12389 SW MILLVIEW COURT K.
12389 SW MILLVIE;W COUR`1
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INSPECTION NOTICE
G City of Tigard Building nepart•,ient
P.O. Box 23397
/D Tigard, Oregon 97223
Phone: 639-4175
3'ype of Inspect 11t+
P.M.
Date Requested
Address � � ,
Lot #
Owner_
Builder
The following Building Code deficiencies are required to we corrected:
-- - - E Approved
Presented to --- — ----�-� LL
f , �- ❑ viapproved
Inspector �L�-- qq
Date �L_.—.---._.—___---------
CALL FOR REINSPECTION
C YES 0 NO
ALL 1:111SF'ECTION 639-•4175
RD
CIT11"' ONFA T1(rA
cm rtc rECHONICAL PERMIT I--'
COW';NUNITY DEVELOPMENT DEPARTMENT "O P RMIT NO. : ME891982
11125 S.W.Hall Blvu..P.O Box 23397,Tigard,Oregon 972A.(503)639-4175
PR;M.F'!M'T.N0. 891982
JON ADDRESS: 12389 SW MILLVIEW CT
TAX MNP/L.OT SUR. I-T: PK:
LAND US!::
LOT SIZr:
ITEM: NO: KO
WORK -'LASS: ADDITION FURNACE: (100K AIR HANDI_k (10
USE 'TYPE: SINGLE FAMJ' '( FURNACE 100K+ AIR HANDLR 1.0K
CONST.TYPE: FLOOR FURNACE EVAP.COOLER
OCCUF'.GRP. : HLAT'�R VENT FAN
VENT VENI.SYSTEM
PLR/COMP (3HP HOOD
NO.STORIES: PLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: RLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE DLR/COMP 30--50HP REPAIR UNITS
MAX. INPUF RLR/0OMP 50+HP OTHER 1
FIRE: DMPRS? GAS PIPING OUTLETS
LOW PRESS?
REMARKS:
Install woodstove --
O
N FEES.-
E kizer lillie PERMIT $10.00
R 12389 SW millview Ct PLAN REVIEW
tagard or 97223 FIXTURES $4.50
STATE TAX $.73
C
0 OTHER
N
1
R
A
C
T
R
'TOTAL: $15.23
This permit Is Issued subject to the reguiatlons contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations RECEIPT NO. J -
and all other applicable codes and ordinances, and It is hereby -._-----_-.-___---_____ /U
agreed that the work will be done in accordance with the plans and REPU I RED INSPEi_1'I ONS
specifications and In compliance with all applicable codes and
ordinances. The issuance of this permit deas not waive restrictive F INAL_
covenants. Contractor and subcontractors Shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days or if work is suspended or
abandoned for a period of 180 days any time after work has
commence' 't shall be the responsibility of the permirea to assure
all.require i"Oftt are requested and approved.
Pe ittee Signature
Issued ey'
--- -—
SEPARATE PE=RMITS REOUIRED Miff %15R1N!ijMjQ`1Mfq`'Msc1IBED ABOVE
1
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1(y. � - �;� all •�, ' °
a ,
01- TIGArM Pl UM BI NG >.-u� � ,,,,�,.
plumbing PER M IT x-417
a _
riprd CR 97a3
Applictr(cs must hold O�tlan Reglslraticxt to conduct p
business rx must be pn)pe(IY owfw/Tna-or f1O1 h6 n5 airside help.
-- PlumbPermit
snit NP--._---
Name i
()d PRICE AMT
L.-----�— pUAN.
Address � � ORS 514-21-010��
Job Far Lot Map.No.
Address FIXTURES
Bloch SubdnAabn Sink
t.nt
Lavatory
---- ams or narne wsu,e'e-�
Tub or Ti o/$hower Comb -
- 150
�i1aq-J4�:ese _ Staw-:Only _ _ _.1__ _ - -
,_._--------- Water Cbaet x 1��
Owner /�� Zip
Dishwasher
- -- - Phone oarbage Disposal
f 9p
-_---- Washing Machine loll
---..--- Name -� ------_—' Floor Drain
Water Neater _ C
bo
Laundry Room Tray _
Occupant City/State Urinal _ — ----
1 SO
Crher Fhnures(Spscity)--_
----- -----
Jss so
e^,orttractor /gats MISCELLANEOUS
-- - - Bus.Tax IVO 300,0
Seww•a.Addit 100 1500 /
Wafer Service t St 100- 21000'
0tJ0 C
(Flesdenhal) 1500
WOW WaServioa aa.Addit.l(.�r
I hereby uarno Asdge that 1 have read rtls ap0l"c"o+•beat M»katl
rormon - �0 00
sd
with the titats Buildat's Board,and also $tprm_�^�Rork►fkrk+t sti100�
glom is oon*M hM 1 am regialer is 00
haw a Stats Pliurt dng kkwn"Ow to rxxnbws GI�' ora oan+rx M,M aN Storm a P*irt OrAn Add11 100
¢rf Ors-
pkrnbing work will be dorw in a000rdw"wtlh apt � that 1{opNa Horne a'sos, y 2S lt0
gon Nwisod SirAI"CtW4AWS N7 and>!!K1 and aPl7ilat>+s M exarttpil --
�,y.�.� i " under S�_( from
no h sic will los,M r .� ,,r,lsse Noanaad 'Hack Flow Ptsrrrtlon 150
gnats'+Y^" 'M1'pies"91'� "wen below). Oevtos or MN-POtiutbn avw'1
NOMEOWNEF,S-1 tw mbY owIMY ttwd 1 is to owns of vi pleNa t r ark,- 'T ar WMMrVoI
rK~doove.rrl,trf,ktj W&Ilon 1 pgXwes to make a P ^t two cin �7MA W s Fift" -- 1 SO
rtrY own use and#00 MoperW M not twk,0 oondrucled u' laaaa -_ _t w.-
Catch soon40 00 PO.Hi
_
p
��„atad «w
Allier Of ,5.00 min
an Exis
r OuldI&ODS
Now
i►t�OA SKYNATU�i
tsddnion[� .nar.+b^❑ rapak f � c3�ellin;�----
0"Wrti,-work risiw Q- ,
Exie",sort
buMt kV Of Main . N►M Mir10S,_ .
of
b�a►Mai+�1 _-_ �� -- rt�lolaert► — - --------_' - .,..
11M1 M1tt1I�MM��'orb Irpls If+taoAt�����at���
MMIt1MtM�IG111���Ar OMt�ntlaMsO't
4 Ower of 101141 M•M ow Mibw tear Ito aM
twit
9116('aAl.OQIsfYt101r--.._._ --- - Dow "sued
1b
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BUILDI14G PF_-MT APPLICATION DArF_.- _—'_---- __-.,1s
(1901
THE UNDEFSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK Hr REIN INDICATED BUILDER PHONE
OR AS SHOWN AND AP°ROVED IN THF ACCOMPANYING PLANS AND.SPECIFICATIOI,S. OWNER PHONE
T lot ��T3 S1V ry
12389 Stud Mi�.:11v�.C�r �t.
O'VVNER TCm. Miller JOBADDRESS _ _� -----
_ ARCHITECT
ENGINEER L'ldr.
BUILDER gemma ADDRESS
STRUCTURE _ ! NEW ❑ REMODEL ❑ ADDITION y ❑ REPAIR ❑ RENEWAL_ ❑ FIRE DAMAGE C] DE=MOLITION
Ll RESIDENCE C] COMM ❑ EDUCATIONAL ❑ GOV'T [] RELIGIOUS 0 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
c----— „�— --_=-�_�-- --- .
OCCUPA14CY __" _LAND USE ZONE _BLDG.TYPE FIRE ZCiNE___PLAN CHECK BY __. HEAT
CCnstrt.ICt singles f&mi_.!y dwelling W/8tt8CP0G g:zragu, all. 1)cy-
t117jarz 2.o 85C,.irttt3.P 5SUF of 6309 -Sub UE
tri- iar��aTGTT-
SEWERPERMIT_M ���j{ t3�L2 boths, S i.X'apfa � �17'c1C�F are,' 420 - ,-
OCC.LOAD FLOOR LOAD (1 HEIGHT 15NO.STORIES V AREA 136£'i NO.BEDROOMS 3 VALUE 7"0()('
BUILDING DEPARTMENT SET PACKS FRONT 20 REAR � LEFT SIDE � RIGHT SIDE
346.00
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
a1Q UQ REG"LA1IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT tS 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
Subtotal RESTRICTIVE COVENANTS. CUNTRACTOR ANLI SUB CONTRACTORS TO HAVE CURRENT CITY 89SINESS
7 LICENSE.SEPARATE PERMITS REQUIRED FOP SEWER,PLUMBING AND HEAPING.
State Tax
.30
SDC—
Total 40:1.3 t r �` -
"'�' PDC# APPL A`JT CSR AdE
By '10.I_-
-- Receipt No., t,DOREBly —� —�— PHONE �—
Approved-- - 363..1U ,`,;
�1
Wiwi
i
DATE INSP. TYPES INSPECTION _ REMARKS �—PLUMBING DATE
7.23w Kv _ih _ W_ Contractor n)
7 (3,k _i Permit No. �3
7—G7 ¢ruts �t...�r.o GG Rough-in —
g-/Z 1,1 '7 � Q Fixture _ — --
l.L_l2-_ Final
B`17
7 —
HEA/TING A
`-3 /� O Contractor C'I c-.x4 A
9-1LCA Permit No.
nal
R--Z � SEWER
--(IV P J3ef i�wtl�J — Final
DRIVEWAY
Final
Storm Draindgr
(Rain Drain)Fina!
Sidewalk
Curb&Street Final
_ 1pproad, --
BLDi DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
I
i
PLAN LHLLK NO. 7 _
tot inspections call 639-4175
_-- P/E,RH I T NO. c Vii/ L-?
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT — —
P.U. Box 23,397, Ti rd R 97223 TAXIAAP /.
OWNE :w nI&M----- JOB ADORESS .Z� Z-31.
STATE REG.N.
8UILDER'S F-HONE
ARCHITECT _, Ph10NE— --OTHER
STRUCTJRE NEW 0 REMODEL 0 ADDITION— 0 REPAID 0 MOVE 0 OTHER (7 OEMOLITIOP,
J-RE, IOENCE 0 COMM fa EOUGATK)N 0 IND 0 RELIGIOUS O ACCESSORY 0 GARAGE Cl OTHER 0 FENCE
O=OPANCr -A'_- aL LANOUSE ZONE -DG.TYPE = ° FIRE IONS... PLAN CHECK SY Lam=►SEAT, 3
Construct sin le fami ly dwei 1 i,) w/attacherAnp all nwr annr
— uJa.: 0 ��---- _
5EwERPERMIT1, 3y0S (ldu) batti5,
traps _ 9�C-d9s:1'.C�rl�� ��� �
OOC.LOAD FLOOR LOAD "/ ,' HEIr,Hr / NO.STORIES _l AREA/36-c-, NO.BEDROOMS VALUE 7/�
-- t I DEPARTMENTSET BACKS FRONT '= C' REAR LEFT SIDE RIGHT SIDE
'-3 C7 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE IIUILDI900 CODE, ZONING
REGULJ1TiONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT T HE
PUA Check _ � U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS P.MG SPECIFICAT/ONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Citi Fk' REST;IICTIVE COVENANTS.CONTRACfOrl AND SUB CONTRACTORS TO HAVE Cu ARENT CITY OU34NESS
TAX PERMITS SEPARATEjiERMI S REQUIRED EOR /�"s�EWEp���►lU BIND AN NE/1TiNG
StaleTax 55OC f � 1,I
� SOC_ 1�!1'Ih
iL
Total - _ d0 R T
� � Pt)Cf
ReCOIPI No ADORE Pt4C1Hf
flat.Oue
laaued By -----..--Approved BF__
SSDC --- $ �' S
S U C
P.ECE I PT k
POC
DATE PD.
SE JER CONNECTION S , AMOUNT
SEUER INSPECTION S
SEDER SURCHARGE S
O mm en C IS ; _--__----
CITY OF TIGARD MECHANICAL PERMIT Permit#
Description OTY PRICE AMT
Table JA Mechanical Code
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S:X Hall Blvd. -
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639 4175 1) Furnace to 100,000 BTU 6,00 �
incl,dur:s& ants
2) Furnace 100,000 BTU + 7,50 ---
incl.ducts ii,vants -
---1 �3) Floor Furnace 6.00
Name of D°V°1Dprr1°^t incl.vent -
Suspended heater,wall heater G.00
,lob
Address 4) or floor mounted heater
Address ;z3 8`_„1�,, < r 5) Vent not incl.In 3,C�J
Tax Lot Map No. /
/ s /� 3� c13 appliance per mit _ ---
Lot Block subdl,�aionM.� ��E papain of heating,retNg., F,00
Nemo(a name of business) 6) cooling,absorption unit _ —
�''7Boiler orcomp_ t— o 3 HP 6.00
owner Mailing Address fine 7) absorp.unit to 100,000 BTU
`r ip-' / Boiler or comp to 3 HP-15 HP 11,00
cityrstate Zip 8) absorp,unit to 500,000 BTU
g) Boiler or comp 15-30 HP 15,00
Name absorp.unit'/z-1 million __ —._-_--
/ —— Boller or comp to 30-1950 HP 22.50
Ma+l+ng r°°°��— �P►>o"° 10) absorp.unit 1_1,75 million
ContractorZ+-- fLL�-- 11 Boiler or comp to 50 HP 31,50
cny�state p ) absorp.unit 1,750,000 BTU
City Daus.Tax No -12) Air handling unit to 4.50
State Registration No 10,000 CFM
13)
Air handling unit 7.50
1 heracknowledge ttuil I have read this application that the intcxmatkm given 1% 10,000 CFM +
axrect,that I an,the owner or authorized agent of the owner,that plans submitted are in — portable compliance with State laws,that 1 am registered with the State Sulk,c�e'Board•than thNon e 14) 4.50
number given is correct.(It exempt from State registration pious@ give reason tw"M) evaporate 000lef_
Vent tan connected 3,00
-- -- 15) to a single duct J
1 6) Ventilation system not 4.50
— Included in appliance permit
17) Hood served by 4.50
— mechanical exhaust—
Signer nen a agent) -Dive 16) Domestic type 7.50
Inc,
Describe work addition ❑ alienation ❑ repair ❑ Commercial or industrial
to be done rest en non residential C] 19) 30.00
— type incinerator
Existing use of Other i.e.,woodstovo,water 4.50 y
building or properly 20) heater,solar,clothes dryers,otc.
Proposed use of '
building or property - --- 21) Gas piping one to tour ou lets 2
Type of fuel- oil ❑ natural gas ill LPG ❑ electric ❑ 22) More than 4-per outlet --
NOTICE SUB-TOTAL 3 "j
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON ,ivy gURCHARQE F.
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 --
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENUED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- TOTAL T C7
WORK IS COMMENCED.
Special Conditions ---
Dateissued
MEN
--am I N I
City of -1-igaid
13125 S.W. Hal! Blvd. MECHANICAL PERMIT Receipt
P.O. Box 2.3397
Tigard, OR 97223 Description
639-4175Table 3A Mechanical Code OTY PRICE AMT
� — -
/ 1) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
JobFurnace to 100,000 BTU
Address � J. 1) ind.duds&vents 6.Uu --
Taxla( Fumac a 100,000 BTU +
2) inti.el zAs&vents 7.50
lot Block SibdfvEskxt --- --- --
Npne(or nerve or� Floor Furnace
I / -3) ind.vent ---- - 6.00
Suspended heater,wall heater
Owner �•� i aE�'c?T / /_Addrj- � F� or floor mpunted heater _- s.o0
ZIP C•�' S) Vent not Ind.in 3.00
appliancepermit
--- : Repair of heating.mfr Ig.,6) cooling,absorption unit 161.00
ass
Phone 7Boiler or comp to 3 HP--
) absorp.unit to 100,000 BTU6
OccupantCiylStale rp 8 Boileroreompto3HP-15HI' —
absorp.unit to 500,000 BTU
-r�— Name — � 9) Boiler or comp 15-30 HF - 15.00
-�-
absorp.unit 1h-1 miirlai
Ma1G+p Address - PhoneBoiler or comp to 30-51 HP -- -
10) absorp.unit 1-1.75 million 22.50
Contractor cityrstate - Boiler or comp to 50 HP —
11) absorp.unit 1,750,000 BTU 31.50
:state Registration No. city Bus.Tax No ) Air hand450
ling unit 10
t 10,000 CFM
1 hamW acknowledge nal I have read anis aeration that the hdonnaWn given is 13) Air handpngunit-- 7.50 _
coned,nam the I athe owner or aunnH d rixed age+ nit owner,port flans rurxnMod aro in 10,000 CFM + -
co,r%AAnce with Stele laws,nut 1 am registered with raw State Hubders'Pearl,that the14 Non portable
nun tw given is cared.01 exempt I•-xn Stale registration please U+,*teason be". ) evaporate 1X101t'r 4.50
Vent tan connected
15 to a single duct 3.00
-- — ---- - Ventilatirxt system not
16) included in appliance permit 4'50
1 — ood served by —
Y01
� _ 17) H
mechanical exhaust 4.50
�— J(owner or agent _ Dale DOmeHic typo ---
"i-bscribe work (Iadtl!tion El alteration I-] repairp _t�) incinerator 7.50
to be done residential ❑ non-residential I I 141 Commercial or industrial 30.00
Existing use of
type incinerator
-� _
building nr properly _. ..__- --- - Other i.e.,woodstove,water
20) heater,solar,clothes dryers,etc. 4'50
Proposed use o1 —_ _
building or property_
-- 71; Gas piping ire to lour outlets 2.00
Type of luel-- oil I natural gas 0 LPG ❑ electric ❑ ----
22) More than4-peroutlet
NOTICE -� `-' --- —
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% SURCHARGE
DAYS, OFl IF CONSTRUCTION OR WORK IS SUSPENDED OR ---PLAN REVIEW 2S'X.OF SUB-TOTAL _ J 3
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER — '
WORK IS COMMENCED. —-- TOTAL -
Special Conditions