12609 SW SNOW BRUSH COURT 12609 SW SNOW BUSH COURT
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CITY OFF TIGA R D PLUMBING 13125 cW HiCR qp 111%d.
TigAppiicants must hold Oregon Registration to conduct a plumbing PER
1 639- d 5 .� -
busis,ess or must be Ply R M I 1 -Q17'j
property rnvner/aprrator not hiring outside help.
Nwrna M()ww►kx�menl -
- PlumbrnµPermit No. S Z Cc
Address Description _ --
9 ►, i ; s< L1J-- (' ORS 814-.'-810 DUAN. PRICE AMT.,
Job Tax Lot Map.No. --
Address
--- FIXTURES
Lot Bbdr +xrb Mslon ---- - - -- —_
Sink 7.50
ame or name o isrnass`C - Lavatory 7.50
-- TO-Tub/ShowerComb. � -- 750 SD
rnp ess - - -
Shower Only 7.50
Owner Cky% le.e zip ------ - Walar Closet _ - - -7.50 ) •A .
- Dishwasher / 7.50 c
Pltt>M1s Garbage Disposal- -/ 7.50 _
Washing Machine / 7.50 ?.Ira
ai ng Ar T&, SS --Ptxxre
Floor Drain �-�- ---- -- 7.50
Water Heater � 750
IOce iDtlW Clty/Stale - -------- Laundry Room Tray - �- - -7.50 7 J J
II Urinal 750
R,me �'----PTO;-*- -- 011ier Fixtures(Specify) ` 7.50
resT-s- M,or1e----- _ 7.50 - --
I Cuntractor Clfy/Stets- `- Dp ---
_ MISCELLANEOUS
City Bus. Tax No Sewer 1 M 100' 11000
tale s Aoar3 FJo -----step s Bus a Sewer-es.Addit MY --T
-- 15.00 _
(Hesxwlial) _- - Water Srsrvice 1 st 100' - 200) ZQ -
I hesrby acknowbdpe nut I have read th aWater iervice ea.Addil.X0r _ 15.00
eppNcatk,n,that the inkxmatbr. - --- _
Wan is cared.tl,st 1 am regislered with Mrs Slate(udders Boated,and also Storm&Rain Drain t irt.100' _ 3;..00
have a State Plumt*g license Mat dw nunto"gtven are oriTer L Mat ell -- --- _- ----
pluftwV work wi4 br,done in scoordanos with apph able provisions M Cke- Stomi&P-Jn Drain AMR,100' 1500
gal Revrsed Stahrtes Chap;,v 447 and 093 end appflr abla oodes and that W*i*None Spam 2500
no help will im employed unless Ilcer»Ad under ORS 603 (M exempt from ----- -- - --- - -- --
State registration,plraw gtw reason hsbw). Bark Flow Preventkm
NOMECMNMS -I hereoy a"'wy thm I sm to owner of the proflertY''+ Dovkv or AM-Pollution Device --- 7.50
scribed above.N*f ch beat in I propose to make a pksnbing Instak lion for My Trap or lee a Not
my own use and this pvparty is not bNng oonMn~for sale,lease or Twit 17orru4ysd to a Flxu. .9 7,50
-- - --- Cairn Basin__-- _7.50
or".of Exist.Phar" y -__ - 40.00 Per t*
PAquesiled k►l� 40.00 PM Ik -
of
an Ex*ft Wft. --- -- - -!S.00 min
AU LIED 31t3tOTURF. Dain Flrw fig•of Build.Akidlticx+ 26.00 min,
/ - ---
Descr
_ ii3i.�► Ctain�s.i.rr3]e fact lY
l� as wok rww� t►cwitbn❑ rtofl twldestMd�r C7 Cleui; I
be done reakwdial[7f
Exw"use of
bvlMV or p orx)rty -_ _ �I1�Tt71tl1t V 7_s0
b tW ''I --_'_ 6KMIIOf1NA110t S�lC
pppgy``r11y---- MOT"
Thin t3f�M Oaootrtss nus and rrofd M work a oornkslallrxt alAflorttao�not atlm
flw w*d*Mdn 100 clsyl W M CanoulaMon or W"k iti oUlpr&W or abarsri vssri for
a 0a A01110 Ito sari at anlf tilfts ally Is aottMMrsosd.
MftAL 00 -UfTl10�M� -_.__..
---- -
R
_ .._. DiMa blued y. ' '1 �-1 oar
6683
CITY OF TIGARD 639.4171
DALE
BUILDING PERMIT -----�9-.—.----
TAXi.AP �' LOT NO. 147 8UBDIVI510N racralc
I;-.UVJt-trk Ct"dl��.t t1aCL Cx2 G09 �r ` Y-d BmAl C't. �
OWNER ____� _— -- JOBADDRESS
BUILDER _syph— _—__._— ____ STATE REG,NO _ t.i. cXP.DATE ;131132
BUILDER'S PHONE
ARCHITECT_ PHONE
STRUCTURE ;4-J NEW I- REMODEL l ADDITION R=°AIR MOVE U OTHER -�- DEMOLITION
kI RESIDENCE [ COMM I EDUCATION IND RELIGIOUS ACCESSORY C7 GARAGE I OTHER FENCE
OCCUPANCY _LAND USE ZONE r-44A BLDG.TYPE _:Oj5_FIRF-.ZONE._,...PLAN CHECK BY _ HEAT
:qq�. %�p rt-T�r� �.*en i l v trti 11-'i t.r. T.-/•tib 4 mFx'K 1 t er k�; .,�" li S)IZWCAl
5150 al r�i /r >%�Y't. SL'y.Y:t1:`ti>t'`= I 1 SSW
SEWER PERMIT p
OCC.LOAD FLOOR LOAD NF1 NEIGH" JNO STORIES _ AREA NO.BEDROOMS }VALUE
BUILDING DEPARTMENT _ SET SACKS t R0'JT REAR rt`I' LEFT S!r)E RIGHT SIDE -
435.(0 i
Permit _ THIC PERMIT IS ISSUFD SUR TO THE REGULATIONS CONTAiN..D IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL API'I ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WIJRM, v;ILL BE DONE IN ACCORDANCE WITH THE F ANS AND SPEC"'ICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE C, THIS PERMIT DOES NOT WAIVE
PI,Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTPACTORS TO HAVE CURRFNT CITY BUSINESS
Te.X PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AWD HEATINr;.
State Tax 1.7.41
----- iDc.—
Total12' PDC, APPLIGANT OR AGENT
— -
Receipt No jf; ADDRESS PHONE
Bal.Due ^ ' "7 f !{ E JJW
Issued By, __ Approved By
r.y . �_•=2ML'IkL:....W:k..J+..r.wi.�..s..++�Nr.a.�+:+,...u.. -._. ......-. ... ..,.o:..�.... '
DATE INSP. TYPE INSPECT ION REMARKS PLUMBING TATE
Cogtractor — /2��—/tea
Fula r5,j ,�-✓� ra _ Peimit No. s2/, ',11,gs7
Rough-in
Q Fixture
-- Final
r7—
' HEATING
- " k— - — ---- — -- Contractor
7 1G �/ Permit No. y770_
7-3-c:> V _ GasorOil
7�Z g� , ce <cYnt.J a✓t.�. ,e..y Rough-in
Final
sewea
Ora ---' --- Final ` � ✓•.1C-'�
DRIVEWAY
FHal
1 Stirm Drainage
(Rein Drain)Final
— - Sidewalk
Curb 6 Street FI let
----- - J Approt:h
— BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY —
Landscaping
Zoning Final
�1 1 %iv i vamrsu 1WICVr1AN11l,AtL VLHIVII 1 Pormlt N
Description
Table JA Mechanical Cods OTV PRICE All-
City
PCity of Tigard --
1:3125 S.W. Hall Blvd. 1) Permit Foe 0 0 10.00
O. Box 23397 - - -- — - --
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU i -
incl,ducts&vents
2) Furnace 100,000 BTU + -,
incl.ducts&vents
Name of oevolopmemFloor Furnace
�II, �!) incl.vent 6.00
V ob Address -�-� 4) Suspended heater,wall heater -
Address _12_('(1 9 yr w' c cp (7 of Iloor mounted heater T� _ 600
Tax Lot Map No 5) Vent not incl.in 3.00
Lot Block Suudtvision appliance permit --
Name or ,me of business) Repair of heating,relr ig
6)nkcooling,absorption unit 6.00
Melling Address �- Phone Boiler or Comp to 3 HP
Owner �) absorp.unit to 100,000 BTU 6'00
ceyrsiste zip - Boiler or comp to 3 HP- 15 HP
t3) absorp.unit to 500,000 BTU 11.00
Name Boiler or comp 15.30 HP T
kt� 9) absorp.unit 1/2-1 million 15.00
Mailing Address Ph(M10) Boiler or comp to 30.50 HP
tibsorp.unit 1 -1.75 million 22.50
Contractor Wslale ----- zipBoiler or comp to 50 HP
11) absorp.unit 1,750,00_0 BTU 31 50
State Raigistrstrx,No City Bus Tax No S 2) Air handling unit to 4 50
10,000 CFM
,>a a ecknowl Air handliny;Init
by edge that I have reso tms appl�ation that the information givens 13) 10,000 CFM 7 50
correct,that I am the owner or authorize,t agent of the owner,that plans submitted are m
compliance with State laws,that I b,n r,-2iater.•,t will,the state sumersBoard,that the 14 Non portable
number given Is sorted (if exempt 7rn.t state registretion please give reason below) ) 4.50
evaporate coolerj
r,' -___ - --- ------ - -
Vent fan connected
to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
Hood served by
` ) mechanical exhaust 4'50
Date 1 e) Don'testic type — - 750
nest:HE.e workI _incinerator
add tion �� alteration l_1 repair I-�
to be done -residential non-residential IJ 19) Commercial or industt ial 3000
Existing use of type incinerator
building or prone'iy _,- _ _ �_ 2101 Other i.e.,woodstove,water 450
Proposed use of -- --- heater,solar,clothes dryers,etc -,
building or property 21
) ties piping one to four outlets Z.00
Type of fuel-- oi' I I i,atuial gas [A LPG I I electric f"J
212) More than 4-per outlet
Rr1]:1l:E _- - Sl 1FTOTAI
THIS PERMIT BECOMES NULL AND 'l0lC) IF WORK OR CON - --- -- r'
STRUCTION AUTHORIZED IS NOT Ct 1MMENCED WITHIN 160 _ _ _ _ 4%SURCHARM_
DAYS, OR IF CONSTRUCTION OR W(IRK IS SUSPENDED OR PLAN REVIEW 261r OF SU&TOTAL _ --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----- ---- - - •�
WORK 18 COMAIIENCED TOTAL 1'.'
Speftl CoindRiole-- _- --
- - ----..._. --------.__.- -_-__ Date ssued--ii)-L L� l ...__ . by .4�i`'
w W WKW W w
PLAN UILLK NU.
(I. ZSK'-
for inspections call 639-4115 PERMIT N0. 1,,014 frZ,,-
CITY OF Tt;;ARO 639•4111 PATE — -1�: 19._ 2_
BUIEQNG PERMIT
P.O. Box 2! 39i, Tigard OR 91223 TAX MAP Si33�ALOT HO.
/q _suaolvlSloN
OWNEFL-1_J_U M /� sfc 1<; C'N S 7 R..� i ljJUB ADDRESS /c� G 9 G� ��r n.
2 8 i? 3 EXP.DATE
STATE REG.NO. --
BUILDER'S PHONE —
AfCHITECT_ A ,�,/�_ M�? r� �� _ PHOP,E �=—L�_� ! OTHER — --
STRUC'6URE L7 ;4FW ❑ REMJOEL ❑ ADDITION _U REPAIR U MOVE ❑ OTHER Cl DEMOLITION
I?RE.SIDENCE ❑ ODMM ❑ EDUCATION ❑ IND Cl RELIGIOUS U ACCE530RY O GARAGE U OTHER U FENCL
—7 F)7e r ' BLDG:TYPE FIRE2L'NE," PLANCHECK11Y ftfrAT
OCCUPANCY IANO USE ZON_ t.
Construct sirig Ie family dwei ! ; � .y%atCacheiL�rursp��1l— � Tr� Pd�,1ic�.�r_ --- -
SEWER PER,.; 1!23 — '(1 du) baths L rays, garage �_r 11_�DL --
00C.LOADFLOOD LOAD Y HEIGHT_ NO.STIU9IES —L— AREA7'13Iy VO.BEDROOMS 3 VALUE/0/'d"
BUILDING DEPARTMENT --1 SCT BACKS FRONS Q REAR S_Sj LEFT SIDE 40 RIGHT SIDE l j �"1♦+
THIS PERMIT i�ISSUED SUBJECT TO THE REGULATIONS CON- AIMED IN THE BUILDING CODE, ZONING
REGt.LATTOH$AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HERESY AGREED THAT (HE
PW.Ct. k .. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFFV AT10NS AND IN COMPLIANCE
WITH ALL APPLICABLE CODFS AND ORDINANCES. THE ISSUAN(X OF THIS P' WIT DOES NOT WAIVE
M.Ck.F" RESTRICTIVE(•OVENANTS.CONTRACTOR ANDS" NTRACTOR.Z TO HAVE CL,.RENT CITY BUsANFSK
y TAX PERMITS.SEPARATF PERMITS RFOIJlRE EWER,PLUMBING AND HUTING.
Slate Ta-,f /7 V l_ bsoc
--- SDC- _ c -
TOlal APPLICANT O� GENS
-�--- -- -'- POC/
Prepd, zi
_ ROCelpl No ADDAF SS
Bal.Due
Issued By.. Approved By..
5DC - _ G/�
RECEIPT b
POC j--- 0 �G DATE PD. ----
SCUER CONNECTION S 7 7 )" AMOUNT HD. _ ._/ 0 ,
�,� Sd%U
AUER INSPECTION_g _
SEWER SUACNARGE S
:ommente : -- --
�I
�il zom
CITY OF T16ARD BUILDING DEPARTMENT PJ.:.:: CHECK NO. : L!•1 V /`/- Z Q
PLAN CHECK APPLICATION DATE RECEIVED: K S &-7
P.C. Box 21#397, Tigard OR. 97223 P/C DEPOSIT PAID:_
This is to certify that the attached 2 sets of plans have been submitted for plan
(.heck pursuant to the Oregon Structural Code and Fire 6 Life Safety Cede, cF S edition.
PROPEPTi nti'NER: , rti_� frlati.�l^ , OWNLU'S ADDRESS:
CONTRACTOR: L( S ' `I C� 3 �? / TELEPHONE: /
.JOB ADDRESS: 12-112 1J
' , ) 1 I-LOT NO. h MAP:
DESCRIPTION OF WORK: 2 i`LP c-✓ �y/� _.,_ ��_
Approvals Re uired SPECIAL NOTES
OPlanning Dept. C;�_Reis:•,i 0
OEngineering Dept. 0 Flood Plain/Sensitive Lando
O Fire District O Sewer Availability
0 Other (� Other
Items Required
0 List of subcontractors
0 Business Tax
L� Calculations
OTruss Details
OParking Plan
0 Landscape Plan
O Other
CG@tENT;'
City of Tigard Building Department
BY:--
L