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11600 SW 90TH AVENUE ♦ ♦ • 11.600 SW 90TH AVENUE - a" ' � 4 • 1 I 1 1 1 � C7 L) SIS � �� `"• � I 43 � �''( •-1 ' Vl J (�j r Nf ..,jr=f� 1��1A11� � M 111f Y It?, d r . N 7y 1 r r V4 hi v bid wl.VIA,�{;'�` r, •.�'*,f,; €� `� ,1� .Wi�', t • • (fy d tp INSPECT j-A NOTICE City of Tigard B dlding Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 636 4171 y Tvpe of Inspection (Date Requested—_2=a / Time A.M. y� P.M. Address � Permit # _�C�_:_ r%wner—mac" — :zx=ail !� !_ Lot # Builderaa The following Q Ilding Code deli eneies are required to be corrected: A �.� .. . Presented to � .__.--•_ proved �ilYpn�iur ,_ / ❑ Disapproved Data rT� ---- 1 CALL FOR REINSPECTION 0 YES 0 NO W!i BUILDING DEPARTMENT, TIGARD PLUMBING PERMIT N ,6 � A I _, holder of a valid plumbing contractors lioanse is hereby authorized to csuie`plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installatiw, , require inspection by the City Inspector who shall be notified not less than four- (4) hours prior to the time the installations are ready for inspection. City ot' Tigard Business License required for all contractors and sub-contractors. Job -`�=�- h Address 116 4<) Owner_ _ Date.1. ' NUMBER OF TOTAL TYPE OF PERMIT _ ITEMS FEE ON EACH AMOUNT -fLMP-1KT-I A L Sinyllo Femlltr--1 bath—each _ 25.00 Duplexes Each 1_baih unit ~s 25.00 _ Additi:.nel bathrooms—each_ 1000 -- MobPe Home Space—each 1500 INDIVIDUAL FIXTURES C0�11�ERCIA — _ - 1 to 50 Fixtures in 1 build 2 -each _ 3.00 F 51to100Fixtures in 1 bt 111 t n� eo_ ch— 2 50 _ 101 to 200 Fixtures in 1 buildiy�eNch--_� _ 2.00 _201 or more Fixtures in 1 building—each '1.50 — MIS — f (.J[T -- Sewer-ea`h_!!!ditionel loo ft. _ _1000 _ Water Service to builds op v_ 5.00— Other S ecifyl: PERMIT_ �1 00 for Plumbing Inspection Phone 6394171 4 Statee �+'� Plumbing Contractor B" 6k TOTAL _ /'.h_. RECEIPT NO. �' �, i!' Issued By aAL- V.._.....-.,.,.r.»-w..roy ,. yr+�+-..--.....__-_.-_.....,...,,,.---•.- �+..++n.,q. ,_.....e,..�A_.. .. ......... ,,,....-... �... BUILDING PERMIT APPLICATION `QFY TIGARD DAT�__���1'� THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 1 HE WORK HEREIN INDICATED 13UILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION OWNER PHONE–_,___.__ — LOT NO. OWNER ley ly ;L;(j (jrJ JOB ADDRESS LIGOO Ski HOME ADDRESS Ui1NC1ti ARCHITECT ENGINEER BUILDER 11J],C=iJ AD'JtQESS 7�J? �It317Y>�1 DESIGNER STRULTURE ❑NEW ❑RFMODEL El ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGErr ❑DEMOLITION C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE LJ SLAB ❑FENCE ❑BOND ❑MOV INC ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY-jL LAND USE ZONE_r'r_BLDG.TYPE_ ___FIRE ZON ' PLAN CHECK BY___ HEAT._- CO(jnttUc.t sd,,j t.19_n tL r.xistis)V fai0glu Coami,ly uwU111rny - 0.v,ung 1,40Um ait.h 5tu:aat�s Arst,. v Garr F urnaaceR�rmit Required, QC_CLQAV__ELQOH-_LQAp_..- . _— HEIGHT NQ_5T_QB U_._A[3EA l4t�Vb�9�DRQOMS� VAj �'1090.0"•.I BUILDING DEPARTMENT SET BACKS FRONTifl+ REAR 4 t LEF t SIDE �'� RIGHT SIDE Perm,t �'i_,.170 —' THIS PERMIT IS ISSU' D SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE, ZONING Plan Check it? U() RFGULATIONS AND I LL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA'iONS AND IN COMPLIANCE WITH Sub total 114,110 ALL APPLICABLE C JDES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOEN NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS I'D HAVE CURRENT CITY BUSINESS State Tax 3,U4 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1.06 04 Lpwved P1 APPLICt\NT OR AGENT � fnldsn Rvf,e 1pt No l� f DATG INSP.I TYPE INSPI-CTI N REMARKS PLUMBING DATE Contractor -'--.—� Perm't Na —V—_ —�.'-- Fixture Final -- -� - HEATING Contractor —` Permit No. -- Ges or Oil — Rough-in -- - Final SEWER Final DRIVEWAY Storm Dralnege (Rein Drain)Final Sidewalk Curl^&Street Final _ Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCIIP 1NCY Final _ CERTIFICATE OCCUPANCY LanIscaping Zoning Final City of Tigard INSPECTION REQUEST for INSPECTION TIME: _ - � PERMIT DATE: -A- i�` DRYE ISSUED :__L__L._ OWNERS NAME --- ADDRESS. -- CONTRACI'OR : _--- - TEST : Air ❑, Woter❑ , Visual ❑ , Laboratory ❑ RESULT: Approved, Disapproved ❑ , Pending ❑ S KETCH: C4,x -100, 1--L A0* NSPEC—TO R DATE CNt77V .Attach tuPPIO Omtol lost data beret] M WA CITY OF TIGARD 1,1FCHANICAL PERMIT DATE ��y�� •SPERMIT N0. S�,J-(/(o�/'�_.- - RECEIPT NO. rid 8 a BY FEE 1. Permit shall be obtained prior to commencement of in;;tallation; 2. Permit shall be obtained fcr all appliances which are to become a fixture to the building. 3. Relocation, replace-nents, alterations, or changes to burners and duct work require permits. /a. All worn to be concealed jiiust be inspected before cover up. New Inst llation Replace Re' ,cation ❑ Addi ,_Dn , ter tion U CONTR. i izs c ____ Ol'INER - - � ADDRESS ��/�S �✓ V ORK ADDRESS/z,%glo APPLICANT4y/1 ` F-C TELEPHONE NO. FURNACE - MANUFACTURER ff— � � TELEPHONE NO. HEAT Input rating (Btu Per Hour) Size Vent _ /..� �;_ Flue Size FUEL OIL �� G.ASK ELECT ❑ OTHER icki•r�-_ _+. M TOTAL SQ. FT. To on _� Main Floor _ Basement GENERAL ITEM NO. FEE ITEM NO. FEE , For Issuance *of Permit ✓ 00 Bailers Over O�j1p__,_•_ %New - Under 100,000 Btu 4.00 Air Nandlin 10,000 CFM 0 New - Over 100,000 Btu- —Air Handy_ Over 10,000_ _ CHEM Wr,� Floor Furnace __ �+' 00 '!Evaporative Cooler W►r11 - Floor Su en ed _ +7`.00 Vent F-an���� Q InStaI l Vents _ -_ Q� .-'Vend SYs .eem -- 1 ' X10 Repair - Heat & Coop Boilers Under 3 Hp —4—.do— Dames is Inc1nera or _ p }3oiler63 0 :15 H 7.5Gomm.-THE Inerator - r0 0 Boilers 15 to 30 Hp Oti:�ryAo _ �3 step Boilers o 50 � _. INSPECTOR'S COMMENTS o 7n �r��7c APPROVED BYL � DATE ISSUED Y - DATE Signature of Applicant wrFK MR W s PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. t/ s Permit fee '�•�� ' Water_Closets Toilets -� Bath Tubs ' Toilets Issued Approved by _ Shower Wash Basin _ - Building Permit -- Shower �� Receipt No. _10 67r ins Disrwushing - -� Sinks Kitchen �- SinksJrdinary �_ —_ Location of Building SinTcs�Bar_ g Sinks, S?o --_-- _Automatic ;fish---- r - —_ -- -_�------------- ----- -_ Disposal Laundry Trays,-- _ Name & Addresso Owner ,j _ _Drains thea..s Floor _ - ;�. -- -----•-------.-- — Drain — _--- ere" Dr,kinss Refrigerator r - —� .----- _._ - Rain Drains e- — --_ - Automatj c Washer _-- Nalne & Address of Plumber ountai its'I3rin n /V>11 ,- - -------______ Soda , Fountains ._ -.-� Hat Water Tank _ -._ - -l-> " _ Water Service Size _' ---- Urinals — _ Building (Old or New Alter, Re air or 7atc_E-Basins -Yard -L'-- - __— Lawn S ri.zkler -ysteu SRrinkler wimmingPo01f V`System ---`- - -'-- --- ---•--Thi3­3T W re s permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for e, period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisi- 4 of laws and ordinances governing this type of work will be complied with whet! acified herein or not, the granting of a permit does not presume to give aul ' • to violate or cancel the provisions of any other state or locel law regu.L"„j.iig construction or the performance of conEtruction. Signature of Applicant --- ITY CSF TIGARD 12420 S. W. Main Stroat TIGARD, OREGON 97223 APPLICATION FOR I."'TLDING PERMIT New Construction Demolish ❑ Addition ❑ Remodsl ❑ Move❑ ZONINGT DATE ISSUED Z BUILDING PERMIT DATE RECE:TVED -•(p.7 BUILDING FEE $ 35•9>0 No. PLAN CHECK $ 17-50 BY $G �© OTHER $ .3 54/alaSlVALUATION TOTAL Ta --�-�------- RECEIPT No.14� $_�•�S TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # MAP # CENSUS TRACT JOB Architect or Engineer i 0- 14IFdr/y y C<hr5 i. C n• Address i _S.l�! ��t'���2r �-SPhone2-0271 Owner_, S Address �/lG'~- Phone__ Builder r,," 6V; (rrvs� C�• v_ -- - Address ., 7 S-l.� Phone. 9.2-07J BUILDING USE Single Res. Multi Res. L�J Comm. ❑ Industrial❑ r rv�r�Mr�ni _ G'�a e—. OCCUPANCY GROUP No. of Stories_, Total Height-` - _ Area cf Lot Type of Construction I IC 11 1 if_ V F:oor. Area '!__ Set Backs: Front___ Ba'c/k___ L.Side_ _ R.Side____ I _ Private Sewer Pipe Size �n�f Sewer— _ Septic Tank L-1 Water Service Pipe Size_____- Storm Sewer] Ditch ❑ Drywell l� Street and Curb Requirements 7`� Driveway width _ No. of Parking Spaces _______ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL, INFORMATION Do IV oT n1 Zo 5Ha 59*W5CP —_-- ADDRESS ASSIGNED_� __SZ FIELD CHECK BY _ DATEJ� 7y _ PERMIT APPROVED BY/1[�"^y"LL^`'"3_ -- 6-1 It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City ofTigar , rego , that the building will not be occupied until a Certificate of Occu n h ivsued by the City of Tigard !wilding Inspector. 4<N ' S '11'a ure o Ap conk r f Address Permit No. 12 Name of Occupant _ Permf charge — a Q-- 'fee^ Paid by_ �_-------_._.__ nate connected C ) Type of Building cG►__'� Inspection fee - - - Service _ -Service Rate—�iw- 0 Paid by _Date_ , Contractor` AssessmeniJ_l: __Paid - —- Size of connection I