16652 SW 108TH AVENUE a �
16652 SW 108TH AVENUE
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CITY OF TIGARD PLUMBING Li14) _�W Bill "kti.
l ityud CR 9722+
Applicants must hold Oregon Registration to conduct a plumbing PERM IT X175
business or must be properly owner/operator not hiring outside help.
Noma of Oeveloprrenl J`7 �. .
Plumbinµ Permit No
y7 (NmOripNon —-
/ OO ------ _ ORS 614-21-610 DUAN PRICE AMI
Job Tax Lot Map.No. ----
Addnaa
-- . FIXTURES
Loi 8locttb�l(/��� Sink -- _ _y 1.50
ams «name ss �p Lavatory - 150
Tub a Tub/Shower Comb �_ - 150 -
Mailing ess / Shower Only
OwnerCloset
� 150
CJ -3 Z/ Zip oseWafer Clt ? 7 S.0
i tefe -_ -- - - 1_ .
(Nshwasher 7:V0
Phone ,arbage Disposal ,I1
Name Washing Mach rw '.0 t
Floor Dram
1r(aif«ig ICi3dress - Phone 50- - Water Healer _ � �
Occupant C
Laundry Room Tray
ity/Stele-- Zip _ .---
Urinal
ar a Other Fixtures(Specify)i�� (�S-v (6 1`�
L 1 so -
ess P"" so
D 5 cc J
L)le le, N -� __ ?so
Contractor mate Zip -
MISCELLANEOUSCL _ -
City Bull. Tax No S41wW 1111111 100' 3000
ySewer♦e AWN.100' 1500
state NO State s s '-No
(Res�denrial ) J7S Water SNvloa 1a 100'
111eby�e that_I-have-read this w4vicatkxn,that the MkxmalJon Witter SiNba ea.Affdfl. r W 1500
glum is carred,ow 1 ern ragiatwad with the State pitch's f3cwd,and also Storm&Rain Drain 1 M 100' 3000
have a Slee Pkx7t*V Goorwo that the numbers Qtven are oorrsct, that all --
Pkxnbwp work will be done In acaordanov with applicable Pn7Waxec Of Cke Storm i P•Jn Orcin Addh 100' `_ 15 Olt
gon Revised Sta�Chapter*441 and 193 ord applk 11100 codes 4*1 trial Mobile Hone Space 2s Op
no help will t»employed urOm Noa»ed undo ORS W1 (11 exempt hrxn - — --- -
"Law regret~.please plus reason below) Bach Flow Ptwsrtlan
Device«Mtl-('ollution Dome 1,50
►K.7MEO1'VPIEfiS-1 MrMfy certify and I am the owner o1#,*prr�erty de ----- . -
wyt»d above,el which locallon I propose to maim a pkrO*V 'r'kw Any Trap« eet
We Not
my own use and ado prop"is not bskrg axm*xx* d kx sab.lease or rem Connected W a Fixltxe -� 1,so
Catch Basin 1 so
inep 01 EI Mt.Pkari N - _ 40.00 Pot Ht
N 40.00 Psr Hr
sp.a. R.Que.t.d apeotlor+a
After of Pliant"vrNhM1
an Ex%"OW9
1111100 nWl
U'll"MIZED 8K)NATURE -� / ; ode •at Build,Addition - ^w`
U3W1j_"`_L11V fatal
Deacrltl•worts now[] SWItion❑ adhration[] repair n C%eu lrt�_— l 15.111
ideMial non-reeldendal
F Q use of
bOft v►Ixor" VJWTOTM
UWA CA
bd«p apArTY
Tata Pim l bommm ftA and roll M work or c oretuollon uAwn+ed Is not com
wtwwed Wdri Mt daN4w•Sita"n ies"or wore M almpadsd or abardnr.ed kv
soft CA W ft-0 M any see @Ilia worts to noiftwarood
01" taeusrl / _ by
ew amtr
BUILDING PERMIT APPLICATION DATE �s_ ft7 &744
THE UNDERSIGNED HEREBY APPLIES FOR A PERMi(FOR THE WORK HEREIN INDICATED BUILDER PHONE 684...7543
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAI ION'). OWNFFI PHONE_ _
OWNER .1t' y Mi l.i.ur JOB ADDRESS, .166 32 SW 100t:h1!,"p. LOTNO--� Drover Nand^
ARCHITECT
BUILDER ADDRESS P.O. r3ox. 232.91. Ti~ENGINEERDESIGNER tfulto
STRUCTURE___�EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑_DEMOLITION
_
ETRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE El STORAGE O SLAB❑ FENCE
777,
OCCUPANCY Ci3 LAND USE ZONE BLDG.TYPE FIRE ZONE,_PLAN CHECK BY HEAT
><ZZKX1jX)70 j5Xt X �Consati-ucr singlo f ly dwalling w a - ars acT gal:aue, n j per
t approved plans.Subjoct to 85 code. TIS313 of 6557
SEWERPERMITM 3439tlduj 3 bath13 ::t'c' ps
OCC.LOAD FLOOR LOAD 110 HEIGHT 20 NO.STORIES AREA 1599- NO.BEDROOMS --515 Tm
UE
BUILDING DEPARTMENT SETBACKS FRONT REAR 4 LEFT SIDE RIGHT SIDE Vj-�
Permit fps''(.)(1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
40.00 UU I 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 AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax T 94 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Tott --- SDC— t.Wu.UU
� i PDCM 11 250.0 APPLICANT00"WO NT
By
_91l.U t3 ` --
Receipt No. v�" %.q�
Approved }I�C1 r ADDRESS s PHONE
DATE INSP. TYPE INSPECTION — F.MARKS PLUMBING - I DATE
1--— —+
�t Contractor b� S
o4V Arnit No.
J �E/ fixture
Final
HEATING
Contractord 1 e% s• 20.8-7
---
Permit No. .�
9 n� D✓L Gas or Oil
Final
SEWER
Final Z Z 1
DRIVEWAY
Final
Storm Drainage
—— (Rain Drain)Final
S idewal k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final y
CITY OF TIOARD MECHANICAL PERMIT
Permit# yam?
Description
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 BTU
1) incl,ducts 8 vents 600
Furnace 100,000 BTU t
2) incl.ducts&vents 7.50
,J Name of Development 3j Floor Furnace
(c,�"7 y incl.vent 6.00
Job Address ---- — Suspended heater,wall heater
Address 4 6.00 —
_ � (p �, �. ) or floor mounted heater {
TeX I of Map No_ 5) Vent not incl.in
Lot Z F Hkx k appliance permit 3.00
Subdivision
Nam or name of business) 6) Repair of heating,refrig.,
cooling,absorption unit 6.00
Owner Mei g ssF''x�;,r; -- 7) Boiler or comp to 311P
absorp.unit to 100,000 BTU 6.00
ciiyistate Zip - 8) Boiler or comp to 3 HP-15 HP
_ absorp,unit to 500,000 BTU 11,00
Name 9) Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Mailing Address prp� 10) Boiler or comp to 30.50 HP
absorp.unit 1 -1.75 million 22.50
Contractor - --
C tyista!e --- ilp 11) Boiler or comp to 50 HP
_ absorp.unit 1,750,000 Bl U 31.50
state Registmllon No — CNy g,m Tax Air handling unit to
12) 10,000 CFM 4.50
I hereby acknowledge that I have read this000 CFM +Air handling unit _ 7,50
ehetbr the information given is 13) ,
correct,that I em the owner a authorized agent oof f the owner,
trial plans sutxnitted are in 10
cornOtance with State laws,that I am registered with the Slate Sullders'Hoard,that the 14) Non portable
number given is eortao (11 exempt from Slate reytsf•allon Blease give reason below) evaporate cooler 4.50
Vent fan connected
to a single duct 3.00 �oJ -
16) Ventilation system not
Included in appliance permit 4,50
17) Hood served by
slgnet,rs(t>Mner or ) __ mechanical exhaust 4.50 tC
J
Date 18) Domestic type
Describe work/) g addition ❑ alteration (I repair ❑ Incinerator 7.50
to be done 1 residential non-residential ❑ Commercial or Industrial
Existing use of 19) type incinerator 30.00
building or properly _ _ 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property. -
21) Gas piping one to four outlets 2,00
Type of fuel- oil I ) natural gas I I LPG [] electric ❑ -- - --
22) More than 4-per outlet
WME --
1HIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL 3y6-V
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2t3'X.OIc SUB-TOTAL
ABANDONED FON A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL y
Special Cornlftions ^ J,
- Dale Issued.-_.. ��\� 1by
�tJ
PLAN LHLLK NU. S • 3 3 "
tar inspections call 639 -4175 PERMIT NO.&
CITY OF TIGARJ 639.4171 DATE
BUILDING PERMITg SUBDIVISION
P.O. Box 23397, Tigard OR 97223 TAXMAP LO'NO.
JOB ADDRESS (G 4' �'` S W. IG
OWNER - (�./6 �'T
BUILDERi _ STATE REG.NO. EXP.DATE -
BUILDER'S PHONE _ (5-y3 u
r' 4- � ,,,— PHONE OTHER _ --
ARCHITECT____,�L�_ T
ST URE P�NFW (I REMODEL ❑ ADDITION El REPAIR ❑ MOVE C) OTHER L) DEMOLITION
RESIDENCE C) A
(' MM ❑ EDUCATION C) IND C1 RELIGIOUS ❑'ACCESSOfAY (J GARAGE U OTHER ❑ FENCE
w�.. 5
OCCUPANCY LAND USE ZONE BLS•TYPE „�C-�FIRE ZANE_�_"N CHECK BY ►1£AT - -
Construct single fami I dwei l in
Subject t_8... cede. ----
_
SEWERPER►UTs ;9 (Idu)_3`baths, 1 traps 9driiflP area X00 r
'�'"'>•'"— i� NO.STORIES �' AREA /, `+ NO.BEDROOMS � VALUEJ � 0�
OCC.LOAD FLOOR Lwin': ei M HEIGHTS --s—
BUILCING DEPARTMENT — SET 8ACK5 FRONT ,wt REAR 4& LFFT SIDE RIGHT SIDE
[Ptan
Pnmlt / THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE GUILDINO CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES ANV ORDINANCES,AND ITtS HEREBY AGREED THAT THE
Ct+eck YAP ..• WO'AK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
rye ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck Fkil RESTRICTIVE COVENANTS.Cr)NTRACTOR AND B CONTRACTORS TO HAVE:. IRRENI CITY BUSINESS
TAX PERMITS.SEPARATE PERMIT REOUI D FO SEWER,PLUMBING AND HES."1NG,
Slate Tai L 5`'� j y,1,L
SDC - --
Total ADPL
-- PDCI �
Prepd. �• PN(1NI
Recelpl No ADDRESS
us,.Due �� y
.— .._Approved By —.-
IssuSSDCed By/vv_SSDC
SOC •• b� — RECEIPT a - d
POC �—� / y'y —
DATE PD.
SEWER CONNECTION 8 �+ _ AMOUNT PD. _
SEWER INSPECTION S
SEWER SURCHARGE S
:o mm e n t e :