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9020 SW REILING STREET 9020 SW RE-LT.-I.NG STREET , a r � •r: a 0 N Q _ /� �� _ `� � -moi �� �, `✓V � �•,w"'F �:�f�4` -�v �y "1.W.N.i (�li �'.11"��ly,,�t',�"�,y{Y r�^yi '�4 rhe� `�AP+°°�y. ..��. ��, f� ! �,d, r '1 � y i` ♦ If1'i - t1i cd CD CP to tic jl� . e �+� z a 1 Ula4c rz to q 41 r Q r4 7711��" W 3 N� Co yIf I „ � o 1 O U N A b U Q1 o b �•■1 ro �� a, �°,� o y o U a i � w i N v a tj 41 n a U i .I BUILDING PERMIT APPLICATION DATE____��'.'. is THE UNDEHSIGNED HEREP"APPLIES FOR A PERMIT FOR)HE IiVCRK HEREIN INDICATED BUILDER PHONE ZQ- OR AS SHOWN AND APPPOVED IN THE ACCOMPANYING PLGNS AND SPECIFICATIONS. OWNER PHONE- —_ ,7onsteph Cllr. T(�,'f'� },..ng SL. LOTNO._ • ARCHITFCOWNER • JOB ADDRESS __._..... a$i_iinr+ a�tlCIY3 _ ENGINEERT !Barclay & Assoc.#21.32 BUILDER ADDRESSDESIGNER STRUCTURE _CIXNEW 11REMODEL ❑ ADDITION 0 REPAIR 11 RENEWAL ❑ FIRE DAMAGE E] DEMOLITION RESIDENCE ❑ COMM El EDUCATIONAL O GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT L GARAGE ❑ STORAGE ❑ SLAB F- FENCE OCCUPANCY JLI__®LAND USE ZONE R4• BLDG.TYPE FIRE ZONE _ PLAN CHECK BY RT —HEAT cja' Construct single family dwellsnq W/aettachcd ca4rene, all per approved plans. -- �. Truss details rouired before calling for framing rocs. SEWERPERMIT# :i�;?.'.) ( (I )) 3 baths, 11 trope garage area 416 OOC.LOAD FLOOR LOAD _ HEIGHT 2O NO.STORIES 2 AREA 172 .BEDROOMS 3 VALUE 77, 195 BUILDING DEPARTMENT SETBACKS FRONT 20REAR 4$LEFT SIDE RIGHT SIDF 7 Permit 307 .00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD `IG CODE, ZONING Plan Check ?3l:. REGULATIONS AND ALL APPLI:ABLE CODES AND ORDINANCES. AND IT IS HF..REBY ZPEED THAT THE WORK WILL BE DO .: IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN L"VIPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE 1&:UANCE OF THIS PENNil l' DOES NOT WAIVE Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1 �r� LICENSE.SEPA�p�If P8�ttVIITS REQUIRED FOR SEWER,PLUMBIN i AND HEATING, State Tax _ Total 623.90 SDC- 600.00 PDC# I I APPLICANT OR AGEE1 TBy r 7,.T3.91) Receipt No. — Approved ADDRESS PHONE DATfE,,, INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor /O - I�a _� Permit No. SS Rough-in CFixture - Z Final —' r _ -Abi � HEATING --- JI - Con�ctor _ -„- Permit No. V 'r -0- s Oil Rough-in —._._. _ Final SEWER - -- Z 7i Final DRIVEWAY Final ---- Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final __ Approach 1K0G. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY A �� CERTIFICATE OCCUPANCY —� I Landscaping Zoning Final CITY Oh' TIGARD PLUMBING TU 223 Applicants must hold CGregon Registration to conduct a plumbing PERMIT 6.39-4175 business or must be property owner/operator not hiring outside help. Name of Development ,•- r �CL�l, ��� plumbing Permit No. De°crlpbon ( Address �0 Lr� `>4✓ Ker L,a) ORS 814-21.810 - OUAFI. PRICE AMT Job Tax Lol Map.No. - Addrese FIXTURES LDI stock Subd/vl°la} hie Sink 7.50 J.5 aL `� --- ams rx rune sa Lavatoay 7.50 /✓`�4 71 Tub a Tub/Shower ComL. 7.50 _ Mailing eW I Shower Only -L- 7.50 _ Water Closet - - 7.50 1 (?w n e r / to ZiP. 7.50 ` Dishwasher Phone C arbage Disposal /, . _ 7.50 , Zv 7.50 1 WashhgMachine _-l� __..� Name 7.50 Floor Drain _ -- -Mai mg ress Phone Water Heater _ 7.50... _- Laundry Room Tray — - _ 7,50 Occupant City/State -- Zip Urinal 7.50 ----- —ams � Other Fixtures(Specify) 7,50 - _ 7.50 Mang ress s 7.50 7.50 Contractor CRY/State /V� — ZIP '^ MISCELLANEOUS / t ily taus Tax Wo. Sewer tat 100' _ 30.00 - V/ 15.00 state r#oUte a i:,c. Bawer-ea.Addis.100' _. (Reantienlial) Water Service-1 at 100' _ �_ r Water Servioo as.Addit.dWr 15.00 1 hemby w knowledge that I have read IMe application,that hese kilormatbn - QN*n ii caned,that 1 am regWered with to Sul*nu ldere Board.aril alga Skim 6 Rain Drain 1 at.100' 30.00 have °Stam Pknnbiq lienee that the numbers given are oomct,dVl an 15.00 I*m,tmr{1 woo*will ba done in eacocdartoe with applicable °d W-AsionOre- Storm X P-Jn Drain AddR_100'- __-- pon 1-1.,,nsed Statutes Chapters 447 and Ml and sppMcab 0 codes and that MOblle Home Spam - - __ 25.00 no f-jp wN be employed unle"lioeneed under ORS 600 (R exempt from Back Flow Proven Linn f'u-la replstrat0n.please 9"reason below) Device or Anti-Pollution 0ewce 7.50 110 AFOWNERS-I hereby cm0y earl 1 am the 0-1ww of the prqvrty de - t,crt»d above,at whichbcatbn,,propose b n0 it make a plumbialaMatbn kx Any Trap or Wants Not 7 my own use ud thk properly Is not beig eonatruc"d for eels.lease Of rent Connected to a Rxhxe -- Catch Be 1n 7.50 ---------- _,�..�.. _------ - It".of 40.00 Per Hr E dot.Plumbing -_ _ -- _. -T- - SpedaNy Requaatad Inap_ocft% 40.00 Per He -- - -_ an Exlatl q P'dp 15.00 min (4aw y D� x( Addition 28.00 nMn A •+► lht"VEDStaKATURE ..._.� Fain Drain,su-g a fetish i Dr)wxibe wrrlc new M addition❑ al' 'ation C] repair(1 linj 15.Q) Vi be be done _ residential(•"]_ F-Xwkv use of Villi-TOTAL tn.Aidllp a property Villi-TOTAL- .__ ---- Pirwo"'!'j"of tlf lAOt MM! a'PaP Y TOTAL Tt*pm. Veoomas null and void*work or o0rvseuoltxr auexxtxed is nvl o0m nertoad wMhit l5o daYwpr M oaslnrcAlon rx woAt M sue„'+ertcled or aberdoned for a period CO IRO days tl"ane OW wok M ociriwenced SMCSAI.OONDITIO M.__ 1 tete Moi rw i L`t -t-__. by k x.tl 48V t l i'R'""• CITY OF TIGARD MECHANICAL PERMIT Permit# Description Table 3A Muchanlcal Code CITY PRICE AMT City of Tigard 13125 S.W. Hall Blvd. 1) Permit Fee -0- -01 10.00 P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 639.4175 1) Furnace to 100,000 BTU 600 _ incl.ducts&vents (� 1 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Name of Developmenl _ 3) Floor Furnace 6.00 �/ 30 incl.vent Job 4) Suspended heater,wall heater Address / 6•� Address 9 b'2 U �� /��,C_�. ►1� or floor mounted heater Tax Lot Map No. 5) Jent not incl.in 3.00 .�', appliance ermit Lot 2-2- Block �"-�,6u Ivlson --- —�-- N met name of business) 6) Repair of heating,refr Ig., 6.00 cooling,absorption unit ffiailing Address Phone 7) Boller or comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU --- Boiler or comp 15-30 HP 15.00 Name -? /L_,._r 9) absorp.unit 1h-1 million — None 10) Boiler or comp to 30-50 HP 22.50 rN` Address absorp.unit 1-1.75 million ContractorCity/State Zip — 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU State Registration NnCity Bu< Tax No 12) Air handling unit to 4.50 10,000 CFM Air handling unit 7.50 I hm" arknowtedge that I have read this application that the information given;s 13) 10,000 CFM axrell,that I am the own er or authorized agent of the owner,that plans submitted are In - -- ------ oompli Ince with State laws,that I am registered with the State BuiMers'Board,that the 14) Non portable 4.50 numbs'given is careCI (If exempt from State reglatration please give reason below) evaporate Cooler 15) Vent fan connected 3.00 e` ` — to a single duct -- --- -- Ventilation system not 16) included in appliance permit 94.50 . Hood served by 4.50 17) mechanical exhaust Znure(own4rent) Date 18) Domestic type 7.50 Describe work n addition L7 alteration L7 repair 1-1 incinerator — �- to be done r t4 residential W ^ non-residential L.'I A 1 g) Commercial or industrial 30.00 type Incinerator _ Existing use of _ buildingproperly __ 20 Other Le.,woodstovd,water 459, or ----- -- ) heater,solar,clothes dryers,etc. Pfoposed use of —•• building or property .._ _____ __ _. 21) Cies piping one to four outlets / 2.00 (t f Type of fuel- oil I niati-ral gas ltd LPC I i electric 1 ! - -- - --- 22) Morn than 4-per outlet NOTICE~ 5013-TOTAI. TITS PEf MIT BEC011ES NULL AND VOID IF WORK OR CON SURCHARGE c� STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5&/L-) �• DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF 9119-TOTAL 7 / ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. _ TOTAL .r (r J Special Conditions (),110 issued bV - CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : r� P',AN CHECK APPLICATION DAT,; RECEIVED: A 7 P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: / nU This is to certify that the attached sets of plans have been submitted far plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edivicn. PROPERTY OWNER., © S h _Ia17(� OWNER'S ADDRESS: -7s /6,4- r(,NCS CT CONTRACTOR: TELEPHONE: _�(> ° Z 7 JOB ADDRESS:q7`e/'I rl LOT NO. & MAP: ��_U G DESCRIPTION OF WORK: V._ e Approvals Required SPECIAL NOTES OPlanning Dept. U Reissue 0 Engineering Dept. O Flood Plain/Sensitive Lands OFire District 0 Sewcr Availability OOther �7 Other Items Required 0 List of subcontractors OBusiness Tax ` ) Calculations OTruss Detail.; 0 Parking Plan OLandFcape Plan 0 Other. COMMENTS: City of Tigard Building Department BY: i f BUILDING PPR iT, I ----- � YERMIT NO. c I OF " �117A crrr� COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: :�_�__._.___._____ 17125 S W.1404Sh",P.O.Box n"Y,TIOVe-0v#9W farM'(W' )dJ9_4nF —_-^�_- --- -----_ ---------- JOB ADDRESS: ��L�Z✓ cc/ �t c C�µ - --- - - - - --- TAX KAP/LOT d o SuB: AG(A4�( C-•FF�- LT LAND GSE:SIZE: E ! T •� LOT --- VALUATION: r ��— SETBACKS / FRONT: n REAS: WORK Ct.ASS• DWELL/UNITS: _ LEFT: ,7- RIGIiT. USE TYPE, NO.BEDROOKS: CONST.TYPE: _ } /V - 90.BATHS' OCCUP.GRP.. OCCU^.LOAD: _ TOTAL AREA: NO.STORIES: IST: ROOF CONST: '_- FIRE RET: -- HEIGHT: _ - 2ND: AREA SEPAR: . BASEMENT: _ 3RD: _ OCCUP.SBPAR:_ KEZZANI.NE: _ BASEK'T FLOOR LOAD: r. - GARAGE: FIRE SPRKLR: ALARM: -_—_--- FLOW (m): ---_----- DETECT: . HRAT TYPE: _ - _ � -HDCP.ACCESSi� COGR" PLAN CHECK BY: vi REMARKS REISSUE OF NO. SEWERPERMIT: __L _— LAST REISSUE 1�it10. 'jc� .a D A w _Acidre Q • PE -316 E T L�/�K Ti%XG C _� FEES. 7 E L�' 5 L�.v✓ �'�.�' RItLT -- PLAYS RZVIEW \ N Phone• el S—� lv2 ZO_ FIRE DEPT ----C—t— L STATE TAI ---.-_ -, C Name: ?tax S >> OTHER -- C I` T)RVF.LOPKENT CHARGES: T Address : 3i6E ��� sDC (srORm) ---- f� i�� `�,✓c SDC (STREET) A I• w PDC 63r-� 7 - Phone: PREPAID ��, �• R TOTAL, ��,,.1. � I.o� RECEIPT NO. +I I REQUIRRD INSPECTIONS FOOTING SEWER FOUNDATION WALL. RAIN DRAINS POST 6 BEAK WATER LINE PLB. UNDERSLAB CITY APPROCH/SW SLAB FINpi. €LB.TOPOUT FRAMING FIREPLACE GAS LINE --- INSULATION ties Signature (gyp.BOARD