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13610 SW 115TH AVENUE vwHPW�Mw•W.ur+wu�W.Wi+.r+4lv/w�t...wxw.aWr•wnw�VYMww�+�ww/..wrr..r-wv.uM.'.•YW�r��rM wMJr/MMIrYY�i1�1•YWr�1�WtlYYRWrWMY�w.+.Wv'uWf'Vrir+.w w. u.-s.•.r.••..rx.w—..r..•�..._ury uv�AMMM�fMw+w...i. 136.1.0 SLS 115TH AVENUE i / I � I ,1 I W " / Fri 1-4 o rn . a :i r r Ii I A Y4 PA [L ci k, , r � . (14 N rr7 �i f G4 G� cn Cr ro W. rq i t i C 6N OF T167A -'ERM T T NO. -L87:Irt a417OFTGARO PLUMBING PERMIT OVRtONCOMMUNITY DEVELOPMENT DEPARTMENT 1312 W.Hall Blvd..P.O.Box 23397.".igard,Oregon 97223.(503)639-4175 DATE 'JI!E:..U: 1 1 h '6 N9 834: JOB ADDRESS: 1 61 C)SW 1 i 5TH AVE 'TAX MAF'!I_C!T SUE: : LT: LAND USL: LOT SIZE: ITEM: N0: WORT- GLASSI ADDITION WATER CLOSET TRAP UF-I. TYPE' ' rNGI,_E FAM'fL.•Y UF?.INAL. FK LOW F'RVNTt~ C'(]N;ST. TYPE.: VN L.AVORATORY TRAP PRIMER � Ci(" f.'tjP. t':al(l"'. : R3. 1-UEI SHOWER CREASE. TRAPS, D 1,.-3HWASHER 1304:RAGE DISPOSAL.. NO. 8TOR) ES WA:-SING MACHINE DWF-LL. UN ITh: LAUNDRY TRAY BL_D13. LIRA I N (1:11A E=1._OOR rIRAIN S I NF•. SEWER (FT) WATER 1AEEATER STORII/RAIN (FT ci r•f-IFR 1 -— -- -- —� I LMAP gas r 1 r,E? (:')rl r'r — --— •— -- i W IV hail"por"t' r`!1CIf1 r'I:RP1J T $15. (�)O E 11� 10 SW 11.5t;t- tier `a72', f"IXTURES P H(. M 15Q--',) 679-5466 STA TE TAX E. ;75 C — --— l:1THEP 0 N T R M0DFPN PLOME+INC I A p C) BOX 2:--',:',0 C t:i g I rd Cna^ 972,27:, T R I.l:l? I.; 1FATll11'd �I��, 181 _ TOTAL,: $15. 7 ` This permit is Issued sablec`to the regulations contained in Title 14 PECE I P T NO of the TMC. State of Oregor. Specialty Codes. zoning regulations -•---•—•----------___..__.__ and all other applicable codex and ordinances, and it it� hereby agreed that the 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 restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void If work is riot started within 180 days,01 If work is suspended or abandored for r oerlod of 1e0 days any time after work has commenced It she, be the responsibility of the permittee to assure all required inspections are requested and Approved. Permittee Signature .L..tars....„.:era+-�..—�_"'-'�q"""-".•'...'r`a.�w.�.ww.._._•.__._._.i�--__�.:�_.._._.-„.e,`.`- .._.r1W ....,. . ....._.... YTF P.0.RX Zi�1 CITY OF TIGARD PWM BIND UaZ 99 991 ELIO& llpp[K.anb tritest hold Orepn Reflstrat►on eo c'onducy a plutrtb� PERMIT °t�� business or must be property ownerioperatur not hirinS outside help. Nara or Dwokipm.n rl� Murrtbrnµ Permit►Jo._�1 Addre” Dead~ —� OPS 814-21-41C OUAN "ICE ANrT .Yob Tax t d - Map.No. - Address aXTURES tat Block Steodnrt,�or+ Sink 7.50 or r►r/qr/w�_ l avabry 7.50 Li Z Tub a Tub Shower Comb _7.50 / L ��G�./ Shower 0" _ _ 7.50 Owner / uWater CbsM 7.50- - sta _-.. Dishwasher 7.50 V Photo Garbape Disposal 7.50 --- f Was"Machine 1 7.50 Flop Drain `- 7.50 + -- eas Wslw Hester 7.50 Occupant City/Sola , / l�J �, / Laurwy Room Tray - 7.50 - - 1 1,2,;� 1_ Unrtal - 7.50_ -- Name 7 +o►e Other Futures(Spscrh) '50 _7 �) I~c c' (� lG 7.50 > � c...fir' s - Corttract�or � MP 7.50 — �/. All 7-� MISCELLANEOUS -T- taw Tax No Sir 1 p 10041� a --d Nofit- � o $ewu♦a Aadrt 100 15.00Sta* - (Rssrd9nBt, WOW S$rr+a„t 100 _2000 I hweby rrknowledge Vat I haw read ter apphcatlon.VW to Inkrmstim Water Sane"sa A cht., 1500 -- g+wn to oonect,ter I am mgieawed w+r to State BuwMes Board.and 31sc Storm ti Rart Dern 1 st 100 30 00 taw a Stats Pkprtb ft bores"t»rumba pfvan ars oorr*M Out Die --- - pkrrbM wort w-A be done In acmrdwx*with appkAbie prmW om at Ort Storm i P-in Drs i Addit 100 - Is or, gon r t"sad Sta%)M Chaptara as 7 and OW "appacabe oodes mid ttar MOO@ Mone Space - 2400 no hair wtl be ernp"Od L"M Noerp under ORS W3 01 exacro ham - State rwgesraaon,phase give reason bokrw) Bads Flow PrevaMron HOMEONNERS-I hereby arlN teowner d par t I sm"ownto praty d► Da.va or An0 Pdkaron Daaoe -- 7.50 awed&NrA,81~b J'b3n I iropase b mab a plrr#lg hstaaaaon kr Airy Trap or Was Not my own use and this prop"Is not bahp oonssucied for sale,lease or rwtt Cornwsod to a Fiw#re 7.50 Catch Sarin - - 7.50 --- hap of Exo Pkat w V 40 00 Per Mr — Spaaty RaQwatsd hapK§" 40 00 Pw W Ahm d Pketk V w1tMn - - - _ an f rtliatnp Skip 15.00 min of bft 0' _. .. � - 26.0)0 nen .. fatlil Des rAbs wcwk now❑ arletttm❑ NMrtWort l7 replw(] I d-ening 15.W don. rtsidertt+at�'7 tnon.rMkfI1__J -� Exub Ig use of pjdbv or pmw0'- TOT" Tft wanopsir"dtttOth 9�C9�p Q�� wrl�nrr>•an v srorlt is fto votastdIs to O. ..r... a Pei of Wftq 9 Dior ins OW work b aawmArolot r Der Net" _� �' ~; r a _l/ —--•- — MECHANICAL PERMIT Receipt#\ CITY OF flGAR® Permit# Description Table 3A Mechanical Code aTv PRICE AMT City of Tigard 13125 SAPI. Hall Blvd. 1) Permit Fee 0T__0_ 10.00 P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 9722.3 — 639-Z 175 1 Furnace to 100,000 BTU 6.00 incl.ducts&vents _ 2) Furnace 100,000 BTU 1 7.50 incl.ducts&vents Furnace Name of Development 3) Floor 6.00 11 .,}_ incl,vent Job Address _ 4) Suspended heater,wall heater 6.00 Address i ; � 1 , LO I ci floor mounted heater Tax Lot Map No. 5) Vent not incl.In 3.00 Lot Block subdivision appliat ie permit _ Name(or name of business) 8) Repair of heating,refr ig., 6.00 cooling,absorption unit _ Boiler or corip to 3 HP mailing Address 1°"e 7) absor unit to 100,000 BTU 6.00 Owner p•<<,, 1� �_ � �,. t., . - Cityistate Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU Name — 9) Boiler or comp 15-30 HF 15.00 I r. absorp.unit /P-1 million Mailing Address ` r Phone 10) Boller or comp to 30-50 HP 22.50 r � i absorp,unit 1-1.75 million Contractor cfylstate , �t zip 11) Boiler or comp to 50 HP ) 31.50 V 1 ; r absorp.unit 1,750,000 BI Slate Registration No City Bus.Tax No. 12) Air handling unit to 4.50 l c( 10,000 CFM I Air handling unit 7.50 1 hereb,, vcknowledge that I have read this applicution that the information given ir 13) 10,000 CFM + correct,that I am the owner or authorized agent of the owner•that plans submitted are in compliance v.ith State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50 number given is correct.(If exempt from state registration please give reason below). evaporate cooler 15) Vent fan connected 3.00 to a single duct _ __ -- - 16) Ventilation system not 4.50 _ included in appliance permit 17) Hood served by 4.50 1� mechanical exhaust Signature f�i or,agent) _Date 18j Domestic type 7.50 Describe work ❑ addition etteratIon I I repair F1 incinerator to be done residential ❑ non-residential C, 19) Commercial or industrial 30.00 Existing use of type incinerator building or properly —_� 20) Other i.e.,woodstove,water 4.50 heater,solar,clothes dryers,etc. _ Proposed use of _ building or property_ 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural ga.3 LPG i I electric ❑ — 22) More than 4-per outlet NQTLCE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — — STRUCTIION 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 INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 ` 0.0Type of Inspection _/ �E'iC� A4/CQi'✓ �– — Date Requested �_ Time A.M. �'� P.M. Address / _ Permit #.,2 yy ey Owner _ Lot # __ r Builder — —_--__ The following Buildi de deft cies are equired to be corrected: Presented to __ �_ ppIoved Inspector D Disapproved Date. CALL FOR REINSPECTION ❑ YES ❑ NO I BUDDING DEPARTMENT, TIGARD PLUMBING PERMIT •�� __— 'j holder of a valid plum!.-Ing contractors license is hereby authorized to ph-mbifSg rk as herein noted to be installed in -ccordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified riot 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 su -contractors. fob �+ Owner ____�� � _' , Address- 5LJ ' �r��)_`Date NUMBER OF TOTAL_ TYPE OF PEWIT ITEMS FEE ON EACH AMOUNT Single Family-1 bath• each 25,00 Duplex—Each 1 bath unit 25.00 Additional bathrooms—each 10.00 Mobile Home Soace—each _ 15.00 INDIVIDUAL FIXTURES SCO R Y I. 1 to 50 Fixtures In 1 building—each _ 3.00 w_ — 51 to 100 Fixtures In 1 building—each 2.50 101 to 200 Fixtures in 1 building—each 2.00 201 or more Fixtures in 1 bnildingeach— 1.50 t MISCELLAWEOUS Sewer—each additional 100 ft. 1.0.00_,_ _Water Serdice to building —_ 5.00 Other (Specify): - - PERMIT For Ptt,mbiny Inspection Phone 639-4 171 ;I 4 ,State Plumbing Contractor(fay TOTAL RECEIPT NO. Issued By �—� I City Of Tigard 1l,>aechankat Permit NO. Mew Installation ❑ Reptace ❑ Relocation� Addition C] Alteration © L`AgE• f /�. HEATING - CONTRACTOR �1>�� �i��1.C�t 'c.4ki4il; OWNER �?C_�("CLU �F ADDRESS-N00 �, (1-i t J L� fir. J08 AODRES5_�,�t►[� PHONE APPLICANT R, �XIQ �>4-SLU S, 110L- Heat Input Flating(STU per Hour) I='oo I TIA e► � Vent Size Ly 'iZ Flue Size—0or,►� 10 W�) FUEL OIL❑ GAS C] ELECT Q OTHER _ ITEM NO. FEE ITEM NO. FEE For Issuance of Permit S_EEBE� Lr OW Each Air Handling Unit or Duct System 7.50 New-up to & incl. 100,0017, . 6.00 Commercial Hood Svstem _ 7.50T New 100,000 BUT•s & a-. 7.SU Other Equipment -Each 4.50_ Woodburning Stove _ _ 4.50 1 Trip Inspection 'Vali-Floer- Suspended _ _ 6.00 Air Condition Compressor - up to&incl.3 H.P. Vent System w/Fan 4.50 Air Condition Corn ifssor-3.1 to 15. H.P,incl. Repair Heat Cooling .__ - 6.00 CITY BUSINESS LICENSE REQUIRED RY ALL. CANT cACT'URS OR SUB-CONTRACTORS! ! PERMIT ISSUANCL-. 10.00 Gsmments: FEES SUB-TOTAL - �' % STATE Issued 25%PLAN CHECK ► ' TOTAL RCC. # Signature of Applicant -_ i BUILDING PERM i APPLICATION 11T T'IGARD DATE__ _j- -•`7 OF THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED Bun n;:RPHONF 41—A 7 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_ 1, �+ LOT NO, OWNER Gordon I..1r�harpportJOB ADDRESS .1•"'f"10 $U 115th HOME ADDRESS ARCHITECT ENGINEBUILDER aunri' cunrato 1w DESIGNER ADDRESS C:i.�p4 rJLJ Fil.C�CaC3! {SOT' DESIGNER ab :�ht3T.tdan STRUCTURE r—CINEW ❑REMODEL QF,ODITION r❑--��REPAIR ❑RENEWAI_ ❑FIRE DAMAGE rr-- LIDEM�O7LITION RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOVSIJPATIO [:]CAR PORT ❑GARAGE ❑STORAGE OSLAB LJFENCE ❑BOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY _LAND USE ZONE_ ~7 BLDG.TYPE r _FIRE ZONE j PIAN CHECK BY___ __.__...._ HEAT L onat_ addi -inn t:J uxistina dwUlli(li.1 all n2,L.__p1mna i8X22 rafiff raa p t ,m binQ parfait—__ ---- -- QQC, LOAD___ rLG1-UP LOAD _. HEIGHT 20,_1`14�t4H1�-_ 1 AREA 31)6 NO•BEDRbOf�S {IL% VALUE 0,000« BUILDING DEPARTMENT_- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit L,µ.')V THIS PERMIT IS ISSUED :,UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check io.an PIEGULArIONS A14D ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE —' - WORK WILL BE DONE IN ACCORDANCE KITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND CROIIIANCES. THE ISSUANCE OF THIS PERMIT DOTS NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax ` LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total . 16� By _ APPL,CANT OR AGENT _-- -- - Approved t,l,l Receipt No AB& is DATE INSP. TYPE INSPECTION REMARKSPLUMBING DATE 2 Contractor Permit o. N FRI Contractor Fixture j -al HEATING Cont,acte- Pet nit No. Cim;or Oil tif,q in Final Final— SEWER DRIVEWAY -- Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach SLOG DEPT. FINAL TEMPORARY CERriFICATE OCCUPANCY CERTIFICAYE OCCUPANCY I Final Landscaping Zoning Final i 'I 33UILDING PERMIT APPLICATION `oF TIGARD DATE_LZ1d�2 �� _. �9..�Z NA !i UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE2"��90 ,,F AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHON!• LOT NO. C4rAJDRESS J3�e�t J Il S 1i� HOME ADR ARCHITECT CT I�GDIef' ENGINEER ADESIGNF.R A&�3,6 "$�1�� 101LL/ ?URE ❑%EW ❑REM_O_D_EL_ ®ADDITION 13HLPAIR ❑_REN_EWAL ❑FIRE DAMAGE _❑DEMOLITION fr/F`'")F NCNC *nMM ❑EDUCATIONAL ❑GOV_T ❑RELIGIOUS❑PATIOO❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE POND [:1 MOVING ❑CON_DITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVE ❑SIGNS C1'FANCY --_- LAND USE ZONE._ " BIDG TYP .LV-__FIRE 7 NE _PLAN CHECK BY – NEA – '_ A_-t9.3 _NO.BEDFi00MS 71A VALUE-?QC)-_ --PUILDING DEPARTMEN' SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE vimit THIS PERMIT IS ISSU:D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING ?Ian Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WILL BE DONE IN ACCORDANCE WITH THE P'.ANS ANDSPECIFICATIo."NS AND IN COMPLIANCE WITH 5uh lntal ALL APPLI:%BLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- - -- ----------- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS matt Tax LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. _ �T N1ry Q ___ APPI iCANT imp AGENT „I I c ved Receipt No _- -_— ADLrRESS `�1 I City of Tigard INSPECTION REQUEST for INSPECTION TIME : 1O'.3L PERMIT NO. : . + DATE". 1 �/� DATE I SSUM! .L OWNERS NAME : I ADDRESS : -1=SW►G ►IL��_ CONTRACTOR : 1-EST' A r :J , Water ❑ , %1isvrjI ❑ , La'• .ratorl r.1 IRESULT ' Approved —Disapproved 1`• P�nding SKETCH: I I ! ___.111—__.: INSPF_CTOR DATE [NOTE_ Attach supplemental test Jota heretc, CITY OF T'IGARD 12420 S. W, Main Sfrw► TIGARD, OREGON 17223 APPLICATION FOR BUILDING PERMIT New Construction a Demolish ❑ Addition ❑ Remodel ❑ Move Ll ZONING',,-'j DATE ISSUED 7-j-73 BUILDING PERMIT DATE RECEJVEUBUILDING FEE $___'W _ No. 1'4-4 . 150 BYPLAN CHECK $ 7.�U Fo r OTHER $ VALUATION $ i,ix; TOTAL $ RECEIPT No.—, -3-1r.. _ u�.�U _may 1�3 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION F LOT N MAP N CENSUS TRACT W--= JOB 8_ Architect or Engineer — Address 71 i, f c i%u cult Phone__ Owner Goru)n Donseliort _ ---_—__-- _-- -- Address 13 10 S.W. 115th Ave. _ _ Phone Builder Address _--Phone BUILDING USE Single Res. ® Multi Res. ❑ Comm. 11 Industrial❑ OCCUrANCY GROUP_1_— No. of Stories Total Height_ Area of Lot Type of Construction AfXX44W44v4WJW V Flour Area B--- Set -_Set Backs: Front Back L.Side R.Side` ((��!! Private Sewer Pipe Size_` r Sewer`— Septic Tank lJ Water Service Pipe Size_ —_ Storm S- c ❑ Ditch ❑ Drywell❑ Street and Curb Requirements_ Driveway Width No. of Parking Spaces___ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED XXV= 1301u 3.W. lljth Ava. - F.:ELD CHECK BY -- --. _`---- DATE _7--J_7-i PERMIT APPROIED BY It is understood t11at all work will conform with ap?licable codes and ordinances of the state of Oregon and the City of TiaArd, Oregon, and that the build IM will not be occupied until a Cer.ificate of c-nancy has been issued by the Cityf Tigard Building Inspector. 1We- Signature df Applicant (.i• +- ��T`'