13302 SW SHORE DRIVE 13302 SW SHORE DRIVE
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R MlYICSTE OF OCCUPANCY
CIE
CIT`x' OF TIGARD ! -A
R
O-REGON
hidfkland Development 6891 I '
_-; Owner. PErmit No.
s. Address: 17(157 CF At CCn}t Rlyri Dn-tlanri Q7766
Building Address: 13302 SW Shore Drive Lot 19Ari Gro-n
' Ciccupancv: R3 Land Uoe Zone: R 12 P D Bldg. Type 5N '
Comments: _
7th April -. i
f �
Certificate is hereby given this day of ' 19—
that
19that said building may be occupied and that it co.ni,.ies with all , '
requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council.
'. RIP
1 ; Fire Dept. Building lnqt;eL40r ^tea • ?`!
r Building Official `r ;'`•,
A
Post Certificate in Conspicuous Place
Ao
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J
■ ■ ■ ■ ■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone- 639-4175
Type of Inspection
Date Requested L �� Time A.V. P.M.
Address _ �'�"L�'�-C d�'1 _ Pern,�t #_..
Owner _ /T7/X�r_ Lot r _
Builder ._
The following Buildir,q Code deficiencies are required to be corrected:
Presented to _ __—__...... _ Approved
Inspector [J Disapproved
Date — —
CALL FOR REINSPECTION
❑ yes 0 No
INSPECTION NOTICE
City of Tigard Buildiog Department
P O Box 2327
Tigard, (-jreg(,.i 97222
Phont, P39-4175
Type of Inspection ��� ----�—
Date Requested �- 2-g _ Time A.M. P.M.
Petm�t #�—_.—_--
Address — —
Lct
Owner _____------
Builder_
The following Building Code deficiencies are required to be corrected:
A
_ -�-L-T -
-- ------- .�_ _ ❑ Approved
I Presented to
[ Disapproved
I nspe ctor __ ..
Date -----
CALL FOR REINSPECTION
Q YES ❑ NO
r
CITY®FTIOARD
OREGON
March 25,1988 �%
I
Mark]and DeveloFment Permit# 6891 Date Issued: 10/2/5-;
12057 SE Mt. Ascott 91vd. _
Pcrtland, Oregon 97266 Address: 13302 SW Shore Dr..
Job Description:_ New Si D,q Filim�__
Date of Las - Inspecticn:_ 11 9 87
Dear Builder:
Our records indicate that the above described job has not been ccmpleted as
note,i:
__._ ._approved plumbing inspection
approved mechanical inspection
X _a- roved final inspzcti..on
X Certificate of Occupancy
anprc v,A (other)
Please advise us of the status of this job immediately. Permits become void
if no action has taker, place for than 180 days fram date of last
inspection. i
Sincerely,
Brad Roast
Buildinq Official
13125 SW♦Mall Blvd„P.O.Box 23397,li0ard,Oregon 97223 (503)639-4171 -
---
v
E'.Q.Ibx 23397
CITY OF TIGARD PLUMBING 13125 1W RM R�vd•
g
Applicants must hold Or on R p Registration to conduct a lumbin lire CR 97223�,��
business or must be property owner/operator not hiring outside help. PERMIT
Name of Development ���t'7, Pl _
— Numbing Permit Nu.
esa ^ SLGT/ r Description -
ORS 814-21.611 OMAN. PRICE AMT
Job Tax Lot Map.No.
Address
_ FIXTURES
tel Block Subdivision -- - ----- —
Sink 7.50
— ams oror_na_me o nets Lavatory ` - 7.50 -
ea ung Atid�ea r (-Tub or Tub/Shower Comb. 7.50 -_
7.50 T
Owner C"y/,,t �- --- Zip Nater Ckrsel - 7.50
[Dishwasher�--_.__. __-_--- 750
-------
Phone Garbage Disposal 7.50 - -
�- Name~ Washing Machine
Floor Dram -�- - ---- - 7.50-- --
a1 mg ress Phone Water Heater - -- _7 50 1
urxfry Room Tray - ------ - 7.50 -
Occupant CNy/State ----- 711p L�-------- - --- - --•
Urinal _ 7.50
Name a Other Fixtures(Specify) -- -- ---- 7.50 --
d vngssPhone - - 7.50 -
7.50
Contractor City/Stab ----- � 7.5U
MISCELLANEOUS _
----�-- CAty Bus.Tax No. Sewer 1 at 100' _ 3000
e a `s. all o.---,tate s IusZroo ea.AddM.100' -- 15.00 -_
(Residential) Water Service I st 100' —� =3.00 e_er-'
I hereby acknowledge Owl I hays read this application,flat live infortnatiorl Water Service ea.Addil.XDr 15.00
given is correct,that 1 am re lsiered with the State Builder's Hoard,and also Storm A Rain Drain 1 st.100' 30.00
hew a State PkmftV%cense tet the numbers given are correct,that all
plun*wV work will be done In socordance with epplirable provislons of pre- Storm A P Jn_Drain Add" 100' 15.00 --
gon Revised Statutes i Am"ers 447 and 693 aro applicable cotes and that AAob1is Home Space - _ - 25.00
no help wlil be ertpicy"ixibss Ik)w a under ORS 603 (if exempt from - ----.—.— ----
State►egistrst6nn,Beare give reason below). Back Flow Prevention
HOMEOWNERS--I hereby certify O1at 1 am the owner of the property de tevim or Ant-Pollution Device 1.50
scribed above, lorallon 1 propose to maks a pkxnbk g 6nslaNaticn for Arty Trap or Wns%Not
my own uta arid this rerh-Ay le not bskv cortstrucied for Isle,lease or rw" Connected to a Flxhxa '.50
C42"Basin --- ---- _7.50_
- - - -- __ _ ---- - Ira{/.a(Exist.Pkx"*19 -- 40.00 Per Hr. ----
Specialty Requested Inspecdons - 40 00 Per Hr
Altar.of Pkrnbkq w"hh
an ExWnn Bidg. 15.00 min.
AUTHORIZED 31ONATURE------ '-- - -- -~ Dae New Hidg.or Build.Addition 25.00 rroln. -
E in D4ain,sdrg1e fa111i1v _
Describe work new[_] addition[] alteration❑ repair C] dwell illy 15.E
tD los done _— residential F1 __ non-residential -- — --
FxlstfnQ tm of —
loM 1
ver pRlpeftY —._-.. ..--..__--_----_._ _._._��- ___--�_��_�' __ •i
NOTIPIE _ - _ TO L
Tlda pen bsoomes nail and void 0 work or ommi rualm sailed:ed Is not cam
nn vfid ww4n 1B0 dwpw M oertsfln cum orwork is tuoparded a dxandx,,.d f or
a period M 180 days ad any lisle sAler work Is o&TWAnoed
Dais Issued 11 -7 by
OR
1
P.O.Box 23397
C ITY OF TIGARD PLUMBING 1312 34 HBLU MIX].
Tigmrd CR
Applicarv% must hoki Oregon Registration to condull a plumbing PERMIT 6391,-e75 97W
business or must be property owner/operator no;biting.xdside help.
Name of Dro*kVew0 PiumLmr g Permit No.
News t % D"a"on
H 0 RE- OAS 814-21-610 r AMT.
Job Tax W Map.uo.
Address FIXTURES
11.011 Block SubdMblon -Sk* 7.50 SO
Nwrie(orparrie 01 oysiness) Lavatory 7.50
'%/1 f� k, � Tub or Tub/Shower Comb I 7.60 SO
Address Shower Only 7.so 7 SO
-?jiiW — 0
jW 7.50
Owner to zip WaterCiDsov! q
Dishwasher 7.50 ISO
--rw,-S ock Garbage Disposal 7,50.
W"Nnq Machine 7.50 ISO
Name
Fk-)m Drain --7.50
Luwig xwmis—s Water Heater 7.50
ZIP Laundry Room Tray 7.50
0%;cul)unt Urinal 7.50
--phor" Ottw Fixtures(Specify) 7.50
(.0--S 7,50
�W!L LP 7.50
Conftft-Wr No. Slixillea puI Sle"q W G UMCELLANEOUS
1
3000
4 wS~-e&AcW.100' 16.00
Water service IVA 100' 20.00
I Weby @c1w"wk*dp theaI Owtv reed fte#Vpft0vM OW Ow iniormation WaterServioese-A&A!"I 16.00
of~is oorreet Odd I am ngWaired aft that WW 9~11 N 0 nrld 6%0 8jxm&PAn D*n I at.100' 30,00
twm v Seale FwAmnWV I c- tie Ow nuivitiers given are 4 all net=
OwvbkXi work will be ftv in vxvxlww with 0;ftsosble POV111110 Of Orio, Sloan&PpJnr)rLin Ad& MY 1600
gon R&vW.J StOLfte Chapilery 447 and 6W and apple vbb codes or-d that ML*"Horne SpWq
no help will be*"qAoW unless Noonsel UrKW MS 03.IN OX-0kO-
SUM regille"Alon.please 9,1ve, belle".
Be*Flow Pirw4enition
HOWOWHEM--I hweby oor*y 9W I am ft cmW of*0 propeirty do- Device or Ar*4*ob~Oe%4ce i so
I d"We.61WIdd 11-80A IF tilmlowwoeow"W9, I I I" W AnyTraporwishtVot
kowervent. 1.110
7.90
of Ei".Pk" 40.06 Der"r
!!R!�PAqueftirl� lio%@ 40.00111*0"ir
Alter.of ftxfftV W"
an Eift" oft.
New".or&M.Addillm
��il wain,&qie txZy-
Deecirftwort( iw*Fq &Wltion[_l alWation 0 rep&lr C7 dwell irk 15.00
ro&kWftl rvn-re@kh~- r]
Exieft use of
bLdk*V or prop"
Of
NOUN
altv skepoid o►sbaydarsAfar
a Im led f*"D*"at vW Sm OW w"IS wiffiffiAnwd
111110111KOAL DIC111101 KIM Do" issued -!J� �( k by
M.
BUILDING PERMIT APPLICATIONDATE
t!
THE 'INDERSIGNED HEREBY APPLIES FOR A PERMIT F(uh THt WORK HEREIN INDICATED BUILDER PHONE ISS133DB
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF;CA t IONS. OWNER PHONE _?�
L
OWNER JOB ADDRESS j.1=.l.vC OT
Ze57 st n�I �rtr- Tjz�„6. ARCHITECTS -
ENGINEER
BUILDER ADDRESS _DESIGNER i'r<,.xr 665-2684
STRUCTURE - Cl NEW ❑ REMODEL ❑ ADDITION_ 1A REPAIR ❑ RENEWAL —❑ FIRE DAMAGE _ ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL D GOV'T_P. R' l!QUS F] PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Y❑ SLAB❑ FENCE
OCCUPANCYc
—__ _LAND USE ZON . r, 1 =_r
l FIREZONE� PLAN CHECK BY RT—HEAT___
w/a'Z tachad �carr�gc,, all per cd purl"^
Sub-loc;t to Anort 2360 _-
SEWER PERMIT N �` - bath $ t > age 400
--
OCC,LOAD FLOOR LOAD HEIGHT $ NO.r,TORIES AREA 1040 NO.BEDROnMG � VALUE
_BUILDING DEPARTMENT _ET BACKS FRONT ?EAR LEFT SIDE RIGHT SIDE _
Permit T'IIS PERMIT IS ISSUED SUBJECT TO THE- REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
�EGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT "HE
Plan Check i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPIJANCE
WITH ALL APPLICABLE CODES AND ORDINANCE. THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 14
LICENSE,SEPARATE PERFill S REQUIRED FO:1 SEWER,PLUMBING AND HEATING.
. � .
--
Total 4 t3?1.:O �—f
By 10
,6:0 SDC
:0 PDCN A PLICANT OR AQEN1
Approved , 81.10 Recelpt No.ILI -KD—DRESS'-"---- __.._.
`___ PHONE
DATE INSP. TYPE IN.,,PECTION REMARKS ( PLUMBING DATE
/v_/Z� Contractor j P, -7 0 �J"�
Permit No. S --- --
/�• ' �` GS 11 Rough-in Z2_�y:, 3(e 7J
lFixture
I�� {�� •� r?�—r� ----— Final - -- ---
f�_ �+ HEATING
Contractor '�7OL o-z &I�
Permit No. r J —
Gas or Oil
lit 11" -0,H, f_�s`(� Rough-in _ ---
J-Z �� Final
— SEWER S
Fin-1
DRIVEWAY'
--
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
TEMPO
BLDG. DEPT.Flf4A',- - CERTIFICATE
CCU CERTIFICATE OCCUPANCY Finnl
ICERTIFICATEOCCUPANCY
Landscaping
Zoning Final
i
CITY OF TIGARD MECHANICAL PERMIT permit#
ne ari AM
!A Mochenlotl Coda
City of Tigard 1) PormitFee -0- -0 10.00
13125 SW Hall Bivd. - --- -
PD. Box 23397 2) supplemental Permit 3.00
Tigard, 09 97223
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts&vents_
Q� Fumace 100,000 6TtJ a 7.50
�y?'✓ ` 2) incl.ducts&vents
—. ,ams d oevelopnsM 3) Floor Furnace 6.00
Incl.vent Suspended heater,wall heater'
Job Ad&m 4) 6.00
or floor mounted heater
Address � i 7-�crJ�,r C _ _._-------. ----
lax Lot Map W 5) Vent not incl.in 3.00
applirntce permit - -- - _-- _
l.ot / Z Bkx�M Sutxlivielon rr �j.rr
Name(of nano of twainesal 6) Repair of heating,retr ig.. 600
cooling,absorption unit
Mailing Mdress- Prtone 7) Boiler or romp to 3 HP r,00
Owner "L'5,�6�i absorp.unit to1U1,000BTU _
ciryrsiaiP- zip 8) Bniler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 B•T'U _
---
Nan" ) Boller or cornp 15 HP 15.00
9 absorp.unit th-1 mtltlon
Maarx�+Addrsee Phone 10) Boller or oerrip to 30-50 HP
absorpunit 1-_1.75 million
Contractor 5y_ - zip 11) Boiler or oorrp to I+0 HP 31.50
abeorp.uMt 1,7 S0,U00 BTU _.
1 No �eur.Tax e2) Ah handling unit to 4.50
sew 110,000CFM _ - --
Mir handling tint! 750
1 hereby adawwAeclpe "I I have rea(ihis txpoicatlrxi that the xibrrnation glvrxr Is 13) 10,000 CFM +
corrw%,that I am tom owrww or a,Alx>.ized agent of l..e owrwx,MW plana eutxnNlsd are M
ocmpl rw*with SWs lama,that I on,reptsre*d wflh the state Bulldera'"Oewd."Wd fhe 14) Non rxxtable 4.50
nt
rw, bm 9K*n is carred npt f(it wxmom stale ragwratbn 060",give rasion helow). evaporate cAxAer _ --
- Vent fan oonnected '%00
15) to a singly,duct
16)- Ventilation system not 450
- Included in appliance permit _ _ -
-__ - --; ----- Hood served by
17) I 4.50 V. �'a
mechanical exhaust ---
sNnakx,aY (owner or+gwlt) ONb 16) 00mestlC type 7.50
I lescribe work Cl addition ❑Y aneration El repair O _ incinerator
to be dom residential -_ w -incinerator
iteration
❑- 19) Commercial or industrial 30.00
-- art pe --
Existing use at ✓ Other i.e.,wt:odstove,water
building or property _ - 201 heater,solar,clothes dryers,etc. -- 4.50
Proposed u'+e of --
building or property —_.__ _—___.__ ___.___._ _ 21) Ges piping one o four outlets 2.00 A
of fuel- oil L, natural gas �] LPG I] elecirk '7 —
_ --- 22) More thAn 4-per outlet
WTIQE SUB-TOTAL 21$ Sv
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - - - �`� SURCHAR 3E
STRUGTION AUTHORIZED IS NOT COMMFNC`D WITHIN 160 -,.,_-,_
DRYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- --"—" --
NORK 19 COMMENCED _- TOTAL
5peclal Conditions
--- DAte Issued_+_ l/ by
wpr�S�1PC'7 PLAN CHECK NU. 3 �• i�
for insper-c Eons call Gay-4175 PERMIT NO.
CITY OF TIGARO 699.4171 DATE 'D�—
BUILDING PERMIT '
P.O. Box 233 79 i d OR/197223 TAX MAP LOT No. SUBDIVISION���
3
�,r' jy 1.0/�. [ .6J✓ JOB AOORFsS `� Z `) 4
OWNE v f
BUILDER ./`/C'/ - N _ STATE REG.NO. L EXP.OAT Ec%
BUILDER'S PHONE / > -� ------ U C/
ARCHITECT— __ — PHONE OTHER _—
STRUCTURE NEW ❑ REMOO iL ❑ ADDITION O REPAIR C1 MOVE - O OTHER 0 'JEMOLITION
RESIOENCE Cl COMM C) EDUCATION Cl IND O RELIGIOUS, O'AT CESSOFiY (� GARAGE G OTN'cR CJ FENCE
OCCUPANCY , LAND USE ZONE -_� BLDG.TYPE _ NL.FIRE WNE r PIAN CHECK BY tf AT
Construct single fami l dwelling llartacherl aara�Y all l Cer appr
-- ha -
to 8S c ode — -- —_ -----
SEWER '(1 du
/ ) baths tra s 9 e'
lLLLj _C_�ra �44
PERMJi r �� ,a
OCC.LOAD FLOORLUAJ U HEIGHT NO.STORIES AFIEA /�-14'Q NO.BEOROOMS _.� VALUE 42,216
BUILDING DEPARTMENT SETBACKS FW6d' /'� ,R LEFT SIDE S RIGHT SIDE ��
c� ..�...�
Mrmll JC c7 3 , r' TMS PERMIT..IS ISSUED SUB
TO THE REGULATIONS CONTAINED IN Tr/E BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
ry � _aAt4 3 J WORK WILL BE DONE IN ACOORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
— wrrH ALL APPLICABLE CODES AND OROFIANCES. THE-ISSUANRE OF THIS PERMIT DOES HOT WAIVE
Pt Ck FFri Rte,,MICTIVE COVENAYTS.CONTRACTOR AND SUS C>(NTRA "TO HAVE CURRENT CJTY BUSdNESS
TAX PERMFTS.t"?PARATE PERMITS R��EEOUIRED F J/$�WER.P M G AND HEATINtl
Stale Tax �L /5 55nG v /��j
_ SDC— -- -
121e1 APPLK:ANTOR�AG/E�gIT
Prepd. ( L� �� nen � C15 / /'I/ /[-'/ —V_ /0�
riecelpl No ADDRESS PHONE
Bal.Due -
Issued By----Approved By_,_ .
SSDC --- CJ , t �i
SOC - CIS ° � -
RECE"PT #
P0C - DATE PD._
SCUER CONNEC r ION 0 ' �y AMOUNT PD. ____
SEWER INSPECTION S
SEWER SURCHARGE S o' «O
«, g _-(-
-
T a 7,U to
ommente : _ _-_