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14037 SW 97TH AVENUE 14037 SW ':>7TEi AVENUE -- c' C u rn 3 n n 0 s NSP, CTION NOTICE t ('I ity of Tigard Building Department 4� P.O. Fox 233^7 �� Tigard, Oregon 97223 �v Phone: 639-4175 Type of Insp � Onto Requested— __�p — 7 Time A.M. _P.M. Address y�.3 7 1 7 � Permit 91�� 7 7 Owner Lt�t-�Li __ Lot #E Builder The following Building Code deficiencies are required to be corrected: -------------- Presented to _ _ IL,t,Awoved Inspector LplA ❑ Disepp�oved Date _ 11- 7104 - CALL 1/- 7 0CALL FOR REINSPECTION ❑ YES 0 NO CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit# P- r '__- / Description Table 3A Mechanical Code CITY PRICE AMT City of Tigard _ 13125 S.W. Hall Blvd. 1) Permit Fee 0 0 10.00 P.O. Box 23397 - — — Tigard, OR 97223 2) Supplemental Permit —_ 3.00 639-4175 1) Furnace to 100,000 BTU 6.00 _incl,ducts&vents 2) Furnace 100,000 BTU 7.50 incl.ducts&vents Name of Development 3) Floor Furnace 6.00 incl.vent Job Address 4) Suspended heater,wall heater 6.00 _ Address or floor mounted heater Tax Lot Map No ) Vent not incl.in 3.GG Lot Block Subdivision 5 appliance permit_ Name(or name of business) 6) Repair of heating,refr ig., 6.00 4Y Y cooling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU _ City/State Zip - 8) Boiler or comp to 3 HP-15 HP 11.00 absorp,unit to 500,000 BTU _ _ Name 9) Boiler or comp 15.30 Hp 15.00 absorp.unit Y2-1 million _ Mailing Address Phone 10) Boiler or comp to 30-50 HP ^-^ 22.50 absorp.unit 1 -1.75 million Contractor City stats Zip 11) Boller or comp to 50 HP 31.50 _ absorp.unit 1,750,000 BTU _ State Registration No City Bus.'rax No 12) Air handling unit to 450 10,000 CFM . _ I hereby acknowledge that I have read This application that the Information given is 13) Air handling unit 1 G,GGG CFM + 7.5G correct,that I am the owner or authorized agent of the owner,that plans submitted are In compliance with State laws.that I am registered with the Stale Builders'Board,that the 14) Non portable 4.50 number given Is correct.(if exempt from State registration please give reason below) evaporate cooler - --- -_--------------- - 15) Vent fan connected 3.OU - to a single duct - ------ —� -� 16 Ventilation system not 4.50 included in appliance permit —' 17) Hood served by -- 4,50 mechanical exhaust signature(owner or agent) -------- —- Dale 18) Domestic type _— 7.50 Describe work C1 addition ❑ alteration F'1 repair [I incinerator to be done residential,fJ non-residential C:] 19) Commercial or industrial 30.00 Existing use of type incinerator - building or properly 20) Other i.e.,woodstove.water 4.50 Proposed use of heater,solar,clothes dryers,etc. building or property_ _ — 21) Gas piping one to four outlets 2.00 Type of fuel- oil 111 natural nes N LPG C 1 electric ❑ — - — 22) More than 4-per outlet N�1T� SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --- WORK IS COMMENCED. TOTAL Special Conditions, _ Date Issued by-_ ��, '1• _ .�,.::,,.eaa••awt s atNt6+lmc.v�wt...�r��r�, 1,=�' { . i f • v t; co tj Ln w It r4 tc iy .r •1f 13 j4 •t f �.fA lk�: � ,��+J ��liil.k �. b � ;tt��irJ � 1 y � •�� JJ��i' �r r��1 r BUILDING RECEIPT NAME: DATE:�� r ACCT. # DESCRIPTION AMOUNT 10-432 Building Permit Fees 10--431-600 Plumbing Permit Fees $ r..r. 10-431-601 Mechanical Permit Fees $ 10-230-501 State Building Tax $ ►� 10-433 Plans Check Fee 30--443 Sewer Connection (20X) $ 30-202 Sewer Connection (80X) x 30-444 Sewer Inspection $ 51-448 Street System Dev. Charge (SDC) $ 52-449-610 Parks I System Dev. Charge (PDC) $ 52-449-620 Parks II System Dev. Charge (PDC) $ 31-450 Storm Drainage System Dev. rhrg (SSDC) $ 10-230--505 TRFD (95X) $ 10- 479 TRFD (5%) $ 10-230-506 Washington County Fire N1 (95X) $ 10-478 Washington County ;ire R1 (5%) $ 10-2.20 Amart/Wedgewood t TOTAL (bs/1214P) INSPECTION Nio,ricE I City of Tigard Building Department 12420 S.W. Main St. Tigaro,Oregon 97223 / Phone: 639.4171 I Type of Inspection ,� Date Requested -�� Time•:— A.M. P.M. Addrass ��v —�" _ �T Permit # Owner — Lot #_ Builder The following Building Coda deficiencies are required to be corrected: ' Presented to _- _ Approved Inspector - �_] Disapproved Date _ CALL FOR REINSPECTION [� YE4 L!1 NO �. WN W INSPECTION NOTICE City of Tigard Buildi- •Department 12420 S.W. Iv ain St. Tigard,Oregon 97223 Phone: 639-4171 T-pe of Inspection Date Requested T:me A.M. �_ M. Address / 7 / -� r —_ Permit #."I �� Ownar �fot #—--- Builder _Z2-P The following Building Code deficiencies are required to be corrected: t l Presented to F1 Approved Inspector Disapproved Date u CALL FOR REINSPECTION ZYES Cl NO j INSPECTION NOT ICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 hone: 639-4^171 Type of Inspection Date Requested � ZC)-, ; w tm A. . P.M. Address Permit Owner _ Lot # Builder The following Building Code defic,encies are required to be corrected: Presented to --_ - ---- -_ --- -- _-- Approved Inspector • U ❑ Direpprr�.d Date � t !� CALL FOR REINSPECTION ❑ YES 0 NO j N W l� Building Permit Pio. Location Date Certification of Registration Wit ' the Builders Board doing business as (dba) , __ am registered under the provisions of ORS Chapter 701. Oregon Nomebuilders Law) . My Builders Board Registration Number is My registration is in full force and effect and expires on f4 _ � ignature t w 19 BUILDING PERMIT APPLICATION TIGARD DATE___' 'r'r'' - is �� 5284 THE UNDERSIGNED HEREBY APPLIES FOR A PERM i FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE.ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ _— OWNER Turn itiiler kiliix. JOB ADDRESS 14o3� 9/_� - S_W i0ft Avenue 18210 511 Bkones Ferry l2Jl ARCHITECT ENGINEERENGINEER BUILDER SAME _— ADDRESS ligPrds OR 91214 DESIGNER_ _ STRUCTURE SY NEW I 1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ _DEMOLITION (Ij V,Y.SIDENCE ❑ COMM El EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT U GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY }'— LAND USE ZONE _ni.S .BLDG.TYPE —5-E—,_FIRE ZONE PLAN CHECK BY _._HEAT_GaS Construct single talwily dcerlling/with attached garage 3 bedruoms 2 Bathroom Garage 432 Sewer must be connected to uiaia --- SEWERPERMITN 23.367 OCC.LOAD FLOOR LOAD n HEIGHT 20 NO.STORIES _t AREA 14UB N0,BEDROOMS 3 VALUE 66,000 _ BUILDING DEPARTMENT SETBACKS FRONT 31 REAR I LEFT SIDE 5 RIGHT SIDE 5'9" Permit 31.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 40.OU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Chock_ WOPK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 311:U#) WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total AIESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS tato 13 a4 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. Tax Nn Sut i5u.wd Total SDC— 5U0.DU :};�l�,� By ` PDC#11 150.(x) 4PPLICAhTC4Adj4 Approved IRL'T /'NT itbjs Receipt No. PHONE DATE INSP.I T PE INSPECTION REMARKS ---�- ^ PLUMBING DATE Contract r -Permit No. Rough---- ------ ��j�-. ---- in Fixture HEATING Contractor Pe.mit No. Cray of-O-i-I Rough-in — Final - -- ------ SEWER W —��_ ----- ---- Final �c -/0 u -- - - - --- �I DRIVEWAY —— ------ —_ i` S%,rrr.DraincW - _ (Rain Drain)Final 1 — - Sidewalk _.— Curb&Street Final Approach - it DG. DEPT. FINAL TEMPORARY CERTIFICA ANnY CERTIFICATE OCCUPANCY _ Final Landscaping Zoning Final a WWI, r' BUILDING PERMIT APPLICATION TIGARD DATE 'g o, /" 741 ' THE UNDERSIGNED HEREBY APPLIES FOR A PERMITFUR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN ANO APPROVED IN THE ACCOMPANYING S'LANSCIFICATIONS. OWNER PHONE pI � LOT NO.� - OViNEH� M1 L�OR. JOB ADDRESS O ' `�- "-;10;r CHITECT ENGINEER BUILDER ADDRESS _ DESIGNER STRUCTURE W NEW O REMODEL _ ❑ AODITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DF-IAOLIT1 In RESIDENCE ❑ COMM Cl EDUCATIONAL V GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ ST RAGE ❑ SLAP,❑ FEN 0GCUPANCY ~� LAN//D USE ZONE R, N� �B^LDG.TYPE Is __ '_PLAN CHECK BY $/•1q/� •FQM �� CT��[�'�/� h�i4c— - �'trrk.�-g -' - SEW EA PERMIT M OCC.LOAD FLOUR LOAD L (1 HEIGHT 2,V NO.STORIES ! AREA Iq d Y NO.BEDROOMS 3 , VF.LUt4t0,'0 BUILDING DEPARTMENT SETBACKS FRONT '3 AFAR LEFT SICE S RIGHT SIDE S Parmlt d u THIS PERMIT IS ISSUED SUBJECT TO HE REGULATIONS CONTAINED IN THE SUILOING CODE, ZON' REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TXAT 1 Pian Chock U w WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIAN _ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI SuStola) 37 , U RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINt J LICENSE.SEPARATE PERMITS REOUIREO FOR SEWER,PLUMBING AND HEATING. State Tax 13 , 7 — SOC— Total J y , POC.11 APPLICANT OR AGENT By r� Recolpt No. - -- - — --._.�--- Approved ADDRESS PHON9. SSDC .�--- $ .Zsv• ' /►1 Giw�w�� r 4�(,f 8 ' SUC u-- PDC - SEWER CONNECTION S 9.2S-, "✓ SEWER INSPECTION S •.3.5. '~ SEDER SURCHARGE BUILDING RECEIPI NAME: 11 -M-DATE ACCT. # DESCRIPTION AMOUNT 10-432 Building Permit Fees $ 10--431--600 Plumbing Permit Fees $ 10-431-601 Mechanical Permit Fees $ 10-. 230-.501 state Building Tax $ 10-433 Plans Check Fee $ 41 30--443 Sewer Connection (20%) $ 30-202 Sewer Connection (80%) $ 740., 30-.444 Sewer Inspection $ 51--448 Street System Dev. Charge (SDC) $ 52-449--610 [larks 1. System Dev . Charge (PDC) $ 52-449.-620 Parks IT System Dev. Charge (PDC) $ 31.--450 Storm Drainage System Dev . Chrg (SSDC) $ 10-230-505 TRFD (95%) $ 10--479 1-RFD (5%) $ 10-230-506 Washington County Fire #1 (95%) 10 478 Washington County Fire 91 (5%) 10-270 Amart/Wedgewood (bn/1214P) -7-T