11990 SW SPRINGWOOD DRIVE .e
11990 SW SPRINGVMD DRIVE
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boding D+arartinent • 12420 S.W. Main Street • Tigard, Oregon 97223 • Phone 639.417'
BUILDINra PERMi , ,
Permit No. �—
Date Issued "�� _r _',L� �_�___. Date Expires _
I;;St ed to � lr 4_�.�^� �� =_�_'_!� Building Location a
Owner* 4- f'' _._ '_ Address of
Builder Address of .._—
Permli Issued by_.
WNW
Notify building apartment 24 Hours Prior to the Followlno Insnectionsl'"
] EXCAVATION OR FILL CJ Pt.Utv. '.4G
1✓ >I FOOTh! A'-O" [U HEATING
l l !4EINFORG:NG STEEL LkbWALLB0ARD�/1 -s`7rly
;.l FRAMING,,P" ��' N f'INAL W.4 _r-z V-�''
This CarJ Must Be Conspl!mously Poster!, Facing the Stroet Until Compleffolf
MIMI' ��
plr�-
BUILDING PERMIT APPLICATION 11 Y TIGARD DATE,
THE UNDERSIGNED HEREBY APPLIES FOH A PERMIT FOR THE WORK H'_REIN INDICATED BUIL!?ER PHONE-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE--
LO'T NO. _
ertka Nemish
OWNER � _lUO AnURESS _- H�t�C ADDRESS -
ARCHITECT
<i
k"Alt Ma"''1 ENGINEER - —
BUILDER y �iDDRESS r-1 DESIGNER
❑ Q
STRUCTURE _ NEW y ❑RFMnDEL [:).ADDITION REPAIR ❑
RENEWAL [:]FIRE DAMAGE [:]DEMOLITION
C1
❑ RESIDENCE ❑COMM ❑EDUCATIONAL L_ GOVT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORA(;E❑SLAB C.IFENCE
❑BOND ❑MOV ING OCONDITIONAL USE CIDESIGN REVIEW [-]COUNCIL APPROVED ❑SIGNS
OCCUPANCY � LAND USE ZONE e MBLDG.TYPE .FIRE ZUNE_ PLAN CHECK. BY __ HEAT —
Cutls,ruCt adctitior, ;u e►LIjg7.9 t,amily dtdelliljy. all prat plane Ni± b CuLF+.
Adfj family - w no plumbing.
r 1 9.)0.
NO,U QR.116._�'—AI3F �l�O NO•BEDRQ9!VI�S .Y_A1.�E--- ------
BUILDING DEPARTMENT _ SET BACK!; FRONT .�.... REAR LEFT SIDE (f RIGHT SIDE
Permit 44.
—" THIS PFRIRI"f IS ISSUED SUBJ@CT 10 THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONING
Plan Check 22.0D REGUtAlIONS AND ALL APPLE :ABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORD~N.;E W'TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total 66*00 ALL XkPPI.ICAIILE CODFq AND 0111DINANCES. THE ISSUANCE OF THIS , FRMIT DOCS NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE ':URRENT C!TY BUSINESS
State Tax t..76 LICENSF. SEPARATE P'_RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $0. 6
FAp,
I:P1 APPI iCANI UA AG[N1 -- _----_--
oved Receipt No.
..wf+rW.atau.».... '.ri...e►.:+iw., .«w..............w,.r...wn.<u..wr...Yw..w.w..33..l,+uc�------------- -
N wffw w w
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
y, *� gont4plictor —
j_�� Permit No.
��✓7 Y/
Fixture
Final
HEATING
Contractor
ermit No.
Gey or
Rough-in
Final
SEWER
Final
`DRIVEWAY
--Tv Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TI=MPORARY CERTIFICATE OCCUPANCY Final
1� CERTIFICATE OCCUPANCY ----
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION �oF TIGARD GATE �° .2�0 __, ,9 � �° .2&84. j
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED FIJI LOER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHOrI _
' / LOT NO.J r Z
OWNERQ�Iti �s JOB ADDRESS I + 4,� :Dv-
ARCHITECT
.'� j�If� ENGINEER
8U1�_OER �.� �^ AOURESS p Q�/f1>�„ 1 '��{• DESIGNER
STRUCTURE_ CINEW ❑R_EMnDEL __ ADDITIO_N O-1REP_AIR�-� _❑_RE_NF.WAL ❑FIRE DAPAAGE ❑_DEMUUTIJN
RESIDENCE C,COMM EDUCATIONAL ❑GOV'T INELIG10USOPATIO LJ CAR NQR7 ❑GARAGE [:ISTORAGF C]SLAB ❑FENCE
4UPANCY _LAND USE ZONE- -!- BLOG. 1 YPE._,Z1 .FIRE ZONE PLAN CHECK BY_ � HEAT
PIN 44
Am 11
SEWER PERMIT S
x&S;_I.9AQ �L�4.fl1,4�P.—Z-- esLHI._� _ No goo /.9_,0
BUILDING DEPARTMENT SEr BACKS FRONT REAR LEFT SIDE ^
�O RIGHT SIDE
`L THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check Zz�.- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS Ar10 SPECIFICATIONS AND IN COMPLIANCE WITH
Su!7 total _"
-red. ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRAr'TORS TO HAVE CURRENT CITY BUSINESS
State Tax I. 9: LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Tota! S D C�p 7 7�__ -
PDC# - A4ALO-fro,
ADPL CANT OpFfit-
Approved Receipt No
SDC -
PDC - #
SEWER CONNECTION $
SEWER INSPECTION
SEWER SURCHARGE $
Comments ;
("I .�:� ..1 1 •�' _� Mi e i f t.' t , _Y Y L . l
OF
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CITY OF `1 tC �A�ZD
OREGON
0,,kner:......Hellickson........... .................._..........__. Pei-mit No. 972
11990 SW S . rin Wood Dr.
. I Building Address..... ............... ...... ..P......9. .
Certificate is hereby given this........15....day 00.1ar.ch. 1(,+. 7
that said building may he occupivd and
that it complies u-ith all requirements of
the Building Code for the City of 'Tigard, �
as approved by the Tigard City Council. } �
l Building 1! :.pector R �\
Address Permit No.
U
Permit charge
Dwner _ �,�/ _., � Conr action fee
Paid by
Type of building /2G.1� €,tc"P Date connc ced
Service rate �� — Inspection fee
Contractor Pt-id by
Size of connection Assessment _ Paid
3 y 17
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ES T
./or
o'C'N T'ME:
DATE: 7-04617 D.aFc "33"IE,
CWINZ^S NAME :
TO P
TEST ' A;- LA
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`N:,�s: >•t- ;► �t�r'���nfal test data dbre !a]
-ter
BUILE;:NG DEPARTMENT, TIGARD NO. �
PLUMBING PER'MIT
Tualatin Valley Plumbing & Htg. holder Of a valid plumbing contra-tors license is hereby
authorized to cause p!umbing work as herein noted to be installed in accordance with the plumbing code Of
T`card. Such installations require inspection by the City Inspector who shall be notified not less than four
W- hours prior to the time the installations are ready for inspection. City of Tigard Business License required
foc all contractors and sub-contractors.
11390 �'«' Spr:ngwood Dr Tigard
Owner Wayne Hellickson Address RZKX1KXRF 1k*X Date 6-21-7R
r i NUMBER OF , TOTAL PERMIT NO.'S
I TYPE OF PERMIT ITEMS i •'EE ON EACH AMOUNT ;Office Use Onivi
r
i0ENTIA.L
Single Femily-1 bath-each 25.00 25. 00 1
Du lex-Each. 1 natt unit 25.00 _ I
Additiora: 7athroorr.s-each 1 10.00 10_ 00 `
Mobile dome Space-each 15.00
�INDIV.DUAL FIX r!jR_ FEES
1 to 50 Fixtures in 1 bubding—each 33.00
,,1 to 100 Fixtures in 1 buiWiN—eat'+ 2.50 '
101 to 200 Fixtures in 1 building--aacn 2.00
2C1 cr more Fixtures in i building-each 1.5u
MISCELLANE0US
Building Sewer-:s-50 ft. 10.00
Seg`---earh additional 100 ft. 16.00
Nater Servic- to ouMing 5.00 _
Private Nater Systems-each. 100 ft. 10.00
Other iSpecifyi:
PERMIT - 00 For Plumbing f7sFection Phone 639-419i i r12,319E State 1. 06 Plumbing Contractor By !
TOTAL 36. 05 RECEIPT NO. Issuea By -
7 ..,I�.Wt,svpiAceey:.y� y..{..b».j�•+fM'«�gl`�� .I I,�M'O�sVP., ,fl'
CITY OF
BUILDING PERMIT APPLICAT►ON TIGARD DATE, :)Earls a _. ,9� N° 0872
-THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOFi THE WORK HEREIN INDICATED 648-70A
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AI G,SF!ECItI�t4Tl( �D NU.FIf HUI�
ue Usy ig Hollickwun 502 NaL 18th Hillsboro,Q�VNEfi ADDRESS BUDDER PHONE
501040 ENGINEER 0on A ltaAi )der
BUILDER ARCHITECT --II DESIGNER �—
STRUCTUREO
� 1jNEW 11REMODEL ❑ADDITION _ REPAIR ❑RENEWAL CIFIRRE_D_A_MAGE ❑DEMOLITION
RESIDENCE ❑C1JMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS OPA-rio ❑rI_R PORT UGARAGE LJ STORAGE C]SLAB ❑FENCE
_MOND 0MOVING ❑CONDIIIONAL USE ODESIGN REVIEW CICOUNCIL APPROVED ❑SIGNS
io� i.. I I+?
OCCUPANCY 1_'.ND USE ZONE— BLDG.TYPE_,_.__�..,_ZONE_- PLAN CHECK SY HEAL
rEgMu clWe1l.iflr� WI'`s fF�'k2t.lp: P' 1 bkt;JlditttkYri'�t Fs' «-i�e4urN
477E- 32
QAC. LOAD 1 FLOOR LOAD _ HEIGHT NO,STORIES _ AREA 4 n VALUE * Op
BUILDING DEPARTMENT ��' � 1,7 7
-- SET BASKS FRONT REAR LEFT SIDE 9IGHT SIDE
Permit -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND O'DINANCES, A14D IT IS HEREBY AGREED THAT THE'
WORK WILL BE DOFJE IN ACCORDANCC WITH THE PLANS ANDSPFC!FIrATIONS AND IN COMPLIANCF WITH
Recording ALI. APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF 1NIS PERMIT DOES NOT WAIVE
—` RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SFPARITF PERMITS REQUIRED FOR SEWER, PLUMBING, AND HEATING.
Total
By _
-`----- -4------ — AW ,ANT OR AGENT
Approved _� -,.' _�.I Receipt No,
J ADDRIESS --------
.nr
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _
-- _— _ Permit No. c�SZ�S o5 `fr/z//7L
- s ,cam
Rough-in - _...
Fixture
Final _ --
/A T HEATING
0--r1 L_k -Contractor _
j `�._. _ t Permit No.
18�7�
_ Gas or Oil 4c vZ
Rough-in
_ Final
SEWER - J
_ Final
DRIVEWAY
Final
Storm Drainage _—
_ (Rain Drain) Final
_ Sidewalk
Curb&Ftreet F;nal
Approach
RLDG.DEPT.FINAL TEMPORARY CER'.FICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_ -__� __. 191 N
THE UNDERSIGNED IIEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OWNER PHONE �Yg` /L�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN CI ICNTIONS, 9. —
(riYNERAld-Oi CIL,
`►� ADDRESS AXL L�i_7�atIlLBIiJLDER PHC�NE�/
ENGINEER
13UILDE���I�_ —_— AF HITS T /V /9�EX�� j? DESIGNER ✓�
STRUCTURE 9 NEW 0REMODEL []ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
t/SRESIDENCE ❑COMM CIEDUCATII01_AL -❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT QGARAGE ❑STORAGELISLAB ❑FENCE
MOND
�y ❑MOViN_G_ 1❑CONDITION_AL USE ❑DESIGN REVIEW- ❑COUNCIL APPROVED _ ❑SIGNS
OCCUPANC --LAND USE ZONE !--,BLDG.TYPET_--FIRE ZONE__3 rLAN CHEEK BY_ - HEAT
gy
OCCLQAD S- FLOOR LOAD HEIGHT _ NO,STORIES__.1_ AREA CISI-)LJ VALUE _
BUILDING DEPARTMENT d L U
_ _-_ SET BACKSFRONT�61 O -REAR ��� LEFT SIDE ��b RtGHT 51DE^ s
Permit
- —'—" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL DING CODE, ZONING
Plan Check - _��/ L!-v REGULATIONS AND ALL APPLICABLE CODES AND OIiDINANCk4, AND I I IS HEAFI�Y AGREED THAT THE
-- - - -L--- WORK WILL BE DONT IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A'•iD IN COMPLIANCE WITH
Romps" - — _�� ALL APPLICABLE cODFS AND ORDINANCES. THE IFSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE LARRENT CITY BUSINESS
�(o State LICENSE. SEPARATE PERNII1S REQUIR u FOR SEWER, PLUMBING AND HEATING.
Total
BY �._._-- — — - - —
_ APPLICAN f OR Af:ENT_
Apprnved J Receipt No. -- -
--- - - ---
ADDRESS ------ ------ - --— 1-�ioi�ii= -
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Pnr/v 0
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3
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,ekfdN $O)L,OXe I NC,
i
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City of Tigu:-ei Mechanical Permit �1�0 _� y� � ftok $3.00
.f I Fee G
New Installation L']r Replace Relocation ❑ Addition ❑ Alteration ❑
TOTAL
CONTRACTOR 0WNER_ �,✓li (� E' /�(-���l��C t;cS�4�
ADDRESSy f�,�`• ���r /;f ��' WORK ADDRESS
/co , ..
PHONE1,� - % `~ r/ APPLICANT
Heat Input Rating IB i U Per Hour) Vent Size 5 Flue Sizes
FUEL OIL El GAS a ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE_
For Issuance of Permit 3.00 Boilers Over 50 HP 125.00
New • Under 100,000 BTU 4.00 Air Handling 10,000 CF%1
300
New • Over 100,G00 BTU5.0 Air Handl;ng Over 10,000 CFh1 5.00
Floor Furnace ! 4.00 Evaporative Cooler 3,00
Wall - Flour - Suspended 4.00 Vent Fan 2.Q0
Install Vents _ 2 00 Vent System 3.00
Repair - Heo: & Cooling 4.G0 hood 3,00
6u.*!-rs Under 3 HP 4.0_0 � Domestic Incinerator _ 5.00
Boilers 3 tc 1.50 Comm. Incinerator 20,00
Boilers 15 , 10.00 Other Not Listed 3.00
Boilers 31.1 :0 HP i 15.00
!NSP _fi `S CQMMFf4—,S
CITY BUF - ' +IRF. :LL CONTRACTORS OR SUB-CONT,RACTGRS
APPROVED Bl uA r_ ISSUED BY DAT
RECEIPT NO. f/^ /
(:L �b .-ib _I!' 1-lam
"` Signature of Applicant