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11775 SW MANZANITA STREET NN 1.1775 SW MANZANITA STREET I N 3 cn r r ME.C',I-lt')N'I*CAI- PEPMIJ V'L'PM1*f* NO. : MESSI.F.178 . . OF TIGARD �CITYOFTWARD DATE:.' 15SLJF'U: 9/22/130 OR100" COMMUNITY DEVELOPMENT DEPARTMENT PPTM. PM'T .NO ' 801.8,78 13125S.W Hell Blvd.,PO Ho. 23397.Tlqard.Oregon 97223.(503)639-4175 '101.3 SK : TAX MAI:-'/I Of N(:) NO: WORK CLASS : ALFEPA'110N VURNAGIt. (1.00K AJ:P HANDL.P 0.0 usirti. TYPE : SING.L.11-7 rAMTI..Y J-001(+ AIC'. HANDLP 1.01< ::' CON III OOP FURNAV,'1- LVAP O(:'Ck.jP .GVPP. HEA 1"FA4 Vf;.N V FAN VENI' VEN1 Syr-O I:-M BL.P COMP <31-111-A HOOD NO . S1(: P I F.*'; : 3- 3.15HP 1NCINL-*PA'I UP(DOM 15-30HP IN(.',INL*r-IAI UP(COM IDWEI I.. .UN:E I'!; PEPAJ'.P UNYT5 FUEL 'Typp; P (JR4 30--tioll-IF) krl(')Ml:' 50+14P OTI-IE:R MAX . 1NPUT (;A5 P'IPA'.N(.7 01,TTLETS F-JAIL.': UMPP�0 PPE.5s"? L.Ow PREF,51? RLMAR105 : WOOD5TOVIii: PERI'll't ONLY I 1111io . 00 NUP1 1-11 8WT AN O 5 �iW MANZIN'.1"I'A tit FLAN PF'.-ViLIA1 0 7'V $11. 1150 [WN I I I"ARE) ('.)A 97P23 FIXTIJPES 1111 73 E I::-HUNF- (50*.';) 620-52-51. 5 I'AT I::' TA Y R C 0 N T R A rum..: 11111 15 2 1-5 C T 0 R PIE-'-CEIPI NO . This per-nit is issued subject to the regulations contained In Title 14 of the TMC, Stale of Oregon Specialty Codes, zoning regulations and all other applicable codes and ordinances, and It Is hereby agreed that the 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 restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void it work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time alter work has commenced it shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature N AL.I F OP I NS .1 Issued BY122-11-W- SEPARATE PERMITS REQUIRED FOR WOW( OTHER T� AN DESCRIBED ABOVE CITY OF TIGARD MECHANICAL PERMIT Receipt# — Permit# , Description Table 3A Mechanical Code CITY PRICE AMT City of Tigard 1) Permit Fee -0- -0- 10.00 1'3125 S.W. Hall Blvd. — — --- - P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 - — 639-4175 1) Furnace100,000 BTU 600 incl.ductss&vents _ _ 2) Furnace 100,000 BTU t 7.50 incl.ducts&vents Name of Development 3) Floor Furnace 6.00 incl.vent — ��775 SW Manzinita St. --- _ --- -- Job Address 4) Suspended heater,wall heater 6.00 Address or floor mounted heater _- _ -- -- -- - Tax Lot Map No 5) Vent not incl.in 3.00 Lot Block Subdi,isiun ----appliance permit --�-- — --�— Name I-r name nt business) 6) Repair Of heating,ref r Ig., 6.00 cooling,absorption unit man North Boiler or comp to 3 HP er Mailing Address Phone 7) absorp,unit to 100,000 BTU 6.00 Own -- �j Boiler or comp to3HP-15 HP C1tyrStale Zip 8) 11.00 absorp.unit to 500,000 BTU - _ ji jiT1. Or 97223 Name 9) Boiler or comp 15-30 HP 15.00 r absorp unit 1/2-1 million - Mailing Address pfwnn 10) Boiler or comp to 30-50 HP 22.50 absorp unit 1 -1.75 million — Contractor ------— Boiler or comp to 50 HP City/State Tip 11) absorp.unit 1,750,000 BTU 31.50�0 _ State Registration No City Bus Tax No 12) Air handling unit to 450 10,000 CFM _ _ Air handling uni' — 7 .50 I hereby acknowledge that I have read this application that the information given is r 3) 10,000 CFM + correct,that I am the owner or authorized agent of the owner,that plans submitted are in -- --- —- compliance with State laws,that I am registered with the State Builders'Bob•d,that the 14) Non portable 4.50 number given is correct.(It exempt from State registration please give reason Irelowl evaporate cooler Li �C� ��i,3 .t - _ —____ 15) Vent fan conne�Aed 3.00 to a single duct ---- - Ventilation system not 16) 4.50 included in appliance permit _ - - Hood served by 4.50 ao gg 17) mechanical exhaust e(owner or agent) — —� ---_ '�Darr, 18) Domestic type 7.50 Describe work ❑ Pddition ❑ alteration repair ! I incinerator to be done residential lxl non-residential ❑ 19) Commercial or industrial 30.00 type incinerator_____ Existing use of -Existing or properly— Other i.e.,woodstove,water 4.50 �!c- - - 20 heater,solar,clothes dryers,etc. Proposed use of -- -- -- building or property__. _ -- 21) Gas piping one to four outlets 200 Type of fuel- oil ❑ natural gas [A LPG ❑ electric ❑ a — 22) More than 4-per outlet NOTICE _ SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SSfp 406 SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED TOTAL /5 L3 Special Conditions Date issued ----- by. W CITY OF TIOA RD PEPMIT NO . : ME080197 CiTY01FTWARD COMMUNITY DEVELOPMENT DEPARTMENT 001GON DATE;.. ISSUED: 13125 S.W.Hall Blvd.,P 0 Box 23397.Tigard.Oregon 97223,(503)6394175 c7A DUTM L)M:r N(3 Poo J Q'I KM ADDnESS : 'I.J. I T!.t 5W IIANZANA: Y A S' U I Aa r1l A I"A/L.UY at 4.1 . I AND IA.I`T SIZE : TEM: NO: WOPK CLASS) ' AI. ILPATTIIN 0 00K ATP HONDIR (10 USE TYPE: STNGI E:' FAKI:L. FURNAUE 1001(+ ATP HANOI P iOK I, I non V 0CCUV' A',I*' : P3 VENT FAN MTN I VEN If SYUJ'I U.:M "LM/Comp (Z.M.lp I.IUO D 140 F1L.N/C"1(.)MF' 'r N(:, OP(DDM DWELL.LIN ITS : 8I. P/C.OMV" 15 301• P 1NCUNERATOR(COM PUKPA111 UNIJS MAX . INPUT 9L.A/COMP 504-HP OTHER C*AS PIA)UNG, OU111-11TU 111tH PPESS'? I LIW r*',:MAPKS pt to i wo ii:a d 111 1.rt ii i rt a xi.lil I,J i I&1 ili Tcl 0 W i It bl'i Hki-I I;)E Pm rr $1.0 00 N 1 1 115 11114 MKI'MAIIJAM. Mt PLAN PEVIF.*.W E - R i I GI la I to t31F. T X I 1. IN-11 :5 F4 RINE I"503 62!0 -'.9P51. S I'A"I'lin. TAX 1111 , 73 C N I R A C T 0 11.11TAL. $15 This permit is Issued subject to the regulations contained in Title 14 PECETP-1 NO of the TMC. State of Oregon Specialty Codes.zoning regulations and all other applicable codes and ordinances. and it is hereby agreed that the 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 restrictive covenants. Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and void If work is not started within 180 days,or If work is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved. Permittee Signature issued By: SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection __ / --- --- s -- ---- - a Date Requested---sl _—L-_�___ Time_ X._. A.M. .M / P.M. Owner - —. _�.-- -- - `- :-- -- Lot # Builder --.- -5�— —_� The following Building Code deficiencies are required to be corrected: Presented to L.I Approved Inspector U Disapproved Date CALL FOR REINSPECTION ❑ YES (A NO BUILDING DUGHECATF 9._._— �7 �8 3 HE UEINEDERBY APPS FOR A PERMITFO�URKHERI INDICA ED BUILDERPHONEh3a 48 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER Brian North JOB AODRESS 11775 SW P''1a61z�^nitCt LOT NO..-. -- — -------- - -- _— ARCHITECT---- -- �'. Chico Construction ENGINEER hJ dr. BUILDER ADDRESS .� DESIGNER STRUCTURE ❑ NEW _ D REMODEL ❑ ADDITION ® REPAIR ❑ RENEWAL ❑_FIRE DAMAGE ❑ DEMOLITION ' RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE f` OCCUPANCY R `LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY � HEAT il3z_�W�IZ_rc�,gir to edJ.etincl sigT�le family drrel.linc��all per. approved plans. Subjec.r, to fina) inspection on site by building inspector. . SEWER PERMIT M OCC.LOAD F'..00R LOAD HEIGHT NO.S1 ORIES l AREA 471 NO.BEDROOMS VALUE 14,000 BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 104.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTA.,r.ED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 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 i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax _ 5.2.,'s Total 177 .66 sD(� — .,�.,. PDCq A UCANT OR AGENT Receipt No, Approved _ t]:]IIE Ste._ J ADDRESS PHONE DATE INSP. TYPE INSPECTION RE"Rh PLUMBrNG DATE Contractor If ex.— Permit No. Rough-in Fixture %'Z / e0c�si. 'L _ — r Final HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Aptim_,ch [ILF)G. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY �rCVTIFICATE OCCUPANCY Final Land raping I ng 7oning Final MULE 0-0 ac n n W H 0 U N, U) ui �— X vig - l 1 I OCy F- Q LL Q I � OO W a! Lli Er a > Q 0 � tj z } u a- r I � N n Ld� - o £ m 3 Q �► a e ti a Q 7 id CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :-7. 3 7 �� PLAN CHECK APPLICATION DATE RECEIVED: P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT FAID: ` This is to certify that the attachedsets of plans have been submitted for plan check pursuant to the Oregon StructuralCodeand Fire & Life Safety Code, edition. PROPERTY OWNER: I A l t� �,�'-1 14 OWNER'S ADDRESS: ;p 'fir 4C MA 1j Z/1 T CONTRACTOR: ) s t G 1p LCA hln'T F'd"W- 1 DTELEPHONE:_ JOB ADDRESS: . ,�/ LOT NO. & MAP: \ DESCRIPTION OF WORK. L L'IQ kA7-14 Approvals Required SPECIAL NOTES OPlanning Dept. O Reissue O Engineering Dept. O Flood Plain/Sensitive Lands O Fire District 0 Sewer Availability OOther 0 Other Items Rewired List of subcontractors v Business Tax 0 Calculations OTruss Details O Parking Plan 0 Landscape Plan OOther COMMENTS: City of Tigard Building Department BY: �.t� e _ v� �rks�lPc' PLAN CHECK NU. I'\ for inspections call 639•-4175 PERMIT N0. G 90 1 (3F TiGARO 639-4171 SATE ;' -IY -1-77- CITY BUILDING PERMIT15� � TNO. 5 3 3 _SUBDIVISION P.O. Box 23397, Tigard OR 97223 TAXMAP f �TT OWNER „w JOG ADDRESS /I ?'7 /, `�" UAl- tv'j �� .r 4 t' f14_ BUILDER AJ - STATE REG.NO. EXP.DATE 1��r-$---'?-- BUILDER'S PHONEAli-F- ARCHITECT ARCNITECT PHONE-- OTHER ''"- STRUCTURE ❑ NEW ❑ REMOOEL Cl ADDITION REPhIR ❑ MOVE O OTHER O DEMOLITION 1ps RESIOENCE ❑ COMM 0 ECtUCATION ❑ INS ❑ RELIGIOUS. ❑'ACCESSORY O GARAGE0 OTHER ❑ FENCE ,3, • . �/ FIRE ZONF PLAN CHECK BY .� U r I*AT _ OCCUPANCY �LAND USE ZONE BLDG.TYPE r� U ( I i SEWER PERMIT C. - - - NO STORIES AREA �� NO BEDROOMS VALUE OCC.LOAD _ FLOOR LOAD HEIGHT _ � BUILDING DEPART TMENTSET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Prm11 'DH-5 n THIS PERMIT tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING REGULArONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE PBanCheck ���• `i'3 WOIAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAnONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCFS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ct.F" -" RESTRICTIVE COVENANTS.CONTRACTOR AND�US CONTRACTORS TO HAVE CURRENT CITY BU..:rtcSS TAX PERMITS.SEPARATE PERNiTS REOUIRED FOR SEWER.PLUMBING AND HEATING. State Tu j .Z> SSCP. SDC - - - - Total 7 APPLICANT ON AGENT -- - - F'C1G Prepd. - -- Receipt No APORES5 - ---- - - r�a�Nt Bal.Due _ Issued __Apprtived By _;DC - 5 - '� ----------- -0 C - RECEIPT N 'OC _:�'� — � _ DATE PD. --------___------- CUER CONNECTION 5 AMOUNT PD._ f-WEH INSPECTION S _ EWER SURCHARGE S _- immentO : w w w w w w w w � �tl/�/.�J� CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit# _ ;Z-2: ' Description Table 3A Mechanical Code CITY PRICE AMT City of Tigard 13125 S.W. Hall Blvd. 1) Permit Fee U 0 10.00 P.O. Box 23:397 —�-----�-- -- - Tigard, OR 97223 2) Supplemental Permit 3.00 6?9-4175 1) Furnace to 100,000 BTU 6.00 incl.d,.lcts&vents _ 2) Furnace 100,000 BTU + 7,50 incl.ducts&vents Name of Development ) Floor Furnace 3_incl.vent 6.OU Job Addreea 4 Suspended heater,wall heater - 6.00 Address 1 ;�J �ar S W � n'2.0 h I t, Sf. ) or floor mounted heater _ Tax Lot Map No. ) 3.00 Vent not incl.in Lot Block 9ubdtvtelon 5 appliance permit _ Name(ur name of busines ) 6) Repair of heating,refr ig., 6.00 F;r r 11,i [), �o f� - cooling,absorption unit Mailing Addreos phone ) r, Boiler or comp to 3 HP Owner r 6�0-.5� ' 7) absorp.unit to 100,000 B rU 6.U0 ! I r i.� .SUI Nle rnZLa IT I r� Sf -) — city/state Zip 8) Boiler or comp to 3 HP-15 HP 11.00 T 9-1/. -, absorp.unit to 500,000 BTU NPm 9) Boiler or comp 15-30 HP 15.00 Nl,r, absorp.unit 14,-1 million Meiling Address Phone t 0) Boiler or comp to 30-50 HP 22.50 absorp.unit 1 -1.75 million Contractor City:Slate Zip i 1) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU State Registration No. City Bus.Tax No 12) Air handling unit to 4.50 10,000 CFM I hereby acknowledge that I have read this application that the information given is 13) Air handling unit10,1)00 CFM + 7.50 correct,that I am the owner or authorized agent of the owner,that plans submitted are in -- compliance with State laws,that I am registered with the State Builders Board,that the 1 Non portable 4.50 number given is correct. if exempt from State registration please give reason below). ) evaporate cooler _1e��� ISSltT/r �1ce _ 15) Vent fan connected 3.00 to a single duct _ _ t6) Ventilation system not 4.50 r included in appliance pet mit 17) Hood served by 4.50 2-`Y-'�' mechanical exhaust Signature(owner or agent) Date 18) Domestic type 7.50 Describe work R addition 11 alteration I ] repair ( I ____ incinerator to be done residential LI non-residential ❑ 19) Commercial or industrial 30.00 Existing use of type incinerator _ building or properly _ �'5/ /)S , _ 70) Other i.e.r _.o_s ova,water 4.50 Proposed use ofv heater,solar,clothes dryers,etc, building or property /1 i`'5/ �h-Se _ — 21) Gas piping one to bur outlets 2.00 Type of fuel- oil I i natural gas I I LPG F-1 electric F-1 22) More than 4-per outlet NOTICE _ SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- - ----- - - -- - 6 STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL A13ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - _ ---- --- - WORK IS COMMENCED. TOTAL Special Conditions _ _ __.------_.---- --__..__ ---------_-___ Date issued _ ___ ._by_ Address 11 ,�15 S��Ic ��-h Permit No. ofJ' Permit charge Owner. _ Connection fee _ -- Paid byJ�-r�1.c T �L ��ufY''Y-t*4 L0• - Type of Building Date connected Service Rate ' Inspection fee Contractor 44 Paid by !nG ! to Size of connection L. Assessment-- -Paid�- FM PERMIT TO CONNECT Tigard Sanitary District PERMIT N? 1091 DAT» PERMIT IS GIVEN TO .-- OF O -_OF I ' TO CONNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT , TIrto "F'CMIT MUST BE POSTED ON T E DESCRIBED PREMISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNFCTION HAS BEEN COM- PLETED. PERMIT FEE PAID $........?�.,..�. ..............TIGARD SANITARY DISTRICT co COMMON INSPECTED AND APPROVED ����_�~ Superintendent - .� moar M aw e. rs i i l�ult,noma.'h �7o�ant�-, pregcsn To 'a L7 -- Date Time--- ._�v�Qte_ WHILE YOU WERE OUT M .- L ( I - -_ Of i Phone-- _ TELEPHONEDv— `! PLEASE CALL RETURNED YOUR CALL r WILL CALL AGAIN WANTS TO SEE YOU RUSH 06 ad-57 A�k L-9 L..I `I L, q 1-1 4_1 4_I 4_I l_• I I Imo, � `.r ` +'�. t•�' y".�{ .��i��r d � e!% J'.� � t ti, f + ` t°srp L�' � ' •yN.�r�yy�,. co z co Ln PLO fo .61 z En M 14 14 A4 Ln ,l! � �! rJ1\�, � .. 1� r� �- ,ii���`r' .I�,�fr �.h�r0��' • 1^ ��j� r• r JJ ,� {v.I� (.-.,• . \ r, 1 r - } r „ • •� � i �-f11:6cr'1 (r�'y� • L y~ 1 '� -~`'ti� !o�r,trtr.v.t lr...=►': .�1 �,t:.ir t yr ,�..� a,-,yr• ��F_•-V r �.�t MYr- 'V"�'�.y�c_-�"1�7'��� ��' '_\ .'A•,.1'•�, i, ,�)��r 4 y.� )�� ',. �- � � �A4; �1 r�•. ` ,t t h � ��l�;kv Sf .1: , r� 1� �y, �!�� ��;�' ct - ! ,�� �►��r '1� �f L- ,�i~,', �`t,�lfi.:�(�'1� 3 lei � k ri CIA ct ct _ r �\ Y Ap f y t �, • G