11505 SW SPRINGWOOD DRIVE 11505 SW SPRINGF)OL DRIVE
c
0
w
u
w
e
m
1
m
a
N
0
0
0
cn
c
u
a
cn
3
cn
LO
O
Ln
1
/i`.t 4'Ct� ► .ii t(�4'r n tom• C1 `z—_6 !zt. i s �l ar.+ 12L _
OF Oc,_ , .
CITY OF ; IC�ARL� -1A/(,-,,y
OREGON
Owner:........L1a.y.na..H.e11ickson ................... ... ..... Permit Yo......... . .
11505 SW Spvingwood
Bui�ding Address....................._ . ............. ... .... ........ ... .............
{ 27October , 14176....
f Certificate Is herei_,Y given this................day of...........................
that said building may be occupied .end
that it complies with oil requirements of
the Building Code foi• the City of Tigard,
is approved by the Tigard City Council. Y
I {{LL
Building Inspector
---
`� '�hH ``.'" YV' "ti/' .'.0 r.' g�/'J� '✓4 .r K w.F ..� �.y, y� yl ,�,. •y �; vy. ���r yj,a ., y
V .� 41/•� � �� 4 �
1 �
1
City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME
PERMIT NO. '
?
DATE:_ z 7� OATE ISSUED,.....:_ _
OWNERS NAME:
ADDRESS ://3�~r-,�se•✓____..__-------._�...., �
::ANTRACTOR : -%
TEST' Air ❑, Water [3 , visual, Laborato,v
RES- _I . Approvedk , Disapproved ❑ , F'ard,.^•q ti,
SKETCH:
I
I
i
INSPE
I CTOi' DATE
ENO TF ta'h sup ,,n r. fteat data i r+ , f,
I
/ I
I
i
City of igard
INSPECTION REQUESIf
for
10PECT'ON TIME . —,!—O�Zl PERMIT NO. : .._._ r
DATE 7 DATE ISSUED
Gvvi�L�r� /�Wan
� it : ...-_.��`flt•tA''1�.., f J.r__ _._ I
ADD! ESS- ����J.._.� 7, rG / f�aArr1 1
C0NTRACT'OR : .��'_' !.�'"' �,� ��• __ _.. 1
TEST : Air [], Water 0 , Visua! �"� , Lu;.
PESULT' APDrOVed _ Disoppruvod _ �! Q
SKETCH: I
1
C�y
i,7& 7; 1
,.. ,,.•. .-lYt+•'+A'+W,9tFMi!'i'•w. �7.•w*Inlr'•a..ry.+wMn.r+•nw,w+•w«,.... .. ..... , .. ., •r.�-.yrs ,..,..hn,,.�...w,.... .. � ..-�.�.,.r�,.�. ,�. .. . ,
.I.
CITY OF ,C 7-J E t9 76 N! 0760
BUILDING PERMIT APPLICATION TIGARD DATE- -' 19—
THE UNDERSIG'IED HEREBY APPLIES FOR APF.RMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPt%k-ICbTICNS, OWNER PHGNE.. - —
r prir.
OWNER ADDRESS
._ WILDER PHONE —
Owner ENGINEER
iU.ILDER __ARCHITECT _ DESIGNER
STRUCTURE IINEW _❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE [COMM ❑EDUCATIONAL ❑GOV'T ❑RFLIGIOUS❑PATio ❑CARPORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENCE
DEUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUN_CIL APPROVED ❑SIGNS
OCCUPANCY.- LAND UdE ZONE —BLDG.TYPE FIRE ZONE. PIAN CHECK BY I4EAT----
:onstruct 1579 P ft. framedwelling with t.: -.v a r a,,, ---
I,o bsa��mmint. r?r� - Ruet�;.til. Ironwood Loop — -- ---
2 bedraums ----- - --
OCC. LOAD FLOOR LOAD oil HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT �— A — '7 �-
- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit .illl — — ---
•Oft THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
14 150 RESTRICTIVE 'OVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
9(,State LICENSE. SEPARATE PERMITS REOUIhiD FOR SEWER, PLUMBING AND HEATING
Total
By
- — APPLICANT OR
Approved r`F9 Receipt No. �—
—� NiJurf¢77 �----PHONE_-.W__----------.
DATE INSP. TYr'E I�?SPKCTION REMARKS — PLUMBING DATE
' - zit _ Contractor�^ -x--✓s��
�0.7b v _ s r
Permit No. U"L3- ,jS ��L
Rou h in '
Fixture
_ _Final _
f ��_� — ---- -- ---_ HEATING ---
0 Contractor
----------- -- -- ----- Permit No.
Gas or Oil� V _ �L
--- ___--
Rough-in
Final
SEWER
Final
-- — — --------- DRIVEWAY
-- — Final
Storm Drainage—
,__._.— — (Rain Drains sinal
--.__ --- _ ----»— Sidewalk
( _ -_ —_-•-- --- _ Cc-b R Street Final
A� roach
BLDG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscapmq
✓ 1 Zoning Final
01.1,
1 �. •
�i
i
PERMIT N 0.
A D D R E S S/,,,/
PERMIT CHARGE _ non*
CONNECTION FEE z
OWNER -
_ PAID BY �-, 2X f
.�.-.' -- -�w-�-_ �..__ •~--- OATE CONNECTED
TYPE OF BUILDING
S
SERVICE RATE IN:;PECTION FEE
CONTRACTOR _..._.._ -- ----
PAIL) BY DATE _
ASSESSMENT PAID
SI7.E OF CONNECTION -
-j l S'
u
`.: V Mec1' anicai Permfi, ?ermit ,.G;;
,_ -I Fee
New Installation Td Rep3ace ❑ Revacation ❑ Addition ❑ Alteration a - U
r`, TOTAL
CONTRACTOR Y� Ll f j {J ' OW�tR
ADDRESS 4,Y� ii�AJORRK AD3RESS c2 s- r
PHONE -,o ,�( ' i APPLICANT -A X10 ,-•a
Heat input Fating (3 T U Per J/0 ta) [-rL Vent Size � S" _ Fiue Si 5-11
FEEL OIL 13 GAS irk ELECT ❑ GTHER _
iTE.'.: NO. FE �— ITEM NO. rEE
For lssuznce of Perm7t3.00 R`_ ooile*s Over 50 HP I 25.GC
"'w _Under .i,C.000 3TU Air Handling 10,000 CFM ! 3.GC
. - Over 100,0 O 37U I / 5.00 1 Air Handling Over 10.001 CFM 5.0C
F_oor Pomace4.00 ! Evaporative Cooler 3.00
Wall - F:oor . Suspended , 4.00 Vent Fan 2.G�
:ns-all Venz _ 2. Oii dent System 3.13C
Repair- Heat & Cooiira E 4.CQ 11 Hood 3.CC
3oiiers Under 3 HP .30 ' Domestic Incinerator t C
Boilers 3 to 15 HP 7.50 Comm. Incinerator 20.0{
Boilers 15 to 30 S? ! 10.00 1 Other Not Listed 3,0{
Bci?ers 30.o 50 HP ; 15.60
!%SPFCTOR'S COMMENTS-
CITY 8USINESS LICENSE REQUIRED FOR-ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED aY DATE ISSUED ay DATE
RECEIPT NO.
774
__ 9 Sigruature of Applicant
b
r�
CO
,a
0
fin
� r
oe
1
i
,l