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12265 SW 128TH AVENUE, o i iAw I I I 1 �tvBPlic�ol'�.�4Ti.Q& City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspecti�n* (RecPhone): 639-4175 eueino9s Phone: 639-4171 Inepection: Footing Plk. Cnderslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out can Line FINAL: Poet/beam Str-.ct. San. Sewer Framing -Bldg. ' Poet/Bohm Mach. Rain Drain Insulation -Plumb Plbg. Underfloor Nater)Linn Gyp. Bd. -Mech. Date Requestel- Ic�LJ Time: AM PK Addrenn:_ �_ 1p ��� Permit Is Lj THE FULLOWiNG CORRECTIONS ARE REQUIRED: inspectors_� " ` — _ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE pf Call For Reinsp. CITY OF TIOA RD Cf"?Y" RD .-' COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW HWI BW. P.O.Box 23397,Tigad,Oregon 2722 (SW 1630-4176 PLUMBING PERMIT r-ERMTT #. . . . . . . : PLM92-0021^, 6313--4171 DATE ISSUED: 03/23/9a SITE ADDRESS. . . : 1a265 SW 1126TH AVE PARGEL: SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :ADD GARBAGE DISPOSALS- - MOBILE HOME SPACES. TYPE OF USE. . . . :SF WASHING MACIA. . . . . . . . BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . : STURIES. . . . . . . . 3 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . : SF Ri"11\1 DRAINS. . . . . LAUNDRY TRAYS. . . . . . : SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . : IUB/SHOWERS. . . . SEWER LINE (ft ) . . ., . : MATER CLOSETS. . : WATER LINE (ft ) . . . . ! DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . : Remarks : Lawn St'inklel-- system Uwnet,: FEES� I 4ELI I COOK type amnont by date rer IPRMT s 15. 00 JLH 7.1,'S/23/92 SW 128TH AVE S P C T 0. 75 .11..H 0 3/-,s/92 i-I GARD OR 97-223 ''hone #S ('onti-actotl: (30UTHWES-0 SHEET METAL. 10415 SW 72ND �-IOR'ILAND OR 97223 1-hone 5 0324&C,21,14 15. 75 TOTAL [ieq 0. 45089 ---- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the 'T 0 0-0(At I n-,P Tigard Municipal Code, State of Ore. Specialty Codes and all Ither Final Inspection aprticable laws. All work will be done in accordance with approved clans. This permit will exoire if work is not started within 180 days of issuance, or if work is 4uspended for sort than IN days. Per-mittee Siqnatf.ire : k-"' 1955t.Ar- '! Call for inspection 639-4175 CITY OF TUPORD REMPT OF' PAYMUM'( HECL.IPI NO. 192--p25057 CHECK AMOUNT p 1 ti.7% H"RRASCAPE LANOSCAPE A CASP t-MOLINT a 0.00 PAYMEW DATE ADDRESS IRRIGATION CC). su s D f tv IS 1 ON 1.5 PO BOX 153, CLOU'VAPIAS, 9 p U R P(1)9 r- F* f."0 Y M V HT AM(JUNT oTD pjjrrposE or- PnyI wr 0110UNT PAT ............ ST. BUILD PER 11. 7fj Ir 1.4k:11-Al COOK .ta!65 iow J-PWIM AVI 1*01*(aJ_ AMUUNT 0011) INSPECTION NOTICE City of Tigard Building Departisent 13125 SM Hall Blvd_ Tigard, Oregon 97223 Inspection Lire (Roc-c)-Phone): 639-4175 Business Phone: 639-417`1/ Inspection:_ Footing Flbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater LineGyp.Gyp. Bd. -Mach. Date Pnq7 �eat x1s / I ( 1 ------Time: D AN _PM Addresssso S S^^� Z-� Permit 1: MEC_ 1 Builder:_..• W $7 F• TtiE FOLLO{IINO CORRECTIONS ARE REQUIRED: /Ji 2 e"D.v D. s:u ,tom ,� �-✓ ��,ri..cr --�. =�r)u.ul�ATi a 1/ c.✓,�1 L Inspectors _ _ Dater 7! IC Z " MPROVlD DINAPPROM �APPIIOVf<D fltlBJ=C'f TO A{!OV! Call Por tteinsp. MECHANICAL C'TY OF TIFA RD PE P.M I T I 1T4WrWW1D 'ERMIT #. . . . . . . .. MEC91-0098 COMMUNITY DEVELOPMENT DEPARTMENT 0"Emomm 13125 OW HWI Blvd P.O.Bax 23397,TOW,Orepn v (SM)M4175 1-ATE ISSUED: 06/11/91 5I TE ADDREE,-,:_,. . . : 12265 SW lc81H AVE PARCEL: SUBDlYISION. . . . : ZONING: LAILOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . CLASS OF WORK. . .NEW FLOOR FURN. . . . ,. EVAP COOLERS: TYPE OF USE. . . _SF UNIT HEATERS. . : VENT FANS. . . - OCCUPANCY GRF'. . ; R3 VENTS W/O APDL: VENT SYSTEMS: STORY'S'. . . . . . . . : DOILERS/C01YIPPESSORS HOOW;. . . . . . . .. FUEL 0-31 HP. DOMES. INC IN: 3— COMML.. INCIiN. MAX INPUT: FA'fU REPAIR UNITS: F I RE DAMPS R'S2 0-50 HP. WnODSTOVES. . : GAS PRESSURE. . . 50+ Hp. . . . g CLO DRYERS. . : 1,10. OF UNITS------ AIR HANDLING UNITS OTHER UNITS. : FURN ( 100K BTU: 10000 cfm: GAS OUTLETS. : f-URN ) =100K BTU: c,-fm*. Remarks: air conditioner Owner: ------------------ FEES HELN GOOK t v pe amol.,int by date 12265 SW 126TH AVE PRMT $ 16. 00 PL.L 06/ 11/91 PLCK $ 4. 00 PILL 06/11/91 1,1GARD OR 97223 55 P C T F 0. 80 PLI.- 06/ 11/91 Phone #: -ontractor: t„'OUTIAWES'l SHEET MET(.4- 1041;j SW '/2ND WC)HILOND OR 97223 '-htone #- 503,.-466264 $ .20. 80 TOTr,L 45069 REQUIRED INSPEr."rIONS This persit is issued subject to the rqilations contained in the !=inek! lns,,ppL!tioTi Tigard Nunicioal Code, State of Ori. Specialty Codes and all other -on' clicable laws. PH work will be dupe i” accordance with 4ioroved plans, This persit will vxpirt if work is not started .1thin IN days of issuance, or if work is suspended for tort -,an IN days, ermittee Siip?)Skt-Ar CA11 for insovatior, 634-4175 w w L��MRJM I VK cury op TICAPD RECE'lPT OF PAYMENT RECE I PT 'N(). :91-214210 20. 80 NAMEs SOUTHWEST SHEET METAL M A01 ADDRESS 0 1415 SW 72ND 0. 00 . 06,/� 11/91 1. SUSDLViGlnN TICIPRI), OR 97223- 12265 SW 1c'8'1`1-4 AVE PURPOSE OF PAYMENT AMOUNT PAID PURPOSE nF PAYMENT AMOUNT PAID MEC91-00'-)*S-"---Ii,".--O-,O- S-T, —BU'I'-L-D-"-P E-R,- 0. so PLAN CHECKI FE 4. 00 To TAI_ AMOUNT PAID Of ff ;ITY OF TI.CARD MECHANICAL PERMIT Receipt# 9�- o2i�/t�Ziv 13125 SW HALL BLVD. Permit# /A.0c G o '1p 1. O. BOX 23397 Description _ r I GARD, OR 97223 Table 3A Mechanicat Code — OTY Ph,%;E� AMT 1503)6.39-4175 1) Permit Fee -0- -0- 10.00 Na`roof p"o - 2) Supplemental Permit 3.00 Job Addrecn r �u U�( ---_-__ t 1 Furnace to 100,000 BTU 6.U0 Address ,/ - ss .2�&s $w incl.ducts 8 vents Map No.Tax W 2 �- ) Furnace 100,000 BTU + 7''0 incl.duces 8 vents tax (1k)Lk SubdivWw —-- ----- --- Name - Name(or name of Nr Aness) 3) Floor Furnace 6.00 incl.vent Maiti„g�,f,,,� - --- F�;oie - - '4) Suspended heater,wall heater - 600 Owner or floor mounted heater 5) Vent not incl.in ---- 3.00 --- appliance permit _ _ Name(or name of busuvtss) -- —�-- �) Repair of heating,retr ig., -- 6.00 cooling,absorption unit _ "nnq re dress 1 hom--- 7) Boiler or comp to 3 HP 6.00 - Occupant absorp.unit to 100,000 BTU City/State - ----z - 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,00013 FU Name 9) Boiler or comp 15-30 HP 15'04 absorp.unit 1h-1 million -S4' �I.c f �7)t -- Maanp Address Phorn 10) Boiler or comp to 30-50 HP 22.50 /E1 /5 .5 L✓ 7 2 absorp.unit 1-1.75 million - -_- Contractor (ity0ate ZIP 11 Boiler or comp to 50 HP 31.50 2 Z ) absorp.unit 1,750,000 BTU — _ State Ragistratirxr No City Bus.Tait No ) Air handling unit to 12 10,000 CFM 4.50 i hereby adnowledge mat 1 have read thioAir handling unit apphcatwn that the mforrnatxxr gmren is 13) t0,000CFM + 7.50th coned, at 1 am the owner or authorized agent of the owner,ttiai pians stxxoMed are in --- ---- contplianee with State laws,mat I am registered vmth me State Bumem'eoud,that tfM 14) Non portable 4.50 number given a awred (If exempt from state n-gisuetron 19ease(jive ma-(Wl 1x 1rn ) evaporate cooler t 5) Vent fan connected --------� - 3.00 to a single duct _ 16) Ventilation system not 450 _ included in appliance permit - 17) Hood served by 4.50 - mechanical exhaust ��(_O_Wrw a Date 18) Domestic type 7.50 Desrribe work L addition p alteration p repair L Incinerator to be done residential O non-residential p _ 19) Commercial or industrial 30.00 Existing use of - type incinerator building or property 20) Other i.e.,woodstove,water 450 Proposed use of _ heater,solar,clothes dryers,etc. building or property 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gasp LPG O electric l_l - 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- / STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S%SURCHARGE jj'U DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN Rt•`r!EW 2S%OF SUB-TOTAL 41 , L' ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER — WORK IS COMMENCED. TOTAL c (� Special Conditions - - -. — t?ate issued LO- ���9� b P*""',,,,����pppp.�.. "'�.ity� it _ttom�,,,�p�p �.-"� '°w.r .� ,�.w'+�.0 •o J �!} d 'LF �yS �' �'�nAd '�'�rr',a�n► ' .�+M►�`�+y Ykill fy;A�41.71 Age,Ar � '- t low `a *J > t � . Lr oc cl to Vic' V r r •M1 .'y 11 L.7V w 44 V. z N vii a A r. j �a' 41 oe w M w ) s , t 4 ......... LN 'I Oft"0 jt- r ,G. .' d►� `t .�.! OT, .1' ' >,� yi �Ap 9y '` " a hydgr q Ma' `�yw � y F f::',. ,5�;" Y . •..:M"t ,I�'w�� Mr i 1 r- I CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223 / RECEIPT DAT : y-/ -d 7 AMOUNT:$LrjnLLARS 7 �.,/ NAME: 1�t�1` CASH: ADCC<EaS; CHEC '__ M.O.: I OF FOR: ACCT. M PERMITS SURCHARGE AMOUNT SEWER BILLINGS 40-364 $ BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 _. S MECHANICAL PERMIT 05-332 _ BUILDING PERMIT 05-333 _ �•�„Z__/ d?.5 , 00 SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 4,0,6 SYSTEM DrV.CHARGE 25-366 PARK DEV.CHARGE #1 30-367 PARK DEV.CHARGE •2 30-368 d ZONING ADJUSTMENTS 05-362 -- /7,Ic, rotALs RECEIVED BY: �� _ PERMIT NUMBER$ASSIONEO: Number Amount Numbor Amount Numbw Amount o� s.11� �' - RECEIPT . 17883 i i BUILDING PERMIT APPLICATION TIGARD DATE April 17. '19 JA 4803 THE UNDERSIGNED HEREBY APPLIES FOR A PERM!T FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE -� LOT NO. 12ti -- OWNER _ idgacre_t � • JOB ADCRESS—_12?f;S ��- Bellym>d III Suite L 1 I Y ARCHITECT ENGINEER BUILDER 5aune ADDRESS IUCD DESIGNER STRUCTURE R} NEW ❑ REN,VUEL ❑ ADDITION Ll REPAIR — ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION QXRESIDENCE C_1 COMM ❑ EDUCATIONAL O GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT_❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USEZONZ . iL-A-S BLDG.TYPE _ L__FIRE ZONE PLAN CHECK BY _ HEAT—GA&-- --_- — Ctsnrt.truc�Jintzle fam ly dwellir,e vlattanhed WArsge _-- -_- 5ub lecc to - - SEWER PERMIT# 26516 _ uarege 4;31) OCC.LOAD FLOOR LOAD 4U HEIGHT 13.5 N0.STORIES_ I AREA 1517 NO.BEDROOMS 3VALUE (j.3,krVU BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 40 LEFT SIDE IU RIGHT SIDE 1., Permit 322.4)4) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 2�)9.3U 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 531.3(1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 12. ; LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ate Taxf y44. 1+, SDC- �4i1l,.uU Total -- -- PDC# (UU.Uo APPLICANT OR AGENT By CH Receipt No. ADDRESS — 'PHON Approved fiCK i i , 1 DATE INSP. TYPE INSPECTION REMARKS II PLUMBING DATE Contractor �c Permit No. yL � . ©/� F�ugh•in QS�Je✓�—fes 1 Fixture - -- -- -- Final _. --- — — � /J Z t� �`canon/w t��/y�. ^��• y-� HEATING Contracior� Permit Nu, J� T / _Gas or Oil i!Rough-inI- - Final --- — ---__-- '--- -- --- _- - -SEWER -- - — - -- --— Final �- - -- DRIVEWAY r— - �-- ---Y-- Final �--- Storm Drainage i (Pain Drain)Final Sidewalk Curb&Street Final Approach BL L3. DEPT. F 1 N A TEM,-ORARY l CERTIFICATE 0CCUP4NCY �!Final CERTIFICATE Cr'CUPANCY I -- andscaping '�Zon,ng Final QUIN BuiIdiny Permit Pdo. Location2-&tA. Date Certification of Registration TL e� '.lith the Builders Board r- I — doing business as (dba) , am registered under the provisions of ORS Ch ter 101 Oregon Nanebuilders Law) . My Builders Board Registration Number is My registration is in full force and effect and expires on Signature TI-IF UN(`�Et51GNF0 nPaLIE:S ►O`( nPLIit,11I f UI( 111k 'vV111(r: hll CIV4 H4t)I[.NIt-LJ (jr, AS SHOWN AND APPRUVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINE11Pf •,IL' S--- /{ l /� LOT No_ )211/ ^7 ARCHITECT 2 ENGINEE.lt '/ r I J DESIG'v�'IT :;U 1 r p-•Z ��y9t�, A U G R EE-�' STRUCTURE _ _ NEW— ❑RFh1l10EL ❑ADOITION – t_1REP IR ❑REMEVIA. ❑FIrE OA1nAGE 00E:•I0LIT RESIL�C"ICE OCON.nt ❑EDUCATIONAL CJGOV'T ❑RELIGIOUS[]PATIO CA,-1 PORT AGAR?GE I_15TU7AGE [SLAB ❑FEI CCCUPACCYJ_LAND USE ZGrIE��° _OLOG.TYPE r�N PLAN CHECK f3 Y. ►tEAltr' CONSTRUCT SINGLE FAM:?.Yp.,6wj.j.jNG w1A,rrAf"En r_er<AGE - --� :Z_BA'1'l{__KUUPI BEL)ROOM .3ELJER PERMIT JL S/ Garage Q"–L-Q_p__•_, FLQ03LQA `� '�' HEIGHT / :�_=� NO.STORIES AREAI._.)Z_i NO.BEDRO0105 _VA UE SUILOIN G OEPAP.rME SET BACKS FRONT C� —REAR LEFT SIOE /C? RIGHT SIDE THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CUNIAINEO IN 'THE BUI!DING CODE, ZOO --7 C� ?�' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS,:ND SPECIFICATIONS AND IN CGMPUF.NCE M S'.f7-L�LdI I�y^w ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT Wl RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY PUSIP 1!7.aLr Tax I LICENSE. SEPARATE. PERMITS REOUIRED FCR SEWER. PLUMBING AND HEALING. SDC Total I r/•/ PDQ 4 _ r r _ APPLICANT OR AGENT Appro•:FA 1 Receipt No. �r�•• Anr1N FSS �iOnt S 0c - P0C — _. # SEWER CnNNECTION $ — SEWER INSPECTION S SEWER SURCHARGE $ .. Comments : / ,2 AR pi57 y /v' ar 7G i