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10330 SW CEN'T'URY OAK DRIVE
CITY OF TIGARD
DEVELOPMENT SERVICES MASTEF? r-)r7RMTT
MERMIT #* ' * " * * '
101"-:219m 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DnTF-' T59LJr-.T),-. 02,'/11/97
FIARCEI, -. 2S I I I CC--0,31000
"1111, r P.T rltl. !31JMMERP-1EL.I) z n i�i'r h4 f.,, . 1.Y'- 7
0T, . . . . . .. . .
4ese-kst Installing a ;as fireplace
—---—-----I-------------------------------------------------- BUILDING ------—--—---—-----------------------------------------------
STORIES.......: 0 FLOOR BP9EMFN7...: 0 sf REQUIRED SETBACKS—- REQUIRED--------------
,LASS OF WORK..ALT HEIGHT.......... 0 FIRST....: 0 0 GARAGE.....: 0 sf LEFT..........: 0 ME DETECTRS,.
or -Sr Fa_OOP LOAD....: 0 SECOND..,: 0 sf FRONT.........: 0 PARKING SPACES: 0
'`DF Or CONST.:5N DWELLING UNITS: 0LN"Sr.NT: 2 s, RIGHT.......... 0
nr_1rJJPANCv '_1m. :0? BDRM. P BATH: 0 0 5F YPtl.'E. 2% REAR..... ..... 2
----------------------------------------------------—-------- PLUMBING -------------------------------------------------------- __--
'-1`XF.
-----------------------------------------------
1-!1Xr,,....... 0 WATER CLOSETS, e MASHING MACH... e LAUNDRY 'RAYS.: 0 RAIN DRAIN ft; 0 TQD.PS........... 0
-AVA70RIES....: 2 DISHWASHERS... t FLOUR DRAINS..: 0 SEWER LINE ft., I SF RAIN DRAINS: 0 CATCH BASINS..: 0
JP CI-InWERC... : 0 GARBAGE DISP., 0 NATER HEPTEPc, 0 WtlTEP L!NE ": e BC0LW PREVNIR: 0 GREASE TRAPS..:
OTHER FIXTURES-.
MECHANICAL
7'J-_L TYPES------- rURN ( IM 0 BOIL/CMP ( 3HP: e VENT FANS.....: I CLOTHES DRYERSi I
lops! 1 1! FJRN )rIW UNI" HEP"ER!%, 0 "Oov.,........ 0 OTHER UNITS...: 0
V1 INP. I BTU r?.00R FURNACES: 0 VENTS.........; I WOODSTOVES.... I GAS OUTLETS...: Z
.-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS— —900 CIRCUITS-- ---MISCELLANEOUS---- --ADD'L INSPECTIONS
'ON Sr OR LESS: P 0 - 20f alp.,: e ? - 20 asp..' 0 WISVE OR FDR., : 0 RW�11RRIGATION: 0 PEI INSPECTION;
CA ADD'L W3F. 0 201 - 49 asp. 0 291 400 alp., 0 1st W/O SVC/FDR: 0 SI6NtOUT LIN LT: 0 PER !41i�......
.N!TED E%FTSY. e 60' EX 31p_ ? 4el EN alp.. @ EP ADDL PP CIR: 0 SIGNALIPANEL...: 0 IN PLANT......: e
4AW- WMUCIFDR: 0 601 - Im alp.-. 0 601+41ps-I000 V: 0 MINOR LABEL -11: 0
1W-1 alp/volt.: P PLAN REVIEW SECTION
Reconnect only,: 0 =4 RE5 UNITS.. : SVC/FDR)=225 A.: 600 V NOMINAL: CLS AREA/SPC OCC:
------ ELECTRICAL RESTRICTED ENERGY
41. � RESIDENTIAL-
QUDIC a ST.RFO.: AUDIO I ST[,iFO. !7'PF ALARM.....: INTERCOM/PAGING: OUTD09R LNDSC LT:
IJJI.XAR ALARM..: 0TH: PATLER......... HVAC............ LPMAK/IRRIG: PROTECTIVE SIX:
'",4RAGE OPENER.,: 10CY... INSTRUMENTATION; MEDICAL......... OTHR:
DATA/TELE COMM. NURSE CALLS....: TOTAL 0 SYSTEMS:
3wner: ----Contract7r: T7pt rqS:1 80.69
MAY FINK T140 KORREAKOSFI
'123t SW CENTURY OPY DR 3'19 S CFVL4ND RD
-:FARD OR 97224 CANDY OR 91013-9`.,53
P`)cre 0: 631-3330 Phone $; 651-2076
Reg R..: 04789
pf-S.", 1- is."j-d subject to the regulations r..,ntd in thi Tigard NUPLCipa'. Coder State o" Ore. Specialty Codes and a!,: -0--r
3pp:,,:at1F 'asis. P" wr0 will. be done in accv-dancr with apprmved plar!, Tt!:t ppre" wil! expire if work is not started wr
lays of issuance, or if work is suspended for tore tha- 180 days.
acing Insp Mechanical Final
.Ii Lire Irsp Pudding rinal
Sas rirepl,4-e
Sip Board lnsp
L), 0LArKA4'
Pian Check Air-) J \
I OF TIGARD Residential Building Permit Application Recd Hy T'
,5 Sw HAI. .L BLVD. New Construction Additions or Alterations Cate Recd c c41
;ARr*, OR 97=23 Single Family Detached or Attached i Duplex) Cate to P E
i 5J3-639-4171 Date to DST .3 /0'
"03-684-7297 Permit s�!±-4s-
Print
J
Print or Type Caned
Incomplete or illegible applications will not be accepted
Name of Prolect Name
Job /C(,Pe vL(K L
Address Site Address Architect Mailing Address
'j:33-:n G�tijuRy'A�ak �l; _
Name CityrState Z,p Phone
Owner Mailing Address Name
ci 3 3 o C c::A/
t
C-ry/State Zip Phone g
Ali sneer Mailing Address
71 cc ri'7
Z Z6'.3-4(j
` j C,tWState Z.o Phone
General �T/,-t o ke c? N o S k t Describe wont New O Addition O Alteration O Repair O
Contractor Mailing address to be done
Lk.,jJ led, AdVional Description of'Nork:
Ctylstate Zip 11 Phone
e4A113 11"I-10
Oregon Cop$t Cont. Board t is M Exp Date
Attach copy of �r� V I cit /Y
Current COT Business Tax or Metro r Exp Date PROJECT / !j O 0
a
Licanss r .1_ - /- `) ,5 VALUATION 7
Name _
Mechanical CSM L /a !_�'�,t�L NEW_CONSTRUCTION ONLY:
Sub- Mailing Address Sq. Ft House Sq. Ft. Garage
Contractor Corner Lot YES NO Flag Lot YES NO
C,tyrstate Zip Phone (check oriel
_ _ "� (check one.)
C►egon Const. Cont. Board Lic.0 I Exp.Date Restricted Audic/Stereo Burglar
Attach Copy of I Energy _— System_ Xatm
Current COT Business Tax or Metro M Exp. Date Installation I Garage Door HVAC
Licenses Name -- Ooener Systems
(check all that ��
Other
plumbing apply) I I 6, r r P
Stib- Mailing Address - Will the electrical subcontractor wire for all YES NO
Contractor I restnc:ed anergy mstallations7
C.tv,S;ate Z.o I Phone Has the Suoatvision Plat recorded? I N/A YE i NO
Oregon const Cart. Board L,c ai Exo Date i Reissue of MS's Sour Ccrnoliance
attach Copy of
Current Plumbing Lc. a Exp. Date ( (Calculation Attached)
Licenses I hearby acknowledge that I have read this application, that the
COT 3-siress Tax or.Metro• Exp Oate information given is correct. that I am the owner or authonzed
agent of:he owrer. and that plans submitted are in compliance
Name ; with Oregon State Laws
Si:dectricalgnature of G�rrtir>tAg> 1-__r— _ Date` it y�
Sub- II Mailing Ador•ss Contact Person Name Phone
Contractor l 'Tr ,- v I . !, ,�- q 4�o t r c S U7 C
C.y.Sta:e z Phone FOR OFFICE USE ONLY:
Plat d Ma I.ft:
Oregcn Const. Cont. Boa•d Lac. A Ext) Date W 1 7
at h Copy of Setbacks.
CurrentI e ectnea Ex Date
L,c 0 p f j Zone. solar
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444 rl
Licenses Engine nrtp Approval: I PlanrAng approval• TIF
1737-5—
us a Tax or Met o# Exp Date 4/j 1\3
riafapp.doc Ast; 1,97
Permit &jg-u—njDgscnption Amount Amt• Pd. Bal. Due
1ST Permit (BUILD) s o
Plumb. Permit (PLUMB)
Nlech. Permit (MECH) I '
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
Nlech:
ELC/ELR.
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review (LANDUS)
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
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APPR ED FOR CONSTRUCTION I
CITY OF TIC,ARD
MIT NO.m �j ou4) SITE ADDRESS/6
DAT 1�Z )
Title Pane
Timo T. Korkeakoski Ordbr No.
General Contractor M297-1145
31150 South Dryland Rd.
Canby, OR 97013
C.0 B*47899
(503)851-2078
Fax(503)651-2831
May Finks :nstallabon of Gas Fil 49wAa
Majestic Model DVR 33
1.7330 SWI Century Oak Du
Tigard,OR 97224
PH.(503)83g-1R330
Supprllars: Northwest Natural Gas Company
503 220 23132
(Linda Cady- Sales Consultant)
Indw
Fagg 1 Title
Page 2 Plan View
Page 3 Cross Section
Title Page Page 1
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