12617 SW SNOW BRUSH COURT �w
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12617 SW SNOW BUSH COURT
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OF 0CCjUpA7VCY
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CITY/OF'1T/T� S
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Comer. Iandrriark Constriction Per._•+t No. 6681
Address: 5500 N.W. Tarra=n Place Portland_ or 97229
t Building Address: 12617 S.W. Snow Brush Ct.
Uccupsncy: R3 Land Use Zone:_ R1PD Bldg. i;rP 5N
j
Comments:
1 Certificate is nerehy given this 7th day of _)ctober ' 1987
that said building may be occupied and that it complies with all
requirements of the Building Cede for the %C-ie._y of Tigard, as approved
by the Tigard City Counrii. �_
s
Fire Dept BL tiding Inepe�
Building Official _
Poet Certificate in Ccrosvicuous Place ,.
P.o.Wx 23311"I
CITY OF TIGARD PLUMBING I125 <W HaU Blvd.
Applicants nw. t*W Began ftogration to (.wxjtwt a plumbing Vqud CR 9-'m
business or nwo he propit"ownettlopef ator not hiring outside help. PERMIT 6319�-4 515
F_ HMO 01 DOWADWAN Plurnkng Permit
Addmu
04`S 814-21-0,0 OUAN. PRICE AMT
Job Tar Lot Map.No
Address
FIXTURES
Lot Block SubdMsk)n
Sink 7.50
"j) Lavatory 7.50 12.
Tb or TuWSho,,,,e,Comb
wail weas Shower Only 7.60
Owner Water CI01*l 7.50
Dishwasher 7.50
Phone Disposal 7
C .50
Was"Machine 7.50
Floor Drain 7.50
-Phoom Water Hester 7.50 �Qs,
Laundry Room Tray 7.50 7
occupse-0 Uylstate zip Urinal 7.50
Ottw Friftres(Specify) 7.50
7.50
7.50
Contractor CRY/State C ZIP 7.50
e. 2z,-3 MISCELLANEOUS
City Bus.Tax No Sewer I at 100' 30.00
bum mos.Boom NO. Sist*PvTbers Bus.Lk.go. Sewei►-*%.Addit.100 15.00
441m /11 Z",/5 Water Servios I st 100' 20.00
I hoebby acknowledge that I heii i-tyl Mis mppWAdlon.that Me Irdormaillon Water Service es.Addil=' 15.00
91veri im cnrr*M OW I am reglirlaW.,with MStaft Builder's Board,and also, Storm A Rein Drain I st.100' 30.00
hrm a Stalin Pkant*V Moons M9 Ow mmnbers glvw we caroct,ftW all
pkxnbkV work will be e"--:--vxdanoe with applicable pivAloorit of Ore Stam&P-Jn Drain Addlft.100' 15.00
gon P&YWW Stakfts rAmoom 447 mid 693 -nd applicelA 0000%and thatMoble Home Space 25.00
no help wM be employed unless kensed tinder ORS 693 (if exempt from
State registration,plea"9K 9 reason bobw) Back Fbw Prevention
HOMEOWNERS-I hereby oartify that I am the awrim of the Prop"do- DeAce or Aritl-F�AkAson 00vtce 7.50
scribed above,at which 10CAtIomn I propene lo maks a pkxrftV Installs-1--in for Arty Trot;or Wants No
my own use and Mk prat My k not b@kV onnshucled for SaW,Wage of 1 w4 renriemcled fir,a Fbib" 7.50
Catch 8491111 7.50
Insp.-A Exist.Pkxnbing 40,00 Per Hr
sneciattf noquesomid Inspections 40.00PerHr
Aw.Of pkmvtft
on.Ex"Bldg. 15.00 min.
ALIT"tZFD SK04ATURE Dam New Bldg.or Build.Addition 25.00 min.
Fain VAinjsirgjt.fmd1y
Describe work now3A.-D trD 15.00
I mWitlon &I*.atIon rWW,
bb d" rereldential f-A no-n-residerdial I
Exislift ups W
bt**V or prop" OWTOTAL
I U"of 4%*URCHAAW
-IV-WWWV ty
TIN" 17(,
NOTME
Thl a pamM beiaor, 4A arw voW I work or nonovitrucoon mOveUted In not scow
rats nmd*W- Wdry"Ilowaftutft esw AtUmperwWter*w1donedfar
WECW.OONORKM
by
INSPECTION NOTICE
City of Tigard Building Departmen-t ,
P.O. Box
Tigard, Oregonon 97 97223 �-`'�/"l
Phone: 639-4175
Type of Inspection
Date Requested _ --__ �.�_ _ Time A..M` P.M
A
Address 1 Sh_L . ISru1SrPermit #
Owner--- —�._LS&� M C144 Lot #---
Builder
The following Building Code deficiencies are required to be corrected:
Presented to `' Approved
� I
Inspector _�--- _-- Disarrroved
Date ----
CALL r,OR REINSPECTION
fD Yve O Pio
VI a bi Vt" 1 Idlmnu VILhIV11 1 Pormit K
Description
City of Tigard —
Table 3A Mechanical Code OTr Ph CE AMT
— -
13125 S.W. Hall Blvd 1) Permit Fee 0 -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 100
639.4175 i Furnace to 100,000 BTU
f) incl.ducts&vents _ 6.00
Furnace 100,000 BTU +
+ 2) incl.ducts&vents 7.50
Name or D,avelopment Floor Furnace
3) incl,vent 6.00
Job Address Suspended heater,wall heater
Address / � YJ� 11h > 4) or floor mounted heater 6 00
Tax Lot Map No 5) vent not incl.in 300
_ lot 151161 appliance permit Block Subdivision ,,�, —..
Nem (or Hama or b relness) � Repair of heating,refr iq.,
6.00
,. C6-��C 6) cooling,absorption unit _
Mailing Address — Boiler or comp to 3 HP
Phone 7
Owner _) absorp.unit to 100,000 BTU 6.00
Cityrstate Zip --" Boiler or comp to 3 HP•15 HP
8) absorp.unit to 500,000 9TU 11.00
Name 9) Boiier or comp 15-30 HN
uL absorp.unit 1/2.-1 million 15.00
I Mailing Address -- - PhosBoiler or comp to 30.50 HP —
10) absorp.unit 1 -1.75 million 22 50
Contractor City/State Boiler or comp to 50 HP
t t) absorp.unit 1,750,000 BTU 31.50
State Registration No -- — City Bus Tax No 12) Air handling unit to 450
1 1'+,000 CFM
I hereby acknowledge that I have read this applraal+on thnr the mimmation given ,s f 3) Air hendling unit 750
correct,that I am the owner or authorized agent:)f the owner that plar s submitted are it _ 11 0,000 CFIA 4-
-
compliance with Stale lows,that 1 am regisWed with rhe Stare BuildersBoard that the Non pr iazite
number given is correct (11 exempt from State registration pleb-;e grvrr nee x below) 14) evaporate Cooler 4.50
v'9nt fan connected
- -- 15) to a single duct s 3.00
- 1 G) Ventilation system not — 4 50
included in appliance permit
Hood served by
17) so
mechanical exhaust 4
_in,n 1 t �.-- ----- Date t 9) Domestic type
DescA a work ❑ addition p alteration 1-1 repair [I incinerator
to be done _ residential IZ non-residential l 1 _ Commercial or industrial
Existing use of p 19) type Incinerator I
building or properly 1\lg .Yy 2P) Other i.e.,woodstove,water 450
Proposed use of heater,solar,clothes dryers,etc
building or property — - ---- 21) Gas piping one to four outlets I 2.00
Type of fuel- oil 171 natural gas W LPG l i electric C] _
22) More than 4-per outlet
NQTM
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - ---- ----- .-._ -SUB-TOTAL - -
STRUCTICN AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE �
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF BUB-TOTAL
ABANtk)NED FOR A PERIOD OF 18C DAYS AT ANYTIME AFTER ---- ------- ------
WORK I;COMMENCED TOTAL
- i
Special Corditions
- Date Issued by
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: - S 5-7
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: / t-/ L
This is to certify that the attached P— sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fite & Life Safety Code, edition.
PROPERTY OWNER:^ •r�_�£rr/wt� ' , OWNER'S ADDRESS:
CONTRACTOR: Ce L( 7 - N (0 3 "7 TELEPHONE:
JOB ADDRESS: 1 (7_1/2 L. c)') �� I,LOT NO. & MAP: I y �i�/� .• A-�-�
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
0 Planning Dept. Reissue (a s q o
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
V Other. O Other
Items Required
0 List of subcontractors
UBusiness Tax
L1 Calculations
0 Truss Details
O Parking Plan
OLandscape Plan
O Other
iCOMMENTS
City of 'iigard Building Department
BY: ti
,
f I_AN CHECK NU.
for inspections call 639.-4175
PERMIT NO.
CITY OF TIGARD 69.4171 DATE Y-1 'f . tv /
BUILDING PERMIT q
P.O. Box 23:197, Tigard OR 97223 TA /5� 3 p�
X MAP LOT NO✓-�%0001vISfOm
° _ ,JOB ADDRESS 7�2
OWNER�-'Q&� o/U-M�R.LQ K C � ?Ri!�
BUILDER .�_ STATE REG.NO. Z 3 EXP.DATE _�Z
BUILDER'S PHONE �-1 - e ti ) -7 --
ARail TECT_— PHONF 7. Z S- _ ILL- OTHER
�STRU(:TUR� GYi N� ❑ REMODEL ❑ ADDITION U RE{'.AIR ❑ MOVE U OTHER L) DEMOLITION
0 RESIDENCE ❑ C01IM ElEOVC.A':ION ❑ IND ❑ RELIGIOU`'w U ACCESSOIIY C) GARAGE U OTHER U FENCE
OCCUPANCY .AND USE:JNE h' BLDG.TYPE FIIIE ZANY""'" PLAN CHECK gY _ � A
Construct single farni Iv dwei I inq_w/_AtIjAch0 at:aa �11 rnr annrr.�ar1 nl,n� - -
—S -r Lo 85 code. ----- -- ----- - --- — ----
_ s '
SEWF.RPEIAUTe,,;��n (ldu) baths,�.j trans _.garage area �.
OCC.LOAD FLOOR LOAD HEIGHT -NO.STORIES ��^ AREA Q 30O NO.BEDROOMS vALUE 04PO
---—�= +1 SI J
-_— BUILDING DEPARTMENT SETBACKS FRONT R Q REAR` LEFT SIDE - 7 RIGHT SIDE 7
Permll — 7 — THIS PERMIT�S ISSUED SUBJECT TO TIIE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— l REGULATIONS AND ALL APPLICABLE CODES AND OROINANGFS,AND IT IS HERELY AGREED THAT THE
PIanCMck 7 Tn WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFZCATIOHS AND IN COMPi_IAhCE
WITH ALL APPLICJIBLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
P1.Ck FkiRESTRICTIVE COVENANTS,CbNTRACT09 AND SUB CONTRACT RS TO HAVE CURRENT CITY BUSINESS
_--_ TAX PERMITS-SEPARATE PERMITS REGUI RED FOR SEWE 1CU ING AND HEATINQ.
Slate Tai ----- V` 55DC
-- SDC ✓
Total �Z /.PPLICANTORAGENT
F10Cw
Prapd.
Rece4pt No / ADDIiES r PHONE
B.I,Due y
laaued By (__Approved 0y—_
RECEIPT
POC — — ---- _/ScD
-- q DATE PD. ---
SEWER CONNECTION 5 / 7 AMOUNT FD.
5 E W I R INSPECTION S
SEWER SURCHARGE S
S44 t t"
CITY OF TIGARD 639.4171 6681
BUILDING PERMIT DATE
TA(MAP•;,;s LOT NO, 346 SUBDIVISION
OWNER *. JOE ADDt,ESS 12617 cN :'xm anm;b_ jA_&
BUILDER _ _ J - _ STATE REG.NO ,'�__ GXP.DATE
FsUILDER's PHONE
,41_4637
ARCHITECT
_ _- ------- ---- ____ PHONE OTHER
STRUCTURE_ ':i NEW 1 REMODEL ADDITION REPAIR MOVE OTHER _ DEMOLITION
{ RESIDENCE COMM EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTI'EH I FEIJCE
OCCUPANCY I.-% LAND USE ZONE , , � —T•—
L.:L_BLDG.TYPE _',N FIRE ZONE _PLAN CHECK BY E'i�- HEr',T
C inin .1-'r-I T rc � WIjoct
.
IbJect to 11r.w]Lrt 1A=m fits. scww±.r_ !pm..r c7I4�I+JK.
SEWER PERMIT a 33098(1010 3 bri7b, T.1 trm-m garm484
OCC.LOAD FLOOR LOAD 40 HEIGHT 20't NO.STORIES ?. zLjvAREA 2300 NO.BEDROOMS 1 VALUE ;8.
BUILDING DEPARTMENT
- -- - -- SET BACKS FRONT T RLAR LEFT SIDE « RIGHT SIDE
27.nn �_— -�
Permit 4
_A _ THIS PERMIT IS ISSUFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
7 ����, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE
Plan Check _ WORK WILL BE PONE IN ACCJRDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL .APPLICABLE. CODES AND ORDINANCES. TH:= ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COTENANTS. CONTRACTJR AND SUB CONTRACTORS TO HAVE CURRENT CITY 3USINESS
JASX PERM'TS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 1-7.08 .,..,1.'W ." .I •
SDC- 6()0.Op
Total 1. 63 _-_ -APPLICANT---OR A AGENT
ENT
PDC#T , (Mp
Prepd. -`
Dy Receipt No - � ,'�x ADDRESS -----�—`--------`-- -
881. ue (r.:t ,{j jj. �HDN
Issue]By____,_._ Approved By-
aWI,...w.w•dl.y-wMiy..r.YMs.r .xJ..-. ... ... ._.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor cti W 58 .7
5---27
Permit No. (p
Rough-In - ---
7'/Y �t?c - RSA Fixture - --
.7-/L/ ,.- �. Final ---T -
7_14 - _� HEATING
-7-16 a Contractor ggJ0
7- 30 �� car, (.z, Permit No. 7
i� C� d� GasorOil _-
a ,` ��Q Rough-in
ff'// Final
/0 _ v SEWER
` SZ--- - Final •moi- �6 S /
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
` ---- - --�--_ -..� Sidewalk — t
Curb d Street Fir,al c
Approach
BLDG.DE"T.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY - —
Landscaping
Zoning Final
Y
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