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10797 SW 115TH AVENUE-1 10797 SW 115TH AVE14UZ y v y T Ln 0 1 1 b'.o.a3x 2WI (11"'Y OF TIGARD PLUMBING 13125 cW IU alW- Applicants must holo Oregon Iteglstratlron to conduct a plumbing Tigard tR 97223 business or must be property owrwr/operato,I nn:hiring outside help. PERMIT 639-4175 Nene of Development I Plumbing Permit Nn. Description jIUj �� I r` 'V� ORS 814-21-610 DUAN. PRICE AMT. job Tax Lof Map.No. _ Address __.__ _ FIXTURES Lot t;N�k! SAtbdivtebn ---- -- -"--- Sink 7.50 _Lavatory Tub or Tub/Shower Comb. ^- 7.50 ailImp Address 1 _ 1679 -7 ,�Lu �I S �'` ( Shower only i.10 Owner • / to 40 r —" Water Closel _ _ 7.50 11 r, r ! Y4't G F� /�._� Dishwasher —_ — _ - - 7.50 -- K— Garbage Disposal 7,50 C�d,,�P��R:�1, Washing Machine --------- •-• ---- 7,50 N rine -- - - - - --_ - r Floor Drain 7.50 ( mailing Address -Phone Water Heater 750 Occupant Laundry Room Tray_ — - - - 7.50 P City/State Zip Urinal _ 7.50 _ Other Fixtures(Specify) 7.50 7.50 — 7.50 _ Contractor /State — ,ap ------1-'-- -- _____ 7.50 ' �^ MISCELLANEOUS r Bus. ax No. Sewer it(100' 00.00 State -s Hoard Flo aleu s us�c. 0 Sawso'aa.Addit.100' -_ -- - -_ 15.00 (Resxientlal) Water Servioe 1 st 100' 20.00 _ I herbby or*rvyAr�ge that 1 have read this av,dic:.atk)n,that the information Water Servioe as.Addit." 25.110 given is mvitoct,th 01 am regiallwod with the Suite&udder's Board,and also Stem Z gain Drain 1st,100' 30.00 he"a Swo Pl rTtAng Wmnae that the mx•hhere given are xwwul.that elf — --— plumbirig w,xk will be done in wxwrdanoe with yip"*4 provisions of Ore. Storm 8 pNn Train Addit.100' M 15.00 - - gon FlnAwA,Statutes GhWars 447 and 1393 and app4c"oodes and that Mobile Home Spv)e 2500 no tisk,will be employed unless Ikxnsed under ORS f3W3.(11 exempt f"n -- - - State rsg+irrtMon,pleere give reason below) Bark FlowProventtor' HUMEOW4ERS-- I herby oerWy that I am the rhwner d Che Property de � rx Anti-Pollution'7evics sortred abate.as whtcir krAtkxh I propose to make N pl iribi ng InstaYMlon far AM Trap 0r Wasle Not my own use Ord 0iis pn;+erty is nd being conatrudad for sale.taste or rant. Connected In a Fahy 7.50 Calch Bairn _ 7 50 _ hw.of Exist Plumbing 40 00 Per Hr - -- - Spada Requested tnapecdons 40 00 Per Hr - _ r. — Allier.of Pl'rnbin°within _ .n E,tlo"eidg 15.0o min AUT1 (ZED•IRNA E Dal New Bldg.or Build.Addition NA0 groan. Paill DaW1 e Eamtl Desrxibe work new I_] oddition 0 akeratir-n❑ repair C7 dwell' 15•� be dww residential non-Lgiontiall_U (Y; Cxiswv r tae of bt V*V .tr property wp y rel tl1 l i. PMW. d uM M 5 A. 0%wW4aHAP4ae TOTAL it, 7t; TNN PM'r*bsoornst nu1t and vak1M wet ,. acxwinicean+aAhadrsd it Moll oom fi MOW WW*l IW 4a3tyer M oomam **m or wrnk M Melpm-ded^r afterwkyted for �•••�•�•+�•"• a period CO I/O days sl OW time aAbr worts to arrxrnsnerM tr11t31A3 OONOfT1C112g . __ _ _..... , Dahl Is er rwr l � hV I� 1 - ,� t M7,k{ tB�+�`A`" :�. 1... • � 5..: �t{•�yRl� {�+. 4 .wpb t4hw_ ,h"'*t,� +.. ;:,t Q (Mom /1{ I�{i .. � �u�u�� ��ly��+•t�� d � � rr S ��rr/1,� j+ 1 ' � � ,,•� .,F cc I .~ O to , 1 / C Cq BIC jpl to 0 C 4r/ U CIOxf 4' 10 ft �• (��' alb � 1...� .�+ ° °� „q �, V a �`. �� 44 ' ai.. ,fin wa�a, Arr n Lttk, Vgq1Q}tf�' d�7 �I► Jt,' / o."16.1 �111�+ ' +'+M+II� )` �11/ �y�1�// a '�{�7!►111 O +�Q ,� AYr 'INr� �w�S„1' '� Aqw• 41gM,: ���'�yy..'�"t'.,���'"'`�'g,,t�N1" R (f �n � � t "� P� � ay,,, d. ��. .S �� "J� � 'Qly SM''.x•• � 'RI -�f 1 11 + .,���"'+����,� �,�r.��iP�d.+h;•, �'l� R'H,�.t,�+,�',:AW' p91.4W ) �",,;a'P �8iy.,, � �.+j�,.�. • �� .�,l INSPECTION NOT ICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639x4175 Type of Inspection Date Requested,._y_ ? Time_._ — A.M. P.M. Address .�� 7 9 Permit #_ Owner--- �...-. _ --------- Lot ---- Builder _. ...ems-�!✓�� — —The following Building Code deficiencies are required to he corrected: Presented to _---___- _._- _ __ Et--Approved t Inspector �__ CI Diswipru led Date —�____ �y- __.___.— _ CALL FOR REINSPECTION ❑ YES U NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregcn 97223 Phone: 6339-4175 Type of Inspection __/Z�-�— `•'�''�-�C � _ _ Date Requested_ Q l Time A.M.---P.M. Address �G 7 J '� / �� Permit # Owner_ Lot # _ Builder The following Bu.!Hing Code deficiencies are requited to be corrected: Presented to --- _ eApproved Inspector - U Oiapproved Date CALL FOR REINSPECTION ❑ YES CJ NO INSPECTION NOTICE City of Tigard Ruildiny Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4111775 Type of Inspection Date Requested -S M .7 / Time A.M. _P.M. Address .. . _ Permit # Owner Lot # IsuilderThe following Building Code deficiencies are required to be corrected: _ a .!'" .-i�---t.,r�(.•- � � moi,--�� _—� - Presented to Approved r Inspector i' r -_ erDIsapproved Date CALL FOR REINSPECTION F YES 0 No IF ;iJSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time—` A.M. P.M. Address O 7 9 S /6— _ Permit # _ Owner Lot # Builder /`:c;' The following Building Code deficiencies are required to be corrected: Presented to ._ ❑ Approved Insper;tor U�Dlupproved Date ; -';� y_ <1 / --T CALL FOR REINSPECTION sZ C� NO I INSPECTION NCTICE City of TigarJ Biiilding Department P.O. Sox 23397 Tiga+,j, Oregon 97223 Phone: 63/9-4,175 Type of Inspection t, Date Req.iested •� Tina A� j .M./'-" . ~ PM. i Y-r, / 4/ Address _���� � Permit # �- `-- Owner / v'`i,.-o`1 e,t (1—," Lot # i Builder --------- - — - - -- i The following Building Code deficiencies are required to be corrected! _ALL ' IF Presented to F1 Approved Inspector ✓nc� 4�pproved Data CALL FOR REINSPECTION 2 ,YES C NO INSPECTION NOTICE i .� City of Tigard Building DepartmentF.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 .01 Type of Inspection __ 'eL.-C a-%- Date `Date Re:,LMted____ —_ Time "" A.M.__P.M. Address _ Z z Permit #-&Z Lot #- Builder _�__. -- - ---- -- ---The following Building Code ddeficie�nc�ies�are required to be corrected: Presented to __ rr�pprmred Inspector �_� Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 -y— Type of Inspection '��� Date Requestrd Time O.M. _P.M. Address _� CJ 27 Y 7 .S l<� / /✓ —_ --.__-_ Permit #-. Owner_ -�'��"� Lot # Builder The following Building Code deficiencies are required to be corrected: presented to [ ApprtaYed Ins lector `��`� f —� [ Disapproved CALL FOR REINSPECTION C1 YES r::] NO i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 r Type of Inspection J --- — Date Requested Time A.M. M. /' Address C��"f �u-J Permit #_�� Owner_—_—_ _�}' Lot #_ Builder The following Building Code deficiencies are required to be corrected: Presented to iIt Approved Inspector (J Disapproved Date _�— CALL FOR REINSPECTION [� YES C NO CITY OF TIGAR® MECHANICAL PERMIT Receipt# 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 -- T igard, OR 97223 2) Supplemental Permit 3.00 639-4175 I Furnace to 100,000 BTU (i 1 ( I 1) incl.ducts&vents 6.00 "1 Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of Development �— Floor Furnace 3) incl.vent 6.00 Job Address Suspended heater,wall heater Address 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) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Mailing Address Phone 7) Boi ler or comp to 3 H P 6.00 Owner absorp.unit to 1_00,000 BTU City,State zip Boiler or comp!o 3 HP-15 HP 8) absorp.unit fo 500,000 BTU t 1.00 Name 9) Boiler or comp 15-30 HP absorp.unit 1/2-1 million 15.00 Meiling Address PhoneP) Boller or comp to 30-50 HP 1 absorp,unit 1 -1.75 million 22.50 Contractor City State Zip — Boiler or comp to 50 HP 11) absorp.unit 1,750,000 BTU 31.5 State Registration No City b is Tax No 12) Air handling unit to 4.50 10,000 CFM I hereby acknowledge that I have read this application that the information given Is 131 Air handling unit 10000 CFM + 7.50 , correct,that I am the owner or authorized agent of;he owner,that plans submitted are in -- compliance with State laws,that I am registered with the State Builders'Board,that the Non portable number given is correct.(If exempt from State registration please give reason below), 14) evaporate cooler 4.50 Vent tan connected -.-----�_ �---�--- 15) to a single duct 3.00 -- -- Ventilation system not { 18) Included in appliance permit 4.50 ) Hood served by 17 mechanical exhaust 4.50 Signature(owner or agent) Dale Domestic type Describe work L1 addition C I alteration [Irepair CI 19) Incinerator 7.50 to he done residential ❑ non-residential ❑ Commercial or industrial Existing use of 19) type Incinerator 30.00 building or properly _ ?t� t'*!ftp i woodstove,water 4.50 t io1olar.volar,clothes dryers,etc. Proposed use of -x building or property 21) Gas piping one to four outlets 2.00 Type of fuel- oil LI natural gay F1 LPG F1 electric LI - — — 22) More than 4-per outlet NOTICE iSUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - -- STRUCTION AUTHORIZED I,-, NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR v 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 __�__ lI f f I CITY OF TIGARD 639.4171 DATE J"e 19 _ L BUILDING PERMIT nn Lawn TAX MAP/ ? ,,� T N0. �—SUBDIVISIt7fJ OWNER Pinnacle House, Inc. - JOB ADDRESS __f�i9��._4_ 1a�ial 11Yr?.--------_- --- ow ue r .o. B 103 Lake 0wwej-P o 1,17 7 BUILDER _ s h � Box � STATE REG.NO. _._ - c _,EXP.DATE 7�2G-86 BUILDER'S PHONE _, tS66-1x256 _-- ARCHITECT PHONE -- STRUCTURE NEW ❑ REMODEL L! ADDITION REPAIR MOVE U OTHER DEMOLITION Ll RESIDENCE ❑ COMM 11 EDUCATION 1 IND RELIGIOUS ACCESSORY 1-1 GARAGE OTHER FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE5Yti FIRE ZONE_ PLAN CHECK BY HEAT ,�onatruct sing family dwelling w/attached Barra&e, fill j:,er approved ;clans. SEWER PFRMITN 29b32 �ldu) 1.)dti, 4�Ftraps 9 ;•arc:;e area -40* - OCC LOAD FLOOR LOAD 40 HEIGHT_ _ NO.STORIES-1 --� AREA NO.BEDROOMS 3 VALU0*f"_ -- BUILDING DEPARTMENTSETBACKS FRONT ?V REAR ,iA LEFT SIDE RIGHT SIDE- Permit 's THIS PERMIT IS ISSUED SUBJECT TO THE kEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check •DQ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC;FICATIONS AND IN COMPLIANCE i� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI,Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS -- — TA,X PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. State Taxa_ LJU.UkA SDG 600600 TOtel �' ''"r• " APPLICANY OR AtatNT __..___ PDCNl 150.(W Prepd. 4Lla _...__ — _PHONE — - � Receipt No!/�/ � BaL Due _,��_• _ _ Is9ued By—_. . .Approved By -- DATE INSPT TYPE INSPECTION REMARKS PLUMBINGDT ATF Contractor �t-,t.A-.. CWAAR ..`, Pp.rmit No I bil/ Rough-in Fixture vv Final HEATING Contractor - -a -- Contractor 4-,tt Permit No. L4 j Gas or 011 Rough-in Al-f OL't�— Final --- — — ? / SEWER 0X [Final .I DRIVEWAY — rm Drainage - — __ (Rain Drain)Final Sidewalk W Curb 8 Street Final - I _ �v Approach � ----- BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY r - -- (n�Ig� Landscaping 1/ Zoning Final i CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : PLAN CHECK APPLICATION DATE R.RCF.IVED: `- 2 9 8 �. P.O. Box 23397, Tigard OR 97223 P/C DEPO.,IT PAID: </ O This is to certify that the attached sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition. PROPERTY OWNER: (./), ( OWNER'S ADDRESS: CONTRACTOR: TELEPHONE: ^ o )OB ADDRESS: �6 �` 115 LOT NO. 6 MAP: DESCRIRTION OF WORK: "7 Approvals Ri_red SPECIAL NOTES OPlanning Dept. O Reissue OEngineering Dept. Flood Plain/Sensitive Lands OFire District O Sewer Availability 0 Other O Othee items R,e uired nList of subcontractors 1-14� business '"ax L� Calculations OTruss Det,a'is Parking Plan - - •-- Landscape Plan 0 Other COMMENTS: City of Tigard Building Department BY: 1L.� PLAN LHLLK NU. /Z. 3 3 fl_ for ins'pections call 639•-4175 PERMIT NO. CITY OF TIGARD 639.4171 DATE BUILDING PERMIT "n P.U. Box 23397, Tigard OR 97223 TAX MAP X11 5jD6--LOT NO. _SUBDIVISION OWNER__ r� i 'L �` JOB ADORESS 1 % —j— BUILDER STATE REG.NO. _ ,_EXP.DATE -- BUILDER'S PHONE - U ARCHITECT PHONE _OTHER `- STRUCTURE NEW O REMODEL O ADDITION O REPAIR O MOVE ❑ OTHER CDEMOLITION L�RESIDENCE O Comm Cl EDUCATION ❑ IND O RELIGIOUS, O ACCESSORY Q GARAGE ❑OTHER ❑ FENCE OCCUPANCY /- _ LAND USE ZONE� `"`--BLS' NPE FIRE ZONE_ PLAN CHECK BY .' � '' ►tEAT -? Construct single family dweilin ; Subic-L La BS code l SEWERPERrUTa "' �-'- (Idu) U baths. Cr8D5 aaraye area" - - OCC.LOAD FLOOR LOAD HEIGHT rNO. STORIES_r� AREA: �'ry�' NO.BEOROCMS VALULg BUILDING DEPARTMEN! gET BACKS FRONT � ) REAR Z, LEFT SIDE RIGHT SIDE THIS 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 Ptm Chock y � 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.Ck F" TAX COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PFRMTTS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. Slate Tai / 5s Oil, SOC- - ---- - Total APPI.ICANTORAGENT - �— - PSX•I Prepd. 41 Receipt No ADDRESS - Bal.Due ©y_. Issued©Y----------Approved SSDC . t SOC - '� t7 ' - RECEIPT rY PUC - _ � ' _� ��-- DATE PD. SE:LJER CONVECTION S _ AMOUNT SEWER INSPECTION S ;' SEWER SURCHARGE :tammeote: for inspections call 639-•4175 CITY OF TIGARD 639.4171 DATE BUILDING PERMIT 7 7�r��%//,,p.u.t! s%A7 CS P.O. Box 23397, Tigard Ok 9722233., TAXMAP / LOTTNO. �SUBDI�V/ISIOy� OWNER , h h G C'& !Tom'�-+ - �C- JOB ADDRESS /�� r 5L2J I / J '`'r BUILD---R STATE REG.NO. EXP.DATE __— BUILDER'S PHONE D 7 Z Z J"61 ARCHITECT__ PHONE OTHER STRUCTURE GY'//EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE I-1 OTHER C1 DEMOLITIOrr U RESIOENCE ❑ OOMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑-ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE U,'CUPANCY LAND USE ZON yllt OG.TYPE FIRE ZONE-'—"' PLAN CHECK BY HEAT i SEWER PERMIT I 9& 2/ - �— OCC.LOAD FLOOR LOAD HEIGHT .fG - NO.STORIES ARE NO.BEDROOMS VALU 17p BUILDING DEPARTMENT SET BACKS FRONT "Z REARf�^ LC&SIDE RIGHT SIDE a , Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINU CODE,ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HERESY AGREED THAT THE Plan Check G D WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES ANLL CrADINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.CIL F" RESTRICTIVE r'OVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING Ai!O HEATING. State Tax -- SDC .- Total < 1AGENT ' Prepd. en' --- ----- -- -- - Rscelpt No. ADDRESS PHONE Bal.Due .l � ij� Issued By� Approved By . SSDC --- SDC - p O o PGC - SEWER CONNECTION 5 SEWER INSPECTION S SEWER SURCHARGE S Comments: