15921 SW 81ST COURT-1 IFN
13921 SW 81ST COURT
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SUM-IL
CI`1Y OF TIOARD 1-,Ek-,MI*T NO. . M.1880795 %,
P�r".'O
FfWARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON UAll: ISSUED.
13125 S.W.Hall Blvd-P.O.BLx 23397,Tigard.Oregon 97223.(503)639-4175 PPJ:M. PMT,NO. 8(3079,15
-.101i.3 AUDRIE`55 : 71-5921. SW LIPYT C'T
FAX M61:)/I OT 25J. J.P.Gli'; 6200 SUB: E;OND PA14K PI-I ZI I 1* 90 13K
I AND USE: 11112
L01 SIZE : VAIrUAT*TtJN: 111 '70 ,7"%F3 !iE:I*UA(:;KL-)
F'PON'I': 20 WEAR: 5
WOPK ("I.-ASS . OEM DWEI L .1.1N1 I'S : t F**Y* : b Pimfl' : 44.1.
W.I . EiEDPOUMS : x EXT .WAL.L. UJINS1
It'(JNS'T . VN NO. E)A'THS 13 N: 5 : E: W:
(RIXILK) . 1:43 P1401' .OPL'NINGS :
0(*.(:Itjp - LOAD N.
TOTAI APPA 1.15115.5
NO S0111105 r I.ST ; 735 11-10OF C'C)NS'r : FXPE PE-1-7
I!; : 1.GI-Tf, - 1?0 IN 1'.) 720 APFA SLPAR't 1.4A1 ED:
li",ASEMEN'T"? 15E PAP7 I:4A1*1.:-I) :
ME Z ZAN 3'.NE.-If DASEM' 'T
1;1-001:1 LAW), 40 GAPA1A;`: : A41. P-114E 5F)PKI-11? hLAAM17
FLOW(OPM) DEVE11:11,17 YF:.F..i
FIE'WT T*Yl:'E-.' (3A A 45 cal-IP7
Pt AN (:3--IE CK 13Y: i'] (.
REMARKS .
r4L-JS6LJE:' UF NO.
L-.AS'T* REISSUE
W 0 WAYWLPF. ME,LVIN JI-1 1") R M t T* 111100
N 101:1115 43W D(:)Vl5,.lr4 C"T . 4''11-hN 141`!V)A1W 111111pplel . 90
E t 1giard Or, 9*722,f-1
R
Li'TA"I'L. I AX
DE N I
0 WAYM I PIL MI:rl VIN JP SIX( S'Topm)
N ME.I.. WAYI'Vi r4F:' SI.X;(S1,141C.1,11
T 11111600 . 00
R 1,081155W DIL1VE.11 CT 11111250 00
A
C y ol r, 1:11, 972azll PPFEVA 3:D i *11-00 00)
T 1711tINK 11503) 639 6742
'TOTAL $1 1.15FIS. 20
R NO . 35976
This permit is imued subject to the regulations contained In Title 14 .........._»........w._....-._RU Et F,I I N.L).
of the TMC. State of Oregon Specialty Codes, toning regulations
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be done in accordance with the plans and F OIL)1 1.NQ SFEWL-1-4
specifications and in compliance with all applicable codes and li-OUNDA'TJON WALL. RAIN 011AIN13
-rdinances The issuance of this permit does not waive restrictive t-13F.-ST 1; DEAM WI*A,yf,:.p I.-L.W.
ovenants Contractor and subcontractors shall have current city El I INI:)F"17ri1 hp (ITTY APPrICH/SW
,iiisiness tax permits This permit will expire and become null and ll TIN161,
oid It work Is not started within 180 days.or If work Is suspended or
iiiAndoned for a period of 180 days any time after work has PL P VC11111011 I'll
onimpnced It shall he the respon'ibility of the p irmitlee to assure I"116M I Ntv
ill required inspections are reque., ad and approved PL At"C'
GAS
UNVAILAIJON
P mittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
HUII UING PGPM1`T'
CITY OF TIGA RD I:*1EJQ1M1'T NO. . UU880795
C11YOF TIOARD
COMMUNITY DEVELOPMENT DE':$ARTMENT 001C;7� DA11. ISSUED . 5/ q/88
13125 S.W.Hall Blvd..P.O.Box 23397.Tigarl,Oregon P223,(503)639-4175 C PA'.[M. PMT .NO. 080*79'5
IJOB ADD14EK5G : 1.5921 51W UILS'r Ur
I*AX MAI'-'/I...01 2S IP(:',[* 6200 SUP . BOND PAPIK 1:11 1 1...T :90 Lith
LAND
VALUAT1014 70 ,775 SE1*191ACKS
FRONT" P 0 RE A P
WOM CLASS S : NEW DWEL L .UN 11'G I LFJ*-T ; 15 F"IT(A-11Y : 111
11.11U. 'T'YPE: : Fomll...Y NO . DEDW)OMS : 3 F.*.!X*t .W61-A... (:,*()NSI* :
CONST . 1'YPE: VN NO. SAI'11-45 3 N: 5 : FE, W
CH"CUP ORP W3 PPOl' OPENINCS :
UFTAI_ APEA : 13ZIII;
NO. 51'OWTES : 2 ) S'Y* : 735 171111OF CONS'r :
I uw-i ci-rr - PO 2ND: 7P.0 AP SEPAR-1 r4A,11,11J)
S ASLMEN'r'? :SND - OCCUP . SEXI-"AR? RATEM :
11E:ZZe)N1NF_-*.*'( DA5I:;:M
FLOOR LOAD : 1(110 GAr)AGE" It lei 1. F'1PE SPAKI.A'? hLAPM?
I, I..Ow((",PM) DETEX"T"? YES
I.-IIEWT, TYPE: (:SAS
0I AN I.AY I'] I,
PLI!ii S1.11]". OF NO
1. AST' nETS9st*'
W 0 1416Y14111PE HEI..VTN JP PM X I' ill"l-les 00
N 5W PlAN F*.'0TFW 41 9 0
E g iR.I Firi." DEPT*
R t.
PHONE: 6396742 :-J*T*A1 L 'I Ax 44 1 Z A0
011-IF P
C DEVElt.OPMLN'T 011ARGES :
5 0 . 0
.0 WAYM1114E Mli.11—VIN JP S TOPM P_
N
T MKI.. WAyM1P[-;.* 151)r F( r4,T*PF_ I *AO() 00
R 100le45SW DOVEI:*f 11"T' . 1111250 . 00
A
C 97 PFI.'el P"WEPATE) < 1111.11.00 00)
T PHONE ('503) 6Z596*74F-.!
0 NO . VW?16
111 '."Jall . 20
11ECEUP-1- NO .
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and I.NG 5 F'.:W I.:.P
specifications and in compliance with all applicable codes and F(')L)Nr)A'Y'.t(:)N WAI. 1. nAIN OnAi.w.*
ordinances The issuance of this permit does not waive restrictive PO"'I* K [*.1AH W Al'E"P 1,,T.N E*
covenants Contractor and subcontractors shall have current city P11 8 . UNDERSI—AS (.,.TT'Y APPACH/Sw
husiness 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 St.AN F: MAL
abandoned for a period of 180 days any time after work has PL A . 1*0 POIJ I*
commenced It shall be the responsibility of the permittee to assure F P#401 I NO
all required inspections are reque ad and approved F T.PE I*A I.,A r"F
inspections
ons are reque ad an,
INSI 11. ATION
Uly 1`1 onmr)
P*mItteee Signature
Issued ByPH I. F4W
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
F
SEWEP P11.PKI T
CITY OFTIFARD 04�L t:,iL-*'Rmi*r NO. 4a F.
0 DATE ISSUED: 3/ A/Be
COMMUNITY DEVELOPMENT DEPARTMENT 01111111,1114111141 PRIM. PMT.NO . 81130795
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(501)639-4175
JOH ADI)PE::55 : 15921 SW SIS F USA NUMBER: 33160
IAX MAP/1-0'r 251. 12(J." 6200 SUFA: OUND PARK PH el L'T :90 SK
I.-AND US&.: . P 1.;2
101, S 1:Zk-:. I
SECTION: 12 I,wl::,: P-!fi PNO . J.w
WOPK C; AS 5: NEW
USE 'TYPE: SINGLE FAM11-Y
(;:, 1111:)P:1 :1.C.,U n t ut g r-eim w tri C El in j;)1.y W:1.tI 1 1%1.1. 1,1.11 4-P It, R I'll d I"e 9 1.4 1 lit 1.J.C)I I lit n41 the U I I 1.-111 Co.cl
5ewlvi±v,age Agency . 'T'he Per,miLt exj;):l.rvs; 120 da.1% fi-om the (Iatti6j J.41n1.1ed 111m.-I Lcitat],
ill ipf:11111i. 1.)ffiJIJ WJ.1.1. 1:3(r,) :141 Lh-il Thc-i? Agellc'y
atnl'ea t'he ac'tI.kl--acy 0.11 t-hes 143c-nti-c3n t:) F the; si.cit" fliewel, 14, the iiiewel., 1.10
11411, etit. 01(o gi.ven , thso inilitifill.ei, %hiql 'i Pl--CI%P*iW.t 3 fefat I'l-I
lis.13. direc-tJI.cins 41i,c3m the given . I-F nail, iso Iticated , the i.notall.er, ishal).
Ill mflcl In1-10 flif'? will. inistal.l. lit
ffi';i hmli-t: 1-1,10 F . ift.l.r.t..M.1,14C,
..1411PNI-71"IV.1.00:3 (11-11:71 *
I- JX I 1110' UNIT S1 JrF1 14AN't' 1'MPRr1VEMt::.N1f .
DWEI- I.-EW", UN11'5 , '11,
NO OF 01-OGS 1.
14()y 1111:4 1;' MrLVIN JP 1111315 00
1.()a Aq!.J tj 1) V 1:"A C'J' .
W CONNE111"11*10N CI-IAPCI:;.
N I.J 1.4 Ili r,cl cor, 97PiFIA I TNrK TAP
E
r-'j,4uNr.:: I n()'-.4 639--ea.-o
W A Y MI 174 F.-'. MEL.VTN JP
WAYMIRE
N 108,0455W DOVEP CT .
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R ti gfltl"cl cir- 9'1R;P/.j
A
C PI-i(INr-.: (60'3) 639-6'741r2
T NO . 35976
l'OT Al... ' 135. ()o
FIE:(',Etl.')r NO,
T his permit Is issued subject to the regulations contained in Title 14
PF-
,.)f the TMC, State of Oregon Specialty Codes, zoning regulations
.QU.TPF'r) TNSVIEC'TIONS
and all other applicable codes and ordinances. and It is hereby ROUGH-1 N
agreed that the 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 reshictive
covenants.Contractor and subcontractors shall have current city
business fix permits This permit will expire and become null and
void if work Is not started within 180 days,or if work Is suspended or
abandoned for .9 period o' 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are iequested and approved.
'-'equ"-0-inspections
ermittee S nature
CAl..L F-011 TNISPECTWN 639—ell 7,"9
Issued By
SEPARATE EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
IL
ff r r
MECHANICAL rEwmi'r
C'TY OF T'GA RD rcRmi'r NO : ME880797
Cll,:'j7fTIW�ARMO DA'rr:'.: ISSILIED: T,/ In/88
COMMUNITY DEVELOPMENT DEPARTMENT PA'r.M. im'r.NO. 8010,719-5
11311::;3.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175
JOH AUDIIIIESS : 1-5921. 15W (I'LS11' (.. I
---
IAX MACS/LO'T P-51 I.P(*C' 6200 SUB: HOND PAPK PH 4 I...'T 90 F'J K
I-AND USE: P1.2
1.(:),T* SIZE :
ITEM: NO :
WOr41( CLASS : Nl:-;W F1.114NACE <11.00K I ATP HANULP <10
USE TYPE: SINGLE IFT)PNACE, 1.00K+ AIR HANDLIP! 1.0K
(:,ONS1' . I Y'PV: VN FLOOP F1.JPNACL';-' r-:VAP .00OL-EP
OCCUP,CAP , : A3 Ij-iEA'rEP VENT FAN
VENT VENT . SYSTEM
81-14 COMP <1,511-1 P H000
NO. 51017IES : DI...A '3- 5 H P TN 'INr:RA*r(:)r4(DOM
DWELL .UNITS : 'I. GIL-A/COMP 15-301-413 INCINEPATUR WOM
I.;J.Jjj:'J.. -1 YPF,: GAS 1911-P/ClOMP :30--0501.41':' Avi'PAII-1 UNITS
MAX . INPu'r 1011-1-1/cIII)MP 50+F113 OTHLP
1.11:41- DMPPSI? GAS PIPING OUTI....F.JS
1-41:01-4
I Ow PAESS"t
WAYMTI:lh;' MEl...VIN JA r,r.1:)M I r $10 . Oo
0 106-1.5 SW UOI)ED
W $10 13
N tigord Or WeVA IFIXTUAES 1111130 .50
E
R (50,A) 639-67/112 Fb AT 1: TAX *P 0.4
C; N(:)nMAN
0 S P F-(.'XAL..T'Y FASPTCATION
N t?.-.49dJ W 7-
T .1
R
A
C PHONE (5OZ4) 6RO 5613
T PE*GISTPATION NO irOTAL :
0
R
RecizIPT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and POUCH—I IN
ordinances The issuance of this permit does not waive restrictive V T NAL
covenants Contractor and subcontractors shall have current city
business 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
abandoned for a period of 180 days any time after work has
Fornmenced It shall be the responsibility of the permittee to assure
all required inspections a requested and approved
.:�'P m
mittee 1;iVatilln
rAi i rtin tN41pEC-rT
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN IDESCRmErl f F JVE
A00
F
CITY OF T'FA RD I
cmoj�L ra PERMI r NO : PIA080796
Onoft DAI'rK SSUE.A.) : 5/ q/88
COMMUNITY DEVELOPMENT DEPARTMENT 1"'P.Em . PMT.NO. 880*795
13125 S.W.Hall Blvd.,P.O.Box 23397.rigard.Oregon 97223.(503)6394175
"14E.4 ADI)PEE:.5S : :1. 1. sw BIA-51, CT
I'A X M A 1--,/1. 0'1 %y51. 12.C(': 6.8 0 0 SUB: DOW
PARK PH I I.'T :90 BK :
1-.AND tAX-': : A1.2
I V C.'11: NO: NO:
WOW (::LASS : NE"W WA'T'T 3 1 rTAPF
USE: 'TYPE : SINGLE FAMILY UnTNAI BKFA..Ow PPI.'fq'T'P
CONSI VN LAVOPA'rony '144AP PPIMEP
OCCUPAMP. f'13 TIJN SHOWE:R 2 CPEAGI'-.. 'Y'RAPF6
DISHWASHER
GAPDOICE 0151-'43SA.L.
NO SMIR LEA : P WASH:(NG MACA-11'NE' I.
DWELL .UNI'T'S A
1. LAUNDY T*PAY B11 DG - DIIAIN (010)
FLnOW DPAIN
SINK I. c;E:WC:P (F"T')
WATEP 1 FA11:111 I. !:-'Y'(:)RM/PA:[N WT
(31'HEP
IA.::MoPK!F, :
_-A I
MEA VIN JP PE:AIMI F,
ll
0 :1.0945 SW DOVE CT 0140 o
W
N tA f'I ilk 1,(1 1 Xt 144F.,US
E
R PHONE 11503) 639-67,412 s rA'f'I', TAX 41;r 00
C WA T T!:_J KEN
0 KFN WAI T'S PIAIMBING
N
T Pci SOX 230925
R 1. 1.f;1111 r CI car,
A
PH(")Nl-.. (50'3) 684-6626
tm NO V301478
0 1 MAI I 4"Or 11)11+
R
No.
I his permit is Issued subject to the regulations contained in Title 14
of the TMC. Stale of Oregon Specialty Codes,zoning regulations :C
of
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and POS 11'
specifications and In compliance with all applicable codes and W6*111:1) L INE
ordinances The issuance of this permit does not waive restrictive IN, R 'T'W'01.11'
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and POIN UPAINS
-void it work is not started within 180 da a,or it work is suspended or F T NAL,
abandoned for a period of 180 days any time after work has
ed
.commenc . It sii I:1e the re ponsibility of the permittee to assure
.commenced.
r
all required inspections are r quested and approved
Permitte
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
■ A t"7
�a
CIIYOFTIFARD (� PLAN CHECK ADPL]CA 111;11
Pl_AAi -r IV
CrTYOF ijoARD PERMI. N _
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUED
13125 SW lidl Blvd P,O.Box 21397,Tigard.Oropon 97223(503)&W4176 — -
JOB ADDRESS: s(,j -/ C TAX MAP/LOT �•,S I _/Z CC (,;?-vL)
SUB: r rF:'r, /( _ c/ LOT: U LAND USE:
OWNER SPECIAL NOTES
NAME: �� (.�Jc?t/„ �+ REISSUE OF: _
ADDRESS: lLJ Kc/ S 140 D iU44 LAST REISSUE: v _
FLOOD PLAIN/
SENSITIVE LAND
PHONE: ✓ 7/7777 --
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: ENGINEERING:
ADDRESS: ^ _ FIRE DEPT
OTHER:
PHONE: _ ^� _ ITEMS RE UIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: _
NAME: --- j _ CALCULATIONS: _
ADDRESS: TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: 1 41 S7777 OTHER:
COMMENTS:
PERMIT # ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
.L _ L2 10-432 00 Bui.ldirg Permit Fees -ZL(o 17
10-431 00 Plumbing Permit Fees /Sl (D
% 10--431 01 Mechanical Permit Fees f.41 G,P
10-230 01 State Building Tax (5X) 6.33
Building /7,3p _
Plumbing 7,0 U
Mech -�', b
3
10---433 00 Plans Check Fee 2T.j,C> /o3S.v3
Building -. 24, G
Plumbing _
Mech
30-443 00 Sewer Connection (20X) _ yU
i 30-202 00 Sewer Connection (80X) f
� G
30-444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52--449 01 Parks I System Dev Charge (PUC) _
52--449 02 Parks TI System Dev Charge (PDC)
31-450 00 Storm Drainage Syst: Dev Chrg (SSDC) -_•1.S_Z
10-230 09 I'RFD (95X) �-
10-435 00 TRFD (5X) --�-r -« --�-'
10-_30 06 Washington County "ire N1 (95X) _
10-435 00 Washington County Tire q1 (5X)
10-220 00 Amar•t/Wedgewood _
TOTAL ��� 7,?(j
RF.0 N
APPITCANT SIGNATURE T
Received By : _ -`- Drate Rt,cvived:
ht/31017P - _. .._._._._.._._ ._• -