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11920 SW LYNN STREET-1 ITRITS NNA'l W, OMTT CITY OF TIGARD BUILDING INSPECTION NOTICE ;nspection Line: 639-4175 BUSIIiP.SS Phone: 639-4171 Footing Rain Drain Cov,;r/Service FINAL: Foundation Water Line Ceiling -Plumb Post/Beam Mach. Shear/Sheath Frarriny -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Strict. Mech, Rough-in Gyp. Ed, -Bldg. an. Se Gas I,;ne Appr/Sdwlk Reins. Other: !./ Dater -A.M-- P.M._- ___. Entry: —_- Address: -__ l-L-`�_�-�_- _ __ Tenant:_�. -� -- Ste:—.__ MST: Con/Own: d-Y `� BLIP: - MEC: PLM: ELC: —__-- THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: _DMZ Ins ector. Date:_ f Lal'P'PROVED DISAPPHOVED/CALL FOR REINSP. CF CO CITY OF rIGAPD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Serviceu f" Foundation Water Line Ceiling Plumb. Post/Beam Mech. Shear/Sheath Framing Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elact. Post/Beam Struct. Mech. Rough-in Gyp Bd. -Jidg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: �_� ' l A.M. P.M._— Entry: Address: — n -- Tenant: _ _ Ste:___. MST p BLIP. Con/Own: _., d_ L>ti..�-- PLM:FLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: - ____��--._ Date: ✓�✓ - PPROVED —_DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD rll L1MBTNr PERMIT DEVELOPMENTSERVICES PERMIT #. . . . . . . ; PLM97-0136 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/23/97 PARCEL: 2S1O?BA-00137 SITE ADDRESS. . . : 11920 SW ' YNN ST SUBD I V I S I ON. . . . : LE:RON HEI 3HTS NO. 2 ZONING: R-4. 5 BLOCK. . . . . . . .. . . : LOT. . . . . . . . . . . . . :27 T'JRISDICTION: TIP, CLASS OF WORR. . :AI._T CARPr'GF DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE nF USE. . . . :SE WASHTNC MACH. . . . . . : A BACKFLOW PREVNTRS. . : 0 OCCUPANCY BRP. . : R3 FLOOR DRAINS. . . . . 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BAST.NS. . . . . . . : 0 F I X TI.JRES------------•--- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . .. . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 100 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . ; 0 Remar-ks : Run newer' Iins for, SWR97-0126. Owner . - ---------------------------------------------------- FEES ---_--------_ JACK PFRC' AND KATHEERINE PERCY type amount by date recpt 1. 19x0 SW I-YNN PRMT $ 30. 00 JSD 04/23/'37 97-293620 TIGARD OR 97223 5PCT $ 1. 50 .JSD 04/23/'v7 97-293620 Phnnp #: 590--41855 OWNER r nr,,1 #: 31. 52 TOTAL. Rei, #. , e 99999 -------- REOUIRED INSPECTIONS ------- l'his permit is issued subject to the regulations centaii�ed in the Sewer- Inspection 1 igard Municipal Code, State of Ore. Specialty Codes and ell other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not stated within 18@ days of issuance, or if work is suspended for .ore than tBt" days. 11f-rmittes Y I —_ - Call for inspection — 639-41.75 ''TY C rIGARD Plumbing Application Ree J9v� _- "255 Sii,. HALL BLVD. Commercial and Residential Date Recd O OR 977�.t 2Jle'0 P c mate ro CST J.:l 639--1171 a�rmits {, C.✓r�'1 y �r• Print or Type Related SWP s Incomplete or illegible applications will not be accepted called___` Name it CevelopmenuProlect - FIXTURES (individual) QTY PRICE AMT ,J)fj w 1itr �>�i�M 11 f, S.nk 900 -r Address S;-net Address Suite Lavatory 9 00 .2C) fj J 1_ /l n l r ruo or %UiShdwer C,)mo 900 :Lig s dyr5 ate _ , I Shower Univ +V ,10 Water Closat I 900 Ndme -- -- `f C e R r c 1 Dishwasher - 9 00 Owner Mailing Addressf L Suite Garbage Disposal I 900 1 �V - . 1 rl ✓I Washing f lacnrne !� 9 00 - C.tvrState Zip Phone Floor Cr, r h 2" C --- 9 00 C 0 7" _?Z)- I C 3- 9 00 Maine i 900 Occupant Madrnq Address Suite Wafer Heater 900 p - Laundry Room Tray 9.00 C,tyiState Zip Phone Urinal Name Cthet Fixtures tsoecitY) I 900 ------___111 900 Ontractor Marling Address Suite _ 9.00 9,00 � or to ISSLanca Ciry State Zip Phone - I 9.00 �.:blicant must _ rovide 9 00 all Oregon Canst Cant. Board Lic Exp Caf> __- ;ntractors 9.00 license Plumbing Lic.a Exp. Da,e Sewer- 1 j0 36 no nformatio i Sewer each add;conal 100' 25.00 C0­ CJT Bus mess Tax or Maima E.413 Cate ]ataba5elWater Service- 1st i00' . 4 --- __ Name - -- rater Sern:e-each add tionai'00 25 00 Atcl-litect Storm&Rain Crain- 'st100' i- 3000 or Marling Address I Suite Storm 3 Ran Crain-each additional 1C0' - 2500 Moble Nome Space l 25 00 n g i n e 9 r C,tyiSlate Zio Phone Can menial Banc F ow Prevention Cev ce or Anti- 25 m �- Pollution Dee �_-_ I f _7"be wort New Z Addition Z .A.teratlon Z Re-,air zesidenhal 3acxlcw 3•eventlnn-'evice' -5 10 - :d ]Cne 'nesidemjaf 0 ,Van-residential D u ny Trap 7r :Va5I4`!C- -onrec,ei:o a F xwre I y. 9 J0 onal desChtitlon of WcrX --'-' -- -- --- - -- Cafct;9asin 3 GO nso or mxiszinq imning_ I +0 JO _ oenrr 9use - --- Sceciaily Requested Inspectiens I •0 00 :f r.,hr d,rg or ordoery_! _ - :am Cram singe''tmity Yweilin5 I I JO JOT-^- ccsed use of Crease Tracs :_g or;rcoerty_- Il- - ___ QUANTITY TOTAL I I :u caco,rg mow, or leo acing�ry fixtures] YesI- NO Isomerm w nfN:a,nm s-e^-u red it Cuar Ty'-tare ] ? es see back of form: I SUBTOTAL aoy acknowledge:ha: na+e read:his aoptication. ;hat'Me nformavon s_ores that l am •,e owner)r authonzed agent of me owner and 5',e SURCHARGE I l SJ ,.ars sucm tted are - _cmcliance with Cregon Stite Laws. _ igrature of OwneriAgent Date I I PLAN REVIEW 25:e OF SUBTOTAL ?ecurea anry f'inure ar. .ai s � 3I7TOTAL :-act Person Name Phone — \- 'Mlmmum permit fee-s 525- 51+surcnar5e ?xcapt?es denuai Bacwflow Prevention CFvice, w^ch is 515-51:suicntrge I'.osts olmaop doc 196 'SASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink __ --1-- Lav�1tory _ Tub or r ib/Shower Combination Shower Only Vater Closet _ Dishwasher _ �— j Garbage Disr,osal Washing Machine j Floor Drain —2 --}�~ Wa.er Heater Laundry Room Tray Urinal _ Other Fixtures (Specify) :OMMENTS REGARDING ABOVE: CITY OF TIGARD COMMUNITY DEVELOPMENT CEPARTMENT 13125 SW He's Blvd. Tigard,Oregon 97223.8199 (503)839-4171 1 i / City of Tigard MECHANICAL PERMIT- Pianck/Rec 13125 sw Hail Blvd. APPLICATION Permit # Tigard, OR 97223 (50:;; 6,39-4171 -�'•� Goscripo 3a Table 3A Mechanical Coder QTY PRICE AMT Joh .« ' )r l - 1) Permit Fee -0- -0- 10.00 Address �. 2) Supplemental Permit 3.00 Furnace to of 100.000 BTU / 1) incl.duels b,rants 6.00 J _Tumace 10(',.,.x1 13TU a I Owner 2) incl.duds d vents 7.50 ap oor umance 3) incl.vent 6.00 E. 1 rx_lod heamer,wall heater 4) or floor mounted heater 6.00 Vent not incl.in Occupantl/1 5) appliance permit 3.00 7epair of Eeating,refrig. 6) cooling,absorption unit 6.00 tromp, at V mp,air con,. 7) to 3 HP absorp unit kr 100K BTU 6.00 ) Boiler or tromp, :.al pump,air Gond. 8) 3 15 HP absorp unit to 500K BTU 11.00 Contractor ,�, n�r or comp, w--T at pump.air cond. - I 9) 15 30 HP absorp unit.5-1 mil BTU 15.00 '"' "•"°^ -y�r,,+a.1-14. I—- ;ilei or comp,heat pump,air Gond. 10 30 50 HP absorp unit 1-1.75 mil BTU 22.50 torr-ay acknow ge that I have read r:ap icauon, t MeBoiler or romp, :)rat pump,av corm Information given is correct,that I am the owner or authorized agent 1 1) >50 Hp nbsorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State ._ Ao handling unit to laws,that I am registered with the Construction Contradofs Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air handling unr ---- -- please give reason below.) 13) 10,000 CTM+ 7.50 tJan p�rtab— e --- 14) evaporate cool(- 4.50 Vent fan connected -- 15) to a single dud 1.00 .entilation snit- 1r,) stem no( !� 1 r,l included in appliance permit 4.50 �lo� —--- ery 17) mechanical exhaust 4.50 l"Iescribowork new 0 addition alteration repair c,oiii rcTaTori's tnal -to bu done residential non-residential C)' 18) type incinerator 30.00 Existing ueo 7- Otherim., stove,water -- - building property__I i. j I t -__-_ 19) heater,solar,clothes dryers,etc. 4.50 Proposed use of 20) Gas piping oral to kxrr outlets 2.00 building or property Type of fuel -of Q natural gas Q LPG Q electric 21) Moro than 4-per outlet ROME W Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK On CONSTRUCTION - —' AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE r 1 5 IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 1=011 A PERICD OF 180 DAYS AT ANY TIME PLAN REVIEW 25'%.OF SUBTOTAL AFTER WORK IS COMMENCED, TOTAL Special Conditions -- --... -__-- --- - - - ------------ -- - _- Date issued__— - by r.+nr.�nar .�rv.M.w. C L E A R A NCES & SPECIFICATIONS Insert Clearances To Cunibueslbles Ila nth Extension s side side To+ To Mrart T_ o Side ��••�• ANSWER-95 Insert wait Peeing Facing mantel To Unit Of unit Clearances: (See Diagram 1) A B C D E F Masonry Fireplace 13" 9'/,1. 12" 16'/s' 18" 8" Conventional ReMential Installation Or Zero Clearance" 30" 12" 12" 24" 18" 8" Installation r _ © Q *Approved Brands of Zero Clearance Fireplaces: (Your zero clearance fireplace dimensions must meet or exceed the dimensions Indicated In diagram e2). Marco Superior Heatilator Majestic DIAGRAM ll Tempco Preway NOTE: A minimum 24"starter section must be directly cony^cted to the existing fireplace chimney, Panel Sizing:(Coverage) Answer Tonventiona4 Answer Item Clearance Panel) y, 4 8"Panels-40 3/8"W x 281/4"H i 3"P".nels-371/2"W x 261/8"H _ 10"Panels-44 3/8"W x 30 1/4"11 c! 5"Panels-371/2"W x 30 1/8"H Performance: Capacities: EPA Phase II Approved YES Cubic Firebox Volume 1.5 ft. I leating Capacity 600.1,200 Sq.Ft. Maxims og Length 18" Maximum BTU's1lIt.(Cord Wood) 66,200** Wood Capacity 18 lbs, Sizing Your Fireplace:(See Diagram q2) Maximum BTU's/Hr,(EPA Test) 63,100 Flue Diameter 6" Overall Efficiency(DEQ) 69.5711 Unit Weight 282 lbs, lour fireplace nmst meet or exceed the sizes below, Crams Emissions Per Hr.(EPA) 6.7 Masonry Fireplace Max.Burn Time(Cord Wood) 8 Hours Construction: 1 14 7/8" Stove Top Thickness 3/16" 2.23 718" Options:(Flush&Zero Clearance Model) Unibody Thickness 3/16" 3 23 7/H"(Includes Answer Side Convection Kit) a Solid Brass or Black Cast Door _ 4.203/4" a Blower 5.1 1/4"(Extension onto(learlhl a Etched Glass(3 Designs) Zero Cleana Brass Hinge Pinsnce(Metal)Fireplace a Mantle shield Itlimensions are forl nslallallon without Insert convection kit, includes required I"air space around unit). a Selection of Panel Sizes I 1 Variable 10"to 15 7/8" 2-23,1f4" ''11711 uulpul will vary depending on wood sire,moisture cnnlen'nl the ward,wood type,chimney droll and oxygen supply. I leafing Capacity suhlect to variations Jur it,ward type,relative moisture content,floor plan At degree of home insulation. 3 21:31" 4.2n:1•4 Clearances&specifications listed on this page air for reference only,Please refer to Owner's Manual or Safety Label M1rLnr�n,i.dhnk 5 Variahle 1 114"to F 114 IF.xtensfon unto Ilearthl • • • • • • • • • • • • • • • e • • • • • • • • a • • • • • • a a • • • • • o • • • Dimensions: (See Below) l h (A) Height oaf , ..� it,Fine Collar) A' •, - 2 0 3/4" I J (8)Depth (Panel to Stove Pz Al 14 7/8" I\1 trio Cltarsoce IVartablel 9 3/4"to 14 7/A" (C)Width A L klawnn Invert _/ �j't'�f1.4 �5 U + 'M l 23 7/8" 5 5/8" ten,clea,au., ; ZeroQearan21 3/4" r I lG� JL C Standard Panels tt Side"Convectip>]lit CITY O F T I G A R D SEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (507)639-4171 PERMIT #. . . . . . . : SWR97-012C, DATE ISSUED: 04/23/97 PARCEL: 2SI03BA-00137 SITE ADDRESS. . . : 11-920 SW LYNN ST SUBDIVISION. . . . :LERON HEIGHTS NO. 2 70NIh,G: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . .. :27 JURISDICTION: TTG -------------------------------------------------------------------------- TFNANT NAME. . . . . :PERCY USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CL ASS OF WORT!. -ALT DWELLING UNITS. . : I TYPE Or- USE. . . . . .Sr NO. OF BUILDINGS: 1. [N9TA1..L. TYPE. . . . :L_TPSWR IMPERV SURFACE: 0 s Remarks : Must PUMP, fill, and rap septic tank. ::EES JAC14 PERCY AND KATHERINE PERCY type amount by date t^ecpt 119j_-0 SW LYNN PRMT $ 2200. 00 jSD 04/23/97 97-293619 TIGARD OR 97223 INSP $ 35. 00 JSD 04/23/97 97-29361.9 Phone #: 590-4185 OWNER ---------------------------------------- Phone #: $ 2235. 00 TOTAL Peg #. . : REDUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount Paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer 0 not located at the measurement ............ given, the installer shall prospect 3 feet jr. all directions from the distance given. If not so located, the installer shall pu.'ehase a "Tap and Side Sewer" Permit and the Agency will install a lateral. Call for inspection 639-4175 PlanCheck M Ch Y OF TIGP-RD Residential Building Permit Applicatiol; Plan h By 125 SW HALL BLVD. New Construction Additions or Alterations Data Recd GARD, OR 97223 Single Family Detached or Attached (Duplex) Date'a P E. _ 503-639-4171 Date to OST 503-684-7297 Pemut 0'."4.yt rj c r Print or Type called,. Incomplete or illegible applications will not be accepted Name of Prolea Name Job Jltlnkup _ Address 8daAddfaaa Architect Mailing Address a s J NameCrtyiState Zip Phone Name Owner Marking Address ; En Ineel' Marling Address crtyr tan Pnona 9 Name) City/State Zip Phone �L 39neral _ Dtscnbe work New O Addition O Alteration O Repair O ontraCtOr Mad:ng Address — to;,e done: Ad,litional Descnptton of Work: CrtyrState "Lip Phone Oregon Const Cont. Board Lr.0 Exp. Date %tach Cott of Current COT Business Tax or Metro n Exp. Date PP.(,JECT Ucenses VALJATION Nams� Mechanical NEIN CONSTRV ICT! ,+N ONLY: Sub- Mailing Address — Sq FI House: Sq. FL Garage Contractor Gty/State Zip Phone Comer Lot YES NO Flag Lot YES NO (cher c one) (check one) Oregon Const Cont. Board Lrc M F-,�uate Restncled Audio/Stereo Burglar 'tach Copy of Energy System Alarm Current COT Business TL;or Metro a Exp. Date Installation Garage Door HVAC Licenses Name Opener r./Stems (check all that G'her Plumbing apply)_ Sub- Marling Address Will the electrical subcontractor wire for all YES NO Contractor restricted energy installations? _ C,tyrSt�te Zip 7Phone Has the Subdivision Plat recorded? N/A YES NO Attach Copy of Oregon Const. Cont. Board L:c.p I Exp. Cate Reissue of MST* � Solar Compliance _ _�-_ I (Calculation Attached) _ Current Plurnorng Lc a Exp Cate I hearby acknowiedae that I have read this application,that the Licenses infonTlatior given is correct, that I am the owner or authonzed COT Business Tax or,Metro# Exp Date agent of the owner, and that plans submitted are in compliance - --- Name with Oregon State laws. ElectricalSignature of Owner/Agent Datg Li `l Sub- Marling Address Contact Peron Name Phone Contractor G% City/State i Zip- Pnone — FOR OFFICE USE ONLY: _ Plat fvlap/TUA- Oregon Const. Cont_ Board I_;c-x Exp. Date _ -ach Copy of Setbacks: Zone: Solar: Current E'eancai Lrc. a Exp. Date Licenses Engmeenng Approval: Nanning approval TIF: CCTT 9usrness Tax or Metro 0 Exp. Date -------.---- _-- _�_—.__._ i:lsfapp doc(dst) 1/97 P��mit# e� o`nt Qescr otion AmQunt Ami. . P!. Clue MST. Permit (BUILD) _ Plumb. Permit (PLUMB) _ Meta. Permit (MECH) ELC/ELR Permit (EL.PRMT) State Tax (TAX) -- Bldg: Plumb: Mech: ELC/ELR: Plan Check MST. (BUPPLN) _ Plumb: (PLMPLN) Mech-. (MECPL.N) CDC Review (LANDUS) '(r ef-- Sewer Connection (SWUSA) G" Reimbursement District ( ) i Sewer Inspection (SWINSP)- Parks Dev Charge (PKSDC) Residential TIF (TIF-R) - Mass Transit T!F (TIF-MT) Water Quality (WQUAL) --- --- Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) _ TOTALS: - 03favo doc cash ���