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16264 SW 104TH AVENUE
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P.O.Pm 23397
CITY OF TIGARD PLUMBING IA 5W Halt 1317J.
Applicants must hold Gregon Rcgistr.:tion to conduct a plumbingPERMIT Tig3ca M 97223
business or must be property owner operator rust hiring outside help. 6.34-4175
I Name of Qvvelopmenf
�( ) L' Plumbing Permit No. 3
Addtesa Descr ption
JObTa--L,cl-- Map.No. ORS 814-21-610 DUAN. PRICE MAT
x
Address
FIXTURES
Lot Block Subdivision - - - -
Ir<I Silk 1 7.50 7 JC'_
a-)#@ or name of business) - lJvatay ----` 7.50
�rtg rens Tub orTub/ShowerComb_- 7.50mai -Q
Shower Only j 7,50 r
OwnerCly/3l�ate - Zip—,-
- Water Clow ----- - -J - 7.50
_ -+ 7.50^ , Q
Phone Garr a Disposal 7.50
Name WiLthing Machine - A 7.50 -
Floor Drain 7.50
'Wailing Address Phone Water Heater - -" 7.50 � rj
Occupant r^ity/Stats -� zip Laundry Room Tray` -- _ 7"�
Urinal 7,50
arae P I Other Fivturss(Spedty)�.-_..�_ -�_- 7.50
aiA_39 Phone --- __ 7.50
7.50
Corttractor ZIP 7.50
_ MISCELLANEOUS
City Ecus Tax 10 SOYAW 1 a 100' 90.00
Stalle TS�Vurrr ers�ue T &ewer ea.Addis-100" 1500
��" walb iervice 121100' 41+0.00 —
I hereby acknowledge OW I have read Shia appncanon,that Ohs Irftmation -Wider Service as.AddiLWD' 15.00
given is oorred,OW I s T regidered with the Sus Builder's Board.and also Storm i Rain Drain 1 st.100' 90.00
Aare a SIaN Plumbing license that the rtumbem gown are corneas.that an --- --[*"t*V work wig be done in ea w Unce with W#Icsbb p"rAsiona of pre- Slorm i PrJn Drain Addit.100" 15.00
gon Revised Statutes Chapters 447 and 699 and appkvbie codes and that Mobile Home
no help wit be employed unless Noeneed under ORS 691(It exempt ht'^ Spew 2s.00
State regtstratk)n,plea"pits reason below). '6i FbwFnvermon
NOMEONMERS-I hereby cer*l,that I am tte owner of the pmpw+ty de- DwAce or AnII Polkition Device 7.50
scribed above.N whkit location 1 pmpoee to make a plumbing hst@Nod rt kv
my own use and Ola property 12 not beteg oconemuceed for sale,Sears or rent. �T a wit✓.;
CtortrNCMd to a 13tAtxe _ 7,50
Catch Bash - v 7.50
hep.d_Exlet.PS xnbktg 40.00 Per Nr.
Sf+eclsIl�r Requeeled Irwpecoons -- 4140"00 Per W _
Abler.ol Plumbing wWin
fir'EA"Bidg. _ — 15.00 min.
AUT'HOALMD SKINATURE Date New Bldg.or BuIld.AddNlort 25 00 min.
Bait] a3w_1,w 1r�Lmily
Desocilbe work rwwJ = .ockfition Ameflon[] repair CIA-11, 15.00
be don. rbsidentiel M .`nwt-+ssie«,tia1 - _—
EdNO gum of -- 4
W" 11111,01111-TOTAL
� ►oat--__---.-------- — ^--��'—"""°'u"°�e
NOTICE
This Pit TA boo m»O mull and vW 9 work or oonetruowxt authorized Y not corm
n"W Ioor ebottdarted!or
a perhd of 1S0 Saye of any Mtq attar week r oo,mNrtced '''
-/
_—_--- ---—- -- ----- _ _ _— _ Dete It i ki _ a -j�------
-_ -_ _-- -- OCO.400 411'as r«
CITY OF TIGARD MECHANICAL.. PERMIT -
Permit#
DescrlpUon
TWO 7A Mechanical Code OTY PRICE AMT
City of Tigard -_---- -----
13125 S.W. Hall Blvd. 1) Permit Fee -0- 0 10.00
P.U. Box 23397 - - ----— ----
Tigard, OR 97223 2) Supplementa+Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts 8 vents 6.00 �o
Furnace 100,000 BTU +
2) incl.ducts 8 vents 7.5U
Name of Developrn«,l — Floor Fumace
�1 p 14F3) incl.vent ----— 6.00 - ---
I Job Address ` 4) Suspended hewer,wall heater
Address y /U�/ or floor mounted heater 6.00
Ta,Lot — M,w r�oa 5) Vent not incl.in _- 3.00 -
Lot 3U r;ock � SubdlvlsionlG _appliance permit----. — -- ---
Name or me or busumss) `repair of heating,refr ig., —
6) doling,absorption unit 6.00
Mailing Address PhoneBoiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
rrry state — - Zip 8) Boiler or comp to 3 HP-15 HP
_ absorp.unit to 500,000 BTU 1 1 00
Nems _ Boiler or comp 15-30 HP -
9) absorp.unit 1h-1 million 1r. 00 -
MaMng phaN ) Boller or oorrip to 30-50 H P
10 absorp.unit 1 -1.75 million 22.50
Contractcx c�tvisuts Ip 11) Boiler or oomp to 50 HP — 31.50 -
_ absorp.unit 1,750,000 BTU
:Mate n.Wstr■da�No i City Bus.Tss No ) Air handling unit to -
12 10,000 CFM 4.50
1 thereby acknowledge Itul I have read this app"tion that the ir*mieffon given Is 13) Air handling unit---V--- 7.50
oor»ct that 1 am IV owner or wAhorked agent of the ow w.tial plane wibnMUed are in 10,000 CFM
coTgAance*%i Stall laws,that I am regWWed wNh Owe Stets BtAderaBoard,that Ind Non portable ----- --
rxntber given l•oorred Of exempt horn State regWratkx,please 17rw reason below) 14) evaporate Cooler 4.50
15) Vent fan connected L 300
to a single duct
--- -- Ventilation system not
16) included in appliance permit 4.50
Hood served by - I 4.50 I7/J Z)
mechanical exhaust
towner or sipert) Date 18) Domestic type _ 7.50
Describe work 10 addition U alteration U repair ❑ incinerator -
to be done Qf44.4esidential K non-residential U ) Commercial or industrial 30.00
Existing use of 19 type incinerator - - --
building or properly -_ ) Other i.e.,woodstove,water 4.50
Proposed use of 20 heater,solar,clothes dryers,etc_—
[wilding or proporty
-�� — 21) des piping one to,out outlets 2.00 -
Type of fuel- oil ❑ natural gas A LPG U electric ❑ -�
--- 22) More than 4-per outlet
SUB-TOTAL ySC h
THIS PERMIT BECOMES NUI L AND VOID IF WORK. OR CON• -- - - -
STRUC :ON AUTHORIZED IS NOT COMMENCED WITHIN 180 _ %Q �.SURCHAgI]E 73
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW c5%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER - - -
WORK IS COMMENCED TOTAL y 8�
Sprlclal Condtfions _—_---_ - _--
Date issued �� )
I
BUILDING PERMIT APPLICATION DATE-
THE
ATETHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOWHEWORK HEREIN INDICATED BUILDER PHONE 645-35QIl
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P N
��T N0. .3 U'��'`.RT i�041-1-9—
Titan
>s
OWNER_ r"3.tan Prvps. JOB ADDRESS 2 G264 $4t' 1 D f k1 en
ARCHITECT
ENGINEER
BUILDER saline ADDRESS DESIGNER Le/Taft #1289
STRUCTURE ® NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
CKRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY i_LAND USE ZONE R 1 Z PD BLDG.TYPE 5N FIRE ZONE PLAN Cl.,!CK BY Tj' _HEAT .�
CHCl%) >Ltit singles family dwelling w/attached garage:, fall per approved plans.
---- Subjeat to 85 code. I - � J
SEWERPERMITq 14_:—bI idol 3 baths, 1QtrApj ___.-tTnj-rage iIrgc
OCC.LOAD FLOOR LOAD 49 HEIGHT 2() NO.STORIES Z AREA 121j 1,6000
NO.BEDROOMS VALUE -
- BUILDING DEPARTMENT 44 - - --------- -_._._
-- -. SETBACKS FRONT REAR 20± _LEFT SIDE_ _ _ ' RIGHT SIDE
Permit 301 .00 THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED !N THE BUI'.DING CODE, ZONING
195.65 65 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANrE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
c LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax l�'7.�
51E�.40 SDC— 60(3.110 r%
Total !
-- PDCM AVIKICANT OR AGENT
By inn-nn _ 14 1`.50.00
Receipt O. Ste— —'—' PHONE
Approved 6
DATE IN!IP. TYPE INSP CTIONHEMARICS PLUMBING DATE
Contractor �J
Permit No. — -
-
Rough-in
---a — --. --- -- —
Fixture
Final _—
HEATING �-
2 Contractor—
9� Permit No.
Gas or Oil
` Rough-in
�/C� _ -
�� tJ /l� T��cK � -- - Final ----
SEWER
Final —
DRIVEWAY
Final Eq
.1 Storm Drainage
(Rain Drain)Final
-- _ —�-- Sidewalk
Curb&Street Final
_
Approach ----—
eLDG. DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
7oning Final —
BUILDING Pts
PERMIT NO. : �
CiTy OF T16
7ACJD �� 60
DATE ISSUED:-
COMMUNITY DEVELOPMENT DEPARTMENT PRIM.PMT.NO. :_
13125 S.W.N&M ow,P.O.Boa 23ME,Tlg&-4 On/pon:'M,(SM)9304175 -
JOB ADDRESS: - /G ,�l- Slt/ L_ __.LT:
TAX FAP/LOT �• _ - _SUB:Sly il/ _•1�1v�. G=�.------
LAND USE: 'r SETBACKS � o -�
LOT SIZE:
FRONT-VALUATION: y REAR: _-_-
..._,
_
WORK CLASS: DWELL/UNITS: LEFT: RIGHT:
� --
USE TYPE: �s�p�tiCt� NO.BEDROOIlS:
CONST.TYPE: ---T � No.BATHs:
OCCUP.GRP.: T /
OCCUP.LOAD: - TOTAL AREA:- 12-1110
NO.STORS. IST: — ROOF CONSik F
HEIGHT, -- AREA SEPAR-
HEIGHT: _��+ " �"' ""� CUP.SEP ,
BASEMENT: -- _ 3RD:
MEZZANINE: BASEM'T _ �S
FLOOR LOAD: GARAGE: - FIRE SPRPM)' DETECT ICLR: ALARM:
(C
" HDCP.ACCESS: CORR:
HEAT TYPE: --- -- —
PLAIT CHECK BY:_t
REMARKS:_-- --
REISSUE OF NO.
SEWER PERMI-T� LAST REISSUE
O
VV _1� au � C� �/�g� .�C��Sf FEES, ,3b/
�� l
PKRMIT
A
PLAY RBIIIEW L9
Phone_;_ Y6 S _ FIRE DEPT — �.—
STATE TAX --
OTHER
Name a _ --
Dtt11ELOPMEITT CHARGES
T Address : SDC (STORM) -- - --- _._
—_—
R SDC (STREET) ---
- —
PDC Lim
o hone:_
PREPAID -
-.__ -- ------ TOTAL-
RECEIPT
OTAL:RECEIPT NO.
REQUIRED INSPECTIONS
FOOTILaG SEWER
roUNDATION HALL.• RAIN DRAINS
POST 6 BUM UATEP. LINE
PL.B. UNDERSLAD CITY APPROCII/SW
SLAB FINAL
PLB.TOPOUT
FRAMING
FIR"LACE
GAS LINE
INSULATION
mule;Signelure G-YP.BOARD
IPSPEL.'i'1
BY'
t%JIn
Vol,/
TITAN PROPERTIES CORPORATION .�`�
2700 N.W. 185TH AVE. SUITP 2014
PORTLAND, OREGON
97229
F
LOT 30
SWANSON'S GLEN
CITY OF TIGARD
WASHINGTON COUNTY
STATE OF OREGON r°
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