10638 SW RIVER DRIVE 1063E SW RIVER DRIVE
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4A+m�L'vvirw•txt.33r�i1v''_ils'�t^•. ar •�,��_ .., �
OF 'FIGARD PLUMBING
Applicants must hold nregon Registialion to conduct a plumbingM Tiqud QZ 917M
business or must be property owne•Cop--rator not hiring outside help. 11I"I� ' " " IT 634--0175
Name of DevabrxvintPlumhtn Permit No.�'2 72
��4 /? -�._T_- g
Address -� - Deu ripdon
0(-;j W" L2-.I 1/, z /-)C�I 1 t _ OAS 914-21-610 DUAN. PRICE AMT
Job Tar Lot -
Address
FIXTURES
L.ot dF.cit -'.;ut�alon Sink -- �- .- � - 7,50 S�
50
ams name offs+ness -r Lavatory - - iZ -- 7.50 /Sr
v 7'1 ' /�- Q V i N 2- Tub or TubtShower Comb - - ?.So-
TTsuTing ass Shower Only / 7.50
Owner tete zip° ''Z32�j/ water closet - - 2 7.50
X77 z Z Dishwasher 750 -
Phone Garbage Disposal r 7 541
`" 7 Washing Machine 7.50)
E -__._... .._
Floor Drain
ress -- Phone -
Water - - _ /- 7`O
___ -------- --- Laundry Room Tray 7 SC
Urinal _ 750
---' ame . --- ie Other Fixtures(Speaty)
,c T1� P/6 �—�2 - __ 7.50
_ ?so
Corriractor /State S�
ZIP
T-GSR- OGt -7 _ MISCELLANEOUS
-- ky Bus Tax No ger ISO 100' -- 30.00
state s.&t-ar-7TTo-`--mite s s o sewer-ea.Addd 100 _-- 15.00
(Residential) Water Servios 1 at'100 20.00 r)
I hereby ad nowMdps Itu1 I have read this application.tha l Cw ktkxmslia1 Water Service.ea.Addil.� 15.00 -
glwn is oared,OW 1 am regis(erod Ow Stato fltriider'a Board,and also alarm 6 Rain Drain 1 at.100' 90.00
haw a Slate Pkanwv Noww*ow ow mirnbers given we oorred,that aN - -_ _ --
pkb"work done in be doin ecoader..9 with sppfir 're provisions of Ore Sloan Pyrt Dain Addi1.100' -. _ 15.00
xn
Pon Revised Stables CluoWis 447 anti M end apex..able ood"rand that Mobde Horne Spore 2500
rx,twig wA be orployed unless Nowwed under ORS 601. (If exampt from Bade 1'k>w Pave Nictn
Stab registration.please Oh'e n►ason bsiowl. Devoe cr Ar*4N- luloon Dowe 7 so
HOMEOWNERS-I hereby oerWy tho I am the ovrner of Mw ProrwtY de• --•----- _._ _.. _
aaR»d above,al wIdd kx won I propose to malts a pM,n#1p kwta11Nlon kx Any Trip or Weeft W
my own use and#*navv rly is not boktp oxwtrvrJed for sale.Naas Of rent Connected io a Iixltxe 7.50 -
C Ich Basin 7.50
_-_—_ ------ ------ - k".of Frls1 PkmbirV ---- -40.00 Pec w
SpaclaNy Requaalad Inapaaaons 40.00 pw w
-.� ----- - -___- AMM of Plum"wNfMn
an ExW*V Bidg 15.00 min
AUT4DPIZED SKIf4ATURE - - DaN N"gii or Build,AddlYon 16.00 Min _ -
- UyLw,sirule falr<i.ly _ r
Deaiaibe wont n6w�-abjit-om n alienation❑ repair( 1 dlellirg 1541)
b#4oni rReklsntl'll f� I -
E,sdl&V oro of
btAdblp or prop" 07 S O
=ilea 4%� a OhAr y ,j 70
pm"ny TOT"
TMsO.aoMlta t wa�tlrotk ,. la na oOm
«www MM611 MO dlNla►r oaft/nfellMl a tltfafMla Mllperldad a Alr�l'o►sae Ie.
.wr+ed a no tl.y.A r M OIIIa tMltr tlletM r aenMtlM+a�ct
Data lotared sF! ! _ . by
BUILDING PERMIT APPLICA7!ON DATE _ �s W58
THE UNDERS!GNI.D HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICA TED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHO
.j LOT NO.
OWNER _ JOB ADDRESS _ _ 50,9 _'I.nnd:ing
ARCHITECT
.._G Salmi" P.O. no): 21291. �I''.IENGINEER
DESIGNER
s�1mc�
BU LR ADDRESS
STRUCTURE <I NEW ❑ REMODEL — ❑ ADDITION ❑ REPAIR ❑ RENEWAL- F] FIRE DAMAG° 11DEMOLITION
RESIDENCE 11 C')MM ❑ EDUCATIONAL 11GOWT F] RELIGIOUS F-1PATIO [ICARPORT ElGAR4GE U STOW E ❑ SLAB❑ FENCE
OCCUPANCY 13 —LAND USE ZONE F • ry_ BLDG.TYPE "FIRE ZONE _PLAN CHECK BY —� s HEAT--
Cmrt:ruc il- finmily dwalling w1attached garage., all por nppr_v •d p1nns.
Subject ':c, Ell, code. v !.0 NOT PIACF FOTIPMATTOn ON IFILL., --
_
SEWER PERMIT# 33448 ( 1 da ) imth 9 traps gerage 380
OCC.LOAD FLOOR LOAD 4(" HEIGHT I-(' ":NO.STORIES I AREA 134 2 NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT ",
� Y SET BACKS FRONT REAR LEFT SIDE RIGHTSIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T!IE
Plan Check t»•3.J WORT( 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
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
--- LICENSE.SEPARATE PERMITS RECUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _— - F�' t)(_' 25CI.�3r.'
SDC—
Total 600„0(X`—
PDCM AM f C',Wf OR ENT T
By FTtd 100,00. _ TT 150.00
Receipt No.
Approved — "L;l3�Q,!�4� _ I-Ir' ADORES i PHONE
- M_ _ - I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING�¢ DATE
je
ontractor,.
ermit No, p
p0 ough-in
�]` v� ��aAr
2X —xture J_
nal -- --
�,� _ HEATING
Y a Contractor Q`3 S/7 4
— ��— Permit No.
k0~ 'rkew'/ -)C&ca (J�r��f�ta– iC/� Gas or Oil �—
/Vae ///,/ (} " Rough-in
�^ � Final �–
SEWER � _�---
Final _
DRIVEWAY
_-_--� Final — —
Storm Drai..aga
(Rain Drain)Final
Sidewalk
Curb IN Street Final
Approar•h
BLDG. DEPT.FINAL TEMPORARY `lI7 C—ER 1—'IFiCA- E OCCUPANCY
CERTIFICATE OCCUPANCY I Final
Landscaping
Zoning Final
Y '
for inapections call 639-4175
CITY OF TIOARD S39-4171 DATE67 ve
i I
) RLDINGS5 f � Tigard OR 97223 TAX MAP LOT NO. �> suscXVISION
Y JOB ADORESS _ l G ('JL +_______.
OWNEII_ 361,1 amu.DATE /t 7
BUILDER \/ / h 1 i .{ ► STATE REG.NO.—.
SVIL.OER'S PO4ONE OTHER_-
ARCHITECT J M i3 PHONE
STURE NEW O REMODEL D ADDITION C] REPAIR 0 MOVE Ci OT►1EN_ A OEMOLITIC
TRUCtC:
RESIDENCE O COMM O EDUCATION �—a REQ^ ApCEg�'PL OAO OTHER O
' s1IlE tANF PLAN BY 1
CHECK BY � -�- HE�►TCr
OCCUPANCY x� �= LAND USE ZONE BLDG.TYPE
SEWER PERMIT I .�- �) Gf.�^¢t•S C•� � , �-
--�----
OCC.LOAD P1.O(MLOAD MtIrHT MD STORIES AREA No.BEDROOMS
F—��
NG DEPARTMENT RIGHT SIDE
SET BACKS FRONT 2 b REAR LES SIDE
THIS PEAIMIT 1S ASS' JEp 9UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIMQ CO(JE�ZON1�REGULATliONSAND ALL A►PLICASLE CODES AND ORDINANCES.AND!T 0 HEREBY AGREED THAT TF,
WbRK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
WITH ALI. IPPLICAB�E(CODES AND OR
THE ISSUANCE Of T/Its P[RYIT DOES NOT MA11r
P1.CIL flri RESTRICI"YT.COYENAMT&CONTRACTOR AND SUB ;RA AND TO VE"ILCURRENT CITY BUSINES
TAX PERMrM SEPARATE PERMITS REOVIR6P fOR SE1At PLTIN
Slat•Ta,TOlal —
PDCJ
Pr.pc1. PHONI -
`V— RacNpt No ADDRESS
Bal Du.
_ beu0c BY •—•-ApWowC By
SSDC --- $
SOC
POC �_—
SEWER CONNECTION
SEWER INSPECTION f
SEWER SURCHARGE S
Vr
t+ll Vf i11.71,N1t'1�U IVICtrf1H1�I11�,wHL P'CI�IVI11 Permit0 �_z --
OenoHptbn �_
TMM U Men! riloel Cods _ _ _ OTY PA1 iMT
City of Tigard ^
13125 S.W. hall Blvd. 1) Permit Fee -0• -0- 10.00
P.O. Box 23397 -
Tigard, OR 97223 2) Supplemental Permit
639-4175 111 Furnace to 100,000 BTU ( 6.Co (�
Incl.ducts&vents
Furnace 100,000 BTU +
2 7.50
Incl.ducts&vents
Name of Development 3) Floor Furnace A — 6.00
incl.vent
Job ndd,ess - - - 4) Suspended heater,wall heater 6.00
Address or floor.nounted heater
Tax Lot Mat,No 5) Vent riot incl.in 3.00
Lot Block utxLvisum appliance permit
Name or nsme.ofnese) Repair of heating,refr ig.,
' 6) cooling,absorption unit 8'00
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU
City Slate Zip 8) Boiler or comp to 3 HP•15 HP - 1100
absorp.unit to 500,000 BTU
Name ,\ 9) Boller or comp 15.30 HP 15.00
I' absorp.unit'/2.1 million
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
_ absorp.unit 1 -1,75 million _
Contractor city siatA - z --- Boiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
State Registration No City Bus Tex No 12) it handling unit to 450
10,000 CFM _
heleh adr 13 Air handling uNfv _ _ -^- 750
y nt wledger that I have read this application that the information given is ) 10,000 CFM +
rorrecy that I am the owner or authorized agent of the owner,that plans submitted are to — -
-omp+lance with State laws,th.e am registered with the State Builders'Board,that theNon portable 450
number given is corned (11 exempt from State agisi ation please give reason below) 14) evaporate cooler
15) Vent fan connected 3.00
to a single duct _
----— ) Ventilation system not
18 includO in appliance permit 4.50
17) Hood served by 450
mechanical exhaust
Slgrtahxe(owner a apentl Date Domestic type 7.50
Describe work I I addition LJ alteration ❑ repair El18) incinerator
to be done residor dal non-realdential ❑ 1 A)-Commercial or industrial 3000
pe incinerator
Existing use of - -__---- ---
building or property __ 20) Other i.e.,woodslove,water 450
Proposed use el !� heater,solar,clothes dryers,etc -
building or property z - 21) Gas piping one to four outlets L 2.00 I
Type of fuel ell ( I natural gas LPG ❑ electric n 1I
22) More then 4-per outlet
NOTICE
BUS-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- - - --
STR'JCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 4%SURCHARGE
7AYF, OR IF CONSTRUCTION OR WORK IS SUSPENDEi"i OR PLAN REVIEW V%OF SUs-TOTAL _
ABANDONED FOR A PER ')D OF 180 DAYS AT ANY 11MF AFTF-N -------- ---
WORK IS COMMENCED TOTAL
Special Conditions_-.---
-- Date issued_ -.- _ _ by