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PERMIT too. �r/ 4l
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LIABILITY: he -City of Tiga•r,Q, Oregon, Or ift
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16565 SW 1081" AVENUE
w RD
mOFTWARD
CITY OFTIVA BUILDING PERMIT
CrT
COMMUNrrY DEVELOPMENT DEPARTMENT 0210001 PERM 1 T #. . . . . . . . SUP91-0160
13126 SW HffJ1 RW. P.O.Box 23397,Tiqmd,O"Von 07223 (603)6394175
4 1 4
P
.7 _
SITE ADDRESS. . . : 16565 SW 108TH AVE PARCEL: 2,51 15AA .01900
SUBDIVISION. . . . : DOVER LANDING ZONING: P-2
BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . . .22
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ADD FIRST. . . . : s N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : s PROTECT
TYPE OF CONST. :F)N THIRD. . . . - S f N, S: E: W.
OCCUPANCY GRPI. :R3 TOTAL--------: 0 s-F ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: BASEMENT. - s AREA SEP. RATED:
STOR. . 1 HT. : ft GARAGE:. . . : 5f OCCU SEP. RATED:
Bsm,r,, : M E Z 7? REOD SETBACKS-------------- REOU I RED--- --
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. .
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMF, SURFACE: PRO CORR-, PARKING:
VALUE. $ : 11993
1`�Pmarks : workshop addition, car port and breezeway
FEES
'J(.IN LINTNER type amount by date r-eept
11',565 SW 108TH AVE PRMT $ 92. 50 PILL 07/22/91 -
PLCK $ 60. 13 JLH 07/03/91 214976
1IGARD OR 97,224 5 P C T $ 4. 63 PLL 07/2'2/91 ---
Ptione #: 620-511219
Cont Tactor,:
I...VN FILIPIANNKO
14731 S HOLCOMB
OREGON CITY OR 97045
Phone #: 657-5.446 f 1.57. 26 TOTAL
Reg #. . : 63585
REOUIRED INSPECTIONS
This poreit is issued subject to the regulations contained in the 17t,aminq Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Raiii drain Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plan,. This p,rail wall erplre J work is not started
within 18@ days of issuance, or if work is t1ispFnd@d !or oore
than 18@ days.
--et-mittee Si4natur-e-
issued Byt
Call for inspection 639-4175
CRECT # 2
�IG�r�!luswH3u 7 PLNCK/
CATY Or ro Box X3397
PERMIT #
( ON1N1UN[TY[)I?Vis1,01 MINT DEPARTMENT
Tigard,Oregon97al
(503)639-4171 DATE ISSUED
,JOB ADDRESS: — <<� �� 5 �� C�� _ TAX MAP/LOT
SUB: �)ovE2 I.OT: LAND USE:VALUATION: 60
OWNER
SPECIAL NOTES
NAME: ST A0 L �� T ��' - REISSUE OF:
ADDRESS: f(� 5 (� 5' S .J /J �y LAST REISSUE: —_—
FLOOD PLAIN/
PHONE: (�,�Q ' S ro`I _ _ SENSITIVE LAND:
CONTRACTOR r 1 APPROVALS RE U140
NAME: r) � aA.6)1SQ_ _ __ PLANNING:
ADDRESS: IL-1 7 3 1 S IA,L-cnca4 __ ENGINEERING:
"')SEC.._,.-- C, ,__: C� 774 </` __ FIRE DEPT: .�pp
PHONE: 5 7 - OTHER:
CONTR. BOARD #: r,?5 V S" EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MICH: _. BUS TAX:
ARCHLNGINEER CALCULATIONS:
NAME: — ,� _._. TRUSS DETAILS:
ADDRESS: _ _ OTHER:
111IONE:
PROPOSED BLDG. USE: (,JoititsHo t;>l_ /-�.� ;, � lG% � � -df-f/7z,0,C-j1z,
COMMENTS:
AI'PI_i OW SIGNATURE
Received By: ___ _ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
SIU 10-432 00 Building Permit Fees % J _ �Z'�
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) _ 1 G _ -G 3
Building (� _
Plumbing
Mechanical
10-433 00 Plans Check Fee D
Building =-'._!'�
Plumbing
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 Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587PYPF
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CITY OF TIGARD
` DEVELOPMENT SERVICES 1-1..1,.fMt MNG PERMIT
13126 SW Hell Blvd.,Tigard,OR 97223 (603)6394171 ','�'F R M T T it. r'!._fyl'3 7
169655 SW IVIPTH PvF"
nr 'Jrt'-,•r.n1�,1,. ., . ; rinvr�rr� LtaKInItalc, 7nNTKI(3e r,...,,
nT Sf'f;'35P-S.. 0 foCJn l i. f,' HOME, r:OPM a. .. 0
• J- f"IF t,ISE, , . „ a r- WI)SW NG, fMrCH: . . . . , 0 BACKFLOW n}?EVNTPS. . c 0
r tG�! I`fC:`' f �71..}n . !a`' f`l..CC1r� of iIl lr . . . . .• t 1"PPOF. „ 0
WATFR, I r-AT IFRS. . . . „ t7t t",��C!� �ASx�,I��, • . . . . . �Xa
..r�� i~ . ........,..�.... ,_.....,.._... 1_r4UNDRY TPO YS, i7r RAT Ni nR(-)IM`,:�.
NK9 ?..JRiJRIM-S. . " , . • . , . . . GRr.A5jE ""PAPS. . , . . . . Q 0
n-r''Hf!r7 F-T1('rI!7r.-,,
M-WE R i.._1 NE C i^'l; ? . . . . t�
Sf..fWl P P I N n R q'T Ni (ft ) . "
",'-,�� ,,��. � i�+�: r��!t,' �1 ���t i::a r:tf r'.y �.+a•.I r°�x.
PEFS
i'.� m, r t l r ,;{ ,4.
?:'sW 10F,"TH PRM-
.:rirFyt�f �''I..LJJ�t�t•Jf�r'
1 .7-0 SW TNMISTPJP_ WAY
���,�e +a,trf�i►�aJ C��a, 5�p+,� r�F f1r,^«. SC�ri�lty t:mde�� and :a'.' tfth�r �". eti^�xF) 1.n�t-,: , ��� ..__._........... . .,�. _.,.. ......
,tr. k'P 18141 ti SVU'r,t ue1J. P Ctln� -,cr }� __ ��..... ..�...".__
"4Y'ttd 01#ms, rhn5 Dorf-It o l j., 7_. h.ei•1�r �_.. .�� _._. � ._ ..._._...... _, m.....__..
on
"Cpl �wpy�u.,
CITY OF TIGARD PlumbingApplication DateR y.'�!�L__
PP Date Recd -27 Z V)
13125 SQA; HALL BLVD. Commercial and Residential Date to P.E.
TIGARD, OR 97223 Date to DST
(503) 639-4171 Permit>rl
Print or Type Related SWR s_
Incomplete or illegible applications will not be accepted Called
Name of Devlopmendprolect .. ' TiF NeW Sipple Family Residences Onlv.L �ie ++t s�!f
Job 'BATHI HOUUSSEi�oo0,2 BATH, OUSE$195.00
Address Street Address Suite ;,G;;�x+, *'' „ `� 'p�3 BATH HOUS 22500' �a 1 6�n
k' .-tr +..,,....- .iiia.
�; t - Fee Includes all p1 Um fl fl iies'In the dwelling and the rst 100 feet or `+ s
Bldg 9 City/Slate Zip water service,sanitary sewer and storm sewer..See fees below
Name FIXTURES(individual) QTY PRICE AMT
Sink 9.00
Owner Mailing Address Suite Lavatory 9.00
U"" Tub or Tub/Shower Comb. 900
City/State Zip Phone --
Lfi�!_� IL UtL ��c�1 Shower Only s 9.00
Namcv Water Closet 9 00
Dishwalcr 9.00
Garbage Disposal 9.00
Occupant Marling Address Suite
Washing Machine 9.00
City/State -lip Phone Floor Drain 29.00
—__ 3• 9.00
Name 4•—”— 9.00
w t L r
Contractor Melling Address Suite Water Heater - 9.00
L Laundry Room Tray 9.00
City/State Zip Phone Umial
U ' If, i q L VII G, 4 G Other Fixtures(Specify) 9.00
Oregon Const.Cool.Board Lic 0 Exp.Date � -
Attach Copy of yo -� I ' (• k, r,—) A_ 9 00
Current Plumbing LIC.s Exp.Date 9.00
License -5L j'u�t 1✓ tJ ,I Sewer-1st 100" 9.00
COT Business Tax or Metro 0 Exp.Date Sewer-each additional 100' 30.00
Water Service-1 st 100' 2500
Name
Water Service-each additional 200' 30.00
Mailing Address Suite Storm&Rain Drain-1 st 100' _ 2500
Architect —
Storm&Rain Drain-each additional 100' 3000
Or25.00
Cit IState Zip Phone Mobile Home Space
Engineer y Commercial Back Flow Prevention Device or Anti- 2500
Describe work New O Addition O Alteration Repair O Pollution Device _
to be done: Residential O Non-residential O Residential Backflow Prevention Dewce' 1500
Additional description of work Any Trap or Waste Not Connected to a Fixture 900
Catch Basin 900
Insp.of Existing Plumbing 4000
_ per hr _
Existing use of Specially Requested Inspections 40.00
building or property_ —
er hr
Rain Drain,single family dwelling 3000
Proposed use of Grease Traps 900
building or property^
you capping any fixtures? Yes p No p QUANTITY TOTAL
Arediagram
,['dG"in dor":itCt E
Isometric or riser dio ram is required A Quanny rn,ai is >9
1 hereby acknowledge that I have read this application,that the information "SUBTOTAL
given is correct.that I am the owner or authorized agent of the owner,and I• .
that plans submitted are in compliance with Oregon State Laws 5%SURCHARGE r^:'" Vit'•.�Ef!
Signature of OwnerlAgent Date ty�:txF<,
1 FLAN REVIEW 25%OF cUBTOTAL
L�.L ( \ Required only A nxlure qty total n>9
Contice Person Name Phone TOTAL
<, v L �' 'Minimum permit fee is 525+5%surcharge.except Re,,idenlial Backflow
Prevention Device,which is S15+5%surcharge
tdststplmapp.do
CITYOF TIGARD MECHANICAL PERMIT
PERMIT#: MEC2000 00467
DEVELOPMENT SERVICES
DATE ISSUED: 1214/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S115AA-01900
SITE ADDRESS: 16565 SW 108TH AVE
SUBDIVISION: DOVER LANDING ZONING: R 2
BLOCK: LOT: 022 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
CTAS 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 39 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace
Owner: _ _^ FEES
LINTNER, STANLEY C + JEANNETTE Type By Date Amount Receipt
16565 SW 108-FH PRMT CTR 12/4/00 $75.00 272000000C
TIGARD, OR 97224 5PCT CTR 12/4/00 $5.80 272000UU9
Total $80.80
Phone:
Contractor:
SPECIALLY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 9723 _REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-5643 Final Inspection
Reg if:SUP 257ORET
LIC 006657
ELE 34-341 CR
This permit is issued subject to the regulations contained in ttie Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance. or if work is suspended for more than 180 days A-FFENTION: Oregon law
requires you to follow rules adopted in, the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189
Permittee Signature:,!
Issue By: -� .- —_
Call' 503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
— Data received: Permit no..
City of Tigard Project/appi.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Building permit no.:
TYPE OF PERMIT
Al &2 family dwelling or accessory LI Commercial/industnal 0 Multi-family 0 Tenant improvement
0 New construction WAddition/alteration/replacement 0 Other:
t : k a 31 10MI1,40tt t t
Job address:. S W c) Indicate equipment quantities in boxes below. Indic,te the dollar
Bldg.no.: — Suite no.: – value of all mechanical materials,equipment,labor,overhead,
profit.Value$
Tax map/tax lot account no.:
checklist for important application information and
Lot: Block: Subdivision: 'See
L jurisdiction's fee schedule for residential permit fee.
Project name:
ZIP: . -1,311112 0
t
City/county:'• - SH FAINXt t
Descriptio and ocation of work on premises: K110101 all
11161
_ Fiv(ta.) 'Total
Description city. Rte.only Res.only
Est.date of completion/inspection: --
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned"od Yes 0 No Air conditioning(site plan required)
Is existing space insulated?I'*Yes 0 No teration o existing VA system _
of er compressors
State boiler permit no.:
Business name Al-L Q 11 l' Hp Tons BTU/I I
Address: So SU) / t G%-104vg'or '
v smokedampers/ductsmo c detectors
City: r Ct10 State:Q ZIP:�/7jZ a 3 eat ump(site pan require ) _
v7/ E-mail: nstai rep acefumace urner I /
Phone- 40..Ac�rE.H Fax59� Including ductwork/vent liner U Yes j(No —
CCB no.: S 7 8' InstalUreplace/re ocateheaters–suspends ,
City/metro lic.no.: ! wall,or floor mounted
enc fora p lance other than furnace
Name(please print): tmrmoomZ15 e geration:
Absorption units BTU/H
�� Chillers
Name: TP Le e IYT Com ressors Ht'
Address: 53 $� `�W / S T n ronmenta exhaust ant vent at on:
City: T el Sta e:(� _ ZIP: y -2 Appliancevent
Phone. (r�0 Fmx 59�'01�8 E-mail: ryerex gust
00 s, ypc /res. itc en/ azmat
hood fire suppression system
Name: Exhaust fan with single duct(hath fans)
.xnaust systcm a art from hcatin or C
Mailing address: I �.t) D Ire p p ng an dtstr tut on(up to nut eLs)
City: -- / al Statev ZIP: =t7 ;k Iyp1; LPG NG Oil
Phone: S Fax: E-mail: Fueppingcac a itional over out ets
r"estt piping(sc ematic require i
Number of outlets _
Name: er st app ante or equ pmeni:
Address: _ Decorativefireplace
City: State. ZIP: osert–type —
00 stove/pe et stove
Phone. Fax: [E-mail; Other:
Applicant's signature: Date: ter:
Nance (print): I -- --
Permit fee.....................$
Not all jurisdictions accept credit cards.pieam tail Jurisdiction for mote information. Notice-This permit application Minimum fee.. .$
J Visa ❑Mastercard expires if a permit is not obtained plan review(at %) $
Credit card numbef -- / _-,•-within 180 dafter it has been
Expires ays State surcharge(896)...•$
Name n ca of r m s own on credit card accepted as complete. TOTAL .
S ......................$ -
C r d cure Amount 110-617(6110coM)
SEE 35MM
ROLL #2, 1
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OVERS I ED
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