16075 SW 92ND AVENUE-1 1x075 SW 92ND AVENUE
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BUILDING PERMIT APPLICATION 11GHRD DATE_ te.__ _ 4868
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE . ' 9–(" 4U —
LOT NO.—
OWNER ital- , _ JOB ADDRESS
ARCHITECT
E14GINEER
BUILDER ADDRESS _ DESIGNER
STP.UCTURE ❑ NEW D'REMODEL ❑ ADDITION Cl REPAIR ❑ RENEWAL_ Lj FIRE DAMAGE_ ❑ DEMOLITION
2 CRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _;l-L—LAND USE ZONE –2 BLDG.TYPE _ "<_FIRE ZONE._ PLAN CHECK BY k_��HEAT—
�.v::st ex.iRtin,,� gamut. itito t:o,tl.i.I,ktRt.iOti of bed roo=r. and l.aus;tlty room
SEWER PERMIT
OCC.LOAD FLOOR LOAD_ HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPART MENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Per I THIS PEP.MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
Plan Check — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC::IFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANr cS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS O HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
'
Total SDC–
PDC# APPLIQANT OR AGENT ---
Byr'ecelpt No _ _.._.__ _ Lr
Approved -__���__ ADDRE33 '� PHONE
r s r r
DATE INSP. TYPE INEPEUT1ON - REMARKS
PLUMBING DATE
-" - - Contractor
- -- - —__ - Permit No.
Rnugh•in
Fixture -
-- --- ----- Final
- - - _ HEATING
Contractor
4p4_�-W.0 -- Parmit No.
Gas or Oil
Rough-in
-- —� _-`-- Final --` —
-- -- _ l4EWER - _ --
v Final
0RIVEWA:'
Final
(Hain rrain)Final
—_. Sidewalk ----
-- I Curb 6 Street Final
BLDG. DEPT.FINAL - Approach
TEMPORARY CERTIFICATE OCCIPANCY
CERTIFICNTE OCCUPANCY Final
Landscaping
r I'oning Fival
Is !M l®
BUILDING PERMIT APPLICATION TIGAR:) DATE__---jZ 'fp- 19 / r
THE UNDERSIGNED HEREBY APPLIES FOR A FERIAIT FOR T4 iE WORK HEREIN INDICATED BUILDER PHONE(n3M,Z)b
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO. _
JOB ADDRESS
— - ARCHITECT
ENGINEER
BUILDER __ ADDRESS — DESIGNER
STRU RE ❑ NEW _ REMODEL _ C1 ADDITION ❑ REPAIR 0 RENEWAL ❑ FIRE DAMAGE Cl UEtr10LIT10r
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GO`/'T ❑ RELIGIOUS C) PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SI.AB❑ FENGI
Oi,CUPANCY LAND USE ZQNE - -?- -- BLDG.TYPE FIRE LONE PLAN CHECK BY �_HEAT
�_ __ �� ?--�Z=--- --------- ----- _ - - -- ---
SEWER PERMIT N Zn - �— _--- — —r- --- — -----
OCC.LCAO _ FLOOR LOAD HEIGHT NO,STORIES AREA NO.BEDROOMS-- Vh.LUE
BUILDING DEPARTMENT SET BACKS rRONT----- -REAR --tEF LS19�--- 9+GH*91,09
P--71it THIS PERMIT IS ISSUED SPBJECT TO THE REGULATIONS CON Ih:NED IN THE BUILDING %;ODS ZON:T4,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TF'.I
IPlanCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC;
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8USINr5
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax L• '--
SDG'—
Total /12 � --- - --- ---- ------ --- - -----
pc141 APPLICANT OR AGENT
By
Rcceipt No. ----- ---- ----- -
I Approved! AODRESS FH<)N[
SDC
POC
SEWER CONNECTION S
SEWER INSPECTION S
5FWER SURCHARGE S
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ADDRESS �loDS_ w �� PERMIT N0. .174
PER PIIT CHARGE none
O�.I�ER CONNECTION FEC
PAID BY
v4w��-
TYPE OF BUILDING 'jZ DATE CONKECTED
SERVICE RATE �� ��- _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION _ ASSESSMENT PA!D
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6D 3/77
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.r el El 9 4 � ��5 A �'�► :, L r �,r'-�'" - ,1IX
OF
'Flu cU� _
CITY OF '� GA T� Qy ;!
OREGON
Owner: tt
Ken Bauman Permit No.
BuildingAddrers1G075 W. 92nd
` I�
Certificate is hereby given this 31 s t
s Y g� — day of_Januar.Y_ ]979 `
0ccu ahr g y be occupied and that
p y- R �3 that said building may
:I P Zone- R-7
it complies with all require nents of the
a Fire Zona- 3 Building Code for the City of Tigard, as
� .
approved by the Tigard City Council.
Loved in building
� � f
uildinglnspector
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 9723 i
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(sl of the Uniform Building Code, the
following item(s) require correcting:
Iz
71
t Date- Permit No.
Inspector - - - �
CALL FOR REINSPECTION
4 SCHERZINGER CONSULTING ENGINEERS
7SL5 LAKE ROAD,SUITE'S • MILWAUKIE,OREGON 97222 • (903) SO-MOSOI
TO
,/��� ) ur.,r p AM Jae No
K�' ` fi e v 7 / O FSM O/ d 69 7 9
PROJECT
c1 `2.� 0 5 s �v, Du2 F+q►�1 2 D, Fz�v,v�J�}-T/oN ivSpEc iia�V
�— LOCATION
T -►2.t� c�rZ..E �� 9 7 Zz.3 1607 S S w `�2 ,��a, ►'�G WZ
CONTRALTOR
KF-IJ 6 v w" 19-#.J
OWNER
THE FOLLOWING WAS NOTED: KEO F3-0 6u H A-I-)
> T16A2.D 301L-O1iUG pts
LO E 1 0 S PECTED T1-1->E F-"00 fJ VAT-, C2IlJ S dXV 7TtE &8 O Ve-r
0 In TS D 'Z F3 EQrZeDcnti{ 12Es I f».Nc.E fi-#.i 0 Fo uND ?'H
Poo S -M g E r6 TO 7 1 u c-H-E 5 _ 1 Ai .. _D Ego rH----4 iv o 12
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l fl Tom' ISE _off_ Sca I L. T+t�T 77W— AP V 0.5 A2,t� 13LI�2 IX14,
PS r--� ----
71fE F to N 5 w a=IrL1_ c Ir' D P2,10 2.
Fi'La�t z. �.. G, ►477-I C 2_�_rt 14 y 11..1 �, G iSe L.) P L#4c E 0 i ki 7-HE
PR—la--i OF 0 C TO B EI2 01= I e'1.l -- --- --14-T _R EEC-O f A H E Y r)—_ --- --T I G AV-0 rS v I-I,- O I AV/•
P44r- :n+E Fo u 1J 17^T-I r i s 14-S PLA-(E P SE 0-c c E P M O rl g
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ORfiG`�� ON"
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FIELD � D 'M 0� rTl-<Wlr
COPIES to rELEPHQftf% I.1
SIGNED }�.-_
�
BUILDING PERMIT APPLICATION aF CITY T'GARO DATE L_=.� 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HFRLIN INDICATED DUO LDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER?HONE
LOT NO.—
OWNER i.`a'' JOB ADDRESS 61?T. Jl.f 92nd-- � ' HOME ADDRESS
ARCt11TECT
BUILD=R ADDRES0490 iyi I ilti+lrl,6M I-.(3 ENGINEER
_._ rr' DESIGNER
STRU_TURE ❑NEW ❑IiI.MnDEL —r,_ ❑ADDITION �OREPAIR ❑RENEWAAL _ ❑FIRE DAMAGE ❑_DEMOLITION
❑ RLSIDENCE ❑r-COMM L^^JEDUCATIONALO� GOV'T ❑RELIG-OUSLJPATIO ❑CAR PORT 0GARAGE ❑STORAGE❑SLAB`❑FENCE
❑BOND ❑MOVING DCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY---LAND USE ZONE__._---BLDG.TYPE—____—FIRE ZONE— PLAN CHECK SY HEAT
�`Yt raL, art t1guse a m.,lia Pam»ly dwellin�i w/a:_tttAched gsraue. Fr.undetion only. —
6wwor Pormit T 143' ,, $625*r1G — _ --
__ t)lumktirtU a4 I`M@ 111iniaal Permits Required. 2 Bedroom* - 1 lath.
2n 1
LOAD __ (�FLUOR LQ911E1H7, �Q S7S2BlE ARES_ N0.BEDRgOMS Z
�. VALUE
BUILDING DEPARTMENT 50 ]
— SET BACKS FRONT bl4 REAR LEFT SIDE RIGHT SIDE
Permit _ --
THIS PERMIT IS ISSPED SURJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CCDF., ZONING
Pian Check REGULATIONS AND ALL APPL;CARLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILI BE DONE IN ACCORDANCE WIT14 THE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE COOF.S AND ORDINANCES. THE ISSUANC5 OF THIS PERMIT DOES NOT WAIVE
-- - RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTR,?^TORS TO HAVE CURRENT CITY BUSINESS
State Taw: 11'1 I,I NSE. SEPARAT,E.PERMITS REOUIRED FOq SL•WFR, PLUMS NG AND HEATING.
Total
By l +. .....
.r
-- -- nF Pt_ICANT OR ArENr------�- ----- -- ---
Approved . r. i„9ldelrt Receipt No
i
s
a'
r
DA78 INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. ---- _
Rough-in
Fixture
Final —
— HEATING
Contractor
Permit No.
Rough-rn
Final
— --- ----- ---SEWER -- — --
Final
�-�— DRIVEWAY _--- _— - --�
Final
3tort'6 Drainage
(Rain Drain)Final
S idewal k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
pUl�_DfNG PERMIT APPLICATION OF
1IT TIGARD DATE 0 �_-__. ,a�� N2
I THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICAT,:p BUILDER PHONEIP
Uh A'S SHO N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ov✓NERPHONF _
LOT NO.—�__
Ej ' JOB ADDRESSOME ADDRESS
ARCHITECT
A0 ENGINEER
SER ADDRESS �'+16,2v�'�'jFLa DESIGNER
_1CTURE ONEW F.MODELADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE _ ❑DEMOLITION
r ESI Df NCC ❑COMM ❑EpUCATIONAL ❑GOV'T DRELIGIOUSOPATIO []CAR PORT ❑GARAGE ❑STORAGE QSIAB ❑FENCE
OFONO I,,.JMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
i :.CUPANCY___._____LAND USE ZONE _ BLDG.TYPE .FIRE ZONE_ PLAN CHECK BY HEAT �'�
r _
f
1.491ZZSTO I AREA NO.B:DROOMS VALUE
i BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
i
I Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORnANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-trial ALL APPLICA:ILE CODES AND ORDINANCES. THE ISSUANCE OF 'FHIS PERMIT DOES NOT WAIVE
�/ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta41
' T U LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total �.
(BY,�^ APPLICANT OR AGENT
I By
Rwcvtp'1 No
ADDRESS I SUN
i
maws I
City of 1 io33rc) Mechanical Permit N9 Perrnit__�_�S tiO_----
F e__
New Installation Reo:ace 0 Relocation ❑ Addition F:3 Altt ration State
OTA L
CO'.":TRACTOR a;-2S.`W H aA T i iv r. _ t.c� Q�'1r:CR 1L F_ rl � to JJ Nt AN
ADr)RESS I U 3 5 0 S u, L;Pa iaT-„+ g-to — WORK ADDRESS It D 7 S j w . c4 L%LP
PHONE L 5 19 1`f S '7 7 APPLICANT Art au .i-, N r6 C.cj _
Heat Input Rating (BTU Per Hour) Gx.i S s r r4 6 Vent Size —r, ” _ Flue Size
FUEL OIL ❑ GAS 0, ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Iss�_ance_of Perrnrt i.00� Air Condition compressor l5 to 00 HP FIE0
New • Under 100,0'00 BTU i 4.00 Air Handling 10,000 CFM 3,0
New• 10U,000 B_TU_£r over _ 5.00 A_ir Handling_ Over 10,000 CFM 5.0
Floor Furnace -_ 4.00 Evaporative Cooler
Yr 3.0
Wall - F_loo,
Suspended _ 4.0_0 Range Vent Fan 2.0
Install Vents Only r _,- _ % _ 2.00 Yen;_System ---T — 30
Repair • Heat & Cooling _ 4.00 Ho_od_Commercial
�_ 30
Air U
Condition Compressor nder 3 HP '-` _`_ 4,00^ Commercial Duct System 10
,Air Condition Compressor 3 to 15 HP 7.50
s_:r_r._-r'.as J.-:�'r___--.-..rvass..r� ..i..c�:..:- _e._�s•_�..-. .. ..:srr_n�---_a-r_c:x:masra-arsaar.�•a —.....r�._ - �..
INSPECTOR'S CQh,,MENTS—�_ ------•-_-_�____ _4� �— � --' _�_� `
s CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY__ — _� DATE __..__ ISSUED 8Y___ ____�_��__DATE_