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10875 SW NORTH DAKOTA STREET-1 ell- .���►,�'�TE CONSTRUCTION CO. i 1227th S.W. SU MERCREST TIGATID, OREGON 9 223 (503) 639 -7380 < DRAWN FOR 61 l�I.;t p� F�l1lf 4`r I I 0Z k Z41 _ A s- O r __ M0DE L F 0 PRO PO 5A.1.... T cN�- Tf�trl S �_,..._..__..____.....-.. __.. !�" .dr �+Y.err.n►e•.�Y.��Mr.•w.•..w�..r•�wr,w••. .w.Mrw.w•.+...+v.• ..4MR_._-+..w.. a.-r.rer..�4+....- _�.. _.rr •� w� � ' ' .. _...-.. � . - .._. ».. .w..._ .�.�:..�..__ .__._, _._ ,..r+Mlri .w..,n►:-«w.•'•�T'r�AM�'.'w„n-:.Y.IM1N.Mir'-s+w.+._r.a-.►....•.w•� .Y•v.rw.,�.y.�.•^.'.a... �--- - )q4W gX12L NEI4�C)ER, TO R£ PLAG E 8F_AR)1y Gr WA 4,L "i 1 �� FRAME //V t4& w .21414 C 41 �,1IV G _."�r).RA ovZ� New . Wd)gDow " r. ! _.,_.__ _____ ._ . _. ._.,{� lbw .e[ w #�►tt �. -Y -•�-- ....._M.... ._..._. . ... ..._.�.__._..-....._.r...._._ _.... M.. _._........w_ ......_._..•._.-..�,._ .. l .ISP.S�Q/�C�- � .. , f ,,... R. f 1.5 k4 it M ? 'nT F D p1,itT ,� AgASUN Cir.. �---�- S w 63-- f LC1Q 1k __._._ �. .._ ..♦ Wr.a. ...r-•+_..rwVw.r._ti_:i._••nw�•«__-W..I�•.a1.1►.�1-...M�..._. . bwi.•�. IYAFJMw.r..._w._wa.M'.+..•._. «a._wM.._ . -...r r.rr.rw..r._ .. . _.'^^/'.�•...1-.. MA._w�.Y/Ir_..IV.r•...._..•.F_M...'rMM.MM1�•...Y..^Y►...M.�I•�s.WH1si..Mrh_.'.r�.�•'_'rr'w...r .�Mrti M_�rM.••_._ _ .e APPROVED F01P (._'ON STIR UAON CITY �..:. , ;. LIABILITY. The City of Tigard, Oregon, or it'd i l' Buffl-616_ -----"� 3 A) employees, small not be responsible for Y � �7---- _ 3 4.T L. discrepancys which may appear hereon. ___..._ , J. ,..y I"3 '"', ��J I'�.I r i I:r f L..I .}A I.•."1 I (l } Oct l( r !Q,N wALA I o All . . .. .. •a. . IF THIS DOCUMENT IS LESS ' l ' � ' ' ' � I � I � I � ilirll � 11 Jill 1I � 1I � I III Ill I I Ill Ili III III III III III t 1� III III t�1 III f� i I I I I I I I 1 i ( 1 ( 1 1 I I I i I I I I I I II' LEGIBLE I I � I I I I 1� GI�3LE THAN THIS NOTATION , 1 _ � 3 4 XTOBER26 19%9%3 I IS DUE TO THE QUALITY OF No.36 THE ORIGINAh DOCUMENT . � --' ---- - ____ , fiZ 8Z LZ AZ Z �Z EZ Y �7. TZ (17, 6T I LT 9T ! SI fiT Et ZT TT OT6 gL 9111IR I!! Illi I Illl I ,► I I► 11 11 l ! I i I I ► III I IIIA I , Iil �II Il�llil !l III Ill I I1 I I! IIIIIIII�I,IIIII I I 11111 I►II 4l�llllll II L L IIIllllll 11. II. 1 lllifi� p, 1087` SW North Dakota - I L1!SPECTION_1�OTiCE �. City of Tigard Building Depart-ent 13125 SW Ball Blvd. Tigard, Oregon 97273 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 619-4171 Inspect Ion ---- --_---�_ Foot iny ---- pl�. Underslab Mech. Rough-in Appr/Sdwlk i Found. Plbg. Top Out Gas Line FINALS Poet./Beam Struct. Sen. Sewer Framing -Bldg. n -Plumb. Poet/Beam mech. Rain Drain insula � Plbg. Underfloor Water Line Gyp. Bd. -Mmoh. Date Requested! Address: Builders ---=1 THE FOL(,OWING CORRECTIONS ARE REQUIRED: 1 i \� �J Inspectors'! Date:_ ' Z APPROVED DISAPPROVED _ APPROVED SUBJECT To ABOVE call For Reinap. 3 IMF IN[ 111 N PE oN lIOTICE city of Tigard Building De partyent 13125 SW Nall Blvd. Tigard, oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Bunine©s Phor,n: 639--4171 Inspection:----- --------�— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS id Poet/Beare Struct. San. Sewer Framing -B9• insulation -Plumb. Poet/Beam Mech. Rain Drain p -Koch. Plbg. Underfloor Water Line �Oyp. ad. 7 �� T ime�WG�6 P11 Date Requested: , 'ai Builders 3�i -sa3 � TiiE FOLLOWING CORRECTIOR8 ARE REQUIREDI Inspectors- �— Dates2 __ APPROVED✓ DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinep. P�INOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639•4171 Inspection:__ _.— Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Strttct. San. Sewer Framing -Bldg. Post/Beam Meeh. Rain Drain ( Insulation' -Plumb. Plbq. Underfloor W ter Line Gyp. sd. -Mach. Date Requested: l Z 1 -` Timet AN —PH Address: "--""^'�Kl Ijirmlt 1:Alt LY, Builder: THE FOLLOWING CORRECTIONS ARE PEQU1REE / 3(`�� 1� 7 7 Inspoct.or: _ � -_ `Datet APPROVED DIBAPPR0V8D A--**'APPR0M 808JOCT TO ADM Call !or Reinep. r; CTION .�fnTICF City of Tigard Building Departaet 13125 BN Bell Blvd. Tlgerd, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171 Inspect/,ons Footing ----.—..__�------ Fibg, Und lab Meeh. Rough-in Appr/Sdwlk Found. Flbg. Top Out Gas Line FINAL: Past/Beam Strutt. San. Sewer Framing -Bldg. Post/Beam Koch. Rein Drain Insulation -Plumb. Plbg. Underfloor Neter Line EYP' Bd. -Mach. Dake Reyueetedt� -- Times _AM Address --_PM 171 S� Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRkD: --------- _ Inspector:_ --- z__� Date: E /... q 7 ______APPROVED DISAPPROVED /`- APPROVED SUBJECT TO ABOVE —Call For Reinsp. E 's u INSPECT N NOTICE- cit OTICE Department City of Tigard 9uildinq Oregon 97223 13125 SM Hall Blvd. Tigard, inspection Line (Pec-O-Fhone): 639-4175 Businesb Phone: 639-4171 Inspection:-__--. ----- — — r Footing Plbg. Underslab Mach. Rough-in p PP /Sdwlk Gas Lina FINAL, Found. Plbg. Tip Out � -Bldg. San. Sewer /a( resin i poet/Beam Struct. -Plumb. poet/Beam Mech. Rain Drain Insulation Gyp. Ed. -Mech. Plbq. Underfloor Water Lina � L Time AN PM Date Regueetedf r Permit #1 Add re60:. Builder 3__-__� THE FOLLOWING COR,ZECTIONS AAF. REQUIRED: 1 I Inspectors-----__,c�e� -- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. +w wR 1111 ut � wr 'w ++R INSPECTJOji NOTICE+ City of Tigard Building Department 61- 13125 811 hall Blvd. Tigard, Oregon 97223 I::apection Line (Rec-O--Phhoon-e)/:>639-4175 Business Phone: 639-4:71 Inspection: CFooti%9 Plbg. Underslab Mech.. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lino FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor WaterLineGyp. Bd. -Hoch. Data Req::eeted: �' ! � -^ Ti.ma: _ /�k AM PH 7 Address: _1l �tTOlE .i� G)/1.-- Builder: :'✓ -�U� / ----_ --- THF. FoLiA MIING CORRECTIONS AM REQUIRED: Inspector: _ Date: . tt APPROVED DISAPPROVED APPROVED SUB.7RCT 1'0 ABOVE' Call For Reinap. ff, INN Im CITYOFTIFARD rCn"Y4TWMPD BUILDING PERMIT on@ COMMUNrrY DEVELOPMENT DEPARTMENT '70M . . . . . . . : 13UP9ii---014&:� 13125 SW HWI Btvd. p.0.FIft 23397,TOW,Ompon 97223(6031639.4175 7 1 C;c .9ij F (ADDRESS. . . : 10875 SW NORTH DAKOTA ST PAPCEL: 1S134DB-0011Z)q' ,0L-,1)l1)lSlON. . . . : ZONING: R--4. 5 . . . . . . LOT. . . . . . . . . . . . . --------------------------------------------------------------------------------- EXTERIOR WALL CONSTRUCTION— FLOOR AREAS L.i r_1 OF WORK. :ADD FIRST. . . . : S f N: S: Es W: T .J 1 OF USE. . . :SF SECOND. . . : S f PROTECT Y,iL. OF CONST. :5N THIRD. . . . : 135 sf N: S: E: 141 LIVIONCY GRP. :R3 TOTAL-----.---; 1.35 S f ROOF CONST : FIRE RET? : UPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: I Or,�. - I FIT. : ft GARAGE— . . : sf OCCU SEP. RATED: -)M f 'I .- MEZZ?: RE UD SETBACKS--------- REQUIRED----_--------------.-.. .-i_1� ED--------------------- _0� LOAD. . . . : psf LEFI :5 f t RGHT. ft F I R f3PKL.: SMOK DET. . : ,1ALi..LING UNITS, FRNT:50 ft REAR.-50 ft FIR ALRM: HNDIC'P ACC-. J -3- 1J*,1J1,1—. LA A'T H S IMP, SURFACE: PPO CORP: PA RK I Nr . 8400 emorks : INSTALLING E bay window FIND ADDING 135sq ft STORAGE ROOM NONHAlAiTIBLE .1 1.41 1 liwflf'r" : ­--­---------------- FEES 11-jHN i:)ND KATHY DORR It YPP amul.lnt bv (1-1te r-ecpt OtI75 SW NORTH DAKOTA ST PRM*T $ 74. 50 JLH 05/14/92 227235 PLCK $ 48. 43 J[_-H 05/14/92 22'7235 T(IORD OR 9722.31 5PCT $ 3. 73 iLl-A 05/14/92 227235 -ht�tie #: 639-5037 ----------------------------------------- $ 1.-26. 66 TOTAL 00000 REWIRED INSPL(,rION8 is opt-sit is issued subject to the regulations contained in the Foot/found Insp :caro Municipal Code, State of Ore. Specialty Codes and all other FramiT," Insp .0olicable lases. All work will be done in accordance with Inst.tlat. ion Insp -,,crcved plars. This permit will expire if work is not started Gyp Board Insp 1:tr,in 180 days of issuance. or if work is suspended for more Final Inspection 180 days, 4/ � - _____._._ ____._._.__ -- - _. jo(j fly . C;:�11 for inspection 639-4175 IMF we +1I� ■r �v nit �w � PLAN CHECK APPLICATION ���a� COMMUNITY DEVELOPMENT DEPARTMENT o�oo« PLAN CHECK / csi2ssWHADAP.O.em2sa7.ncwd.uww0 �e*w175 PERMIT / U L CIIYOFT167ARD _ DATE ISSUED JOB ADmF.SS: ID �3 .� �1�� /Yu✓f'� �v�it S TAX MAP/LOT ?C/pp--elf OU SUB: SAT: ~ * LAND USE: _ VALUATION: SETBACKS: FRONT: REAR: LEFT: RIGHT: WORK CLASS: � HEIGHT: ' -- - TOTAL AREA: USE TYPE: f FLOOR LOAD: a ; IST: CONSTR TYPE: .5 HEAT TYPE: 2ND: OCCUP GROUP: —'' DWELL/UNITS:� _ 3RD: OCCUP LOAD: NO BEDROOMS: BASEMENT: NO STORIES: NO BATHS: _ GARAGE: INP SURFACE: APPROVALS REQ'D _ SPECIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS:_ ENGINEERING: LAST REISSUE: BUS TAR: FIRS DEPT.: FLOOD PLAIN/ CALCUItATIONS: OTHER: SEN IND.: _ TRUSS DETAILS: PARKING PIAN: LANDSCAPE PLAN: PLAN CHECK BT: OTHIW- COM{F.NTS:`�-.5 `> Jf%yt 5 ; �151�•f�.Y �JG-t L.'�. ��. t�Cf,^"IIT A(X.T At DESCRIPTION AMVUUT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees ?`f• SZ _ 10-431 00 Plumbing Permit fees ___ _,_•_.__ 10-431 01 Mechanical Permit Fees _ 10--230 01 State Building Tax (5X) _3 1'3 73 Building 3 Plumbim3 Mech 10-433 00 Flan, Chock Fee -- Bu i l.d ing .- Plumbing -- —_--� Mech _ 30-202 00 `:ewer Connoct.ion 30-444 00 Sewer Inspection �. 51-448 00 Street System Oev Charge (SDC) 52-449 00 Parks System Dov Charge (POC) 31-450 OU storm Drainage Syst Oev Chrg 1.0-230 09 iRfO --- 10-230 OG Washington County Fire H1 (9')%) 10-220 00 Amar t-/Wodgewood RI t: H nPPI-T( nNT SIGNATURI Received By: noi , Received: cn/3587P/19P o' i l�All flu 6i 4 bl 0 5pe'c�o V\ F a cvo35 Fec vb�ecrt-= R � ar( 15 ff VA- s " i�J'-a �� PER BY qw A ! rjCa�Q. �NVL `ro, (-P cet iN atA r 'fC 1 QQV C' dp"' I s � 12 u) cv` -� Iv-9 o- r C( 1 Ko �s ' lti�o � R ev IAo oUT7c � To /bl Q 1 ova A ct S t-- oily of Tigan+, Oreeon, or it's ��— employees, shall not be responsible for x� t�►�9 discrepancys which may appear hereon. --------------- APPROVED FOR CONS VRLIC .,TION gU-��r ( CI TY Ur iAC ARr PERMIT NO..&;est-�1�:. SITE ADUPE S '�i 3w vrrA10 -- C / GxtsT «� •ea iwr aw � A +wr +i l A `� / � ) � v�-G'1►v w i ULi � � ••� [ ) (J�,y lei � - � -- --- �, 6 c(K �o �..�.��-v� _. r �_ � ..._ —� .___� � �.._ _ S_ / _ __ 1 1%- � � �—� 1 � �1 S � 1 (sri� 2 � � 1 � � 1 ' i � 1 ' 1 c W7Aw-w 'warAa w- �r w C�r� ui7SSwHall I11va. PLNCK/RFC f # CITY OF TIG.ARD I'0Ik)x23397 PERMIT # � ��yz COMMUNITY 1)1�'ELOI'MEN'I'DEPAR'CMENT' Tgard,Oregon 97221 � (503)639-417! DATE ISSUED J .0/ — V _ JOB ADDRESS: `� ` D��LTAX MAP/IOT /sl 3`ID!)- GG/DU SUB: _ LOT: _ LAND USE: 11 VA UAT I ON: OWNER% ��"`V,-_ SPECIAL NOTES NAME: �42-&^I tk4C ��� REISSUE OF: ADDRESS: ��7� 'A'/� I/Lc� �&__� LAST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LANG: CONTRACTOR APPROVALS REQUIRED NAME: C7 �'�='(i"1 c �ec^G^I�n co PLANNING: ADDRESS: Z cb S �� ��=1 -t���-� ENGINEERING: FIRE DEPT: PHONE: OTHER: 'l' r= CONTR. BOARD #: LamEXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: L v ' _ LIST/SUBCONTPACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: !'1-a 1 rhc?LZt .G��.. 1.,... �pPLI NT GNATURE l,'ecWed By: Date Received: III RIM II ri ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing ^_ Mechanical 10-433 00 Plans Check Fee Building _ Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional 1IF Fees 2.5-448-03 Office TIF Fees 2.5-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 OC Parks System Oev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ 24-445-01 Water Quality (Fee in lieu of) 24-445-02. Water Quagtity (Fee in lieu of) TOTAL nm/3561P.WPF ff ffm�m OF. TIGARD Pr-CF.WT OF V-*,A'eM[-'NT RECEIPT NO, 02-1227235 CIIY CHECI"s AMOUNT 66 NAME DORR, KATHERINE CASH AMOUNT x. 00 PAYMENT DATE c 05/ 14/92 ADDRESS 108715 t:)W NORTH DAKOTA SUBDIYISTON a T15APO, OR 9728-3- 1-.,ulzPOSE OF PAYMENT AMOUNT PAID PURPOSE (Ir- PAYMENT AMOUNT PAID BUILUING PERM 74. 50 PLAN CHECK FE 48. 43 Bull-D PER 3. 73 TOTAL AMOUNT PAID eRw ,w ,lw rqw INSPECTION NOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard. oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4173. Inspection: --- ---- ---- Footing Plbg. Underaleb Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Meeh. Rain Drain -�\ -Plumb. Plbg. Underfloor Water Line �~ (Gyp. Bd. -Mach. Date Requested: A_�- /Lf Z' TsSI /-- �PjM Address:- rG��� H,j i.I dor:----�- � l �•�'�.3�--__— 1 - THE FOLLOWING CORRECTIONS ARE REQUIRED: �1 Inspector:_ Date: AppROV=p DISAPPROVED APPROVRD SUBJECT TO ARaM Call For Rainsp. INSPECTION NOTICE City of Tigard 1killding Department 13125 BN Hall Blvd. Tigard, Oregon 97223 Inspection Ltne (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINALS Post/Beam Struct. San. Server Framing -Bldg. Post/Beam Mach. Ratr: Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. � -Hoch. Date Requested:__—yam ` TT 11M PH Address:_. Permit" lt`7 Builder: TT_ 7T'--- TBE FOLLOWING CORRECTIONS ARE REQUIREDi i I i 1 Inspectors_, Date:__� APPROVlD DISAPPROVED �VED SUBJECT TO ABOVF. Call For Reinsp. 119 EM Tj_oJi NT Ic9 city of Tigard Building Department 13125 SW Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Rhone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plb%. Onderslab Koch. Rough-in Appr/Sdwlk Pound. Flbg. Top Out �1 Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation 7 -Plumb. Plbg. Underfloor -� Nater Line Gyp. Bd. \-Mach. Date Requested: ' ' Time: AM PM Address: ,7 /r 1�� / � __ i'e�i•mit/1 Builder: --------- - --- ------ TBE FOLUMING WRRECTIONS ARE REQUIRED: Inspectors Dates APPROVED _W DISAPPROVED - — APPROVSD SUBJ MT '1O ADM Call For Reinsp. FISP O NOT10E city of Tigard Building DMmrtaent i 13125 BN Hall Blvd. Tigard. oragon 97223 Inspection Line (Rec-O-Phone): 634-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Meeh. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam 3trvct. San. Sewer Framing 1 -Bldg. Pont/Beam Mech. Rain Drain -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requestedt � Timet �. Address:_ S — OZ rmit II Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: An Innpect or: � Data: 3- 7 AFPRnVFD DISAPPROVED -f APPROVED SUBJECT TO ABOVE Call For Reinsp. mw- IN6pjCTION_PQTICE City of Tigard Building Departmmt- 13125 80 Ball Blvd. Tigard. dragon 97223 Inspection Line (Roc-O-Phoone)s 639-4175 Business Phone: 639-4171 Inepwtion: 1!etinq Plbq. Onderrlab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation --Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Mach. �,� Timet PM Date Requestedss .r— J — — /) Address: /�) ✓�, �, r.iiaZ�s Builders THE FOLLOWING CORRECTIONS ARE REQUIREDs Inspectors_ Dates_ f/ "PROWD DISAPPROVED APPROVED SUBJECT To ABOVE Call For Relnep. MIUM11 rNSPaCfION NOTICE city of Tigard Building D�*P t—t 2J3 13125 140 Ball Blvd. Tigard. Oregon Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections— -- ----- ---—--__ rooting Plbq. Underela mech. Rough-in Appr/sdwlk found. Plbg. Top Out Cas Line FINAL: Post./Beam Strutt. San. Sewer Framing -Bldg. Past/Beam Mech. Rain brain Insulation -Plumb' Plbq. Underfloor Water Line Opp. Rd. -Mach. Z 'J T i me s _ 11M �_PN Date Requested:_ �._ -1 -a.c _� Permit f: �f C� Address! Builders TNT FOLLOWING coRRECTIONS ARE RTQUIRED � �j,� (Q 3` S(�✓ Dates — inspector✓T' APCRMD DISAPPWM APPROVED VUIJlLR' To R9M Call For Rainap. CITYOF TIGARD _ CffYOFTWAND MASTER PERMIT COMMUNrTY DEVELOPMENT DEPARTMENT oneo" 1='ErtMIT #. . . . . . . : MST92 1�14'c 13126 SW Hall Blvd. P.O.Banc 23397,TOM,Oregon 97223(603)639.4176 / I TF ADDRESS. . . : 10875 SW NORTH DAKOTA S-I PARCEL. 15134DD-0010,, (_*AJPDIVISION. . . . . ZONING: R-•4. 5 I+LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . ------------------------------.__.-__ BUILDING i*4E I GSUE: DWELLING UN I 1-5: 1 BASEMENT. . . . . :0 5f CLASS OF WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :0 sf 1-YPF OF USE. . . :SF FLOOR AREAS-----•------• REQUIRED SETBACKS-_---___..__ YPEr OF CONST. :5N F I RST. . . . .6 3 s f LEFT. . -0 ft RIGHT. :5 ft i)CCUPANCY GRP. :Ra 3FCOND. . , :0 "f FRONT. :0 ft, REAR. . :0 f I :, (UR I ES. . . . . . . : 1 THIRD. . . . :0 S f REQU I RED--------- HEIGHT. . . . . . . . E=D---_-_.__HEIGHT. . . . . . . . : 13 ft TOTPL--- -•- : 36 if SMOKE DETECTORS. : FLOOR LOAD. . . . :40 psf VALUE:. . . . . $ : 3576 PARKING SPACES— :0 Remarks : addition 1 tray window 635sq ft wash ronm PLUMBING INKS. . . . . . . . . . :0 FLOOR DRAINf . . . . :0 BACKFLOW PRF VNTR5. . :0 LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . ..0 TUB/SHOWERS. . . . :0 LAUNDRY 1 RAYS. . . :0 CATCH BASING. . . . . . . ...0l WATER CLOSETS. . :0 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER L=I XTURES. . . . . :0 GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF TRAIN DRAINS. . :Ol _.---•---____.___ MECHANICAL _._.__..________._- _.___._________.____ FEES P-U1=L TYPES.___.._..______.__- UNIT HTRS. . :0 type .pmol-Int by date recP /SAS/ / / VENTS . . . . . : 1 BPRT f 44. 50 JLH 02/r 7/98.' - MAX INP(JT:O BTU VENT FANS. . :0 SPI_.0 $ 28. 1)3 JI-J-1 0;=/18 92 -3?E F`URN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 2. 23 JLH 02/27/92 - FURN ) =100K . . e 0 WOODSTOVES. :0 MPRT t ,='5. 00 JLH 08,/27/92, - FLUOR FURN. . . . :0 CLU DRYERS. : 1 MDLC f 6. 25 JLH 02/27/92 - BOIL/CMP ( 3HP:0 OTE-IER UNITS:O M5PC + 1. c5 JLIi 02.'/;?7/92 - GAS OUTLET5:0 FIE=rRT $ 25. 00 JLH 02/27/9= Owner— __... _..___...._.___.__..__.____.___._.___._-.-----_.___.._ _..._ ._ P 5 P C $ 1,. E5 JI-.H 02/2'7./92 .JOHN AND KATHY DORR IOR75 SW NORTH DAIfOTA S•T 11GARD OR 97223 Phone #: (,39 -5037 Contr^actor: -----•---------__-_.------------- OWNFR #: 00000 ___.-____-__----_____.___._.____---•--.__. ..____. $ 134. 41 TOTAL This perait is issued subiect to the regulations contained 1n the - ------ REOUIRE_f) INSPECTIONS ------ Tigard Municipal Code.. State of Etre. Specialty Codes and all other Foot/for_1nd Insp Mer..,hanir_al Final aul icable laws. All work will be done in accordance with approved P 1 M/r_md s 1 a b Insp P 1 r-1 m b Final pians. This pe-eit will expire if wor arted withic 1801 Mechanical Insp Building Final days of issuance, or if Mork 1s suspense to aor than 180 Pl UMb -Epp Oult Erosion Cnrif)-n i iming Insp tteo 'Sign.ttr_u tit a.F�, a _dation Insp Gyp Eloard Insp I -„,.ied By : v Rain drain Insp Call for.• inspect ion 639--4175 -_ --� I • i i CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 0 9r.'-202363"') � CHECK AMOUNT : 1 QJ!5. 1#8 i OAK' : IJORR, KATHERINE GASH AMOUNT t 0 00 i ADDRESS1�iA7 SW NORTH UAF<CJ"fA PAYME=NT I�A'Ec a faUBDIVISI.ON % TIGARR, OR 97223- PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOLIN'E PA I D Rl.'IL.C►INC3_.,`.;EFtM r�w_ _.__. _...._-4k. 51r F,LUML%INC3 Prr*RM cry• 00 ' MECHANICAL PE P15. MA 13T. BUILD VIER 4. 73 PLAN cHEC.K FE h• �'`� I I I. I f a! f1rIOLINT PAID — w _ > 105. 4E�i i I 4 ji I i fir t �!w �s � +Alt +� �► ` b o J - ---- ® PLANCHECK APPLICATION CITYOFTI CITY PLAN CHECK I -fV EPAFiTME� °ccooM PERMIT UNff1( DEV�I_OPME .f O un.ns DATE ISSUED` — r..mawwes�vA.oa.�a.�.aw���1 __ TAX W1 LOT � , ?; C24 �LwO OB ADnaFST:S: I A�� S u��� 'r kr LAND USE: -A , REAR; f LEFT: RIgIT SU B: �J SE;;jCCKS: FRONT: TT AL I(EIGHT: ' AL ' umCT..ASS: a ' ��` LST: W FLOOR LOAD: J : USX TYPE: HEAT TYPE: 3RD- : CONSTR ` YPE: OCCUP GRDUP: ��' NO BEDROOMS:,__�___. GARAGE: y OCCUP TOAD: NO BATHS: NO STORIES: -- DW SURFACE: _ SPECIAL NOTES ITEMS REQUIRED AI'PitpVALs4�� REI SS'UE OF: LIST SB00lf'Rw �' -- _ BUS TAXX: PLANKING: LAST-REISSUE: CALCULATIONS: ERGINMMING -- FLOOD PLAIN/ _ — TRDSS DETAILS: FI1tE DEPT.: — SEX LND.: PARKING PLAN: Off: LANDSCAPE__---- PLAN: -- OTW7: -- PJAN auxt By: --- — ------ - (�i kyL;�T 00. GAL. DUE DESCRIPTION �{ - Permit Fees 10-432 00 fluilding --� 10-431 00 Plumbing Permit Fees -- —"_---- 10-431 01 Mechanical Penmit Fees - ___ - 10-230 O1 State Building Tax (5�) euilding _Z Plumbing /., t�y� 2v, (�.2 5 Mecfi 10�-433 O0 plans check Fee Building plumbing 3G-207 00 Sewer Connection -- 30-444 00 Sewer Inspection 51-44fl (X) Street ,system peg charge Parks System Deg Charge (Poc) "----- 52-449 00 S st OCv Chrq (5-410 _--- - 31-450 W) Storm Drainage y 10-230 09 tRf 0 County (ire N1 (9"-) _ - ---- _ 10-230 OG Washingt�n Amara/Wedgeurxxi ,�8',9� �U.•L__� 10-220 (x) tutu( /311. - RUC n -_ -- nPPi t�:nNt I�:NnTUitc ()ate Ret e i ved -- --- -- Rec4-i ved fly t,/31,fl JP/(ap City ci Tiga;d MECHANICAL PERMIT Planck/Rec # 13125 sw Hall Blvd. APPLICATION Permit # _ PO Box 23397 Tigard, OR 97223 (503) 639-4171 scnption Table 3A Mechanical Cn,de QTY PRICE AMT .lob ... 1) Permit Fee 0- -0 10.00 Address ---T- 2) Supplemental Permit 3.00 �.�. Furnace to 1(TO,000 1 1) incl-ducts 3 vents 600 ». ^^ Furnace 100,000 T+ Owner2) incl.ducts b vents 7.50 ... Floor Fumanco 3) incl. vent 6.00 Suspended heater,wall heatof 4) or floor mounted heater 6.00 «. Vent r,ot incl.in Occupant 5) appliance permit 3_00 ... ^� epair of heating,re ng- 5) cooling,absorption unit 600 Boiler or comp,heat pump,air conU. 7) to 3 HP absorp unit to 100K BTU 6.00 .ry .«. T_ Boiler or cornp, eat pump,air cond. - 8) 3-15 HP absorp unit to 50UK BTU 1100 Contractor Miler or comp,heat pump,air co 9) 15 30 HP absorp unit.5.1 mil BTU 15.00 ... ....mow —� C, ••"^ Boder or romp, heat airpump,aco 10) 3050 HP absorp unit !-1.75 mil BTI) 22.50 reoy a at I have read is application,thm thie Ruler or comp,hat pump,air con . information given is correct,that I am the owner or auth:nizbd agent 11) >50 HP absorp unit 1.75 mil BTU 31-50 of the owner,that plans submitted are in compliance with State Air handling unit to laws,that I am registered with the Construction Contrac,ors Board, 12) 10,000 CFM 4.50 that time numbor given is correct. (If exempt from State registration, Air handling unit please give reason below.) 13) 10,000 CTM . _ 7,50 —" Non portably 14) evaporate coder 450 Vent tan connect. 15) to a single duct _ 3.00 --Ven-61a—tion system not 16) included in appliance permit 450 Hood served y 1 7) mechanical exhaust 450 DRscribe work new addition alt•ration T5 repair 0 Commercial or industrial to be done residential(:) non-resid,otW 0 18) type incinerator xisting u---e oT— Other ie,woodstove.water building or property u 19) heater, solar,clothes dryers, etc_ 450 _ Proposed use of 20) Gas piping one to four outlets 200 building or property—— —�— 21) More than 4-par outlet Type of fuel oil O ratural gas Q LPG Q electric O --- NOTICE Minimum Fee$25.00 SUBTOTAL PERMITS BECOIIAE VOID IF WORK OR CONSTRUCTION i AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,017 5%SURCHARGE z � IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME FLAN REVIEW 25%OF SUBTOTAL_ ✓ Z � AFTER WORK IS COMMENCED. Special Conditions Date issuod -_—_-—by V MECNAfT -doMM City of Tigard PLUMBING PERMIT Planck/Rec. # _ 13125 sw Hall Blvd. APPLICATION Permit # PO Box 23397 Tigard, OR 97223 (503) 639-4171 escnpuon ORS 814 21 610 CJTY PRICE AMT Job FIXTURES Address " Sink 50 ..�. .�. .a va lory s0 Tub or u / lower m _ Shower CMIy 7.50 wW-aTer— I(et Owner Dishwasher 7.50 MP W ge Disposal '— Washing Machine 7.50 Floor Drain '50 MWater eaier 50 Occupant Laundry r53m Nay Urinal 7.50 then ixturespet� 7.50 . AA,. — — 7.50 Contractor MISCELLANEOUS Sewer 1st 100' 30 00 W .am No --- Cey era aNo Sewer-ea AdIt 100' 15.00 Ater rvic.-3 1st 100' 20.00 re y ac nrnv ge that I have TUad this applicatm,the --- information t e --information given is correct, that I am the owner or authorized agent of Water Service e?. Addit. 200' 1500 the owner, that plans submitted are in compliance with State laws, that I Storm 8 Rain Drain 1st 100' 30.00 art,registered with the Construction Contractor's Hoard,that the number given is crxreci (If exempt from State registration. Storm b Rain Drain Audit. 100' 1500 reg please give reason below I Mobile Home Space 2500 Back w Prevention -'�- Device or Anti Pollution Device 750 Any Trap or Waste lKlot Connected to a Fixture 750 Describe work new art ona teratton 0 repayCatch assn .50 to be done residential Q nonresidential O _ 4000 Insp. of Exist Plumbing per hr 4000 Existing use of Speaalfy Requested Inspections per hr huildin am rain, singe mi y g or Prol�rtY -- - dwelling 15.00 Residential backflow prevention - Proposed use of devices 15.00 building or property ( nepf resr ential ac low - - prevention devices) NOTICE Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR AHAN"i)NED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL COMMENCED. v O CC� Special Conditions J Date issued by �.of rMew t .awa�.e.. 'r c<' � s � 4 � i S o.• Ir r ( A-le C-A 7 n LIAB�y; The City ofTiberd,rOpnns ble1 for employees, shall not ear hereon discrepancys which may app APPROVED FOR CONSTRUCTION CITY OF TIGARD IT .'n.�i1�192.0 17 ,� . ,V>r�i say hlrr�� �*► v J I � 1 An D i Tco. I . AQ � 12 VA � Houl I I U � pf I r � y V° �wQ gr-2g4 e i 'oma i1T ?q,4 vo TOP 0(a-re- CLO AD n vwf 40 CL V4 �u�fd"� Pa/av ��"o•c. I I I l �p �NCl/12 �O�l cM w, t. Nu� � GCC vt- � � ( 5'T��r Gti F F � i o _-_ _. _ __ �� .. __ � . - -- - ----r__� �d 1 � .. �_� �� C�' �G ti'© 'Jl. fsP, ,: 1992 Oregon Residential Energy Code August 1991 a No 11 Table 510: Residential Thermal Performance Calculations This pangfhlet is ow in a series that describe residential energy cornseraatimi requirements of the Oregon Orate and Turf Family Outelling Code and the Structural Specialty Code for multifamily buildings three stories and les;. Rettisions to Energy Code Chapter 33 are effective January 1,1991 and will continue in effect until such time as nmendrnents are made. Other pamphlets in this series may he obtained from local code authorities or from Oregon Building Codes Agency. TABLE NO.53-0 RESIDENTIAL THERMAL PERFORMANCE CALCULATIONS BUILDING COMPONENTS 1 U•VALUES —� (Areas Dom Plan Tak"'as in eq it Bass Path 1 Proposed Alternate Areas U-Value Areae s U R-Vsfue Areas U•Value' Areas t U Flat Ceilings / 0.011 .',9G ;�'.�)'' f? .o 3 1 'I't?4 .. faulted Ceiling% .� 0.01' uPAQuelikans C IIIWI 1�,OU s R'Iedowsit se V of Bis /�` l+� 1:.�7 .,gyp t< 'S,t A. If Slatingarea Is \ Take off Ares ---- greater than 1l%of Take-trff area 0.4(n healed spare flow S• j \ •�' t,' aro: t0 � B.If Slating area Is kin 13%of floor area \\\' Take o}fAreaspan I %to oarts4ai lspp-ersdt floor aro and Inde-ol'f N desired: SklliShet --- -------- 0.4rf — ----—- Main entrs done 0340 , Other esteriur doses .j 0 l(t) Ile Underfloor : On'!a Slab Edge(perimeter h- 1 F=O S-rt I •�J'(i .r .. e<2 f(� —� CODE UA. :,�.�-/, Proposed UA Performance traokeRs arc limited to those(rued in Column I Heat plant efficient dun insulation le%th.{%Sate Aral ac•[se solar Ivan: and similar measure%nus not he considered to this rredtad of cal:ul.mon. Areas from plan tateons- All areas must he the same for Md+Path 1 and proposed Alternateelcept for windott alas allowed it.Note S below MINMiUM CO%IP0.I.7=\T REQLlREMENTS Walls R 14.Flinn R 11.Flat''edmgs 38,Vaults R 21.Basement Wills R-21.Stab Edge R-IQ Duct In%ulatton R•g. R..alues used in this table an-mmmal,for the insulation Imly and riot for the entire assemN% K indow and skthg!d LI-values all not exceed 065ICL.65d Doul U•values shall ria tweed 054(Nominal R-21 the minimum wall component for Patti 9 shall her average solid log or timber wall thickness of 3_!1 inches a Ll-values for wood frame ceilings.walls and ruor astemhhes shall be as listed below U,values for other assemhlet which mat include brick or other masorun.srucco,et:.shall he calculated using standard ASHR.AX procedures S Cmnpment U•-value tradeoffs mas he made against window arra In detached single famdl%dwellings ahen wtratow arra it It i than IJ percent of heated space floor wra. The base window area art this care%hull he art at I 1 percent of the heated space floor area _ — APPROVED U-VALUES FOR COMMON ASSE BUEIT—S Flat Callings Vaulted Callings Walls _Flood R is Doll traherl It 11 0047 R-11 0OPA under nm Slab F,* R 4 9 00!5 Iroherl R-?n 0.071 R-19 0.1161 R-21 0075 R 49A 0010 traherl R 1A 0.021 R-19A 0.(61 R.!s 00!1?itrutsl R-1) 0M6 R11 0060 R Bt 0o!l inmost R 1A OM! R-21A 0.057 R Ili F.0}la R 34A 00" RIS Farfna e — F+The heat Ions csrrliceem.BtuhrM71'per tont of perimeter 1 Pnopwd UA muu tv less than or equal to cow L A II 1� Wall ln.ulu►hon _ --- code.using Table 53-0 Thermal Performance Calcu- &rause of compression,two R-11 Batts(full loft equals 7 inches)in a 2x6 cavity(5-1/2 inches) lations must also meet the 3-1/2-inch minimum don't meet the required R-21 standardaverage thickness standard. Some R-21 walls must have advanced frames. See the pamphlet Advanced Framing for Walls Walls separating heated from unheated and Ceilings for more information. spaces Drawings that follow illustrate ways of When people think "wall insulation," they meeting energy code requirements. usually focus on walls at the building perimeter. I lowever,walls away from the perimeter may also R-15 wall options divide heated from unheated space and thus require 1-he R-15 requirement is most easily met by insulation. using a high density R-15 fiberglass batt. The high A common example is the wall between the density R-15 batt fits in a 2x4 wall cavity without heated house and unheated garage. Rooms with being compressed. All major insulation manufactur- vaulted ceilings may have high walls that divide ers make this product and distrib-►te it in Oregon. heated space from unheated attics. Sidewalls in The product comes faced or unfaced. The pamphlet skylight wells divide heated from unheated space. R-Valu,Colles for Ilnfac,d Britt Insulation explains how Pony wells may divide rooms from unheated attics to determine R-values for unfaced products. or crawl spaces. Tri-level homes may have walls Combinations of batts and rigid foam boards that divide heated spaces from attics or crawl could also be used to achieve R-15. A 2x4,R-11 wall spaces. Stairwell walls may divide a heated stair with one inch of extruded polystyrene(R-5 per inch) from an unheated garage or basement. foam board meets this requirement. A 2x6 frame All walls that separate heated from with R-19 insulation meets(actually exceeds)the unheated space must meet exterior wall R-value R-15 requirement. A 5-1/2 inch blown-in-batt in a requirements. 2x6 wall meets or exceeds the R-15 requirement. Foam core panels commonly meet or exceed R-15. Insulation installation Some R-15 walls must be "advanced Code requires insulation to be installed trained." See the pamphlet Advanced Framing for "flush to the inside(warm)surface of the wall, in so Walls and Ceilings for details. far as practical." Face stapling is not required but is preferred. The intent of code is to avoid unneces- R-24A wall Options sary compression during installation. When insula- R-24A walls are most commonly constructed tion achieves full loft in the stud cavity,it blocks air using a combination of batts and rigid foam board paths around the batt that could reduce its effective- insulation. An R-21 batt with one inch of R-5 ex- ness. Voids, "short cuts, crammed in long cuts" truded polystyrene foam board insulation meets this and gaps in the insulation job also reduce effective requirement. An R-19 batt with one inch of R-value. Splitting batts around wiring and plumb- 1x,lyisocva1111rate foam (R-7.2 per inch) meets or ing and cutting in batty around outlet boxes reduce exceeds this requirementcompression within insulated cavities. Log walls Wall vapor retarders 1,ig homes built to Prescriptive Path 9 are l.o protect insulation from interior moisture, required to have solid log or timber walls at least 3- a 1 perm(or less)vapor retarder must be installed 1/2 inches thick. Log home~complying with energy on the warm side of insulation Facing on faced 2 ---------- / Permit No: Address: _-- - Issued by:__ � ��9..•,; / ----- -- -- Date: ,---- --- - FOR OFFICE USE ONLY STATEMENT: - - INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box. 2A or 28: 1• V7LTJ I own, reside in, or will reside in the completed structure. 2. A. My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. I wily be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I cha;-)ge my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and tha# I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. i6ggnatureoff Permit Applicant CONSTRUCTION CONTRACTORS BOARD 0244J 1/90 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT ACCT # DESCRIPTION AMOUN 1 AMOUN I PD. BAL. DUE 10-432 00 Building Permit Fees l�y.Su .SO 10-431 00 Plumbing Fermit Fees S- =- 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) �_ — Building Plumbing Mechanical �? 10-433 00 Plans Check Fee a5. e 2 J Building _L3 P 1 umb i rig Mechanical . 2j J 10-230 06 Fire — 30-202 00 Sewer Connection — 30-444 00 Sewer Inspection _�_--- 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees - 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 2.5-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees _ --- 52-449 00 Parks System Dev Charge (PDC) — — 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) --- ---- 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Ouantity (Fee in lieu of) _ TOTAL rim/35871).WPF w! 71 C-AX�G C T 31LSSW Ilan HKA PLNCK/RECT # _�y- CITY Oh rIGAIL PO Box 23397 PFRMIT # M,J� fz-U4 _ COMMUNITY 131:VEL(WINIEN'f DEI'ARTNIENT 7iprd•Oregon 97MI (503)6394171 DATE ISSUED JOB ADDRESS: ��� V Q TAX MAP/LOT _15 3 LQ a__�l n 0 0 SUB: -- ..- -- _ LOT: __. LAND USE:VALUATION: 3,S -)to OWNER r f SPECIAL NOTES NAME: " C v-V~ REISSUE OF: _. ADDRESS: ���1 -1 i 1 Q_D �c'L^ ��--( Crr-{ LAST REISSUE: ��-7 .2 j FLOOD PLAIN/ PHONE: ,zT �Czi�_ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: vN -ADDRESS: _ ENGINEERING: E FIRE DEPT: PHONE: _ OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: __-_ LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: _._. --- TRUSS DETAILS: ADDRESS: — __ __— OTHER: -- PHONE: PROPOSED BLDG. USE: COMMENTS: -�L� � 1�1' • _ 67 12 AP LICANT SIGNATURE Received By: — �' Date Received: i C I 1 Y OF T I GARD PCE- T PT 1"IF PAYME''NT RECEIPT hJCl. CHECK (MOUNT' t 213. 3 I�lwiME t DORRI KATHERINE CASH AMOUNT z 0. 00 c1U11RF.8>oi a 10875 SW NORTH DARCITA PAYMEN'r DATE z 02,, 18/9p SURD I1115ION z 1-16ARD. OR 97223— OF 722 3—O PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID V'LWN_...rHECK FBF ..._.�� ...__..._..._._ _._..,...._...___..._..._._.. ..._...__.._.. __.�...__......_._..._...�_ c.(3. 9a 101'At_ AMOUNT PAID 28. 93 m Y uo rT--ick CitX of Tigard poilling Departs"t3 Blvd Tigard. Oregon 13125 ON Gall Blue639-4775 Business Phone: 639-4171 / Ipsp•atlon Line (�-0-phone7l Inspection, Appr/Sdwlk Plbq• Underalab Meoh• h-in Tooting FINAL= Plbq. Top Out cas Lifts Found- -Bldg. San• Btruct. Sewt+� ir.oing Poet/Beam -Plumb. Rain Drain Insulation Poet/Beam Meeh. _.Neck. Water Line Gyp. Bd. l Plbq. Underfloor PM 3�e.7--,00 Tiawt Tate Reg),estedl `it io Address! Bui.lderl - TAF FOLLOWING COPJM'TIONS ARE RSQUIREO, ------------- I 10, -- -- --- --- o.t•� _ I�- 7 Y ingpect.or:.-___-_�-.__—_–.-- -- - -- �pFROVIO SVIJgC'P TO ASONs APPROVED DISAPPROVED Cali For Reinop. OF' TIFARD Tm MECHANICAL COMMUNrTY DEVELOPMENT DEPARTIMENT r4= RD PERMIT F one" 1312b SW"W1 Blvd- P-0-Elm 23397,TOW,OfgFnL/ 97223(F433)M4175 . . . . . . . . MEC91—0247 7fT 7� 1TE !�')SUED: 10122191 SITL ADDRESS. . . 10675 SW NORTH DAKOTA ST SUBDIVISION— . - PARCEL: 16134DB--00100 FiLUCK. . . . . . . . . . LOT. . . . . . . . . . . . . ZONING: R-4. 5 CLASS OF WORK. . :AL.T FLOOR FURN. . . . TYPE OF USF. . . . :SF UNIT HEATERS-- EVAP COOLERS: I I)EN T FANS. . . : OCLUFANCY GRP. . 3R3 VENTS W/O APPL.- VENT SYSTEMS: STORIES. . . . . . . . .. 1 DO I I—ERS/COMPRESSORS 1-40ODS. . . . . . . : I-' U[.".L TYPES------------- 0-3 HP'. DOMES. INCIN: - /W0D/ .?,-1 5 HP. COMML. INCJI\I- MAX INPUT.- RTU 15-30'j HP. REPAIR UNITS: F1 RE DAMPERS?. . : 30—30 HP. . . . . GAS) PRESSURE. . . : WOOD5TOVES. . : 1 50+ HP. • • • CLO DRYERS. . : NO. OF UNITS----- AIR HANDLING UNITS OTHER UNIT'S. : FURN ( 100K BTU: 10000 ufmlGAS OUTLETS. : FURN ) =100K. BTU: 10000 ef"I : NEW WOODSTOVE FEES JOHN AND KATHY DORR type amo�tnt by date 10875 SW NORTH DAKOTA ST PRMT $ 25. 00 JLH 1010.,2191 TIGARD OR 97223 55PCT $ 1. 25 JLH 10/22/91 62-9-50,37 CC)Tltr-aetor-: TOM BISHOP, 12195 SW CANYON RD BEAVERTON OR 97005 ------------ 644--7868 Req 54696 $ 26. 23 'TOTAL. RE This permit Is issued subject to the regulations contained in the Final ItisRpeEQUIctionD INSPECTIONS -- Tigard Municipal Code, State of Ore. 5'Mialty Codes and all other Applicable laws. All work will be done in accordarce with approved clans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ' 'et-mittea Signati-trA [ il-1ed By . Call for inspection 639-4175 CITY OF' 'T I OARD - kEC E I P'T OF PAYMENT RECE P f NO. a 91-�i E1I 9 t �C,. s NAME. BURR, JOHN CHECK AMOUNT[:ASH AMOUNT t�1. OV� t�UpRFv s 10875 BWNCIRCH i)AKU`fA PnYMENT DATE s i0/cc^.�9J SIJBD I V I9I ON s 1"IC3ARU, OR9-7223- PUpPnSF OF PAYMENT AMOUNT Vl)I D PURPOSE OF PAYMENT AMOUNT C111 I D I ME:CHAN 1 CAL_ PE _._.__...._....,_._.._.._ 25. 00 CT. EAU II..b FUER 1. 4`l. i I� WO ODSI-OVE PERMIT Ti1fAL AMOUNT PAIL) - > 1C,. r'!i INS B(_TION NaTice City of i19ard Building "rtaent 13125 90 Ball Bl-d. 'Tigard, Oregon 97223 Insp—tion Tine (Rec-o-Phone)s 639-4175 Buetr,ss Phone: 639-4171 Inspection:____ - Appr/Sdwlk p1�, Underslab mech. Rough-in Footing Gas Line FINALS P1bq. Top Out Found. -Bldg. Struct. San. Sewer Piaming Post/pears, -.Plumb Rain Drain Rn ineulatlon Post/Beam Mitch. Gyp Bd. _Neth. Nater Line PN Flbg• Underfloor AM ___._--- / Tl-m°.� Date Requastad:��� �� t R• Address r_ Builder: THE 1r01,1ONING CORRB CTIONB AIUt REQUIRLrD: _-_- Dates -_ SUB.7ECT TO ABOVE APPROV3D DISAPPROVED —_ APPROVED Call For Refnap. INSPECTION NOTICE City of Tigard Building Depart'Oent 13125 BB Hall Blvd. Tigard, Oregon 97223 Inspection, Line (Rec-o-Phone)i 639•-4175 Bunineee Phone: 639-4171 Inspeections. — � � ­ Footing Plbg. Underslab Mech. Rough-in Appr/Bdwlk Found.. Plbg. Top Out Gas Line FINAL= in Poet/Beam SCruct• San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. � ' -Koch. Plb4. Underfloor Water line') gyp. ad. / `7/ AM PM DateRnqueateat� �. Addreeet��// �� rm t Builders ���~SD 7 THE FOLLOWING OORA•<'TIONS ARE REQUIREDt 7 Inspector APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. cas n�► 1NSPKC_ Loi HOTII:E city of 7'1-gard Building Department- 13125 SW Rall Blvd. '19&rd, Oregon 97223 Inspection Line pec-o-Phone)- 639-4175 Bueineee 1-hone: 639-•4171 -----------_.----a��-- Foot ing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Ream Struct. San. Sewer ` 1 Framinq -Bldg. Post/Beam Mech. Rain Drain yInsulation -Plumb. P11-v4. Underfloor 'Rater Line�/ Gyp. Bd. _Neeh• Date Requested: Tiros: -.16--AM P14 Address: 2j / /. s Builder: TBE FOLLOWING OOIMCTIONS ARE REQUIRED: Date:_ /J l� APPROVED ^_ DiSAPPPOVED - APPROVED SUBJECT TO ABOVE Call For Reinap. M1SPECTION NG3GE City of Tigard Building Departsaent 13:.25 SW Ball Blvd. Tigard, Oregon 97223 Ingppetion Line (Rec-n-Phone)s 639--4175 Bunineee Phone: 639-4171 1 Inspeotiont ----- -- Plbg. Underelab Hoch. Rough-in Appy/sdwlk r Found. Plbg. Top Out Gas Line FINAL: poet/BeaStruct. San. Sewer Framing -Bldg. m Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water,Line Gyp. Rd. -Meth. / Am 7C '7+ T t _ PN Date Requeetedt it Address, Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED' �i. Dato: _ Inspector:•_ L APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinop. CITYOFTIGARDBUILDING��� PERMIT COMMUNITY DEVELOPMENT DEPARTMENT oanoou PERMIT #. . . . . . . : BUP91 -01.63 ox 13125 SW Fidl Blvd. P.O.B 23397,T19a d,Orpon 97223(603)OW4176 SITE ADDRESS. . . : 10875 SW NORTH DAKOTA ST PARCEL: IS134DB-00100-Z_ONING: R.-.4. 5 SUBDIVISION. . . . : BLOCK. . . . . . . . . . : L.01.. . . . . . . . . . . . . : REISSUE: -^ -� FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : sf N: S: E: W: TYPE OF USE. . . :SF SECOND. . . : sf PROTECT OPENINGS?------------ TYPE OF CUNST. :5N THIRD. . . . : sf N: S: E: W: OCCUPANCY GRP. :R3 TOTAL------: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: STOP. -, HT. : ft GARAGE. . . : sf OCCU SEP. RATED: BSMT?: ME Z Z? : REOD SETBACKS------.-- REOU I RED------------------- FLOOR ED- .___.-----_-.:--- FLOOR LOAD. . . . : psf LEFT': ft RGHT: ft FIR SPKL: SMOK DET. . . DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE::. $ : 4000 Remarks : installing 2 bay windows FEES ----------__--_ JOHN AND KATHY DOPP type amount by .;ate recpt 10875 SW NORTH DAKOTA ST F'RMT f 44. 50 JLH 07/16/91 215423 PLCK f 28. 93 JLH 07/16/91 215423 T IGARD OR 97223 SPCT f 2. 23 JLH 07/16/91 215423 Phone #: 6:39-5037 Contrar_tor: _.------------------------------ ARAVE CONSTRUCTION CO 12270 SW SUMMERCREST TIGARD OR 97223 "_.`---_-_--75. 66~TOTAL -----_�---._�--_ Phone #: 503.--639-7380 : Reg #. . : 2•2967 -------- REQUIRED INSPECTIONS - Thir, persit is issued subject to the reyulations contained in the F"o of /f o UT'd I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other V,ost/Beatm I n s papplicable laws. All work will be done in accordance with F ram i n g I n s p _—._----- approved plans. This pewit will expire if work is not started I n s 111 at i on I n s p _ within 180 days of issuance, or if work is suspended for wore Gyp Board Insp than 189dai.s. Final Inspection _ Permittee S i g n a t u r e s I s s i_1 e d BY : ��_� ---- -- -- - Call for inspection - 639-4175 PL.NCK RECT # -� T 13125 SW Hall M-1 / CITY OF '1 IGA D ►�arrv3m PERMi E # _dt,,V - Ti rd,Oregon 9=CUMMl1NITY DEYE,LOPMEN'C DEPARTMENT (503) DATE ISSUED %JOB ADDRESS: 1�.,,Q�.� vC/ �Oh' Zt1 �C om . TAX MAP/LOT � D i? SUB: ^-_-- LOT: LAND USE:VALUATION: ::L 6,00 -- SPECIAL NOTES OWNER NAME: REISSUE OF: AUDRFSS: /0,0 7S sW ��DRrIt�A-KfJT/� _ LAST REISSUE: ------- �... _,. �'�ell �• _T� G'1� ,t1_ --_- FLOOD PLAIN/ PHONE: - 03 SENSITIVE LAND: _ --- CONTRACTO ��� APPROVALS REQUIRED PLANNING: -- — NAME: .. ENGINEERING: ---- ADDRESS: J2...?1� • „ Cj 7 - FIRE DEPT:� PHON -3�4'� OTHER: CONTR. BOARD #: EXP DATE: ITE► S REQUIRED SU43CONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: _ BUS TAX: - _-- ---- aRCH1ENGINEER CALCULATIONS: -- - TRUSS DETAILS: NAME: OTHER: ADDRESS: _--- PHONE: ---- - --.� PROPOSED BLDG. USE: - COMMENTS: WPLIC N SIGNATURE Received By: Date Received: 7` � i �a a PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE �10-432 00 Building Permit Fees „-V -- "P�l 0��3 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees -- 10-230 01 State Building Tax (5%) — Building Plumbing Mechanical 10-433 00 Plans Check Fee Building_ Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 25-446-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52•-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) -- 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) TOTAL �i nm/3587P.WPF CIlY OF 11CARD RECEIPT OF PAYMENT RFCEIPT NO. -91-215423 CHECK PMUUNT - 75. 6'-, NAME o PRAVE CONSTRUCTION CASH AMOUNT a 0. 00 ODDRESS) 12270 6W SUMMERCREST PAYMENT DATE 07/16/91 SUBD I V I S I ON TARD, OR 97223- OF PAYMENT (AMOOUN I PA I I) PURPOSE OF PAYMENT AMOUNT PAID null-DINU PERM 44. 50 PLAN CHECK FE Eti. 9 3 '-)T. BUIL.D PER 2. 23 1.0875 SW NORTIA DAKOTA I tq-TAL, �IMOUNT VIA ID 75. 6 ffmKmYKmmmjr"F Monday April 20 1992 r00 L73L - 1 7:z�- 0 LIM 8:30 -2z-, 9:00 9:30 10:00 10:30 11:3C 12.00 ----------- 1:00 1:30 2:00 -2.30 .......... 3:30 ------ ----------W- 4:30 5:00 Sr�e � rr l( t1 ^► � �o f F4.- 12. 1(, iG t4 tL 1(. 14 lL W0.C( o-� �•oc�� � I Z z X to' haZ(e� -ra9 ev� 40 LO N VAO i � � h y I i i] z .4 X r©' 0-L -To 7 e c� r U0