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ICA` OF OCCI-jr r qC
Cy
CrfY OF TIGARD
OREGON ,,,
herb orissette Permit No. 762
Addrzss: 7470 SW 76th_ Portland, Oregcn
Building Address: 13153 SW Shore Drive Y f.
Occupancy-�3 _ Land Use Zone: R12Py Bldg. Type 5N (t =,
p
ago d
j l Certificate is hereby given this 27th day of Awuus t , 19 37
that Faid b-gilding may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved !?l;
`+ ,
by the Tigard City Co :ncil.
1
Fire'Dept. U__ uilding Inspector
Building Official
x
Post Certificate in Conspicuous PlaceNa a
ko
,�,�,y""'qd." w0�"ter '9.a: P+r.. -.t �*a'.s'�".'o i.,�.^ �.�+.y- .hl,� .x.� s s.+ �.c" �'►:r::r�'
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ Tima A.M.— P.M.
Address Permit # _
Owner Lit
Bijilder
The following Building Code deficiencies are required to b6 corrected:
Prevented to —
r4'Approved
Inspector
..-- [] Disapproved
Date i
CALL FOR REINSPECTION
❑ YES 0 NEI
► WASHINGTON COUNTY INSPECTION G ' RD
DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO.��� �_
FOR INSPECTIONS CALL: 640-3561, 24 HOURS
FOR INFORMATION
/ CALL: 640-3470
ADDRESS lToj �y �(�Y _ PERMITEF
DIRECTIONS C' 'I
PHONE N0.
i
BUILDING MISCELLANEOUS _ LUMBING ELECTRICAL
ftg post/beam nail mobi.e home ground rain drain temp service
fdn frame apron/ wood stove post/beam storm sewer cover b service
sidewalk
slab insul FINALtop-out FINAL FINAL
gas test
OTHER
I 1 APPROVED EI NOT APPROVED DAPPROVED
REOUESiED INSPECTION
RI FAIR AND RL IN`)I'L[ r HOWV[P Noir: STOP WORK UNTIL:
INSrFCM BY PATE
CITY OF TIGARD PLUMBING 1,3125 54 h� akd
APPI�nb MM holo CW w It4stration k, rmn&<l a pilw ki PERMIT �7'S 7W
business or nwst be 4rop"owner/opertor not hiring outside hei�
Pleerr.a:>wibpmMli `�
Plumbing Pt mll No --
Address n —
011S614-21410 f)Uw MICE MAT
Job Tu LAX
Addrraa M+P.No.
LAO etvdc Wmtwsion — FIXTURES —
Stork
arwne sp - Levakxy
Tuo or Tub Shower Comb
Shower Only - - - —
Owner 'life �r Cp Waler(..bset _ 7 SO -6,G�
Orrhwuher ' -0 ,�n
Phone csrbil"D+spasai / ISO
— Name — washlnj Machine / !y0 7,
Floor f`.wn
VW- -- --- — �.
Tng� ---Phone—"*-- Wate__--
r H.eale—
r L ! So 7' J`J
Occupant — --- __ Lalmdryfloom7rAy ! so
P Cky/Sole` Zip — -- --_
Unna! 750
OlrrarFhawes(Speary) 750
_'_ _
Corltrsictor
.cssr, !� ,rlljll MISCELLANEOUSU�fy
6"'DTAX
—NO &rAw 1 at 100, — 3000
Me
00
Me m — --Lk 100 1500
Waw Sarviar t It 100 - 1000, e.
I hereby at*--mdoa NW I hemi raw MIM app!ewon.owl"k%ormallar, Warr SeMos as AWd.20D' 1500
Oh"wr r oarracl.trit I.w regie0a d wOh Mw 91-)@ BlAtet tori .and Moo ebur.9 RANI OrLin t at 10 _ --3000
hawe a Stela PLanbhrp foionaa Ow MIa ntmtwe pMn ars omrwh owes -- -
Pk'mbirq work w Al be dr rw inswordonce-AMI qj Or"11a or visio ra of Orm- 8Wm S P!dn 0n1n Add" 100 1 S 00
ti)n Rrrvhad SIMAN Choplere 447 arrd aq wW appkst,. x%s and ria! MabNa
ro help wM be arMWW4 orae..aoarwd wder ORS 03 (M e>oarnpt from Spa�oa ---- --- --
S tato raylsfW PM+Iaw"Pseem bebw. sad!Plow PrMnMon
H OW(yYW*M-I hereby ovrWy Mrd I am Mia I wor it to prnprq tL- R!wW or Anf4%*Aron Do"* ►50
sQ*"d lbw^al w dol bosom I$ Cq a a b make A�::..n ftt6v IIM'"In ko Any Trap or Walla Not
rlry rwn nM and MIN PPOPOM la nal b*q am*4 ftd for ear.!alae or two _V fnawOMd Ib A fiAurA 1.10
I+M OIExw ftoftft -_- _. _ W OO Per IM
40 go Pw
is on rrv.
OIL
til
�1�cebl�work n�r agrgo" !�V im,,,❑ "W*0 &suing � mot) �
� tuflAral/ �wnlwrri.w+�*+Me�nutatlrl► ws•f�
���r w IwM r�61101 t115 M���s04'sAnrnlernl�/br
VAMM
of
p .-
__ --- — - Oft wued _ r _ �-- �•\
----- -__ ----- - -- . sae, ••
BUILDING PERMIT APPLK;ATION DATE_.._ 19 4762
THE UNDERSIGNED HEREBY APPLIES F OR A PERMIT FOR THE WORK HLREIN INDICATED BUILDER PHONE 246-880 3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLP NS AND SPECIFICATIONS. OWNER PHQtf _
moi? ?C1C�->�xOQtT
OWNER llerb Mori-sat tO JOB ADDRESS 1.31.58 SW ':'x�rC Drive LoriNQ —
ARCHITECT 1
Bf3j 62W. 5-2--811 74701 ^W 76th,Pt1Tnd ENGINEER 'rrihcity
BUILDER ADDRESS DESIGNER
STRUCTURE ❑'ANEW L❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
C� RESIDENCE ❑ COMM ❑ EDUCATIO�;AL ❑ GOV'T ❑ RELIGIOUS ❑ °ATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE_
OCCUPANCY LAND USE ZONE 'j��LDG.TYPE ��T—FIRE ZONE._____PLAN CHECK BY �' ''? HEAT
::gc single tami IY dweII in v/n f,�S�L�.� -"i �._`'�� _rye' ca:j=vmauls. _
%biect to 65 cede. ;ub7ect to Ama'. t "2160 scvcsu charas. _-
- (it- 666$. Votes 5' S.z'r_-at 3u tii' v e�agicalgil L,
SEWERPERMIT N 33450 (1du) 2 bath, 8 traps 528
OCC LOAD FLOOR LOAD 40 vHEIGHT )+ NO.STORIES�^� AREA �ZII NO.BEDROOMS 3 VALUE—_ QQI
BUILDING DEPARTMENT SFT BACKS FRONT 21 REAR ?'� LEFT SIDE_ 5 RIGHT SIDE 5 _
Permit .131 .00 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 itg_QD WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERM11 DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax
Total 31.14.24 SDC— {>(i(?.Q0
By —' 40.00 PDC# 1.20 00 APPLICANT OR AGEf T--�
14 4.Z' Receipt No.
Approved ADDRl98T ` Jf� -- -- PHONE
I
DATE IN-A. TYPE INSPECTION REMARKS PLUMBING DATE
_.. _... Contractor
Permit No.
Rough-in�Ygx
7/�/ �s./-C�t� G f✓/1,yJ L �� �c/l�'y fixture-- --
Final
HEATING
�1 I Contractor
7_Z� + — e-s Permit No. L4
LT
Gas or Oil
Rough-in --
L`t'� r, e0
SEWER 7'�y
a' Z7 Q�J I<� -- �_ Final —
DRIVEWAY
---- --�.—_� —_— Final
Storm Dreinagr
-�— _ -- (Reir,Drain)Fical
— Sidewalk
Curb&Street Final
— —.__��.� --•-- Approach
BLDG D[PT.FINAL TEMPORARY CERTIFICATE:OCCUPANCY Filial
CERTIFICATE OCCUPANCY -
Land6C6ping
�I Zoning sinal
1 Y Ur I IUArILJ Wilt-I.rnA1141t oAL r cir-t,wIIo I Permit N
Deccription
Tonle�A Ntia hanlcal Code OTY PRICE AMT
City of Tigard
13125 S.W. Hall BIA. 1; Permit Fee _ - °_ 0 10.00
P.O. Box 2'3397
Tigard, OR 97223 21, Supplemental Permit 3.00
639-4175 1) Furnace to i 00,000 BTU
incl,ducts&vent; _ 6.00
2) Furnace 100,000 BTU + 7.50
incl.ducts&+ents
Name of oeveiopmem / 3) Floor Furnace 6.00
_ incl.vent
Suspended heater,wall heater
Job Address 4) or floor mounted heater Soo
Address � ��� ��.� — -- - ---- -
Tax Lot Map No 5) Vent not incl.in
300
appliance permit _
Lotti Block Subdivbion - -
Repair of heating,refrig.,
Noma f0;n/fhe or siness) 6) cooling,absorption unit 600
Boiler or comp to 3 HP
Ow er Meiling Addrass Phone 7) absorp.unit to 100,000 BTU 8'0 _
atyrsiate zip 6) Boller or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU _
----
Nen'° ) Boiler or comp 15.30 HP 1500
-� 9 absorp.unit 1/2-1 million
Melling Addre Phone 10) Boiler or comp to 30-50 HP 2250
absorp.unit 1-1.75 million —
Contractor — Boiler or comp to 50 HP 31.50
Cltyrstale Zip 1 1)
absorp.unit 1,750,000 BTU -
Stale Registration No City Bus Tax No 12) Air handling unit to 450
10,000 CF M --
13) Air handling unit ?so
I hereby aElwl
tnoedge that I have read iinm
s appi"Iton that the information given is 10 WOCFM ,
carred,thet I am fhe owner or suet orited agent of the owner,that plans submitted are in ---- -- —- —
oompliarxx with Stale laws,that I am regislsr^d with the State BuildersBoard,that the 14) Non portable 410
number given Is correct.(If exempt from stale registration piesse give reason beiowl evaporate cooler -
Vent tan connected -2
100—. _-_-- - --- 15) to a single duct - - L --
_ _- _ -------- ---- 16) Ventilation system not 4,50
included in appliance permit —
JT—�-- _ 17) Hood served by 4.50
mechanical exhaust —
_—(oiwrter or agent) _ DaN 18) Domestic type 750
4�
Describe work L I additi n ❑ alteration ❑ repair ❑ Incinerator
to be done _--residential non-residential ❑ 19) Commercial or industrial 3000
type incinerator
Fxisting use of
11
building or properly - "� J 1Gt Other i a,woodstove,water 4 yQ
— heater,solar,clothes dryers,etc
Proposed use of - --
building or property _-_ ------_-__-� 21) teas piping one to four outlets ' 2,00 Z
Type of fuel - oil (7 natural gas 11_4, LPG ❑ electric ❑ -- --
-- 22) More than 4-per outlet
K - SUS-TOTAL
THIS PERMIT BFCOMES NULL AND VOID IF WC9K OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SVRCHAROI
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%Of,BUS-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMF_ AFTER
WORK IS COMMENC:FD TOTAL 7 7i
Spocial Cunditf n6 - - - -
Date issued - r--=�— by !
F'LHN 0ILLn NU.
for inspections call 639 -4175
PERMIT �'0.
GATE
CIT!OF TIGARD 639.4171 � ^ �
i�-' __—w,,,�.� `7" -"e
9ILDIN0 PERMIT Y
P.O. Box 23397, Tigard OR 97221 TAX MAP _-L.OT NO. 25 a1NpV1MON -'
OWNER �' � y "'(. iG � JQB AIX)RESS
BUILDER STATE REG.NO. %� ' � EX►.OATII ..
BUILDER'S PHONE
ARCHsTf.CT_ `j.t f l � PHONE _OTHER_
STRUCTUhE; AD NEW C) R9MOOEL ❑ ADOITION 0 REPAIR ❑ MOVE ❑ OTHEA C7 DEMOLITION
C" RESIDENCE ❑ COMI' ❑ EDUCA,ION ❑ ONO ❑ RELIGIOUS. CIAC:CESSORY O GARAGE Cl 0'-HEA ❑ FENCE
OCCUPANCY `__LAND USE ZONE ___BLDG.TYPE ___FIRE ZONF_ PLAN CHECK BY . AT
^Construct single family dke116ng w.a�tt ;1�d aara�P�-at e:-aPPrnuu1l40-aQ4._� —
e�- r LA--L
SEWER PERMIT/ _ '(I du) _ baths. -�Eraas� _ aaraoe_argai
OCC.LOAD FLOOR LC AD HEIGHT _ NO.STORIES AREA % 1 NO.BEDROOMS VALUE
BUILD!NG DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIVE
Pwm11 c9� THLS PERMIT IS ISSUE')SUBJECT TO THE REGULATIONS CONTAINED IN THE Btr!!^.NO CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES.AND ORDINANCES,AND IT IS HEREBY AGNEED THAT THE
KM Chock `,'0 . �` WORK WILL BE DOME IN ACCORDANCE WITA THE PLANS AND SPECIF.t,ATIOMS API:0 IN COMPLIANCE
WITI!ALL Ap sLICABLE CODES AND ORDINANCES. THE ISxUANCE OF TM:R PERMIT GOES NOT WAIVE
IPL Ck.F" R1=5?RK TM COVENANTS,CONTRACTOR AND SUB CONTRACTORS TO M,AVE i v'IRENT CITY BUSINESS
I TAX PEhMfM SEPARATE PERMITS REUUIREO FOR SEWER PLUMBING AND NEATINO.
L&A-1.
Tai SSG�C
39 �� L APPLF^ NT(RAGENT
POCl'
AODHESSRacslpl Nous 2,
Issued ey___--------gpproveQ 8y__.- --
SSDC $
SOC - '¢ _.
—' RECEIPT #.__
POC - 4 -
- DATE PD. _
SCUER CONNECTION 5 AMOUNT PT)._��
SEWER INSPECTION S
SEWER SURCHARGE S
o mm e n t e r ----
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :��
PLAN CHECK APPLICATION DATE RECEIVED:_ i
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: r v
This is to certify that the attached sets of plans have been submitted for plan
cl;N,.k pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition.
PROPERTY OWNER:4L / ��r/.�� OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: / �� C `/ "�"
" LOT NO. 6 MAP:
DESCRIPTION OF WORE:
Approvals Required SPECIAL NOTES
OPlanning Dept. eissue G
G Fngineering Dept. O Flood Plain/Sensitive Lands
O Eire District O Sewer Availability
O Other O Other
Items Required
OList of zubcontractors
OBusiness Tax
Calculations
OTruss Details
O Parking Plan
OLandscape Plan
O Other
COMMENTS:
City of L partment
l2--
BY: