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Permit
• CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #.......: MST94 -0191 13125 SW Hall Blvd. Tigard, Oregon 97223.81949c'471 DATE ISSUED: 06/28/94 PARCEL: 23111CB -03000 SITE ADDRESS...: 10067 SW LADY MARION DR SUBDIVISION ° MARION ESTATES ZONING: R -3.5 BLOCK........... LOT.... .......:003 -• -- BUILDING REISSUE: DWELLING UNITS:1 BASEMENT "0 sf CLASS OF WORK.:NEW BEDRMS:4 BATHS:3 GARAGE °725 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST.: 5N F I RST....: 1574 sf LEFT..: 10 ft RIGHT. : 16 ft OCCUPANCY GRP.: R3 SECOND...: 1 112 sf FRONT.:24 ft REAR„ .:34 ft STORIES.......:2 THIRD ^0 sf REQUIRED HEIGHT ..... ...:29 ft TOTAL :2686 sf SMOKE DETECTORS.:Y FLOOR LOAD....:4O psf VALUE $. 136606 PARKING SPACES..:1 Remarks: PATH I PLUMBING SINKS .1 FLOOR DRAINS .0 BACKFLOW PREVNTRS..:1 LAVATORIES. „...:5 WATER HEATERS...:1 TRAPS ..............:O TUB /SHOWERS....:3 LAUNDRY TRAYS...:1 CATCH BASINS "0 1 WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS "0 DISHWASHERS °1 WATER LINE (ft).:1O0 OTHER FIXTURES.....:O GARBAGE DISP...:1 RAIN DRAIN (ft).:O WASHING MACH...:1 SF RAIN DRAINS..:1 MECHANICAL FEES FUEL TYPES - -- UNIT HTRS..:O type amount by date recpt /GAS/ / / VENTS .0 TIF $ 1520.00 SW 06/28/94 - MAX INPUT:O BTU VENT FANS..:5 BPRT $ 525.50 SW 06/28/94 - FURN ( 1OOK ..:0 HOODS "1 BPLC $ 341.58 SW 05/13/94 94- 252333 FURN ) =1O0K ..: 1 WOODSTOVES. : 0 BSPC $ 26.28 SW 06/28/94 - FLOOR FURN....:0 CLO DRYERS.: 1 SSDC $ 280.00 SW 06/28/94 - BOIL/CMP ( 3HP:0 OTHER UNITS:1 PARK $ 500.00 SW 06/28/94 - GAS OUTLETS:1 MPRT $ 48.00 SW 06/28/94 - Owner: MPLC $ 12.00 SW 06/28/94 - • TIM MILLER MSPC $ 2.40 SW 06/28/94 - 13027 SW TIMARA LN PPRT $ 170.00 SW 06/28/94 - P5PC $ 8.50 SW 06/28/94 - TIGARD OR 97224 Phone #: 598 -8574 Contractor: - TIM MILLER 13027 SW TIMARA LN TIGARD OR 97224 Phone #: 598-8574 Reg #..: 64687 -- - $ 3434.26 TOTAL This permit is issued subject to the regulations contained in the --• REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Fireplace Insp applicable laws. All work will be done in accordance with ap', • ed Post /Beam Struct Gas Line Insp plans. This permit will expire if work is n. •arced wit. 86 Post /Beam Mechan Insulation Insp days of issuance, or if work is sus. ded 'or , 're a m�ays. Plm /undslab Insp Gyp Board Insp 4/4 PLM /Underfloor Rain drain Insp Permittee S' y tur...4t07 _� i Mechanical Insp Water Insp Plumb Top Out Appr /Sdwlk Insp Issued By: J f Framing Insp Mechanical Final Call for inspection - 639 -4175 /19 Residential Building Permit Application r� tr� City of Tigard _ �a,�w"` 13125 SW Hall Blvd. I"-----_ Tigard, OR 97223 (503) 639 -4171 //'' 0 r4 � .: ' . obsite Address: v LO 7 /I . AV. / � _ .. •r kite •.; . :. ::•.: :;t t: -=- --. V t 6 1 E • " . a o._,� 6 <j p �. . n -e s �„ s iY�:�:i � ,1 v F' " Ys # . F • y :: Subdivision: �►' `��' /D� �ST�S7 S Lot 4 . u a` . }._ =�=: ` v � ,,� © � r t •, 9 ., e t - f ▪ S a t ' Valuation: 11� �'' �� ,f F • : F �� t ,may < : ; >F F; : :r: { 4i f J Owner: //!/C � "----- '.31t:'.1--441;r1.-4414 ;; .: _.: •F. 1 / 2_7 i & // s!/�Gt/c�/, ` }i§A \ *''•�° • '�' ` '" ,' , :?.• - . ' -' Address: /✓ i v, Phone: 59- �7 �,/ - � ? - Zl � � } . mss 3. f - * tom, ', ^n4�- . y , <Y3y . y a 5 � ?sue • -h f : : :: //, ///6 (%a�ii// � : >:� E �� � ^�. � `� A Contractor: �i ��ti 41 Address: ess: q:` red < : <<` > = = >:_= : : :> < : : : : : : >`= ::<:::: :> : >iti>rrs:R Z -- Phone: 7�` a da <=_< = M : :?> >:` :: ':: :'< >= : : ::<: :> : : ::: >: 7 = n S - License # r:' or• ,ce n pct s t Co - -- n license) r o O f current Ch . . atta ....... Subcontractors: q' q- s a 33 3 t/ Plumbing: / 7&.fzt /t/ / c fir. V Mechanical: C /.. 5 - 5 fiv 774 (attach copy of current OR Contractor's Liceense) Architect/Engineer: 4//9/.2 / 6 4 S c © €C Address: Phone: D L , s COMMENTS: / A// / / /% , L� �At _, ,. i /. a te / .. i I / 11 : L ,AS / / , / A itaMP' r ' ..414F7r . .r; •licant - ignature & Phone number r Z Received by:, _ Date Received: c� — g if Permit # Account Description Amount Amt. Pd. Bal. Due j -O.(u Bldg. Permit (BUILD) _S.7.3", so Plumb. Permit (PLUMB) /70.0 /2 0 Mech. Permit (MECH) 10 b V State Tax (TAX) 37.1€ 3 7 t Y Bldg: n2 .2..Y Plumb: o f Mech: a-.`1 a Plan Check (PLANCK) 3S3, S i< 2--.50 / o3 . S Bldg: 34 /. S b Plumb: Mech: .(0 � SG) leg J - rt Sewer Connection (SWUSA) 2.1, ?-ad Sewer Inspection (SWINSP) 3 a 3 ) _ Parks Dev Charge (PKSDC) Sou .500 Storm Drainage Chg (SDSDC) o2 & Residential TIF (TIF -R) /I1 a / ti/0 Mass Transit TIF (TIF -MT) / / U // D • Commercial TIF (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -0) Water Quality (WQUAL) _ Water Quantity (WQUANT) Fire District (FIRE) TOTALS: ; (ol,,1A1# 1 1 14.1 a.s 2 ( 7) G _ ica v _ ,: mod: _....._.. ..._._:.sited. _.� ...,.- .- •._..�. _. .- M.!- ...... _ y �') +`': �� � ' PLUMBING PERMIT �*~�rI � � OF � I ��i�~�� PERMIT #. . . . . . . : MST94-0191 DEVELOPMENT DATE ISSUED: 06/28/94 13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) 639-4171 PARCEL: 2S111CB-03000 SITE ADDRESS...: 10067 SW LADY MARION DR SUBDIVISION....: MARION ESTATES ZONING: R-3.5 BLOCK..........: LOT ^003 _ CLASS OF WORK^.:NEW GARBAGE DISPOSALS..:1 TYPE OF USE....:SF WASHING MACH ^1 BACKFLOW PREVNTRS..:1 OCCUPANCY GRP..:R3 FLOOR DRAINS :0 TRAPS ^0 STORIES. . . . . . . . :2 WATER HEATERS -1 CATCH BASINS. . . . . . . :69 FIXTURES LAUNDRY TRAYS......:1 SF RAIN DRAINS.....:1 SINKS..........:1 GREASE TRAPS.......:0 LAVATORIES.....:5 OTHER FIXTURES ^0 TUB/SHOWERS....: SEWER LINE (ft)....:0 WATER CLOSETS..:3 WATER LINE (ft) ~100 DISHWASHERS....:1 RAIN DRAIN (ft)....:0 Remarks: PATH I OWNER: --- FEES TIM MILLER TIF $ 1520.00 SW 06/28/94 - 13027 SW TIMARA LN BPRT $ 525.50 SW 06/28/94 - BPLC $ 341.58 SW 05/13/94 94-252333 TIGARD OR 97224 B5PC $ 26.28 SW 06/28/94 - Phone #: 598-8574 SSDC $ 280.00 SW 06/28/94 - PARK $ 500.00 SW 06/28/94 - Plumbing Contractor: ----- MPRT $ 48.00 SW 06/28/94 - MPLC $ 12.00 SW 06/28/94 - Name: I \ M5PC $ 2.40 SW 06/28/94 - Address: fq ]/lerkS2, ~" PPRT $ 170.00 SW 06/28/94 - City: InCr4143 State: A P5PC $ 8.50 SW 06/28/94 - Zip: ��^���~/ Phone#: � * ~~~- ~ �+� Reg #: cria R INSPECTIONS This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Meehan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final � permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for more than 180 days. Plumb . Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp . Insulation Insp �� ^°*��~��=--� Gyp Board Insp Authorized Plumbing Contractor Signature Call for inspection - 639-4175 Contractor Notes: � �� � INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line, (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: • _ Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL Post /Beam Struct. San. Sewer Framing -813q? Post /Beam Mech. Rain Drain Insulation Plbg. Underfloor Water Line i Gyp. Bd. .41ilab /)/ Date Requested: (� A Q / / G, g Time: AM ' .. !) Address: 60 /Lx emu . f, 0 .4. Permit #: / U 1 f — I 9 � Builder: --2S4( ;-/ ° / THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: �l. I 4 Date: PROVED DISAPPROVED APPROVED-SUBJECT TO ABOVE I Call For Reinsp.