7070 SW ELMHURST STREET 6
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7070 SW ELMHURST STREET
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City of Tigard Building Department
1.3125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_____— ---
Footing Plbg. UnderslabKoch. Rough-in A.ppr/Sdwlk
'
Found. Plbg. Top Out gas Line FINAL:
poet/Ream Struct. San. :Sewer framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. ad. -Nech.
Date Requested: J�1,�{l/, Tom►
hddreee: � �1G'/•,�l�l� Permit is
Builder: � /ze
THE FOLIc'AImr. CORRECTIONS ARE REQUIRED:
--_
5 -
6" Dater /
Inspector: _—
APPROVED DISAPPROVED APPROVED SUBJECP TO AW79
Call For Rei:ep.
ar ,war IWJL e.
INSPFCTION NO2'ICE
Cityof Tigard Building Departoem
13125 811 Ball Bled. Tigard, Oregon 97223
Insp,F-ction Line 1Rec-O-Phone): 639-4175 Nusi.neee Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mech. Rmugh-in Appr/8dwlk
Fourd. Plbg. Top Out �aa Line FINALS
rant/Beam Struct. San. sewer Framing -Bldg.
Toot/Beam Mach. Rain Drain lnoulation -Plumb.
o'Ibg. Underfincr WaterLiue Gyp. Bd. -NeOh.
bate Requeoted: /z/; �a 2/ Times m PN
Address:�� 70 Permit
Bu l.lder:
- T -
THE FOLLOWING CORRECTIONB ARE REQUIRED!
cl
r — -
1
Inspector: Date:
APPROVED DIBAPPROVED APPROVED SUBJECT TO ABOVE
__Call Fac Reinsp.
MECHANICAL
CITY OF T'OARI) CITYOFVFMID PERM I T
COMMUNITY DEVELOPMENT DEPARTMENT 01160" PERMIT #. . . . . . . : MEC91-0245
13125 SW HWl BOA P.O.ft,2M97.Tqwd.Or*gm 97223(scj)&W-4176
7-
ca*
':;ITE ADDRESS. . . : 07070 SW ELMHURST ST PARCEL: 25101AS-00400
ZONING: R-3. 5
5UBD I V 113 1 ON. . . . :
BLOCK. . . . . . . : LOT. . .
. . . OF. -- --
CLASS WORK. . :ALT FLOOR TURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS— :
OCCUPANCY GRF:,. . .* R3 VENTS W/O APDL: VENT SYSTEMS:
C BOILERS/COMPRESSOPS HOODS. . . . . . . .
STORIES. . . . . . . . 0-3 HP. DOMES. INCIN:
FUEL TYPES----_---_____ 3-15:� HP. COMIII-. INCIN'
- /GAS/
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP- - - - - wonDG)TOVES.
GAS PRESSURE. . . : 50-4- HP. - - - : CLO DRYERS.
NO. OF UNITS--------_.-- AIR HANDLING U[,,I I T'S OTHER UNITS. :
FURN ( 100K BTU: 1 <= 10000 cfm: GAS OUT1_ET1,j. s1
FUPN ) =100K BTU: i 100VIO c-r-In :
Hemar-ks : NEW GAS FURNACE
ownet': ----------------- FEES
MARK DITTER type amo,.tnt tjy date r-ecr.-)t
7070 SW ELMHURST PRMT $ 25. (40 JLH 10/21/91
5P(-,T $ JLH 10/21 /91
TI( ARD OR 97223
follotic, #:
Contractor:
PORTLAND METRO-AIRF
10010 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR 97005 ______$_---26. `5
TOTAL
Phone #: 626-7BI8
Reg #. . - 61219REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. specialty Coa@s and all other
applicable laws. All work will be done in accordance with
approved plans. This permit wil' expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Sj i q n a t'At-1P
ISSIApd By :
Call for inspection 6.A9-4175
CITY OF TIGARD - RECEIPT OF' PAYMEN-r REC2 I PT NO. 091 -2188f..'a
CHC,CK AMOUNT 0 226. 25
NAME z PORTLAND METRO ATPS CASH AMOUNT v 0. 00
ADDRESS s 10010 SW IAF-AVFRTnN HILLS HWY PAYMENT DATE : 10/21/91
SEAVFRTON, OR 9-7005
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE (IF' PAYMENT AMOUNT 1--WD
MrCHAN I CAL PE P5. 00 ST. BUILD FIE:R5,
tgam, SW EL,MHLJR(.',I*
MTN- AMOUNT PAID 2E,. r`5
13175 SJ Hall BIW-
OF' TIGARD PLUMBING 1,i�d cR 97223C lTY
on Registration to corxluct a plumbing
PERMIT r�-4'S
Applicants must hold Oreg rator not hiring outside help• lJ L,�
business amuse.be properly owrleNope =�
PlumbulK Permit No.
Name d
a S al1AN• PRICE AMT
Address V ORS
Job Tax Lot Mat'.No. FIXTURES
Address ,7.550
ld Biotic Subd+v W Sink __ - 7.50
Lavatory - 5
ams or name o srness Tub or Tub/SI►ov+er Comb �- --
-7---50 -7r
arlrvJ rasa Shows(Only -- 1.50 11
Water Closer 750
Owner City/ tale Dishwasher __- _ 7.50
Phone Garbage Disposal 7
.50
WashingMachlne - - 7.50
Name Floor Oraln -._ 7.50
'Ph°ne Water Healer
ar 1-19 cess ___ - - 7 50
Laundry Room Tray 7
Occupant City/State Urinal 7
- ether Fixtures(Specih) _ 50
---7.50
s" - 7.50
5 , OCI
Contractor i ZIP MISCELLANEOUS _
90.00
t Cllr Bus.Tax No. Sewer 1 at 100• -'
15.00 --
Seweres.Addi1.100' __ - -- 2000.
tate 15.00
FIs. o to agu/s WaterServba tat too* - -• --
(nesidential)Iv y� 3 -� W��Sere. ea.mit 2M -
_lit tho information _
Ihereby*duX rledpn that I have read this spptcstlon, a Bond•and also Stone 6 ficin Drain 1st.100• i 5.00
gKmon Is oorract,v*I err repislered with the Stats Bodnar correct.that ah Storm 6 ptirt Drain Addd 100 --
have a state Pke*+t>tng1ee that the clambers elven are of Ore - 25.00
pkmnbwV work wit be done in a�10e 'applicable�and thal Mobile Home SPec°---- —---
poo Revised Statdes Chapters 447 and 6W
and eP1>I M elcempl tom
1,40 3 lioorued unyer ORS�� ( Back Flow Prevention 7.50
no Delp wo be onvioyad ion Devote
State regiWetion•pisww give reason below). Devoe or Mtl Pb"
HOMEOWNERS-I hereby oer*y thd 1 am the owrw d�ingwietlo^property� Any Trap or Was"Not 7.50
Iafx♦Ge 1 above,at YN11Ct1 l wm*)n 1 popoa b K ' •lease a r..H Comecfed b a Fi><hx'e i 7.50
n►y own use and tits property Is not bekq Caldt Basin ----
40
— - -
40 00 Per Hr
hue.d Elliat.Pkxr+b1f19 40.00 Per Hr
M
Sp1c+ek,N,adlocu OV-2 Mer d Pkxnb►'+0 within 15.00 monan Ex14*V 814926.00 min
New Bldg.or BtAd.Ad~e 15.00 Rain 02 11—(R/ alt ration[1 repair�,(] odditbn une residential ----
tiJ�.TOTAL oZ -
F use o1 ^
btAWk p a Prat)Qfll _ -- - �x TOTIAIL k
b'�0M�u"(if
tISOM1p or Pity --- - - --
HOME
ed is riot oom,
Tho porntr b000n�ee r*A end woad M wort a oonstuolMvn ar or abervioned low
M oeirMArta7 W or VAM*is
ISO 110 da W tarter Sher wet is oe �
a period d ISO days N a^t' L7
/
.__ __. - ler"l4ae 111•A:. �.
AMOSAIM
BUILDING PERMIT APPLICATION DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE $"
OR AS SHOWN AND APPROVED IN THE ACrOMPANYING PLANS AND SPECIFIGAl10NS. OWNER PHONE _
LOT NO.. 400 wa.. 1_%-
OWNER""' JOB ADDRESS /ll i J :i.i>i. s:L;J ILlr'F;i. _ _
ARCHITECT —
.J ENGINEER
BUILDER ;L1- 4 ;__ 2. iltlluy C -Itg ADDREVS DESIGNER
STRUCTURE f) NEW ❑ REMODEL 13 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
fa RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GANAGE E STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ti-3 LAND USE ZONE -Ikn�.- BLDG.TYPE FIP=ZONE_PLAN CHECK BY L HEAT
A(jCiftj%1i1 to E Y.J:3t;111Cr iI.CV(! fai ails, ciwll B }t1C c`.$AI:
Plu?dbf.ng Pe n:d t: zcixjLd r•,,cj. — ---
SEWER PERMIT#
OCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIES 1._ AREA � `� NO.BEDROOMS VALUE •3 r zri)
BUILDING DEPARTMENT SETBACKS FRONT REAR ---- LEFT SIDE -- RIGHT SIDE 16
Permit 1 d •�1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
ri7•�3 REGULRTIONS 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 1HIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
4•iP LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
PDCk APPLICANT—OR TOR AG
gy hid.�3 ENT
ApprovedReceipt No _��
ADDRESS PHONE
- "_- --�-- PLUMBING DATE
REMARKS
DATE INSP. TYPE INSPECTION - Contracto
6 `• rinCJ Permit No.
• T_!f� i Rough-in
T Fixture -
Final --
/ HEATING
Convector-
7 - Permit No.
Gas or Oil
Rough-in -
_ -_�---------'--' Final -�-
- SEWER _
Final _ —-
�� DRIVEWAY
Final _
Storin Drainage
(Rain Drain)Fina__-__
Sidewalk
-' Curb&Street Final r
APProachPORARY - --
CERTIFICATE OCCUPANCY Final _
- BLDG.DEPT.FINAL CERTIpT,ICATE OCCUPANCY V
Landscaping
Zoning Final �_
!� '
WASHINGTON COUNTY DEPART"NT OF PUBLIC HEALTH
RNVIRONKRNTAL HEALTH AND SANITATION
Application Date: � ",� -,�'�
C� Date of
CRI / Lnspection�-3`d
AUTHORIZATION NOTICE
[yap and Tax Lot Number: TownsbiPLA_ e Ran JA
g ILLILLSection6-�--i=— T.L. � .�Q D
Road and Address 0 �, E ^ �s f
Property owner
This notice authorizes the use of the on-site sewage dim osal
property identified above to serve a• ,.,� / yl' p system located on the
-�"=-�`' „ -r j 5��1 with a sewage
flow up to $� ` (tYPO of stricture)
gallons Per day.
CONDITIONS ole "pROVAL:
Ci r J /
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SAAITARIAP
DATS
58-17-rev. GERHARo MA7HEI5
7/23/95 pCDPH
CITY OF TIGARD BUILDING DEPARTMENT
PLAN CHECK NO. : 6 " �Y ��
PLAN CHECK APPLICATTON DATE RECEIVED: -5 --2 6-c4
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached Z-- sets of plans have been submitted for plan
check pursuant to the Oregon Structural C-de and Fire b Life Safety Code, o a edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: �v�h% XJi�`. '�c TELEPHONE: -2 L'
JOB APJRESS: _2� 7U F�ir�(� Z_�1 LOT NO, & MAY:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
`J Planning Dept. 0 Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire Districth Co Sewer Availability
VJ a0
C� Other O Other
(v R-q c,3
Items Required
List of subcontractors
QBusiness Tax
Calculations
(-D Truss Details
O Parking Plan
(QLandscape . Ian
Q)Other
COMMENTS
City of Tigard Building Department
BY: --
5
for inspection~ call 6:34•-4175 PEPAIT. N0. ��.
CITY OF TIGARO 699.4171 DATE
P'JILDINOP pMIT �s/-i'4c3LO7N0. 0- Z) �usaV1S10N
P.O. Box 2397. Tigard Olt 97223 TAXMAP�
roe ADORE ss a►iE
OWNER 1✓ Z
�',,i�< Oy,�•_, STATE HED.NO. ----�--
WALOCA
BUILDER'S PHONE OTHER -- --'
PHONE_.L1��
ARCHITECTO OTHER O DEMOLITION
ADDITION O REPAIR O MOVE
STFA)MAE O NEW REMODEL -- O ACCESSORY U GARAGE O OTHER O FENCE
0 RESIDENCE U COMM C1 EOQCATION O 1110 O R«IGIOUS, �'/,IfATT
.r. n,• FIRE Zl)NE _PIAN CHECK BY
jE ZONE ,Q-3 SLOG.TYPE
pOOUPANCY —
LAND US
10
s
_ �--- - -,71-#AALUE/ 3. 100
SEWER PERMIT•• AREA Z IP 8' NO.BEDROOM
NO.STORIf S
OCC.LOAD FLOOR LOAD HEIGHT -------" RIGHT SIDE
_ <-7 REAR LEFT SIDE
BUILDING DEPARTMENt —� SET BACKS FRONT _>
HAT THE
Pwm1t (� SO THIS PERMIT IS ND ALL APPLICABLE COUED DES ANO ORDINS A SPEC IRICATIO"S AND IT 13 ANO I"AGREEDCOMPLIANCE
OT WAIVE
Plan CMck (0 7. 3 WQIIK WILL IIE 1" "E IN ACCORDANCE WITH THE PLMICE OF THts PERMIT/1NS A'
WTTH ALL APPLIG►NANTCO CANT%No ORDINANCES.THE"JA MCTOR AND CONTM*TORS O AVE CURRENT a ES NBUSINESS
PL Ck.Fki TA)(PE CTIVE CO
TAX PERMIITS-SEPARATE PERMITS REQUIRED FOR SEWER PLUMSIN('s.SND HEATING.
Slue Taa S50C _ -----
SDC AIPI NT ORAOENT
Tot d PIKS
rrd�Hl
Prepd. 4►7.4 3 A R
• Recelpl No
Bal.Due / r7 fD ed B
Iagusd By — ---
SSDC 5
SOC RECEIPT
APO DATE PD.
POC — C1 AMOUNT PD.
SEWER CONNECTION (Gc:
SEWER INSPECTION S
- Gr`�aL,.r1�r G� GSI
SEWER SURCHARGE S
I
Ali
/ C
+w�
INSPECTIO��%E
City of Tigard Buiiding Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection � �_V Time _— A.M. P.M.
Date Requested —
Permit #
Address -
/��,�.- Lot #_
Owner
Builder
The following ildii-g Code deficiencies are required to be' reeted:
----------
--
F-,A-) pprov0d
Pre3ented to —�
❑ Disapproved
Inspect)r __—
Date _...--- ---'---
CALL FOR REINSPECTION
❑ YES 0 NO
.ter ...
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection — 'r� 1
1 , 11»2.�:Iw.
-' �"U� TimeJ�—�
Date Requested
/ —
q — — I
Address ����Q � �l'�" Permit
Lot #t —
Owner
Builder
The following Building Code deficiencies are requ.-id to be corrected:
-��z _ �-� =� � °�,..�.-.•-'ice__ —'
1110,
` 1
7
i ❑ Approved
Presented to _.
Inspector _ ___
lf,�-Disapproved
Date — '/ "��•
CALL FOR REINSPECTION
1001"'�YES O NO
I
/ of Tigard Mechanical Permit•
No 35 19
allation ❑ Replace
G ❑ Relocation❑ Addition ❑
Alteration
4CTOR II(((�rf ���""��� DATE: C
SS ;. / OWNER.
-iZ
� JOB ADDRESS FOTO
APPLICAN7L _—
put Rating(BTU per Hour) - -- -- — —
DIL❑ GAS ❑ Vent
ELECT Size —
❑ OTHER Flue Si,, _
uan�pe-Permit
-- NO. FEF.—___.___ ITEM --
SEE BELOW — NO. FEE
��incl. 1001000 BTU Each Air lin Unit or Duct S stem
�•�00 BUT_ S 8� oyer _ g'� Commercial Hood System — 7.50_
.)urnit_ iy Staye 7.50_ Other E ut ment • Each 7.50—
:I Suspendedr------ 4.5i1 1 Trip Inspection 4.50_
s stem w/Fa-- 6. Air Condition Compressor - up t— o incl..3 H P 4.50
r-Heat Coolin — - 4.50 Air Condition C_ off• 6.00
6 ---_— essor 3.1 to 15,H.P, incl.
CITY BUSINESS LICENSE RE -- —"-----_— ~
MIT ISSUANCE — QUIREO BY ALL CONTRACTORS O
10.00 --- R SUB-CONTRACTORS ! !
S' — Comments:
_TOTA_L — —--
96 STATE —.—_—.-----__.� —
a' Issued By-7t--S—
A
--._--
N CHECK
AL -- �.— REC. # �k
-- _ Signature of Applicant
I
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