9199 SW HILL STREET �[ w �r► ns ■s
93.99 SW HILL STREET
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C'TYOFTIFARDalirc iGA(m
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 UATE .11'aSULD:
_QL_J.LZA3a
PRIM VIMT .NO. 6(31624.�
JUB AUDRESS : 9:1.99 SW I-II.I.A. ST,
'I AX MAIC/I 0T r.5 1. 20" 7200 JG. CI t*.;F::A 111 LL L.T : 49 BK :
L.AND USE:
L.(:)*T* SIZE:: Si F.-.:I B AC,K S
F PONT : PEAP
WUPK CLASS : A00111:11.11N DWELI UNI'1".5 r"I GH'r
USE* 'TYPE : S 3:1401 E FAMILY NO . BLA)POOMS K.X T' . WAL L G(WiT
CONST' . T*YPI---:: VN NO. BA11-45 N: ci : E W .
OCCUP.C.AP : R3 PROT . LWE.NINGS
OCCUID .L.060 N E. : W
"I CITAL. AREA:
W . STORIES : IST : 1"•t00F (MNST . V 1.PC. CIF1 ?
1-11"Jil'al-IT . 2ND: AREA SEPAW? I:MTED
BASEMEN'T' ? 311111) . OCCLIP . SEPAP7 PATED :
MV2ZANINE7 BASE:''T
F1.1100 L.(7ol): GAPAGE: SPIPIKIL.P7 AI—ARM'?
Fri ('IW t f',PM) r1V 11'V 1 11'1
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PLAN CIAL-KCK BY : rIt
PEMARKS :
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W I I E:S I
N WALICIE10E-4 MICHAr-A G A P F4 1V PERMIT *15 .00
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This permit is Issued subject to the regulations contained In Title 14 /0
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicabie codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plan,:and REQUIRED 'I'NSPLCT'IONC,
specifications and In compliance with all applicable codes and F-001 ING
ordinances. The issuance of this permit does not waive restrictive F I NAL
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void it work is i iot 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
SEPAFIATE PERMITS REQUIRED kQ"R IONTMb"MAd"69SbWlib' ED ABOVE
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INSPECTION NOTICE
City of Tigard Building Department I
P.O. Box 23397
Tigard, Oregon 97223 (�
Phone: 639-4175 `
Type of Inspection
Date Requested " s.z�_"_ Time A.M, P.M.
Address _ c�" s '—"' �""��'c�X_ Permit # L
Owner--VAP, Q �� Lot #
Builder
The following Building Code deficienries are required to be corrected:
Presented toroved
Inspector - - --- —
Inspector
Disapproved
Date
C LL F R REINSPECTION
❑ YES 0 NC)
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:: 6,309-4 175
Type of inspection
INSPECTION NOTICE
City of Tigard Building Department
I'.O. Boy 23397
Tigaid, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested
` '� Time A.M.
AddressPermit
w
Owner_ �li�7 �r""K1t��- __ Lot —
Builder
The following Building Code deficiencies are required to be corrected:
Presented to roved
Inspector W _ Q ❑ Disapproved
Date — - -- ---�� 1
CALL FOR.REINSPECTION
C1 YES F I NO
INSPECTION NOTICE
City of Tigard Building DepartmentCC—)
y J
P O. ®ox 2-3397 � /)
Tigard, Oregon 97223 ---
Phone: 639-4175
Type of Inspection ) /��- I-
_
Date Requested ( � Z Time A.M. _. P.M.
Address + Permit #_y
Owner 1-4 � Lot #_
Builder
The following Building Code deficiencies are required to be cor-9eted:
Presented to _- �T Approved
Inspector U Disapproved
Date
CALL FOR REINSPECTION
Cl YES 0 NO
t
INSPEC717N NOTICE
' City of Tigard Bi ling Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested P
Time__ A.M.�~
_._ _
Address - Permit #------------_-..-_
Owner --- f Y7W1�'_ — --- -- Lot # _----
Builder .___. — �The following following Building Code deficiencies are required to be corrected:
-- i
I
Presented to &w�}}I'ioved
Inspector �J Disapproved
Date -- – CALL POR FOR REINSPECTION
1-1 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.0 Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ _.—____,_L'_ '���2-- _— Time_._ A.M.`� _P.M.
Address �_� - -.------- PermitOwner.------ _ _123d�1.L.L---_ Lot # ----_�
BuilderThe following Building Code deficieiries are required to be corrected:
Presented to _ ___ --,. � pproved
Inspector _. — Disapproved
Date -
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone: 639-4175 h
Type of Inspection — �' -
Date Requested __ -��_� '� U _ Time_ A.M.__ G P.M.
' Address �� Y , S - -- Permit # Z
Owner __-- �__ �A��-- Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
---.2�.� �►��-�__���---X' do_.. �- ---- ___.
Presented to __.._ __ ❑ Approved
Inspector
Date
CALL FOR RERI S W770N
+rVi�SLl NO
INSPECTION NOTICE
� L49 City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection C"
Date Requested Time A.M. P.M.
Addross Permit &1 7.5(0
Owner C" Lot 0
Builder
The following Building Code deficiencies are required to be corrected:
Prese-ated to Af
C411(opproved
Inspector Disapproved
Date
Mfl, FOR REINSPECTION
❑ YES 1:3 NO
iB
6256
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT
TAX MAP - I-OT NO. A!2—.,-SUBDIVISION('.jal44;ai_-11 i
t!e_ v1A' j.re _ JOB ADDRESS Qj9 W_Rill
BUILDER 9725 SVI HurdbckTigard STATE REG.N0. �SA7E EXP.DATE 3��
BUILDER'S PHONE:
Ar CHITECT -__Pje=y_h_ftarr_18y _ PHONE -----._._OTHER
>TRUCTURE }L7 NEW L' REMODEL _ 11 ADDITION REPAIR MOVE L7 OTHER DEMOLITION
RESIDENCE C COMM I EDUCATION IND 1 RELIGIOUS ACCESSORY ❑ GARAGE Cl OTHER - FENCE
l)r CUPANCY 2_1 LAND USE ZONE — BLDG TYPE S*t FIRE ZONE_ PLAN CHECK BY jj n_. HEATS ._
�:► tr,icr ai,1. 1e txni'ly dwc tilliu w/rtateblied garapp, all rwr At�t:r ww,
SEWERPERMITM -)7(1a CjL11i) 3 trays: ---
OCC.LOAD FLOOR LOAD 1,(, HEIGHT NO STORIES AREA tgr11-tYNO.BEDROOMS q VALUE, 1
_BUIL.DING DEPARTMENT SET BACKS FRONT r l REAR r-1 LEFT SIDE RIGHT SIDE 1,,
Permit —^ 79•U� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2a5.�g 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
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
TAX PERMITS.SEPARATE PERMIT)S REOtIfRED Fr
SSEWSP,PLUMBING AND HEATING.
State tax 15.16 S"'.!C 6(10.00
SDC- *00
Total PDCsI�I 150.00 A PPLICANT OR QENT !�
Prepd.
-
- 1 Receipt No. r ; ' ADDRESS
Bal.Due 540 9-1 J
— A roved By-
- lesuedBy_ - -- _-_ PP
9
DATE INSP. TYPE INSPECTION REMARKS, PLUMBING DATE
ContractorK W«, 37� 9-&%?(.
Permit No 94
VZIF
G Rough in
�e Fixture
Final
HEATING
- 23, - —-- --- Contractor 67 9_3�81L
�v Permit No. L.( '�7l/
Gasoroil
Rough in
Final
-- ------- ..--------- SEWER ---
Final
_ — — DRIVEWAY
----- — ----- Final
Storm Drainage
(Rain Drain)Final
— Sidewalk
Curb&Street Final
Approach
-- c
BLDG.DEPT.FINAL CERTIFICATETEMPORARY
OCCUPANCY
CERTIFICATE OCCUPANC', Lin
2
i
d:
CITY 01 TIGARD MECHANICAL PERMIT
Permit fl r ;
kiLy 01 Tigard
13125 SW Hall Blvd .
P-0. Box 23397 Table 3A Mechanical Code QTY PRICK AMT
Tigard OR 97223
639-4175 1) Permit Fee •(1• -0- 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducts& vents 6.00 4.00
2) Furnace 100,000 BTU
Name of Development incl. ducts& vents 7.50
3) Floor Furnace
Addreaa incl, vent 6.00
Job W. Hill 't
Address rax Lot Map o. 4) Suspended heater, wall heater
Lot Block Subdivision or floor mounted heater 6.00 —
5) Vent not incl. in
Name ( or name of business) appliance permit 3.00 -19, 00
M. (; Waym J" Jr. — —
Melling Address Phone 6) Repair of heating, refrig.,
Owner ,r 0;+? 7. cooling, absorption unit 6.00
97:CRY/slate IJP 7) Boiler or comp to 3HP
Tigard,and Ore ori O',-, ___ absorp. unit to 100,000 BTU 6.00
Name 8) Boiler or comp to 3HP-15HP
Goneral P urnace & air absorp. unit to 500,000 BTU 11.00
Mailing Address Phone 9) Boiler or comp 15-30 HP
P. 0. Box 35 r �,(,_0 2L. absorp. unit 42-1 million 15.00
Contractor City/Stats Zip 10) Boiler or comp 30-50 HP
Clackamas Ore _on 9,110,15 absorp. unit 1-1.75 million — 22.50
State Registration No. City Bus. Tax No. 11) Boiler or comp 50 HP
0,°1r absorp. unit 1,750,000 BTLI _ 31.50
Ihereby acknowledge that I have road this application that the Information 12) Air handling unit to
given is con eat, that I am the owner or authorized agent of the owner, that lO,Odb CFM 4.50
plane submitted w in compliance with State laws, that I am registered with
the state Builders' Board, that the number given Is correct. (If exempt 13) Air handling unit
from State registration piesse give reason below).
10,000 CFM + _ _ 7.50�0
14) Non portable
_ evaporate cooler 4.50
15) Vent fan connected
to_a single duct _ _ _ 3.00
16) Ventilation system not
Signature (o ner or agent) Date _— included in appliance permit 4.50 -
17) Hood served by
Describe work ❑ addition❑ alteratlon❑ repair❑ mechanical exhaust. 4.5J SO
to be done residential ❑ non-residential ❑ - --
r 18) Domestic type
Existing use of incinerator 7.50
bui lding or property - 19) Commercial or industrial
Proposed use of type incinerator 30,00
building or propel ty — 20) Other i.e., woodstove, water
Type of fuel — olI❑ natural gas LPG❑ electric __ heater, solar,clothes dryers, etc. __ 4.50 --
21) Gas piping one to four outlets Z 2.00
'NOT i ICE
THIS PERMIT BECOMES NULAND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SUBTOTAL ,
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED e% SURCHARGE
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ------- -----
PLAN REVIEW 25%OF SUB-TOTAL
TIME AFTER WORK IS COMMENCER ____��.�__-_- — /
TOTAL
Special Conditions
DaIA isrllled by
INSPECTION NOTICE
City of Tigard Building Department
RO. Box 2339.7
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date R:quged Time__ A.M.
P.M.
Address
--- Permit
Owner Lot
Builder
The following Building Code deficiencies are required to corrected:
Presented to
Inspector Disapproved
Date ---- ---
CALL FOR REINSPE('TION
1-1 YES E] NO
aWiLMEWMI!,
INSPECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time�A.M.— P.M.
AddressQ /
I ' Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 6–Approved
Inspector _.. .. i F-1 Disapproved
Date
CALL POR REINSPECTION
1-1 YES ONO