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9315 SW LAKE STREET , rY R1• x Ta !,�^f •y,,'�. �1/ -i -r,,. •. eQr�iwq.'^�yt�pla'+.ra"'<w•'Mw+t'�il'.�+r,-•-'nr 1Q' r. .. y I Imp amp . . ! .�AM�R.nwlt►,M?iMryC4'W!q/►M�w. • �,•. 4 r +' �•• . , y •„ w r 4,y .Q r�YZN: �7 ,nr'.:, '+y,M� as�l�rrlbnwNulNfrawrNre�MNu+r� �. � � ' '• {` �,�,+f Y�rr+.a��►+Mo.,..+ow.,+/+sr�...r.'.*n�w+v+.sn..rrw.+�w.,�Js.r..•.�.•yn,�y , Y ' u l r 5e ....w-• � a .8..•1I� it a..._..1 ..art: /!- !/ 742ja a 1, i ,+� t� .? ` t I /J� •� 00, � r � � �V%� �.C,)1.JJr► � �i. :.✓','' fir, � . t Q. Mtr N or owl OX to r J'_� � � • r i i 1 � J �F •1 1 7 � c., !! �.►..•+y.--,.+..w.. «.w....,r.�...rMwN_,y'----- ....r.,,w,a,....w•w�.y. �•'w�...:...N •aws..r,., / r..o�.. I" Y a s ` i • yr I IBJ[ 1 �j/j « n+r 11 A ,t 1p I F�,Lq ,- "P,r., 5 41 9315 SW Lake Street 1 of 1 �; a 'N./MA,/n .M wNR •-..�rNy.tiyr.�.Y.�YM ...• a'.`/w�r]./w/�,�.�.w/{-,n.�nP•+M+..rJw^►.,... -. .w... �ryf C}�y/ `/+•� f .*�. •"•�'M� J+w+:►K +� wnwerq rr.ww.w. ✓r,...�wrw.+•,.y.Nw+M..r.•rN.... •.,..r. ,.+w,•awn,,,,.Mr/n•yw.,.�•'l�.erwrr•+.wu+�r�........, wn...... .. r-,/i4. L1" �Nwi.. �ws..,...rr.,yM.y F/�..1rI! "�rw<• .•a V -" f r .w.. .ww•w_. ..,y..ea e..rw�wwrry ..nwNyN�.,..,,.,,y,,,r.e. kh Al .v. t : 1 � y s y ► �'a' +.: W.ry ski,,... •r'•TNr.�y�,...,,.s 71r db) �,t Al 'f,w � If this notice al}1>' -firs clearer than the document, the (10Cument is of n-1a�rginal q�cality. MAY 1 91997 � I�jIJIJI � IJIJiJi I � IIIJI � IJIJIIi IjIJIJi • ' lill l � ljij ! jl jl l I ! ! � ! ! ! • I I ' I ' � � I ' l � l 1 I I " - ' , y IIIIII IIIIII Iljllllll , r ! illli ! II ! III ' I1 ! IiIII INCH ' MAr,EINCHINA I ! I I I I I I I ( jijl Ijllljl I I I I I I I I I I I I cm I I I l 1 1 1 III I ! I I I 1 Z 3 4 I I 1 e 1 13 14 15 1e 17 lea ie 1 t 4 ti t1 ' IIIIJIIIIIIIIIJIIIIIIIIIJIIIIIIIII�IIIIIIIII�IIIIII!11!111III!illllllllllflilllllllllllllltt!!lIIIIIIIIIlIIIIIIIIIlIII1I111!!I �� ie 2e I!il,ililii!Illiilllillll! ,!!!III!��IlIIIIIII�IlIIIIIIIIIlIIIlFIIVIII!IIIIIIJIIIIIIllij1►1111111jlllillllljllill1111 1 ! I ao�� J 111111 I) IllllllljlllllllllllllllillllllllllillllllII of w$ •r�rw gnMsr•wro.••a wwa 7 n., I n i+ i r k� >i 4kff� t�I T� �l e . 'i i 1 COITYr!"A TIFARD (CffCnyOFIVARDPLUMBING PERMIT ' PERMIT #. . . . . . . : PLM91-0127 COMMUNITY 7E:VELOPMENT DEPARTMENT oeuoae 13125 8Wwri Blvd. # j.Box M97,Tip -d,orpon� EJ1 76_ �a�� � DATE ISSUED: _07/18/011 s SITE ADDRESS. . . : 931`_; SW LAKE ST PARCEL: 09000X X•-00000 a SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . , . . . . . . . . . . . CLASS OF WORK. . :ALf GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE 7F USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 ; OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . : WATER HI ATERS. . . . . . : CATCH BASINS. . . . . . . FIXTJRES--------------- LAU14DRY TRHYS. . . . . . .. SF RAIN DRAIN. . . . . : SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . : LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. . : WATER LINE (ft ) . . . . : e DISHWASHERS. . . . : RAID! DRAIN (ft ) . . . Remar-k , : SPRII!KLER SYSTEM EXTENSION Owr,er: --------- -_-_------- ---- -________- _----- - - -_----___ FEES ------- SCOTT ASLA t;,pe amolint by date rept 9315 SW LAKE ST PRMT � 15. 00 JLH 07/18/91 - SPCT f 0. 75 JLH 07/18/91 - TIOARD OR 97223-0007 Phone #: 503-620-6207 Contractor-: OWNER i ---------------------- Phone .------------Phone #: f 15. 75 TOTAL Reg #. . . •--- I -------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the To I-out I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _ applicable laws, All Mork will be done in accordance with approved plans. This permit will expire 'f work is not started _ — - ------__� within 18e Jays of issuance, or :` work is suspended for more than 184 days. f-'etmi.ttee iclnotare : �LS - -- i I s s i_+e d .9y : it Call for inspection - 639-4175 �! ,i r- I CITY OF TIGARD .'LUMPING PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must trold Oregon Registration to conduct a Plumbing T IGARD, OR 97223 business or mrst be property o%ner/operator not hiring outside help. r-- Name doeveapment (5Q3)639- 175 f -C Z.J_ -)/, ' L �f A I/- Plumbing Fermil No. Address _ Description 9 i r, L� • L' le=;_ j ORS 81.1 21 QUAN. PRICE AMT. ap Job Tax Lot M .No. Address _ FIXTURES s Lot tiler Ic Subdivlslon Sktk-- - -- 7-50 ams or name of business) lavatory 7.50 C r,L/ {_tl; ( i Tub or TutVShOwet Comb. - i.50' ■ ng e.s Shower Only C� >. ✓ c --7.50 U-,) 11 J Water Closet 7.50 Owner C ty/ a�t b zip - -- - 1 7 J 2 Distwvasher 7.50 ■ Phone Gaeon 9 Disposal 750 Name WasihingMact* - 7.50 ��� Floor Grain 7.50 _ 1�au ow ells Phone Waterl/cater �- 7.50 Occupant Gty/State - laundry Room Tray _ 7.50 Urinal 7.50--- Name Phone Other Fmtrxes(Specity) 7.50 -- � 7.50 iling11ess Ptane 7.50 - Contractor City/State ZIP 7.50 MISCELLANEOUS _ City E3ua.Tax No. Sewer 1st 100' 90.00 tab Bldp.Board N6. State Plarnbers Bus.Lk Sawer•ea.Addit.100' - 15.00 I (ResrdentiaJ) Water Service 1st too' 20.00 1'ereby acknowledge that 1 have read this application,that the Information Water Serwioe aa.Addit2P' 15.00- preen is correct,that I am regWw6d with the Stab&rldeis Board,and also Storrs b Rain Drain 1 sL 100• 90.60 t Ire a Stale Pkatebkeg Feensu that ties numbers given am correct that all - - An'ieg worst will be done in ecrwrdance with applicable Fxovksiora of Oke_ Skim 6 P tion Drain Addi1.100' _ 15.00 gon Vevised Statutes C aplem 417 and 693 and applicable codes and that Motile Horne Space 25.00 no hap will be ampbyed unless licensed under ORS Ga lit exempt From Back Flew Prevention - --- Stab togistration.Please give reason be". HOMEOWNERS -1 hereby certity dud 1 am the owner of the prcperti de- Device ar/Isle 1'opulion Davies 750 sortbed above.at which location 1 propose b make s plumbing irseAaJtetbn i.w Arty Trap or Wash Nat my own use and this properly Is not bring orx>*uc$od ler lab.base or rent Cr •ecfed Sr.a Far4xe 7.50 - Gasch Basin 7.50 kap.d EiM.Pkrnbing 40.00 Per Nr. -� $pedally Requested Inspections '40.00 Per W. Alter cot Pkmbinp within an Exietirng Bldg 15.00 min. AU7d Date New Bldg.or Build.AddMfon --' 25.00 mkt. - . . � - _4 - / ' i Rain,-suW.e farttily t3escribe worfi new Q addition Q aiterertion'] repair O t ll.irrj .15.00 lie done residential(3 non resldentiel Exls&V use of b*IrJcr^ropoety- ------------ ---------- $25.00 minimum Y-12 -TOTAL Propperid obi of 5% SURCHARGE -------_-.___._----_---- - 25$ PLAN REVIEW TNs psrmll beoortsss nuW and word if wontc or r onsdvolk�n anti w rtrzal M not oom- -- - - - ------- TOTAL -v -- ---- es�rtesd.AUsks too days^N oonstnulion ors rock is depended or abwx*xsed for a Period of 1Ii0 days of any time sdiar work 1,1 oonvrwoowl. 11"C1AL 00M R101f8 -- Oen., issued .---------_ _-- by !! "➢ii;p;np Vin'..., • 1 . ( M1i y :. .:',.,, ,, ., -._..,Sr^nC(.;"yM�''f7�C4}� _.... .. •., .. �1ngGv*1ua'bns•;vwa nn+r....L.wa1i`LY�WwYY' .:j'W :frak2F�E++`. tuh.�:+��:lw Ww1Y/LL1:iiR.11Lw � ) I �v g C1TY OF T.lI,ARD — REC:FIF''r OF PAYMENT RECEIPT NO. 15500 CHECK AMOUNT 1'j. '15 C';ACsH AMOUNT t 0. 00 NAME a A,-A, SGC)TT' AI}l:iFiE'S 9 31`3 f'W LAKE :T' F'AYME=NT' L SUBD I V I S I OIq r '1' 1(3(.InD, OR 9702:3•- I E'UFtE'UBF CIF" F"'AYME:PI'T AMOUNT P,A I I) f OF 2F'rl.`iE OF PAYMENT AMOUKT PAID A 5, Nth ST. BIF:CI_p F'L:R 0- 75 Ir F;I..UMB I NG PE RM a I I� SPRINKLER SYSTEM PERMIT TOTA'. AMOUNT PAID _ _ ._I 1`",. 7`' a MEW F k" Rt I„ IWI N! ;r k. w � I r d 4 e e cltvoPERMIT M'I_l.1Ml:a[ : PERMIT CITYOFTIGARD1PERMIT NO.. l0l_9�>'17©� ! COMMUNITY DEVELOPMENT DEPARTMENT O°IOOM t 13125 S.W.Hall Blvd.,P.O.Bow 23397,Tigard.Oregon 97223.(503)639-4175 f')AT E ISSUED: U/2p/89 n CL PMT_NO_ __g917F1!� d ' ..101:3 ADDRESS : 9315 SW LAKE" ST v TAX MAP/I_"(.)'I* SUFI : LT: BK : a LAND USE : I.-(:)T SIZE T "EM : NO: NO: WORK C:I_.A5S : Al:)I)T'T:I:(:)i,4 WA'TE0 C;L..OSiE'T" TRAP USI:. TYPE.:: : Si:I:N(.:I...E FAMILY UPINAL• r:3KFLOW PRVNTR ' I...AVOFIATORY TRAP PPT,ME P j TUB SI-I()WE.R GPE:ASE TRAPS � DIS;HWASI-IE:R NO. STORTLS : WASIA MAC:HTNE I)WF-I_I_ .UNITS : I. At.1NUFtY 'T PAY BLDG. DRAIN ( DIA ■ F1.001:4 I)FiA T N `� I:NI< �..* WEP WTI S ,I-ti WA'T F::1:2 I•-IF::A T A4 S'T'ORM/PAIN (FT REMARKS J.rlfat lI 5li:,lar- Hat wa►t.fe1, lafa.n4:':I. 1 i I W frr:l.a1 f4013tt 1L f!fufacarl 14:4411 I: T *15 .Op j N `�3:1.,`.i f:;w :I.a1.l(oa to t E R Gi. t3f^ti (3r 1:4-IONE: (503) 620--70r2:I .0A11% TAX * O T'1•lr_--:I.1 C O N RE::NF::WAI31...r:' L'.:Nh:R(3Y :I:N(: T R PO BOX 11.1069 C POPTL ANI) OR 9721.3 C T 11 503) R RE(:;ISI RAT IC1N NO. 42122 RE:(::F:I PT NO . This permit Is Issued subject to the regulations contained In Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby F.WUIITEI) 7:NSPE(;'T'IT:)N5 agreed that the work will be done In accordance with the plans and PL•E3 .UNDrEASI_.AN specifications and In compliance with all applicable codes and POST & DE::AM ordinances. The issuance of this permit does not waive restrictive WAT'I:::R LINE covenants Contractor and subcontractors shall have current city I.,L F3 T'C)P(:)U'T' husiness tax permits This permit will expire and become null and void if work is not started within 180 days,or If work is suspended or RAIN DRAINS abandaned for a period of 180 days any time after work has FINAL. commenced. It shall be the responsibility of the permittee to assure all required Inspectiuns arr,requested and approved. Permittee Signature Issued By. I�'AF-t:--h=f3ft—I-N'_'4T�'t;`T`tt►t�--lt;.R�f►��T SEPAri,ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE n P.O.Eiox 23387. ... _,... .. , 13125 _EW Ef M 1310. CITY ()F "��IG/'►RI=) PLUMBING Tigmd Applicants must hold Oregon Registration to conduct a plumbing CR 97M PERMIT 539.4175 business or must Ise property owner/operator not hiring outside help. Name of Dews prnent Plumbing Permit No. Address _ F" Description s ORS 814-21.810 DUAN. PRICE AMT. 'ice Tax F_d Map.N... Address FIXTURES Int - ©lock Subdivision Sink 7.50 em)tj(or r» business) rwLavatory - __ --- 7.50 - -- /('ti-� l ub or Tub/Shower Comb. 7.50 ai ing ress �j` > !�/`= ✓,� Shower Only --- - ---- -- 7.50 ------ Wator Closel 7.50 Owner City/ to Xip _ -_ ` �L `)-� Dishwasher----- -- --- 7.50 Phone Garbage Disposal 7.a; Name Washing Machine 7,50 Floor Oram __�- -- -- 7.50 - - -- - - - ad mg mess -- Phone Water Heater _ 7.50 , Occupant Laundry Roam Tray -_ - 7.50 P CityrState -� Zip Urinal 7.50 ame - -drone Other Fixtures(Specify) -- 7.50 7.50 mq res9 --_ Phone --- 7.50 -- _ r Coractor City/State -'-- - Zip - -'---- 7.50 n! MISCELLANEO JS City Bus.Tax No. Beeson t st 100' 30.00 Sever-ea.Addit.100' 15.0c tate �No-- State s s. o. -- (Residential) V�iter SerAce 111 100* 20.J0 1 hereby acknowledge that I have read this appkatlon,that the inhxmatk)n Water Service ea.AddiIX0 r _ 15.00 -- _ given is correct,that I am registered with the States Builder's Board,and also Stone b Rein Drain 1 st.100' 30.00 have a State Plumbing"vie that the numbers given we correct.that all -- - - phimbing wcxk will be done In accordance with all"cable prwis+ons of Ore• Storm 8 PPtin Drain Addit.100`- -- - 15.00_ -- gen Havised Statutes Chapters 447 and 893 and applicable cotton aril that Mobile Hone Space 25.00 no help niU be employed unless licensed under ORS 683.(it exempt from - - Mate registration.please give rertsorn below). Back Flow Prevention HOMEOWNERS-I hereby owtify that I am the owner of the property de- Device or Anti Pollulion Device - 7.50 scribed stave.at whkch lorallon I propose to make a pkrnbbV Installation ler Any Trap or Waste Not my own use and this property is not bakq constructed for sale,lease or rens Corxiecied to s Fixt," 1.50 - Catch Bash - - '/.50 -- -- __-._--_--- Insp.of Exist.Plumbing - - 40.00 Per Hr. `-- -- Specialty Requested Inspections -- 40.00 Per Hr - - - ---- Aker.of Plumbing within an Existing Bldg 15.00 min. I UTHORIZED SIONA PTU E Date New Bldg-or&gild.Addltk;n 25.00 min. - ----- in [kain,sintle fartal L socrit a work new❑ addition❑ atterelion❑ repair❑ des mim 75.00 t bre Jone - reskdentia! _ non-residential 11- - --- ------ Ey,sting use of bill dkV tx property_ __-- --- _ SUB--TOTAL ullma�use of 5% SURCHARGE orproperty ---- -- --- --------- - ---- -- --- 25$ PLAN REVIEW NOTICE - - _ TMs permk beoornua null and odd M vwA or orinstruction a that:ed Is rat con- TOTAL mer-d wilt 190 days^V oormlnx,'1Fon or ruck M wlnperntW or ab+rndormd For -" a CwW of 190 days at any tkw atter work Is oorniranosid ti vu4t 00tcKnoN8 Daim by � '� u ; '' .... .w...xr u.i�i'P•r, ;�4R^Sl�i;#•�Fi1fle'i,{jfpfi�'q;�e& i� *f iA "a `•�` T,*"x ps ' a an �Y M4Ir�n T 1 TMS S {SFA t'llj, %,;F' s�s 7.3'4 t t '�r }'MF �;lF�r f �?�'J�l'�r a Yt +!,'?�✓J r d ; 4 a. MLA:1-11ANICAI CITY OF TIGrA F)EPKET NO. MI-8917j23 L- RD CnYOFTWAM COMMUNITY DEVELOPMENT DEPARTMENT OR100" DAIF.- .1,13SDIED: 13126 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(5031639-11/5 PP-I'M . PMT . NO . (391.7P3 JOI-J ADOVIE::SS : 931--.i 'iIw I-AKF- TAX MAP/11-01* SUI*3: L.T . BK : t LAND USE : 1 01 5*I'.ZI::' - '1'*T'I--:M: NO: NO: WOPK CLASP:5: AL-TEPAT10N F7 UNNACE <1.001< 1 A10 HANDLA <10 USE T*YPF-K: GlWA EK F*tJPNA(*';E 1.00k-l- A]-J) HANDL.P 10K CONST . I Yfjl*:':.* . 11-00P F 1.11PNOC'E' (A"'CUP. I i I-:.(-),r E P 1-AN VI''NT VI-KN F - F-sYL)TEM W.-P/COMP <31-.11-') I-1000 NO. STOWLE..'S : JENC I WK PAT()P(DOM DWFA. I... . UNIT5 JENC I NEPATOP(COM FIJEl". TYPIIE-' FWWCOMP 1:41"l"AM UNT."I'S MAX . .'LNPUT RI 0T I 4F.'I'l F-JI41E DMPR57 5 GAPJ:P1N(,; 0(.JTL-E*T*ci LOW -J 0 0 t T, PEPM3-1 $29. 00 W 93 1-5 !%W PLAIN PI-.:V1.EW N - Ilr, 97VE23E EXTURES R IN-U)NE (503) 6r,?0--70P.1 !;TA*T'I-'.' TAX OTFIF-.1.4 C A Fi 1-11:::ATJNG 0 W N .AlL., (:)NF: ()('.E: HOLDING T J1-e19155W 72NIJ A tA.Ij n i,d 1:4 9 7 2 ii. Al C PHONE' (503) 68/4-3,3,`35 T 0 PE(3:ES'fPA'T­I0N NO . 31.339 TOTP $30 . R1 I:-*II-::CEJPT NO � This permit I.;issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations F�I*�:QIJIJIF-J) 1NSPEC*J'10NS and all other applicable codes and ord.nances, and It is hereby (,'4AS I-JNIE agreed that the work will be done in accordance with the plans and P(:)(3,1* a. BEAM specifications and In compliance with all applicable codes and TN ordinances The issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city 1: 1 NAL business tax permits. This permit will expire and become null and void if work Is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any fline after work has commenced. 11 shall be the responsibility of the permittee to assure it all required Inspections are requested and approved. *1 ke-r—mlitee Signature Issued By: COI L FOR INSiPECT10IN 639-4175 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBFD ABOVE �_ ,.,wrMoMA1!!•N�N�%�TW7+�IRM+IItlt+efuww:ati7w«,.:. ..w..+.++•mFr+M'lMkl�i RiM.wN•.-.. CITY OF TIOARD MECHANICAL PERMIT Permit # Dow4pba+ 3A modra dad Cody CITY PM E City of Tigard � l' 13125 S.W. H011 Filvd. 1) PwkFee -0- -0- 10.00 P.O.'Box 23397 Tigard,OR 97723 2) 5upptemerwat Permit 3.00 639-4175 Furnace to 100.000 BTU 1) Ind.ducts b versa 6.00 U U 2) Furnace 100.000 BTU + 7.50 Ind.duds&vents N.ae al DerMopiMn 3) Floor Fumm oe 6.00 Ind.v" S Job 4) Saspended heater.wan asten he~ r 6.00 Address or ed h ` x'15 5►�! .. Tau got map mm 5) Vwg not Ind.In 3.00 l,or !Nock &ibevMon Wpkwxe pernilt N- ww"for r ma or lw*r 6) Repair of heatlnp,retrig., 6.00 M.&rn Admaar Phorw Boiler of comp b 3 HP owrw .2 7) .unit M 100,000 8711 6.00 cbrs apT Boller tx oyM b 3 HP-15 HP 8) Mmwp.unit to 500,000 BTU 11.00 7a �- IVnrra // 9) Boyer or comp 1530 HP 15.00 OnI'e A+6 �Patlr�c abeorp.urot%-1"Mort req Ase�w tMtene Bollworm,Damp to 30.60 HP 10) ?2.5U uN1•1.75 mMYon ODF*aCkV l.83 _ ap 11) BoNw lir comp b 60 HP `IL ©✓ ?�.�-�y .unit 1.750.000 BTU 31.So tllw iaowellett«�— CRYRULT"No. t 2 10,000 CFM 4.50 Air hsrw*V unit to I�i'i ) Air hwx*V unit amp tie I wn ft cm r a aufortt e a ow tM lnkxnyaon ONan in 13) 10,000000 CFm+ p4Ns CWVA~�a awn hwff OW I am bw d ft orurst a &W r,bW I w ti — i' r.ow.r.d.rtt1,tw law.13<,ee«•'eo.ra.ew Vha Non portable ren*arplanroonadp�'aanl k m st.f.raphlraft 1340"WwI mason bebm 14) evaporate Cooler - - --� 15) beat tan c�ed 3.00 �--- -- �Y t s) n i kx Kiwi Wp4wm Perna! 4.50 17) Hood seryed by mec�erkw exhaust 1.50 tia+aMu+letamar a apuiq �_ - _ Dor'wific type 0e01orbe warts E] addition O a i"ion rw& ❑ 16) Irx*mubm 760 to be done real%nft W non-residential ❑ 19) Comnendal or kkkatriat ExIeft use or S F - -- type knkxwMcx _—_ 30.00 — berdkV or property _ OthI.e..woodstove,water P use d 20) er heater,edw,clothes— drysm etc. 4.50 bullcMr>p or property__.. 21) Gas poft one to fcxx outlets 2.00 ()n TVI*of fuel- off Cl natural gas � LPG 0 electric C] - -- - ?2) More tft&n 4-fw outlet TKS PEF:VA T BECOMES NULL AND VOID IF WORK 04 CON_ �-- TSUIB-TOTAL - ? UQ S7AUCTION AUTHORIZED IS NOT COMMENCED WITHIN 190 S%O 41106 SLMCHAROE C►AYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN RE/IE1N 2!i%trlF$U13-TOTAL MANDONED FOR A PERIOD OF 1110 DAYS AT ANY TIME AFTER — WORK IS COMMENCED. _ TOTAL. 30, S Spedel C<xxfiticns ----___ --� ------- --- Date Issued -- - by e i i i 9- City of Tigard #14p4r INSPECTION REQUES"a. for INSPECTION T'ME : -r PERM fG., ..._.___... DATE: DATE ISSUED.-,' .., OWNERS NAME : ADDRESS : ! CONTRACTOR :-.--- -- -----.---..,.,-- . TEST: Air ❑, Water p , 'Visual ELI , Luhorato! > RESULT. Approved , Disapproved Ll F`otic ;n� I , rX I MfnCTOR Dtl1"E �NOTF. . Attach suppiementui relit auto h� Y, 1 City of Tigard ! NSRECTION REQUEST for JINSPECTION TIME :�.� P� PERMIT 00.: _� • DATE: ' r DATE ISSUED:._.] OWNERS NAME j ADDRESS : - CONTRACTOR DDRESS : _CONTRACTOR 1 TEST: Air 0, Water ❑ , Visual ❑ , Laboratory ❑ RESULT. Approved , Disapproved ❑ , Pending ❑ KE I S TCH. I I �m �ro-c uy� ''•.•Y1 6 c ire S r LL IRSPECTOR DATE. I CN: Attach supplemental test data herei J I M �J ' I ADDRESS S Lam) r .c ,E.c. PERMIT N0. PERMIT CHARGE none OWNER I?�a' * �Q�-'� _ � CONNECTION FEE PAID By /<,x `c��.`_.' _. _ t TYPE OF BUILDING `/��,c��c .c�_ _ DATE CONNECTED SERVICE RATE _ t1 C - - .�• �� INSPECTION FEE _ �_ _ s • ___ .� CONTRACTOR it .,;��w, PAID BY _ r DATE SITE OF CONNEC71ON _ `+ ASSESSMENT PAID t s 6 w y City of Tigard A I INSPECTION REQUEST for INSPECTION TIME : PERMIT Nn. : _— ■ DATE: a �-`% DATE iSSUED:_--j OWNERS NAME : IADDRESS : �1J/ , rG-� r •v CONTRACTOR : ' TEST' Air ❑, Water ❑ , Visual, Laboratory ❑ RECuur: Approved , , Disapproved ❑ , Pending ❑ I I SKETCH: I Aw 1 I - I INSPECTOR DATE COTE: Attach euppiemental test dcta heret] r. f E; f` CITY 01119-1 -} *1Q 0478 BUILDING PERMIT APPLICATION TIGARD DATE P) I THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERtIN INDICATED gwN�F�pHONE — OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. -.47 OWNER ' {' a ADDRESS -- --,— — W„-.-___BUILDER PHONE ENGINEER BUILDER rl.f.n1.Pndor `?t)T'V. ARCHITECT _- �_�__ DESIGNER _. STRUCTURE ONEW ❑REMODEL ❑ADDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE [,DEMOI 17 ION �I RESIDENCE [:]COMM7EDUCATIONAL _11,OV'T ❑RELIGIOUS❑PATIO ❑CAR PORT —❑GARAGE [:1 STORAGE[:]SLAB ❑FENCE ❑BOND ❑MO /ING ❑CONDITIONAL USE _ _❑DESIGN HC JIEW ❑COUNCIL APPROVED —_ []SIGNS OCCUPANCY--_.LAND USE ZONE__,-_BLDG.TYPE FIRE ZONE— PLAN CHECK BY _ HEAT— r T•Fitl�El d1w®laittg w.i th Viol Liew. to appruvoll pl.- QCC:Lt)AD rL�00RLOAD __-._---- ,HEIGHT ----_ _—._—NO.STORIES I --AREAQt"IQ VALUE � � BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHTSI^r THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE --- --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%Stat e LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. _ I Total BY — APPLICANT OR AGENT Approved Receipt No. ADDRESS PHONE I E. '. __"_"__.-._.-._,,.—...,_.........�....�..—_..—._..._—..___...- '--- __._._......__...� '.:,ruv+w.r.•.a,,.}wY,.ewnnr.w+..,«•..«....M,,.......r__._.._----�_._.._..._ _......_...,r jj ~r ' } r, 4. ,1 a t � ; _ Il�rl���Tt yy+AS k Iltfl�r":. - tiH�b;C CVN. 1 '14 u 1 ,• I p"I 'Y I } REMARKS PLUMBING DATE DATE INSP. TYPE INSPECTION —` T, Contractor Permit No. l(5 S Rou h in MM Fixture J�"/� � 7�;1L> �'�f- �.JN' ✓' a• r4ca-,,� !VD )_✓'�a>]�47� Final , HEATING �. L ontracto L/ 4 / /4 lvr) ,✓ln dls Permit No. aS / Gas or Oil Rough-in Final — SEWER i Final DRIVEWAY I Final _ i Storm Draina a _. (Rain Drain) Final Sidewalk Curb&Street Final roach BLDG.DE'T. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPAI ICY Landscaping Zoning Final • ,r: s �. 4 r � f W. 0hl �Id 4ib�+twcc���`r4ly f Y: t A: x 4r.� Z.. $ v4 a t4 o All- RI