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DashNumberEnd 16192 SW 104TH AVENUE -- ,7 fl 1 ,ZNSPECTION_NCYrICE City of Tigard Building Department 13125 SR Hall Blvd. Tigard, Oregon 972J24iZ_ Ins1wrt+on Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:__.,­____ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Ont One Line !IN!►La 1 Poet/Bean: Struct. San. Sewer Framing -Bldg. Post/Bean Moch. Rain Drain Insulation -Plumb. Plbg. Underfloor Watetr Line Gyp. Bd. -Mach. Data Requee.tedt ` ' L Timet AK .—PH - c>�0y Adclreset ��,� ( -1Z l r�� ` Permit Et 611 r Buildert__ _--_ THE FOLLOWING CORRB:TbONS ARE REQUIRED: t Inspector — Date: 1 _ Z , 0 7, APPROVED Dl9NPPROVR1l APPROVED SUBJECT TD ABOVE --Call For Rel-nap. INSPECT ON OTICE �� city of Tigard Building Depart—nt ?:1125 SW Ball Blvd. Tigard, oregon 97223 Inspection LLne (Rec--O-Phono): 639-4175 Business P : 63 4 Inspection,— _ ----- -- Footiei9 Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Round. Plbg. Top Out Can Line FINAL: Poet/Uuam Ftruct. San. Sewer Framing -Bldg. dos'./Beam Hoch. Rain Dratn Tneulation -Plumb. Plbg. Undarfloor Water Line / ayp. Bd -NP Date Ro(Paestod:_ _ �` --Times Address: SGL?�^1- /Uy _ Permit Builder•----2 2�^� THE FOLLOWING CORRECTIONS Alla RSQUIREDt Inspector Dates wppROy;D DISAPPROVED APPROVED BUILTECT TO AEOVE call For Reir.ap. a ff W W WIff W �► r INSPECTION NOT1cE / City of Tigard Building "erartMO 13125 Sit Ball Blvd. Tigard, O:.-oga n 972 2] Inspection Line (Rec-O-Phono)z 639-4175 BunineE-u Phone: 639-4171 Inspection: -------- - —" Footing rlbg Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: E Yost/Beam Struct. San. Sewer Framing -Bldg- Poet:./Bean, Mech. Rain Drainnsulation -Plumb Plbq. Underfloor �j Nater Lintz Gyp. Bd. -Mech. Date Requestedt O Lam` ►r'�` Time: ---'?��� �� Address:. A�; , Permit builder'-----��-r��r�.�------ —_"---------------_._ TNF FOLUMIN: CORRECTIONS ARE REQUIREDt _Z1 - - / Inspector: APPROVE'] _^ DISAPP140VND — APPROVRD SUBJ1CT TD Al OVE Call For Reinep. Y,.NSPSCTIOM N(TICE City of Tigard Building DP—Part—­' 13125 SSI Rall Blvd. Tigard, Oregon 97221 i Inspection Line (Rec-O-Phone): 639-4175 Susi"ess Phone: 639-4171 insp3ctIons�, — ---—'— Fcx)tIng Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Sen. Sewer C,'l�Framing -Bldg. Post/Beam Mech. Rain Drain insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Roquestedt,�� _ - TitAes Address: % Permit Builders /lTTL THE FOLLOWING OORUCTIONS ARE P.EQUIRED: Inspector __ _ Dat»e� r: -at A—V PIIOVED DISAPPROVRD APPROVED SUBJECT TO L9*8 Call For Reinsp. LN§PjZCTION NOTICE City of Tigard Building Departaent I A,15 Sit Hall Blvd. Tigard, Oregon 97223 Ineprx:tion Line (Rec-O-Phone): 639-4175 Business Phone: 639•-4171 Inelact.ion:� Footing Plbg. Underelah Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: E- 2:19E.: Strru`c San. Sewer Framing -Bldg. _?%ech. Rain. Drain Insul7.Lion -Plumb. Plbg. Underfloor Water/Line Gyp. fld. -Mech. Data Roquesteds 4Timet ��AM PM Address: � oL/.+�� L �i_ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: /1 :�_�%T�'✓S/(JCSd/`ry4�f� , �CJC7(/f`llcC Inspector: DAtet •PPROVED __ DISAPPROVED APPROVED SURJECT TO AROVE Call For Rainap. i INN W NSPECT]ON NOTICE J city of 'i i lard 'm i ldi.rK? Depa':tent 1!125 SN Fall Blvd. Tigard, Ovylon 97223 l Inspection Line (Rec-O-Phone): 639-4171 Bub.­eon Phone: 639-4171 i Inspection: --_— -— - — lootinq'�� Pl.bg. Underelah Mech. Roush-in Appr/Sdw.k Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. PostiDeam Hoch. Rain Drain insulation -Plumb. Plbg. Uneerfloor Water Line Gyp. Bd. -Koch. Dr.te Requeeted: _Time: Addceon: `k e?- ��-/ _� Perwit THE rCjl,LJ'41NG CORRECTIONS ARE REQUIRED: � J _—_ s _ Dates( ` ,G Inspectors /APPROVED ___ DISAPPROVED APPROVED SUBJECT TO Awn Call For Reinep. C11YOF TICARD BUILDING F'E r 'T T c 1CITYOFTI6,ARD -E(+MT'I" #. . . . . . . .. !>'91 -x[ 14 COMMUN17Y D.:VELOPMEKT DEPARTMENT \ oe:Eoor+ 13125 EM Hell Blvd. P.O.Bout 23397,Tigard,Oregon 97:x23(503)&V4175 SITE ADDRESS. . .. . 16 192 SW 104'i F) AVE PARCEL - 125 1 141jia 17.9500 SUBDIVISION. . . . : SWANSONS GLEN ZONING: BLOCK. . . . . . . . . . . L_.C)1.. . . . . . . . . . . . . ..36 ------------------ Rt-ISSLJEt FLOOR AREAS - - - - - - EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ADD F 1 RST. . . . : 180 s f N; S: E: W. TYPE OF USC:. . . :SF SECOND. . . . st P,ROTECT OPENINGS?-----.------ 'T'YPE OF CONST. :5N THIRD. . . . : 190 s f N: 6: E- W., UCCUPANC;V GRP. : R.3 1'GTAL-_.___..._._- : 3612 s f ROOF C014ST: FIRE RfE.T? • Ul,LUPANC:Y LOAD: '_XASEMENT. : sf AREA SEF'. RATED: 3'TOR. : 1 HT. : 15 ft rARAGE. . . : Sf OCCU SEP,. RATEC: NSMT? : ME Z Z? : RF'QU SETBACKS - - -_--- REQUIRED FLOOR LOAD. . . . :40 PtF' LOFT: ft RGHT: ft FIR 7jPKL-.: lSMOK DET. . : DWELLING UNITS: 1 F RNT: ft REAR: ft FIR ALRM: HND I CFS ACC: BEDRMS: Eawmsz. IMP `.:iURFPCE: 1-IRO CORR: PARKING: t'ALUE. $: 9280 Remarl4s : addition 180 sa/ft Uwnera ___________._____.____..._-.._________.____.. ____._______.____._. F '.ES ------------- ROYMOND MOORE type amn ..int ray date rtecpt 161032 SW 104TH AVE PRMT $ 74. 50 JLH 05/19/91 - PLrK $ 48. 43 JLH 05/19/91 - TIGARD OR '>7224 5F•CT $ 3. 7.E JLH 05/19/91 - Phone #r 625-61YI Contractor: OWNER I Phone #. ..,�_ti___.•Ac.b. 6f,_. fUTAL-___..,____.___.__._ Req 0. . : -- -- REQUIRED INSPECTIONS - --This permit is issued sebsect to the regulations contained in the Foot/found Insp Tig,.ed Muricipal Code, State of Grt. Specialty Codes and all other i-last/Beat,, Insp aorlicable laws. All Mork will be done in accordance with Mechanic-aInsp __..__•—_.__ . ___ approved olans. This permit will expire if work is not s.arted Framing Insp ____.,__._.,--__�__,_. ,__•_._ within 188 days of issuance, or if work is �usoended for more Insulation Insp ___•-_-- thar. 18P days. Gyp Board Insp Pain dr•_air, fnsp Final Inspection ()er•mittee Si gnatur+e: Call for inspection - 639•-4175 ------------- C I-l'Y OF I I CHARD REC-Z I FIT OF 17,AYMFN-l' RECEIPT NO. :91--213483 (,*,I-IECK AMOUNT' C 1y6. 6 6 CASH AMOUNT 0. 00 NAME mnoRF-, RAYMOND I. - PAYMENT DATE 05/2 1 91 AVDkESS 16192- SW 104'1'H SUBD I V L 11 ON j'jG(-jRD, OP 9722.4-- PURPOSE OF PAYMENT AMOUNT PAI 1) PURPOSE OF PAYMENT PAID 6,6 11--,D-1-N-G--P-E--R M----, 74. 50 Ell'. BUILD PEF( 3. 73 PLAN CHECK FE 48. 43 J*OTAL riMnIJNT' PAID 1, 6. 66 r r 13125 SW 11au Wd. PLNCK/RECT # _j� aLC- - CITY OF TI(SARI) P313ox 233 7 PERMIT # (d !// o2OMMUNITDEVELOPMENT DEPARTMENT Tigard,Y (503)639-4171 DATE ISSUED _ JOB ADDRESS f �9Z 5 lUq TN TAX MAP/LOT .2.5/-/4196 0 !��00 SUB: '- cUCnSun, Glen LOT: �� _-- LAND USE: -- _ Af VALUATION.- OWNER / /� SPECIAL NOTES /U/ NAME: /pAYM0A) � ` &Z E REISSUE. OF: ADDRESS: ���Z S Id 9 f LAST REISSUE: `- 7-16 A R-6 , W22-2- FLOOD PLAIN/ PHONE: Nv62S- 6 (3/ SENSITIVE LAND: CONTRACTOR / ) APPROVALS REQUIRED NAME: C/��'C� _ _— PLANNING: -- ADDRESS: ENGINEERING: _ FIRE DEPT: _ PHONE: _ OTHEk: /w T/F--1/1- CONTR. 1/1-CONTR. BOARD #: EXP DATE: ITEi4S__ REQUIRED SUBCONTRACTORS: PIJMB: _ LIS?/SUBCONTRACTORS: MECH: BUS TAX: _ ARCH ENGINEER CALCULATIONS.- _ NAME: — TRUSS DETAILS: _ ADDRESS: — OTHER: _— PHONE: PROPOSED BLDG. USE: , ,� 1 4-t- ice- I i COMMENTS: AP SAN SIGNATURE Received By: —___-_ Date Received: `) /� � ,I PERMIT # ACCT # D'SCRIPTION AMOUNT AMOUNT PD. BNL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees - 10-431 01 Mechanical Permit Fees 10-230 Ol State Building Tax (5%) Building Plumbing Mecnanical 10-433 00 Plans Check Fee Building Plumbing techanical — 10-230 06 Fire — 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIFFees _ 25-448-04 Industrial TIF Fees -- 25-448-06 Instituti,Dnal TIF Fees — _ -- 25-4P8-03 Office TIF Fees _ — — 25-448-01 Residential Traffic Fees -- 25-448-05 Mass Transit TIF Fees A --- --- 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) -- 24-445-01 Water Quality (Fee it lieu of) 24-445-02. Water Quantity (Fee in lieu of) — TOTAL " nm/3587P.WPI- i -�.mow__,,fin a.. N'.,`: ya.� � . "'°✓"'• 4,`lt tt�,��� ��`pA�i „'�A` !" t _i!,y�1�. �.Hw P�pv"��_�'jtp! +..� ?� t �.��`� � .J,'.ro���^4 i+' r�� " Y �•`i t...7�W �R r•,rft""ty 4, of•'�f "���� �R*� ��_�+�•ip,���f`�pr���( �r �+�p *�'�y, , *���/, "k 1A1011ni7A��'9Q00—•CRRC_..-__-_� _ _ __ i � ,_ ,p�•��1� ' 20 I I 00l r Cd r, � I f O Cd y' ti�}fie ` U m 1 to ° a Cd ul N a 1 tcrl � � n to to F } + '6 lb � ,�rSNnnaimbrvio-3amaLm►etibeJevao•a� '`� _�• --• .i-- �r � `,�1�, wld ry{ ` •r'"`'. ! ►•�1,,�f , Ulf \ 1 . INSPEc,rlON NOTICE City of Tigard Building Department P.O. Box 23397 1 igard, Oregon 97223 Phone: 639-4175 Type of Inspection —__—_ �� ----------- Date Requested/ � �V Time ` A.M. —P.M. Address %�-��w Permit Owner _ Lot # Builder The following Buil.!ing Code deficiencies are required to be corrected: A N c,��-c c. _._ - - - -I �UCS -- k-1Z PO �5/\ - Presented to , 171—Aprroved (nsptaetor Diseppioved Date — --- CALL FOR REINSPECTION ❑ YEE ❑ NO r CITY CSF 71FA Rt' BUI.-DING PEP,119M011 MIT NO . BU19 71 CITE Of ND COMMUNITY DEVELOPMEN'r DEPARTMENT 13125 S W Hall Blvd-P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175 Pm'r .NO . 06097 1. .JOB ADDRESS : 161.92 SW 104TH AVE TAX MAP/L.OT 2S 1. 14PB 9500 SUB: SWANSON C.1 EN L T 3 6 1':)K L AND USE : P12111) LOT tiIZE: VALUATION: ID -.i 9Q,1 SETBACKS F-PONT : 20 PEAR: WORK CLASS : NEW DWELA.. .UNITS I. LEFT : 3 RIGHT : '30 USE TYPE: SINGLE F*AM*.l'LY NO. BEDROOMS : .3 EXT . 4ALL CONST: C'ONsT.TY:)E : VN NO - BA'TH'5 : N S : E : W : OCCur-".GRP . : P3 PROT .OPENINGS : OCC L)P.LOAD N: S : E : W : TOTAL. AREA: 1.092 N(.'). STORIES: 1ST : 1,092 ROOF CONST: C FIRE RE.r'? HE'I(.,H*T : .1.Ell 2ND: AREA SEPAR? PATEu: F3A4::-:MENT ? 3AD: OC(:UP 5EPAP"? PATED: Ml,--Z 9ASEM' 'T FLOUR LOAD: 10 CAPA(.*.,E : 4 8 FIRE SPRKLP7 ALARM7 FLOW(GPM) 10IL'" HEAT TYPE : (3 AS HOCP. A(-.1Cr.:'GS'? TEM 7 NO PI-AN C.141-*-*CK BY : r1t PEMAPKS: REISSUE OF NO . LAST REISSUE 880AI82 FEES : 0 Bi-EAK MORGAN PERMIT W *e86.00 N PLI BOX elJ3011 PLAN REVIEW $40 . 00 E 9*7007 66335 1;:,Ipl-,.: DEFT R PHONE-- (503) 684-6606 sTATE TAX $14.30 OT HE:P C DEVE1 OPMENT CHARGES : 0 BLEAK MORGAN GDC(STORM) $2150 00 N TITAN PROPERTIES 114C . SDC:(I-IT PEE*T T $01)(110 . 00 R Pty BOX 611335 PDC 11#2 11112150 00 A IN.I U 1-1111. rir 91007 683!1.s C FJPF--'.PATD < $40 00) T PHONL lltO,10 61134-6606 0 F3 I RF**(---#1S*T'PA11.ON NO . 30558 TOTAL *I ,ejo RECEIPT NO. -3,-J73,2 This pe,mit is issued subject to the regulations contained in Title 14 of the "MC. State of Oregon Specialty Codes.zoning regulations r-4L--.(4uIPED tNi.-sPEcTIONS and all other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordance with the plans and SEWER upecifications and In compliance with fill applicable codes and FOUNDATION WAI L. PA114 DRAINS ordinances The issuance of this permit does not waive restrictive POF-T & IMAM WATER LINE covenants Contractor and subcontractors shall have current city 131-8 . UNDEPISLAS CITY APPPCH/SW business tax permits This permit will expire and become null and r void it work Is not started within 180 days,or if work is suspended or S) AB FINAL abandoned for a period of 180 days any time after work has PL8. rOPOITT, commenced It shall be the responsibility of the permittee to assure FRAMING all required inspections are requested and approved I TPEPLAC.E GAS LINE INSUI ATION er nittee Signature GYP BOARD -- , I , , Issued By -(;A!.1 FOR !N! SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLUMOTNO E PPM1 T nl%l PI F.430972 C11Y OF TIFAF" A—F TCITYO WARD DAFV:: UIR 0010ONCOMMUNITY DEVELOPMENT DEPARTMENT V+11* NO $JM)9 i I 13125 S.W.Hall Blvd..P O.Box 233W7,Tigard.Oregon 97223,(503)639-4175 'f*AX MAP/I.C) 1' 9: 500 E)UP : ':)WANSON I AND 141.'r2 P 1) 1. 0'1' !.i a:ZL : I'VEM NO NO: WORK C.LA55 : Nl:-:'.W WAI'll".14 ULOGFA L! I PAP USE I'YPE : !:i TN(.*-' F'AM11-Y UPINAL. BKVI-Ow C,0NS1*. '1*YF)E: VN LAVO ,IXTOPY P TPAP PRIM -P OU'up.opp. : A3 T1.1191 51-40WEP 1'1:'2A Dit"44WASIAER :1. NO. 51*0RIES ; 1. WA5H:I.NG MA(:,[--I:I.Nl:-:' 1. DWELL .UNITS 1.-Ak.JW')RY FRAY (DIA F'LOOP I)PA:I'.N SINK Y::'l-J1-.:P (F-'l ) WAIIJZ HEA*rEP i. 51OPM/11ATINI (IF T O'T'HER DEMARKS : Dl.-[:'.:AK MORGAN PI:pm). 1 $ W 1:)13 IM)X 6111335 N U:I-111 h ill, 1:11, 9*100*7 44'9'3!'5 F,:1.X1 t.I P 1'S E E.PI IDN (50"All 6841-6606 STA'T'E TAXR $5.80 OTHI::"R WA'f KEN O KEN WAT*T'!.-) PLUMBING N 130 BOX 230192115 T R t J.glit I-,d or 972e-M A C 1:4-40NE (503) 68,4-6626 T PEGISTRA110N NO . 5 7f:11 00 0 TOTAL : $1e3. 38 PF-c..F-xp'r NO. 3;) 73-� This permit is issued subject to the regulations contained in Title 14 REQUIRED T.145PErTIONS of the TMC, State of Oregon Specialty Codes.zoning regulations PLO .LINDF-34511-All and all other applicable codec and ordinances, and it Is hereby agreed that the work will be done In accordance with the plans and 1111057, 6 E31:AM specifications and In compliance with all applicable codes and WA*T*F-:R LINE ordinances The issuance of this permit does not waive restrictive PI-.8. 'TOPOU'r covenants Contractor and subcontractors shall have current city PAIN DPAJI'Wi business tax permits This permit will expire and become null and void It work Is not started within 180 days,or if work is suspended or F I NAI... 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 '01F Permittee Signature I GALL FOR INSPECIJON 0, m? /- Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR!SED ABOVE P[:*RMT'T* NO. : ME11300973 CITY OF ����RD CC I CTYOF TLA 1-'*1) 7/2 0 1:3 RD COMMUNITY DEVELOPMENT DEPARTMENT 011100#1 F'411M. PMJ' NC . 00097 1. 13125 S.W.Hall Blvd.,P O.Box 23397.Tigard.Oregon 97223.(503)639AI75 JUU AL)DRE.55 : I e.)T.77-7r-771� -AVF-... MAP/LOI 251. 1.11BU 9500 SUD : S)WAN!!1()N I T .36 131: I.-AND USE: P.I.i3 P 1'.) I (TT SIZE: 'T TE M: NO : NO: WORK CLASS: NEW I:;'UPNACr-..* <1.00K I AI HANDI W <11.0 USE TYPI : SINGLE F'AIIII Y Fl[JnNACE 1001<4- AIR 1-16NIA-11 10K CONST .TYPE:* : VN FLOON 11-URNAC'111' EVAP , COOI-I:::P OCCUP . GpP , : A3 I-IE:ATI*-:P VENT FAN 2 VE-N*T VENT . SY5*Tk--:M 13L.R/C0MP (311-11P HOOD 1. NO STORIES : 1. BLP/CIOMP 3-11.511-41P INCINEPAlOW(DOM DWEL.L.UN.L*r`'; : I C-.I P/COMP 1.5-30H[) INCINEPAI'UP(COM 1: LILL TYPE GAS 611-R/COMP PCKPAIP UNITS MAX . INPUT* DI-1-1/11:101WIP 5041-R) rIPE DMi-,P5*7 GAS PIPING (IUTLI;---'Y'S I HIGH PRESS? 1-014 1441'.1.5S7 PE.MARKt-i BI r:..AK MORGAN PERMIT' 411.0 . 00 0 4an BOX 683'5 PLAN REVIEW 1111119. 30 W N a 143 1-1111, ui91007 603,05 F I X I UPI. S 5 E PH(JISIF-i. (50*.3) eM"-----6606 STA11: AX 1111111 . 88 R D,T,Hr--R o BELI... HEAL'ING INU . N1.�i '�5U51=: PIAZZA AV-' T R c!1.akc,k atm a iii or 9,701.5 A C PHONE (501) 2113-11.841 T 14E.GISIPAITON NO. 447 TOTAL: $48.73 OD PECE APT NO. -3� This permit is ISSUed subject to the regulations contained in Title 14 Rc-Quir4u:) :rNSPEC'T'10NS of the TMC. State of Oregon Specialty Codes.zoning regulations (;;AS LINE and all other applicable codes and ordinances, and It is hereby agreed that the work will be done in accordance with the plans and I-AOST & Pr:-.'AM specifications and in comphince with all applicable codes and PCIDGH—IN ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have Current city t)ijsiness tax permits This permit will expire and become null and void it 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 Permit ee Signature ("ALL. POP INSPECITON 6-39-4175 Issued By —/--t?1i - --] I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE W W maw CITY OF T'VA RD E'PM1:*T' NO. : 511:.860971 �j It! CITYOFTWARD DA'11- 7/ep./Be COMMUNITY DEVELOPMENT DEPARTMENT or-',ni Pm,r . N('. . 81130971. 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-41175 rw j.oe.Ij*I-I ,,,yl::' 331.(37 'It)X MAVI/I 01' P1-1'1. 1/1DIV., 9'r'.W0 1:11,J E." 5WAWJAi-I GA-V 0 L..1• : 36 DK L-AND USE : P,1.'r.�_P D I O'T' SIZE, . S1 I ON : 1•+J 1'W1::,: 2.In I:IN(*,., : :Lw WORK CAASS : NEM II SE 'T*Y I--,I !ii 1 N G,L E F A 1`411 Y 11.10 4LPPJAL:ft11t lILt;jI'ek)1i; to W:I.th 64,13. t'hoe Uniq'iecl 5owerag4p Agency . '11110 pitni-init. expir-1vi?1a 1.20 1:1m.411i t'he imlill.11U.-cl . 'T'h ILI t 1;1 t'I&I in to ci tt n t 13 m i(:I w 1.13. 1:)e) 4!c)I�f v.-d. I,*.-t(J :1.•1' 1,1'11h., t C.)XV)J y (:It:)8 11; 11 I:I.L gt.tiixr--- a n t -m t h 0 ptc-.Tm I-sir.,I4 c) F t h e 'I.a c!u t,11.ci ri c)-F t h o� s;1.cl Ivi, HI kmwvp I- J.IN t'e r,at 1.fil t'hwil inewv?r- im; linA, 101:'Ilttimcl lat t'hira t'llei !lillal'1.1. '13 irl al.1 dir,ec.�tianw -Pir-ain the. ditittirtnc:vt giverl 111! 110t, MCI 1A)CN&tC-'CI , the J.1-Ifiltall.01' 191-11M.11 I". '"Tipp 0.1-1c1 I:-*'el-M:i t ilt 1cl Aclelllc:lj WJAA. :1.1-11111,111.3.1 fli, .6;111 1s4 A6 +y P Ei FT X'l'L IRE: I IN I T5 MI:'.'VK)VTi.Mr.!-'N T OW0. LANG. UNUT'S I. NO . Or-; Ell UG'S =7775 r.31 EAK M 0 P GAN PEP1411J."T cits . oo 0 P43 BOX 68,35 CONNEUTTUN CHAVU..E. d11. imo . 0() W N Alk I.U h U al- 9,1007 603r) I 1NIE' '11"AP :I.NS*I*Al L . E r-)HONE. 150 3) 611IM-6606 C 1:41.L-:,Al( MOM',iAN 0 1 .1. TAN l:*'Q0PERT:,"ES 1NO . N T P0 6835 R Nt I o 11411 cir, 97007 66,3.1) A C PHOM-K 1503 1 6(:)A----6606 T l;1r--"G1'5TF4A'1-.r.ON NO TO1'AI- 1111111 135 0() 0 PECE I P't NO -4 C.. This permit is issued subject to the regulations contained in Title 14 I-IF(Aii.yE313P "I" J:N!" XONS of the TMC, State of Oregon Specialty Codes,zoning regulations POLIGol-4 1.N and all other applicable codes and nrdinances, and it is hereby 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 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 It 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 Fill required Inspections are req.,iested end approved Permittee Signaturf, CAL I F:(:)I;l iNSPEr.1 ION 6.319-41.7,15 Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OFtieA FLAN CHICK AF'PLICA'f ION RD PLAN CHECK N CnYOFi11FARD PERMIT N COMMUNITY DEVELOPMENT DEPARTMENT oaeooN DATE ISSUED _ 17126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)83D-4176 T JOB ADDRESS: TAX MAP/LUT S I- Al � G /�"� S �/ h � __.�_____ — SUB: LOT: LAND USE: OWNER _ SPECIAL NOTES �rp REISSUE OF: 8- g 'L NAME: �1 7`,�l'1N �� �:_ -- ADDRESS: j'g 8 3 — LAST REISSUE: y- 5 Z FLOOD PLAIN/ - - _ SENSITIVE LAND: PHONE: jSj `tom G — APPROVALS REQUIRED _CONTRACTOR PLANNING: NAME: ENGINEERING: ADDRESS: ---- --._._-_- — FIRE DEPT OTHER: PHONE: — ITEMS REQUIRED LIST/SUBCONTRACTORS: _ ARCH/ENGINEER BUS TAX: _ NAME: _ — — CALCULATIONS: ADDRESS: ___-___ _ TRUSS DETAILS: PARKING PLAN: LANDSCAPE PLAN: PHONE: -- — -- --- -----� — OTHER: C()r'1MENTS: PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE b G 10-432 00 Building Permit Fees be It 7Z 10-431 00 Plumbing Permit Fees < " 10-431 01 Mechanical Permit Fees mac, 3 1' 5.0 10--230 01 State Building Tax (5%) -;1-Z L: BuiIdirig Plumbing Mechp 10-433 00 Plans Check Fee •3 k vn ?t. lj:� Bu i Id i r!g Plumbing Much __ b" ► 30, 443 00 Sewur Connectian (2UX) -� y �v-- 30- 202 00 Sewur• Connectiun (80%) 30-444 00 Sewer Inspection► 51-•448 00 Street System Dev Charge (SDC) - 52--449 01 Parks I System 1k Charge (PUC) 52--449 02 Parks II System Uov char-go (PDC) 31--450 00 Sturm Drainage Syst. Uev Chrg (SSDC) O— 10 230 09 1RFD (9b%) _ 10 435 00 1RFD (57.) 10--230 06 Washington County Fire N1 (95X) 10-435 00 Washinyton County Fire N1 (5%) 10-220 00 Amar t/Wedgewood _ IOTAL / Rt C N APPF ICAN1- STGNATURF Rviceived FI ��rr� OaLo Received: S"► j • a C_ C17YOFT167ARDPLAN(c7a=7410 4F R D 7�WARD CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT oftlaaw PLAN CHECK i 1312SSW140BMd.P.O.Box 2s.W,T19*4Oregon arm(600)0*41?6 PERMIT i r _ _ DATE ISSUED OA ADPQRSS: j CLJ/C; /� <,l i -P TAX MAP/LOT .5/- / � - UB: c- - V-- _. LOT: LAND USE: / ALUATION: CJ SETBACKS: FRONT: REAR:-,�rO LEFT' 5- RIGHT:_ +- {TORR CLASS: tir HEIGHT: � TOTAL AREA: 64%z. USE TYPE: - � FLOOR MAD: � () 1ST: CONSTR TYPE: ^J- HEAT TYPE: 4 2ND: OCCUP GROUP: DWELL/UNITS 3RD: OCCUP LOAD: NO BEDROOMS: _ BASEMENT: NO STORIES: / NO BATHS: 2- GARAGE: U INP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS RE UIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS:_ ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND.: _ TRUSS DETAILS: PARK 2MG PLAN: LANDSCAPE PLAN: _ PLAN CHECK BY: OTHFA: COMMENTS*-A CCT I DESCRIPTION &4OUNT OWNER 10-4:32 Building Permit Fees NAME: -431-600 Plumbing Permit Fees ADDRESS: 10-431-601 Mechanical Permit Fees 10-230-501. State Building Tax (5x) _+ .z. 0 -' 10-433 Plans Check Fee s� PHONE: 30-443 Sewer Connection (20x) P-V ---- 30-20:2 Sewer Connection (80X) 5 , CONTRACTOR 30-444 Sewer Inspection t '311- NAME: 3SNAME: .51-446 Street System Dev. Charge (SDC) t Ci,-1 v --�- ADDRESS, 52-449-610 Parks I System Dev. Charge (PDC) -- 52-449-620 Parks II System Dev. Charge (PDC) _ � '0 31-450 Storm Drainage Syst Dev Chrg(SSDC) _ S25,0 PHONE: 1.0-230--505 TRFD (95X) 10-435 TRFD (51) s� ARCH/ENGINEER 10-230-506 Washington County Fire it (95x) _ NAME: _ 10-435 Washin*ton County Fire it (5%) _ ADDRESS: 10-220 Amart/Wedgewood s — — TOTAL t, / ['HONE: s PREPAID U REC i BALANCE: DUE APPLICANT SIGNATURE �ceived By: - Date Received: -_, ■ P.O.133K 7�7 CIT`; OF' TIGARD PLUMBING � % H&U Mvd- Applicants must hold Oregon Registration to cond �CR muct a plumbing PERMIT 634-4D55 business or must be property owner/operator nat hiring outside help. Nuns of Devebwnenl Plumbing Permit No. Address D JobORS 814-21-010 DUAN. PRICE AMT. Tax Lot Map.No. Addnaa LotBlock Sub6NebFIXTURES n — . Sink 7.50 Nwrow a name oT ub sTneu Lavatory 7.50 Tub or Tub/Shower Comb. Z 7.50 esa Shower Otey _ 7.50 Owner CRY/State ZIP WatwCk" .Z. 7.50 Dlahwasher 7.50 Phorw Garbago Disposal f 7.50 Naas Wastftmaaxre - -� -- 7.50 -- Floor Drain 7.50 Address Phone Water Heater 7.50 Otxupant citylstate zip Laundry Room Tray - - _ 7.50 Urinal _ 7.50 Name Phone Oliver Fixkrss(Specify) 7.50 7.50 Address __. Phone - 7.50 Contractor CAYIStaft -- Zip 750 _ MISCELLANEOUS City Bus.Tax No. Sewer 1st:00' 90.110 -v4A Sewer-ea Add t 100' 18.00 (Residential) Water Service 1 of 100' 20.00 1 hereby aidvkowledpe Meal 1 have reed Mils app'll, .Mut Mw kdwmtllon Water Swvlce sa.Add+t2M' 15.00 0-1 Is txwract,/tel 1 am rspislered wI11 the Stem Builders Hoard rrd also Storm A Rain Lkeln 1 at.1W 90.00 haw a SWM Pkxtd* iloerw- that Mw numbers ylvsn ars cor»at.Mut all -Nmt Ing work will be dons in aooadark, with 111, 11 provisim d Ors- Storm i PNn Drain Addll.I OV 15.00 ..Aw Revised StaMAse Chapters 447 and 093 and sppIr A l-codas and Mut GAobile Horne Space 25.00 no help will be artpbysd unless iloeraed under ORS a&(Mxe exempt kom --- - - IAM rsplstnft pleats QIw reason bstow). Beak Row Prevention HOMEOWNERS-I hereby ow*#W 1 am Me owner of Mw property de- DrAbsarAnMWbwAlon Dwk* _ 7.50 sorbed above.al wldd boallon 1 propose b maks a plurd 1p brill N I for Any Trap or waste Nat my twee+use and Mils property M nd b ft ooreft u r for sele.lew or rent. I Corrected to a Fbkwm 7.50 _ I Catch Basin V 7.50 _ kap.of ExNL Pkxvt*V 1 40.00 Per Hr, RequaaMd Inapecilorm 40.00 Per Hr _ Aber.d Pkaebkkp wigkN an Bldg. 15.00 min. AUTHORIZED SKItMTl/RE net. I New Bldg.or Build.Addition 28.00 trdn. fartu l Describe work nwwv❑ adddion[-) alteration❑ repair[-_I X5.00 — De don. _ resideMiail L non residerltlaf -- -- F 4 N 0 tree of - -- IhAdh or property---------_ _ — -- _ _ MA-TOTAL S , « — (NOTICE ------ - ---— .� TW paenilt Osoorres rtA and trotd V work w owaalwMon wAhw red is not com- rrtMtOiltiMAM11n 1ROdgaiar•esrrllydon orwortUffrapsrdar or ahandmod fd ONO 41 In of sods"r arty rete tilAer work loco BPlL11AL OOI�fT101f6 D&W issued __ by /CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit N F1Asscrlptkm lrat"3A MacMnloaf Coda QTY PRICE AMT City of Tigard 1) Permit Fee -0- -0- 10.00 13125 SW Hall Blvd. P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 639-4175 1) Furnace ducts 8 100,000 ent BTU 6.00inc Furnace 100,000 BTU + 7 incl.ducts&vents .50 Name of Development r 3) Floor Furnace ----- 6.00 incl.vent _ Job Address — 4) Suspended heater,wall heater 600 Address _ or floor rnzunted heater - Tax Lot - Map No. 5) Vent not incl.in 3.00 _ appliance permit WBack Subdivision - Name(or name of buskwu) 6) Repair of heating,refr Ig., 600 cooling,absorption unit MalNnp Address ) 7 Boiler or camp to 3 HP 600 Owner absorp.unit to 100,000 BTU _ city/State 71p 8 Boller or comp to 3 HP-15 HP 11.00 _absorp.unit to 50_0,000 BTU Narne 9) Boiler or comp 15.30 HP 15.00 absorp.unit 112-1 million M&WV Address - - Pfwxre - 10) Boi!^r or comp to 30-50 HP 22-W absorp.unit 1-1.75 million _ Contractor cftrasters --- I- - 11) Boileror comp to 50 HP 31.50 absorp.unit 1,750,000 BTU _ _ State Registrstion No —� CAy sus.Tax No. 12) Air handling unit to 4,50 -- 10.000 CFM ---- 1 hmaby acknowledge thal I have read Mis app"bon thet wa Wonnadon preen Is 13) Air handling unit 10,000 CFM + 7'50 cl, oxteMW I am the owner or auttwdzed apart of IM er own ,"piers w0nitted are in — o,xr4A&n:e with Stale laws,IMt 1 ern registered with the State Bukfers'Board,tMt Ow � Non portable rnanbet gNen Is carred.(if exempt from Sate regharatbse n pleagive reason below). 14) evaporate cooler 4.�0 Vent fan connected / - - --- - - --- ----- 15 3.00 to a single duct (� ------ ------- -- ------- --- - ---- - 16) Ventilation system not- -- 4.50 included In appliance permit - _ 17) Hood served by / 4.50 ; mechanical exhaust 0-(—or BMW) --_ = Date 18 Domestic,type 7.50 Describe work El addition [-.I alteration C1 repair ( l incinerator _ to bar'done residential (I non-residential El i 19) Commercial or Industrial 30.00 Existing use of type Incinerator building or prop©sly 20) Other i.e.,woodstove,water 4.50 --��-----�---- heater,solar,clothes dryers,etc Proposed use of -- ---- bulldl ig or property _ ---_-_ 21) Gas piping one to four outlets 2.00 type of fuel- ml 1-1 natural gas C) LPG 11 electric CI - 22) More than 4-per outlet "QT10E PUB-TOTAL J To THIS FIE-1411 BECOMES NULL AND VOID IF WORK OR CON- STRUC TIoA AUTHORIZED IS NOT COMMENCED WITHIN 180 $010 4156 SURCHARGE DAYS, DR 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 15 COMMENCED TO IAL (r Special Conditions ---__ -_ Date issued_-_--------_.._--.--- by-- ----- --