11990 SW MANZANITA COURT 11990 SW MANZANITA COURT
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CITY CSF TIVA RD Mh:C:HAN:tC:AI_. I�E:NM I'T ��
CITYOFTWARD l:-"PM:1 1* NO ME-882 1.,(40
COMMUNITY DEVELOPMENT DEPARTMENT
oer
13125 S.W.Hall Blvd_P.O Box 23397,Tigard,Oregon 97223.(503)6394175 C111
1014 ADDRE'SS : 1.1990 SW MANZANFTA UT
TAX MOP/L.,C)IT
I AND USK.:
i.cl'f 51ZU :
111---m: NO,
WORK CLASS : AL.Ti..'114411ON F1,11WNACAK <100K :1. AIP FIANDI 14 <1 0
USE 'T*yI*4.:,. : Si TNULl-K FA111:11-Y 1:1JANAGE: 1.001<+ A114 HANDI-P 10K
FLOOP I7:'IJANACX COOLEP
,JJP. (;Ilp ,
1-4r--.A,r1--:A VENT F'AN
V EMT 11I:.:1*N'I , Sys'TEM
8 L R/CI 0 111 P <.3114P HOOD
NO. S1,0ATLti : 81 A/COMP 3 1.15 1-4 P T NCT NEAt'hl OR(DOM
UNT TS : I-_4L.l1/(MMP J.5 30HP 1:Nit;I NI"'PAT'014(CUM
rt*o.. -tyi.1i;;
G)A S F31 A/GOMP 30-501-4r., PE:PA114
MAX . :I:NPIJ7* r_.lL.P/('-OMP 304-HP 0 THE"11
F1:Pr1.-. DMPAS? UAS PI-PING OUI'LE"I'S I.
LA.JW
V"IEMAP11<5
PL-PI 1M.'r-F OIL FURNACK 1,41T f1i
W I oyt..op LOIANANK PERM:11:1* $10 . 00
N
E 11990 51611 MANZANTI'A C.4' PLAN PE:V:I.E:W
R 1 11:11P 97'c' a',:3 F T XT(JAE 5
PHONE- (_50 i) 620 P852 S'T'A'T*E TAX 90
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N PiGHAPOSON AND 131ItAWFi
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R V01. 1 (;:Y FIN15PUY HC:A't:I.NG
A '77,11 I:iW I.JWY
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T p ri r, t..1 m i i d Ell-- 9721.9
0 PHONE' 893 .'.50 5 6
R I 14.6.11:51'PAT10N NO. 50029 — 10 1 Al E). 90
This permit 14 issued subject to the regulations contained in Title 14 ISE ME*I P,V NI:)
of the TMC. State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances. and it 19 hereby
E N 45 PEC T'l ON S
agreed that the work will be done In accordance with the plans and S L 1NE
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive 1:'l NAL
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 wo,k is suspended or
abandoned for a period of 180 days any time afte work has
commenced It!;hall be the responsibility of the permittee to assure
all required inspections are requested and approved
?/
'0,
7 � -----
Ple Amittee Si'gature
Issued By
1(1N e)39.-4,1 1,ol,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1:11 Y Ur 111..iAHU MhUHANIC.:AL PERMIT -
Pormit#+k
Description
City of Tigard Table 9A Mechanical Code OTV PRICE AMT
13125 S.W. Hall B;vd. 1) PerrrA Fee -0- -o- 10.00
R.O. Box 23397 --
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace tk,100,000 BTU _
.00
incl.ducts __.
&vents- _ ti
Furnace 100,000 BTU +
2) inc(,ducts&vents 7.50
Name of Development Floor Furnace
3) incl.vent 6.00
Job Andress Suspended heater,wall heater
Address / 9 C,' s•w. /y"?a 2 AAl,�r 4) or floor mounted hector 6.00
Tax Lot Mal)No. Vent not incl.in
Lot Blxw subdivision 5) appliance permit T 3.00
Name(or name of business) Repair of heating,refl'ig.,
--- 8) cooling,absorption unit 6.00
�0 R K, nl
__t_ _1_A y __ _
Mailing Address r Phone Boller or comp to 3 HP
Owner 7) absorp,unit to 100,000 BTU 8.00
AS 1) IQ ovc 6•�o 2 PSZ_ - -- --
G tylstate zip Boiler or comp to 3 HP-15 HP
Z *28) ahr-)up.unit to 500,000 BTU 11.00 -
Name ;'.ar or comp 15-30 HP
9' absorp,unit 1/2-1 million 15.00
Mailing Addre s Phon Boiler or comp to 30-50 HP
Z LYS 4, 10) absorp.unit 1-1.75 million 22.50
Contractor CiyiState 1p Boiler or comp to 50 HP
_ ,� 17,7� 11) absorp.unit 1,750,000 BTU _ 31.50
State Registration No cny Bus.rax No Air handling unit to
12) 10,000 CFM 4.50
I herebyacknowledge 13 Air handling unit
ledge that I have read This application that the information given Is ) 10000 CFMI � 7.50
mrract,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 Non portable
number given is correct (If exempt from Slate registration please give reason below) 14) evaporate cooler 4.50
Vent fan connected
-------- --(:r- 15) to a single duct 3.00
- Ventilation system not
16) included in appliance permit 4.50
Hood served by —
;; ' ` � (�-e 17) mechanical exhaust 4.50
tu..n (owner agent oeie Domestic type
Describe wor U addi n ❑ alterati ❑ repair ❑ 18) incinerator 7.50
to be done residential non-residential ❑ �Commercial or industrial
Existing use if � i9) type incinerator 30.00
building or properly _ _ Other i.e.,woodstove,water
Proposed use of 20) heater,solar,clothes dryers,etc, 4.50
building or property - 21) Gas piping one to four outlets 2.00
Type of fuel- oil [i.l naturnI gas LPG ❑ electric [-1 -
22) More than 4-per outlet
NOTICE "-i------
SUB-TOTAL
THIS PERMIT BECOMES NULL AND V011) IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 5_610 4%SURCHARO
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR yPLAN REVIEW 25%OF SUBTOTAL
ABANDONED FOR A PERIOD OF t6O DAYS AT ANY TIME AFTER — --- — -
WORK IS COMMENCED, TOTAL
Special Conditions
Date issued -.-.__.
- . ley _.. _.._._........_.-.._ ._...____�
4
City of Tigard
INSPECTION REQUEST
` for
_
NSPECTION TIM C `Z PERMrr NO. , _
j DAT 'SATE ISSIJED'--- =-1
OWNERS 'NAME ' - -
I WDRESS . 0"2
I G-)Ni RACT',jR
4F-';JL.?` ApprJ,,eai'.c ►�uro�ar+ i , a„ .
I SKETCH.
i
I
i
I
74
` INSPECTOR DATE
! �-)TE . Attcch supplemental 'pst ,: u•!• ::eretl
1
i
I
I ,!i
III
I
pity of _f igard
INSPECTION REQUEST
for
NSPEC ION TIME :. .h_y, PERMIT NO. .
DATE . �a�� 4 )ATE ISSUED
OWNERS NAME ' - -
l5 I A '7Hr !r!
HFSJLY
SKETCH:
'INSPECTOR DATE
COTE: Attech supplemental test -ev ne►etol
I
PLUMBING PERMIT APPLICATION
Jurisdiction of `
e
o. Type of Fixture Fee Permit No. 7 ^ --- 1
Permit fee , r
Water Closets (Toilets _ `''' Permit Issuedi-�U
Bath Tubs Approved by
a o Wash Basin 9s Building Perm ��–;
Showerc�. Receipt No.
ss Di.shwas in
Six Lks kitchen
Sinks. rdina L ti on of Bui ng
n s ar k�
nh s S 10 L
Au oma is Dishwasi er ---
s e� --
undr
Trays Nam A(,,' IrpIss of Owner ��t�,X
Drains, Floor
Drains. Arc a
�ra�rise� era or
Rain Drains Automatic�Washer, Na .dd e: . f P ber
olzn wins r n n
Fountains,
Hot Water Tank
Water Service size
Urinals Building Old (AP--#env Alter
Ca aslris - Yard ns 'a .
T�
Lawn S rinklers�tem�
Swimming" Pool _ _fir
rink er s ,em .—
This permit becomes null and void if work or constructi0n authorized is not
commenced within 60 days, or if construction or work is suspended or abandoned
for a period of 120 days at any time after work is commenced,
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bon(
I hereby certify that I have read and examined this application and know the s&i
to be true and correct. All provisions of laws and ordinances governing this t1
of work will be complieu' with whether specified herein cr not, the granting of (
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regulating construction or the performance of
construction.
S ature of A ant
p�
.. . ..,".,,,.,
CITYOF TIGARD114M 11W, ma" 91"o
TIOARD. ORGOW "U3
APPLICATION FOR BUILDING PERMIT
ERRMIT
Now Construction El Demolish Addition DC! Renw'deI Move
ZONING t '7 DATE ISSUED BUILDING PERMIT
DATE RECEIVED
m---„L.-..,L....__.�._...._ BUILDINt, FEE$�
. �'�_._-._..._-.. . Na.
_
By PLAN CHECK SAE-.110
�
u4,,,VALUATION $ Z
TOTAL S RECEIPT No.—
TWO
o._TWO SETS OF PLANS AND PLOT PLANS MUST Or r0RNISHLD WITH APPLICATION
LUT 1� MAP 1 CENSUS TRACT JOB
Architect or FngineerV1611'//
Address �—Phone
(honer
Address_Jin _L2-sl.,.. IAMI tA_ __—Phone
Builder r_�_ __ ai__.— _ _ _...� _ ��_rr _
Address r.2 S.l.e6! ._Phoneetc
BUILDING USE Single Res. 3 Multi Res. ComR. Industrials
OCCUPANCY GROUP 1— No. of Stories—L Total Height Area of Lot
Type of Construction I II III Iv \D Floor Area B 400 Z _�
Set Racks: Front] Backj'..! L.Sidej&ge� R.Side_p&
Private Sewer Pipe Size�� SewerL4,q Septic Tank lJ
Nater Service Pipe Sizey WS171*J&- Storm Sewer LJ Ditch 11 Drywall ❑
Street and Curb Requi:ements_— r 4
Driveway Width_ __` _ �No. of Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHIN(;
SPECIAL INroRMATInN
ADDRESS ASSIGNED /J99C C6L
FIELD CHECK BY _ DATE.
PERMIT APPROVED BYA1
It is understood that all work will conform with applicable codes and ord nances
of the Sate of Oregon and the City of Tigard, Oregon, and that the bui :dlnq will
not be occupied until a Certificate of Oc nog hast b A issued b: the City of
!FTiyasd Auildinq Inspertor.
S n u p cant
Address//Y f Q f,e4U&J4AgTAA'-7�- Permit No.-��Y.. W
Name of Occupant___.._— Permit charge
Connection fee
------------ Paid by
_ _ _--- --_-_-__- Date connected
Type of Building _ T Inspection fee-
Service Rate _ Paid by _ _ _ Date
Contractor -_ Assessment Paid
Size of conne.;tion
PERMIT TO CONNECT
Tigard Sanitary District '
PERMIT N° 939 DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID 5..�...••••.....................TIGARD SANITARY DISTRICT
v�h ) By y -- --
. 7 -
CONNECTION INSPECTED AND APPROVED
gid, J0