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16570 SW 93RD AVENUE wi c, it 16570 SW 9?RD (.MRT _ � vMIMWY �M� fi..�✓�.VFM��M'Minf!MViI�w�M;.1Mw+i..wW� w .�,.a�.,,w.�.w.r.....wr.«�. ..��.�.. ..,...,e.....�..�w.......-. • �.wr.w..�s�@il.��'1 �S� CITV OF TIGARD Cr(V0FTWAPD ' commuirrY DVVELOPMENT DEPARTMEW or,10cm PL(JMVI'NG PERNIT 13126SWI*,d1Btvd. P.O.1 Om 23357, lIpM,Orpgjn WZ23 '603)834r-4175 R Ill].1 It P L 114)0 W I 1-77M 1 0. ss 63 9--4 1'/1. 110TE.-': ESSUED: 07/25/90 T E* A I`D R LS I G 5 7 0 9 3 W R D CT PORCEL: 2SI14-AC , ,r . , . I BIJBI)J'V I S J()N. j"A F7F: ZONINO: R 4. 5 B L 0 G! . . . . . . . . LOT. :2 CLASS CIF' IF' WORK. . AIDD GARDAU.: DISPOSOLS. 11OBTLE" HOPIE SPACES. TYPE OF USE : .SF UNSHIN(i, MACH. BA(,Kr.*I-UW PREVISITRF.. OCCUPANCY GRP. -R 3 F*LCOR DRAINS. ., . . . » „ TRAPS., . . . . . . . . . . . . . . . .. . . . W A'T E Q ti Em r E iz�s CATCH FIA,-')INS. F'] XTU R I-:S LAUNDRY TRAYS. -;:)F' RAIN DRATN'S. .. . .. STIAKS. URINALS. . . "I'RApS. LAVOTORIk"S. .. . .. . OTH E*R F I X V U R E S., I'LID/SVIOWERS. . . Sf:*tJ[:-R LINEE ('rt) wA*I-E::R CILOSE.-Y's. WATLIF.' LIME (f t) DRATI-I t) C)wi-ier:i E s KASSON t y P,a, awount b date rerpt 16570 SW 93RD CT PAY11 15. 75 JI-11 07/25,190 WBW �i -ZITY OF TIGARD PECUPT OF PAYMENT PECETV-',T No. 9 CHECT..' AMOUNT DIAL ONE NEW I)IIIENSONS CASH AMOUNT ADDPESS TNC. PAYMENT DATE SE 16-'2NL SUSD T VI Sl I ON '.lF.TLAND, OR 9776, 16)5 7 1) S W '?'7RD" CT Puj'-,rk--ig(717 F''AYMC.NI AMOUNT PAIr, f"UPI"OSE Or- PAYMENT AMOUNT PAIr.., PLUMPiNG F,E'F-,,t-I P L.,M;Is.l-C,I '2: 1-15 15 oc, ST., UMPJ) F,"EP TOTAL �41,,Icfl.1trr pAjV 1,!;. 75 „� �� '� � ,,,i .N�y��.4tiQ,� y,flN '• 1 MIIR4.�Y ''�c4 rr r f t-t t ' L{1 Y• f ni 7/1f_t4 rtr� fir' s ti.y a „y '.'�.• f t \ i,R, W cd s 5?_yj Cd p7q Z a 1 cr t6 a r 111 kD cd fy 1 4+ It r+ « ar 1—jt"fLY t! 3 to _ i" Ft 4 to cs l 3.1 �C'�VtitiCv'�Sv'Gv�Y[OROtl9Y4�'�9'_... t,� YLL��-�:.l�t'LS..-.h_ --L ,��•� r..7 � � �,(. • � '.t-1 ti/' *.{,5., / 1f'f y��Its.r�Y I' 1 twe' . "K` 1�� t�ENV' % - " 7a �% - ? /\ +j.^..�� 1 WKSWEA 1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4176 Type of Inspection [)ate Requested _� Time A.M.��._P.M. /-//Address �<,'�'� _ Permit !�'_L�L f-6 -•---�—�- Owner � — -- Lot # '" The following B►'ilding Code defia[ehcies i— required to be corrected: 77 .00 �r Presented to __�.M —._------ APprov!d Inspect-)r — L� Du,-appy ;ved i Date — CALL F(7R REINSI'EC�'ION ❑ YEs ❑ No P, CITY OFTIGA BUILDT1,K3 :7_PM1*T RD 4 PEN4MIT NO. areolrwkw CCMMU',%IITY DEVELOPMENT DEPARTMENT DATE ISSUED: 6/23/89 13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 9727.3,(503)639-4175 PWIM. PM*T.NO. JOB ADDRE'SS : 16370 SW 9*.fl:fl.) (.,'I 'VAX MAP/LOT SUB: ('AFFAI...S COPNEP. L OK : LAND USE : plel . 5 I. ur SIZE : VALUATION : tk 79 , 190 SETBACKS FRONT: F-4EAP. WORK (;LASS : Nl--*W DWELL.UNITS : I LErr : RIGHT USE: TYPE : SINGI-F FAM11-Y NO. EEDROOMS : 3 E.XT.WAL.L CUN5)T : I'ONST .TYPE : VPI NO. HATHS: 3 N: S : E : W . OCCUP.GRP. : P3 PAOT . 3PENING5 : OC*r,UP.LOAD N: 5 : E. W : TOTAL AREA: 2098 NO. STOW7ES 2 isT: ROOF CONST : HEIGIA'; : 2ND: A A E:A S E P A R'? HASE.MENT'? 3RD: OrC(JP. SEPAP"? 14A- Tr-El'.) : MEZZANINE BASEM'T FLOOR LOAD: '(10 A A A CA;: ZiOO FIRE SPRKI-147 ALARM'? FLOW(GPM) DE I-EX-I"? HEAT TYPE: HDCP.AC(-,E`.SS7 CORR? I'-'I.-AN C.HECK BY: r I t 1411'EMAVIKS : PE15SUE OF NO. LAST PEKISSUE FEES : 0RM I Y' $373.00 W 5EBAS1 IAN RANDY PE N 20A13 WALUIEN ST. I PLAN ARV IEM AV-) RE I",I welts Iinn 51 ATE TAX $18. 6!5 OTHER C DEVELOPMENT CHARGES : 0 15E%BAS7TAN RANDY SIXII(STORM) $250 .00 N T PENAISSANGE DE'VEI (]PMI:..N I SDC(STAKTA $600 . 00 R LI0A43 Weil DEN !:0 PDC:114 *,e3o .00 A C liest lif,11,11 err. PREPAID < 1111110C . 00) r PHOt—, 11."103) 637-5739 0 PI-iEGISTPATION NO. 1499315 TOTAL : *1 ,634 10 RcPNO, 1411 EruT 316 This permit is issued subject to the regulations contained In Title 14 ............ of the 't'MC, State of Oregon Specialty Codes, zoning regulations PEQUIREA) NSPECTIONS and all other applicable codes and ordinances. and it Is hereby .1: agreed that the work will be done in accordance with the plans and FOOT 3'.N(; SIEWER specifications and in compliance with all applicable codes and FOUNDATION WALL PAIN DRAINS ordinances The issuance of this permit does not waive restrictive POST & DE:AM WATER L INC: covenants. Contractor and subcontractors shall have current r:ity 13L 14 , UNDEPSLAB CITY APPAUI/SW business tax permits This pt_,rrmt will expire and become null and void If work Is nal started within 180 days rif work lssuspended or tiLAD F I NAL abandoned for a period of 180 time after work has PLa. TOPOUT 31.yhe FRAM I N(.,'o commenced It shall be the r bill , o pernuttee to assure all required inspections nest and approved F I PEPLA(:A:. GAS L I NE:: TN'-5UT' LAION VYP . BOA"D dlermittee Sig alu Issued By 007+7_fi_.*to+-.. "41r,E ttl,*1*J.k.0N IM -niftT411 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE WA qlF.'Wf.;'P PERM11* � r � �� I:) :IiM1 'T NO . : S&61.;)1396 t,.-:i COMMUNITY DEVELOPMENT DEPARTMENT DATL-:* 15SUED : 6/23/69 13126 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 PRi.m . Pm,r .NO. 891396 7 JON ADO'llESS : 16370 514 93PI'.) (" BIH.Y' USA NUMW : 37551 'TAX MAP -1-01 ISUB: CAFFALS CORNEP L.'r :P- 01"' : I AND USE' P14.3 l..CSTSiIZE : I SECTION: I WI-1: PNG : WORK NEW UGE- TYI)r--': 15INGLAK F*AMI:L.Y 'Thea ar.q.)IJi.cm.rit wgreels tj:i comply with nll. r,t.ileli; iiLricl reiguIntiorim ni? the Uriifiod liewrer-iag(.e algenc'y . 'Tho permit 120 (Jiayla from the date i9isi.le(J . lh(.i4 tntat]. imnot.trit j-.)nLd will 1:)fl fl:)I-Feiteilj if t1*ie,t pvar,init fAxj:):0,ro!:; . 'T'he! A(..Ien(-.-y cioeq.; not w.litee ther isr.'xniiriac�y of tj-j(,H jo(--,atj.aI-j (,,,.P the iaide uiewei- liato'raj- . lf th*.- iiiewell Vi; not locatte-d ni, three M(r)fiLV.;LII"eM"I'11t Ul-V011 , thP 1.11-11SULIA.Cll" MI-IRL11 3 foe-t irl tall. directicisvii. from Mich diStlAr.C." giVell . *Xf riot iso loc^i&tecl , the instai.l.).(?r- %hall. Uri(] 5ido thea Agp.I-IC^y w:J.1.1. J.1-1sitall a IiAtriAral . IN51'ALL . I*YPE: IMPERVIOUS AREA: F:A:X1'UPE:' LINT'TS: TENAN'T' IMPROVEMEN'T' : NO DWEL.L.ING UNITS : I NCI . OF 13LOGS . I 0 51::1DA5*1*1i.NN RANDY PEPM11* $35 . 00 W N r.*-2 0 A 3 W(NL.I)F-*,N 51 C(INNF.*.C*T*T.ON CHARGE $1. 100 . E R wean I.:lrirl gar L.INI---. I*AP 1N5i'TAL-I- . CYTHER C 0 sF-.-r-i0s'iT0)N ilANOY N ­ ' T N1:;:NA1l5F,-sANCF.'. 1XVELC)I-."M1'c:N*T* R P043 WALDIL-N 1,1' . A (-, wt,*%t 1 -1.n n mr, 9*7068 T PHCIINIE. 1,50'311 6-57-5739 0 $1 1�v--5 0 PEGISTPAIJUN NO . -119,051.1 This permit Is issupdRiblect to the regulatir,ns contained in Title 14 P11710EIPI* NC). of the TMC, Slat" of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances. and it Is hereby agreed that the Wolk will be cone in accordance with the plans and P()LIGH I N specifications and :n comp)once with all applicable codes and ordinances The issuance of his permit does riot waive restrictive II rovpnnnls Contractor and 3t ticontractors !-hall have current city business tax permits. This peimit will expire and become null and void if work is not started withlo 160 days,nr If work is suspended or abandoned for a perlad of J§P days any time after work has commenced It RhAll t..,%W t 5onsibility of t;1-9 permittee to assure -ill required ins f j'( Ifni lUested and ar.Forve& Pormitt e SlfpEltrf 0 Issued By I F tjR J.N!:s PFU'1 1 IFIN 6-39-44 17.5 SEPAFAATE PERMITS REQUIRED FOR WORK 0 1 JER THAN DESCRIBED ABOVE IMP PI U11BING PEPMI.T MTT NO . : PI 0913941 PE'*P �'�0 F ��1��R"'O' CITYOFTWARD ATE ISSUED: Er/23/09 COMMUNITY DEVELOPMENT DEPARTMENT P P I M PMT .NO 891.394 13125 S.W.Hall Elvd..P O.Box 23397,Tigard,Oregon 97223.(503)6394175 ADD164F.Gs : 1,6570 SW 93RD CT FAX MAP/L.OT SUB : ("AFFAL-S LT : 2 BK : I AND USE: 1­tZ] 15 I_OT S'_Z E : ITEM NO: NO WORK (:I_ASS : Nl;-::w W04TIli-J4 CLOSET 3 TRAP USE TYPE- : SINGI F. 1::'AMJ'L..Y UPINAL, BKFLOW PPIJIN'T'R CONST . TYPE_: VN L.AVOPATIJAY 3 TRAP PRIME:R 0(:',CtJP . GPW 143 TUB SI-40WEP i' (CREASE TPAPS DISHWASHEP 1. ('.,AV1UA(.'sE DISPOSAL.. I NO. STORIES : 2 WASHING MACIAINI:.: 1. DWELL .UN I I'Fi I L.A(.INDPY 'T'RAY .1 1:4-1)(3. DRAIN ( DIA FL_OOP DRAIN SINK I SEWE*14 (FT) tJA'I*F*-'P HE' TEP :1. GTOPM/PAIN (F-'T' :1.00 OTHEP REMARKS : T_ SE BAST'IAN BANDY 1:)I::-'PMI:'T' !N1.'1O 0O W C) �.?043 WAI—DEN ST . N WPMt lif-II'll 113 r FIXTURES E STATE TAX R OTHER C CPOSS CARL 13 0 FKAGLE PL_UMBINL; CO N T J.03P6Gr-_' HOLGAIE BLVD R Port JoLtrid OP 97266 A C PHONE (503) 760-5565 T Aiii"GISTPAI ION NO . 4791.4 TOTAL- : 1417 . 0 0 0 WECEIP'T NO. This permit Is.Issued subject to the regulations contained in Title 14 pr:QU1 RET) INSPE117TIONSs of the TMC. State of Oregon Specialty C:)des,zoning regulations PI-.8 , UNDEPSLAD and All other applicable codes And ordinances, and It Is hereby agreed that the work will be done in accordance with the plans and POST & 1.1EAM specifications and in compliance with all applicable codes and WA'11;'.A I.-INE. oidinRnc,,s The Issuance of this permit does not waive restrictive 1:4.11 . TOPOUT covenants Contractor and suhcontractors shah have current city PAIN DRAINS husineas tax permits This permit will expire and become null and void if work Is not stoned within 180 days.or 11 work is suspended or FINAL abandoned for a period of 140 days any tinie after work has commenced. It shall be the"Oonsibillty of the permittee to assure all required Inspect 9 equeste ap7ved milt 11 V FOP INSPF11TTON 639-41:x75 Issood By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE MECHANICAL PERMIT CITY®F TI17A IaEF2MIT' NO. : MEC�9139"5 CITYOFFTWARD DATE:: ISSUED: 6/23/89 COMMUNITY DEVELOPMENT DEPARTMENT PRIM. PMT .NO. 891395 13125 S.W.Hall Blvd..P.O.Box 23397,Tlger0 Oregon 97223,(5k A 09-4175 JOB ADOPESS : 16570 SW 93RD CT — — 'TAX MAP/LOT SUB: CAFFF'AI._S C:OPNE P LT:2 BK : I...AND USE; Fra.5 LOT* SIZE: ,i-rEM: NO: NO: WORK CLASS : NEW FURNACE (100K AIF? HANOLP (1.0 USE TYPE : SIN('..LE FAMILY F'UPNACE 100K+ 1. ATR HANDLR 10K CON51' . TYKE::: VN FI_.C)OP FURNA(�E: F_:VAP .COOLER (3(:CUP . GPP. : R3 HEATER VENT FAN 5 VENT VENT . SYSTEM bLR/COMP (3HP HOOD 1 NO . STORIES : 2 BLP/(COMP 3•-15HP INCINERATOR(DOM DWELI... UNITS : 1 BLP/COMP 15-3014) IN(;INERATOP(COM F"UE::I... 'T'YPE BI-P/C(.)MP 30-- i0HP PEF:PAIR UNITS MAX . INPU'T' BLP/COMP 90+1•4V OTHER 2 1•F'114k.. DMPPS? CTAS PIPING OU'T'LETS 1. 1-11tH PRFESS? L,0W 1:FiI:SS? PE(ARKS : j FEES : S=BAST':I:AN DANDY PERMIT $1.0 . 00 C) 20A.-3 WALDEN S T . PI-Al' RF:::V:I:E::W $12 . 00 UJ elr FIXTURE'S t43 G. as R STA'T'E:: 'TAX $2. 40 R OTHER SANUHET ALAN ^ -_ T r-1I--(.,0UN'T'Y 'T'EMP ('L)IN'T TOL N T 10.505SE 55TH R 10:1.1.WUmki.e or 97222 A C T PiL:(.ISTI7ATZ(- N N(). "529 a0 TOTAL.. : $0112.410 R — — HLCE:IP'T' NO This permit is issued subject to the regulations contained in Title 14 i ., rF. of the TAAC, State of Oregon Specialty Codes, toning regulations RE"GU1�FiLI INSF E L.TIC)N., and all other applicable codes and ordinances, and it Is hereby OAS LINE agreed that the work will be done In accordance with'he plans and POST 6 E)F:AM specifications and In compliance with bll applicable codes and ROUGH-IN ordinances. The Issuance of this permit does riot waive restrictive F1 NAL covenants Contractor and subcontractors shall have current city business tax permits This permit cilli expire and become roll and void if work Is not started vvithir101days,or It work is suspended or abaASignnt erto days any time after work has comr oneibility of th er tee to assure all S quested and a q�ov Per Issued By C'•ALL_ FOR INSPECTION 639-4179 .�"`� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TIGARD 13.12 HS 5 SHALL BLVD. PLUMBING PERMIT � � � P. O. BOX 23397 .1Micants must botd Oregon Registration to conduct a plumbing TIGAR.D, OR 97223 Fwsiness«must be ptupe-rty awrner/o(nerator not hiring outside help. Nanw of oe.rrksprern (503)639-4175 Plumbing Permit Na__ _ Address () � 0 0 scrip1 1n OAS 814-21-610 DUAN. PRICE AMT. J'14) Tax Lof Map.No. Address - FIXTURES Lot" - _ - Block Subdivision - S�nk ----- emeTcx nwrw61 /uusess lavatory ---- 7.50 rrAl-5 S O/I% Tub orTub/ShowerCornb. 7.5' q Address^ss 7.50 Owner zipKr Shmvw Only C/ Nater Closet 7.50 C /Stats - r -c n U�Z o 7.2Dishwasher 7.50 Phone Garbage Dis,cwsal _ _ 7.50 --- Wa.lnirngMactune Fkxx OraK, 7.50 i Phone Water Heater _ - 7.50 Occupant 7.50 p CilylState zip llrioa� 7.50 Name----- suer f acw:s(Specify) i 750 .,. f�vfk? vgvh2 �p vG� c. P ---- - 7.50 Phone -� - ---- -- - 7.50 Contractor O:;fy/;Aate 73p -.-_ MISCELLANEOUS -_ City Bus.Tax No. r 1st•rt0' 90.00 State 's a a 's tele s�moo. Sewer_4,a_Ad:14.100" 15.00 (Nesrdentiat) Water Service 1st 1010' 20.00 1 horetr/sclvawledge duet F have reed ells a(nA canon.that ere ksformation Water Samoa sa-;ddit �- - 15.00 given is correct dvat 1 am regWoredivith eie`;Yale&A-s is Boenl•and also Storm d Rain Drain t st.100' 3U.00 - hwve a Slate Pkxnbknp koernse that dw numbem given are Dotted-Vial all - - - Ncxtnbwng work will be done in s000rdenas with appt cst-Ae provisions of Oke- Storm 6 P-in Drain Addit.100' 15.00 porn Revised Statutes CIW4ers 447 and 693 and appllrybls codes and tKat Mobile Home Spam 25.00 no help will be emlAayed unto"""ad under CMS CAI Of exempt hom -------- - State registration.Please give reason below). Back Flow f1mvention FKWFOV INEFLa--1 t,eretsy certify ext 1 em due owrrW of the property do- Device or Anti-Pollution Device 750 scribed&&".n which to atlon 1 propose to nuke a pkxnt*V knat"Alkxs hx Any Trap or Waste Not my own cess^nd ffos propwrty Fe"tx'-g constructed Iry sale.lease of reit, Cernrnerded 40 a Fixture - 7.50 Catch Basks 7.50 kw.of Exist.P1txrbing 40.00 Per Hr. ----_----- Specially Requested InspWions '40.00 Per W. Pain Drain, 15.00 -1111gle ram. Dw1g. , .AUW40f1laE0 f 10MATURE Date Describe work tmw[] eddition C) alM bon C] repair C] --- be dotty residerWal fj non-midwtMal Existing use 4A MINTMUM PERMTT FEE­ 35.00 bt O&V or ixoporty--- _-- SUB-TOThL i bt Mosed U"of 5% SURCHARGE 0 - -- TOTE a plvp"'tY __- -___ - "W 25k PLAN REVIEW Norxa - Thls(»rrNt tvtx two�rrll anA«sM1 N wtlrlc a aHub�rxkn a+NwrOted V rx>t Win d m twnd wlthkr 1 W)d eyarrx M rxrratruic0on or work Oa Mjasarrlad or etwxkxseri -�- a p«1rx1 M Ian drys N"Cow~%vork is oornrn«x"d Des lesurc _ ___--- by ARD TI' I'I-,UM.BING S al9223 CITY OF pER M IT 630-�75 / a ptl*`L, ;�6 /�.p(.Cuw nwri Fx1W (?. .x1 RcglllraGon b cxx.d�t �o,�r/axracor rwA hlri-j"-A%;6c�IP- _ I�vtir.ctt0rmv14lcpcopertY IMumb.�K •omit Na. rKerne o<D".kxw 'nl -�.__-�_-------____- - .------...---- OeWAN. PRICE AM1 /tdcf+se ORS 01421-610 Job Tu lot FIXTURES Kddraaa ;.dn,lskxl Sid* y- lot E3iod - ? T.SO S U - L xvaWZY -1 7S0 4r b of Yub�Sha"ct CoCrb. 7.50 ------------- _ i 7.50 1 - WeterChsat - 7.50 I l7wner laky/ le ---'� l7�st►.vwstet - ' - 7.50 )Z) -- L*twne Garba4es__ SU Wast*V L4xd1"~ 7.50 -_ Kam" floor Oram 7.50 atz .���liooln Tray --- Occupant Crty/Stata -- lr� lklr»o -7,50 -- oaw R duces(Sptroty) - - - 7.50 -_ - --A - Contrector (AYIStat" MISCELLANEOUS -�-_ city QW fax No SO-Of t d t-oor - - 15.00 -e a_Addre t�� - .00 Servr[ to 10.x• ._._— __�..-.-- Yreter t5.1b (f Lescter><IaJ) "t/tdQ;1�r _ -- _ don watt s«v M 30.00 ---- W4xn+a taE too' 11»r.0y ecfjloA40dG•t a reaftu rte' KCAILIO�r�►�a mrd-am atnl c vxm a WJn LkaJn --- — 1 s 00 - Vivvrl it txxnrQ tla1l IIm tered sm comect-tu1 cd -SW,, Prinon%:nMdd•100• -- ha a S(414,PkwT#v)ioorwo tut 1tw Ae Gr�l(xW of U fe- pl-,b:rq-C.k e,j Lre dw»Irl trolxxds— �f AM that 14.,".;Lrxn"Si— - oorl Ii.w«I StatAea CfuwO- 417 AM� Ixlles a ORS a.K.WI(A h'x^ - ro M ip..ut be trrrlpby+d ( 04-x f1or, 4% O-r— T.50 S as replara.tbll t +a 0'v+ltraeO^tx+< de Oavfty or/Vlti _ d t'tr ptc>(�erty T nor Waffle t'tot t10t�tEOwttEFLS-1 he+^abY o«-Ilfy'�I tarn M awn"r trx�x+kx j'r'3' reo b.Fualr. - ac nbod atsov+..t w(kh be son I ptopa"b rt tr Pd 4a tlr carat t:+ "dam for a<Ie. - 7.50 ^IY o..11 u...rld t.L prt+p«ty tr not L.&v 40.00 Pvc H. �_. 40.00 P« rtaq- 15 00 mm 26.0k)mr. 4y Adj"ItIn AVnlK) ZC-0SKt►tAtUnc- - e I111;:aII]L 1.+`tlIv --- atteretlOrl[7 rn(tt1lr� � �+''l l u1: - L?eecldw wtNl. rMw L7 "tktdron(.�tretrrd/A1 _ - •-.-- --•'�"-- ti1 Lb 0-y-___..- rntklortl 1.-._��-.W �..� -�r- 'Iftl0c Ulu of -tl per. '-""" ToT L of +1n.m.t ber•or*.tre nuM end Matd If wwk a 1 a uC�rxutrd t.nd - rxrtrd N4It11r1 1 W d+�lar d cr e+ak M ��atrer�"ed trx e.ksd vl t W d."at en f arn%*aa+ar eMrk M°o^Y^art.'.d WILA I I V NK W I KlN 1 Y•••••• ua 1 CI or TWA R1 PLAN CIiCCK APPLICATION a cm cxT.cAan PLAN C 4ECK H COMMUNITY DFVrELOPMENT' DEPARTMENT PLRMII' if 111755.w.11.aofd-P.O.floe 23397.14g«d Om4on Mn.fWJi6T.`417S DATE ISSUED MAP/LOT /c! JOB ADDRESS: Z LAND use: SUB: - ,�.C,��� ,�'�,,ciP LOT VAI-DATION: __ �---- OWNER / �! SPECIAL NOTES _ J1'r REISSUE OF: NAME: - _ LAST REISSUE: ADORE:S: FL(.00 PLAIN/ --- -- ---_ SENSITIVE LAND: _ PHONE: --- ' APPROVALS REQUIRED CONTRACTOR ,i PLANNING: - --�—.-- _ ENGIN[F_RING: _ NAME: ` {�_ _ FIRE DEPT ADDRESS: �` � � � 4✓ L OTHER: --__-- -- .__SCS [ vr2 ---- --- ITEMS REQUIRED PHONE' -- - LIST/SUBOONTRACTORS: ARCAVE:NGI:NEE�R �7 �5 BUS TAX. CALCULATIONS: — NAME' --- _ TRUSS DETAILS: ADDRESS: PARKING PLAN: --- -- _ LANDSCAPE PLAN: OTHER: —_ PHONE: - COMMENTS: _ PE MIT N ACCT H DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE �r�_ 10--432 OO Building Permit Fees ..-- ��_ 10-431 00 Plumbing Permit Fees -- 10--431 01 Mechanical Permit Fees - } 10-230 01 State Building Tax (5X) _ 0 Building Plumbing Mech y 10-433 00 Plans Check Fee Building - � Plumbing 30-202 00 Seater Connection c 30-444 00 Sewer Inspection - --�� 51-448 00 Street System Oev Charge (r'.• 1 __ ` 52-449 00 Parks System Uev Charge ( ,III' " - -- 31-450 00 Sturm Drainage Sys,t Oev Coir 1C) 10-230 09 TRFO - - - - 10-230 06 Washington County Fire N1 (9: -j 10-220 00 Amar-t/Wedgewood 10TAL ��- RFC M APPLICANT STGNn111RF Received By: Date Received: - r:n/3587P/18P --j ---- WAMP ,� PLAN CHECK APPLICATION CITYOFTIVA'rRD CtTYOFn-AR1) PLAN CHECK COMMUNffY DEVELOPMENT DEPARTMENT o .9m PERMIT I - u12s&W wa Mod.P.O.Ba■2X47-Ns'-Z!OMOOn 9�=OW)x'11� DATE ISSUED OB ADDRESS: TAX MA,A/TAT T: LAND USE:_�� 'ALUATION: SETBACKS: FRONT: REAR.: LEFT: RIGHT: , WORK CLASS: HEIGHT: �� TOTAL AREA' USE TYPE: 4; l - FLOOR LOAD: -_ `�� 1ST: CONSTR TiTE: IVHF"T TYPE: 2ND: �iJ _ OP GROUP: DWELL'TINITS 3RD: OCCUP LOAD: NO BEDROOMS: __ BASEMENT NO STORIES: —_ — NO BATHS: — GARAOE: _ IMP SI''R.FACE: IPPROVALS REQ'D SPECIAL NOTES ITF14S REQUIRED PLANNING^ REISSUE OF: L'iST/,3UBCONTRACTORS: ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: — OTHER: �^ SF.N L.NP.: TRUSS DETAILS: PARKING PT.AN: LANDSCAPE PLAN: PLAN CHECK BY: OTHFF: COMMFNTS:—: -._ -------------«-- _ ACc DESCRIPTION AMOUNT OWNER 10-432 Building PerrAit Fees ¢ T NAME• _ 431-600 Plumbing Permit Fees ADDRESS: ___� 10-431-601 Mechaatcal Permit Fees � 10-230-501 Suite Building Tax (5x) —� ---�— 10-433 PJAv.s Check. Fee PHONE: 30-443 30--202 Sewer Connection } CONTRACTOR '0-444 Sewer Inspection NAME: 51-°448 Street System Dev. Charge (SDC) s ADDRESS: 52-449-610 parks System Dev. Charge (PDC) t — -- 52--449-620 _ -- — --- 31•-•450 ;storm Drainage Syst Dev Chrl;(SSDC) � PHONE: - — -�_— 10-230-505 -WD (95x) 1.0--435 TRFD (5%) - ARCH/ENGINEER 1.0-230--506 Washiagton County Fire 11 (95I) NAKF: 10-435 Washinmton Couw.y Fire 11 (5x) ADDRESS: -��- r--- 10•-220 AmartlWedgewoo.l = TOTAL S PHONE:--- t—• PREPAID ----- RFC /— BAIARCE DUE —�_--- APPLICANT SIGNATURE. i,1f FA Rticeipt Ar - ----____-, CITY OF Tf GAf�D MECHANICAL PERMIT Pe(mi( # D:ccrlptlon' � ~ Table 3A Me0ranlcal Code —_� an PRICE AMT City of Tigard 1) Permit Fee -0. -o- 10.00 13125 S.W. Hall Blvd. - -- P.O. Box 23397 2) s tnplemental Permit 3.00 Tigard,OR 97223 --- — 639-4175 1 Furnace to 100.000 BTLI 600 incl.ducts&vents 2) Furnace 100,000 BT1.1 + '- 7.50 incl.du(As&vents r �� Name a oerekhw+he�+ 3) Floor Furnace 6.00 incl vent St,sperrded heater,wall heater 600 .lob Addi1 ss ^- — 4) or floor mounted heater Address _ _ �) r.,r(a Mari tvo. Vent not incl.In 3 t i0 appftnoe permst ea.* subdivision - - Narthe(«namc a b<nane551 --- 6) Repair of heating.refrig., 6.00 ding,absorption unit_ -- tMifirhq Address Phone _ Boiler or comp to 3 HP 6.00 Owner abs(rp.unit to 100,000 BTU - -- -- _--- cnyi;torte zip --- 8) Boiler or comp to 3 HP-15 HP 11.00 _ absorp.unit to 500,000 BTU -- - __ Name g) Boiler or comp 15-30 HP 15.00 absorp.ut Alb-1 million_ _ -_ —_- �- 10) Diilarorcompto34-50HP - 22 a0 tAaainq Ab koss absorp.unit 1-1.75 million -I - Boiler or comp to 50 HP 31.50 Ctxttradtx C:.;!state u�.__� --- 11) absorp.unit 1,750,(00 BTU___ -- , - e Air handling unit to 4.50 sure Registration 140 Cityo— -- ,y t3<rs Ta 12) 10,000 CFM Air handling unit 750 her" adknovAodge that I have,.,ad this aPPWabw that twomre inktmn given I% 13) 1t),000CFM 1' i_ _ mn-rrl.that I am the owner of authorired--owd a the owner,tut IrAn"s wvnitted are an --'Non portable crxrrrhrurhne witch sura taws.that 1 am registered with the Sete nuitders'Board,that tM 14l 4.50 rrrmher given is comic! (it evefro Pum Stats r• o' •base give reas<.h t•dbw) -- evaporate Cooler t 5) Ver it tan connected 3.00 - -- to a single dud Ventilation system not 4.50 included in appliance permit - _ — 17) Hood served by 4.50 mechanical exhaust Stgnaaas Irawrter«�I -- =— nate 1 g) Domestic type 7.50 Describe wotlo _ O addition (A 0eration D repair Cl _ incinetatot - to be done tosidential O non-residential O 19) Commercial or industrial 30.00 --- ---- _type incinerator Existing use of Other i.e.,woodstove,water '1 Imil ing or properly-_-_- � __ __._ 20) _heater.solar,dotfiesd rs.etc. 4 l Proposed use of bttitding or property.- _. — 21) Gas piping one to four otAlets 2.00 �. Type of fuel- oil C] 22) More than 4-per outlet natural gas U LPG ❑ electric 1 1 - _ NOTICE ^SUB-TOTAL �--- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - 50"' SURCt qGE STRUCTION AUTHORIZED IS NOT COMMFNCEO WITHIN 180 _�__- DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PI AN nFVIEW 2S%OF SUB-TOTAL L ABANDONED FOR A PERIOr)OF 160 DAYS AT ANY TIME AFTER V TOTAL WORK IS COMMENCED - — - Special Conditions