14235 SW 97TH AVENUE 14235 SW 97th Avenue --
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CINOFTIFARD ( LK
COMMUNITY DEVELOF'MEN'Y DEPARTMENT cITYIN ARDc►Raoc�r,
13125 SW HWI Blvd. P.U.Bac 23347 9md,Oropon 97223(603)&W-4175
PERMIT
Fir RM I T #. . . . . . . : PL019 7 11;i 1%)M
639-4171 DATE: ISSUED: 07/02/91
SITE AI:)DRESS. . . : 1 4G�:m SW 97TH IAV PARCEL: 2S 1 1 l BA-04 300
SUBDIVISION. . . . : SOLARCREST ZONING: R-4. 5
�3LOCI•C. . , . . . . . . . . LO'T. . . . . . . . . . . . . . 1
LASS OF WORE;. . ALT GARBAGE: DI POS.ILS. . : MOSII._E HOME SPACES. s
iYPF OF L1SE. . . . sSl= WASHING MACH. . . . . . . v RACVF'L.OW PREVNTRS. . : 1
)COUPAI''''Y GRf- :R3 FLOOR DRAINS- - - r. "I RAPS. . . . . . . . . . . . . . ..
TURIEa. . . . ., . . . : WATER HEATE.RS. . . . . . s CATCH BASINS. . . . . . . . j
LAUNCRY TRAYS. . . . . . a Sr R,ATN DRAINS. . . . .
IhIK�3. . . . . . . . . . : URINALS. . . . . . . . . . . . s GREASE TRAPS. . . . . . .
_.r . �4TORIES. . ,, . . C OTHER FIXTURES. . . . .
UB/SHOWERS. . . . I SEWER LINE (ft) . . . . a
AATE:R (.1_OSETS. . I WAT1=R L.INE (ft
11(SHWASHERG. . . . I RAIN DRAIN (ft ) . . . . s
I
?t�mat°k EXISTING SPRINKLER 7nYSTE:M �
lwrter ; __._.—•_----._._._ .__-_._. _.__ ....__...._._._._____._____ ------------------ FEES
TIM Uil' Its type amol.Int: by rlate
142'35 SW 97TH AVE: F°RMT $ 15. 00 JLH 07/01/91 —
SPCT f 0. 5 JLH 07/01/91
1(:,()RD OR 97824
'hone #:
IWNE:R
Req #►. . .
-- ----- REQUIRED INSPECTIONS -
-his pertit is issued subject to the regulations contained in the Top—out In sp
igerd Numcipaw Code, State of Ore, Spot alty Codes and all other Final Inspection
.;amicable laws. All work will be done in accordance with
,pprived plans. This ptreit will expire if work is not started
.,thin 180 days of issuance, or if work 1s suspended '^r sort
'gv 180 days.
ti mittee E',ignat .lre : _
- 1.6 a d lea v
L II for insaec.tion — 639-417"
INSPE-CTFO fLCrru'E
City of Tigard Building Departshent
13125 SW Hall Blvd_ Tigard, Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buuiness Phone: 639-4177
loe
Inspection:__
Footing Plbg. Underol.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing - ,l.dg.
Poet/Beam Mach. Rein Drain Insulation Plumb. I
Plbg. Underfloor Water Line Gyp. Bd. .-Mach.
Date Requested:_ -�/ 11 Time: AN PM
Addrees: - �- Permit /:�i///C•
Builder:_
^RE FOILOWTNG CORRECTIONS ARE REQUIRED:
Inspector: —_ _ Date:
APPROVED _ _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
- - CE.7TIF'ICATE OF
OCCUPANCY
CITYOFTIVARD :11Y Ti6+e4RD DATE ISSUEDA 04/23/90PERMIT N. . . . . . . s BUPS92649
PRIM. PERMIT #. z 892649
COMMUNITY DEVELOPMENT DE
97 'TE1�T
13125 SW Hall Blvd. P.O.Box 23397,Tiprd,Orepcn 223'PA#�(5G3)639 4176 \\
Si TE ADDRESS _ s 14235 3W 97TH AVE PARCE.Ls 2S111BA--04900
SUBDIVISIOM. . . . s SOLARCREST ZUNINOs R---4.5
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . 11
CLASS OF WORK. sNEW
TYPE OF USE.. . . s SF'
OCCUPANCY GRP. sR3
OCCUPANCY LOADS
TENANT NAME:. . . s
Remarks: need trt.tss spec
Owners
JEF i' 0' DELL.
CO PDX P:302 73
T IGARD UR OP-00-0000
Phone #' PlG18 f3Hf3-PfP3NN
Contr actor s
JEFF O' DELL CONSTRUCTION
P () ROX 230273
I :( iARD OR 97223
Phone H s 5036206732
-"F+-eq M. . s 5:3603
Occupancy of the abova.p referenced building is hereby given, and c.ortifies
the compliance with the State Of Oregan 13perci.alty Codes for the group,
occupancy, and use under which the referenced permit was issued.
FIRE DEP'AR'TMENT /t LDINO I�TOR
BU ING OFFICIAL
POST IN CONSF?.CUOUS PLACE
I
o".
FEW
�„„�� INSPECTION NOTICE
t��1 ICity of Tigard Building Department I
P.O Box 23397 r J
1 VV �(f Tigard Oregon 97223
Aon Phone: 639-4175
Type of Inspection — --�( -------._-1--------- — --
Date e--,
Requested -�L� Time v A.M. P.M.
-- �
Address _ _ __�� Permit #Y'1
Owner _ Lot #_
Builder 1 �G '�The following Building Code, deficiencies are required to 5e corrected-
1 —
r�
Presented to _ _ _ Approved
Inspector _ ------- Disapproved
Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
t
INSPECTION NOTICE
City of Tigard BuildingDepartment
P.O. Box 23.39!
Tigard, Oregon 07223
Phone: 639.4175
n
Type of Inspection _ z!21 v -t'A
Date Requested _ 1 7 0 ime.�� M. P.m
Addi ess
Owner _------_---- Lot #
1
Builder
The following Building Code deficiencies are required to be corrected:
Present-id to ��
�`J�
AAArnved
InspectorDisapproved
Date
CALL FOR REINSPF,CTION
0 YES ('A NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of of Inspection — me POS A.
o, P.M.
Date Requested 1 Tl
.f M _
Address % 7 � / l^ _ Permit #
Owner Lot sk
131+ilder
The following Building Code deficiencies are required to be corrected:
Presented to _- - — ---- I -I Approved
Inspector _____ �_� Disapproved
Date -- - -
CALL FOR REINSPECTION
CJ YES 01-0
N tr 1W
I. ,iPECTION NOTICE
City of Tigard Ruilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175 t
KCSType of Inspection -- �
f
Date Requested Time A.M._ —P.M.
/ Q lAddress J Lf� -��.__— _/ �� –"' Permit
Owner_— LotBuilder
Z 2 L
The folloi .ng Building Code deficiencies are required to be corrected:
Z ' ,
Presented to _�— ❑ Approved
yam;
Inspector _ �'!` `9 unapproved
Date -
CALL FOR WNSPECTION
Y!i ❑ No
is
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
_ I /
Type of Inspection -- /
Date Requested__r-'P Time—A.M.—P.M.
Address /yas. — __ Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to -^ pprovad �
Inspector 01approrad
Date – S –
CALL FOR REINSPECTION
0 YE= O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 ,
Tigard. Oregon 97223
Phone: 639-4175 /
Type of Inspection ��� C� / -- -- —
Date Requested — Time A.M. P.M.
Address
�� 3 Permit
--r
Owner Lot #
r
BuilderThe following Building Code deficiencies are required to he corrected:
Presented to - - Approved '—
Inspector r j _-_.- -_--. / \Disapproved
Date
CALL FOR REINSPF,CTIOh
O YE8 1:1 NO
Iff
INSPECTION NOTICE
City of Tigard Building Department /
P.O. Box 23397 /
Tigard, Oregon 972.23
Phcne. 639-4175 "
Type of Inspection ` �.—"—
�'O Time A.M. P.M.
C-:te Requested — --
Addrest — � �— --- -- Permit
Owner
Lot #
Builder
The fallowing Building Code deficiencies are required to be corrected:
ii t Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
C7 YE8 ❑ NO
n
IIJSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection rLheq4l�-- .
Date Requested -yU _ Time _ A.M. P.M.
� # , ,
Permit i
Address L�.� �'_
Owner__�— Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inepector -� Disapproved
CALL 10 .SPECTION
O .r '" L7 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phcne: 639-4175
Type of Inspection --
Date Requested / - Time_ A.M. P.M.
Address �`—� _Z _.-_ Permit
i - I
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
l'FF
Pt esented to Approved
Inspector —.. _ ❑ Disapprove
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE �� /
City of Tigard Building DepartmE tt \
P.U. Box 23397
Tigard, Oregon 97223
7 Phone 639-4175
Type of !! ^nection
Date Requested / "� _ Time A.M. P.M!."
Address �, �.?LTJ �� Perm t . &e-
i
Owner Lot #
Builder
The following Building Code deficiencies are required to he corrected:
Presented to _ /tpproved
Inspector ❑� 91gpprOved
Date i /2 ��
CALL FOR REINSPECTION
❑ YEt ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested _/ Tirtae P.M.
s
Address �� - Permit
Owner _ Lot #
i
Builder — l
The following Building Code deficiencies are required to be corrected:
i
��.J ��✓rum �u�.Tiy� .L�� c.-.�y ---—
Presented to — — _ ---_--_ -. Approved
Inspector _ _ _-____ ____ 1 Disapproved
11L
Date � 17 -- - ---
CALL FOR REINSPECTION
YES F� NO
WNUMMw w w
C17YOFUGA RD BUILDING PERMIT
��I� F' RMIT NO. : 811892649
Cm Of TWARD
COMMUNITY DEVELOPMENT DEPARTMENT ORf61N
13125 S W Hell Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 AE 15 S UE D: 12/15/89
JOB ADDRESS: 14235 SW 97TH AVE
TAX MAI'/LOT 2S1 11BA 4900 SUB: SL1'_.ARCRE ST t-1 :1 PK:
LAND USE: R4.`
LOT SIZE: VAL!,'t4TION: $ 90,924 SETBACKS
FRONT: 20 REAR: 17
WORK CLASS: NEW M EL.L.UNITS: 1 LEFT: 10 RIGHT: 36
USE TYPE: SINGLE FAMILY N�J.PEDROOMS: 4 EXT.WALL CONST:
CONST.TYPE: VN N,I.BATHS: 3 N: S: E: W.
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 1882
NO.STORIES: 2 1ST: 929 ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 953 AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR'? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 660 FIRE SPRKLR? ALARM'?
FLOW(GPM) DETECT! YES ^^�
---HEiIT TYJ'l.. i;oc -- wnrp Arrr •� — 6Af�fi? ---
PLAN CHECK BY: r1t
RLMARKS:
rleed truss spec REISSUE OF NO.
LAST REISSUE —
0 FEES:
W O'DELL JEFF PERMIT $406.00
E po PDX 2,3027.3 PLAN REVIEW $263.90
R tigerd or FIRE: DEPT
STATE TAX $20.30
— — OTHER
C DEVELOPMENT CHARGES:
N O'DELL JEFF SDC(STORM) $P50.00
T ODELL. CONSTRUCTION SDC(STREET) $600.00
R
A po BOX 230273 PDC(42 ) fF'S0.00
C tipard or 97223 PREPAID $100.00)
T
0 PHONF (503) 620--6732
R REGISTRAIION NO. 53603 TOTAL: $1,(,90.2H
This permit is Issued suoject to the regulations contained in Title 14 PECE IPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations - -__________________
and all other applicable nodes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and In compliam,c with all applicable codes and
ordinances The issuance of t1da permit does not waive restrictive FOUNDATION WALL RAIN DRAINS
covenants Contractor an,+ subcontractors shall have current city POST A BEAM WATER LINE
business tax permits )nis permit will expire and become null and PLP.UNDERSLAP CITY APPRCH/SW
void if work is not started within 180 days.or if work is suspended or SLAP F I I4AL
abandoned for a period of 7110 days any time after work has PLP. 7OPOU1
commenced It shall be the I Donsibility of the permittee to assure FRAMING
all required inspections are .equested and approved
FIREPLACE:
GAS LINE
TNSIJLATION
Permitt ure GYP. BOARD
Issued By i� _
T-T(1fi TA�►'F'F'TTISN tT'J 417`71
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N Ei EA B I11IFUEU M E 'IMBE
CITY OF T167A RD
SEWER SE8926
��� F�ERMIT NO. : 5E892655
r_moc n4AFa
COMMUNITY DEVELOPMENT DEPARTMENT 0"110°"
TE ISSUED: 1 /15/89
13125 S.W Hall Blvd.P O.Box 23397,Tigard.Oregon 97223.(503)639-0175 F' IM.F'MT.N0. 892649
JOR ADDRESS: 14235 SW 97TH AVE USA NUMBER: .39147
TAX MAP/LOT 2S1 11BA 4900 SUN: SOLARCREST LT:1 BK:
LAND USE: R4.5
LOT SIZE:
r SECTION: 11 TWP: 2s RNG: 1.w
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with all rules and requlations of the Unified
Sewerage Auerlcy. The permit expires 120 days from the date issued. The total
amot.tnt paid will be forfeited if the permit expires. The Aqency does riot guar-
antee the accuracy of the location of the side sewer laterals. If thr- sewer is
not located at the measurement given, the installer shall prospect 3 feet in
all directinns from the distance given. Jf not so located, the installer shall
purchase a "'lap and Side Sewer" Permit and the Agenc;, will, install a lateral,
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
O FEES:
W O'DELL JEFF PERMIT 135.00
E po BOX 230273 CONNECTION CHARGE
R tiqard or LINE TAP INSTALL.
OTHER
C
N O'DELL JFFF
T ODELL CONSTRUCTION
A po BOX 230273
C tigwrd or 97223
0
O PHONE (503) 620-6732
I'll REGISTRATION NO. 536.03 TOTAL: $1,285.00
This permit is Issued subject to the regulations ;ontained In Title 14 RECEIPT NO. 104,5- :3e)
of
4\5-
of the TMC. State of Oregon Specialty Codes,toning regulations
_----• --------------
and all other applicable codes and ordinances, and It is herehy kEOUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and ROUGH—IN
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
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 If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Peirtiitt Sig a re
Issued By 'GALL FOR 01SPECT39N 639 4t--;5 - —
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGA
MECHANICAL PERMIT
RD
PERMIT NO. : ME892654
(CITY T ARD
COMMUNITY DE`IfELOPiMENT DEPARTMENT 0ON E ISSUED: 12/15/89
13125 S W Hall Blvd.P O Bc x 23397.Tigard,Oregon 97223.(503)639-4175 I-' IM.F'MT.N0. 892649
108 ADDkE55: 14235 SW 9iTH AVE ---
TAX MAP/LUT 2S1 11BA 4900 SUP: SOLARCREST L.T:1 BK:
LAND USE: R4.5
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE (100K 1 AIR HANDLR (1F,
USE TYPE: SINGLE FAMILY FURNACE: 100K+ AIR HANDLR IOK
CONST.TYPE: VN FLOOR FURNACE EVAP.000LFR
OCCUP.GRP. : R3 HEATER VENT FAN 5
VENT JENT.SYSTEM
BL.R/COME' (3HP HOOD 1
NO.STORIE.S: 2 BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: 1 BLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COME' 30--50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS7
i O W Pk q q 7 -- --- ----- --
REMARKS: - --- �_—�
FEES-
W 0'DELL JEFF' PERMIT $10.00
N po BOX 230273 PLAN REVIEW $11.63
R tiqard or FIXTURES $36.50
STATE TAX $2.33
OTHER
C
N O'DELL JEFF
T ODELL. CONSTRUCTION
A po BOX 230273
A
C tigard or 97223
T PHONE (503) 620-6732
a REGISTRATION NO. 53603 TOTALS /$60.46
This permit is issued subject to the regulations contained in Title 14 RFCE I PT NO.
'y- - -
of the TMC. Slate of Oregon Specialty Codes,toning regulations
Find all other applicable codes and ordinances, and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the,plans and GAS LINE
specifications and in compliance with all applicable codes and POST R BEAM
ordinances The Issuance of this permit does not waive restrictive
c,rv-3nnnts Contractor and subcontractors shall have current city ROUGH-IN
business tax permits This permit will expire and become null and FINAL
void if work is not started within 180 days.or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
i
P^iFTI l eP ii�{1Atur@
Issued by -644-4441&
-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA
RDPLUMBING PERMIT
��.�; PERMIT h10. : PI.892653
uTMa nsatm
COMMUNITY DEVELOPMENT DEPARTMENT °°`°°"
13125 S W Hall Blvd,P.O.Box 23397,Tigard,Oregon 97223,15031639-0175 E I S SUED: 12/15/89
---- - --- ----- --- -------_—__----- � r.NO. 892649 -------
JOB ADDRESS: 14235 SW ?7TH AVE
TAX MAF'/LOT 2S1 11BA 4900 SUB: SOLARCREST L.T:'. BK:
LAND USE: R4.5
1.01 SIZE:
ITEM: 140. NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 3 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE I
DWELL.UNITS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT t
OTHER
REMARKS:
need truss spec
O FEES:
W O'DELL JEFF FERMI I fr 14;'_10
N po BOX 2302273
R tigard or FIXTURES
STAGE TAX $7. 38
------ ----- ----- _- OTHER
C
N PEARSON IHUMAS
T RIGID PLUMBING
R
A rt.3 BOX 140A-1
C gaston or 97119
T
O PHONE (503) 311-6897
R REGISTRATION NO. 48955 TOTALII 1154.88
This permit .s issued subject to the regulations contained in Title 14 RECEIPT N0.
of the TMC, State of Oregon Specialty Codes,zoning regulations -------
and all other applicable codes and ordinances, and it Is hereby RE.0UIRFD INSPECTIONS
agreed that the work will be done In accordance with the plans and PLB.UNDERSLAB
specifications and in compliance with Ali nppllcahle codes and POST R BEAM
ordinances The Issuance of this permit does not waive restrictive WATER LINL
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PI.B. TOPOUT
void if work is not started within 180 days.or If work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has F INAL
commenced.It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
e'- 10
Permittee
Issued BY t - Ll.AL1 l Lik 1btQPLL:TZLM
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
eer rr o s
CITYOFT167ARD
(a�f7� PLAN CHECK APPLICATiC1N
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK M -;Ll e _
13125 S.W.H.N Blvd_P.O.Box 23397,Tlgard.Om-gm 97223.1"31 6394175
PERMIT y
DATE ISSUED _
JOB ADDRESS: ��ic 3�` �� �J 7 �" TAX MAP/LO-I' ,25/-//,0,4 4(QoU
SUB: � „42.�C.1 . LOT : _ LAND USE:
VALUA TION:
OWNER SPECIAL NOTES
NAME: L .���;yt�7C REISSUE OF:
ADDRESS: 4)o__' x <'_ S-C�27 3 LAST REISSUE_
-7--'6r:&e,_) LVX cT?.2-:'e4 FLOOD PLAIN/
SENSITIVE LAND: _
PHONE: �,' ,-"7ZZ
` APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: _ G�J!-'ZL ,�I, ,% ENGINEERING: _
ADDRESS: ,T EIRE DEPT
OTHER:
PHONE: ITEMS RE UIRED
BUILDERS BOARD N: 53CeJ3 EXP DATE: l _ l LIST/SUBCONTRACTORS:
BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: jJ P TRUSS DETAILS:
ADDRESS: � U OTHER:
3
PHONE:
COMMENTS:
SUBCONTRACTORS: PLUMB: / MECH:
PERMIT N ACCT N DESCRIPTION `�r"� AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees 'yo/0 —
12 4.5 10-431 00 Plumbing Permit Fees 3 U-7, S-U
c V 10-431 01 Mechanical Permit Fees << L,So U GCU
10--230 01 State Building Tax (5%)
Building :1 n. 3u l
Plumbing 7 3 p
Mech
10 433 00 Plans Check Fee
Building � -
Plumbing _
Mech
30-202 00 Sewer Connection
30-444 00 Sewer Inspection � yr- �3j
51-448 00 Street System Dev Charge (SDC) e, _ y
52-449 00 Parks Sy:-tem Dev Charge (PDC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) -/_ s y- y V
10-230 06 Fire
TOTAL
REC
APPLI SIGNATOR
,�
Received By: Date Received:
cn/3587P/18P
BUILDING PERMITC17YOFTIFARDC %DPERMIT NO. : BUf3E15
67
TC
COMMUNITY DEVELOPMENT DEPARTMENT 01100" DATE ISSUED : e/10/eq
13125 S.W.Hell Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)8394175 PRIM. PMT .NO , 8e156'?
..JOB ADDRESS : 1A2 35 W 97TH H AVE.
TAX MAP/LOT 2 5i 111 BA:1000 SUB. LT BK
I...AND USE:: RA. .5 �
I...0"1 SIZE: : VALAJAIION: SETBACKS
FRONT : PEAR:
WORK (:I..A55 : DF::M(:11-I T'TON DWEL.I... .UNITS 1 LE:F"r A7GH1
USE TYPE : 5T.NC,LE:: F:AMILY NO . BEDROOM : E--.XT .WALL. CONST ;
CON'.T . T"YPI=: VN NO. BATHS N: S : E:: : W
C)Cf;UP .CiPP . : R3 PRC'JT DPIN:ENC-S :
(N.N."' JP .LOAn N : S : E W .
TOTAL APEA:
NO . SaTOPTE5) : iST : ROOF CONST: FIRE Rw T'?
I••II::::.Mfl' : P.ND: AREA SE:PAR7 RATED:
BASEMENT'? ESRD: OCC:UP . SEPAR7 PATED :
MF:ZZAN:I:NE:"f HAST.M'T
GARAGE : FIRE SPRKLR7 Al..APM'7
FLOW MX—IM) DET"E:C-Ul
HEAT TYPE : HDCP.ACCE_SS37 (::OAR7
11 AN CHECK BY :
1.11:::MARKS :
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p1.1m1a 81 rt c1 1'1.1]. !;+r•.Iyt, i.c: lar c:a11:1 !!irwc�r LAST I:4I.i:7SS3UE: _—
FEES :
O MILLER TOM PERMIT $15. 00
N 1-1'713 N SHEPWOOD ElLVD. PLAN RE:V'1 r:.W
E tsl er-wood 131~ 971"10 F:I:RC= DE P"1"
R PHONE: (50:.3) 6P5--61.67 STA'T'E: TAX 11 . •75
O"T'HI:::R
DE:VE::L.OPME:NT CHARGES :
C
O MILE
P 1,0141 5DC(STORM)
N TOM M1L.I..ER LTII...I:)P SOC(STREET)
T
R i47(3 N si•iFi17WC)OD E31 Vn . PVC(* 1
A oil leI-w13citl lar "x'71.-'10 PREPAID < >
C
T I• HONE:: ('503) 6L75-6167
R M-A.,:1:5TRAT;TON NO :37;385 TOTAL.. $105 13
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 -•• »•— -»- »•••• - --• - •_.._.__�.
of the TMC, State of Oregon Specialty Codes.zoning regulations Rp;QLJ'[RIi:D INlaPE:(;'T":CONS
and all other applicable codes and ordinances. and It Is hereby OT 14F.'.P1M
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 restrictive
co,lenants Contraclo, 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 if work is suspended or
abandoned for a period of 180 days any time after work has
"..om enced It shall be the respnnsibility of the permittee to assure
al r ulred Ins ections are equeste nd approved
rrrn a Slgnall
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
� I
� I
r SEWER PERMIT
Unified Sewerage Agency a�, ( + I�d
V
of Washington County CITY OF DAT( 1
OWNER : _ �/Aar ``L1Ct."'1 PHONE : �O zZZ
OWNER 'S ADDRESS: JFz3s-- (34-)
TYPE OF INSTALLATION:
SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP
TYPE OF OCCUPANCY:
❑ NEW ❑ EXISTING SINGLE FAMILY ❑ COMMERCIAL
KEXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITSAA —' DWELLING UNITS Q�__
ADDRESS OF STRUCTURE : /160-t)y- _
Permit Conditions: The appll;ant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
When calling for inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120)
i
days. The amount paid will be forfeited should expiration occur. -
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at
the measurement given, the installer shall prospect three feet in all directions from the distance and depth given.
If not so located, the installer shall purchase a 'Tap and Side Sewer' Permit at the current charge and the Agency
will install a lateral at the location specified by the installer. +0 A", ' r
FEES: t`'
'PERMIT FEE 3J �✓C ~1
CONNECTION CHARGE
LINE TAP INSTALLATION
ISSUED BY
OTHER
TOTAL
APPLICANT GATF
SEWER PERMIT �
ADDRESS OF STRUCTURE
I
TAX MAP 5 ( — �� �� TAX LOT SYSTEM _fl�'14N N v
LOT "BLOCK OF
/0 ez —_
_ _ --- -- ---- --
APPROVED BY DATE IS/S�UED BY [)A t E
D. U. ' S _�n RE{dAR KS 1��1"i��. Y e. ,H�p r�°G�