13067 SW KATHERINE STREET 13067 SW KATHERINE VR.EET
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INSPECTION N01 ICE
City of f:qard Building Department
P O. Box 23397
Ticlard, Oregon 97223
Phone: 639-4175
Type of Inspection lf 'l C,(
Date Requested
Time A.M. P.M.
'r /Y1 0 Permit 2
Address
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Prisented to
Impector Di!^proved
Date --
CALL FOR REI SECTION
❑ YES [--] NO
INSPECTION NOTICE } )
City of Tigard Building Department C (�
U ;
P.O. Box 23397 \ `
Tigard, Oregcn 97223
Phone: 639.4175
Type of Inspection �r K .
Date Requested Time _A.M. P.M C
Address . j �_._� if _ 0 �.� Permit #t - L[
Owner _ _ __ _ Lot t
Builder �_� L�`_ �- �a
The f(,"swing Building Code deficiencies are required to be corrected:
ti^ _
IAW
Ftasented to `fin _— ( Approved
Intppmor 1 r J I--i Disapproved
Dace
(,'ALL FOR f E N-SPECTION
F1 YES ❑ NO
23397
CITY OF TIGARD PLUM BI NJ IG lal?5 I1 1+3ll_ 1i«d.
Applicants must hold Oregon Registration to conduct a plumbingligard CR 9)22,3
business or mu•;be property o%ner/uperator not hiring outside help. PER` M I I 639-4175
Name of Dsvelopmsnl ���, c/
Plumbing Permit No.��_`�__
Addreu / > DeaCAptbn
ORS 814-21.610 OUAN. PRICE AMT
Job Tax Lot Map.No.
Address I FIXTURES
lel Block Subdivision
Sink 7.50 7S
� business)/ Lavak-_ - 3 7.50
Tub or Tuh/Shower Comb. Z 7.50Ma��Address
I.�
Shower Only 7 J�
Owner / we -- - _— waterCbsel _-�- - 7.50 5
Dishwasher 7.50_
Phone �-_ Garbage Disposal _t/ __. 7•Sv - 75
Name _Washing Machine _ _ 7.50 T>a
Floor Drain // 7.50
Occupant C&'/-Slate --- T+{�-- Laundry Room Tray
---_M Urinal 7110_
Other Fixtures(Specify?
7.50
--- -- ------
Contractor /State - - ZIP
MISCELUNEOUS _
city rax No Sewer 1 at 100' 90 tX1
taW s�ou7Nri-� tale sBus LiiccNo Fewer-ea.Ad9k 1
� 0(1' 15.00
(Re tiara I Water Servioe 1 st 1002000.
I hrxeby acknowledge that I Have rear 4,As applk,allon,OW the Intorrrtatlon Wafer Servia es.Arldol.AV -1_-- 15.00 ,v
given it oorrect.that I am rsglsdared with the State Bulldar's Board.and atsa Storm 6 Rake Drain 1 st i Ixr 90.00
have a Stywre PkKnift Ilosnsd that e»rxurrhers rs given aoartecl.that all _____
1 - --------- _.-
_- -
pkxT*AN` tc wW be done in woordanm with tppk*bW provisions d Ore. Storm 3 Prjn Drain Addh 100 15.00
gore Advised S4*Aos Chapter 44 7 and 693 and appliabile oodes and�.at Motile hkxne Space 2500
no helpwill be ---- - - .-__-..- -
ampbydd unless Noemtod under ORS t1o3. ( exempt
Sul*registration.please ghra reason bsbw). Back Flow Prevemkxi
HOMEOWNERS--1 hrsby osttNy that 1 am the owner of Mss property do- Mvioe of Nd-Polluaion oeywo- - -- --- 7.50 -
scrR»d above,et whbh k r allon 1 pro fwsn to make a plumbkrg M>rlakaton kx Any Trap or Wads Not
my own too and tt>Ls proport,4 u not bokq ammilruGgd for sale.lanae or rem Connected to a Hili m- 7.50
_Calor Baster _ 7.50_
V".d EXIsI.Pluntt" - 40.00 Per Hr
SpndaNy Requnnted Inspacfions - - 40.00 PM Hr
Albr.of Pkrnbkq wtft i
an Exle"Bldg. _ 15.00 min t
A ED SIONA - ---- - Date New Bldg.or MM,,AddMm _ 25.00 min �
-- -- - --
_-_ i
1Describe work new V4 edAition(] alferation r 1 repel►n cLell 15.0(7
VL!M-dq2!-.-.-.-L"-0dnt-i-8I� l L]_ non-rssidsnlle --- ._._ _-- _,�
Exh"use of
t tfilli q or prgmrtY. - V-WTUTAL
yhis pe ntM bsoomes NO and vorltiN work or owtslrua n nulharU*d is not oom
tylsrtosd tt1lMlltt tMf tltlysAr tl oetrintoMon o e)orkb asap p idsd a nbgndonad kr
a parlod of 1110 days at any tete sten wok M millitim sd
WOC UL OOlfaf *"
Dfte lesuect r- i �by _c
BUILDING PERMIT APPLICIATIONDATE-
/7
THE UNDERSIGNED HLIAEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN I HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P
i-qT NO, nw-entir,
OWNER J!ill BaVt JOBADDRESS 13%7 Katlierine—tar. 511<1
ARCHITECT
�;kln)eENGINEER
BUILDER--- ADDRESS 1122 W 13t,,t Tigarmi DESIGNER
STRUCTUREEW C1 REMODEL 0 ADDITION D Rcr-AIR Ei AENEWAL 0 FIRE DAMAGR IJ DEMOLITION
I I RESIDENCE El COMM 1:1 EDUCATIONAL 11 GOV'T ED RELIGIOUS --J PATIO Ll CAR PORT 11 GARAGE 1:1 STORAGE F-1 SLABO FENCE
OCCUPANCY LAND USE ZONE
BLDG 'PE FIRE ZONE PLAN CHECK BY HEAT
4idit"Ic f"'Lity 6welLilig am,(-1
w/atta '-xi g , all pa
ec ppOaved I'Aw.s.
Subje,:�t. 35 zLA---.
SEWER PERMIT# 2 hathe trait; garag,,Li tire.3 ()()f)
OCC.LOAD FLOUR LOAD 40 HEIGHT NO.STORIES AREA NO.[3k7.DR,.)O,,4S VALUE
DEPARTMENT
-..,.NG 6E ENfSETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CjUES AND r1RDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH TAE FLANS 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 SUR CONTRACTORS To HAVE CURRENT CITY BLISiNESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax .1 i . . .. . - -
.-Otai SDG -- W).00 �' /'
-- Prc# 1 150.00 APPLICANT' AGENT —`'
bk
Ytjo.0o
Facelpt No.
Approved 44 ).2e) PHONE
DATE INSP, TYPE INSPr.,CTION REMARICS PLUMBING DATE
Cl il-21 &kr Contractor
Y7 4-) Permit Nu.
ClF,-90- R !N7� Rough-in
9-zz- de." 0 1( �'ixture
9:2- 1v— Final
HEATING
Con tract
Permit No. y
Gas or Oil
A Rough-in
Final
"49 SEWER
Firal DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
SidevatR
Curb&Street Final
L�oproadl
-:IEA----
TEMPORARY CERT. TEOCCUPANCY
BLDG.DEPT. Fri CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
CITY OF TIGARD BUILDING DEPARTMENT PIAN CHECK NO. : R-
PLAN CHECK APPLICATION DATE RECEIVED: •8 17
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Etructural Code and Fire & Life Safety Code, _ edition.
PROPERTY OWNER: 1-L--'a te` �/ OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: (/ U
JOB ADDRESS: ; J C` ,7 / `rte LOT NO. & MAP:
DESCRIPT ION OF WORK:
Appro.als Required SPECIAL NOTES
OPlanning Dept Reissue G'
OEngineering Dept. O Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability `
0 Other U Other
Items Required / L�
List of subcontractor;
Business Tax
0 Calculations
OTruss Details
01 Parking Plan
0 Landscape Plan
(_) Othet
COMMENTS:
' City of Tigard building Departosnt
DY t
tw tt� atw tits � .. aIw +ser aria
Receipt #
CITY OF TIGARD MECHANICAL PERMIT Permit# __�`�S41
Dsac.1ptlon —
Table 3A Mechanical Cole CITY PRICE AMT
City of Tigard
13125 S.W. W I Blvd 1) Pei mit Fee — T _ 0 _0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemet hal Permit 3.00
639-4175Furnace to 100,000 BTU
1) 6.00
Incl.ducts&vents
2) Furnace 100,000 BTU -4 7.50
incl.ducts&vents
------
Name of l�velopment 3) Floor Furt r ace 6.00
incl.vent
-- --- - - ---�- -- Suspended heater,wall heater
Job Address 4) 6.00
Address /0(� (o� Sa/�(l<'-f-•1 Pr!.�-�C .Sly or floor mounted heater
Ta.l or Map No. — 5) Vent not incl.in I 3.00
appliance permit
1.01 Block Subdivision ----- _ —�_.. ..._ _-------- -- ---
Namc_tor name o business) 6) Repair of heating,refr ig. -- 6.00
J cooling,absorption unit
Mallkg Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 RTU _
-�-1-- Boiler or comp to3HP-15 HP
City/State Zip 8) absorp.unit to 500,000 BTU 11.00
--
Name ) Boiler or comp 15-30 HP 15.00
9 absorp.unit W-1 million _
���� Boiler or comp l0 30-50 HP
Mai"Addross Phone 10) 22.50
absorp.unit 1 -1.75 million
Contractorcityistels -_ zip — t 1) Boiler or comp to 50 HP 31.50
-` absorp.unit 1,750,000 B'I U ^_
State Registration No City Rus.Tex No '2) Air handling unit to 4.50
10,000CFM _
1 Air handling unit 7.50
I hereby :�nowkxr;e that I have read!ria appU(,Nlror• that the informp,ion given is 13) 10,000CFM + _
(xwrer.-t,that I am rho owner of authorized orient of the owner that plans submitted are in -- -- -- — tl
compliance wish State laws,that I am register.,nd with the Sts to Builders'Board,that the 14) Non portable 4.50
number given is correct.(N exempt from Slate renistratlon poise n++a reason below) evaporate cooler
15) Vent fan connected 3.00
to a single duct c_ _
----- Ventilation system not
1") included In appliance permit 4.50
Hood served by 4
7) mechanicalexhaust _ '0 1Z
Signature tow or agenq Date t 9) Domestic type 7.50
Describ work addition 0 alteration F] repair ❑ incinerator
to be one 4,Ltf6iidential [,�,_ non-residential ❑ 19) Commerrial or industrial 30.00
type incinerator
Existing use of '�- - --- -- - -- `—building or properly G0, Other i.e.,woodstove,water 4 rti0
g p p y - heater,solar,clothes dryers.etc. _ _
Proposed use of - � _
building or property __ ---------.--- 21) Gas piping one to four outlets / 2.00 `2
Type of fuel- oil [I natural gas ff, LPG 1.1 electric ❑
------ 22) More than 4-per outlet
NO I(;E SUB-TOTAL S"li
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON — "-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 %n 'SURCHARGE ) y
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 —-'--_- —` - -
WORK IS COMMENCED — TOTAL
Special Conditions
Date issued by�� �-
mists w aai w.
I'LNN WILLr. NU.
for inspections caLi 6:39•-4175
PERMIT NO.�_-L—
CITY OF TIGARD 639.4171 DATE
BUILDINGPERMIT •ueawsloN ' `_!`�` (�
P.O. Box 23397, Tigard OR 97223 TAXMAP` L I�iLCITNO.
oMwN �� JOB ADORES$ /36 6 Z�_y3 c%cJ �C' uE
L6 Ek��� --
BUILDER _ !f r7� STATE REG.NO. DATE
BUILDER
DATE —
BUILDER'S PHONE
ARCHITECT_ PHONE OTHER _. -----
STRUCTURE NEW ❑ REMODEL U7 ADDITION ❑ REPAIR ❑ MC'VE ❑ OTHER O DEMOLITION
RESIOENCE ❑ ODMM ❑ EDUCATION L] IND SSO
- ❑ RELIGIOUS. ❑'ACCERY ❑ GARAGE ❑OTHER O FENCE
7 BLDG.TYPE FIRE ZONE--—PLAN CHECK BY ��'}3` ` ►*AT
OCCUPANCY �LAND USE ZONE _ .. -- �•—
_ Construct single fni iy_dwe1l in /attached -a age. aL4uLi:-app=,.od-PI ' � -- i
,,Sulaaect to 85 sDk", ---
Ap
SEWER PERMIT r. h' S (1 du) ,r- baths_ ra
JM LOAD FLOOR LOAD HEIGHT '7 C,'
NO.STORIES AREA :�;L7/L�'NO.BEDROOMS VALUE '''i'`'
-13UIL04NG DEPARTMENT_ SET BACKS FRONT�� REAR LEFT SIDE 5 RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TU THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
-- REGULATIONS AND ALL APPLICABLE; .ODES AND ORC4NANCM AND IT IS HERESY AGREED THAT THE
Plan Check () c U WORK WILL et'DONE IN ACCORDANCE w;H THE PLANS AND SPECIF11CAT10NS AND!" COMPLIANCE
WITH All APPLICABLE CODES AND ORr.AANCES.'.'HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PL Fw RESTROCT1VE COVENANT&IbNTRACTOR AND SUB CONTRArTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEPARATE PERMITS REGUIRED FOR E!"rEF',PLI.MBING ANO HEATING
State Tau 71/ • SSOC -__---.
-
Total / 2U i►PPi- rofqgGPDC
1'repd. j Z ?- Z- Ir 5 Ct./ (� S` `n ZC? / ?Z/
Receipt No AOOAf.S9� PNn~'
Bal.Due ��,/ �/.. �
issued By__ ---Approved By_-____
SJUC
SOC - S��
RECEIPT ry
PDC - � � � - DATE PD.
SEWER CONNECTIO0 AMOUNT PD.
SE6►ER INSPECTION S
SEWERSURCHARGE S 0 'VG �.
ommante: