14661 SW 106TH AVENUE ADVRESSR
I� IN-l" AVANUE
rL
H
N
H
r-.
J
W
_J
i:\rc-odslmicrutim\targels\building.doc
w INSPECTION NOTICE /
City of Tfgas d Building oepartmr_rt
13125 Sir Ball Blvx;_ Tigard, Oregon 97223 i
Inspection Line (Rec-O-Phone►: 639-4175 Buuinese Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Ldwlk
Found. Plbg. Top Out Can Line *-HSIdg.
Post/Beam Struct. San. Sewer Framing Poet/Beam Mech. �aln Drain Insulation lumb.��
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Cl C
Date Requested:_ _�1 V C� �p T�iVms AH PH
Address: l, I 1 L) tL AV t. Pes911£ �t a -o
1 -(,.,__ j l 1'�I I'— �1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l e c
1` U-+ .
O]
C7
U.1
J
Inspector: ! Dates
APPROVED DISAPPROtRb ;.PPROVED SUBJECT TO ABOVE
___.__—Call For Refnsp.
INSPECTION NOTICE
City of Tigard Building Mpartment
13125 BW Ball Blvd. Tigrrd, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fcand. Plbg. Top Out C e Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Plin Druin Insulation -Plumb.
Plbg. Underfloor Water Line h.
1
Date Requested: _ ime: N, AH -. PH
Address: _ z /,m�t Q s 4��
Builder: , �j� ��l�L--✓_Iti
THE FOLLOWING CORRECTIONS ARE REQUIREDs
d
Cz:n
Y
J
LLl
J
Inspector: --- _ DAte: �_ -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
INSPECTION NOTICE L�
City of Tigard Building Departsient
13125 SW Hall blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Uueiness Phone: 639-4171
Inspections___
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. P111. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer. framing -Bldg.
Poet/Beam Much. Rain Dral- ?ir n rttotf -Pli-mb.
Plbg. Underfloor Water
Line Gyp. d. M ch.
Date Requested: �/ �r� —Cz Tim i J7AM PM
Address: Ar/z Pe It #L
Builders
TUE FOLLOWI1M CORRECTIONS ARE REQUIRED:
i
Inspectors f Date;
APPROVED DISAPPROVED APPROVED afsBJECT TO ABOVA
__gall For Roinsp.
tTYOFTIFARD MASTER PERMIT
RD�
COMMUNITY DEVELOPMENT DEPARTMENT rMATWA PERMIT #. . . . . . . : MST92-0193
13f25SWHell Blvd, P.O.Bax 233q7,TJUaM,Oregon 97221_IPW 839-4175
,`)-4171 DATE ISSUED: 09/08/92
SITE ADDRESS. . . : 14661 SW 106TH PV PARCEL: 2SIlOAD-03800
SUBDIVISION. . . . : LANG HILL ZONING: R-12
BLOCK. . . . . . . . . . : LOT. . . ""-
BUILDING
REISSUE: DWELLING UNITS:0 BASEME14T. . . . . . . . :0 sf
CLASS OF WORK. tALT BEDRMS:O BATHS: 1 GARViGE. . . . . . . . . . 10 5f
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS-----------.—
TYPE OF CONST. :5N FIRST. . . . :0 sf LEFT. . :O ft RIGHT. .-O ft
OCCUPANCY GRP. :R3 SECOND. . . : 0 s FRONT. :0 ft REAR. . .-O ft
STORIES. . . . , . . :0 THIRD. . . . .-ko s REQUIRED---------------------
HEIGHT. . . . . . . . : 0 ft TOTAL.-------:0 s SMOKE DETECTORS. s
FLOOR LOAD. . . . :0 psf VALUE. . . . . $ : 4900 PARKING SPAGES— :0
Remarks: REMODEL BATH ROOM CHANGING ONE WINDOW AND REMOVING ONE INTERWALL
PLUMBING ------------------------------------- -
S I NKS. . . . . . . . . . .0 FLOOR DRAINS. . . . 10 BACKFLOW PREVNTRS. . s(b
LAVATORIES. . . . . : J. WATER HEATERS. . . tO TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . .- 1 LAUNDRY TRAYS. . . 90 CATCH BASINS. . . . . . . 80
WATER CLOSETS. . : J. SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . .-0 WATER LINE (ft ) . :O OTHER FIXTURES. . . . . 10
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF RAIN DRAINS. . :O
---------------- MECHANICAL --------------- FEES
FUEL TYPES------------ LIMIT HTRS. . s@ type amount by date reopt
VENTS . . . . . :0 BPRT $ 50. 50 PLL 09/08/92 —
01AX INPUTsO BTU VENT FANS. . s BPLC $ 32. 83 JLH 08/31/92 23109L",
FURN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 2. 53 PLL 09/08/92 --
FURN ) =100K . . :Vj WOODSTOVES. :O PPRT $ 25. 00 PLL. 09/08/92 —
FLOOR FURN. . . . :0 CLO DRYERS. : 0 P5PC $ 1. 25 PLL 09/013/92 —
BOIL/CMP ( 3HP:0 OTHER UNITStO
GAS OUTLETS%O
Owner-- -------------------- -----------------
JANICE LEITH
14661 SW 1061H AVE
110ARD OR 97224
Phone #: 684-2749
C o n t rat o=-t or a -------------------------------
ALL WEATHER
5005 NE FREMONT
PORTLAND OR
Phone #: 284-9306
Reg2'5745 -------------------------------------
112. 11 TOTAL
C-D This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor
applicable laws. All work will be done in accordance with approved Plumb Top Out
plans. This permit will expire if work is not started within 180 Framing Insp
days of issuance, or if work is ?5PT ded for sort than I aye. Insulation Insp
p Board Insp
I er^mi ttee G i y n a t L t v 11�A/MW plumb Final
Building Final
By :
Call for inspection 639-4175
�IYT4�
TIG
1)125 SW I1aa Blvd. PLNCK/RECT # 7�c.
CITY OF .�IGARD PO Box 23397 PERMIT # M51
COMMUNITY DE-VELOPMENTDEPARTMSNT Teprd,Orcgon 97223 —
(503)639-4171 DATE ISSUED
JOB ADDRESS: z eA � _ TAX MAP/LOT �_/�4d - y 3Y
SUB: 4LOT: ;3 LAND USF:
a VALUATION: C o _
SPECIAL NOTES
NAM : REISSUE Of :
POOR F S: < I �_ L� � G _L _ LAST REISSUE:
7otvZ FLOOD PLAIN/
PHONE N-,;77 VY _ SENSII IVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: W, � PLANNING: _--
ADDRESS: „z”aE AA /`��/y,,l I% ENGINEERING: _
FIRE DEPT: _
PHONE: _ .�D 2�,� Z- ' i�3 4� OTHER:
r CONTR. BOARD(#: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMES: LIST/SUBCONTRACTORS:
MECII- BUS TAX:
ARC�ENGINEER CALCUL ATI(
NAME: TRUSS DE) TLS:
ADDRESS: OTHER:
P110M :
PROPOSED 3E.0G. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
m5 Z-Uj 10-432 00 Building Permit Fees ,$U UJ�
10-431 00 Plumbing Permit Fees 0 6 )
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) �
Building x,53
Plumbing f, 2.j
Mechanical
10-433 00 Plans Check Fee 3.2S3
Building 32.x'3
PI ui,ibi ng
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst. Dev Chrq
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
il
7
�1
i OTAL
nm;3587P.W[jF
N[:CE I P T CIS' V,AYME. 1*1' REr';F=I C'T NO. 92—c 3140E'
CHECK AMOUNI '79. 213
NAMF a I_E-I-FH, .JAN I C•F= A. CASH AMOUNT 0. 00
ADDRE=SS 14661 SW 106 TH AVF NUE Pn'yll T Do-,'I'F- s 09/08,192
sup ,iVISII:IN
VIGARD, OR 9-7224—
PURPOSE OF r*,FaYMF-NT AMOUNT WWII) i',URrCjS= OF PAYMF:N*r AMOUNT PAIL)
..........
BUILDING PERM Mti i-9('.--1 9.'x.1 �@. 50 PLUMPING PERM R,5. r70
ST. RU I!h PER 3. 78
a
i
TOTAL AMQLJI i i' r,A I F) 79. 26
CllY 01--* TIGARD RrCEI FST OF PAYMEN'r RUCFlPT NO. :9 1(A90"
(.'HECK AMOUNT - 5;:2, a3
NAME : LEITH, JAN ICE CASH AMOUNT s 0. 00
A D 1)R E S'36 v 144..61 SW 106TH AV17 PAYMCINT DATF s 08/31/c)Z'
SUSS I V 1131 CIN
rlGARD, OR 97224—
')URPOSE OF 1."AYMr:.N-r AMOUNT' P F0 1) PURPOSE Or- PPMFNT AMOUNT PAID
rc
CHECK V Ff" 32. 133
co
TUrAl. AMOUNT PAID 32. 83
Mai
i
--_ � PLAN CHECK APPLICATIONCITYC11YOFTIOARD �,,, PLAN CHECK �
COMMUNITY DEVELOPMENT DEPARTMENT 1D'lOON PERMIT
t31nswH46W PAX Gm2XW.TlgeR Oregon aUrz��nw i»s
i DATE ISSUED
1 ,
JOB ADmESS: / U�/ _5w /U C`�'�' ^� TAX MAP/IA)T :,l 5., p - D_3 SO 0
'SUB: c y `/105 _LOT: iL LAND USE.
VALUATION*. SETBACKS: FRONT:� -_REAR: LEFT: RIGHT:
�
WORK CLASS: Sd.4di HEIGHT: TOTAL AREA:
USE TYPE: S _ FLOOR LOAD: J 1ST:
CONSIR TYPE: S N HEAT TYPE: 2ND: _
OCCUP GROUP: - DWELL/UNITS s 3RD:
OCCUP LOAD: NO BEDROOMSi— BASEMENT:
NO STORIES: -- NO BATHS: _ Z_ GARAGE:
IMP SURFACE: -
APPROVALS REQ'D SPECIAL NOTES ITEMS RWMED
PQM: REISSUE OF: I—iSUBCONTRACTORS:
ENCINEERI-M! LAST-REISSOR: BUS TAIL:
FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: _
OTWM: SEN LND.: TRUSS DETAIIS: _
+ PARKING PLAN:
LANDSCAPF PLAN:
PUN CHECK BY: OTHFP:
(—/
� C
COMMM:iTS:.,,,,��P 0 /���`�' (Jr�ys► �6j G,n y i 1 r ►Zf CV ^ c�G r. i.:
7 �
PERMIT a #9= N DESCRIPTION AMr UUT AMOUN".r PD. BAL. DUE
_093 10-432 00 Building Permit; Fees ,,5_�;,, ,50. 0 -
10-431 00 Plumbing Permit' Fees .tea vu
10-431 01 Mechanical Permit Fees _.
10-130 01 State Building Tax (5%) _
Building
Plumbing __2S_
Mech
10-433 00 Plans Check Fee 3� 3 -
Building _,j�•8�3
Plumbing
Mech
30-202 00 Sewer Connection -
f 30-444 00 Sewer Inspection
51--448 00 Street System flew Charge (SDC) -
- 52-449 00 Parks System Dev Ctwrye (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 TRFO - --
10-230 06 Washington County fire N1 (95X)
1f-220 00 Amart/Wedgewood -
IOT-At /1Z_e.1z_
REC N
APPLICANT SIGNn1URE
Received Hy: Oate Received:
cn/3567P/18P
r
City of Tigard MECHANICAL_ u- PLUMBING PERMITf
13125 SW Hall Blvd_ APPLICATION Permit #
PO Box 23397
-Fgard, OR 97223
S03 639-4171
Table 3A Mechanical Codi QTY PRICE AUT escnpeah -
ORS 814-21-610 QTY PRICE AMT
1) peak Fee -0- 1400 FIxiUR(:S
Sunk 7.50
23 shwoaa:-11al 100 7.50 'T
i1740011=0 ra 10
JjZ n ieai atnats i wrec GAO Shower 0*lLfttShower Comb. / 7S0 ,v
pw STU - Avlarer Cbset 7.50
23 iari dw
uMtc a watt 7-50
Dkhwarher 7-50
q QwcL vee t:1oo
7.50
Wasfhng 6A�drne 7.50
q w/ar oars.o 4oatler 600Roor Drain
7..50
te.otr► waw Heater .50
Sp app6.enap"'"Z 1t00Laundry P400M iw -
q mttiq.a6aopiote� SAJO ( ) !� 7396
r�raonpl. P�1>•ar
7) b s W ahoap eo)t b lOOK BTU 600
t er;;, Pu6 4W 7.50
Builer q sty NP atbonp re�it>a 9DOIC 61U 1 LAO
ercosup how pear 0x%& keSCELLANEOUS
>� ts=Hp a6eoep fta-s-1 d gill 15100
rrN'FLpp—mmirz� Sewer 1st 10(r 30.00
10) 1010!N'a0en�colt 1-1]5 WA BTU 2Z= Sewer-ea. lOQ 1
eraosp. pK*Ot.xWater Service 1st 100' 2000
1 s 50 f!'a6coat 125 ai BT11 3159Wa6ur Service ea.AddiL 200r 1500
nle'r eze[b
223 1ggj00 CFU 490 Skxm a Rain Drain 1st Mar 3000
9 iStorm mm Stoi Rain Oram Ad&L 100' 1500
tap 141000 CTU. 73o
N ---
aw I�Aotnie Home Spaoo 7500
14) evxxxaseConger 490 bw
Vent - Device or Ano-Po0uwm Devioe 7,50
157 b a single dict 3.00 y Trap or ante oR t
enuabon sybeoot cCorxx!csed to a Fbaum 7.50
160 iixltded in aWiance pan,* 490 Cath Basan 7.50
Hood senmd by 40.00
17) wredeanieat ed arst 4-50 )asp_d Grist Pixnbing per M
�ar whdiasrd -- - -- 4000
Is) dPe incirherabr 30100 Sp--AY Ret*-Wd lnsp(-Ict— per M
U_ rater Ran si x-- tar* -
t9p baaur,setae_sloshes riper:;et a9D drnvlGng 15.00
M cadent al hargdlow reavenbon -
2100 Gas pk"mine b lair oudeft 200 &rvioes M00
71) Mom than aper ourkt
prevention devices)
Lfini vm Fee Ste'a0 SUBTOTAL 'Yiniamm Fee$?SAO SUBTOTAL
SIL SIM"4AMW -- --! S%SURC14ARGE
PLPA REVIEW 2M OF SUBTOTAL 9 _ PL_,M REVIEW 2S%OF SUBTOTAL
IF TOTAL ti OTAI_
C m"iom _
Date issued try
h IJ.►.t�aJ
I
I j
I /
_ \ \ 71-
V AC1..1 Lr^ • T.. �� i Y, I f Y, Tho! ('iiv of TPM; , Orrron, or It's
h'I
�r:, ,4.msib!c for
disc iepancys which may appear her;ou.
APPROVED W?
i
_ Z to