12183 SW MILLVIEW COURT 12183 SW MILLVIEW COURT
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CITY 01=: TIGAR U PLUMBING 1-:3125 'M t&11 B1W-
APPIKAM rivio hoW n Ret+t'aation to crwoeuo a pitw"nSPERMIT �� Wm
tw nines~or mutt be property o�ms"loperator r of WAS outside:w�lp.
Plumbrnp Permit Nn. ,
Job ORS 011-71.41-n ^! OUAN. MACE AMT
Tom LA* MaµNo. --- --
Addnna
FIXTUAES
te+ Nock Subd Aston
ski _
arne artwrwr ss , —' Lavatory - -- __ ;.b0 3LJ
r�
Tub or Tub/Shower Comb -+ --- 7 50Adrk
ells ONy 7 50 _
Shower J,7
Owner -------___ _.-------- WalerCbsN -" 7.50
t�tale _
�_--
---- -- - Dishwasher _ ` 7 5o
Ptwne GarbageDisposii 7 50
-- ----
Narne -—-_-- Washing Machine
Floor Drain 7 5o j
1=GTttn—flress7- Phone Water Healer 1 SO
,
Occ,tputt /Slate -'— Laundry Room Tray - -?50
Urinal7 50
- Phone Other FiKlures(Specity) 750
so
Contraetor /Stall ZIP
7 50
MISCELLANEOUS
City Sm Tax No Samar ill 100' x100 -
ate i '?^ -` 3'�fa sous Tic ski 6~-".AddN loo 1500
rr
Wank Servla 1st 100' r 20 00 L°
I"-by ac*now id ye'het I haus r+ad f0s W#Aca*m,suA the kiirxmation Wow SwAm aa.Addil.2Mt 1 S M
Owen is carred,that 1 wn nilgWo sd**h lM tawo Bu*Ws Bowl.and also Storm 5 Pym Drain 1 a1.100' 3000
tow a Su"Pkrmbkty tberw that ownrrebeni OMn an Darned.that 0 -
Pkxnbm0 work will be Car»in aneordanoe w1th applicable provk*m of Ore Storm A Pyn Drain Add" 100' - - 15_00 j
yon Revised StaA*m Chapters 117 and 063 and applic"aides std that IAot>Ma tlat+e — ?ti 00
Ito tnelp wAl be ertpbyad unlessMaenaed u-dsr ORS 069. (M exenKA hnm
SI&W MOWOOan,pests 01w reason below) Beak Flow Ptrvantlon
NOMEOWNEM- I lm"oertyy dist 1 am the Owner of tin micierty ie- Darioa or An#4*okak)n Dev" - ---- -�w
sorbed abume.at Mid location 1 Propos~to maw a pknt6A v inebasolm kx Any Trp or Walls Not
RV own uew srvl lhb Wcperty is-,I bakt0 c7nsav c td tar 1411.Walla or rwi Oomwo4d b a Film" 7.50
C41"llesx, 'So
lr►s�a F+,a.Pk.nok�
40-00 Par tlr
- 6,,ac1,r�t�wscd k,epaoyorta 50,00 PrP Nr
Alla►,of rfarlbllq
M7T'NOPA2rt)BIONATI RiF Ooh Ntw-81�d or Buld.Agdllon - - - MOD rorty
Dr"ft wort, rwsW® eddibon(-j 4111111101,1110011 Q rrptllr[l cell __ MW
tydatlrlp leer a
ht4ft or pmpor r _
od of
10
,t
Ytft PMtl15 OataasllM Ia1M M►S Mold M Ovals a tltstM�KADrt �qd M nctl clorrr
ttlw deed talMlSt MO�1"stal y eein�rltdAtn ar aarlt Ill y1sMlMtaatad ar�andoewtd lot
a SsarMrl al 100 AMdr M M'M Ala now was in atttlMMtxsd
Meow. 00000"Wft
Dill MMNd by
- 1 lllli
CITY F TIGARD MECHANICAL PERMIT Receipt
Permit #
Description
TableJA Mechanical Code CITY PRICE AMT
City of Tigard 1) Permit Fee -0- -0• 10.00
13125 S.W. Hall Blvd. —_- - --
P.O. Box 23.397 2) Supplemei .'Permit 3.00
Tigard, OR 97223
639-4175 Furnace to 100,000 BTU 6.00 C,
1) incl,ducts&vents
2) Furnace 100,000 BTU t _ 7.50
incl.ducts&vents
Name of Development — 3) Floor Furnace 6.00
incl.vent
Job Address -- 4) Suspended heater,wall healer 6.00
Address ,a or!,
or floor mounted heatel
Tax Lot Map No. ,:. 5) Vent not incl.In 3.00
appliance permit
Lot Block Subdivision rn ;I% ✓ --
Name(or name of business) 6) Repair of heating,Yeti i 6.00
cooling,absorption unit
- _
Mailing Address F honeBoiler or comp to 3 HP 6.00
Owner 7) absorp.unit to 100,000 BTU _
ciryrstate lip 6) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name 1 9) Boiler or comp 15.30 HP 15.00
absorp,unit /z-1 million
Mailing Address Phone t 0) Boiler or comp to 30.50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City/State Zip 11) 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
Air handling unit 7.50
I hereby act rx�wledge that I have read this application that the Information given is 13) 10,000 CFM +
area,that I am the owner or authorized agent of the owner,that pians submitted are in —
compliance with 51ate laws,that I am registered with the State Builders'Board,that the 14 Non portable 4.50
number given is correct (If exempt from Stale registration please give reason below) f evaporate Cooler
15) Vent fan connected 3.00
to a single duct
— -- 16) Ventilation system not 4.50
included in appliance permit
- Hood served by 4.50
/ 17) mechanical exhaust
OSigneurewner or gent) _ Date t 8) Domestic type 7.50
Describe work addition f-3 al.eration f l repair C I _ incinerator -
to be done residential) non-residential 0 19) Commercial or industrial 30.00
Existing use of
type incinerator _
Other I.e.,woodstove,water
bulldit tg or properly -'-J'ly>%il..C� � � _��._-_-- 20) 4.50
heater,solar,clothes dryers,etc.
Proposed use of '—
building or properly -- --- — 21) Gas piping one to four outlets / 2. r
Type of fuel-- oil I_I natural gas LPG CJ elertric U
22) More than 4-per outlet
NOTICE SUB-TOTAL
3 s�:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOl" COMMENCED WITHIN 160 - $%Q_ 4%SURCHARGE j;J i
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 29%UF SU13-TOTAL y',L
ARANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER - -' -- -" '"-- `--�' -- -'
WORK IS COMMENCED. _ TOTAL
Special Conditions
Date Issued � ,�. by "Nt..___-_.
MEm_qmMR
f�
BUILDING PERMIT Al'PLICATION DATE ______..___,is___ (Al4
THE IJNDER::;IGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE _,62 f-°•07
I Af�-SHOWN AND APPROVED IN THE ACCOM-ANYING PLANS AND SPECIFICATIONS, OWNER PHONE -- -
LOT NO. ='Z d rn
OWNER ±�Ii1..L(�r. JOB ADDRESS 121. i,�,'IP,i Cf:. 1 t3 r t3.1 t 1 t�i_�►1�
—._. _
--~ — ARCHITECT
ENGINEER
_BUILDER 3dStnt^ ADDRESS DESIGNER L.Tol:t � 1'119
STRUCTUREr i NEW ❑ REMODEL ❑ ADDITION _ L.] REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
CTAESIDENCE U COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT [I GARAGE 0 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —LAND USE ZONE ---EAL.SLOG.TYPE __]Ui_FIRE ZONE PLAN CHECK BY L?'_ HEAT.— --
I ur:,:t; 'di.nc;lc ':awily dwiei' nw/.nttactted grey'ixgapptryaved plans.
Subject to D5 codr.,. Subject to Amiart $360 --
SEWER PERMIT 4 A«i(.Idu) 3 bpathG, 12 traps a ). 1.3 �'':ti::t?
�#G 5
4U Z 7177959
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA 140.BEDROOMS VALUE
BUILDING DEPARTMENT 24 , + LEFT SIDE �-
SET BACKS FRONT REAR _ RIGHT SIDE
BUME
Permit 400. i1[1THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7.ONINLi
---J--- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 260.00 WORM, 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 LRESTRICTIVE COVENANTS.ICENSE.SEPARATE PERMITS OREOUIRE FFOR SEWER,PLNTRACTOR ANC SUB UMBING CURRENT CITY BUSINESS
MB NG AND HEATING.
State Tax 21 Q.G fl
- - SDC GOC .00 !
)tal I COt� II. -- —
– —1 PDC# I 150.( APPLIANYO AGENT
By
_.__. Receipt No. ADDRESS -�—- PHONE
Approved
DATE INSP. TYPE INSPLC'rIUN� REMARKS I PLUMBING DATE
Contractor A
Permit No_1 `
Rough•in
J
/0-
`Z Fixture/G-1L V o �����L�vii� CCK r nal
HEATING r
��J-x 7 L .t•h 3 ,�__�/.�:=� � _ Contractor aQrj J'L
Permit No,
Gat or Oil
Rough-in
Final
S'E W E R
Final
DRIVEWAY
Final
Storm Drainage
(Rain Dre(n)Final
S Idewal k
Curb&Street Final
Approach
SLCL:, DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
C£RTIFICATF OC',:UPANC'if
Landsceping
Zoning Final
LA)L; t FLAN CHLCM NO.
for inspections call 639-4175
PERMIT NO. _
CITY OF TIGARD 639.4171 DATE, 4b Ist-
BUILDING PERMIT '
P.O. Bo-- 23397, Tigard OR 97123 TAX MAP/ I- Sq -I.
JOB
G� SUB DIVISION
_ JOB ADDRESS
BUILDER —_ j ,, ,r.�. -.— STATE.REG.NO. _ -_- EXP.DATE - ---
BUILDER'S PHONE
r
�^
ARr.F11TFC.T PHONE --- --- (JTHER —__ --
-
STRUCTURE NEW ❑ REMODEL_—O ADDITION ❑ REPAIR ❑ MOVE C7 OTHER - C] DEMOL1110#4
RESIDENCE O COMM C] EDUCATION ❑ IND ❑ RELIGIOUS. ❑ACCESSORY C7 GARAGE ❑ OTHER C) FENCE
I� r
OCCUPANCY _�,_�LAND USE ZQNE BLDG.TYPE -1 FIRE ZONE PLAN CHEC"BY /��..1..,L_►tEAT. --1
Construct single fami I dwei_I_incl W/attar h. �jl; I i npr .nnr�..ue�i_p1dFiJ: —
SEWER PERMIT 0,7jC,�` �/ 5 '(ldu) s baths, /Z tra _.�13dLr-3�-a� -_J •--5 , fir•_.�_�
_ HEIGHT ti� NO.STORIES G� AREA /'f�� NO.RLDIIOOMS ,IALUIll�1,
OCC.LOAD FLOOR LOAD 'i � �._._...__ —.– ----_ -�-----
BUILDING DEPARTMENT FRONT �,2 c REAR "ij / LEFT SIDE RIGHT SAK
_ SET BACKS_ r _ = �
[F'1 (t--6LT
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION; CONTAINED IN THE BUILDING CODE, ZONING,
7— REGULATIONS AND ALL APPLICASLE CODES AND ORDINANCES,AND IT IS HEREBY AO REED THAT 114E
M_Ck �O ,o U - WOhK WILL BE DONE IN ACCORDANCE WITH THE PLANS AVD SPECIFICATIONS AND!N COMPLIANCE
WITH ALL AFFLICABLE CODES AND C19DINANCES. THE l SUANCE OF THIS PERMIT DO,1S NOT WAIVE
We RESTRk`TIVE COVENANTS.CONTRAC'1 OR AND SUB CONTRACTORS TO HAVE CURRENT CIT'Y BUSINESS
TAX PERMITS SEPARATE PERMITS REOU1RtD FOR SEWER,PLUMBING AND HEASINQ.
u _p.oy 550E j 1 O G
rocs
� Receipt N,) ADDRESS
LBaI
D'lei _ v G1 Issued 13y ___ -._J►DProved BT___
SSDC
SOC - �'_Gd -
-- •-•-- RECEIPT N
PU(._._= Ir
DATE Pp
SCWER CONNECTION 5 / G / _ ANOINT PD.
SEWER INSPECTION S
SEWER SURCHARGE S . J�o�a rt uH, f '� tri. f'.er � -� (�
«. _ �y.
-amments: --
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of eoection AV 4 1 /
Date 1� v
_� Time A.M. P.M.
cad /l
Permit C
Addrnss �_ r �-W- —
Owner -- . /�.t��lJ�l. Lot #----
Builder --
T'ie following Building Cade deficiencies ire regs::;ed to be corrected:
I
f i
_ I
Presented to ------
Approved
tnapector _____ _ —'�--�^ U Disepprowd
Date
CALL FOR REINSPECTION j
YES O NO