEIGHT 20 NO.STORIES �Z AREA 17 SO NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 22 58 LEFT SIDE 15 RIGHT SIDE
Permit371.00 TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
241. .15 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE W'TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIIIANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1. `i 5 LIC�t4 SEPAJM6E PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ' r vv.
63u. SDC— GOO.cif: 1'
Total /
By
100.00 PDC* Zj I 150.()o I ANT R A EN ,
Recellit No.
Approved 530.70— -
ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
,V-17 /./-^'t .. Co itractor/\
/�L,2Ci.L/�+
Permit No.
Rough-in
Fixture
�Z-L�- ? _ Final
�zry /fr��u HEATING
Contractor o g -/9 F7
Permit No. So 3
2 Toff% Q A ._ Gat or Oil
Pough-in
Ot� Final
—� SEWER
Final -`
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEFT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Approach
CERTIFICATE OCCUPANCY Final
Land%cfping
Zoning Final
I
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : O •
PLAN CHECK APPLICATION DATE RECEIVED: "0. w -�'7
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: i�r-rJ
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 b Life Safety Code, cSJ editiu��.
PROPERTY OWNER OWNER'S :tDDRESS:
CONTRACTOR: af/Q.C�/ .C_ - TFLEPHONF:
JOB ADDRESS: �G ���I4 � f.GT No. h MAV : '77
DESCRIPTION OF WORK: �J-tie•ft� ' ,� ^�
ApEroval a uired SPECIAL NOTES
oflanning Dept. O Reissue
0 Engineering Dept. O Flood Plain/Sensitive
C, Fire District O Sewer Availability
0 Other Ot 1"1
Items Required
v List of subcontractors fes^
OBusiness Tax
J Calculations
OTruss Details
QParking Plan
Landscape Plan
Other
COMMENTS
Cite.ON
*tiasnt
BY.
BUILDING PERMIT
crr4 e RD
�
C11YOFT1
PERMIT N(.. : Zp 9 1
COMMUNITY DEVELOPMENT DEPARTMENT °""" DATE ISSUED:
1,125 S.W.HAN RMd•P.O.BOX 23"7,Tgrd,0"90n 9rM-(S O3)&"4175 P RYM.PMT.NO.
JOB ADDRESS: __ /S$�^_,1 S I Lv ---
TAX MAP/LOT ad, -, CC _.-- -SUB:. ��1^�r�P�* - -c�^--- LT: -LAND USE:
USE:
LOT SIZE: VALUATION: SETBACKS ! r
FRONT: . REAR.REAR: � -
WORK CLASS: eft, DWELL/ifNITS• LEFT; _/.S RIGHT:
USE TYPE: -_- -S/i Wo.BEDROOMS: 3 _
CONST.TYPE: S -N NO.BATHS:
----
OCCUP.GRP.: _ /C' T' c�pS �1R----
OCCUP.LOAD: /7 G'U
TOTAL AREA: -'
NO.STORIES: Z' IST: _ ROOF CONST: --� FIRE RET-. -------
HEIGHT:
ET: ---_---
HEIGHT: 2ND: i�I _AREA SEPAR• —
BASEMENT: � — 3RD: OCCUP,SEPAR:Y —_
MEZZANINE: BASEM'T
FLOOR LOAD: GARAGE: _y ! FIRE SPRKLR: ALARM: ` -
FLOW (GPM): _--__-- DETECT:-------
HEAT TYPE: HDCP.ACCESS: CORR: _
PLAN CHECK BY:Al�
REMARKS:- -
REISSUE OF NO. -
SEWER PERMIT:_ S3 _ - LAST REISSUE -
Nam Lo r
N Address t ClA f C 'J FEES: ,.
E l; Aa i;"� c r.� i� `7 ?f o PES2iIT -
H a PLAN REVIEW
Phone: _ FIRE DEPT _
STATE TAX
o Name- Me QL. L r4�. ►moi!1
NAddress : ) 8 y S DEVELOPMENT CHARGES:
T SDC (STORM) --_--_-- - 50 _---
n U ip II f=' ff: �,"� • i ! r] I?. ,f�-- SDC (SinF.ET) — e�'CFO
C fe7 4: WPDC
� �'�
/S'
T Phonet GPREPAID
R _L.
�o o
Pw`l t^fes
3.5
TOT AT,c�; 74•46
RECEIPT N0.
REQUIRED IbSPECTIONS
FOOTING SEWER
FOUNDATION WALL• RAIN DRAINS
POST & BEAM WATER LINE
PLB. UNDERSLAB CITY APPRCCIi/SW
SLA13 FINAL
PLB.TOPOUT
FRAMING
FIREPLACE
GAS LINE
- - INSULATION
m"I"Signature GYP,BOARD
13y -- - s---- —-- -