10603 SW RIVER DRIVE MEN
L .10603 SW RIVER DRIVE
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INSPECTION NOTICE
City of Tigard Building Leptrtment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested.// Time A.M._ __ P.M.
Address —y,L�/ j �1.SL Z� �_ Permit # 'r "
Owner f�'ai'-" / iJ ; �_� •� t_/ _ Lot
Builder w el .3The. following Building Code deficiencies are required to be corrected:
Presented to 1. G�--T-- �_ Approved
Inspector Divapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
MECHANICAL PERMIT
CIT"YOFTIGARD
PERMIT NO. : ME8'T244'3
CITY OF 1'1MIM
COMMUNITY DEVELOPMENT DEPARTMENT D TE ISSUED: 11/13/89
13125 S.W.Hell Blvd.,P O.Boz 23397,Tigard,Oregon 97223,(503)639-4175 I M.PMT.NO. 892449
JOB ADDRESS: 10603 6tkJ /r' v ter- or.
TAX MAP/LOT 90B: L.T: BK.-
LAND
Y,:LAND USEtt
LOT SIZES
ITEM: NO.- NO:
WORK CLASS: ADDITION FURNACE (100K AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE i09K+ AIR HANDL.R 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUP.GR P. : R3 HEATER VENT FAN
VENT VENT.SYSTFM
BLR/rOMP (3HP HOOD
NO.STORIES: BLR/COMP 3-•15HP INCINERATOR(DOM
DWELL.UNITS: bLR/COMP 15-•30HP INCINERATOR(COM
FUEL TYPE WOOD BLR/COMP 30-50HP REPAIR UNITS
MAX.INPUT BLR/COMP 50+HP OTHER 1
TIRE DMPRS? GAS PIPING OUTLEIS
HIGH PRESS?
LOW PRESS?
FR MARKSe
snood-bu rninq insert
FEES-
0 Carver Theresa PERMIT $10.00
W 10603 SW River Dr PLAN REVIEW
E Tigard OR 97224 FIXTURES $4.50
R PRONE (5143) 684-3102 STATE: TAX 1. 73
OTHER
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0 TOTHL: 115.23
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RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 ---------------------
of
-- `--__--- -__-.-`-
of the TMC, State of Oregon Specialty Codes,toning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby MECHANCL.SYSTEM
agreed that the work will bo done in accordance with the plans and
apeclfications 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 necome 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 responsibility of the permittee to assure
a'il required inspections are requested and approved,
pc mittee Signatura
CAI 1, FOR INSPECTION 6 3' -43.75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK 0'1 H►_R 1 H'Afx %)ESGRIBED ABC"
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'•ice `� ;r t F b`•h c�; '^ti:,:.• �••
L �., \ �:'. 1 �: '�'•�R .r,r.�„✓• .ter• �.''"r„k•MA•+!'.r, +L. �.,,r �4 x •r4.•.;.:+•
(:. ITS( OF TIGARD PLUMBING Tjjwj'3,q
97���.
Applkam wojg hold Ore" Regli ratIml to rondt,n a WufnWng PER M IT'
business a must be property owner i r>F, .attar not hirin6 mA0de W .
Name of pevebm wi
T Dove2 /--0. �U1�Lc— _ _..� Plumbing Ptrmil —
Addrees Dee«tpkn
r� />,',.LQUAN. PRICE. AMT
.`_' �-'_J �_ ; V w�+ �c� -- ORS 1114.21-010
Job as Lot Map.Nt'.
Addrou FIXTURES -
Lot _ plcsink
--- _-
1 -- — 7.50
arras or rulmeas� --
t11_� ub of I uW.,howw COmb
Mailing ess Shoo,of Only �- 750 -
_)p 1(- ,? water Closet 7.50 -
Owner l tale '_
i2 C""lam 2"j Dishwasher -- _ / 7.50 -
F'hol50
w Garbage Disposal I �_-
- -- - Washing Machine -7.550
Name —
Flax Drain 7 so
singddress -_-� F'hclrae- Water Heater _ 750
_ Laundry Swn Tray _r 50 _
Occupant Cky/Stais - zip Urinal� - 750
oris `7sF
one C1ltasr Fixtures(Specify) 7 so _
ai
7.50
h
Address �lagrarr-- - ----- - - - - 7
SO_
------------ --_- ---- - --_ 7.50
Corytractor istate DV _-
MISCELLANEOUS
-x-a.i 1 ax No saw I at t u0• _ 3-a -
Cervet•*a.AddW 100 15.00
ll�i�w31Ro —mai+Plus— us ---- -. - ---
( P VNatr SWV"I 100 _ -20.00
Water som"N.Add*1. ' 16.00
I hereby aGvxrrla�dpe Owl I(walll 1•e+d thin appaGl+aOra.Orsi are — �0 00
ptwn is on*M OW 1 am regWiewl*Mh Ow Stell, M WIS B•'>�.ad 1111110 Storan 5 Rain train I W.100' _
haw a Stat Pk*rftV-banes Owt Ilse rxrrr*beta glwrt u+s t+ornlrl tlwl afl Stam 1 Pyn Drakn Adt* 100' 15.00
pki nbirtli work wN ble done b aownimm with apraceo pro' ne boof Lxo- -
Wn Revised SWk*w Chaptta 4017 and M all Wkillbb 006"and shat 'Amo ll t40trw SPS _ _ 20100
no twtp will be etrapblrett un*n MoW*W wide+URS On(H*vxrV ft- -
Shw isomeft plaaea gave'Neat bektwl Bad*Flo%v Pnwwahon 7.80
ff0AWOV011M-1 hereby am*Onil I am Ow trainer of roe ptolwrty dw. MAor or►VM-^dilution Wwce — --- --
mftd above.#A~looaran I pa opoaa b rn"t Plrxebtftp 6 111110 L i n for Am Trap or W@ M fkn
own was and Otto pra"ly M nM b ft 0"Il oferl for sore.W"awn aOomwcbd_to a F tMsra 730 - -
011 t+h Barin
kaep.of Eide Pkrrtwv -_ _ 10.00 PW hk
F%pqs*oftliInapo0bon 40.00 Pas IM
Attar.of ftnt np wlOaln
I&00"On
AI)TV40NZED!!93MA - - _y-- Y Dow
Now�of Statf.AdtMMa� T woo aaM++
^ jr�
Dwell!w0r% 7"m trnddal& on rj/ :tMW&*an❑ rW*CJ
of toop"
tlld of tNi� G s
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w111 tsftY MMNMalallt t►9rtteOtleMnn alillA0a1rtr0 M n sl alar► F7 7--
anaar�aa.w�e
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BUILDING PERMIT APPLICATION � DATE _ __ "' �g---� ���43
R - 684-75
TI-IF UNDEI��JIONED HEREBY APPLIES FOR A PERMI 1 FOR THE WOPK HEREIN INDICATED BUILDER PHONE r-
UR AS SHOWN AND APPROVED IN THE ACCOM! ANYING rLANS ANL SPECIFICATIONS. OWNER P15NE
LOT NO
.,; 7 JOB ADDRESS 1.0603 w vei. Lir. r 5.3 Doyo1. I, 111(li
_ -- ARCHITECT
ENGINEER sameSZli 0 _ ADDRESS PO Box 232,91. Tig o DESIGNER
BUILDER -- —
STRUCTURE_ 7 NEW _❑_REMODEL ❑ ADDITION ❑ HEPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ '( ESIUENCE P COMM F-1 EDUCATIONAL [7 GOV T ❑ RELIGIOUS ❑
PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
11 FIREZONE� PLAN CHECK BY ETW HEAT______.- �=`�G
OCCUPANCY R3 LAND USE ZONE-_J3`_.._.`9LDG.TYPE � — -- —
Cnnr t�nr-i- fl'I[iTn 1 yti i'•vmi ��[ i3:,�,]-a-j-[1Lj._-3�i�i1L.t11L=t]G'�---L'�+�Z�3�i.-'41�'-_11f•..r_uL2,R2'S2YL:t�._.�1�.T.1I13.
x0110 [r 1"'T n Laf I1 (l T' F•_r� 1 -�--�
334!i7( 1du) ^--- 3 t)nty. 10 traps garage 525
SEWERPERMIT# 4a0
OCC.LOAD FLOOR LOAD HEIGHT 20-+ NO.STORIES 2 AREA 1$0'NO.BEDROOMS VALLI 5 _
_ BUILDING DEPARTMENT SET BACKS FRONT 2 n REAR LEFT SIDE 13 RIGHT SIDE
31 .00
Perrrilt __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AILD ALL APPLICABLE CODES AND OROINANCEE. AND it IS HEREBY AGREED THAT THE
Plan Check 4 n.00 WORK WILL LSE DONE IN A XORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLF (iODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE CI)VE.NANTS. CONTRACTOR AND S417 i;ONTRACTORS TO HAVE CURRENT CITY BUSINESS
15.64 LICEryS FARATVa"ITS REQUIRED FRH SE'NER,PLUMBING AND HEATING.
State TaxSDC—
!;00.00
'� —
Total _ �
--- PDC# t EMT
By 40.00 T1 150.0.. P LI AN
Recelpt No. �►;�'/ '� AD�RIcS9 -_� _ — .y --- i PHONE
4
Approved -^ 016.44 7
DATE INSPP, TYPE INSPECTION REMARK'- PLUMBING DATE
7�3-y7l G /n -- - Contractor
Permit No.
Fixture --
(�/� Final
IfEATING
-141 ` — Contractor _ yo q.� 7.2/• S 7
/'Y rJi Permit No. 7All 7
Gas or oil
Rough•in
Final
-- ------ -_ _ _------- SEWER --
--- Final .-
i _—_--�--l— DRIVEWAY
-------.— --------- _-.._.. Final
-- Storm Drainage
IRain Drain)Final
—— Sir4swel k
- — �— Curb&Street Final
-- -- --- ---._�-._^
Approach
—BLOB. DEPT.FINAL - TEMPORARY — CERTIFICAE OCCUPANCY-
CERTIFICATE OCCUPANCY Final
Landscaping
totting Final
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1.1 1 V Vt' a IUAKU Mtt;HANIUAL IJLHMI I
PermitN
Description
T"3A Mechanical Code QTY MICE AMT
City of Tigard 1) Permit Fee •o• •o- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 -- -
639-4175 1 Furnace to 100,000 BTU 600
incl.ducts&vents
Furnace 100,000 BTU +`
2 7.50
incl.ducts&vents
Name of Development 3) Floor Furnace 600
It'!�V-+R�/� _ ------ incl.vent _ -- -
Job Address � ) Suspended hector,wall heater
Address / 0 & D3 /Gt�s�-^_ A� 4 or floor mounted heater .----- 6 00
Tax Lot Map No 5) Vent not incl in 300
Lot appliance permit ... __.
53 Block Subdivision
Name or Hama of business) ti) Repair of heating,refr ig., 600
7 � y cooling,absorption unit
Man Addre.,s phone 7) Boiler or comp to 3 HP 600
Owner absorp.unit to 100,000 BTU
Ctly/state -� zip 9) Boiler or comp to 3 HP-15 HP 1100
{
absorp.unit to 500,000 BTU
Neale 9) Boiler or comp 15-30 HP 1500
K/_ ee absorp.unit 1/2-1 million
Mailing Address Phone t 0) Boiler or comp to 30.50 HP 22 50 1
absorp.unit i-1.75 million _
Contractorcity/slats - zip 11) Boiler or comp to 50 H P �t t 50
absorp.unit 1,750,000 BTU
Stale Registrelion No ON Bus Tax No t 2) Air handling unit to 4 50-
t 0,000 CFM
Air handling unit -! � �,t
I hereby edmwledge final I have read this application that the information,given is 13) 10,000 CFM +
correct,that I am the owner or authonzed agent of the owner,that plans subrr itted are in ---- -
cornpliancs with State laws,that I am registered with the State BulldersBee rd,mat the 11) Non portable 4 5ti
number given Is corred (If exempt from State registration please give reason below) evaporate cooler
15 Vent fan connected 1 1x1
to a single duct - 3
_._ _-------__—_--------------_.__--- -_ _ -. Ventilation system not
so
16) Included Ina appliance permit 1
-^- - - 17) Hood served by 4.50
------ ---� �_, mechanical exhaust
stgnak ( spam) Doi 16) Domestic type 750
Doscribe work Ll addition ❑ alteration ❑ repair ❑ incinerator - _
to be done residential 91 non-residential ( 1 19) Commercial or Industrial 3000
Existing use of Incinerator -
building or properly `-r ll�-✓ __ -_ __�_ 20) Other i.e.,woodstove,water 4 SO
Proposed use of heater,solar,clothes dryers,etc
building or property _- _ _ - 21) Gas piping 011e to four outlets 200 Z "
Type of fuel- oil ❑ natural gas 014- LPG (11 electric [] - -
- 22) More then 4-per outlet
NOTIC - SUd•TOTAL 3 7
i :,j PERMIT BECOMES NULL AND VOID IF 1h OAK OR CON
STRUCTION AUTHORIZED IS NOT COMMENGEU WITHIN 180 4'A SUti1GHAR(1E r7
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OR SUWTOTAL �
ABANDONED FOR A PERIOD OF 180 DAYS A'•ANY TIME AFTER
WORK IS COMMENCED TOTAL
Special Conditions
Date issued I by �{ �
■ It
PLAN CHLLK N,U^._`�
for inspections call 639-4115 PERMIT N0.
CITY OF TIGARD 639.4171 DATE
BUILDING PERMITS3 suuolvl;ION Lin
P.O. Box 7.3397, Tigard OR 917.23 T/.X MAP LOT NO.
JOB ADORESs G 1pG3 Sw' 1�� rl�� pr
OWNER_ ( —— 3i��e�I EXP.GATE
BUILDER .J y 1 STATE REG.NO.
BUILDER'S PHONE
PRONE X OTHER
ARCHITECT-- -- ---"'`
STRUCTURE 10 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE (j OTHER L) DEMOLITION
RESIDENCE, ❑ COMM ClDUCATION IND
❑ RELIGIOUS, ❑'A(',CESSORY Cl GARAGE ❑ OTHER Cl FENCE
�.._ 1� -- -_-
OCCUPANCY LAND USE ZONEBLOG.TYPE FIRE ZANE "'"" PUN CHECK BY f AT
Construct single family dwelIVViJJn per—pr'oimd'44-&r+f,—
LG5- C-15SH(' 53 ---. --
.op
SEWER PERMIT 0.3 3 W I'�_ '( I du) a baths 1p �
traps g�ra9e area_-� t
NO STORIES AREA I�'a_ ( NO.BEDROOMS VALU f1A{�
ty
OCC.LOAD FLOOR LOAD I hIF.IGH„ ^� --- +.
BUILDING NT DEPARTME _ SET BACKS FRONT REAR LEFT 510E 9 RIGHT SIDE ,7
Permll '�' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— REGULAnONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
PIanCCMCk w► WORK WILL
BE DONE IN ACCOROANCC WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPt.ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
F4. Fky
RESTRICTIVE COVENANTS CONTRACTOR AND SU CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS SEPARATE PER REOUIR� FOR EWER PLUMBING AND.IEATINQ
Slate Tax
Tolal v” t f?
Lpd. _
nre //�� RecMp:•'^ �� Al) DESS ---- PHONf
ai. Due �/1!� A-----�pproved Br .----
Laued By_--
-15
ssoc �•p -
p G
RECEIPT N
to
POC DATE PD.
SEWER CONNECTION AMOUNT PD.S J_�__-.__.-
5EWER INSPECTION S _ L177_
SEWCR SURCHARGE s
:omm�nta: -
--------------
�� I t
� as
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK. NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to cL.:tify that the attached _ sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, S S edition.
PROPZk,i i OWNER: � (� L- OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: 1Q �1 i///j �,? , LOT NO. 6 MAP: ✓� i�� G• ��f�. %2
DESCRIPTION OF WORK:
Ap2rovals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
0 Fire District_ O Sewer Availability
O Other 0 Other
Items Required
0 List of subcontractors
OBurtness Tax
L0 Calculations
OTruss Details
0 Parking Pts»
OLandscape Plan
O Other
COMMENTS:
City of Tigard Buil,eing Department
By: /' ;
Receipt#
CITY OF TIGARD N'ECHANICAL PERMIT Permit #
13125 SW HALL BLVD.
P. 0. BOx 23397 Description CITY PRICE AMT
TIGARD, OR 97223 Table 3A Mechanical Code _
1) Permit Fee -0- -0- 10.00
(503)639-4175 —
Name of Development 2) Supplemental Permit 3.00
i
-- Furnace to 100,000 BTU 6.00
Job lwdress 1) incl.ducts&vents
Address Furnace t 00,000 BTU + 7.50
Tax Lot Map No. 2) incl.ducts&vent
Lot Block Subdivision Floor Furnace
Name(or name of business-) 3) 6.00
_..r ✓�, 1 incl.vent
Suspended heater,wall heater 6.00
Mailing Address l] 4) or floor mounted heater _
ownerL�-3 J �I Y O1M Vent not incl.in 3.00
state el,zip 5) appliance permit
Repair of heating,relr ig., 6.00
N}rn (or name of business) 6) cooling,absorption unit
Boiler or comp to 3 HP 6.00
Mailing Address EE qPhme7) absorp.unit to 100,000 BTUOccupantBoiler or comp to 3 HP o hr 11.00
clyrstate 8) absorp.unit to 500,000 BTU
Boiler or comp 15-30 HP 15.00
-- _ Name 9) absorp.unit'/2.1 million
Boiler or comp to 30.50 HP 22.5C
Mailing Address Phone 10) absorp.unit 1 -1.75 million
Contractor _ Zip 11) Boiler or comp to 50 HP 31.50
Ciry/Stats absorp.unit 1,750,000 BTU
City sus.Tax No. 12) Air handling unit to 4.50
State Registration No, 10,000 CFM
13) Air handling unit 7.50
1 hereby acknowledge that I have read this application that the information given is 1Q,000CFM +
cof rod,that I am the owner or authorized agent of the owner,that plans suhmitted are in Non portable 4.50
compiler"with State laws,that I am+egistered with the State Builders'Boar 1,that the 14)
number given Is correct.(If exempt from State registration please give reason below). I _eyapOfatB coolef
_ 15) Vent fan connected 3.00
to a single duct
16) Ventilation system not 4.50
included in appliance permit
- --- - - Hood served by 4.50
17) mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 7.50
- -- incinerator ---
Describe work IO addition alteration ❑ repair ❑ Commercial or industrial
to be done residential E non-residential ❑ 19) 30.00
--- type incinerator_
Existing use o1 Other 14.,woodstov water 4.50
building or properly_ 2.0) heater,sour,&oThes dryers,etc.
Proposed use of
building or property 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas ❑ LPG ❑ electric ❑ 22) More than 4-per outlet I
NOTICE SUB-TOTAL Q S.'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 5%SURCHARGE )�
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 -
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 TOTAL /S,?
WORK IS COMMENCED. - - - -
Special Conditions �46Z. I/ AI t4i/'G L._11s CZ-.-- —
Date issued by