Case File ADDRESS:
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CERT11"ICATE OF
i rt OF T IGARD OCCUPANCY
C'MMUNITY DEVELOPMENTF, PERMIT 1�. . . . . . . I M.ST93-1057
:i.?&-SW Hell Blvd.Tigard,Oregon 972230131 7 DATE iSGUEDt OP-,'17/C)4
PARCEL: 18134CB--1,+40.A
:jlff-- 0017RE56. . . - 1c 1.f. 3 SW ANTON DR
SUBDIVISION. . . . I PN11,0N PARK 11 7 ON I Will R.- 7 PD
BLOCK. . . . . . . . — A LOT. . . . . . . . . . . . . t071
r`L(--4 r-3 3-" OF' W- -0-R-K-, t-4-E W
TYPE OF USEE. . SF
WXUPANCY GRP. vR3
OCCUPPOCY LOAD:2E3 4
TENANT NAME. . . t
Pimarks : PATH I
Owners
PtNNACLE 1-TOMES INC
12735 SW GLACIER LILY LIR
riopRv UR 97223
Phoria #u 524--4711
Lontt,actort
PINNACLE HOMES
12735 SW GLACIER LILY CIRCLE
TIGARD OR 97223
Phalle #1 5&14 -47111
Reg #. . 1 16177
Dect.tpanry of the above rofero-enced b,iilding to hereby given, and certifies
the compliancp with the State Of Oregon SpTcial+,y Codes for the group,
occupollcy, and use under which the reft,,encec2 permit was issued.
D NG IN ECTf'R
BUILDING OF-PICIAL.
POST IN LQIWr;r%-V'UOUG PLACE
11-IRE—MiVN NOTICE
Citj of Tigard Building Departsant
1312S BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inaoection•_ --.-_—
rooting Plbg. Underslab Hoch. Rough-in �, Appr/Sdwik
Found. Plbq. Top Out Gas Line
Post/Beam Struct. San. Sewer Framinq
Poet/Beam Mech. Rain Dain Insulation -Plumb.
Plbq. Underfloor Water L e Gyp. Rd.
Date Requested:__ U Time: AM PM
Address: 0� ILIL�'1'i�t CJri LCs \ Permit 1: �Y y /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors 1./- —_Y:,. Date:
i /APPROVED DISAPPROVED RPFROVFD StlBJECT TO RBr.E
��\ - Call For Reinnp.
jffqLzgT10r4 NOTICE
.lit? or Tigard Ruild1mg Departrent
13125 SN Sall Blvd. Tigard, oregon 97223
Inapw:tion Line (Ree-O-rhone): 639-4175 Busi.ness Phone: 639-4171
Inspection.-_-------
rooting Plbq. Underslr: Hoch. Rough-in Apr/Bdwlk
Found. PZbg. Top Out gas Lin.N fIN,11Ls
Past/Beam Struct. San. Bawer Framing –H1d9•
Post/Beam Hoch. Rain Drain Ineuletion -plumb.
rlbg. Underfloor Nat r L e'w� Gyp. Rd.
Date Re- Aesteds `-� �Z, —
Av
ddress: 3 cl _ Penait f■" `"' `/✓_ ✓ ��
Builders --- �-- _----
THE MLLOWING Qop"cTIONS ARE A.EQUIRED:
. - o
Ci
,/V`�hAz
JL
1�v c
Inspecte Dates '� 1
APPROVED DISAPOROVED APPROVED tSt)6JECT TO ABOVE
,Call For Reinsp.
08-16-1994 i1:23AM FROM Pinnacle Homes Inc TO 6847297 P.01
MEMO TO. ----.DATE- �----�
NO.OF PAGES
COMPANY: �_ _riN LUD.ING THIS PAGE
rt t_<_A_ 1 Z /�3 3 W err, 1!>-
HOMES enc
f
WALTON L WITTKEBuIldow ' nn /
Conittuction Sohwarr.
12735 S.W.warier Uly Circle
Tlgard,OR 91223 vvv--- vvv
(503)524.4711 QIK
(CALL DEFORE FAXING)
THE FOLLOWING
DOCUMENTS
ARE OF POOR
ORIGINAL
QUALITY
06-16-1994 11:23RM FROM Pinnacle Homes Inc TO 6847297 P.02
0E1 93 04.31Pn'BUILDING CODES
P.2 ' .
OREGON.M ECHANICAL OFFICIALS AS5'QCiA-n0N
P. 0. P()x 20216 M: , ;EW
Keizor, OR M07-0216
307-0216
.. .. YY��}}{{��TT 37• -{/7W,• `
MWOOd SC$ANICAL OPPICLIL,S ASSOCTATION
CctobAr 11 , 1993
C kwj TC
Thei�"Vti l was c4lled to order at 9:38 ,AM by Pre3ident
A i ;= ' Hearts V*68 dnt : Provident Feglee: tat vice Pre ldent
Pred,Ident/Treasurer Stewart; Secretary
4 re
arltsta' $fe'�s0>c�t: 2
-- I
IPIeSDV —W' �.i
XiA44 -til; �ht •Pre�►,lOus Meeting were apprr--ed as wz t ten.
fir;r 'S - .me t a, the cc:r.-t bulance, w.!t:: dep.'s its troll
the . �inrol�,.' �t fee., ae $L-3 , 5:;7. 6A . i
CODE..DO M38— Mike rPsle,� -e --,rted on the outcc.at of our
-pr s_ �4a chiR9es,
as submitted to 1CB0,
�t �ti�c sluX this year and cniy had r,;ie o,' your
Hipp . ' .:
7 70-
t*rr *. :,._., i4lttQ Alsp4 attended the ASN, and reported
c6410 o! issues. The first, concerned t:1N
i1 >ttt�` that, :ltCtory built chimneys m+est be stipp,rted a-:lt'arva;ls. t%is revision was den;od.
The 4946 6' t!bX**'Aad the ad,31tIrr, of language ;o have
' !4 � �L►teye insta?led to manufactures instrsciionis ,
y field assvmbied and have n-3 1+5::,ing or.
in,atF^►r '�3odd. !� revisirin wan denied .
7 .
W***!] tnW---C*ntiftU4d with a disc+. ,111011 of the proposed nergs:- '
b� . IA1a, ld I�Sd. At the AE% s of both ozgar.!zaticns
i'6601 4f� ' wereps+.s$ed that indicate a lilt cf wort r_eee to -
b! 0et11f+b re then mtrge r will happen_, =1 at all . +
AF'fEIRNATfON1LL C.,NFWRF_VrE OF 3U!L,INc,•C�FFI�.,ALS 91ti�;Z- ':1974 I
NOV 04 '9' 04:31PM 9U1LDin% L''L zn r_1•.
I I•
t�.1ti1p �i0`'be
Dale Bell informed the mem that anew 4 Ctln 8.0' W4_•of
formed to be known as Oregon thatir ctherE lwasn��te
America (oRACCA) . He stated 9 . a iC as
a member of our group attend the meeting
having
liaison between the two .
Guy Sperb ougges
tad that tho Cor Devalapment;'C Npi: a tttlk
an apparent discrepancy bet'0 *r� 3
into correcting
regarding the lncaticn of the required disco
mechanical equl.paient
Robert r o! the
Ion, Rick WietinbeCopper. I�evelont '
GUIST S'PEAKERB: Two memand Halle gave the Aga m s .
�►asOcia.tg ear tubing. ;" Th6
short presentation on the u8es of coPP "
Association promotes its proper use. They dxtst;�b:u�.s� _
handout materials that outli�*yd the specifSC��e� a
requirement'" for tubing use3.
They also, pry -
ann 1®s o! pToPrr tubing conreGtxdns and ie3wnti�'leri i _
examples �tSe►d - - -
locations that the individual conneLtiont+ r_an
MDR DISCUSSION-
ve
Fogies brought up the quest,on 4f shut riff .vr�1, - r.pn
hike Fog1 and log ighteret arnc, eihara
conjunction with gas logs ];qve
1oGate®- vial�t+e+F lea►
t Some of the*e appliances
undsr small removab.lF panels in the front • iThq
Visit -
e:o�serxsus e! the members wag if the value urs;. 19 dr ►s
-e-1,11 red no tcole
thatto `)c'� �• —
pmels, Y_
an acGsptleble loeat3on. e
intent!-8d :or USA ill an tsar •n�c1"
maintenance and not a_or,so consistent with the
9ltuation. ?he location
40finAtion of accessib]e as ?Q,,nd zn the cone
>-- :- :a/plane eaxaml�Grs -tit'. —
0a1e Ball wanted to rem i �d the nt- inraa't 1h AL
i�ihQn a furnace is lgcated :n a c.nditionea bawl l vt-_-_• :
.:c .
>eeparata raon and eombuation air is r• ike --; s_
slwmcarats of the furnace space must meet C�,e�t�r 6:i
uixambnts. Louver doors is aGceptabls Only' If
req -
d volume-
basamc area has the require -
e
Dal* Bell qusationed throquto
1re nent for 9-.rapP3n9 .}D
llow duet.s
plates that neva been Cnmplet''lY removeeheralaconaanhts pas .
joist space. The g trap
penetrate Lnty the
that' it the "Fill is not a doeSgove shear emo Jhelates so`.
should ba , Ong enough to croea over the remould F
that a minimum of four nails cuni Qdlwall,aced ith®nsenginoering
framing membere. if ro tr atrgPDi'�9
maj be required to indicate P P
201d L5ZLb89 0.1 WHtb;-':TT V%T-9T-80
3-2. Anchor Appliance in Position.
To prevent shifting of tit,?appliance and to maintain sealing
(described later),anchor the appliance.Two t2)methods are
possible on these appliances.
One(1)method is to use the tour(4)fastening tabs provided SUITABLE
op o,,rER
with the appliance.(See Fig.4.)The appliance may be F+l1TEXINS
secured to the vertical framing members with these tabs anrJ � -
nails ur other suitable fasteners.
The second method uses the standoffs at the front of file
appliance.A Hall may be installed through the standoffs and
into the header to stabilize tho top of the appliance. _
(See FIs.4.)
3-3. Connecting ths)Gas Line.
The appliance is designed to acCapl a 1122 inch gas line for an
approved gas appliance.Have the'tine installed by a oualified NL TOP brag
service person in e000rilance with all building codes,Gonsuit SPANTorrs
local building codes m propirty size the gas supply line NwDIL UO)of
leading to the 112 inch tw^k-up at the unit. rAVMWGT+a
Gas access holes are provided on both sides of the
appliance. - se,.
Check gas type. Use only the gas type indicated Ln the Fig. a Fasten appliance in position using the fastening tabs
VL21N1.21 LP appliance rating plate. If the gas fisted on the or top standoff.
plate is not your type of gas supply,DO NOT INSTAt.L.
Contact your dealar for proper model. 3-4. Electrical Connection.
Always use an external regulator for Sit LP SMAR( eS to The VFG96 with optional tat)requires 120 VAC electrical
reduce the supply tank pressure to maximum of 14'w.c.This t+cx*•up•
is in addition to the r%ulator filled to the heater_ CAUTION:At F WIRING(SHOULD BE DONE BY A
WARNING;CONNECTION DIRECTLY TO AN OUALIFIED ELECT111CLAN AND SHALL.BE IN
UNHEGUUITED LP TANK CAN CAUSE AN EXPLOSION. COMPI'ANCE WITH ALL LOCAL,CITY AND STATE
Always install a sediment trap.Refer to Fig. S for possible BUIL.D!NQ CODES.BEFORE IAAKING THE ELECTRICAL
configurations. CONNECTION,MAKE.SURE THAT MAIN POWER SUPPLY
19 DISCONNECTED.THE APPLIANCF,WHEN
A manual shutoff valve,flexible tubing and all necessary INSTALLED,MUST BE ELECTRICALLY GROUNDED IN
fittings are furnished with the appliance for final connection of ACCORDANCE WITH LOCAL CODES OR,IN THE
the VL211V21LP gas log heater to the gas line.See Section ABSEWCE OF LOCAL CODE.9,WITH THE NATIONAL.
Send Fig IS. ELECTRICAL CODE ANSVNFPA.70(LATEST EDITION).
� >
45J sm-
/ �T"-
G 1BI+1? E 236*
L •
frn
F 41'
e•
31s• 3•f Irl« 37�4- E
i 2c1 17
—�--Pr
GAS UNE rs y�• 1_ t — —�' 'rT EI EcTriicr�
ACcEss HOLE ACCF'3S
ttloTtt sates) -
Fig 3. Appliance dimensions.
. i• •' r,t�
t"O'd L6i?L1789 out s4111toH at oguutd Wndd WHS(7:T T t,66T-9T -n
50'd �i101
!M
REPLACEMENT PANS
Fireplaces
3
.47
s
Ila
MaJescic reserves the right to make changes at any time,without notice in design, MMESTIC.
materials,specil'icatlons,prices and also to drsoontinue colom errd products.
VF36NFC36 COMPONENTS
Item/Model Number Part Number
1. MOOD
VH36MK(BLACK) 24-99-100
VH36/PB(POLISHFD BRASS) 23-29-100
2. SCREEN ASSEMBLY
3. ACCESS DOOR(2) ��----- ^— ✓� 53-15-107
4. FLEXIBLE GAS UNE MTN VALVE A Ff'TTt4dG u 75-48.226
S0'd L6z!Lt1-89 01 :iui sawc" alJpuutd W40dj WHSC:TT b66T-9T-80
j1KSPF9TI0N NOTICE
city or Tigard Buildlnq Departasnt
13125 811 Hall Blvd. Tigard, Oregon 97223
InspectiOU Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk y
Found. Plbg. Top Out One Line 1I1111LI
Poet/seam Struct. San. Sewer Framing F �l
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plhq. Underfloor Water Line(f Gyp. Bd.
Date Requested: `y, /� —__Time: AM PN
Addreea: L(���f�%w Ayozy/\� rtPermit #t WT 13,06-
Builders
3Builderll�Vv�c t (yJ� `7Ly- `I711 � 571
TM IOI.LOWIMD coRmcTION3 ARE REQUIRED:
CA
VAA(I
n A- _
Date-
Inspector:. __
APPROVED _ VDISAPPROVED APPROVFD 9UBJECf TO ABOVE
n��� -Call For Reinsp.
1
�pSPP.CTIOM NOTZCE ,,_�__ z=
City of Tigard Dulldiug Dap-''tawrit
13125 aQ Ball Blvd. Yigard. oregon 97223
inspection Line (Rec-o-Phonel: 639-4175 Bueineee Phone. 639-x177
Inspection:_-----.._-------_.�-- — — —
Panting
Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Round.
p1bg. Top Out Cao Line FINALt
Poet/Beam e -Bldg.
Struct, San. Sewer Framing 9•
poet/Beam Mech. Rain Drain
Insulation -Plumb.
Plbq. Underfloor rH�ater Line Gyp. Bd.
-Mech.
Date Requested'
C _ -q 4 __T I. _ AM PM
_� 1 ,�\\ fn]✓1 1 ,^ �-y� -- me
Addreaas_1 /l� `J�1 rlr ' �_�Pner�m-it
BuIiders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepector. —, / Data.
--� _
i -/
APPROVED DISAPPPOVRD APPROVED SDXMrT TO ABOVE
Call For Reinap.
_---...__......__..._...._
t
` ��SCfION WC1fICE �
City of Tigard Bullding Iwparts'eot
131.25 BN Ball Blvd. Tigard, o'regon 97223
�. �spection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
ton:—__ -- �.
` plbg. UnAarelab Mech. Rougb-in ( Appr/Sdalk
` Footing `•�c:�ar. -
To Chit Gas Line FIMAL:
Found. Plbq. P
Post/Benin Struct. San. Sewer
Framing -Bldg.
{ Post/Beam Mech. Rain Drain
Insulation -Plumb.
Plbq. Underfloor Water Line DYP•
Rd. -Meeh.
Date Requested:
1Wdresa•
Permit t: ,/
Builder;
TME FOLLCW�lING COMPAMIONS ARE REQUIRED:
n Sf l / � ! •� r - C. L 1
f ,'r
-1 - -
Date:__J_�
AFPP/FRRDVRD DISAPPROVED APFROVED SUBJECT TO ABOVE
call For Rainep.
INSPECTION NOTICE.
City of Tigard Building Department
13125 nil Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineoa Phone: 639-4171
Inspection V _- -------- - ------- -.. —
Footing Plbg. Underslab Mech. trough-in Appr/sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing •-nldg.
Post/Beam Mach. Rain Drain Insulation -Plustb. r
Plbq. Underfloor water Line Oyp. Ed. Neth•
Date Requested: cX -2 - 7 n Timet AM `J PH
Address: Ad-h-, 3 /fin�� `��_ POOR#t
/� Ze &2y !w S 7�9- 0 6� O
Bu i leer: i Y7»oc.C -
T= FOLLONIM CORRECTIONS ARE REQUIREDt
i
I
i
I
InrIoector: _ nate: 6 /
APPROVED -_ DISAPPROVED APPROVED SUBJR(-r TO ABOVE
yell
For Rainep.
J—HSPECTIO- N QTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FI:'AL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rein Drain tin -Plumb. 1 ,
Plbg. Underfloor Nater Line Gyp. Rd. _Mach. �A
�' `� `�
Date Requested:- _ycZ _�T,,ime: AM PM
Addraess �' � �J7]�C�rJ lX. - pe~rmit ir_ =(
Builder:_L Pi -7 YJ ci C --LL'—_
TRE FOLLOWING CORRECTIONS ARE REQt:IRED2
Inspector:
- APPROVED _ "SAPPROVED _.---- APPROVED SUB.7EC[ TO ABOVE
For Reinnp,
J
INSPECTION NUTIrE r /J
City of Tigard Building Departaent
13125 SB Hall Blvd_ Tigard, Vregon 97223
Inspection Line (Re:c-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Unairelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Bsam Struct. San. Sewer Framing -Bldg.
9•
Post/Beam M4-:7h. Rain Drain
In`nssulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Koch.
Uets Reyuaetllecl:_` _ "t e`_—^ Time= AM N_PM
Address:�c�1�C .j �PsJ'cmit I: .� 2_T_Z_/
Builders �-�
E r
� / 7
THE FOLLOWING OORRRCTIONS AM REQUIRED:
f to 4, od_--�42./
/Ier /
-- w
- '�-�—f SGA•-�_ �r �-��
-_
Inspector• Date:
—AN ROVED DISAPPr.OVED _-APPROVED SUBJECT TO ABOVE
—.—Call For Reinap.
INSPECTION NOTICE
city of Tigard Bulldlnq Departs t
13125 w Hall Blvd. Tigers), Oregon 97223
Inspection Lina (Rec:-O-Phona)t 639-4175 .1usiness Phone: 639-4171
Inspection:__ =y-1-x�/�_- f� at:e2,
Footing Plbg. Underslab C h. Rough-in ,,'11ppr/Sdwlk
Found. Plbg. Top OutL FINAL:
Post/Beam Struct. San. Sewer r n -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lin//e > / Gyp. Bd. -Mach.
Data Requested: CO / �/ Time: AN PM
Address: Permi�tr�t 9j-- 05 7�
Builder: 1` comic ( / 'cl1_CI �.Z✓=9U��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
��1/�,5�-y�C � Rte, ✓� Z�.�-/ "�"
TS-U 7 I C :e rrc.-, C_-e
Inspectors `� �c _._ �'-�--- Date: tl ___t, I,
APPRO'VE'D DISAPPROVED __APPROVED SUBJECT TO ABOVE
y ^` Call For Reinep.
..�-._..•.L.e.•.w.. �_ , . _.
�I�ECfION NOTICE <-`�
City of Tigard Buildlog DepatlSa�nt
13!25 BW Nall Blvd. Tigard. Oregon 97223
Inapection Lino (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ v __
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL-
in Struct. San. Sewer Framing ) -Bldg.
Post/Beam Mach. Raln Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Cyr. Bd. -Mech.
Dato Regi:ested: _ _Time: _iAN !._PH
Permit 1sMT-13_'_0671
Builder:. P) Y1'k4j.?_���TTTVYti�S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IL
f
d
Inapector:
APPROVED DISAPPROVED ✓ APPROVED SUBJECT To ABOVE
Call For Peinnp.
Mutq'for
City of Tigard Building Departmant
13125 SK Ball- Blvd. Tigard. Oregon 97223
Inspection Lino (Rec-o-Phone): 639-4175 Business Phone% 539-4171
Inspection:` -- - -�
footing Plbq__Dederslab Hoch. Rough-in Appr/Sdwlk
P1 . Top Out Gas Line FINAL%
Found. b4
Post/Beam struct. San. Sewer Framing -Bldg.
post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Onderflocr Fater Line (/ Gyp. Rd. -Koch.
---AM — _PH
Deco Requested):_(_
Aldress:�p�`S:'�..._1 " r7 J✓ `M171t ft _�j��/
Ru'lder=ILLI s. :ly—_
THE FOLLOWING CORRECTIONS ARE REQOIRED�--
— .���__.-.------ Date:
Inspecto/r:_ --_
_APPROVED DISAPPROVED _ APPROVED aOB.7ECT TO ABOVE
Call For Reinsp. i
J.KfgPECTION varicz
city of 111.9ard Building Departumt
13125 M# Ba Ll Blvd. Tigard, Oregon 97223
Inspection Line (Rec_O-Pkone)s 639-4175 Business Phones 639-4171
Iumpections — -
Footing Plbg. Underslab Mech. Rouyh-in Appr/Bdwlk
round. Plbg. Top Out Gas Line lINALt
rOst/Bene Btsypt-�Ban. sewer Truing -Bldg.
st/Bene Neoh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Natwr Line Gyp. Bd. -Kw-,h.
Date Requested& '1 I) -'14
Tines AM PN
Address* 2 1 ��5 Xp41` t-Y\ /Or 1 1/ Permit #i �.C)LI L
TNM /OLLONING OORRECTION8 ARE REQUIP50 1
Inspector. V, Datee_
APPROVED DISAPPROVED APPROVED RUBJECr TO ADWS
` � call For Reinsp.
v(,.
city or Tigard Ba-lding Department
13115 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (per
I-O-Phons): 639-4175 Business Phone: 639-4171
Inepectian:�,
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Seem Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line ayp. Bd. -Mech.
Vats Requested: 6.l_ ` / 'Pitot L�7AMG� r Pq
Address:_ Z1 "' �\J � � Ns71it #s ✓1 l (�
�Builder:_ 1
THE ForaoWixa MRRECTIONS ARE RE()UIRED2
i
Inspectar: " ' _ Dater 2—
APPROVED
APPROVED hI8APP ovaD APPROVED SUBJECT TO ANOVE
Cell For Relnep.
T.NSP6CPIOU NMICZ
City of Tigard Building Departaseot
.13125 SW Ball Blvd. Tigard, Oregon 97223
Inspec*ion Line (Roc-o-Phone)s 639-4175 Business Phone% 639-4171
Inspection=
rooting Plbg. Urderalab Ko-,h. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL=
Post/Beam Struct. San. 8r !rasing -Bldg.
Post/Beam Koch. ` in Dia Insulation -Plumb.
Plbg. Underfloor Nator Lino Gyp. Ed. -Koch.
D'Ite Requested=—� Time: AK PK
Address% L �r3 424 . I%rt I
Builder=_
TEM FOLLOWING CORRECTIONS ARE REQUIRED:
Inspe�K_
Dst11PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
----Call For Reinsp.
ItiPECTION ffmicz
City or Tigard Building Department
13125 ON Fall Blvd. Tigard, Oregom 97223
Inspection Line (Ree-O-Phones 639-4175 Business Phones 639-4171
Inspections__ _
Footing Plbg. Under.alab Hoch. Rough-in Appr/Sdwlk
_t d. / Plbg. Top Out Gas Line FINALS
Post/Beam struct. San. Sewer framing -Bldg.
Post/Deem Hoch. Rain Drain Insulation -Plumb.
Plbg. UntlerrloorMet r Line Gyp. Rd. -Koch.
Date Requestedt c L Times
Address s4__ (! )2 ��7_ rf1r�- Permit II
7�
Builders
TSR FOLLOWING CORRECTIONS ARE REQUIREDt
`/_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
For Reinsp.
kill.p$CPION NOTICIS ( /
Citi of Tigard Building W:pattaoot
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: — —
/ootid �/ Plbg. Underniab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Bea: Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line A Gyp. Rd. -Hoch.
Date Requested: /I \ ` ` - 1 1 Time: AN !M
Addrewa:�Z I LO ( T Permit #:'�3 '" O
Builders C) /�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_
i
Inspector:_ - Date:
---APPRrMND —_%- bTSAPPROVED _ lI PROVED SUBJECT TO ABOVE
-( 11 !�_ winsp.
INBpE _#�I.4�
City of Tigard Building Depart7w"mt
13125 Bw 010.1 Blvd. Tigard, Oregon 97223
Inspection Line (Roc-D-Phone)s 639-4175 Business Phonot 639-4111
Inopection I
ting PLbg. Underslab Hoch. Rough-in Appr/Bdwlk
round. Plbg. TOP OJt Gas Line IINALs
Post/Beam Bt.ruct. Ban. Bower framing -Bldg.
Post/Beam Mach. Rain Drain Insulation --plumb.
Plbg. Underfloor Nater Line Gyp. ad- -Koch.
Date Requested
Address Permit
Builders___ --
TIM FOLLOWING C0RRECT70NB ARE REQurREDs
Inspectors _ hates
APPROVED DI9Ap7R0VED APPROVED BUR"CI TO ABOVE
Call For Reinap.
CITYOF
TIGARDMASTER PERMIT
PERMIT #. . . . . . . . M5T93-057 i
(COMMUNITY DEVELOPMENT DOAF M-&T DATE ISSUED: 12130193
13126 SW 0411 Blvd.Tigard,Oregon 07223.8109 (603)639.4171
PARCEL: 1S134CB--14400
SITE ,ADDRESS. . . : 12163 SW ANTON DR
33UBDIVISION. . . . a ANTON PARK II ZONING: R-7 PD
I3L.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . :071
�__.-.--•----.TOOT___.---_._____.____ ._- BUILDING -----------------------------------------
REISSUE:
----------------•----_------.-_-_-- --_REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NE.W BEDRMS:3 BATHS:3 GPRAGE. . . . . . . . . . :400 5f
TYPE OF !_ISE. . . :SF FLOOR AREAS- ------ -- REQUIRED SF_TBACKS-----------.._.
TYPE OF CONS i . :5N F I RST. . . . :966 sf LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP'. -.R3 SECOND. . . -839 sf FRONT. :20 ft REAR. . :64 ft
STORIES. . . . . . . :2 THIRD. . . . s0 sf REQUIRED--------------------
HEIGHT. . . . . . . . .2�-, ft TOTAL-.------: 1805 sf SMOI',E. DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $s 90230 PARKING SPACES-s1
Remarks: PATH I
------------------------------------ PLUMBING -- ------------------------•---.-__----_
SINKS. . . . . . . . . . : 1 FLUOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE: (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : !
---------------- MECHANICAL -__- __ _________.__ _----------___.TOOT FEES
FIJE1 TYPES---------•-- UNIT HTRS. . :O type amount by date recpt
/5AS/ / / VENTS . . . . . e0 TIF $ 1520. 00 JH 12/30.'93 - i
MAX INPUT-0 1310I VENT FANS. . :4 BPRT t 406. 00 JH 1 :/30/93 -
TURN ( 100K . . : I HOODS. . . . . . s ! BP'LC t 263. 90 JLH 11/05/93 93--245766
FURN ) =1.0UK . . :0 WOODSTOVES. :O B3PC t 20. 30 JH 12/30/93 -
FLOOR TURN. . . . :O CLO DRYERS. : I SSDC t 280. 00 JH 12/30/93
BOIL/CMR ( 3HP:0 OTHER UNITS: 1 PARI; t 500. 00 JH 12/30/93 -
GAS OUTLETS: ! MPRT t 43. 50 JH 12/30/93 -
.: -_--.--.-_--------------------- ------ _..
Owner MPLC t 10. 88 JH 1 '/30/9�
PINNACLE HOMES INC M5PC t 2. 18 JH 12/30/93 -
12735 SW GLACIER LILY CIR PPRT t 132. 50 JH 12/30/93
P5PC t 6. 63 JH 12/30/93 -
TIGARD OR 97223
Phone #: 524-4711
Contractor: --------------------_----.------
PINNACLE HOMES
12,735 SW GLACIER LILY CIRCLE
TIGARD OR 9722223
Phone #: 524-4711
Reg #. . : 16177 .----_-____-_________TOTAL-----------------
t 3185. 89 TOTAL
This perait is issued subjert to the regulations contained in the ------- REQUIRED INSPECTIONS ------
Tigard Mucic,pal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
i applicable laws. All work will be done in accordance with approved Post/Beam Stv-ur-t Gas Line Insp
plans. This perait will expire if work is not stArted within 188 Post/Beam Mechan Insulation Insp
days of issuance, or if work is sur-perded for sore than 188 days. Plia/undslab Insp Gyp Boar-d Insp
PLM/Underfloor Rain drain Insp
Permittee Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By : _ `�"`" tel%"� �` L�r Framing Insp Mechanical. Final.
Call for, inspection - 639-4175
1
SEWER CONNECTION
CITY OF TIGARD PERMIT
PERMlT #. . . . . . . : E-WR93-0494
COMMUNITY DEVELOPMENT Dt0AFjtAt1kT DATE ISSUED: 12/30/93
13125 SW H*II Blvd.Tigard,Oregon 9722306199 (503)630-0171
PARCEL: 1S134CB-14400
SITE ADDRESS. . . : 12163 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :071
_--.-----.-----.----------------_----------------------------------------------•-------•---..
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CI..ASS OF 14ORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF SU I LD I NGS: 1
INSTALL_ TYPE. . . . :BUSWF IMPERV SURFACE. . . : sf
Remarks : PATH I
Owner: --------------------------------------------------•------ FEES
PINNACLE HOMES INC type amount by date recpt
12735 SW GLACIER LILY CIR PRMT $ 2'200.1. 00 JH 12/30/93 —
INSP $ 35. 0@ JH 12/30/93
TIGARD OR 97223
Phone i/: 524--4711
Contractor: •------------------------•------•—
CONTRACTOR NOT ON FILE
Phony- H . f '2.235. 00 TOTAL
Reg #t. . .
— -- --- REQUIRED INSPECTIONS
This Applicant agrees t- comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 189 days from
the date issued. The total amount paid will he 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 pro,.pect 3 feet in all directions fres
the distance given. If not ;o located, the installer shall purchase _ A
a "Tap and Side Seller" Permit and the Agencl will install a lateral.
Perm i t t e e `J i gnat u r-e
Issued By : �i �'-L,'!/,, �4�'� J' ra_
Call for inspection - 639-4175
Residential Building Permit Application �0 f
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobeito,Address:„�a/!o3 s``� Eif41zin
'
Subdivision: �l�/V `-� Lot # Orrusaonly
Valuation:�1
Owner: Reissue Cts
Address: ( ;^ r '7 _7 � S z , tc r �/ L C ` , SLaRq -rt ►.�
c c
kplianning r '
Phone:
Contractor:
Address:
- � ttra:���f�eguired
Phone:
--� Ttuss Detaihw
Contractor's I-Onse #
attach copy of cur.ent Oregon license) r
iwirw�riiif�
Subcontractors:
MechatiicAL• •.j �Iy ��L O�-� cr+/ a v v ��'`-f" }
(attach copy of current OR Contractors License)
ArchltectlEnglneer..
Address: .
i
Phone-
COMMENTS: IIV
A Ll
Applicant Signature 8 Phone number
Received by: - L Date Received: r
i
Permit # Account Description Amount Amt. Nd. Bal. Duo
5Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 3 1 . �� `/ _ • �y
Mech. Permit (MECH) t 3
State Tax (TAX) �� / _ / _ .
Bldg: 0
Plumb:
Mech:
Plan Check (PLANCK)
Bldg L j
Plumb:
hiech:
D(19 L(r Sewer Connection (SWUSA) 2 •� ; .,2�
Sower Inspection (SWINSP)
'r Parks Dev Charge (PKSDC) aA 0 � / Lou
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) /X110 Ulu—
Mass
it �
Mass Transit TIF (TIF-MT) u /f
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
i
TOTALS:
bg 9
4
CI'T'Y CIF 1 11aIAKU — FtC_f"H.1:1'1' (.11 PAYMIaN I NI:(; - 1 V`1 NO. s9,a
I,HF. .K HWAINi 9 V)V1, VIt[I
NI+P11 �. 11It�r,IF: HOMES' IMISH AMUUNI
Al1DRESS PHYMENT Dx71
bUl:.41)1 V I St UN
1,1 IR OSE OF PAYW-:N I AMOUNT PAID PURPOSE' OF F 0YME;.N 1' AMUUN 1' PW l.)
PI w,4 CHEEK F ' PSN. 00 PLAN CHECK 1"F. >151h. Oki
1 .111 70 71 ANTI-)N PAl1K P
1 1 1 1 Il tiMCIUN'T PAI D - - -> `.i00. 171(4
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L/ ( Y OF T%GAR0 - RECEIPT OF PoYMEN7 Rl CE%PlNO. 193-('471
r;HFrh AMDUN[ o 5170. 89
uAME : PINNACLE HOMES ( nSH �IMkUKvT : 0. 016
PAYMENT UATF : 1''/3m/9� �
�ooH> S� n
i08I-)1VkUN :
�
`\|HP]SE OF PAYMENT A^i(JUN| PA 11) PURPOSE OF PAYMEN[ AMOUNT Po/D
---------- ------~---- ------- ��� 5�
PLUMBING PF-RM .
$U1LDlW8 PEM . ~._ -.-
�rlECHANICAL PE 43. N Sl . BUILD PER
��1-AN CHECK FE. 24. 78 8FWER USA 2200. VIw
�EW�R
INSPECT 35. 00 PARKS SDC 500. mm
�T8RM DRAIN SDC 280. ov) RESIDENTIAL TRAFFIC FEES 1410. 00
14AGS TRAMBIT TIF FEES 11Ql. 00m
-OT 71 ANT8N PARK Il
� t2163 SW AhTON DA
0WXVo1 PAID - - -� 517N. 89
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