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 - --