14783 SW 91ST AVENUE 14783 SVS �;,LST AVENUE
+J
rn
r�
co
r
r+
5 iti L✓' „"�:r s F, PI; y. .at,
77 r
i
t .I
00 i 1
O
N t!1 V a
( (z
10
dtb
0 to
ao :':,,"4
14
4-1
OfT� pV2 O y
N
u
po
g00 A
srra,i�•�r�v�ens�3�A .........................�.=="�'.'aa,rmr .
or
�uy,1 i 4„ y• ly, "� )` Ott , gyp' sti, 1;71
,`.. t '.+ rte._ �� •!��,
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __— , -�, ��r° - ------
Date Requested __ - Time A.M. P.M.
Address �1 i' ,5 S 61.2 ��✓ Permit
Owner _— Lot
Builder - A_71ti
The following Building Code deficiencies are required to be corrected:
h.
v
Presented '.o r Approved
inspector �— L_� Disapproved
Date -
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 91223
Phone: 639-4175
Type
Type of Inspection �`�
Date Requested Requested Time A.M. P.tii.
Address /c, ? 1J -1 -I '::5� . .s Permit
Owner._ -- =���-'�. _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
e -—
r
Presented to ' _ epiproved
x
Inspector DisapprovedMr j 1
Date -- - rj
CA FOR NS TION' W
YES NO
CITY Or TIGARD PLUMBING M25cWIB. UW.
TigxdO -g«1 Registration 7
iunfs must hold Istralion to conduct a plumbing PERMIT
business or must be property owner/operator not hiring outside help.
Nan"of Dawlopn»rtj
PlumbinK Permit No. --:5-1 2
Address OsewlpUOn
3 _��oZ ORS 814-21f 10 DUAN. PRICE AMT
Job Tax l.al Map.No.
Addnesa __ FIXTURES
Lal Bock ,ylbcirvtsbn Sink 7.50 �.
-- Lava JF 7.50 . ro
ame name anew �,
Tub or Tub/Shower Cant — 7.50 S-
- ]
es Shower Only { 750-- �-Jv
Owner late z�- Water.30sel _ 3 7.50
Dishwasher I 7 50 �_Sa
PixH,e Garbage Disposal -- 7.50
LN&no
WashkV Machine { 7•50
"-
Floor orae 750
Sass Phone WalerHeater - �- 750 7,S'D
Laundry Roan Tray -� 7J50 _ -7
Occupant FCAY/Stsle ZIPLaundry
--- 7_-�-
Ottwr Fixtures( 7.50
(Specify) -
7.50 _
Ma"Ad*T6V prom 7.50
7.50
Contract" /stat• Zap
MISCELLANEOUS
ew tax No. Sower 111111100' _ 90.00
B s. to �'gus Sower".Addis 100' - 15.00
(Residential) Water Service 1 at 100' 20.00 'L 0
I hi"by ackrnwledge Bel I have read aws alrpS sem.the ore k4otmadon Water Service••.Addtl. )' 15.00
Veen is coned.#W I am regWer•d*Ah IM State BLAidees Board•and also Stonn 6 Rdn oreln 1 et.tar 90.00
hew•Stale Pkxtt* Soon"ow to numbers phren aro o0nwcl.tail mg Sbrm 4 p,yn Draindd
Ale 100' 15.00
pkmftV work will be don*In ammdanoe with eppacabie provisions Of Ore- - -
gm nevleed Statules Chapler•447 and 093 and appkeble oodes and 6-1 kAotlNs Horne Space 2500
no hep we be employed unless ao•rwd under ORS 699 (11 exempt(ran -_
Sul•r•pyftMO^.please give reason below). Ba*Flow Pnww*w 7.50
HOAIEOVI WRS-t hereby ow*Ozal I am k»owrwr•-V to p"Ww1y de- oatrtoe or Anil-tktion oewoe _
eabed go",M Whloh baMa+t prop"•to maks a pkmt*V InSWINOW ion Any Trap orWade Not
my own un•and halls prapwtk is not bekV 0wwVvCW for•eta.Moa•or fWA Connected to a Fb*xa 7.50
Catch Barin 1.60
�__- -- - — — kap.of Fes.Min"_- - — 40.00 PW Ile.
- _ ----"--- - - !3p•�all�gegaw/ad kapacllona 40.00 Pray Ik _
AMS of Pkallbkq wW* 16.00 mlrl
an cAWV Bldg _
TINA - Urq,. Now BWy.or Road.Ad~ - - - MM#"In
AUTADRUfo sKikATLAE --
� [rain,sSrule fartlil
tlwscrtbe 6"niko n Q raptor❑ dweuing 15.00
le M2 done F1
EK10ft rasa Of
_. ws.rotu
—
U"Cot41st KW40HAFM S 3
TOTAL /37
This pat Oo mn no and mold M wwwkka ocnalnaO n
frArmd whit MO dwAw Ica mOr wait 40 1N/rlldaA or ilblfldOfla l lex
A Pabd to"0 tlt"r am mw ON Wolk M Opltlntbnasd. /
i
--� INSPECTION NOTICE
ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
P one: 639-4175
Type of Inspection --
Date Requested ___ y` / me A.M. P.M.
Address ._ '� Permit #�
Owner l Lot #
Builder_
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector __ __— Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
>�.
CITY OF TIGARD MECHANICAL PERMIT He`m'p` " -- -�---
Perm"#
T" A� MeclwNaal Code OTY PMIICE AMT
City of Tigard — - - -
13125 S.W. Hell Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 —
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Fumace to 100,900 BTU
1) Incl.ducts 6 vents 6.00
Fumace 100,000 BTU +
`) Incl.ducts 8 vents 7.50
Name of DevekKornent Floor Furnace
3) incl vent 6,00
,lob Address ( 4) Suspended healer.wall heater 6'00
Address / L / or floor mounted heater
' tax i.ot Map No Vent not incl.In
Lot Block 5) appliancepermit 300
Subdivision a�� ---- _-_- ----- --.__ _.. .
Name((r name of business) 6) Repair of heating,refr ig., 600
t➢-r y` • q cooling,absorption unit
Mailing Address Phone Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
CdyrState Zip -- - g) Boiler or comp to 3 HP-15 HP 11.00 T
absorp.unit to 500,000 BTU
Name Boiler or comp 15-30 HP — -
_9) absorp.unit 1,4j-1 million 15.00 -
MaiWV Address Phone — 10) Boiler or comp to 30.50 HP 22.50
absorp.unit 1 -1.75 million _
Contractor CrrytSlate Zip - 11) Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU — 31.50 -�
State Registration No City Bus Tex No 12) Air handling unit to 450
10,000 CFM
I her Air handling unit
ebY ackrxrwbrtge that 1 have read rh,s aiplrc:etrcxt that the inlormatlon given �+ 13) 10,000 CFM + 7.50
00—t-that1 am the owner or autlnrtzed agent of the owner.that dans subnMed are In -- -- - -- —
compYar"with State laws,thal I am repisleral with the Stile GuildersBoard,t1ial rhe Non portable
nur nber plvrxn to cored (11 exempt from State reyi%tratx)n please glue reason below) 14) evaporate 000ler 4.50
15) Vent fan connected -�-- - 3 On
to a single duct
------------ --
--- 16 Ventllafion system not 4.50
Included In appliance permP
S 7) Hood served by ----- - 450 t
mechanical exhaust
Slgnttlhra(owner or agent) — Dile Domestic type
Describe workaddition [ El valteration repair Cl 19) incinerator - 7'�
U
to be done residential ❑ non-residential ❑ 19) Commercial or industrial 3000
Existing use of tpe Incinerator
bullding or properly— ti1 fit✓ _ Other I.e.,woodslovg water
50
Proed use of 20) Other
adar,clothes dryers,etc - 4
pos
building rx `A �
Pr�rty- - 21) Gas piping one to four outlets / 2.00
Type of fuel- dl ❑ natural gas 1-1 LPG ❑ tiWacw ❑
22) More than 4•per outlet
tl471 E SUWTOTAL y�,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%sum4 ROt f,
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW tits%OF 8UR-TOTAft �t S
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME.AFTER -- -- --
YOOPW IS COMMENCED. TOTl11.
i ISI wrlproUrda :ti' .
DA104 wturtri by
W Iff IIS N q W ! 66 -172
CITY OF TIGARD 639.4171 �
BUILDING PERMIT /N DATE n-�'��) 19-'
TAX MAP __LOT NO. --14-A—SUBDIVISION rnalUrl !J".
Mrd.,, ?tiller 11+71 1 3 9let Ave.
OWNER ,, --�-- - JOB ADDRESS
BUILDER '` /*'r� 1478 lY Sherwood 1'L'd;',L_27I40 STATE RE3.NO, _..-_ —_____.____EXP.DATE__
BUIDER'S PHONE �256 167
L
ARCHITECT t'Ari y Tal t PHONE __OTHER
STRUCTURE __J`71 NEW L1 REMODEL 1 1 ADDITION U, REPAIR 7 MOVE D OTHER v_DEMOLITION
I: I RESIDENCE i COMM I 1 EDUCATION IND i 1 RELIGIOUS ACCESSORY ❑ GARAGE OTHER FENCE
OCCUPANCY __LAND USE ZONE F. BLDG.TYPE " --FIRE ZONE_ :: PLAN CHECK BY HEAT
(:onegt'rtlCt aimje fwiily Avellinn whittaghed L-arz- -r` 1i.k )',rcmad n1arya_ flb i", r- w�
nWonry rj-SY alCLMC
CACle. i:� � r�rn� 1n [t•
SEWERPERMITM 33t)(�1 I • I ';n) 3 baths 13 GL•.r- o ..i,_ rr Urea 475
OCC.LOAD FLOOR LOAD 4O HEIGHT 2(/+4 NO STORIES AREA 1L72 NO.BEDROOMS ; VALUE 13 1760
BUILDING
— BUILDING DEPARTMENT_ SET BACKS FRONT 2E' REAR "r' LEFT SIDE RIGHT SIDE rr
Permit_ c' �f THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
27S.rin I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORUANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICALtE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENI.NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax `-,;,F(
Total r,94.19 SDC— F.I.N)•I�)
PDC# 150.00 A PPLICANT OR ADEN t
Prepd
Bal.Due
494,K1, Receipt No. ADDRE88 PHONE
_— - -- — - Issued By _. Approved By
�...�..w..�..-..r..: - a«....::...u..,.u,rw�r:w..... .a..................... ,...r....«.w..................,..u....s..�.. - ..,u..«....._.w.w...r...L..r...n...r.,,.......,_..._d...
E-W--Xq-FKW-1
DATEuu INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
-7 -
Cunt.act, -7-,7
Permit No.
Rough-in
Fixture
Final
HEATING
ntraclor
-,7--y� 7 A
Permit No.
Gas or 0!1
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Fin.,
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATEQCCUPANCY Final
CFRTFICATIE OCCUPANCY
Landscaping
Zoning Final
PLAN CHLLK NU. '1. 13 �2
for inspections call 639•-4115 I
CITY OF TIGARD 639-4171 BERM I T N0. Kofi
BUILDING PERMIT DATE 1Y__
P.O. Box 23 997 ,Tigard OR 91223 TAX MAP —1-040. SUBDIVISION
OWNE C/1 JOB ADDRESS I y 75,' s ,2,,) 9/o t' 4, .
BUILDER _ /� f l�k-�—�� STATE REG.NO. EXP.DATE
BUILDER'S PHONE /
ARCHITECT \ _ � � _ PHONE_. OTHER
ST TUBE NEIN ❑ REMODEL ❑ ADDITION ❑ REPAIR O MOVE U OTHER C) OEMOLIOON
Li RESIDENC U COMM 0 EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY C GARAGE �U OTHER ❑ FENCE
OCCUPANCY v _U1N0 USE ZO I_BLDG.TYPE t M` FIRE ZONE PLAN CHECK BY BEAT' --
Construct single family dwei l inc, w/attached naraoe, all par ap �oUgA *L��
r
S"hject to RS code_ �l- AI (v,7
SEWER PERMIT 031&11 ldu) 3 baths.13 traps gardoe area Q71
OCC.LOAD FLUOR LOAD Ci U HEIGHT;4)4'NO.STORIES �4�s AREA ,,,97Z'O'NO.CEDROOMS VALUE73100
ft
ING DEPARTMENT SET BACKS FRONT A J) REAR '2 4 LF-F1 SIDE 9 RIGHT SIDE S. A
5`2 — THIS PERMIT is ISSUFO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING,
S-6
REGUTA';ONS AND ALL APPLICr4BLE CODES AND ORDINANCES,AND IT IS HERE11Y AGREED THAT THE
PISA2" Z8 QG 7VO%K WILL SE DONE IN ACCORDANCE W11H THE PLANS AND SPFCIFICAnoNS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRK:TxVE COVENANTS,CONTRACTOR AND SUS NTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS SEPARATE ERMI S REOUIREO FORS ER,Pillµ1�IN AND TING.
f SDC O+ SSpC /U.
- h
Total — --_
P A
POG— L1 G �-� �e�bl No ADONESS - nNnHt
—�j Ixaued By�_APP(oved BT
SSDC - S rV ----- .
Soc - _ y
����Doc -� RECEIPT k� 0 / J�y _
QDATE PD.
SCUER CONNECTION S / 7 � AMOUNT PD.
SEUCR INSPECTION 4 , r
SEL:ER SURCHARGE S
� r �
:ommenta: ��' qt / 7b