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10945 SW 108TH AVENUE 10945 SW 108`!.'H AVENUE i w L .N co O 3 un rn O wrw l w ILA I Y gar- i IUAKU MLILMANICAL PERMIT Permit N `-fie'0 Description City of Tigard Table 3A M itettanical Cnde OTy PRICE AMT � �- --- - — 13125 S.W. Hall Blva. 1) Permit Fee -0 -0- 10.00 P.O. B 3x 423397 ---- -- -------- Tigarc;, OR 97223 2) Supplemental Permit 3.110 639-4175 Furnace to 100,1'00 BTU - 1) 6.00 incl.duct;&,tents , Furnace 100,000 BTU + 2) incl.ducts f3,vents 7.50 I oevokpr,,e, _— ' Floor Furnace� Nome G C ,t 2`SC 3) incl.vent 6.00 Job Address 4) Suspended heater,wail heater 600 Address 1�'�4 SStJ b C� �1B or floor mounted heater — _ n.Loi Mat,No ---�- Vent not incl.in Lot Bkhck Subc-vision 5) ._appliance permit 3.00 — .0 a Name(or name M business) 5) Repair of heating,ref Ig., ti 00 cooling,absorption unit Mailing Address Phone- Boiler or comp to 3 HP Owner 7) absorp.unit to 100,000 BTU 6.00 city/stale — _.I,`__---- _ Boiler or comp to 3 HP-15 HP el absorp,unit to 500,000 BTU 11 OU Na Boiler or comp 15-30 HP ���p �) absorp.unit'h 1 million _ 15.00 -- Mailing Addr..e �D P,� 1,, Boiler or comp to 30-50 HP - absorp.r:nit 1 -1.75 million 22'50 Contractor State - -Ii; -- Boiler or comp to 50 HP i 11) absorp.unit 1,750,000 BTU 31.50 .,lata atop No City Bub Tex No t 2 Air handling unit to 4.50 r e./ 380 ) 110,000CFM -- I hereby acknowledge that 1 have read MAY ar%ilwat", tthal ttm intxmatam given w•- 13) "fir handling unit 7.50 — correct."tat I am the owner or autx>rtz►i agent of tie ownor,that Plans submitted are in -- 10,E CFM 4 `-- — r"rg Manes with State lawrx.that I am registered with live Stats Wilkle s &hard,that theNon portable mt n ber given is correct (M exon,rt from State registrattnn bleeds(live reason 14 below) ) evaporate ca3ler 1.50 15) Vent fanconnected ----- �-- ---- 3 JO T to a single duct - - -- 16) Ventilation system not 450 included in appliance permit - 17) Hood served by 4.50 mechanical exhaust sMtinixis to ter or aganl) - nate Domestic type 19 7.50 Describe work F) addition aNeration (R�repair O _ ) incinerator to be done residential non-residential Cl t 9) Commercial or Industrial E.xisti use of type incinerator _ 30.00 building or properly .._-_ �� •t Other i.e.,woodstove,wafer 50 Proposed use of 20) Other solar,clothes dryers,etc 4' building or property - _- -----••--- 21) Ass piping one to four outlets 2.00 2•� Tvpe of fuel- oil i ) natural gas LPO C] electric l I - 22) More than 4-per outlet SUB-TOTAL 75 S THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ---- -- -- S'rRUCTION AUTHORIZED IS NOT COMMENCED 'WITHIN 180 5%0 406 SURCHARGE � DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUWTOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - ---- - -- WORK IS COMMENCED TOTAL Special Condlti:►ns - _- ----_--_- Dole issued_._ / by INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 hone: 639-4171 Type of Inspection Date Requested Tir(j�—I — A.M. P.M. Address Permit # Owner Lot # Builder The following Building Code deficiencies are required to be corrected: 0-e Presented to /r Approved InspectorLI Disapproved Date CALL FOR REINSPECTION F-1 YES � NO t w S F BUILDING PERMIT APPLICATION TIGARD DATE .aL1r-i___ ,t9._ ; 482E THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR I HE WORK HEREIN INDICATED BUILDER PHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS,SND SPECIFICATIONS. OWNER PHONE LOT NO. OWNERJeff Nirmth JOBADD_RE_SS 1()j4,5 4,4 1(jath _ _ _ til, Bull rark _ i ARCHITECT ENGINEER BUILDER B b J Contractor ADDRESS 6475 "!W CorAelius DESIGNER STRUCTURE ❑ NEW EX.REMODEL ❑ ADDITION ❑ REPAIR U RENEWAL ❑ FIRE DAMAUE ❑ DEMOLITION F�,1 (cSIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 1-J GARAGE STORAGE ❑ SLAB_❑ FLW E OCCUPANCY -A=1--LAND USE ZONE K^'4.58LDG.TYPE 24 FIRE ZONE PLAN CHECK BY T "W HEAT Additia:► to si►nzle fanitywt11i►i. 16 >;_16 luft._ All per p1a:Lsv. :lutes and code regtArements. SEWER PERMIT# sore Biu Yltu.bing, OCC.LOAD FLOOR LOAD _HEIGHT NO.STORIES 2 AREA 256 NO.BEDROOMS _VALUE I , ►►(i�% BUILDING DEPARTMENTSET BACKS FRONT REAR PI.AAS LEFT SIDE RIGHT SIDE _ Permit i ! u. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED W THE BUILDING CODE, ZONING REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 5t).23 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 142.13 _ REST:iICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 3.46LICENSE.SEPARATE PEPMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Total 146. 191 SDC- ._. PDCM APPLI�ANTOAOENT- J� By ---- Lai ---- 7 1_. Recelpt No Approved L"i'k' ADD E88-�------�-- �`---'- PHONE DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE /S'o�9-� _-_� r .• CI"i`-� --_---_�--- Contractor Permit No. — �/q.QC� Ruugh•in � fr<ture — ------ -- ----- Final — HEATING [E.nhartor --____--�--_ Perinit No. Gas or Oil "— -- Rough-in Final --- -�. ---DRIVEWAY — — —�- ---- — — ----- Final -___--_----- Storm Drainage _ (Main Drair)Final Sidetwik Curb&Strewt Final App nach BLDG- DEPT. FINAL - TEMPORARY CERTIRICATE OCCUPANCY - -- CER7IFiCATCOCCUPANt ' �tceuing I i �ui. Filial 1"NE UNDERSIGNED HEREBY APPLIES FOR APEHMIT FOR THE WORK HER IN INDICATED BUILOCRP`iowE� -3301 OR AS SHOWN AND APPROVED IN THE ACCOMFANYING PLANS AND SPECIFICATIONS. OWNEPPPVOt r ` LOT f`IO_,�.1�. •jWf4EW t l .,� SOB AODR�S� —� 1, �sL1 _- ,tom L ARCHITECT FNr,INEER null-7z.•Z I' -„ AOURES-5 �� i� /,(�+�7 nESIG.V::R - STgLIC T_U_RE — 04EW n kin0EL ❑ADO'T;ON - L❑R"P;,IR_ ❑RENE':/AL � LIFIRE DAMAGE 00ECdOLITI -RESIL�E'IC E ❑CO►1•Il1 ❑EDUCATIONAL ❑GOv'T ❑�:ELIGIC`US DPAT14 UCAR PORT ❑GARAGE u STORI+GE EISLAB ❑FEt, CCCUPAt,'.:y _LAND USE ZONE -!fl 01 nr TYPE-I_I— FIRE ZONEm-- PLAN CHECK BY "" "`^� HEAT -jotC�..1� a.,,.? - —T 3EWE:R VS;S,_L_0p _�QQR 1,040 kl HLt10.STORIESy ARE �I 1� NO.9EDRC)nA"15 _ LUE�/_ 51 JIL07KG DEPARTMENT —� SETBACKS FRONT �"tic.--�- W kil �..AyL�FT SIDE RIGHT SID�E�' 7 —!' THIS PEPMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON :;-:.;n Check �j 1. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT 1 r---, T— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COhIPLItNCE Y: 5'.tti C�tdl I 7 $ ALL APPLICABLE CODESAND OROINANCES" THE ISSUANCE OF THIS PERMIT DOES NOT WA RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFtJT CITY SUSIN :ilt+! Tax I LICENSE. SEPARATE PERMITS REQUIRED FCR SEWFR, PLUMBING AND HEATING. Tura► SDC' C '� PDC — --- APPLICANT OR AGEN- — LAp Receipt No '----"- SOC - PDC - $ SEWER CONNECT ON $ SEWER INSPECTION $ SEWER SURCHARGE $ , I - Comments : �L � - L � n (�� _I�I'�-' �I )A ��).�„ 1�*,1 I ADDRESSU � PERMIT NO. ) � �-� PERMIT CHARGE / none OWNER �- �n-�� L�dw�.t� . CONNECTION FEE ro > r PAID BY TYPE OF BUILDING - DATE CONNECTED SERVICE RATE _ /� INSPECTION F 'E CONTRACTOR PAID BY DATE �•� ASSE55MENT PAID SIZE OF CONNECTION — MI-DING DEPARTMENT, T: ;AFRO N° PLUMBING PERMIT Lr • holder of a valid plumbing contractors licanse is hereby authorized to cause plumbing work s herein noted to be installed in accordance with the plumbing code of Tigard. Such installations regrlir:! inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Dat Owne '�4^1�11�K __Address._ _,�� _ _ NUMBER OF TOTAL PERMIT NO:S TYPE OF PERMIT _ ITEMS FEE ON EACH AMOUNT (of(ice We Only) Single Fami11r__1 b1th—each ..25.00 —_ _ ` O 0 — Duvlax—Each 1 bath unit 2500 _ Additional bathroorns-each / _ _-100x_.—_._. d --•--- ' Ntobile_Home Spare INDIVIDUAL FIXTURE FEES �1 M 50 Fixtures In 1 bt_ildinj::,tech — _ .00_ _ 51 to 100 Fixtures In 1 buildin.7edch—� 2.50 101 to 200 Fixtures In 1 building. ia�ch_ _. 2.00 201 or more Frxturos in 1 bullding.–gach 1,50 Bui dirr Sower lit 50 f- 10.00 Sewereach additional 100 ft._ _ 10.00 - --------._ Wvar Service to buiWin __—_ _8.00 _P irate Water Systems_such 100 ft. _ 10.00 _PE RMIT for Plumbing lnsrw.rian Phejm, 629-1171 31et Stam or Plurnb;r,) Contractor By TC)t'Al. (r,• d RECF..IPT No. Issuad By i 1,� ., '�,tS,�gf�•r -qf-' �c.-,�pc•..„rn.vstr•.qv„�,,•..�.y�,�,•..-��IartKr,.._.-,�.. BUILDING PFRMIT APPLICATION 11T TIGARD DATE_OF ___ THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON� LOT NU.___ OWNER �ivmr laud L•uost. JOB ADDRESS 0945 SU 10bth Atte. HOME ADDRESS -- ARCHITECT BUILDER •.E+1 R1{� ENGINEER ��-�-77 ADDRESS _ DESIGNER STRUCTURE 'laltW _❑RFMODEL ❑ADDITION3RREPAIR ❑RENEWAL ❑FIIIR--[:1 STORAGE ❑DEMOLITION ❑ O CI'MiSIDENCE CMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE STORAGEDSLAB ❑FENCE ❑BOND _ ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW GCOUNCIL APPROVED ❑SIGNS OCCUPANCY "'�'3_LAND USE ZONE It BLDG.TYPE ..FIRE ZONE' _ PLAN CHECK BY- ¢i U HEAT pLLL, �onrtt. sintilci, ramlly uwejLln�j wfetitw Ctrl c yaja�,( bcKdri,;,ra ;d beth _ FTlssta: car' permits 1820 y81tuqN 480 Sauer QAC_LOAQ__ FLOQj� LOAD ,f� HEIGHT N_Q'jIQgjE I AREA I”' 97 No.BEDROOMS^i VALUE 40 `""`• BUILDING DEPARTMENT SET bACKS FRONT Lq REAR 494 LEFT SIDE IV RIGHT SIDE 12 " Permit 16 • 00 -- THIS PERMIT IS ISSUED SI1".:ECT 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 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SUb-total 1'10.030 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO'r WAIVE REF-iRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY HLISINFSS State Tax 6.40 LICENSE, SEPARATE PERMITS RFOUIRED FON SEWER, PLUMBING AND HEATING. Total 176.40 P*D*C• ! %1011. By APPLICANT OR AGENT Approved LZ5 `"' Receipt No A DATE INSP. TYPE INSPECTION REMARKS r•'_UMBING DATE j— Contractor Permit No. — ��4Qi' s w ------ Rough-in -- — �J �r Fixture t i/ Final HEATING Permit No. Gas or Oil L Rough-in 1 �✓ i - / i/ Final SEWER Final DRIVEWAY Final Stoll Drainage lRain Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY r C! RTIFICATB CXVPANCY Final 1 Landscaping ton ng Final miiikffiii �� SEWER PERMIT ' 1589 UfUnifSewerage Agency of Washington County CITY OF T; ggard DATE _ 5-5-78 OWNER: R,iunriinnd Count — PHONE : OWNER 'S ADDRESS: TYPE OF ?NSTALLATION XQ>BUIL.DING SEWER ❑ BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ��"1EW ©hINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MUL.T. RES. ❑ INDUSTRIAL FIXTURE UNITS_ DWELLING UNITS 1 ADDRESS OF STRUCTURE : 10945 SIJ 108th Ave. PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE- HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 2�,. CONNECTION CHARGE 600• SIDE SEWER INSTALLATION B. Greene OTHER ISSUED BY TOTA 625. !�� APPLICANT DATE LV--- 1. " SEWER PERMIT M 15889 ADDRESS OF STRUCTURE 10945 SW 108th Ave. TAX MAP TAX LOT SYSTEM fanno creek LOT 12 BLOCK OF r - i.iA5-5-78 i r1 e n _ APPROVED BY DATE ISSUED BYDATE D. Lt. ' S 1 REMARKS bldg. x/2075 oUILDING PERMIT A PI'EICA"i-ION C�FY TIG HF LINDE NSIGNED HEREBY ,'APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED eU1LaERF'HONE_ �S SH;WN AND APPkUVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. OWNER PHONE /�E f'. a LOT NO. KVF�G( JOB ADDRESS �� V '�"� HOME ADDRE 55 _ ARCHITECT ENGINEER DESIGNER :"T URE_ -�[:A EW0REMODEL OADDIIION LPAIR �=ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION DFNCE OCOMM_OEDUCATIONAL D_GOV'T ORELInIOUSOPATIO OCARPOR7 ❑GARAGE OSTORAGEOSLAB ❑FENCE !W"ND OMOVING� OCONDITIONALUSE _ ODESIGNREVIEW ❑COUNCIL APPROVED []SIGNS__ HEAT__ L AND USE 7.0 'BLDG-TP -FIRE LONE� PLAIJ CHECK BY - - - -- —--- -- hI EA) "1 lQ lJEVP-MMS VALUE_N v F I Q0B-LQ9.Q._ H_E1�+HT. tel[-----NQ._fiIQRIES L� - - -'- � l F F1 SIDE RIGHT SIDE It Itt L)lN,• l EPnRTMENT REAR -L='t'-_ _ _j—_ - SET BACKS FRONT t THIS PERMIT IS ISSUED SUBJECT TO T,4E REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING elan ;'hIE.Ck. Q REGULATIONS AND ALL 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 Sub •(,tal ALL APPLICABLE C)DES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- -- _ - -- RESTRICTIVE COVEN.",WTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS vital, tax . <lU LICENSE SEPARATE PFRMITS REQUIRED FOR SEWER,.... PLUMBING AND HEATING. BY APDL ANI pR AGENT ... .._-- App. ,,rr1 Re ip1 No. i C'L / �, /y�F 0- I'd ••`Ajt'ch(�nicc�l Permit T .� Permit—_ 00 .\ Fee_- �Z ❑ ❑ I State 3� New Ins:allation Re:jla:e �� Relocation ❑ Addition Alteration T � OTAL.._-�.-�'_r__-- OV,'NER ---- CONT•RACTOR AD - ORESS _.__ 's.L_ �r7�' _ WORK ADDRESS�y�Is;�SG� _. � . PHONE _ 97- �� __ —� APPLICAN'; Heat Input Rating (BTU Per Hour) _ZYf 9 Vent Size _- _ -____-- f=lue Size FUEL OIL ❑ GAS ❑ ELECT 12 . OTHER -- --- ---- -- -- --- - ITEM NO. FEE ITEM NO. FE 3.00 Air Conditio,,Compressor 15 to 30 HP 10.0 For Issuance of Permit _ — -- i ----�—i-_—_ 3 0 New Under 100,000 BTU - 4_.00 — Air Handling 10,000 CFM _ �-- ----- ( 5.00 Air Handling Over 10,OOu CFM 5.0 New• 100,000 BT_U S ever --- 4.00 u—EvapurativeCooler Floor Furnace `�---,__ _ _ _ __ _ —� --— — 2.0 Wall . Floor Suspended -_ —�, 4.00 Range Veit Fan- _ —_ _ 2.00 Vent System 0 •- Install Vents Only __ __--__ _ — Repair • Heat & Caoling - - _--_ 4.00 Hood Commercial _ —„ —�_3.0 ._--- 4.00 Commercial Duct System 100 Air Condition Compressor Under 3 HP __- __�.__.___._._.—._.---------- ---------- 7.50 %ir Condition Compressor 3 to 1S H INSPECTOR'S CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED By _ --_. —___ ._-- DATE .----------____-- ISSUED BY--.-.--,___.— ___.___-- DATE _---_--,-- RECEIPT NO.- --•- --��ry~ _.. __ _