9420 SW MOUNTAIN VIEW LANE IIM
9420 SW MOUNTAIN 41EW LXNE
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P.O.Boot 23397
�CR �-
CITY OF TIGARD P!-,li" BiN(� �
Appicanh must hold Onegon Registration to condud a plumbing PIER M r GIB-4F
business or mixt be property owner/operatcw not hiring outside help.
It
Nan»of Dc nsnt Plumbing Permit No. %
[Address IDerrcnipticxr AMT.
n i ' " ONS 814-21-010 GIIAN. PRICE
JobTax I nil map.No.
Address 1-IXTURES
Co Pock SubdivtskV Sink --- 7.50
lavatory 7.50
W"--7a(or name c s ne TM _— � 7,S
Tub or Tub/Shower Comb. / 7.50
a wq esu / Shower Only 7SC 7 _
Water Closet 7.50 (
zf
Owner i wte nP -' 7.50
Dishwasher _. --
Phone GarbageDisposal _-
Washinp Machine �- 7.50
Name 7.50
Floor Drain _ _
ar wig rags »_- Phone - Water Neater -- 7.50--
Laundry Floom Tray __.-- _. 7.50
Occupant City/Ste°e —~� Urinal -
-. - Other F1xtures(Specih) 7.50
ame � 7.50
MaikV r .s _ iPhOnlit / _ - 7'50.,
A ' 7.80 w --
Cariractor %State 1) - -
: MISCELLANEOUS -
ax fewer t at t ar --- _ 30.00 --
_Sewnr-es.Addle.100' �� 15.00
Mrs Titer leo. Stitt F" M.s w � 20.00
Wow Servlos 1st 100'
-_ - - -- -- -
wafaKr Senvioe ea Addit"'_ 15,00
I hereby scknovder rp thel I haws read hb spprca1011,Mal ten ktlorrnstlon ---
ghten is oorrecl,hid I am. with he Mats®tarises Powd,and also Skirt+`RMn Drain 1 St.100' _ 30.00 — -1
hew a Stats Pkxnbktp Ibensa that the numbers given ars(X*^Vct,dw M Sloan 8 PrJn Drain A410100'100' 15.00
wttbk "V1110111*
--)
pkrq Work vA be done in socordance with"V1110111*pn
ble wteionrr d Ore
S -- - _
pan Revised irlut"Cftapters 447 end 093 and appar,�t,ts codes end that Mobft Norrie 25.00-no help w0 boo wmploysd unless Mosnsed under ORS On (M exempt fr" Sock Flow Prsv*flWm
Star registritoM Please peva'resson bokw) 7.50
DetAw or AnM�lbrtAia a Device
NOMEO!'i►it°111S-1 hereby osrtily**I am he owner of the prop"de" _
scitied ety".M wltidt loosoon I propose b mads o pkmbin0 installation for Airy Trap or war Pial 7.60
Mown tree and file property is not bakV oortelrudsd for site.lease orrent. Oornteoted b s FlroWrr- _ �..__
C4kh P411111111% -- - - 7.60
40.00 PN Pk.
NegtusMd kttlpecylor a_ ___ 40.00 Per to
AMM'.of Pkrrnbkq wthFt
on 16 00 titre.
-� •f�---�- ----- Naw or Surd.Add*w >1b.001Nn.
AU7110R11'FD SKIiNATURE Osla
Deecritte t+trcx4a now U slddMkxW N1Mellbn repsM[� C�welU171 _ _ 15.17)
F--OG kip trot of E7�T0 C.lx
bri k"to property
of
-
1MII prnlUl beaontrr"AWN---wooer emefrttslrrt tltratteed r/tot serer
eititterrtl4MMi+tAEldl�Iltll�MMMIIIAe* rwatklrallr l►�Aarbset lydrr
M tllslestl d tli0 AM M enl►rrMr MM merit r eMrarlttaMt __
ttClt Moil tire's.
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EU L DING PERMIT APPL_IU TION DATF__�Tur>~ .G� 19 6814
1 HE JI IDERSIGNEF)HEREBY APPLIF'S FOR A PERMIT F09 THE WORK HEREIN INDICATED BUILDER PHONE
0H AS S 10WI AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC;IF;IATIONS OWNS B PHONE ._.4
OWNEd Fk)kY rr_ .E j JOBADDRESS 942U S.W. Atunt,at n Vlew F,i'1Zt'ic I-CT NO.
ARCHITECT-- - ��
ENGINEER
BUILDER tir7lk=;✓ RwoCIC ltnt,j —ADDRESS — DESIGNER— —
STRUCTURE ❑ NEW 13 REMODEL ❑ ADDITION ❑ REPAIR El RENEWAL D FIRE DAMAGE ❑ DEMOLITION
O RESIDENCE [j COMM ❑ EDUCATIONAL ❑ GOV'T IJ RELIGIOUS D PATIO L CAR PORT ❑ GARAGE '-1 STORAGE ❑ SLAB❑ FEN( L
OCCUPANCY !<"" —LAND USE ZONE 1 "`j BLDG,TYPE FIRE ZONE-_T PLAN CHECK BY r HEAT
ell l.:lrr,1flb'E3Irr..m -- IA3rX del exis :iN bath cWi1n >re► bathf all 'eC)r
Ub Afti & C9.t-y mp,trt3+xax�rtr. p1 r,t?3tnU 6 vrir-0
SEWER PERMIT#
OCC,LOAD FLOOR LOAD HEIGHT 1.0 NO,STORIES .L AREA 1.42 NO.BEDROOMS .1. iir0ALUEy
FBUILDING DEPARTMENTSETBACKS FRONT One pjAjr REAR LEFT SIDE RIGHT SIDE
'Permit 11U.rU _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN3
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ 71 ,U3 WORK WILL CE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANU IN COMPLIANCE
WITH ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 166.75 NESTRICTIVE COVENANTS. CONTRAC- 'IR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPa ATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4.42
SDC --
Total 0 1 i- ��s. 1.8.3 _�• ;.�
B Z? PDC# APPLICANT FW� —�-
--__ Receipt No. --
Approved .ADDRESS
DATE INSP. TYPE INSPECTION "MAR" PLUMBING DATE
`— `— ^— Contractor
Permit No. 53/4
7-4— L Z l ------ Rough-in
1-1-1000, Fixture --- — - --
Final --- -
-lay ` HEATING
Convector
oft
Permit No.
Gas or Oil
IV Rough-in ---
Pinel --_--_-
-- SEWER
Final
DltIVEWAY
Storm Dralnagc
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIMC.aXE OCCUPANCY Final
Lnndscapine
1zoning rinat
t4lork5h PLAN CHLI:K NO. 6,
for inspection:: call 639-4175
PERMIT N0.
CITY OF TIGARD 639-4171 DATE F' 191-T
BUILDING PERMIT
SUU tVIS1w
P.O. E3Gx 23397, Tigard OR 97223 TAX MAP LOT NO. -
/ 1
ca � .?U ,� (i) VC2 .u� ,ter
OWNER_ �� JOB AGGRESS _ /
STATE REG.NO._
Ll 6fZID E%P.DATE
BUILDER �U �Zz 187
BUII.OfR'S PHONE
ARCI/1TECT _ PHONE __ _OTHER __�_ --•
STRUCTURE O NEW _ L' R_EMOOEL O A_ODITION O REPAIR C) MOVE ❑ OTHER i] DEMOLITION
O RESIDENCE �O COMM` U EDUCATION ❑ IND O RELIGIOUS. O•ACCESSORY Q GARAGE 0 OTHER U FENCE
OCCUPANCY =_ LAND USE ZONE JSr_�_ BLDG.TYPE -
=- -TIRE 7�C?NF PLAN CHECK BY - ►}E ,c�
�:<-Lri�E:, ,L - ��� - L t9-:t.�:1...=__:��3F.-�1��►rLt� / ��i�-��-��1
SEWEFt PER_MJT/_
�^ STORIES AREA I y �- NO,BEDROOMS JVALVE
�J.000
O(.�.U)AO FLOOR LOAD HEIGHT ,'a NO., .._
_ BUILDING DEPARTMENT SETBACKS FPJNT t, REA 4't 4Ff--T SIDE RIGHT SIDE _
Permit s THIS PERMIT IS ;SSUEO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REOULATiONS SAND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
ptanCMck ] ._ $ W014K WALL 61-DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL API•LICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
P1.61tf11� 41 y a_ RESTgjCTIITS.SEPARATE PERMITS EOU RED FOR SEWER,CONTRACTORS
AND HGTINCL
T X PERG(_Y BUSINESS
Slate Tax' 5Sx
F_- SDC
Total / (. V 3 Alf AF'PLICANTORAGENT
Prepd. �T L�. y� T04pf — N�
No. k-L RESS
Bal.Due _Approved By
Issued Dy_— —
C
SDC --- - S
OC 1 ECE I PT N
OC -� GATE P0. —_--
WER CONNECTION 5 AMOUNT Pb. '
WER, INSPECTION
WEIR SUFiCHARGEor!
S -
�mmentt5: — i
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.C. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached y_ seta of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, S .5- edition.
PROPERTY OWNER: , ��.,,.�z C OWNER'S ADDRESS:
CONTRACTOR: V-e'-'�T� TELEPHONE:
--
.JOB ADDRESS: _ y G ''� U�.-t.J �- LOT NO. 6 MAP:
DESCRI_'TION OF WORK:
Approvals_Ra uy ired SPECIAL NOTES
OPlanning Dept . O Reisoue
OEngineering Dept. 0 Flood Plain/Sensitive Lands '
O Fire District 0 Sever Availability
O Other C� Other
Items Required
0 List of subcontractors
'Business Tax
J
Calculations
(� Truss Details
t� Parking P1Rn
(� Landscape Plan
(J Othei
COMMENTS: .�---------
City of Tigard Building Department
By
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