12229 SW MILLVIEW COURT 12229 SW "iij,LVIEW COURT
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--_---,..__�_..----------_ —• --- --"------r-- BUILDING PERMIT// G
CITYOFTIOARD cr1Y �l1 PERMIT NO. : -7 _-4-G ____._ Y-/
COMMUNITY DEVELOPMENT DEPARTMENT DATA ISSUED: .---
12 i,2s S W Haa BNA,P.0 floc 2MY.T194r'4 Chogm 9M3,(SM)M-41 TS PRIM.PMT.NO. : --
JOB ADDRESS:
TAX MAP/IAT 1 I.3`L C L� _. SUS: l'T:¢�
LAND USE:
LAT SIZE: ------_ . VALUATION:: Yal;�cY SETBACKS
FRONT: - REAR:WORK CLASS-CLASS: _ DWKLL/VYITS: LEFT: -_ 3 RIGHT:
USE TYPE: -p e0 _ NO.BEDROOMS: r
COAST.TYPS: __1 NO.BATHS:
Oa:CUP.GRP. :
OCCUP.LOAD:
TOTAL AREA:
iaO.STf�RIES _ / _— IST: /t/3 '---- . IOOF CONST: (,uv'4 FIRE RET:
HEIGHT: /�' �— _ 21FD: --__ AREA SEPAR:—.
BkSgh,.NT: _ 3RD: _ _OCCUP.SEPAR:—
MIEZZANINE: BASEM`T _ _
FLOOR LOAr. �C' GARAGE: w3JO FIRE SPRKLR: _—__ ALARM: ._
FLOW (GPM): _-_- DETECT:. -
'HEAT TYPE, HDCP.ACCRSS: _— -^— CORR: ---�
PLAN CHECK BY:_IL4 T
REMARKS:
—-- — ---- —_---._-. REISSUE OF NO. --
SEWER PERMIT: jQ3 LAST REISSUE
0
1N FEES:
N PERMIT
R - PLAN REVIEW ik13 V
FIRE DEPT -
- STATE TAI►
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Names �� 3 _ OSS _-- R -
0DEVLRLAPMF.l9T CHARGES
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3 I I r S REQUIRED INSPECTIONS
FOOTING SEWER
FOMMATION WALL RAIN DRAINS
POST & BEAM WATER LINE
PLB. UNDERSLAP CITY APPROCH/SW
SLAB FINAL
PLB.TOPOUT
FRAMING
FIRUPL.ACE
GAS LINE
- INSULATIOU
Mee s191'.i'ad GYP.BOARD
183 y: —�j[LL; ECM".3.9-417)
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INSPECTION NOTICE
City of Tigard Bailding Department
P.O [lox 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time-04'A.M --P.M.
AddresV.2-Z 9 Permit
Owner of
Builder
The following Building Code deficiencies are required to he corrected:
_01W
e :(a
Alf,
Presented to F I Approved
Inspector r 1_ _ — - ���_UisaPHroved
Date
CALL FOR RFUNSPECTION
IYO
P.o.aix 23H/
CITY OF TIGARD PLUM 131NG 1:125 .94 H&11 B1VJ-
rigmd CR WW
ApplKanti must hold Chegon Registration to cor�ducl a plumbing PER M IT 639-4175
business or must be property owner/operator not hiring OtAskie help.
N71=� / FOL-2 Numbing Permit No
Addr"A, 0000"M
V, � R S LK) V] C OR 014-21410 OUAN. PRICE AMT
Job Tax Lot Map.No.
Addr*ss FIXTURES
W Block f SubdMolon Sink
fl" name ss Lavatory 7.60
Tub or Tub/Shower xnb 7.50
Add(sas Cx7.50
Shower Only I H
Owner coy"state Water Ck" 2- 7.50 /-s
Dishwasher 7.50 7 .5D
-
----- -For" 7.50 7.5"b
Namf)
Washing Machine_. 7.50 -7
--
Floor Drain 7.50
WTW-g-K&T, s Water Hester 7.50
Laundry Room Troy 7.50 7 Z
Occupant
Unnal- 7.50
phone Other Fktm(Specify)
-50
MO&V Wba 7.50
7.50
MISCELLANEOUS
rr
yBus TiW-No--- sewst I a for, 30-00
We vzRgiii-- 7 8v*-v-q&.Adclit.100' 15.00
Sis�
Wow servioll 10 100' 'J0.00
I hereby odwxmWdV*that I he"reed oft mppac"M"the Inlormation W@W Servios ea.Addl, .5.00
gh,en Is correct OW I am rogWw*i with the State Bk WWv 60990.and 21100 _Storm&Flilin Drain 1st.100' A.00
h-a State Fluml*V"ww OW lho rx"bers Qdvw We OWOCL*ad ON --
Storm&P-Jn Drain Add".100* 5.00
+kgnbirV work-,A be dons in s000rdance w*h qgAomble pny%k"of Or*-
gon nevisW%&%*a ChWftm!47 and On W-,d VOIC01310 Cod"&M that MobN@ Home SPOCO25.00
I
no h*O v be employedtm Mown-'1 '
- VrK6W CM 03 (If ONSM134 kfl-
Sbft rogistraliaN plea e qKv resoon bMW*4. Asa flow Prw#w*w ?.so
pj0W0M&'ft-1 het"ceroy#-a I sm the oww of#*property do- Devto or An1l4N)k4w.Devft
et>rI I eta 4,84"1" 1, 1-00 n 1prfv000lonwkoapkv"b&VkwtoNalwkw An,\i Trap or Weaw No
my c+vn u"ariod"prop"Is not bakV ourobuded for 008.10010 Or WA 0aunscled k)a Fhtt" TAO
CA"&Basin 750
kw.of Exist,Pkxnb 40.00 OW Hf
40.00 Per 1*
ANW 0(M\%"t*V whirler _
an Ed**V 15.00 rrAn
AE DNew Bldg.or SLAd.Ad~ 25.00"".
tn"t=110AATURate
HaiL
DescAbe wy* rWW[] Widition❑ &%nkftn 0 MP#k n &PM15.00
L V be done reakionial 1-1 fm
EA"use of Mom
tmAldlrlp at property OWTOTAL
bAft or PMWV
"OTMF TOT"
'fh%pWW baawtss r*A wo void*work or wWnwaon ftowvW to rat oar"
ftWMd*W0"Qdvpwfmw,Nucft absrtdomed la
a 0 11"to W ft"at arty oww aw work is aWW%MW4
eftail,L 001KNTN" now issuell
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CITY ON -I IGAHU MECHANICAL PERMIT Pertrtl, *
FI),
ble 7A MsO�nlcal Cade _ OTY PRICE AI'T
City of Tigard Permit Fee —� _ -0- -0- 10.00
13125 SW Hall Blvd. _
P.O. Box 23397
Tigard,Oil 97223 2) Pt � P°nTtlt 3.1)0
639-4175Fumeoe to 100,000 BTU
t) Ind.ducts&vents / 8.00 ��0
Furnace 100,000 BTU + 750
2) Incl.ducts&vents
Nems o1 De,ebpment 3) Floor FOBnoce 6.00
''._�� `1 SC<J !�1 • �� Incl.vent --
Job Address 4) Suspended hector,wall neater 600
Address or floor mounted,realer ^--
Tax UA A Man No. —�+ 5) Vcnt not Ind.In 3.00
_ Lc Broca appliance permit -- -- -
Name(or name of business) 6) Repair of heating,refr Ig., 6.00
cooling,absorption unit`_.—__.--.- -- ------
MaiWV Address ROM — )7 Boiler or comp to 3 HP 6.1x)
Owner absorp.unit to 100,000 BTU -
cnyiSute 8) Boiler or comp fo 3 HP-15 PP 11.00
—absorp.unit to 500,000 BTU
N g) Boller or comp 1630 HP 15.00
absorp.unit'A-1"k)n
Ma*V Admen fty 1 G) Boller or Comp lob -60 HP 22.60
urdt 1.1.75 m+{lion
Cordrador 11) BOW OarOaplTtp ID 50 HP 31.50
abilimp.unit 1,750,000 BTU _
!Stats riaplatration No _ CRY PAM.TYx Na. 12) /W llEt%*q W*b 4.60
10,000 CFM
i I hereby wiw oMedIp that I have read tnie app"Wr,trot One kronnstton given is 13) it 000 FhandliSM un+6 7.611
oornct,trwM I tan rre owner a autFrorized spar of s»ow�rer,that plane aibrrrtMd ere in
canXtonce whir state taws.that I am registered with err state Bulldm'Board,Ohat to 14) Non portable 4.50
number gken Is correct (N exempt from State r"Aratkxr please g'.ve reaaai Wow). VAPAate 000'er
Vern fan connected
1 ti) 0a
to a
-_ _ ----. _'-.-- Ventilation system not _
16) Inch►ded in appliance pet mit 4.50
17) Hood salved by 4.10 4- 71J
mechanical exhaust _
—T--Date, 19) 0011%,11C type 7.50
ElItion ❑ alteration C1 ropair I J indnerato•
to be done rte`'1 residential } non-residential L l 1 f Commerdal or Industrial 30 no
Existing use o. type Incinwater— _--
buildi re Other I.e.,woodstove,water 4-10 O1Q prrloerty .__.— _— __.-..._.e_ 20) heater,solar,clothes d►yp•-.
Proposed use o1 ----
building txproperty._—_--_----.-_---.-__-_______-_---_----...__ 211 Gas piping one to fouroutleN 2.00 �
11rpe of fuel- oil ❑ natural gas LPG U electric ❑ -
-- — 22) More than 4-por outlet
fi,UWTOTAL
'THIS PERMIT BECOMES NOLL AND VOID X WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT CUMMl:NCED WITHIN 1110 s 444 SURCHAgOE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR — p1LAl1 REVIEMI>�Opt����
Z '
IS
FOR PERIOD OF 1A0 DAYS AT ANY TIME AFTER TOTAL
WORK `
WORK IS COMMENCED.
Spedal Comiftions
Date Issued. __ ��� rZ_by
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NC. : 9 r- & /2
PLAN CHECK APPLICAI.ON DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT ATll
This is to certify that the attached �_— sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, L- edition.
PR.C_ARTY OWNER:- OWNER'S AUL'RESS: 3Z k)_
C014TRACTOR: `C'l� 5... cy
TELEPHONE: _ ? e �o� �� �72'
r
J-)B ADDRESS: u � _� LOT NO. & MAP:
DESCRIPTION OF WORK:
j1 rovals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
0 Engineering Dept. 0 Flood Plain/Sensitive Laris
OFire District 0 Sewer Availability
OOther O Other
hent@ Re aired
List of subcontractors
Business Tax
Calculations
�uss Details
O Parking Flan
OLandscape Plan
O Other
COMMENTS:
City of Tigard Building Depar t
BY:
T
{
EUI�_UItdG PERMIT APPLICATION � DACE --_ -- -- --- ----
THE UNDERSIGNER Hr_REBY APP!_ILS FOR A PERMIT FOP YIiE v�, iRK HEIIEIN INDICT TED 131,111-DERPHONE ��----
OR AS SHOWN ANL' APROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT OWNER PHONE
_OWNER Brian J. 01!fe" _JOB ADDRESS 122%-() SW I"611vicAg— - " ARCHITECT
ENGINEER
ADDRESS 20-37 N. 'Wim-hell DESIGNER --
BUILDER -
STRUCTURE_ NEW _r REMODEL _ 1:1ADDITION ❑ REPAIP ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
IESIDENOE ❑ COMM ❑ EDUCATIONAL [IGOV'T ❑ RELIGIOUS ❑ PATIC El CAR PORT ❑ GARAGE [I STORAGE ❑ SLAB❑ FENCE
--"�-"- r" ��PLAN CHECK BY HEAT-_. i
OCCUPANCY _ »� —LAN1111SE?ONE BLDG.TYPE -�.a_FIRE ZONE_. ----- ---—
C�c dwell i..rs w/at taehf-,' garagc I, all per ai?Pc
subl:;ct to 85 GCM1C. slibicat to A-Mat sewer SLjr(;'lacj,,e.
iE'NER PERMIT N - +503 2 l t'At z- Lr aD o P ,arag
OCG LOAD FLOOR LOAD 40 HEIGHT 113'± NO.STORIES 1 AREA IV15 NO.BEDROOMS i VALUE 64 32!1
— RIGHT SIDE
Fr
BUILDING DEPARTMENT SET BACKS FRONT '{� REARLEFTSIDEit }� '•_' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 1 HE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCLS. AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN
—'� — V..'ITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVVEE
Sub•tote1 RUSTRICTIVE COVENANTS, COATRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PFRMIIS REQUIRED FOR SEWER,PLUMBING AND HEATING;.
State Tax
16.40
y 7 ` FDC-
Total _ PDC# f 150•( APPLICANURACENT
1 �
By � ----
bra7.b(1 Receipt No. J,{.1 , Y1 A'DJRFBS - PHONF
Approved ___! /
i
i
DATE INSP. TYPE INSPECTION REMARKS 'PLUMBING DATE
r
Z TI �� .�n�VT -� — Contractor ) u
Permit No.
F �:J`( ,—� — --- Rough-in —r
Fixture
,/ Final
10-30 ,PA-4 - A-f_ - t,GG�e[.aCi HEATING p0�
T !�
Contractor
�. r� r nh rJ�" 4v Irc
Permit No. f/7 -_
a Oil
Rough-in
Final
SEWER
Final
-
- DRIVEWAY -- - -
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb dr Street Final
Approach
swo.DEPT.FINAL TEMPORARYCERTIFICATC OCCUPANCY
CERTIFICATE OCCUPANC'r Final
Landscaping
Zoninq rinal
i