11569 SW SHEFFIELD CIRCLE 11569 SW SHEFFIELD CIRCLE
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ICArM OF OCcLTANCy
CIER"f II4
{ CITY OF TIGARD
_ OREGON - •
Owner: D. MasseyPermit No. 6907
Address. 11569 S.W. She*field Circle Tigard 97223
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1= Building Address: i'.569 S.W. Sheffield Circle �
Occupancy: R 3 Land Use Zone R i 2 P D Bldg. Ty 5N
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Comments:
rA• ,.'=• Certificate is i_crebv given this 2 3rd day of November , 1 J 8 7 kF[ 3 y F
that said building may be occupied and that it complies with all
a I requirements o;the Building Code for the City of Tigard, as approved !
t`1`` by the Tigard City Council.
Sia - Fire Dept. J Building Ins ctor `
` .y Building Official _
Post Certificate in Conspicuous PlaceWN
—
■r � � a
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
-} Phone: 639-4175
Typv of I-spection
Date Requested / _ fkTime A. P.M.
Address �5� 9 . � Permit #
Owner Lot *
Builder
The following Building Code deficiencies are required to be cor-ected:
Presented to __—. Approved
Inspector _ _-_ ❑ Disapproved
Date �'�> .7
CALL FOR REINSPEC7[ON
❑ VEa LI No
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AMERICIA-
131=5 S.W. Nati B;vc7.
PO. Box 23397 A� �'vi i STATES Puo.i/,L::iG7� 1�..
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"igard,Oregcn Y.'223 22 -f Tp�FG
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D. Massey
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Tigard Or 97223
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INSPECTION_NOTICE
Q � ( City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection –r� —
Date Requested I I / 9- Time A.M. P.M.
Address _U 1__. Permit
Owner_ Lot # —
Builder —
rhe fol:owing Building Code deficiencies are required to be corrected:
Presented to., _ ElApproved
Inspector ^ [3- seppruved
Date ----
CALL 'FUR REINSPECTION
[?DYE8 (- NO
BUILDING PERMIT APPLICATION r)ATF____ ��s_�._ "07
THE UNDERSIGNED HEI iEBY APPLIES FOR A PERMIT FOR THE WO PK HEREIN INDICATED BUILDER PHONE i 32 .
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PI INS AND SPECIFICATIONS. OWNER PHOylk�
OWNER —�—
D. Massey JOB ADDRESS 11569 SW Sherflotd Circle I'OT1' Br_t- .�ttany- . .
-- -- f3d� 23pz-7''S ARCHITECT #6564¢3,A
f4 I ENGINEER
BUILDER Ode-1 I. Const • ADDRESS T`� _ G7Z23_DESIGNER Piercy Barclay
STRUCTURE L� NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL 11 FIRE DAMAGE ❑ DEMOLITION
L�eESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C7 PATIO-❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ BLAB❑ FENCE
OCCUPANCY -10— LAND USE ZONE _F12 p LDG. ,'YPE 5N FIRE ZONE _PLAN CHECK BY _TLP HEAT aa--
Cvn,q.tzu -t�agi-e—fgwily---doral l-Ing w tached gar, ota:--*-*1
- — -
SEWER PERMIT# '34041( 1clu) 0 bmitillt{, 8 traps garage area 40u
OCC.LOAD FLOOR LOAD 4D HEIGHT 201 No.STORIES 2 AREA 1346 NO.BEDROOMS :3 VALUE61�uU
BUILDING DEPARTMENT SETBACKS FRONT '311)m REAR 31 LEFT SIDE —G RIGHT SIDE 0
Permit _ 119.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
)_O7.35 REGULATIONS AND 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
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
L4C� S A T ERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 15.95 � .. P
-- SDC— 600.01
Total r tic
PDC# 1 1 150.Of) APPLICANT On AGENT
By 100.on
--- — Receipt N0. i r� /k .-" ? 1[..'G• %� .d (_'1��� � -
Approved_ 4 4 2. 30 _ ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractors
+ /I Permit No. �j
Rough-in —
CI , Fixture
9-,'7 ----------- - - — Final
HEATING L
Contractor
Permit No.
//./g,� -_ ,--- Gas or Oil —
_ Rough-in
Final
SEWER--.
-- ---- -- Final SIL r 7 !
[DRIVEWAY
— —�--------- -- Final
Storm Drainage
(Rain Drain)Final
--- Sidewalk
Curb&Street Final
Approach —
SLM DEPT.FINAL TCMPORARY CERT IFI( ATE QCCUPANCY Final y
CrrtTIF7CATE OCCUPANCY - ---- --
Landscaping
Zoning Final
(A I Y UF- I IUAKU MLGHANIGAL VLAMI 1 Purmll M
Description
table�A Mechanical Code CITY PRICE AMT
City of Tigard 1) ParmitFee -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 r 7.50
incl,ducts&vents _
Name of Development 3) Floor Furnace 6,00
incl.vent
JobAdd esa 4) `.'-jspended heater,wall heater 600
or floor mounted heater---
Address
eater —_Address
Tax Lol Map No 5) Vent not incl.in 300
appliance permit _
— lot Block subdivision Repair of heating,refr ig., 600
N (or nerpe of bualness) 6) Cooling,absorption unit
san� 7) Boller or comp to 3 HP 600
Owner absorp.unit to 100,000 BTU -
Boiler or comp to 3 HP-15 HP 1100
frityfsate Z''' 8) absorp.unit to 500,000 BTU
Name 9) Boller or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Boller or comp to 30-50 HP 22.50
Mailing Address PhZr" 10) absorp.unit 1 -1.75 million
ContractorBoiler or comp to 50 HP 31.50
Gyfstate zip 1 1) absorp.unit 1,750.000 BTU
Stale Registratlon No. City 13u- Tax No 12 Air handling unit to 450
10,000 CFM
Air handling unit 7.50
1 hereby acknowledge that I have read this aonl-attron that the information given is 13) 10,000 CFM + —
corrill that I am the owner or authorized agent of the owner,that plana submitted are In
compliance with State laws,that I am registered with the State Build"'Board,that the 14) Non portable 4.50
number given is rxwte.y lit exempt from state registratQn please give reason below) evaporate cooler
15) Vent fan connected Z 3.00
- to a single duct
Ventilat on system not a So
16) _included In appliance permit
--- —- 17) Hood served by 4.50 fLJ�
mechanical exhaust
Signature(rwwnr or agent) Date 19) Domestic type 7.50
Describe work C1 addition ❑ alteration El repair ❑ _ incinerator
to be done residential non-retl4ential ❑ 19) Commercial or industrial 30,00
-- -- type Ircinerator _
Existing use of 5 �_— Other I.e..woodstove,water
building or properly 20) 450
heater,solar,clothes dryers,etc.
Proposed use of
building or property__ ____ —__- ------- 21) Gas piping one to four outlets 1 2.00
Type of fuel - oil (] natural rias f` t.P(3 f 1 electric I ]
22) More than 4-per outlet
SUB-TOTAL Sr
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON s 4*$URCNARfiE j y�
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 — - -
DAYS, OR IF CONSTRUCTION OR WOI'K IS SUSPENDED OR PLAN REVIEW to%OF SU&TOTAL '713
ABANDONED FOR A PERIOD OF 18o DAYS AT ANY TIME AFTER TOTAL. d(,
WORK IS COMMENCED
Special Conditions
Date Issued . ,7 -< - _ by ��
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. •
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: ,
This is to certify that the attached _L- sets of plans have been submitted for pian
check pursuant to ttie Oregon Structural Code and Fire & Life Safety Code, 5 edition
P" .,PERTY OWNER:
i OWNER'S ADDRESS:
,ONTRACTOR: TELEPHONE: C, �or 3 .2
JOB ADDRESS: /�� G C,1 ( LOT NO. & ►1AP• ,
DESCRIPTION 00 WORK:
Approvals Requiir�d SPECIAL NOTES
OPlanning Dept. U Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District 0 Sewer kvailability
OOther 0 Other
Items Required
ist of subcontractors
/ C ) $li s i n e s s Tax
Calculations
OTruss Details
0 Parking Plan
OLandscape Plan
O Other
COMMENTS:
City of Tigard Building Departr.:^nt
u�o
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PLAN CHECK NU �.
Ior inspections call 639-4175 PERMIT NO.
CITY OF TiGARD 639.4171 DATE lo., — r
BUILDING PERMIT I
P.O. Box 23397, Tigard OR 91223 TAXMA.P LOTNO. � SUBOIVISI
OWNER ~ �.�.laLr�E- ��'�� ^'� `� JOBADORESS �1,-^��
BUILnFw STATE REG.NO. EXP.DATE .P
d Z
BUILDER'S PHONE -- /�
ARCHITECT �'"<' ! � '! �'" f � _ ..— PHONE I�nLU- —OTHER^~
_STRUCTURE EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE I) OTHER C] OEMOLIIION
❑ RESIDENCE ❑ C)OMM ❑ EDUCATION C) INO ❑ RELIGIOUS. ❑ACCESSORY (J GARAGE LJOTHER ❑ FENCE
OCCUPANCY e�_I_LAND USE ZONE `'BLDG.TYPE " FIRE ZONE_ PLAN CHECK BY t*AT
_ Construct single fami I dwei I ing vwla_tached.garage al1_per pp r-rived p!; gj�
_--alibipyr to 85 code
SEWER PERMIT/ �' Idu I)aths �. {-)
.y �
'� ) � traps aara9e area ..,,c
GCC.LOAD FLOOR LOAD O HEIGHT NO.STORIES AREA yG NO.BEDROOMS VALUE
f BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
tit
THIS PERMITtS ISSUED SUBJECT TO TME REaUL1TIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODESAND ORDINANCES.ANO IT tS HERESY AGREED T14AT THE
MITen s�1; WOhK WILL DE DONE IN ACCORDANCE WITH THE PLANS AND SPEgFIC<,T10HS AND IN COMPLIANCE
WH ALL APPLK''ABLE CODE:: AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pi.CIL F" "' RESTRICTIVE COVENANTS,COh7RACTOR AND SUD CONTRACTORS TO HAVE CURRENT CITY BUSONESS
TAX PERMITS.SEPARATE PERMITS AEOUIRED FOR SEWER•.PLUMBINO AND HATING.
Siete Tax
-
Total SOC-
5 --- - - -- - - -
APPIICANTONAGENT
Prepd.
.J i Recelpl No AOOAESS -- �— PHONE
Pel.Due
-- ---- 1•weA BY---- - - —--./Approved BY—.
�y
RECEIPT b y 7
POC —� � f S� _
DATE PD., 7- 21 7
SCWEIZ CONNECTION AMOUNT PD.
SEWER INSPECTION S
a
SEWER SURCHARGE S