8910 SW MCDONALD STREET a a iw a a�wi t a a a
8910 SW MCDONALD STREET
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IN$PS4TION NOTICE I � /
City of Tigard Building neE.ertaent
13125 811 Ball Blvd. Tigard, Oregon 97223
/Inspectlon Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _zz�� l- ! '---
Footing Plbg. Underslab Mech. Rough-in hppr/Sriwl).
Found. P11,q. Top Out Gas Line FINAL-
Post/Beam Struct. ,;an. Sewer Framing -Bldg.
Hoch. Rain Drain Insulation -Plumb. t
Plbg. Underfloor Water Line Gyp. Hd. -Meth.
L
Date Requested: _ Timet _PM
Addrene:_ 'J � :"L P®rmiY. 1e _
Hui Ider: —_---
THE FOLLOWING OORRECTIONS ARE RRQUIRED:
f � - --
yi -
Inspector _ +� Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Rolnsp.
MEC'HAh.i C'
ALCITYOFTIGrARD PERMIT
WDCJWOFTAPMIT #. . . . . . . :
MEC9.1-0205
COMMUNRY DEVELOPMENT DEPARTMENT otleoo"
131268WFWIBlvd. P.O.Bat 23397.Tlpatd.U'"On MnO1603~175 DATE ISSUED: 09/26/`31
SITE: ADDflf=SS. . . : 08910 SW MC DONALD ST PARCEL: ;25111AA-01000
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK. . . . . . , . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ADD FLOOR cURN. . . . : EVAP COOLERS:
TYPE OF U5F. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . . BOILERS/COMPRESSPR'5 HOODS. . . . . . . .
F*UF_L TYPES--------------- 0-3 HP. . . . DOMES. I NC;I N:
: /WOD/ / / 3--15 HP'. , . . : COMML. I NC I N:
MAX INPUT: PTU 15-30 HP. . , . REPAIR UNITS:
FIRS. DAMPERS?. . : 30--TO HP. . . . WOOD-3TOVES. . : 1
GAS PRESSURE. . . 1 50+ HP. . . . : CLO DRYERS. . :
NO.. OF IaN]. TS-- ___._-__._. AIR HANDLING UNIT OTHER UNIT^. .
F URN ( 100K BTU: (= 10000 cf m : CAS; OUTLETS. :
I URN ) =100K BTU: ) 10000 t-f m .
wemar,ks : EXISTING WOODSTOVE
Owner-: -------------------------------------- ____-_._._--____-- FEES ----- __-
RONAl_D HOLLAND type amount by date r-eupt
8910 SW MCDONALD PRMT ! 25. 00 JL.H 09/26/91 -
5PC;T f 1. 25 JI_H 09/26/9 1 -
T I GARD OR '). 7;�G4
Phone #: 639-0351
Contractor: __.___ -___.___---•-------________
CONTRA("TOR NOT ON FILE.
J%. 2 5 TOTAL
REQUIRED INSPECTIONS -- -This pertit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes anu all other
applicable laws. All Mark rill be done in accordance with
approved plans. This perait will expire if work is not Started
within 180 days of issuance, or if work is suspended for tore
than 180 days.
Permittee 5ignat1_tre
l s s t_1 e d F y :
Call for inspection - 639-4175
INo-
Ilk
CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO, s 91--21794&
CHECK AMOUNT s 26.2'
HO1..LANU, RONALD CASH AMOUNT 0.00
ADDRESS 0910 SW MCDONAL.D PAYMENT DATE. m 09/26/91
SUBDIVISION s
TIGAi .1, OR 912e4--
PURPOSE OF PAYMENT AMOlINT PAID PURPOSE OF PAYMENT AMOUNT PAID
MECHANICAL. PE � 25,b— ST. BUILD PER t•i 5
I
I
i
I
WOODSTOVE PERMIT
ti
-15
1OTAL. nMOUNT PAID — — - —y 26
i
BUILDINU PERMIT APPLICATION TIGARD DATE----je' ,191-' w 4_1 .3
THE UNJEHF)IGNED HERLOY APP1.II ' rOP A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OaW' Ll'
OR ASS Cv'/N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PyQ9�. T_r A
.�f I TAX LOT NO. /a
OWNER �O•. ` �I� JOBADDRESs; _ �. �� --- -- -
ARCH TECT - `
-�" h V NEER/DESIIGN
Zi J V
Bbl ILDER i T (.-i� �� ADDRESS
STRUCTURE U NEW ❑_REMODEL— L DDITION FJ REPAIR ❑ RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION
C4-11'ESIDENCE LJ COMM ❑ EDUCATIONAL IJ
GG�OV'T L] RELIGIOUS 0 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE [1SLAB❑ FENCE
OCCUPANCY LAND USE ZONE _BLDG.TYP12:1--FIRE ZONE_ -' PLAN CHECK BY HEAT
�[)N w,uc !l�QaaA1 DSI IVNI 7y _llU�t.E ✓Arty I wEtU_RX�./�J �3 i0
SEWERPERMITM - -- -- - --- -
OCC.LOAD_ FLOOR LOAD enha HEIGHT - NO.STORIES AREA I "-' NO.BEDROOMS VALUE , ? 1
BUILDING DEPARTMENT SETBACKS FRONT REAR -40 LEFT SIDE --- RIGHT SIDE
Permit •�V THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r REGULATIONS ANO 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 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ _ � ' 4 3 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
17
Total
- PDCR APPLICANiOaA ENTtz(
✓
_._ ----`-_ Receipt No. ADDRESS �— PH01l�e -
Approved _____.L _.
tar a. a s r• s �► =-
BUILDING PERMIT APPLICATION TIGA?D
THE U'' L�'_HSIGNED HEHF-BY APPLIES FOR A PERMIT FON TIME WORK HEREIN INUI ATED BUILDER PHONE)~��Y6y��
OR AS SHOWN AND APPROVED IN THF.AMONIPANYIN1'G,PLANS AND SPECIFICA11t_ JS. OWNER PHONE
;.fir cn 40IQN4JOB ADDRESS R ► j� �W 11 _ �aX LOT NO.
1".
ARCF _CT
J _�/ pQ A ENGIr`- ER
BUILDER J �� ADDRESS S3 P�E D2 DESIG ?R
STRUCTURE ❑ NEW ❑ REMODEL A001TION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE _ Cl DEMOLITION
__-�X-..-
TRESIDENCE C COMM ❑ EDUCATIONAL f] GOVT ❑ RELIGIOUS Cl PATIO Cl CARPORT ❑ GAR, GF ❑ STORAGE ❑ SLAB❑ FENCE
Cri.%ii?ANCY --.LAND USE ZONE BLDG.TYPEIL A 16n f FIRE ZONE_"__PLAN CHECK BY
HEAT L --
� Q
SEWER PERMIT N -
OCC.LOAD_ FLOOR LOAD Cw>t,C, HEIGHT _NO.STORIES AREA 4* NO.BEDROOMS VA:UE3 3 0
BUILDING DEPART,(MENTSET BACKS FRONT REAR ,���! LEFT SIDE RIGHT SIDE :00 _
Permit / �•- THIS PERA.IIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON:W'
2 �3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TeAi THE
Plan Check / WORK WILL. BE DONE IN ACCORDANCE WITH THE, PLANS AND SPECIFICATIONS AND IN ComPLIANCT
I� uu WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPA'T DOES NOT WAIV!
�-S
ub-total _ _/ X73 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE9!
,��. - -,. 78 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANTI HEATING.
i state Tar � �/
- _ - — �•, SDC- &`LQ
Total , • i� - -- ----- --.__
PDCN APPLIGA R AGENT'
By
-- - Receipt No. ---�_-.._.. .-- -
Approved ADDRESS PHONE
SOC
POC - S
;70(-
SEWER CONNECTIOYS SEWERINSPECTIOSEWER SURCHARGE
sss aw sssr s� sssr
INSPECTION NOTICE �/
City of Tigard Building Department 7
12420 S.W.Main St. C;z �
Tigard,Oregon 97223
Phone: 839.4171
Tyj)e of Inspection
r
Uate Requested.- Time
#_ P.M.
0;2 3
Ci
Address Permit
.Owner _ �_. _ Lot # -- -.—
Builder 41 e4
The following Building Code deficio ` are required to be corrected:
Presented to _ _ Approved
i .
Inspector —__�:�_ �/ �___— _ ❑ Disapproved
Date —,-- - -----
'' 'CALL FOR REINSPECTION
0 YEI F1 NO ti
BUILDING DEPARTMENT, TIGARD 0
PL' MBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized(to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
-- Job
r — Address J fr/ N / i? Dates_ "
Owner. �� __ NUMBER OF OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Single Family-1 bath—each — _ 25.00 _
Duplex—Each 1 beth unit_ — 25.00 _
Additional bathrooms—each 10.00
Mobile Home Space--each _ 15,00_
INDIVIDUAL FIXTURED COMMERCJA —
1 to 50 Fixtures in 1 building—each _ _3.00
_ 51 to 1_00 Fixtures in 1 building—each __-- _ 2.50
101 to 200 Fixtures in 1 buildirtg_each _ 2.00 _ _v
201 or more Fixtures in 1 building--each _—_ �. 1.50
MISC L AAIEOUS —
Sewer—each additional 100 ft. _ �— — 10.00
Water Service to building __5.00
Other i5 ecif ,
PERMIT % Sr�---- For Plumbing Inspection Phone 63.4-4171
4�6 Stated Plumhi ontr �r By
TOTAL RECEIPT NO. I(}(��), z Issu � �f ---
tt; ti A i MAW
City of Tigard MECHANICAL PERMIT Plarlck/Rec. # _
13125 5'N Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223 �� � pr()e'o
(503) 639-4171 _
-- 1N'_ am•M — escnption
j-Y( C� , � �', �II Table 3A Mechanical Code QTY PRICE AMT
JobCCU �1C( 1tu �cl 1) Permit Fee -0• -0- 10.00
Address 4" ZIP
2) Supplemental Permit 3.00
1) incl.ducts 8 vents b.w
"=; Ph Furnace 100,000 1310 +
Owner 2) incl.ducts 8 vents 7.50
rAys• oor Fumanco
3) incl. vent 6.00
"— •m•t>^•�•• •» uspen eater,wall eater
4) or floor mounted heater 6.00
•v «• — Ph.. Vent not incl in
Occupant 5) appliance permit 3.00
IwM AMY �%� epair of heating,re ng.
6) cooling,absorption unit 6.00
— Boiler or comp,heat pump,air cond
7) to 3 HP absorp unit to 100K BTU 6.00
•v »• b^• oder or comp,heat pump,ai� rte.
8) 3 15 HP absorp unit to 500K BTU 11.00
Contractor ,� Y,. �— Boiler or comp,hoot pump,air con .
9) 1530 HP absorp unit.5-1 mil BTU 15.00
.v. N. ter or camp,heat pump,air con
10) 3050 HP absorp unit 1-1.75 mil BTU 22 50
J-hereeby acknowledge that I have ren its ap icat oon,17at–tEe Boiler or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 3L50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM c 7.50
Von–porta e
14) evaporate cooler 4.50
Vent tan connoctwul
15) to a single duct 3.00
Ventilation system not
16) includec in appliance permit 4.50
no y
17) mechat,ical exhaust 450
Describe worknew addition alteration repair ommiircta or industrial
to be done residential Q non-residential O 18) type is;inerator 30.00
Existing use o !' tt er t e.,woDdstovo,water
building or property _; �.l r, f Y1 �- _ 19) heater, i alar,clothes dryers,etc. 4.50
Proposed use of 20) tans piping one to four outlets 2.00
building or property �i19111� -- �—
`,� 21) More Baan d-per outlet
Type of fuel -oil O natural gas,® LPG 0 electric Q —
NOTICE
Minimum Fet?$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
A8"'413ONED F C 1, PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORX IS COMMENCED, -----
TOTAL
Special Conditions
Date issued _ _ by
i.+arcNrMT