InitiallyGood (17) 16163 SW 104TH AVENUE
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BUILDING PEPM17
C11,rY LCIWiTtl �'E:FM I T NIJ. t E�IJ�77t>US7
COMMUNITY DEVELOPIAENT DEPARTMENT ON
a _,�Fa1E I _sSI!EC�e 1...11�, 8._13125 S.W.i Tali Blvd..P.O.Box 23397,Tlg vd,Oregon 97223.(503)639-4175PR I N.P 11 T.NO. 87`,046
JOB ADDRE:SSt 16167- SW It:147fI AVc
TAX MAP/LOT 2S114BB ;SUB: swan%ones glen LT'o 10 Bk
LAND USE RI 2PD
LOT SSIZ.E� VALUATIONi f 5-:1, 4CW) SETBACKS
FRONTO 20 REAR: r
WORE:' CLASS 1 NEW DWELL.UN T TE t 1 LEFT t Q P I GH'T e _
115E T YPE T SINGLE FAMILY NO. BEDF CIOr.fS o E Y T.WALL CONST o
CONST. TYPES VN NO.BATHSt 2 Nt So E o Wt
OCCUP.CARP. 1 R3 PROT•. r]PENINOS 1
OCCLIP.LOAD Nr St Er Wt
TOTAL_ AREA1 10801
NO.STORIESt 1 ISTt 11%F?,,, ROOF' CONSTI; I: FIFE PET^ NO
HEIOHTI 18 2ND1 AREA SE~PAR? fit.) FATEDI
HASEMENT-," '?RDt OC'CUP. SE'PAR-' NO PATEDt
MEZZANINE? BASE.M 'T
FLOOR L OAD o 40 bAPAGE t 374 FIRE SPRKL R;' NO ALARM' NO
FLOW(GPM) DETECT'' YES
HEAT TYPEt GAS _- HDCP.AL LIESR? f-ngg;• tin
PLAN CHECK BY1
PE:MARE•S t
PETS- SUE OF NO. t •t,t,5�
LAST REISSUE,
W E3! EA)' MOPI)AI'l PE PM 17' *786.00
E 161 0G q SW 10704TH PLAN REVIEW $41:1. 00
R FIRE DEPT
STATE TAW $14. 30
_— OTHEP
C DEVELOPMENT CHAPOES r
N EILEfat MOPGAN SDC(STORM) f236.(K)
T T I TAN PPOPEPT I ES INE. SDC (STREET) 11111601 00
A Fo BOX 6815 PDC(M2 . (.00
C be aver ton or 970o7 68-0- PREPAID 41140.00 ,
T
PHONE: (503) 684-6606
la REGISTRATION NO. 3f15SB TOTAL s f 1 , 3rJ0. 30
This permit is Issued subject to the regulations contained in Title 14 REC'E'IPT NO.
of the TMC, State of Oregon Specialty Codes..oning regulations REQUIRED INSPECTIONS-----_-----
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be done in accordance with the plans and FOOT I NO SEWER.
specifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST 4• BEAM WATER LINE
covenants Contractor and subcontractors shall have current city PL.P.UNDERSEA@ CITY AF'F'RCH!SW
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 5L.A8 FINAL
abandoned for a period of 180 days any time after work has PLP.TOPOUT
commenced.It shall be the responsibility of the permittee to assure FPAM I NG
all required inspections are requested and approved FIREPLACE
GAS LINE
INSULATION
Permittee Signature, GYP. BOARD
Issued By _ . __
CAI L FLIP 1 NBPECT I ON 630-4 175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
■!
47
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x'977 -
d 0526 d 6z .�s
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2339,
Tigard, Oregon 97223 _
Phone: 639-4175 L/
Type of Inspection Tc � `T
Date Requested_ l ' 3� Time _ A.M.--P.M.
Address _ L 3 Cj Permit #s
Owner ____ Lot #
BuilderThe following Building Code deficiencies a:e required to be corrected:
Presented to r__—_ _ __ Appr.-ved
Inspector v, _ - C I Disapproved
Date 41 —
CALL FOR RFUNSPECTION
❑ YES ❑ NO
i ---- - — PLUMBING PERM I T
OF TIGA
PERMIT NQ. t RL�37Ui►4?
CITY RD cmOF1'IAtR9 [-ATE I SSUED t 11 / 5%S'
COMMUNITY DEVELOPMENT DEPARTMENT PRIM,PMT. NO. 87(111146
11125 S w F:au Hi P O.Swc 23397.Tigard.Oregon 97223,(503)639-4175
_(.')P Af.►DR 4Fa'c 16:1a3SW 104TH
TA i MAP/LOT 2S 1 1 4BB SUP: sw-An son a 1 c.?n LT v 11) Hk
I._FIND USE t R 12 prw
LOT SIZE:
ITEMt NOt NO..
WORK CLASSt NSW WATER CLOSET 2 TRAP
USE TYPEt SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPEt VN LAVORATORY 2 TRAP PRIMER
OCCUP.GRP. t R3 TUB SHOWER 7 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO, STORIESt 1 WASHING MACHINE 1
DWELL.UNI Tia t i LAUNDRY TRAY Bl-DO. DPA I N '01A
FLOUR DRAIN
SINK. 1 SEWER (FTS
WATER HEATER 1 :NORM/RAIN (FT ) '1r.
OTHER
PEMARk S If
II
FEE
14LEAK MORGAN PERMIT $117.
16003 SW 104TH
N FIXTURES
is STATE TAX /►�. r?C3
OT HER
C
T V
T
R
A
T TOTAL t t x. i�e
O
R
RECFIPT NO. _. J 3
This permit is issued subject to the regulations contained in Title 14 REOU I RE D INSP'ECTI'ONS
of the TMC. State of Oregon Specialty Codes,toning regulations PLS. UNDERSLAS
And all other applicable codes and ordinances. and It is hereby
agreed that r,ie work will be done In accordance with the plans and PgtiT & BEAM
specifics!ons and In compliance with all applicable codes and WATER LINE
urdinr.rices The Issuance of this permit does not waive restrictive PL jB. TOPOUT
covr nants Contractor and subcontractors shall have current city RAIN DRAINS
bus ness tax permits This permit will expire and become null and F I NAL
void if work Is not started within 180 days.or If work is suspended or
abandoned for a period of 180 days any time after work haq
commenced It shall bci the responsibility of the permittee to assurr
all required Inspections are recILIP!Pd and approved
Permittee gnature
Issued By I / CALL FOP INSPECTION 639-4175
SEPARATE PERMI 17 REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
. IV Im- �
--- aE WEP PE IRM I T
CITY
OF T167A� F'FF+MIT NO. a gEC:?+:1+i4'�
C11YOFTWAIM C)ATE I SSUE V e 1 1/ 5;'87'
OREGON
COMMUNITY DEVELOPMENT DEPARTMENT PP I M.PMT.NO. 970046
13125 S.W.Hall Blvd.,P.O.Box 23397,T-gard,Oregon 97223,(503)6194175
OB ADDRESSs 16163SW 104TH AVE USA NUMSEPe 7,4582
TAX MAP/LOT 291t41918 SUBS sw;ansone ilern LTs 10 Be
LA14D USE s R 12PL)
LOT SIZE%
SEG.TIONs 14 TWPs s RNGs w
WCIRI' CLAE'Sk NEW
USE TYPEI.1 SINGLE FAMILY
The applicant agrees to comply with all rules and regUlation+s of the Unified
Sewerage Agency. The permit expires 120 daave from the date issr.+ed. The total
amount pa•td will be forfeited if that' permit expires. The Agency does not guar
auntev the accuraacv of the location o4 thF side sewer late►-als. If the sewer lei
not located at the measurement given, the installer shall prospm+7t 7 fe-t in
all directions from the diestaance given. If not so located. they installer shall
rijlr -r h_,rFe, a " Top end Side Sewer" Permit .and the Agency will inst, 11 lateral .
—'7`Yr r-l' fir IT� --
F I YTIJF-'E UN I TS s TENANT 1 MPROVEMENT s
PWE L L.. 1,NC UN I TS s 1
NIJ. Or HLDBS. e 1
FEESe
gLE'Ar -- MORGAN V � PERMIT $7.5. 000 1
w 7* SW t 04 TF a CONNECTION CHARGE $1, 100. 1:10
-
N LINE TAP INSTALL.
E
R
OTHER
c pL E Ak -- —MORGAN --
O TITAN PROPERTIES INC.
N 16i'rr:17rW 164TH
R *iraar•d or 47224
C PHONE r 507► 684-6606
T PFf;T S TRAT I ON NO. 0558 TOTAL s $1 , 135.00
0
R
RECEIPTNO. 2
__________ _
_
1 his permit is issued subject to the regulations contained in Title 14 REQUIRED INSPECTIONS
o' the TMC State of Oregon Specialty Codes, zoning regulations F OUf3H-I N
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and
o+dinances 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 arid
void it work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
r
Permittee Signature
Issued By ��,//����
LAG/) L i At I rOR INSPECTION 639-4175
')
--- --- _—._..- ------
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CtiECK APPLICATION DATE RECEIVED:
P.U. Box 23397, Tigard OR 97223 P/C DEn:,SIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to tie Oregon Structuial Code and Fire 6 Life Safety Code, edition.
PROPERTY OWNER:' OWNER'S ADDRESS: _
CONTRACTOR: TELEPHONE:
.TCB ADDi:ESS: l ) ,Z) "l LOT NO. S MAP:
DESCRIPTION OF WORK: `i�� ( 5 2( A)e-4-c ) <J �
r
Ap2rovals Required SPECIAL NOTES
/ o-
CPlanning Dept. 'Reissue !P,-
0 -O Engineering Dept. O Flood Plain/Sensitive Lando
0 Fire Distric` O Sewer Availability
0 Other 0 Other
Items Required
OList of subcontractors
0 Business Tax
Calculations
OTruss Details
O Parking Plan
OLandscape Plan
OOther
COMMENTS:
City of Tib rd B 1 ing Department
BY: '
t
BUILDING PE.2MIT
CiTY OF T1PERMIT PERMIT NO. :
RDurr
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED:_
13125 S-W.Hs8 Btvd.,P.O.Boa 23381.Tipent Oropm 111221,(50)639417S PRIM.PNT.NO. : �'O
JOB ADDRESS: _1G / -31��• —. GLY r-- —�W
TAX NAP/LOT �t.,ft��� ._�_ _-- 8U8�_.S�T//�iYSr��YS - � LT:
LAID USE: _
LOT SIZE: ___ VALUATION: 4SG1 U 1 FRONT:SETBACKS
FRONT: ----�--.---- RiEAR:
WORK CLASS: DWELL/UNITS: LEFT: .---___--_ RIGHT, _
USE TYPE: _ NO.BEDRcwws: � ^
-„
CONST.TYPE: NO,BATHS:
OCLUP.GRP.: 1
OCCUP.LOAD: _
TOTAL AREA:
NO.STORIES: IST: ----. _-ROOF CONST: FIRE RET:----_ -
HEIGHT: 2.11D: _— _ AREA SEPAR: —
i
BASEMki'T: 3RD: ----- OCCUY.SBPAR: _-
MEZZANINE'. IVSEM'T _ --
FLOOR LOAF: �_ GARAGE: _w FIRE SPRKLR: ALARM: __
FLOW (GPM): DETECT: ,
HEAT TYPE, '� a HDCF.ACCESS: _.---- COR-R: -------
PLAN CHECK BY: �' � 4 1-
REMARKS: -
- REISSUE OF NO. 1l -�
SEWER PERMIT: LAST RE'ISS1l B 7 0 g 7-_
W d r3 cj re g a: `L 35- FEES:
N -- -- PERMIT
R _� �C ` /J S PLAN REVIEW �G
_. /
Phone: 4'_���_f�--- -___ �._ FIRE DEPT
STATE TAX _
a dame: __�� '��� _ --- - °v •3 y 0 .-?V
N DSYELOPISSltT .HARGES
T Address :--- SDC (STORK) �--
R SDC (STREET)
C — -- PDC 9
T Phone: `
aw
�4
A _I
TOTAL:
RRCEIPT NO. _
NEQUIRED INSPECTIONS
FO(`TING SEWER
FOUNDATION WAIL RAIN DRAINS
POST 6 JEAM WATER LINE
PI.B. UNDERSLAB CITY APPROCH/SW
SL" FINAL
PLB.TvPOUT
FRAMING
FIREPLACZ
GAS LINE
s`l INSULATION
Permittee Styr►sturt GYP BOARD
Issued By: __ -639_4173
Of Or W
P.O.Pox 23397
CITY OF TIGARD PLUMBING �aBl`d-
Applicants must hold Oregon Rr.gistration to conduct a plumbing PER M IT 634--41.75
business or must be property owner/operator not hiring outside help.
Nww o7 Development
Plumbing Permit No.
Address ----_ - ascription
_ ORS 814-?1.810 QUAN. PRICE AM',
Job Tax Lot Map.No.
Address - FIXFURES
LLot9kx it SubdiNsbn - ------- -- -
Sink 7•50 oU
ams jor-name 9business) Lava-4y - 7.50 )r!!IV
a, "/ + Tub or Tuh/Shower Comb--- 7.50 7 )-"-
Melling Address
Shower Only 7.50 U
-_-- - _- / -
Owner /State -- _ Zip Water 0oseL-- -�-- Z 7.50 j G rJ
Dishwaslier 7.50 _ U
--- Plane ---- Garbage Disposal _ - 1.50 7 5 0
Name Washing Machine i - --- 7.50
Floor Drain _ 7_50_-
a,,rxJ Ad oss Phone Water Heater 7.50 75
_ Laurary Room Tray - 7.50 _
Occupant ily%Stale zip - -- - -- 7.50
Urinal -
amt PFonc Othe•Fixtures(Specit/) 750
7.50 _...
I n Andress 7.50_
Contractor ate ZIP - -- 7.50CnyiSt
MISCELLANEOUS-
City-Bus Tex No. S wor 1st 100' 30.U0 - -
late S State s s-CTri o Sewer-ea.Addn.100 --- 15.00 --
(Residential) Water Service 1st 100' _ 20.00
1 heret�r ackr edge that I have read this app4cation,that the Infonmation Nater Service ea.Addit. r 15.00
given is coned,that I am registered with the State Builder's Board,and also Storm 8 stain Drain t st.100' 30.00
have a State Pkxmbtng koensei that tlx numbers given are correct.that all - -
pkxntikV worst will be done In accordance with alrplicable provisions of Ore—
gon Revised Statutes Chapters 447 end 893 and applicable codes and that M-"lo lore Space 25.00
no help wall be employed unless Ik,*nsed under ORS 9R3 (tf exem4,1 from -- ----- - I
State registration,please gtvt reason balew). Bads Flow Prevention
HOMFOM'NERS-I hereby certify Oat I am the ownw Of Uro property eW Devico or An6-12»Ikltion Dav e - - 7.50
scribed atuive.at which kwAtlon I propose b make a pkonbirg ktatakedon for Any Trap or Waw Not
my own use onA this prop"is not-nakp oonshv(tad for sale,leant or rat Ckinnecled to a Fixture _ _ 750
Catch Basin _ 7.50
--__._-.------------_._-._____..T-.. --------- Insp.of Exist.Pknkofrg--_-_-. _40.00 Per Nr.
------ - - - -- —_— -- ------ Std' -f'P4KKJO W InspsWooe - 44.00 PM Nr
AJlar.of Plumbing within
--- an Existing Bldg. 15.00 min
--—_ --- Near Bag.or ala.& Adauon 25.00 min.
A_LFW MZED BIONATURF Dale -
air_Yale fa ll' --
Describe worts now[-] a(didlon[] akeratkxl 0 repair C7 c�lIn
119 be dafte residential I "( non-resk9enflal
ExWirV oils of
buv*v or properly. - - -— ----- - OIWTOTAL
PrIaIposisid u"o1 -. - - - _ 'S 3^d NMOIIAl10!
w1aftor pl0perty TOTAL
NOTICE
Tt1lo pion, becomes mA and wokf M work or oonatruorm aullwruad is nut cam --- -- 1 �
wienoed w11111n tf14 dqe w M oonmkurAkon or work r o apwi&vd or abwukxiod kit
spa of 1110 days all any rme tier work M oannwrwed
M111111dAL 00HOfYlO/tJt ---
Dote IsquWI C1' -- --- -- ----- -
------------- ---- _-----_— _— _.-------- - (X1D"o I I 1185 trrw
CITY OF TIGAED MECHANICAL PERMIT Receipt#Permit#
Descrlpuon -_
Table 3A Mechanical Code _ CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee v ) 0 10.00
P.O. Box 23397
Tigard, OR 9722.3 2) Supplemental Permit _ 3.00
639-4175Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
2) Furnace 100,000 BTU 1 7.50
incl.ducts_&vents
Namo of Devokrpment 3) Floor Furnace Y 6.00
;ncl.vent___
Job Address -` 4) Suspender)heater,wall heater tt 00
Address `(� <. . '- � or floor mounted heater
Tax Lol Map No J 5) Vent not incl.in 3.00
Lot Block subdivision appliance permit
Name(or name of business) 6) Repair of heating,refr Ig., 6.00
cooling,absorption unit, _
Mem g Address L—�r'rwne 7) .00
Boiler or comp to 3 HP 6
Owner absorp.unit to 160,000 BTU
city'slate ,p 8) Boiler or comp to 3 HP-15 HP 11.00
_absorp.unit to 500,OOC BTU _
-� Name ^9) Boiler or comp 15-30 HP 15.00
uosorp.unit 1/2-1 million
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million v
Contractor Gltystate _ Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus Tax No 12) Air handling unit to 4.50
10,000 CFM
13 Air ha,idling unit W 7.50
1 horoby acknowledge that I have read this Application that the Information given is ) 10,000CFM +
co(nea,that I Arn the owner or authorized agent of the owner,that plans submitted are in -- —
c mrpliance with slate laws,that I am registored with the State Builders'Board,that the 14) Non portable 450
number given is correct(it exempt from SIAte registration please give reason below) evaporate Cooler
15 Vent fan connected 300
to a single duct
- -- 16 v Ventilation system not 450
included In appliance permit
17) Hood served by 450
_ mechanical exhaust
Signature(owner or agent) f/Ale ) Domestic type
Describe work ❑� addition [:Jslteration I 1 repair Ll 18incinerator 7.50 -
to be done _ r Isidentlal ❑ non-residential I It 9) Commercial or industrial 30.00
Fxisting use of type incinerator
building or properly^ — 20) Other I.e.,woodstove water 4.50
Proposed use of heater,soler,clothes dryers,etc.
-
building or property- _ 21) Gas piping one to four outlets 2.00
Type of fuel - oil I-1 natural gas ❑ LPG ❑ electric ❑
22) More than 4-per outlet r
NOTICE SUB-TOTAL
THIS PERMIT BECOMES HULL AND VOID IF WORK OR CON-
STR'1CTION AUTHORIZED IS NOT COMMENCED WITHIN 180 $sfp 456SURCHARIiE
DAN S. OR li' CONSTRUCTION OR WORK IS SUSPENDED OR PIAN REVIEW 28%OF SUB-TOTAL �D
ABANDONED FOR A PERIOD OF 180 DA.S AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL
Spedal Conditions
Date issued_ by - I
I -