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16025 SW 104TH AVENUE m I 16025 SW 104TH AVENUE ti y a O r-1 3 cn ur) N O �r J/`�'� .RS�IAR..�i. "�"7tj�iRTFC7fiFS',10_,SPV'._Z"• ___-'•' ""_". ^'•,�, ^�Py�SR1.T.'.:z:^!...;._;,�'.P,L^..S:T.'.F,,""'__ s.�l 1 •Y � o 00 S ` ti a rn 1 d t Y ' � # 1 l / ' iv .raooaFass 6l:i�H *s rn 1t BUILDING PERMIT APPLICATION DATE___ 19 THE U'NDERSIGNEJ HEREBY Af'PL!F8 FOR A PERMIT FOR!HE WORK HEREIN INDICATED BUILDER PHONE _.. OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 9:A S..'t500 _ LOTN .14FJ,XL— OWNER Iritan Pr(j! JOBADDRESS Z —_(aAl - - - --- - .y/d - - ---- `;u.i.to2014 Pt:".Ild 972,ATRC:AITECT 2700 my 184, DESIGNER BUILDER C°��� _ ADDRESS y STRUCTURE ❑ NEW El REMODEL ❑ ADDITION _ rJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE CJ DEMOLITION IJ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GICA"T ❑ RELIG;OUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY __-LAND USE ZONE BLDG.TYPE .---FIRE ZONE PLAN CHECK BY — HEAT—.i)omniisli single family dwollhg. All, dp-bris to 1­-� zerR mOd from situ. Stroots to be kopt free 10 rnu 0 Y S. ,�:I7 . K: n ' 15C Pllfapnd S rttled' ino Cted loo city. _ SEWERPERMITM ' _OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE _BUILDING DEPARTMENT SETBACKS FRONT__ REAR LEFT SIDE RIGHT SIDE Permit 15.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 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 ANC- SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SI'B CONTRACIORS TO HAVE CURRENT CITY BUSINESS 'HiQ LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC-- Total 1:1.1 N-- --— - ---- PDCM APPLICANT qR AGENT By —�- ---- --- Receipt No, ADDRESS -— - PHONE - --- DATE INSP. TYPE INSPECTION _REMARKS PLUMBING DATE Contractor Permit No. -- - -,--_-- Rough-in --_ --- — Final —HEATING Contractor — Perrnit No. Gat Oil Rough-in —_— Fioal --- 3EWF;t `_----- --^- -Final 01 DRIVEWAY kFnal Storm Drainage — (Rain Drain)Final Sidewalk Curb&Street Final Approach -- - BLDG. DEPT.FINAL TEMPORARY C6RTIFW ATE OCCUPANCY CERTIFICAT17 OCCUPANCY Final i Landsc:ping Zon.ng Final INSPECTION NOTICE City of Tigard Building Department C� P O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ]}�� Date Requested t Time A.M. P.M. ! Address _c ..a bcg"ermit �k - Owner Lqt Builder The f0lowing Building Code deficiencies +re required to be corrected: Presented to _ ___ __ _ pprowed Inspector -- _ _ _ J Disepproved r",ate CAL FOP REINSPECT(ON DYES CJ NO i N'C!TY OF �'lC�IARD PLUMBING Tigard CR 97,23 '�� Applicant- must "hold Oregon Registration to conduct A plumbing PERMIT 639-4175 business or r gust be p.operty owner/operator not hiring outside he(p. Name d.DevoloprMV caol RA r---L Gb t/Z Plurnbnng Pt....:.-n.. 7 j s 1 ORS 614-21410 DUAN. PRICE AMT Job ax Lot Map.No. Address FiXTURF..S Subdivision S --_ . 7.50 7-�_ 7.50 i ams or r sines, Lavatory ---- -ag Tub or Tub/Shower Comb _ - 7.50 7 Shower Only T 7.50 i "r,,gens _ Water C 0set --- - `---- 7.50 a 5 r Owner jc#Y/SL to Zip -- ---- 7 50 7 ' O� Dishwashrer -- �- - phone Garbage Dosal --- ( ` 7.50 isp7 d Washing Machine - 7.50 - Name Floor Drain 7 M Wale:Healer - - 750 7 Laundry Room Tray - --- __._ _ 7.50 - - OccupantCityiStalb r'p Unial - 1.50 -- ne— Jthaf Fixtures(Specify) - - (PAI _ 7.50 _ P" _- 750 _ -- r 104- Com, o --- -- ----- 7.50 _ Contractor /State ZIP - �('�„r„ tom__ a( 7 Z 3 MISCELLANEOUS Sl k4 �y Sue Tax No r^^w 1 at 100, __30 00 �� n - -r _ tate Sewet•�e.AddR 100 1500 ale ! Beard fro a-QC iii _ __ 20.E 0 (ResKlenhai) Waler Servtoo 1 a7 100 ---- - Water Service ea.Add�t.2�' 15.00 - - I hereby ecknowbdge that I have read Ihie appMoatlun,than the krlormew^ given is owed.that 1 am tsgts(ered with I»State Builders foanG,and also Storm a Win Drain 1 It 100 _ -------- haw a State Pknftp sosnee that"numbers g+Ven we ootrsd. 00 trwt an 15 A0 phnnbwV wale wit be done in soco"W"with app"A P d Ora slam i Pyn Drehn Adds.100 25 00 gon Revised CA&%ACN00m 447 and e93 and appaoabh ootfes and list ef AAodb hlonle SP�os^ —-- -- - no heo wet be employed woo"licensed under ORS W3.(11 exempt from fact Flow Prevention Stab reglatratk .pl aw give reason tvtow) Device or Ar1s44oaMion Der-M ?so NOMEOWNf Ra 1 hw*by owwdy#W1 om tM owner of wo properly de sorbed above.at which beatbn t propose to maks a'Nun ft knamoadon for Arty Trap or Waft Not 7.50 my owuse Ilia properly is rxA bekng oonalrucsed b+sato,base a rant corrwded b a Rxk" n ud - C410119-AM 7 50 40.00 Per Hr SpwAa*y PaqueNed inspeclOnG 40.00 Perm -------------- AMI.of Pltar+O4ng whliY+ - --- - ----- _— —--- -- ------- --- - knp 1 S�QO.tial an Exdel New ftOp.or&Ad.Ad~ - M.00 sawn —�E -- - DomL -- - _ to�, = /(o .--r I . ale f�anu l y_ Describe wotk newladldition[-I a%MfOn❑ repffk U rj,euiiq to k2 dOtle Exle g use of MI0t01ltrt. 0 haft or prem -- -- -- -- PNpoaU" bubft L TIMI iMl"brAomeg vv.A area*a1A M wear'a aonatruMbn GIA110 "is nil core* IWO"VAN n W drilla^+I oatl`11CftA or W&*M suepamm or abwldnrw 9d d portae to il"i ware M ah eme Ittibt wmk to osrrtr Amovd. SAL tJOM1101N___ ——— OItAe wind �L/G�'� _ b1► _. INSPECTION NOTICE t%/ of Tigard Building Department P.O. Box 23597 Tigard, Orb-on 97223 PhonJ: L39-4175 Type of Inspection 6 -- Time Date Requested A �/— M/ n0( ' -M 7�_;7PM; Address V2,-) 0 '. A,?-4%A P Permit Owner Lot Builder The following Building Code deficiencies are -quired to be corrected: Presented to P40popo-roved Inspector f Disapproved Date f. CALL P RE "R , NSPECTION Y E 8 1:1, NO AIFIW VI 1 Y VP' 1 IlaANU IVIC%,1 AVa11,ML VLhi1V11 I Permit N Dercrtphon City of Tigard Table 3A Mechanical Code OTV PRICE AMT –� --- --- --- - - — 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 1000 P.O. Bo>,23397 ------------- ---- --- -- -_–_ Tigard. OR 97223 Z 2) Supplemental Permit 3.00 639-4175 i) Furnace to 1(x,,000 BTU 6 Incl.ducts 8 vents 00 6, Furnace 100,000 BTU + 2) incl.ducts 8 vents 7.50 Name of Development Floor Furnace 3) 00 incl.vent 6 Job Address - --- Suspended heater,wall heater Address /'o 4-/ 7 0 4) or floor mounted healerVent not incl.in 6 00 Tax Lot Map No 5) appliance permit 300 _ Lot Block Subdivision Name lor name of business) 6) Repair of heating,refrig„ 600 cooling,absorption unit Meiling Address Phone 7) Boller or Comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU City/State Z,PBoiler or comp to 3 HP-15 HP 6) absorp,unit to 500,000 BTU 11.00 Boiler or Comp 15.30 HP 9) absorp.unit 14.1 million 1500 1Aalling Address phone 10) Boiler or comp to 30-50 H P -- absorp.unit 1-1.75 million 2.•50 Contractor city/state Zip 11) Boiler or comp to 50 HP 31 50 - absorp.unit 1,750,000 BTU _ Slate Registration No City Bus Ta,No 12) Air handling unit to 450 10,000 CFM I nereb• acknowledge13 Air handling unit that I have read this application that the information given is ) 10,000 CFM + ' 50 coned,that I err,the owner or authorized agent of the owner,that plans submitted are in compliance with State laws,that I am registered v.'th the State Bumers'Board,that the 14 Non portable number given is co"acl (it exempt from State regist+non please give reason below) ) d evaporate cooler 50 Vent fan connected - -15) to a single duct _Sy 300 Ventilation system not 18) included in appliance permit 4.50 17 Hood served by —__ 4.50 mechanical exhaust y J Signature(owner or agent) -- ---—— --- Date 18 Domestic type 750 Describe work p addition U alteration ❑ repair I ' incinerator to be done residential iAJ non-residentlal Llt 9) Commercial or ir4,•-trial Existing use of type incinerator - 3000 building or properly— t�Ai�� 20) Other i e.,woodslove,water , s� heater,soler,clothes dryers,etc Proposed use of building or property — — 21) Gas piping one to four outlets / :tx1 Type of fuel - oil ❑ natural gas Q LPG E 7 electric I I ---" 22) More than 4-pot outlet NOTICE --- BUB-TOTAL �/•s; THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARat / 3 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR i PLAN REVIEW"%OF SU&TOTAL S �. ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - ---- - ~— LS:p:ecial'Conditions OMMENCED TOTAL - Date issued .__ //i� by f r<c CITY OF TIGARD 639.4171 c' 6 6 4 2 BUILDING PERMIT DATE - ` _�s_` �_. TAX MAP ..- LOT NO SUBQIVISIO S. OWNER_ 7 tFtri T'TC}�'l:].l_� .`; _ JOB ADDRESS t'���t• BUILDER : _._ STATE REG.NO. • _____EXP.DATE BUILDER'S PHONE ARCHITECT Ia.'..y T!Ltft _ PHONE —OTHER STRUCTURE_ [ NEW REMODEL ADDITION [ REPAIR MOVE ❑ OTHER L DEMOLITION RESIDENCE COMM EDUCATION IND RELIGIOUS ❑ ACCESSORY GARAGE OTHER FENCE OCCUPANCY _LAND USE ZONE`_,�L BLDG TYPE --FIRE ZONE _PLAN CHECK BY HEAT SEWER PERMITM OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA -! NO BEDROOMS VALUE BUILDING DEPA14TMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 4 t•n(% THIS PERwI I, .)SUED SUB'ECj' TO THF iEGUi.ATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLI;,'ABLE COUES ANC ORDINANCES, AND IT IS HERE.-Y AGREER THAT THE Plan Check •CJn WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE — WITH ALL APPLICABLE CODE.; AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE Pl.Ck.Fire _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC-- ' Total ;! ..9f APPLICANT OOR Adt-T --- - -- —-- PDC#- , Prepd. Receipt No. ADDRESS PHONE Bal.Due -- — Issued By _Approved Approved -....�.a.ir....diaYr,sluer.....r4ri .+... ...u�n..Yw,",".i..........._�... -. ........ .. ... .. �:..a......rr.....w.:....-.....-,._.::.......4a....w...a......+..+{Iw.....•4.. DATE INSP. TYP:!;NSPECTION REMARKS PLUMBING DATE YContractor l4S Y/"/,LJ Parmil No. 5 iI Rough-in Fixture Final - ��� HEATING — contractor yys� Y-9 87 7 --- -- ----- - 1� Permit No, Lf 72� v /, �1 � L—�`--- � - ---- Gas or oil — �- - -.----- Rough-in --- -_ Final /17,5 1;'�"/_ - L.— SEWER - Final DRIVEWAY --- - --- - - Final _. --- Storm Drainage --- (Rain Drain)Final A ---_------------------ ! Sidewalk - ----- --- Curb&Street Final - --� Approach - Bl 0G.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Fina! CERTFICATE OCCUPANCY – Landscaping Zoning Find ns IIIaT FLAN LHLLN NU. for inspect ions call 439-4l;5 � 'r�1 � RM i T tJO CITY OF TIGARO 699-4171 DAT� � to •"`-�•-- BUILDING PERMIT -_ � C�t N P.O. Box 23397,E"/igard iOEZ 91223 TAX � � LOT NO. 0001 1410, OWNER ,/l T/�l1 ? /k-(qp• JU8 ADDRESS BU11.DER _ � �/1 C.-�[ STATE ArG.NO. `� ~� —EXP.GATE'`, f BUILDER'S PHONEnU ARCHITECT ��-19. PHONE ..0 :HER - - STRUCTURE NEW O REMODEL ❑ ADDITION O REPAIR 0 MOVE CJ OTHER 0 DEMOLITION RV-IOEHCE ❑ COMM O EDUCATION ❑ INr O REUGIO-JS, ❑'ACCESSORY 0 GARAGE 0 LTI-IER O FENCE OCXJPANCY /`+,-, !.ANO USE ZONE%!;�_BLDG.1 YPE `'" FIRE ZONE-::" PLAN CHECK BY � � � F/EAT C'- Construct single family dwellinq VZA-Lj q,,bad _garapp, all p,-r apprmVed plans -- --- Slibiert Lj 85 code. lc Q 1 SEWERPFRLUTa -(ldu) batt ;straps garage area-3 C71 r•. r -r� OCC.LOAD FLOOR LOAD y 0 HEIGHT /'l NO.STORIES /-- AREK 6(J ) N0.96A_9OOMS-;� VALUE BUILDING DEPARTMENT _ SETBACKS FRONT <' REAR SIDE -` RIGHT SIDE f,7- ^ _ � J — THIS PERMIT IS ISSUED SUBJECT TO THE REUW ATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT RS HEREBY AGREED THAT THE C7 WORK WILL !NE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFN:AIICN=ANO IN COMPLIANCE WITH ALL AP•LICABLE CODES /.NO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WkIVE RESTRICTIVE LOVENANTS,WNTRACTOR AND SUB CONTRACTON3 TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS IkOUIRED FOR SEWER.PLUMBINQ AND HEATING, ` > ) 3 SDC - �� �A N AGENT Pr�C',qRecelpl No ADDItZSS I mow laaued By____,-_-._---Approved Br ssoc S0CPOC C2 RECEIPT # DATE PD. SEWER CONNECTION S =y � _ AMOUNT PD. 5CUEH INSPECTION S SEUER SURCHARGE S I , :o mm e n t o: ���iE-1 /,U ZGGci-cam _ for inspections Call 639-4L75 CITY OFF TIGAAO 639•4171 PERMIT oATE BUILOgNO P�RMIT _ - P.O. ox 2 397, Tigard OR 97223 TAX MAP A-—1- 1—LL SLOT NO. 'fl SUODIVIS10tr - OWNEiL =.is ►�I ( I� i'I � 7 I FS JOB ADORESzr BUILDER SI:-'`AEG.H '--so FYP fLTC / BUILDER'S PHONE ARCHITECT__ _ _ PHONE—.-- ,_ OTi1ER STRUCTURE J VEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 0 MOVE 0 CJTHER 4EMCLITION O RESIDENCE ❑ COMM Q EDUCATION C7 IND • O RELIGIOUS. 0-ACCESSORY Q OARAGE O OTHER 0 FENCE OCOJPANCY'�_I— LAnD USE ZONE �' BLDG.TYPE FIRE.ANE_.C"AN CHECK BY t AT T SEWER PERMt;/ OCC.LOAD FLOOR LO/.O HEIGHT NO.STORIES AREA NO.BEOROOMS VALUE rPfa(P>d, ING DEFARTMENT ULMH BACKS FRONT RETIA LEFT SIDE RIGHT SIDE / THtS PERMIT CS ISSUED SUBJECT TO THE REGULATIONS CONTAINEO IN THE 11UILIXNQ COOS,ZONING REOULATIO tS AND ALL-APPLICABLE CODES AND OROINAN(IM AND IT IS HEREBY AGREED THAT THE _ WOIgK WILL QE DONE IN ACCORUANCE WITH THE PLANS.AND SPECIFICATWNS AND IN COMPLIANCE WTTH ALL APPL.CABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE _ J'� RESTR#=VE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITr BUSINESS TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER.PLUMBIN i AND HEATINQ, �� � 5500 SOC __ —POC APPI.ICAN fOR AGEr S � Receipt No ADORES3 Issued 13y-__._—__—_--JhpfCved 0 C - -- -- : -� R E C E I PT0C DATE PD. CUf_P, CGNNC C T I ON S AMOUNT PD. v CUCF INSPECTION S CUED SURCHARGE S immento;