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15655 SW ULD ORCHARD PLACE •
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City of Tigard Building, Department
13125 SW Hall Blvd. Tigard, oregon 97223
�nepection Lin , R@C-O-Phoonne):J�63399-4175 Bueinene Phone: 639--4171
Inspections ov/`'"�� Tom.
Footing
p1bg. Underelab Mech. Rough-in Appr/sdwlk
Pound.
Plbg. Top Out Gan Line FINAL:
Poet/Ream Struct San. Sewer
Frami_r.y -Bldg.
Poet/Beam Meeh. Rain Drnin
lnnniation -Plumb.
Mech.
aTime:pl.bg. Underfloor Water Line Gyp. Bd. —�AM
—�
ante Requested: N Uv
r
Address:--
Hui -r-._-
THE
r:THE FOLLOWING CORRECTIUNS ARE REQUIRED= —_
inspector:_ -
/ DISRPPROVED APPROVED SUHJECP TO RBOVE
�( APPROVED — —
J `�— call For aoinep.
September 29, 1992 CITY OF Ti '"ARD
OREGON
Lee Ann Adams /
15655 SW Old Orchard Place
Tigard, OR 97224
Re: 15655 SW Old Orchard Place Permit # MEC 91- 0085
On May 24, 1991 a permit was issued for the above project . As of
this date, there is no record of any inspection having been
recorded.
Please advise the Building Division of the status of this project
as soon as possible so that the file may be kept current .
Please note that any permit without activity for. over 180 days
1-ncomes void. If you need additional time to complete the project,
please contact this department so an extension can be discussed.
Sincerely,
Robert Thompson
Building Department
Noticeb.rev
13125 SUV Hall Blvd., Tigard, OP 97223 (503) 639-4171 TDD (503) 684-2772
C'TYOF T'GrARD Pr:-.PM I T
'C7rf Y COF RD
42116A #. . . MEc()I
COMMUNITY DEVELOPMENT DEPARTMENT 041100N P E-Plyl I T
13126 SW HWI Stvd. P.O.Box 23397,y*vd,a 4gon 97223(603)6394176 _7
S.1 TF ArjDPFS04400
S. . . - 15655 SW OLD ORC111ARD PL. PAR( ELa 2511ODD
SUBD I V I G I 01\1. . . . i SUMMERFIELD NO. 3 ZONING: R-7
BLOCVi. . . . . . . . . . . . . . . . . . . .
CLAE;�-s OF." WORK. . tAL*T* FLOOR FURN. . t u-VAP COOLERS:
TYPE. OF 1J5E. . . . IGF' UNIT HEATER�). I VENT FANG. . . s
Ot'CUPANCY GRP. . I R3 VENTS W/o Arl"-1-11 VENT SYSTEMSs
STDRIE`1,- . . . . . . . s B0XI-ERS/COMPRESGOR5 HOODS. . . . . . . ;
FUEL 1 0-3 t If'. . . . : 1 DOMFS. IN(71N�
: /ELE/ .-3--13 HP. . . . t COMML.. INCINt
MAX INPUT: BTI.I 15-30 HP. . . . A REPAIR UNYrs*
FIRE DAMPERS31'. . 1 30-50 VIP. . WOODSTOVE1,;- - :
f*AS PRESSURE. . . 1 50.4 vir'. . CLO DRYERS. - :
-10. OF OIR HANOLING LJI\:,'T'S OTHER UNITS. s
URN ( 100K BTUs f 10000 (:"fin: GsAS OUTLETS. i
URN BTU: 10000 (,fin:
�'Pmay+qii AIR C'ONDITIGNER
11 1-- - - - --- - - FFES
i-E'E ANN ODAMS type amoiv)t by diate r e p
15651,5 9,14 OLD ORCHARD PL. P R MT $ 16. 00 JIJI O'�/i?4/9i
I
5PCT $ 60 JI-H 05/84/91
I'ICARD OR '172,24
i -hcitiv #v 684 9382'
0 n t V.,a C....t Ct V•I _.___.__ _.____ . _ _-- - L -
IIAE HEATING SPECIFII-IST
"1104 14W DIRDSDALF
' 'D BOX 97
'RES
.:-, HAM OR 97 10. SO TOTOL
�:-11`101104 #�
P'p Ii 9
5 6 6 28 ECTIONS
REGIUIRED IN *P
This permit is issued subject to the regulations contained in the Ju�pe('tic;T' ......
Tigard lilisnkcip4l, Lode, State of Ore. I;p@cialty Codes and all other
applicihIp law!. All work will be done in accordance with
rpqrovvij plans. This permit will expire if work is not itartid
within 180 days of issuance, or if work is to!pendod for move
khan 1118 days,
%u e(J D y
639...4175
CITY OF TIGARID RECEIPT OF PAYMr-N7 RECEIFST NO. 191-213626
CHECK AMOUNT 16. 80
NAME s rlAE HEATING SPEC IALU-T CASH AMOUNT 0. 00
ALURESS : PCI BOX 97 VlAYMEN1 DOTE F 05/P4/91
SUSS I V I SI ON
GRESiHAM, OR 117030—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSUIE OF PAYMENT 0MOLIN-f PAID
6. 00 GT. BUILD PER 0. 80
15655 SW OLD OrICHARD PLACE
I IOTAL AMOUNT Pnlr) 80
AV
^ITY �)F TIOARD MECHANICAL PERMIT Floceipt M
1 11.2 5 ,SW HALT., ST VD. Permit
P. o. Box 23397 -
TTGARD r OR 97223 �I ,d Gl��'0U Table�A Mechenkol Code Y ` �- QTv PRICE aftaT
(5073)639 •0.17, v` 1) PetmilFeo 0 0 10y00
Nen"of 0"olo M om 2) Supplomontal Permit 300
' ! ` - �11 Furnaco lu 100,000 BTU
Job Aearoce - 6.00
Address I �' `J" A!4 (a.Ac.PVL1cj OC fact,duct,&vents _ _-
— - Furnace 100,000 STU +
Tax�`" _ f �' 2) 7
incl,ducts&vents 5U
LOA BIOeN !tutalivtslon
Name(or nameofb",ncss) (e 84–c)?,A Z 3) EIUUr Furtlace 6.OU
r A N ti rA D —incl.vent
meMengAddrosa atone 4) -
Suspended heater,wail heater 6 00
Owner j S d (�( A a-e�k PL orllfloor .. ----rmountedheafcr
CKY/Mato — ap ' 5) Vent not Incl.In 3.00
appliance permit
NamO name of bu;nasal -8) Repair of heating,rotr ig., 600
cooling,absorption unit _
- - --' _ ) ,
Boller or corn to 3 HP /�
Mailing AgArnra .'._ Phone 7 � /� )�- � BQQ
tat{up�nt absor .unitto1moo08'rU - 16, 00
Gtyr�afe �-
Zip r 9) Boller or comp to 3 HP-15 HP 11.00
absorp,unit to 500,000 BTU _
-- Name _. ------ Doileror comp 15.30 HP 15.00
9) absor,.unit'A-1 million
MaNN Address 6 Phone 10) Boller or comp to 30.50 Ht' 22.50
�291
absor>L.unit 1 -1.75 million
Contractor �O' `' x -----N Boller or comp to 50 HP
olifelmoe Zip 1 1) 31.50
r�-Lk'aha.,,, , mom- `1 1 D �D absorp.unit1,750,000BTU __
Brave Registration No. –city nut.Tax No i 2) Air handling unit to 4,50
S G(el A R `'n(.C.>~ke 13-70 1 o,000 CFM
I rxrehy enArutwledge(}int I have read(isle appNC:tirxt)hal the inrprM!! 13) Air hanAng unit 7.50
given t9 10,000 CFM +
cont rt,that i am the nwrwn nr authorized agent ct the owner,that plane submitted are In
cat hams with[ate Iowa,that I am mgialered with the Stale Builders'Boa(d,fhttt the 14) Non portable 450
number aivnn i corrtcl.(It exempt Own State ro;istratron lease give reason below). evaporate cooler
15) Vent tan connected 3.00
- -- - - - - --- - to a single duct
-- 16) Ventilation system not 4.50
included in appliance pern•,t
— _1:F ;i(1 C)r 1/) Hood served by - 4.50
met hanicalexhau5t
Signan,ra towner er IgeAl) Date 18) L'umestic typo 7.50
nwscrlbP wor4 U addition 11 altaratlon ❑ repair D incinerator ^__
to be done residential ❑ non:resdentiai_CI_- 10) Commercial or industrial 30.00
Existing use of ttype incinerator
building or properly Xw't �'?t='"' �_- P0) 011ier i.e.,woc dstove,l eater 4.50
po
Prosed va�e of ' heater,solar,clothes dryers,etc. -
building or prot)erty 21) Lies piping one to tour outlets 2.00
Type of fuel- oil C] natural pas 0 LAO ❑ elcvtric ❑ - -
25') More than 4-per outlet
N TIC - SUB-TOTAL
/G w
THIS PERMIT BECOMES NULL AND VOID IF VaORK OR CON- uJ�- �" —
STRUCTION AUTHORIZED 15 NOT COMMENCED WITHIN 180 5°/° SURCHARGE �U
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF sUa•TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -
--
WORK IS COMMENCEEO. TOTAL
Special Conditions __ -- e._
Date issued _... ._. _by�, .r—
City of Tigard
iNSPECTION REQUEST
Tor INSPECTION TIME : .- PERMIT NO. : _.___.._—
DATE: /6 DATE ISSUED:_1—L—
OWN E RS NAME : -------
AGGRESS '
CONTRACTOR :
TEST. Air ❑, Water p , Vieualp Laboratory Q
RESULT: Approved Ra Disapprc vod ❑ , Pending ❑
SKETCH:
INSPECTOR DATE
r-
LNOTE : Attach supplemental tett data heretl
llw
i
City of Tigard
INSPECTION f
�E�u Es T �
for
L'
INSPECTIOW TIME: PERMIT Na. :
DATE: !(.I 211V ATE ISSUED :- I Z
OWNERS NAME :ADDRESS:
CONTRACTOR :
TEST . Air ®, Water(3 r Visual ,-Laborartory p
RESULT'. Approved Disepprcvsd d Pending d
SKETCH. r
l I.ate .. •w
/C .4 't�. (�l- - 7
� � I
i
INSPECTOR DATE
*CTQ Xttech svpplementel 4est date hereto]
i
City of Tigard
I
S O I
I � �'�C�'I N REQUEST
�'
for
INfiPECTION MIME. PERMIT NO. :--_...
DATE DATE ISSUED :--L-,L—
OWNERS
SSUED :___L_L._OWNERS NAME :
ADDRESS:
CONTRACTOR
TEST : Air ❑, Wate►[] , Visual ❑ , Laboratory[]
RESULT'. Approved , Disapproved ❑ , Pending U
SKETCH:
I
i
1
I
I
� ' I
I P "CTOR DATE
NOTE: Attach supplemental tett data hare*] 1
City ofTigard
INSPECTION ILEOUES'T
jor
INSPECTION TIME P.M. PERMIT NU. : -.
DATE* --J16 0*24 DA-rE ISSUED:__L_L__
OWNERS NAME *
ADDRESS : A-z
C 0 N 1 R A C T 0 R : -
TEST. Air ❑, Water U , Visual ❑ , Laboratory ❑
RESULT. /approved I*, Disapproved ❑ , Pending (]
INSPECTOR DATE
IUTE : Attach supplementwl test data herato,
PLUMBING PERMIT APPLICATION
Jurisdiction of
No. Type of Fixture Fee Permit No.
Permit fee 3 _.4 t�
Water Closets Toilets Permit Issued _ji__�- 7y
Bath Tubs Approved by
Lavatory _ Wash Basin iy Building Permit
ShowerJieceit t No. 1_
E �
Sin s�llLshwashin~�_ ___
Sinks,_ Kitchen �v
:inkOrdinary _ Location of Build
s�- ing
-- --
Sin s.DarSinks, Slop
Automatic Disr-, _ _�„ _ _ �" L• ___
Disposal —
La2Dd.rV Trays�_� - Name Address of Owner
Drains, Floor _ _ _ _ � ti ►-►
Drains Refrigerator. _
R 5 T Ti—Drains — U'
Automatic Washer —__ Name & Address of 7Plumber(
_
ouniains;�rirY cF�in— _
Fountains .Soda _ - -�- '
-IrO17 Vie.'
ate '.�.
Hot Wr Tank
_ v;ater Service Siz—e--T _
-
Urinals _� Bu Old o
i�-1 evr Alter�Re air or
Basins -Tard all ��_ T_
Lan
La System
Sw mmming_Poal -
Srinkler -------------
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if construction or work is suspended or abandoned
for a period of 120 days at any time after work is commenced.
All plumbing firms must tie Licensed by the City of Tigard and post a $19000 bond.
I hereby certify that i have read and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governing this typ
of work will be complied with whether specified herein or riot, the granting of a
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regulating construction or the performance of
construction.
Signatur of plicant
l
I Cify of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :_ FXL PERMIT NO. ' --
DATE ' 4ALIV
O. : __DATE: ..=1:L' 11V. DATE ISSUED'___1_1
OWNERS NAME :
ADDRESS : -4L
CONTRACTOR :_ - ��/7 C S
ITEST .A r .J , Water ❑ , �lisccl O , Lra'` ,rator,� (�
RESULT: Approved L1 , Disapproved _l Fending []
SKETCH:
I
I
I
INSPECTOR DATE
[NO1E : Attach supplemental test data hereto]
1
EXHISIT "A"
CITY OF TIGARD
Rooidontial Structure Occupany Roatriction
KNOW ALL MEN 3Y I <SE PRESENTS, thLt occupancy of rooidcntial
structure (o) on tho follouing doucribod lando prior to the roco:dirg
of an occupancy permit roloauing tho roatriction. in the Deed R0CarG3
of Wouhington County, Orogon, i3 prohibitod by the ordinance of
i
the City of TJ.gcrd, Grogon: (Tho City uili iaoua a CaloauG
no 000n no a jacl inapoction dotormincu that the conotruction
is oati3f:ictorily camplotod)
DESCRIPTION OF PROPERTY:
�•�, cReL��- �L� \�-. �vv\'� "*�3� `'tine`s-, �����\o�
ADDRESS OF P^OPEZTv .._._. �.\�� c.. .•`Rr� \ca�..�
NAr1E OF OWNZR:
ADDRESS OF OWNER: �.� _�•i..� G •r• ���.�-= �� �"
IN WITNESS WHEREOF, the under3ignod hao caused this
restriction to be oxecutod this day of 19��
OWNER:
APrkUULu: Title
By:
Tu-TI-ding Officiel
City of Tigard
STATE OF ORCGGN a3, January 29 19 04
County of Wnohington _—_-
Paroonally appocrod bofore ma the Lbovo ncmod
_ Roy Brown and acknowledged the foregoing
instrument to be _ his voluntary act and dead.
Notary Public for Orogon1/16175
fly Cow,r,ioz;ion ExpirGs:
13576
EXHTOIT "A"
CIT`.' OF TIGARD
Rooidonti.al Structuro Occupany Roatriction
KNOW ALL MEN 3Y THESE PRESENTS, that occupancy of raoidon`ial
structure (o) an tho following deacribod iando prior to the rocordin,
of an occupancy pormit reloaoing the roatriction. i.n tho Dood P,ocordo
of Washington County, Orogon, is prohibited by the ordinance of
the City of Tigcrd, Orogon: (Tho City will ioaue a zoloace
au soon no n find inopnction docorminoa that tho conotruction
:;, satisfactorily cor„plotod)
DESCRIPTION OF PROPERTY:
ADDRESS nF POOPERTY:
NAME OF OWNER:
ADDRESS OF OW^1CR:
IN WITNESS WHEREOF, the undersigned hoo caused thin
restriction to bo oxecuted this ter, day of
OWNER:
G_
' = fin
APPROVED: title
r..
/Building Uffic n
City of Tigard
STATE Of' OREGON
County of Washington on. January 29 19 y
t
Personally appoared bafora ma the abovo namocl
ltoy Brown and acknowlodgad tho foregoing
instrument to be his voluntary act and load.
No a•y Public for Oregon`
ii, Commis in Expires: 1/16/75
Pilwd lot tomtd ..��!}'.'.�.........-.IG 7,va1.!7.
k,14TR THOM3,SSEEjN.Diromm of Rearndo 6 Chrt,on�
PT _. __. .(/ ..................... ...,... br,pulY
I
f• lift, X61 f1cE214
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/
CITY OF TIGIARD
W 12420 S. W. Main Str«d
TIGARD, OREGON 97229
APPLICATION FUR BUILDING PERMIT
New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑
ZONING e- ]) DATE ISSUED .217 7 BUILDING PERMIT
DATE RECEIVED BUILDINNo.
BY i PLAN CHECK $ tip. �^O /�'e-is4Nr fc� --� �""
`- OTHER $ c� ep 17 k4>y< �VALUATION $ /1/ 1199
SAL $ S7p& RECEIPT No. 94-
7-07711-
4-7 07711- r+s �-i
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # Sayer MAP #— _ CENSUS TRACT — JOB #�
Architect or Engineer.\,At
Addressy�_,a�. w
Owner_
Address Phone
Builder —____--
Address _ _. �_Phone—
BUILDING USE Single Res. L-a! Multi Res. ❑ Comm. ❑ Industrial��
OCCUPANCY GROUP _ No. of stories Height ^_ Area of Lot
Type of Construction ii ITT V Floor Area B
Set Backs: Front_�c,,M Back -,C,� I,.51de- - R.Side_ -_
Private Sewer Pipe Size -ik%'� _ _ Sewer`-,, c TS eptic Tank ❑
Water Service Pipe Size, _ Storm Sewer Ditch ❑ Drywell ❑
�� �p,,,�v ..- ,�` tiav ri•..��c�,v'.-,..moo. �-
Street and Curb Requirements
S
Driveway width _1*V�,! — `No. of Parking Spaces__ �
:--
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED__ _i._
FIELD CHECK BY _ —_—.__.__._______DATE _
PERMIT APPROVED BY
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector.
.,ijnatur Nf Appf icant