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13285 SW BRITTANY DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
l
Type of Inspection1�,f _
Date Requested �` / _J� --- V .
1 _ Trm _A.M. P.M. /2
Address 3_�. 8' J
— �— Porn it
Owner
Lot #
Builder
The following Building Code deficiencies are required to be correct rd:
Presented to �` ,/_T
Inspector F ^'proved
-- - - ❑ Ditepproved
Date
CALL FOR REINSI EC7 TON
❑ VES ❑ NO
s fw :soWJLWX
CITY OF TIGARD MECHANICAL PERMIT Hecelpt #
Permit #
Description
Table 3A Mechanical Code _ OTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit_ 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 600
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development 3) Floor Furnace 6.00
incl,vent
Job Addrtss -- Suspended heater,wall heater
Address /�� ��� S 4,,) �J�- ��' 4) or floor mounted heater 6.00 -
Tax Loi Map No �,t 5) Vent not incl.in
� � `c_ appliance permit 3.00
[.of Block Subdivision
Nsma(or name of business) Repair of heating,refrig.,
6) cooling,absorption unit 6.00
Mailing Address / ne i 7 Boiler or comp to 3 HP 6.00
Owner -312 rF l� `�(/ ) absorp.unit to 100,000 BTU
Boiler or comp to 3 HP-15 HP
City/State zip 8) 11.00
a absorp.unit to 500,000 BTU
Name ., g Boiler or comp 15-30 HP 15.00
1 � c : y� ) absorp.unit yr-1 million -
Mallirq rets Ione 10) Boiler or comp to 30-5t!HP 22.50
nom- - _ absorp.unit 1-1.75 m'dlion
Contractor City/State �P 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
Stare Registration No. City Bus.Tax Nn 12) Air handling unit to 4.50
10,000 CFM -
I hereby acknowledge that I have read this application that the information given is Air handling unit 13) 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
cornPttatwe with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct (It exempt from State registration please give reason below) 14) evaporate cooler 4.50
1
) Vent fan connected
to a single duct 3.00
- - Ventilation system nr (
- 16} included in applisr ria permit 4.50
/ t 7) Hood served by 4.50
mechanical exhaust
Sighature'owner or agent) IF 4Z _ Date t 8) Domestic type 7.50
Describe work [3 addition CI Aeration ❑ repair CI _ Incinerator -
to be done residential U non-residential E 1 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ ___--------- 20) Other i.e.,woodstove,water 6145 1 69
4.50
Proposed use of
heater,solar,clothes dryers,etc.
- —
building or property _ -_ 21) Gas piping one to four outlets 2.00
Type offuel- oil f i natural gas [7 LPG C_I electric
22) More than 4-F or outlet
SUB-TOTAL 144 SU
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON --- -
STRUCTION AUTHORIZED IF NOT COMMENCED WITHIN 180 SIO 411111.CURCHARGE J3
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
WORK IS COMMENCED.
Spedal Conditions
Date issued ��
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1
INSPECTION NOTICE j
City of Tigard 86ilding Department 11
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 63 -4171
Type of uispection
Date Requested. Time AM.—X P.M.
Address -_-_—��"! �� J � -3t Permit
Owner
Builder—_— —_--- _--_ _�
The following %wilding Code deficiencies are required to be cor:ectad:
s'�jcrC-Y J
I
I Presented to^ —�-- — I Approved-—
Inspector ^ �n� _--_ ❑ Disapproved
Date
CALL FOR REINSPECTION
i ❑ YES NO
A
ENTER THE WORLD OF CENTURY 21 HOMES
November 29, 1984
Brad Roast.
City of Tigard Building Department
12755 S.W. Ash
P.O. Box 23397
Tigard, Or. 97223 RE: 13285 S.W, Brittany Drive
Dear Mr. Roast,
This is to inform you that Century 21 Homes, Inc. assumes
responsibility for the concrete footing poured at the above
referenced address oil November 28, 1984. The subcontractor
assures us that all precautions were taken and we feel confident that
the footings were properly installed.
Sincerely,
�tiv L
James M. Polak
Gen al Manager
--C,@ntury 21 Homes , Inc .
JMP/jas
STATE OF OREGON )
ss.
County of Washington )
10 ' th9.s 29th day of November, personally appeared before me the
above flied JAMES M. POLAK and acknowledged the foregoing instrument
to be''ha4 voluntary act and deed.
L. Ick 41
Notary Public for Or gon
r OF My Commission expires: 10-27-86
CENTURY 21 HOMES North Coast Plaza P 0 Box 1408 • 7160 S W Hazel Fern Rd • Tualatin,OR 97062 • (503)684.2762
IN3PEC7'ION NOTICE
City of Tivard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested _ h Time A MT P.M.
i
Address permit
Owner Lot #
Builder o
The following Building Code deficiencies a required to be corrected:
cz- _
5 Od-iE- M[. t.q rFii i ,tlsi E_F
Presented to
El Approved
Inspector ❑ Disapproved
Date _ 4�--
CALL FO RVAAWPECTION
❑ YES ❑ NO
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CITY OF TIGARD No. 0935 ,
12755 S.W. ASH
P.O.BCX 23397 Date
TIGARD,OR 97223
Name 1
I
LAddress
r
--T " J
Lot Block/Map Subdlrlslon/Address
Permit Ws Bldg. Plumb Cash Che-k
✓"
Sewer Other Other Rec. B
-2,j� -- _...____.._ -.___ tT`
Acct. No. Description Amount
10-43. Building Permit Fees _� O
10.431.600 Plumbing Permit Fees_ _
10.431.601 Mechanics IJermit Fees
10.230.501 State Bldg. Tax (),
-- -------------------
10.433 Plans Check Fee _ j4o,00
10-435 Other Licenses & Permits
30-443 Sewer Connection
30.444 Sewer InspectionUp
i 24.448 Street S st, Dev. Charge ,,UU
25-449.610 Parks I S st. Dev. Charge yra7,�I U
!
25-449620 Parks II Syst. Dev. Charge —_
31.450 Storm Drainage Sys_t. Dev. Charge (x
10.439 Business Tax
10-434 Alarm Permit_
10-227 Ball
10.455• _ Fines _Traffic/Misd/Parking
10.230- _..� CPTH Trate+c/Mlsd/Vlc. ..Asst.
10-456 Indigent Defense
30.446.401 _Sewer Service/USA_
30.446.402 Sewer Service/City
31.447 Storm Drainage u _
40.475 Bancroft Prin. Pymt.
40.471 Banuroft Int. Pymt.
10.451 O ner C rges for Services A
TOTAL �'
�� DEPT. '
BUILDING PERMIT APPLICATION TIGARD DATE November 26 _ ,o ts4 _ 5098
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6842762
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER �vatury 21 JOB ADDRESS 13285 SW ltrittaa U;ive LOT NO.
tlusiactn J` ___ _ Trittany_Syuar1A i
�iRCHITECT ^
BUILDER Sawa ADDRESS 7160 SW tlaselferu Rd. ENGINEER
NGI EER
STRUCTUREf3 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
aRESIDENCE 1] COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE O SLAB❑ FENCE
OCCUPANCY R-3 LAND USE ZONE R-12 BLDG.TYPE 5H
FIRE 7.ONEPLAN CHECK BY E�w'HEAT--_
Construct single family dwllitag v/attachod garage.__
Subject to $369.00 Mart/WedgawoW Seger Surcharge RE,189ue of Permit #4562
Subject to $150.01) Leaan I[Aights SW4*T Surcharge 2 Bathroom 2 bddroom
SEWER PERMIT 0 28257 Gar•;ge 396
OCC.LOAD -FLOOR LOAD 4() HEIGHT 21J NO.STORIES 2 AREA 1176 NO.BEDROOMS 2. VALUE46*000•
BUILDING DEPARTMENT i
— _ SETBACKS FRONT REAR I LEFT SIDE jU RIGHT SIDE
- - _
Permit S
--- 265*OU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 40.00 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 COMP_;hP10E
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES Nr;r WAIVE
Sub-total 305.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT ,^„T'r BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1U.6U 450U.uo
Total _: 15.60 SDC--
PDCM 1 150.00 AQPLICANT OR AGENT --
BY -- —_— C2 _ 3SUC ZSU.OU
Approved Receipt No.
— ---- UC1� PHONE
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE4,
���// r�iv� tiy.S�� Contractor �_ _ f_
Permit No.—;
_ Rough-in
�. _"t fixture
t�St' , -- --- — — Fina' —
�' HEATING
Contractor
Permit No.
Gas or Oil
— —^——• Rnugh•in
Final
-- — --------- SEWER
Final
DRIVEWAY
-- ---- -------- —•-- ♦:incl —
Storm Drainage
(vain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
I