9920 SW KABLE STREET 9920 SW KABLE STREET
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JRSPECTIQN NOTICR ` ;J
City of Tigard Building DaPartmMtl.
13125 SW H&II Blvd. Tigard., dragon 97223
Inspecn ton Line (Rec-O-Phone)t6�39-4175 Business Phone; f„9-4171
Inspections_.- �/�/e—'
Footing Plbg. Underslab Mech. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Line ?INP,Lt
Post/Beam Stru-t. San. Seer Franinq -Bldg.
Post/Beam Much. Rain Drain Insulation --Plumb.
Plbg. Underfloor Watr/-rJ(^J/Une Gyp. Rd. .-Mech.
Date Requesttelt 6y'✓ (VK ____Tlsiat _LAM _1� PM
Addre s: l .�J�11 l \�� Permit fsi4=SL
�'V VIA
THE FOLLOW:t1G a .19 ARE ” UIREDt \�
s Tj ' e
Inspector: ---- _. natal r�
AJ
APPROVED DISAPPROVED _�— hPPROVED SUBJECT To ABOVE
Call For Reinr i.
�Icv MECHANICAL.
CITYOFTIrARD PER111T
F,EMJT I . . . . . . . r
I1EC90---@t?'J2
COMMUNITY DEVELOPMENT DEPARTMENT oRmooN 0
13125SWHall 8W. R0.Ba.23397,Tipid,Oregon 97223(503)09-4175 DATE ISSUEDt 11/01/90
09920 SW KAF(I-F S'( PORCELt 2G111CO-08400
GUI-F GIDE F:-.STr4rr,-,..s IAC). 2 ZONING: R--7
I-01.. .. . . . . . . . . . . . .P8
CU)SE; OF- WORK. . a ALT F LOOK FURN. EVAP CDOLERSo
TYF"E OF USE. . . , S FUNIT HEATERS. . BENT F ONS. . . -
OCCUP"AM''Y G K'P., . -.R3 VENTS W10 APPL.- VENT* SYSTEMS-.
SWRIES. .. .. HOODS. . .
FUEL. 0-3 HP. . . . DOMES. I'SIC I N-
/W0D/ 3-15 IAP. .. .. . COMML.. INCIN'",
11 OX INPiJTn BTIJ 1`5-30 HP. . . . REPAIR UNITSi
Flrd- DAMPERS'?. . : 30- HP. (M."S. . - J.
G(>-S PRESSURE. . 50+ HP. . . . CLO DRYERS. . C
NO. oF 0IR HONDLINU UNITS OTHER UNITS. C
FURN ( IPJOK FITI.J.- 10000 C'n): B(-)S OU I LETS.
FURN >- 100K B'Y.J.- > 10000 C:fn)-.
Rerna-rk,., :;
W 1-1 e-r ....... F E I.:.F)
BRILICE P(MiLSON type A1110M)t t)y d.ittA -rec:Pt
9900 fijW KAPLE ST' F'12)ym 1; 15. 23 R.1-4 1.1 /01/90
PRII T $ 1.4. 50
TJ.r7W';,,1) OR 97(224 5PCT $ 0. 73
P h ci vi c�
C'
'(3114 —acta-r:
0 W N L R/C()N'T R A CT 0 R
15. 23 TOML
OWNER
RE(7UIRKI) INSPECTIONS
fi)is permit, is issued subject to the regulations contained in the FJI-I'Al [1IsiP0('ti011
Tigard Municipal Code, State of Ore. Specialty Codes and all other
4oplicable laws. All work will be dune in accovdavve 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 Iff days.
.............
..............
-r in i.t t e e S'i q vi A t 1.1-r e
...........
S!1;t'te(:1 By t
Ca1*1 fo-r ivispec,ticir, 639-4175
W VANLAWMIL
CITY OF TJl'3J)RD RECEIPT Or PAW iEN'r PECF�:IPT NO. 91", -210647,31
CHECK AMOUNT 113
NAME t PAULSON, PRUC'E CASI-1 AMOUNT Q
.-,�DRESS : 992C) SW fl:.ABLE ST PAYMENT DATE a 11 /01/90
TIBAF D, OR 9
PL)PPOOE OF PAYMENT AMC UNT PA 10 F-liff-10GE OF PAYMENT AMOUNT PAIV
MErHANICAL PE MEC90-0252~ 14.50 ST. BUILD PER
"rCITAL. AMOUNT PAID .1!%21
II;
I I Receipt# _.
CITY OF TIGARD MECHANICAL PERMIT o� '/vb Permit# —13125 SW HALT, BLVD. G►:rEl'rCD Pll;1i�IP16 Tableoe"tiption
P. 0. BOX 23397
Table 3A Mechanical Code CITY PRICE AMT
TIGARD, OR 97223 OCT 3 0 1990 — -0. -0- 10.00
(503)639-4175 1) Permit Fee e
Name of oevcloPnWd 2) Supplemental Permit 3.00
Furnace to 100,q)D BTU 6.00
Job Address " I 1! incl.ducts&vents
Address (� G l.-�,- _._------
Furnace 100,000 BTU + ri0
Tax Lot Map No.' 2) incl.ducts&vents
Lot Block
eubdNh+on Floor Furnace 6.00
Nass lgI rtarrta d b ) 3) incl.vent
Hfll So/� Suspended heater,wall heater 6.00
Mal"Add"a PhM h I 4) or floor mounted heater
Owner
'� - a/f S UJ I;;/t vent not incl.in 3.00
Ceyfstets nP 5) appliance permit
4�; / _ Repair of heeting,refr Ig., 6.00
Name for rwtte of busk+easl 6) cooling,absorption unit
Boiler or comp to 3 HP 6,00
Mafty Addre" PWO 7) absorp.unit In 1MAN)13TU
occupant
Boiler or comp to 3 HP-15 HP 11,00
CMy�sate 6) absorp.unit to 500,000 BTU
Boiler or comp 15-30 HP 15.00
Name 9) absorp.unit th-1 million
Boiler or comp to 30-50 HP 22.50
Ma"AiWess Phone 10) absorp.unit 1-1.75 million
Bolter or comp to 50 HP 31.50
Contractorcityi,use 7w 11) absorp.unit 1,750,000 BTU
City Boa.Tax No. 12) Air handling unit to 4.50
Sta+s liepietratim No. 10,000 CFM
13) Air handling unit 7,50
1 hereby ackrawledps that I have road oft arppcation trot tis kftww m given Is 10,000 CFM +
W"Va that I am tho owner or authorized agent of the owner,OW PIN*WAnnided an in Nonrtable 4.50
a
oorr113116 with state laws.MOI I am ngiaknd Wkh the siete Builders'Board,that are 14) evaporate cooler
mardw given is coned.(11 exert"kom Mate registration 1.40M give naso^below).
15) Vent fan connected 3.00
to a single dud
16) Ventilation system not 4.50
included in appliance permit
— Hood served by 4.50
17) mechanical exhaust
s ignauae towner a apsnt) �iL1 i r. v•' f` % 18) Dot neiylxs 750
incinerator
Describe work ❑ addition ❑ alteratitm Q repair ❑ t 9) Commercial or industrial 30.00
to done residential O non'resideMial ❑ type incinerator
Existing use of Other i.e.,woodstove,wate, / 4.50 a,
building or properly 20) heater,solar,clothes d ors,etc. /
Proposed use of
building or property- 21) Gas piping one to four outlets
2.00
Tjlpe of fuel— oil 0 natural gas ❑ I-FY= (] electric ❑ 22) More than 4-per outlet _
NOTICE SUBTOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- S%SURCHARGE 3
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 110
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER TOTAL__j
)`j
WORK IS COMMENCED.
Special Conditions
Date issued ---by—
Oltr k'.6 dr - 6 { '
SIF Y { i n t ✓ , +1,
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-- 7
INSPECTION NOTICE
1 City of Tigard Building Department
I 12420 S.W. Main St.
Tigard,Oregon 9-'223
Phone: 639.4171
Type of Inspection �r/,,_ ;�
Date Requestrd Time i'� A.M. _--"---P.M.
Permit
Address ---— -7—
Owner -.fes ` Lot
Builder __---- ---._ --_The following Building Code deficiencies are requited to he corrected:
_ - �,-��='•� G-_r ;,.A.�-rte_—.c�sC��.y�1 `-''''' ' -
I
Presented to [� /%pproved
Inspector �Y L _-- Disapproved
Date --------�3-u �7 Y
CALL FOR REINSPECTION
YES 0 NO i
.. mr. � aw sr sssr sssr ssw sse sw
INSPECTION NOTICE
City of Tigard Building Departm(nt
12420 S.W. Main St.
Tigard,Ureqon 97223
Phone: 639.4171
TypF of Inspection —
Date Reywosted— � Time_-_ A.M. X P.M.
Address — Ol(/ � ,Cr --- ------.-- Permit
Lot
Owner
i
Builder �__—�—_-- ---- — --___-
The following Building Code deficiencies are required to be corrected:
Presented to,-.-" A �_ proved
Inspector
A /�� L' ❑ Dlupproved
---r
Date _ —
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639-4171
Type of Inspection
Time A.M. P.M.
DateRequested
,J"�';70 ry 11f Permit
Address
Lot #
Owner
Builder
The following Building Lode deficiencies are required to be corrected:
Approved
Presented to
Inspector
Date
CALL FOR REINSPECTION
YES El NO
sets W WJL-W W W W
INSPECTION NOTICE
City of Tigard Building Department
12420 SYV. Main St.
Tigard,Orcgon 97223
Phone. 639-4171
4
TyCe of Inspectiun
uato RequesteI Time A.M. t P.M.
Address permit
Owner Lot #
Builder
The following Building Code clrdcienr:z: arp squired to be corrected:
Presented toArr—ed
Inspector .'Eralapproved
Date
CALL FOR REINSPECTION
IYES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
A
Type of Inspection
Date Requested Time XA.M. P.M.
Address 1� Permit
r
Owne Lot
Builder
The following Building .ode deficiencies are required tr be corrected:
oe
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
! 'YES El NO
CITY OF T!GARD Plumbing Permit I)
Building Department 3M
Residential commercial
New Installation Replace Addition ❑ Alteration Date.
Licensed
Plumber 4 le; Owner
Address
Job Address
Phone Applicant
CITY BUSINESS LICENSE REQUIRED FCR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEET07AL ITEM NO. FEE TOTAL
Fixtures-Traps ti 7.50 Sewer:First 100 I'll, 30.00
Dishwasher 7.50-1. Each Addit.100 It. 15.00
Garbage Disposal 7.50 Ejector Pump 7.50
Water Heater 7.50 Water:First 100 1't. 20.00
Backflow Preventer 7.50 Each Addit.200 ft. 15.00
Storm_&Rain Drain:First 100 ft. 30.00
Each Addit.200 ft. 15.00
Mobile Home Space 25.00
Other(Specify): Rain DrE.In-Single Fim.Dwelling 15.00
Comments:
PERMIT FEE I
STATE % ssuedBy:
Receipt No.
TOTAL SIgna"e
For Plumbing InspwM n Phone 0339-4171
CITY CWTIOARD No. 1716
12755 S.W. ASH
P.0.13OX 23397 -
.AII TIGARD, OR 97223 Date
---VV
Name
0)Af Tj k 0 A
Address
Lot -—f-'jlock/Map Su bdivision)Addrbss
Permit N's Bldg. Plumb Cash Chub—mak rOther
Te`w6r Other Rec. B
Acct. No. Description Amount
110.432 Building Permit Fees
116-.1131-600 _Building
Permit Fees
10-431.601 Mechanical Permit Fees
-7 -- —
0.
230 501 Statl e Bldg. Tax
10.433 Plans Check Fee
10.435 Other Licenses 8, Permits
30-443 Sewer Connection
30-444 Sewer Ingo action a 7,c)C)
24-448Street Syst. Dev. Charge w
i5--449-6-fd- -'-Pavks I§y�t. Dev. Charge
25.449-620 Parks 11 Syst. Dev. Charge I.So'GU
31-450 Storm Drainage Syst. Dev. C harge J sul 00
10.430 Business Tax
10-434 Alarm Permit
10227 Bail
10.455- Fines - Trafflc/Mlsd/Parii-ng--
10-230- CPTA Traffic/Misd/Vic. Asst.
10.456 Indigent Defense
30-446-401 Sewer Seivice/USA
30-446-402 Sewer Service/City
31.447 Storm Drainage
40-475 Bancroft Prin. Pymt.
40-471 Bancroft Int. Pymt.
10.451 Other Charges for Services
TOTAL
DIEPT.
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BUILD114G PERMIT APPLICATION TIGARD DATE—?.>+acember _20 19-6k-
THE
9—6_THE UNCEIISIGNEn HEREBY API'--;LS FOR A PERMil F'OP HE WORK HEREIN INDICATED _ BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOM^ANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.
OWNER Ic3q t4I�__ Q3�Ij? yYi�OBAUDRESS 9920 SW _meet--. aOtetti
-- - ke (14ve ,UftHIITEC7
ENGINEER
BUILDER_ ADDRESS 3 Mtn• Jeffersou Terr#!!DESIGNER
1° STRUCTURE [I NEW El REMODEL _ _ ❑ ADDITION ❑ REPAIR �❑ RENEWAL 11 FIRE DAMAGE ❑ DEMOLITION
[ F-SIDENCE D COMM Cl EDUCATIONAL CJ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE <O SLAB FENCE
OCCUPANCY —1 !L--LAND USE ZOM,:—� "`7pu BLDG.TYPE _ 511 FIRE ZONE`_.PLAN CHECK BY —� - HEAT
__._ Cor►rfltr_vlcc �+ le ftrnil� dranle .lia ; w/et taech jituaa,
2 1 .throom 3 Bedroom
SEWER PERMIT0 28287
PDX.LOAD FLOOR LOAD 4U HEIGHT 13 NO.STORIES I AREA 1298 NO.BEDROOMS 3 VALUE 54j650,
BUILDING DEPARTMENT SET JACKS FRONT 2U REAR —_LEFT SIDE y RIGHT SIDE
- -L
Permit __2y13,0U THIS PEP-A'T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINS^ IN THF OU1LDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND ,T IS HEREBY AGREED THAT THE
Plan Check 19:7.7U _ WORK WILL BE DONE IA ACCORDANCE WITH THE PLANS AND SF F.CIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T1-IS PEnMIT DOES NOT WAIVE
Subtotal 491.70_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 11,92 LICENSE.SEPARATE PERMITS RF(,JUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— 4; UU.Uu
Total :103.62
-- - — --
PDCk 1 !5U•W APPLICANT OR AGENT
BY -- C:: SSU{: 2St).UU
Approved ACR I Receipt No. ADDRESS
_J
0 TE fNSV. TYPE INSPECTION REMARKS PEXPABING GATE
Permit No.
Ile_
F,xtury
Fnal
wl — , - - -LC^K.!. ,� '� HEATING
�' d,7 _1.f4__-�VC ��
Pa�,�It No
Contract
Alp
Permit No.
Oil
Cas vroil
R F
I
,ughh
-,
Final
SEWER
Final
DRIVEWAY
Final
------ Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&str"-t Final
Cf:f?TIFICATE OC CUPA NCY inal
Landscap—tl
Zoning sinal
'HE UINC)ERSIGNED HEREBY APPLIES FUN APERh11i FUH I►It: vVUNri H04LIN I0401LNILU UUILULSI:•:1�14C, ,� y�
OR AS SHOWN ;A7NAPPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEF, 1.0>�OT Pio
Q14 E P
' � •• _ ;-_./�- 111 IfV� /�i
A0aREwl,
STRUCTURE _ NEW `O RF!IInOEL �-I ❑ADomo,, REpAin OREN-14 ❑FIRE DAMAGE ❑DEMOLIT
RES11,!C"ICC ❑COfLA1 ❑EOUCATIONAI ❑GOV'T ❑ItELIGInV5 C�PAT10 ❑CAR PORT -IGARAGE ❑STORAGE QSLA8 ❑FE
- _�-
CGCl1?ArL^v c- -
�.$�_LANp USE tONE�LLI..:' OIUG.TVPE�.y_. PIAN CHECK BY t� � NEAT_
CONSTRUCT SINGLE FAMILY .12W''L1. NG Wf ATTACHE❑ GARAGE. _
I BATHROOM 7 BEDROOM
SEWER PERf'1IT TM Garage_-5-,,
'=L IJOAP FLOP,A LOAD HEIGHT I NO.STORIES AREA-,---"ti' NO.HEDRODAts_-) VALUr6S,,se)
81111.QIN'G DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIOE tj
n THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. 201
11•*�n Check 3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
1" WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE 1
J:Ih•toWl "� ILL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W,
i I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSII
rite Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Tou ( SDC —
r PDC#
r
}"J APPLICANT OR AGENT
A^rpruvHl t'�"�' Receipt Nu.
%nnAFSS /iON
SDC (Storm)
SDC - $
PDC -
SEWER CONNECTION $ `7A'26,
SEWER INSPECTION
SEWER SURCHARGE $
Comments , ) -
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