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12300 SW NORTH DAKOTA STREET 12300 SW NORTH DAKOTA STREET 1 ro +J 0 x ro 4-1 0 z ;3 now cn 0 0 �n N �'/. 1�H I4 �, /�y •i�� ��� (//���{• 1 a�. 1 '1;11 •.r� �� ��/� �� w� , �py � 49 . . V�f�' ♦•' '��'7,"�+�•'J1/ �' �' S���!.�� �' ,SIL 11tH iii �"Q ♦. 1 Ifn'!� C � w . .«R 'l Jb•. i w. • •a �` sem„ A•� ..bt w......•�M• � x +{`1 �1�1` '11 FHMIR!'fiR^.Ft4�+'.IRF�AC+^.•`_FFFTS:'r ...... .. ...... ,-.r,.-'�•ugrw••��.��_'^��.^ .d. '7__ �'}• .� �T.,1NP T +( f4 Uf ik r , 04 oil ,n441 y; � �y y bb i`• 1 , . �Q �1 IV IN ^" "✓ ;of ! ff i YI1� V r 1 I �d +J OG 1.4 AN $f iC O a o by Z'%,t a U 's a�� M w a ►/ aLn ,. +f� ���� 'm'iav::•v:•:ccst..ea��3m+'r3u:ra.+i•:�ao+�L•::�:a.•b.em_.y. a _�"•��_= _ _ _ {�r'y. 11� abt ��`y, .►rj��'II;K,` U •�! 4 °� /!!� �,U. "'rl '''•.�U �r 11J� �� •�1•: l4!�s y �!..••�n+ `^.+� M��,,• ffff .lly ie !,!y Rpt � 4"!T qP,��t�' '•.� �x 1 H!�! '� /! '�4'�� '1�F"'Q �L� 1� 1�''�a'k�( �`Y a,�1�;'. C!' � �vl „ 1 +i c !1' �1• '1 ��� ,btr Y" y�4�j1'I!1�''W ���YS��lw"h ;;q��!4'yy ' •N`\�Y r ..,�.��I+pRpy O1* �1:1k.;���+' �q;� '.{ t� INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 n Type of Inspectim _ 71111.--(' �"/-// ---------_�_r__.�.—.�-- c; Date Requested Time _ A.M. P.M. Address _- /Y �� (�0 7`� Permit Owner —---- Lot BuilderThe ffollloViing Buiiding ,Code deficiencies are required to be corrected: 1 T Presented to Inspector Disapproved Date CALL FOR REINSPECTION F1 YES IJ NO NOLML elm ssslt BUILDING, PERMIT CITYOFTIGrARD CnAFTlM0 PERMIT NO. a FtU8701:t4 onoorr COMMUNITY (DEVELOPMENT DEPARTMENT DATE 'ISSUEDt t 1 /23/87 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 9f223.(503)639-4175 — JOB AE)DRESSt 1:300 SW NORTH DAk,nTA ST 'SAX MAP/LOT ISI 44 C8 4500 SUES anton Pari' l_Tt E+F s i LANE, LISEff R7PD LOT SI:Ell VALUATIONt ♦ 61 . 465 SETBACKS FRONTS 20 REARt 11 WCIPI!' CL.ASSt NEW DWELL.kiNITSe 1 L.EFT1 R RIGHTe I.1SE T'YPF.s SIN(31-E FAMILY NO. BEDROOMS, 7EXT.WALL CONSTt CONST. TYF'Et "IN NO. HATHSie 2 Ns NR St EIINP We (IP r OCCUP.BRP. t RT PROT.OPENINGS# OCC:UP.LOAD N s NR S,It NR E if NP We NP TOTfr,L AREAL 1746 NO.STOR I FS e 2 1 ST t 96' ROOF CONSTIf C F I PE r-,F 1' MEIGHTt 2', 2NDt T83 AREA SEPAR'? PATEDit HASEMENT' 3RDs OCCUP.SEPAR-' RATEDs MEZ'ZANINjEBASEM'T FLOOR LOADif 4() GARAGE t 'r*'( F'I RE SPRKL.R'' ALARM? FLOW(GPM DE.T'FCT" ES FLAN rHECk 9Yt PEMARIKS t FEIaSUE OF N0. LAST REISSUE O f t_L..`�t W :�CHULTZ DAVID PERMIT $319.00 N ., 7. ,r. E 1911"5 NE 1-161Y. 240F'I_AN REVIEW d�C► R newberg or 9713FIRE DEPT PHONE (503) 619-6110 STATE TA)' 1115. "M OTHER C DEVEI_OPMf~NT CHARGFSif N SCHIJLT7 DAVID SDC (STORM) '1154).01) TCUSTOM HOMES BY DAVE INC. SDC(STREET ) *600. 00 R a 1�1►. r;r A 1"41115NE HW`t. ';?40 PDC(M 1 ► T nnwbll11l-q or 471 '2 PPE'PA1D tt1C►i,. r,1: O PHONE (O°03: 6117-631,C) TOTSaL a *t, 4442. 'tt i R REGISTRATION NO. 4.�4b6 This permit is issued subject to the regulations contained in Title 14 _RECEIPT—NO. ) of the TMC. State of Oregon Specialty Codes, zoning regulations and all other applicahle codes and ordinan as, and it is hereby agreed that the work will be.done in accordance with the plans and specifications and in compliance with all applicable codes and ordinances. The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void If work Is not started within 180 days,or If work is suspended or abandoned for a period of 180 days any time after work has commenced it shall be the I esponslbility of the permittee to assure all required inspections are reouested and approved Permittee Signature Issued By (:;ALL F(.:IF 1 N4)PECT I(1N 6''9-41 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE jr �U,. �rtF.1� r CITYOFTIGrARD � SEWER SERM I T F�ERM I T' N0. : E8701-39 C17YOF TWARD COMMUNITY DEVELOPMENT DEPARTMENT "'°°" —' 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 DA E ISSUED: 1 1 /2 3,/8 7 FRIM.PMT,NO. 07()174 JOB ADDRE SSc 1 :;?30() SW NORTH PA1'OTA ST LISA NUMHERo 1'4592 TAX MAF'/LOT i S134 CR 45()() 5UPe ancon part LAND USE:a LT: 0[ LOT SIZE: SEC T I ON e T'WP e RNG i WORK CLASS t NEW 1,15E TYPE s SINGLE FP,1'4 T LY The APP l i-cant agrizes to -,,r.,mp: v with all rules ,and regulations eaf the llnif iecl Sew(?racae+ Age+nry, Tj-ie permit a>(P i res 1^0 days from the date i tasi.ied. The total amoi.ant paid will be forfei ted i+ the permit e'cP i re%. The Agency draw I"10t gLlar--- antee the ar_ci_lr acv of the lc)raation of the side (,;ewer, ].ateraiP. If the sewer is riot located at the measurement given, the instAller- shall prnspF?r..t 1 feet in i_t al i directions from the dagtal-l( giveri. ] + not: ac, locatr?ci, the instal lPr^ sh ] Prcl�ater� .� "Tap and Side awl r Fer�mit and the oriency w:il. ] inst all a lateral. . II INSTALL. TYPEe BUILDING SEWED IMPERVIOUS AREA: FIXTURE UNITSe 11 TENANT IMPROVEMENT: DWELLING UN I TS e 1 NO. OF 8LDGS. e 1. FEE.Ss W SCHULTZ DAVID PERMIT $305. 00 RN 19117'; NE HWY. 41:1 CONNECTION CHARGE newber(? nr LINE 'T'AP INSTALL. $I, ltl� -Clio -- — OTHER C O SCHULTZ DAVID N T CUSTOM HOMES BY DAVE: INC, A 1911'15NE HWY. 241:1 A C rivwborg or C771?' TPHONE i 50_,1639-6-71(, O � . JR1 REGISTRATION NO. 43466 TOTAL: 1!i .1.35.00 This permit,3 ,sued subjeci i ,the regulations contained In Title 14 RECEIPT NO. 26949 of the PAC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances. and it is hereby REQUIRED INSPECTIONS agreed that the work will be done in accordance with the plans and ROUGH—IN specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work is not started within 180 days,or it work is suspended or nbandc ed for a period of 180 days any time after work has comm( )7ed. It shall be the respcusibility of the permittee to assure all required Inspections are requested and approved. Permittee Signature Issued by CALL. 0 I NSPP CSN-b 9-41.75— -- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T167A RDMECHAN ICAL PERMIT 1-141ft-C PERMIT NO. : MES70136 C17YOFTWAV COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED% I I /23/*87 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 PRIM.PMT.NO. 870134 JOB ADDRESSo 127-0 SW NORTH DAKOTA ST TAX MAP/LOT IS134 CB 4500 SUBi anton park LTP [-(I: : LANE) USEI: LOT SIZEI ITEMS NOi NO: WORK CLASSI; NEW FURNACE <100K I AIR HANDLR 4..10 USE TYPEII SIAGLE FAMILY FURNACE 100K+ AIR HANDLR 10V CONST. TYPEs VN FLOOR FURNACE EVAP.COOLER OCr-IJP.(3RP. s R7_ HEATER VENT FAN 4 VENT VENT. SYSTEM BLR/COMP :'7,HP HOOD I NO. STORIESe BLP/COMP 3-15HP INCINERATOR (DOM DWEI_L.UNITSs I BLR/COMP 15-:7,0HP INCINERATOR(COM FUEL TYPE GAS PLR/COMP 30­50HP REPAIR UNITS MAX. INPUT PLR/COME' 50+HP OTHER FIRE DMF'RS"' GAS PIPING OUTLETS HIGH PRESS 7' L__L.Eli E"F1EEB:L FEESs 0 W schu 1.t david PERMIT N PLAN REVIEW $9. 63 E R FIXTURES $24. 50 STATE TAX $1 . 73 OTHER C 0 CLASS A HEATING N T SAME AS ABOVE R 755 SE HALE A C greshom or 9 7 -7 0 T 0 PHONE (0503) 667-5989 A REGISTRATION NO. 461-.):39 "rOTALt $44. 05 RECEIPT NO. 2694? This permit is Issued subject to the regulations contained In Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby REQUIRED INSE-3PECT IONS agreed that the work will be done In accordance with the plans and GAS LINE specifications and In compliance with all applicable codes and POST & BEAM ordinances The issuance of this permit does not waive restrictive ROUGH-IN covenants Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and FINAL void If work is not started within 180 days,or if work Issuspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure all required Inspections are requested and approved Pe,-mittee Signature Issuod By f-01 1. F�n_T--INSPECT NW)N_-6-' __41-75--- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLUMPPERMIT CITY OF TIGA� PERMIT TINGO. i PL-87('.)135 CIWOFTWARD COMMUNITY DEVELOPMENT DEPARTMENT 001000i DATE ISSIJEDi 11/23/87 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 PRIM.PMT.NO. Q44_*'.t4 19`7 01 S4 JOB ADDRESS 121-00 SW NORTH DAk OTA ST TAX MAP/LOT 1S134 CU 45(")(") SUSit ancon park LTs 81<1 LAND USE LOT SIZEs ITEMS NO: NOi WORM' CLASSil NEW WATER CLOSET TRAP USE TYPES SINGLE FAMILY URINAL Bl,(FLOW FRVNTR CONST. TYPEv VN LAVORATORY TRAP PRIMER OCCUP. GRP. lf R:1 TUB SHOWER w GREASE TRAPS DISHWASHER 1 GARBAGE DISPOSAL I 140. STORIESt s WASHING MACHINE I DWELL.UN I TS i I LAUNDRY TRAY BLDG, DRAIN tDIA FLOOR DRAIN SINK I SEWER (FTN WATER HEATER I STORM/RAIN (FT 100 OTHER F:EESi 0 schl,lltZ DAVID PERMIT W N 19 1(-It") NE HWY.240 E newberg or 97132 FIXTURES PHONE (5o3) 639-6310 STATE TAX 45. 88 OTHER C 0 MADORE PAUL N M AND 0 PLUMBING T R 12560SW TIGER LILLY LANE C A beaverton or 97()05 T PHONE (5,03) 641-51174 0 REGISTRATION NO. 5031 TOTAL 41121. 38 R RECEIPT NO. 26949 This permit is issued subject to the regulations contained In T00?14 of the TMC. State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances. and it is hereby PLB.UNDERSLAR aqreed that the work will be done in accordance with the plans and specifications and In compliance with All applicable codes and POST & BEAM ordinances The issuance of this permit does not waive restrictive WATER LINE covenants. Contractor and subcontractors shall have current city PLB. TOPOUT business tax permits. This permit will expire and become null and RAIN DRAINS void it work Is not started within 180 days,or if work Is suspended or abandoned for a period of 180 days any time after work has F I NAL commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved. Permittee Signature Issued By- F t—T I-fitt 41 7`� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE ■. .. n �6 PLAN CHECK APPLICATION PLAN CHECK PERMIT 0 �y II � S ) DATE ISSUED ) JOB ADDRESS: /�yJt i, LO N,�,��rr? ", i x TAX MAP/LOT/S/ 3(/ LZ:r /kS o SUB: , — _ LOT: , LAND USE: 7 o VALUATION: SETBACKS: FRONT:fit' REAR: >' ' ' LEFT: RIGHT: . WORK CLASS: ' �J/, HEIGHT: 2V TOTAL AREA: USE TYPE: FLOOR LOAD: 1ST: � CONSTR TYPE: �— HEAT TYPE: a s 2ND: 3X__5 OCCUP GROUP: DWELL/UNITS; / 3RD: OCCUP LOAD: NO BEDROOMS:— BASEMENT: NO STORIES: NO BATHS: GARAGE: IMP SURFACE: 11, 1P . -I APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: r REISSUE OF: LIST SUBCONTRACdORS: ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS: OTHER: _ SEN LND.: TRUSS DETAILS: - PARKING PLAN: LANDSCAPE PLAN: PIAN CHECK BY:ILLI OTHER: COMMENTS: — ACCT T DESCRIPTION UNT OWNER 10-•432 Building Permit Fees NAME:. w k' ,x'(,7;10-431-600 Plumbing Permit ?ees _ ADDRESS: 't Al e . 10-431-601 Mechanical Permit Fees L,--�i"AJC:&` 10-230-501 State Badding Tax (5%) 10--433 Plane Check Fee PHONE: i� ,� �© 30-443 Sewer Connection (2.0X) ZzO y 30-202. Sewer Connection (80X) 3 CONTRA_r"'OR_ 30-444 Sewer Inspection NAME: 51-448 Street System Dev. Charge (SDC) ADDRESS: 52.-449-610 Parks I System Dev. Charge (PDC) � 52-449-620 Parks II System Dev. Charge (PDC) _ 31.-450 Storm Drainage Syst Dev Chrg(SSDC) � — PHONE:`- _ _ 110-230-505 TRFD (95x) 10-435 TRFD (52) -' ARCHAINGINEER 10-230--506 Washington County Fire /1 (95%) NAME:- 10-435 Washington County Fire_ 11 (.52) t� ,�DDR6SS:_ 10--220 �.. Amart/Wedgewood PHONES _ `}�y TOTAL � � 1p/v lad, MPC-( 12e,-` f1 870 1 •j REC D S i L BALANCE DUE APPLICANT SI 7 Received By: r L' Date Received: - 1Aid CITY OF TIGARD MECHANICAL PERMIT Receipt_ — Permit A 5 Description City of Tigard Table 3A Mechanical Cods----" CITY PRICE AMT — - 13125 S.W. Hall Blvd. 1) Perm4Fee -0- -0- 10.00 P.O. Box 23397 - — ---- Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 1) Fumace to 100,000 BTU �— _ incl.duras&vents / 6.00 Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Nome of Development Floor Furnace — 3) incl.vent _ 6 Job Address - ;suspended heater,wall heater Address _'l'�'1 ,�,, ' rt 4) or floor mounted heater 6.00 Tax Lot Map No 5l Vent not incl.in 3.00 Lot Block Subdivision appliance permit _ - Name(or name of businessl Repair of heating,refr ig., _cooling,absorption unit 6.00 Mailing Address Phone — Boiler or comp to 3 HP Owner 4� ) absorp.unit to 100,000 BTU - 6.00 — City/State ZIpBoiler or comp to 3 HP-15 HP 8) absorp.unit to 500,000 BTU 11'00 Nama 9 Boiler or comp 15-30 HP + ( n // ) absorp.unit'/-1 million 15.00 Melling Address ProneBoiler or comp to 30-50 HP 1 O) absorp unit 1-1.75 million 22.50 Contractor City/State Zip ---�- Boiler or comp to 50 HP — — 11) absorp.unit 1,750,000 BTU 31.50 State Registration No CityBus Tax No Air handling unit to 12) 10,000 CFM 4.50 I hereby acknowledge that 1 have read this application Ihet the information given is 13) Air handling unit T 10000 CFM l 7.50 , correct,that I nm the owner or authorized agent of the owner,that plans submitted are In compliance with state laws,that I am registered with the State Builders'Board,that the Non portable — number given Is corrert (if exempt from State registration please give reason below; 14) evaporate r•oler 4.50 Vent fan connected --- ----- - 1 ) to a single duct 3 —� -----" ------- Ventilation system mat 16) included in appliance permit 4.50 _.---- - Hood served by 1�) mechanical exhaust 4.50 5- Signature(owner or agent) Date Domestic type Describe work Fl addition Fl alteration F. [ repair 1 18) incinerator 7.50 to be done _residential L 1 non-residential ❑ _ Commer„lal or industrial - Existing use oP - -- 19) type incinerator -- 30.00 building or r, ,ly—_ _ __ _ Other i.e.,woolstove,water Proposer'..se of 20) heater,solar,clothes dryers,etc. 4.50 building or property _ —_ P1) Gas piping one to four outlets 2.00 Type of fuel- oil U natural gas U LPG [J elRctric O -- - --- - — — 22) More than 4-per outlet Q.TtC E V — SUB.-TOTAL >v THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ----- ---- STRUCTION AUTHORIZt_D IS NOT COMMENCED WITHIN 180 5•%0 r.SURCHARGE DAYS, OR IF C014STRLICTION OR WORK IS SUSPENDED ORPLAN REVIEW 25'f6 OF SUB-TOTAL ABANDONED FOP A PERIOD OF 180 DAYS AT ANYTIME AFTER - - — -- V'.'ORK IS COMMENCED. TOTAL G Special Conditions Date Issued___ P.O.Boot 297 CITY OF TIGARD PLUMBING 13MSliq HELU. Blvd. Applicants must hold Gregon Registration to conduct a plumbingrrigmd CR 97223 business or must PERMIT he property ownerloperator not hiring outside help. 634-4175 Name of Development �.- Plumbing Permit No. Address Description JobTax l_ol ORS 814-21.910 DUAN. PRICE AMY Map. — Address -� FIXTURES-- Lot Block Sink ✓ 7.50 ,5 Rome or name o ness Lavatory �-- -- .?� � 7.50_ v J Tub or Tub/Shower Comb . 7.50 1�'�ta ing - Shower Only 7,50 Owner / late- ZP Water Closet - f --- - r 7.50 - 7 _ Dishwasher 7.50 Phone Garbage Disposal- - J y -- 7.50 Name Washing Machine -- - - -/— - 7.50 Floor Drain 7.50 ai i� rens Water Healer-------- '' _ 7.50 c -�--- - - - .. Occupant CitylState Tip Laundry Room Tray i 7.50 Urinal 7,50 No L�_ , 7; Other Fixtures(Specify) -- -- -- 7.50 ------ 7.50 WWW Address Phone - �" 7.50 Contractor Ctiy%State - ZIP -- -i-`- - - - 7.50 MISCELLANEOUS City City But Tax No. _Sewer 1 at 100' 30.00 ates. n tale rs s o: Sewer-ea.Addrt 100 -- - - 15.00- (Residential) Water Service 1 at 100 - -- 20.00 I hereby acknowledge that I have read this application,OW the locinnotlon Water Service ea.Addit.A)D' 15.00 9tvan is correct,that I am registered with the State Builders Board,and also Storm 6 Rain Drain 1 at 100' - -- 30.00 have a Slate PkRrtbing hoense that"W numbers 91ven are correct,that all - --- plumbing wrxk will be dor.*In accordance with applicable provisions of Ore_ Storm 6 P:}n Drain Addfl 100' 15.00 gon Revised Statutes Chaplet,447 and 893 and applicablees an codes that - Mobile Hrxne Spee 25.00 no help will be employed unless!4orlead under ORS 893.(11 exempt from -- J State reglatrattan,please g4ve realm below). Back Flow Prevention ti YoCOWNERS-1 hereby oerWy IMI 1 am the owner of the property de- Deviloecx Anti"Pollution Device 7.50 srvsied aboNs,at wl0ol IocaMon I propose b make a pbx,d* Inatailsllon for Any Trap or Waele Nat m"own Me and 600 property is not bekq oonstr d for sale.;.Vee or rem CfxMtsrfsd to a fixture 750 --- — Catch Basin _ 7.50 kap_.of Exist.Pkxmbing - - - 40.00 Per Hr - --- - SMdaily Requested Inspedlora -- W 00 Per Hr Alien.of Pkxnbkrg wMMn --- an Exio*V Bldg 15.00 min AUTHORIZED SIGNATURE — -------- ---- Osde New Bldg.or Build.Addition - 25.00 min --- __ a Earitl - Describe work. new[l addition(] atteration❑ mpalr F-] c3-emirg 15.130 LV be dons _� residential i1� non-residertt(at F1 -- ExMatklp use o1 — - -- -- -- ��b''W��d00k1(! tiUFT'nTAL l F. btlbf��U"r,1 TOTAL Tbb perntM beoww"null and raid 9 work or oonatruoMon oul1wrlied r not oom mw mord wtl n At10 deliw N owm*uo*m or smith M tlraparded or lbartdctrsed for a perbd CA 19(1 days si any One NNW work Is oomit"onoed. Dais lostisd ___-- - by