11565 SW SHEFFIELD CIRCLE 115',)5 SW SHEFFIELD CIRCLE
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R`r ICS OF OCCLXrCy '
TIGI�D
OF
"ITY
OREGON
0-wner: Moore Bros . Permit No. 6549
si,
P.O. Box 1403 Tualatin OR 97062
Address:
Building Address: 11565 SW Sheffield Circle4 V,
Occupancy: R3 Land Tose Zone: R12PD
Bldg. Type 5 N
Comments: _
Certificate ishere ; given this 2nd day of Junej -_
Al chat said building may be occupied and that it complies with all
t. requirements of the Building Code for the City of Tigard, as approved Jr;
Y _ ;.
"-_�• _ by the Tigard City Council. =; -
z_
` Fire Dept. v Building Inspeeto �
3.1 �
=i Building Official .,.J—A. ,-
Post Certificate in Conspicuous Place
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INSPEMON NOTICE
City of 1 igard Building Department
P.O. Box 23391
�. Tigard, Oregon 97223
Phone: 639- 175
Type of Inspection _
Date Requested
r 2^ me A.M. P.M.
Address �(1_(Zi�- f3�G� Permit # __
Owner M // G4.. __ _____.___._ Lot
Builder -- --------- - - ----The following Building Code deficiencies are required to be corre&ad:
Presented to - _ — ------_.-_-- Apnroved
Inspector _-_-_-_ _---f - L] Disapproved
Date y �C __47::
CALL FOR REINSPECTION
YES Z NO
1h
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phona: 639-4175
Type of Inspection -
Date Requ/es/tedd,� , ime A.M. P.M.
Address `� Permit # —�
Owner___..� _r-
_ Lot #
The following Building Code deficiencies are required to he corrected:
Presented to Approved
Inspector L-1 isapproved
Date �� v
CALL FOR REINSPECTION
cr'IES '.�] NO
■
f INSPFCTiON NOTICE
l � a
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ Time. A.M.Perm�/ P.M.
1 -
Address � --- it # �_
Owner__-_ __ r.__�.._ — Lot #_
BuilderThe following Building Code deficiencies are required to be corrected:
—s''r s� IL\ji o r_ _ F
Ve
_ f Ar-A[T o v a
�Ot./iy,G7 �U/c.l7i..yy
Presented to Approved
inspector "�- / _"Z�Disapproved
Date --— ---- -- 1 Q• �' ' _
CALL FOR REINSPECTION
OYES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Ph ne: 639-4175
Tyne of Inspection
;CR-
Date Request _ ime _ M. P,M.
Address Permit
Owner- _. _fi�rr v C Lot #_
Builder /'�'�� T� / S 1
The following Building Code deficiencies are required to be corrected:
ca.�f.�—_,,CYc,
Presented to _ / Approved
Inspector 7`�4 1"I Disapproved
Date
CALL FC-R RFUNSPECTION
F—A-"`IE3 EJ NO
INSPECTION NOTICE
City of Tigard Building Department
P U Box 23397
Tiodrd, Oregon 97223
Phone: 639-41751
Type of Inspection --
Date Requested A
/TIa�! A.M. P.M.
Address `7 47-0 " r ermit A' _
c-,fOwner __ Lot +At
Builder _----------- --- —
The following Building Code deficiencies are required to be corrected:
r
i � � Z �ter.-✓Lt,•-t. ��1G�2�'t-'-t,�--�-- /L.G -G'
Presented to / —�.— ❑ Approved
Inspector ✓ _ Disapproved
Date
CALL FOR RF,INSPFCI'ION
DYES ONO
e e 1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone,:: 63.9-4175
Type of Insp"ction --
Date Requested_ Time A.M.-__ .__P.M.
Address ����� `� –��G� Permit #� ----
Owner_ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
C - 4-
Presented
Presented to ❑ A//pprowd
Inspector F'fDiapprowd
Date —
CALL FOR REINSPECTION
YES C NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-417
44g '�j
Type of Insraction ,�j
Date Re-auost/ed` •'/ Time T__ A.M.
Address !�� Permit
Owner � Lot #
Builder ---------- --- -
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ .._ _ —. _ ❑ Disapproved
Date
CAL OR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregor,97223
Phone: 639-4
Type of Inspection 6 i
Date Requested 2- Ti A41W M.
Address , Permit #
Owner�� ,�p Lot #
Builder r-C. (_
The following Building Code deficiencies are required to be corrected:
Presek+ttd to _ n- pproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
[] YES 0 NO
■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ —� ---
Date Requested Z 2--7 _ Time A.M. ✓ P.M.
Address �r��' Aw" Permit
r
Owner Lot
Builder
The
The following Ruilding Code deficiencies are required to be corrected:
-
Presented to Approved
Inspector - '�1� _ C_� Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
O City of Tigard Building Department
P.O. Box 23397
U Tigard, Oregon 97223
639-4175
Type of Inspection
Date Requested / --,I Tire _A.M.
Address �( 6 ,- ��� Permit
Owner Lot #
Builder
The following Building Code d0iciencies are required to be corrected:
Presented to � /
- --- --- - Approved
Inspector ❑ D"!pproved
Data -
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF TIGARD 639-4171DATE 6549
BUILDING PERMIT lnai. . Linc: 6.19-4115 DATE�ht'�a_rte_.�_ 19__x_
TAX MAP [5,kf!311&_LOT NO. 60 - SUBDIVISIOI`0rJ&J.MAX ,-
wure l,roso 11565 SW Wieffield Circle
OLVNER_=� JOB ADDRESS
same P.00 WX 1403 Tualatin UR 97062 i 78- — �_-5771S1 — —
BUILDER _ __ STATE REG.NO. _ EXP.DATE
BUILDER'S PHONE 0412-16(it,.
ARC''ITECT PHONE _____ OTHER
STRUCTURE NEW ( ' REMODEL Li ADDITION I REPAIR MOVE OTHER DEMOLITION
LI RESIDENCE ! COMM 1 1 EDUCATION IND I RELIGIOUS ACCESSORY I ! GARAGE OTHER FENCE
OCCUPANCY f LAND USE ZONE ' 1?1'll _BLDG TYPE - FIRE ZONc PLAN CHECK BY HEAT
Construct si.o, Ic I.amily dwelling w/attar, ..kra.,eaall pec approved plana. Ubject to 6"
')uUjec.t to hi.ulrL 43ho and Lerun $150 sewer Qvir.ct;ar, en.
SEWERPERMITM }«L,4a1uu1 �4 brAt14, d traus garage 415
OCC.LOAD FLOOR LOAD 4U HEIGHT 11 NO.STORIES AREA 111.0 NO BEDROOMS 3 VALUE "
__BUILDING DEPARTMENT_ SET BACKS FHONT °" HEAH LEFT SIDE RIGHT SIDE a
Permit 31U.u1) _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 201.50 NORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APFLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI RACIORS TO HAVE CURRENT CITY BUSINESS
-- TAX PERMITS,SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12.40 .
— SDC— oUU.UtI
Total 523990 APPLICA
PDCM NT OR AGENT _
`-
Prepd_---- - lUU.INI - - L 150.E L' ' _7?;
Receipt No. ADDRESS PHONE
Bal,Due 423.941
Issued By,---.- Approved By..
_........_:,.�........ea_....r:....u.:._d.t........�.1-,..n...-.....e.:,._..,. ....,..u. ,r.V.,.d7.,_..,.-.,... ..,.. .,r._..... ... .,A.,...rr,,...n,..,..�.:��..._.__.e.,..u..J...:.�.....,..�..,....,.e..._..�...__..........�,.�:.._.....:..:._�..
tt�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
2 - Z7-e, PSAContractor /2-2 u 3 -7-92
` '_ — l — — -- Permit No. .5/ z
Z 7 .r Rough-in
3—/ V — _GG(/ Fixture -- —
• — --- Final
HEATING
Contractor _— y�D !-/& �
���-----.--- .
3 Y 3 ,A nGs.o ar�no --- —
F rmit No.
— Gar,orOil
Rough-In — _A
� 11 Final
SEWER
S Final —
DRIVEWAY —
r • Final
ti
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL CERtF CAl E OCCUPANCY CERTIFICATE OCCUPANCY Final
Land%caping
Zoning Final
a
r i
I
___ ----
CITY OF TiGAPO MECHANICAL PERMIT Receipt#Permit# ---
Description
Table 3A Mechanical Code _ — _OTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. 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.ducts&vents___ _
2) Furnace 100,000 BTU 1 7.50
incl.ducts_&vents
Name of Development 3) Floor Furnace 6.00
------ --- ___-- _ incl.vent- - ---- -- —
Suspended heater,wall heater 6.00
Job Address 4) of floor mounted_heater —
Address
Tax Lot Map No
5) Vent not incl.in 3.00
appliance permit —! J
(.otBlock Subdi;nsion --
Name(or name of business) 6) Repair of heating,teff I t 6.00
_cooling,absorption unit _
Mani,a nddresa J Phone 7) Boiler or comp to 3 Hf 600
Owner absorp,unit to 100,000 BTU
City/scale lip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
Boiler of,;omp 15-30 HP 15.00
Name 9) absorp.unit 112-1 million------.----
Boiler or comp to 30-50 HP 22.50
Mailing Address — Phone i 10) absorp.unit 1 -1.75 million
Cont;actor c;ty,stnte --`—M_ zip -- 1 1) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
Air handling unit to 4.50
12)
Slate F,egislratlon No. City Bus Tax No 10,000 CFM
13) Air handling unit _ 7.50
1 hereby acknowledge that i have read this appncalion that the information given is 10,000 CF,A I
correct,that I am the owner or authorized agent of the owner,that plans submitted are in —--—
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable 4.50
number given is correct (It exempt from State registration please give reason below). 14) evaporate cooler
15) Vent fan connected 3.00
_ to a single duct
16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
mechanical exhaust
Signature(owner or agent) �Y Date 1 8) Domestic type 7.50
Dec�ribe work I I addition [I alteration f 1 repair I I incinerator
to be done--- residential CJ non-resident ia! I 1 _ 19) Commercial or industrial 30.00
---- - — type incinerator
Existing use of
building properly _ --- ?0) Other i.e.,woodstove,water 4.50
9 or p p ery — —-- -- heater,solar,clothes dryers,etc_
Proposed use of —
building or .iroperty ____ -__ _—___ 21) Gas piping one to four outlets 2.00
Type of fuel- oil I I natural gas 11 LPO ❑ electric 1 1
22) More than 4-per outlet
NQTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- -
TOTAL
WORK IS COMMENCED -- ---- --- --
Special Conditions
Date Issued - - - -- by- -- —--
A
L`J VLNN Lr1LLn i+u.
for inspections call 639-4175
JOS 14
CITY OF TIGARD 639.4171 PERMIT N0.
BUILDING PERMIT DATE � 'L' T/ +o__ 77_
P.O. Box 23397, Tigard OR 97221 TAXMAP `IOTNO. (o � SUBDIVISION
OWNER 1.Q l'F' G 106 .� _ JOB ADORESS 11"565 � , 'd `le-`
BUILDER /1l C r*i �F t)a P" �`'� 1 4 0 STATE REO.NO, y Y 2 7 S' EXP.LITE7---
BUILDER'S PHONE �' 3�6!Z
ARCHITECT C'- PHONE OTHER -
STRUCTURE mI ❑ REMODEL O ADDITION ❑ REPAIR ❑ MOVE 0 OTHER C7 DEMOLITION
RESIDENCE A ❑ 00mm ❑ EDUCATION ❑ IND ❑ RELIGIOUS, ❑'ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE.
OCCUPANCY S LAND USE ZONE 2 LOG•TYPE +�–FIRE ZONE " PLANCHECKRY ►1EA*
Construct single family dwei1in4 w/attached name, wf1 per apprnvati pi we
Subjpvr to 85 code, _—
SEWER PERMIT I 1 du)
2.. baths traps garage .fl
OCC.LOAD FLOOR LOAO HEIGHT NO.STORIES AREA/M V NO.BEDROOMS VALUE-57 DO J
_BUILDING DEPArTMENTSET BACKS FR04T g REAR LEFT SIDE RIGHT SIDE
�.�,�■
1P*fffj( THIS PERMIT IS ISSUED SUBJECT 1'0 THE REGULATIONS CONTAINED IN THE BUILDING CODC ZONING
REGULAT10N5 AAD ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
PtamCMck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA11ONS AND IN COMPLIANCF
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
P1.CIL Fhi RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS AEOUIREO FOR SEWER.PLUMBING AND HEATING,
Slele Tex _�a �(/ SSOC
SDC–
Told -- APKICANTORAGENT
Prepd.
ReCSID+ AUDRE;sS � rNONI
aal.Due — Issued 8DDroved Br—
s uc
SOC —
R.I:CEIPT #•- _
POC '
DATE PD. =' �.^
SEWER CONNECTION 5 _ <a�� AMOUNT PD._-1 �_�._
SEWER INSPECTION S
7 �
SEWER
SURCHARGE S
s�G
:c+mmesta
_ 1
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK AF LICATION DATE RECEIVED: 2 i
P.O. Box 23391, Tigard OR 97223 P/C DEPOSIT PAID: /
This is tocertify that the attached T sets of plans have been submitted for plan
6jenk pursuant to the Oregon Structural Code and Fire b Life Safety Code, 8 S edition.
".OI ERTY OWNER: V1'l� u �'� OWNER'S ADDRESS:
CONTRACTOR: '6J ��`�- TELEPHONE:
1,",, wv
.10B ADDRESS: �cc7�7 t.vt c� LUT NO. 6 MAP: �--'o �
' ESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
OEngineering Dept. 0 Flood Plain/,,ensitive Lands
0 Fire District O Sewer Availability
1
0 Other 0 Other
Items Rewired
List of subcontractors, !,
c v t ✓� /� 1 .J�C.R l�
Business Tax
1 Calculat i ails
nTruss Details
0 Parking Plan
0 Landscape Plan
3^,
O Other
COMMENTS:
City of Tigard Building Department
BY: 4. �C__ L-