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14880 SW 92ND AVENUE 1 14880 SW 92ND AVENUE 1 •-1 IJ Q� '7 U1 'O R) r I// '_�'w��,�i�G� «�.�yy^,� aye. ? •(�;fr.�� t� W'"1',•�. �_ -''� .aT�`"-� eY �.Ij,� .•`"�,� Jr. \ II��!. ���f �•yR � hd.y�i,;��"�"� ///��� �"'� �r i �°�1�.11���,�y w• � � � p fir. �{ CA 0 to ((O f ) to Gn lop o w •° o� as a -� 00 �.,. v � ►�- m bID u 0 + N d' CIS � 01 U � �� •.a oo a .rC '� U d 1 to to f 6a 910 ��Y,�� _ i,'�jl "* �ar ,•AF. �'fir.••,� i `�_\p� S N, j al 1 AP7_ICA.7ION -- STREET IMPRO',/EMENT/EXCAVATION COPY TO: ORDINANCE NO. 74-14 ,£I (WHITEFILE �' (YELLOWW) :NSP. (INSTRUCTIONS ON SEPARATE SHEET) ❑ (PINK)-OTHER AGENCY g'(BLUE)-APPLICANT i APPROVt 9 APPLICATION NO.(__._ _/y.... NOT AF^"ROVE-D f❑ CITY O IIGARD, OREGON FEE AMT. S--_--_-- _ PENDING FLE. PMT, L-] CI IY 1-TALL RECEIPT NO.: PENDIN, SECURITY C PUBLIC WORKS DEPARTMENT By PENDING AGr'VCY ''OK'' ❑ .Application and Progress Record MAINTENANCE BOND PENDING INFORMATION INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RE(JUIREU A N N U AL PENDING VARIANCE n EXPIRATION DATE: -- PERMIT NO.: _ _ DATE ISSUED _. L_..__L —_ -_ BY: —_ --_ (1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. NAME ADDRESS CITY PHONL CONTRACTOR _ NAME ADDRESS C."ry PMONH - PLANS BY ----- NAME M - - ___.__�- AOORES6. .---._.—_.-- ,0 ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ DOLLARS (2) EXCAVATION DATA: FOR OFFICE USE _ 0.04 X f f----:—_—_.-- STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY r -- STREET -i INSPE - _ - - R TION Q ESTIMATED STREET OPENING DATE / / E ESTIMATED STREET CLOSING DATE: _.-_ / / E (3) SECURITY NO. _T SECURITY AMT. $ STREET_ -. CLOSED SURETY CC).: .- FINAL _- --CERTIFIED CECK-- —���� }1 n •OND INS EC. (4) PLOT PLAN' INDICATE SITE PERTINENT PHYSICAL e SPECIAL PROVI.3IONS/CONDITIONS: FEATURES: EXCAVATION LOCATION AND EXTENT. — u R 8 1 ( (5) NOTE THE CITY OF TIGARD DOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON- THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PER t'INENT LAI-4f; AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK. AND T'O SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE: DATE / / PLUMBINO PERMIT CITY OF TI67A RD PERMIT NO. : PI-870248 C11YOFfWAI COMMUNITY DEVELOPMENT DEPARTMENT ORIGON DATE ISSUEDt 12/ 2/87 13125 S.'N.Hall Blvd.,P.O.Box 23397,Tigard, egon97223.(%03)639A175 I PRIM.PMT.NO. JOB ADDRESSil 1488(.-) SW 92ND AVE TAX MAP/LOT SUBS I-Ti pl, : LAND USE: LOT SIZES ITEM: NO: WORK CLASS: NEW WATER CLOSET 2 TRAP USE TYPE: SINGLE FAMILY UR I NAL BV,:'FLOW PPVNTP CONST. TYPEi VN LAVORATORY 3 TRAP PRIMEP 0CCUP. GRP. # R3 TUB SHOWER 2 GREASE TRAPS DISHWASHER I GARBAGE DISPOSAL 1. NO.STORIESs WASHING MACHINE I DWELL.UPI ITSt LAUNDRY TRAY BL.DG. DRAIN (DTA FLOOR DRAIN SINK I SEWER (FT) WATER HEATER I STORM/RAIN (FT OTHER FEESi bristc)l hor"-?s PERMIT $1.215. 1W N Po bo ,: 84 F lali:.e Oswego or 97035 Fl ;TURES rt PHONE "503) 638-664f) 1 STATE TAX $6. 25 OTHER NH I NES AL.-AN T PIPEMASTER PLBG. NTNG. R Po Box 2301 A C 1&1:e Oswego or 97034 T PHONE (1503) 636-9221 0 R REGISTRATION NO. 52cie7 TOTALS $t31 .25 RECEIPT NO. 27754 This permit 15 issued subject to the regulations contained in Title 14 ———————————————————— of the TMC, State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances, and it Is hereby PLP. TOPOUT agreed that the work will be done In accordance with the plans and P 0',-;T It BEAM specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive Rs-oN DRAINS covenants Contractor and subcontractors shall have current city SEWER business hix permits This permit will expire and become null and STORM DRAIN void It work Is not started within 180 days,or it v�o-i,is stisvended or WATER LINE abandoned I-)r a period of 180 days any time after work has commenced.It shall be the responsibility of the permittee to assure FINAL all required Inspections are requested and approved Permittee Signature Issued By t— rrM-—"4'1rrTTT L.)rI L5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE I� Vi I Y ur- i IUAHU N11 UHANIGAL PEHMI I Permit N Description Table 3A Mechanical Coda _ _ UTY PRICE AMT City of Tigard 1) Permit Fee -0- 0- 10.00 13125 SW Hall Blvd. _ _ _ _ P.O. Box 23397 _ Tigard, OR 97223 2) SuWiet-ental Permit i 3.00 639-4175 Furnace to 100,000 BTU / 11 6.00 incl,ducts&vents Furnace 100,000 BTU f _ 2 incl.ducts&vents 7.50 Name of Devetolxnont3) Floor F umaoe 6.00 Ind.vent _ Job Ar)dress -- 4) Suspended heater,wail heater 6.00 Address / �'�0 .Sc.J ,�� or floor mounted heater Vent not incl.in 300 Tex l.ol S 9,60 map No..7 �' G 5) Lot giock Subdivision __-_ appliancepermit Name(or ttarne dbuyn�sa► Repair of heating,ref ig 3 •- ., 6) -cooling, unit 6.00 'J� 2) _ — 9,absor tion P� MaiNngAdwase Plum /) Boiler or comp to 3 HP 600 Owner IUI �W 2 �� absorp,unit to 100,000 BTU City/State Zip — Boiler or comp to 3 HP-15 HP 6) absorp.unit to 500,000 BTU_ _— 11'00 V— y 0) Boiler or comp 15-30 HP 15.00 _ absorp.unit'/?-1 million Ma"Address ptgM ---— ) Boiler or comp to 30-50 HP 10 absorp.unh!1-1.75 million 22.50 ContractorCity/Slate z,p — 11 Boiler or oDmp to 50 HP —� - 31.50 absorp.unit 1,75C,0_00 BTU State Regietretion No -- City Bus Tax No 12) Air handling unit t0 4.50 — 10,000 CFM I hsreby ackrxrwie(lge that I have read ftsAir handling unit applw:atbt. that ttxr information given Is 13) 10,000 CFM + 7.50correcit,that I em the owner or authorized aria•f of the owner,that plans submitted are in —_ — rxx.y..arx)a wO State laws.that I am rete+stet,.(,wilt thn",ate Butklers'Board,ftl theNon portable 4.50 numt w 9l: is correct (If exempt t-om Stale regw,itki ;ape{e give resson below) 14. ) evaporate m)lel 15 Vent fan eonnecctdd - 3.00 to a single dura —— - --- Ventilation system not 18) included in appliance permit 4.50 ---�---- 001 _ Hood served by _ _ �- —� 1�) mechanical exhaust 4.50 '- 1 Date18) Domestic type Describe work ,I.,•JI El addition O alteration D repair ❑ _ incinerator _ _ 7.50 to be done y A residential non-residential I I 1 g) Commercial or industrial 30.00 type Incinerator Existing use of building or property ---- - 20) hOther ,1.,,wooclfothes dryers,etc. 4.50 Proposed use of __ __--._-- •-- _-_. building or property _ 21) Gas piping one to four outlets 00 Type of fuel- oil I I natural gas C LPG (I electric f 1 22) More than 4-per outlet SUB-TOTAL :�p THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5010 41%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 125%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --- -- -- - WORK IS COMMENCED. TOTAL Special CondlWns Date Issued r by 1 w l< Ili BUILDING PERMIT APPLICATION t A THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH RRK HEREIN INDICATED BUILDER PHONE �3L-G6 �` OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT No. 2S1' A+C, - OWNER Ma#ie Rei-ling JOB ADDRESS 14$81) ,3W 92nd Ave. 22.LaUnai-yn-da Sark OB 999 9/5/88 — ARCHITECT Troxell s,98790 ENGINEER BUILDER Bristol. HOMCs ADDRESS PO BOx 84 Wort Lllln DESIGNER _ STRUCTURE LS NEW___ ❑ REMODEL __❑ ADDITION 0 REPAIR ❑ RENEWAL D FIRE DAMAGE ❑ DEMOLITION KI RESIDENCE f1 CO_MM F1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT El GARAGE ❑ STORAGE ❑ SLAB FENCE OCCUPANCY LAND U.5E ZONE F4 .5—BLDG.TYPE __ 5N FIRE ZONE PLAN CHECK BY RT HEAT Construct single family dwelling w/artnched garage, all. per approved plans. -- Truss d©tai.ls required before riqu€�asting framing inspection. pub jest to At*.tari: . _ _ _-- -- SEWERPERMITN _4574( :lo]u) :' baths, traps geirtage arc�t� 484 OCC.LOAD .-*L(,;,:R LOAD 40 HEIGHT 18 NO.STORIES 1 AREA ].F�7 f O.BEDROOMS 2 VALUE 721.96 _ BUILDING DEF AR'M NT SET BACKS FRONT REAR—__ LEFT SIDE RIGHT SIDE_ Permit y2•00 THIS PERMIT IS ISSUED SUBJECT TO THE r EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING ?8 f 0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check �_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN ;;OMPLIARICE WITH ALL APPLICABLE CODES AND ORDINANC S. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1766 LICENSE.SEPARAT JP5J NITS REQUIRED FOR SEWER,PLUMBING AND HEATING. . State Tax `� 598.40 - SDC- (,110.00 X Totala�- 100 (10 PDC# II 150.00 &PPLICANTv�i.,GENT By Receipt No. PHONE kpproved 498.40 ��fl�/� / D REsS - �_— -- ® ® R N t t DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 41r aD f/n ----- --- — ----- Contractor 7C /Jai 2 -.� • ,, Rough•in ------------- HEATING HEATING Contractor0-0 30 r,17 Permit No. Gas or Oil 1 - --- - Roughin Final - - - - — --- SEWER ------- --� _.-------- ____- Final — DRIVEWAY ---- —- - ------_-___- Final�--- - -- - - - --- Storm Drainage (Rain Drain)Final --- --- Sideml!t Curb&Street Final Approach . BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY --- L,midscaping Zoning Final CITY OF TIGARD BUILDLVG DEPARTMENT PLAN CHECK NO. : PLAN CHECK APPLICATION DATE RECEIVED: i6" 7 P.O. Box 23397, Tigard OR (,7223 P/C DEPOSIT PAID:�� {J This is to certify that the attached sets of plans have been submitted for plan check pursuant to the Oregon Structural. Code and Fire & Life Safety Code, �� edition. PROPERTY OWNER: OWNER'S ADDRESS: CONTRACTOR: TELFPHONE: JOB ADDRESS: l `� � � LOT NO. & MAP: 07 DESCRIPTION OF WORK: -�.� ,ci r) '�D Approvals Required SPECIAL NOTES OPlanning Dept. 0 Reissue OEngineering Dept. O Flood Plain/Sensitive Lands Fire Dis,:rict n Sewer Availability nOther O Other Items Required r�� ,f, �►-�'__ OList of subcontractors 0 Business Tax L� Calculations 0 Truss Details O Parking Plan OLandscape Plan 0 Other COMMENTS: _ City of Tigard Building Department ), BY: , ! t L(. v ---�— —" BUILDING PERM T 4;>- z-� 2' PERHIT NO. : C17YOFT11FARD �1OW COMMUNITY DEVELOPMENT DEPARTMENT MOM DATE ISSUED:- 13125 SSUED:_1 125 S.W.HMI Blvd.P.O.Bax ZMT,11pNd,Oroyun srM,(503)&"4175 PRIM.PHT.NO. :, JOB ADDRESS: -_-_' �+--- _ ------- .1 OD SUB` - — /,��-_, LT. _ TAX MAP/LOT '7 S/. _ _ s-r�rt_1 �_- LAND USE- SETBACKS �. a J_ ._ ,ALii:._'oU: SETBACKS LOT SIZE: FRONT: _20—_- REAR: WORK CLASS: _ Me c-) DWELL/U1.113: LEFT: .�_3_._L, RIGHT: b' USE `TYPE: S�F_ IIO.BEL�e,9f: Z— CONST.TYPE: .S_ _-- NO.BATHS: Z OCCUP.GRP.: f�-3 OCCUP.LOAD: -- TOTAL AREA: dO.STORIES: -_-- IST: _._'ROOF CONST-.------ FIRE RET: ----- -- HEIGHT: ET: ___-_ --HEIGHT: / 6' � 29D: __.----_�AREA SEPAR: ---- BASEMENT: ---= ._ — 3RD: - - OCCUP.SEPAR:_.__ ---- MEZZANINE: BASEM'T FLOOR LOAD: (� - GARAGE: __;-7=-FIRE SPRKLR. - ALARH: --- FLOW (GPM): _----- DETECT: HEAT TYPE., S HDCP.ACCESS: CORR: PLAN CHECK BY:- REMARKS - __ REISSUE OF NO. SL►WE,R PERMIT: �5 -- - LAST REISSUE -�� -_------._ w A_.ddx� ;_� 8 U ``S��"/_ l 2 FEES: N SM PEIT E _ R PLAIT REVIEW v�aZ �•Y(J Phone-L-&- "3 FIRE DEPT STATE Tkj 0 Name: DIBNEIAP'MENT CHARGES: T Address: PL) 1 5�X SDC (STORM) -0-1-30.°u A , t — �� - U �.� ._ SDC (STREET) G PDr . �• °• T Phone D�$ - _ - PREPAID /o r , •� TOTAL: ;ze RECEIPT NO. REQUIRED INSPECTIONS FOOTING S1►•WF.R FOUNDATION WALL. RAIN DRAINS POST & BEAM WATM LINE PLB. IINDERiLAB CITY APPROCH/SW SLAB FINAL PLB.TOPOUT FRAMING FIREPLACE GAS LINE INSUI.ATION Permittee Signature GYP.BOARD Issued By: -- _ __Z'xI.Z; FDff-TpSPF:C'f I(tN 1619-1111715 _ i