13134 SW SHORE DRIVE wx wi
13134 SW SHORE DRIVE
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CITY OF TIG ARD /
.= OREGON
`� - er: •�• Larson Permit No. _ `
Own
if address: 16697 SW Oak ;lora OR 97006-4034
Bi ldingAddress: 13134 SW Shore Drive
1 R 3 Land Use Zon.: R=2 P D Bldg. Type ;
Occupancy: — i= = '
Com-ments: .
Cerldf3cate is hereby given this / 8 :h day of January , 19 s 3 �`. �_.
nr r \
that said building may be occupied and that it complies with all 1
requirements of the Building Code for the City of Tigan-i, as approved -,
` g by the Tigard City Co,.nei:. '
C2X-�
Fire Dept. Building Insprc�pr J }
Building OfficialT- �`
'c
Post Certificate in Conspicuous Place
, �y `�!'�'$+�•n11�.""1, -.i. --.':J� .�" �"Y �. �+
Wj
� tJ4`s i'�• ;��"�%Wr 'k^'-O�� `aw. i.r.y ��T ��`.�C��1 �t*^3►�',�6„�,k...,'#a .r>'.�-A�� "ay%�''''��`
`nt.:YSr��-.,'J.wiV��_�=�-sem•�'!k /�J.'� `> ,_--^�� �i .1�� ��'�
P O.B:.x 24397
C'ITY OF' TIGAR D PLUMBING 13125 %; HaU
n{y,licanhmust, usl t old Oregon Registration to conduct a plumbing Tigard M 97M
FBF.R M IT 639-•11175
business cx must be Property owner/operator not hiring outside help.
rjNartte d Developrrtenl
_ !';umbmg Pevnil No.-51/
Address Description
13L,3 s I�'� �'t-i-l�' ORS 814.21.410 (]UAN PRICE AMT
Job Tax Lot Msp.N).
Address
--- FIXTURES
Lot Block Subdivl —--_ _ -- - ---- -
? Sink �_ 7.50
M 73/er�.e�'orname o business) L r Lavatory -- - -- - 7.50 a
- ktl/` S o x) a m e S Tub or Tub/Shower Comb. 1 7.5u Y '7 t-
vq cess
I Shower Only J_ 7.50 7
Owner tale ( , J: rip Water Closet_-, _ 3 7.50 ` A
O! t' O A� q '7 60 ) Dishwasher -i �- _ 7.50_ 7��
Phone GarbageDisPx,sal 7.50 -7
atm9 Washing Machine -_ -- - 7._5- 7 —
Floor Drain ISO
m _
ary rens ----- Phone— -� Water Heater -- --- - 7.50 7 '
Laundry Row Tray 7.50
Cc,;upsnt City/Slate Zip ---
Urinal 7.50
------ ma �- -- -P x� -`- Other Fixtures(Specify)--- 7.50
7.50
t 7.50
s S n� _ 0- .5776
Cortt �J raotor /$tat
MISCELLANEOUS
City&A tax No SRwer 1 of 100' 90.00
card No state a a Tk.Ao' K aa.Addit 100' - 15.00
!Ile tis I) Water Service 1 st 100 20.00_
I hereby ackrwwledo0 that 1 the read Ctla appll-Atlon,Mtat Ifts information Water Service as.Addit.M)r _ 1500
gKW+is correct.tf;;1 I am roVslered wait,.is State t'irdklars Board,and alsu Storm!I,Rain Drain t at.100' 30.00
have a State rlu mL4nn boensw that ttte members gam'are orvrw' "tat all -
pk,rttbktg woth will be dor.;:+n aaoordenoe with appMcabb prcwisk, he- Storm 8 PrJn Drain Addh.100' 15,00
¢on Rc,vised Statutes ChaMeAt M7 an'893"applk able ox)des. ,r that Mobile Home Speoe --- 25.00 --
no help will be orrviofed rytless ik-enasd under ORS#W3 (It exempt from -— - --- -
State roostarksn•plow so give reason below) Bade Flow Preven0on
I-K)wAEOWNEPS-I hereby owtify that I am the owner of the pmp rty de DevYx or Ant!-PoNu+on Device _ 7.50
scribed abr".IN~Ir:cation I propose to make a pk/r*A7 Installation for Any Trap or Wast Not
rmy own use And thle ptr1wrty in rtor being eonstrucied for sale.base or rem Connected to a Milk" 7.50
Catch Bagln 7.50
kap.of Exist.Pkrnbirtp--- 40.00 Per Hr _
- Speidally Requested Inspeoftu 40.00 Per Hr
Met.of Pkrnbkq within
' an Extolling Bldg _ 15.00 min.
A q"rD SIGNATURE -T Dah a Now Bldg.or BuMd.Add1Ua+ 25.00 min
J - , 'r - 1 A @1[31111 V
Describe work new$ addition n atf rebm❑ Mpah❑ c3re1].iI[ 15.00 t y
be clone_ residential ^� ran-reeidentiel
ktdafirty ut4t of
tx�or prof*,rtv - - ----- __ OWTOTAL L�, U
�1r 0M1et1 u"of - -- - -_ ------ ----- u WIIt3i4AlId! (r Et J
'a
—TO U
Tt*Pow,beoortres M M and road M worts tx owwftw on auNto U*(I ionot ovm
wMwmd w*+ a atotk%MatapM%W a dM*&%ad for
a;MMd et 1 J Gaye M d ry 4M,.abler wM*Mom, Mrtosd
Bete lontwl _ by
.705
BUILDING PERMIT APPLICATION OATE__ __--------,19-- 04.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOH THE!^.' .P..HEREIN INDICATED BUILDER PHONE _
(?H AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PyWjE�,.,
1 .Tl. , CIrl ll0ri'0t OB ADDRESS ! - -y 'S•� LOT dQ./11
OWNER laK S 4 --- 311
ARCHITECT
ENGINE.E^
same ADDRESS
DESIGNER _
BUILDEA
R — --
STRUCTURE El NEW ❑ REMODEL U ADDITION Li REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 0 DEMOLITION
0 RESIDENCE ❑ COMM '.A EDUCATIONAL 0 GOVT ❑ RELIGIOUS O PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY — _—LAND USE ZONE ._ —BLDU.TYPE FIRE ZONE PLAN CHECK BY __HEAT
—
Construct si.ngij-, family d+welltnu w/att:arh#3d_..jar'pqc,,__all_per approved plant. _
ub,icct to 85 codo Subject to Amast $360
SEWERPERMITM 34`213, l.du) J 3 batlis, x0___ rt s a3arailr a 410
1 +4%"f
OCC.LOAD FLOOR LOAD -0 HEIGHT ��� NO.STORIES ? 1 AREA NO.BEDROOMS l VALUE 0308
BUILDING DEPARTMENT 4' v 3�_ RIGHT SIDE v 'I
SET BACKS FRONT REAR LEFT SIDE
337. 00
BUILDING CODE, ZONING
Permit THIS PERMIT 11; ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE
219.05 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE6Y AGREED THAT THE
Plan Check WORK WILL BE DONE IN A( I �)RDANCE WITH THF PLANS AND SPE,'IFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODLS AND ORDINANCES. THE ISSUANCE C. 1HIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— 16.85 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,? H�
LUMBING AND _ATING.
•00
State Tax _
Total 72 ,90 8nr - QUO.n0
APPLI 'AGENT
By -�Pr j la0.00 CVI0Ii
Approved
Q 7 a Recelpt No. ADDRESR — P OW
�..a a INttrd TYPE INSPEC.I ION REMARKS PLUMBING DATE
Ar
Contractor 6 /,
` Permit No. 54y --
-- "7'.A- Rough-in
�—
Fixture
d 1 ( �. —�� Final -
(a -�� � L __ � •1 HEATING
Contractor
Permit No. SOY
C4, �v i-� 08.1 or 011
. /� — Rough-in - --
��' �r, /� -- ]J Final -
��ocGo 4 O/ fj/ �1/i"�,/�I-lam _ SEWER -e-
I Final
of 4f
1 .2 DRIVEWAY
/Ld !�t Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Strcat Final
-,. Approach -
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPAIVCY Final
CERTIMCATE OCCUPANCY
LeAscaping
tonlny Final �-.
r
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: C 2-
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 400 ` C)U
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, " edition.
PROPERTY OWNER: - - ;i_ / OWNER'S ADDRESS: /�a�' -7
CONTRACTOR: TEIZPHONE:
.iO3 ADDRESS: �)1 -�[ ����1 y� LOT NO. & MAP: L�) 2 -721
DESCRIPTION OF WORK: , .-' 'C-'" � QP
Approvals Re(aired SPECIAL NOTES
0 Planning Dept. O Reissue
Engineering Dept.
O 0 Flood Plain/Sensitive Lands
O Fire District 0 Sewer Availability
O Other 0 Other
Items Required
0 List of subcontractors
C-) Business Tax
0 Calculations
0 Truss Details
OParking Plan
OLandscape Plan
O Other
COMMENTS: T-C C n(.'Q Ca
City of Tigard Building Department
BY: --
--- BUILDING Pt:ItHIT
- tre1�116'Jwt PEYtMiI' NO. : '-;70_� _
TIGA"
cily UF owoM DATR ISSUED:
COMMUNITY DEVELOPMENT DEPARTENT FRII�.PMT.iro.
mv,T41VA one"w m►.An)01-14"
JOB ADDRESS: _ T.
L_--------- --
rki to-,LOT •ins/-.a3.Dt iuio sus:
I.Alla USE: Vp.LUAT LOU, _��v,3- ---- SETBACKS
t'OT SIZE: __-- _. - FRp4i1: . �- SEAR: .Y 2.
Lg : _S; J v RIGHT:
S 3
WORK MASS le k) pW81-W UN'T8:g0.O.is
USE TYPE, __ - liBATHS:
COMST.TYPE; - T►t ps -__-4--
OC(.'UP.GRP.: _.e_3 i y F 3
ocCUP.LOAD: TOTAL A XA:
?.33 moor COlAS1': r=� "rte FIRS Ra•::
VO.STORI
2 1 - AREA SEPAR:
R'S:
w -
2U fi
29D. °
3RD• 'UP.SEPAR: __----
M,ZZd►1AIIn... �_____ AARX01: Ln_ FIRE SPRXLR• ALlit�i:
FLOOR LOAD: - � -v. FLOW (am): _ -___ Dt'•'BCT:_
CORE:
HEAT TYPE: ._�:'- -'-- `--)CP.ACCES8: .-___._
PLAIN LVECK BY: -_- ------..
MARKS: —"- -__ REISSUE O
REII
_ - -------_ LAST REISSUEr-
SEWER PERMIT: ' 1 r - _._ ---- -
0 TEs �
prmaT
N Add r AA-L _ - ,.-
E ----._ -
PLAII REITIEH
T1."RE VKM
STAVE TAX
o me
Na : L� ^����F ^!�f <;
DEYELOt�'MW CHARGES* ��n
T Address: - SDC (STORK) ---- - -
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A �'�t�Y�`-fi--�r�` PDC ------
C _
�' PREPAID /p U
7 Phones �(2._7 �' .�'�' - - -� ��w. �a
San�f�-y
O /�t 3 TOT.AL . /
� 0.
4J(/, �� RECEIPT NO.
RWJIRED INSPECTIONS SMIRR
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1►ovIRDATIOIA hIA1.1.. IiATEE� D�NEs
p= & BRAN
pL3. IfNDI"LAB CITY APPROCN/Sw
St AB FINA1.
Py'S.T+OMIT
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wiim PLACE
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- it**SIgn4ture _ _ ^ --- -- f;YP.BOAPD
By: __------ __
-- •-Ilig'P>f�,'T'':D1!f`b`3'9=t1"1 T'S"__- __.--_-_..-_-
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CITY OF TIGARD MECHANICAL PERMIT psrnit .
IIi�►M� wwr• tm_ p4m tors
312Of
5 S.W rail L.»vd 1i Prn*Fsr# —_ � -0- -0- 10.00
P().EaK 23-397 r,Ittnwl awtmll �,nD
Tigard,OR 972Z1 _.
Fumiak)100.000 BTU
') Inc'+,duda a•refits i 6.00
2) Furnam 100.000 F TU -f �-^� ~7.50
kid.duds 8 vvft
�rMr+»d O�wlopmw+l r`� tftl0l 1r11t10a `---- �-_
I 3) Incl.vwd 800
.iob Aid ow 41 ,usperded heater,wall h.vter 6.00
ACldreres _�a;� �i .S �� or floor mour4sd heater I��
ThxW /V/L" mop No /J =35c 6) �1<not W.Kl VKI
w _3Z Mock sub Asian A., .r permit
—._.— -- --
-- Mom mor nrrw of buwwn) 6) Rapalt of hsatN refr Ig., 6.00
000*Q•absaptia'unit
Owner Ms*q Addrem rlorw 8oifor or 00mp to 3 Hp
unit b 100,000 BTU 6.0f)
a4 `- Soft or oomp b3 HP-16 HP
a) 11.80
absornit to GCA,000 BTU
unit —
wn►s Bdlsror comp 15.90 HP 115.00 _
tNt 1.1. ta�lr�o�it -
c,0#*mcjm 2 -
p+p - __. /1► ®oMi►orotafttp�bflt►PIP 81.90 T
trt*1 T,d0.�000 BTU
fub hswsaen 11k cov em ala tea, 12) Af r t0,C00Cf9iA htll0 c tlr*b 4.60
_
1 Irlrtry Mal I Will so I IoM mal ok.r4smmm to 90 Mbal-ON Imm Is 19) ��unit
r ?.60
�
oornal ort1wnoroomwerltrdb �
Nov.. omm,mdGb~svIn ---
aoe�iw�o•so 1101%bow sb I m w,Ill I , "m"owe ame war to"sr vu 14 Nonpwisible
m.bw q w o M em.ol O www"doe»am.Imsha l 0moss om m m"hom ) fvapolals coWer 4.60
15) kvm duct
�ton OorUed 9.00 z—.60
16) VecOatbn system rx» I 4.50
Inakxfed In a None pennH
--------- -------
4_^- _ _ �.,..._.... 17) exhaust4.60
_ �� - DOW Is) Dmm*" 7.50
work / `' E) rep
e�kf'4ion f7 wwrs*m air O
to be rior�
die_ �resk;►retial — n +usntl
Ndal 0 � 1 a) Uonxrlercial or Industrial 30.00
__._. type krclnerator
Exletln�use 0f -- --- - --- - -
Wktnp or proper" -.-_- -_-__ I Other I.e.,woodaWye,water
Pm posed use of ) hatferrsolar,ckMm dryers,r•^ 4.30 ---
hu4dnp ix fY_- _ 21) Gas plpinq one to tour outlets 2.00
Type of furl - NI r.) iumural pas IPG O electric U -
22) More thorn 4-per mw
NQINL Sue-TQTAL
THIS PERMIT SECOMES NULL AND VOID IF VVMK O+' r,ON- ---- - ---
STfll1CT" AUMURUED tS NUT C r-44EMM"THIN lao 06 SUrICHAAOIlt 1,73_
DAYS, OR IF'OOiNSTRUCTM On WOW 19 GUSPOOM OA 8 rt:9 PIAN RS11IlN!1I6X OF BOIaT�ITAII _
ABANDONED FOR A PERIOD OF 160 DAYS AT AMI'TIME AFTen --P -
WC1RK 19 OOMMeWED TOTAL
Sp.cla►CondKbns _
Date issued by j~
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