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Case File ADDRESS: Lie i ecordslmicr,)fflmltargetslbuiIL'ng.doc CRY C7" TV ARD CERTIFICATE OF COMMUNITY DEVELOPMENT IDEPARTMEN1 OCCUPANCY 15136•W HO Blvd,T16wg,r Von 17218.91 A (602)$39-4171 PERMIT' #. . . . . . . c MST93-001 . 6 y- 41 71 DATE JSSUE'Da 06/18/93 PARCEL a 1 S 134CB--11 4100 SITE ADI)PE55. . . x 12218 8W ANTON DR SUBDIVISION. . . . a ANTON PARK 02 ZONINOc BL.UCK. . . . . . .. . & . a LAT. . . . . . . . . . . . . a 10 7 CLAW3 OF' WORE;. a NEW T l,PE OF USE. . . :Sr. OCCUPAW GRP. a R3 OCCUPANCY LOAD e i E3 4 TENANT NAME. . . a QF tn�rk9 a PATH I ownere D E. ANDERSON INC 45715 SW TUCKER AVE BEAVERTON OR 970005 Phone #x 627-9999 Contractor. D ANDERSON, INC. 4575 E3W T!!f_'tE:R AVE BEAVERTON OR 97005 Phune #e 627-9999 RQq #. . : 46344 Uccuparlc:y of the above referenced building is hereby given, a1id certifies; the compliance with the State Of Oregon Specialty Codes foY• the group, a ,cupal►c}, and use under- which they referenced permit was issued. I FIRE: DEPARTMENT T98\t I � NQ INSPECTOR LU N OFFICIAL POST IN CONSPICUOUS PLACE IM tea" city of Tigard Building nwpa>-tpegt 13125 .SW Ball Blvd. Tigard, Or09M 97423 Inspection Line (Pec_-o-Phono)s 639-IM Business Phones 639-4171 Inspection: !Doting P-147. Onderelab Mach. Rou h n 9 Appr/Bdwlk Fount. Plbg. Top Out Gas Lina •IxALa Plast/Bwam Strutt. Ban. Bawer _\\ ►rasing Post/Bess Keeh. Rain Drain Insulation _ply, Pliv. Vnderfloor Nater Line Gyp. Rd. -Koch. Date Requested s /F'� -�--+—� Timet AM __pK Addrosat__Z���/�L,.SL..�_� permit is Builder: — TM 1OLLONING OORRECTIONS ARE REWIRED: ,l Inspector: - - Dates All __-_JIPPROVEp DISAPPROVED APPROVED BoxJECT To ABOVE `_Call For Reinsp. INBPRCTION MMICR City or Tigard. ounding Department 13125 OW Nall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones 639-4175 Business Phone. 639-4171 Inspectione� Footing Plbg. Undersiab Koch. Rough-1n Appr/Bdwlk Pound. Plbg. Top out Gas 1-a" FINAL: Pest/Beam Btruct. San. Bawer Framing -Bldg. Post/neam Koch. Rain Drain Insulation -P1umTi. Plbg. Underrloor. Wat/erLinty Gyp. ad. -Koch. Date Requasteds_ �� //J l7 Tines AK pM Rddreaas_f_1- � A/.�? J _ Permit As Builders_ ThN FOLLOWING C*RRiCPIONB ARB RSMIRRDs Inspectors- Dates APPRUVRD --� D7,gAPPROVRD APPROVRD SUBJECT TO ADO" Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspoc`.i.on Lina (Rec-O-•phone): 639--4175 Business Phone: 639-4171 Inspection:__ —` hooting Plhg. Underslab Msch- Rough-in Ap,7r/Sdwlk Found. lhg. Top Out Gas Line FINAL- Pont/Beam Struct. Sar.. Sewer Framing -Bldg. Port/Beam Mach. Rntn Drain insulation -Plumb. Plbq. Underfloor //Water Linc Gyp. Bd. -Mech. Date Requestedtb 2 _ � 3 ——Time= .---_-AM --PM Address: - 2- Z/ g G�L�.�[.e`1-�.- Permit 1:��7 r C5/ 3 Builder: THE POL'.,OWINO CORRECTIONS ARE pjM7:RED: OF Inspector: / _ Date: (�'- Z'/ APPROVED DISAPPROVED _, APPROVED SUBJECT TO ABOVE _—Call For Reinsp. INSgZCTIUN NOT399 City of Tigard Bssilding Departesesit 131.25 871 Rall Blvd- Tigard, Oregon 97223 Inspection Line (Res.--O-Phonj/), 639-4175 Business Phone: 639-4171 Inspections_ Pocking pi". I#Worslab loch. Rough-in Appr/adw11.) -- Found. Plbg. 'Top Out Gas Line FIl7ALs Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. RaIn Drain Insulation -Pldmb. Plbg. Underfloor Waterl Line Gyp. ed. -Koch. Date Requesteds /j/ / `7�/1�,� Time:s rddreess � Permit !s r G/ Bui.idars_ TIBC FOLL-MING OORRFC. b ARE REQUIRED: Inspector: ZC J ---- —_ Dato: C/APPROV=D DISrPPnovm APPROVRD SUBJECT TO ABOVE Call For Reinsp. JSlYf�`..�2•-.�.v_t.Y.� City of Tigard Building Department 13125 SR Hall Blvd. Tigard, Oregon 97223 Inopection Line (Rec-O-Phuns)t 639-4175 S,isiness Phones 639-4171 lnupections— _� _- ------�,--`---- Tooting Plbg. Underslab Mach. Rou:jh-in Appr/Sdwlk i Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing /Sadq, Post/Beam !tech. Rain Drain Insu:etion -P . Plbq. Underfloor Mater Line Gyp. Dd. -Raoh Dales Requested: �J � � Time: —PK PK Addresst �}-7 ���l3� tA_/:, Permit f t"%� Builders ---- TRE FOLLOWING CORRECTIONS ARB RWIRZDt At4�1'141� Inspectors ---_-� Datee_ -/ 9 7 --APPROVED DISAPPROVED APPR("D SDRiltm To ABOVE i Y Call For Rainnp. JASF-49TUo City or Tigard Building DepertMent A, 13125 M Bail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-phone): 639-4175 Duniness Phone: 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in Apps/Bdwlk Pound. Plbg. Top out Gas Line FIRMS Post/Beam Struct. San. Sewer framing -Bldg. Post/Beam Nech. Rain Drain Insulation 1�bJ � Plbg. Underfloor Nater Line Gyp. CBd. -Hoch. Date Requested: -_j - Time: M Address:_L Permit 1: — J,6 /A Builder: _ THE ]FOLLOWING CORRECTIOttS ARE RRQUIRED: Inspector: _ Date: vAP — PROVED DISAPPROVED SUBJECT 1b ABOVE v; ---rail •.,r neinsp. INSPECTION NOTICE I City of Tigard Building Department 13125 BIN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 nusinese Phone: 639-4171 Inspection: _ Footing Pl.bg. Underalah Men.h. RUuyh-l.0 p r/Sdwlk Found. Plbg. Top Out Can Line FINALr Poet/Beam Strict. San. Sewer Framing -Bldg. Poet/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Ur:darfl.00r Water Line Gyp. Bd. -Mach. Date Regn/eeteds 31C�"q� —Times _ AN PH Address: / 2V P.It �s(! �� ✓�1��� Builder: THE FOLLOWING CORRECTIONS ARS MOIRXDs 772 40APON1 QF Inspectors LF-rim T/niAs Dates - APPROVED DISAPPROVED i-- I PROVED EpBJECT TO AB0V3 _^Call For Reinsp. i JN.SPECTION NOTICE City aP Tigard Building Department 13125 9R loll Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)a 639-4175 Business Phone: 639-4171 Inspections_ Footing Plbg. Undsrslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Poet/Ream Struct. San. Sewer Framing -Bldg. Pest/Ream Mach. Rain Drain Insulation -Plumb. Plbg. U:iderf.loor Water Line Oyp. Bd. -Hoch. Data Requested:�_ .S ? - Time: AH _PH AddreaFa: Permit t flu iIder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Dates_____ _`APPROVED - DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinap. INSPECTION NGTICE 7% City of Tigard Building Department 13125 OW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 BUPiness Phones 639-4171 Inspec-tions______`_ —�--_—- �— Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out ( r Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor dater,Line Gyp. Bd. -Hoch. Date Requerteds_3 ��� Times AN PM 21;2/k Addreeas1 (1/Z/ Permit f s`! -� Builders THE FOLLOWING CORUCTIONB ARE MQUIRM i I 1 ineppcto s__ ---- — — — --_ -- Dat®: 7 Ty APPROVED _— DISAPPROVED APPROVED SURJECT TO ABOVZ -Cell For Reinnp. INSPECTION NOTICE City of Tigard Building Department 13125 Sw Ball Blvd- Tigard, Oregon 97223 Inspecti�,Line (Ree-O-Phone): 635-41"5 Business Phone: 639-4171 r I Inspectio Footing i Plbg. Underslab Mech. ugh•-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sm sr Framing -Bldg. Post/Beam Mech. Rain Drain InsuLation -Plumb. Plbg. Underfloor zWater]Line Gyp, ad. -Nech. Date Requested: ✓G�r.�" � Time: AM /_pr Address:, Permit Builder: THE FOLLOWItIC, CORRECTIONS ARE REQUIRED: 1 Inspector: Data: 3S' . APPROVED DISAPPROVED —` APPROVED SUBJECT TO ABOVE Cell For Reinsp. LNEPEC_':ON NOTICE C-i, , of. Tigazc Building Department 13125 OW Hall Blvd. Tigard, Oregon 97223 Tn:yr_.alion Line (Rec-O-•P..one): 639-4175 Business Phone: 639-4171 hswpwstlor t-- —- ---- ro-`Lnft Plhy. Unierslab Mach. Rough-in App-/Sdwlk `� Plbg. Top Out Gas Line FINAL: Post/Bean Pkru.:t. San. Sewer Framing -Bldg. Poet/Beam Mich. Rain Drain ,__ Ineuletlon -Ply. Pibg. Undr,rfloor Water Line Gyp. Rd. -Mech. Q Date P:.questedt ._Timer AM PM Address L�-s Ly 4 X71, : Permit s Builder:� ��� �� THE ^FOLLOWING CORRECTIONS ARE REQUIRED: w Inspectors - Uater APPROVED DISAPPROVED APPROVED SUBJECT TD ABOVE Call For Reinsp. INSPECTION I COTLCE City of Tigard Building Depart`oent 23125 SW Hall Blvd. Tigard, Ocvogon 97223 Inspection Line (Rec-7-Phone): 639-4175 Business Phone: 639-4171 Inspection: � Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Poef_/Rehm Struct. San. Sewer 1-1 gaming -Bldg. Post/Beam Hoch. Rain Drain Insulation _Plumb I Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: ��_ 3 7 __Times AM __PM Address:- _ i.�i.CCLCiw�� Permit / Bu1.lder:_ �+ — THE FOLLOWING CORRECTIONS ARE REQUIRED: Ieepector: APPPA)M DISAPPROVED NPPRO+/F.D SUBJECT TO ABOVIt Call For Reinsp. INNPE IONNOTICIg City of Tigard Building 1ktpartasent 1.3125 B11 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 BueiLneae Phones 639-4171 Inspections---`- --- - -- _ - Footing 111bg. Underslab Mech. P.ough-in Appr/Sdwlk Found. l'lby. Top Out Gee Line FINAL: Peet/Beam Struct. San. Sewer =-1.9 -Bldg. Post/Beam Hoch. Rein Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: � Time: _ _AN _-pN Addreee: L1 Permit i: � Builders— -_— THE FOLLOWING CORRECTTONS ARE REQUIRED: -� cz 1 73 Inspectors____ - ._---' Datet_as' APPROVED `DSAP ROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INS gC ION NOTICE City of Tigard Building leparta:ent 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --� Footing Plbg. Ondernlab Hech. Rough-in Appr/Sdwlk Found. Pl ` bg. Top Ou� Gas Line FINAL: Poet/Beam Struct. San. Sawer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Meeh. Date Requested: 4 __Time: 2 AM PM Addreee: (.F/.�1 /1t� Permit f: J �!J 3 Builder:__ _ _ THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector:_ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ASOVR Call For Relnep. nn.,.,,,.,ayw..•+'!...,....r:a-rylAMIYWIVyT•. LNSFECT12N NOTICE City of Tigard Building Depart-int 13125 SR Ball Blvd. Tigard, Oregon 97'2 Inspection Line (Rec- V639-4;;1 O-Phone): 639-4175 Buainess P Inspections__ Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top out Gas Line FINALS P66-t/Beam Struc� Sari. Sewer Framing -Bldg. Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. - ech. f Dare Reques te d: 13 _ Timer _ AM - PM Address: permit Builders_!_�'� --- --— ------ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspec Is ` _ Date: - --- ,'IF APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ------Call For Reinsp. kN PECTION NOTICE City of Tigard Building Department 13125 am Hall Pled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Buoineas Phone: 639-4171 Inspection:—_ -- Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Liue FINAL: Poet/Beam Struct. Ban. Sewer Framing ..Bldg. Post/Beam Nech. Rain Drain Insulation -Plumb. bg. Underfloor) Water Line Gyp. Bd. -Hoch. Date Requosted: --! -Gl�+ Tiara: „AM PM Addreea: Permit: Builders�� - - - - -THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_��G� a� r— Date: -� �.l��APPROVED _— DISAPPROVED APPROVVD SU. TECT TO ABOVE .LLCall For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inepecti.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: —__ _ _. _ Footing Plbg. Underolab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: r Poet/Beam Stru-;t. 3a::. Sewer Framing -Bldg. J Poet/Beam Meech. sin Drein insulation -Plumb. Plbg. Underfloor Water Linin' Gyp. Bd. -Hoch. Date Requeeted:s �L� Time: Address: /�Zi5l _ Permit 3 t_ Bull.;+�: THE FOLLOWING CORREt"IONS ARE REQUIRED: #f Inspector: Dater _ APPROVED _ DISAPPROVED N` APPROVED SUBJECT TO ABOVE Call For Reinsp. Nb ECT�(�N Nr`TICE Q City Of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ,#ooting� Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Sen. Sewer. Framing -Bldg. Punt/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underllnor / Nater Line Gyp. Bd. --Mach. u�. Date Requestodt_y I � �� Time= M q AN 1("J PN / Address: LZ�0 /� y� 1� I-•� Permit�'yl►: Bullder=�l� - I� 't A� QbVW �)Cy. TNM FOLLOWING CORRECTIONS ARE RFQUIRMs oJ t Inspector: " 4 L� 7 Date: _LAPPROV>RD DISAPPROVMD APPROVED SURJMCT TO ABOVE Call For Reinsp. CITYOFTIFARD PLUMBING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT oe6 PERMIT #. . . . . . . : MST93-0013 10126 ew HM WA P.O.ear 20007.TWwL%Organ 67220($W)0304175 TF' 7 QC:,.Urn- SITE ICT1.SITE ADDRESS. . . . 12218 SW ANTON DR PARCE: : iS134CB-AP107 SUBDIVISION. . . . : ANTON PARK #2 ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 107 -------------------------------------------------------------------------------------- CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRN. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . sO FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE. TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN ( ft ) . . . . :0 Remarks s PATH 1 OWNERs --------------------------------- ------------------ 0 --•--------------D E ANDERSON INC TIF # 1460. 00 JH 01/25/93 - 4575 SW TUCKER AVE BPRT t 379. 00 JH 01/25/93 - BPLC $ 246. 35 JL.H 12/28/92 92-235030 BEAVERTON OR 97005 B5PC f 18. 95 JH 01/25/93 - Phone #: 627-•9999 SSDC $ 280. 00 ,1H 01/25/93 - PARK $ 500. 00 JH 01/25/93 - Plumbing Contractor:—---------------- MPRT t 43. 50 JH 01/25/93 - I MPLC $ 10. 88 JH 01/25/93 - Name: �� _ M5PC t 2. 18 JH 01/25/93 - Address: PPRT t 140. 00 JH 01/25/93 - City:_ State:- _v P5PC $ 7. 00 TI-I 01/25/93 - 7.i p: Phone#:— Reg 01 ------- REWUIRED 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 I-ine Insp other applicable laws. iAll work will be done Most/Beam Mechan 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 Lontral Framing Insp Crawl Drain Fireplace Insp Gas Line Insp !_ _ Insulation Insp x — Gyp Board Insp _ Auth mixed Plumbing Contractor Signature Call for inspection - 639--4175 Contractor Notes: C17Y TIFARD C17YOIFTIM0 MASTER PERMIT COMMUNITY DEVELOPMENT DERARTMEMT osnaoe� PERMIT #. . . . . . . : MST93-0013 19126 bW Hrl Blvd. R.O.Boit 23347,Tdp W,Oregon 47223(503)634-4176 - --- -- Ea,;a''d-41 '�L $►�-fes+ SITE ADDRESS. . . e 12218 SW ANTON DR PARCELS 1S134CB-AP1O7 SUBDIVISION. . . . : ANTON PARK #2 ZONING: BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . : 107 ---------------------------------- BUILDING --------------------_.-----------------._. REISSUES DWELLING UNITS: 1 BASEMENT. . . . . . . . 1O sf CLASS OF WORK. sNEW BEDRMS:3 BATHSs3 GARAGE. . . . . . . . . . :400 sf TYPE OF USE. . . sSF FLOOR AREAS---------- REQUIRED SETBACKS-----•------ TYPE OF CONST. :SN FIRST. . . . e844 sf LEFT. . -.5 ft RIGHT. :S ft OCCUPANCY GRP. :R3 SECOND. . . :780 sf FRONT. :20 ft REAR. . a 30 ft STORIES. . . . . . . s2 THIRD. . . . :0 sf REQUIRED- -------- ------_--- HEIGHT. . . . . . . . s23 ft TOTAL------: 1624 of SMOKE DETECTORS. IY FLOOR LOAD. . . . 84O psf VALUE. . . . . $ : 81904 PARKING SPACES. . : 1 Remarksa PATH I ---------------------------------- PLUMBING -------------------------------------- - SINKS. . . . . . . . . . il ------------_.--------------------.-_ .SINKS. . . . . . . . . . a1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . 14 WATER HEATERS. . . el TRAPS. . . . . . . . . . . . . . 30 TUB/SHOWERS. . . . s2 LAUNDRY TRAYS. . . :0 CPTCH BASINS. . . . . . . :0 WATER CLOSETS. . e3 SEWER LINE (ft) . s0 GREASE: TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : l RAIN DRAIN (ft ) . :0 WASHING MACH. . . el SF RAIN DRAINS. . : i -----•----------- MECHANICAL --••--------------------------------- FEES --------------_... FUEL TYPES----------- UNIT HTRS. . :O t�-pe amount by date recpt /GAS/ / / VENTS . . . . . e0 TI, t 1460. 00 JH 01/25/93 - MAX INPUT:O BTU VENT FANS. . 14 BPRT $ 379. 00 JH 01/25/9:3 - FURN ( 1O0K . . : 1 HOODS. . . . . . : 1 BPLC f 246. 35 JLH 12/28/92 92-235vi,Wt FURN ) --1O0K . . :0 WOODSTOVES. :O BSPC f 18. 95 JH 01/25/93 - FLOOR FURN. . . . s0 CLO DRYERS. s 1 SSDC ♦ 280. 00 JH 01/25/93 - BOILlCMP ( 3HPs0 OTHER UNITS: 1 PARK f 500. 00 JH 01/25/93 - GAS OUTLETS: 1 IhPRT f 43. 50 JH 01/25/93 - Ownere -----------------------------------MPLC $ 10. 88 JH 01/25/93 - D E ANDERSON INC MSPC ♦ 2. 18 JH 01/25/93 - 4575 SW TUCKER AVE PPRT f 140. 00 JH 01/25/93 PSPC $ 7. 00 JH 01/25/93 - BEAVERTON OR 97005 I Phone #s 627-9999 Contractor: ----------------------------.- D ANDERSON, INC 4575 SW TUCKER AVE BEAVERTON OR 97005 Phone #s Reg #. . s 46344 ----------------------------------------- $ 3@87. 86 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 Imus. All Mork will be done in accordance with approved Post/Beam S*r•_1c Gas Line Insp plans. This permit will expire if work is within 1 -7 Post/Boase N ,e i Ing dation Insp days of issuance, or if work is sus a Plm/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Permittee Signature-Cal I�sp �ater Ibin IIns , - F umb op Ou ppr/S wl Ins Issued By: framing Insp Mechanical Final Call for inspection - 639-4175 aTY0F11FARD ErySEWER CON'1PGT I ON COMMUNITY DEVELOPMENT DEPARTMENT 0111100NID FERMI 13125 sw HOP Blvd. P.O.Ba MV,T"A.Orepon 07223(so,)63%4175 PERMITi1. . . . . . . x.39--4171 DATE ISSUED: 01/25/93 5I1E ADDRESS. . . : 122.18 SW ANTON DR PARCEL: 1S134CB—AP107 iUBJIVIION. . . . ANTON PARK #2 ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 107 TENANT NAME. . . . . : USA NO. . . . . . . . . . 3 FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINCSsl TNSTALL TYPE.. . . :BUSWR IMPERV SURFACE. . : f. Remarks: PATH I Owner: ____.__._____________-------___----_._____________._____.__._ FEES ----_-----_—__-- 0 E ANDERSON INC type 'Am o1_1nt by date recpt 4575 SW TUCKER AVE PRMT $ 2=100. 00 JH 01/25/93 — INSP $ 35. 00 JH 01/25/93 — DLOVERTON OR 97005 [,hone ii: 627-9999 Contractor: -------------------------------- CONTRACTOR NOT ON FILE I11-lone it: $ 2135. 00 TOTAL Reg if. . . REQUIRED INSPECTIONS — ----This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the llr:fied Sewage Agency. The permit expires 168 days from the date issued. The total amount paid will be forfeited if the permit dxpires. The Agency does not guarantee the accuracy of thk 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 r 11 pure s a "Tap and Side Sewer" permit and the 11 t Permittee Siynat _1r e : Issued By : —_ _— --- — — — Call for inspection -- 639-41.75 N2 -- CITVjL OF T r,+ ulzssw 1�ii lllvd. PLNCK/RECT #1 I iJ ARD PERMI I # ---- COMMUNITY DE ELOPMENT DEPARTMENT 1-igard,Oregon M13 (503)639-4171 DATE 1�tiULD JOB ADDRESS: l Z.�L _— � L� +Q�—�— TAX MAP/1—OT SUB: ACX)A 14A,4,'I— '02- LOT: moo — LAND USE: VALUATION: (( v -- QWNER SPECIAL NOTES NAME: /="'..�T�-'�?1,�.�2__ o�� '�'� __ REISSUE OF: _ ADDRESS: .57y� _TtJ��s.�-r _ LAST REISSUE: —. _._�-- — ,,��_ 'c�• —��' —QJP� FLOOD PLAIN/ PHONE: — ��� _' _ _ SENSITIVE LAND: --� �— CONTRACTOR APPROVALSREOU I RED Stt6 4 CYt NAME: ,, �- PLANNING: ADDRESS: —_. —. _ _ F_NGINEERING: _ FIRE DEPT: PHONE — __— ---- — OTHER: Y(F ----i2L CONTR. I30ARD #: _ EXP DATE: ITEMS REQUIRED SUBCONT ACTM: PLUMB: '� T� LIS /SUBCONTRACTORS: MECH: -�C '��— BUS TAX: --- ---- ARCH LENGINEER CALCULATIONS: ^_— NAME: _ — —�_ _ TRUSS DETAILS: _ _- ADDRESS: — _ OTHER: _-�-- —_-- PHONE: ---- PROPOSED BIOG. USE: -�- --�COMMENTS: APPLICANT SIGNATURE � Received By: _ .._— __— Cate Received: -- , _�2- U PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees i 4. l _ N u -- _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) �_ ' _����3, Fjuilding P1 unit)i ng Mechanical I 10-433 00 I'1 ans Check Fee Building 6.3.5 Plumbing _ Mechanical 10, 6•k' / 10-230 06 Fire � ,R 3•vull 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 31' 25-448-02 Commercial TIF Fees 25-448-04 Industrial lIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 1250 25-448-05 Mass Transit TIF Fees _1LL //b _ 52-449 00 Parks System Dev Charge (PDC) Z6, D ` S" 31-450 00 Stuiiii Drainage Syst Pev Chrg (SSDC) �1�_� _ - 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL S a �c� ry ~( If��• ��' nm/358111.WPF � � � ^ � ^ | / CITY OF l %8ARD - RECLIPT 8F P�IYMLNT RLCLlPT NO. x43-23596� | CHECK AMOUNT x 4932. 81 NAME x ANDERSON, D. E. CASH AMOUM[ * 60. ov, | ADDRE66 : PAYMEWl DAT�. x 01/25/91' SUBDIVISION : | PARPO8E OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID i ----'----'-----'------ -- -- --- BUILDING PERM PERM 36'7. 00 PLUMBING PERM 1215. Oki | MECHANICAL PE 40. 550 ST. RiJILD PF-R iR8. 63 | PLAN CHECK FE -1. 3c? SEWER USA 2&o0N. 00 / B�W�R lN��/ELT 35. 00 PARKS �DC 500. 00| ^ �TURM DMAlN SOC 280. 00 RES%DF-NTTAL TpuFFlr FFF* I 39m. 010 TRANSIT TIF FLES 110. Oki � | | | � LOT 108 ANTON PARK 2 12202 SW ANTUN DH | 'TOTAL AMOUNT PAID 81 | � | - -- - ------