11415 SW FAIRHAVEN STREET cn
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11415 SW FAIRHAVEN STREM'
CITYOF11FARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT \� 09200" PERMIT #. . . . . . . : MST92-0227
1312b�W FWI Blvd P.O.Box 23397,Toed,Oregon 97' '
7223 (603)83'19-417b
b.s9-4171 - - �l)A_TE ISSUED: 10/08/9 _,._.
SITE ADDRESS. . . : 11415 SW FAIhHAVEN ST PARCEL: 2S103DC-00805
SUBDIVISION. . . . s VIRGINIA ACRES ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
------------------------------------ BUILDING _ -- -- ----- _--___ -- ----------
REISSUE: DWELLING UNITS:@ BASEMENT. . . . . — :0 sf
CLASS OF WORK. :NEW BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :0 sf
TYPE OF USE., . . sSF FLC10R AREAS----------- REQUIRED SETBACKS----------
TYPE: OF CONST. :5N FIRST. . . . -.0 sf LEFT. . :O ft RIGHT. :O ft
OC'C'UPANCY GRP. :R3 SECOND. . . -.0 sf FRONT. :O ft REAR. . :O ft
STORIES. . . . . . . :@ THIRD. . . . :0 sf REQUIRED---------------------
HEIGHT. . . . . . . . :
-------------------
HEiGHT. . . . . . . . : 0 ft TOT4L--------:0 sf SMOKE DETECTORS. :
FLOOR LOAD. . . . :0 ps f VALUE. . . . . 1: 141900 PARKING SPACES. . :d
Remarks: installing swimming pool
________----------- ---------- _ _-- PLUMBING ------------------------------------
SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :'v BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :0 WATER HEATERE'. . . : 1 TRAPS. . . . . . . . . . . . . . s0
TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . --0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :O SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . sl
GARBA6'= D I SP. . . :0 RAIN DRAIN (ft) . :O
WASHING MACH- - - r.0 SF RAIN DRAINS. . :O
------------- -- MECHANICAL --------------- ----------- -- ---- FEES ---------------
FUEL TYPES------------- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 BPRT 4 86. 50 JH 10/08/92
MAX INPUT:330000 BTU VENT FANS. . :O BPLC $ 56. 23 JH 10/08/92 -
FURN ( 100K . . :0 HOODS. . . . . . :0 B5PC: $ 4. 33 JH 10/08/92 -
FURN ) =100K .. . :0 WOODSTOVES. :0 MPRT 4 e5. 00 JH 10/08/92 -
FLOOR FURN. . . . :0 CLO DRYERS. : 0 MPLC f 6. 25 JH 10/08/92 -
BOIL/CMP < 3HP: 1 OTHER UNITS:@ M5PC f 1 . 25 JH 10/08/92 -
GAS GUTLETS:O VERT-i-- 'S:ii!(r}-3+i 1@/108t9e-- r
Owner: --------------------------------------- - �- - 1.. _ 3}t 10/088 92 -
JAY AND SALLY LEFT
11415 SW FAIRHAVEN
TIGARD 7R 97223
Phone #:
Contractors -------------------------------
CASCADE POOLS
6775 SW MCEWPN RD
LAKE OSWEGO OR 970:35
Phone Ms 620-6174
Reg #. . s 0494 ------------------------ -------------- ---
205. 81 TOTAL
This pereit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Innp Plumb r- inaI
applicable laws. All work will be done in accordance with approved Plm/undslah o -isp Buil-ling Final
plans. This pewit will expire if worked within 188 PLM/Underf: L r Ero,aion Control
pended f so than IN days. Mechanical insp
Plumb Top Out
T'prmittee Signatu ..d 4 -`"_� __._ Framing Insp
Gar Line Insp
Issued Bys _ �� Mectianical Final
Call for inspection - 6:3ri -4175
i
lall 13W. PLNCK RECT # '
CITY OF TIGAR131f'uOs[iwox 2339 / l 1_.�� _
COMMUNITY DLVF,1_OI MINT DEP ARTMENI'
Tlg,rOregon 97223
PERMIT # �1�S f y.2 -u Z Z
(503)63"171 DATE ISJ,!Fo
JOB ADDRESS: 141f- 5 u E u�s Luad TAX MAP/LOT
SUB: _�_! �T.L�' ►11t�c LOT: _ 3 LAND USE: _
VALUATION: /C' ioo
OWNER SPECIAL NOTES
NAME: � o��f � Sd IIT REISSUE OF:
ADDRESS: 114 IS-- S f it ALAST REISSUE:
rU 2 FLOOD PLAIN/
PHONE: SENSITIVE LAND: _
CONTRACTOR ��1,�{1
/ APPROVALS REQUIRED
NAME: O •I 6tk k Cve4e l�^�,.I PLANNING: -B-
ADDRESS:
-ADDRESS: 6 M ENGINEERING:
FIRE GEP1 : — -
PHONE: _ - /�� 1 7 9 _ OTHER. -tjF
CONI R. BOARD #: EXP DATE:
ITEMS_RE UQ IRED
SUBCONTRACTORS: PLUMB: _ _ LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: � L a I __ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: 17 4
PROPOSED BLDG. USE:
COMMENTS;
APPLIC T SIGNA
Received By: �' __ Date Received: /
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
1-h5t t uZ 10-432 00 Building Permit Fees (o. Ito,3`1)
_ 10-431 00 Plumbing Permit fees ^ ! '�
_ 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) (o43
Building 3 3
Plumbing % L ,•
Mechanical
'l
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
f
10-230 06 Fire — -
30-202 00 Sewer Connection
30-444 00 Sewer Insp,ctioon
25-448-02 Carmnercial TIF fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional !TF Fees\
2.5-448-03 Office TIF Fees
25-448-01 Residential .Traffic Fees
2.5-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Ciro
(SSDC) ---–
; , 24-448-01 Water Quality (Fee in lieu of)
l ;
24-445-02 Water Quantity (Fee in lieu ofj
TOTAL (,2054J 5 8'
nmf3587P.WPF
M}"'a•.�WM'+�a��Mt� IkSj�l.�n M++... 4M.i.-...{„ -Nf .
- l
/� W HIN6TON �oL'NTYr ORE00
atlon, de 8 arianaement of I Part" i
of the IndlvldU fieptic tarifa eye (Including
/ �Alsfrlbutlon box & eubeur lines) will
•-0erdnfm to detail e how n We plot plan.
Any deviationfrom p u here shown must d
be approved by f Cou Health Department
In writing In vance of dallellon. Failure DI
J son the p of the build or owner to !�
\ JLomply Ith' theee'\reGulr' voids any
h obllg on for Health Department prove) pf
flay
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Sewage Disposal Report WASHINGTON COUNTY HEALTH DEPARTMENT
Receipt No.
Subdivision_ Lot B1_
Ov;ner---- ---------------------------------....... S. r. installer--- 7
JE�W TANK
Distance from well..
-----ft. Metal-__-_-__--_ Concrete.--.---_-_. Liquid capacity
Inside width --------------ft. Liquid depth--....-.-------ft. ----gallons. Inside length ....
DISTRIBUTION BOX......4-""'DISPOSAL FIELDo!Z___._.
Distance from w ft., flom foundr_tIon _5
/,` _
ft., nearest lot line, front_�,�t., side rear,_ _ f.
tante between ln ft. Trench width-1- '--In. No. Length each line,,�---�_ft. Total Ic,
lines---------------ft. Total trench Z�l_ of lines___- ___
sq. ft. Filter materIaI4!A/,-_�Qep1h under ...... in. Dept
Depth, top of tile to finished grade__-x_-__&In. SEEPAGE BED___ --- Length------ ft. Width_-_______ ft.
Area------------sq. ft' DWELL'N �_�No bedrooms_:!_. CO'WERCIAL BUILDING______ --No. employees-_
Public Health Sanitarian�,_,__
Date-
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REMARKS, REPORTS--- �/
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N? 2312