15085 SW DAWN'S COURT .1
-.k
t
138' ?DST STREET ADDRESS MUNER DN
JOB SITE PRIOR TO FIRST C
INSPECTION SD THAT ITIS READABLE
FROM CUPID. �
building imust Le completed
according to cit r cki6es and
final inspector, rI,JAde 4: ? ore
I�
occupancy,
r CITY 0!
+ r .
Z
i Y POOM ADDI1ION FORT
GORDY & LINDA KRI£3; .
�--+ 15085 S.W. DAWN CT
1
620-9471
BY;
POSETJALE BUILDERS INC0.
4810 S.W. 60TH PI- NllI
PORTLAND OR 292--`j261
B.B. # X3475
1%/CTM 2S1 11AC
57' TAX L0T 3500
15085 ;,W, DAWN CT
PLOT PLAN
f.lAgIUT The City of 'Tigard, on Ore
employees, shall not be r g or it's
discrepan�cys which may responsible for
y a ppear hereon.
9
�N
APPROVED FOR CON aTRUC-HON
n
CITY OF I ICARU
PERIMI.I. i0. �U �v
SITE ADDRESS !SD
:I. 5(')85 SW DAWN C.:f0[IF-,..,.. BY +' LT—
� I � � � � ili iii ili tii•� iii" Ali iii iiI 1 � 1 III III III I ! I II . IIII ' I I " I I I I I 1 I I i ! I I i I _1 r _j _1 X11 I t l 1 ( I i `il I I I l i l�Kl : ., . , �, ,. ,�; ,�,. T..
I F T� ...
why+
I S DOCtJMENT I S LESS I ( I 1 1 T l
I 1 III 1 � 1 1 1 1 1 1 1 ! l i ri > T � III 1 1 111 X'"'OBERTLEGIBLE THAN THI.� NOTATION , 3 1 '2 � I I � � Ii �I - 4 6 1 1
T I S DUE TO THE QUALITY L I T Y O F _. .._.—_ _ _,__._—.- w S' �__—_.___ � _ ' - 10L _ x 1' �'�
99%3
_ No.36 lb`.""'num 60 .�" 1
THE ORIGINAL DOCUMENT . ___ _ _
Y�Z 8Z LZ SZ Z Z 19Z --_ — QZ6i SI LT9t 5T bTIi T 6 g I L 4lilt,
IIILII 1111 III! I11�IIII IIII IIII IIII IIII I I IIII IIII Illi SII! Illi I IIl1�1111 IIII�IIII Illllllli Iilillill � ..II. Illlillli I �
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i IIIA LII�II�I�IIII�IIIIl..L1. 1 I
1 li11Nl!
i ( 11 __ ,
I �
2
� 1
6/ 0 KPASS DOORS
0
IBE
MASTFMASTER '.-DRE]OM
�D BEDROOM # 0a
x
4 y kl,-
4 elf
SID, `!
8/0 MIRROR DIPASS ��,��\ �2`�O
CLO<>ET WALL
MASTER'
q) BATH
Cl NVERF
EKIS-TNG VASTER (,Vt
BEDROOM 6hL;ove
_� C-�._� EXITING
NEW WALL
[mm7 BEDROOM
LAUNDRY
ROOM
r7
I E X T N G ', EXT NG
BATH 5) TH
I
BEDROOM
FAMILY R H Ll M
DINING ROOM
TelI
111041 prom,
IF THIS D(')CtJMEN,r IS LESS
LEGIBLE THAN THIS NOTATION , TF-T-Pp'l I I ' l II I I I
1 1 5
IT IS DUE TO THE QUALITY OF , 61 8 OCTOBER 26
THE ORIGINAL DOCUMENT . No.36
6 8 L
............ H III T
E 6Z 9z z 1 0 Z--T61 1--IL 1 91 S;
11, 1 1 . II I illlllll IIIIIIIII IIII�IIIVIII,I,,,.� 1.1.11! IIII�III
Olt
15085 SW Damn Court
ti
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INSPECTION NOTICE ( 1� /
City or Tigard Buildinq DOPartnent �:Ja j:.
13125 90 Hall Blvd. Tigard, Oregon 97223
/Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-417'
Inspection:
Pc_%otiny Plbg. Underslab Mach. Rouge.-in Appr/Bdwlk
Pound. Plbg. Top Out Gas Line 1IM11Li
post/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb. /4
in
Plbg. ly—ierfloor Nater LGyp- 141. ' Hech. "
Date Requested: Timet AH PH
v Q�cJ .� tic! CTz I -�J
Add,eee: S — t --
THE FOLLOWING CORRECTIONS ARE REQU.IA.ED:
Inspector: �_ - -----_.-- Do-,tot
APPROVED DISAPP'C'BD APPROVED SUH"= TO ABOVE
Call For Reirsp.
CITY OF TIGARD
OREGON
April 6, 1992
Gordy Kribs
15085 SW Dawn Court
Tigard, OR 97224
Permit #MST 91-0070
Res 15085 SW Dawn Court
Dear Mr. Kr3hs:
The last inspection conducted on the above project was a gYQsum
board insp�r:tion on 6,'3191. The next. required inspection will be
a final inspection.
Please advise the Building Division of cne status of this project
as soon as possible so the file may be kept current.
Please note that arty permit without activity for over 180 days
pleass contact f this ou need department onal so time that tocomplete
srexten ion p canecbb,
please
discussed.
S incerely
Brad Roast
Buildinc; Official
Notice.A
13125 SW Hall Blvd.P.Q.Box 23397,Tigard,Oregon 97223 (503,639-4171 — - -
Mw a
INSPECTION NOTICE
•itg of Tigard Building Department
13125 Bp Ball Bled. Tigard, Oregon 97223
Iaepection line (Ree-O-thone)t 639-4175 Business ?hone: 639 4271
Inspection:—_�
Footing Plbg. Underelab M- :h. Rough-in 9 Appr/Sdwlk
Pound. Plbg. Top nt Cas Line FINALt
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation
�---^ -Plumb.
Plbg. Undar'loot Water Line �pyp• Bd. -Mech.
Date Requestudt �/
C ---Timet AM �PH
Address: —
Builder:
'ME POLLO!•IINO CORRECTIONS ARE REQUI_
Inspector:_ Date
L-I•:IROVED DISAPPROVRD
--- _ 71PPROV6D SUBJECT TO ABOVE
Call For Reinsp.
ivspE�to�+ N acs
City of Tigard Building Departaent
13125 811 Hal.l Blvd. Tlgnrd, Oregon 97223
Inspection Line (Rec-o-Phones 639-4175 Business Phone: 639-4171
Inspection: _.._-�---
Footing Plbq. Underelab Mach. Rough-in Appr/'Sdwlk
Found. Plbg. Top Out Gas Line PINAL:
Post/Seam Struct. San. Sewer Framing -Bldg.
Poet/Berm M:ch. Rain DrainInsulation -Plumb.
P1Li9. Underfloor .t—Neter Lina Gyp. Bd. -Mach.
Cate kegi:eeted: ✓ c�' f / Times Yy, AN P►t
Addreee:
Permit •:_
Hui
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: A Date:
APPROVED DISAPPROVED APPTOVED SUBJECT TO ABOVE
Call For Reinap.
i
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone):
6139-4175 Business Phone: 619-4171
Inspection: --
Footing Plbg. Un4nrelab Much. Rough-Ln Appr/Sdwlk
Found. Plbg. Top Out Oils Line FINAL
Post/Beam Struct. San. Sewer 'Framing -Bldg.
Post/Beam Mach. Rain 1)1 Ain lnsulatinn -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: -7-5 __Time: AM __PM
Address: (../ 'rZ(elg �_ Permit f:
Bu!lder:
THE FOLLOWIMG CORRBCTIONB AM RBQUIRZDs
i
zz
Inspector: A� Date:
APPROVED ^,- DISAPPROVED _ - APPROVRD SUBJECT TO ABOVE
-Call For Reinsp.
Citi. of Tigard building DepartsImt !!
13125 Bq Ball Blvd. Tigard, nrwgon 97223
Inspection Lina (Rsc-O-Phone): 639-417o Businens Phone: 639-4171
Inspect ion: -
Footing Plbg. Underslab Mach Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Lina FINAL:
post./Beam struct. San. Sower Framing -Bldg.
post/seam Mech. Rain Drain Insulation --Plumb.
Plbg. Underfloor Nater Lire Gyp. Bd. `Mach.
Date Requesteds _
Addreass Permit
Bui1Mri
1 /
M [OL Awlin CofinCTION9 ARM RRQU Di
1
4-1
I
-- I
i
_ — I
J _
. I
I
- i
i
lnspaatori _ nate:
L—ApPrK MD DISAPPROVED APPROVED BURJSc7' '"O AROYE
Call For Reinsp.
i
i'
i
i TZKO loN NNYMC_g �.
Cit-- of Tigard Building Depactaaot
13125 Rall Blvd. Tigard, Oregon 9722 .L
inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4.171
Inspectionr-- —
Footing Plbg. Under®lab Mech. Rough-in 11ppr/8dwlk
Found. Plbq. Top Out Gas Line FINALt
at;Ream Struct. San. Sewer Framing -Bldg.
lost/Beam Merh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requ. td._'7
• r. ` -I:p5 -ell
TimSaL
Address:_ Q //l 31 P na
7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector.
APPROVED DTSAPPROVSD APPROVED SUBJECT TO ABOVE
Call For Rrinsp.
� ti✓ � ��"` �Ngp� I n_Ncrrlca
� City of ?i.gard Building Dopartae� ,
1
l�•L 13225 SII Ball B1R:. 2lgard, Or»gon 47223
I-napection Line (Rec-O-Phone): 639-4175 Busineen Phone: 639-4171
InOpections
Footing Plbg. Underelab Mach. Rough.-in Appr/Sdwl.k
ound: Plbg. Top Out Gas Line FINAL=
Post/Beam Struct. San. Sawer Framing -Bldg. i
i
Poet/Beam Mech. Rain main insulation -Plumb.
i
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requasted: __4_1_l!1( j —Times _-AM
Addraes:__1.'7P t%i
Builder:
THE FOLLOWING coBRECRIONB ARE REQUIRED:
I
4AC mor i L2gr ,Z t rlL-�� t su43rl:.t�
ejLi ale- t
— 7
t
r
i
Inspectors Date:
__APPROVED _ DISAPPROVED APPROVED R11R.JECT TO ABOVE
cell For Rotnep.
CITYOFTIFARD CffYOF RD MASTER PERMIT msT9 1•--0070
COMMUNnj Y DEVELOPMENT DEPAMMENT OLF46 FPIYIIT #. . . . . . .
13126 SW HWI Blvd. P.O.BOK 23307,TOM,Or"M 97223(sW)0*4i75
15o8!5 SW DAWN CT PARCEL:
SIVE ADDREE ;. . . ! ZONING: R-4. 5
SUpDIVISION. . . . s LAUNALYNDA PARK
BLOCK. . . . . . . . . . . LOT. . . . . .
BUILDING
BASEMENT. . . . . .
DWELLING UNITS: 1 RAGE. . . . . . . . . . . sf
SEDRMS:2 BnTHS: I GA
,j_ASS OF WORK. ADD REGUIRED SETBACKS-
TYPE OF USE— -SF FLOOR sf LEFT. 30 ft RIGHT. 122 f;
OF CONST :5N FIRST. . . . :392 114T. :0 ft REAR. .
-)NCY GRP. : 3ECOND. . . c FRO
I U H I LS. THIRD. sf RE,OUI RED-
f SMOKE DETECTORS. :Y
TGHT. 15 f't TOTAL_-___...-- PARKING SPACES- - :0
LOUR LOAD. — :40 psf VALUE— — $ : I 8032
Re-narks : additio-, two bed room'; one new hath
pt..UMBING
to BACKFLOW PREVNTRS. :0
1 NVIS. . . . . . . . . . . FLOOR DRAINS. .0
WATER HEAT ERS. . TRAP'S. . . . . . . . . . . . . .
IiHSINS. . . . . . . tO
r(jB/SHOWERS. - - - - LAUNDRY TRAYS. . . -0 GREASE"TRAPS. . . . . . . ..0
AP (F-H CLOSE f S. . C1 SF.WER LINE (ft ) - :0 OTHER FIXTUPES. . . . . .0
DISHWASHERS. . . . 10 WATER LINE (ft ) - :0
'3PRBAGE DISP— :0 RAIN DRnIN (ft ) . :0
,wASHING MACH. . I SF RAIN DRAINS. - - 1 FEES
MECHANICAL ----------------
UNIT HTRS. . :0 type amoi.tnt .__.b/
date
FUEL Tyr,F-S----..--- VENTS . . . . . :0 LAP',RT $ 13,4. bO J LH 04 C!9
/GAS/ R_T U VENT FANS. - BPI.-C $ 87. 43 jj._jj LA 4
I' -4X INPUT e0 HOODS. . . . . . :0 B t,P C $ 6. 73 JLH 04/29/91
I�URNI ( 100K 20 L,P F?T 45. 00 11-H 1714/ /9 1
F,Up�.,j ', I-100K - 0 WOODSTOVEq. P5PC 2. 25 JLH 04/29/91
F1_0OR FURN. . . . :0 GLO DRYERS. : I
nTI-APR UNITS:0
GAS OUTLETS:0
Owner:
GLiRI)Y AND i_im)(A KRIbt--)
.�085 S.4 DAWN CI
'ri,Gs4RD OR 97224
Phone
POS,E.DALE BUILDERS INC
4810 SW 60TH ::1L
c'0 F T LANE, OR 972C_.-_'.1
I Phone Vit: ::92-5c'Eil
._---__._______.______--^�._....�__..
48475 x'75. 91 TOTAL
to the regulations cont3ined iia t�@ REQUIRED INSPET7TIONE-
Ms otrait is issued subjectI 30ecialty Codes and all other' Foot/found InsP Gyp Board TnSP
Tiqavd Municipal Code State of G,e ed post/seam Struct Rain drain Insp
�nplv:abll laws. All work will be done in accordance wi.th approy
4Post /Beam Mechan Mec:hanical Pl,.tmb F*inikl
"s, This permit will expire if vork is not started wit�An 181 Firial
PILM/Uiidert I oor
vs of issuance, or if work is susptnea for more than IA days
Mectl I, n S P B'Ai IdiT19
n, Ero-; ion Control
Framing Insp
Tyisol,At ion
Call for inspection — 639.-4175
}
CITY OF T I GARD - RF.CE:I F'T OF I"'la�'ME:"NT RECEIPT NO. q 1-,c:1 c:149
CHI�(:K AMOUNT :341. :0
CAFq-j nm0UNT N• 00
NAME. Y ROSEDALE HU 11._.DERG PAYME N'T llf1TE: x 04/ 18/9t
ADDRESS t 4810 CSW C,01'14 F'L SUBDIVISION
PORTLAND,
OR 977"",421
PURPOSE OF PAYMENT ()MO NT PAID PURPOSE C)F PAYMENT (MOUNT PAIL)
n'JILDING PERM
1-0076 _.._-134• `►0 IJMNINC� F'E:RM 45- 00
1��^ �]
"0. 50 ST. BUILD PER
I MECIIANICAI._ PE S. 92;
pL.AN CHECK FE' 5b BUr1NE:55 TAX 3SI
I
I �
I i
i
1 ;0f� GW DAWN CT
i
i 34
'T Cr7 i"Il. AMCTIJNT PA I D - �.-. -�. . 341. 50
i
:3125 SW Ilau tswa. PLNCK/RECT #
CITY OF T I GARI) 110[lox 23397 PERMIT # rr 5 1/ 20 4 _
COMMIIPJI'1Y 1)I Vh:L01'INI;N'1'1)1?1'AK'I'MGN1'
Tigard,Oregon 97223
(503)639-4171 DATE ISSUED
JOB ADDRESS: DC7 ir5s ��� ��-)�`� �-�— TAX MAP/LOT <-'= ,� !%/�% - 3S�•u
LOT: LAND USE:VALUATION: —A
OWNER SPECIAL NOTES
NAME: L►1`-'l�A 12-S IL`� REISSUE OF:
ADDRESS: �.��*'- _ LAST REISSUE: _
FLOOD PLAIN/
PHONE: �Z�' `1�-� �_ SENSITIVE I AND: _—_--
r'-'1
CONTRACTOR ✓j� APPROVALS REQUIRED
NAME: R .'�-r' PLANNING: __!1
%fir i p P ENGINEERING:
ADDRESS:
LZ� FIRE DEPT:
f'HONE: 9 L S Z6 _ �� f 3p t S OTHER: it)1) fllc
GONTR. BOARD #: A Qi4 '7L 5 EXP DATE: Z _
ITEMS REQUIRED
LIST/SUBCONTRACTORS:
SUMCONTRACTORS: PLUMB: wA
MECN: BUS TAX: _ --_-
ARCH ENGINEER CALCULATIONS:
NAME: _ —
TRUSS DETAILS: P P d �
ADDRESS: OTHER:
PHONE: —
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: f-�� Date Received: ���%
PERMIT # ACCT # DESCRIPTION
AMOUNT AMOUNT PD. BAL DUE
10-432 00 Building Permit Fees / y S
10-431 00 Plumbing Permit Fees
--- 10-431 01 Mechanical Permit Fees _
00 0, s7)
10-230 01 State Building Tax (5%) a
Building
Plumbing i
Mechanical _
10-433 00 Plans Check Fee
Building (,_y
plumbing _
Mechanical J .
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Comi. srcial TIF Fees
25-448-04 Industrial TIF Fees -
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25--448-01 Residential Traffic Fees _ ~
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) '
31-450 00 Storm Drainage Syst Dev Chrq
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL ,��__-_•' � -- ��pZ,S �
Inm/3587P.WPF
I
INSPECTION r TICE
City of Tigard Building epartinent
P.O. Box 2339%
Tigard, Ore3gon 97223
Phone: 639-4175
Type of Inspection __-.---- Ii2 I
Time. _ A.M. —P.M.
Date Requested
Permit #
Address
Lot #____----
Owner
Builder -- +
The following Building Code deficiencies are required to be corrected:
------------
Approved
Presented to _-- —
---- Disapproved
Inspector
Date /
CALL FOR REINSPECTION
F I YES .I NO
NRDME-GHANICAL, PE111`1111*1'O . MI� E-861.688CITY OF TI�� CrrYO,YWAV
COMMUNITY DEVELOPMENT DEPARTMENT OATEK TS051IJEJ). 8/23/88
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175 1: 12'1.M I.)M'T' .NO 991.600
MJH ADDRESS - 15085 SW DAWN
TAX MAP/l_0T EJK :
1. ANT-) USE
1.O'1 S T 7E NO: NO
WOWK ("LASS : AL.rEPA'TI(3N 1!'URNAC;E. <J 00K AIR HANDLA (10
IJ15E 'T*YPF . S:r.NGI..r--' 1;:*AM:11. Y F'LIANACE 100K+ AIR HANDL.A 10K
CON51' 'TYPE FA.00A 11:�01PINACE: EVAP .('.,001 TER
I-IF:.A*l*F*R VI;KN'T' EAN
VEN't V E'N'T . SYS TE:1`4
1A_R/CO1"1P <31-11P HOOD
F3111 P1C()MP :!S_4 514P 1 NC'I*NEE PA'T*0 P(DOM
UNITS SiAVIlMi'llp 15-30VIV, INC I NEPA11:11P(COM
I TYPE- WOOD D I W/COMP 3030HP PEPAJ:P UNI'T'S
MAX . TNPk.)'T* RL.P/COMP 11710+11-11P 0114::F2 1.
1,114H DIVIPP57 GAS PIPI.NG UU1'L+**.TS
HIGH PPE.5 S 7
I. OW PPESSI?
W"(lD1*f T
I FES
0 K GOPDON PL:PM31, $11.0 00
W SW DAWN CT PL.AN PEVIEW
N ti/150
E F:*:I'.X T U DUE L-5
R 1"VW NE. (503) 6809471- STAIN 'TAX 3
(ITHF-:111
N
T
11
A
T
PEUElPT NO.
...........
I his permit is issued subject to the regulations contained in Title 14
,,f the TMC State of Or3g)n Specialty Codes.toning regulations PEIGILIVIED INSPEUTIONS
and all other applicabie codes and ordinances, and it is hereby F I NAL.
agreed that the work,sill be done In accordance with the plans and
-,perifi_Wions and -n compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
,-nvpnants Contractor and subcontractors shall have current city
titisiness tax permits This permit will expire and become null and
void if work is not started within 180 days,or it work is suspended or
at)anrionprl for a period of 180 days any time after work has
comnipnced It shall be the responsibility of the permittee to assure
an rpqijjr(-d inspections are requo-tted and approved.
Pprrn,ttee Signature
I:IJSI1 CTION 6394175
Issilej By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BUILDING DEPARTMENT, TIGARD �T
PLUMBING PERMIT l�9
holder of a Valid plLlmbing contractors license is hereby
authorized t,-, cruse plumbing work as herein noted to be installed in accordance with the p1linlbing code of
Tillard. Sti,;h mstallations require inspection by the. City Inspector who shall be notified nor less than four
(4) hour� prior to the time the installations are ready for inspection City of Tigard Business License required
for all contractors and sub-con
C.ef.��sF�. f'__
, Job �l.c•'J�
OV4nel -' Y �
; .— � Address —s -_-- Date L
L TYPE OF PERMIT 1VUITEcR OF i TOTAL
ITEMS _ r1:F ON EACH AMOUNT
QENTIAL _— -
Sinale Fam,1y-1 bath--each
Dupl!x-Each 1 bath unit _ -'-
25.00
fR-
IC
—`590ddjtional bathrooms-each �' "---'-'"1�b!e Home Space , 10.0U-each __'—INDIVI__ FIX TUFT -S COf M1 to 50 Fi51to 100 Fj-tures in 1 building- 3`00 each101 to 200 Fixtures in 1 buildin 2.50��each or more Fixtures in 1 building-- - .----2.00_each IMISCELLANEOUSadditional 100 It, �
_ Other ($c!orj(y1. -
PERMIT -- — ��—
Q. Far Plumbing Inspection Plrone 639.4171 "-
I 4-;;state_ _
I TOTAL — Plumbing Contractor By _
---------- -- RFCEIPT NO. Issted By
Mw ELERALAELMLER
i"
-�-,•y .. .. .�_. �-.p.(,�.7r��,�T'i�'.�,•M,"f�'Iy"�"�'�•'NI��l✓�Yb.'.W.YH iI I••"•
CITY TIGARDDATE
M
BUILDING PERMIT APPLICATION OF
I I I E UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED SUILDER PHONR
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHO rI'y 3 ytlut 'T• ,
LOT NO.
OWNER + iJieT1�51ifllj to Ijpg ADDRE851') E�J E�lij dawn Court HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER E?i791T{[� ____P.DDRESS6F' `�O !JW 01pac�ry 'bus( DESIGNER
STRUCTURE _ ❑NEW ❑RTMODEL _ LJ ADDITION ❑REPAIR__ ❑RENEWAI ❑FIRE DAMAGE ❑CEMOLITUN
C1 RESIDENCE ❑COMM ❑EDUCAI IONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GANAGE ❑STORAGE OSLAB ❑FENCE
❑BOND _ [I MOVING e ❑CONDITIONAL USE ODESIGN REVIEW -]COUNCIL APPROVED ❑SIGNS
OCCUPANCY----.:-3 LAND USE ZONE .-BLDG.TYPEFIRE ZONE HEAT__
PLAN CHECK BY__I
Construct wingle r*miiy iw iowncL u/attachw dyn,t4tist1. � i ��.4��lum+d - 7iA'bw.
~_ AC Ct1RRE.CTION SHEET ATTACAIA)e
SaWgr Pgl-Mit JUe - 2C1.Uta _ oi- sq.-f ,
v G�) HEIGyT 14 NSLSTQRIE$_�_ --&BEA._=_:'I �N�nflDQM�_' _yAI(IF A7 60("'..
OCC-LQ<1IZ_ F 9Q , LOAD C
BUILDING DEPARTMENT _'�'�
SET BACKS FRONT REAR LEFT
SIDE 13 RIGHT SIDE
Permit
THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, iON;NG
Plan Check Al REGULATIONS AND Al L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUI)total 271 ALL APPLICABLEMDFS AN: ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESI"RICTIVE COVENANTS. CONTRACTOR AND SIIB CONTRACTORS TO HAVE CLIRRENI CITY BUSINESS
State Tax 14 7• Ln LICENSE SEPARAT4 PERMITS REOUIRED FOR SFWF.R PLUMBING AND HEATING.
Total 0279.70 SIM*GO
By 7� API'I I( ANT Up AGENT -
Approved Receipt No 3 O 73 —
_ __... ..... .�.........,a.........n..r�.w.. ....,ten r._c ._........,�.... PV��1NF .. _ _.
BUILDIitiG PERMIT APPLICATION oF
"y TI DARD DATE—Ak&Kea
THE UtiD'c%,SIGNED HERcBY APPLIES FOR a PER,,', i r0!' rI-1E VIORK HEREIN INDICATED 13UILOERPHJfJ 7
V4f 9
OR AS SHOV-N AND APPROVED IN THE iCCO'�'N�:cYI ,G PANS AND SPECIFICATIONS. Q'N=C'Phl;�r -----7-
J LOT No 3 .AAL VIA/rr�0l.�
4 � n 116044.O.vN=a OL�'�QM���f. JM�I� �OBIOJRES� �� ' ARCHITECT
ENGINEER
EUILOEq JA_Wl� ANOORLSS 900 K./ �BsC�11 „�• DESIGNEP.
STRUCTUR° �NE'N ❑FlE`U1pEL — V.Ir001TION `�- ClIII E:3AIR� nRFNEViAL ❑FIREU4tAAGE_v QD`r.10L1i1UN
DcSIO£`ICE 1_..ICOM!.1 ❑ECUCATIONAL ❑GOV•T ❑RELIGlOU5[1PArio L1 CAR PORT L7 GARAGE ❑SfpgAGc Q LaB C]FENCE
OCCUPAfJ--YRl3-LANO USE ZOfI?—_li' _ ��l.r)G TYPE .[- .CY_._FIRE ZONE _PLaN CHECK BYJ_ >kA-_ Y.EA.T
�l ! v°tae
3 �-
�. > _.. _. _ -.------
- - ---- -
SEWER PEEMIT —�_____�_----------
G�_',.9f.R__.FE&Hr _IVO_ Qq_ 9, 7_J__V u— r�, �jOO_
-
I 9UILDlr:GO"ePARTP.IENT -, S578ACKS FgONr #22 �gEAq `Zi_ LEF*SIDE /,f_i RIGH TSIQE_-
Permlt' 18 �•_ _
J THIS PERMIT 15 1S.`1UED SUBJECT TO THE REGULATI INS CONT-AINED IN THE 9U1_G1Nr, CGDE, ZGNINC
I Plan Check O,,!'0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEPEBe AC;FEED THt•1' THE
`- v%QRK WILL BE DONE IN ACCUROANCE WITH THE PLANS AND SPECIFICATIONS AND IN CC�MPLiA.N%E V:ITM
ALL 10PLICABLE CODES AN,:) ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT 'NAIVE
AESTRICTiVE COVEN.'.NT3. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CUPRENT CITY BUSINESS
S;3t@ i•ax I r �T LICENSE. SEPARATE PERMITS RaQUIRED FOR SEWER, PLUMBING AND HEATING.
Teta! SDC
,_� �__� PDr-a
L. 4P071CAMT OR AGENT
,Op—Pr
Cw!�G - Receipt No
Afli RFi5 PHONE
SOC _ 4LW2
PUC - /00 _
SEWER CON'!! CT ION " (Poo
SEWER INSPECTION � �a
SEWER SUR?HARGE
r.
•E - 14
Comments .
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Receipt#
CITY OF TIGARD MECHANICAL PERMIT Permit # ---
[ascription CITY PRICE AMT
Ts_bls 3A Mechsnlcsl Code
City of Tigard 1) Permit Fee 0 0 10.00
13125 S.W. Hall Blvd. --- -
P.O. Box 23397 2) Supplemental Permit _ 3.00
Tigard, OR 97223 Furnace to 100Aoo BTU 6.00
639 4175 1) incl.
_ ducts&vents
Furnace 100,000 BTU 1 7.50
` r 2) incl.ducts&vents -
/ Floor Furnace 6.00
3)
Name of Development _ incl.vent
'.-
` - 4) Suspended heater,wall heater 6.00
Job Address or floor mounted heater
Address _ _- Vent not incl.in 3.00
Tax Lot Map No 5) appliance permit _
Lot Block Subdivision
Repair of heating,refrig., 6.00
Name(or name of business) 6) cooling,absorption 1 snit _ --
I I c. _ —
Boiler or comp to 3 HP 6.00
Mailing Address _ } 7) absorp.unit to 100,000 BTU_
Owner t` L L! \
Boiler or comp to 3 HP 15 HP 11.00
CityiState Cpl8) absorp.unit to 500,000 BTU24 --
l s
� Boiler or comp 1,c 30 HP 15.00
Name 9) absorp.unit 1.12-1 million
Phone 10) Boiler or Comp to 30-50 HP 22.50
Mailing Address absorp.unit 1 -1.75 million —
-- zrP— 11) Boiler or comp to 50 HP 31.50
Contractor -
cItyrstale absorp.unit 1,75r',000 BTU
Bus 12) Air handling unit to 4.50
State Registration No City BTax No 10,000 CFM
Air handling unit 7.50
I hereby acknowledge that I have read this application that the information given Is 13) 10,000 CFM + --
correct,that i am the owner or authorized ogent of the owner,that plans submitted are in
Non portable 4,50
compliance with State laws,that i am registered with the State BuildersBoard,that the 14) eOrate cooler — ------
number given is correctva(ll exempt from Slate registration please give reason below) J p _ _
Vent tan connected 3.00
15) to a single duct11 p
_
Ventilation system not 4.50
1 / , 16) included in appliance permit
10r r )I L) ✓ Hood served by
4.50
17) mechavical exhaust --
Signature(owner or agent) _ Date Domestic type 7.50
18) —`
�y incinerator
Describe work f) addition I I alteration i"`pair I l -- Commercial or industrial 30.00
to be done residential non-residential LI_ l g�
f}----- type incinerator
Existing use of 20) Other i.e.,woodstove,water 4.50 L.
building or properly- __ - —.----- - — heater,solar,clothes dryers,etc.
Proposed use of 2.00
building or property -- --- --- -- 21) Gas piping once to four outlets
Type of fuel-- oil I I natural -Aas I I LPG I I electric 1 ' u 22) More than 4-per outlet - T
NOTICE SUB-TOTAL )
THIS PERMIT BECOMES NUI_l_ AND VOID IF WORK OR CON5% �SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1130 — —_._-_-
DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUBTOTAL —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - TOTAL
WORK IS COMMENCED --
Special Conditions
Date issued by—— - -
cr
CITY OF TIVA RD PLAN' CHECK APPLICATION
C(iYOF if6ARD
COMMUNITY DEVELOPMENT DEPARTMENT o.1ooN PLAN Cfil;cic
t3125SW/YBAd PA.emn W.Tlge4O w 07 (sw)M4+7S PERMIT 1
DATE ISSUED
JOB ADrQF.SS: TAX MAP/LOT --
SUB: - LOT: LAND USE:
VALUATION SETBACKS:SETBACKS: FRONT: REAR: l� LEFT: — RIGHT: 1
PORK CLASS: HEIGHT: TOTAL AREA:
USE TYPE: �; f FLOOR LOAD: 1ST: 2,
CONSTR TYPE: HEAT TYPE: 2ND: _
OCCUP GROUP: ,. yam! DWELIA ITS: -- 3RD:
OCCUP LOAD: NO BEDROOMS: _ BASC'VM:
NO STORIES: I NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRIED
PLANNING: REISSUE OF: _ LIST/SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: _ BUS TAX:
FIRE DEPT,: _ FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAUS:
PARKING PLAN:
LANDSCAPE. PLAN:
PIAN CHECK BY: OT11F7:
COMMENTS:
PERMIT I DESCRIPTION AMOU TT AMOUNT PD. DAL. DUE
1 rn 0 10-432 00 Building Permit Fees ,/.3y•Sn J
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees �5
10-230 01 State Building Tax (5X)
Building _�;z
Plumbing __,UM�T�_
Mech _ /
10-433 00 i•Ians Chec� wee
Building �7,...' ..._-
Plumbing
Mech
�/1 30-202 00 Sewer Connection -- ------
30-444 00 Sewer Inspection -- - -- --
51-448 00 Street System Dev Charge (SDC) _ --
52449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chry
10-230 09 TRFD —_-. - - - -- -10 -230 OG Washington County Fire NI (9'j%) -
10-220 00 Amart/Wedgewood _
1 01 AI
Rut: 11
APPLICANT SIGNATURE —
Received By: Date Received :
cn/3587P/19P �--�--'-
*r.. '+It 'aa +wr +v as •a bar ..
CITY OF TIGARD
13125 SW HALL BLVD.
PLUMBING PERMIT P. O, BOX 23397
Asplicants mu. `told Orrgon Registration to cvrduci a plumbing T I GARD r OR 97223
buv mess«mtru be pmpedy owrher/operator not hirtragoutskk help.
(503)639-4175
Neat.of Devek4vTwt
Plumb ng Permit No.
Address oescrip6ai
ORS 814-21-610 a1M1• PP.iCE AMT.
Job Tax 10t J- -No. -- ---
Address _ RxTUFIES
Lot --- Mock - Sub6vl>�n Sink ----- 750
Ness �'b-- -- / 7.50 7. 9
ams dor Owns - -------
Tub or TubrShowex Comb. 7.50
ass ----- --�. Sftower(hhly
Watert�oset / 7.50 Ski
Owner City/Stay. - zip
Dishwasher 7.50
----
Phone Garba9e pity - 750
_ Washkg Msd+rro _ / 7.50
Name F1cbr Orcin - 7.50
1wJC3dress Ptgne Water Hester 7.50
+ _ _ L,yxdrygramTray - 7-50
Occupant Cify/Sta1e ZP 1)rimw 7.50 -
---- one Oahu Flues(Specilyl_ 7S0
7.50
Phone - --.-�-.- 7.50
750
Conttactur Cry/mate - 23p --MISCELLANEOUS
---_--- C4Y Llua_Tax No. Sewer 1 st f Ar— 30.00
Seww-ea.A".100' 15.00 -
i - e
Water Service 1st 100- ----- �- - �.00 --
Watec Servioe ea_Ad&2W' 15.00
er _
1 heby a(-tQ wAodge tih.d 1 have rose chis mppficatlM and the khiorrnatimn _. - -- -- 30.00
given is correct.shat I am regWered with the State&,mater's Board.and also Storm 6 Rain Orcin 1st_1 ar ---
hew a Stab Pkw"V kw"e that Che nu tmm given ars oort+d.that r15.00
pkxd.lkv work wh7 be done in m000xdarm with sq>lh60"s pmvkkm o1 Ore-
gon Revised Statutes Chapters 447 and 691 mild appacame codas and the Mobile Home Space 25.00
no help wN be wrhpttryed unAess$owned under ORs 653-(p ezerhhpt from Back Flow Pravenbm
State ragistrabori per-give--n be"- _ Device at M641tMlution Dvooe 7-50 - _--
r*-AAF0V'7'm-_-1'l3-::.:,: x-x;-'V-"•s-',." at the.mooedy At --. - ---
sorbed above.at wtoc'fh kxadm I propoee to make a pkx+ihin0Insh aorh for Achy Tm or Wash t*X
rhty Own tree orbit atb prh)peAy is not b&kV oonstrucded fur sale.10490 Of nK* Crxwwoed b a Fatkx a -- 7.50
Cabo h Basin -
- --------- -- ---- trop o1 E36d.Pkxrhbinp -- -- 40.00 Per t tr. -
--- -- -- -mow 11spectlo- - 40.00 Per Hr. -
Akw,of pkmthktp wtahtrh
- --- ----- —_- --- an Ex%&V 0169 ------ 15.00 mh.
---- - Oet� New elft.or 604.AdMm - 25.00 min
AU1NORQEO SIGNATURE -
_ ___ Lr�in a fattdly _
15.00 C
-
Describe work naw[_] addition❑ alteration O -rely O a4--a4--mm _- - ..
tv t)e done -^feskierdial nott "kiff tid-[L---- ---- - ------
E"t'ti"o 1me°t $25.00 minititm SUB-TOTAL, '
-- -
5% SURCHARGE'.
of
s
or�,erty-_-- ____�-- --_--- �25% PLAN REVIEW ---
NOTWE ------- TOTALf
Tlh%pamA bsoonhe+rvA srld%vtd M work or oonstrIAO&h mrRthodz+d V not com
monoed wkhln 190 deyajor N oortatnrcllo I or work 44 elrepwv%d or shen biter for
a parbd of 180 days at eny(lobe crier work a 00rttmirnsd.
*MCtAL.0010RlOtth---------___.._ - -----
Otte iesueA --- t'y -- - -----
CITY OF TIGARD MECHANICAL PERMIT iteceipt #
13125 SW HALL BLVD. Permit#
Y. O. BOX 23397 CNscriptlon —
TIGARD, OR 97223 Table 3A Mechanical Code QTY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name of Deve"ent —� 2) Supplemental Permit 3.00
Job Address _ --- 1) Furnace to 100,000 BTU 6.00
Address incl.ducts&vents
lax Lot Map No 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
tot Block Subdmsion Flo--- —
Name(or name cf business) 3) incl.vent Furnace 6.00
incl.
Mai�ingAddress s Phone 4) Suspended heater,wall heater 6.00
Owner _ or floor mounted heater
r iN/State Zip -^ 5) Vent not incl.in 3.00
appliance permit _
Name(or name of business) 6) Repair of heating,refrig., — 600
cooling,absorption unit
Mailing Address-, Phone 7) Boiler or comp to 3 HP 600
tx
Oupant I absorp.unit to 100,000 BTU-_ -
City/Stale Tip 8) Poiler or comp to 3 HP-15 HP 11.00
absorp.unit to 5_00,000 BTU -
Name g) Boiler or comp 15-30 HP 15.OG
absorp.unit t/--1 million _
Mailing Address pfq, 1 O) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor (Ity�statr -----_- - zip--" 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU T
State Registration No a City Bus Tax No 12) Air handling unit to _ e.50
10,000 CFM
13) Air handling unit 7.50
1 hereby acknowledge that I have read this application'hat the information given is 14,000 CFM t
aired,that I am the owner or authorised agent of the owner,that plana sub......ed are in —
axrtpfance with State laws,that I am registered with the Slate Builders'Board,that the t 4) Non portable 4.50
number given's correct.(11 exempt from State registration please give reason below). evaporate Cooler
Vent fan connected 3.00
15 to a single duct _..
16 Ventilation syste•11 not I
4.50
included in appliance permit
17) Hood served by 4.50
mechanical exhaust__
Signature(owner or agent) Y Date18,Domestic type 7.50
Uescribe work [I addition El alteration ❑ repair El incinerator
to be done residential non-residential ❑ 1 g) Commercial or industrial 30.00
Existing use of
-- type incinerator _
building or properly ___ -__—_____ _—_ 20) Other Le.,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Propo=erg use of - —
building,or property 21) Gas piping one to four outlets 2.00
Type of fuel- oil Cl natural gas ❑ LPG ❑ electric O
— - 22) More than 4-per outlet
NOTICE SUB-TOTAL e) C t1
THIS PERMIT BELjMES NULL AND VOID IF WORK OR CON- r---
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5°7°�SURCW4RGE G�
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PIAN REVIEW 25%OF SUB-TOTAL 7
ABANDONED FOR A PERIOD OF 180 DA IS AT ANY TIME AFTER -- -- - - -- -- -- - - - --
WORK IS COMMENCED. - _ TOTAJ_ cJ
Special Conditions
--- _ Date issued hy
�w
ROOF
�__.....____.__--•----- - ___-- VENTS
12
the
GOMF ROOF 1NGs' fI
I PELT I� ..' �/" e
1121 CDX P-30 ,i!gA.ATION
�r APPROVED TRUSSES -
ir' 440 It WINDOVdS
1/2 DRYWALL
T-1-11 SIDING R-11 INSULATION
1
TYVEK VAPOR
PARIER
EXISTING 2Y4 STUDS
- _ HOUSE ! 16' U.C.
I
2X6 P. 2X6 T&G AECKING
T. _—...r "—"
PLATE � R-19 INSULAITON
SILL SEAL_
�-.-]
14 - ____ REAR r-�, CTIEJN
SIDE ELEVATION
HOUSE
. EAR ELEVOTHIN
Vp
777
..,. i.
a 1
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