14430 SW 94TH AVENUE-1 'W '"Iwill
�- 14430 SW 94TH AVENUE ---
VII
f
Irk1>A 91f t
G3G�9(ot18 BUILDING DEPARTMENT, TIGARD N"
Rw1 h �Qaq, PLU GING PERMIT lti •
__r�`^ ' �` ���E�Z- holder of a valid plumbing contractors license is hereby
Euthorited to cause plumbing work as herein noted to be installed in accordanr_e with the plumbing code Of
Tigard. Such installations require inspection by the City Inspector who shall be notitied not less than four
(4) hours prior to the time the installations are ready f:,r inspection. City of Tigard Business, License required
for all contractors aiV SUb-contractors.
Address
f r .�) �� "�^f /� Date_ v `SCS
NUMBER OF TOTAL PERMIT NO:S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
R 1D ENT1,,.1.. _r -..�._
Single Family-1 bath-each 25.00 t^_
Ouckx-Each 1 bath unit -` -, 2500 _
Additional Dathrooms-each �- 10.00
Mobile Home Soactt-each 15.00 -- ~
IND_IVIOUAL FIXTURE FEES -
_ f to 50 Fixtures in 1 building-each _ 3,O0
_51 to 100 Fixtures in 1 building-each _ 2.50
101�o 7"0_0 Fixtures in 1 building-each - 2.00
10i or more Fixtures in 1 building-each -li1.50
MISCELLANEOUS - -
Building Sew4r-1st 50 ft_ 1000
Pvv_a_zer
tvwy-each additional 100 ft. �- _ 10.00
Service to buildinq 5,00
Private Nldter Systems-each 100 ft. -- _ - 10.00 -- �-
Othdr
PERMIT fn,-Plumbing Inspection Phone 539 4171 7
State Plumbing Contractor ay
TnTaI
WWN, MIN
\r.v \r d t,. w ►-�✓ w t ✓ �r t �r^w+' r' ''ii L v 4- ♦r 1
d � f
-1
CITY Off' TIGARDOREGON
�- r(
Owner:.... Penrose 1.... ... ...... .. .......... .... . ....... . .. _. .. c>rmit No... ..
Building Address.......14430..-5W...94th...Ct.,_.. .....
Certificate is hereby given this October 11176 " �6
r day of................................. . .._....
that said building may be occupied and
that it complies with all requirements of tv
► of Tigard r
the Building Code for the City �, � •���
as approved by the Tigard City Council.
1
t� Building Inspector
r�
' T �f1';. ✓ rr .',f.- :,/i'kd'� 'Y' ia«- :"' �6` u �.k' `�►- 1Q,`' +!4' s 5t-,r -:' v' •.;� v+' .
..t, R�.x+lAi,.�:�.;y�r, �1:�� •4w"7, p�rN �id►;#�'� `I�'�`... Nd�t%;. ^Ct;�� `'V"r`; at�'�",' '�;y,.,,. �. r+F1�i;u� Y{�9;� �,a�N.
I
S
wi w w< WAWAw ser 1w w
City of Tigard s
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO.
DATE: 1 IHFZZ� DATE ISSUED :--L-/-
OWNERS
SSUED :__.LL_OWNERS NAME :
ADDRESS:
CONTRACTOR : ��
TEST : Air L7, Woter❑ , Visual*, Laboratory p
RESULT: Approved Disapproved C , Pending [j
SKETCH.
i' l.&4 01
INSPECTOR DATE
IN0TE Attach supplernentnl test dots beret 01
l�
I
d
City of Tigard
INSPECTION REQUEST
for
k_
INSPECTION TIME : 42 PERMIT NO. :
DATE: Z DATE ISSUED:_.Ll_
I OWNERS NAME -. -2-'7
ADDRESS : ,IZ4 �oO
CONTRACTOR : _---
TEST. Air ❑, Water ❑ , Visual* Laboratory ❑
RESULT: Approved�v , Disapproved ❑ Pending !j
SKETCH:
I
I
I / w
I INSPECTOR DATE
I [NOTE '. Attach supplemental test dato horst]
I
i
_ CITE' OF TIGARD HEATING PERMIT
/D
DATE 1q7k PERMIT NO. _ RECEIPT NO.
BY FEE
In Kermit shall be obtained prior tci�:ommenc,ement of installation„
2. Permit shall r::. obtained for all appliances which are to become a fixture
to the building.,
and r changes t b
3. Relocation, repl+aceme�nt: burnersburnersa. duct walk
require permits
4. All work to be concealed must be ,,..,r. . ...,1 before cover up,
New Installation Le Replace ❑// Relocat'orx ❑ Addition ❑ _ Alteration ❑
CONTR. �L�1 _ Y t{� a'N�MI')L 4 QON AZO L' — OWNER A vI V I iJ C N!2.GS E
ADDRESS �2 '� 712WORK ADDRESS
C 1 A C kA rn As QrtL q7 01 S APPLICANT 4211 l /A YYN-__i'Y1
- - TELEPHONE NO. 0
FURNACE - MANUFACTURER N! TELEPHONE NO,, _
HEAT It put rating (Btu
�- Per" Hour ) �� 5 _ Vent Size � r Flue Size J_
FUEL OIL ❑ GAS E90
ELECT ❑� OTHER _
TOTAL SQ. FT. Top Floor _- Main Floor I �� Basement v
GENERAL
:ITEM NO, FEE AM'T ITEM NO., FEE AWT
For Issuance of Permit 3,,001 __ Boilers over 50 Hp 5 ,00
New - Under 100,000 Btu 4 ,0 _ - A r Handl f not 10, 000 CFM 3.00
New - Ovar 100,000 Btu 5„0 Air Handl.iiig Over 10,000 CFM 5.00
Floor Furnace _ 4 ,0 - Eva native Cooler 300
Wall - F10OX __ Suspended 4 0 � Vent Fan200
Install Vents _ ___ 2 0 Vent Svstem 3,,00
Repair - Heat & Caplan
4 , 001 Hood 3.00
Boilers Under 3 Ham4 001 Domestkc__4Tnc1ner.ator 5_00
Boilers 3 *o 15 Hp_ _ 705 Comm_Incinerator 0 00 Boilers -15 to 30 HP 10A Other Not Listed 3 ,00
Boilers 3e try 50 Hp 15.0
?NSPECTOR' S COMMENTS
APPROVED BY — DATE ISSUED BY DATE
i
signature of ppl can
lw
City of Tigard
INSPECTION REQUEs-r
for
1 INSPECTION TIME : PERMIT NO__----
DA *-E:,3 i/?J26- DATE ISSUEO'l—Z
OWNERS NAME :
li,*.3 0 TV
ADDRESS .
CONTRACTOR :
TEST. Air 0, Water .A , Visuu Lahoratory
RESULT: Approve Disapproved 0 Pei
SKETCH.
*SPEDATE
NOTE At ach supplemelltui test auto her.lai
i
i
-
ciTr oP5�` II P
BUILDING PERMIT APPLICATION TIGA►RD DATE March 19 is 76 N° 0723
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR SHE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PRONE_ _
OWNER Penrose Construction Cu ADDRESS 14430 S*W• 94th Ct• a.rak BUIL.PERPHONE
Mervin Venross ENGINEER
BUILDERARCHITECT _ DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL ❑FIRE DAMAGE (DSLAB
C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE GSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE_ R-7 _ BLDG,TTYPE FIREZONE- PLAN CHECK BY—� ��
OCCUPANCY--L _ HEAT �.
...ansftruct LIzu,4 sq. Pt. Pro a dwmllir t' g partial beesment with sttaci;u,
_...___ garages according to approver plains. - --
3 bedroom
4 40 lis 1 1684 iotjj1�E tit o
OCC, LOAD FLOOR LOAD HEIGHT _ NO.STORIES AREA
_ BUILDING DEPARTMENT 30'
SET LACKS FRONT REAR LEFT SIDE RIGHT SIDE t
Permit _ �'�'
THIS PERMIT IS ISSUFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RF^•ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WC..K WILL.BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCE;. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF. CURRENT CITY BUSINES'S
State ,13 LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total a •
By
-- -- APPLICANT OR AGEN1 --- - -- - -- -
Approves — r7 11111 � Receipt No.
A DSO i'E'S.S
n ,
DATE INSP. 'T�YP�E'IINNSPECTION REMARKS PLUMBING DATE
1( JAI Contractor
Permit No. _�t�' �1 �,.�j bI21 1 L
Rough-in
to Fixture —
e ,G �r _ Final _-
-, 7-2 HEATING
� Contractor _
j130 b 11 _` Permit No.�Y 73 7,11�,117�
'c 4f Zf LyCr�. �a2� J Gas or_Oil: -r�
t.
Rough-in
Final _
--- -—----- Y _SEWER 3�
Final /
DRIVEWAY
Final
Storm Drainage _
(Rain Drain) Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY ^
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
r
ffm
ADDRESS ,'s!5/r�3e zo gyex C,4 PERMIT NO. 9.5'iZ
--•---. -__. PERMIT CHARGE none
OWNER � -f- CONNECTION FEE
PAID BY - -
TYPE OF BUILDING �� ,�,� ,�, DATE CONNECTED
SERVICE RATE _ / w` INSPECTION FEE
CONTRACTOR PAID BY _ DATE
SIZE OF CONNECTION ASSESSMENT _ PAID
y9So -5o
1
I
1
� f 4
i I �
I
ttj
3I \
J ti
K
x � Z
INA
ti SI `•14 K / it
/14. i � ..�f•��. ;,1t,,i- �11�;�M�'1.!'��PN(''2��►�K.�f1��, � �
ai II
1 1
.1
N
V
i
i
°•
o -r 3o rl`„
TENROSE TCRRAQ SCALL = 1 = 2o,
f w '/ �~ 4
/t/Y3v 9cT
117.09'
i
3d �
rs) o
o
X2 .93 '