11555 SW SHOREVIEW PLACE-1 1 :
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PECTIO11 NOTICK
City or Tigard Building Department.
13125 XK Ball. Blvd. Tigard, Oregon 972.13
Inspection Line (Rec-o-Phone): 634-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab Mach. Rairih-.In Appr/sdwlk
Found. Plbg. Top Out Gas Line ►ENAL},.>
Poet/Beam Struct. San. Sever Framing -lldy.
Met/Beam Hoch. Rein Drain Insulation -Plumb.
Plbg. Underrloor Nater Line Gyp. Bd. Mech.
Date Requested: ' Times
Addreue$ r
'PMS MLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ —�_ _ Datw: 3p J 97
A/
APPROVRU _ DTSAPPnovRD --APPROVED SUBJECT TO ABOVE
call For Rnlnep.
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y�,.�[6 � Wig,. �,;.:: � , ,;,� '�"!�R•v^'.a;Ta. �b4*^- ."?���G.�F•, .. . �'� ��'
r [ JBUILDING PERMIT L
Y � V F T �R® PERMIT #. . . . . . .
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/09/91,
13125 SW Hall Blvd.Tigard,Ovogon 97223.8199 (5CO).099-071 7 1
r PARCEL: 1 S 7.33DD- 04600
SITE ADDRESS. . . : 11555 SW SHOREVIE.W PL
t SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .85
REISSUE: FLOOR AREAS----- ---- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ADD FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . :SF aF_COND. . . : sf PROTECT OPENIhiGS?- ..__--_..- •
TYPE OF C'ONST. :SN THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP_R3 l OTHL _..._.-_._--: 0 S f ROOF CONST; FIRE RE'T?:
OCCUF'f1NCY LOAD: BASEMENT. - sf AREA SEP. RPTE:D:
STOR. : HT. : f+ GARRGE. Sf OCCU SEP. ROTEC:
DSMT?: MEZ7. ?: REDD SETHArKS-------- REQUIRED---------------------
F-OUR LOAD. . . . : ps f 1,-EFT : ft RGHT:4 ft FIR SPKI_: SMOK DIET- -
DWELLING
ET. . :DWELLING UNI75: FRNT: ft REAR:4 ft FIR AL.RM: HNDICP ACC:
BEDRMS: BATHS: IMF' SURFACE: PRO CCIRR: PARKING:
VALUE. $ : 3000
Remarks : INSTALLING AN ABOVE GROUND POOL 16 X 32
Owner.: __. __._....._.._._._.__.__.._..._...._.___..._.__.._----.--._.--______._..__ _......_____._...- FEES
RICHARD PROVANCHER type amoi_lnt by dat recp-�
11555 SW SHOREVIEW PL PRMT $ 38. 50 MALS 03/b9/94 -
PLCK $ 25. 03 JLH O3/07/94 94-249765
TIGARD OR 972:23 SPCT $ 1. 9.3 MOS O3/Op/94
Phone #: _
untract ar ��_ 76,
CLASSIC FOOL. �
5558 SE INTERNACION WY
MILWAUKIE. OR 972ei
Phone #: 653-8010 $ 65. 46 TOTAL
Req #. . - 60675
REDU I FLED I NSPECT I ONS
chis persit 1s issued subject to the regulations contained in the PIM top—oart Ir sp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp _� _______.__•
appl icaW R laws. All work will be done in accordance with Rain drain Insp
approved plans. This persit will expire if work is not started F i n a I Inspection
within 180 days of issuance, or if work is suspended for sore _• __—_�_. �,__�. �_��
than 180 days.
Permittee Siglnati.n^e : 1llrt� �ZyY4�
T s sue l By- ___----
Ca11 fir inspection - 639-4175
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Residential Building Permit Application l�
City of Tigard
83 125 SW Hall Blvd.
Tigan OR 972.23 A )6uvc rU41d /)L"l
(503) &39-4171
JobsitP Address-L,!a5
Of;ice Use Onl �
Subulvlslon: V i < <.��SamM�C�^. Lot� __
G Planc:iJRec#
Valuation: �� �
Pennit # _
Owner: c h vA �rC c( N J1 PIr _ Reissue of
i Address: 11,55-5 S k) JS/IC re() e" /`" Map& TL # �J�� 7 vp". �p q6o
ZZ(� _ r/t/7 /7k1 mac'y-�� t/j Approvals_Rec ulred
Phone W
Planning
Contractor: (f/twl c d c o/ dL SA-"L Engincering, _
Address: 1227 -1i � � � Other
Z AZ__z_
z - /,o og � Itemtc R2q lred
{j b ;,,Lbconti actors_ —
Cor'.racto('� License #
(attadt copy of current Oregon license) Truss Details
Subcontractors: Other
Mechanical:
(a&dch copy of current OR Contractoo's L'.aense)
Archltect/Englneer:
,'address:
Phone:
(,OMMENT$' 6AIkut-lor Zciv P. xc a C n-/ 040 Lt�'E'd cal1E�
Applicant Signature & Phon6 number
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Received hyo---' Date Received: 3- 7 :� , -
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Perm' # Account Description Amount pmt. Pd. Bal. flue
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H lf(
-IC
Bldg. Permit (BUILD)
_�'� S G� _ �Y. )�
_ Plumb. Permit (PLUMB)
w i
Mech. Pem„, (MECH)
State Tax (TAX)
Bldg: /
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Ccnnection (SWUSA)
Sewer Inspection F, P)
Partes Dev Charge (P%SDC)
Storm Drainage Chg (SF)SOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TiF (TIF-1)
Institutional TIF (TIF-IS)
Oftice TIF (TIF-0) Y�
Water Quality (WQUAL)
Water Quantity (WQUANT) -
Fire District (FIRE) _
TOTALS:
1•
I w
� Y PLAN C/IEIX AP.`r.ICATION
��'� TWARD C"of i15r�i Ift9 _---r--�-
cOuOr1lIt4TTY(3 y"PAMT DEP'AF1i Waft oa PERK,7
rN��►It�a�ao tb•�4��o°"'a��a�in DATA: ;SSUED 1 ,/
'r,,� .5kli4p L)! Yr t, �? l T� W-PAOT �f l �- Cy Y�Gc.
JOB�`��__Li�'_� , IAT: i LAND USE
. Rht71lS _
SETS =. FBaNT: _ ILM: -- .+••�•
HE Gfl'T: -- --_ TOTAL ARFA: i
CUSS ,. •
gum "�' Fwatt LOAD:
DSS TTM* �,I: 2ND: _
ipO Z?PE: .��.►- REll2 TXpE: �'�_� 39D:
OccurQaOP: „ - 3 DQEi r lam'
��,.TSD: - � NO BEDSOOHS:� BA,;ETIP,HY:
NO BAMS: CARACE:
NO STORM:
.1w SOW CE: -
tlo4•D S'r'V'CIAL ROTES ITP vies
p.L C su fair: TI-n- SBBOOb11Y4C1'ORs:_WAMU=: "'� BUS TAX:
LAsr-ILELSSM �-
- C,ArXULATWa:
FLOon pLAYxp
SEN LAD.: _ Twss DETAITS:
YAB><IIfC
BIX:
LANASCAFS rum:cum _
.
61
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F;itiv,aT - ' e11L•
PERMT 1 �04T N DESCRIPTION �T � , U .
10-432 00 Building Permit 1:*ees
10-431 00 Plumbing Permit fees
10-431 Ol t%,haqical Permit Fees -'
10-230 01 State Building Tax
Building
Plumbing
(tech ;
145•u3
10-433 00 Plans C1teck Fee
Building3
Plumbing
tlech _
30-202 00 Sewer Conn ::tion
�= 30-444 00 Sewer Inspection
51-4411 00 Street System Dev Charge (SOC)
52-44_g 00 Paries Systeo Oev ouIrge r_?OC)
31--ASO 00 Stor" Drairage Syst Oev Chrg (sSoc) _
10-230 09 T RFD
10-•230 06 Washington County Fire N 1 (951.) _ — --
1C-220 OO Awalr w/Wedgcr.roQd TOTAL - -= L
ash
RFC N _
APPLICANT SIGNATURE
1
Reef ived By: Oat'e Rec r i ved
cn/3587P/18P
w. .. 'i>;,i �l v�i:,`. 1s%r.�"d+r .::;4r.. 1 w;. .. ;S•• r � Sr,+.,.i,' 1�4'ix,.�E
nw«rtewa+riFdfliw,t:�,+
IOWA
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ABOVE GROUND POOL RECEIVED MAA. 1, 1994
Richard Provancher 27994
11555 SW SHOREV!EW PL
TIGARD, OR 97223 CUMMUN�TY UEVEI�FMENT
11M524-8845 WK 226-5447
Yellow: The yard is completely enclosed with a six (6) 'oot fence. There are three
(3) gates ("G" - green), each with a catch / release latch at the top and a
sliding bar lock at the bottom.
Blue: The pool is a 16 x 32 above ground with four support braces on each side. It
will be located approximately four feet from side fence and six feet from back
fence. There will be a deck (brown) at the one end nearAst the house for
accessing the pool. We w!II install a self closing gate at joie top of the
stairs. The upper deck floor will also have a rail.
-o-o-o-:This design (in pink) indicates the drain which will be connected to the down spout.
Green: Identifies: Gates ( n opposite sides of house and center of back fenca), the
pool pump (located next to pool, literature enclosed), and gas pool heater (to
be installed later by subcontractor, next to existing air conditioner). .
Soil removal and around prepa-ation to be handled by pool sub-contractor.
We will need to -un power from the house to the pump (probably underground) �
could ,you provide me the guide,ines for this. C,
Please feel free to give me a call if yc!_! have any �juestions or suggestions for imr laving
the safety and enjoyment of our investment,
(503)226-5447
APPROVED FC?' (..ONS FRUCTI(A4 I
CITY OF TIGARD
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PERryiIT NO.6y1V60 SITE ADDRESS 1155 S �t✓S1�ur�u7ow�
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^ NSPEM Iry NOTICE
4\ City of. T1garA Budding DePar+-Oent
13125 SW Hall Blvd. tigard, Oregon 97 23
V Inspection Line (Rec-0-Phone): 635.4173 Business Phone: 639•-4171
Inspection:__ _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oen Line FINAL:
Post/Beam Struct. San. Sewer Framing -6!dg.
Lost/Beam 1 h. Rain Drain Insulation -Plumb.
Plbq. Inderfl-oor Water Line Gyp. Bd. -Mach.
Dato RequPstedf_„ 113 6 Time: - -"" PM
Address- /�� 5 L^ -, Permit #:1 ~t/
RuiWer: --- . ._-. ---- --
THIS FOLLOWING CoRPrcrIONS ARE REQUIRED:
Inspectors__- DatA: 1-
(/ _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE }
Call For Aeinep.
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CITYOFTIGARD ME CHAP I CAL
COMMUNITY DEVE40PMEN1 DEPARTMENT OWN � ='ERMI'r a# trkM 1. T
. . . . . . . . MEG9, —►7 i f+ 1
13126'SW Hdl Bbd. P.O.Bar.23?47.Tip M,Orq+n 972Z+(607)&W-4175
SITE ADDRESS. . • : 11555 SW SHORFVIFW PL PARCEL: IS133DD-+ 4600
SUk;DIVISION. . . . : ')ILLAGE AT 'SUMMER LAKE F`ARi4 'a n+vINCi: R-4. 5 �
SLUCK. . . . . . . . . . : LOT . . . . . . . . 385
CLASS OF WOkK. . :ADD FLOOR F URN. . s EVAF, COOLERS:
iTYPE OF USE. . . . : C= UNIT HF'ATERS:. , : VENT FINS.
UCCUPANC:Y GRP— Q3 VENTS W/O APF'L_: VENT SYSTEMS:
STORIES. . . . . . . . :.. B0Il_ERS/C0MP,RESS0RS HOODS. . . . . . . :
FUEL. TYPES------.---._._-._._ A-3 HP. ., . . 1 DOMEr;. INCIN:
: I i LE ! ! 3-15 I It , , . . COMML.. I N(:I N:
mRx INPUT : b l u 15-30 HP. . . . REP-AIR UNITS:
FIRE DAMP,EPS30-50 116'1. . . . : 'W01)D!3TOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITC _....__ __..__ _- ATR HAId17LING UNITS OTHER UNITS.
r UkN � 100K BTU: (- 10000 c f m: GAS OUTLETS. :
FURN ) --100K ETU: ? 10000 rim :
Remarks :
Owner: --------------------------- __.____. _ -__-- FEES
)t1.C)(ARD PROVA1e1UHER i:vfae ;Amol.mt by dat r^qCpt
9W SHORE';V1E.W RL F'RMT $ 25. 00 JH 07/01/92 -
W-ICT t 1. 25 JH 07/01/12 -
T ICARD OR r37,',-'3 I
Phono
I
t:ontrenctor': -•__.._.___...___._._._............_..___.._ ._...._.__.___..--..... .__.
THC-' HF.A r I NG SPEC I AL I ST
930@ NE HALSEY
F"OR rLAND OR 9 782el --__-_--_---___-_.-----._------_------.___.
Phone # . $ 26. 25 TOTAL_
Req ##. .
------- HEOU 1 RED I NSI�IL :T 1 UNS
This pereit is issued subiect to tl?e reyulations contained in the Final Inspevtiorl 1b
Tigard Municipal .ode, State of Ore. �oe•.ialty Codes and a). other _
applicable laws. All work will be date in accordance with
aoproved plan=. This cersit Hill a+oire if work is cot started
within IN' days of E seance, or if work is suspended for sore
than lee days:
PP T"m!t;t @ E' S i r1 n a t:i.r^P. - .___..-._ .__ . __....._..__..._...._..__.._..__...�
:
Cal l ft,r ir;s>ppc-t i c.1n - 62.9-4175
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Tigard MECHANICAL PERMIT Planck/Rec. #
City of
— ,
3
13125 sw Hall Blvd. APPLICATION hermit # I'I'1�C 9,� —c7l`{
PO Box 23397
Tigard, OR 97223
(503) 639-4171 _
ascription
Table 3A Mechanical Godo CITY PRIC-C AMT
Job j/-555 ,�[�� Shou�C.'cc�.. rod 1) Parma Fee i 0-
Address 8"
Supplemental Permit _ 3.00
y 'Furnace to 100,600
1�1. Gt altZ�Z la.y�L`t .L xv 5 1) incl. ducts a vents 6.00 11
... umace 10 ,000 Tl3+
UwRe, //S S.� S LO .t)t�1.,2�t}r11c a/�!, 2) inti.ducts a vents 7.50
ap Floor Furnance
9-7,Z;i3 3) incl. vent 6.00
. . , Mspendea heater,w, eater
a 4) or floor mounted Heater 6.00
Vent not incl.in
Occupant 5) appliance permit 3.00
.Y, Repair of heating,re ng.
6) cooling,absorption unit S•00
57-7onu Boiler or comp, eat pump,atr ond.—
7) to 3 HP absorp unit to 100K BTU 6.00 p
.« Boiler or comp,heat pump,air cond.
8) 3 15 HP abscrp unit to 500K BTU 11.00
BoilerContractorL or comp, eat�ump,air cond,
(� Lf ivMu<_, to t '51 7J �1 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
m. ....� 4• Boiler or comp, eat pump,air cond.
S GG .2 A / 3 70 nu->t Z 10) 3050 HP abscrp unit 1-1.75 mil BTU 22.50
I ere y ac now ge at ave rea is application,that e i or c-omp,,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 31.50
of the owner,that plans submittvo are in compliance with Stats Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that dro number given is correct. (If exempt from State registration, A Ir Fan Tin 9—u nd
pleasu give reason below.) 13) 10,CT)CTM + 7.50
IZ_nporinbf
14) evapoiate(. .er
—� Vent fan connected
15) to a singly duct 0 ��
- entilation system not
1 G ; 16) included in appliance permit g
.q rvr or y..mflocKJ served y
17) mechanical exhaust
sion eraion repaescn worc— new Commercialor rn mss. ..
to be done residential non reside itial n I 18) type i-ineralor 30.00
iusbng"T'usA or— �?ner re.,woodstove,water
building or property 191 nen±ter,solar,clothes dryers,etc. 4.50
Proposed use of I 2C- Gas 3iping one to lour outlets
building or properC,
21) More than 4 per outlet
Type cf fuel -oil Q natural gas Q LPC
O C _ " _
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRI '?N
AUTHORIZED IS NOT COMMENCED WITHIN 1,80 DAYS.nR 5%SURCHARGE � a
IF CONSTRUCTION OR WORK IS SUSPEN-ED OR
ABANDONED FOR A PERIOD OF I,'.1 DAYS AT ANY Trr.iE PLAN REViV 75%OF SUBTOTAL
AFTER WORK IS COMMcNCED.
TOTAL (o s
Special Conditions
Date issued —by
A�MrplMli
�edeen.C..
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