12515 SW 128TH AVENUE 12515 SW 128TH AVENUE _
w
z
Li
z
N
•-i
3
Ln
U7
r-4
U!
N
H i
��'.`+M � f �� •.•µu/��ae�'^Y�i�:t2r.. �".'r'�1�.Yr�.u- :atl..•.,fy� -i •, •r� .3•� •j+� ��5�� '�:ih �"� '77 ��S "�'�'
,;� >.... k, "��•v iiia o tip w ' 4 Jx �,sp �� '^y .•.
1`11.. r - • i.•�+I:��'1...r vw••wtf+• _a ��tt 4 ..�� •r t3 ,,,t ♦�S�}'' l .��I
t s�• +f s'� -1;11^,•,!�,d4I "$t � +Iltia� AIIIV. xt JI � 'll iir•" yt 1'� � •.. ., 7' � -, o- -rr
� ,,. +tom 7r, +•.1,,� a•'4, ',` i t , r�1•'1 r)),ti1i�r�y�.• r t t r, ill'• . '#� r, 4� .
)' r ♦ 1 �/� ti' "ti ti /!�/ irjiR•s / flh d , i#h i\t1 CY �•' ^
���a�,ia, 0 ���r'^' 111��'•� J�,',a\t ate•.• V1 ^ h y�llxt« �ti �C,` ", '� ►"� /r..s►1��� `� �' kV
�a mI J > _
SNI
In
U-3 )N be
bo
ML
.y+ ?H fpr' e� C� O ,�, ` •': ;�
ra
;i
4 C by^ "„ W O I ;•'.;
64 m Q
.a .� f
CL cz
caCD
Cc
7� Cd Wh
.. i
'y • 4 m
bo
ti
if 1
m Ocn
eq r.1r i
r` v;
.r to
rn
cu
.4 �•
1.49 it�' 1 3 'o '� o a� :A '
1' 1' �
;+��i�''� �``:Y.:, :►st:u��: ��YYr�;,.r,_Z.�.,rx��-::: :. � � �:: �r1+4� ';
`` ><•' `t � � w:►r .�>>'
�t fli� _l uY 1111 +t V J-r 1y •'
,� � , � •I •P Iy.Y,•dh7{/��;j� ,} y....�Y�t�` •..M'�r ,y •.x�� �a�� t
.44
I
INSPECTION NOTICE
► City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address /_ _ f Permit 4t_
Type of Inspection
The follow0n.7 Building Code deficiencies are required w be corrected: - d�
Presented to _. _ Inspector
Date
G4LL FOR REWPEGT/ON
❑YEs ❑ No
I
I
I
I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address ,/, K' i r' , d r•
Permit 1M
Type of Inspection
The following Building Code deficiencies ,, required to be corrected:r• /? 4
t
I \
r
Presented to Inspector
Date _
C4rL+�L FOR REIASPEC77ON
W VEi ❑ No
r
C
`a
i
E3U1�Q1-ISG DEPARTMENT, TIGARD
MARTIN-T. MOi.l , 'i!kUMBING PERMIT
4829 N. E. ���a[iar� F,��.:. ;.1 •,�;:�
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accorr or.e wit!i the plumbing code of
I igard. Such installations require inspects-m by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all C tractors and sub-contractors.
`7 ' � �� / Job �;�:�/.s 5 :dL /�
Ovmer �_ rt t _>� — Address______-- e-
NUMBER OF I TOTAL j
TYPE OF PERMIT �— ITEMS FEE ON EACIi AMOUNT _ ....._
Sin le Family-1 bath--each 25.006
Ouplax—Each 1 bath unit _ 25.00 I
Additional bathrooms—each _ 10.00 _
Mobile Home Spca each _ 15.00
INDIVIDUAL FIXTURES C0M E.RCIA
_ 1 to 50 Fixtures in 1 building each 3.00
51 to 100 Fixtures in 1 building—each 2.50 _
101 to 200 Fixture-i in 1 building—each 2.00
201 or more Fixtures in 1 building each _ 1.50
MISCELLANEOUS
Sewer—each additional 100 ft. _ 10.00 {
Water Service to huildin _ 5.00
Other (Speclfv)
PERMIT > For Plumbing Inspection Phone 639.4171
4 ,State rVPlumbing Contractor By l Q
TnTA1 ACrCIDT Mn Ire—A A..
I
I
BU;_ ,SING PES,- 1ITAPPLICATION TIGARD DATE 7��ig ,.�r� 3374
THL "DERSIGNED HEPEEY APPLIES FOR A PFRMI-i FORTH EWORK HEREIN Ii;DI(-,A TFD BUILDER PHONE 253-1187
OR A5 SHOWN AND APPROVED IN THE ACCOMPANYING PI ANS AND SPFCIFI(;AT 10fJ5 OWNER PHONE
LOTNO._ 'Q��_�ul,lwOod 3
OWNER J*W. bray SUD_ L)ukl-UhOBADDRESS lib.lb ,`W lout h Ayi nus
*CM ri half--- --
owgg
BUILDER same ADDRESS 11059 SE Division,Ptirtc13113NrER Hrayson
STRUCTURE n NEW L; REMODEL ❑ ADDITION U REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
9KRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE [--1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —117L3 . LAND USE ZONE R-7 BLDG.TYPE FIRE ZONE PLAN CHECK BY dwh THEAT----
Construct single family dwelling w/atteched garage. 3 Sedruoms 1 hath
SEE CORRECTION SHEET ATTAC:1,40j•
A�
SEWER PERMIT# 271.0z9 . 050,00 Barque 526 ageft. _ --
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 1U08 _NO._BEDROOMS VALUIJ 4E'►800.
BUILDING DEPARTMENT ^SETBACKS FRONT 2D REAR _ 36 LEFTSIDE 10 RIGHTSIDF _ 8
Permit $178.00 THIPERMIT 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 89,011 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIrATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOl WAIVE
Subtotal 287.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SU13 CONTRACTORS TO HAVE CURRENT CITY 13USINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4% 7.1 1
Total $274.12 SDC- $hUU•DO , , " 0. L ( (/'--
By
PDC# Y $100 00 AP IrANT UR AGENT ---
Pl J c
Approved -- duh - Receipt No.,' _.`, l!j ADR -___ - I / PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
1� to ;` Contractor
Permit No.
•3J O ..V..�� \�k�l J
Rough-in
Fixture
T
t _ I lnal
— HEATING
Contractor
Permit No. �7
Gas or Oil
Rough•in
--J Final —� --
SEWER
Final
DRIVEWAY
Final —__—
Storm Droinage
(Rain Drain)Final
Sidewalk
T Curb b Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCC7NCY Final
CERTIFICATE OCCUPANCY Y T _
PLandscaping
Zoning Final
3
BUILDING PERMIT APPLICATION � �� Dl,T ��
T1G�,,.�
THE UNDEPSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
ORAS SHOWN .AND APPROV" ISI TFaE ,CC;nt•,iPANYIr1G PLAYS A�iD SPECIFICATIONS. O',JNEP P;-I�0 ;E
J��M IN G. ,p� LOT NO.
J08�DDRFSS �0 l�p_—A,
AR&WfiCf
BUILDER ADDRESS I(Osq ?+191 DESIGNER ��✓�y SOr►
oif-: ,iURL NEW_ ] REMODEL _ ❑ A_MMON :3 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLMON
RESIDENC C COMA ❑ EDUCATIONAL 1:1 GOWT ❑ RELIGiOUS ❑ PATIO ❑ CAR PORT ❑ r-ARAGE r STORAGE ❑ SLAEO FENCE
OCCUPANCY-0-3—LAND USE ZONE BLDG TYPE _J N FIRE ZONA PLAN CHECK BY HEAT_
CtD/QQ.tr-Q�e.
OCC.LOAD _ FLOOR LOAD #0 HEIGHT /z NO.STORIES I 'A EA (ORB NO.BEDROOMS 3Co
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 7& LEFT SICE /Q RIGHT SIDE $
n?!m�t _ THIS PERMIT IS ISSIJED SUBJECT TO THE REGULATIONS CONTAINED I ONTAINED IN THE BUILDING CODE,ZGPi:tJ^v
p p OO REGULATIONS AND ALL APPLICABLE CODES AND ORUINANCES. AND IT 15 HFgr;ty Ar;RFFD THAT THE
- WORK WILL BE DONE IN ACCOP.CANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO i' WAIVE
Sutrtatal Z(v7, '� RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTO7S TO HAVE CURRF.NT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
;;j tate Tax 7. 1
- --
Total 2 74 /Z SDC — SRN M V N1.f _
By PDC# APPLICANT OR AGENT
Approved r1ecr.ipt No. _ --
FP _ ADDRESS PHONE
EWER CONNECTION
;EWER INSPECTION S
EWER SURCHARC_ s �.=
wr
JW �wsYpolo u«aML :rove. 12$ Ati,"3� digo
a U)
0"1
f-�140rdLh„ �j - G h 50-/o ,-?d
Z3 ,h�` f6 4f
1090 @ 33,vo 34 3 s 9T
Sas'
o0
i
City of
Tigard Mechanical Permit N,n Permit S3.00
,�,
/
Fee—..---- �'QO
New Installation 4R Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 4%State � �.2—w
TOTAL 7. f_2 k
HEATING
CC+NTRACTOR �Ci/L/�G � C� _ OWNER
ADDRESS 6; S G?= %� _- WORK ADDRESS Lr / v
PHONE /�c/ o2s�/� _ APPLICANT
Heat Input Rating (BTU Per Hour)— .5 e)oc-7 Vent Sizel� `1 '' Flue Size ,S--"
FUEL OIL ❑ GAS ELECT ❑ OTHER
P
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit EE ABOVE i Air Condition Compressor 15 to 30 HP F3.00
J �t
_
New_up_to & inc1.100,000 BTU !/ _ 4.00 _ Air Handling 10,000 CFM :Fl _•,
Ple�.v-10_0,001 BTU's &_over 5.00 Air Handling Over 10 000 CFM _ * r
F_oor Furnaco_ 4.00 Evaporative Cooler
_Wall • Flour •Suspanded 4.00 Range Vent Fan .
Install Vents Only 2.00 Vent System i _ 3.00
Repair•
We-at 8A Cooling 4.00 Hood Commercial_
K y
airC_ondition Compressor Under 3 HP _ 4.00+_ _ Commercial Duct System_ 10.00 "
Air_Condition Compressor 3 to 15 -
--�
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPRO`/ED BY_ DATE ISSUED BY DATE
RECEIPT NUJ.
y» �/ ianature of Applicant
I
I