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CITY OF TIGARD MECHANICAL PERMIT Rgceiut#
Permit #
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard -
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 -- -
Tigard, OR 972L3 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.duots&vents 6.00
Furnace 100,000 BTU +
2) Incl.ducts&vents 7.50
Name of Development Floor Furnace
. . 3) 6.00
Incl.vent
Job Address Suspended heater,wall heater
Address ) j 1 "uj % ,'r r �,� 4) or floor mounted heater 6.00
Tax Lot Map No - Vent not incl.in
Lot Block Subdivision 5) appliance permit 3.00
Name(or name of business) Repair of heating,raft ig.,
6) cooling,absorption unit 6'00
Melling Address Phone 7) Boiler or comp to 3 H P 6.00
Owner -D v ) absorp.unit to 100,000 BTU
Cify/State ZipBoiler or comp to 3 HP-15 HP
a _1 8) absorp.unit to 500,000 BTU _ 11'00
Naml Boller or comp 15-30 HP 15.00
9) absorp.unit 112-1 million
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
r absorp.unit 1 -1.7:million
Contractor �
City'State ZipBoiler or comp to 50 HP
11 absorp,unit 1,750,000 BTU 31.50
rate
tratio CityBus.Tax No. 12 Air handling unit to
) 10,000 CFM 4.50
1 hereby acKnowledge that I have read this application that the Information givenIs 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM +
complienco with State laws,that I am registered with the State Builders'Board,that the Non portable
number given Is correct.(If exempt from Slate registration please give reason below). 14) evaporate cooler 4.50
J—40,'�,� - ��• �L --- 15) Vent fan connected 3.00
to a single duct
18) Ventilation system not 4.50
Included In appliance permit
1, Hood served by
17) mechanical exhaust 4.50
Signature(owner or agent) Date Domestic type
Describe work O addition Cl alteration ❑ repair [1 18) incinerator 7.50
to be done residential I I non-residential ❑ Commercial or industrial
Existing use of 19) type incinerator 30.00
building or properly 'R� r'"' d 20) Other i.e.,woodstove,water y 4.50
Proposed use of heater,solar,clothes dryers,etc ;
building or property _ 21) pas piping one to four outlets �' 2.00
Type of fuel- oil C] natural gas 11 LPG I I electric IJ
22) More than 4-per outlet
NO—TSF SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON --- — --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 40/6 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDLD OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -----
WORK IS COMMENCED. TOTAL
Special Conditions!_
--- — ---- Date issued __�_. by.
N 1
CITY OF TI GAR ® MECHANICAL PERMiT Receipt#
Permit#
De scription
City of Tigard Trols 3A Mechanical Code —
CITY PRICE AMT
13125 S.W. Hall Blvd. 1) Permit Fee -0- 0 10.00
P.O. Box 23307
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
inc! ducts&vents 6.0,.
�
2) Furnace 100,000 BTU + 7.50
Incl.ducts&vents
Name of Development Floor Furnace
3) incl.vent 6.00
Job Address Suspended heater,wall heater
Address i j .i 7/ 4) or floor mounted heater 6.00
Tex Lot Map No. Vent not incl,in
Lot Block Subdivision 5) appliance permit — 3.00
Name(or name of business) 6) Repair of heating,refr ig., 6.00
1 cooling,absorption unit
Mailing Address Phone Boiler or comp to 3 HP
Owner 7)Lir absorp.unit to 100,000 BTU 6.00
clty/State Zip Boiler or comp to 3 HP-15 HP
8) absorp,unit to 500,000 BTU 11.00
Name , 9) Boiler or comp 15-30 HP
absorp.unit 1/2-1 million 15.00
Mailing Address Phone 10) Boiler or comp to 30-50 HP
Contractor '/ �'� r�• '? ) 1 ? �? ; absorp.unit 1-1.75 millic.l 2.2.50
City state Zip Boiler or comp to 50 HP
11) absorp,unit 1,750,000 BTU 31.50
.��;• 'r"X11/, —
Stale Registration No, City Bus.Tax No. Air handling unit to
12) 10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
correct,that I am the owner or authorizer)agent of the owner,that plane submitted are in 10,000 CFM 4
compliance with Stale laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct.(If exempt from Stale registration please give reason below). 14) evaporate cooler 4.50
15 Vent fan connected
to a single duct 3.00
---��� ---��� 18) Ventilation system not 4.50
V ._,�, 3 �f _��, included in appliance permit
Hood served by 4.50
_ 17) mechanical exhaust_
Signature(owner or agent) _ Date Domestic type
Describe work 1-1 addition 0 alteration I 1 repair ❑ 18) Incinerator 7.50
to be done residential U non-residential I _I Commercial or industrial
Existing use of 19) type incinerator 30.00
building or properly_. �f � � 20) Other i.e.,woodstove,water 4.50
Proposed use of _—heater,solar,clothes dryers,etc._ G
building or property—.---__ 211 Gas piping one to frn,r outlets 2.00
Type offuel- oil I I natural gas LPG 1 1 electric I — -
22) More than 4-per outlet
TIDE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---- ---
WORK IS COMMENCED. TOTAL
Special Conditions
-- — Date Issued by,
/ P.O.wx ZIN/
CITY OI' TIGARD PL_ UM BI NG 13125 93v3 �1 ti�7223 J.
Applicants must holo Oregon Registration to crrsdtxt a plumbing III:R M F F 639-4175
business or must be property owner/operator rwt hiring coutsioe help.
Name of Devebpmenl 53D 2
PlumbingPermit Nor.
At dress [insorption
CC 3 %.� ��. L�t //,Y-&,e ORS 614-21910 —_ (RJAN PRICE AMT
Job
Ta� Mop.No. --
Address
____ -- --- FIXTURES
1.nt Ilk)Ck SubdiNelon Sink - -- - r
� 7.50
T7ame, or name o nese / Lavatory 7.50
!t J� -or/' Tub or TuWShower Comb y 7.50 30
at ing ress
_Shower Only — - y — 7.50 30
-
��^ !JL t.a ra ' J4- water closet __ 8 7.50
Owner / tate b Zip — -
��g Dishwasher --- — - - —y - 750
Phone Garbage Disposal 7.50 30
--— Nsme Washing Machine -- - _ 7.50 30 -
Floor Drain _ 7.50 _
Palling Address Phone Water Heater _ —� 7_50 - 30 -
Laundry Room Tray 1.50
Occupant City/Stale Z'IP - — -
Urinal
----- Dime PWe Other Fixtures(Specify) 7.50
7.50
0^0 -
ress 750
7.50
CoMractorStsIe ZIP _
,3 $' MISCELLANEOUS
rity Rua Tax Nn Sewer 1st 100' 3000 30
Doano ' Sewer-ea.AddB 100' - — - I'00
State s. o tate s us. o - - -
(Res tial) -;? /IC-PB Waler Servioe I st 100' - 20.00 .. 0
I Ix""ecknowlwotps that I have ralvl thin appArstlon.But the Information water Servioe ea.Addit.aA' 15.00
gt~is armed,that I am r"Oslwo(I vnth tla►State fk,ikSer's floard.and also Storm 6 Rain Drain 1 st.100' / 90.00 (�
have a Stele Pkxnt*V lieotme that d»rxomt>,rs VNan are oorr"CL thal an -
pkmTbory work win be done in erxordence with ept*CabM provisions d Cka Storm 6 P Jn Drain Addlt.100' _ -- _ 15.00
Qo n Revised statute,Chapiws 447 and e93 and applicable oodes and tfrnl Mobile Home£,psm 2500
ns help will be wmp"unkns Ik-ensed tx,dw OPS 693 (H exemt.i fn-T,
State regisvatkx,,plea"give rearm below) Bach Flow Prevention
H()MEcowNER3-I hereby onrwy that I am"A owns rrl ffM prnt,wty do _Dw0ce or Anti-Pollution Dome r 7.50
scribed above.N winch lo-allon I prupoes to make a pkmblrTV inet"UNvi kw Any Trap or Weew Not
my own use and 0*property 14 not bokv crxkA ~kx sale.knave C,rwx Corrncled lo a Firttxe 7.50 _-
Catah Basin 7.50
Ir".of Exist.Plumbesp 1 40.00 Per Hr
Speodally Requasfosd InspeaMamu 40.00 Pet Hr
of Pkattrirp -
p� 15.00 min i
AUTHORtLED SIGNATURE ^ Ude Dina BuNd. Audition 26.00 mut -
L%&jn,&ijnIe falul
[)ascribe wtxk now tj addition alteration f J ISpalr❑ t1wP11iu 15.W btp e done residenlial I 1 rm-residentlal F-1
F_Xtebrq use of �- ,
bell d i or prot,erty7(-e r ri x{-43--2-1/� .___- OWTOTAL
a d torp - -- 4%KRMA M E
a Tomporty- TOTAL .T(,YI)
---
Tt*perms beoornea mA anti void 9 work or nor»eucaox,outf-mored Y teal oxm+
n wsoW w10M 160<feye bar M m so x brei to work is MnopervW or absnAoned kv
a period roll 190 hays al any&"a etrer work is orwmronned I
(ilrt(�AI.OOgOfTtO♦ts_ --- - J�� ) ( /I
(TTY OF TIGARD PLI-J'M BI NCi
AA AA
Applicants must hold Oregon Registration to ccxduct a plumbing Tigit'll CR (37223PEIZ iVl I �y (�}-1u7�i S
[wsinrss on must be property owner/operator not hiring outside help, as
7, 7
�td DewloprneM ��
I _ Plumbinµ Permit No,
a` Address / Description
�5. �. r�%•L<- //y `' ORS 614-21.610 Ot1AN, PRICE AMT
Job Tar Lot Map.No. --
Address
FIXTURES
Lot Block SubdrAelon ---- _ - _
Sink 7.50 a U ---
ems or name o s,ness / Lavatory ----_ - 7.50
SCC 6�/�,r„L• Tub or Tub/Shower Comb - 710 —
Mailing ea Shower Only — 7.50 —
Owner citylstale zip Water Closet �— -y _ 7.50 3�
Dishwasher _ y 750
Phoma Garbage Disposal y i 7_5.0 30
Name - Washing Machine -- —_ At 7.50 ;"4 0
Floor Drain 750
Ii'^g fess Phone Water Healer '/— 750
Occu an' Laurv7ryRoom Tray 750
Cm/Sate _
Urinal 7.50
e Other Fixtures(Spedty) 7.50 --
___
7.50
*as
7.50 _.-
Ca�lractorSta
to ;tp 7.50
7O S MISCELLAMEOUS
City Bus Tax No. Sewer 1 at 100' .0 00
Mai* O vj C � 21
Male sO &ewer-ea.Addil.100 T� - 1500
,t . n tate a s o
-- (Residential) �, / 1 Water SerAoe 1st 100' _ 20 t� c
I harsh'ack+towbdye that 1 have read this applicallon,that the itlorrnation Water Servioe on.Addit.�t 1500
given is ooffsd.OW 1 am rV*(ored vnm tin State Builder's Hoard.aM ulso Storm 6 Rain Drain 1 at.100' 3000 3
haw a Stine PkxftV license Mta1 t`te nunttmrs gh^en are correct,that all
Pk-lt*<1'Mxk will bo done in acc rdar"with applicable provisions of Ore. 'iform&Pyn Dram Addh 100' 1500
gon Revised%stul"Chapters 447 and 693 and oppW,*k oodes and that Mobile Home Space — - ' 2°00 -
no help will be employed uniess Moaned under ORS 693 (I1 exempt from
State(egJstratkio.please gave reason below) Back Flow Prevention
HX>MEOWNERS- I hereby oerWy Thal I am tate owner of the property de- Device or Ar1tl4N*Aion Dav" 750
sated above.M whk h locaaon I propose to make a pkntbinp MrtaNatbn for Any Trip or Wae1e Not
F"own use And thls property Is not beep oonetruciad Our"is,lease or rent Connec led to a nxwm 1.50
Catch Basin 7.50
Map.of Exist.Pkanbe,g 40,00 law Hr
Specially Requested kupoodma — 40.00 Per Hr
--- ------_ __-- — -
Affair.of Pkanbtrq wilthit
an Exlslitg Bldg.
AUTHORIZ-D SK3NATUAE ------ tiaw files/Bldg.or BtAd„.'Addlim :A RMn
,LnLau 1,." fatln.l _
Doso'tbe Work rWW Gd addition C7 1111"We"041[i ❑ awelliFg 15.cu
ID be done realderltial[l rion waiderttlal❑ --
F.tddkV tape of
bulfti or viorwty �_ 01JP�TV11I11 37
IIr!glpae-""M ---- - --- - 4%01W4MA110R �? Y
tulNNii�/tdipp a ptvperty_ - ___ _ -_ f NTMI 3 2 Sic
Tina pttttaRIWON
a pw%d of 140 vM Oeoontes t1NN end road M erork a corlMuolYln eWtorued r rot orxr►
� Ar•Oantarasc7110a10I taoalt M Mfaperrded or sttlaradaned IDr es'a�"�`""
sty's of WW Mae eller woA N oWft wnosd
nate loured by
i
i
I C�� INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6301-4175
Type of Inspection
Date Requested_�.. Time A.M. P.M.
Address +�� T ` Permit #
Own e _ L. �SLi � i� ` # Q) Lot #
Builder
The following Building Code deficiencies are required to be corrected:
ZT-
Presented to proved
„5�,,,,,,,,, ❑ Dlapprowd
i
--
CALL FR R NSPE TION
El YES I_] NO
� Cl
P.O. BOX 127 s TUALATIN, OREGON 97062 o PHONE 682-2801
FOUNTAINS CONDOMINIUMS BLDG, 18 March 17, 1987
15300 W. 116 Avenue
Tigard, Or-gon 97223 1799-- 1
342D -238-000 Insp. Type RAF
Dear Hayden Corporation,
This is a Fire and Life SafetU Pian Review and is based on
the 1985 editions of the Fire and Life Safety Code (UBC ) ,
Mechanical Fire and Life Safety Code (UMC ) , UniForm Fire
Code (I)FC ) , and other local ordinances and regulations.
Not less than one ( 1 ) approved fire extinguisher
with rating of not less thaTi 2-A: lU-B: -.; shall be
arovi.ded for each 3, 000 square feet of floor
area or fraction thereof. The travel distance to an
extinguishzr Fro--n any por ion of the building shall r, �t
exceed 75 feet. UFC Standard 10-1
The attic access ooening must be not less ,han 22 inches by
30 inches with a minimum of 30 inches vertical clear head-
room above the opering. UDC 3209(a )
Approval of a,Tbmittc:, plans is not an approval of omissions
or oversights by this office or of non-compliance with any
applicable r-e0ulations of local guverr,r•,pnt.
If we maij hF of any assis+:ance to you in ';he future, please.
feel free to contact us at 649-8577.
Sincerely,
nec S i r(.hi 1 1r
Fire Prevention Bureau
aim I ____
MF260 OCCUPANCY FILE LIST MAR 20, 1,787 15: 39: 54
RUN Page 3
KEY SCREEN
1. Name FOUNTAINS CONDOMINIUMS BLDG. 18
2. Zone-Occ #: 342D -238--000 5. Special Sortl :
3. Ad :rens 15473 SW 114 CT TI 6. Special Sort2:
4. Category 7. Special Sort3:
BASIC SCREEN
1. Occ Phone 16. Census Tract: 308
2. Manager 17. Cade Edition, 1585
3. Phone 18. Blda Value 65, 000
4. Mail - Apti#: 19. Content Val $0
5. Address 20. Other Value $0
6. Cty, St, Z1, : 21. ISO Class 3
7. Bldg 01.uneT Hayden Corporation 22. UBC Occl/ft 7. R-1 / 4180
S. Phone ( 503) 639-3101 23. Fire Alrm Sy. NONE
9. Suite--Apt: 24. Alarm Syst #: NONE
10. Address : 15300 S. W 116 Avenue 25. Prop in Use N
it. Cty, St, Zp : Tigard, Oregon 972226. Date Built --04/01/$7
12. Emrg Contct- 27. Date Remodzl :
13. Emery hhonp: 28. Ground Area 2, 090
14. Ins Type/Mo: INF / 12
15. 901 Occ Use: 422 (3 Through 6 unite )
FIRE PROTECTION SCREEN
1. Alarm Shutoff Location NONE-
Power
ONEPower Shutoff Location
3. Water' Shutoff Location
4. Natural Gas Shutoff Location:
5 FDC Locatiun
6 Sprinkler Control Location NONL-
7. Stand Pipe Location NONE
S. Attic Accps£, Lncation NONF
q. Special Hazard Type Code 00 NONE
10. Special Hazard Type NONF
11. Special Hazard Location NONE
12. Water Source Location HYDRANT
13. Stairway/Vert Shaft; i',•ot Y/N: 2 STAIRS NOT ENC. / it VL:RT SHAFT - U
CDN RT RUCT I ON SCREEN
1. Const Type 50 V -N 16. iV F rop Lint 20 / IU PROPERTY LINE
17. Wall r1rot 00 NO WALL_ PROTECTION
3. Basmt Area 0 I.S. S Prop Line 30 /20 ASSUMED PROPERTY LIN[
4. Total Area .111160 19. Wall Prot 00 140 WALL_ PROTECTION
3. # Stories 20. E Prop line 45 /20 ASSUMED PROPERTY L_ 1NL
6. Height-ft 26 21. Wall Prot 00 NO WALL. PROTECTION
7. Inter Colmn. 10 LT WP FR 22. W Prop Lime 20 /20 ASSUMED PROPERTY LINT
8. Roof Const I1 WD TRUSS 23. Wall Prot 00 NO WALL PROTECTION
9. Roof Cover 03 FR UNKNO 24. Area Wal : NONE
10 Roof Area 2, E390 25. Area Wd1 :
11. UBC GCCc/ft. / 26. Area Wal :
12. 11BC Occ3/ft: / 27. Plan L.oc : WCFD--ROLL
13 11I3C Occ4/ft: / 2R. Misc
14 Auto SP Use,
19 Ar to FA Use:
Mtn
Amm
� INIMM HUI HU pUttlutifl HSI* RIH
P.O. BOX 127 • TUAL.ATIN, OREGON 97062 • PHONE 682.2601
FOUNTAINS CONDOMINIUMS BLDG. 19 March 17, 1987
15300 S. W. 116th Avenue
Tigard, Oregon 97223 21800- 1
3a2D -2139-000 Insp. Type RAF
Dear Ha,lden Corporation,
i'his is a Fire and Life Safety Plan Review and is based on
the 1965 editions of the Fire and Life Safety Code (UBC ) ,
Mechanical. Fire and Life Safety Code (UMC ) , Uniform Fire
Code (UFC ) , and other 1—al ordinances and regulations.
Not less than one ( 1 ) approved fare extinguisher
with rating of not less than 2-A: 10-B: C shall be
provided for each 3, 000 square feet of floor
area or fraction thereof. The travel distance to an
extinguisher from any portion of the building shall not
exceed 75 feet. UFC Standard 1.0-1
The attic access opening must be riot less than 22 inches by
30 inches with a minimum of 30 inches vertical clear head-
room above the opening. UDC 3205( x )
Detail 0/5 At least one layer of 5/8-inch type X gypsom
board shall run unbroken LWder the truss hangers to make
the wall between the garages and the apartment units one-
hour occupancy separation.
Approval of submitted plans is not e.i approval of omissions
or oversights by this office or of non-compliance with any
applicable regulations of local government.
If we may be of aiy assistance to you in the futur ?, please
feel free to contact us at 649-8577
Sincerely,
Ze .,k' LlG9c_/J_4�z
Gene Dirchili /Ll•J
Fire Prevention Bureau
MF260 OCCUPANCY FILE LIST MAR 20, 1987 15: 39: 54
RUN Page 4
KEY SCi•EEN
1. Name F=OUNTAINS CONDOMINIUMS BLDG. 19
Zone-Occ #: 342D --G39-000 5. Special Sortl:
3. Address 13479 SW 114 CT T1 6.. Special Sort2:
4. Category 7. Special Sort3:
BASIC SCREEN
1. Occ Phone 16. Census Tract: 308
G Manager 17. Cole Edition: 1985
3 Phone 18. Bldq Value $ ?65, 000
4. Mail - Apta: 19. Content Val $0
5. Address 20. Other Value $O
6. Cty, St, 7_p : 21. ISO Class 3
7. Bldg Owner Hayden Corporctior. 22. UDC Occl/ft 71 R-1 / 4180
8. Phone ( 503) 639-3101 c3. l=ire Alrm Sy: NONE
9. Suite--Apt: 24. Alarm Syst #: ,.ONE
10. Address . 15300 S. W. 116th Avenue 25. Prop in Use N
11. Cty, St, Zp : Tiqard, Oregon 97223 26. Date Built -04/01/87
12. Emrg Contc:t: 27. Date Remodel :
13. Emerg Phone: 28. Ground Area 3, 146
14. Ins Type/Mo: INF ! 12
15. 901 Occ Use: 422 (3 through 6 units )
FIRE PROTECTION SCREEN
1. Alarm Shutoff Location NONE
2. Power Shutoff Location
3. Water Shutof=f LocC tion
4. Natural Gas ShutoFf Location:
5. FDC Location NONE
6. Sprinkler Control Location NONE
7. Stand Pipe Location NONE
El. Attic Access Location INSIDE UNITS 00
9. Special HataT•d Type Code 00 NONE
10. Special Hazard Type NONE
11 . Special Hazard Location NONE
12. Water Source Location HYDRANT
13. Stairway/Vert Shaft; Prot Y/N: 2 STAIRS 'JOT ENC. / tt VU:-12T SHAFT - 0
CONSTRUCTION SC14EEN
1 . Const Type DO V -N 16. N Prop l line 50 /10 PROPERTY LINE
2• 17. Wal ; !'o ,1t 00 NO WALL PROTECTION
3. Basmt Area 0 IEi. 0 Prop i itie 12 /20 ASSUMED PROPERTY LINO
4. Total Area 51 236 19. Wall Prot 00 NO WALL PROTECTION
5. # Stories 2 20, E Prop Line 20 /20 ASSUMED PROP[-RTY I_.INr-
6. Height-ft 21. Wall Prot 00 NO WALL PROTECTION
7, Inter Colmn: 1.0 LT WD FR 22. W Prop Line 15 /10 PROPERTY LINE
8 Roof Const 11 WD TRUSS 23. Wall Prot 00 NO WALL PROTECTION
9. Roof Cover 03 FR UNKNO 24. Area Wal : NCiNE
10 Roof Area 2H 25. Area Wal .
11 UBC Occ2/ft: 20 U i 1099 26. Area Wal :
le Ocr3/ft: / �7. plan Loc . WCf D-•ROLL
13 UDC Ucca/ri ' / 28. Mi ,
14. Auto SP Use:
15. Auto FA
C--
CITY
'__CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : ! ` 3 "/ 2 C
PLAN CHECK APPLICATION ""—�— DATE RECEIVED:
P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached _� sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: `f✓Q�_�� _ OWNER'S ADDRESS:
CONTRACTOR: ���L� TELEPHONE: Z a .'f y�// �" '�^4"�
JOB ADDRESS: 17 3 7 3 - 7 / /7/l� LOT NO. & MAP:
DESCRIPTION OF WORK: /Z ---
Approvals Required SPECIAL NOTES
OPlanning Dept. O Re' ,sue
OEngineering Dept . O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
0 Cher O Other
Items Required
OList of subcontractors
OBusiness Tax
0 Calculations
OTruss Details
C' Barking Plan
OLandscape Plan
OOther
COMMENTS:
City a Tigard Building Department
BY:
G
f:
11F -'Lmr
6604
a CITY OF TIGARD 639.4171 �> ���J DArI=' c1, t
BUILDIN9 VAMIT ,L4 ----
TAX MAP '' c2 LOT NO. SUBDIVISION
OU!P4cFl- +aydr~n Corp. _ JOB ADDRESS- 15 73 , 114th
b'IILDER �an1e 1DO STATE REG.NO. P.DATE
BUILDER'S PHONE
ARCHITECT_____ PHONE- G'wER - -
STRUCTURE ) NEW L REMODEL ADDITION REPAIR MOVE OTHER DEMOLITION
I i RESIDENCE ] COMM n EDUCATION IND I RELIGIOUS ACCESSORY F] GARAGE (i OTHER ` 1 FENCE
OCCUPANCY lL1- I AND USE ZONE ' " i1" BLDG.TYPE FIRE ZONE PLAN CHECK BY LrIJ HEAT Le
Construct 4 unit apartment building, no -aragcss, ail ;jar approved plans and code requtrerymntn.
Fountains L'luk.. 1b A-De ►+ iter_ 2 bren',wood
SEWERPERMITM S�U9u(4dU) 32 trans. , batt;
OCC.LOAD FLOOR LOAD 40 HEIGHT lU NO STORIES & AREA WAW NO.BEDROOMS " VALUE '"1,31.
BUILDING DEPAIaTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit I3S.:b THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLIr•BLE CODES AND IRDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 47ti.ub WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AIJD SPECIFICATIONS AND IN COMPLIANCE
Ti .14 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire 294.20 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
State Tax �9•4•. ,.tat+,; . . , i
Total 1,537.xU SDC— l:,U�UU
--� PDC41 360.00 APPLICANT OR A(3EN
al.Due Receipt NO. f ADDRESS � PHONE
B
— �—Y64.9"Z�._ - jd0 Issued By Approved By_
Si n.k ij"'yZ `L..a c- ► �Jh
2lo�v IdW / 21av Iqw /Stnk-
1lsh S t 4 u p 1 w4s4-15 I�I ls'' I was► .
DATE +1INSP... TYPE INSPECTION REMARKS PLUMBING DATE
Contractor u yu
Permit No 5 3aZ„
r�
Rough-in --
--^ - Fixture
Final
_ HEATING
Contractor
Permit No.
Gas or Oil
-- ----_-...- -- ,.� Rough-in ----- _ —
77Final
-- SEWER
Final
DRIVEWAY
Final
Storm Drainage --
(Rain Drain)Final —
Sidewalk --- --
____— Curb&Street Final
- ---- --- — —�_ Approach ---
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
__ Zoning Final
Workshee:� ,
PLAN CHECK NO. C--
1 for inspectinns call 639-4175 _ PERMIT N0.
CIVY OF TIGARD 639.4171 DATE T:r5 2-"1 Is_6Z
13UILDING PERMIT
P.O. Box 23397, Tigard OR 97223 TAX MAP LOT NO. SUBDIVISION
I1 �'r_ r <_'o V P JOB ADDRESS 15��13 s!-l 114 T<� GT
OWN t —
BUILDER �A�^\F STATE REG.NO. EXP.OATE _
BUILDER';PHONE _ "1. `�'% � l I I
PHONEti _OTHER
ARCHITEC' —
STRUCTUREN ❑ REMODEL ❑ ADDITION ❑ REPAIR O MOVE ❑ OTHER 0 DEMOLITION
O RESIDENCE OOMM ❑ EDUCATION ❑ IND O RELIGIOUS, 0-ACCESSORY ❑ GARAGE O OTHER O FENCE
OCCUPANCY I_LAE'D USE ZONE 20 DG.TYPE ..�? N FIRE ZONE =PLAN CHECK BY � 4EAT E L E G-
_ G.a.nsrIzo ✓�+ 4 L)v\. 11- AVT t —
SEWER PERWT 113 303 1 4 3 2. J /� Qd�°til Oil G --- --
OBC.LOAD FLOOR LOAD 4 0 HEIGHT 2.0 NO.STORIES '� AREZ0, 0 NO.BEDROOMS VALUE `z 31Z
BUILDING DEPARTMENT SETBACKS FRONT EAR �� 0E--- RIGHT SIDE
P*fngt _ -. S 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
PUn Chock 4 $ 0$ WOAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITII ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PL CIL Fki 2-9 L4 . 2 O RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEINER,PLUMBING AND HEATING..
ISI ms Tac :z SSOC.
SDC--
Total_ /5 3 2 D APPLICANTOA AGENT `f— - - --- - -- - --
Prepd. 7 7 2. , lk PDC# -
q Rece4pl NO<
ADOAESS�M�--- ---- r��(lNf
Be(.Due � � /
Issued By pProved By--____.-. ---
50C _ X -�60 _ , 41t) RECEIPT #
Poc - X G' �d
— s "— DATE PD.
R
SCWE -�ANNTZT ION S ��, OQ. AMOUNT PD.--
SEUER INSPECTION S 0'r
SEWER SURCHARGE
:nmmente: _, - --
CITY GP TIGARD'c, 639•4171 �/ 6605
BUILDING PEIRMIT DATE Aarch
• TAX MAP?;il_ILWC_..LOT N0. _ SUBDIVISION
OWNFIT Maydeta wrp/
�._ JOB ADDRESS 15373 6y,1 114th (•. --
BUILDER �. TOC STATE REG.NO. EXP.DATE
BUIEDER'S PHONE 21d3 -_
(MGMTECT PHONE OTHER
STM.A TURE (}: NEW 1 REMODEL ADDITION REPAIR MOVE L OTHER L1 DEMOLITION
RESIDENCE I '. COMM EDUCATION IND 1 RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAUD USE ZONE !`L_JL_BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
Constwuc:C 1-4 UaV Odra a for blav- IH- all j a, ._ api,raymd nlAam-
SEWER PERMIT M
OCC.LOAD FLOOR LOAD cane HEIGHT 10 NO STORIES I AREA 105b NO BEDROOMS VALUE lj.Ut)6
BUILDING DEPARTMENT__ SET BACK', FRONT tet' REAR 1`'t �_,LEFT SIDE RIGHT SIDE
Permit Vu•5U
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND At L APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
T WITH ALL APPLICABLE C07ES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENAN,S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax S.3ti
— - "SDG--
Total 727.j� APPLICANt FI AGENT'
PDCM
Prepd. li7�4.i
- lW e4J Receipt No. �% /'{/'• ADS--- - - -- ----.^— _— PHONE
bal,Due - -- _-- jdo i`fel
Issued By _ _Approved By, — .
s
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
contractor
Permit No.
A Rough in
Fixture
Final
HEATING
Contractor
Permit No. O
Gas or Oil
Rough-in
--- �--- - Final `
SEWER
-- ---- - ---- - :-incl
DRIVEWAY
Findl
_ — -T - — - --- — -- Storm Drainage
(Rain Drain)Final
_-..�_-- ----- ------------ --- Sidewalk
Curb&Street Final
-- Approach
BLDG.DEPT.FINAL — —TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
PLAN CHECK NO.
�! .or inspect ions call 639-4175 �. ,..
C PERMIT N0.
CITY OF TfCARO 639•4171 DATE I P � 21 Is
_]E;PERMIT
�.0. Box 23397, Tigard OR 972223 TAX MAP LOT NO. SU001VISION
OWN pA A 1� Cn� D�T — JOB ADDRESS
GUILDER _ SA�vn Qp STATE REG.NO. EXP.PATE
GUILDER'S PHONE C O 4 l
ARCHITECT PHONE OTHER
STRUCTURE NEW ❑ REMODEL ❑ AZDITION ❑ REPAIR ❑ MOVE 0 OTHER Q DEMOLITION
O RESIDENCE COMM ❑ EDUCATION C] IND - ❑ RELIGIOUS. 0-ACCESSORY GARAGE O OTHER Cl FENCE
OCCUPANCY .__LAND USE ZONE L1-C-'CLOG.TYPE S r FIRE ZGNF PLAN CHECA BY �IJEAT
a vis r T ���o r c.`L'_ �,r Fa U'V-t S I � • $ --
SEWER PERMIT Iy
OCC.LOAD FLOOR LOAD HEIGHT ICS NO.STORIES I _AREA (05& NO.BEDROOMS """ VALUE *
BUILDING DEPARTMENT SETBACKS FRONT (3,At f EI ,LL_1 - LEFT SIOE --------RIGHT SIO!'--_
PerreNt / ��V THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. TONING
REGULATIONS AND ALL APPLICABLE CODES AND ORPINANCES.AND IT IS HEREBY AGREED THAT THE
Plan Chock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE LUUANCE OF THIS PERMIT DOES NOT WAIVE
In Ck.F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
t L TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Stets Tax �l .7A SSoC
n/� --••••��
LPI-Pd
SOC—
AAPPLICANT ORAGENT
POCI
RocelpWF
-------T_`-----��`-- __-►f/-0_!-
vt
--------
--- --
Issoo l 8 _ ---Approved By _ --
SSDC -- $
SOC -
RECEIPT k
PDC -moi � -
DATE PD. x C",
SCUER CONNECTION b AMOUNT PDQ
_ CUEh INSPECTION S
SEUER SUACHARGE S
:ommente: -
I
I
' 6606
JI ,�� m ,
CITY OF TIGbRD 639.417 � � I !arGia
BUILDING PERMIT DATE
/T XMAP2 1-1(iDG LOTNO. _ -SUBDIVISION
sayoen Wrj:. 15371 SW 114th Ct.
JWNER--------- ----- JOB=._—_�-_- ------ ---..- -_
BUILDER _-_ _ - (!� -_ STAEXP.DATE
BUILDER'S PHONE 283-4111
ARCHITECT - -__ PHONE OTHER
STRUCTURE fXl NEW ❑ REMODEL ADDITION [I REPAIR MOVE OTHER DEMOLITION
RESIDENCE 1 COMM Cl EDUCATION IND RELIGIOUS i . ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE FIRE ZONE FLAN CHECK BY HEAT
C Onytruet 4 u6t i.as r i i-te tt ouil(lin , with !-.# 1),, :1ttaCEled Lara,e, all NNr al;;,ro%ett 1-lairs. _
Fountains Bld1 ;. iv 2 Delmonte A_;iredtvroAa
�+ J() 9 uu traisr3 8 batik );,&ruse 1056 --
SEWER PERMIT N
'OCC.LOAD FLOOR LOAD 4U HEIGHT 20 NO STORIES 2 AREA4080 NO.BEDROOMS, VALUE. ,
BUILDING DEPARTMENT SET BACKS FRONT $Ck REAR flans LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
7 t REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check X 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
PI.CkTA& .1,61V RESTRICTIVE COVENANTS C014TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 1 31.32 ;1)t.. L1,.,'.,.;,o
b 36* SDC- 1bU.(!U
Tutel _ APPLICANT OR AGENT
P001 J(40U)
Receipt N6-."
ADDRE�B — "HONE
Bal.Due 614.32 tTw
Issued By _ Approved By
-.:.«_.r« r. '-•...Iwn,+dr...IJ...,.r' -"ger... .:..r+..w.....s.wrw.«:. .......wwF:...:n....rr..e.air,..�.w..i.mr.rw.«......W.,.w....:w.4w:a..... __ _ _ _lu....r........+„
TI.5 1 dv-)
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
mac'" 4 Contractor y4,,,j, ''� 33,7d G•t. C 7
Per nit No, Z
J Rough in
`� r Fixture
Final
HEATING /
L� _ - --- --- Contractor
j • Permit No.
Gas or 011
Rough in12v
_ v-N i _LFinal_
SEWEq
Final
-- - -___--- ---��— DRIVEWAY
_ ---- ------ -- -- - - - Final --
- Storm Drainage
----T------- -- -- --------- - __.�
(Rain Drain)Final
---+-- _ -- Sidewalk
Curb&Street Final
— - ---- APProarh -�
Ri FIG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —- _
Landsrep.ng
Toning Final
Worksh oe-y LL7Lrl �'NLAN LHECK NO.
for inspections call 639-41.75 4*60
-
MIT N0.
CITY OF TI ARD 639.4171 DATE
BUILOING PERMIT
P.O. Box (23397, Tigard OR 97223 TAX MAP LUT NO. SUBDIVISION
OWNER JOB ADDRESS 15511 1 14-14 4::�yr-
BUILDER _ �lJL�M � )_� _—-- STATE REG.NO. EXP.DATE
BUILDER'S PHONE ` '1-Ju---
ARCHITECT — _ ` PHONE _OTHER_—
STRUCTURE N ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER 0 DEMOLITION
❑ RESIDENCE MM ❑ EDUCATION 0I
� D • ❑ RELIGIOUS. ❑'ACCESSORY G GARAGE L) OTHER ❑ FENCE
OCCUPANCY L LAND USE ZONE ��BLDG.TYPE ^-a--FIRE ZONE_--� PLAN CHECK BY gfAT
1 2�•-1 U ►.� 1'f' APT. _ A-��e`— A G P
— r
SEWER PERMIT a„' 03 01q nar �
�:,•
7 [`
OCC.LOAD FLOOR LOAO 40 HEIGHT U NO.
^STORIES � AREAOd d c-
0 NO.BEDIi()OMS vALUEa'!�
BUILDING DEPARTMENTSET BACKS FRONT j;.� REAR • fm. RIGHT SIDE
Permll THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOS, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
Ptan Chock � -4S WOAK 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
PL Ck F" .2 C7 RESTRICTIVE COVENANTS.CGONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
t ! TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER.PLUM BINO ANO HEATING,
Slate Taa a �, J SSnC
— SDC-
Total APPLICANT OA AGENT
Z
PD"
Prepd. v 2. `� --Fr
2 RecMpl No ADDRESS
Bal.Due / r �+� 1�� ---Approved By
UeueA Dy _— ii���
S S Dc !- �`R �l 5 �.7.S`D I do
soC = 3bu�l�1 y_�UO= RECEIPT k
PDC -. ./y��X '7O 1� GG, ufL- DATE PD.
AN JC ON S / �y' �/ AMOUNT PD.
SEWER C
5EWER INSPECTION J/i vG
SC,JER SURCHARGE S
:c)mmente : J\