16674 SW 108TH AVENUE 16674 SW 108th Ave.
CITY OF TIGA RDriNWic:l 4 PERIMI1,
1:*EPM1'Y* NO.
C17YOFTIIFARD
00
COMMU!"JITY DEVELOPMENT DEPARTMENT EGONr)A'T'F:: EIFJ
13125 S.W.Ha!I Blvd..P.O Box 23397,Tigard,Oregon 97223,(503)639-4175 rmtm, Pm'r .NO. (380425
JOG ADDAE'SS : 3.6671 SW 1.0011-4 AVE USA NUMBEP : 3A992
TAX MAP/11-0'1' 25111-15AD !AJ113 : DOVEII I ANDIM..' LA : P-9 Ei K
LAND USE: PA. 11)
LCYT SIZE :
Sk-KCTION: ANG : W
WOPK ('A-Mirn : NF.-:W
1,YPIE . SINGI r!--" FAMILY
lapplic!Kilt akUr-c4erl to With AtEl. I-i.11em "Ll"d I-c49minktionti; ri-F the
riezw#Ar-aLge Agericy . Th" r)o)IIinit toxl:jir-ev!iu 120 datyin fi,nin th411 (:11atc-
'11-io -tclItait'.1.
41i,mcli.trit P)al':I'cl Will bl" if th" F)cpr-init A�:jeric^y ch.)cPin ri(it
01,11t"t-1 thVil aL(.N:!LlI-ftUY I:)-P ti-10 10CULti1Ir1 I:)+ the utid0l 1110wc-H" 'LaLte-ir,alin . 141 thre
licit al.t tlic.) give-'I'l , ti-if-I irlmtmlleer` tnhakll 3
'fill cliirecticinia, -FI"4:)In ttiot Jitst..krice qjiviln . 141 ricit tl;(3 loc'ate(J ' Y.1-11vi1 J'I'l1uta9.11"l- alhall
l 1 cc r`c_113111II 4e at r. At,toric.-W will : AIlItflL:kJ. at lca.te+l'all .
BUILDING, SEWER IMPERVIOUS APEA:
F':I'.XTUPE LINI'Y'5 : 11-:NAN'T IMPRUVEMEKNI':
DWELLING UNI'T'S
NO. OF
L
FEELS
0 JAY PERMIT
W $35 00
N P . (3 . 8 0 X 2 3 219 1. (:,C)NN[4-*(;I'IC)N (::HARGI-K $111.00 . 00
E I'TGAPD 0 rl! CP -LA P.3 1 TNF TAID :rNSI-Al L .
R PHONE. 11,503) 6Hz4--'75A.s
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PECE.1:P I NO. 6' 1 (C
This permit is Issued subject to the regulations contained In Title 14 ............
of the TMC, Stale of Oregun Specialty Codes,zoning regulations PFUAL)IWED INSPErTIONS
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans end
POUCOA---T N
specifications and In compliance with all applicable codes ar,d
ordinances The issuance of this permit does not waive restrictivi,
covenants Contractor and subcontractors shall have current city
hi.siness tax permits This permit will expire and become null and
void if work is not started within 180days,orillwork Is suspended or
abandoned for a period of 18('1 days any time fitter work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
P I ermittee-SignatLl;/" J
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ME(:3-101N 1:[,(.)1 1*'L'I:,,M.1'.'l
CITYOFTIFARD VIEPMI'T NO. MEFJE)0,e1',—w7
CITYOFTIGARD 1SN1,jEl*.) : 3/1.1/OR
COMMUNITY DEVELOPMENT DEPARTMENT 0121GON Finm. Pm'r .NO . C.)0
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175
-t-- teitlal h3w )wr m v r.
TAX MAP/L.-UT 2911-5AD SUB: D0VFP 1...0 N[YE.N(:, 1...1• : 29 8K .
I A N 1) U G E.: : 174. 5
1-01, SIZE :
XTEM: N(J : No :
WORK (X.A'SS : Nl-*.:W FLJPNAI[,E:. <100K :1. 01:141 HPNDLA 0.0
USE TYPF : S:LN(.,L.1 ITAWELY J:.-1.J14NACE 1.00K+ AIP 1-hN01-14 10K
CONST . 'TYPE : VN FLOOR F:U14NACE.' F.W.,".C001-1:44
OccUp . GPP. P3 HI A'TER VENT' FAN
VENT
BL P/cOMP -511P
NO. ST 0 P J*E:S 2 BI—P/(:,(:IMP 3-15HVI TNCTNF:PA1'O1-'4(DOM
UNI'T'S : 1. BLAW(AIMP 15-301-41.) :ENc3:NE-:PA'roP(cum
F:LA:,L. 'TYPE GAF5 B1 P/cOMP 30-50HP PEP)AIn UNITS
MAX . :ENPIJT 81 R/(:JIMP 50+HP O'T*HE14 1.
ii.;jnEi. 1:)MPIIS7 GAS l;-`3:PJ1:NU' ou'rii E*rs
1-41t.1101-4 E-'PESS7
LOW
P1:::MFNWKS
MIL.LER PE34MVI" 1111.0 . 00
0 BOX P3293, P I AN r4EV:I:F-'-:W
W *Y . 75
N TIGARD 0141 97223 P:A:XTU174EG 00
E PHONE.: (503) Its".-7543 !:il*A,T,r.:: TAX
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R h i 13.ot b u r n urs 97103
C A PHOW.:.* (503) 618-1.159
T 17r-G',P';*TPAT10N NO. 4*7211.
0
r4E:cr--JF)1' NO.
This permit is issued subject to the regulations contained in Title 14 l*:-Q1-J1l:*..D 3:114SPEt';11 ONS
of the TMC, State of Oregon Specialty Codes.zoning regulations GAS I INF:
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and POST & PF"AM
specifications and in compliance with all applicable codes and POUGH-1N
ordinances The issuance of this permit does not waive restrictive V*3'.NAI
covenants Cortractor and subcontractors shall have current city
business tax r)ermits This permit will expire and become null and
void if work lanot started with n 180 days.or If work Issuspended or
abandoned for a period of 180 days any time after work has
commenced :t shall be the responsibility of the permittee to assure
all required inspections are requested and approved
k—,) - 4 , --
/I //(—( , / , I �- 1
Permittee Signal re
7
GAI I 1::*(')17 114SPE'UTION 639--41.75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK o*rHER THAN DESCRIBED ABOVE
PLUMBING10 PEAMI Y
CITY OF T 1 67A RD PEAMI*T NO. : PI 080d:126
ClrY(OF PARD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGO
1*E:: 3:5 S U 1:...:1)
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 PPT11- 1;)M*T* .NO. 660425
JOR ADDPE'SS : 16671 SW 10611-4 AVI::'
*TAX MAP/1-01, 1503: DOVEM LANDING,
I ANU USE-: P-1. 115
LO'T !'—ZE:
I NO:
WORK CLASS : NEW WATE*P 1,14AP
USE *TYPE: : FilNGLIi: FAMII-Y 1-341NAI BKFLOW PPVN*rR
CON! 1' .1 YPE : VN LAV(*.,r-4AT(:)174Y e.1 '144AP PRIME1:4
(:)("(:1.11:'. (:SRP' : P3 TUB !.iHOWER i-;L-.:A! E' 'T1.1 A P
D:LSHWASHEA
GAPBAG'E 0:191POSAL 1.
NO. 51'ORIES : P. WASFI:I:N(.v MACH1NIE: T
DWEL-L. .UNIT : I LAUNOPY 'MAY HI DG D PA I N (D1 A
FLOOR 1:)rlA- :I:N
SINK 15EWER
WA'TE-':R HLA'TEA 1. STORM/PAIN (FF-T
O'THEA
PEMAPKS :
F,E.r: S
0 M I L.L..E A JAY PEPM11, J.,e4 0 . 0
W
N p BOX 'r..?329:11.
E I'll:('.,'A P D OR 97PP3
R PIAONE: (ZO.-.�) 681--75413 STATE 'TAX 14 00
(:YTHEA
0 WATI'S KI.N
N KEN WA'FTFi P11-11.1111,41NUI,
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R 1..)43 BOX 230923
A t i g mr.d c1r. 97PE13
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T PHONEE ;503) 684-66P6
0 PF::(.,V*3'Tr1(4'1'1'ON NO. 50870
R 1111100
NO.
This permit Is Issued subject to the regulations contained In Title 14 ...................
and all other Applicable codon And ordinances, and I' Is hereby UTIONS
of the TMC. State of Oregon Specialty Codes,zoning regulations REGII)TRIED 114ts -
agreed that the work will be done in accordance with th.4 plans and P1 9 UNDERSLAS
specifirations and In compliance with All applicable codes And P0151' 8 REAM
ordinances The issuance of this permit does not waive restrict v, WA*TEP L-INF;..
covenants Contractor and subcontractors shall have current city PL.13. *Y*(jp(:)tj r
business tax permits This permit will expire and become null And rlAJ:N I'MATISIS
void it work is not started within 180 clays.or It work is suspended or
Abandoned for a period of 180 days any time after work has FJ NA L
commenced It shall be the responsibility of the permittee to Assure
all required inspections sire requested and approved
-J.
Permittee Signature.
Issued By C'Al I -.IL .-1N6P6'('-tJQN
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CINOFT67ARDB1(J: I D:LN(:., F)EPM11'
CITYOFTIGARD VIEPKUT NO . : 1'JI-18804125
COMMUNITY DEVELOPMENT DEPARTMENT ORFOON
13125 S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175
rsram. rim*r . NO. (380/12.3
,JOB AI)DAES!:i : 16674 GW 108'r1-4 AVE
'TAX MAP/io'r 251.15AD '5IJB: DOVE:P L..ANI):I.N(.*, 1...1': 29 BK :
I ANU USE: W-1.3
I OT GUk: : VAI-.LJA*Y*3:(:)N: $ -7a '()()0 SjETHACKS
1::'I:ION*T' 20 1:i I'-_:A F.
WORK CA.A'535 : NEW I)Wl:-'.'l L .UIS11TS I LEF-r 7 P1GI-I'T : zll'.i
USE *TYPE : STINIGLE F:'AM:r.L.Y NO. F..iEDRUOMS : 111 EXT .WAI-L. CONST :
CONST . TYPE : VN NO. BATI-19s : 3 N: 5 : E : W
OCCUP.GRP . : F13 PROT . OPE.NINGS :
OCICUP"'.L.OAD N 5 : k." : W
TOTAL APEA : 3.596
NO. %TOI41I:::5 : Fi 1ST : ROOF: CONST : F:'11:4E nFi.v?
I C,'I-I'T* 20 2NI): AREA SI PA1,47 V 4 I'Vi 1--:r.)
HA5EMIENT'l 3140: OC"CLI P. !.i E PA1117 14A*T ED :
Ml;-':ZZAN:I*.Nl-'.;:'? HA-sF::M' *T
FA OOP LOAD: 1(40 'A 1.1 A(3 1-*.-,. 401 F11-11-- LiPPKI-147 Al-.Ar4M'?
VI.-OW(OPM)
PIPTAI 7r7Dr-- r-A-q
PLAN GHECK DY : bc:l•
11EMARKS :
PEXiSUE OF:* NO . 61BR9
LOU' REISSUE 7036
0
W
N MlL.I.-EP tJA'( P E:1-1 M 1"T' 1111'.'3419. 00
E p . cI . BOX R3P91 PLAN PI;;:VTF-:W 11111410 . 00
R
T'V;AAD C.11111 97 a P-3 DEPT
PHONU: (503) 6841-75413 50 ATE 'TAX >F 1. A!)
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0 I')Ii*.:VF;-'I---C)I-"MF;.N'T L;F-I A 1:4 G*F-.".Si
N IVITI-LEP tJAY 5 DC" 11ORM) 1111112.50 0
T
R JAY 11"Ill-LE R BUTI-DEP 5 IXI 1151,11F.':E. $600 . 00
3
C A p . c) . BOX P- 291 PC)('.;11 $2150 .00
GAA D
T CID 97PP.3 F)1-4E'I:)A:L D < $40 . 00)
0 F."HONE" (50,511 6113-1-75443
R
permit is Issued subject to the regulations contained in Title 14 VIEGEIPT NO.
of I'm TIVIC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby Rr-.:(AtJ1PEI) lNGPE(I'TIONS
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all app!Icable cedes and 51F.WKN
ordinances The issuance of this permit does not waive restrictive rzOLJN13A'r:c(.)N WAL.I.- rIlAIN I)RAINtii
covenants Contractor And subcontractors shall have current city POST' & 8k;AM WA11.11 LINE
business tax permits This permit will expire and become null and PI.-B. UNDF-P151 A R (:'I TY APPPCH SW
void If work is not started within 180 days,or It work is suspended or IS 1'..A 0 P'l NAL.
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Assure PLR. 'TOIDOUT
all required inspections are requested And approved. F'RAM I N('.,
F*I r1F.P1 ACIx
UJASi LINP.
INSULAI'ZON
Permittee Signature GYP . B 0 A rl 1.)
litsued By -----
(.'At I ilk :I`.N9PFC1T7l1'1N 639-117-s
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
————————————---41
TWENLEmm
CITYOFTIGARD PLAN CHECK APPLICATION
('WOFTWARD PLAN CHECK -Z , -
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
18125 SW HWI Bbd.P.O.Banc 23897.Tlgv ti,Or"m 97227(SM)M4176 PERMIT D -
DATE ISSUED
JOB ADDRESS: �i C 7 �� `�f/f,'. }-7
TAX MAP/LOT,
SUB: 1)0ve, i_all 11 LOT: 9 LAND USE:
VALUATION: SETBACKS: FRONT: �Z 0 REAR: LEFT: ` RIGHT:
WORK CLASS: HEIGHT: ;2- TOTAL AREA:
USE TYPE: FLOOR LOAD: IST:
CONSTR TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: DWELL/UNITS; 3RD:
OCCUP LOAD: NO BEDROOMS: <,, BASEMENT:
NO STORIES: " NO BATHS: s GARAGE: yam/
IMP SURFACE:
APPROVALS REQ'D SPECIAL NL!ES ITEMS REQUIRED
PLANNING: REISSUE OF: (;t LIST SUBCONTRACTORS:_
ENGINEERING: LAST REISSUE:_ _ BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER' _ SEN LND.: _ TRUSS DETAILS:
PAF.KING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: 3TgER:
COMMENTS: Ike' s 54C '-'-
ACCT DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees _3 y
NAME:_ 10-431-600 Plumbing Permit Fees
ADDRESS: 10-431-601 Mechanical Permit Fees ^
10-230-501 State Building Tax (5%) :
LO-433 Plans Check Fee ¢�
PHONE: 30-443 Sewer Connection (20X) _
30-202 Sewer Connection (80X) __-
CONTRACTOR 30-444 viewer Inspection
NAME: JAM i� ,f,-- 8 Zr(- .51 448 Street System Dev. Cherge (SDC)
ADDRESS: 1r 0 DG - of '52-449-610 Parks I System Dev, Charge (PDC)
71-a 4ted 52-449-620 Parks II SystEm Dev. Charge (PDC)
31-450 Storm Drainage Syst Dev Chrg(SSD(:)
PHONE: •- 75V ? 10-230-505 TRFD (95x) $
10-435 TRFD (5%)
ARCH/ENGINEER_ 10-230-506 Washington County Fire I1 (95X) s
NAME: 10-435 Washington, County Fire 01 (.52) �
ADDRESS: 10-220 Amart/Wedg,wcod
--—- TOTAL
P110NE OTA
-- PREPAID
RFC q
} BALANCE. DUE
A T ICC, UR
Received By: ____,� Date Received: J 1