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11608 SW SPRINGWOOD DRIVE 11608 SW :3PRINGWOOD DRIVE I I I p 2J O 0 w N co c 1 CITY OF TIOA RD OREGON April 5, 1981 Mr_. Walt Wittke Pinnacle Homes PO Box 703 Lake Oswego, OR 97034 RE: 11.608 SW Springwood Dr , - ,.ot 27 Penn Lawn 11 Dear Mr. Wittke: On June 20, 1986, you applieu for a plan review for construction of a single fsrd?.y dwelling at the above referenced address. As of this date, the balance due o,, the plan check fee ( 117.10) has not been paid. I Tf the bmlance of plan review fee has not been paid within five (5) days of ree.-ipt of this letter, the plan review will be voided, and the balance due will be added to youi next application for a permit. Sincerely, Arad Roast Building Official lit/4083D 13125 SW Hall Blvd ,RU Box 23397,llgard,Oregon 97223 (503)639-4171 -- G A r �r-�..-ti--."-�-�/'� � fir►, ,-v"'`-`C� ---� ---�� �..-..:�.�..� l.��,.-'�-�.�.• -�� M o �ci:c.0/nry ,37,v, -z b/ i T 'iJ Z Y G S _ C' i �I / .� ��<,,= �...•���n: c_..• �ria t-' • �/,C..��.,�/�.�� C._- �,ra r',A/r'�'S r� . i�'�C/•+w; • i'r/�+L� /'h...7/G E. <' // IIIL J- i4U//1.j �� t� >>L!��.�-' .4J.*+:v T•�.�+•/' i'I-.L•_/+o r T' r -. =' .j�L r-.n. R r_-'!i f�/.�,.' /'.E`� t�c.....�',v /"�P a pn,. .�. I'//�P.'Lr L•�d 4 r f_�L�P_ef tom-�_• P.•',sz..ni-_._J.i �'�? _...,�,�__.......L't'L!�r'_--____..l- =.'���.��..._._r4'f rAi' ��'��. 1 s r-T ex" 1 _ i t�' d�q..'�.'�^'��' .,,�� '' � �' .`'�&�`� '��` ,gip �Mt• �:►*R _�'--. � �4 �" ' _�t ':' `� 1i►�% e�- f/ ~. � �, ate" � \� - � � tof oC T„ (CITY OF TIG ARID OREGON - - Permit No. , Owner: Jack Dorsey Homes �^ r` Address: 16231 S_ Oak Tree TPrr_ r Oregon City, 97045 c Budding Address: 11609 SW Spr i n bwnnd Drive Y � Occupancy:R— Land Use Zone: R4 5 Bldg. Tvpe 5u ' � 1 Comments: _ Certificate is hereby given this t 3th day of May , 19_.HZ that said building may be occupied and that it complies with all �_ J requirements of the Building Code for the City of Tigard, as aFproved ; i by the Tigard City Council. _ Fise Dept- uilding Inspe o Building Official 1o� Post Certificate in Conspicuous Place ;° 3 — ' "r%�. -��"` ^1"�� -r,-�,, .�7s�-'�-���,5�. - i1► mss_-,: �.- RWJ_�,/ �`j��r• � � ice.. `. � � ���_nr ~ �j���. •fs•-� i —�_ •^`� - a4A INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 f4— Tigard, Oregon 97223 Phone: 839- 175 r �y«,,z,.fe Type of :^gpeetionDate Requested..Requested.. _ Time A.M.----_�P.M. - — Address •�� ( Z-- Permit # Owner — Loi #----- --------- Builder The following %ilding Code deficient—s are required to he corrected: Presented to Approved __._..._ Inspector --- ❑ Diapproved Date CALL FOR REINSPECTION 11 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 ,OJ Tigard, Cregon 97223 (J" P ne: 839-41 i "Type of Inspection — --/1'! Date Requested _ Time A.M._ :� P.M. Adoress _.�r Permit i Owner Lot # Builder — e5 following Building Code deficiencies are required to be corrected: 7 6 Presented to ❑ Approved Inspector �_ ['Disapproved Data CALL FOR J�F,INSPECTION YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 J Tigard, Oregon 97223 / Phone: 639-4175 Type of Inspection Date. Requ 3sted_ Ti ma A.M. P.M. Address Permit *C-Q 5,,,�. Owner---_ Lot # Builder The following Buildinq Code deficiencies are required to be corrected: Presented to Approved Inspector _ Disapproved Date -- GALL FOR REINSPECTION DYES 0 NU INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Or,)gon 97223 Phone: 639-4175 Type of Inspectionr- Date Raquested Time__ A.M. ._ P.M. Address Address //!, c>� -c.,�� ��,j; — v�La.. Permit Owner_ Lot # Builds The following Building Code deficiencies are required to be corrected: Presented to — nApp oved Inspector _ J - — Disapproved Date -- CALL FO&REINSPECTION ��YE8 C7 NO INSPEG HON iiOTICE City of Tigard Building Department P.O. Box 23397 `7- Tigard, Oregon 97223 _Phone:: 639-4175 Type of Inspection —) �} I Date Requested I O Time A.M. _P.,%4. Address _-/ Permit Owner---..._� _ Lot Builder :'he following Building Code deficiencies are required to be corrected: > --- Presented to Approved Inspector D-Disapproved Date -s-'" J' C3 CALL POR REINSPECTION C''-YE$ 1-1 No INSPECTION NOTICE City of Tigard Building Dep2rtment P.0 Box 23397 4'11Vu 4 Tigard, Oregon 97223 Phone:639-4 175 Type of Insp ;tion _. Date Requested Time _ A.M. P.M. Address —) /' y Permit Owner Lot # _ Guilder � � V The following Building rode deficiencies are req uired)to be corrected: - I I - Presented to Inspector -- Disapproved i Date ` �y --- CALL FOR REINSPECTION ❑ YEQ ❑ NO INSPECTION! NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _� )~lam ` Date Requested P.M. Address Permit Owner i - � Lot # Builder The following Building Code deficiencies are required to be corrected: T + ' Presented to --_— �� [] Approved Inspector Q Disapproved Date CALL FOR REINSPECTION ❑ YES Cl No t INSPECTION NOTICE City of igard Building Department P.O, Box 23397 Tigard, Oregon 97223 Phone: 639-'05 Type of Inspedtion Date Requested Time A.M. P.M. Address _ 1 csl .S'C-�J ,^s ^�/ Permit "t Owner Lot # Builder The following Building Code deficiencies are required to be corroded: Presented to _ Appruved Inspector _ _�/✓ ❑ Disoaproved Dots �— CALL FOR REINSPECTION 0 YES ❑ No INSPECTION NOTICE City of Tigard Building Department P O Box 23397 Tigard, Oregon 97223 Phone: 6?^-4175 Type of Inspection ' .C...� �-�/ I(" j - Date Requested / y Time A.M. Address / Permit Owner_ ---- — — - Lot Builder —_--__-�-- The following Building Code deficiencies ars required to be corrected: Presented to _ F Approved Inspector __ y-12 i I mmr n aved Date / (2 `8 % CALL FOR REINSPECTION 0 YEB 0 NO a� INSPECTION NOTICE )f Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time,__ A.M�C. �,�P.M. _ 1111 r Address _L,1.� s � 1 _Permit # � -_ Owner-___-- - -------._.r- -- Lot # _ BuilderThe following Building Code deficiencies ane required to be corrected: i F Presented to 11!rApproved Inspector _ _ _- --- ---- Disapproved Date __-- CA!L YOR REINSPECTION 0 YE! Cl NO t CITY OF TIGARD 639.4171 DATE rl,tue>t�► ��19_ 76555 BUILDING PERMIT TAX MAP1U134AW__ LOT NO. _.27 —SUBDIVISION 49191,14VA OWNER JOB ADDRESSI1GUS Sill sprjngwAQ; ;,k'ye bot"IS BUIIDER 4�?;fl}'_I!t7�ltF.$�_ t�.rki_-_ STATE REG.NO. ' 47550 — -.-_F-XP.DATE __ 3/26/67 BUILDER'S PHONE b5b-6450 ARCHITECT - __—__ PHONE -_ - __OTHER STRUCTURE ij NEW U REMODEL I ADDITION I 1 REPAIR MOVE OTHER - DEMOLITION RESIDENCE i COMM I EDUCATION IND I RELIGIOJS ACCESSORY GARAGE I OTHER FENGE OCCUPANCY !'J —LAND USE ZONE i •'' BLr)G TYPE ��` _F!RE ZONE PLAN CHECK BY hlv HEAT ['.c,n,a r ,rt S�Jz1t;i� fau,il t1LdM1Tit, wr at t_ari,.- y,�r . 1 H,�_aj,praywi lula+nn. mat jrCt t1a d_. Cugf! cu.18SUL of 62Zb. 2 Y2 — SEWER PERI,AIT N 3 itlt)3 L IaU) s OCC.LOAD FLOOR LOAD HEIGHT 20 NO.STORIES 1 AREA 1114 i NO BEDROOMS VALUE'+ BUILDING DEPARTMENT' SET BACKS FRONT !4 REAR 31 LEFT S!DE t RIGHT SIDE Permit _ THIS PERMIT IS IS::UED 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 4U.04) WOPK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W17H ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY E JSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 15.2b ;;but. 926.01.1 — _ SDC— _ Total bUU.a�) APPLICANT OR AGENT —L- PDCIR 15U.Ut, Prepd. , ,. --- 4#j --- - Receipt No: '� 1,' ADDRESS - . C�~IU PROW—----- BahDue_ 397.2H - Issued By _...____Approved By, IL'1 _..:.._......,..,.+�L..rurila�ur.:.du�i:.riw...r.re:.bu.�Aab-... _._...-__n.:wmc...ti....—=�..:e,.,... ;ww`...ic.,..Au.a....s...:.....n.,.._,.....� �•-_.,-wool"�Ai=. _-_.s.......i.......ya..... ..._..���,. W W w eIr oQl► w ■r w alar Iw DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 1-V- 7 & c Contractor Q �� j �CI � 4.*- __�_ 121AV0 � Permit No. Ail — 15,T q ff e—n lJ 4� 1dL��I�t u Rough..I -- _1 _4 6" �U-- Fixture Final HEATING Contractorcon �. Permit No Ganot0il 2J4 1-- - - K _ �- Rough in _y - - - _ SEWER y _ 0 — Final--'- _. 4 - - DPIVEWAY Final - Storm Drainage (Rain Drain)Final — _-- ----- �— —� Sidewalk Y ---_ -` ----� Curb 6 Street Final Approach - BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY _- I_andscapfnq IZoning Final -t� y ,,a•: l- pd' w,, t� " .er ;i7+ fA+•j t K �+ •r6• .. ,. W I� Irl• Iti1111 s[ 111N tti8 Receipt # ''~ _ CITY OF TIGARD MECHANICAL PERMIT Permit# _�Z Description Table 3A Mechanical Code _ CITY PRICE AMT City of Tigard 1) Permit Fee -0 -0- 10.00 1:3125 S.W. Hall Blvd. P.O. Box 23397 2) Supplementa!Permit —' 3.00 Tigard, OR 97223 — —1 1 639-41',75 1) Furnace to 100,000 BTU 6.00 incl,ducts&vents_ Furnace 100,000 BTU t 2 incl.duras&vents 7.50 Name of Development 3) Floor Furnace 6.00 incl.vent---- Job ent_Job Address �- -T y 4) Suspended heater,wall; eater 6.00 Address or floor mounted heater Tax Lot Map No ) Vent not incl.in 3.00 lot Block Subdiws on 5 appliance permit — Nrme(or name of business) 6) Repair of heating refr ig., 6.00 cooling,absorption unit _ _ Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU _ _ City,stag zip 8) Boiler or comp to 3 HP-15 HP _ 11.00 absorp.unit to 500,000 BTU _ Name 9) Boiler or comp 15-30 HP 15.00 absorp.unit 1/2-1 million _ Mailing Address Phone 10) Boiler or comp to 30-50 HP 2250 _ absorp.unit 1 -1.75 million _ _ Contractor Cih;;state -`— zip 11) Boiler or comp to 50 HP— - - 31.50 absorp.unit 1,750,000 BTU State Registration No. City Bus.Ta12) Air handling unit to x No 4.50 10,000 CFM Air handling unit I hereby acknowledge the' I have read this application that the information given is 13) 10,000 CFM t 7.50 correct,that I am the owner or authorized agent of the owner,that plans submitted are In -- — _ _-------- compliance - -_._compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50 number given is correct (If exempt from State registraVon please give reason below) evaporate cooler Vent fan connected 15 to a single duct 3.00 Ventilation sys'em not 1 R included in appliance permit 4.50 17) Hood served by 450 mechanical exhaust Signature(owner or agent) - - t 'it(, 18) Domestic type 7.50 Describe work I.1 addition ❑ alteration L-] reDair I I incinerato to be done residential L-1 non-residential 1 19) Comriercial or industrial 30.00 Existing use of type ncinerator _ building or properly -__ - —_ - 20) Other i.e.,woodstove,water 4.50 Proposed use of —heater,solar,clothes dryers,etc_ building or property 21) Got,piping one to four outlets I '70 Type of fuel- oil I I natural gas I I I_PG I 1 electric I I - -- 22) Morr;than 4-pt;r cutlet SUFI-TOTAL. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%&URCHARGE 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 ^------ - ----- -- — WOFIK IS COMMENCED. __ TOTAL Special Conditions ---- Date tissued bY I tall ullukwK IVU. : ��� �`•� Permit Nu. : 13125 SW Hal; U _vd. Perm P.O. Box 23397, Tigard OR 97223 CITY OF TIGARD 699.4171 GATE _ BUILDING PERM:f Insp. Line 639-4175 TAX MAP - ! LOT N 1. z� SUB..IVISION GJ c �c• (S OS 5" r'✓ d ri�� wue l , _ OWNEfL � r JOB ADDRESS /� c ., — ---- BUILDER c'r c• I of"�s �� + �..--__. STATE REG.NO. 417 S S- _EXP.DATE Z f S-t BUILDER'S PHONE _—` G (v Ir S !j ARCHITECT PHONE __OTHER STRUCTURE I f NEW ❑ REMODEL ❑ A001TION ❑ REPAIR ❑ MOVE C3 OTHER C1 DEMOLITION Or-RESIDENCE ❑ COMM ❑ EOUC,6TION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑ OTHER (3 FENCL �► FIRE ZONE '` PLAN CHECK BY C� �� HEAT��_ OCCUPANCY "' LANG USE LONE BI_OG.TYPR�- _ _1�-1-!!L —Cutistruct cia llama fani 1 v Jule Ili Ia_t_t� 911 - Sub ect: to w.) code, SEWERPERMITI Q ly baths lZ'traps garage .jrtw 4 49 ^'..�.LOAD FLOOR LOAD !LU HEIGHT 2e,•►"NO.STORIES 2 AREA 17 O.BEDROOMS VA LU 44c) BUILDING BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE ..�..+ Permit O THIS PER MIT IS ISSUED SUBJ CT 1'O THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGtAA'nOI+S AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE Plan Chock !jjlJvtj WORK Wli. BE DONE IN ACCORDANCE WITH THE PLANS AND SP'ECAFICATIONS AND IN COMPLIANC( WITH ALL A"L.ICABLE CODES ANC ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Pt.Ck F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATZ PFFiMITE,NEOUIPED FOR SEWER,PLUMBING AND HEATING. State 'ax � r SDC- } � �j e i i f y L?R� l o•u 4 3 , �� AVPLICAAN AGENT Prepd. }���,tv1G /a'2 y f S C-).A ---�PNONE r 9 p Recelpt No. ADDRESS Bal.Due r� Issued 9y --_ApPK`v*d By S SDc' --- 2�..� SQC - ✓ oG' PUC — i ce RECEIPT # V SEWER CONNECTION S '71 DATE PD. MDQ 5ELIE R INSPECTION 5 . AMOUNT PD., > SEWER SURCHARGE 5 ry ,�.��1 , Comments: --~- CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : PLAN CHECK APPLICATION DATE RECEIVED: r /d P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: . This is to certify that the attached _( sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, TS!5_ edition. PROPERTY OWNER: f OWNER'S ADDRESS: � �/ S ✓E ��. !;ONTRACTOR: C• TELEPHONE: _ ( �=�?n JOB ADDRESS: ! J6, SU) � /1/1GNJL�DD [>,1,OT NO. & MAP: " L #a / DESCRIPTION OF WORK: (S r) Arovals Required SPECIAL NOTES OPlanning Dept. )�o Reissue 0 Engineering Dept. O Flood Plain/Sensi' ;.ve Lands 0 Fire District O Sewer Availability 0 Other O Other. items Required List of subcontractors OBusiness Tax L) Calculations OTruss Details OParking Plan 0 Landscape Plan OOther COMMENTS: �( � ----- -. City (d Tigard Building Department L BY: r ■ 2 4:I7Y OF TINA RD December 8, 1.986 4 � - � V OREGON \25 Yeoa of Service ti96961-1-1986 Pinnacle Homes e.0. Box 703 Lake Oswego OR 97034 Dear Builder: Re: Lots 24 & 27 _ of _..Penct_Lawa_2____._ 1160b SW Springwood Drive & 10797 `'W 115th Date of Application: —June The application for auilding permit for the above described lot will expire on December 31 , 19M _ as per thu UBC Chap. 3, Sec. 304(d) . You may ei~.�'^C Nick up your building permit or request in writing u 180 day extension from the building official . If we do not have a respons? from you by December 29, 19b6 �, we will cancel your appl.icatioo and return your plans , If yeti have any questions, please contact this office at 639 4171 . Vrry truly yours, �J '�e Julie D. Ouellette Building Permits Clerk JDo/cn156 I 13125 SVJ Nall Blvd„P.G.Box 23397,Tigard,Oregon 97223 (503)639-4171 --------- - --- -- Ior inspections call 639-4115 CITY OF TIGARO 639-4171 DATE _ r JY9 BUILDING PERMIT -% N 7 Ldu� P.O. Box 23391, Tigard OR 9'223 TAXMAP —LOT NO. -�_-/�SU©OI VISION OWNER .ZN .� cyf� ��"� E'S JOB ADDRESS _1_1G0 �/� —� -- f I BUILDER __ STATE REG.NO. _/(� /Z ERP.OAT" BUILDER'S PHONE ARCHITECT._ ^ v ± PHONE STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR C) MOVE ❑ OTHER C) DEMOLITION RESIDENCE ❑ COMM ❑ EDUCATION ❑ INO ❑ RELIGIOUS ❑ACCESSORY Q GARAGE U OTHER ❑ FENCE OCCUPANCY LAN OUSE ZONE SLOG.Ty PE _FIRE ZANF -- PLAN CHECK BY ?-f.1—f#AT « � t low* SEWER PE RMI T if.----9 7't'- N TORIES /^ O.BEDROOMS VALU OCC.LOAD FLOOR LOAD (J HEIGHT, G NO.STORIES / �2f�� _ BUILDING DEPARTMENTg BACKS FRONT Z REAR LEFT SIDE RIGHT SIDE Permit �1 O 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 I'tan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE. WITH ALL APPLICABLE CODES AHD OROtm^mc THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE F'1.Ck Fin RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX P[RMITS.SEPARATE PERMIT ,REOUIRED FOR,SEWER1,P,LUMRING A�NND HEATING. State Tait 4, S SDC Tc c,� _� _ v� — --- -- T.71�I (j APPLICANT ORAGEN apd. Recelpt No ADDRESS PHONE Bal.Due - - lemued By. _ Approved By--- _ EWER CONNECT ION 50-7 -ULR INSPECTION SEWER SURCHARGL :-441 ;ommenta; ----- __ ..�;,. ut N t C-e 7F Gep -' a .. $ s WINUMMI CITY OF TIGARD 639.4171 6141 BUILDING PERMIT DATE19_ -._._ 27Penn Lawn 2 Pinnacle Homes TAXMAP ____-___LOTNO. ____SUBDIVISION OWNERJOB ADDRESS �Og -A�°�. ;y ----._--_ BUILFF-Ii STATE REG.NCS EXP.DATE—7-24-a6 tjwts ;F:(-. flux 3--t�atm .0wwegcr---____ , __---BUILDER'SPHONE .--� - Li ARCHITECT__.PierCy 6 8aaC1Ry--^ --- - PHONE _- STRUCTURE 41 NEW [.I REMODEL U ADDITION _ 1-1 REPAIR 11 MOVE_,,-' OTHER 11 DEMOLITION VE IJ RESIDENCE ❑ COhIM Ll EDUCATION ❑ IND RELIGIOUS 11 AC ORY LI GARAGE O C 'HER Fl FENCE OCCUPANCY 1t3 LAS!DUSEZONE 17 BLDG.TYPqj Sri FIRS PLAN CHECKBY 1'1''1 HEAT, Via$ Ell,C,Q 1„j,y,�; r SEWER PERMIT N 296,11 Crapskat �r� e 460 �M _ OCC.LOAD FLOOR LOAD HE T' Nr.STORIES 1 AREA ;,?meq NO.aEDROOMS 'i VALUE 67-000 BUILDING DEPARTMENT SU-166S FRONT Z( REAR 11B LEFT SIDE 8 RIGHT SIDE I.0 Permit $x.(1(1 fiHIS PERMIT 'Q ':,SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING rODE,ZONING REGULATIONS AND ALL APPI ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREEi; THAT THE Plan Check _ WORK WILL BE DrNE IN ACCORrJANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMA MANCE WITH ALL APPLICABLE CODES AND ORDINANCE'S. THE ISSUANCE OF T418 PERMIT DOES NOT WAIVE PI.C_h.Fire — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS RLOUIRED FOR SEWER,PLUMBING AND HEATING. Stale Tax M 1s.3Ci .S,�s 2,0.UU Total 564+( _ 6011.00 PDCM APPLICANT ORAOEN� -1 Prepd. Rece�pl No. I`.iU.UO ADDRESS-- - -_-- �— --- —�—PHONE --_ Bal.Due1524.4(1 _- Issued By------Approved By_—_____. 1/1F•"- v J i 3 t 7 I www w wwww �e �r / PERMIT # PLAN CHECK BUILDING RECEIPT NAME: / DATI,: l C �2 -f7c<<-��� ADDRESS & LOT # & SUBDIVISION NAME: ��� �� > 1,�,a�� ✓�� I. f ACCT. DESCRIPTION AMOUNT -- ----�� --j-�---�- --i I-T- 10-1.32 Building Permit Fees 3?Li `- 10-431-600 Plumbing Permit Fees 10-431-601 Mechanical Permit Fees _ `t 5 U 10-230-501 State Building Tax _ / Li 7 10-433 Plans Check Fee 1,5- 30-443 j30-443 Sewer Connection (20%) 30-202 Sewer Connection (80%) 36-444 Sewer Inspection 35 51•-448 Street System Dev. Charge (SDC) $ �_ 52-444-6!0 Parks I System Dev. Charge (PDC) 52-449-620 Parks II System Dev. Charge (PDQ.) _ 31--450 Storm Drainage System Dev. Chrg (SSDC) 10-230-505 TRFD (95%) $ 10-435 TRFD (5%) $ 10-230-506 Washington County Fire 111. (95%) 10-435 Washington County Fire #1 (5%) 10--220 Amart/Wedgewood TOTAL (Separate Check for Leron Heights 050.00). (hr/1214P) w w.* U i Y ur- i IUAKU MECHANICAL PERMIT Permit N --.__---- Description Table 3A Mechanical Code QTY PRICE AMT City of igarc 1) Permit Fee .0 0- 10.00 13125 S W. Hall Blvd, P.O. Box 23397 (i Tigard, OR 97223 (:� ' 2) Supplemental Permit _ 3.00 639-4175 1) Furnace to 100,000 BTU 6.00 incl.ducts&vents _ �c 2) Furnace 100,000 BTU + 750 incl,ducts&vents _ Name of Development 3) Floor Furnace 6.00 incl.vent Job Add( 4 Suspended heater,wall heater s 600 Address 7/ �v �� - �°� I . ) or floo,mounted heater _ Tax Lot Map No 5) Vent not incl.in 300 Lot Block Subdivision appliance permit Nam"t name of business) 6) Repair of heating,retr it _ 600 u cooling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP 600 Owner absorp.un.t M 100,000 BTU City State zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU Name 9) Boiler or comp 15-30 HP 15.00 _ absorp.unit 1/2-1 million Mailing Address Plane 10) Boiler or comp to 30-50 HP 22.50 _ absorp.unit 1-1.75 million Contractor city/state Zip - 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU State Ragislrr don No Cnv iva,rax Nn 12) Air handling unit to 4.50 t 0,000 CFM � I hereby acknowledge that I have read this application that the information giver, 13) Air handling unit 7.5010,000 CFM correct,that I am the owner or authorized agent of the owner,that plans submitted are in - --- — ---- - -- -- compliance with State laws,that I em registered with the State BuildersBoard,that the 14) Non portabld 4.50 number given is correct (If oxempt from State registration please give reason below) evaporate cooler 15 Vent fan connected 3.00 _. ) to a single duct `'� Z 16) Ver"ition system not 16 4.50 incl, 'ed In appliance permit -- --v- 17 Hood ,erved by 4.50 mechanical exhaust _ Signature(owner or agent) Date 18) Domestic type _ 7.50 Describe work ❑ addition ❑ alteration C] repair U incinerator _ to be done residential p non-residential [_l 19) Commercial or industrial 30.00 Existing use of77 type incinerator _ building or properly_�1� �•t 20) Other i.e.,woodstove v.ater 4.50 Proposed use of heater,solar,clothes 6.yers,etc --- - - building or property - - --- - -- 21) teas piping one to four outlets 2.00 Type of fuel- oil O natural gas FT I.PG_I I electric I I 22) More than 4-per outlet SUS-TOTAL y 30 I THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ,%SURCHARGE - STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 3 DAYS, OR IF COtJS TRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TOTAL ' ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - ---------- --- WORK IS COMMENCED TOTAL y Special Condltior s _ Date Issued _ - b, J