12263 SW MILLVIEW COURT 1.2263 SW MILVIEW COURT
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\' CITY OF •RIGARU PLUMBING 1:1125 '�WPau M%d.
Tigard Mcf1m
Applicants must holed Oregon Registration to conduct a plumbing PER I1+ 639-4175
business or must be properly owner/operator rsot hiring outside WP. /
Name of Develop sent Y_�-
Plumbing Permit No.
Address.-- Description--
�' ORS 81421 610 DUAN. PRII:E AMT,
Job Tax i& Map.No.
Address _ FIXTURES
Lot
/ Block Subdivision Sink � -- - 7.50 -7 y
7..'50
--- am• obusiness) Lava9rxy _--.
Tub or Tub/Shower Comb _ 7.50
RTYV
ruing ress ShowerOnly 17.50
WaterClosrl f 7.50
Owner City/stets �.. --_._ _ ZIP — - - -- - --
Dishwashe- 7.`.+O 7 J
Ptoone Garbage Disposal -- 1 7.50 7
--_ --
Name -
Washing Machine — - 7.50 7
Floor Drain 7.50 --
- -- - -- 1 7.50 7
T(iI mg�er.s P;-oixi Water Heater _
—_ — Laundry Room Tray
Occupant GtyiStaia lip Urinal —'� _ 7 50
aff,e a Other Fixtures(SpeciN) _ _. 7,50__
--
_��"_�'''> }�L (s t i 7.50
MWWV mess xis V47.50 ——
r�,p /nwt oil — 7.50 —
Contractor City//State ap
L(7) MISCELLANEOUS
Tax No. S•war i of 100* 70.00 — -
_ 0 b 00 10 It S..r.r-es.Addit.gar _ 15.00 _
3tdte s. MM A • s.OF No., - —
(fiesdential) -((lei '�'� Water SerAw 1 st 100' �- _20.00 _
1 hereby sr*newiodpa ilial I have n.d this appNth
cation, e the Mlormeu)s Water Servos as Addit.200' 15.00
given is oorred.that I am reglslored wHh Oso State Brdldeet Board.antorrsd s1u) S —aR;;fkafn 1 st.100' 30.00
have a Stale Pk/rrit*V 1kAnso Thal the numbers 0109n ars W"'ecL 9u9 rill — 15.00
plumbing work will be dorsa in ammisrrce with applicable provisions of Cee Slorm A Pain Grain AddB.100' — _ _--,_— _
pan Revised Slabries Clsaprers 4t7 and 893 and applicable codes and the! Mobile Home Space 25 00
no help will be errV*yyed unless Ikxirssed under ORS W1 (11 exempt f"'" --even
Slat's registallri•phase give reason Wow) Boat sow rlb-Po iti 750
HOMEOWNEPIS-1 hereby oerWy Oct I am Oso owner W O.e pd4aerty de D•v1o•or Anti PoNution Osvice _._ --
sorbed above,of whk's locatlon 1 propose to m ika a pkimbkV ksalaMptkxs;cY Any Trap or W asta Nui
my own vs•and;"in pv,arty is rad bq*V oorvtruceed Ia sols.lease Or r«x Conneck4d to s Rxthxe -- 7.50 _
Catch Basin J 7.50 _ --
_ kW.of ExM_Pkr ribing 40.00 Par Hr
Spedaily R•qu•aled Mspeciloru 40.04 Par Hr
—_ Allier of Ns.rnbkg wilhln —__ —rive,
_
an Exw*v Bktp 1 s.00
New".or Build.Ad~ 25.00 MV-1
AU 40F4(ZED 9II+a1":ATURF Gj - — - ----
_
Desaitie wa', r addition(] alteratkxt(.7 repair C7 dweiht> —T -- 15.W
LW be tiux>s_._.._ Fe+n.ictarrtial Lam`-- __. no^�rselulMtial _
Exk"ur o of
glt•TQTAI /Z 5-
P
aFf7 TOTAL
Thiprtrttek becxwrse null and void N w ort•r OOrra•UCWn Aff'Orts• m d is not DoL
s
nsMgad NdNMn 1Alc/daywra/N 0•ntINiONIn er rurorlt V aWpr•nded ix isbarsdorsad k,.
a jmrbd of 180 say d any erre OW work Is OWMAnOW
Data Isauad -7 __ by
CITY OF TIGARD MECHANICAL PERMIT ",uilt,"1ji 'v
Permit
Oescription
Table 3A Mar:henicnl Code QTY PRICE AMT
City of Tigard t�—
1,1125 S.W. Hall Blvd. 1) Permit i-ee -0- o> 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplementa -rmit 3.00
639-4175 Furnace to 100,, )0 BTU
i 1) incl.ducts&vents 6.00
Furnace 100,000 BTU i _ -
2) incl.ducts&vents 7.50
Name of nevoknwnentFloor Furnace -
3) 6.00incl,vent
JobAddress -- Suspended heater,wall heater
Address 4) or floor mounted heater -- �6_00
Tax Lot Map No. Vent not Incl.in
Lot Bloch Subdivision 5) appliance permit _ 3.00
Name(or name of business) Repair of heating,fair ig.,
6) 8'
coolingabsorption unit �
-�aro.� C't-16 r-�Ja--- , _..— .-.
Mailing Address Pttono Boiler or comp to 3 HP
7) absorp,unit to 100,000 BTU 6.00
i
c ty state ?tpBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11'00
Name Boiler or comp 15-30 HP
9) 15'00
absorp.unit 1/2-1 million
Maxine AddressiJr.�phone - 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Reglslretion No __City Bus.Tax No ) Air handling unit to
12 10,000 CFM_ 4.50
I hereby adtnuwledge that I I'mve"sad l NrAir handling unit
applkalinn that rite Information given Ir. 13) 10000 CFM + 7.50
r.'arrecYthat t I am ft owner nr s"nttod ,
zerl"wil ol the owner,thw plans submitied are in
corttpitartoe Frith Stave Tawe,1111,91 1 am mlietetwi with the State Builders'Board,that the Non portable
rxanbw given Is car"r (it exerno from Slate lwratlon 4.50
n+p p��sT+e reason below) 14 evaporate cooler
Vent fan Connected _
15) to a single duct ' 3.00 ,t
r
) Ventilation sy3tem not
18 Included In appliance permit 4.50
17) Hood served by 11 4 50 .�
mechanical exhaust
pate1 E�) Domestic type 7.50 '
Describe won• El addition F] alteration ❑ repair [.] incinerator
to be done residential C_1 non-reti entfai ❑ Commercial or industrial - —
____--.-- 19 30.00
Existing use of type incinerator
building or properly. _ ?0 Other i.e.,woodslove,water 4
.50
Proposed use o1 heater,solar,Clothes dryers,etc.
building or property___---- — 21) Gas piping one to four outlets j 2.00 itr`
Type of fuel-- oil Cl natural gas (-I LPG ❑ electric C7
22) More than 4-per outlet
NOTIC ��— —_
BUS-TOTAL �11
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S%p 406SURCHAROE J4
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF 8UWTOTAL
ABANDONED FOP.A PERIOD OF 180 DAYS AT ANY TIME AFTER - — +-
WORK IS COMMENCED, TOTAL a 1,•�
Special Conditions
-- ---- - - Dato issued _ �/---=--1—by_,Z4,
BUILDING PERMIT APPLICATIOV DATE_
-HE UNDERSIGNED HERr=F1Y APF' IES FOR A PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE
CR AS SHOWN AND APPROVED IN IHEACCOMPANYING PLANS AND SPECIFICAT!C,:S. OWNERPH?N�,� I�:w
LCIT NO. 1 _ ----
nwNIER aos,auDRtss _�w �� _�;�__
ot'l
ARCHITECT
ENGINEER
BUILDER ADDRESS 24415 Ski DESIGNER
STRUCTURE CJNEI V ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Cl RESIDENCE 1i COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS n PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLA_B❑ FENCE
OCCUPAN:Y 3 `'LAND USE ZONE =` �'"� _BLDG.TYPE -Lt+ FIRE ZONE_ PLAN CHECK BY
:AxIsti'LAo aingle femaily Iwe1.l'i.ng w At.r Q;*_A waee., Al pOH
Subject to 85 cAAe. 1111f.Ia_:.t t[.` Amart $3W.01) _J,----- — --
tyK reissue f r am 6399
SEWERPERMITM 340,34 2 +3Rthsy () tarns >EL'�t;�? !fir' n 44,0
OCC.LOAD FLOOR LOAD 1#0 HEIGHT 20 NO.STORIES_2 AREA A°� '� NO.BEDROOMS 3 VAk UE 644(X1(
_BUILDING DEPARTMENT SET BACKS FRONT REAR 7"' LEFT SIDE_ `' RI_ IT SIDE _
Permit _ ' ' _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
V REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ,'.LL APPLICABLE CODES AND ORDINANCES. T4E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sib-totalRESTRICTIVE COVENANTS. CONTRACTOA AND SUB CONTRACTO'..v TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANG HEATING.
State Tax 16.25
.,� soc— 60Cl.tx)
Total __.-- ------- —.—._._
pDCq T X00 APPLICANT OR AGENT
By �t 1.W
Receipt No. —.—_-_.__...-PHO_
LApproved _ :.�41.,ZJ I ADDRESS T ��_. .__. NF. _
DATE INSP. TYPE INSPECTION `REMARKS PLUMBING, DATE
Contracto+
Permit No.
aty�
d.T-7" ,c--i ---
77�7 p 11.1 -O,J-- - Rough-in V
C4-4 _._ Fixtures--
��r�"`-�'�jf,/---�-� Final -Y -
HEATING
/I/`�J t!iA ✓ 1" 7 ! S h►*t H lv �ts .,�, Contractor 1Yr' �!' �•$j
Permit No.
i P •-Z( ' „� Q/( Gas DII
/u -—Z- fi-ti.c� c-�,Q� fiough-in
/ '- /,�/, Final
/ art G f?$ c(J g -_— SEWER
_-- N ---- - Final -
//_ - 4 DRIVEWAY
LL.� r�X - Final I
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
A_P_proach
SLDG-DEPT.FiN 4L TEMF OR, CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY I Final
Landfceping R �-
Zoning Final
i'
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:��---r�-
P.O. Box 23397, Tigard OR 97223 1';l' DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Stru_tural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: 1)«� f',,t �L< /I� �j�Y") OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: GL� 1I��/�l�G'/� OT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
�
0 Planning Dept. � Reissue v- J4
4
O Engineering Dept . (� Flood Plain/Sensitive Lands
O Fire District 0 Sewer Availability
0 0~her Other
Items Re aired
OList of Subcontractors
i� Business Tax
L� Calculations
0 Truss Details
OParking Plan
0 Landscape Plan
() Other
COMMENTS:
City of Tigard B 'lding Departme.
BY: ��
(,CJp/ 501t'CPLAN CIiLLK NO._,'^—
for inspections call 6.1944175
0 /1
CITY OF TIGARD 639.4171 PERMIT NO.
BUILDING PERMIT GATE
P.O. Box 23397, Tigard OR 9727_ TAX MAP LOT NO. L7&UO DIVISION��'
OWHE /�� /�/l ✓ J4' JOB ADORES: `.
BUil.00R h�i�V d�i�r� �}ub�JL`J �4 _� STATE AEG.h0. EXP.DATE _
BUILDER'S P'HI;NE
ARCHITECT, -- PHONE_,_,__—OTHER
—..
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE O OTHER 0 DEMOLITION
16 RESIDENCE ❑ COMM O 0--X)CATtON ❑ IND Ea RELIGIOUS_ ❑'ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE
_ mer
OCCUPANCY _lJANO USE L _ .Z_6LDG.TYPL LLL--FIRE zoN PLAN CHECK BY f! /�'— BEAT
i- /
_ Construct Sln_clle farni iv dwe11 ing w/attached ❑ar lee,,._a11_ .annrnuavl `-- —
k 514-4
code
SEWERPERMITI Sc�� �_ '(Idu) '7 bath: trans—_yj qr��
OCC.LOAD FI-CvH LOAO (f HEIGHT 'J NO.STOIIIES_2 AREA 111%) NO.BEDROOMS
BUILDING DET ARI,MC-NT ) REAR LEFT SIDE T RICHT SIDE F
SF:I'BACKS FRONTS C ��'
�', P � �r�
Permit `�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL-DING CODE,
:TONING
r- RECIULATIONS ANO ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Pis,1CI ack G WORK WILL BE GONE IN J..CCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE
W,TH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUAWCE OF THIS PERM;T DOES NOT WAIVE
PI.Gk FMS i R S:;TP`CTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-'— TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER,PLUMBING AND HEATING.
Slate T-.c 7 SSOC.
SOC_
Tolal 2 S� APPCjUANTOnAGI.NT
— POCI
Prepd0 _ - -- -
-y� Recelpl No ADDRESS PHONf
Btl.Due r
lo@Ued By___.__-...._----.Approved.y —
SSDC U
SOC - I c) �I —
–`" RECEIPT ry
POC –� � ,Y" _�—.L 7� — ---- -
-- DATE PD. _
SEWER CONNECTION 5 �' v AMOUNT PD.—�~
EWER INSPECTION S
EWER SURCHARGE
ommente: