14460 SW 80TH PLACE w w R�1
)446C SW 80TH PLACE
f/
(D
Ll
m
CL
t
0
co
3
ch
0
0
I I
t
CITY OF TIGARD BLDG. DEPT.
12420 S.W. ti1.^ N STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR.
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcti,,g:al
r
--- _— _
Date: �' ��'- ?� ` Perri" "Jo.
Inspector
CALL FOR REINSPECTION
I
....., -.w arra---...,t.5'>•,71�-y,,,�)..--'T'-'`�- "'1--r-.-,'�•-v.-Rrr^oc.---.-..._-..
•tom"-'„--• .r�.. -.,._.�...____.�..-,.__Y.,,,.t'�„*,�,.,I__"T"T.'.�yS�y' r
BUILDING PERMIT' APPLICATIrITYON of TIGARD DAIS
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ^�r;)MPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._ _
OWNER �'•,°�'C1Y rC?E1?a`t"� JOBADD_ RES_S ''460 SU tin} ' CY.�i-2C: 3 HOME AUDRESS _
ARCH'TECT v-
BUILDER ADDRESS 1i; 1Iui:- It UQX 41ER
�HubbrIN INLR
STRUCTURE ❑NEW ❑RFMnDEl iOADDITION ❑REPAIR ❑RENEWAI _ ❑FIRE DAMAGE_ ❑DEMOLITION
[:] RESIDENCE ❑COMM ❑E:000ATIONAL ❑GOV'T ORELIGIOUSOPATIO (:]CARPORT 03ARAGE OSTORAGEOSLA13 ❑FENCE
_OBOND ❑MOVING OCONDITIONIL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
l•. �,A iJ;r
OCCUPANCY —LAND USE ZONE_�--=�D.r. TYPE_.-_-------FIRE ZC4E— PLAN CHECK BY HEAT.
_-. _!' L f1P11J1A� C�W1ii.�.l.irt}C� 4,t�s7^�:�l3ll"���•Q (y#i3Cw��ir"� ++ f',jtr )ill;. ?1;f?
QQ_;. LQAAQ Fi-QOR LOAD lit) FiELCa.tiL__ 16 N-Q-5-TQRIE�.. A 1.�� fZF3Ql)MS VALE
BUILnING DEPARTMENT
ET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit p"1.CI;) —
THIS P.RNIT IS ISSUED SUBJZCT TO THE REGULATIONS CON I. :NED IN THE BUILDING CODE, 70NING
Plan Check �) i. 1� RES',Lo",TIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Wr nK WILL BE DONE IN ACCORDANCE WITH THE PL ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total .j'I ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PkRMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAIfE CURRENT CITY BUSINESS
State Tax '. Lf} LICENSE SI PARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEA-'ING.
Total51 r,+. ?t l PCIL =2 1100*(it)
yr p1 _
grnLICANT OR Ar,lr,l -
AnoruVEd _..� _. . ...d,...1 R''c",t No. _
DATE (NSP. TYPE INSPECTION REMA VKS PLUM3ING DATE
Contrqctor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit Na.
-L--TQ. �' --27-7741
Gas or Oil
Rough4n
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainer
(Rain -)rain)F,nb!
Sidewalk
JT
Curb&Street Final
.Curb
NLDr,L DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANIY
CERTIFICATE OCCUPANCY Final
Landw-spin I
Zoning i:final
7
J.
CITY TIGARD DATE—MAY 2I�'?919 ,q____ �p
D'UILDING PERMIT APPLICATION of /� y
;,;. iINDE R�,IC,NE-C HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN 'NDICATED El !ILDFR PH0Nr—a_/-��/�
FAS SHOWN',ANL' APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS C' Arlt h PHONE
I OT NO.
F �vA✓fie Ly mss'' i���o S° rz:7i HO
JOB ADDRESS • � HOME 4FJDRESS/
,�(����LC nn y ARCHIL E.LT --
R NELR
..6s 0&L2%DFE5S� DESIGNER
RE )VEW,-�0RFMODEL— ❑ADDITION ❑REPAIR ORENEWAL CIFIRE DAMAGE _❑DFMOLITIC
�NCF L--1�rAMM ❑4•DUCAT,nNAL ❑GOV'T ❑REL1610USOPATIO OCAR PORT [GARAGE ❑STORAGE(:)SI AB []1 t Nt
IP!IND ❑MOVING nNDITIONA! USE r �ODESIGN RFV11 W ❑COUNCIL APPROVED []SIGNS
t i'4N!V �'� 14ND U`E If1NE/ �.__BLDG TOE _-f IRE i ONE PI AN CHECK PY HEAT
-----
80044
G
--- ---- _ C dos-
"AD
� i�i IiNr, PART NT RIGHT SIDt
/ ^' y�
—� SET BACKS_-FRONT REAR Iff) I FFT SIDF /
00
d;[`•' "� THIS PERMIT IS ISSUED SUB.IECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONIr
!an (1-4 k /0 3,�� REGULA710NS AND ALL APPLICABLE CODES AND ORDINANCES. 14ND 17 IS HEREBY AGRFED THAT It
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AMD SPEC' FICATIONS AND IN COMPLIANCE WI
;Ub IUtal 310 . J70 ALL APPLICABLE CODES MND ORDINANCES. THE ISSUANCE OF TAIS PERMIT DOES NOT WAI'
Q RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAN F CURRFNT CITY B(fSINI
' tnts, Tek .y D•Z� LICENSE SEPARATE PERMITS FIEOUIFIFD FOR SEWER• PIUMBING AND HEA1'NG.
Total pgk
-- ---- ---- -- APPIICANI &I AGENT
i 1pNrn cd Receipt No WAVERLYCONSTRU_CTIONCO.
1 BOX 41?C H
'HUBBARD ORE. 97032
Uc)o
a�C 7i /00
h'
0 G.
?- x Cm
3G 8 X 44 /& /3
qr
j 90
�"vie. 2/- 4 K23--,B �s �' , /� 7S7s
i
I
C- r-v 0f rIclC-1 d Mechanical Per;ni'f
i Fee_ _ cn
New IRStdI!at�OR
Re.-)!ace lV Rel-acdtion �� iddi ion Al;efa:ion D /�L State.
' �� ) !j 'TOTAL X.J ._
LC:?'TRACTOR 7) ��it/_fzt_C d pe. OWNER "' rII>��F1� (�oPja 71 -
x- —y--=
ADnP,ESS ,� 2S `Z //XYZ �l�.Y+��LWORK. DRF S �)
PHnNE —Q �� Z W APPLICANT
Heat Input Rating (EJTU Per Hour)_ /QO *1 Vent Size _— Flue.Size
� FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FE
For Issuance o! Permit --�--^3.00 kir Condition Cornpressor_l5 to 30 HP �— 10C
s_ 00,000 i3TU + 4.00 Air Handling 10,000 „FM
New- Under 1
; + New- 100,000 BI & over ._1-- '5.00 Air Hand!mg_Over 10.000 CFM 5.(
yr Floor Furnace _ 4.00 Evaporative Cooler 3—(
`r — ended 4.00 Ran —
�- Wall • Fioor - Suspended � s' Vent Fen 2.(
Install Vents Only �—i� --- 2.00 Vent System_ -- �4 r a.(
wj Repair . Heat & Cooling _ 4.00 Hood Commercial_ — `—�— 3 r,
lgir Ai- Condition Compressor Under 3 HP _ 4_.00 Commercial Dc: System _ 10
r .air Condition Compressor 3 to l;i HP � — 50
E�--
'NSPECTOR'S COMMENTS,_.__—`-�
CITY BUSINESS LICENS-- RECUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
"PROVED BY _ DATE ISSUED BY----- DATC
` RECE IPT NO.