Case File ADDRESS:
i.\records\microflrn\targets\building doc
CITY
� � CERTtF�ti:A'fC OF'U wCiJf�i-1tdCY
PEIJMCT M. . . . . . . a MST93 IZIVI'`,
COMMUNITY C EVELOPME? MPARTMENT DOTE 16SUED% 09/28/43
13125 SW I i dl filvd. T pard,Orapnn 97223.8199 (E03)039-4171
PARCEL-: 19134CB--16'700
k,
ITE ADDREGS. . , 1.c 1 1 A SW ANTON DR
SUBDIVISION. . . . a ANTON PARK #2 ZONING 2
BLOC:K. . . . . . . . . . . I_OT. . . . . . . . . . . . . II 1 14
CI-ASS OF WORK. a N Z'W
TYPE OF USC. . . n Sal
O(::CUPANC:Y ORP. 2121
OCCUPANCY LOAD t 2i`) 4
TENANT NAME=_. . . e
Remarks : PATH I
0"ner a
P i 14NACI_E_ HOMES
12735 GW ULACIER t_ILY CIRr.I_E
TIGARD OR 97223
"chane Os 644--.4017
f:a1�i,;•act ar e ...--__._.._-_._____.__ . __ .... _ _ ._ .._ _...._...._
CIN;IACL.E_ HOMES
1273, SI4 GLACIER i_IL.Y CIRCLE
T I GARD OR 17823
Phone #1 324•-4711
Reg #. . 2 16177
Occupancy of the above referenced building iu hereby given, and cv—,. ifies
thv compliance with the i.=tate Of Oregon Specialty Codes for the groi.lp,
or_cupirrlry, and use under which thc► referenced permit we i ensued.
FIRE DE.PARTMENT 13 I C'fOR
BUILDi ICI AL
POST IN CONSPICUOUS PLACE:
I118PECT10JS
City of Tigard Building Dapartaoot
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phonal 639-4171
Insnw^t i-on s
Footing Plbg. Underslab Koch. Rough-in Appy/&Wlk
Pound. P i tn. Top O.it Gas Line PI�
Post/Beata Struct. San. Rower Framing ldq.
Pottt/B&swm Koch. Rain Drain Insulation -Plumb`..
Plbg. Underfloor Mater LinGyp. ed. /-Moch. 1/
Date Requested# nn (1 -2 -15
M
_- Tit
Address# LZ(i i) AyAcy,:I> Peselt
Builders 1�1V��'\��c .� mss•K S �
THE FOUAVING COR-RZCTION9 AtUt EQUIRROt
-----------
V11,11117-
des
cdInspector: Date.` y
V APPROVED DISAPPROVED APPROVED SUB.IRCT TO ABOVE
Call For Reinap.
��TION NOTICI� I�,l
city of Tigard Building Depart.>amat \(�
13125 Be Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phones 639-4175 Bi,s inePa Phone: 639-1171
Inspection:_— ------ ------
Pooti,ig Plbg. Underslab Meeh. Rough-i.n �Appr/Oddwlk
Round. Plbq. Top Out 4as 1.1 ne )I ,' 1
Past/Ream st:,Act. San. sewer Framing `" ``•1-dq, /
Post/Beam Mich. Rain Drain Insulation -Plumb.
)�
Plbq. Underfloor Water Line} Gyp. Rd. �
Date Requentsds_/� 1`L^ Z 1
Address, `3
Builders ;:1VNVACL CAe C(\
TBR FOLLOWING CORAMCTIONS An RNWIMMs
C.,C.
5 S v`R.. .p-
Inspectors+� Data
��� APPROV[D DIaAPPRQYRD APPROVED SUBJECT TO ABO'VR
1 1` V/C/all For Reinap.
City or Tigard Building Department
13125 B" Ball. Blvd. Tigard, Oregon '17223
Inspection Line (Roo-O-Phona)t 639-4175 Business Phone: 639-4171
Inspection:_ � 1 --
Footing rlbg. Underslab Koch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam St nict. San. Sewer_ Framing -81dq.
Post/Beam Koch. Rain Drain Insulatt.on -Plumb.
Plbg. Underfloor "star Line Gyp. M. -Koch.
Date Requestedt_ l�0 1 �y,J Time.
Address: yLf�„ 11,.y���I�J�Lt7V� Y� �v _ Permit
THE FOLIAMING CORRECTIONS ARE REQUIRED:
1nsFacl otli G_L � -- - Dates.
V/-APPROVED V-_ DISAPPROVED APPROVED SUBJRM To ABOVE
___Call For Reinsp.
IR/P�TION NOTICi 'f�
City of Tigard Building Departaent
13125 an Hall sled. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone)t 639-4175 Business Phone: 639-4171
Inepectiont_ --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino
IN INALt
�. _
Pont/Ream Struct. Dan. Bower Framing
Post/Beam Mach. Rain Drain Insulation _Plump,
Plbg. Underfloor Ma/ter Lina 0". Bd.
[ -lMoh.
Date Requested: , 7L _-'13
-Timet _pN
Addreset L I�V� ,.`r ---iPermit
Builders
77M FOLLOWING ODRRECTIONB ARE R6Qu1RA.?1
AMY
C".1_kg'� th.
=_ae
47
2 c
Inspectors —__ Date: �'-4.
APPROVED/ DISAPPROVItf) _.-- APPROVED SUBJECT To ABMM
( �__...A
G11 For Ralnep.
L►tH�Ic�rlar
City of Tigard duildlog Dept
13125 SW Ball Blvd. Tigard, Ors9tm 07223
Inspection Line (Rae-O-Phons)e S39•4175 Business Phones 639--4171
Inspec`
Fc-oting P1hg, Underslab Mach. Sough-in 1
kPPr/Wtrlk /
Pound. Plbg. Top out Gas Line /
lIw111.t
Post/Beam Struct. Ran. Bower Framing -Bldg.
tlq.
Post/Beam Mach. Rain Drain InsulatioB
-Plstttb.
Plbg. Underfloor ,)later 'Lin* Gyp. Rd. - h.
Data Rwquesteds �f� r/ / -lei
T14Nt RV
Address
t �/� v ,.
—_-- Peril!
Builder[ ���
TBE FOLLOMItto CrJRAICTTONS APR RRQUIRED: - —
Inspectors.
/
V_APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
-`Call Por Peinsp.
ACTION NartQ1
City of Tigard Building Departmont
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Business Phones 639-4171
Inspections_
Footing Pibg. Underslab Mach. Rough-in Appr/:. lwlk
round. Plbq. Top Out gas Lith FINAL:
Post/Beam Struct. San. Hewer Framing -Bldg.
Post/Boom Hoch. Rain Drain ( (DaYlatipn-) -Plumb.
Lam u— --
Plbq. Underfloor Mater Line on. b, -Koch.
Data Roquaatodt �� Trost
(1 /./ice
Address. ��. 7 (�j pee'fait
Builders 04
THE FOLLOWIIM1O CORD TIONS ARI REQUIRED:
rnepectort
APPROVED DISAPPROVIID APPROVED BDB.sECT TO ABOVE
Call For Reinsp.
I!!SPECTION NOTICE
city or Tigard Building Department
1?125 RW [tall Bl.ad. Tigard, Orugon 9722
Inspection Line (Rec•-O-Phone)s 639-4175 Busineen P ne: 639-4171
Inepectiont_ __--
Footing Plbg. Underalab Mach. Rough-in Apnr/Sdwlk
Found. Plbg. Top Out gas Line lINALs
Poet/seem Struct. San. Sower framing -Bldg.
Post/Ream Hoch. Rain Drain Insulation -Plumb.
Plbg. Underrloor Water Line gyp. Bd. -Mach.
Date Requeeteds� Timet AM PM
Addreaas !/ Q 7 Permit to
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED;
ee
Inspector: Datet �
APPROVED __— DISAPPROVED APPROVED SU"Cr TO AS
Call For Reinep.
insvacT���r c� /7jy�
CUT of Tlgard Building Departsmt
131:5 s11 Wall Blvd- Tigard, Ori 97223
Inspectinn Line (Rec-O-Phonw)t 639-4175 Business Ph�nss 639-4171
Insper_tLon c
looting Plbg. Underslab b, A
4 Appr/Sdwlk
Pound. -
Plbq. Top tr.t
� TINALt
Post/.aestm Struct. San. Sewer
Freeing -vldq.
Port/Deem M061. Rain Drain Insulatitnt
-Pletnb.
Plbg. Underfloor pater Line gyp. Dd. -Mech.
Data RO"Ostadt 6Z
—�4TLNt AM !M
.
Address t Permit
�t
L
Builders
TRR FOLLOWIN4 CfIORS AHE 11P_QiJIRF.C):
Inspectors
-rte--
V--AFPRDVsp —,� DISAPPRC)VRp APPROVED SU&1RC'r ^O ASMX
— call
For Reinsp.
City of Tigard Bul.ldLing Department
13235 ew Ball Blvd. a'lpard, Oregon 97223
Inspection Line (Rea-O-Phone): 63S-4175 duetneae Phone: 639-4171
Inapectiont__ a1
Footing t 3fldeCaleb M@K.h. Rough-in Appr/sdwlk
Frntnd. plbq. ?Op OI1 Gas Line FINAL:
Poet/Beam strvct. Ban. Soar Framing -Bldg.
Pont/Beam Mach. Rain Drain Inaulatior. -Plumb.
Plb,,a. Underfloor water Line Gyp. Rd. -Koch.
Date Requested: 6- _ ��ff--� Times AM
A�ldreeet_ / �� /11i1�2� Permit 1t 3 QQ Z
Builder:
THE FOLLONING CORI.ECTIONB ARE REQUIRED:
Inspect0 t_ / Y,==: Dater�
APPROVED DISAPPROVED v_ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
t„spu�zoN.�IS�
City or Tigard BaildLag Department
L3125 ow Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rar-O-Phone)r 639-4175 Business Phonex 639-4171
Inspection t
Footing Plbg. Underslab Nech. Rough-in 6ppr./Bdwlk
Found. Plbg. Top out Can Line FINAL:
Port/Beam Strum. Bar. sewer Framing --Bldg.
Port/Beam Mach. Ra1n Drain Insulation -Plumb.
Plbg. Underfloor Mater Linty 2 a”. /d. -Mach.
Date Requaisteds. '5 7 J TLm: AN _ PN
Address: 7//Q
Permit
i
nuildert
THR FOLLOWING CORRECTIONS ARR RNQUIRSD:
Inspector -- --- _— Date: - LL
- / -APPR(7VED DIBAPPR(1VRD 11PPROVBp B TO AD R
�X\� Call For Reinsp.
f bJ, 'E!_T_,_ N NOTICE
Cit' of Tigu-A SaUdinq Department
111" All L1-11 r.Avl. Tigard, /begun 97223
tutprr-tion ties 639-AM cusiness Phono: 619-4171
Inspectto'-; ------
Footing 1'lbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam 3trurt. San. Sewer Framing -Bldg.
Poet/Boon Mach. Rein Drain Insulati-on -Plumb.
Mg. Ondictl Neter Line Gyp. Bd. -Mech.
Mg.
Late Requesteds_�-o/���- �� � _Timet A
Address: Li'✓71 nt-/ Permit #s �.. ,0l�
Build.ar. . %
1LE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector: ✓�� �^�� ��
—,.��—— --- ------ -- Date:
__APPROVED DrSPPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinep.
INSPECTION NOTICE `
City of Tigard Puilding ["rtjw.•nt
13125 811 Hall Blvd. Tigard, arequ,% 97223
Inspection Line (Rec-o-Phone)s 639-4175 Bi,alnuna Phone: 639-4171
looting Plbg. Underslab Mech. Rough-in Appr./Sdwlk
Round. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Ream Mech. Rain Drain Ireulation -Plumb.
Plbg. Underfloor Nater L/t"ne 5 Gyp. Rd. -Meeh.
Date Requested:_
Addrese: { �—/ �`` • _ _ Permit
Builder:TIM FOLLOWING CORRECTIONS ARE REQUIRED:
Tnapector:_
APPROVED DISAPPROVED _ _ APPROVED SUBJECT TO ABOVE
Cell For Rr_tnep.
iNSPECTIgN NOTSC_F.
City of Tigard Building Department.
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-O-Phone)n 639-4175 Bueinees Phone: 639-4171
Inspection:______
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
found. Plbg. Top out Cas Line FINALt
st/Beaw ::�h.
ct > San. Sewer Framing -Bldg.
t/eaam Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. -Mach
Data Requesteds .0.;l I Timet
Addrena t 1 (,/� L� Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors
`/PPROVED DISAPPROVED APPROVED St;MTECT To ARJVE
call Pcr RPicnp.
INSPECTION NOTICE
City of Tigard Building Departastnt
13125 871 Hull Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Buoineas Phone: 639-4171
Inspections
Footing Plbg. Un rslab Mech. Rough-in Appr/Sdwlk
i
Found. Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post:/Beam Meeh. Rain Drain insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Hoch.`
!late RequestedtI:p � � Times
Addrees:_���I C� _ � Permit I s
THE P'n1.L0wING 'ORRECTIONS ARE RFQUIREDs
Inspector/:: _ Date:_
"PROVED DISAPPROVED APPROVED SUB.IECT To ABOVE
Call. For Reinap.
w
NS ECTION NOTICE
City of Tigard Building Depart:aent:
13125 Re Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phones 639-4175 Buvineae Phone: 619•4171
Inspect Ion t
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Mg. Tnp Out Gas Line FINALt
Poet/Beam Struct. =8'an wmr Framing -Bldg.
Poet/Beam Mech. ffa-i-n-- D-r&Lnn Insulation _Plumb.
Plbq. Underfloor (-Water r Line on. Bd. /-Merh.
Date Requestedt 3 �il`
T AN PN
Addreset /c-,02
Permit It
Builder:
THE FOLLOWING CORRECTIONS ARE R11QUIRM
d
_57—
I
Inspector: < --- - 3 Lw
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__ Call For Reinap.
INSPECTION NOTICE I
City of. Tigard Building Department
13125 OW Ball Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Buetnees Phone: 639-4171
Ine2ectiont
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
ound Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater/Line Gyp. Bd. -Meeh.
Date Requestedt_ ---.Timet AM Ph
Addre:e:� Pormit 1r�_.��
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIRED,
Inspectors. 1 Date: K �l
` APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
i
Call For Reinsp.
SIGN PERMIT
PERMIT #: SGN93-0011 DATE ISSUED. . . . : 02//05/93
EXPIRATION DATE: rll1()•S/ ,?3
PARCEL. . . . . . . . . . 1S134CB-AP11.4
ZONE. . . . . . . . . . . .
BUSTNTSNAME. . : ANTON PARK SUBDIVISION
SIGN LOCATION. . : 12110 SW ANTON DR
APPLICANT/AGENT: ROGER EDWARDS
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 15.6' X 2.6'
TOTAL SIGN AREA. . . . . . : 31 sq.ft.
WALL AREA. . . . . . . . . . . . : sq.f.t.
WALL FACE (DIRECTION) : NA
SIGN HEIGHT. . . . . . . . . . . 3 ft.
PROJECTION FROM WALL. : 0 in.
ILLUMINATION. . . . . . . . . i NON
DESCRIPTION OF SIGN:
PERMANENT FREESTANDING MONUMENT SIGN. 15.6' X 2.6' = 31 SQ.FT
MATERIALS. . . . . . . . . . . . : MASONARY
EXISTING SIGNS. . . . . . . : 0
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
I�
APPROVED BY:
DATE: 0.2./05/93
Permit No. 56Aj
CITY OF TIC-,ARD
SIGN PERMIT APPLICATION
The a pl-icant herby applies for a permit for the work indicated or a: slva in the
acoonparrying Ply and specifications.
Sz(N LOCATION 121. 10 S .W. Anton Lri ve R_7 ( pp)
NAME OF BUSINESS: Owner : 'j . Niemeyer
APPLICAKC/AGEbrr- Roger Edwards MWMy:The Equity GrouppHotjE: 635-2660
The City of.Tigard imposers an arwwal Business Tax Vai-ch waist be kept current on all
persons 0oing business in the City- Do yru presently have a cxmmient business tax?
YES ( NO ( ) U.I.- Label.
PMPOSED SIGN: ((Iueck as many as apply) --
PERdrr ANERT ( X) FREE IANDING ( X ) FREEWAY ( )
OZNER _UNC ( )
N1 446,J) ' ( ) E3AIZOCIN •
SIGN DUINSIONS: Structure : Irl 6" long x 2 ' fj" high EXPIRATION DATE:
TUM, `TGN AREA (Sq_ Ft-): 1fj-"3-U Vim'r
WAIL AREA (Sq- Ft-): _
WAIL TACE:
ME QiT (Ft)
PRLI7ECTZCxI FROM WALL: �L —
II J14II 1.TION: YES ( ) NO (x) TYPE_-
COPY: Anton Park `
MATERTAIS: M a s o n a r y
E I-SMR; SIGNS: _ N o n e --- �-
414
ACMD9_1RA=E EKCFPTICN: N/A ( APPROVED ( ) HOW t CH . _1
AREA ( ) EEICH ( )
CC[14ENIS: _ The proposal is to constt-uct an entrance monument for
Anton Park subdivision .
P&AMRM D� AL1- sign pezmits mit be aoa�az ed by a scale—
Permit Fee: drawing and plot plan. If work auttvxri-aed raider
Rem iNo: i -,13F0/0 a sign petrit ha.; not beenleted crit1i ninety
l �Y��►� days after the issruice of the .snit the
pA permit
Date: / -- a 7 – 3 shall beoorm null and void.
ET.DC'LRI_cm, PERMIT I 7IU\T I AAI IM RE13JRDED 04TER OF THE
REXXlBTET1: YES ( ) Np` M PERIY AN T AE?rHt3RIZF1) BY THE OWNER.
OUIIAING PM T
RUQUmM: YES ( ) NO (, Appl i nt s Sigrv3ture
4500 S .W. Kruse Wim, Lake Oswego , OR 97035 635-2660
Address 1e �a-r
CITY Of, 'T I 014RD RE L k I P"I Ut. PAYMENT RECEIPT NO.
CHECK AMOUNT v
NAME s MAINLANDER 11'4VEIi'TMF-'N,r*,,) CASH AMOUNT s 100
001"tRF-66 a FILI BOX 661 PAYMENT DATE: a 01/t?7/443
PURTLAND, IIP SUBDIVISION
9W.!0'7---
PURPOSF OF- PAYMENT AMOUNT PAID P0F?Pn('-sF OF LAYMEN AMOUNT PIA I D
I ANT) Uln't APPL SGN93-11
TOTAL AMOUNT POI 00
C17Y F TIFARD CITY TW4 PNG
LUMBIPERMIT
CIT�
COMMUNITY DEVELOPMENT DEPARTMENT _ PERMIT #. . . . . . . MST93-0029
13125 SW HWI Blvd. P.O.Ben 2"07,Tigod,Oregon 97M(5W)6304175
!.'I'TE ADDRESS. . . : 1-2110 SW ANION DR PARCEL: IS134CB-AP 114
SUBDIVISION. . . . : ANION PARK #2 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 114
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . - 1
TY1--'E OF: USE. . . . :SF WASHING 044CH. . . . . . . cl BACKFLOW PREVNTRS. . -0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . 12 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F'IX'TURES--- - LAUNDRY TRAYS. . . . . . .0 SF RPIN DRAINS. . . . . : I
SINKS. . . . . . . . . . sl GKISE TRAPS. . . . . . . :0
I-AVATORIES. . . . . :4 OTHER FIXTURES. . . . . ..0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . s3 WATER LINE (ft ) . . . . c100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . s@
Remarks : PAFH I
OWNER: --------------------FEES--------------
PINNACLE HOMES TIF $ 1460. 00 JH 01/22/93 -
12735 SW GLACIER LILY CIRCLE BPR'T $ 430. 00 JH 01/22/93 -
BPLC $ 40. 00 JLH 01/08/93 93-235430
TIGARD OR 97223 B5PC $ 21. 50 JH 01/22/93 -
Phone 0: 644-4017 SSDC $ 280. 00 JH 01/22/93 -
PARK $ 500. 00 JH 01/22/93 ---
Plumbing
VIlumbing Cantractar: MPRI $ 43. 50 JH 01/22/93
MPLC $ 10. 88 JH 01/22/93
-
Name : C)rll"
M5PC t 18 JH 01/22/9:3
Ad d r P s PPRT $ 147. 50 JH 01/22/93
City : P5PC $ 7. 38 JH 01/22/93
Zip:_ P wo- i T
Reg #:
REUUIRED INSPECTIONS ------
This permit is issued ss..tbject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Frost/Beam Struct Water Liiie Insp
other applicablo laws. All work will be done Post/Beam Mechan Appr-/Sdw1k Insp
in accordance with approved plans. This PIm/1-tildslab Insp Mechanical Final
permit will expire if work is not started PLM/Underf I oor Plumb Final
within 180 clays of issuance, ar 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
I
ALI inrized �19u._mbjng Contractor Signature
Call for inspection 61-:j9-4175
Contractor Notes:
CI`Y OF TIFA RD TCMff�O-F 707
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
1.1126 8W Hell Divd P.O.Sam OW,Tiqwd,Ongon VW(SM)6W41 75 PERMIT #. . . . . . . .. IvIST93-002L)
639--4171 DATE ISSUEDa 01/22/93
SITE ADDRESS. . : 12110 SW ANTON DR PARCEL: IS134CB--AP114
SUBDIVISION. . . . I ANTON PARK #2 ZONING:
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . .. 114
BUILDING
REISSIJEuMST92-0268 DWELL1140 UNIT*S% J BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS.13 GARAGE. . . . . . . . . . 1440 sf
TYPE OF USE. . . :SF FLOUR REQUIRED SETBACKS-------------
TYPE OF' CONST. :5N FIRST. . . . :94L sf LEFT. . :3rD ft RIGHT. : 15 ft
OCCUPANCY GRP. :R3 SECL)ND. . . .- 1019 sf FRONT. a20 ft REAR. . : 15 ft
STORIES. . . . . . . :2 TH I RD. . . . :0 sf REQU I RED--,--
HE I GHT. . . . . . . . :29 ft TfITAL-------- 1961 sf SMOKE DETECTORS. sY
FLOOR LOAD. . . . :40 psf V iLUE. . . . . 98126 PARK ING SPACES. . : I
Remarks: PATH I
------- PLUMBING --------------------------------- -
SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . - I TRAPS. . . . . . . . . . . . . . :0
T'UB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . e3 SEWER LINE (ft ) . :O GREFISE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . - IQ.,0 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : I
MECHANICAL FEES —._---_.-----_..._
FUEL_ UNIT HIRS. . :0 type amoi.Ant by date t,ecpt
/GAS/ VE14TS . . . . . :0 TIF f 1460. 00 JH 01/22/93 —
MAX INPUT:0 BTU VENT FANS. . :4 BPRT 1 430. 00 JH 01/22/93 —
FURN ( 100K . . - I HOODS. . . . . . al BPLC $ 40. 00 JLH 01/08/93 93-235430
FURN ) n100K . . -0 WOODSTOVES. :O B5PC $ 21. 50 JH 01/22/93 —
FLOOR PORN. . . . :0 CLO DRYERS. : I SSDC 1 280. 00 JH 01 /22/93 —
BOIL/CMP ( 3HPi@ OTHER UNITGLI PARK $ 1500. 00 JH 01/22/93 —
GAS OUTLETS: I MF)R T $ 43. 50 JH 01/22/93 —
Owner-: $ 10. 88 JH 01/22/93
P114NACLE HOMES M5PC $ 2. 18 JH 01/22/93
12.735 SW GLACIER LILY CIRCLE PPRT 1 147. 50 JH 01/22/93
P 5 P 7. 38 JH 01/22/93
TIGARD OR 97223
Phone #- 644-4017
Contractor: --------------------------------
PINNACLE HOMES
12735 St-,, GLACIER LILY CIRCLE
TIGARD OR 91223
Phone #t 524-4711
Reg #. . - 16177 _ — -
----------------------------------
$ 2942. 94 TOTAL
This pervit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of D". Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All wirk will be done in accordance with approved POSt/Bealll StrUCt Gas Line Insp
plans. This pervit will expire if work is not staAed within 188 Post/Beam Mechan Insulation Insp
days of issuance, or J work is suspended for ear@ than 180 days. Plm/undslab Insp Gyp Board Insp
PLM/Under-f I ciov, Rain drain Insp
Pet-Iffittee Siqnatl_(re: Mechanical Insp Water Line Insp
Plumb Top Out Appr-/Sdwlk Insp
Issued By : l—e- - Ft-aming Insp Mechanical Vinal
Gall fq;-
------------- —
CITY Off' TINA RD Cffy SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT ORNOW PERMIT
131268WHOBlvd. R0-80K7W.Ti0NM,0nWn 97M(6W)6*4176 PERMIT #. . . . . . . j GWR93—CA026
639-4171 DATE ISSUED: 01/22/93
SITE ADDRESS. . . i 12'110b SW ANTON DR PARCEL.; IS134CB—AP114
SUBDIVISION. . . . : ANTON PARK #2 ZONING-
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 0114
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL I NG UN I TS. . : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS il
I NSTALL TYPE. . . . :NUSWR IMPERV SURFACE:. . : f
Remark a : PATH I
Cjwnev-: FEES --------------
PINNACLE HOMES type amoLtnt by date t,eept
12735 SW GLACIER LILY CIRCLE PRMT $ 2100. 00 JH 01/22/93
INSP $ 35. 00 JH 01/22/93
1IGARD OR 97223
Phone #: 644-4017
f- ontracturi ----------------------------------
L.ONTRACIOR NOT ON FILE
-----------------------------------------
rflone #: $ 2135. k:0 TOTAL
-------- RE.UUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer-, Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency gill install a lateral.
Permittee 5igT1at'."r-r- :
ss red By -.
Call for inspection 639-4175
crry
OF
T�( tiAu125SWIWlIINd. PLNCK/14LC1 #11.GARD PERMIT # �,� :• ���-
COMMUNITY DEVELOPME.Yr DEPARTMENT Tigard.Oregon 01113
(503)639-111 DATE ISSUED
JOB ADDRESS:
I I !) j�t1 rd /L/ y N .-- TAX MAP/L0 I _/ _� 3 9 r- --
SUB: AA)T0,00 AVd4' IE LOT: rl — LAND USE:VALUATION: _,�� .!✓ - --
OWNER SPECIAL NOTES
NAME: ---- h c.-ec F -�-� '���_ `' REISSUE OF:
ADDRESS: G�4 c; Z LAST REISSUE: ---
�_ Z Lam _ _. FLOOD PLAIN/
PHONE: 2.
5�_ SENSITIVE LAND:
CONTRACTOR APPR4VAlS._ RE_QU I REO
NAME: -__-- ?J '"� C- __ PLANNING:
ADDRESS: _ ENGINEERING:
FIRE DEPT:
PHONE: _ e --_ __ OTHER: —
CONTR. BOARD #: �� 7 — EXP DATE: la,V6_
� / � / ITEMS REOUIRED
SUBCONTRACTORS: PLUMB: /�J�-CI IC y, LIST/SUBCONTRACTORS:
MECH: _S �- BUS TAX: - --- --- -- ---
ARCHJENGINEER CALCULATIONS:
NAME: A4 A S C o � i- TRUSS DETAILS:
ADDRESS: -- -- — OTHER:
PHONE:
PROPOSED BLDG. USE: XC /'S -sy) /.Z �` 5 �l"� �ZI n �—E/ _
COMMENTS:
Z4
APPLICANT SIGNATURE
Received gy: ' �__.�� Date Received: )-R -3 _
PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. ,RAL. DUE
M qY-o 4t 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees S"v 03- )v
10-230 01 State Building Tax (5%) [
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing _
Mechanical JV, %
10-230 06 Fire
AJIM3. oU 26 30-202 00 Sewer Connection d�) �✓U _ ?Loo _
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-449-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL- —L"
t
nm/3587P.WPE
— —^'--- —�—�- --`—�------- -- -' — — - -- -' -- -- ---- -- -- -' — l
°
~ |
/
CITY 0E- T1GAkD — HECLIPT OF PAYMENT HECLXPl W. o93—�'35904
CHEC ( AMOUNT o 5037. 94 �
NAME w P114NACLE MOME13 CASH AMOUN[ o Q1. 00
ADDR��� o PAYMENT DATL : 0 1/22/ A` |
8UBD IV%G{QN w
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMEM[ AMOUNT PAID
'--------------'----- ------'------ ---'---'--------'---- ----------'---
BUILDING PERM 430. 00 PLUMBING PERM 147. 50
M�CHANICAL Pl. 43. 5O 811 . BUILD PER 31. 06
PLAN CHECK FE 10. 88 SEWER USA 2100. 00
GFWER INSPECT 00 PARKS SBC 500. 00
' �T��� DRAIN SOC �8@ m0 �ESI�EMT1��� TRAFFIC FEES 135� 00| ^ ^ �
MASS THAN5%T TIF FEES 110. 00
�
|
#wTON PARR 22 LUT #114
| i2itO SW ANTUN 0R
i (
TOTAL AMOUNT PAID — — — —> 5037. 94
� |
i
CITY OF TI6ARD RECEIPT OF' PAYMENT REC:E:Ir,"T NO. :93--035430
CHECK AMOf JN'C m 40. 00
NAME P I NNACL.F' HOMES INC I:ASI 1 AMOUNT ra. 00
'41)DRF96 s 12735 SW G1_nC-tC:R LILY CIRCLE IAYMF.NT Dn,CE a 01 ot'A/93
WARD, OR ,41BDIVISION
%72 c::3--•
PURPosE nF PAYME'N'T AMnUNT PAID PURPOSE OF PAYMENT AMOUNT PA T I)
PLON FE� I-1 5R _...._......_._...40. 00
._._..._�..__...._.._.._..._._....._.�__ . _____ _.�...__.
i
i
12110 SW AN TON DRIVE, LOT 114
RE -ISSUE OF 12465 SW 114TH TE RR
TOTAL AMOUNT PAID 00
i