10372 SW KERI COURT 10372 SW KERI COURT
U
.,q
L4
lU
3
v:
N
r
M
O
r-1
E +
S \ + '+`"•��ye• A I �y�t� �� fit...•. + '�I'4� `QI�� y+'^'� n
Kr.g7
f� .., �d .R "". � ria. ^^asaz^r7a•�'7t^'Cz�c.. __ ��Y z
i^
Mir
00
n +r a fly
00
co
f `TIF� C� �F�] 1-4
I V
h i
bc
co
J-J N r-1 W z
•$.rod�, .�� � Q` � pj � 'b {G ��[�� � ""`
�.
+} �•,,M��; � � � a L� 'C to
oc
it to
ik w :i ♦i r� J � � U • ,
N D �, y O
j a. vn'5 U
r� x p A.
tf Q H " w �' I
w
44i
� 'edb- a•e•e3wev,�.ay.o•..,s- r �1 �_. " tow!p1•t�, '.,,�.. �.
'. �d>•,,-•..�� h�:�"'� �{ r;i
,+I �r '�Y•�,.�.+��"�b�s
�i17¢' ti•'TM'� s'C �.Y y�Y ,., - t i uf��� "t�t�.�•� .� L�''f�
�F',�f"�i ar�k.• .ti'i 4 _''yw .r.� -- a'�" `fro+:,w+`�.�. °;�a�! 'sq.%r,�„ -�,,.��,.�"a�y.'WV::ws'� _ i
sass rs ram sass ese �r w w sssr
INSPECTION NOTICE
city of Tigard Building Department
P.O. Box 23397 3.
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection -- -
Date Requ/esstte�d,-_-1 _._ _�._�v /!__� Time
� A.M. P.M. �
Address .
_t u�Us� _.L1�L�..�.L. _----_ Permit
O,,vner_---------- - ------ ---+L--- Lot #_ /_ �
Builder — L —. 1 v?�..,�-w�.11
The following Building Code .feficiencies are required to be co,-reetod:
f
Presented to _. Approved
1!
Inspector l _� U Disapproved
Date
CALL. FOR REIN,5PEC77ON
1-1 YES 11 NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 7.1-��_� -- —
f
Date Requested Time _ A.M. P.M.
Address O/)' S. _-_ Permit #
Owner L«x —_ Lot
1, oflowing Building Code deficiencies are required to he corrected:
Presented to , _ _ Approved
Inspector Disapproved
080
CALL FOR REINSPECTION
L) YES kl NO
PERMI T
91".R F3 0 3 9'e4
1 :1 0/1:36
CITY OF T1 �RD/
C5
04100H NO . 04:1039:1.
COMMUNITY DEVELOPMENT DEPARTMENT
113125 S.W.Hall Blvd-P.O.Box 23397.Tigard,Oregon 97223 (503)639-4175
00H Aao*+43b . amil'o, MAPKE.'I'M ACE HTMAP'11 LA, 1 UK :
TAX MAP/L..OT
I AND kJSI*-..:
I OT `51ZE :
ION: TUP . PN('.,;
W014K C',L.A%5 : NEW
ij!'.iE 'ryf)l'�*: ��(:)MMFIA'.'IAL-
TA-14.) Ilkj:)P :1— q - m.cJr,et&'A%
A4J(h.-rlcy 'Vhva 120 'Jayls -FI--(3In th#A IaLthll iisint.lecl . Thol, tcltall
1ILMcImr1l, W:1.11 V)e +I'li-fteitn(i i-11 PlAr,Iti.j.
.!,III ,jj1p en)4jeric,4 cliiein nrit uil
111.111teirl ttIQ (:)4' the., J.C1CNIL-114113.1 C114 tilt? MiC10 ("'PWO"' t C-)'..'R !s t 11-1(,1
'1':1
9.1 ")"l
,.lot J.CIV t they t 3 t :I.
I- f.V..�M 0
ricit %;(:) 'l.4:10.a t 0(:1
1ii-CIrw
LIN I''TS "lel IMI:',AOVE*.MF.:'N'1" : NO
13 W t�:IT- 11,F'N-G L)NI'l"'3 d"I
NO. OF:* Hl-.DGi
MM1r-vI.II-'y PE:RMI*r s"rl 0
0 338 NW 3 Ji Avr,4 . (:,(:1NNF-'..C*T ION Z4"1 0
IN PC)I.-t:l.III I-I(:I (:)1'•T 97 P.P a I-INE IN5'TAI.A..
N
E
(YTHER
C
0
N
T
H
A
C 'I'01 OL.,
I
0
R PECEIP'r NO.
This permit is Issued subjec(to the regulations iiations contained in Title 14 RE(, UIRrn-A.) T.NSiPECTILINS
of the TMC, state of Oregon Specialty Codes, zoning regulations I INE I'Al.)
and all other applicable 'codes and ordinances, and it is hereby PL.8.LINDENSAAB
agreed that the wor;-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 restrictive S I;--wr�.:R
covenants Contractor and subcontractors shall have current city F T NAI
business tax permits This permit will expire and become null and
void if work is not started within 18r days.or if work is suspended or
abandoned for a period of 180 days any time after work he,
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
�erm���Qiev%S gnatu'r
VON TION 6:59 A1175
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
RUIL.OING PE'RWE'T
CITY OF T'GA VIEMMI U NO . 91.11860,391.
RD
(I
'17YOFT16AND DAII: ISSUE-L": 3/10/0H
COMMUNITY DEVELOPMENT DEPARTMENT 4%P7.MJ)M'1 .N0 . 66101391
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
HWY
SUB: ITGAI*411) MAPKE11A A c, 1911.MAW, L."T HK
LAND USE :
SIZE : VAI UKTION: tM soo ,0()0
WORK (A..ASS : NE:W CM11-11..UN 1:-T S
USE.' 'TYPE:: COMMESK. I AL NO. HF-J)HOOMS ; 1::.X*I* WOL L l'X)N.-*i'T' :
CMNSI' .TYPE" : 3:3:IN NO , H-A*T*HS : N: i? HP S V: 1 t' :NR
CK"C'Up.GAP . Be 11140,11' . (*.)PK.NIN(.'-,S :
0117MILIP .I OAD 96.5 N :NA S :N 1:4 1:-- :NP W :NA
'TC, TAL. AAFKA 311999
NO, 5 11:34 1S: 1. 1.S7': 3:1. P 4 ROOF (A)NS*T': A FTPE: Pin r? Y lin.s
H F:I G'.H*T : 26 PND: 317t*$ 6RE'A SEPAIIII NO PAI ED :
BASEKME"N'r'? NO "314111: OC('.`.UP, SIF.PAR7 NO r-4A,T*FD;
ME:ZZANINEK'? Y E:5 D A 5 F'.-'M I'T
I'LUOP I OA11): too GAPAGE'.: FIRE. SPPKI-1147 YES ALARM? NO
FLOW(UPM) DEJE-M-j NO
HEA'T' 'T'Yl:'1E: GAS HDGP .A(.ME:SS7 YES 11:110AW? NO
UI AN
PE.'MAPKS
Ntit,ti-i wei:1.1 iiii zerm lot lii)iv.,r w/jill-lopm V,Iclg REISSUE'. OF' NO
0 111144 V11 1-1 f 04.1t1.11F a(A n d . Cloi,m 1.t #870040
melrot.kry 0"vow 1. . Pr--RM I T tNi3 41:3. 00
336 NW ")til Ave,* . PLAN REVIEW
W
N I:)I-t I jit ri cl OR 9*7?--!H(3 FIRE: 1:)r:::ry,r 87"S .P
E Sill'A'tki: 'TAX
R 10 9 . 1.1-'.!1
OTHE:14 $4,Aq5. 0()
DEVI.-"::L0Pf1FN'T' CHARGES :
C F4 ARD R comil p 50C,(STORM)
0 R M41) H CONSI-LICIJON sr.)C'(5,14WE'1') dirk,c2-10 oo
N P (I 40X 105101. P011"10
T
R pC)I--t1a#rI(Jl OR WPM) V RE..P All D < s P i--1 9 r . 1 15
C A 1:14ONK (50 3) 228-7177
0 T NO , P nrld H J 01'AL 11111.2. 977. 11.!)
1:11EECEIP'T NO . -LZX196
.................. .............
This permit Is Issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations FOO*rTNG 'INSULA'TION
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done In accordt.-ice with the plans and
F(JUNDAI TON WALL MEMHAWIL. SYS'TEM
specifications and In compliance with all al..nllcable codes and PI R.UNDE1451 A9 PL.8- 7(:11POL)'T'
ordinances. The issuance of this permit does not �*ve restrictive PAIN URAINS POOF NAILING'
covenants. Contractor and Subcontractors shall have current city RE.J.14V .MAS[)NnY 5 t-I S P E`-N 0 -C E I L I N U1
business tax permits This permit will expire and become null and POUCH- IN 0 THEP*
void if work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has C.I F Wr•-I'T F I NAL
commenced. It shall be the responsibility of the permittee to assure SLAB
all required inspections are requested and approved S1131111 WHIN
FRAPlNG,
GYP - ROARD
q: It ee Sign Li
CAL.L.. FOR '.kNSPECIJON 639-4111'M
Issued By: jo - --- — I - .--- - I - - —
SEARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'GM RDF�'1�.1�2M]:'T' NO . : PLA.110031.3
CITYOFTWARD I.iLIF IJ 3/ 7/at;I
F COMMUNITY DEVELOPMENT DEPARTMENT 00100N 1::,P*.I:M . I:)Ml* NO . W]101*511-.)
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175
JOB AE)DAr:'-'SS : 1,03,72 r3w KEPT C—T
TAX MAI:",/I OT k.i I SWANSON (.-J.J:J,J LA, : 5:1. RK :
I-AND USE :
1. (31 STZE :
TTEM: NO: NO:
WOPK GI A S S NEW WATF'.-R 3
F'AMT1 Y LIWENAL. UKI'-"I..(:)W PIWINITP
LAVORATUPY 3 TRAP P111MER
O(X' LJP . G'PP. 1:43 11,18 SHOWEA 2 GPEASIL. T'PAPS
0:11"SHW4',5HI:.--P
GAPIAAGA-K 1.
NO . 511:4-41F.K5 . I Woliil+I,NG MACH11NIFi: 3.
DWELL.. .UNI TS I OUNDAY TRAY B I DG. UPAIN (DTA
Fl-DOR DPA11\1
!SINK 1. SEWEP
WATE.A HIZKATEP J. STOPM/114ATIS! (FT 1.
91...E AK M(*1P(.W-)N PRIPIMIT $132 . '150
0
6
W pa DOX 835
[N 1:)re U V lo I'*t.53 41-1:1 I'l c)r, 91007 6113,15,5 FTXTURES
E ( 0 ) 686606 S'TATI:-' TAX 11116 . 63
(:IT F I W
C KEN I-IANDL..'I:N
0 HANDLI'N' S PLUM411SIG,
N
T
R 1:1to ilk V a I"t,1:1 ri 9 100,')
A
C (."HONE (30,511 6,ell-5208
0 T NO . 4905P 139 1"A
R I
This pern;*t is issued subject to the regulations contained in Title 14 1N5PF-':(7*T'1ONS
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby UNDEP'51-AH
agreed that the work will be done in accordance with the plans and P05T I'li F)I;--'AM
specifications and in compliance with all applicable codes And WA'I'F,..R 1 1:NE
ordinances The issuance of this permit does not waive restrictive PLO. TOPOUT
covenants. Contractor and subcontractors shall have current city PAI'N DRAING
business tax permits. This permit will expire and become null and
void If work is not started within 180 days.or if work is suspended or IXT.NAL.
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to asrmrp
all required inspections are requested and approved.
Permittee Sig Lire
1 011 FOP 6,19-1175
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
_(Cl RD
CITY OF TIVA RD hftt, PERM11' NO. BLIB(3031,'e!
CITYOFTIGARD
CC'MMUNITY DEVELOPMENT DEPAR7MENT OREooN
DAIL. 'T!ii ;;LIED : 3/ 7/00
1116 S.W.Hall Blvd..P.O Box 23397.Tigard,Cregon97223,(5(3)6394175
.JOB ADDAE'SS ; 1.037E3 SjW KE'.P.$:
'T'AX MAP/L.O'T` 0"?E0. 1-11FIF.4 1.1000 !AM:3 I ':)WAN5()f4 I. '1 , °)1. 8K
11—AND USE. : 14 1 r.?
L..01, LiTzl�'.� 'JAI UA 1 1.uN it; 6,15 075 EiE;A'0ACK!:i
F11ONI' ; 20 PE:'AP : 15
W014K GLA55 : NEW DWELL . UN11*!i : 1. 1 E::F*I' : 15 1:4 1'.Gl+r 1.5
U55K 'TYPE : 5IN(,41 EK FAMILY NO . BFIA)ROOMS : 13 EXJ . WAI I (.,(7N!:0
C,ONST . TYPE' VN NO. HATI-115s : 3 N: 5 : E : W.-
OCICUP .GRP. : P 14 r4401' . OPENTINIG5 i
OU"Up .I-OAD AWEA .1.111.5411 N: S : E W
NO.57*OPIE(5 : 1. IST 1,e13-1 17001- (ON!5'T (:1 FTPF:
HE GH*T 3.6 PNO APF:'A ':;KPAP PA,TE,.:)
BASEMENT'? JRD 0(:;('1Ur*1. l5E:J)AP7 14 A 7*[-::D
MEZZANINE'? BASEM-1
F"L010111 I JAD: A0 GAIIA(.04" 396 ';0-44KI-117 ALArIM7
FI Ow I C"Pirl DrA,F:(y l, yr.s
HEAT TYPE GAS —HUL11) .ACCESS? la*Z---
11'.)LAN CHECK BY : il)A,
PEMAV-41<5 :
01" NO.
0
W B L Ft'A K MORGAN PEPmrr *33:1 . 00
N F)Ll HUX 6933 PL.AN PF'VTF..W $P 1.15 . :1,15
E
b e
R Ill.V 0 1.-t.(3 n 97007at, 9700 611.135 F"Ipri-F
PHIONE.': (,503) 68ZI---6606 S1*A'T'F-. 'TAX 141.6 . 15
OTHIR.11
C DFiVELUIPMEN'T (:HAI1GF-s :
0 Hl.-I:-.:AK M 0 P Gv AN 51:)11.'.(5'r OAM 11 111 fl?15 0 . 0 0
Nr 'T''I'AAN PP0PFP'TTr-'_S INC . 51 DC11(9'r rIEF.A, 11 $600 . 00
A R PC) BOX 6',;_1.X5 Pu(':11 OP. lllr. 5
.� 0 . 00
C b v%i at v ce I-,t ci n mr. 9700,: 663!) POEPATL) < 44:1.00 . 00)
T F)HONK (503) 6113-4-6606
0
R NO. '305!58 $1. n 6F� . .7
This permit is Issued subject to the regulations contained in Title 14 PECE:EP'T' NO.,"-'%'1"1
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby MEALURED TINIt5PEC'T*T.ONS
agreed that the work will be done in accordance with the plans and FIEWEA1
specifications and in compliance with all applicable codes and FOUNE)A'TION WAI L PAIN DRAINS
ordinances. The Issuance of this permit does not waive restrictive POS't & EAKAM WA'Tr:..R LA:NE
covenants Contractor and subcontractors shall have current city PLB .UNDEPSLAR cx*rY APPI.ICH/SW
business tax permits. This permit will expire and become null and
void It work is not started within 180 days.or If work IS Suspended or 5 1 AR F I NAL.
abandoned for a period of 180 days any time after work has PLB , 'TOPOU'r
commenced It shall be the responsibility of the permittee to assure 1`14 AM I N G
all required inspections are requested and approved FT n1i*:PLACF*
t'nA5 LTNE:
:tN'it.)l All ON
IV` . PIOARE)
P e r r n I I A,
Issued Byr
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWEA PERMIT
CITY OF TI��RD � I::1I;;'HM*['1 NO. : SEF380313
CITYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT j Ppi.m . r-'M T .NO. (38"
13125 S.W.Hall Blvd-P.O.Box 23397.Tigard.Oregon 97223.(503)6394175
J ADI)PIEL-Pi : 103'7r21- !.,W 1<17PT (:,T U5A NUMUL-11 : 34195'72
TAX MAP/I-O'T 14IF31H 11000 SUR : ':',WON'-i(.)N I-T "5 1 I;W :
LAND USE. :
G E.:C T*T 0 N pq 'rwr) : VING : 1w
W0114K i NEW
(.1SU: T*yV:11:1. : 5XN(;I-.E I.-AM1:1-Y
t(:) c.:111nl:)TY WJ.th 11t.I.J. r'l.11em :Lricl cl-F (Jrli.4"J.f.4cI
Sellwc,ir-mgto Agtivncy P(1.41^lnit 1.20 (ABLYIN thcq cllatw Thv.-1 -tc)till].
ilkMA:11.11111., pla:l'cl W:1.11 lm.e 471:)l-f4')it4AcI J.-F the. ppr,mit ricit 5jmvkr,--
the? C)'F t1l"IC.-I 10('NlLt:I1.(3l1 cl-v thv.+ li tk.lerl 'I:•F thim %*Aw4mr. J.1i;
mA thcq gi.vell-1 , th4p .".5 1.1-1
flLA.A. CH.l'4aC.'tJ'(3n9i 411-am the (ftlataki-1c.(e givelirl . Tf Hist, lac) J.('JQh1A0d , th*?? il1VAtflkJ.'.I.G)1`
P1.11,0-liltme Ilk " Ta.l.) fil.111:1 etricl th*i rr(jvric�(J w:i.'.I,:I. intlitm.11 w
ANST-All II.-- OPE �1.1*.*14 '0'HF!"q
F.-TXTURE UNITS TE.NANT 'IJ1I':1PL)VF:.ML;N'T
0Wr.-'A-I-1NG 101i 'll'i I
NO. OF' HI-.E)GS . 1.
BI-E AK MC)P(*.,;AN PE-;*v4mrr 111:.4:'.1 . 00
0 Pia 13OX 6835 GUNNECTION (:*,HARGF' $1. :1.00 . 00
W
N la elNtvaarl,tarl cir LINE: TAP TISISTALA.
E
R
01'HEIP
C BLEAK MOPGAN
0 TITAN PROPEKITT'JAKS INC.
N
T la rt BUX 68ZV5
R b*wnviri,tai-i m- 97007 683,15
A
C PHONE, (503) 66-1-6606
T NO . 30,558 'rurm. : $1 1*135.00
NO.
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations POIJIGH-TIN
and all other applicable codes and ordinances, and if Is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all appllctble codes and
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void it work is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permittee S;gnature
CALL FOR .1 N!iPF.-.*'('.;'1').UN &.59—clA. 15
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PEpmx'r NO. : MEOF3031AI
CITY ®F TIGARD DATE ISSUED: 3/ 7/813
C1rYOFTIOARD PnXM. PMT ,NO . 8IM1031.e
COMMUNITY DEVELOPMENT DEPARTMENT 0
.8o -
't 303 111�&�503)6394175
MAP/11-01' FIST 1AH8 1:1.000 I.-*)WAN!:;(')N (3I.SKIN11 LT :51 DK :
I-AND U5E :
SIZF, ..
ITEM: NO : N(
WONK [,LASS : N. W FUP114ACE 0.00K J. AT I.4 HANIA-P (1.0
05E. 'TYPE: SINGLE FAMILY FIMINACE 10%)K+ A111 FIAN011-4-4 10K
(JONS'T . 1 YF.)r.:'.: VN F1 0011 FUNNAGE' ...VAVI ,
O(UUl"-, . GAP. : A3 HEA'TE-i-A VENT' FAN
VIi`:N*T VI:.:'.N'T' . SYS'TEM
113111-.P/(�UMP HOOD
NO. 51*11:11PIES : 1. DI P/CUMP 3-15HP J*N(,:[NEJ4AT0P(D(-')M
DWELL.UNIvii : I 8I. P/C'OMP 1.5 30HP :1,NC,1NEPA'T('.)P((:(')M
1::'L)EL l'Yr-%-" (:,AS HLA/(.;(]MFS 30 1150HP RF.!:PAXP UNI'T'S
Mi'%X . TNPkYT B1 P/CIOMP 50-1i-Hp (:l'THEP
FTWE DMI.)RS-? PIPIN(.: 01YTl F.-.:'7'S 1.
HTG14 PI'-4ESS*?
I OW PPE.SS7
14
--T:J1 F-AR--- MOPGAN $10 . 00
rtta FA)x 683.1) PI AN PEVIEW 1111118. 163
0la t7�ta.vr,�l�tt3rt Or, 9700*1 68*3!) FIXIIJIFIES 50
W
N (!503) 6811 6606 51 ATE *TAX $11-73
E
R
841GHT
C S Y F5'Q.--'M A1:RE.
0 14eI/IeISW F:*F-:PN S*T .
N
T i y fit.I�d tar 9722',*5
R PHONF.' (503) 6P-.A---9*780
A
C REGISTRArION NO. 3806P. '1'(J T AL: $4q.86
T
0
R `*:CX.JP'T NO .
This permit is Issued subject to the regulations contained In Title 14
GAS LINE.
of the TMC, Slate of Oregon Spe,�idlty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby & 81; AM
agreed that the work will be done in accordance with the plans and POUGill-11-IN
specifications and in compliance with all applicable codes and F INAL
ordinances The issuance of this permit doifs not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time.after work has
commenced.It shall be the responsibility of the permittee to assure
all required inspections ate requested and approved.
Permitf-ee SlUnRlUre (:AI...L_ FGA INSPECTION 639-417t,
Issued By' —-----......
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
?- o PLAN CHECK APPLICATION
.�/ PLAN CHECK / _
PERMIT 1' 6:Ff U 3 !L
DATE ISSOED
JOB ADT:RESS 7 S TAR MAP/LOT �;.�_�/ /j/1313 /I Cy u
ST'B: ��.�N�s,orv < r OT: Svi LAND U$E: Z-
TALUATION: ',;0 75 SETBACKS: FRONT: , -t REAR: / 7 LEFT: S' RIGHTt
WORK CLASS: Alpc,.i HEIGHT: - TOTAL AREA: iy-3 V
USE TYPE: .5 F FLOOR LOAD: y 1ST:
CCNSTR TYPE: HEAT TYPZ: 'a 2ND:
OCCL'7- GROUP: DWELL/UNITS: / 3RD:
OCCUP LOAD: NO BEDROOMS: BASEMENT:
NO STORIES: T NO BATHS: 3 GARAGE: f G
IMP SURFACE:
APPROVALS REQ'n SPECIAL NOTES ITEMS RE UIRED
PLANNING: REISSUE OF: LIST SUBCON"RACTORS:
ENGINEERING: '- LAST REISSUE: BUS TAX:
FIRE DEPT. : _^ FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER: _
COMMENTS:-
OCT I BESCRIPTIORUNT
OWNER 10-432 Building Permit Fees __��� , 0 0
Ne MP: 'Ti Q , , 10-431-600 �'lumbin�g Permit Fees s S'
ADDRESS: 10-431--601 Mechanical Permit Fees3 q,5 0
10-230-501 'State Building Tax (SX)/(c '''f�. � ell
i 10-433 Plans Check Fee Z/ .'�-i
PHONE: 30-443 St..er Connection (20X)
30-202 Sever Connection (80X) S
CONTRACTOR_ 30-444 Sewer Inspection �_ }
NAME: 51-448 Street bystem Dev. Charge (SDC) _ ''o v
ADDRESS:`_ 52-449-610 itrks I System Dev. Charge (PDC) _
52-449--620 Parks II System Dev. Charge (PDC) S }`
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: 10-230-505 TRFD (95X) �-
-- 10-435 TRFD (5X)
ARCH/ENGINEER 10-230-506 Washington County Fire 01 (95X) $_
NAME: _ 10-435 Washington County Fire 01 (52)
ADDRESS: _ 10-220 Amert/Wedgewood �^
TOTAL
PHONE:
?lR/ PR EPA IT)
In? /A l/' REC +'
BALANCE DUE s_oZ8?
APF'L 'I' 9IGNA713RE
l
Received By: Date ReceLvF�1:
an vett esti ■at ralr rr>r IM seer
CITY OF TIGA R D PLU M BI N( l U25 'W Hall B1ix).
Applicants must hoW Oregonxn Registration Eo conduct a plumbing �
business or must be property owner/operato(rot hiring outsid'help. PERMIT 'ri`};t d `P 9722-3(f),A175
Name d D"kKxnenl
---__..— - PlumbmK E'ermil No
Address Descnpbon
OAS814-21.610 DUAN PRICE AMT
Job
To Ld _— ---7_
Address
FIXTURES
LDt block Subdivlskxn -- - --
Sink 7.50 r>-7
aR or name o siness, Lavatory ---- - 7.50 v
Tub or Tub/3hower Comb
Va-iTi ress 5howerOnly Y 7.50 `
- -- —
Owner Ch1/Stere --'---- Zip ----- Waterc:ioset 3 7,50-7
.50 X21
- _ - - - --7 - - --. _..
--- -- -�------- ---- Dishwasher 750 7
Phone Garbage Visposal `- - - 7._50
Washing Machine _ 7.50 �•)a
Floor Drain 7.50
aiirng ress Phone Water Neater 7.50
------- ---- - —._.---_-- Laundry Room Tray 1.50
Occupant C /Sate Z -- - - -
Urinal __ _ 7.50
ame — e Other Fixtures(Specify) 50 -
-
pfgrb 7.50
I _ __ -- 7 50 - -
Contractor City/State ---- --- Zip 7.50
MISCELLANEOUS
ue
City RTax No Sewer 181 100' 30,00
tats s a -W---State tete s s Tic-Ro- Sewer ee.Acldit 100 - --30
t 500 -„
'Residentiall Water Service 1st 100 20.00
I hereby mcknowkhdge that 1 have reed this app"tion,aur the information Water Se�vioe ser.Addit.2W -_ 15.00 - A
given is correct,that I am registered m:t the Stats Builder's F3wrd.and also Storm&Rain Drain 1 st-100' 30.00
have a Stats Pknrnbkng license that Cro nurrthers given are oorrem.that all ------ —
plumbirrg work will be dorm in accordance with applicable provisions of Ore Storm&P*in Drain Addd.100' 15,07
grin Revised Statutes Chapters 447 and 693 and applicable codes and that Mobile Hm"Specie - 2500 - --no help will be empk3yed unless licensed under ORS 1393 (11 exempt from -- ---- -- _
State registration,please give reason below). Bads Flow PreverNipt
HOMEOWNERS-I r oreby ow Wy Cit 1 am the owner of the property de- Device or Antl-Pokition Device - 7.50
scrbed.trove.N W i&,ca*m I prvpooe to mala a plunbkV InodaMMlon for Any Trap or Wattle i4ot
my own use and Cels properly Is not bsinp cion innded kv sale.Mass or rent Conrwx tled to a Rxitu a 7.50
_Gth_Basin _ 7 5_0_
-- _�--_______-.-.�_.---_---.----- -------- knap d Exdst.Pkxttbing -----_ � 40.00 Per Nr
Specialty Roquested ku_pscliens 40.00 Per Mr
`__ .__----- -- - - _-__ — -_--- ------_---- Ahw of Pkmbkq wt1Mn -
___ EAO*V Bldg 15.00 min
AUTHORIZED SIONATURF Date Now Bldg.or Bra.AddlOon 26.00 mkt
k�aitl Ctain,sirx�le_fanTi,l
Descrtbe work rww[) ar:k!,tirn( ) alteration L? repair f] c ie11'
L.�..��'^�... __ resaenlial•(1 ncxi-ro�lAMttial(-1 ---- -•---
Exbp tr,e of _--_ --- -- —_--- ---
b4W ft Co properly ---_-- --
- --- -- - KWTOTAL jig
tRibbAg or wportyTML
Thin poet ba0otttaa nub&V veld 41 work at oonso.ualon nuCsorUed Ir rid oom — - -- -- C.
ntersoad tMl M 40 days,er It osrvwuoftn or No*M stlaptrded or sbarsdorrod f*
a period of 100 Wye tl any rms disc wok is oonrwknosd
Dale Issued by
.w wi war reel as ew .wi ese e.
I '
V
/CITY OF TIGARD MECHANICAL_ PERMIT 14ecetpt " -- ----- - ..-__-_
Permit k —
Description
ble U Mechanlcsl Cod*_____ _ on PRICE _AMT
City of Tigard Ta -0- -0- 10.00 1) Permit Fee
13125 S.W. Hall Blvd.
P.O. Box 23397 �—
Tigard, OR 9722.3 2) Supplemental Permit _ 3.00
639-4175 Furnace to 100,000 BTl'
1) incl.Jucts&vents_ _ 6.00
2) Furnace 100,00( ?Til 4 7.50
_incl.ducts&vent
Name of Development 3) Floor Furnace 600
incl.vent
Job Address 4) Suspended heater,wall heater li 00
Address or floor mounted heater
TazLot—� _-- Map No A-_ ---�- 5) Vent not incl.in -3.1X1
Lot Block Subdivi3ion appliance permit,- _ _
Name(or nems of business) 6) Repair of heat rig,refrig., 6.00
cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 600
Owner absorp.unit to 100,000 BTU
CRY/State - - Zip -- 8) Boiler ur comp to 3 HP-15 HP _ 11.00
absorp.unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 15.00
_ absorp.unit'/2-1 million _
Mailing Address — -- Ph" 10)_ Boiler or comp to 30-50 HP .,2 50
absorp.unit 1 -1.75 million
Contractor c;yastate Zip --- 11) Boiler or romp to 50 HP 111.50
absorp.unit 1,750,000 BTU
State Registrarion No City Bus Tax No. 1 9) Air handling unit to - 450
10,000 CFM
I hereby edcnowlerlge that I have read this arpAir handling unit 750lication that the information given is 13) 10 000 C FM t
correct,thAt I am the owner o authorized agent of the owner,that plans submitted are in ----- - ---
compliance wltfi State laws,that I am registered with it,,Slate Builders'Board,that the Non portable 4
number given Is coned (If exempt from State registration please give reason bekw). 14) evaporate cooler 50r
- - — --- 15) t ea sifan ngle duct — - i -3.00
----._ _-__------.__.-.--_------------_--__._--. 1Ventilation system not
16) included in appliance permit 4.50
17 Head served by 450 t
mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 7,50
_
Describe work [Iaddition [_] alteration F1 repair repair U - --- -.-- ----
to be done residential [_] non-residential ❑ 19) Commercial or inoustrial 30.00
Existing use of type incinerator
building or properly 20) Other i.e.,woodstove,writer — 450
Proposed use o1 heater,solar,clothes dryers,etc.
- -------
building or prroerty _-_-_----_ �- 21) Gas piping one to four outlets , 2.00 2
Type of fuel- oil I 1 natural gas I 1 LPG U electric Cl —
22) More than 4-per outlet
NOTICE i SUB-TOTAL S U
THIS PE9MIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S&jC) 494 SURCHARGE 73
DAYS, OR IF CONSTRUCT ION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - - _--- TOTAL G
WORK IS COMMENCED. d
Special Conditions
- - _- Date Issuers by