13326 SW SHORE DRIVE -- 13326 SW SHORE DR. --
1�
W 4W
zwsr crio tJN.rrlCE
City of Tigard Bull•ling Depsrta•«nt
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspectsok.,Line (Rec-0--Phhone): 6?9-4175 Busir6es Phones 6?9-417
Inspections_ -ad,
Foot Inv Pl,bg. Underelab Mech. Rough-s.n Appr/Sdwlk
Found. Pihq. Top Out Gap Line FINAL:
Poet/Bears Stru(- San. Sewer Framing -Bldg. P
Poet/Beam Mech. Rain Drain Insulation Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mech.
I .r
Date Requested:--�__J_-- Times ----AM PM
Addrossi
Builders
1
THE FOLLOWING CORRXC`1ONS ARE REQUIRED:
4 2�4-2,2 /J&44-1G iST i e tj 04"gz �1 _
L:�k AC r-
Inspectors _ Detes_
APPROVED DI:4PPROVED 4---; ED SUBJECT TO ABOVE
Call For Reinsp.
LT A�M
MECHAN i CAL
����►F TIFARD PERM IT
CIT,OF TWARD 1:'R 14 1 T 0. III-A-1 910-0222
COMMUNrTY DEVELOPMENTE)EPARTMENT ORIGHON . .
I-11A-qWHW1 BW. P 0 Bax 23397,Tigard,Oregon 97223 (R13)09-41716 Pr�*AATI. PERMIT ft. 11E."C.90 0'222
DATE'. ISSUED- .10112190
S-14" ODDRESS. . .
V.I.,V.I G.J.0 H. ZPANG:
14 L 0 C."K. . . . . . . . . . . LUT.
..........
CLASS OF- WORK. -ADD F'LOOR FURN. 1--*.VAI-.., COOLERE
TYPE Or"' I;SE. . . -SF UNIT 1-4f:'WYE R VEOT FANS. . .
(.)('CU1::'AN-`Y GRP. R3 V E.N T S W/0 A P 1--.1 L VENT 9)Y E IIS
STORIVS. BOILERS/C'011PRESS)ORS HOODS.. ..
FLIE 1.- u7••••3 W.". .. . .. . DOMES. INC'IN:
/W09 9 D 3-15 HP.. ., „ ., CIOMML INCIN!
MAX YNPUT.- Wr U 1.",•S.-:30 Ill- REPAT)
F I R C:' D A 11 PEA S'11. N 30---°r0 HP. WLWDST0VL:s. " I
GAS i`,U--SSLJRE. 5@4- 141'"hi( CLO DF.YF.'*R':'). :i
l•lS 0 1 R IA A N D L.I 3 U N.1 T S OTHE:R UNITS.
0" ` N""'
U R H < 1.00K PTU 10000 c.,fill-. 1i A S 0 UT L F T 13.
F"'I.)R I'l > ..:1.00K EIT U 1.0000 rfrii-
R e ni�1 I -:i
......... .............. ; EES
WILL ti 1IIC,1--1A1 L F:' A NT U N E S t Y r)v -A A)0 Lk V11 t b Y fiAte
1332( SW SHORE PAYM $ 15. 23 ,ILEI 10/12/90
PRVIT $ 14. P50
T'IGORD OR 97223 5 P(I I' $ 0. $73
641-1355
(,0141ROLIOR NOT ON F: 11..E
............
e 1:1
Rr::('-'MJR'ED TNGFIEUTIONS
This Permit is issued subject to the regulations contained in the WL)c)c1-.t0ve
Tigard Municipal Code, State of Ore. Specialty Codes ano all other
apirtlicahle taps. qll work, will be done in accordance with
approved plans. This permit will expire if work. is not started ...........
within 188 days of issuance, or if vork is suspended for more
than 180 days.
...............
Pp-rnij.ttep ..............
............ ......................
t.(f3
.......... ............ ......................
CatII icer J.VIS W-Irt J.or) 4,39 41'75
CITY Oc TIGARD MECHANICAL PERMIT Receiptrtt
13125 SW HALL BLVD. Permit# _zzt145 14
F. O. BOX 23397 Description
T I GARD, OR 97223 Table 3A Mechanical Code CITY PRICE AMY
(503)629-4175 1) Permit Fee -0- -0- 10.00
Name olOmrebpnortt
2) Supplemental Permit 3.00
Jot: Addrm ---- 1) Furnace to 100,000 BTU -- - -6.00 _
Address 2 1 Incl.&acts&vents
Ta-1A1 Map No. , Fr, 100,000 BTU +
1 ' BM'ck SubdSubdivisiona
2' incl.ducts&vents 7.50
ift or nanle d buay>wl ) Floor Furnace I'6.00l 3 incl.vent
Malratp AduresePltcxts Suspended heater wall heater
Owner z1 ` 5 t dUr_- ('"A I 5�.,._ 4) or floor mounted heater _ _t%00 _-
CkyralaN zipVent not incl.in
5) apnliancepermit 3.00 --
Nartw(o mrtw of ) Rep ear of heating,refr ig.,
N•--�- 6) doling,absorption unit 6.00
1AalwgAddroas pts --- 7 Boiler or comp to 3 HP 8
Occupant ) absorp.unit to 100,000 BTU
city stale - zip 8) Boiler or dmp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Ne„p 9) Boiler or comp 15-30 HP 15�0
_ absorp.unit 1(2-1 million
Mailing Address Phone 10) or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
Contractor Citylslate -` 11) Boiler or comp to 50 HP 31.50 �-
absorp.unit 1,750,000 BTU
Slate Registration No
Orly Bu; T No. ) Air handling unit to
12 10,000 CFM _ 4.50
%C Air handling unit
I hereby acknowkx* that I have road this application that the i-dormtodn given is 13) 10,000CFM + 1.50
coned,that 1 am the ownor or sunwrized agent M the owner,�wr plar�sr✓rfiMed are in _
rxrnpkar,ve with State laws,that 1 am registered with the Bate tt')ikfors Dowd.that the 14) Non portable 4.50
nnxnber given is aorrrfct (if exempt from State rogistrktkn please give reason below 1. evaporate cooler
15) Vent tan connected
to a single duct 3.Oa
--'-- - ------ -- Ventilation system not
6) includec'in appliance permit 4.50
/ - - -- ---- - Hood served by
17) mechanical exhaust 4.50
a f' Date 16) Domestic type 750
hescribe work ❑ addition ❑ alteration rf repair [1 incinerator
to be done residential 2' non-residential ❑ Commercial or Industrial
Existing use of 1 Q) type incinerator — 30.00
building or property r��-�` t'�' 20Other i.e.,woodstove,water !
Proposed use of ) heater,solar,clothes dryers,etc. _ 4'50
tuilui.tg or properly • ` ��'� - _ --- 21) teas piping one to four outlets 2.00
Type of fuel- oil [_] natural gas Ef LPG ❑ el,ctric I ) —
22) More than 4 Der outlet
NOTICE ---
SUB-TOTAI. S
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE , r•
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-T(YiAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -
WORK IS COMMENCED. TOTAL
Special Conditions
i
Date issued__�. by
CITY L)F rT(7'CiRD F4ECEIPT OF Pi';YMENT RFC;ETPT NO. 90-20571".1
CHEC31: AMOUNT a 15.2"'
WILL & MICHEL.1J.-'I AN'T UNE GASH AMOUNT 0.Oo
Sol SHO'--,E DRIVE PAYMENT DATE 1(1/' 2/9()
ADDRE I1;:"I .. SUBDIVISION
TU.JARX). OR 97223- SAME
Pl..)PPOSE OF PAYMEANT AMOUNT P�I D PURPOSE OF P,)YMFNT i'iM0LJNT FIA I U
C)"22 :51 RUILDr 7;7T3
1
I �,
-1-CITFat 01-10UN'T PAID 2
'�°� $+6o".a"��.M..�"�W� � �s�Af�j�Sy.,1�h'��'�. �gr+�', ■
?' tom ;t 11IY 41tt' ::;; s :1 :'a1Nj-36: \ t11SP�,.`Tf ti'.,'9tiS``'yi,1.}6f P�. ;S. p'CIR ''=,�' tA1P,, iSfi�,a �' - r 'r'Y ■
�1►w� tt to _ .. NO'� '�t ;r . is k,.� �,.�� ► L �k ,
At-
OF
C CTANCY
CEIZ �. �.
CI' �
�FIG� ■
OREGON
_ .ter
Owner: R.G. SCOTT Permiti o.890289
Address: 11665 SW 98TH AVE, TIGARD, OR 97223 J '
` Building Address: 13326 SW SHORE DR.
Occupancy-R3 Land Use Zcne:R _2( ) Bldg. Type r _ s.
Comments:
'' 13T5 89 '
�'r Certif?eate is hereby given this day of _'t'"'� , 19 Fz
that said building may b;,• occupied an---., that it complies with all
w requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council. ' `
Fire Dept. Building Inspector
' Building CrfficW _
Post Certificate in Conspicuous Place
c -47.. r' -- — — — — — — - ......
'r., � �.+'"'��4 �r.�„ .�. {j+ „'.w'�4.. sµ- t�lr. `s• '41 J
_ `� '�tb�` w�p�'.:.+ce� -"'z -�G�, ""�'�'7?t...w "3 'i .s�"'`�`'°"- e�x^.?b,K.,y ,�,�^"�.rta��*�y�.d•r� ��.$��' � ��vc"�� ,..ra. �,,�...?�:
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2397
Tigard, Oregon 97223
Fhone 639-4175
Type of !ndpection _ ' •/ "`�'�
Date Requested—__ Time__._— A.M. P.M.
Address _���G--- ��!--------
_-_ Permit #Y- f-Q-z.9 ;p
Owner _- Lot #
Builder .-- - ------ _ — ---
The following Building Code deficiencies are required to be corrected:
„A► C, mss'�y'-���
Presented to F -'Approved
Inspector El Disapproved
1s-
Data _.--
CALL FOR REINSPECTION
❑ YEi 0 NO
INSPECTION NOTICE
City of Tigard Building Department CIO
P O. Box 23397
Tigard, Oregon 97223 /
Phone. 639-4175
Type of inspection
C '
Date Requested A. P.M.
Address --'sZ ?'� Permit #
Owner _
. L Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Pt ,in
Presented t
❑ Approved
I mpector
LJ��.�
-- Disapproved
Date.
CALL FOR REINSPECTION
L rss O No
■
INSPECTION NOTICE
City of Tigard 3uilding Department C�
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested Time___._ A.M. __ _P.M.
Address __. 'ZL� rl ^ Permit #_ -
Ovmer ot
Builder
The following Building Code deficiencies are required to he corrected:
t
Presented to —_ --_ --- -_ ['_.l Approvod - --�-_
Inspector q _. ❑ Disapproved
Date 9
CALL FOR REINSPECTION
YES ❑ NO
I
I
��
.. ,
v �
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
C
Type of Inspection
C
Date Requested 2.12 � l _ Time % UU4.M. P.M.
Address �' __ �� -�G C . Permit *107(—)'e
OwnerLot
`' ��t
Builder
The following Building Code deficiencies are rnquired to be corrected:
Presented to k -Approved
Impactor �
j -- __.-- C] Disapproved
Date 12
CALL FOR REINSPECTION
D Yea 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection LILLY
Date Requested 12 "'s ,,, Tim A.M. --P.M.
Address I 0-y-C. Permit
Owner-- Lot
Builder 30 (S_tt r t-)
The following Builcing Code deficiencies are required to be corrected:
17ce 71
PrFsented to n H-W411-roved
I-spector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES iL_1-N-0
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Sheet Rock
Date Requested 4/24/49 Time__ A.M.
Address . 13326 SW Shdre - Permit
Owner_ Scottco Bldg. & Design Lot # _
Builder
T�h/ems)following Building Code deficiencies are required to be corrected: ,
A
Presented to ❑ A
PPed
r
Inspector
Date
CALL FOR REINSPECTION
LA ES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __ 0&1e
..1_—per l(-------
Date Requested ____ � I- -- Tl me�_ A.M._ P.M.
Address 2 3 ���£- _— Permit # 1 �
Owner __ Lot
BuilderThe following Building Code deficiencies are required to be corrected:
-Q
� ' Zle 4,51'CA sz_
Presented to — A .►
Inspector _� r _ t__� Disapprc A
Date Z —
CALL FOR INSPECTION
FPI'YE,S 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 .
Tigard, Oregon 97223
Phone- 639-417(55
Type of Inspection ?a��L�"
n.C
Date Requested _ ��_ Time "I/ — A.M. P.M.
Address .j ?) Z (0 ��i P_" Permit #
Owner Lot
Builder �—
The following Building Code deficiencies aro required to be corrected: f
i
i
-
Presented to _ _ Approved
Inspector _._. Disapproved
Date
CALL FOR RF,INSPWTION
0 YES IJ NO
INSPECT!ON NOTICE
City of Tigard Building Department '
P.U. Box 23397
Tigard, Oregon 972',3
Phone: 639-4175
v
Type of Inspection _. _-_ •����-tf _
Date Request+d t 2 aC-1 Time A.M. _ P.M.
Address /3 2 �� 1 C VAC_ Permit # 1 z��
Owner _— Lot #
Builder _°—LL" `
The following Building Coec deficiencies are required to be corrected.
Presented to �Ty
t. �� 1q'Approv&4
Inspector (/ =TL-- �� Disapprcved
Date
CALL FOR REINSPECTION
❑ YES ONO
INSPECTION NOTICE
City of Tigard Ouilding Department
P.O. Box 23397 ff,,
Tigard, Oregon 97223
Phone: 639-41,75
Type of Inspection P6,3'' 4
Date Requested 7— Time A.M.__,
P.M.
Address3y3,;,2 Coo Permit # _LL. 0
Owner 4/6, - �'7 7/ Lot * - -
Builder / 4L
The following Building Code deficiencies are required to be corroded:
Ce
V/
Presented to ❑ Approved
Inspector _ r FrOiupproved
Date,
CALL FOR REINSPECTION
L*1 YES ❑ NO
I
'■ 'WI ■ ■ ■ ■ ■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ----- --- —— _��_
Date Requested Time - A.M. P.M.
Address Permit # iIL s� �
Owner Lot
Builder The following Buildiiig Code deficiencies are required to be corrected:
Presented to v Approved
Inspector —__- —_._ D Disapproved
Date G�—
CALL FOR REINSPECTION
❑ YE3 Cl NO
W 74'1 WN Fw
CITY OF TI E-A.111 CYLNG PI--'*AMJ-T
GA R D C I y Y�—&�MA 10 PERM., T' NO . : BUS90209
COMMUNITY DEVELOPMENT DEPARTMENT I.?I PH/a9
1:4121-,SW HaIIBIvd PO Box 23397,Tigard,Oregon 97223,(-,03)639-4175
I'M
Al'Awl l 1-31"1 '-W
MAV,/I (I I I 1 3,11.) 6 0 0
I li:iv* I A C,KS
V AL I,J01'1 ON to ' 169
20 01FAA : 1.2
NEM DWE'L I.. . UNAA'S :1.
%0AGA 1::: V,AWIA—y NO . OF:DPOCN5 3 11- %." WAI 1— 1:XIII'll
VY I: I. NO 1:36 11-15 N W
V k0 I .0I-+.N.I'N(.;5
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ill ;1 1,`IVA].NU* E."I(Vi M F
1 6 11) -el 0 0 F".1'.P lli.;: G In,R K 1.-P
F 1-014 11 V,M> I.A.:111,111
141i;1:551.1E. OF NO 811:1. 1 '1
I W5 1 1:4I:1 Ki ti U E, Mill 1.16
0103'KIN 00
IN I- FM T
N 1.:'1,AN PF.VLEM $Z1 0 . 0 0
E 11!1::
II) IL. TAX
C I ()I IMI N I
a a ( -, I uflrl l 111250 . 00
N 111600 . 00
T ICL) 91 D GN NF�E.1 00
R I)L 111:1.
A11 D 10 Y4 00
C
T
R tl 1 ,1 IGln•T :TON NO 19 1. 1 101- f1I 1 ,-el 6 0.1 -1'
This permit IS Issued subject to the regulations contained in Title 14 PEKLEAS"t Ifil 16-2-771
................................................
of the TMC, State of Oregon Specialty Codes,zoning regulations 5
and all other applicable codes and ordinancl and it is hereby F-41:431J.1-11A D TOW
agreed that the work will be done in accordance with the plans and I 0"1 .1 NGIA
specifications and In compliance with all applicable codes and I It I I.I N 1.)A TA.0 N W A I L. 1:1VAlN DPAINS
ordinances The issuance of this permit does not waive restrictive I I Ili,I I V�E;.A M WO Flj.i'N LANE
covenants Contractor Find subcontractors shall have current city . ..
UNDEA:ViA.-AH GJAY APPI:H'.11I--I/t5W
business lax permits. This permit will expire and become null and
void it work Is not started within 180 days,or it work is suspended or 10-61.: F J.NAI...
abardoned for a period of 180 days any time after work has P 10POUT,
commenceI shall
h a 11 be
the responsibility of the permittee to assure
is
Fill Ill q. nsp tions are requested and approved
I Vf, I I Ill
f I
P In ';iqnattjrr-.
Isgil By
%
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
EXI WIN
P'll U, 11 N(:. PlEAM11
CITYOFTIFARD F'EAWET' NO . PI-890306
CITyiXTI&ARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE 15S(.II:A): 2/28/09
11125 S W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)639-4115 P11:11M . Plivi.r . NO 0907289
13*3r.26 !Iiw SHOPE. I'I:
MAVI/1-01 1.5 1.;33 I.X11.Z,600 !AJD: f-, IJ L.. 1 : :1.'7 UK :
()ND 1.19SE: 1:41 1(?P D
T Fl-!:M : NO : NO :
":P '13 TPOUN
NE,W Wr*,I,l, r C1 1L.Wiv.. U
I 11-A 5)TNGI E., FAIVITI-Y 1-114'.CNAL. 1-3110:1-OW 1:11VINITHI
VN L,A V 0 1:4 0*7 ORY 15 TPAP r-`RTMI::.:I4
IF) . G.Al'.) . 1:43 TUE;1 5I.-IOWEA1 IP Ca'PEW51i. 'T'PAPS
DT F.M.-IWAGI.-IF,34 :1.
P WASI-ITPICi .1.
DWFA I.— (JNTT3 : 1 1 AIANI:111:1Y TVAY I-4LDC'v' . DPAYN 111YEA
(51:N K 1. Sr.::WFAI. (F-T)
WATF14 1-41KAJEP J. ORM/P1011N (F-I I.
0
W 1 66,.i i!:iW 90 VIA AVE
N 11,ki'll ()I, ,:, / .!. .:� 'i
E >�TLJWP-
R 1 -1-10HIL, ( !503) 6116-iillill' l. I A'1*1::: VAX if;6. e.)3
C WflAIPE. PAI W.
0
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T I i:'!56011W 'I'll:(aEN 1. T.I.A., Y I ONE'
R
A I't 1:111 tar 9700!-5
(503) 6,el, ....5 1. 1 1
I
01 I,i:(1:I1-) I*PA'1T('.)N NO tsOA 1 UFTAL. :
R
PI-:lCEJl::1'T- NO .
This permit is issued subject to the regulations contained In Title. 14 ................ ....... 2-7
of the TIVIC. State of Oregon Specialty Codes. zoning regulations PEJAUTOU'D TWiPlEt"'TTONS
and all olhfr applicable codes and ordinances, and It is hereby V11.I.% - 1ANIM-A51—Ali-I
agreed that the work will be done In accordance with the plans and 1:1'.Y.",T, & PAAM
specifications and in compliance with all applicable codes and WrYTI-P, I
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city VIL 1:1 . 11:11POU'1,
business tax permits. This permit will expire and become null and Ro IN 1:)l;4A:I'N!:i
void if work is not started within i80 days,or if work Is suspended or
abandnned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all w(Itmed inwections are requested and approved
Per It e ig*nature
Issued
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A-CHANTCAL
Will' NO . : ME.890307
CITY OF TI0A RD CITY OFTWARID
0010cm
COMMUNITY DEVELOPMENT DEPARTMEN r
-KT
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)639 4175 141T M . r-*`MT . NO . 890289
IOU 1-11."iPe., Sw 51.1111411
in�g* LJ : 1.
I.-i)ND USI-E . R:U.'WID
rl 0 : NO:
I-JOHIN' (]AASS : NE"W I"'(.Wt <100K J. ATP FIANDLA <10
l.J!5U TYPE : 15TN(.'1J-r FAM.11:11- 1' F'1JPNACI::: 1001<4- AIR HANDL-.F1 10K
('.11144i I , TYPE VN F L.•(0114 FAAMACAL EVAP COCIII 1-:1:4
I'U.41 VENT FAN
Vl:�:Nl UENT SYSTEM
1411-P/('110M., <:31-1P 1-100D
NO , !-0131111 IF S : I.? 8114,1000MI::1 0.) Ip INCA NE:PATOW(DDM
DIARA.A.. .UNT11.5 : :1 E-11-11 G(JHP 15 :1.NC,J:Nr-.:F4A'1'OI4(COM
I yl:.,I;.,. LA IM 1:4 30 tW11-41:-I P[1.l::,ATW LINJA'S
1;--. OTIAEA
:11 P COMF, 15 0 4.1-11:)
I IA-% DMPHS0 GA5 P,IPTNt., OUTLA.Ali I
11,11,111
A 0 K!J
0 15GO1,T* Pl.'.." I I-Allml T $1.0 o o
W I I 665 G114 9011-1 (-)Vr.:,. I I AN HE.VIE.W $14 . 63
N t,:I.q al.r(1 43 r, I I X I k I CF-A 50
E
R 503 6.16 67 7:1. r ( 1 TAX
0 11 IL41
C
0
N
T l.r r oox ou
P
A
C I AM41::, (!503) -44W 4A.W .. 1;5 3
T
o I'll- ATION NO JINATAW.. 'I't*)*T*A- 1 hsIAl.@5
NEX'E.I P'T NO.
.........................................................................
This permit Is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby GAS l..A:N1::'.
agreed that the work will be done in accordance with the plans and POI!:)I & DU.Am
specificatic is and in compliance with all applicable codes and N
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business trix permits. This permit will expire and become null and
void if work is not startod within 180 days.or If work is suspended or
abandoned for a period of 180 days any time after work has
commpnc�ad 11,1pall be the,-isponsibility of the permittee to assure
all re 11-tilns are requested and approved
rm t Signature
GIII&
issued y — C '1'N!*51f:1'�J*'T-T(-1IN Io,"S-39 41-75
SEPARATE PERMITS REQUIRED FOR WORK OTHER T1 NN DESCRIBED ABOVE
5F-:,Wl::Tq PEAMIT
CITY0FOriGrAw 1:)1*-KI-"4MT,f NO . : SE1:90300
CITYOFY*AOM ]ASSUED: P/Irml/89
COMMUNITY DEVELOPMENT DEPARTMENT 0090001 1"A P.I.M . PM T'.NO . (390289
13125 S.W Hall Blvd-P.O.Box 23397.T.gard,Oregon 97223,(503)639-4175
1.3326 W OR USA NUMB EA:4 - 0371.06
:11.53'.;311)(:.12600 SUB : AM: LA, - .1.7 BK :
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T ND 4119670 9115 0
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PECK-11CI-1- NO 77Y
This Permit 19 issued subject to the regulations contained In Title 14 .1 . 0 1 1 1 A L! 1 N!:il:.'F:.L'TTONS
of the TIVIC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby .1.N
agreed that the work will be done in accordance with the plans and
,;Ijecifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or if work is suspended or
abandoned for E. period of 180 days ;,ny time after work has
commenced It shall be the responsibility of the permittee to assure
all re ad I pections are requested and approved
'e ad I peclIons
P It . iqn lure
'I*I`J1-;I:`I:!*('—T VIN :I-I
15,#SLledy SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGARD .,
n�Rn PLAN CHECK APPLICATIONr L CnyOF� PLAN CHECK N 2 -I
C=OMMUNITY DEVELOPMENT DEPARTMENT Z,1 PERMIT N Do I
_ C
131255.w.KMONCP.O.Sax 2J397.T1984O gon972 , )6394178 DATE ISSUED
JOH ADDRESS: s _ i AX 0AP/LOT 1,3 -.3 3 ,!
'3UB: �( �,Y"j LOT. /-1 - LAND USF:: �Zr / 2 P In
vr,Lt1ATION: `�
'OWNER / SPECIAL NOTES /
NAME: }C �z1✓ ��y REISSUE_' OF: / �D
ADDRESS: ��_���..' � � LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: � �� _
APPROVALS R_Efs1l1IRED
CONTRACTOR PL(,NNING: _
NAME: Cr,--F _ _ ENGINEERING:
ADDRESS: _ FIRE DEPT -_-- ---w�_
-� OTHER:
PHONE: --- _ -- - ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEEER/- BITS TAX:
NAME. _ ` ��--E' _-- ___!__ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
- PARKI:NG, PLAN: _
LANDSCAPE PLAN: _—
PHONE _ ,-__` �_ OTHER:
COMMENTS: —
PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNt PD. B(L. DUE.
cp _ 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
3 ) 10-431 01 Mechanical Permit Fees —_
10-230 01 State Building Tax (5%)
Building
Plumbing G• G ��_
Mech / 7
10--433 00 Plans Check Fee
Building y
Plumbing
Mech -L,6.�
y3 30-202 00 Sewer Connection
30-444 00 Sever Inspection
51--448 00 Strec-i. System Dov Charge (SDC)
52-449 00 Parks System Dov Charge (PITC)
31-450 00 Storm Drainage Syst Dev Chrg (SSUC.) - _.-- AG?_
10-230 09 TRFD
10--230 06 Washington County F iro N1 (95%)
10-22.0 00 Amart./Wod(rwood
101 At
REC N
APF ;A t IGNATURE
Receiv d 1+y : Date Received: 9_1`� , � ---.---
cn/358 P/)8P