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CITY OF TIGARD PLUMB!NGlaizcm %U Timw CR WW
w.
.*q0kwft wm hoW oftpm Iteration to corokoct a p1unlWnl PERMIT 63911-4.75
bWnm or mwt be owm/oWator noiNrIngmMkIlftlelP.
Mame of Deweovnwnt G U
P,,,n,binit Permit No. -�y
Address
� � o.aa+ptbr
N ORS 411-21-0MAN.AN. PRICE AMT.
Job -fix-Lot Map.No. -
Address FIXTURES_ _
t3kack SubcliVlabn t� -.__ � 7.50 I �_
Ram(or nom iesi) Uvabry 7,60 _
J� I L (.- - Tub_.-Tub(Shower L w b - 7.50 _
eu 5harer'ktiy __ 7---�_ -
� �terCk:eee 7.50 -___
Owrwer Z%-Y/State
I. ihwashw r- 7.50
Phone uarbapeOiaposal- -- 1 7.50
Name
Wwthinp Mactune - 7.50 _
---
Fbor thein 7.50
ass— - Phone! Water Hester_ 77^50--
Lar;txdry Room Tray _ 7.50
Occupant ply/Stals ZIP 11 T - _ 7.50 _
Oflorl"v<lixea t 1— 7
7 l0
CortV1io10ramm
SOUS r D
9611 lbwrer 1 at tar 30.00
�ipwer♦e.;�odk.100' 15.00
-III,I Fira�-UG --
b w,rler Se vta,at 100" __..
1 h.r.btr aewrowt.dpe tfrt 1 frw reed tt,rr.�,lcMior►,reit the krornllrxr wow WAN ea.Addit..�l0' 15.00 _--
piven is oar.•a,tai t on repleleree wkh the S1aM 3tjWJ Board.and am Storm C P An Drain tot 100'-- ---30.00
haw a Stator Pkxrrtlktp soanee ow the rnnrbers phren are correct.that M Ston^S Iwryr Drain A,ddi1.100' 15.00
pkxnbkep work wW be dace.in a000rdertoe wMh lip ocabb P»+IaiorM d Ore __ -
pon Revised SWAAee Choplers 442 and 003 and rppkxbla codes and NW Moble fsi Spam 25.00 --
no holp will be ernpivyed ummoo loenee0 wider ORS WI M aw IF1 Im^ 111IFlow fMerertlare -- - -
Shb replelrmom Pim st4e rwatM1 b-in 1 WlA0a0rArllIbriron Dwioe 7.50
HOeAEOVI-11"" od 1 am 411, tai o>rww of/1e �
ero�edebat�aR1M1� IOAie1r�OMMlrbltOM�+lor Alb'llnparWaweiat
err�rnuMNndMMpr'f�1Mr`�4dhebnadk►Mh.11�iri►ISIM. COnrrodOdbal4elMre ----- -. _ 7.60_ ___Comm omm Baton
+resp.d Ea".Pw,mbkf"- -_-- s - 40.00 Per Hr
40.00 Per m
A W.of Pb"lot V W"
- ---
an >� ,&00 mk,
AUTHORUMD SICWAT":t �r f)u1d.AiddOw - 16A0"I _
oeecrfb.work rww .I n erler,itio^ CJ dwel]xm 15.do
darts reeiderttl�l )q-rq: ori .L___�.
EbIl I IOU"of
bwelortOaY - - __�____ •—� MIIIOIMNIM Z w v
of
TMilrr>,ftfl w� itnft.aMle+tlww+ � -
f�Ms��iIII.
by
OM roved
Q �
BUILDING PERMIT APPLICATION DATE-
.(HEUNDFRSIGNED HER,FBY APPLIES FOR A PERMIT FOR THE WORK HLREIN 1NDICATED BUILDER PHONE _ �Ci -•7�iQ
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATiONG. OWNER PI q,NE
OWNER 'r?! s'.i.111cr r� LOT t 0. ... f rJ CLT—_---
--- JOB ADDRESS 1(;tCj(r ;� Crti St, _ 61 `1C)Vt;X�AI1�C '1Ci
ARCHITECT '{
BUILDER Sam ADDRESSENGINEER .�
_—`DESI(.N'FF1lead t113t�3{?CXJLX _
STRUCTURE !� NEW ❑ REM�C` .E+ �❑ ADDITION ❑ REPAIR _ ❑ RENEWAL ❑ FIRl.DAMAGE ❑ DEMOLITION
�} RESIDENCE ❑ COMM ❑ EOU%.^.TIONS '. GOV'T ❑ RELIGIOU8 ❑ PATIO ❑ CAR PORT I_ GARAGE ❑ ST_Of
SAGE ❑ SLAB❑ FENCE
OCCUPANCY f.3 LANDUSEZONE�'F'4•5 �LDG.TYPE - i�G -� e
` FIRE ZONE_. PLANrHECKBY H:AT.—_
CanFiil-tfr_t_gyt7Qln f — -
sITLa:��_��.�-�1U__.t`?�s'�.�5.�.�:�.].�� ,� �C=2='��i?rc�• • c�
CIE GRA Los reissue 6 ;
SEWER PERMITOIVF�` d�� ;�� �3c"ltt2l�. 9 t_r rxI)t3alFa ►0 3TE9a3 42l7
OCC.LOAD FLOOR LOAD _ �� HEIGHT `10 NO.STORIES 12 AREA 1460 NO.BEDROOMSVALUE 74000
_B_UILDINO LrPARTMENT _
SETBACKS FRONT f) REAR 34 LEFT SIDE U RIGHTSIDE
THIS PERMIT IS ISSUED SUBJECT TO THE AEGUtATIONS CONTAINED IN THE BUILDING CODE, ZONING
;372.
LD REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, Ai ID IT I5 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 THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTPACTOR AND SLOB CONTRACTORS TO t!AVC CURRENT CIT" BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATI�a.
state Tax 5C-)L,v ; 'aG.00
Total 75 SDC— '��0.00ByPDCk APP..ICANT OR AGENTApproved f Recelpt No. 0`aQ_
Afn7RE9S `-- --- --- ---- PHONE �
DATE INSTYPE INSPECTION REMARKS II PLUMBING DATE
-Al Cott.racmr 442
ly Permit No..
Rough-i i
_0 4d.1m4rl- _-
Fixture
-F
tnal
�4 9N, HEATING
Contractor )(/ a L,
PerfY9 N
Rough-in
Firml
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Wain Dra;n)Final
Svkmlk Ac r
Cust&3treet Final
Appr,;ch
BLDG. DEPT.FINAL 'R RY CERTIFICATE OCCUPANCY Final
ERTIFICATE OCCUPAM:Y
Landscaping
Zoninj Final
CITY OF TIGARD MECHANICAL. PERMIT Permit ,14q-�2�,
Deaa,ptbn fair PRICET"bM 3:.wboean W Codd — -- AW
City Of Tigard 1) Per nit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. —---—
P.O. Box 23397 2) Suppiementai Permit 3.00
Tigard, OR 97223 --
639-4175Furnaceto 100,000 BTU 8.00 6'
1) incl.ducts&vents _-
2) Furnace 100,000 BT1J + 750
- incl.duds dr vents
Name d r)v*obmw" - 3) Hoot Furnace 6.00
_incl.vent
Suspended heater,wall heater 600
Job Ad6mes 4) .
or floor mounted heater
Address G '_s�. if��.r :5r ---- —- -
Tax Lot Map No. 5) Vent not(r�.in 3.00
-`-� appliance permit
LA Block suadlv;zior+�.n,�.��,...-� ------
Name(or name of bualrim) 6) Repair of heating,refrig., 6.00
cooling,absorption unit
__�__.._-_______-.-. _ _ -- ---- Boilerorcompto3HP 6.00
Malang Address Phone 7)
Owner absorp.unit to 100,000 BT U
Boiler or comp to 3 HP-15 HP
cwyrsral-,
ZAP ah
11.00
;,n�rp.unit to 500,000 BTU- `-� --
None -- 9) Boiler or oomp 15.30 HP 15.00
txrlt 16-i rnUUon
Ph" g pPgpglp�o30�i01iP 22.50
.unit 1-1.T5 mNNon _J
Corrlrador - S 1) BoNer or comp 1o50 H P 31.50
unk 1,750,000 BTU_ _
B"aw Repfevauorr No _ - ply bre Tax P*, 12) Air hWXWV unit to 4.50
10,000 CFM
Air handlingunit -- --_-� 7.50
I hw eby wAnowledge feet I hew real"-- app"bon th-,l ftMyormeflon prven m 13) 10,000 nM +
cornett.#WI on fn owner or auMiorfzed.pe�of Via owner,fwdlan
pe wbwditd are In ----- —
ao"vAorloe with sww law",Malt I am rephwred wfh f►e stale&Iba"'eoerd,that Ere w pl 14) tx1
Non pable 4.50
rxrrba phren Col. (w exenhom slaw nnphtraMon pies give below) —evaporate 000ler --
t 5) Vent fan oonrw ted 3.00 c
_ -----
to a single duct -
_ Ventilation system m)t
16) inciuded in a0lance permit 4:50 T
17) Hood served by � 4.50L�
� s)� 1 mechanical exhaust _
Ca" (0 (n - ---pale Dfmw tic type 7.50
Describe work p� addition ❑ atteratiun (-1 repair ( I Irxaneralor
to be done resloentla�, non-residential (_1 19) Commercial or industrial 30.00
_-_-- _-. ..----..__---_ _ type incinerator _
Existing use of -_�_ -_� _--.--- - -
Ottw
walc
building or properly_.._.._ v_..�- _- P0) Nesta lee.,woolothes,dryers,
4.50 y�"
healer,solar,clothes dryers,etc _
Proposed use o1 ---- ---
txAIdinp or property_----. ---____------_--_--- _.___- 21► Gay piping one to four outlets i f:.00 Z
Typo of fuel oil i I natural ga&,4 1 LPG l_J electric L 1
22) More than 4-per outlet
SUB-TOTAL -7
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON _-
4106 SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TOTAL
ABANDONED FOR A PERIOD OF 18o DAYS AT ANY TIME Ar-TE17
WORK 15 COMMENCED _�.
TOTAL y�
Special Conditions -- . _
date issued _'_i -7'o o by �'�
� iw e a wr �w ewe uss s*
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
AID:TP.O. Box 23397, Tigard OR 97223 P/C DEPOSI1 PAID:—
This
his is to certify that the attached acts of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, C _ edition.
'1
PROPERTY OWNER: .L. OWNER'S ADDRESS:
CONTRACTORTELEPHONE:
JCB ADDRESS: �/ (p G ,(�. /'0 � LOT NO. & MAP:
DESCPIPTION OF WORK:
Appruvals Required SPECIAL. NOTES
.Tanning Dept. Reissue
\J Engineering Dept. O Flood Plain/,sensitive Lands
O Fore District G Sewer Availability
�• Other O Other
(1
Items Rejuired
OLis : of subcontractors — � —'..
OBusiness Tax
L Calculations
OTruss Details
"aiking Plan
0 Landscape Plan
0 Or..hei
-OMMENTS:
City of
gerd Building Department.
BY•
i
- - -- - BUILDING PERMIT
_._ RD
i PERMIT NO. :
lw
(7f � pit=.PKT.No. :--
DATE ISSUCOMMUNITY OFVELOPDMENTDWARTMEN
13125&W.NM§W-P.O.I-RM.T'Pr*uwgMloW'M seri
_
JOB ADDRESS: _-�Sa��-• iNsS_ _�
TAX HAP/LOT '-Y s' --�-�----
LAND USE, -S Pd VALUATION: :!�/ oov SEivACKS
i
LOT SIZE: _._._.__- - FRONT: . 2 0_ REAR:
___�i�u%----_ DWELL/UNITS: j
LEFT: _ RIGHT:
WORK CLASS: l
''�F u___.---_ 1!O.aEh :
USE TYPE; --- Z NO.BATHS:
—
OWST.TYPE: ---�- �'
C --
OCCUP.GBF. .
OGCIJP.LOAD: _. v
TOTAL AEE&: /`/�ISTFIRE RKT: _
/ ; --�� CONST: -- - -
NO.STORIRS: _ _-- AR19A
HEIGHT: _.Z 2ND:
OCCUP.sEPAE:
��:
BASEMENT: —_ 3RD:
--
MEZZANIME SUM,<: »
_ � TIRE BPRILit, - __. _ A '
FLOOR LOAD: FLOU oft): ___._ GST'
CORRt -_
HEAT TYPE: HDCP.ACCE88: -
PLAN CHECK
REISSUE OF VO-
LAST
O
NLA(Idress : PEU- — — _ _ {
E __ _ _ — - PLAN VZVIEW
WL D9VT
STATIt TAX
OTHER
o Name fir- - �s:�"�� --- T)XM OP!'M CHARGES:
T Ad d re s s s _ .—. - ---- SDC (STORM) S-o -
R SDC (STREET) �'
-- -- --
A PDC ` -:T
— -- _
C -- -"- PREPAID y J
T Phone: fr'•'- 75s�,; -
R _ TOTAL. /,3 !.?. pS
RECEIPT NO.
REQUIRED INSPECTIONS
FOOTING SEWER
F041NDAT.T.ON WAIL. RAIN DRAINS
POST i BEAM WATER LINE
pLa. UNDERBLAB CITY APPROCH/SW
SLAB FINAL
PLB.TOPOUT
TRAILING
\ FIREPLACE
GAS LINE
I18ULATION
Hl�s 31gn�lur� GYP.BOARD