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16082 SW 93RD AVENUE ■� if w fa 16082 SW 93RD AVENUE i b u M N co O 1 CITY OF T167ARD BUILDING PERMIT �,�� PERMIT T NCl :s B1.1870 a 5b CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT GATE ISSUIEW 12 a to 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)8394175 FP I M.PMT.NO. S-71"11 c f: r-- - - - 3� a1b0 JOB ADDRESSs 16t e2 SW 93RD AVE 116197 j TAX MAP-LOT 2S114A6 1130"'1 SUBS Vneall nd estates L*: N► ; LAND USEt R4.5 LOT SIZE.: VALUATIONII 4 7().60(1 SETBACKS '=PONT: 20 REARS WORK CLASS: NEW E)WELL.UNITSs 1 LEFTs 5 PIGHTs ~1j USE TYPES SINGLE FAMILY NO. EIEDROOMSs 4 EXT.WALL CONSTs CONST. TYPEt VN NO. AATHSs 2 Ns NR Ss E/NR Ws NP OC rUP. fJF'F'. 1 P' PPOT.OPE N I NGS t OCCUP.LOAD Ns NR Ss NP FsNR 1411Ir TOTAL. AREA s 155f) NO.STOR I ES s :' 1ST 1 e3O ROOF CONST t C F I E'E PET", HEIGHT: ;N1). 720 AREA SEPAR'? RATED: BASEMENT 11RI)1 OCCUP. SEPAR 7 RATE:E)t MEZZANINE-' BASEM'T FL.nOP LOAI)1 q1'1 GARAGEt 361:.1 FIRE SPRk'LR', ALARM'' FLOW(GPM) DETECT YES HEAT 'T i PE t E.L.E(' . HDCP.ACCESS-' COPT".-- �PLAN r_HEI71 P c t F'E.M A P I S t PE I S'SUE OF t-lO. 613x3.:, LAST RE I F1SUE O meadowbr nok dev PERMIT 1111117 46.00 1N N 9367 benverton hilldele hwY FLAN REVIEW $40.(10 E beaver,ton or 971'►r_r!y FIRE DEPT R PHONE (507.1 297-'1666 STATE TA* 1117. 10 17 THER 'DEVELOPMENT CHARGESs C AtIrIEPSON DAN E SDC(STORM) 11 N T DHA MEADOWEIPOOt• DEVELOPMENT SDC (STREE'T y R g363 Sol HEAVERTON-HILLSDALE PDC(M2 ) 11 t 7,1 1'.11.1 A t?c?&verton Of- CV71"If.16 PREPAID ��i.1, f"11.1 C T PHONE (50'!) 297-7666 R PEG I STFAT I ON NO. 46744 TOTAL t !t 7.61. . :.(1 RECEIPT NO. 27768 This permit Is issued subject to the regulations contained in Title 14 _.,.,.._..._... -- .--- of the TMC. State of Oregon Specialty Codes. toning regulations REQUIRED I NSPECT I GINS and all other applicable codes and ordinances. and It is hereby FOOT I NG SEWER Agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DPA I NS ordinances The issuance of this permit does n,t waive restrichv, POST 4, BEAM WATER LINE covenants Contractor and subcontractors 0-.RP have current city PLEI.UNDERSLAS CITY APPPCH Slal business tax permits This permit will >xrlr, and become null and SLAB F INAL void it work is not started within 180 days. i1 I work Is suspended or Tt1F0UT abandoned for a period of 180 days at •y time atter work has FLS• commenced, It shall responsibilih W the perm ee to assure FRAM I NQ all rgy ilr a are Tested 1, approvegr FIREPLACE r _ .��/• ' GAS LINE mfr' INSULATION .00 GYP. PETARD Pprrnitter,SrgnAturn Issued By —.-- SE ARATF PF'9MIT'1 REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE tfAl A �Y2 ' r� 6:�XD -- -�6, r W MECHANICAL PERMIT CITY OF �I��RD PERMIT NO. : ME87f:)15E3 C IYOFTWAM Cl COMMUNITY DEVELOPMENT DEPARTMENT ORIGON DATE ISSUEDt 12/ 4/87 13125 S.W.Hall Blvd. P.O.Bo,(23397,Tigard,Oregon 97223.(503)639-4175 PRIM.PMT .NO. 870156 09 AI UIRESS: 16o82 SW 97.7 'DAVE TAX MAP/LOT 25I 14AS 11700 SUB- kneeland e5tateill, I-Tol B"I LAND Uc;El; LOT SIZEo ITEMs NOs NOo WORK CLASS NEW FURNACE <:1001" AIR HANDL-P <10 USE TYPEit SINGLE FAMILY FURNACE 1001K+ AIR HANDLP 10K CONST. TYPEs VN FLOOR FURNACE EVAP.COOLER OCCUP. GRP. t R3 HEATER VENT FAN 5 VENT VENT.SYSTEM BLR/COMP <3HP HOOD NO.STORIESs 2 BLR/COMP 3-15HP INCINERATOR (DOM DWELL.UNITSi I BLR/COMP 15-30HP INCINERATOR(COM FLIEL. TYPE ELEC. BLR/COMP 30-50HP REPAIR UNITS MAX. INPLJT BLR/COMP 50+HP OTHER FIRE DMPRS7 GAS PIPING OUTLETS I HIGH PRESS? LOW PRESS 71 REMAPI, So FEESs meadcmb rook dev inc PERMIT VV $ rJ x"!;63 beavet-ton hillgd-?IR hv)',, PLAN REVIEW hevet,tc)n 0 t- FIXTURES i 1 5 II 1 AL3 PHONE (507) 297-7666 S1 ATE TAX OTHER A G T C, TOTAL v $40. 95 R RECEIPT NO. 27768 This permit is 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 GAS LINE agroed that the work will be done in accordance with the plans and POST BEAM specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive ROU3H—I N covenants Contractor and subcontractors shall have current city F I NAL. business tax permits This permit will expire and become null and void If work is not started within 180 days.or It work is suspended or abandoned for a period of 180 days any time after work has commenced all b esponqibility of the peg in ee to assure all requ 'Vr Permittee 5igt);J111", CALL. FOR INSPECTION 63,9-4175 1��Sskjed By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE N Mimi w CITY OF T'FA SEWER PERMIT PERM IT NO. : SE137016() RD CITY01IFTWARD f0010ON jC_IJQQ"PNT-X DfW t4T­:PPP4�9LTMENT lltf�P.11_�PxfMjj".OF-?-1 3 0 �q .(1 3 i _3t�ljl --neeia an 0 e S LT i LAND USE: LOT SIZE: SECT'ION: TWP: Is RN6: 1 w WORK, CLASS: NEW USE TYPE: SINGLE FAMILY The applicant agrees to comply with all rules and regulations -3f the Unified Sewerage Agency. The Permit expires, 120 days from the dck ,e iSSUed. The tot,a] amount paid will be forfeited if the permit expires. 'The Ageri_-y does not guar- antee the RCCUI-ar_�' of the location of the side sewer latorris. If. the sewer- is- not located at the measurement given, the installer shall proSpF.--ct 7 feet in all directions from the distance given. If not so located, the installer *hal ) PUrchasu., a "Tap and Side Sewer" Permit and the Agency will install a lateral . INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREAS FIXTURE UNITS 3 12 TENANT IMPROVEMENT: MtYIFS, i --- N(). OFBL.D(3S. - I FEES: r.16RM r Po PDX 6712 CONNECTION CHARGE 1,(.)1). 1_)f) 0 port I ac�d ar LINE TAP INSTALL. W N OTHER E R ANDERSON ARLEN H A Ar-IL)ERSON CID C PC F`10k 6712 0 p cr t-t I a In d or 97228 N T PHONE (503') 281-6712 A R PEG ISTRATION NO. andervit TOTAL 1 , 135. 00 C T 0 RECEIPT NO. 27768 1191 -------------------- REQUIRED INSPECTIONS ROUBH-IN This permit is issued subject to the regulations contained In Title 14 of the WC. State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and It is hereby agreed that the work will be done In a.-cordance with the plans and specific itions and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work is not started within 180 days.or If work Is suspended or abandoned for a period ofdays any time after work has < commenced It shall be es of the permittee to ure e all re re ar Iles nd approved CALL FOR INSPECTInN F,7P-417`, Permittee Signature Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE UINININ I-- PLUMBING PERMIT PERMIT NO. c F'LB7(:)15-,' CITY �� TIFARD CRYOFMARD COMMUNITY DEVELOPMENT DEPARTMENT OREGON PATP. 9-101API 061AI' 87 13125 S.W.Hall Blvd.,P.O.Box 23397.TgLd,Ore oq,9722,3.�!P3)639-4175 L jnp :! D _E TAY MAF',-LOT 2SI 14AD 1130(-) SUB: kneeland estatp-s; 21 I-Tif SKIT LAND USE: LOT STZE: ITEM: NOs WORK CLASSn NEW WATER CLOSET 3 TRAP USE TYPE: SINGLE FAMILY URINAL BKFLOW Pr,VNTP CONST. TYPEi: VN LAVORATORY :1 TRAP PRIMED" 3CCUP. GRP. 1 R3 TUB SHOWER 2 GREASE TRAPS DISHWASHER I GARBAGE DISPOSAL I NO. STORIES: WASHING MACHINE I DWELL.UN1 -. Ss I LAUNDRY TRAY BLDG.DRAIN (DIA FLOOR DRAIN SINI'-* I SEWFR (FT) WATER HEATER I STORM/RAIN (FT 1 (:)(') OTHER ----------- REMA-PT 5: FEE94 meadowbrool dev PERMIT $1:(2. 51) 0 8763 beaverton hillsidale hvj-•.. W beaver ton FIXTURES N PHONE 0�i(Y!,) 2q-7-7666 STATE TAX 6. E R OTHER igni rnil r-1111LIVIT14115 C SAME AS ABOVE 0 N pa DoX a 7 2 T qt-,esharfri or 97(*)3() R A PHONE (507) 667-171131, C PEO ISTRATTON NO. 23847 TOTALS $139. 12 T 0 R RECEIPT NO. 2776e -------------------- This permit is issued subject to the regulations contained in Title 14 RFRYPRDO§LhTIONS of Vie TMC. State of Oregon Specialty Codes, zoning regulations POST & BEAM and all other applicable codes and ordinances, and It is hereby WATER LINE agreed that the work will be done in accordance with the plans and PLB. TOPOUT specifications a.:i+ in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive PAIN DRAINS covenants Contractor and subcontractors shall have current city F I NAL business tax permits This permit will expire and become null and void if work Is not started within 180 days,or if wort, 1%suspended or abandoned for a period of 180 days any time after work has commenced It shall he the responsibility of the permigae to MUM all Ired inspect p!7 are requested and appro to,Slo"W", -417!j Per too SIq iature CALL FOR INSPECTION 6!q Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLAN CHECK APPLICATION PLAN CHECK # // -4 C ti.. PERMIT # 8*7 D /S5 DATE ISSUED JOA ADDRESS: ! `J.4/. � g�`�� y' '-_ '�41 zl 1 TAX MAP/LOT,�J l�I Al 13u U SUB: .Izz, gT-?A72 LOQ: F „ LAND USE: 'u, VALUATIOSETliACKS: FRONT: a REAR: -'�-.� LEFT: RIGHT: WORK CLASS: - ,� HEIGHT: 2-[ TOTAL AREA: /S.Sc% USE TYPE: t FLOOR LOAD: 1ST: 30 CONSTR TYPE: .;M HEAT TYPE: F'Lt„<. 2ND: OCCUP GROUP: DWELL/UNITS: —_ 3RD: OCCUP LOAD: _ NO BEDROOMS:_ BASEMENT: _ NO STORIES: '2 NO BATHS: '�-_ GARAGE: IMP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: _ LAST REISSUE: _ BUS TAX: FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND.: TRUSS DETAILS: PARKING PLAN: L r LANDSCAPE PLAN: PLAN CHECK BY: V (S> =' OTHER: COMMENTS: ACCT # DESCRIPTION AMOUNT OWNER 10-432 Building Permit Fees 1 .3 NAME: a / 10-431-600 Plumbing Permit Fera 7 ADDRESS: .i 10-431-601 Mechanical Permit Fees 3 3 ,5 0 ZLIZZ, -�� �_ 10-230-501 State Building Tax (5z) / t r 10-433 Plans Check Fee - `) PHONE: 277- y . v .30-443 Sewer Connection (20%) 30-202 Sewer Connection (80X) J y CONTRACTOR 30-444 Sewer Inspection NAME: i�jylj� 'ta/y -� 448 Street System Dev. Charge (SDC) ADDRESS: 52-449-610 Parks I System Dev. Charge (PDC) 52-449-620 Parka II System Dev. Charge (PUC) s-Z 31-450 Storm Drainage Syst Dev Chrg(SSDC) _5 y PHONE: - 10-230-505 TRFD (95x) t __ 10-435 TRFD (5X) ARCH/ENGINEER 10-230-506 Washington County Fire it (95X) _ NAME: V.0.,[�,p,�;F_�� 10-435 Washington County Fire I1 (5X) � ADDRESS: 10-220 Amart/Wedgewood .t- TOTAL o? G, 9 0 PHONE.: _��J- 7��— �� /. / 5 � PREPAID l O BALANCE DUE ! A/ /. A .ICA( SI A M E Received By: Date Recel.ved: P.O.Ebx 23397 CITY OF TIGARD PLUMBING 13125 EW fla.0 Euvd. Applicants must hold Oregon Registration to cwnduct a plumbingPERMIT L'R n� 11garrl CR 97223 business or must be properly owner/operator not hiring out E i`�•�ide he I I T (x399.9175 Name of Development _ — Address ------- Plumbing Permit No. ���-'� ��a Z .54� 7`:�. �� c. kFIXTURES n Job 21.610 Tax Lot Map,No. DUAN. PRICE AMT. Address //�3 0 C � eS / / Block sloe �—------ x.50 "� S V ame or name o s ness oocic'( t�.'i� nl�v. --� 7.50WSix>wer Comb. Z 7.50 — Owner e/tih• L� ShawerOnly ----- - �__7.50 - M Zlp� Wrler Closet Di911W8S11ef __ 7.50 J )4 al e D Photo Garbagispos - 7.50 ,z Nems Washing Machine - _- 7.50xPiess ) 1Z Floor Drain 750 Wale,Heater -`�_ 750 Or cupani Cyly/State — -- Laundry Room Tray 7.50 _- Urinal T 7.50 ams — e Other Fixtures(Specify) 7.50 Fri toss phone �.�_--.� — 7.50 --- 7.50 Cofitractor Clfy/SWfe'-- - ------ �p - _ -- ----- _� 7.50 -- ---—. _ ie MISCELLANEOUS City& Tax No Sewer 181 100, � 30.00 M814. t-'--M, r s _ s7k � Sewer ea.Addit.100^- 15.00 (Residential) Water Servkm 1st 100' / _ 20.00 I hereby acknowledge owl I have read this app"tion,that the information Water Service ea.Addil.�f -- - 15.00 plwn is anrecY,Mtel I am repisiw nd with tfte ritale Bk�ilden's Board,and also g �,Rein Dram 1st.100'— — hays a Stale PkxnbkV license that the numbers given are correct,that all _. _ 30.00 Plintbirtg worts wig be darts In a000rdanoe with.ppacabie provisions of ore Storm a P:Jn Drain Addit.100' 1500 gon Revised Ststutes Chaplem 447 and 693 and applicable oodes and mal no help will be errpld.ed unless Iloensed under ORS 803 (h exempt from Moab Ho::ti Space_ _ 25.00--- - Stale reglswen tration.pease give reason b41ow). Back Flow Prlicn - _ HOMEOWNERS-I hereby owWr t w I am the owner of the property ds- Devivte rx Mt'•Pdkttion Device 7 s0 embed above.at which to atirtnt I Propove to make a pkwnnbhp insiallabon br Any Trap or Waste Not my own use and title Property is not N*V consbucted for sale,baso or rend. Connected to a Flxhxs 7.50_ Catch Basin — 7.50 - �— _.___ kw.Of Exht.Pkattbhtg 40.00 Per Hr. -- malty Roqussted inapskAtp>, 40.00 Par Hr Abler.M PMntarp wIt Mn ~_ - -- --- an Exteang Bldg 15.00 mon. AUTHORIZED SIQkATURE — — -- - Deft New Bldg.or Build.Addltlon Op i1wn. Dearxibw work rww addition alteration9airl,sinale tAnil -- O D C) J7 15.t�p --- repair residkxtNal rl rlok-reeidential –1 --- �— Exbtirt0 use of - bl N*V or Pr"lly - IP71�u" — MUS-TOTAL 'Z 3 U Woptlitty This PrMnMI beContes null and Wold r woAk Of cor»xruo0on aWwrtiad Moot oorrt. —_— ____ --- TML nw"d w filn 100 dayars►if onrairun*m orwok M tuapsrttlsd or abartdorted for ••••�■ a period of 100 days M any rine OW wok Is oofrrn cad by Date IaetfkM Oct)440(/l rah ter i �,yx► MEW =M CITE( OF TIGARD MECHANICAL PERMIT Receipt#— C Permit# Description r City of Tigard Table.3A Mechanical Code CITY PRICE AMT — - 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 BILI 1) incl.ducts&vents 6.00 . Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of Development Floor Furnace — 3) incl.vent 6.00 Job Address _ Suspended heater,wall heater Address 2 W �.� v Q, 4) or floor mounted heater 6.00 -^ Tax Lot Map No. 2 _ /y Vent not incl.in 1o Block Subdivision ii 5) appliance permit _ 3.00 F Name(or name of business) Repair of heating,ref rig.,8) cooling,absorption unit 6.UJ Owner Meiling Address Phots 71 Boiler or comp to 3 HP 6.00 0297 ,G absu;p.unit to 100,000 BTU City;State ZipBoiler or comp to 3 H P-15 H? 9) absorp.unit to 500,000 BTU 11.00 Name �9) Boiler or comp 15-30 HP absorp.unit 1/2-1 million 15.00 Mailing Address Fraena Boiler or comp to 30-50 HP 10) absorp.unit 1-1.75 million 22.50 Contractorcity/State Zip Boiler or comp to 50 HP 11) absorp.unit 1,%50,000 BTU 31.50 State Registration No City Bus Tax No 12) Air handling unit to 4.50 10,000 CFM I hereby acknowledge that I have read this application that the information iven is 13 Air handling unit g ) 10,000 CFM + 7.50 correct,that I am the owner or autMsubmittedzed agent of the owner,that plans submitted are in compliance with State laws,that I am registered with the State Builders'Board,that the Non portable number given is correct ill exempt from State registratir o plena@ give reason below) 14) evaporate cooler 4.50 Vent fan connected 1 to a single duct 3.00 ,u Ventilation system not 16) included in appliance permit 4.50 Hood served by 17) mechanical exhaust 4.50 Signature(owner or agent _ pate Domestic type I 7.50 Describe work F] iddition El alteration L] repair ❑ 18) incinerator to be done residential [] non-residential ❑ Commercial or industrial Existing use of 19) type incinerator 30.00 building or properly __. Other:.e.,woodstove,water Proposed use of 20) heater,solar,clothes dryers,etc. 4.50 building or property 21) Gas piping one to tour outlets 200 Type of fuel- oil ❑ natural gas I I LPG ❑ electric ❑ �- 22) More than 4-per outlet NOTICE SUB-TOTAL ,� ) THIS PERMIT BECOMES NULL AND VOID IF WORK OP CON --- - - --- �' £TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% 06 SURCHARGE TAL DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOf ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- WORK IS COMMENCED. TOTAL Special Conditions q U C �— ----- -- Date Issued.�, by