13236 SW SHORE DRIVE 13236 SW SHORE DRIVE
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CITY OF TIGARD
OREGON
Owner. Tom Miller Permit No. 6769
1478 N. Sherwood Blvd. Sherwood Or 9711;)
Address: —
Building Address:
13235 S-14. Shore Dr.
Ar- Occupancy: R3 Land Use Zone: R12PD Bldg. Type 5N
= = Comments:
�# = Certificate is hereby given this 15th day of October ' 1987
> " that said building may be occupied an-1 :.�+at it complies with all �
t=i requirements of the Building Code for the City of Tigard, as approved
-r'j! by the Tigard City Council.
r r,t > - �
Fire De. Building
r 7�
Building Offir_al F ;_
_4 Pt►st Certificate in Conspicuous Place
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,� �' _ ' i: c..1' ti y� —✓ tip:
Hill
BUILDING PERMIT APPLICATION DATE / �e ':;'r' 6769
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Thlt_WORK HEREIN INDICATEC BUILDER PHONE
ORA!.SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OW 4ER PHONE
OWNER VI:. �.��.@1C' � (aa.. JOB ADDRESS 133{j ,r.
LOTNO._ , ..2 Ati
ARCHITECT T�iiri:,,--fitLc ;ti
='r" ADDRESS ENGINEER
- _DESIGNER r 1
STRUCTURE Cr:NEW CI REMODEL El ADDITION L7 REPAIR ❑ RENEWAL 11 FIRE DAMAGE DEMOLITION
D RESIDENCE ❑ COMM ❑ EDUCATIONAL I:1 GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE U STORAGE ❑ SLAB❑ FENCE
_ _
CCCUPANCY !�"-�LAND USE ZONE "'1 BLDG.TYPE ___5L—FIRE ZONE. PLAN CHECK BY — ;;,T _HEAT CYac
cAll iO c —
ject to 85 mde.
SEWER PERMITM_3345A (Idi) 3 Nit ls, t.v t'.rti xi gnrai.y? azo 456
OCC.LOAD FLOOR LOAD A'.) HEIGHT NO.STORIES AREA 1.')'K NO.BEDROOMS VP,LUE 71 OOO
BUILDING DEPARTN'ENT+ SETBACKS FRONT 'REAR LEFT SIDE RIGHT SIDE j
Permit 3' ,.Jll — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE, ZONING
REGULATIONS AND At.' APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check %.26.95— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES 4ND ORDINANCES. THE ISSUANCE OF THIS FERMIT DOES NOT WAIVE
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR'-TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEATING.
State Tax aG
Total `i�3 +31 SDC— rit}C60-
PDCN ,154)m00 A' PPLICANTORAGENT
By lid A00
pproved + - Receipt No, c �. i,: .�►tJDREtie —_ ----- --- --o -
HOW
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
r d _---------- Permit
Rough-in
:Inal
HEATING
7� 62 - -
r Controcter /'
-
Permit No. e•/6 't
Gas or Oil
Y=� Rough•in
Final
/ •l� SEWER -- —
d Final —
DRIVEWAY
— -- _- � Final
Storm Drainage
(Rain Drain)Final
-- ,idewal k
— — Curb&Street Final ---_�
— Approach
BLDG.DEPT.FIWk' TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ---
Landscaping
Toning Final
Ndt;wr�t s __
CITY OF TIGARP-, MECHANICAL, PERMIT Pgnntt#
SA wnfo I cods �_ CTY t�"M AW
ToWe
City of Tigard ?lPet., o -0 10.00
13125 S.W. Hall Blvd. I C� 1) tlt Fee — _
P.O. Box 23397 2) Supplements:Permit 3.00
Tigard, OR 97223 — -- --
639-4175 1) Furnace to 1 o0,000 BT;i
Incl ducts&vents _ 1
Furnace 1 CK),0.)O BTU _ 750
2)
incl.ducts&vents
Name of Development 3) Floor Furnace _ 6,00
- _ Incl.ver -{
�q 4) Suspended I:eater,wall heater goo
Job Address �l •�j 3 � t, � or floor mounted heater --
Tax Lot Map No 5) Vent not Incl.in 300
appliance permit
Lot ebcl Subdivision - Repair of heating,refrig.. Soo
Name( nanva of business g) Cooling,absr,rption unit r__I
�- -- -
MalNnq Address ptx,n„ 7) Boiler or comp to 3 HP 600
Owner absorp.unit to 100,000 BTU
-- --- Boiler or comp to 3 HP-15 HP 11.00
city state 8) absorp.unit to 500,100 BTU -_-- -- --
Boiler or comp 15-30 HP t 15.00
r risme �� 9) absorp.unit th-1 million
- - Boller or Tromp to 30-60 HP — — 22.50
Maven,Address ROM _. 10) absorp.unit 1-1.75 million -�-- _-.-
Gontractor — -- -- — --- ) Boilerorcompto50'iP 31.50
Cttyrstate 11 absorp.unit 1,750,000.Rn 1
—_ -- Ah handling unit to 4.50
Sir.,e iteglahetkm Na Cry Bus.Tax No. 12) 10,000 CFM ---
Air handling unit 7,50
t heroby w*nowlerve mat I have react ttva avostatvm Unat the information given is 13) 10,000 OFM +
wmact,that I am",,vmer or errlhortrld smart cd ttvo cwvner,tturt plan-,xibr~He in
com!"Aw ae wtm sots laws,that I am;egwterod wpin tha state Buklora'Board,that me 14) Non portable 4.50
rwrnber given is rxvrera 111 axempt Itrxn State"evolkm Moans give reason below) evaporate cooler — ---.
Vent fan connected 3,00
- _- 15) to a single duct
--_---- ___----�,�- _-�- ---_ Ventilation system not�— 4.50
1 16) included In applianr�sITMIt
Hood served by 4.50
14- 6.11i.
17) mechanicalwhauat!
x.ow .r a p.M) JlI Date 18) Domestic type 7,50
- —t— incinerator_ _
Describe worts D addition O ahoratit.n I-] renalr L7 -- —
to be done reWential'9Z non-reside,tial O t 9) Commercial or industrial 3J40
- t pe Incinerator -
Existing use of l Other i.a.,woodat" water
building or property. 1'. A6) 20)
heater,solar,c.�±othsa dryers,t►tc.
Prc�posed use of t7 -
bulkling or property 21) Gas piping tide tofour twtbt9 -- 0.00 Z
Type of heel__- oil L_1— natural gas ____ LPG El 09ilArib 0 122) More then 4-per tyutM
N9TICL- Wa-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- � �
STRUCTION AUTHORIZED IS NOT COMMI':NCED WITHIN 1130 _ -- �---
DAYS. OR IF CONSTRUCTION OR W.)nK IS SUSPENDED On PLAN REVIEW 20%Of OWT�OTAL l .J
ASMDONFD FOR A PERIOD OF 190 DAYS AT ANY TIME AFTER - - _ 71M o�
�I[�IS QICiI�Nh�IE 0. �� -
t3rpe(ls1'conditkxts
Dale issuod �{ �.� 1 by --2�)
1
PLAN LHLLK NO. �
for inspections call 639-4175 PERMIT N0.
CITY OF TIGARD 639.4171 GATE May 27, w
BUILDING PERMITLpTNO -�22 suoDlvlslo" AR GREEN
P.U. Box 23397, Tigard OR 97223 TAX MAP __-----
.
' OWNER Tom Miller Builder, Inc.— - _ .n .i-CC1IESS _ y 3G —5A L2" 6A,
NUILDER _ ,same —
STATE REG.NO.—..--------EXP-DATE
BUILOER'S PHONE D25-6167
ARCHITECT_ L..car rV Taft PHONE--- ___.OTHER
ST IURE _NEW ET REMODEL__ O ADDITION ❑ R.:PA rt ❑ MOVE ❑ OTHER C3 OEMOLITIO'-
RESIOENCE —❑ COMM (-jEDUCATION ❑ IND C)
RELIGIOUS � ❑ACCESSORY C) GARAGE TLO OTHER ❑ FENCt
BTYPE .'�_`i:—FIRE IDNE=� T
LDG. PLAN CHECK B
EDEA t
OCCUPANCY Q�_tANO USE ZOI c�� - r_ _— �
Construct single --
5 h ctn R5 code, ------- - -- -- --
SEWER PERMITI '(ICIU)
'I- AREA 10 4-d No.
O � vfLVE( ''Q4?l1
C_C.LOAn FLOOR LOAD HEIGHT,r /9 w NO.STORIES —=—••—--
_y RIGHT SIDE
BU_I_LOIN-GDEPARTMENT SET BACKS FRONT �-(� REAR LEFT SIDE
Pwml1� THIS/ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDINQ CODE, ZONIN"
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AOREEL THAT THE
PlanChsck .2 '?4F ',� WORK WILL BE DO;'- IN Af.CORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE tSSUANCI` OF THIS PERMIT DOES NC'T WAIVE
P1 Gk Fk� RESTRICTIVE COVENANTS.00 TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TU.XPERMrTS.SEPARATE►ERMIT REOUIREO ORSEWER, L MBING DNEAiINQ
sloe Tuc _ ; ` bsry l 11 I ,
— — SEX'
Tot&1 _— _ �i l A ICA 01 AGENT
°�' 1478 N. Sherwo Blvd. Sherwood_ 625-616:%
Propd /I p --• .040141
ADDRESS
WI.Duo-___ --� 1 ;
Issued ---Approved BT_—
SSD(
50C - o - RECEIPT N
POC - DATE PD.
-_- - -
---------�--- _
L%g� AMOUNT PD.
5CWER CONFECTION 1; 6 << - «��
5CWC9 INSPECTION ;Z�
� - t'
SEWER SURCHARGE S