11910 SW MORNING HILL DRIVE 12-910 SW MORNING HILL DRIVE
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ADDRESS 0 � —� r PERPlIT N0.
PERMIT CHARGE no, e
OER CONNECTION FEE
-- _. PAID BY
�D TYPE OF BUILDING ----,.�`��� r ' _^^ DATE CONNECTE _
SERVICE RATE � � � � � INSPECTION FEE Oel
COR T RACTOR PAID BY DATE _
V SIZE OF CD';-jECCiON ,_ ASSESSMENT __ PAID ____
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Buildhnq Code, the
following ,tem(-31 require correcting:
.41 Ae-c%
Date: Permit No.
Inspector ------
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 539-4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, ti101
following item(s) require correcting:
ma�yy,
01 �t
late-..0 "`- �' " Permit No.-
Inspector -f1.
CALL FOR REINSPECTION
MiEW�,ux1E PlP,: l;�,.; F> nbllr ra ': 1
t9MBPtIa CM '
&� � _--� hv!-Jar of a u;l!id p!umbi% contractors license is !gar?;,y
r1
autlleriz :! to cauyel C1LNM(Ad; QRf(iQN�� f T 110t=d to Le Inst li ri it accord. r, + with the plumbing coJ,?or
Tigard. SUCH re pi,r-, inspl2c-LIA by tha City Impactor s:-la!l be no.ified not less then faUr
d', ci i
I (41 Iluur, prior to ttla tinea itit� i�,ci.11::�ior,s ar;, real•; far irispecti�n. ty � "fig;. d Busin..ss �icens:. rquir�d
for a:l rorlt;2Ct0rs and stib•conr.r-ctor, /-
'
Adore oat,
(
TOTAL PERMIT NO
1� 1;13cr� ONO.'S `
TYP3 OF PFi;:.t1T ITV,15 JPE"c Cr. EACHX141C,I I (OF1rca U Only)
$ir•:!a Fnmi'v-1 b:_h�a:',h _._._._.__._._.... � ._ `� 75.0()------- �� t
Ono��<-'each 1 boli till:_ I —25.00
10.00
'•t:y'a ran. 3 So c<_-crash y 15.00 ¢
Iv: IVIOUAL FI- TU7. E FEES
1 to 50 =i.<t�rt: in 1 b,t_;kVn^y-rJch7.00
51 to 1011 in 1 5uil.;ir.!.Ich 2.50 j
101 Fotturs; in 1 b_:!,-1 2.00��^
27; ar-mor± Fi<_:�_; in I bu Ir1+l_t
-M I S C.-_.L L A N 0 U 8
1 5rw�r_y rh .m! yiOrt.9� 1 C Q :t 10.00
-ji-i to brrtICi_2._..___.._ _., _. - 500
1 Priva;4 _Sv;�•�r, -,i�h
Ica) it
PER.'eNT �_t� Fu/?lu^r'�'^�irt: .. ti ,P,yrrn 639•4 171
966 Plurnbir..9 Cun:ra�tor
_...TQ C r,L !�`"�"L1..eL�t RECEI 'F NO.
1T )•./i 3
BUILDING PERMIT APPLICATION 1uy TIC ARD DATE_ 1979
IFHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONU--
6R AS SI.JWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
Or�kf u I-Of�IN
OWNER, Homo, JOB ADDRE41910 SW Morning Hill HOME 4DDRESS
ARCHITECT
fitly DESIGNER BUILDER ADDREJ)05'.�, �i�j BijItn—jilsdI ENGINEER� ER Adgwciod Humus
STRUCTURE EINEW CIRFMODEL CIADDITION 0 REPAin DRIENEWAL OFIRE DAMAGEOpEMOLITION
ORESIDENCE CICOMM OEDUCATIONAL 0GOV'T EIRELIGIOUSOPATIO 0CAF1 PORT OGAnAGE OSTORAGECISLAS OFENCE
DBOND [I MOV INC, EICONDITIONAL USE ODESIGN REVIEW DCOUNCIL APPROVED EISIGNS
OCCUPANCY _--LAND USE ZONE— —91-11G.TYPE --FIRE ZONE-�— PLAN CHECK By------L�CL-- HEAT-�L�Tl —
Uf)strui�t 5ifiqlw fairnly
:0A SCILIER CANNOT 1.4, INSTALLED UN THL) LOT UNTIL APPROVEL, BY ( ITY [JU."J-s !1'.rr1T.
:,;vkjvx t181-mlt
411 HEIGHT 18 NQ.U-DROQMS 3__M&LUP�3#140-
BUILDING DEPARTMENT SET BACKS FRONT 22 REAR LOU" LEFT SIDE 10 RIGHTSIDE- 10
Permit s i b 9 o DC
THIS PERMIT IS ISSUED SUBJECT TO THE REGUL.,TIONS CONTAINED IN THE IUILDING CODE, ZONINC
Plan Check :14+50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERtl))' AGREt"I THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA7 IONS AND 114 COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONT'/ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taxi. 76 LICENSE. SEPAt0djj(jE ,MTS REQUIRED FOR SLWER, PLUMBING AND HEATING,
Total i260*26 I�U� i} :
By p
L J 7z'' APPLICANT OR AGENT
Anorovp(i I Receipt No,,,_,, ......
DATE IN3P. TYPE INSPECYION REMARKS PLUMBING DATE 4 r
e 7-,;,q �ltT b/i �alll� 6 ��fuV ShryT/eOC/( Qr/S..t r{�HF�nRo gh-i,,� _
l L Fixture ^�
Final _
HEATING
Contrar,tor
I- _Z Io �uttl�� —..—_- Permit No. j / /
Gas or Oil ZS'�� 7.L1? S-/6"q —
`.— 9ough4n -- —
— Pinel -
- SEWER
— -- --- Final
DRIVEWAY —r
Final ----_---_. ..►rr
Stor*:Drainage
in Drain)FinAl.
Sidewalk
Curb&Street Fine;
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIF'ICATF_OCCUPANCY
Landscaping
719
►\� Zoning Final
Ne Zs 2 ff
��'J{LDIN� PERMIT AFPLICATI�N ruF ��°�,�D DATE�_�1____ ts __ N_
'-IE UNJERS'GNED HEREBY APPI IES FOR APE RMIT FOR THE W"IRK HEREIN INDI;'.AIE U BUILDER PHONE-�Aq�I�-_15
DR AS SHOWN AND APPROVED IN THE ACCOMPANYI G PLANS AND SPE �LICAI ONS. OWNERF'HONE.�]�._-
/ D • f�f�/ LOT NO._n'_S, ----- -
a A qp
-
JOBAD --------- - -�i EE`A UUIDRESS��_�
(r V�1G.WSZ� HamE� ---- --- - -•----- _---.__--�__.--- -- ARCHITECT ------------------
ENGINEER p _o
F"'V.FVI�eVJS7��- -. ADDRESS U_tpQ._DESIGNERS• U�CJ.S2Sd-_.- -..
URE 1k1',EW _ OFIE MODE L wrOADUITION � ❑REPAIF; �[jRFNEWAL ❑FIRE DAMAGE []DEMOLITION
NCF ❑COMM []EDUCATIONAL ❑GOV'T Jr3RFLIGIO--UROPAT10 OL, RPORT _RGARAGE [JSTORAGEDSLA8 ❑FENCE
`IMOVING Oct _ONALUSE I_JDFSIGNREVIEW ❑COUNCILAPPROVED ❑SIGNS
'UF'4NCy __LAND USE ZONE�t.-A0—.BLDG'TvPE. FIRE ZONE. PLAN CHECK 8Y_��, _ -- t'EAT_
_.._--'-.d.�.r1]9•ri-��t� �t1�'c2'1 f'_.,.Z;,c.,.._..�F�...:xan.af...-�-.-_.ti+'G.•sx'-�!Ll�.c�lC...�Lf��-.�-.�`=y`�L--"'.rLG�.E-•�'S_ lia�.jf>�'-'�=---
AAA 0m,
lIl• _.14AQ _.._..-----.F.19SJR�,O�U 3%[ _:__�1EJSstlL_1..�--.----NQ�IQ91f �_-�__. ?p_E; 4 BEDROOMS ALUE /-vq_
BUILDING DEPARTMENT1- —REAR �I �Il y
SET BACKS FRONT LEFT 51DE R GHT SIDE
� 'rrmrt
- THIS D1:gMlT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cheek �c�/ E- RFGULATiONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA-'IONS AND IN COMPLIANCE WITH
Subtotal c ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taxh, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEALING
Total G
MpP ICAYI OR AGF NT
Approved Receipt No
ADDRFSS PHONE
)DOC .''i 0 ,9 O'Z
.. u..e, c;0 c7
� up
� a.r ■. �.. � .w ww ,wr ,.
CILy of Tigard Mechanical Permit i; Pern.:t. S3
Ncw In,tallation Replace
p ❑ Relocation Cl�] Addition ❑ Alteration ❑ 4 % State
HEATING TOTAL__ ,1. 1,P
C()NT8ACTON (� I CQ_._._. OWNER
V'!U(R K. A D D R ESS��A-� .1 fi G•R.���' ��.
PHONE APPLICANT_, c f .l
PCV IrCut Riting (BTU Per Hour)___ __._. Vent Size flue Size -
FUEL 011- C GAS Cl ELECT R1 OTHEH_�
ITEM NO. FEE ITEM NO. FEE
r.cr Is%uance of Permit _ SEE ABOVI' Air Condition Compressor 15 to 30 HP 10_.00
N,w'�-2 to & i.nc 1. 100,000 BT �^ � 4.0Air Handling 10,0_00 CFM _ a.00
PLL-- 100,001 BTU's & ov�r� � �- Y5.0Air_Handiing_Over 10,000 CFM 5.00
F;u•a_r Furnace _ _ 4.010- —Evaporative Cooler _ _3.00
�'iall •Floor-Su,panded _ 4.00Range Vent Fan_ _ ?•00
Install Vents Ornly _ _ -� +2.00 Vent System_ _ _ 3.00
Repair - Heat b C3oIing ___ 4.00 Hood Commercial
Aii Condition Compressor Under 3 HP _ _ 0 Commercial Duct System 10.00'
Air Condition Compressor 3 tc 15 HP 7 50 -"'- -
iNSPECTOR'S COMMENTS
:.IT'( BUSINESS LICENSE RECr IIP
cD FOi ,AL1. CONTRACTORS OR SUB-CONTRALTO FIS
?'ROVED BY 0A1 E Y" ISSUED BY DATE
'CEIPT N0.
Slq:"wurs of Applicant
A2 qJ-2
G 'Ly of Tloch d Alocilititical Pei"4�11 Perm it
ZD Fee_--
A!Ii-ratl3n _j 3% Stall,
I OTAL -I
C-NTRACTOR E P
✓
j 0,1.1 4_4
AD0RESS__ksL_ W07 . ADDRESS_.,,/Lg .0
PHONE APPLICANT Sr,,j CJ.
_a le ir ,
Heat Input Rating BTU Per 'Hour)` 2 Vent Size 9 T:Flue
_
FUEL OIL GAS IX ELFCF OTHER
ITS r.1 NO. FEE ITEM No. FE
For Iss,.;9ncv of Permit —3.LO)col Air Condition Compressor 15 to 30 HP 10.
New - Unde. 1 00,00,06TU =_.__i�� Air Handling 10,000_CFM
—e
.e. K —wl Air Handling Over 10.000 CFM 5.
Floo, .00 Evgp�jrative Cooler 3.
all door Swr-ended --4.00.— Flange Vent 2.
Install Vent;Only
- Too Ven'.System 3
--- .,- 3
Renair - Heat Cooling, - Hood Cc)fnner
AirForidition COMPrElsor UndEr 3 HP 41M C-mmercial Duc-, Systern 110.
�-%ir Con-lizion conlroiCssor 3 to 15 HP 7.50
INSPECTOR'S CO..11MEN
CITY BUSiNESS I. ICENSE REQUIRED FOR ALL CONTRACTORS O�'I SUB CONTRACTORS
APPROVED BY DATE ISSUED BY DATE