14916 SW 116TH PLACE ADDRESS:
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CITY 0 TIGARD MECHAN I CAL_
COMMUNITY DEVELOPMEN-T DEPARTMENT PERMIT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 503)639 41 T1 PERMIT #. . . . . . . : MEC.94--IG 0%t
3 -4].i t DATE ISSUED: 03/22/94
PARCEL: c5110BD-03c00
SITE ADDRESS. . . 14916 `•JW 11',TH PL
SUBDIVISION. . . . : HELM HEIGHTS ZONING: R-4. 5
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :9
CLASS OF WORK. . :,'' 1/4LT FLOOR FURN. . . . EVAP COOLERS:
TYPE: OF USE. . . . :;31-- UNIT HEATERS. . : VENT FANS. . . :
UCCUI-.'(-)NCY GRP. . :R.:, VENTS W/O APPL.: VENT SYSTEMS:
'�T'ORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . .
FUEL TYF'E.S— __..._._...___..__-__-• 0--3 I-AP. . : DOMES. I NC I N:
,GAS/ / / 3-15 HP. . . . : COMML. INCIN:
Mr-I.' INPUT: BTU 15-30 HP. . . . : FL*PAIR UNITS:
FIRE DAMPER:• ?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . 5Q71+ HP. . . . : CLO DRYERS. . :
NIC). OF UNITS------ - -- AIR HANDLING UNITS OTHER UNIT'S. : 1
I=URN ( 10VIK BTU: (== 10000 cfm: IFAS OUTLETS. : 1
1- UHN ) -100K BTU: ) 10000 Cfm :
Remarks : Permit fo•• a lot] lighter-
FEES
WETS NORBO type aIn IJTrt by date recpt
!4915 SW 11TH 171LACE PRMT $ 25. 00 MAB 03/22/94 -•
rPCI $ 1. 25 MAB 0,3/22/94 —
I 1 BARD URI 97224
i-'hone #: 639--.:658
I..:ontract or:
Ii0(rIESTEAD STOVE CO, INC
-'72'9 NE: BROADWAY
PORT LAND OR 97232
Phone #: 282-3615 6 :6. 25 TOTAL
F--'.eq #. . : 95707
-- -- -- REOU I RED INSPECTIONS
_._.._.._.
permit is issued subject to the regulations contained in the Final Inspection -,.-
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
aooroved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for mr-! _ ____+_ ___ �_ __ __•____..
than 180 days.
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�- I sso-ted By :
J Call for, inspection 639-417 ;
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW-Hall Blvd. APPLICATION Permit ` fre'- 4L-0378
Tigard, OR 97223
(503) C-39-4171
mo, + Table 3A Mechanical Code QTY PRICE AMT
Job
Address �072F 1} Permit Fee _ 0- 0 10.00
2) Supplemental Permit 3.00
F urnace
[U--
I) incl. ducts 8 vents 6.00
4urnace TOn + -
Owner �t (,t� � ?- ( C�fZ�c� 2) incl. ducts 8 vents 7.50
• — ooF�um`ance
3) incl. vent 6.00
--Suspe ater,wa eatffF er -- -
�y 4) or floor mounted heater 6.00
v ---�
Occupant en r�o incl.to
I//Gf/ ,/ �E- 5) appliance permit 3.00
�(^7`+`" Repair o eating,re ng.
/ 61NU2 f 6) cooling,absorptior ur r 6.00
_ Jboder ofcomp, fel pump,air cond. --
tb
�iTj�/�'�0 7) to 3 HP absorp unit to iOUK 8Tt1 6.00
Boller'or comp,beat pump,air co-n-.-
Cont,aclor �s�-="'`' -�'�y � 8) 3-15 HP absorp unit to 500K BTU 11.00 -
i er or comp, a`�e t pump, .
air con
(� ? ?2117 9) 15-30 HP ahsorp unit.5-1 mil BTU 151,0
Boiler or comp,heat pump,air cond.
L770 q r ,�3 10) 30.50 HP absorp unit 1-1.75 mil BTU 22,50
cera y cc�cnow7 ge is ave r8a this app icatron,that[110 Boiler or comp, ea pum, .
,-ir coni-
p
information given is correct,that t bm'kne owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State Air han&5m'g unit to
laws, that I am reg?stered with the ConslrucGon Contractors Board, 12) 10,000 CFM 4 50
hat the number given is correct. (If exempt from State registration, a an fngunit
,Tease give reason below.) 13) 10,000 CTM+ 7.50
Non porta bTE
14) evaporate cooler 4.50
Hn ancennec -
15) to a single duct 3.00
,• eaeon system not —
16) irtcl it, 'gid in appliance permit 4.50
N-ioc�_3ry y
17) mechanical exhaust 4.50
escn wor new adcdiit'an , a terahon Commercial or to stna `
to be done fesirlential Ila non-residential O 18) type iry"inerator 3000
xis ng use o —` Other i.e.,woodstove,water lei l i f4- -
building or property 19) healer,solar,clothes dryers,etc. 4.50 S7J
Proposer use of 2.0) Gas piping one to four outlets 2.00 (JU
building jr property F- - - -
lam- O 21) More than 4-per ouflet
n Type of fuel -od Q natural gas 0 LPG Q electric —
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NOML
Minimum Fere$25.00 SUBTOTAL ,Q�
PERMITS BECOME VOID IF WORK On CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS,OR 5%SURCHARGE
J IF CONSTRUCTION OR WORK IS SUSPENDED OR — - -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL.
Special Conditions e_ - —
Date issued by
44ECNPMT
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
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Inspection:__ nGl`� �,V Y
Footing Pl.bg. Underaiab Hach. Rough-l.n Appr/S:!wlk
Found. Plbg. Top Out Gas Line FINAL:
host/Beam Struct. San. Sewsr Framing -8168.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Regvented:__ I C� Time: ��A\L A�/M1 r_/y� 7 _M
Address: l lP� t '�•� Permit/#1 tf4 r� 1`) Gl.
Bullder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspecto :__ Date:
APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Pec-O-Phone) 2639-4175 Business Phone: 539-4171
I nnpect ion:
Footing Plbg. Un eatelab M"ch. Rough-in �Appr/sdwlk.
Found. Plbq. ?op out Cas Line FINAL:
Pcat/Beam Structs. Barr. Sewer Framing -Bldg.
Yost/Ream Mech. Rain Drain Insulation -Plumb.
11bg. Underfloor WaterLineGyp. Bd. -Koch.
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Dote RequF,eted:_ ! - Time: �__AN !`_PN
Address: /[,� � j Permit
Builders_ ---�__--
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
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ZnepectorsDate:
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APPROVED / DISAPPROVED APPROVED SUBJECT it) ABOVE
Call For Rsinsp.
INSPECTION NOTICE � _
City of Tigard Building DaparLmeat
131:25 8N Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business P,ione: 639-4171
Inspsctiont
Footing Plbg. Underslab Koch. Rough-inkppr/Sdwlk
c.�
Found. Plbg. Top Out Gas Line -LRA1SLr1
Post/Spam Struct. San. Sewer Framing -Bldg.
Post/Ream Kech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. 9d. -Koch.
�_ •� Date Requested: 1 Time: AMj PH
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i Addreas: [�_ �� permit fs
Builder:_
THE FOLLOWING CORRECTIONS ARB REQUIREDt
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Inspector: .�.rl 7 l du7 r_i..5 Date:
APPROYtD __ DISAPPROVED APPROVED SoPuRrT To ABUVE
��Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. �$fi $�M Framing -Bldg.
Poet/Beam Mech, a n Drra Insulation -Plumb.
Plbg. Underfloor N tar L� Gyp. Bd. -Mesh.
Date Reguestedt V /� / —Timos �i� PM
Addreees 1 L1 2&2 f l ! -- Permit
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Builders
THE POLL3WING CORRECTIONS ARE REQUIRED:
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Inspector: Dates
APPROVED DISAPPROVED APPROVED SU TO ABOVF,
Call For Reinnp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW HaLI Blvd. Tigard, Oregon 9'7223
Inspection Line (Ree-O-Phone): K39-4175 Hucineae Pho 9-41^1
Inspections
Footing Plbg. Uneerslab Hach. Rough-in Appr/Sdwlk
Fours . Plbg. Tcp Out Gas Line FINALt
Post/Ream Struct. 'an. Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line G . Bd.l -Meeh.
Date Requeateds 3 ____Timar AM PH
Address:� '(r7 (/� (�" �� Permit #t
Buildor: S6_//
THE FOI OWING CORRECTIONS ARE REQUIRED:
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InspectorDate:_
APPROVED DISAPPROVBD APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Buf_lding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Incpecti.on Line (Rec-O-Phone): 539-4175 Business Phone: 6.3 4171
Inspection: ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewertaming -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / f Gyp. Bd. -Mech.
Date Requested: f / Time: _AH PM
Address:_ —if I.1ri f-f1
Permit Pit #s �- U 3f L
Builder:__ � (0
THE FOLLOWING CORRECTIONS :.RE REQUIREDs
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Inspector:_/L Dates
C� APPROVED DISAPPROVED hPPROVED SUBJJEECTTT TO ABOVE
Cell For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department r f
13125 SA Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-�)hone)s 639-4175 Business Ph e: 639-4171
Inspection: �-
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan FINAL:
Poet/Beam Stcuct. San. Sewer Framing J -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: ( t c:
q 3 Times AM _PM
Address:_i ! 2 1�? ��(G 'yam"' Permit #s -" I P
Builders 10—'04, .(Y K
THE FOLLOWING CORRECTIONS ARE REQUIRED:
, AST
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C'M�c k G,-rbc i,oiv5 5 'r
Inspectors__ Dates-
APPROVED DISAPPROVED -&�ROVF,D SCBJECT TO ABOVE
Call For Reinsp.
INSPECP70N NOTICE
City of Tigard Building Department �.
13125 SW Ball Blvd. Tigard, Orogon 972
Inapection Line (Rec-O-Phone): 539-4175 Duaineaa Phone: 639-4171
lnat,ect ion:, ___
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out tae Line? FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb,
Plbg. Underfloor 7er L na) Gyp. Bd. -Meeh.
Dato Requeated: C/ 3 Times AM PM
Addreae: L47 ` I ZL 2 l� Permit +: 6 ;S-
U;S` o 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _._ _. DAtee
APPROVED DISAPPROVED APPROVED SUBJECT To ABO%rF
_`Call For Reinep.
INSPECTION NO^.ICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6
Inspection:_
Footing Plbg. Unde blab Mch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Fram: ig -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
�L//in Gyp. Bd. -Mech.
Date Requestedt 1 ] 1 Timet AM PN
Address: ( tLJ f� SL./ , = Permit 1:��
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:_ / �J
APPROVED MAPPROVtD APPROVED SUBJECT TO ABOVE
Call For Rainep.
INSPECTION NOTICE
City of Tigatd Building DepartmenQVoi�
13125 SR' Ball Blvd. Tigard, Oregon 9
Inspection Line (Rec-O-Phone): 639-4175 Buuiness gl'-'4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found__ V Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. - San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ r - mss_ —___ �jD !AM _PM
Address: Permit.
Builder:_
THE FOLLOWING CORRECTICINS ARE REQUIRED:
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inspector: _^ DateC _f
APPROVED b _APPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
Agard Building Department
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13125 SW Hall Blvd. Tigard, Oregon 972
Inspection Line (R3c-O-Phone): 639-4175 Buninese Phon u39-4171
Inspection:
oc�ing Plbg. Underelab Mech. Rough-in Appr/S%alk
Found. Plbq. Top Out Cas Line °INAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested:_ j �_� Time: SAM PM
Addreaes� ) �l� f J�� Permit
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Builder:„__
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapector: Dates.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call !or Reinap.
INSPECTION NOTICE
City of Tigard Building Departiment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Hech. Rough-in Appr./Sdwlk
Foand. Top Gab Line FINAL:
Post/Beam Struct. Sari. Sewer Framing -Bldg.
Peet/'Beam Mech. Rnin Drain Insulation -Plumb.
Plbg. Underfloor. Water Line Gyp. ad. -Me-:h.
i,
Date Requested:—_ ' Times _AM _,PM
Address: �J ( (�' Permit #: C ly 1
Builder:�.l_11-�fi V)A
TILE FOLLOWING CORRECTIONS ARE MQUIPXD:
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Inepec tart /�.cr�----- _- DAt004_ A:
APPROVED DISAPPROVED —_ APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
NSPECTION NOTICE 1
City of Tigard Building Department
13125 SA Ba1I Blvd. Tigard, Oregon 972'.3
Inopection Line (Rcc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab !tech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
(toot/seam Sttru tt.. San. Sewer Framing -Bldg.
oat/Beam Mech. ) Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Regveated:r� - `7 Timer
Addrese: ((j Lf
Pe'—it f: _ <
Builder:
THP FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:L
A. )VED DISAPPROVED APPROVED SUBJECT TO 1,30VS
Call For Reinap.
INSPECTION NO':ICE � 1
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, ^-regon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: -- —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pint/Beam Struct. San. Sewer Framing -Bldg..
Pont/Beam Mech. Rain Dra Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Dat:n Requested: �-L ` ,Time: AM PM
Addresn:� Permit 1:
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Builder:_ J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspecr: Date�
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JAPPROVED DISAPPROVnD APPROVED SUBJECT TO ABOVE
�/]� C_ -1 For Reinep.
r NSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 9722
Inspection Line (Ree-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Flum'o. _
Plbg. Undertloor Nater Line Gyp. Rd. Hoch.
Date Requesteds. (� Times _ AM / PM
Addreass y _ Permit
Builders
THE FOLLOWING CORRECTIONS ARM REQUIRI1Ds
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Inspector: �'� _ Dates7
♦ LPPROVND DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 5W Hall lWd.Tigad.ONgen 911"W" (503NUATI PERMIT #. . . . . . . a MSTr;;2---0-;'10
11171 DATE ISSUED: 07/07/93
PARCE-1.
21TE: ADDRESS. . . 1 14916 SW 116TH 171L
SUBDIVISION. . . HELM HEIUHTS ZONINGS
BLOCK. . . . . . . . . . s LOT. . . . . . . „ . . . . . 19
CL.A95 OF WORM. :NEW
TYPE OF USE. . . cSF
OCCUPANCY GRP. nR3
OCCUPANCY LOADaJ24 4
TENANT NAME. . . :
Remarks: PATH I
Owners
PARROTT MT CONST
16260 SW BELL RD
SHERWOOD OR
Phone #1 6.2!5-6963
PARROTT MTN. /EXPIRED SEE 89666
1F-200 SW BELL RD
I - PWOOD OR 971-40
Pk ne #i 6x.5-6963
Png 0. . s 2k--'3*78
ULCmpancy of the above referenced buildinq is hereby given, and certifies
the compliance with the 13tate Of 0)-PU()n Spec ialty Codes for the group,
occupancy, avid use under which the referenced permit was issued.
FIRE DEPARTMENT LkILD INSPECTOR
BINLLAfNU 0 FICI.—PL--
POST IN CONSPICUOUS PLACE
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CITY AF TIGARD
CrFY 0 MASTER PERMIT
OF
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C(5MMUNrTY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . :
13126 SW Hell Blvd. P.O.Box 23397,Tigiud,Oregon 97223(603)MAI 75
639—tft7l M11117. ISSUED.
SITE ADDRESS. . . : -4j * . SW 116TH PL PARCEL: 2511OBD032`00
SUBDIVISION. . . . : HELM HEIGHTS ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..9
----------------------------------- BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . SO sf
CLASS OF WORK. :NEW BEDR[YIS:3 BATHS:3 GARAGE. . . . . . . . . . ..A82 Sf
TYPE OF USE. . . :SF FLOOR AREAS----------- REUUIRED SETBACKS----------
TYPE OF CDNST. :5N FIRST. . . . :2378 sf LEFT. . :25 ft RIGHT. :6 ft
OCCUPANCY GRP. :R3 SECOND. . . -.0 sf FRONT. -23 ft REAR. . :21 ft
STORIES. . . . . . . : 1 'THIRD. . . . :0 sf REQUIRED-------------------
HEIGHT
EQUIRED-------------------
HEIGHT. . . . . . . . 124 ft TOTAL------:2378 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . 440 psf VALUE. . . . . 118064 PARKING SPACES. . : 1
Remarks: PATH I
---------------------------------- PLUMB I NG ----------------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . cl CATCH BASING. . . . . . . :0
WATER CLOSETS. . .-3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . il WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..0
GARBAGE DISP. . . il RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---------------- MECHANICAL --------------------------------- FEES ----------------
FUaL TYPES----------- UNIT HTRS. . :O type amount by date r,ecpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 01/19/93 -
MAX INPUT;@ BTU VENT FANS. . e4 BPRT $ 480. 50 JH 01/19/93 -
FURN ( 100K . . :0 HOODS. . . . . . . I FPLC $ 312. 33 JLH 12/11/92 92-234595
BURN ) =1OOK . . : I WOODSTOVES. :O B5PC $ 24. 03 JH 01/19/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 01/19/93 -
BOIL/CMP ( 3HP:O OTHER UNITS- 1 PARK $ 500. 00 JH 01/19/93 -
GAS OUTLETScl MPRT $ 45. 00 JH 01/19/93 -
Owner: $ 11. 25 JH 01/19/93 -
PARROTT 111 CONST M5PC * 2. 25 JH 01/19/93 -
16260 SW BELL RD PPRT s 162. 50 JH 01/19/93
P5PL $ 8. 13 JH 01/19/93
SHERWOOD OR
Phone #: f,25-6963
Gontt-actot,a ----------------------------------
f'ARR07T MOUNTAIN CONSTRUCTION
16200 SW BELL RD
SHERWOOD OR 97140
CC Phone #: 625-6963
LnPew #. . 1 22378 ---------------------------------------
>_ $ 3285. 99 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
_j Tigard Municipal Coder State of Ore. Specialty Codes and all other Foot/fOUnd Insp Fireplace Insp
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applicable laws. All work will be done in accordance with approved Post/Beam Stt-uct Gas Line Insp
CD
Uj plans. This permit will expire if work is not started within 189 Post/Beam Meehan InSUlation Insp
days of issuance, or if work is s or more tPan Is@ days. Plm/i.tndslab Insp Gyp Board Insp
LM/Underfloor- Rain dr-ain Insp
Permittee Signati-Ir e : Mechanical Insp Water- Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issi-ied By : Fr,aminq Insp Mpt:hanical Finai
✓ Call for, inspect inn 639-4175
- ----------
CITYOTIGARc Ai� SEWER CONNECT ION
Cff T RD PER11IT
COMMUNITY DEVELOPMENT DEPARTMENT 01116ft�7 PERMIT #. . . . . . .
13125 SW Hell Blvd, P.O.Box 23307,IngaM,OrLgon 97223(603)6394175 C
017_4t or t 711E. nibuLu: 1111/ 1')TT3
SITE ADDRESS. . . . 516 SW 116TH PL PARCEL: 2S110BD-0 \21210
SUBDIVISION. . . . : HELM HEIGHTS ZONING:
PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
ENANT NAME. . . . . :
USA IVU. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELL I 1\16 LIN ITS, . : 1
`1YPE OF USE. . . . . :SF NO. OF BUILDINUS: 1
INSTALL TYPE. . . . :BU(7:jWR IMPERV SURFACE..: - Sf
Renrlat-ks : FIA'FIA I
Owner: FEES
_____.._._____.___..._—
PARROTT NT CONST type amol.111t by date t,e c:1-1
16260 SW BELL. RD PRIII $ E100. 00 JH 01/19/93
INSP $ 3. 010 Jill 01/19/93
SHERWOOD OR
Phone #: 625-6963
Contract or-: -------------__---------------_.__.
CONTRACTOR NOT ON FILE
fioyie #: 2135. 00 "TOTAL
Rey
-------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rule,.; and regulations Sewer InspectiCT)
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
de sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in PH directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the r will install a lateral. ......
Flpt-mittee
5!;1.1 e ci 13 y
CAI 1 for inspection 639- 4175
U-I ly OF I TWARD HCC;Eti�,r up, PAYME:VT kELTAPT NO.
CHEU-', AM')UNT . 51 to. 9,)
NAM17 a PfMPOIJ Ml'. ION CASH AML)LINT - 111. 00
AT", CESS PAYMENT DATE
SUBDIVISTO14
OF PAYMC NT PMOUNT PnID PURPOSE Or PoYML-".NT AMOI INT Po T.17
.... .
PF.RM -
LIT I DINC 480. 50 PLUMSING PEP ......M I
Ht-J-11VINICAL PF
00 'T. TMILD PUr 41
Pf-(414 CHECK FE 73. 'f3 '3EWFR W3A I VIC 012)
'J I W;PFCT 35. o PARKS, Soc 500. 00
:-j0101 DPnIN 1300; iW. 00 RESIDRNTIAL 'TRAFFIC FEF-"%..) IT50. 01A
Wif-IS TRANSIT 11F FELL A 10. Q)141
1-UT 9 14P-Lll llf"JOHT"i
i '1016 SW 1161H PIL
TUTAL PMOUNI PAID 5170. 91.1
r �
r lVe OF TIGFaRD REC;F'IPT OF POYMENT RF.C,'FIF-,T NO. 31�`545
CMF-*cK AMOUNT 250. 00
NANO: o F-)ARROT'f lylOLJIVTAIN CONST CASH AMOUNT 0. 00
F-4!)PFtf~SG e PAYMEN C Ut1TF 121 t 1 /92
5UBDIVfGION n
F=lURPOSE OF PAYMENT AMnUN1' PAID PURPOSE OF PAYMENT AMOUNT PAI 1)
a '
PI_.AN CHECK FL. 250. ola
I c:al 9 14F=I_M 1-4F IGHTq
TO-rnt.. nMCIl.JNT PAID -- -- — —) 250. 00
CITEOF TIG-ARD 13125 SW Hall BNd. PLNCK/RECT # is 5 A
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Bon 97 PERMIT S1lZ-03/ 0
(503)639-4171 DATE ISSUED
JOB ADDRESS: 1 5 U r � . /Z� � TAX MAP/LGT ZSl/DaD- 03zuU
SUB: L LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: �ra� ��%:-
��„�S /. REISSUE OF:
ADDRESS: ��z o� S �� � � - LAST REISSUE:
FLOOD PLAIN/
PHONE: ' SENSITIVE LAND:
CONTRACTORL APPROVALS REQUIRED
NAME: �� J�� �an,1� _ PLANNING:
ADDRESS: _� l'� `� , �_J . ,?� ENGINEERING: _^—
, �5 FIRE DEPT: _
PHONE: Si 3 OTHER:
CONTR. BOARD P: ��.��7� EJP DATE: v l'_.5
J ITEMS REOUIRFU
SUBCONTRACTORS: PLUMB: Y r�-� L1JE� L+ -���' LIST/SUBCONTRACTORS:
MECH: - <- - La BUS TAX: _
ARCIVENGINEER
9 CALCULATIONS: —
NAME: N eLl TRUSS DETAILS:
ADDRESS OTHER:
PHONE:
'ROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: ,; Date Received: 4') -l/
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
M3i�i.v3i 10-432 00 Building Permit Fees /
/G t sv
10. 431 00 Plumbing Permit Fees 1 '
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 1
Building it S
Plumbing Y /-3
/
Mechanical .2• z�
j r
10-433 00 Plans Check Fee —
i
Building 37� 3—
Plumbing
Mechanical
10-230 06 Fire
SwRJu_�_V 30-202 00 Sewer Connection
30-444 00 Sewer Inspection ��-
25-448-02 Commercial 1IF 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 43-S�' �
25-448-05 Mass Transit TIF 'ees //0 , -52-449 00 00 Parks System Oev Charge (POC) 5,)0 —. —
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) — —
V)
TOTAL �55 �o• y s _z_�� �l
I
C-9
W
J
nm/358711.WPI