Case File ADDRESS :
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CITY OF TIGARD cE ROCCUPON r��
OL:l�Llr•rawCY
PERMIT #. . . „ „ . . r MST93-•05015
COMMUNITY DEVELOPMENT DEPARTMkiN7 DATE: ISSUE D r 05/11/94
13126 4W A Blvd.Tlgerd,Oregon 97223«8199 (509)639-4171
PARCEL: 13134CU--14500
sm-u.: nw-'Ess. . . a 121.77 SW ANION nR
i SUDDIVISxOi(. . ,, . i ANION PARK :II ZONINGoR-7 Pie)
BL.00K. . « « « . « . . « a I,•,O1' , „ . . . . . „ - „ . u0V,
GLASS OF WORK., a NFW
TYPE OF” USE:. . ,. a Sp
Or."CliVIANCY ORP. W3
OCCUPANCY I_.(:3A1)u2V5 4
!EMAN'r NAME . . x
ldpmartf % : F'NTIi I
PINNACLE HOMES
1.2735 SW (XACIUR LILY L"OIR
f I GARA OR 97203
r'hra,ra� Me 5PA-4711.
r)INNAC F. HOMES
12735 SW GLACIER LILY L:IRC:LE:
F•honr? Ito 524--4711.
Reg It. . A 16177
0r.:CLtp.as1C-y Of tht� wrbuve re-ferenced btti).diri .; is herr.by givers, acrid cettifiea
they ctmpliurlcp with thtA ~Mate. Of C3rogcan Spmrialty Cade9 frir the gr•Oup,
r:1Cr.upatnGy, oriel !.tse ctndE-r wh ch the •reterenceed permit wiasc issued.
FIRE: DEPARTMENT ;, DIN NSPFCIOR
............. _....._._. ._.
ElUIL.I L. F-ICIAL
POST' IN CQNa;,',T(.UOUC; PLACE
�v
INSPECTION NOTICE r_=
C1ty of. Tigard Building Department
13125 SW Hal Blvd. Tigard, Oreq," 97223
Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 639-417,1,.�y7
Inspections
Tootinq Plbg. Underrlab Mesh. Rouqh-in Appr/Sdwlk
Pound. Plbg. Top Oct Gas tine E-B
Lt
Post/Beam Struct. San, Sewer Prnminq g.
Post/Beam Hoch. Rain Drain Inmulatinn -Plumb.
Plbg. Underfloor Water Line Gyp. nd. -Meeh.
Dates Raqueste))d:_ J tiJ " CI f/_ T.ttime: . AH 1 —PH
Address. /Cb / / `�))/7 AT)7 Pitr'i7t tt1: /
guilder _ C;, _pt l" -r70 CLc
TTiE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector
APPROVED DISAPPROVED APPROVED SU8JjrT To ABOVE
Call
For Rnlnsp.
K
IIs ECTION NOTICE
City of Ti J
Bard Building Daparts:mt:
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Plbg. Underslab Mach. Rough-in ( • Appr/Bdwlk
Found. Plbg. Top Out Gas amine FINAL: X
Post/Baas: 8truc±./ San. Sewer Framing -Bldg.
Post/Beam Mach. /X` Rain Drain lnsuat ion -Ply,
r
Plbg. Underfloor Nater Line Gyp. Ed.
y LTJ
Date ReZvostede � �_ / n etOi.t,1eTime: �
Address: /�/ 77/�J 1(/� P —����(�5
1 /f A[/
Builders Q ]n L
�-�LL4.7 0 (' ?)1 C kJ
'M FOLLOWING CORRECTIONS ARE REQUIRED:
Id-r;ca--L Y-PIU l ra Qo
Inspector:_ `✓� _ Date:
i
APP`OVED V DIsnPPRovED APPROVED sUBJECP TO ABOVE
V& �� � Call For Reinsp.
.LNSPF.CPION NOTICE '
City of Tigard Building Departmsust '
13125 BW Ball Blvd. Tigard, Oregon 47223
Inspection Tlne (Rec-o-Phono,)s 639-4175 Business Phones 539-0171
Inspect ion s --�-- —
Footing Plbg. Underslab Hoch. Row 'i-in AVP[/Sdwlk
Pond. Plbg. Tap :hit Gan lAne PIIp1Lt
Post/Beam Btruct. San. Sewed !Taming -Bldg.
Post/Beam Mich.. Rain Drain Insulation -Plumb.
Plbg. UnOerflo3r Nater Line Gyp. Bd. -NeCh.
67 v Date Requested. ~ Times AM PN
Address. ( �. I ( ? ! `' . V` t* , Permit 0: M57
Builder: 'Ptory-t C_o.
THE FOLLOWING CORRUCTIONS ARE REQUIRED:
Off
✓ —
Inspector: _—_ Dates��
JL APPROVED —_ DI8APPROVED APPR:7VRD SUBJECT TO ABOVE
Call
For Relnsp.
INSPECTION NOTICP: (`y
Ci t7 of Tigard 6uil.d4ng Depa•r"ovlt
13I2!i M Ball Blvd. Tigard, Oregon 97223
Inspection Line (I1r•-O-Phone)s 639-4175 Business "hone: 639-4171
Inspections
rooting Plbgt. Underslab Mech. Rough-in Appr/Sdwlk
Pound. plbq. Top Out Gas Lin* / FIN
Post/Beam Strum. San. Sewer Framing � dg
9
Post/Beam Mech., Rain Drain Insulation dumb.
Plbg. Underf.looc Mater Line Gyp. Bd.
Data Requested:. O Tiim$ / � 111t p11
Address:_ /` / lisYi it LI J 570Z�—
Builder+
THE FOLC : IIOO..RRRC�T�N AR�R REQUIF.3D::
Inspectors , Date:
1KPPROVED V DIBAP�PROVED APPROVED SUBJECT To ABOVE
-Ca For For Relnap.
L 1 c:
INSp$C�'l:oN NOTI'E
City of Tigw-d Building Departaent
131.25 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639--4175 Business Phono: 9-4171
Inspection:------._._--
Footing Plby. Underslab Hech. Rough-in l !1 r/8dw1k 1
Found. Plbg. Top Out aa.s Line FINALS
Post/Beam Struct. San. Bower Framing .-Bldg.
Post/Beam Mech. Rain Drain Int+ulation -Plumb.
Plbq. Underfloor Nater Line gyp. Bd. -Hoch.
Data Requestedt i- C C� T Tues X AM PM
Addrese tt� ((Lt� �r` Permit to
Builders I b1V1111�. 1 1\�'wq5
THE FO1AYWING CORRECTIONS ARE REQUIRED$
e, Ivo
~� -��-
Inspector: _i � � ./ Z Date$
APPROVED DIBAPPROV81l APPROVED 811RJRCT TO ABOVE
Call. For Relnsp.
IN CCTIO N ICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 47223 =
Inspection Line (Roc-O--Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl.bq. Underslab Hecr Rough-in Appr/Sdwlk
Found. Plbg. Top Out Das Line FINAL:
Pout/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plusdo.
--� 11\)
Plbg. Underfloor Nater Line �_ �.� -Heal:.
Date Requesteds_____ Timet iJl PH
Address: ! �, 1 -V Z��^. __.—. Permit
Builders.__
THE IOLI.OifIHO WRRECTIONS ARE REQOIREDs
Inspect-w: Dater ^L
__.r_APPROVED nis"PROVRD APPROVED SUBJECT To ABC`VR
Call For Rainep.
...r....�...,........s.w.....ar,...w-a.r�a.,�,..�..-r+..o w.r.►r ai....�-.,..ru......,,rn,..,,..,y,
INPPE7, J No \r J
City of Tigvts.,-d Building Departt `�✓/
13725 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phono): 539-4175 Business Phone: 639••4171
Inspection:,_ —,_--- _--
looting Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Round. P7_bq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Ed.-'
-Hoch.
Date Requestedt 2- I']—q Y Timet H
s
Addres / ''v
Q�^� oo v . Permit '" f 6
Rui.ld.rt� Q-& f 1"vJ r4') 2. 1-1 _��}y,IMI
�/1
THE FOLLOWING CORRECTIONS ARE REgUIRED2 \L/ `� `� 66
VL94 11-P Ob
1 (�
1
1 _
Inspectors ,— ` Date: C�
V APPROVED d BAPPROVED APPROVED SUBJECT TO ABOVE
'G Call For Reinsp.
INSP (alONAYPICE
Cltl of Tigard Building Departoent
13135 Sw Ball 131M. Tigard, Oregon 97223
Inspection Line (Rec-O-.Phunw): 639-4175 Business Phons: 639-417.1
Inspection:
Footing Plbq• Underalab Marsh. Rouqh-in APP r/Sdwlk
Prn+nd. Plbg. T Out
Top Gas Line FINAL:
Post/Beam struct. son. sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation
/ -Plumb.
Plbq. Underfloor Water Line
...........
_Mach.
Date Reques�t4d.— Z --3-
Addreess 1 4-` ' —JVK.jxvA Permit ,
TIQ 1tXd.3MI140 CORRECTIONS ARE RRQtJIRED: Ab (6(100
Inspector:` Dete:
APPROVED �'DIBAPPROVIO APPROVED SUBJECT TD A00VE
_6%Ca11 For Reinsp.
�L•1 GJ
MSSPEgjlnn 1(MCE
Citi Of Tigard Building Departssnt
.L1-125 80 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--0-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl.bg. Underalab Nech. Sou h-Vt A
� ppr/Sdwltc
Found. Plbg. Top Out
Gas Line rINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam trach. Rain Drain Insulation
-Plumb.
P1bA. Underfloor pater Line /� Gyp. ed. -�h.
Date RO"elIsteds /-Z�-27 , _T�t /w pM
A.ddrese:_1 ( / / ,�, Uy.. �L' hCstit 01ST 13 GsG»
Builders-II1/��`/�c�Y �
THE Foar.UMM owinc? wB AM 2201 M,
Inspector4
�— �_ Dates
� VR
PROD DISAPPROVED APPR4VRD SUBJECT TO ABOVE
Call For Reinep.
IN&PSC ON NOT VA
City of Tigard Nuilding Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-P ono)t 639.4175 Business Phones 09-4171
Inspection:, V er
Footing Plbg. Underslab IIMoh. Rough=in Apyr/sdwlk
Found. Plbg. Top Out a" LLOO FINAL:
Post/Beam struct. Ban. SeweritYim i" -Bldg.
Poet/Beam Hoch. Rain Drain Inwlation -Plumb.
Plbg. Undsrtloor. Mater Line l� on. IN. -Hoch.
Date Rsquestsds 1 2-1c, L� I ,Tines
Address: t 2A-1-7, ^ �Y-',L Perait
Builder: �1�1��(�X. 1 JC
TRr FOLLOWING CORRSCTIO118 ARS REQUIRED:
Inspectort_ / — bate!
,Lf-APPROVED ,_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTA
City of Tigard Building Departoent
13125 SR Hall 81wi. Tigard, Oregon 97223
In11y&,ci ..on Line (Rec-t)-72hon�e)t 6,y3/9-4175 Business Phones 639-4171
/ U
or,inq Plby. Underslab Mach. Rough-in Appr/Sdwlk
Pour Plbq. Top Out Gas Line PINALt
Post/Beam Struct. San, Bower Framing x -Bldg.
Post/Ream Mach. Rain Drain -Insulation ulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Hoch.
2-5�`
Date Requesteds �_� 1'lalet .�PK
Addc"S 0 14 '13
•Andes.`�Y�h d C D 1� ^Q S IAC / a
TON FOLLOWING CORRRCTIONS ARB PJWIRXD! \ 2
_ — CSS .y.—Q E—D
Z o
—
�� u Pk z. cam--. _
Inspectors ` _� Data 1
_ APPROMDISAP/PRRpvwD APPROVEn SUPJECT TO ABCME
_-7-" � Call For Reinap.
L-k C% L
//
INSPECTION NOTICE
City of Tigard Building Department
13225 SW Ball Blvd. Tigard, Oregon 97223
Inspection Liie (Rec-O-^hons)c 639-4175 Business Phone: 639-4171.
Inspections_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
i
Post/Beam Struct. San. Sewer Praming -Bldg.
Pnet/Beam Mach. Rain Drain 'insulation -Plumb.
Plbq. Underf.locr Nater Line Gyp. Bd. -Mach.
Date ReauestedsTimes --AM ( PM
Address: L / 7V t1'�— Permit ti
Builders
THE FOLLOWING CORRECTIOKS ARE REQUIRED:
71
Inspectors L , �_�• Dates -1 (�
APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
1� L�� Call For Reinsp.
r�INSPECTION NOTICB
Citi or Tigard Building Dapartmeut
13125 SQA Ball Blvd. Tigard, Oregon 97223
Inspe.tion Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections_,
Footing Plbq• Underslabh. Rough-in Appr/Sdwlk
Found. Plbq. Top out Can Line FIRALs
Post/Bean Struct. San. Bawer 1(rasi -Bldg.
Post/Beam Mach. Rain orain Insulation -Plumb.
Plbq. Underfloor Nater Line gyp, Ed. _Mach,
Date Requested s _ f - �o IV _T Lae s AM pK
Address 1 �� 1 C$ ,'Ar" -AP ie 11;�
Builders r �V�l(�(C-�K ( `�-'►►�u`� 1. �
TBE FOLLOWING CORRECTIONS ARE REQUIRE02 Z�
V
� 0, k L8 Cis
--- LJ21 Ck a
�c,% �_l w , n �i_C..e, i �e
,tr-( ( •_����_�
Inspectors_ ti•`L—� `-_.....
Dates
APPROVED _ DISAPPROVED _T APPROVED SUBJECT TO ABOVE
f call For Relnep.
INSPZPT-Tow NOTICE
city of Tigard Building Department
13125 S# Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons): 639-4175 Business Phons: 639-4171
I nspect i.on e
Footing Plbg. Underslab Koch. Dough-in Appr/8d•iik
Found. Plbg. Top Out Gas Line lINALs
Post/"Am Struct. Ban. Sewer Framing -Bldg.
Poet/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line 4 Gyp. Bd. -Mach.
Data Requestods 1 � j�U\�)� ` Timor .........AN —PH
Address 1... � �" `_� _, Permit #I-
04�-6C?
Builders
THE FOLLOWING OORRZCPION8 ARE REQUIRED: C�
, ; fie _
�-- -;
a --1 t� ^ a i T �i
Inspectors Date: 2 V '
APPROVED VDI/ftAPPROVED APPROVED SUBJECT TO ABOVE
!all P;.r Relnep.
zNseEcrloBl��S4� ••. �
City of Tigard Building Department c,--
13123 M Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec--o-Phone)t 639-4175 Businslas Phone: 639-4171
Inspecticnt� -�
Footing Plbg. Jnderslab Hoch. Rough-in Appr/8dwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Btruct. ( Np. Sewer Framing -Bldg.
Post/Beam !tech. ��•• _DrBIB J Insulation -Plumb.
Plbq. underfloor at�r L I Gyp. Bd. -Hoch.
O
Date Requesteds -t - 61-173 _Timet e�XA1! PH
Addraset1 1 in Pornit g2y6T�13 050
Builders�
THE FOLLOWING CORRECTIONS ARE RNWIRRM
Inspect o t — _-- —� — Dater
_APPROVED DISnPPROVED APPRO'JED SUBJECT To ABOVE
-_ceJ l For Reinep.
INHBECTI(& NoT' ICE -�-�
City or Tigard Building Department
13125 XW Hall Blvd. Tigard, Oregon 97223
Inspection Lina (ROC-o-Phone)t 639-4175 Business Phonet 639-4171
Inspect ion t luau -
Footing Plbg. Underelab Koch. Rough-in Appr/Bdwlk
Found. Plbg. Top Out a
FINALt
Poet/Beam Btruct. Ban. Bawer rasing -Bldg.
•t/Beam !feRain Drain Insulation -Plumb.ab
Plbg. Onderflorr Water Lino pyl,. Rd. -Koch
Date Request adj_11_1 _ l Tues AN FM
Addresee 12 111 AV` t Permit lFtLI*_leJ< <l�1 �112
Builder,_1V V'&C.'U
TAE FOLLOWING CoRRECTIowe An FAMIRSDt
In ipectort��"
Datet
APPROVEU DISAPPROVED APPROVED SUBJECT To ABOVE
__Call For Ralnep.
INSPECTION NOTICE
City of Tigard Buildimg Depertaant
13125 NII Hal l 81v!. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-417 Bunineaa Phone: 639-4171
� 7 i
Inspections__
Rooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
found. Plbq. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd, -Hoch.
I I -,6 -12
Date Requested! !lNN, AM
Addre,a s 12 '1"1 Pt =n, #,MST q-3
Nuildart Y�1�
TRE fOLLOMING CORRSCPIONS PRE REQUIRED,
i
I upscto Dates
_ —APPRO"D �- DISAPPROVED APPROVRD SUBJRCi TO ABOVR
_Call For Reinep.
City of Tigard Building Department
13125 See Ball Bled. Tigard, uregoo 97223
Inspection Line (Roc-O-Phono)t 639-4175 Business Phone: 639-4171
Inspection:
Footing i oO" Plhg. Underslab Mach. Rough.-in Appr/Sdwlk
taulld• Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Lino gyp. ad. -Mech.
Date Requested: PN
Addresa:
Builder: �V* xs
TBx FOLLOMINO OORRBCTIONS ARM REQUIREDt
a—
�-�, ,
T
Inspectors �l 1.* �-- Datat
APPROM DISAPPROWD " APPRO{ D SUBJECT TO ABOVE
1 CA —_Cal I For Rel.nsp.
CITY CSF TIGARD MASTER PERMIT
CO1WMUN4TY DEVELOPMENT DEPARTMENT PERM IT #. . . . . . . : MS793--0505
13126 SW Hall Blvd.Tigard,Oregon 97223•81f91.,`(M9)iW9-4171 DATE ISSUED: 10/22:/93
PF+RCEL: 1 S 134 C13-14500
51'I'E ADDRESS. . . : 12117 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R--7 PD
BLOCK.. . . . . . . . . . . 1_07. . . . . . . . . . . . . :072
BUILDING
RE 1 SSUE:M`r'-T93--02.x9 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :425 sf
TYPE OF USE. . . :SF 7LOOR AREfdS -- — --- - REQUIRED
TYPE OF CONST. .-5114 FIRST. . . . -864 s f LEFT. . :5 ft R I GHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . -.988 sf FRONT. :20 ft REAR, . :41 ft
STORIES. . . . . . . :2 THIRD. :0 sf RE:OUTRED-
HEIGHT. . . .. . . . . :25 ft TOTAL..- - - : 1872: s f SMOKE:. DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 93762 PARKING SPACES. . : 1
Remar°ks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRA1N'.�. . . . :0 BACKFLOW PREVNTRS. . :0
LAV4TORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPIS. . . . . . . . . . . . . . :0
TUB/SHOWER5. . . . :2 LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :0
WATER CLOSF_•TS. . :3 SEWER LINE (f t ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
W1=4Si-i I NG MACH. . , : I SF RA i N DRA I NS. . : i
MECHANICAL - -__._-_..__...._._...__.________._.--_....._. _.._._..____ FEES
FUt`L TYPES __.____.._,_..._.._ UNIT HTRS. . :0 type amount by date recpt
/GAS/ / 1 VENTS . . . . . :0 TIF $ 1520. 00 JH 10/22/93 —
MAX. INPUT:0 LTU VENT FANS. . :4 SPIRT $ 415. 00 J14 10/2=/93 —
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 50. 00 JLH 09/2:4/93 93-244520
FURN ) = 100K . . :0 WOODSTOVE-S. c 0 B5f='C $ 21,71. 73 JH 10/1-12/93 .
rL OOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 10/22/93 —
EIC.Jl:I_/CIvIR ( 31AP.0 OTI•IER UNITS: 1 PARK, $ `;00. 00 JH 10/22/93 —
GAS OUTLETS: 1 MF'RT $ 43. 50 JH 10/22/93 -
Owner: -_... ._._ ..._.._..--.._._.-----.---- $ 1.0. 00 .TH 10/22/93 —
PINNACLE HOMES M5PC $ 2. 18 JH 10/22/93 -
12*735 SW GL_AC:lER LILY CIR F'r'RT $ 147. 50 JH 10/22/93
P5PL; $ 7. 38 JH 10/22/93 -
TIGARD OR 972 :3
Phcne #s 524-4711
PINNACLE HOMES
12735 814 GLACIER LILY CIRCLE
TIGARD OR 97223
Phone #: 524-4711
Reg #. . . 16177 --------------__.__._.______._____._.---__.____--
$ 2997. i9 TOTAL.
is permit ie issued subject to the regulations contained in the - -- ---- RE)UIRED INSPECTIONS -
- - -
Igard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will he done in accordance with approved Post/Beam Stt-uct Gas Line Insp
plans. This permit will expire if work is not started within 188 Post/Beam Mechan Insulation Ir;sp
days of issuance, or if work is suspended for more than IN days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain dr-ain Insp
Permittee !�i*Qnatuy,e : �. 1 ki--Z � Mechanical Insp Water Line Insp
Plumb "fop 0'.1t Appr/Sdwlk Insp
Issued By : �/� �"_H�! Framing Insp Mechanical Final
Call Por inspection — 639--4175
�
SEWER CONNECTION
CITY OF TIGARD PERMIT
'13125 SW Hall Blvd.Tigard,Oregon 97223*6199 #i ISSUED- 10/2;2/9—
PARCEL: 1SI34CB--14500
USA NO. I FIXTURE UNITS.
Remarks: PATH I
PINNACLE HOME�� type amolArit by date recpt
INSP
TIOPRD OR 97223
Ptiorip ft: 524-4711
CONTRACTOR NOT ON FILE
-----------------------------------------
2235 0@ TOTAL
�
.~.. .. .
�� '`~y # ^ ^
�
This Appluant agrees t,, cnnp/' ,w' all the rules" and '"yp^"^^~''" Sewer Inspection
�
If the Unified— _—Sewage .`,—'. The permit expires_ — 180 days om—
"" ""^" `"""=' The total ~~^~'^ r^~ will ~ forfeited ~ --
�| — �—' ^ ' - theaccuracy 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 licated, the installer shali purchase
| a '"p and "^= ~evo,. Permit~ and the ,,^.~, ,^, ^.,,,^^ _ lateral.
| |
| |
Permittee —'~
|
| dB
»'
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
? �E1 l� iso �yc� isr;as
Jobsite Address: 12 �.5 LJ
Subdlvlslon: N�' Lot i t�tflCU lJs�+�n
Piar Rec
Valuation:
Owner: ei
z_'7
�lsgue of `'7s � a'`' ,.�
t �•�
Address: t' �y 5 (:;VE,
'Y
p_rMy_al _FA_f+qulred .. '
Phone:
Contractor: _ _ Other
Address:
1tOfit�i 13 aired
,'hone SUtx ohtracto(s
Contractor's Lgn�A M
Truss Details
(attach copy of current Oregon Imnse) bar
-yo .. r..
Subcontractors:
Phambirlij:__ J a \ �'' d
Mechanical: �'"� cr/ 1511� ZZs
(attach copy of currmerrt OR Contractors Lkense)
Architect/Engineer:_ Z�.
Address: �
0
Phone:
COMMENTS: Z
Applicant Signature 8 Phoone�number -?
Recehn!d by: t-�c�- Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUIf._!)I
Plumb. Permit (PLUMB) N7, JU y?, >
Mech. Permit (MECH) Z/3 2- e�3 5-0
State Tax (TAX) 30,31 3o, 3) _
Bldg: .i�/ /
r
Plumb: 1.31
Mech: ;? ./ y /
Plan Check (PLANCK)
Bldg: SSG)
Plumb: _
Mech: l v, /
j c 3 a y:Aj6ewer Connection (SWUSA) "U 2 U
Sewer inspection (SWINSP) 3 9)—
Parks
)—Parks Dev Charge (PKSDC) S O / .5 u_
Storm Drainage Chg (SDSC)C) l� / y
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-O) _
Water Quality (WOUAL)
Water Ouantity (WOUANT)
Fire District (FIRE)
TOTALS: 2i I CV,trt F2,/
1
'F
CITY OF T I CARD -- RECEIPT OF PF,YMENT RECEIPT NO. s93-244520
CHECK AMOUNT s 0. 00
14AMF_ PENNICLE HOMES CASH nMOUNT . 50. 00
ADDRESS PAYMENT DATE 09/24/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
FLAN CHECK FE ri-47R Sir. 00
12177 SW ANTON DRIVE
L.o-f 72, ANTON PARK 11, RE—ISSUE/12271 tiW nNTON D.9
TOTAL AMOUNT PAID — — —> 50. 00
CITY OF TIGARD RECEIPT OF PAY* NT REL-FIPT' NO. v93-245418
CHECK AMOUN'T r 51138. 19
NAME y PINNACLE HOMES CASH AMOUNT n 0. 00
PAYMF.NT* DATE 10/Pc2/93
SUBDIVISION
PURPOSE OF PAYMENT AMF)iJNr PAID PURPOSE OF VlAYMFNT AMOUNT PAI U
415. 0)0 PLUMBING PERM 147. 90
MECHANICAL PE 43. 50 61'. BUILD PER 30. 31
Pt. AN CHECK FF." 10. 86 SEWER USA PROV1. 00
St.,.WFR INSPECT 35. ON PARKS SDC 5010. 00
SJ*ORM DRAIN SDC P80. fbo RESIDENTIAL TRAFFIC FEES 14101. lAkA
MASS TRANSIT TIF FEES 110. 00
1;-:,177 SW ANION DR
ANION PARK 11 #7c`
11,11AL AM(llJNT PAID 51 19
• CITY OF TIGARD PERMITN#. . . . . IT: MST133-0505
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/21-2/9--_
13125 QW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: iS1:3�+C;I.? -•14`�0k'� I
SITE AUURESS. . . : 14177 SW ANTON DR
SUBDIVISION. . . . . ANTON F'ARK II ZONING: R--7 r'D
BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . ..072
CL.()SS OF WORK. . :NEW GARBAGE D I SP'('X3AL5. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . „ . . : 1 BACKFLOW P,RE:VNTR:;. . :O
OCCUPnNCY GRP,. . :R3 FLOOR DRAINS. . . . . . . :0 TRAP'S. . . . . „ . . . . . . . . :0
STORIES. . . . . . . . :2' WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
rIXTURES-----_-._--.__._-_---- LAUNDRY TRAYS., . . .. . . : 1 SF RAIN DRAINS. . . . . : 1
ST11KS. . • . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
I_.AVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER C;LOSETS. . :3 WATER LINE ( ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (f•t ) . . . . :0
Remarks: PATH I
OWNER: __._..________.______.._..._.___._..-...__._ _.__ ____.____._-_____FEES_--__..._.__.___.
PINNACLE 1-I0MEG TI $ 1520. 00 JH 10,'22/9.3 -
ic=735 SW GLACIER LILY CIR BF'RT• t 41:'.1. 00 JH t0/22/93 -•
BPLC f 50. 0':1 JL.11 09/24/93 93-•244520
TIGARD OR 97223 BSPC 1, 20. 75 JH 10/22/93 -•
Phone #- 524-.4711 SE311(1 $ 280. 00 JH 10/22/93 -
P'ARK $ 500. 00 J1.4 10/`=' 11)3 -
f l 1..tmbing Cr7ntrartor: -- _.______.__._._.___...._.-- MP'RT $ 43. 50 JH 10/22/93 -
MF'LC $ 1171. 88 JH 1.0/22/93 -
*i- tel, o / L 5F'C $ 2'. 18 JH 10/22/93 -
�a,m e : x k1_._ �{
Address TMPRT $ 147. 50 JH 10/22:/9.3
City : � tat e : L -' _ P5F'C $ 7. 38 JH 10/22/93 -
P,h -
Reg #:-, .CTQ�
REQUIRED I NSF'ECT I ONS --- -- --
This permit is issuers subject to the req
slations contained in the Tigard M�_(ni.c_,ipal Footifound Insp Rain drain Insp
Coder State of Ore. Specialty Codes and all Post/Beam Strur-t W ter Line Insp
othor applicable laws. All work will be done Post/Pram Mechan Appr-/Sdwl k Insp
in accordance with Approved plans. This Plm/undslab Insp Mechanical rinai
permit will, expire if work is not started PLM/Underfloor P,Iumb Final
within 180 days of issuance, if work is Mechani_al Insp Building Final
s1.(spend� d for more than 180 clays. Plumb Top Out Er osion Control
Fram_ng Insp Crawl Dv,ain
Fireplace Insp
Gas Line Insp
_
Insulation Insp
_.____ ___._.
x �_ � _ GYP Noaro' Insp
AT (0ized Plumbing Contractor Signature
mall for inspe(_tion -- 639-6175
Contractor Notes:_