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16696 SW 108TH AVENUE 16696 SW 108TH AVENUE :1 ♦l 1 , I A I ,i • 1 1 y ' �•'!.��,Iq -A3 -4 r 1�I ,� !��'7/,s��N�;"-/ r��!!1 �r ► ��i''.M1 S t�-V ` ' c MR m C Lra kccrbl P74 to Lr 00 oe %,lima•M �'' � �l, W v� � -•- !e„ ��'' , i , , IAC � ..�• , � � � �� h� J��� t� ��� Jr �, � ,1•.�/ r � Ai�v''�P� _�>> N Of IN W Of A! P.O.13ax 23.397 CITY OF TIGARD PLUMBING 13125 SAHaU Blvd. Appli-ants must hold Oregon Registration to conduct a plumbing PERMIT 1639 9 CR 97M business or must be property owner/operator not hiring outside help. Name of Development CJ c Plumbing Permit No. Address Descnption ORS 914-21-610 DUAN. PRICE AMT Job Tax Lob Map.No. -` Ar:dreto FIXTURES Lor --- Block Subdivie,'on --- - - - - )�� Sink _ - - 7.50 ame or name of business) Lavatory -- - _ j_ 7.50 - 1 L `� 1 L Tub or Tub/Shower Comb. 7.50 - 9J 1Address r. Shower Only 7.50 .W, pd✓c-2. C77 water Closet - - - 7.50 Owner /� zip _ I - n ©�, A2 r( Dishwasher _ 1 _ 7.50 Phone Garbage Disposal 1 - 7.50 -� Name Washing Machine ------ ' 7.50 -- -- -- -- Floor Drain 750 al ung Address Phone Water Healer - 7 50 Occupant Laundry Roorn Tray - Y 7.50 - P City/State Zip Urinal7.50 Name Phone Other Fixtures(Specify) _ 7.50 1 �Zi ,-s ! (03Y- 62(,V - 7.50 Address 7.50 50 Contractor Ctty/State ZIP 7 ' 'Z- MISCELLANEOUS C, 8� City- Bus.Tax N wer 5 St01111100' -- �__. 9000 - (RSewer- a.Adt.10 1500 Stale esderro. is as o. a,) Water Service 1st 100 M -2000. I hereby acknowledge that 1 have read ttws application,that the information Water Service ea.Addt= - 15.00 grve n is coned,that 1 am registered with the State Builder's Hoard,and also Storm&Rain Drain 1 tt.100' 90.00 neve a State Plumbing boons@ that the numbers given are oonvd.that all - - - plumbing work will be done in accordance with applicable provisms of Oro- Storm&P-}n(rain Addll.100' - 15.00 a - gon Revised Statules ChwAors 447 and 693 and applicable codes end that Mobile Horth Spam 25 00 no help will be or ntAoyed unless licensed under ORS 693 (It exemt<>t from — Stale registration,please give reason below) Back Flow Prevention HOMEOWNERS- 1 hereby curtly that I am the owner of the property de- Device or Mtn-Pollution Device - - 7.50 scribed above.at which location 1 propose to make a g*xwt kng IrneliftlWon for Any Trop or Waste Not M own use and this property Is not being omWn>aed for sale,lease(w rent Cpnrwm:od to t Fixture ,- 7.50 - - GICs Basin 7 50_ --- kMp.01 Exist.Pkxtttkng - -- 40.00 Per Hr Specially ReglustW InspeWons 40.00 Per Hr ANer of Plurribkvg wllfvYv — an EWs*V Bldg v 15.00 rqn _ - New Bldg.or&M-Addition 16.00 own AUT1iORIZEt?SIr1PU1T11Rf- 1� Otle7 --- _ e tam-1 _ Describe work new y j addition❑ alteration❑ repair(-I dpell irLj 15.00 to be done residential Qy-- non•reeidentlai L] ExNW#j ups of buWng a property ._-- _ _- - MIFTOTAL. 3 Z� S _ �We 01Mr ------ --- --- � MNKi14A1M1! _ 30�- x p+op«ty _�_— -- _- �-• NOTx.'E TMs pertwfl becomes nus and weld N work a oonepucron auMtort>ted M nol oam- 111101 cad wW%110 do"s oenrnirAlom or work is ouepwvW or sbolydor»d for a pedal Of 1110 6"of any ame show worts Is oornwmed W40LtL 00IMiR10x4 W - Oelle Issued by _ _ _ uttan4teliv,lb,. BUILDING PBPMIT APPLICATION DATE_ '_ c _ --_ _,19 ._ .l W 8 0 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE -6742 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHQNE —ia tndcq LUT NO. � OWNER me] ZWaymireJOBADDRESS 16696 SW 108th ILII. ' i DAL) s.'nm 98 35976 9725 SW q Murdock Ti.- . ARCH!"•cR ENGINEER 9UILDER 3111/88 ADDRESS _— DESIGNER 1'r.Ma scord#2.116C STRUCTURE ❑fNEW P REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAI. ❑ FIRE DAMAGE ❑ DEMOLITION W RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABO FENCE C r7�'• OCCUPANCY = LAND USE ZONE �— LDG.TYPE 5MRIE ZONE —PLAN CHECK BY HEAT fir,: tract single family dwo)..]'.t. nq_v_r/attachnd gan-go, n1j rt-rapproved r.l'�''" t0 85 c Ode. DO NOT PLACE FOUNDATION ON rI T,r,. _— SEWER PERMIT# 33 ( 1011) 3 b4Dth 20 trans go-rage 420 OCC.LOAD FLOOR LOAD 40 HEIGHT 2 0!NO.STORIES 2 AREA 1500 Nd.b6DROOMS 3 VALUE 6800u BUILDING DEPARTMENT SETBACKS FRONT 20 RFAR �LEFT SIDE 7 RIGHT SIDE 6 337 .00 - _--_ - -------- --- Permit 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 219.05 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATIN".. State Tax 7 3.4 --- - SDC- 00.UJL Total ''i 69 5 3 C1Ct n 0b PDCM P LICANT OR AGENT 9Y ET - I GApproved .5 y, Receipt No.�J.�O'?� 7 DD Ess - -- - PHONE — 1w w es �r s wr � w ■r � jDATE JINSP. TYPE INSPECTION _- REMARKS PLUMBING DATE Contractor Permit No. q -7 7-Q o - - -- �Q 7-I Z ,4 Hough-in 7-22--�-7 I tf . �� , ------ — R� PiF p a h Fixture 7 Final -1 --- HEATING fQ fT N. �D�-Q � eCO Contractor Permit No. L y4�� Gl s��7 7 --___- _ _ r'aS or oll 7 8 "nugh•in Final SEWER --- - --- - Final L TL Z I DRIVEWAY ------------- - Final Storm Drainage (Rain Drain)Final _ --- -- ----------..-._ _ Sidewalk L r �_r Y•,Y� Curb&Street Final — --.—_- --.� Approach l,(•- BLDG. DEPT-FINA'_R TEMPORARY CERTIFICATE OCCUPANCY Final CERT WIC ATE OCCUPAICY _! -__--_ ___� _-____ lsndtica in P d II Znni,.g Final ■ ! v� � � v� � �aarlr�u Iv11Lu1IH{vl�/1L it'Cf11V11 Permit N W._ _.. 4�-Y_ fMrrcrlptlon City of Tigard Table JA Mechanical Code CITY PRICE AMT 13125 S.W. Hall3lvd. 1) Permit Fee •0• •0- 1000 P.O. Box 23397 --- -- - - Tigard, OR 97223 2) Supplemental Permit 3.00 6139-4175 Furnace to 100,000 BTU _1) incl,ducts&vents _ 6 Furnace 100,000 BTU + incl.ducts 8,vents 750 ;dc Development — -1 3) Floor Furnace 600 -- incl.vent 4) Suspended healer,wall heater I 3A �c(- 9 is - / or floor mounted heater8�`1 Map No. Vent not incl,in -b Block Subdivision 5) appliance permit '00 �r�e of b n"s) r 8 Repair of heating,fair ig.cooling,absorption unit 600 ddress —�- Phone Boiler or comp to 3 HP 6.00 7) absorp,unit to 100,000 BTU cIry Mate Zip 8) Boiler or Comp to 3 HP• 15 HP 11 00 absorp,unit to 500,000 BTU _ Name 9) Boller or comp 15.30 HP absorp.unit tie.1 million 15.00 Melling Address Phone Boller or comp to 30.50 HP t0) absorp.unit 1 -1.75 million 22.50 Contractor a /stale 1try Zip Boiler or comp to 50 HP t 1) absorp.unit 1,750,000 BTU 31.50 State Registration No city Bus rax No 12) Air handling unit to 4 10,000 CFM I hereby acknowfedge that I have read this application that the information given is 13) Air handling unit 7 correct,that I am the owner or authorized agent of the owner,Ihet plans submitted are in 1 0,000 CFM 4 00MI011114nce with Stale laws.that I am registered with the Slate Builders'Board,that the 14) Non portable i number given is correct (If exempt from Stale registration please give reason below) evaporate cooler 450 15) Vent fan connected 3 to a single duct ^< 00 - --- 16) Ventilation system not 450 -- included in appliance-- _ pp permit i -- --— 17) Hood served by 4.50 C _ mechanical exhaust IONT1a'01p'r'tl Date Domestic type Describe work O addit on ❑ alteration L l repair [A18j Incinerator_ 750 to be done residential non-residential U Commercial or industrial Existing use of 19) pe incinerator a0 OO building or properly Other Le.,woodsfove,water Proposed use of 20) heater,solar,clothes dryers,etc. building or property - - - - - 21) teas piping one to four outlets / 800 2 Type offuel- oil ❑ natural gas FA LPG 1 1 electric f_] f - - 22) More than 4-per outlet NQM - — -----_---- SUd-TOTALTHIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMcNCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2614 OF>!Ud-TOTAL ,. ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED TOTAL Special Cnndhions ---- Date Issued.. / �_/ bVl� t for inspections call 639-4175 CITYOFTIGARD 639.4171 DATE,./amu .� 7 19122 BUILDING PERMIT P.O. Lax 23397, Tigard OR 97223 TAX MAP -LOT/NO. 30 _suoorvlslor���^°L-" OWN Ea .Ji /e/ 908 ADDRESS ''' -- BUILDE9 -- -r.,/ L(i ✓ iv� STATE REG.NO. S^9176 _EXP.DATE -3 BUILDER'S PHONE _ 6 3 C 2`f 2- ARCHITECT �.� • _' PHONES 916/ OTHER STRU qL! E rEw ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOi ESIDENC ❑ COMM ❑ EDUCATION ❑ IND • ❑ RELIGIOUS ❑'ACCESSORY ❑ GARAGE ❑OTHER ❑ I OCCUPANCY LAND USE ZONE If,` BLDG.TYPE ark r FIRE ZONE PLAN CHECK BY HEATZ""._ i 14 SEWER PERMIT/ hf!f::b 44 V OCC.LOAD FLOOR LOAD s' HEIGHT 07,# -NO.STORIES a1� ARE /S0 a NO.BEDROOMS VAL VNG BUILDING DEPARTMENT - SET RACKS FRONT � , w REA a 5 C. LEFTSIDE j RIGHT SIDE 6 Permlf 3 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Zi REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, •ND IT IS HEREBY AGREED TNA Pta^Chstk I WORK WILL BE MNE IN ACCORDANCE WITH THE PLANS AND S CIFICATIONS AND IN COMPL WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT P1.CIL FN RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS State Tax 341. TAX PERMITS.SEPARATE PERMITS REdUIRED FOR SEWER.PLUM DING AND H EATING. y / PPLIC NTORAGENT r r _ Pre M. 9 7� Recelpf No. ADDRESS ! PHONE Ral.Due Issued By pproved SSDC --- S �, • i SoCPOC 0 0 rte' f cz SEWER CONNECTION S J2 SEWER INSPECTION $ SEWER SURCHARGE S Cc�mrlrnte : Erg- WWI W1 IIKKWJMAKW�IM���&WA CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : PLAN CP.ECK APPLICATION DATE RECEIVED: P.O. Box 23397, 'Tigard OR 97223 P/C DEPOSIT PAID: This is to certify that the attached sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, F:.�Z. eaitiun. PROPERTY OWNER. /( v" �j2 !�C� OWNER'S ADDRESS: CONTRACTOR: TELEPHONE: JOB ADDRESS: / lO� 6 /�� �� _ LOT NO. 6 HAP: DESCRIPTION OF WORK: Approvals Required SPECIAL NOTES OPlanning Dept. O Reissue OEngineering Dept. O Flood Plain/Sensitive Lands O Fire District O Sewer Availability O Other 0 Other Items Required OList of subcontractors OBusiness Tax 0 Caiculations OTruss Details O Parking Plan OLandscape Plan O Other COMMENTS: City oigard Building Department BY: -�-