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11380 SW ERSTE PLACE ADDRESS : - �90 --SLU cu**-P-140*.- Orecords\mic. Arriltargetstuilding.cioc INSPECT,�9ri .�ozzcE City of Tigard Building Depsrt—t- 13125 an Ball. Blvd. Tigard, Oregon 97223 Inspection Lina (Roc-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ --_ __— Footing Plbg. Undoralab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post/Beam Struct. San. Sewer Fram'_ng -Bldg. Poet/Beam Mech. Rain Drain Insulati.,�n -Plumb. Plbg. Underfloor Hater Line Gyp. Rd. \_MOC[C t� nn (\' i Date Requested: ^ � f `�V ` _ Time: L! AM ' `' Address: , 1 `4r(1� V S �c Pr.Mit ���� Z�q Builder:_Jam/ _ --2--2-A (A r) TRE FOLLOWIIIG CORRECTIONS ARF RFQUIRED: Ae Inspector:.�,c Dans: APPROVED DISAPPROVED APPROVED SUBJECT TO P.BOVF. _ Call For Reinsp. wsas�s� -MAS PECT10N NOTICE City of Tigard Building Depertemt 132-2!1 SO Ball Blvd. Tigard, Oregon 97223 Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171 Inepactaon: ' ,> Footing Plbg. Unerslab Mech. Rough-ink Appr/Sdwlk Found. Plbg. Top Out -���- -OSA Lin PIN Post./Beam Struct. San. Sewer Framliq -Bldg. Post/Roam Mech. Rain Drain Insulation -ply. Plbg. Underfloor Water L its Gyp. Bd. ; J Data Requested: AM Time: _ 7--- —/-� - PN Addreee: C� _ �24� �Q_ Permit d://� � Builder: TEM FOLLOWING CORRECTIONS MME REQUIRED: ,� 24 Al 4 Inspector; v `� "�{i� tatsit _,APPROVED _ '� DISAP/PpDVEb APPROVED SUBJacT TO um Call For. Reins, CITY QF TIGARD MECHANICA.... COMMUNITY DEVELOPMENT DEPARTMENT r)ERM I T 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (60.3)639-4171 PERM I T #. . . . . . . : MCC94--0254 DATE ISSUED: 09/ 15/94 PARCEL: ?S1031)8-09300 SITE ADDRESS_ : 11380 SW ERSTE PL SUBDIVISION. . . . : GENESIS NO. I ZONING: R-4. 5 BLOCK. . . . . . . . . . . : OT. . . . . . . . . . . . . :82 CLASS OF WORK,. . :ALT FLOOR FURN. . . . : EVAP COOLERS: _--�^`- TYNE OF USE. . . . :SF UNIT HEATERS. . : VENT' FANS_ : OCCUPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES----•----------- 111-3 HP. . . . : DOMES. I NC I N: : /GAS/ / / 3-15 HP. . . . : COMML. I NC I N: MAX INPU'T': BTU 1.5--30 HP. , , , ; REPAIk UNITS: F'T RE DAMPERS?_ 30--50 HF'. . . . : WOOD5•TOVES. . : GAS PRESSURE::. . . : 50+ HP. . . . : CLO DRYERS_ : NO. OF UNIT --- ------ AIR HANDL-I NG UNITS OTHER UNITS. : FURN ( 100K BTU: i- (- 10000 cfm: GAS OUTLETS. .11 FURN )=100K BTU: > 10010111 cfm: Renrar^ks : GAS ruRNAC:E Owner,. -_.-_.----__-----_-_----_------------------.-----.-_-_-_ FEES _ ... DOUGLAS GRAVE.TT type amolant by (lete recpt; 11380 SW ERSTE PL PRMT $ 25. IB0 JF09/:1.5/94 5P(.1T" $ 1. r'S JF 09/15/`111 T IGARD OR 972:23 Phone #: 624--6876 Contractor-: -- -- ------- -- ----- ------- _ ALLIED MECHANICAL CONTE' S LTD. 3506 SW 209TH AVENUE BFAVE.RTON OR 97007 ---- --------- •--_--__________._______.___-- Phone #: t 26. 25 TOTAL Reg #. . : 05807 - -- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the t incl Inspection _ Tig.--d Municipal Code, State of Ore. Specialty Codes and all other applicable lams. All work will be done in accordance with7�1tt ���.� approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 180 days. --- ---- F'w r•m i t t e e S i g n a t ll r e : I s s i-ted B y : etll —fo�rf_.i._�nvsp._e_.c_.—ti--on 6 - - C -- 639-4175 ri,y of Yigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (jr3) 639-4171 --- �r�;i ;;:._--_------ -Uesurphun- .--. �—�T--- =•T---- — Table 3A Mechanical Codd QTY PRICETAMT -eta---,-^-- - --- ------ -----•- - Job Address / �s �-a 1) Permit Fee ^- - -0- -0- 10.00 2) Supplemental Permit 3.00 'furnace o-Rs0-0 f'f3TU--- - - -- 17-- 1) incl.ducts a vents ' F.00 ly , - Fumaca 100, -BTU-; Owner 2) incl.duds d vents 7.50 �� - �?.L3 --FToorFumance --- -- - _t.2 � 3/ Incl.ve It - 6.00 spFin Treater,walfTieater 4) or floor mounted heater 6.00 ter----- Occupant -- �'• Vent not ind.in - - 5) appliance permit 3.00 ----- ----�--- —TTe aur of_eahng,re- efrig.__ - - r 6) cooling,absorption unit 6.00 ----v '-- Borler or comp,heat purnp,air cow. -- / C77 /�IUCW I 7) to 3 HP;atsnrp unit to 100K BTU 6.00 --rr--- -- - -- Boiler or comp,eat pump,err co Contractor 8) 3 15 HN;nhsory unit to 500K BTU 11.00 i e �-or i.mp heat pi pump air conn 9) 15.30 HP;absorp unit.5.1 mil BTU 1500 `.,"` '•.r1t -907,er or comp.Feat pump,air conn - 10) 30-50 HP;absorp unit 1-1.75 mil BTU 2250 Here yac ow ge a ave rs3a is ap icaI;5F lRaT�ie—_j boiler or comp,heatpumnp air cores - -- information given is correct,that;am the owner or authorized ager; 11) >50 HP;absorp unit 1.75 mil BTU 37.50 of the owner, that plans suhmitted are in compliance with State it an Ing unit- `- laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM c.SJ that the number gp/en is correct. (If exempt from State registration, _ it an aF,ng urn -- - �, lease give reason below.) --- -- 13) 10,000 CTM a 7.50 Non portable 14) evaporate cooler 4.50 — — — -- Vent tan connec - --- ---_ 15) to a single duct 3,00 Ventilation-on system not 16) included in applia -m permit 4.50 Sq­j --- - -- -rrt- - Ho5d seivod by 17) mechanical exhaust 4.50 Describe work new'o -a inion a terat»n repair --Uommercia cr m stnaT•— -- to be done residential 0 non-residential O 18) type incinerator 30.00 x'ising use oT— -- -- ------ Other i.e.,w s ve,waTe-f building or property�- -_ 19) heater_solar,clothes dryers,etc. -- f 4.50 Proposed use of 20) Gas piping one to four outlets t--2-00 2 building or property - _- 21) More than 4-per outlet Type of fuel-oil Q natural gas n LPG(:) electric i Minimum Fee$25.00 SUBTOTAL 06 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORi'ED IS NOT COMMENCED WITHIN 1130 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK.IS SUSPENDED OR --- - ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUP-TOTAL _ AFTER!YORK IS COMMENCED TOTAL "Z_61Z 5 SpPdal Conditions --..._..------ _ ---_. --- -- -- —_ ----- - Date k,suc i------ by— - — �. �cc>rvur (-ViY (If 110ARD RECIVIP1 (A I'HYhit IA M I I 't 1 1 NO. 1 414--t!f*boo (.T4(:JA-, 14MOUNI C�6. (Iml'It IN I [A. WIA 11YIE MECHANICAL PHYMI- ril li(A(f. 1 04 Il-'j 94 NUIA D(v I R 1 W4 PURPOGE OF PAYMI".NT AMOUNT r."All) PURPOSE' Uf` Pf.iYMFAr' HMI 11 IN C PH 11) wr.-.',1-4 1-1—NI-C—AL, PE M"--FC'-)4-•0:2e54- L�55. CAVA ST. BUILD PER 1. 1.381A ERSTE PLACE !fIli-11, (AM(.)I)Nf P(41D Pb 2b NINI SPECPION NOTICE City of Tigard Building Department 13125 tat 6411 Blvd. Tigard, Oregon 97223 Inspection Line (Ree.-O-Phonq): 639-4175 Business Phone: 6.�9-4171 Inspection: Footing Plbg. Underslmb Mach. Rough-in Appr/Sdwlk Pound. Plbq. Top tat Gas Line PINALt> Poet/Bears Struct. Ean. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Lino Gyp. Bd. -Hoch. Date Requested:_;5—72- 13 Times 1,,' PH Addrena•_ l���0 �ErVC`A_e Rk L Permit � 113 �Z Ru I I der: TNM FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors Z�Z_ �� Dates _ '� APPROVED DISAPPROVED 11PPRWED SUB.TECf To AHOVE __Call For Reinap. INSPECTION NOTICE City of Tigard Building Dopart-ment 1312.'". SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 639-4171 Inspections_,____ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Poet/Beam Struct. San. Sewer. Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Fater Line / gyp. Bd• -Njeoh. Date Requested:_�� Times JoC � PN Address: +�= Permit Builders THE FOLLOWING CORRECTIONS .ARE RRQUIREP- C-)Inspectors _ Dates_ 7—Z_9 —5 APPROVED DISAPPROVED APPROVED SUH,SCT TO ABOVE Call For Reinep. INSPECTION NOTICE 1 City of Tigard Building Do partment R 13125 SM 1Iall Blvd. Tigard, Orogon 97223 Inspa•ctio, Line (Rec-O-Phone): 639-4175 Bua�noes Pnone: 639-4171 Inspect ion:— --`---- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Cas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post./BP,am Mech. Rain Drain sulatio—n� -Plumb. Plbg. Underfloor Mater Line gyp. 8d. -Mtch. Date Requected: �� �e_ TimeI JW /\_PM Address: Permit #X L /)' ell Builder: / — _ CQ 47 Z 2-7 4! — THE FOLLowl CORRECTIONS AR1 REQUIRED: 071 03 d '. __ Le 4_ �( - Inepector:— �`'''+-- - Date: APPROVED DISAPPROVED APPROVP.b SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Li'. (Ree--O-Phone)s 639-4175 Businesr, Phone: 639-4171 Inspections v -4- Footing bq. Underslab Hech. Rough-I Appr/Sdwlk Found. Plbg. Tap Out �Oaa - FINALt Post/Beam Strict. San., Sewer i Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb.` P1by. Underfloor Water Line Gyp. Bd. -Hoch. •/ Date Requeoted:__._`!1 � rime. AN PH Address:-- Zi O .Ll/ / / 410 Builder: THE FOLLOWIN RRECTIONS ARE REQUIRED: oe Inspector _ Ilry{{' � Date: __Y_4_LJ�_Zn__ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE --Call For Reinap. INSPECTION_NOTICE - City of Tigard Building Departaent 13125 SU Hall Blvd. Tigard, Oreton 97223 Inspection Linc_ (Rec-O-Phone): 639-4175 Bus.inens Phone: 639-4171 Inspections —,-- ----` Fonti.ng Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. `Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undnrfloor Water Line Gyp. Bd. _Mech, Date Requestedi C z— Time: AM _ !PM Address:— �; ~ (� �/� - �/� �y Permit #s Builder:,_( THE FOLLOW G CORRECTIONS ARE REQUIRED: f ---S`� L(• c-•ms's-`���`L�.t.IC V' Inspector:!� ✓� —.� Dates APPROVED DISAPPROVED APNROVFD SUBJECT TO ABOVE Call For Reinmp. TNSPECTIOIi NOTI';c City of Tigard Building Dcpartnent 13125 SW Hall. Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O•-Phone)s 6.39-3175 Business Phone: 639-4171 Tnapect.ons Footing / Plug. Undersl.ab Mech. Rough-in A � ppr/Sdwlk .c Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plsuab. Plhg. Underfloor Water Lina Gyp. Rd. -Hoch. -K Date Requented: (� '� _Tisses AM PM Address: ������ mft #t Bullders!_ THE FOLLOWING C()RFECTIONS ARE RE('UIREDs r��APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _`_Call For Reinnp. MSP.SCTION NOTICE n G� City of Tigard Building Departnent1- 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-c-Phone): 639-4175 BuPineae Phone: 639-4171 Insper-tion-_ Footing Plbg. Underalab Mech. Rouqh-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Dost/Beam Mach. Z4&in Drain Insulation -Plumb. Plhq. UnJorf.loor /- Water Line Gyp. Bd. -Hoch. Date Raquested: y,/`�/LZ�- Times AM PH Addrwn9:_ �6 U /`./'�"�-' �� Permit c. Builder: _• il �� _— THE FOLLOWING I RRECTIONS ARE REQUIRED: inspector: Date: APPROVED DISAPPRO'/BD APPROVED SUBJECT TO ABOVE —_—f.all For Reinap. INSPECTION NOTI(_`E City of Tigard Building Depar 13125 SM Hall Blvd. Tigard, Oregon 722 i' Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspections Footing Plby. Underslab Mech. Rough-in Appr/Sdwlk nd. Plbg. Top Out Gas Line FINALS Post/Beam struck. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. ed. -Koch. Date Request.eds _ iTimes X%—AM PM Addreas:A30 (0 Permit is 44/. Builders TRE FOLLOWINICORRECTIONS ARE REQUIRED: Lnepecto s Dates^ _ APPROVED —� DISAPPROVED APPROVED SU&TRCf To ABOVE --call Fuer Reinsp. INSPECTION NOTICE Citi Of Tigard Building Department. 13126 BR Hall Blvd. Tigard, Oregon 975923 Inspection Line (Rec-O-.Phone): 639-4175 Busines■ Phone: 639-4171 Inspection:__ rooting� : Plug. Underelab Hoch. Rcugh-in -Appr/Sdwlk Found. Plhy, Top Out Can Line FINAL: Poet/Beam struc:. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Ineu)ation -Plt,mb. Plbg. Underfloor Mater Line Gyp. Bd. -Hoch. Date Requeetod, Times AH .—PM Address, _-_ Permit ��y Builders— THE FOLIAMIN6,CORRECTIONS ARE REQUIRED, tnepector: ` --�� Date _ o ,/�" APPROVED DISAPPROVED APPRO MD SUBJECT TO ABOVE T Call For Reinep. C'1Y OF TIVATWIM MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT 021114m PERM I r 13125 SIN NMI Bk4&P.O.So 23397,Tipsmi,Orepn 97 (503)630-4175 rG3 9--XF 17 1 LF I .)b 11 F Li 0 0717 1.5 7 9 7 SITE ADDRESS. 1. 1:380 SW ERSTE PI_. PARCEL: 2S103DB--0'J3@(?1 SUBDIVISION. . . . : GENESIS NO. 3 ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 162 BUILDING ------- RE I SGUE DWELLING UNTT';: 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :ADD SEDRMS:O BATHS:0 GARAGE. . . . . . . . . . :300 S f T,iPE OF USE. . . -.GF FLOOR AREAS­---------- REQUIRED ---- TYPE OF CONST. :5N FIRST. . . . :0 Sf LEFT. . -.0 ft RIGHT. :5 ft 0(__CUPANCY GRP. ;R3 SECOND. 144 s FRONT. :2O ft REAP. . :O ft S I URIES. . . . . . . :2 THIRD. . . . :0 s REOU I RED---- HE I GH t. . . . . . .• . :420 ft TOTAL--------: 144 S f SMOKE DETEC'T0IRS,, - FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 12"024 PARKING SPACES. , i0 Remarks.- PATH 1 444 SO. FT ADDITION SHOP 300 SU FT 14, SO FT CLOSET PLUMBING GINKS. . . . . . . . . . .0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . ;0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . .0 TUB/13HOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . .0 WHTER CLOSETS. . :0 S[-.:WER LINE (ft ) . -0 GREASE -1 RAPS. . . . . . . :471 DISHWASHERS. . . . :0 WATER LTNE. (ft) . :0 OTHER FIXTURES. . . . . :0 6ARBAGE D19P. . . :0 RAIN DRAIN (ft ) . :@ WASHING MACH. . . :0 SFRAINDRAINS. . . 1 ------------------ MECHANICAL r`EE5 F=UEL UNIT HTRS. . :0 type amel.mt by date re(--pt VENTS . . . . . :0 BPRT S 98. 50 VILL 04/13/92 MAX JNDUT:0 BTI! VENT FANS. . :0 TAPLE, 1. 64. 03 JLH 04/+22)7/9? BURN ( 100K . . -0 HOODS. . . . . . :0 B5PC $ 4. 93 PILL 04/13/92 URN ) 1=101711J, . . :0 WOODSTOVES. !0 PPRT t `5. 00 L L 04/13/92 i_UOR F URN. . . -0 CLO DRYERS. : 0 P5PC $ 1. 25 FILL 04/13/9� Br11L/CMP ( 31-AP:0 OTHER UNITS:0 GAS o,,j,rLETS:0 Owner : DUUSLAS GRAVATT 11380 SW ERSTE PL i16ARD OR 97223 Phone #. 6c-'4-687E, Cont r A c t or ' WNER Ifionf,I $ 193. 71 TOTAL `his Dereit is issued j)vct to the regulations contained in the REOUIRED INSPECTIONS Tigard Municipal Codt. State of Ore. Specialty Codes and all other Foot/found Insp ElUil(lirg Final applicable laws. P11 work will be done in accordance with approved E,[_M/Underfloor Erosion Control Plars. This cervit will expire if work is not started within 180 Plumb Top Out days of issuance, or if work is suspen for sore than 180 days. Framing Insp Insulation inn Permittee SiqnAtLWe : Gyp Suard Insp Rain drain In5p Issued By : V,Ifjmb Final Call for inspection — 639-4175 CITY OF TIGARD — RECEIPT OF PAYMENT RECE.I PT NO. a 92-2059(,5 CHECK AMIXINT G i :.!9. E+8 WME t VjRAVnTT, 0000LAS & LAURA CASH (%Mn(.JNT a IA. 00 ADDRESS t I 1880 SW EAST E PLACV. PAYMENT r)f)i,E t 04/13/9e SUBDIVISJON TIGARD, OR 97223-- 11380 ISW ERSTE Pl- U,014POSE OF PAYMENT AMOUNT '"1011) PURPOSE OF PAYMENT AMOUNT PA 11) —b4 �LM I NCi 25. @(A ST. BUILD PER II TOTAL AMOUNT PAID 29. 66 • uia SW ti,u Bred. PLNCK/RLCT CITY OF TIGARD 110 Mix 7.3397 PERMIT COMMUNITY DEVELOPMENT DEPARTNIENT Tiprd.Oregon 97723 (503)639-4171 DATE ISSUED 7 JOB ADDRESS: _ _ 8 0 a) %=� �_ TAX MAP/LOT D�_U Q a J SUB: n_� �$ � .S ,� LOT: �� LAND USE: /^ VALUATION: OWN IAL NOTES NAME: �/ C�� _ REISSUE OF: _ �t���ti ADDRESS: 1��� S �� �;�-� �J�'. LAST REISSUE: FLOOD PLAIN/ PHONE: (�� �v __. SENSITIVE LAND: _ CONTRACTOR LS��.��., APPROVALS REE% IREQ NAME: L PLANNING: 'Ye ADDRESS: : (� ,.j ��J �� r � ��1 ENGINEERING: _ _ L % (% ?,,; ,. FIRE DEPT: - — — r PHONE: C�,��-� 7 (� OTHER: NU `T/` CONTR. BOARD EXP DATE: .!!EMS REQUIRED SUBCONTRACTORS: PLUMB: t�L�'r'c r � LI ST.'SUBCONTRACTORS: MECH: ._^ i r,s;' e c _ BUS TAX: ARC H[ENGINEER _ CALCULATIONS: NAME: is l� , , _`.Z-,' _ l>�5, -rte p_r TRUSS DETAILS: ADDRESS: G 3 f4C.4'THER: _ — — �, 1.rja o1 6 PHONE: PROPOSED BLDG. USE: wt..)/. L-e COMMENTS: t APPt.iCANT SIGNATURE _ Received By: _ Date Received: 9c� PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BALL.,DUE ,��-wC,Yl0-432 00 Building Permit Fees '� � •S� a . ) 10-431 00 Plumbing Permit Fees �S.cL' S • �c 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) BuildingV' Plumbing _�2 >r"� Mechanical - 10-433 00 Plans Check fee Building 1�: 3 Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees _ 25-448-03 Office TIF Fees 95-448-01 Residential Traffic Fees _ 25-448-05 Mass Transit TIF Fees 52-449 00 Parks Syst.im Dev Charge (PDC) _ 31-450 00 Storm Crainage S,yst Dev Chrg (SSDC) 24-445-01 Water Quality (fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) .,� •._� 3 \ TOTAL l3 7( LCL nm/3587P.WPE CITY OF, TIGARD RECEIPT OF F'AYMENT PECFivr No. v92-225761 CHECK AMOUNT t 64. 03 GRAVATT, DOUGLAS CASH AMCILJNT 0. 02 11380 SW F.-Rs,rE PL PAYMENT DATE a 04/07/9e SUBDIVISION TIGARD, OR 972-2.3- 1 :iWOBE OF' PAYMENT 91MOIJNT PAID PURPOSE OF PAYMENT AMOUNT PAiD ON 64. 03 ; 0VA1. AMOUNT PAID 64. 03 Permit No: Address: H fun ' Issued by:.__—_____ Date: OFFICE USE ONLY________ STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2B: 1. I own, reside in, or will reside in the completed structure. 2. A. = My general contractor is Contractor registration number I will Instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind _...id do hire a General co-.tractor, i will contract with a contractor who Is registered with the Construction Contractors Board and I will immediately notify the office Issuing this building permit of the name of the contractor. I hereby certify that the above Information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on th© reverse side of this form. V_�gatW. of 0ermit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 1/90 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT �s INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners About Construction--] Responsibilities was developed by the Construction Contractors Board in accordance with QRS 701.055(5), passed by the 1989 Oregon Legislature. JI If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure. you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIEF: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to he an "employer" and the people you hire will be "employees". As the employer, you must comply with the following: Oreggon's Withholdinj4 Tax Law: As an employer, you must withhold income taxes from employee wages m at the t e employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your empluyees. For more information, call the Oregon Department of Revenue at 3753390. UneTElo_yment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes ont we ages r-- �t allemployees. For more information, call the Oregon Employment Division DDR at 378-3224, Workers' CqTpersatlon Insurance: As an employer you are subject to the Oregon Workers' Compensa- tion Lew, and must obtain wo i7 compensation insurance for your employees. If you fail to obtain workers' compensation insuranc,, you may be subject to penalties and will be liable for all claim costs i, one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF .at 373-7434. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from ernployeos' wages. You will e Ilable for the tax payment even if you didn't actually withhold the tax. For more informa- tion, call the Internal Revenue Service at 2213960. OTHER RESPONSABILiTIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for this protect, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Prop�e�r�tyy--Damage Insurance: Contact your insurance agent to see if you have adequate Insurance coverag�r accidents and omissions . ich as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to Supervise Employes. Make sure you have sufficient time to supervise your employees. Expertise: Make sure you f ave them expertise to act as your own general contractor, to :.coordinate the .-fork of rough-In and finish trades, and to notify building of lcials at the appropriate times so they can perform the required inspections. If you have additional questions, write t0* Construction Guntractors Board 700 Summer St, NE, Suite 300 Salem, OR 97310.0151 Phone 503.378-4621 0244J 10/24/89 MECHANICAL CITYOFTIFARD PERNIT ' COMMUNITY DEVELOPMENT DEPARTMENT awoN PERMIT MEC91-0251 13126 SW HWI Bhfd P.O.Baa 23397,T4W".Oregon 91 (604)6304175 T.S G k!F 0 w .1.6,'2 S,'g 1 s I'r E ADDRESS. . , » 11:380 SW ERSTE P L r,ARCF:1...-. 29103DE4. (191-400 SUBDTVT.SI()N. . ­ - GENESIS NO. .3 ZONING: F� 4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . :82 C!..ASS OF WORK.. . »ADD FLOOR FURN. . . . 3 EVAPI COOLERS: TYPIE OF 1J3F. . . . .SF 01111 T HEATERS. . : VENT FANS. . . : 0C CLWANCY GRP'. . -R3 VENTS W/O AFIVIL: VE.NT SYSTEMS: ST OR I E . . . . . . E40 I LERS/C011PIRESSORS HOODS. . . . . . . . FUEL 0-3 HF,. . . . DOMES. INCIN- 3•-15 HP. . . . C01111L. INCIN: hIAX IWOT: BTU 15-30 HPI. . . . REI)OIR UNITS: F: IRE' DA111-:1ERS)?. 30--' 0 HID. . . . WOODSTOVES. . .- I. GAS PRESSURE. . . . SO+ HF'. . . . . CLO DRYERS. . -. NO. OF UNIT13--­­­­­ AIR HAHDLTNG UNITS OTHER UNITS. FURN ( 100K BTU: <:= 10000 CfAl: GAS OUTLETS. FURN ) =100K BTU.- 1.0000 cfni- Rema-rL-.s: WOODSTOVE INSERT Owyie-r.- FEES DOUGLAS GRAVETT type amount 11Y date -r e(:7 p t 11380 SW ERSTE F:,I- V,R MT $ 25. 00 JLH 10/25/91 — 5 1-1 C T $ .1. 25 JLH 10/25/91 — TTGORD OR 972e3 I UDEMANS, INC lu'?675 SW BEAVERDW11 RD Flh:AVLRION OR 97005 .......... Pliatip 04.- 646 6 4 PJ 9 $ 26. 25 TOTAL.. NFnq It. . - 51469 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Fiiial Irispeetic)ii Tigard Municipal Code, State of Ore. Specialty Codes and all othrr ......... ............ ...... applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more ...... than 180 day-. ........... Flermittes 3i.91-#AtUrev ——---------- y ............... CA11 for irispeetic)ii 539-41 e4 G ry OF TIGARD RrCEir-r OF=' PAYMENT RECEIPT NO. :91-219064 CHECK AMOUNT : 2-6. 00 NAME , GRAVATT CASH AMOUNT s 0. a5 PAYMENT DATE 3 10/25/91 11380 SW ERSTE PLACE SUBDIVISION e TIGARD 97223— PURPOSE OF PAYMENT AMOUNT PAIV PURPOSE OF PAYMLNT AMOUNT PA I D MECHANICAL PE ;R5. 00 ST. BUILD PER 1. 25 TnTAI AMOUNT ft-A 11) > 26. 25 i� i` 4 co z w / mt 04 � ? N ++ P4 tq b0 1 01 > I � o Vap w 3 � ° to Vba H 'n 4 ff� -1 Os u° a b � °0 -0 `*• U A N V (.� «+ cn m ° can ti v a f b CA w 0000 u 0� cn o V � ° o on U j cn o `J 00 to Cd I� a s INSPECTION NOTICE: City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requesteo -_ ' 3'��Z Time � A.M-- P.M. Address permit Owner Lot _ Lot # Builder The following Building :ode deficiencies ars required to be corrected: Presented to n Approved Inspectc, — rJ { Disapprovad Date CALL FOR REINSPECTION f YES [ NO -CITY OF TIGARD Pi"w o robing Permit Building Department . No. Residential 0 Commercial ❑ New Installation f l Replace ❑ Addition [] Alteration ❑ Date Licensed / Plumber Owner (_s .:_, Address __�' 2� i��,���r � Job Address Phone Applicant _CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Fixtures-Traps 7.50 _ Sewer:First 100 ft_ 30.00 Dishwasher 7.50 Each Addit.100 ft. 15.00 Garbage Disposal _ 7.50 _ Ejector Pump 1 7.5'0 Water Heater _ 7.50 Water:First 100 it. 20.00 Backflow Preventer 7.50 Each Addit.200 ft. 15.00 Storm&Rain Drain:First 100 ft. 30.00 _ 1� Each Addit.20011. 15.00 Mobile HomeSpsce 25.00 Other(Sr acify):– _ _ Rain Drain-Single Fam.DwellingV 15.00 .� Comments: PERMIT FEE ��j'���� STATE ISSUed By. .: ! % —� �,,� Rec;oi� No. Applicant TOTAL x-71 Signature For Plumbing Inspection Phone 639-4171 BUILDING PERMIT APPLICATION TIGARD DATE__ J .--- ,19_. 134 4938 THEUNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE f,6ri-7026__ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO._ 62 OWNER U.S.Nat luaal Ilanh JOB ADDRESS 1126U Si! l:1C� '�A..cei�CIIdII�t__-.— ARCHITECT N ENGINEER BUILDER Falinggr CcinQcr_ ADDRESS 8280 SW 162m, -DESIGNER_ STRUCTURE ❑ NEW_ U REMODEL ❑ ADDITION ;, ,ePAIR _11 RENEWAL ❑_FIRE DAMAGE F1 DEMOLITION El RESIDENCE ❑ COMM n EDUCATIONAL 11GOV'T 1:1 RELIGIOUS ❑ P*O ❑ CARPORT i 1 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY __LAND USE ZONE BLDG.TYPE FIRE ZONE W PLAN CHECK BY HEAT—__- keuewal of Permit 14018, to finish house, for any other informat iron look An permit 14018. SEWER PERMIT# _ OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SETBACKS FRONT_ _ REAR _ LEFT SIDE RIGHT SIDE_ Permit Rau al __Ia6.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax Total 1 r1b,5p SDG— _ pDCN APPLIC� A 1WT OR A7G T LApproved CH Receipt No,F'1'W ADDRESS PHONE '•xl 'nwT tStt• '. 1 ♦ W. !'Y # 11 � i DATE INSR TYPE INSPECTION REMARKS PLUMBING DATL --1-- Contractor -- -- --- - - -— ---— — — ------ _ -'Pe.lt No... ----�- -------._ -- Fixture - — ---- - Fina -- __ --- •— Contractor -- --------- - — -- -----.-- - — Permit No. Gas r OII — 1 -- _ ---- --- — ---- —_ ——I F a - -- I� SEWER -- --. DRIVEWAY -.-�- ------•----- ---.. final � - - - - - ,- Storm Dra+naps IHsin Drain)Fine -_ - —._-- Sidetnwlk - ---- - Curb&Street Final s1.DG. DEPT.FINAL - Apprr>ed7 TEMPORARY CERTIFICATE OCc1U1w&NCY CERT;rICATE 0 :CUPANCY Final — — [Lan, waping —. 1.. 7oniro gins' ar ' INSPECTION NOTICE City of Tigard Building Npartment 12420 S.W. Main St. Tigard,Oregon 97223 Phone 639-4171 Type -)f Inspection �- r�-19/A �1�� — - i Date Requested !'.'t Jam- —Time�_ A.M._ P.M. { AddressP, Permit Owner.----,--. _ Lot # - 1 -� Builder .4 The following Building Code deficiencies are required to be corrected: Ji WAIL f Presented to n Approved Inspector /�/�l/��� —_—_— lj�Disapproved r Date CALL FOR REINSPECTION Eh/YES ❑ NO BUILDING PERMIT APPLICATION TI(3AHD DATE_'_._.. ts4118 THC UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATFD BUILDER PHONE " OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. `'. ,E\ner i_Q TIJ OWNER ^,_�.1 r)eV-fie. JOB ADDRESS 11390 :t,'tc F'JOCC ARCHITECT ENGINEER BUILDER EJ?1me ADDRESS Cr SO S'i lQ!'L}1rrVtn DtSIGNER STRUCTURE 17 NEW U REMODEL ❑ ADDITION ❑ REPA19 ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION 0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO L] CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY " ' LAND USE ZONE —2--Ag-BLDG.TYPE 5fI FIRE ZONE -- PLAN CHECK BY rlwh—HEAT Construct single fanily dwelling w/attach,;.' gar97e. 4 1'r,.Iron­r 1111n 9412. SEWER PERMIT# ? — ¢FIO*001 g;%ram, 432 rq.f# • X2 OCC.LOAD FLOOR LOAD 40 HEIGHT 21 N0.STORIES AREA %�4' 4 NO.BEDROOMS VALUE - BUILDING DEPARTMENT SETBACKS FRONT '` REAR , LEFTSIDF RIGHT SIDE Permit _ W 31.3 00O THIS PERMIT IS ISSUED SUBJECT TO THE REGATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODF�j AN ORDINANCES. AND IT IS HEREBY AGREED THAT THE Plan Check _ WORK WILL BE DONE IN ACCORDANCE V;1TH THE PLANS AND SPEC;rtCAT10NS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total _ 61 4a RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LIC"NSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 14,92 SDC— �� 00,0s Total ^�630.?7 - PDCM 100.0; APPLICANT RAGENT By i1 Receipt No. Approved .� P.ODRE33 PHONE INSP. TyFW INSPECTION REMARKS FLU :VABING D aContractor — Permit No. Iffipme kle z I lel-I!n Route.i., '7 Fixtwz: Final HEATING 5,A ems— Contreetor Permit No. Gas­®r0il 2Z,*1 3-11-8Z -r_ e, ugh-in Final SEWER Final ___-5 DRIVEWAY Final Storm Drainar Own (Ran,mein)Final-_3ol'3 60 V-2-1-8,z Sidewalk Curb Street Final v, Approach 11111LOG. DEPT.FINAL TEMPORARY CERTIFICATE_0'--E:Lw_'A_r4C_�Y CERTIFICATE OCCUPANCY Fire$ Landscaping Zoning Final .li4ftwop nmw,"sw w-- + + ���'��`�7W . ... •7Y: .ter• ......... ....� •�.....�....r... .•.•... w ✓ .. .. .- .V.• .. BUILDING PEP.MITAPPLICATION TIGAa0 UATE_.�- 2�i THF UNDERSIGNED PER EBY APPLIES FOR A PERM IT FGR THE WORK HEREIN INDICATED BUILDER PHONEd OR AS SHOWN AND APPFIOVED IN THE ACCOMWANYING PLANS AND SPECIFICATIONS. OWNER P O •E JOBADDRESS -,-5 Pl LOT MO. sit ARCHITECT BUILDER VNGINEER O ESIGNER "�-- STRUCTURE _I&NEW ❑ REMODEL '❑ ADDITION_ REPAIR ❑ RENEWAL. -- ❑ FlRFQAMAGt: C1pE�dOLlil AESIOENCE 0 COMN n EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑--PAATIIO C] CAR PORT (] GARAGE ❑ STORAGE ❑ SLAB❑ FEN OCCUPANCY _LAND USE ZONE RIO .BLDG.TYPE •b- FIRBZON�_ PLAtJ CHECK BY^ HEAT.` Ira 0 to "� SEINERPERMIT!_ OCC•LOAD FLOOR LOAD Q _ HEIGHT NO.STORIES '{�►A=�EA_ �� -` D NO.BEOR_OOM$ VALUr !0p BUILDING DePARTMENT SET BACKS FRONT REAR .�_- LEFT SIDE Y RIGHT SIDE .20 _ p^rmit �_r_ THIS PERMIT IS ISSUED SUBJECT 'O THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOPl:1 Plan Ch4., ,y REGULATIONS AND ALL APPLICABLE ;ODES AND ORpINANCES, AND IT IS HEREE=3Y AGREED TEAT Ti WORK WILL BE DONE IN ACCORL'•ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAtl I ..- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PSRIAIT ,')OES NOT WAI RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BJSINE dosUCENSE.SEPARATE PERMITS R=:StitnTax _OUIRED FOR SEWER,PLUMBING AND HEATING. Total a 0, 50C r POCO A PUQANT OR AGENT .A I�©Y - I .Approved RecE pt No. �_ . ADDRESS PHONE DC — ��°�e I.s•�t'�. DC — _ rr EWER CONNECTION $ 779 LE.Ukr-RINSPECTION S EWER SURCHARGE S / 310 nmments•s Red. 11.01 A u vs�o 22 •r I qe.2 l is 8o Sup E"iv, Ram, tnf:091 . q"e<1'%:K Ate, 90 -AL Aetfvt FLO04- . 1 x 3 7 V.2 3 /0-4 itze-8 29e /9- le x 2 a-y- 4 00 Bay l v 9-4 8 t-9 2- x S-if 17 - 13o Z x G-'� zof 23.J"O ;? . 2 194 x I/- f ?�� 66 0 CITY OF TIGARD Plumbing Kermit � I Building Department No. — Residential W Commercial ❑ INew Installation ❑ Replace ❑ Addition ❑ Alteration ❑ Date Licensed Plumber —Shoemaker's Plumbing—_ _ _--_ __ Owner _Pfacal Development Address __. P.O._Box 250 _Estac.ad Job Address _ 1 1380 SW Erste_Place Phone 630-7728 — _ Applicant _Shoemaker'a_Plumbing — CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS I — -_ ITEM NO. FEE TOTAL ITEM _ NO. FEE TOTAL Fixtures•_Traps 10 7.50 75.00 Sewer.First 100 ft. _ 30.00 _ Dishwasher 1 7.50 7.50_ Each Addit.100 ff. _ 15.00 IGarbage Disposal_ 7.50 _Ejector Pump — 7.50 Water Heater 7.50_ — - Water:First 100 f' _ 1 20.00 20.00 Backflow Prevenler 7.50 Each Addit.200 ft_`_— Y 15.0 0 Storm E Rain Drain:First 1 00ft. _ 30.00 EDch Addit.200 ft. 15.00 Mobile Home Space _ 25.00 _ Other(Specify): — _ _ Rain Drain-Single Fam.Dwelling 15.00 PERMIT FEE 1 10.00 Comments: STATE % Issued By: 4.40 Receipt No. Applicanghone6319�1-4171 TOTAL' _ 114.40 _-_ Signature - For Plumbing Inspection