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15680 SW 79TH AVENUE-1 c 15680 SW 79".iH AVENUE v C v d 4J L 3 U) 0 in v, I CITY OF TIG,ARD MECHANICAL. PERMIT Receipt# Permit # Description — Table 3A Mechanical Code _ CITY PRICE AMT City of Tigard 1) Permit Fee -0- -0- 10.00 13125 S.W. Hall Blvd. _ P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.0,,) 639-4175 1) Furnace to 100,000 BTU incl.ducts&vents �•OG 2) Furnace 100,On0 BTU + , incl.ducts&vents 7.50 Name of Development Floor Furnace 3) incl.vent 6.OU Job Address --- _-- 4 Suspended heater,wall heater Address _ �) :f C{� �/J /- ) or floor mounted heater 6.00 Tax Lot Map No. Vent not incl.in Lot EElock Subdivision 5) appliance permit 3.00 Name(or name of business) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Mailing Address Phone Bailer or comp to 3 HP Oa er �) absorp.unit to 100,000 BTU 6.OU Cay,state zip 6) Boiler or comp to 3 HP-1511P 11.00 absorp.unit to 500,000 P,U _ Name Boiler or comp 15-30 HP 9) absorp.unit 1/2-1 million 15.00 Mailing Address Phone 10) Eloiler or comp to 30-50 HP 22.50 absorp.unit 1-1.75 million Contractor City,Stale --- zip 11) Boiler or comp to 50 HP — 31.50 absorp.unit 1,750,000 BTU State Registration No, City Bus Tax No, 12) Air handling unit to 4.50 10,000 CFM I hereby acknowledge that I have read this application that the infoi ,wlon given is 13) Air handling unit 10,000 CFM + - 7.50 correct,that I em the owner o,authorized agent of the owner,that plana submitted are In -- compliance with State laws.that I am registered wl'h the State BuildersBoard,that the14) Non portable 4.50 number given is correct (If exempt from State registration please give reason below), evaporate cooler Vent fan connected -- -- --- ------- - 15) toasingleduct 3.00 _ i---—= Ventilation system not 16) Included in appliance permit 4.50 17) Hood served by mechanical exhaust 4.50 Signature(owner )r agent) _ Data ) Domestic type 7.50 Describe work O addition LJ alteration ❑ repair E] 18 incinerator _ to be done residential L] non-residential [1 Commercial or industrial --- - -- _ - 19) 30,00 Existing use of — type Incinerator building or properly— __-�� ?0) Other i.e.,woodstove,water 4.50 Proposed use of "---' heater,solar,clothes dryers,etc.- building or property - 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas U LPG ❑ electric L I -- 22) More than 4-per outlet NOTICE — SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - ---- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS S,'ISPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL - r Special Conditions - ---- —.-. Data issued------ by -- — N w wAtwowwj -� _.;�.�\ice, -.f-'`�,..--�`.��•� / I I C4 m d I co w cd � tai 3 ' O tri e `+1 ~ too u a p bq � OD ,o p (; V i u (, n N ! H a bu c v' .A p y Q Go H1 I to UI 'D sww A- i ► . � �z � ' �1 � _aui:lr�cen+�o'ttioTw :ate.�l��& �':.�...a Y<.•-:.--e-----.—"�----" 5.;_��.. :._"�,_T�L�;� :. r� 1, �S jgyd Y• �' ��,1�� ' .r(.•f. fl�'`•�_ T'_.lhl�� ,`,�/ - �y g- 4.1 .l Or- �l INSPECTION NOTI"'E City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 39-4171 Type of Inspection Date Requested Time A.M. "Y P.M. Address Permit *--t2J'� Owner Lot Builder I The following Building Code deficiencies are required to be corrected: 00 Presented to /o/Approved Inspector U Dkopproved Data CALL FOY REINSPECTION '. YES 0 NO F I. INSPECTION NO-TICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Address Time �AM-_P.M. *,K; -L;�P Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected.-",. Presented to oved Inspector UPProved Date ALL FOR REINSPECTION DYES ONO INSPECTION NO'i ICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection . 6 - _ (��� - Dme Requested Time. A.M. P.M. Address � i � �' l�.'�/a,. �'—== '-----__ Permit #�._�_Owner.— Lot # Builder —' The following Building Cc)de deficiencies are required to be corrected: _ -- r � I Presented to Inspector R_ .�--1 Approved ❑ Disapproved Date CALL FOR REINS ECTION (� YES NO I f iVl� SPECTION 'VOTICE I City of Tigard Building Department I. 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested Z—fC Tame A.M.---P.M. Address Permit # ' i Owner Builder fThe `,flowing Building Code deficiencies are required to be corrected: ( Presented to _ ❑ Approved Inspector ' Disepprovad Date _-- ,/�—,�O �"��� CALL FOR REINSPECTION �^E8 C] NO BUILDING PERMIT APPLICATION TIGARU DATE.—_-jul" 21 ,19 ±3_. 4527 THE UNDERSIGNED HEREBY APPLIES FOP A PFRMIT FOR?HE"ORK HEREIN INDICATED BUILDER PHONE _?_4."7505 OR AS SHOWN AND APPROVED IN TIME ACCOMPANYING PI-1\NS 'SND SPECIFICATIONS. awNER PHONE— _ l(-T NO._ ROU 2�;I 12C — OWNER "etro �Icmisiwi It1C.. JOBADDRESS )5660 $14 19t',_i�Vt3. _ ARCHITECT ENGINEER BUILDER ;orx' ADDRESS 9600 S14 Capitol 1ir�. DESIGNER,— STRUCTURE [R NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM f7I EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO_❑ CARPORT ❑ GARAGE D STORAGE ❑ SLAB❑ FENCE OCCUPANCY '4`1__LAND USE ZONE " __BLDG.TYPE _ FIRE ZONE PLAN CHECK BY ' ` HEAT _— ronstinict Garage nnd_shtlp_ hldr. roll. n►r plans nevi code. SEWER PERMIT M " OCC.LOAD FLOOR LOAD _ coria WEIGHT ' NO.STORIES Is ARE0.BEDROOMS I VALUE 17 h 7� BUILDING DEPARTMIcNT SETBACKS FRONT REAR SIDE _ RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING t�� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY�4GREED THAT rHE Olan Check-- _b ,_ 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 .4 Sub-total 162.51 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE-SEPARATE PERMITS REQUIRED FOr SEWER,PLUMBING AND HEATING. State Tax 3. 14 SDCTotAl 100.4 --- _ By diii j PDCrt A PPI IGANT OR AGENT Approved — Refcvipt No. ADDRESS -- - ------__� _---- PHONE —_�_ r r W q ► w r 0.14TE INSP. TYPE INSPECTION REMARKS PLUMBING DATE G'I — Contractor Permit No. _ Rough-in _ Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWIR Final DRIVEWAY Final Storm Drainage Y � (Rain Drain)Final Sidevialk _ Curb R Street Final Appror,ch BI.DG.DEPT.FIN'•L �— TEMPORARY CERTIFICATE OCCUPANCY Fine (CERTIFICATE OCCUPANCY Len*ceping ZoningFinal � iw I� � � a a[ 11n► � u 3UILDING PERMIT APPLICATION 1IGARD DA-rE July 2 4526 THE UNDERSIGNED HEREBY APPLIES FOR A PEPMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE 246-250i 09 AS SHOWN AND APPROVi.D IN THE ACCOMPANYING PLANS AND SDECIFICA TIONS OWNER PHONE LOT NO. 1_-_1,500_.3 1—1�__ OWNER_ �n_.�10 1lptA91S17 lA@QADDRESS 1`>h '•1 `;'; C�i +V� ARCHITECT —_ BUILDER ENGINEER ADDRESS 950�J Std rapitl1 i1�rj►. DESIGNER _ STRUCTURE X NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION 0:RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO J CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE ft'* BLDG.TYPE— 5'' —FIRE ZONI-- -PLAN CHECK BY COnmtruct Sin;{le Fmmily OwrllinY uj'attacflej ;7ara ,,e - - ' SeT7tic rank to ?m Issed; 3 ledroan 2 tants SEWER PERMIT# OCC,LOAD FLOOR LOAD 40 HEIGHTit NO.STORIES Z AREA NO.BEDROOMS •1 VALUE r BUILDING DEPARTMENT SETFjM;KS FRONT A_! REAR _ _ LEFT SIDE RIGHT SIDE Permit 39 1*00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODER AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 254. 15 WORK WILL BE DONE M ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CON,,'3LIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIVE Sub-total 645.!r) RESTRICTIVE COVFNAP;TS. CONTRACTOR AND SUh CONTRACTORS TO HAVE CURRENT CITY BUSINESS Stag Tax 15.64LIrENSE.SEPARATE PEROITS REQUIRED FOR SEWER,PLUMBING,AND HEADING. 6tiU. ;'�� SDC— 400.130 Total PDC# !T I(K).()o APPLICANT OR AGENT By _ ft+nj Approved AC6 Receipt No. --- — — PHONE � f iiiiiiiiiiiii,w � t1t t� tel► OF BUILDING PERMIT APPLICATION 'riGNRD DATE IYtly 2 3 to .13 4526 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FO:1 THE WORK I1EREIN INDICATED 13UILDERPHONE ?46-3505 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER 9tztto,FIQUit;li• r iz 1000ADDRESS i 15ff, %111 %9tl� ,1ye. LOT NO._ 1�.QQ U1-12� . ARCHITECT y - BUILDERr'$L1N ADDRESS 9600 St-4 (capital `twry. DESIGNER STRUCTURE ® NEW ❑ REMODEL _ ❑ ADDITION— ❑ REPAIR — ❑ RENEWAL _( ' FIRE DAMAGE ❑ DEMOLITION U RESIDENCE ❑ COMM 1-1EDUCATIONAL ❑ GOV'T 11 RELIGIOUS ❑ PATIO 11CAR PORT ❑ GARA13E E STORAGE_ ❑ SLABi 1 FENCE OCCUPANCY ~•j LAND USE ZONE ..BLDG.TYPE _-!"'--FIRE ZONE PLAN CHECK BY ' HEAT—7"23 Coonetrdet Odin;le Fenily I)-\4ellir4, 1.j: stt eiled varas;c� — ---- —__---.Sortie Cany; to be ager l 3 lednxm 3 Lathe Fix. unit„ SEWER PERMIT# OCC.LOAD FLOOR LOAD {t) HEIGHT_ 14 NO.STORIES 1 AREA NO.BEDROOMS 3 AVALUE BUILDING DEPARTMENT_ SET BACKS FRONT REAR LEFT SIDE _ RIGHT SIDE Permit '391100 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 254. 1 5I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCiFICATiONS AND IN COMPLIANCE 1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 645. 1-,7 RESTRICTIVE. COVENANTS. CONTRACTOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 15.�G 1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Total 1160. 19 SDC-- 400.00 PDC# l T 100.00 APPL'CANT OR AGENT �By Receipt No. LApproved - PHONE OAT E� INSP. TYPE INSPECTION REMARKS PLUMOING DATE --� �L�4t�� — -- _�� Contractor o — -- �o'� PermitNo. 3 0 4 s• 1 Rough-in Fixture c► P Final — GI HEATING Ccntractor �- -— Permit No. �� /L Gas or Oil Final .---- — SEWER -- -- - — Final — DRIVEWAY ^ Final :;torn Drainage (Rain Drain)Final Sidewal Curb A Street Final iI Approach —BLDG. DEPT.FINAL �r- TEA�PORARY CERTIFICATE OCCUPANCY (anal CERTIFICATE OCCUPANCY Landscaping Zoning Final — r KWIWIN BUILDING PERMIT APPLICATION TIGARD DATE- THE.UNDERSIGNED HEREBY AFPLIES FOR A PERIAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOWIPANYING PLANS AND SPECIFICATIONS. O.VNER PHONE T LOT NO. OVINER lje t, TW..JOB ADDRESS I (D6O sto 7 f-. Q - ARCHITECT /� d ENGINEER BUILDER ��'�►7ADCRESS _S'UVG'�. rDESIGNER STRUCTURE NEW ❑ REMODEL ❑ ADDITION -❑ REPAIR ❑ RENEWAL - ❑ FIRE DAMAGE ❑ DEMOLITION U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT GARAGE ❑ STORAGE ❑ S,LAB❑ FENCE s OCCUPANCY _LAND USE ZONE SLOG.TYPE _FIRE ZONE_.PLAN CHECK BY HEAT.— -----.- Gvwi--�rCw� �+�o►•o e � soh �.�--�°1�___�'��"—'*�- Q •- -- SFWERPERMIT K -- OCC.LOAD '� FLOOP LOAD("o/VC. HEIGHT /-I-" NO.STORIEiS AREA NO.BEDROOMS p VALUE.'_ BUILDING DEPARTMENT SET BACKS FRONT -telREAR /.2 0 L-FT SIDE RIGHT SIDE Ponntt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZOWNG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TPE PlanCheci WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIGAT'ONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total ,J .j RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT CITY BUSINESS UCENSF_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SOC-- Total —. .--- -__—---------- -- - PDCA APPLICANT OR AGENT By Receipt No. Approved ADDRESS — PHONE �- SDC =, RDC - SEWER CQNN CTION 5 r SEWER JNSPECTION $ SEWf�A SUFCHAR>;E '$ C _Q• --------_--- - So ffMKMEMAffp do, '17 1 .2 ,2 W R R ■ R R R R A?! . ..------- -------------------------------------------------------------------------------------.. ,St INGTON COUNTY DEVARTMENT OF PUBLIC HEALTH CR_I-)C/ c Administration Building_ 150 N. First Refer _ Hillsboro, Oregon 97123 Telephone 648-8688 Subject Location Health Department Memorandum The subject noted above has been reviewed and the following decision is recorded: No Yes ( ) ( ) . . . . . .Health Department requirements have been met in full. No Yes ( ) ( ). . . . . .Additional requirements as follows must be met before Health Department approval can bL given. Comments Date Public Health Sanitarian 7/72 WCDPH SE-4 G" )\4,r VO4 E3 CL Lr 0 LU Uj2f C) 0 tr 2 ¢ > CDO6 LLI w ,too `..; Y.:•y .1 r7✓1 V1.. :!r f` 4 d r ,- .n o y, A.-.L r� `r�, }1 • d b O J -• 1 r.M N1yM1 1 Ir•N nr 4p •�o< o Y DO Ob J ..Cr;,;c,�n o ."..; .1 IVa h.. M1 .,N 11 �l N ,-.►H♦ f «.►-r 1- •- - u r g';.;• +db .. s i 11 11 11 W V-nn.n.it• <.0 \Y In C(` R If L N 1• >R M y IV \•. �'' M 7 fl Y .' 1 �= n N N N O I• VI V7 yl ! u.-.Qr•+ l LL a m , • a O N J v1 rr Or a rr N a y r N i o t J W 7 M W '^N N .-•7 on J n ' Y .[•r/r o n 7 VIN r'1{ e �V V -•.: _,J C Y Ni1ye a It w • /1 .P I.r...rN NN yIn MY.N••' tIF 1 • O u c r, 1►0 00 O n o -•N (� 1 5 1 ► .-r•.- t •-rrr•- ..itr R� n r•. k r 15 tnoln n �•I 1r N �r J I or .-O Nr �% r j_ N N 1 • Z u V o _ M N Nm V v I I 1 N N a trnQa I- I- T w ;s t •A� I � o w M aI • �, � r. r J n ••. e O t U IU N G •. 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N u e• r•a � R: f� � r. • • ••1 fL' j ( - r p .. nor rc.c•r ea l . 7 - •n .r 7� �^ I �.' .'�e e� n � C7p w O H IL EA f 1 a . • N w .. . r /\ \ N • IF BUILDING PERMIT APPLICATION TIGAPO DATE--t—^! Z/ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON !; '.2y-AJ OR AS SHOWN AND APPROVED IN Fh-ACCOMPANYING PLANS Nn SPECIFICATIONS. OWNER PHONE l' ''rr ' ` ii 7 LOTNO.-/O S1• G O'rlr�eFl ae` Ite [�0'dLs�Jh�l„ ';8 ADDRESS N(0190 SO A..• (:*et ww J ARCHITECT ENGINEER BUILDER �i ADDRESS (:* t40� Ib DESIGNER STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ F1RE DAMAGE ❑ DEMOLITION RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OGC,UPANCY LAND USE ZONE BLDG.TYPE � —FIRE ZONE__ PLAN CHECK BY �_HEAT _ —QAZ4 7w c- T SfA/[iAE' -r7*Ae Hs- SEWER PERMIT K _ - tAsi _�7 I A• 8 Fi Y. !��i s,f OCC.LOAD �" FLOOR LOAD yW HEIGHT NO.STORIES j AREA/07J/ NO.BEDROOMS VALUtg jow BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT^,'".'E RIGHT SIDE_ Pormit 90l THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING Plan Check s a /S REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TKAT THE --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AN:, oPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sut lotai RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS;NESS • a/ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Ta>� i' SOC— ._ Total PDC# APPLICANT OR AGENT By A roved Receipt No. PP ADDRESS PHONN SDC PDC s o g .�'" w T• k Co.40aig +�. ►. Ic a - SEWER C04%K.GTION SEWER INSPECT I0 SEWER SURCHA � S ___� Sepal f. To It • N�ol _ _ So i c / 2.2 l 4i al e' i -5 7,6 P 31 yo s� Rd C7 ��