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11734 SW 129TH PLACE l i i k - o T INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard Oregon 97223 ` s Phone: 639-4175 Type of Inspection . Date Requested (!:;� —// �'e . Time X A.M. P.M. Address Ow;ier _ _- Lot # _ Builder . The following Building Cote deficiencies are required to be corrected: i Presented to — _ proved Inspector /[] Diapprowd l Det CALL FOR REINSPECTION ❑ YFS El No W W, 11 L C,H A N f A L CITYOFTIFAM PF'RITI T Cffi 010 8 CITYOFTWARD� P�:RIIH MEC90 COMMUNITY DEVELOPMENT DEPARTMENT 0"90N 13126 SW Hall Blvd. P.O.Box 23397,TOW,Oregon 97,F2 )46f.0,4.1.76 C DATL 15S1.JE:D" 0()10:1.1140 S I T E: 0 D D R IH, 1, 1.734 SW 1.1i'.9141 1-:1 L. I A f 1."i 133 1)1)— 0 0 1. 3 1.)B 1)1'.v I TH 0 N. . . '. . ZONINGI: 1-01 . . . . . . . .. . . . . . :56 CLASS OF. WORK. ADD F--LOOFA F:'URN. . E-EVAC' COO1-A:'R13: TYPE:' OF' LJSl.­. . . . -.1,:;FUNIT HLATF-R .S. VENT FANS. . .0 C,C U[::,A 11(.1 y G)R V1. T':3 V[J. f,3 1-1/n pl:ipq.. VEN I' SYSTEMS-. STORIES. . . . . . . . . L40I L.E:R6/L,011PREi.SSORE-) HOOD13. . . . . . . .. 0-3 11 DOME--,': INC 1:N "/W(:)D/ 3-15 HP. 11OM11L.. INCINg 11 A X I N ID(.)T D T U 15-30 1-4 RE--,PA 1.R U N 1.Tfi) F:.I R!''. 1)A M PE R G 30 50 HP,. .. WOODE)TOVES. J. GWS *'R E S S U R E:... 504• H r". CLO DRYF.*:RF). NO. OF* UNITS AIR HANDL.,I NU UNYTs OTHER UNITS. F;*URN < 1.00K <::.-. 3.0000 C' uni. GAS OUTI-C.TS. F:,L)Fol >=1001< DIU: > 1,0000 (:Jni- R e ni a r k.s- Owne-r: R a Y4 E P I' S A X type aniot.tnt 1:)y date 'r e e p t; 1. 1734 tiW 129TH PL P A y t`1 $ 15.23 JLH 05/29/90 PRI11, I; J.4.5 0 TIGARD OR '37223 5 1-1 CT H. 7:3 P h C'A(3(.:A1)U r'H I'MNF.:Y L',ARE.' 861 L'. 1::,0WLl L (71 R L C61-4AM (IN 97030 11 C)n e #s $ 15 t'.:.13 TOTAL. 6 0 0 8 9 R L*(4 U I R F--'D .1NSPE.'CTJONE) This permit is issued subject to the regulations cont;,ined in the 11 a I T I-)S P e C uitarl Tigard Municipal Code, State of Orp. Specialty Cides and all other appliciblp laws. All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. .......... ................. ............ .............................. .................. ............. C a I I fo r i i i s P e t tion 639 _41.7 j �yrL CITY 017 TI(aARI) - PE.CLAPT OF f••oYME:N'f RECEIPT NO. ;-11-2313.1' C.HEC,'K AM()IJh.(T 1 `.. 2.3 N(4mp: t SAX, ROBERT CAlmH AMOUNT C.1.C1C AODRESS : 11-714 SW 129TH F'!.. PAY MF.N T DATE. ; Ocj/0 1 i 90 SUK)7VISION TIGARD, OR ^7.^2"':?,-- WC10I)STOV}= t:-,Ei: 'ILII T F►IPPOSE OF PA'YMENI AMOUNT PAID F'l.lRr•OCl'= OF PA`."E'N'T' AMgtJN'T F,o410 HANIG4 I E MFC"�'l:) 010E3 14. 50 4A ST . IaI.JIf_D F'f::F� — 0. 7"_. �l I TOTAL AMOUNT PAID I CERTIFICATE OF / OCCUPANCY CRYOF71FARD I '� PERMIT M. . . . . . . a BUP89184�► `CITY0FTI6ARD FRIM. PERMIT M, : 891844 COMMUNITY DEVELOPMENT DEPA'I�I'1' El4T 0RWm 13125 SW Hell Blvd. P.O.Box 23397,Tlpani,Oregon 97223(503)8394,176 DATE '!13 8 L1 E D: 05/84/99 - SITE ADDRESS. . . : 11734 SW 1E9TN PL _ PARCELa 1513:3DD--01700 SUBDIVISION. . . . c ZONINO% BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . 156 CLASS OF WORK. eNEW TYPE OF USE.. . . v SF OCCUPANCY ORT . eR3 OCCUPANCY LOADS TENANT NAME. . . e Remmrkse $30 for c red line copies flwner,e --_....______-__.________._____--________ DON 110RISSET'TE FSO BOX 195e4 PORTLAND OR 00000 0000 Phone 0% 000- 000 0000 f.;antractor e DON MORISr3ETTE ELDERS, INC. P 0 BOX 19524 P0RTLAND OR 97219 Phone Me 593-244-9314 Req W. . s 35:.33 Occupancy of the above referenced building is hereby given, and certifies the compliance with the State Of Oregnn Specialty Codrrw for the. group, occc.pmncy, avid use under which the t•eferenced permit was issued. »FIRE DEVARTMFHT~ DING INS 'TOR BUILDINf3 FFICIAL POST IN CONSPICUOUS PLACE I INSPECTION NOTICE Qb City of Tigard Building Department i� P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 i Type of Inspection 44�Q— Date Requested Tima A.M._, P.M. Address /! 7,3(z Z �/l' Permit !6 -4 I Owner _ Lot # j Builder LLZU 1 BSc TC The following Building Code deficiencies are required to be corrected: Presented to _ .», pproved Inspector _ Disapp►o-ed Da,e 5 C/ fie CALL FOR REINSPECTION 1,) YES 1A NO rN rN INSPECTION NOTICE City of Tigard Bui:ding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -4 �A' 4�X� Date Requested Time A.M.- V P.M. Address Permit OK/ Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to F-1 Approved Inspector �1101sapproved Date CALL FOR REINSPECTION J4 YES FA No i i INSPECTION NOTICE i City of Tigard Building Department --*7�/ P.O. Box 23397 �f Tigard, Oregon 97223 J /Phoneme: 6399-4175 Type of Inspection Date Requested Address �� 1?_ __ r— n►it #�1L�sL-� Owner Lot # Builder T;ie following Building Code deficiencies are required to be corrected: i i i — I' Presentrd to _ Approved r � Inspector ! !'',r _ Disapproved Date S- 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 �—64– s!��- Date Requested IL —P.M. 1. Address Permit Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector H Disapproved Date CALL FOR REINSPECTION YES NO I INSPECTION NWICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 .7e/ 1, Phone: 639-4175 Type of Inspection �.(- _ & � Date Requested_�L Tlrtif�i' M. P.M. Address _- ' ��1 —_j0 Permit Owner _ Lot #_ Builder The following Building Code deficiencies are required to be corrected: Presented to _ Approved Inspector LJ Disapproved Date CALL FOR REINSPECTION ❑ YEf ❑ NO I I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 j Tigard, Oregon 97223 Phone: 639-4175 Type of InspectionL / Y Date Requested 7-3 7��_ Time A.M._ P.M. Address / ! Permit A Owner Lot #, Builder The fmiowing Building Code deficiencies are required to be corrected: Presented to proved Inspector I Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspriction Date Requested Time—A.M.—P.M. Address - Permit Owner Lot Builder :227 - The following Building Code deficiencies are inquired to be corrected: Presented to 7—A—pproved Inspector Disappioved Date 3 2re' CALL FOR REINSPECTION YEs L-J NO INSPECTION 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 Permit Owner d9 Lot Builder The following Building Code deficiencies are required to be corrected. Presented to - IApproved Inspector Disapproved Date CALL FOR REINSPECTION 0 YES E-1 No INSPECTION NOTICE City n Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested =I Time &-o" 4k.M. P.N. Address 20, Permit *�--0Z9!2 Owner Lot Builder Mln3ia g#& P. The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved CALL FOR REINSPEMON EJ- YES 0 NU INSPECTION NOTICE City of Tigard Buliding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 ` f Type of Inspection Date Requested.� J(0 "a f7 Time--A.M._ G P.m. Address Permit # Owner _ Lot #. Builder LA�LL The following Building Code deficiencies are required to be corrected: r.�i /ll S'rN.t'X" 1�,�1r',�t I 'K't'✓�dC SL ✓ /Iii�i1 L- _ Presentod to _—_ i 1 Approved i Inspector .S'l1_, �.. LI Lisapproved Date CALL FOR REINSPECTION M yu L7 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 ` Phone: 639-4175 Type of Inspection Date Requested_T 7� Time �_A.M. P.M. Address ,�/ 7 3�� /Z y a Permit # Owner Lot # BuilderThe following Building Code deficiencies are required to be corrected: ld✓iag' A—zle–At a2A&A/ai:C`J70 ti M At--"B�LAQ2 42C I Presented to 4 Approved Inspector _) Disapproved Date la '" CALL FOR REINSPECTION ❑ VES ❑ NO y .J .t INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tlgard, Oregon 97223 Phone: 639-4175 l TYPE of Inspectionesl��jf �— Date Requested �_�_ Time A.M. P.M. Address — �j•Z �� .� � i � Permit # Owner_i / Lot #_ Builds" i The f allowing Building Code deficiencies are required to be corrected: — p Presented to Approved +'` Inspectorle& `' — ❑ Disapproved Date I CALL FOR REINSPECTION ❑ YES ❑ NO r t i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 p Phone: 639-4175 Type of Inspection Date Requested ! ^� Time / XA.M. P.M. r' Address Permit #A!l� Owner Lot #, Builder The following B (ding Code deficiencies are required to be corrected: 1 Presented to Approved Inspector ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 hone: 639-4175 Type of Inspection Date Requested\, < A.M. Address —Z Permit Permit Owner Lot Builder The foil ng Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION YES Ij No EMBED L BUILDING PEWMI''Y C17Y ®F' T'FA RD CrTYOFTWARD PERMIT NO. : BU891HAA COMMUNITY DEVELOPMENT DEPARTMENT 01160N 13125SW Hell Blvd..P.0,Rnx2P91 TigAid Oregon 97223.(503)639-4175 DATE ISSUED : 1/ /4/90 PpIM. PMT' .NO. (39'1B4/1 ' JOB AUCqESS : 11734 SW 129TH 9L TAX MAP/LUT ISA. 33DE) VJI I_A E i.^1l '.iUMMEPLAKA:. 2 L T : 56 ID LAND USE: LOT SIZE: VAI UATIJIN : $ 121 , 34;3 SETBACKS r-:*PONT' : 20 WEAR : WORK CLASS : NEW DWELL . UNITLS : i. LEYI : 5 RIGHT 905 USE TYPE: SINCA-E FAMILY NO , A EXI .WALL CONS T : (70NST . TYPE VN NO . BATHS : 3 N: W: OCCUP .('..341J . R3 PROT . OPENINGS : (XGUP .LOAD N : S : E: W: TOTAI... AREA : 2837 NO . STORIES : a IST: 1.347 ROOF' CONST : C FIRE: PEI"? HVJ(',.HT : 20 2ND : 1.490 AREA SEGAR 7 RATED: BASEMENT? 3WD: OCCUP. 5EPAR7 RATED : MEZZANINE'? BASEK.M' T FLOOR LOAD : 40 GARAGE: 400 FIRE GPPKLA7 ALARM'? FLOW I GPM I DETECT7 YES L -7 H OP,P T-111,�ttir CORM7 PI AN (.J*.:_*CK BY : rIt REMARKS : WEJSSUE OF NO. 891CIA43 $30 for 2 red I i n ek c�n p 0 lit 0 F E E:S W N MORISSETTE DON PERMIT 114108B . 00 E Iia BOX 19524 PLAN Pl.VJ.LW $410 . 00 portland or FIRE. DE.:PT $24. ,qO S FA 717'-_ *1 AX C OTHER *30 . 00 0 DEVELOPMENT CHARGES : N SDC(STOPM) $250 . 00 TI DON R D1.)N BUILDERS IN(:.. S DC( li T PEE:T ) $600 . 00 A $250 . 00 C Po DOX 1952A PDC(#1 TPRE.'PA 10 $40 . 00) porll.:httntJ or 19721.9 14,51 44 4--,1 HA F::ON 11—1 TO VAL : $J. .64c'. . ado Thm permit is issued subject to the regulations contained in Title 14 WL.'I.LIPI NO. of the TMC, State of Oregon Specialty Codes toning regulations and all other applicable codes and ordinances, and it is hereby U INSPECTIONS agreed that the work will be done in accordance with the plans and 1-*--WUIRE- specifications and in comp) -nce with all applicable codes and I' OIJI1.NG R (),dinances The issuance of this permit does not waive restrictive FUUNDATIUN WALL- RAIN DRAINS covenants Cortractot and subcontractors shall have current city POST & 8k;-AM WAIL14 LINE t),ouness tax permits This permit will expire and become null and PLEI -UNDIEW:iLAR (31Y AP:J"(;H/SW void it work is not started within 180 days,or if work is suspended or ahandoned for a period Of 18o days any lime after work has SLAR IINAL c,iminencPd It pall be the rpsponsihildy of the permittee to as-sure PLT!. TOPUUT All required in pec ns are requested approved 1. HAM.1 Nu in pdec, FIREPLACE INSULATION Permittee SlorlAtUtP GYP. E11,1A111D jq!�.Ied By' CAI I.. Fnrll TNSIPECTION 6AY -11-75 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE A CITYOFTIGARD 1.11.44M] I NO . !jEW91699 k CITYOFTWA0 1/ -1/90 COMMUNITY DEVELOPMENT DEPARTMENT PAXH. PMT.NO. 891944 13125 S.W.Hall Blvd.,P.O.Box 23391 Tigard,Oregon 97223.(503)639-4175 ,JOB ADDRESS: 11734 SW 129TH PL USA NUMBER: 391.61 6 HK : YOX MAP/L.01' 151. SUH : V1L.LA(.-A.;. Al !;ilJMHL'.:PL.AKV. i-.. 5 LAND USE: 1-01* �ilzv.. : 1 � SECTION: 33 TWP : Is PNG : Iw WOPK 01 A55 : NEW USE TYPE: SIN('.V*Lr-- FAMILY The applicant ultgreem to comply with all rk.110% iiji.1d IL'eClLI1hLt:1AJl'IS Of thve Unifior.-id Lit 5-%?werage Agency . The permit **xj:)ire% IZ?.0 days from the (:I&tO iffISLIed. The total pii.l'id Willi bc-t if tj)e 1ar IL'M:L 1, f"X j.I"jF..j i; . I'I'l kE) A .1 JF,�I I C.I.y cI(:)e!: not g(.14 antee the acct.tracy of the location of thc7 mide. mewwr lateiralhi . If the sewer J.III, III-it *.h:I0F1tW0CI ilLt thIR Ipjivloii , the irisitii.kiliver %kiail prorupec.—L S feet ill all directions from the distanc!e giveri . If not so located , the inistalleer shall 1:1 "Tap iand !aicle F"(orin.it iand the Aqc-i.�ncy will instml] a 1iii-teral . E 5IM—E. ITIJh : E50 I I 03.1qu 1:1EWE.R 1M1,)L--.RVlrJULj An A: FIXIL114-K UNTTS . TENANT IMPPOVEMENT : DWELLING UNITS : I NO. OF FEE5 : M(:)14 1:Lis DON PRPMT T 0 W P0 Box 193e4 C(:)NNE-.:C*T'ION CHAP(1,E 111111250.00 N o I-t:1.a 1-1(1 or LINE 'TAP INSTALI... . E R THEM G morn sisury I-.: DON 0 DON moRsTTF;� isE141JIIC LDL149 N N r 1.)n HOX I 95RIel R p o r t I a nd or 97219 A c PHON17 (503) 244-9314 0 T i:;ir--.-r.vi'1'PAT T(JN NO . 3553:33553:3 TOTAL: 11111121135. 00 R e"t A E NO. ---------------------- This permit is issued subject to the regulations contained In Title 14 of the TMC. State of Oregon Specialty Codes. zoning regulations and all other applicable codes and ordinances. and it is hereby POUCH--IN agreed that the work will be dons 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 not started within 180 days or if work Is suspended or ahAndoned for a period of 180 days Any time after work has commenced 11 shall be the responsibility of the permittee to assure all rpqulirpd El, ctions are request approved Pprmitte lure GPI.A. FAMI JN51'l I ICIN 639--e11'15 Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PI UMBING PERMIT ITYOF TI67A RD PERMIT NO. : PL.891897 CITYj0FTWAItD DATE '.F55kJr-.:D: 1/ 4/90 COMMUNITY DEVELOPMENT DEPARTMENT PRIM. PMT.NO. 891844 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 J(:1R ADDPESS : 11734 SW 129TH PIL -- '1 AX MAP/ILOT 1.51 33DD SUB: V.1.1 L�-`iGi::. i)l '7i(.JMMEPI_AKE P. L.T: 56 BK : LAND USE: SIZE* : ITEM: NO: NO : WORK CLASS : NEW WATF-KII GLOSET 3 TRAF, USE TYPE: ST.NGL.E FAMILY URINAL BKFLOW PPVNTR (XIINS T .I*YPr-. : VN I AVORATORY 3 TPAV' PRIMEA (')(CUP.G11.1p. : P3 TUB SHOWER a GREASE TRAPS IXISHWASHkA4 :1. ',;APBA(;E DISPOSAL 1. NO . i!'-VT'ORXE*S : P WASIAING, MA(:,HJ:Ni-- I DWELI_UNITS : I LAUNDRY TRAY BLDG. DRAIN (DIA FLOOP K)PAIN SINK 1. SEWEII (F*T) WATER HF;:A'TF'.:Il .1. STUNM/PAIN AF1 I. OTHFP RFMAPKS : 0 DON PEWMIT 41:1.:3 i...' 15 0 W P rJ BOX 11.95e4 N I-)ci r,ti.Ilk rt cl 1:11-1 F: J"XT U F41-.:Si E R STA`;i­ TAX C 0 N T A A C T Pt.;14:ts'i-RATION NO. $139. 13 0 RECEIPT NO. /C��07�y .......... ........... This permit Is issued subject to the regulations contained in Title 14 REQUIRKI) IN5PLCTIONS of the TMC, State of Oregon Specls!ty Codes,zoning regulations and all other applicable codes and ordinances. and It Is hereby PLO.LINUEASLAR agreed that the work will be done In accordance with the plans and POST A REAM specifications and In compliance with all applicable codes and WA I F:'P LA:NE ordinances The issuance of this permit does not waive restrictive PL H . TO POU t covenants Contractor and subcontractors shall hrve current city 1-4AIN DPA'1N4i twalness 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 FANAL abandoned for a period of 180 days any time after work has ornmenced. It shall be the responsibility of the permittee to assure ill required chons Are requested Find approved required Permitt sture ALL, F'01�4 INSPE(�'IION 639 Issued By �� - 14�'i . — I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE - 77 C17YOF710AD ' MECHANTOA. l.: [4-1916! PEPMIT NOME8 98 C17YOFTWARD COMMU14ITY DEVELOPMENT DEPARTMENT 0019ow 13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Orogon 97223,(503)6394175 12MI.NO.—UT-71AAAA ,.JOB ADDRESS: 13.73/4 SW 1.291H PL 'I OX MAV /1 CIT 15:11. 33DO V3:1A.-AC-,E*.'. AT 5k.Jlv1MEi'.'.Pl.-AK1. P. 5 6 13K LAND USE: I OT SIZE..: 1TEM: NO: NO: WORK ASS : NEW F;I.JI:4NA('.;E (1.00K I-IANDI...R, <11.0 USE TYPE: S1NGLF-. FAM11-Y FtJPNA(.E 1001K+ 1. A- 1P HONIX.P 10K C,0 N S0 , I Y F'E. : VN F1 001:4 FUWNACE E!Vol (A)OI V 1:4 OCCUP.GPP. : k3 WATER VENT FAN 3 VENT VF.1`41 . 4.-)YSTEM BLP/COMP (M-lV' HOUR NO. STOAT.Eln : 2 BL IPI/COMP TN(:A'.NE".I.4A1 UP( 1.)('.)M UWELL .UNITS : I BL P/CGMP 1.5 301-IP 11SICINEPATOW(COM FUE'l... TYPE.:: GAS BLP/COMP '30 -50HP F*'.PA:l:P UNITS MAX . INPUT BLIVCOMP 30+1-IP OTHER F- T"k DMIA-4s"? GAS PIPING OUTI-.E'11i) 1. 1-11A.'vH PRESS7 I-Qw FIRLSS'? WEMARKS . I F.K% 0 W MOPISSETTE DON PERMIT $10 . 00 N HOX I.WiPA PI...AN At; V' r-.*.W $1.0 . 50 E R p a r.t'.11.m.n ti c)r F,I X T U14E S $32.00 S1 Al EK 'TAX 11112. 1.0 OTHER C 0 N T 1- HEMA 4 I.M.', INC . F1 iW-5505E PXAZZA AVE. A C (A ACKAMAI� 01:4 970 A T PHONE (30:3) 2413-1.18A 0 R PE'G1'!-.'044A 1 :1 DN NO. 1117 1(Y)Al.. !6!),(l 60 This permit is issued subject to the regulations contained in Title 14 RECEIPT N0. of the TMC, State of Oregon Specialty Codes. zoning regulations and all other applicable codes and ordinances, and it is hereby EQUIRED INSPE.CTIONS agreed that the work will be done in accordance with the plans and GAS 1-7W. specifications and In compliance with all applicable codes and POST & Hl:::AM ordinances The issuance of this permit does not waive restrictive H01A.0-1 1 N ,-ovenanla Contractor and subcontractors shall have current city F:ENAL business tax permits This permit will expire and become null and void it work is not started within 190 days,or if work Is suspended or abandoned for a period of 180 days any t1me after work has ccmmenced It shall be the responsibility of the permittee to assure all required in tions roque que nd approved re r, Permittee Sig Issued 183y 73 ?rT7'F*)--- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESMSED ABOVE CITY OF TWA` RD � PLAN CECK APPLICATION �Ya MAW PLAN CHECK /I R COMMUNITY DEVELOPMENT DEPARTMENT a.�. PERMIT It ae.I_P-o_naKuMr.ry-,d. .srza.Oa3l63v-''Irs L:.fE ISSUED ADDRESS: - }� c ;Ax MnP/LOT /5/- 33 DG 70t3 I I 4 S ' ZQ LAND USE: _ sva: yL�a(n. �vA moa SPE__CIAL NOTES OWNER -� �s REISSUE OF: _ NAME: LAST REISSUE: _ AnoRESS - �� K �2 FLOOD PLAIN/ ' SENSITIVE LANO: _ PHONE: 7��.� � � APPROVALS REQUIRED SPLANNING: mNTRACTOR _ ENGINEERING: NAME_ FIRE DEPT ADDRESS: 0111ER: _ — ITEMS REQUIRED PHONE: _ _ LIST/SUOCONTRACTORS: ous TAX. ARCH/ENGINEER CALCULATIONS: TRUSS DETAILS: ADDRESS: PARKING PLAN: LANDSCAPE PLAN: -�--- OTHER: : 1'I(oNE: DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE PERMIT N ACCT k 10-432. 00 Ruilding Permit: Fees 10-431 00 Plumbing Permit FeesL - _ �n ,�ry 10-431 01 Mechanical Permit Fees 10-730 01 State (;wilding Tax (57-) ' nuilding .? ✓�_ Plumbilxj Meeh •�•/0 gy.so 10--433 00 Plans Check Fee - (3u i Id i ng .�C1 t- c o Ur"► P lumb i tKl _ mecil 30--202 00 sewer Connection -1- �3 _ ad -� 30-444 00 Sewer Inspection --- /� 51--440 00 Street System Oev Charge (=Ut-) 52-449 00 Parks System Dev Ct%arge (POC) 31--450 00 storm Drainage. Syst Oev Chrg (SSDC) 10-230 09 TRFD 10-2.30 06 Washington County 1-ire lit (951L) 10-220 00 Amart:/Wedgewood 7 , /3 --T / 13 J 2 101 AI- _— 1 - 1 R(i It _ 141'111 ICANT SIGNOURE Received Oy: Date Received: _ ' ------ ( 11/3507P/lOP a s a a a a CITY OF TIGARD MECHANICAL PERMIT Permit � 1.3125 SW HALL BLVD. 03 Pet# � r P_ O. BOX 23397 3 3 C) Des«ippon — T IGARD, OR 97223 I S O I '76Y Table 3A Mechanical Code OTY PRICE AMT (503)639-4175 1) Permit Fee -- -0- _0- 10.00 Name of Develorxneni 2) Supplemental Permit 3.00 Mdress --- i 11 Furnace to 100,000 BTU 6.00 Job rf�. 73 S ����K ( incl.ducts&vents Aress _ ----- TaxUA 'Map No 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Lot nlock P,ubdmsron — vents------- - nn+al.ie«nameolbusiness) 3) Floor Furnace 6.00 incl.vent Mailing AddressPhone 4) Suspended heater,wall heater 6.00 (honer n or floor mounted heater — "i'Stat Zip —5) Vent not incl.in — 3.00 — 7 appliance permit T~ Name(a rAme or business) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Mailing Address — Phone -71 Boiler or comp to 3 HP 6.00 Occupant absorp.unit to 100,000 BTU 7 P---- — 8 Boiler or comp to 3 HP-15 HP 11.00 -- Ciry/State^ ) absorp.unit to 500,000 BTU _. ... ) Boiler or comp 15-30 HP 15.00 Name ���� J 9 absorp.unit 1/z-1 million C3M/ " Ck M --- -- — �- - Boiler or comp to 30-50 HP 22.50 MaNlny Address 10) absorp.unit 1-1.75 million Contractorciryrstate Zip t tBoiler or comp to 50 HP — 311-50 — ) absorp.unit 1,750,000 BTU -------- -----" -- ---- Air handling unit to 4.50 State Registration No. Cit,,Rus Ta■No 12) ��(`�C-A cl 10.000 CFM ---- ---- --- 13) Air handling unit 7.50 1 (reretr, acknowledge_ that 1 nave read this ml ap ilwatlon that the int-,, a1Kn quell is 10,000CFM + f,iwect,that 1 am the owner or authorized agent of the owner,that pians sutxnitted are in — _ — r"mriltance with State laws,that 1 am registered with thi-Stale Buildms Beard,that the. 14) Non portable 4.50 rwmhry given is cuffed.(if e*emot from;tate registration phase give reason below). _ evaporate cooler ---—-- -- 15) Vent Ian connected 3.00 - to a sing a uct Ventilation system not 4.50 16) included in appliance permit -- -� - 17) Hood served by 4,50 mechanical exhaust Signature(owner or agent) -_ Dale 1 e) Domestic type 7.50 Describe work ❑ addition ❑ alteration ❑ repair Elincinerator — — to be done residential ❑ Ron.residential ❑ 19) Commercial or industrial 30.00 type incinerator Exisfing use of Other i.e.,woodstove,water 4.50 building or properly _ __-_— -_ -__ 20) healer,solar,clothes dryers,etc. — Proposed use of building or property _ __ 21) Gas piping one to lour outlets 2.00 Type of fuel- oil [I natural gas ❑ LPG ❑ elechu: I ------- --- 22) More than 4-per outlet NOTIC SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- S%SURCHARGE STRUCTION AUTHORIZED IS NOF COMMENCED WITHIN 180 — DAYS, OR IF CONSTRUCTION OR WORK 13 SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- TOTAL WORK 15 COMMENCED. Special Conditions Date issued _ - by - --