11775 SW MANZANITA STREET NN
1.1775 SW MANZANITA STREET
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ME.C',I-lt')N'I*CAI- PEPMIJ
V'L'PM1*f* NO. : MESSI.F.178
. . OF TIGARD �CITYOFTWARD DATE:.' 15SLJF'U: 9/22/130
OR100"
COMMUNITY DEVELOPMENT DEPARTMENT PPTM. PM'T .NO ' 801.8,78
13125S.W Hell Blvd.,PO Ho. 23397.Tlqard.Oregon 97223.(503)639-4175
'101.3 SK :
TAX MAI:-'/I Of
N(:) NO:
WORK CLASS : ALFEPA'110N VURNAGIt. (1.00K AJ:P HANDL.P 0.0
usirti. TYPE : SING.L.11-7 rAMTI..Y J-001(+ AIC'. HANDLP 1.01<
::'
CON III OOP FURNAV,'1- LVAP
O(:'Ck.jP .GVPP. HEA 1"FA4 Vf;.N V FAN
VENI' VEN1 Syr-O I:-M
BL.P COMP <31-111-A HOOD
NO . S1(: P I F.*'; : 3- 3.15HP 1NCINL-*PA'I UP(DOM
15-30HP IN(.',INL*r-IAI UP(COM
IDWEI I.. .UN:E I'!; PEPAJ'.P UNYT5
FUEL 'Typp; P (JR4 30--tioll-IF)
krl(')Ml:' 50+14P OTI-IE:R
MAX . 1NPUT (;A5 P'IPA'.N(.7 01,TTLETS
F-JAIL.': UMPP�0
PPE.5s"?
L.Ow PREF,51?
RLMAR105 :
WOOD5TOVIii: PERI'll't ONLY
I
1111io . 00
NUP1 1-11 8WT AN
O 5 �iW MANZIN'.1"I'A tit FLAN PF'.-ViLIA1
0 7'V $11. 1150
[WN I I I"ARE) ('.)A 97P23 FIXTIJPES 1111 73
E I::-HUNF- (50*.';) 620-52-51. 5 I'AT I::' TA Y
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This per-nit is issued subject to the regulations contained In Title 14
of the TMC, Stale of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the 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 restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time alter work has
commenced it shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature N
AL.I F OP I NS .1
Issued BY122-11-W-
SEPARATE PERMITS REQUIRED FOR WOW( OTHER T� AN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt# —
Permit# ,
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
1'3125 S.W. Hall Blvd. — — --- -
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 - —
639-4175 1) Furnace100,000 BTU 600
incl.ductss&vents _ _
2) Furnace 100,000 BTU t 7.50
incl.ducts&vents
Name of Development 3) Floor Furnace 6.00
incl.vent —
��775 SW Manzinita St. --- _ --- --
Job Address 4) Suspended heater,wall heater 6.00
Address
or floor mounted heater _-
_ -- -- -- -
Tax Lot Map No 5) Vent not incl.in 3.00
Lot Block Subdi,isiun ----appliance permit --�-- — --�—
Name I-r name nt business) 6) Repair Of heating,ref r Ig., 6.00
cooling,absorption unit
man North Boiler or comp to 3 HP
er
Mailing Address Phone 7) absorp,unit to 100,000 BTU 6.00
Own --
�j Boiler or comp to3HP-15 HP
C1tyrStale Zip 8) 11.00
absorp.unit to 500,000 BTU - _
ji jiT1. Or 97223
Name 9) Boiler or comp 15-30 HP 15.00 r
absorp unit 1/2-1 million -
Mailing Address pfwnn 10) Boiler or comp to 30-50 HP 22.50
absorp unit 1 -1.75 million —
Contractor ------— Boiler or comp to 50 HP
City/State Tip 11) absorp.unit 1,750,000 BTU 31.50�0 _
State Registration No City Bus Tax No 12) Air handling unit to 450
10,000 CFM _
_ Air handling uni' — 7
.50
I hereby acknowledge that I have read this application that the information given is r 3) 10,000 CFM +
correct,that I am the owner or authorized agent of the owner,that plans submitted are in -- --- —-
compliance with State laws,that I am registered with the State Builders'Bob•d,that the 14) Non portable 4.50
number given is correct.(It exempt from State registration please give reason Irelowl evaporate cooler
Li �C� ��i,3 .t - _ —____ 15) Vent fan conne�Aed 3.00
to a single duct
---- - Ventilation system not
16) 4.50
included in appliance permit
_ - - Hood served by 4.50
ao gg 17) mechanical exhaust
e(owner or agent) — —� ---_ '�Darr, 18) Domestic type 7.50
Describe work ❑ Pddition ❑ alteration repair ! I incinerator
to be done residential lxl non-residential ❑ 19) Commercial or industrial 30.00
type incinerator_____
Existing use of -Existing
or properly— Other i.e.,woodstove,water 4.50 �!c-
- -
20 heater,solar,clothes dryers,etc.
Proposed use of -- -- --
building or property__. _ -- 21) Gas piping one to four outlets 200
Type of fuel- oil ❑ natural gas [A LPG ❑ electric ❑ a
— 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 SSfp 406 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER
WORK IS COMMENCED TOTAL /5 L3
Special Conditions
Date issued ----- by.
W
CITY OF TIOA RD PEPMIT NO . : ME080197
CiTY01FTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 001GON DATE;.. ISSUED:
13125 S.W.Hall Blvd.,P 0 Box 23397.Tigard.Oregon 97223,(503)6394175 c7A DUTM L)M:r N(3 Poo J Q'I
KM ADDnESS : 'I.J. I T!.t 5W IIANZANA: Y A S' U
I Aa r1l A I"A/L.UY at 4.1 .
I AND
IA.I`T SIZE :
TEM: NO:
WOPK CLASS) ' AI. ILPATTIIN 0 00K ATP HONDIR (10
USE TYPE: STNGI E:' FAKI:L. FURNAUE 1001(+ ATP HANOI P iOK
I, I non V
0CCUV' A',I*' : P3 VENT FAN
MTN I VEN If SYUJ'I U.:M
"LM/Comp (Z.M.lp I.IUO D
140 F1L.N/C"1(.)MF' 'r N(:, OP(DDM
DWELL.LIN ITS : 8I. P/C.OMV" 15 301• P 1NCUNERATOR(COM
PUKPA111 UNIJS
MAX . INPUT 9L.A/COMP 504-HP OTHER
C*AS PIA)UNG, OU111-11TU
111tH PPESS'?
I LIW
r*',:MAPKS
pt to i wo ii:a d 111 1.rt ii i rt a xi.lil I,J i I&1 ili Tcl
0
W i It bl'i Hki-I I;)E Pm rr $1.0 00
N 1 1 115 11114 MKI'MAIIJAM. Mt PLAN PEVIF.*.W
E -
R i I GI la I to t31F. T X I 1. IN-11 :5
F4 RINE I"503 62!0 -'.9P51. S I'A"I'lin. TAX 1111 , 73
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11.11TAL. $15
This permit is Issued subject to the regulations contained in Title 14 PECETP-1 NO
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and it is hereby
agreed that the 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 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
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:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __ / --- --- s -- ---- -
a
Date Requested---sl
_—L-_�___ Time_ X._. A.M.
.M / P.M.
Owner - —. _�.-- -- - `- :-- -- Lot #
Builder --.- -5�— —_�
The following Building Code deficiencies are required to be corrected:
Presented to L.I Approved
Inspector U Disapproved
Date
CALL FOR REINSPECTION
❑ YES (A NO
BUILDING
DUGHECATF 9._._—
�7 �8 3
HE UEINEDERBY APPS FOR A PERMITFO�URKHERI INDICA ED BUILDERPHONEh3a
48
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Brian North JOB AODRESS 11775 SW P''1a61z�^nitCt LOT NO..-.
-- — -------- - -- _— ARCHITECT---- -- �'.
Chico Construction ENGINEER hJ dr.
BUILDER ADDRESS .� DESIGNER
STRUCTURE ❑ NEW _ D REMODEL ❑ ADDITION ® REPAIR ❑ RENEWAL ❑_FIRE DAMAGE ❑ DEMOLITION '
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE f`
OCCUPANCY R `LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY � HEAT
il3z_�W�IZ_rc�,gir to edJ.etincl sigT�le family drrel.linc��all per. approved
plans. Subjec.r, to fina) inspection on site by building inspector. .
SEWER PERMIT M
OCC.LOAD F'..00R LOAD HEIGHT NO.S1 ORIES l AREA 471 NO.BEDROOMS VALUE 14,000
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 104.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTA.,r.ED IN THE BUILDING CODE, ZONING
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
Sub-total i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _ 5.2.,'s
Total
177 .66 sD(� —
.,�.,.
PDCq A UCANT OR AGENT
Receipt No,
Approved _ t]:]IIE Ste._ J ADDRESS PHONE
DATE INSP. TYPE INSPECTION RE"Rh PLUMBrNG DATE
Contractor
If
ex.— Permit No.
Rough-in
Fixture
%'Z / e0c�si. 'L _ — r Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Aptim_,ch
[ILF)G. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
�rCVTIFICATE OCCUPANCY
Final
Land raping
I ng
7oning Final
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CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :-7. 3 7 ��
PLAN CHECK APPLICATION DATE RECEIVED:
P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT FAID: `
This is to certify that the attachedsets of plans have been submitted for plan
check pursuant to the Oregon StructuralCodeand Fire & Life Safety Code, edition.
PROPERTY OWNER: I A l t� �,�'-1 14 OWNER'S ADDRESS: ;p 'fir 4C MA 1j Z/1 T
CONTRACTOR: ) s t G 1p LCA hln'T F'd"W- 1 DTELEPHONE:_
JOB ADDRESS: . ,�/ LOT NO. & MAP: \
DESCRIPTION OF WORK. L L'IQ kA7-14
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
O Engineering Dept. O Flood Plain/Sensitive Lands
O Fire District 0 Sewer Availability
OOther 0 Other
Items Rewired
List of subcontractors v
Business Tax
0 Calculations
OTruss Details
O Parking Plan
0 Landscape Plan
OOther
COMMENTS:
City of Tigard Building Department
BY: �.t� e _
v�
�rks�lPc' PLAN CHECK NU. I'\
for inspections call 639•-4175
PERMIT N0. G 90 1
(3F TiGARO 639-4171 SATE ;' -IY -1-77-
CITY
BUILDING PERMIT15� � TNO. 5 3 3 _SUBDIVISION
P.O. Box 23397, Tigard OR 97223 TAXMAP f
�TT
OWNER „w JOG ADDRESS /I ?'7 /, `�" UAl- tv'j �� .r 4 t' f14_
BUILDER AJ - STATE REG.NO. EXP.DATE 1��r-$---'?--
BUILDER'S PHONEAli-F-
ARCHITECT
ARCNITECT
PHONE-- OTHER
''"-
STRUCTURE ❑ NEW ❑ REMOOEL Cl ADDITION REPhIR ❑ MOVE O OTHER O DEMOLITION
1ps RESIOENCE ❑ COMM 0 ECtUCATION ❑ INS ❑ RELIGIOUS. ❑'ACCESSORY O GARAGE0 OTHER ❑ FENCE
,3, • . �/ FIRE ZONF PLAN CHECK BY .� U r I*AT _
OCCUPANCY �LAND USE ZONE BLDG.TYPE r�
U ( I
i
SEWER PERMIT C. - - -
NO STORIES AREA �� NO BEDROOMS VALUE
OCC.LOAD _ FLOOR LOAD HEIGHT _ �
BUILDING DEPART TMENTSET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Prm11
'DH-5 n THIS PERMIT tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULArONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE
PBanCheck ���• `i'3 WOIAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAnONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCFS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ct.F" -" RESTRICTIVE COVENANTS.CONTRACTOR AND�US CONTRACTORS TO HAVE CURRENT CITY BU..:rtcSS
TAX PERMITS.SEPARATE PERNiTS REOUIRED FOR SEWER.PLUMBING AND HEATING.
State Tu j .Z> SSCP.
SDC - - - -
Total 7 APPLICANT ON AGENT -- -
- F'C1G
Prepd. -
-- Receipt No APORES5 - ---- - - r�a�Nt
Bal.Due _
Issued __Apprtived By
_;DC - 5
- '� -----------
-0 C - RECEIPT N
'OC _:�'� — � _ DATE PD. --------___-------
CUER CONNECTION 5 AMOUNT PD._
f-WEH INSPECTION S _
EWER SURCHARGE S _-
immentO :
w w w w w w w w
� �tl/�/.�J�
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit# _ ;Z-2: '
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee U 0 10.00
P.O. Box 23:397 —�-----�-- -- -
Tigard, OR 97223 2) Supplemental Permit 3.00
6?9-4175 1) Furnace to 100,000 BTU 6.00
incl.d,.lcts&vents _
2) Furnace 100,000 BTU + 7,50
incl.ducts&vents
Name of Development ) Floor Furnace
3_incl.vent 6.OU
Job Addreea 4 Suspended heater,wall heater - 6.00
Address 1 ;�J �ar
S W � n'2.0 h I t, Sf. ) or floor mounted heater _
Tax Lot Map No. ) 3.00
Vent not incl.in
Lot Block 9ubdtvtelon 5 appliance permit _
Name(ur name of busines ) 6) Repair of heating,refr ig., 6.00
F;r r 11,i [), �o f� - cooling,absorption unit
Mailing Addreos phone ) r, Boiler or comp to 3 HP
Owner r 6�0-.5� ' 7) absorp.unit to 100,000 B rU 6.U0
! I r i.� .SUI Nle rnZLa IT
I r� Sf -) —
city/state Zip 8) Boiler or comp to 3 HP-15 HP 11.00
T 9-1/. -, absorp.unit to 500,000 BTU
NPm 9) Boiler or comp 15-30 HP 15.00
Nl,r, absorp.unit 14,-1 million
Meiling Address Phone t 0) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City:Slate Zip i 1) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit10,1)00 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in --
compliance with State laws,that I am registered with the State Builders Board,that the 1 Non portable 4.50
number given is correct. if exempt from State registration please give reason below). ) evaporate cooler
_1e��� ISSltT/r �1ce _ 15) Vent fan connected 3.00
to a single duct _ _
t6) Ventilation system not 4.50
r included in appliance pet mit
17) Hood served by 4.50
2-`Y-'�' mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work R addition 11 alteration I ] repair ( I ____ incinerator
to be done residential LI non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator _
building or properly _ �'5/ /)S , _ 70) Other i.e.r _.o_s ova,water 4.50
Proposed use ofv heater,solar,clothes dryers,etc,
building or property /1 i`'5/ �h-Se _ — 21) Gas piping one to bur outlets 2.00
Type of fuel- oil I i natural gas I I LPG F-1 electric F-1
22) More than 4-per outlet
NOTICE _ SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- - ----- - - -- - 6
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
A13ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - _ ---- --- -
WORK IS COMMENCED. TOTAL
Special Conditions
_ _ __.------_.---- --__..__ ---------_-___ Date issued _ ___ ._by_
Address 11 ,�15 S��Ic ��-h Permit No.
ofJ'
Permit charge
Owner. _ Connection fee _
-- Paid byJ�-r�1.c T �L ��ufY''Y-t*4 L0• -
Type of Building Date connected
Service Rate ' Inspection fee
Contractor 44
Paid by !nG ! to
Size of connection L. Assessment-- -Paid�-
FM
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1091 DAT»
PERMIT IS GIVEN TO .--
OF
O -_OF I '
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT ,
TIrto "F'CMIT MUST BE POSTED ON T E DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNFCTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $........?�.,..�. ..............TIGARD SANITARY DISTRICT
co
COMMON INSPECTED AND APPROVED
����_�~ Superintendent -
.� moar M aw e. rs
i
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l�ult,noma.'h �7o�ant�-, pregcsn
To 'a L7 --
Date Time--- ._�v�Qte_
WHILE YOU WERE OUT
M .- L ( I - -_
Of
i
Phone-- _
TELEPHONEDv— `! PLEASE CALL
RETURNED YOUR CALL r WILL CALL AGAIN
WANTS TO SEE YOU RUSH
06
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