13367 SW SHORE DRIVE 13367 SW SHORE DRIVE
I
v
N
Q
a�
N
0
r
M
M
UN
CATSCERTU OF OCC �r
CITY OF TIG RD
x ORFG6N
��`- Owner: S c o t t c o Permit No. 7 0 14
t'r• dr
Address: _11665 SW 98th Tigard 97,223
- Building Address: 13-67 SW Shore Drive
Occupancy: R3 band Use Zone: R12PL Bldg. Type_5N
W
s=; ; Cornents: lot 14 Ari Green
4# ; Certificate is hereby given this 7th day of ,lune
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved
I by the Tigard City Council.
=T f Fire Dept. Bniiding Inspe
{'�' ►. Budding Official y �,
Post Certificate in C
�►� onspicnons Place
ysi
+ � � s . ._..�.... .- . .,._.._.__.._ ..�7'L� � �, ���p -.oma-•_� f -
.; 4��o...Y. "�y.�- i4 �t W; !..4 �,�• � � ....,11�
- _ 1
8� fNSPECTION NOTICE
City of Tigard Building Department
P O, Box
T+lard, Oregonon 97 97223
Phone: 639-4175
Type or Inspoction _ _ /--t,-I--tc _ _
Date Requested_ � " � Time A.M. P.M.
Address _� Permit
Owner ------ --- ---.�Ir'.a _F —^--- Lot #----
Builder __--.---.._--- ----_.._ .—_---__-.--
The i) o ind Bul+o;ny C-�# deficiencies ere required to be corrected:
,
OF
Presented to [ Approved
Inspector [j Disapproved
Data — —
CALL FOR REINSPECTION
0 Yet Cl NO
1
CITY OF TIGA R D PLUMBING 1.1125 sw H311 11M.
Applicults must hold Oregon Registration to conduct a pluoibingi 1'1card M 97223
aa
business or must be pperty owner/operator not hiring outside help. PE R M I 1 639.4175
Name d Dew'�h!ment
G F_f fC _ Plumbing Permit No.
fires• Descxlptlon
Job U ''-�t7�.s ✓ "�' _ ARS 814-21-610 QUAN. PRICE AMT.
Tax Lot Map.No. -- -
Add,�ssa
Lot Bloc* Subdivision -- FIXTURES --- - - ---
Sink - --- 7.50
Erse ry Wynne o business) Lavatory 7.50
a�
Ma11r10 eSaTub or Tub/Shower Comb__. 7.50
--.--._. � --
StiowOr Only ,/ 7.60 j C
Owner Gty3`te�a- -____..---- ZIP Water Closer -- ---_ - 7.50
Dishwasher _ _ _ 7.50
Phone Garbage Disposal _ 4-. -f __ 7.50
Name -_-^- Washing Machine L Y- 7.50 - S
Flax Drain 7.50
al in(j toss----_---- Phone- Water Healer,---- -- 7.50SM-
Occupant t Ky/Slate ---zip Laundry Room Tray _ - 7.50 ,
_ Urinal 7.50
a,nePhone tattier Fixtures(Specify) - _ 7.50 -
q � -�
i
BUILDING PERMIT APPLICATION DATE_.
THE UNDEPSIGNED HE'AEBYAPPLIES FOR A PERMI f WORK HEREIN INDICATED BUILDER PHONE FOR THE C 154ti-67i
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE�___ _�._...�
LOT NO. Gr.een
OWNER __, _ JOS ADDRESS 13t7h„'
4'1223 A RGHITECT
BUILDER _ ADDRESS LC E JGINEER
11665 'W 9;l til DECICNiFF1
STRUCTURE 0'NEW ❑ REMODEL O ADDITION [ REPAIR O RENEWAL ❑ FIRE DAMAGE Ll DEMOLITION
Il RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑ RFLIGIOUS U PATIO Ll CARPORT ❑ GARAGE I_] STORAGE ^L SLAB❑ FENCE
OCCUPANCY _. LAND USE ZONE _.r BLDG.TYPE ��� _FIRE ZONE PLAN CHECK EY tIL __HEAT 6861
,)w-;tnx:t si.,►kje f:w*' ; .-vili.tlg wlattaj-rxl garage, Pd* Per apuruve-1 plans
Subject b) L45 r�.xi%, / r f _
SEWER PERMIT M ::±. , traps, s?,P1rage arca 448 —
OCC.LOAD FLOOD LOAD _HEIM IT l.0* NO.STORIES 2 AREA 17-83 NO.BEDROOMS VALUE;&}► t
BUILDING DEPARTMENT_ SETBACKS FRONT i.3' REAR 2 LEFT SIDE I r RIGHT SIDE i,'
Permit 375. THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 291.2o REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT iS HEREBY AGREED THAT THE
_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
W!TH ALL APPLICABLE CODES AND OPDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal j REST RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Li`. ENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
Statf,Tax 11.40
SDC- r.
Total 6,99.60
-- --
p, 1(y).a; U'PDC* is 150. ., AhPLI A 0 AGENT
Receipt No. _
Approved 5 y,(10 j �� AVDRE39 - PIIONF
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
_7_ > --- - Contractor
Permit No. S
Rough-in -
Pr Fixture
Fink,
hl HEATING
Contractor
Permit No. At..,
Gas it Cf GS -
Rough-in — --�
�,�S y��,-i1 I � ✓�//}} U��_ Fine!
SEWER / G
_ ( , C � (�� I( I Final
t�� 5 ��� DRIVEWAY
�-lll��� �C -
-/ Final
Storm Drainage
1 — (Rain Drain)Final
Sidewelk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
it Zoning Final
r.
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION bATE RECEIVED:
DD
P.O. Box 23397, 'Tigard OR 97223 P/C DEPOSIT PAID:_
This is to certify that the attached sets of plans have been submitted fQx plan
che -1, pursuant to the Oregon Structural Code and Fire S Life Safety Code, 5"5 edition.
PROPERTY OWNER�jLlz 1�U OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
.JOB ADDRESS: 77 (� `ALV �5 r LOT NO. b MAP: ` `_ yl '7Y�'��/�
DESCRIPTION OF WORK:
AppLovals Required SPECIAL NOTES
UPlanning Dept. U Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District () Sewer Availability
O Other Q Other.
Items Required
0 List of subcontractors
OBusiness Tax
0 Calculations
OTruss Details
O Parking Plan
OLandscape Plan
0 Other
COMMENTS:
City of 'Tigard -ld' Qrpartment
BY: �` ��
-__-__— —_-- -- ��- BUILDING FERMIT
CITY OF TWA RD (�11C4�Cfli.4A I I D PERMIl NO. � -1-C'
COMMUNITY DEVELOPMENT DEPARTMENT °""°" DATE ISSUED._
13173 S.W."S4 9W,P.c.nnti 2no7 Tl)ard,-mqm»rm,fsoal U44l175 - .PRIM.PIAT.NO
JOB ADDRESS: I�_ ' �— Ll, � __� - - -- - -- - - - -
__�1__ L- LT
y" : ---- - -
TAX MAP/LOT �p �� SUB:-_, _
LAND USE, __ .____ 4 )
LOP Si'LE: __�-. VALUATION: SETBACKS
�--
F R(;4T: 2-i _ REAR: 2 Z
u's DWELT./UdITS: LF.F"f: _._ 7 RIGHT: G
WORK CLASS: _ ,,-
USE TYPE: -- No.BEDROOMS:
CONST-TYPE' -2y7 NO.BATHS:
OCCUP.GRP.: ----
OCCUP.LOAD: —_--..
TOTAL AREA: -_
ND.STORIES: _ 1ST' / / _p``�F C�iiiST:_Co»,b FIRE IT:
HEIGHT: 29D: �/ i- AREA SEi'AR: I
BASEMENT: 3RD; OCCUP.SEPl1F,.:_
MKZZAMINE: - BASEM'x
FLOOR LOAD: _ GARAGE: �`f y D FIRE SPRKLIR.: ALAS=
F'.OW (GPM): DETECT:
11� HDCF.AC(:F:SS. CORK: ---- --
HEAT TYPE: - -- --�
r PLAN CHECK BY -
REMARKS:
REMARKS: -
REISSUE OF NO. -
SEWER PERMIT: r f - ---� —LAST REISSUE
Name-s �C
N ���i t�� —�-- PEES: /
/ � � PERMIT
E -F /, --
fW
R pPLAN REVIL
h [�e.� �i_ GJ��.� FIRE DEPT —
STATE TAX ..�e�•N�.
C Name: Ord"
- `- DEVEIAP$.'iaelT CHARGES:
T Address : ---- - SDC (STORM)
A SDC (STREET)
C PDC >-
To Phone: ----__ _ I REPAID ..- ,
R oSQwc� #jrlt!/ t t V L•
TOTAL. /�✓ U
^) 4a ." f U e ) RECEIPT h0. -
nn RRQUIRED INSk ECT.IONS
��✓L %lti rcr/ �t /�� U �� C} 1100TING SEWER
FOUNDATION WALL RAIN DRAINS
POST & BRAM WATER LINE
PLB. UNDERSLAB CITY APPROCH/SW
SLABFINAL
Pi.B.TOPOUT
FRAMING
FIREPLACE
' N 1 GAS LINK- NSIYL.ATION
M, to
GYP.BOARD
CITY OF T!j`iReceipt
ARD MECHANICAL PERMIT permit r«
Dar criptlon
Tol.tla 3A Machanicai Coda CITY PRICE AMT II
City of Tigard 1Permit Foe -0- -0• 10.00 f
1317._5 S.W. Hall Blvd. )
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, ON 97227,
639-4175 1 i Furnace100,000 BTU 6.00
incl.ductss&vents _ _
2) Fumace 100,000 BTU i 7.5J
(3P# 7014 incl.ducts&vents
Name of Development 3) Floor Furnace 6.00
incl.vent — __-
Job Address 4) Suspenr49d heater,wall heater 600
Address /,33&7 C5Z'%-1/7G P11 A=4
or floor mounted heater --
Tax Lc t Map No. 5) Vent not incl.in 300
Lot 8" sutdMsion q„ 6 appliance permit
Name( name of business) 6) Repair of heating,refr 1g., 6.00
Bollerorcompto3HP
000 BTU — 6.00
cooling,absorption unit _
Mailing Address ph" 7) absorp.unitto 00,
Owner -- -
rttylstate lip 8) Boller or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
- Nems ,ty 9) Boller or comp 15.30 HFA 15.00
absorp.unit 1/2-1 million
MaNing Addrb a Phone Boiler or conyl to 30-50 HP 22.50 11
absorp.unit 1-1.75 million
Contractor Icily/ �- zip 11) Wier to imp to 50 HP 31.x0
abns0 n.unit 1,750,000 B i U — ` -
state eglr vetkx,No cey sus.Tu No. 12) Air hanc ling unit to 450
10,000 OFM
13) Air handling unit 7:,0
I hereby ackm wimgr! that I have read INN epptk-.elia,that the Inlortnetion"I is 10,000 CFM +
oorred,that I am it-*awnw a authorized agent o1 the owner.atat pwm subrnit,ed we in '
comPitarrce with State Iowa,that I am registered will,the State BUW*M*"Id 11181 the 14) Non portable 4.50
number given ts coned (1f exempt from State registratim p arse gave reason below) evaporate cooler —
Vent far vonneded
- - - - 15) 3.00
to a side du_r L� /
------- Ventilation system rot
16) 4'50
Included in appliance permit
--� 17 Hood served by 4.5r S•
mechanical exha;ist
( or - - —Osie 18) Domestic type 7.50
De vibe rk addN El alteration 0 repair 1_1 __Incinerator
to be donne _eskientie non-residential El 19) Commercial or industrial 30.0C
type Incinerator
Existing use C"er Le.,woodstove,water
building or properly__ -__�_ 20) heater,solar.clothes dryers,etc. 4.50 I
Proposed use of
building or property 1) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas LPG Ll electric !: _-�
22) More than 4-per outlet
SUB-TOTAL YJ,1
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON 8TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% ASL SURCHARGE_ 3
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABAND01:ED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER, TOTAL �-
WORK IS COMMENCED.
Special Conditions --_--- - _ /7
Date issued ---- -- --, c-a- - -