11185 SW 125TH PLACE-1 11185 SW 125TH PLACE
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INSPECTION NOTICE
City of Tioard Building Dripartment
P O Box 23397
Tigard, Oregon 9722.3
Phone 639-4175
Type of Inspection �� V05 /i6 1 1---
Date Requested_-� .. K __ Time -_-- A.M.—P.M.
Address _���� Permit #
Owner - - -. - / — - -- Lot #_
Builder .--- -- — C u — -.The following Building Code deficiencies are required to be corrected:
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Presented to _ P�-Wpproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested T,ime
Address l�( �d �G� `�'� Permit # �
Owner _ _ Lot # _
Builder ---
The following Building Code deficiencies are required to be corrected:
-Tti rte
Presented to Approved
Inspador — _ _ --- + tll_pproved
Date —
CALL FOR REkLN§MCTION
!t O NO
11EX'HANT 1,AI— PERM.1.1
N
C'1Y OF T 167A O. HF
: AMI-11-413?
RD Cl jTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 0. D A1 E. :1,S U)U E,D a/30/(30
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 F 1-A.M PM'T' .N 801.!'-q9
5 W
125TH PLACE
'TAX MAP/1-01' SUB TDK
LAND (.1151E:
1-01, SITZE:
ITEM: NO NO :
WOW Cl-ASS) : ADDI'll ION FURNACE- <100K A.141 HANULP <:I.%)
USE 'TYPE: 15INGLE. F:'AMTl-'Y FLIPINIACE 1.001<+ AIP HANDL.!*1 10k
C ON51' . TYPE. : VN F 00A FURNACE EVAP .COOLE.11
OCCUP .GrIp . : 1:13 HEATEP VENT FAN
VUNI' VENT . SYS I EM
81 R/COMP ('311-117 1.4000
NO. STOPIES : I D1 P/C',[)Mr' 3-- HP 1INCINERA'TOR MOM
DWELL -UNITS : DLA/COMP 15-30HP ]:N(.'.I:Nr:-.:PA'I*(:)I:l(C(:)M
1"1UE1 TYPE. 5 131 WCOMP30-5011-IP' REPA- 1141 UN115
MAX . INPIJT & 81 P/GOMP 50444P (]'T*I..IE::p
l:r1RE- I)IMPAS? GAG PIPING OUTLE'TS :1.
I-HIGH P11:1E.GS7
I-Ow 1:44E.SS7
PEEMAPW:
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5mythw. r1laricly PERIM111' 110 00
w 1.1185 9W 125th 1:11. PLAN PEVIF--*W
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PF--*('.F-:Tr-)l NO
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 111LIQUIRED INSPECI :COINS
and all other applicable codes and ordinances, and It is hereby GAS LINIRE"
agreed that the wurk will be done In accordance with the plans and ME.CHANI.A. ':iYYlI:::M
specifications and In compliance with all applicable codes and FT NAL
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 not started within 180 days.or if work is Suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By L. FOR tNSPEC. 1 1.014 639-41:1.75
EFARAT"'* i".71RMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection F-1 NJ j;b I
Date Requested "� -1 G e Time A.M. P.M.
Address _ 111 3 = '
l 2.J r 14 12 t_ Permit #
Ovimer___ Lot #
Builder_
The following Building Code deficiencie. are required to be corrected:
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.ta.��.� .p..r���✓iv,� Acs'�- T' �n/ G���SF'
—� , iI-If2' . £-.Ll+&L r-- 11 i=""IC&1 f t-•7,/ MInJC�
--
Presented to Approved
Inspector _ Disapproved
Date
CALL FOR REINSPECTION
.,En YES 0 NO
r. INSPECTION NOTICE
City of Tigard Building Department
P.O. Sox 23397
k Tigard, Oregon 97223
t Phone: 639-4175
Type of Inspection
Date Requested ' - f Timee-- A.M. _P.M.
Address �' �s �` �r r Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ __- -__- -- - l-Apprnved
Inspector /1 ,�„j';; 0'.-.J �y, 44.4-11101'Aw ❑ Disapproved
Date _ -.� •�- -�----
CALL FOR REINSPECTION
0 YES L_7 NO
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CITY OF TICARD 639.4171 ioriinspect ions (;s11 L 5833
BUILDING HERMIT DATE1''euruary_ 19 __
TAX MAP ---LOTNO.,34 SUBDIVISION.,aLu . r .r&
OWNER_ Turning Star Coustsucti.un, Inc. — m JOBADDRESS lllts5 �: /12S LYls►Cr
BUILDER 4A=,_JJU_kL__A1t SK41_l _s_ .�7 � - STATE REG,Nd 3d_9'J __EXP,DATE
BUILDER'S PHONE 639-036 ,_..—
ARCHITECT_Tiw Meeker PHONE _.--OTHER
STRUCTURE b;1 NEW REMODEL. I ; ADDITION REPAIR MOVE Ll OTHER DEMOLITION
(,,l RESIDENCE Li COMM 1 1 EDUCATION IND RELIGIOUS ACCESSORY I ! GARAGE OTHER ❑ FENCE
OCCUPANCY t LAND USE ZONE __.:_, BLDG TYPE FIRE ZONE PLAN CHECK BY HEAT Jw
C',onstmicL Sialje family residence Wj&ttaC::%, . rage, all per aj;proveu plans. —
ua _tiL' anti. L •' o1�]rm ::l StJ illi Y�rrtNr [t�:irt0112_
SEWER PERMITM )y 1'jA I,IL u j j;arao4p r.l"1 1 u t1i
OCC.LOAD FLOOR LOAD 41" HEIGHT Lu NO.STORIES''- AREA 100 NO.BEDROOMS 1 VALUE`',Jk
BUILDING DEPARTMENT SET BACKS FRONT REAR V+ LEFT SInE �� - RIGHT SIDE16'i "
Permit Safi 00y _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON rAINED IN THE Bt.ILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCt S. AND IT IS HEREBY AGREED THAT THE
Plan Check Z13.2U 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.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Slat_ — i TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Taxx 13.12 �55L't.
—" SDC— �UU.IKI
Total r r ,— APPLIGANT OFI A(iFNi - - -
-- PDC#
Prepd. 1110.u%, I 15U.iiU
Recelpt No.�0 f� ADDRESS PHONE
L.eal.Dose 454.32
Issued By ____ Approved By
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
( - Contractor
i Permit No.
r _ 1 Rough-in
• Fixture
- /jam yLt� Final - —
/p HEATING
r Contractor /t ncd �6 y Z- 2
7 _ Permit No.
✓' /� p - , Gas or Oil
1 Rough-in
Final
— --- SEWER
Final
DRIVEWAY
_ �--�- Final
--- - -- ---� Storm Drainage
(Rain Drain)Final
Sidewalk
Curb 3 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CER IFICATEOCCUPANCY Final
CERTFICATE OCCUPANCY _ --
Landscaping
Zonh„ i mal �—
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CIn OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 2—
PLAN CHECK APPLICATION DATE RECEIVED: Z '�_
P/C DEPOSIT PAID: /n O
This is to certify that the attached 2" sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, /9L7,edition.
M'& /_ /
PROPERTY OWNER: ja 21,, OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: /��c�j � /c .J LOT NO. & MAP:
DESCRIPTION OF WORK:
AA2provals Re uq ired SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept . O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other O Other
Items Required
OList of subcontractors
Business Tax V/'
\� Calculations
(41runs Details
Parking Plan
OLandscape Plan
O Other
COMMENTS: y
City of Tigard Building Department
BY:
5~� 33
d
CITY OF TIGARD 639.1171 DATE
BUILDING PERMIT �( 11lS�Cl_ t'k
TAX MAP LOT NO. 91JlIOIV1810N
OWNER
1 C il rOB ADDRESS
OUILOER < < ` STATE REG.NO. I k�7O EXP.DATE 62-/q
BUILDER'S PHONE 1 )'1 — LC)) -
ARCHITECT_. ��� �-kc . PHONE =0?L OTHER
ST 6iU TUR EW ❑ REMODEL - ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER 0 DEMOLITION
ESIDENCE ❑ COMM ❑ EDUCATION IND ❑ RELIGIOUS ❑'ACCESSORY Q GARAGE ❑OTHER ❑ FENCE
R
OCCUPANCY lJ►ND USE LONE11 1 BLDG.TYPE _ _FIRE IANE_'r= PLAH CHECK 8Y HEAT
SEWER PERMIT M
TTT NO.STORI' AREA NO.BEDROOMS L`: VAWE -�(
'flC.LOAD FLOOR LOAD () HEIOHT ss
BUILDING DEPARTMENT SETBACKS FRONT ��{,) REAR fd LEFT SIDE :v" RIGHT SIDE
Peon t � THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIHEO IN THE BUILDINQ CODE.ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
MW Cheek WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND GRDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Flri RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT rATi BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING,
State Tax
SOC—
Total Poc1I yr ICANT0
�LJ G rrc�
Reoelpt No. ADORE" rTv%mu
Bal.Due
-AoofoVed By
SSMC
oc - 3-092
EWER CONNECTION 5 / 7 )—
IEWER INSPECTION S 3�
IEWER SURCHARGE 5
;ommentes _
tr
CITY OF TIGARD MECHANICAL PERMIT Receipt# _
PermK# /7�9
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
I 1) incl.ducts&vents 6.00
2) Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name Development Floor Furnace
�1 - 3) incl.vent 6.00
Job Addrees Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax Lot Map No. Fent not incl,in
Lot Block Subdivision 5) appliance permit 3.00
NamR(or name of business) Repair of heating,refr ig.,
6) cooling,absorption unit 6
Mailing Address Phone - 7) Boiler or comp to 3 HP 6.00
Owner G,c_ '1 1. P _ absorp,unit to 100,000 BTU
City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
r,.1a C��� absorp.unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP
absorp.unit 1/2-1 million 15.00
Malting Addreu Phone Boiler or comp to 30-50 HP
//O Z.� J
Ai„i , 10) absorp.unit 1-1.75 million 22.50
Contractor city/state Zi Boiler or con to 50 HP
CV
11 ? 11) absorp.unit 1,750,000 BTU 31.50
q'^!c.n!Tis!rahsty B
on No us.Tex No. Air handling unit to
12) 10,000 CFM 4.50
I hereby e.Anowledge that I have read this appliration that the information given Is Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that pians submitted are In 10,000 Cf;M 4
compl'ance with State laws,that I am registered with the State Builders'Board,that the 14 Non portable
ni.nber given Is correct.(If exempt from S1Rte registration please give reason below) ) evaporate cooler 4.50
15 Vent tan connected 3.00
to a single duct
---� -- --- --- - — Ventilation system not
—� 16) included in appliance permit 4.50
5* 17) Hood served by 4.50
__ - tr �✓ mechanical exhaust
Signature(owner or agent) Date Domestic type.
Describe work G addition K alteration O repair CI 18) incinerator 7.50
to be done residential non-residential ❑ Commercial or industrial
Existing use of t9) type incinerator 30.00
building or properly _— Other i.e.,woodstove,water
20) heater,solar,clothes dryers,etc. 4.50 ,5
Proposed use of __ ry , _
building or property 21) Lias piping one to four outlets 2.00 0.Oc
Type of fuel- oil i] natural gas LP(; I I ele-c'
J 22) More t'lar^4-per outlet
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — — SUB-TOTAL S_
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ 5410 406 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—_ _