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10845 SW DOVER COURT 1 r� 0 00 X. un U C C ri r� rY i d �F f 1 I I 10845 SW DOVER COURT 11 IWJ 1 11 Permit N Description TWIe dA MechrNcel Coda E AMT City of Tigard QTY PRIC---- 13125 S.W. Hall Blvd. 1) Permit Fee 0- -0- 1000 P.O. Box 23397 --- -- T'gard, OR 972232) Supplemental Permit 3.00 4139-4175 4' 1) Furnace to 100,000 BTU incl.ducts&vents / 6.00 2) Furnace 100,000 BTU + fnd-ducts&vents 7.50 Nara w int Floor Furnace --- . 3) incl.vent 6.00 Job � '�' 4) Suspended heater,wall heater — Address /ply 5 C6 . �. or floor mounted heater 6.00 T""`otZ_5/ ) Vent not incl.in -- --Lot / Map No. 5 - Block Subdivm appliance permit 3.00 Name(or named husinoss) �) Repair of heating,refr 19 cooling,absorption unit 6.00 Owner Making Address Phone - 7) Boiler or comp to 3 HP absorp.unit to 100,000 BTU 6.00 crryistete i Zip l3) Boiler or comp to 3 HP-15 HP -- absorp.unit to 500,000 BTU 11.00 Name 9) Boiler or comp 15-30 HP i i _ yam.,` _ ebsorp.unft'/x-1 mlllitxt 15.100 M'a'g mans 10) Boller or comp to 30-50 HP _ absorp.unit 1-1.76 million 22.50 t;°ntrador ___ _ _ - ' — 11) Boiler or comp to 50 HP - absorp.unit 1,750,000 BTU 31.50 sate geplpreuon Nil _`v 12) Air handl c iry eue Tax No, 10,000 CFM 4.50 t0 4.50 t I hereby ac.krX'*%K ge that I nave read nes applticatlon mai the Inhumation plren is 13) AI.handling unit norrovA.that I arm els omwr o,au hod red epsr,l a+tee owner,that plans tnlbmMted we M 10,000 CFM -t- 7.50 oa�fance with Stets Iavm'that I sm reglatrred v.11h ens Sbtle Builders•Board,that the hon portable-----' ��— gH~is rxxrsct (H exempt from SIMe registration please give reawjn tMlow) 14) evaporate cooler 4.50 - - 15► Vent fan connected to a 91%)e duct 3.00 i 16) �ventllatfon systern not —.. Included In appliance perrltit 4•50 - ) Hood server!b �j Lbullding (owns or _ 1 mechanical exhaust / 4.50 7'.7 _ Daft 19)Describe Dorrlsatic work ❑ addift ❑ afteration p repair ❑ Incinerator 7.50 ne re Adentfal L71 non-reeldentlal L7 C'ommerlel or industrial — use of 19) t rte Incinerator _ �•� or ptcl 9rfy Other i.e.,woodstove,water d ueF ul 20► heater,actor,clothes dry*m,etc. 4.50 or21) C 9s piping one to four cutlets2.f?�uel- rrl ❑ natural gasp LPG F 1 electric F7 — ---- -- 22) More than 4-per outlet THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL 5 t STRUCTION AUTHORIZED IS NOT COMMENCED W11 HIN 180 --4%SURCHARGE ,_�` DAYS. OR IF CONSTRUCTION OR WORK IS SUSf"ENDED OR ABANDONED FOR A�IOa OF 190 DAYS AT ANY TIME AFTER PLAN REVIEW 25%OF SUB-TOTAL Nh7RK 15 L;ONIMFNCEf1. -TOTAL �' �'. 1 Special Cond0lons Date Issued by__ ^�h'r1��►,�.•s v 1M q,�riMv .ate "^�+q,� <:4'`,.N...,�4! 'F ,r•1"'. ,_/y \ r,/' l +4 Y�1, 1 ►' •vwlR l ff- 1'q .�� AA► �IA� 9 'rye °•!� 1 ,�% e111���'i"gMi` a/'���'111`�1��� ' a 4-1 n•• �}il�!.h: 'y,'y � N Q7 C ..fin rr,,, ►�i � '�i�� _.�_rh,�� 6 r too ro N w ww + rcr E 4w bLn ^I +�,,, a w _• y CIO rl r BUILDING PERMIT APPLICATION DATE is G� 7; THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPnOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_!U9_—_fiZ42_ LOT NO. '7A 1-wIyj sr• i Wq OWNER ;c:],';E11.:: '• JOB ADDRESS :i•L1 4!g SW Luvcr Ct. NXIMS1�RAXS1tXltsk' tK ARCHITECT ENGINEER BUILDER _ r`rYr k�u�r Crt";t - ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL LF ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL EI GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D GARAGE ❑ STORAGE ❑ SLAB❑ FENCE t OCCUPANCY oC%•L LAND USE ZONE BLDG.TYPE ---FIRE ZONE-. PLAN CHECK BY ETI HEAT i' Cnnnarr�r t �i�1rOwAtAve tog be- e­mmiesedi minimum cif a 4' high C'F!C7r tD. '1100 hufldinn polm.it #668#. i SEWER PEPMIT M OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO,BEDROOMS VALUE BUILDING DEPARTMENT i SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit _ 86.r'0 THIS PERMIT IS ISSUED SUBJECT TO THE PEGULAnONS CONTAINED IN THE BUILDING CODE, ZONING r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 50•73 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 Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. State Tax .40 ? 4 b. i `i SDC .. )�A* Total PDCN AGENT — By r1I a Receipt No. _ Approved �'+ noneDRESS -- - ---- ------ `••, � PHONE i DATE INSA TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture --Final — HEATING _ Contractor Permit No. Gas or Oil Rough-in Final — — SEWER —+— Final DRIVEWAY Final _ Storm Orainagr (Rain Drain)Final Sidewalk Curb A Street Final __ __f Approach _— BLDG- DEPT.FINAL TEMPORARY C6RTIFiCATE OCCUPANCY ICER,oFICA:'E OCCUPANCY Final Landscaping Zoning Final i I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 C Phone: 639-4175 Type of Inspection —_ ' GC�� ,----- ----- --- Date Requested —� .y i. -- Time _. A.M. Address - 1 Q�`� ��'%�---- Permit a„ l n Lot #_ Owner _ __ _-- .--:Se_� — Builder _ — -- — ---The following Building Code deficiencies are required to be corrected: Presented to _____ _ —__ - -Approved Inspector ___ D Disapproved Date CALF FOR REINSPECTION ❑ YEs ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection --- ^" �—=-- --- — Date Requested - S�l(V Time A.M. ✓' P.M. Address 10"5 DOW, Permit #_—_f2,Z-3.__ Owner —_ � _ot #�_ Builder -- — - --- --�_.-__-.-.The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector �_� Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Ane: 639-4175 Type of Inspection Date Requested Address ` _ _-- A.M. P.M. Permit__ ���/�Q� �-Time- _ Permit # G 3 Owner -..—_-._ Lot #— Builder — The following Building Code deficiencies are required to be corrected: Presented to 1 - - -- APproved Ins(/P,Ct OI Disapproved Date CALL FOR REINSPECTION ❑ YE! ❑ NO INSPECTION NCTICE C',ity of Tigard Building Department P . Box 23397 Tigard, Oregon 97223 Phone: 839-4175 Type of Inspection Date Requested `Y' 7- 0-- Tiime�—(—A.M. _P,M, Address Permit Owner_____ —�..--- _ Lot # Builder _cam /���- The following�Buildi ode deficiencies are rtqulred to he corrncted: Presented toApproved 3u- Inspector _ — -_ -- I Disapproved Dare CALF, F )R REINSPECTION ❑ Yes El NO OF '1'1(�ARD PLUMBNG Applicaft ""M hoW Unepm Regluratlw b condwy a plumWnj PERMIT STigard223 CR 97 buslneas Ofarum be property owner/operator nal hIdN outside het . !T!olOsvalopn�M � i ` �' e d6:�d _ Plun6ng Permit No. -- Address D.ecr,ptlon Job S r 1111 C OFIS S14-21-410 DUAN. PRICE AMT Tax Lot MF4L No. Addrrsa FIXTUREStd Block &ibdllAalon -- --_--k — or rE), �e'l�-- SWA -....�--- 7.50 an+a wn; LLL ���L,,,.../�' �— L,r, Iso / f� Ir-- `7 _ Tub or TublShower Comb Z_ 7.50 nu L L7'-7'2- _ S /`1 �2 is nc�� show«only _ — - -7--50 owner Chylsiale ZIP --- WaarCO"l - --- - _- 7.50 (� 79 Z? Dishwasher - I 750 _ Phone Garbage Disposal 7,50 - Name Washing Machine - _ 7_90 Floor Drain 750 Kq x Ws ss Phone Water Hester — 150 Occupant CNy/$tale -- — Zip Laundry Room Tray 1.50 llrrnal 7.50 Other FMturas(Specify) - 750 17e A-) c 8 y-GC 2� -- - - 7.50 1 750 Me"P400"m Poo Coatractor Cljyj,mw nD _ --- -- 750 721 R 9 IZ� MISCELLANEOUS City 9Fm Tax No sower IV 100' 3000 2w F, . sow«.a.Aden 101U IS00 mm map.Dowd wo. swSb g g — 3 - /( i'L3 wwr s.rvb. oo— - '�- - 2000 I h0fvbY 1410+0wMdge tial I haw road filo appaoMlon M+al fha k,kxnlaron water Service*a,Addrf.A r — --15.00 9h'e1 M COI that I am roplsbr.A with the State Bulldere Board,and also Slorm s Amin Orton 1 a.'00 3000 haw a Btel.Pkanbkg Hoorn.•uf ttw mwnb.rs glwn are e,m, tenet as Pkxl** work will be donw In woordenoa with of Un Slorm A P-in Drain AddM.100' - -15,00 gun R.vl.ad 91801,0011 Chapaars 447 and 093 and apparyhle codos and the Moms Horne Spa MOO no hot►vA N1.nploy.d ur"m Ilcaxra- under ORS @a(M examo from - -- - - SIaM r.glslra04M Plow give r.emon bobw) B a«�n o.aoa 7.50 140MtJV NEM-I im"ON*OWI wn the Owner of•e WoMfy do. - aorbd above.at whlah boaron IV r g m .tr,motto a pkmMft kwAskllan for Any Ttap or Waste W Orin Own Use,and h,ls prtlgarly Is not ba ft oasMnraI for aw,Maas or rarx Oanw-led to a Ffta7.50 -- --- - Catch Bath 750 — hip.of Fxd.1.PlurrWir 40.00 Per Hr 40mPar►k ------ --- _ -- Agar of f'Ambing within an EA"Bldg 111,00 min WmIDRIZFO BI(i.U1T1 ��Da* NewBlued a lhrAd'Add!M°n M.00 no =_ n.Bcsiba work rww jk m"km(7 WAMOoa 15.00 1 1 mlmgflaatl n ngniNgldti011M n E3 ho ig use of hAftoorprrlpatyt7-,, �NOmr,! �:�� M ter 1NnMllaMen M�M11N11 N nal com- a11 �rMId11t11►ttll��iMMrlhlMonar aee ' r 1a�till{IOAIIgtINfllMl by -- INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone- 639-4175 Type of Inspection Date Requested �"T r Time _� A.M. 4 --P.M. Address .1_L L� t�,� �� C�__ Permit # Owner- ...__ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to pproved Inspector LJ Disapproved Date CALL FOR RE SPECTION C7 YES ❑ M'1 CITY OF TICARD MECHANICAL PERMIT ' Permit M Description Table3A Mechanical Code CITY PRICE AMT 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 3.00 639-4175 4_ ? 1) Furnace to 100,000 BTU 6.00 incl.ducts&vents -T Furnace 100,000 BTU + 2)_ incl.ducts&vents 7.50 Nems of DevelopmentFloor Furnace ,_2 �+t� 3) incl.vent _ 6'00 _ Job Address - -"- Suspended heater,wail heater Address 4) or floor mounted heater 6.00 Tax Lot Map No t -r. �..; - 5) Vent not incl.in ' 3.00 _ Lot -L Block subdivision _ appliance permit Name(or name of business) 6) Repair of heating,refr Ig., 6.00 cooling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp,unit to 100,000 BTU oily/Pta,w zip 8) Boiler or comp to 3 HP-15 HP i 1.or _ absorp.unit to 500,000 BTU Name ) Boiler or comp 15-30 HP 9 au torp.unit 1/2-1 million 15'00 Meiling A r ss Phone 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1-1.75 million Contractor City/State zip — 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU Stale Registration No city Bus.Tax No. 12) Air handling unit to 4.50 10,000 CFM Air handling unit I hereby acknowledge that I have read this application that the information given is 13) 10,000 CFM + 7.50 correct,tf.at I am the owner or authorized agent of the owner,that plans submitted are In compliance with State laws,that I am registered with itis State Builders'Board,that the 14 Non portable number given b correct (If exempt from State rngi•ztration please give reason below) ) evaporate cooler 4.50 ) Vent fan connected t 5 to a single duct 3.00 16) Ventilation system not _ 4.50 included in appliance permit --� -' Hood served b —_-- — - - - 17) 4.50 mechanical exhaust 9(o.wwftn—t) Date 18) Domestic type 7.50 Describe work ❑ addlPop C1alteration ❑ repair FJ incinerator to be done residential IT non-residential ❑ 19) Commercial or industrial 30.00 Existing use of type incinerator building or properly I` �'J - 20) Baer I'sola c othes,water,etc. 4.50 Proposed use of - - - building or property - - --- 21) Gas piping one to four outlets 2.00 Z Type of fuel- oil ❑ natural gas ♦'f LPG ❑ electric ❑ 27' 'yore than 4-per outlet SUB-TOTAL THIS PEFIMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON STRUCTION AU rHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL 7 k' ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - --- WORK IS COMMENCED TOTAL Special Conditions Date issued v �_by �1 I CITY OF TIGARD 6394171 6653 BUILDING PERMIT DATE TRX MAP ..,--.LOT NO. _..___SUBDIVISION D'"NLR _ - JOB'ADDRESS BUILDER _.. :.CLIL_ STATE REG.NO _ ';_f_. EXP.DATE BUILDER'S PHONE ARCHITECT _ ATf ^ "xlat .Lt1 li('J "'i °HONE - OTHER STRUCTURE NEW REMODEL LJ ADDITION FEPAIR MOVE OTHER _ DEMOLITION REQ! .crvCE COMM EDUCATION f ) IND RELIGIOUS I ACCESSORY GARAGE OTHER 1 FENCE OC GUPANCY Ti''„� LAND USE ZONE = 4�� AL DG TYPE ` —FIRE ZONE— PLAN CHECK BY HFAI SEWER PERMIT M OCC.LOAD FLOOR LOAD HFIGHT NO STORIES _ AREA NO,BEDROOMS VALU_k BUILDING DEPARTMENT— SE I-BACKS FRONT REAR LEFT SIDE RIGHT SII)F Permit �• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check " WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAP'CE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE P..Ck.Fire ...... RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State tax TAX PERMITS-SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. SDC total l PDCM APPLIcVNfo_ AdffN -- _ --- -- Prepd. Receipt No. ADDREse - -- Bal.Due - PHONI Issued By __-Approved By 1 DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE Contractor �l)4 Gd -y Zy Permit No s/ 9 Rough in ® Fixture S/yf?z_ sI.,t Final IS /`7-�p� 7� _ HEATING Contractor Permit No. �S! Gas or Oil Rcugh in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb 6 Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY Landscaping Zoning Finai i v J f �l