9036 SW REILING STREET 9036 SW R ILING STREET
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BUILDING PERMIT APPLICATION �,� DATE..—
THE UNDf._RSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDE►i PHONE 635--6).20
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
3t)tttwLC3p12R Inc. t!( tj 51N i3ci.Linc� St. LOTNO. 24 pla-1.1lmd-lake
OWNER JOB ADDRESS _ 2S111AD
£3came --- West Lino 97008 ARCHITECT Ra.trclay & Assoc. fC q,
ENGINEER
BUILDER ��tt ADDRESS 1166 Oak Tree Ct. DESIGNER GJG-1988
STRUCTURE E*NEW ❑ REMODEL 11 ADDITION ❑ REPAIR .❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑XRESIDENCE El COMM ❑ EDUCATIONAL ❑ GOV•1 [.J RE-.IGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB LJ IFENCE
OCCUPANCY -.L3 LAND USE ZONE .� �) T-BLDG.TYPE 1--ti—FIRE ZONE_._ PLAN CHECK BY SLP HEAT_LFIII_
CAxWtr�?ct r3irigle fainly ;lwull.l w, w/attaG,- �l c;arwe, pur approvex9 Plaits. __--.-
't to 85 CXXIC.
SEWER PERMIT# ''a i. lr.` tl'1�>v ,7nragL aCeft 440
OCC.LOAD Y FLOOR LOAD fit`' HEIGHT210"l NO.STORIES 2 AREA 1770 NO.BEDROOMS VALUE 79t445
45
BUILDING DEPARTMENT SET BACKS FRONT REAR s`I t _LEFT SIDF ° _ RIGt'T SIDE
Permit ,3/3.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION;, CONTAINEE IN THE BUILDING CODE,ZONING
242.45 WORK
AND ALL APPLICABLE CODES AND ORDINANCES, ANC IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE: CODES AND ORDINANCES. THE IS.,UANCE 0.= THIS PERMIT DOES NUi L'JAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING ANI hEATING.
State Tax 18.65
SDC-- ow.LX)
Tot al t)314. 10
—- --- PUC# i r 150.(Y) APPLICANT OR TN
T
By _
Receipt N0. ADDRESS, ,
Approved f _ fel /?+ PHONE
l'
i
DATE INSPP, TYPE INSPECTION REMARKS I rLUMuING DATE
Contractor LS �y�� 9-17•��
Permit No.
Rnugh•in
Fixture
Final
_c!L �0 -- -- - —
HEATING
Contractor
Per No.
�- eGes OY Oil
_ _ ---- -
-� Rough-in
S� -------- Final — — — --�.—
_ SEWER —_- —
_ - �--_--- Final
DRIVEWAY - ---
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY vCERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY �
— Landscaping
Zoning Final
Vt t i �Jt- ! IVIl�11'1L� IVICIrI"1A�IVIIrN►L. r' CI"ilVl+ 1 Permit N . z
Desorlption .�
Table SA Medwit"G mde OTY Pro" AMT
raty of Tigard 1) Perrrdt Fee -01 -0- 10.00
13125::W. Hstll Blvd. - — --
P.O. Box 2'3397 2) Supplemental Permit 3.00
Tigard,OR 97223
639-4175 1) Furnace to 100,000 BTU 8.00
Ind.ducts&vents _
2) Furnace 100,000 BTU + 7.50
Incl.ducts 6 vents
Floor FurnaceMeme d o.wloprnen► — 3 6.00
incl.vent
as - Suspended heater,wall heater !—
Job Address 4) F.00
Address 05(. ..S tj kq or floor mounted hector
_ Tax Lor Map No.�i 5) Vent not Ind.inDO
Loi Block Subdivision appliance permit _ - --
!la («name of business) 6) Repair of healing,refr ig..
cooling,absorption unit
Boiler rr comp to 3 HP
Owner 1116V Address Phone 7)_absorp.-,nil tr ' )O,OW b I U _ _6'00 _
CNylSate _ Zip e) Boiler or comp to 3 HP-15 HP^ __ 11 _
absorp.unit to 500,(M BTU
--- h ---- 9) Boller or comp 15-30 HP 15.00
absorp,unit'/x-1 million _
Grp — moron. 0) "er or comp b 30-50 HP 22.50
_absorp•unit 1-1.75 n>ftHon
Contractor -- Boor comp to 50 HP V
aM/auMa Zip 1 S) iler 31.50
abscxp.unit 1,750,000 BTU�-
saw fhplw aft No. C y eve,.Tax ruts. 12) A11rhViiififtunkto 4.50
10,000 CIPM
Air herxilingunit
_._._-_ 7.50
1 hereby saltnowledge OW I have reed 1*am k4Won SW the rtlomwoon Avert is t3) 10,000CFPA +
mrrecl.OWI am tee owner or w1harized agem d rww.
he owr ,thea plra sutxrtinred are in -- -
confpirw*wNh Eab cure.OW I rn replsts ed wAth the Sate 901ders'Bond.abler she 141 loon portable 4.50
en
number givIs orxrecf.IN si mpl Mom stele rreoomfior.please giva reseor Wow) evaporate cooler
Vont fen connected �
15 to,tt 3.00
side dull y 12- -_
Verflatonsystem not
16) Inck.tded in appliance permit 4'50
17) Hood served by mec*1,�J exhaust 4.50 til�s L
sq►rrv+lower a p«iq O�w 16) ower*"* 7.50
Describe work ❑ addMon Q alte-stlon n sepak O
or
to be dab � residentlal non resklenN.i ❑ (:or me dal or IcxiusMel
_ __. }� _ _ _- — 19) type Incinerator x0.00
Fxistlnge of
use Oth or i ,woodstove,water
-_ -
tx,llding or property-- --- --_�— _- -.___ 20) heatk,(,solm dothes ere,etc 4.50
f roposed,use 9f -- --
Wilding :,r property _._.- -- 21) Gas piping a•te to four outlets 2.00 t
-Tow,of fuel- oil ❑ natural gas J4 LPG O electric Q _--
-- -- 22) More than 4-pafr rn.".lAt
SUB-TOTAL 5
THIS PERMIT BECOMES NULL AND VOID IF "WORK OR C014 - _-
3TRtJCT1CaN AUTHORIZED 13 NOT COMMENCED WITHIN 180 r
I%SURCHARGE
DAYS, 041 IF CONSTRUCTION OR WORK IS SUSPENDED OR PLANT REYIIEW 1f11%OF 8Uf5-TOTAI. $ G 2-
ASANDOI IED FOR A P NIOD OF 18(1 DAYS AT ANY TIME AFTER r TOTAL
tNC)RK IS COMMENCED.
at Corlditioris
�- - - --- .. -- - -- -- Dale issued -- �� - by--
CITY OF TIGARD PLUMBING 13��2;1vd.
Applicants must hold Oregon Registration to conduct a plumbing PERMIT 634AM)
business or must be pn.;vrty owner/operator not hirrir4 oouttsside help. / r
Name of Dew / C^ = Plumbing Plumng Permit No.-S `7 T
Mdre" ! f z6 '�c�J /�1r,c�tJ ORAS 514-21-010 OUAN. PRICE AMT.
Job Tax Loi Map.N6. - - __.
Address (at FIXTURES
tD4 Bloc* *tdvw 3n snk _ -- 7.50 ZSR
—. or iwne sa Lavatory _ 7.50 - II
j_Tc),v S rAr Tub or Tub/Shower Comb. - 7.50 7
1rT&Wwg Address �,/- Shower Only _i —- -7.50 -7
(,t -;/L Cil Waley 0oset - ) _ _ 7.50 22 SO
Owner l •t q ?or$ Dishwasher -___ _ r --� 750 �7) '
Phone Garbays Wposal __I -_ 7.50 1 S
2�
a 3S'GZ Washing Machina •so_ 7
Name
Floor Drain 7.50 _
MWTKV ess Phone Water Heater 7.50 _
- Laundry Room Tray 1.50
Occupant CNy/State - - r'p ` - 7,50
Urinal
- ---- -
--- \NwneOther Fkdures(Spe*l 7,"---
7.90
3 Ate
�.Tait Ni Seww trd 100' _,woo
8ewsr♦a Addis.loo _ 14.00
_-'-11 a ens us -
WaW Servloe 181100 — -- 20.00
15.00
I herby Kbwwtedpe VW I heft reed M11a appNedbn Mtd Mr inkxmaMon WOW Servloeea.Addil W' __--
olven Is wrmc.that 1 em repidered wlMe M»SiaM BctNttare Board,tr+d aiso t3lorta a Rain Drain lot 100• 50.00
have a AM Pkenbatp Ilow"ow Mie ramsbers OMn are aer+W.Mui att Storrs a PrJn D►Mn Addit.100 155.00
,Aonbino wmk w2i be done in wwm*x::with apo«c able amt Of c)r.- s T__- ---
po ri Revised SWUM Chapters 447 end 003 end eppila"ood"and Mur Moblis horse Speto
no h*will be wriployad u leve Ilowseed under f)RS 03.(11 ewrnpt from Back Flow Prvenban
Stall room Vim a ON+mown below)- Dw �
be or Atullon Devloe 2.50 --
HOWOt 011--I hwoby oerAMr"I am ft 0"M Of Mss preVWW ds' ..
tl~aborA.r'whkilt-p m &n I prop0"to mda apk,nlbkv kvW 4$W for AnyTrap or Waste Not 7.90
ttw vm use end#6 p 0W j#is red b WV oxiev Md kir ads.lerwr Or rens �10 a FkA,ae
Catch Basin -__ _..- 11,10 ^_
knep.d Exist.Pkxrd*V -40.00 Per 1M
Spec" 40 00 Per
_.� Aker.d 1p Mp
Pkonbk +Mr
16.00 r111n.
New 8W.or Sind.AddlMun - *00 low
hseribe vr� * rwM LJ *")on[] aileretlu�L) nor l J c�+ellut� 15.00 5
jkk2 dom �asldertlal f'1
Eximwv use CA
_- -- -_--- •lJFTaTi11. 4(U_
bl apioperty __. — :MISMN101Tcff S
1UrpMlltke.14 o WAWWI Wait or aonanaorctl ed M nd son►
anlMlMIrMMIre Mbe4�sAri�a erodt M/Y�►�endonsA for
e Mrlw!d 1Me aNya M ttery*Iw ow wet%M oorrltwMxlld.
Data isetrorl ! b, —+
CITY OF TIS^RD BUILDING DEPARTMENT PLAN CHECK NO. : �1
PLAN CHECK APPLICATION DATE RECEIVED: 9
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitte{i fox, plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, L) edition.
PROPERTY OWNER: s-4e OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: Co 36f CL z V
f '
JOB ADDRESS: � f;� �'II �/1� LOT NO. & MAP: 'J
DESCRIPTION OF WORK: �V �7�C)
Approvals Required SPECIAL NOTED
Planning Dept. Reis aue
O wwn— , 1
�-
0 Engineering Dept . 0 Flocd Plain/Sensitive Lands
OFire District U Sewer Availability
OOther O Other
Items Required
0 List of subcontractors
C� Business ax
L� Cal ations
russ Details
O Parking Plan
OLandscape Plan
0 Other
COMMENTS:
City of Tigar Building Department
BY!
BUILDING VE T
� PERMIT NO. :
T
�G, C)l
C11YOF
09100+ DATE ISSUED:
COMMUNITY DEVELOPMENT DEPARTMENT PRIIi.PMT.NO.
1 J 125 S.W.NMI BWd.P.O.Bon 2=7.T%Iwal Oregon 97M,(sO3)a"A 's _
JOB ADDRESS: `�D 6. S Lam' l
--
TAX MAP/LOT I AL SUB:
LAmr, USE:
t'0'r, SIZE: _.__-- VALUATION: _—C�'' Y SETBACKI ,
FRONT: _� REAR:
WORK CLASS: DWELL/UNITS: _. LEE-T: RIGHT:
USE TYPE: NO.BEDROOMS:
NO.BATHS,.BATHS: /
_ .�——--- *1
CONST.TYPE: _-__��-� �
OCMP.GRP.: 1 ; % /o
OCCUP.LOAD:
TOTAL AREA: Q
NO. STORIES: 1ST: 46 �w�- ROOF CONST:.- �� FIRE RET:
it 2ND: ����---AREA SEPAR: .BASEMENT: � 3RD: OCCUP.SEPARY4-
HEIGHT: .-
MEZZANINE: 16ASKM'T
FLOOR LOAD: -��� GARAGE: 1 ' Q__FIR6 SPRKILR: ALARM: �-��r
f ILOW (GPM)' _ DETECT: 7—IA �
HEAT TZPE: J HDCP.ACCI'qS: /^� COR.R:
PLAN CHECK BY: ` -�-�
REISSUE OF N0.
SEWER PERMIT:___ , LAST REISSUE _
Ram j-
W Ad r Bs ?sl G Q/ (,�.� _ FEES: 4 7
N PERMIT --
E PLAIT REVIEW
y
n
PhQr 6 L (l 2- L' - --- FIRE DEPT
STATE TAX
o Name: �1 a'"°'��,L� - -- OTHER
C. DEVEIAPMENT CHARGES
TAddress: 3'G6 c��� -t SDC (STORM)
A L,.v.v E'/� - 9 7vG��'r SDC (STREET) ---
C - PDC `
oPhone: GST-- (vL Z�) -- PREPAID --------
R
TOTAL:
RECEIPT NO.
REQUIRED INSPECTIONS
FOOTING SEWER
FOUNDATION WALL• RAIN DRAINS
POST & BRbM WATER LINE
PLB. UWDERSLAB CITY APPROCH/SW
SLAB FINAL
PLB.TOPOUT
FRAMING
FIREPLACE
GAS LINE
INSULATION
III Signalure GYP.BOARD