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14915 SW 103RD AVENUE-2 1.4915 sw 10 ,RD AVENUE 4 b N r� O :3 .n rn INSPECTION NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 97223 Phonic: 639-4175 `\ T Type of Inspection Lim,! Requested �i— T� _��'A.M.___—._P.M. Address �.� ��/C� Permit #_- Owner.--__._-- -- --__-- Lot #_ Builder — --— --—-- -------- ----The following Building Code deficiencies are required to be corrected: Presented to —_�--_ _ T � Approved Inspector I Disapproved Date CALL FOR REINSPEC?'ION 0 YES ONO CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit# Deecrip�7on City of Tigard Tsblc,.A Mechanical Code QTY PRICE AMT - — 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0 110.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.00 6:19-4175t) Furnace to 100,000 BTU 6.u0 incl.ducts&vents Furnace 100,000 BTO i - 2) incl.ducts&vents 7.50 Name of Development - 3 Floor Furnace incl.vent 6.U0 Job Address Suspended heater,wall heater Address 4) or floor mounted_heater 6.00 Tax Lot Map No. Vent not incl.In - Lot Block Subdivision 5) appliance permit — 3.00 Name(or name of business) Repair of heating,retr ig., 6) 6.00 - j T cooling,absorption unit Mailing Address Phone Boiler or comp to 3 H P Owner I ) absorp.unit to 100,000 BTU 6.00 City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 -1})l� '.y, I - absorp,unit to 500,000 BTU - Name 9) Boiler Or comp 15-30 HP absorp.unit'/z 1 million 15.00 Melling Address -Th—one - 10) Boiler or comp to 30-50 HP absorp.unit 1 -1.75 million 22.50 Contractor City State - Zip — -Boiler or comp to 50 HP 11) absorp,unit 1,750,000 BTU 31.50 stet, rgglstren12) on No city eus.rax No. Air handling unit to 10,000 CFM 4.50 I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit 7.50 correct,that I am the owner or authorized agent of the owner,that plans submitted are In 10,000 CFM i compliance with State Inws,that I am royiatered with tha State Builders'Board,that the Non portable number given is correct (it exempt Lom Slate registration please give reason below) 14) evaporate cooler 4.50 15) Vent tan connr,cted --_ to a single duct 3 00 _-- -- _ Ventilation system not 16) included in appliance permit 4.50 - Hood served by a !'u 17) mechanical exhaust t.b0 Signature(owner or agent) Date -Domestic type — — — Describe work 171 addition C1 alteration 11 repair r l 18) incinerator 7.50 to be done residential [-I non-residential IJ Commercial or industrial Existing use of — 19) type incinerator 30.00 building or properly _ Other i.e.,woodstove,water Proposed use of 20) heater,solar,clothes dryers,etc. 4.50 building or property _—_ -. 21) Gas piping one to four outlets 2.00 Type of fuel- oil I natural gas 1-1 LPG II electric [ I --�- - NOTI - 22) More than 4-per oidlet CE -- --L--- ---- SUB-TOTAI'. 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 IS COMMENCED. TOTAL Special Conditions AC )21E Date issued.. by INSPECTION NOTICE City of Tigaro ouilding Department P.O Box 23:397 Tigard. Oregon 97223 _ Phone: 639-4175 Type of Inspection � �� —_ - __-_-_-- Date Requested Time A.M. Address _.�. 15- �. P Permit # _ Owner_ -- -- - --- - -- Lot # Builder ----------..__ _� -- ____ ---- _ The following Building Code deficiencies are required to be cor,ected: Presented to IA Approved Inspector �,� -- -- I I Disapproved Date CALL FOR REINSPECTION 0 YE8 1..] NO i I I CITY OF TIGARD 639.4171 6_20 66 6290 BUILDING PERMIT DATE �__�_--- 9 _ TAXMAP —_.__LOTNO. -SUBDIVISION OWNER Thomas J. S Lean& M. Mart JOBAODRESS 14915 SW 103rd Ave. _. .—... _.___�.. _. s auris BUILDER STATE REG.NO. EXP.DATE BUILDER'S PHONE 620-0109 y_ ARCHITECT - PHONE _ _.______ OTHER STRUCTURE �J NEW REMODEL ; ADDITION I , REPAIR J MOVE Ll OTHER CJ DEMOLITION RESIDENCE U COMM I-] EDUCATION ❑ ;ND I RELIGIOUS kJACCESSORY f I GARAGE OTHER FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE I' FIRE ZONE PLAN CHECK RY ►I'L HEAT i.:vnatruct cover for hot tub SEWER PERMIT N M OCC.LOAD _FLOOR LOAD HEIGHT NO.STORIES AREAA Z NO,BEDROOMS VALUE)OQQ _ BUILDING DEPARTMENT _1 SET BACKS FRONT REAR :1l _ LEFT SIDE i(i RIGHT SIDE lt3 Permit 17.50. THIS PERwr IS ISSUED SUBJECT TO THE REG0LArIONS CONTAINED IN THE BUILDING CODE. ZONING _^I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check � 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 PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.'EPARATE PERMITS REQUIRED FOR SEWSP'.P"LLUUMBING AND HEATING. State Tax .70soC— Total 29 58 _ j --- — • APPLICANT OR GEN. -- PDCN Prepd. Bal.Due Receipt No, ( t DDDRUS — PHOONE�''--- w�l Issued By . _ _. _-_—---Approved By----..,..1. .. ..•.wiRru:,u+...rr.u.c.rmdMawY.... ..f.:.a�5,«a.:a-...:..:;r-;.:..wt.�.eiWwv+.ti.a.a.......u.i4k..w�ulers,.,.ww.. ,ei«..._.., vw:.:..x, i ■f � � � S � t DATE INSP. TYPEINSPECTION REMARKS PLUMBING DATE . ,..i( e►�C ^ — — � .tu.ls' p.�.f� l' Contractor - — Permit No. He igh-in Fixture Final -- -- ---- �..._— -- - -- — HEATING Contractor Permit No. GasorOil Rough-in ^-- _ _ � .� _—�_�_�'~y'A ^,�•_ _ Final _ SEWER /A-'10 r,.CA e 1 .Iu.w�K. � Final --- ---� DRIVEWAY Final Storm Drainage — (Rain Drain)Final Sidewalk Curb A Street Final Approach BLDG.DEPT.FINAL CERTFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final l andscaping Zoning Final Lor inspections call 639•-4175 CITY Of TIGARO 639.1171 DATE f%1L0jNG P 1MIT • ox Tigard OR 97223 TAX MAP LOT NO. SUEI0IVISION OWNE;Iti + 1 ho r- s v -2md �_ bi1 zz A I. 46 / .IOB ADORiAv `7 / l Lti.- %L r d Z, ,- ` - SUILDER v 14 44a STATE REG.NO. _EXP.DATE SUILDER-S PHONE G 1 C t C rl ARCHITECT .Sr4 b4c,_ PHONE _—OTHER STRUCTURE Q NEW ❑ REMODEL (aAlDITION REPAIR ❑ MOVE U OTHERQ DEMOLITION RESME14CC O COMM ❑ EDUCATION ❑ I.vO ❑ HEL.I:Umps 'ACCESSORY Q GARAGE —_ ER- -❑ FENCE �s .�..r. OCCUPANCY __LAND USE ZONE BLGz TYPE �.:-;NE ZONE PLAN CHECK BY ' •HEAT SEINER PERMIT f GOC.LOAD FLOUR LOAD HEIGHT NO.ST,;RIES AREA /1f Z-- NO.BEDROOMS VALUE SUILDINO DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT:IDE i. Pwaalt THIS PERMIT IS ISSUED SUBJECT TO THE RFOULATIONS CONTAINED IN THE BUILDING COO*,ZONING REGULAnONS AND ALL APPLl�AB1 F CODES,AND ORDINANCES,AND IT IS HEREBY AGREED THhT 1 HE P1 chwk WORK WILL B& ,X)NE IN AGCORt1ANCE WITH THE►LAMS AND SPECIFICATIONS Attu IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THts PERMR DOES NOT WAIVE PL Ck FW ��. REETRICTIIIE COVENANT& CQNTRAt;TOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS -' TAX PERMIT&SE PARATL•PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING State Tax r Taal Z'•x' SDC - APPLICANT C H AGENT ---_- .- - RrOd PDCI SOL ow 2�T' Rooelpt No. AUDAESS - t Issued By _---APP'S By SDC ink �_ A �P• 10C ICUER CONNECTIO 6 CZAR INSPECTIl7 f „� ��• CUF.R SURCHARGE s r I mm Ile L 3z o 3 .fi- ds- -414 l„�7l Q I Dsc�c_._ *VMS lmqu-o zo _ _. 0 z �' w K0 rj CA 1-P71 CL Otf 1.1 c OLL w 14- E L.L t W. Ou 0 .2 E rn cl. S C S -0 C M Cl Z F- W n. co Not TNI tOWAWl9drb DdFl.,< t,7 P4,V,,l t I f • a WW _-._..__--_--- It -qll � � � w In IN 17 it - � L TIa:Fee �• � PJ7 12nx11"x9" CvnCrtfe Fir PesiS STEAL Puif *,m c o r s rte! 9'd' x4� " / Coltftk. 44 4 "-rk LIC A%4 T- lv 6 Ave , � CONtr�+e cJ � r)G}•o'1�L Liz] CHIC yS J D q 77'�)N /rrSJv� n; tKcq?cn ", Q7, - 7 Foolr JG;.3 :c 4 CIe76y ' =MMS 1 j 17 C-lAJ I�oT ru L 149 +i 5.40.1034 Ava nW-0 le. / 11 I T.T. NA CT- Kca�d.►,« IA14 - �� '� Iro„ 0 I � , IL � G . aJ I %j1 r�+ Q f ,, �' 4J 4--1, 1k%vltor• � �� " .cV/1L6/OCC/Np Lvtr-I .1yI r RaoFlr`Q MgTEQIA L Ro4m;in61O +o C OMS ISI- df Z(. I W ID6 OZ V%OJpI 6utill�y 51 'D CU /r-Uq/OL �t'rj {- I n 0 -`J 1 �}o c i1/t j W �1 bMV Lij b e eu .mil;r.�.✓ S.W. lost.) Art Tv>, at - I Z �z3 T•3. Aae_t• rfet�de.,cr r/Nc A„1�II�I,e b I I I EK7, w,e c LFit •� ! — G�t1er I LJ 4y a KIr r-*W L E�15T i++V T% I SPq D•�r i f"to, V i odAco pwD VR4lr1 INT\ ILIA 11 TIrJ,. i *AD e N V4..,se Cd res.ED i S P•1 (,Q fw.K g At At.1 Mu%� LI4 v PLtIo xAowl« 6r�aa,� .►may SPA / fJa.c. K 149 5 5 • ,a • I O3 rd p�1 T�GA.LO 0 A 14 K fir �c n c.� y{ �' 0 11 14 14 l oc'4� L sCOl. /Y11_ � Idll Co rrJ 164 TED if �" �t 11)" Jib a� 0 n, V.33 7 7 9 72z3 s , W. l o '3 v d. 7 ,6,r. 77z2.y INSPECTION NOTICE � City ut Tigaid Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection C� _ Time A.M. P.M. Date Requested I Address Permit # 3C��- Owner-_ �„ �Je�'t Lot # i Builder The following Building Code deficiencies are required to be corrected: OK— i=130 t Presented to _ _ � --- ----- ---•-- 14� Approved -- Inspector _ _- ❑ Diwpproved 1 DALe it CALL FOR REINSPECTION YES LTi NO aw W WJUWtJLWmwJpqrAINEMAIs mmI f — INSPECTION NOTICE , City of Tigard Building Department a/.c 0 12420 S.W. Main St. I Tigard,Oregon 97223 Phone: 639-4171 j Type of Inspection a i I `M L, 1 Date Requested rime N.M. P.M. Address � ��'1��� s � 0 3 d _ Permit Owner Lot #_ Builder — ' I The following Building Code deficiencies are required to be corrected: �1_... ),-I Q/*•1,T -1' I pit X%V- /-Zk-j5"T7 A!Ly, — __ i3 i i Presented to -.-__ Approved Inspector -----._. .1;-.,��=�-=- -- L] Disapproved Date CALL FOR REINSPECTION ❑ YES �2 NO BUILDING PERMIT APPLICATION TIGAR0 DAr THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OwLLA H0NE< ct OR AS SHOWN ANO APPROVED IN THE ACC.OIAPANYING PLANS AND SPECIFICATIONS. LOT NO. ONNER 1 ;• c .' J00 ADDRESS I rECT ENGINEER DESIGNER tlutl�ER X ADDRESS STRUCTURE ❑ NEW ❑ REMOOEL_�A�a��N ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE�Aa RT ❑ GARAGE G STORAGE Cl RESIDENCE ❑ COMM ❑ EOUCATIONAL ❑ GOV'T ❑ RELIGIOt1S ❑ PATIO ❑ CARPO HEATLAg❑ � BIAG.TYPE __FIRE ZONE_PLAN CHECK BY OCC;jTANCY LAND EZONE SEWER PERMIT 1 S AWc ./ �I'r'— NO.STORIIES Z- ARE/ �7 C} No.BEOROOM� OOMLOAD FLOORLOAD T V HEIGHT? , LEFT SIDE L/ "f' RIGHTSIDE/2.• BUILDING DEPARTMENT SET BACKS FRONT "r 'v REAR Pbrtnfl _ THIS PERI T1Arr IS 0NS ANSD ALL APPI.ICAI�LE CODES AREGULATIONS D O WNAfICM AND IT IS NEltE1r AGREED TH REGUu Ms vCtwck 9 WORK WILL/E DONE IN ACCORDANCE WITH THE PLANS AND SPEGACATIONS AND IN COMA PER.MIT DOES NOI ALL APPLICABLE CODES NSU OF WITH CTOR ACJNTRACTOns O HAVE CURRENT CI OU SuSdotal RESTRICTIVE COENANCONTRA CL LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER.PLUTA41tIG AND NEA N Stir.Tax ` T SOI:— Total POG ArpUMIT OR AGENT AY _,.�----- rt1oNE R�csipt No AOURESS Appmv —w � �►�l I�L�.NNJ '1 �p � s 0_C v SEWER CONNECTION S SEWER INSPECTION $ / SEWER SURCHARGE S -- ---- BUILDING PERMIT APPLICATION TIGARD DATE__AUZ 16 ty_____ 5481 THE UNDERSIGNED 14EREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 6247.0104 LOT NO. OWNER i. �r6 s _ JOBADDRESS 1491`3 SW 103r4 Ayc; u-: ARCHITECT ENGINEER BUILDER 'Same _ADDRESS DESIGNER STRUCTURE _ 11 NEW_! ❑ REMODEL CTIADDITION_ ❑ REPAIR _ U RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE---PLAN CHECK BY _ !jW —HEAT---- Addition HEAT----Addition to Single f milt' dwell!•ag alt p*tr aper rad _ Plans and Cocks 1tec uireass. —.-- –_-- add 1 Bath SEWERPERMITN_ Septic Sys C.'m UCC.LOAD FLOOR LOAD 4 U HEIGHT 204 NO.STORIES 2 AREA 640 NO.BEDROOMS VALUE r''.flj BUILDING DEPARTMENT SET BACKS FRONT 0 REAR 5u LEFT SIDE 3U♦ RIGHT SIDE ( '. Permit _ 14t',.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 91.33 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 Sub-total 231.83 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 5.62 Total SDC-- ' l3i.45 1�'G,r1T..,_•t .+ �'�'� - - PDC# A_P LICART_OR AnEPI By _ Gl, _- - ' Receipt No. —� Approved ww ADDRE3��— PHONE ff W-PRAK DATE INSP. TYPE INSPIECTION REMARKS PLUMBING DATE Contractor I-Q T Tip Rough-in Fixture HEATING Contractor goof, Permit No. Got or Oil 7;2 W A Rough-In Final SEWER Final V atwx DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Fine Al)rrr,.ch -- -f-imcA cLoG.DEPT. riNAL Tr 0 RA I�jY TEER Tor OCCUPANCYFinal CERTIFICATE OCCI'PANCY i IIL.-ndpctit. Zon-nQ Final T BUILDING Kt..CEIPT NAME: DATE ACCT. N DESCRIPTION AMNINT 10-432 Building Permit Fees 10-431-600 Plumbing Permit. Fees 10-431-601 Mechanical Permit Fees s _ 10-230-501 State BL+ilding Tax 10-433 Plans Check Fee 30-443 Sewer Connection (20X) S 30-202 Sewer Connection (80X) s 30-444 Sewer Inspection 51-448 Street System Dew. Charga (SDC) f 52-449-610 Parks I System Dew. Charge (PDC) 52-449-620 Parks II System Dew. Charge (PDG) _ 31--450 Storm Drainage System Dew. Chrg (SSDC) 10-230-505 TRFD (95X) s 10-470 TRFD (5X) s 10--230-506 Washington County Fir* 01 (95x) Z 10-478 Washington County Fire N1 (5X) f 10-220 Amart/Wedgewood TOTAL �— (bs/1214P) MRwrlIF INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested— Time A.M.—P.M. Address 14415- 5a) A-;V s Permit I-T- Owner j Lot Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved CALL FOR REINSPECTION Lj YES Zl' NO City of Tigard Mechanical Permit 3 3 a New Installanow n Rep,ace L-1 Relocation C( Add-ttor. j Alteration IDATE HEATING CONTRACTOR __ F4 --- OWNER - -- --- - ADDRESS - - - - __ --- _ JO8 ADDRESS PHONE APPLICANT - - - - - - - -- -ear Input RatonglBTU per Hour, _ _ _ _-- ger=t S,:t --- -- Fiuf. Sirr_ - --- 5"'EL OILy GAS F� ELECT C OTHER - -- - - ITEM NO. FEE - A. ITEM - - - TNO. I --FEE For Issuance of Permit SEE BELOW I Each Air Handling Unit or Duct System -� r 7.50 New-up to & incl. T00,000 BTU _ 6.00 Commeraa! Hood System _ ) 7.50 Yew 700,000 BUT's Pt over __ ' X7.50 Other Equipment - Each - 450 Noodburning Stove 4.50 ! t Trip Inspection 4.50 YYalt-Floor Suspended _r 6.00 Air Condition Compressor up to& incl 3 HR 6.00 `Dent System w.'Fan _- 4.50 Air Condition Compressor 3.1 to 15.H.P. incl. ; + 11.00 Repair-Heat Cooling i 6.00 -- �/ Y- ztj4rr Z, -F— -- - - - - r - - { CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! PERMIT E10 Comm m": FEES _ SUBTOTAL ---- �r - - - - - - - - - .-% STATE �l r -rt-=_�---� ts�ed By 25%PLAN CHECK TOTAL REC.r t Signature of Appticant