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13122 SW SHORE DRIVE 13122 SW SHORE DRIVE N N 0 3 N N CV fel /J� __'�\ '\\� ar�C� `aV�}:'_"� 6=::7",.' `= �V"��'3 RyEbc�v6• �'d"J� -: �L..�yy _� ,v�`j .,',.. .0 ���::x1��_ ..,� `r.: -*. ' .._- •.tU►. :. _ _,.. -,*aan .:._i ,,,�.3p`r`_-. $'`-..-r."�a' ! ,., .; •+ �� '"'-.'+'�.� ."� �"g�y^ �.q ^..." "tea !T5. ^�'•'^ -_ +��* t, � CER -jY1CXf_f OF OCCUPANcy YC CIs N OF TIGARD r OREGON �Y. R T 1 NS' r Owner- L.D. Larson Permit o. 6865 2 - Address: 16697 S.W. Ga'_< A1ol- Jr 97007 _ z • ==' Y Building Address: _13122 S.W. Shore Dr. Occupancy: R3 Land Use Zone: R12PD Bldg. Type 5N Comments: y Certificate is hereby given this 19th day of November , 19 87 £- . _ :. that said building may be occupied and that it complies with all .f. �-.. g Y r P srequirements of the Building Code for the City of Tigard, as approved �'=": E: by the Tigard City Council. I��= ~:7 Fire Dept. Building Inspector ? T _. Building Offici$i Pott4= =_ Cert=Ficate in Conspicuous Yiace =� �- _ - ?"r !" �`, �"` i s �'..,,#:�" , ':. �'� =$ _, = /e- V► rs. �s. !T, ,w. I�. w4 __ *- +, y/ �y�:'y[,�, '=�j�..:��" ....� � ,� ..,.- -• .+�►.-� +�- - Y ri'.s"�s�► aF s �- .- y�.9i:�-:�" ;+�:asc �►--.- �'-±1�,� � �_�� ��. INSPECTION NOTICE Ci,r of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection , — Date Requested—r' iS" $ Z Time A.M. P.M. Address -e j. �— Permit #_ Owner— Lot # — Builder — The following Building Code dafi apples are required to be corrected: Presented to _ Approved Inspect-r — — [, Disapproved Date - CALL FOR REINSPEC77ON ❑ YES 0 010 1 .V.l1N s.JJJ. CITY OF TIGARD PLUMBING � CR&,Blvd- AWK-aft must n�ld ore�rl R4wa,� to CorAXI a plumbing PERMIT fi39md brain*%fx must be f'�Y•owner/operator not M ft w6we hel . Nw to of Devoiaprrt«w 1 f9�- I"IumbrnK PenttU Nrr. -a Job J a _� 1'r ORS g 21 b 10 QUAN. MICE MMT r Atidnan Tax Loi Map.No. FIXTURES _ Blor lr • . - -- - - -- SMMc 7.50 .Y. name of u I Lwtlory _ r 7.50 ��v U hQJ- D Tub or Tt t0liower Comb _ / _ _ 7.50 7�� tworeu Shower Only .750 Owner th!r, r • Water Closet �c)t"q _L1LF ?�: '� 7 aanwasr,er 7 s° - -7 S9 Garbage Disposal / 7 50 7 Sr Name Washing Machine - 7 50 7 5� Floor Dram 7 50 rrhg ress �— Phone Water Heater Occupant Y/State zip Laundry Room Tray Urinal 7 s0 _...—._w —Phone Other Fhnur"(Specify) - -- _ 1 so _ 7.50 - PAN"AWIM Comrseornp / - 750 n r d (_% c ,v c l 2MISCELLANEOUS City Bw r� ax No. >3rrwer lei 100' __ 30.00 �(l Semvw-es.Addtt 100 --- 15.00 ata - to —- — - (Reederafiat) < < �� ? Walm Servlrs tat.00' 11000 ' — I t-vf Y eUoxhw%dge OW I have rwad Milo K4*cstlon. MW Mw Mdormatlrwh Water Seek»ea_AAdM. r _ r _ _ 1510 _ given n—ad.Mut I an replal ved with tlw litar Duldeer Goad.and atsa Siorm t rtain Oraln 1 at.100' 50.00 hays a Slaty P1tm**V loense that the notmtem UN"are oonvcl,that ex ——---- 0—'A mmg wale will be done In ecoordenae with appaiceWs PvAsiore of Ore. Storm a P-in Nein Adds 100' _ 1500 V91 P4M*sd Slstutes Clh wWs 44 7 erhd 69'!and Wprt7w or tiW Wv4 that modM 1bnM Space 2500 no help wA be er V",ed urNwn kwsW under:wtS-43 (M ere►•npr h wm —.—— — — - —— State regis*IW—.plate"give restaon below) Bar*Fktw Preverobon FIOA4EOWfIFfRS-1 hereby owrWy that I am the orwrtr of the wqx fry.1. DevlOa orNhtl-PoMtRion Oar+w -- - ►60 arxbed ebcwr.a1 whtch loo@ft 1 propose b make a plarA ft Mr WllA on kw Any Trip or Wattle Not tlry trwn toe and V*properly is not i,d cwwkuoMrd lo►"is.tee" r c M C innstbd to a Flxkrms 7.50 Cstmh Basin - - ►50 1W d E-40 PMs OWV— PW IM t f xeat+d 1 IDrn 4&00 PW -----_----- -__._._--------- ---_--_-. Alter of Pkxrtbing wNhkt en 16x00""M AU-1140FUZED SKINATURE- -- - pa. t-,ew Bift or&W.Ad~ N;00 pan _ ) ]t —ain4le fmol _ Deecribe woA rWw rV atkfton Q a%mftn❑ rh'�s'' f; d�iellir�_ lS.ct? S Exi"Uwe of Prcpvmd L4e of 4% wfvmu I- /i� I J "t T1Me ptuttnrl 0 00rltee hof/and scald A watt er OOnaffl0�er1 Mt>hOr11MQ B rol ODhn •e f+trrbtl d iKl dll�e�M+IM tawtnrtUoMo+t tM MOIRM�or ebMldanad kw WN W CITY 4F TIGARD MECHANICAL PERMIT Heceipt N Permit#r — �«Mx� TwM lA MlloheMoaf Cafe OTY PME AUT City of Tigard 13125 S.W. Nall 61A. S" 1) PerrnRFee — --- -0- -0 10.00 P.U. Box 233:.1 j� l � �- -- _ — 2) Supplefnente'Kermit 3.00 Tigard, OR ;7223 639-417x. 1) Furnace to 100,000 BTU 6.00 _ incl.ducts&vents__ 2) Furnace 100,000 BTU + ^-------- -- 7.51 — incl.ducts&vents _ - ---- Name or oavMoprr»M 3) Floor Furnace 6.00 incl.vent - Job Addreu 4) Suspended heater,wall heater 600 Ad(:ress 7/ 'LZ ,^„� _-or floor mounted heater _ Tax I vl Map No. 5) Vent not incl.In 300 f_ot -73 Block Subdivision appliance permit -M... --- Name(or name of businexc) rj) Repair of haating,refr 1g., 6.00 cooling,absorption unit Malting PddreYs Phone - Boiler or comp to 3 HP 6.00 Owner ) absorp.unit to 100,0_00 RTU _ City/State rp 9) Boiler or comp to 3 HP-15 HP 11.00 _ absorp.unit to 500,000 BTU_ - — Nama ) Boiler or comp 15-30 HP / 9 15.00 absorp.unit 11i-1 million Maxk,g-Vvm - Ph" 10 Boller or comp to 30-50 HP 22.50 ebsso .unit 1-1.75 million Contractor ph,/swe np ----- 11) Etcher or oump to 50 HP 31.50 a".unit 1,750,000 BTU li1Me Neplrtratl�xi 10 Che Sus.TM No. 12) Air hal idling unit to 4.50 10,000 CFM ndlirr unit ha -- I herby arloxw*dge that I have read Mr• application .t Vw"ormeMon given is 13) Air ha0 CFM .f. 7.50 r erect,that 1 tun Mw owner or authortzod. ent gof ft owner,thea Nano wkmNted we in —-- - --- — oomplianott with Stab taws,trot I a Ti rV Mwed with Bre State&dklem'BrAm.fhat the ber t 4) N.. :artable 4.50 numgiven is nxrer:t (if exept mfrr rn State registration Oita"gso give reason below) evaporate cooler --- --- 15 VHntfan connected i� 3.00 to a single duct --- --------- -- ------- --- -- Ventilation System not 1 ti) Included in appliance permit 4.50 >, 17) Hood f•enred by j 4.50 14 moot laniCal exhaust _ =work � m i_ -__ _- Dere 19) Domestic type _— — 7.50 L7 addition El alteration C1 repair Fl I^ct'xti.'��� _. —_—__- to be cone - residential lit i%on-residential ❑ _ - 19 Comm*wN&l or Industrial 30.00 Ex,sfing use of ___t pe Incinerator---- -------- - Other i.e.,woodstove,water PIced use hf properly- -- --- �) heater,solar,clothes dryers,etc_- 450 building or properly --_---------_—_�---�-_-- _-_.___-- 211 Gas piping one to tour outlets 2.00 r Type of fuel - (Al LI natural gar:. J LVG ❑ electric ❑ — - - 22) More the,i 4-per outlet NMI RUB-TOTAL <.> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON --------------- --- MWTION AUTHORIZED I5 NOT COMMENCED WITHIN 190 4�fr SURCHARGE / 2- DA", OR IF CONS'T'RUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ' ABANDONED FOR A PERIOD OF 190 DAYS AT ANY TIrAF AFTER _ TOTAL WORK IS COMMENCED. Smdel Conditions - - - -- Dale Issued by c 696 5 BUILDING PERMIT APPLICATION DATE _-- -----__--- -- '9----- 642-7649 THE UNDERSIGNED HEREBY APPLIES FOH A PERMIT FOR_ HE WORK HEFU IN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THt_ACCOMPANYING PLANS AND SPECIFICA f,ONS. OWNER PHONE _- LOT NO. CWNER T..T;. Larson _JOBADDRESS 1311-2 SW JYtt Y_c' I1.". 2,,133DB, 33 Ari Green --- ARCHITECT 9837426 7/87 Oak, Al.G�hQ OR �7�D7•-��13� ENGINEER BUILDER :jams .IG()97 S►? �1t686 DESIGr'ER — STRUCTURE_ E�14EW Ll REMODEL U ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION Ck RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T f_1 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY --" --LAND USE 7.ONE _— TYPE a REZONE Y PLAN CHECK BY GS^ HEAT_� B CnnstruCt singl.6 fmnily cl'� ii—Mng +a/a— tit �� 9ar�a�e— gubjoct. CA 65 Cr.. e. REISSUE of ect to rtir —a: ►(F SEWER PERMIT# 34016( ldu) 1 barns, 10trop – gc�l.LN Pl2f3e3 r 45 – 9 0 1.2 3 vA�uEo!� OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS _— BUILDING DEPARTMENT SET BACKS FRONT D REAR LEFT SIDE RIGHT SIDE Permit 340.00 THIS PGRMI't 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 4O.0U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND OPOINANCES. ME ISSJANCE OF THIS PERMIT GOES NOT WAIVE Sub•to'al RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE: CURRENT CITY BUSINESS _ LICENSE.SEPARATE PERMItS REQUIRED FOR SEWER,PLUMBING AND HEATING. State,'ax 60U.1)G Total _ ) AP L ROT OR AGENT ---- By 40.00 150.00. 150.x70 353.a6�i - Receipt No. ADDRESS -----_ - __ ---- Approved,--- -- ----___- w DATE INSP. TYPE FNSPECTIL A REMARKS PLUMBING r DATE 'Z 7-� Q K-- - - Contractor Permit No. Rough-in y '`a Fixture b .�.�.lypn7lL � Final — �, HEATING ` r Yr _ Contractor Q-6� K Permit No. Gas or Oil - Rough-in / -�C �!- .. Final61 'IV r ------ . SEWER Final __ --— - ---- DRIVEWAY Final Storm urelnege (Rain Drain)Final -- — _ 5'idewdk l:urb&Street Final lkpprosch 3-,p ;i BLDG.DEPT.f NAL TEMPORARI CERTIFICATE OCCUPANCY I°inel C 11TTIFICATEOCCUPANCY - --- - - 1 Landscaping loninq Final /2-- PLAN CHECK NO. IOU inspections ca11 639-4115 PERMIT NO, CITY OF TIGARD 599-4171 DATE ©UI!Of N(3 PERMIT ---�_ -_0 P.O. Cox 23391, Tigata OR 97223 TAXMAP � L. LOT NO. � A0 SUBOIVISION OWNER_ I I I JOB AODRIcSS BUILDER cy_V LA�)A) pT n1 C (^�L STATE REG.NO. _ � E? _. EXP.DATE BUILDER'SPIONE ARCHITECT PHONE .____`OTHER STRUCTURE M-NEW ❑ REMODEL 0 ADDITION G REPAIR (J MOVE I-) OTHER L] DEMOLITION IMr RESIDENCE C) COMM O EDUCATION C INO ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE OCCUPANCY _- LANO USE LONE BLDG.T(PE FIRE ZONE PLAN CHECK BY _1*AT.� Construct single family dwel i i.j1 )j, attached gar,igP, all hPr. Ap rn%,Lmd p SF_WERPERMIT0 '(Idu) baths, _tjaracip. areil_-__. _---- Chx.LOAD _FLOOR LOAD HEIGHT NO.STORIES _ AREA NO.BEDROOMS VALUE FDusi �) F-A NG DEPARTMENT SET BACKS FRONT �' RE,R a LLFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJPECT TO a 1LATIONS CONTAINED IN TIRE BUILDING CODE, ZONING REOULA71ONS AND ALL APPLICABLE C, IGD ORDINANCES,AND IT IS HEREBY AGREED 1HAT THE Plain WORK WILL ISE DONE IN ACCORDANCE WI,., THE PLANS ANL]SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO) WAIVE _ RESfRI(,rIVE COVENANTS.C6NTRACTOR AND SUB CONTRAC-iORS TO HAVE CURRENT an' BUS'NESS TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Slate SOC PUC/ Recglpl No ADDRESS SSDC soc - ; RECFIrT k Poc -_ _—__�--- _ —_ ---- — - DATE PD. SEWER 'ONNECTION S AMOUNT PD. SEWER INSPECTION S SEWER SURCHARGE S ommento; _-_- i CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 7. 7 • /R- PLAN -PLAN CHECK APPLICATION DATE RECEIVED: F' P.O. Box 23397, Ti§ard OR 97223 ,P/C DEPOSIT PAID: I y I This is to certify that the attached _ sets of plans have been submitted for plan check pursuant to i-he Oregon Structural Code and Fire & Life Safety Code, Fr s edition. PRuPERTY OWNER h"`^" OWNER'S ADDRESS: w CONTRACTOR: " TELEPHONE: ce ti z 7J L-, I _ JOA ADDRESS: ` 3 J!,2- c 91. 10T NO. 6 MAP: DFS(,RIPTION OF WORK: Aarovals Required SPECIAL NOTES OPlanniig Dept. Reissue 0 Engineering Dept. O Flood Plain/Sensitive Lands 0 Fire District O Sewer Availability OOther O Other Items Re wired L% List of subcontr.ac;_ors 0 Business Tax 0 Calculations UTruss Details 0 Parking Plan 0 Landscape Plan Other COMMENTS: City of Tigard Building Department dY