Case File ADDRESS :
5' 5W An�on 1:�) r,,--, ve
records`,microfln'tar�et�`bu iding dor`
LC.R1IF1C"1*L OF
TV OCCUPANCY
C11 OF I OF TIGARD I-IFRMIT 0. . . . . . . m MST93-0223
C�MMJNITY DEVELOPMENT DEPARTMENT DATE ISSUKD: 09/27/93
CLASS OF' WOW. MEW
OCCUPANCY GRP. *.R3
Ownere
r F- ANDERSON XNC
4575 SW TUCREP AVE
BEAVERTON OR 97005
Phone #t 627-Q999
Contractore
D ANDERSON, INC
4375 SW TUCKER AVE
SEAV!--R'1'0N OR 97005
� Phone0: 627-9999
/
Reg #. . il 48344
�
� Occupancy of the above refur9noe6 building is hmreLv given, end certifies
�
the �nwpliance with the State Of Oregon 8pwcimlty Codes for the group,
ncoupancy, and ume under which the referenced permit issued. |
� |
' |
---''--~ -------'---' ------- --�� |
I DI.NG NNS ECTOR |
` |
! POST IN CONSPICUOUS PLACE
�
'
INi ECTIO EQTICE
City of Tigard Building Department
1.9125 Be Hall Blvd. Tigard, Oregne 97223
In,Vection Lina (Rae-O-Phons)t 639-4175 Business phones 699-4171
Inopsctions___— R�� ����3 ---
12
footing Plbq. Dnderslab ftchh. ltouugh--in Appr/94wlk
Found. Plbg. Top out Gas Line FIBALs
Post/Beam Stru(_-t. San. Sewer Freeing
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Oyp. ad. ��~
Data Requeetedl
_.:
All
Tlas
Address P11
Permit
Builders l'\- G UUWV
THE FOLLOWING CDRRECTIO145 ARE RBQUIRED:
CCDv 4---b
S,& 772Com,l�
>�
MLA _k
I
Inspecto�rs/yam-� �-�" __-- Datel_f �
`-_
nrr►cv'JEtr _— DISPP'��VE
----Call D APPRDVRJ SURTEC'f TO ABOVIC
all For Relnep.
IKBPE4TIO _ -lag[g
CItT of Tigard Building Dapwctaent
13125 an Ball alwd. Tigeid, Oregon 97223
Inspection Lina (Pec-4o._phone)s GA9-4175 Business Phones 639-.4171
Inspections____ Zo-
Footing Plbg. Underwlab MBt)h, Pough-La Appr/Sdwlk `
F_,)und. Plbg. Top Out a" Une
1INALs �
Post/Beam Sts.-uct. San. Sewer fromIng
Past/Beam Mach. Pain Drain InoulatLon -Plueb. '—
Plbg. Underfloor water Lazne p� On, ad, ,--�h
bath Regveft7edt [�,� Time: /d{
Addresses_(>Z?jS / V(� S '/ lereit
Builder:
'M FOLLOWING CORRECTIONS ARE REQUIREUs
Inspectors_ - ) r _ 6
nese;
APP D Di APPROVED APPR(MRD SUP.TR(-r TO ARM/R
WO, Call For Reinsp.
ZN6YlICTiOJ1�It7�,�C / t
City 'sf Tigard Building Department
13126 80 Hall Blvd. Tigard, OrS9on 97223
Inspection Lina (Rec-o-phone)% 639-4175 9usines■ Phones 639-4171
Inspections _
Rooting Plbq. Underalab Mach. Rough-inM
Ajlpr/8dwlk
Pound. Plbq. Top Out Can fine �FXML;
Post/Beam 8t
nsct. San. Power Framing 1
Post/Ream Koch. Rain Crain Insulation sP1Y�b.
Plbq, ondorfloor Nater Lino Gyp. Rd.
�f 2 -Meeh.
Date Requerteds ( l J
1lddresss_ Ll�.1j�j / Jam'
r, (/ Permit 11L�
Builders
THR FOLLOW G CORRSCT'XOKS AM REuIREDsQ
Y ,
Inspector: _
i Dates��
�_APPAOyWp� DIaAPPFAWWD APPBOM ftIWJWM To ARM
:all poor Ibslesp.
City of Tigard Building Depart meat �f
13225 M Rall Blvd. Tigard, Oregon 97223
Inapection Lina (Rx-O-Phhono): 639-4175 Business Phones 639-4171
Inspections_
Footing Plbq. Undersiab 9wh. hough-in Appr/Sdwlk
Found. Plbq. Top Out Gas L1ne lINALs
Poet/Beam Strutt. San. Sewer Framing >�Ldq
Post/Beam Mach. Rain Drain Insulation C-pl�veb. pr
Plbq. Underfloor Nater Line Gyp. Rd. _Meeh—,--e
Date Requested:
Addx ese t '`Z JS Cy:/�(��` , _ /^ftMLt
Builders ��t
FOLLOWING 001REG'T2 RE REQUIRED:
CC e S I•-s .2.�� . 7
v
LA
( S �
sw.
SU C . � a � S ♦�1�
ZCC
inspectors_ �v ``�"� Datot 9 -u
APPROVED DI81►PPRt 1tD -- APPMVib SUSJWT TO ANM
`
Y�l ., 1! M
f//G11 r R&lnsp.
I
-..—.............r..rr-.w+r•,.rrwH+rnrwONelMNwglRa.
F12110 NOTICE
City of Tigard Building Departreat
13125 MM Ba3.1 Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)i 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undarelab Mooch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Can Line IINALt�
Poot/Beam Struct. San. Bever Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Nater Line Gyp. ed. �h_
Date Requestedt - / -� Timei AM PH
Address e Z ti�5 ���> Permit #b
Builder: __.��-'�� gip'/L
TU MOLI.ONING CORRECTIONS ARE REQUIREDt
S C 3k.
Pei _r
'2_C c e
YL�iln it
C-11--c 06
Inspectorz_ 4 �--- _ Date:
_-AP I DISAPP APYRDVED SDBJSCT TO ABOVE
7^_re For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-•4175 Business Phone: 639-4171
Inspections
Footing Plbg. UnderslAb !tech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line QFINALs
Poet/Beam Strurt. San. Sewer Framing e -Bldg. )/
Port/Beam Mach. Rain Drain insulation -Plumb.
Hoch.
P1'.ug. Underfloor Water Lini (� Gyp. Bd. �— ,
Date Reques�t7ed t �[`A\� `-+1R Timet SAM PM
Address: 1 (✓ Permit 41 eG c 2-Z
Builder:____
THE FOLLOWING CORRECTIONS ARE REQUIRED-
w
/S
inspectors_ Avt L Data �- ' �`ol
(� APPROVED %/ DIS�AP�PROVED APPROVED SUBJECT TO AVE
BO
y \ �� `� Call For Reinsp.
][jiSP _�6N_IIOTICB
City or Tigard P.efilding Department
13125 SW Rall Olyd. Tigard, Oregon 97223
Inspection Line (ROC!-O-Phone): 639-4175 Business Phonon 639-4171
Inspection:
Tooting Plbg. Underslab Mach. Rough-in >Rp /dMlk
round. Plbg. Top Out Gas Line
Post/Baam Struct. San. Sewer Framing -11
Post/Beam Mecn. vain Drain Insulation rip,
Plbg. Urderiloor Nater Line GYP• Bd. -Meoh.
Date Requested:_ �'1 IffL�_�� Tlmef l AM �rN
Addreasf
�'LL J IAV " Nrsii
Builder 1� �L��1)�C lam`-�V (�1-77-
TSiE rOI.LI)A1IItG ODRRRCTIOKS ARR REQUIRED:
Inspectorf w__ nates
XApPMOVVD DISAPPROVED APPROVRD SUDI1/CT TO ABOVE
✓/JY Ca]-1 For Reinsp.
IMff CTION NoTkgr
City of Tigard Building Departsient
13125 BW Bull Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 63--4175 Busineee Phone: 639-4171
1 nay+ect lon�
Footing Plbg. Underslab Mach. Rough-in APer/BOwlk
Fount. Plbg. Top Out Gas Line
Post/harm &tract. San. Sewer Framing -Bld
Post/Boar, Mach. Rain Drain Insulation -plumb.
Plby. Underfloor Water Line Gyp. Bd. /-Mesh,�/'�
Date Requeetedr L��I "f`-�1 TlMf AM _PM
hrmit fM�15T
Bullderr_yyani x/ cj� w 1 tt� 1, -
TAR FOLLOWING OORRECTIONS ARE -WQUIREDr
Inspectors
Datet
APPRAVlD DI�{APPIpVBp APPROVED BDBJBC'P TO ABOVN
"ll For Reinsp.
iNSPECT��JIOTICV.
City or Tigard Building rmpartsumt
13125 SW Ball Blvd. Tigard, Orr" 97223
Inspection Llns (P.ec-O--Phons): 639-4175 Business Phone: 639-4171
Inspection:
footing Plbg. Undsralab Mach. Rough-in
Found. Plbg. Top Out Gas Gine FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/TWam Mach. Rain Drain Insulation -ply.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: A? �,/1 ��,�2 _Tim*: AM P2-7— '57Addrves.-_ 2- ALLPermit 1:_elf 2
Builder:__� Q�
TBE FOLLOWING M-ANCTIONs ARM REQUTRED:
G
Inspector:-_-4-_ Q� y Date: _
APPROVED DISAPPROVED ROVED sUBJECT TO MM
_`Call For Reinsp.
jNSPLCTION MOTICFs \�
City of Tigard Building Departaent l
13125 Rtt Hall Blvd. Tigard, oregoo 97273
Inspection Line (Rec-O-Phone)i 639-4175 Business Phone: 639-4.177.
Inspectionr �4.
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line rINALt
Past/Beam struct.. San. Sewer ftming -Bldg.
Post/Roam MOCII. Rain Drain Imulatien -lluab.
Plbg. Underfloor Nater Line _Orp. M� •lfaOh.
Date Requested* I^l2-� _5 T!t et M X PM
Address* ��� /�� `�11'•, hrmLt to 93 V 21
Ruilders [-i. L j
THE FOLLOWING MRRECTIONS ARIL REQUIRED, r
IL v
T
( -N O W-1- C-0-r-
A._
InspttotorI - ^ Date* I
=RD DIBA-PROVBD r APPROVED SUBJECT TO ABOVE
\ Call For Reinsp.
�G
jNSPRCTION NOTIC79
+ .'.t7 of Tigard Building Department
13Iwj MI Ball Blvd. Tigard, Oregon 97223
fu. n Line (Rne-c-Xhnns)t 639-4175 Business Phone: G39-1171
Vrlat q P:Oq- Underulab Nech. Rough-in Appr./Sdwlk
M,•1% PIbq. izp Out Gas Line FINALE
i Ioic/Bec-q StLuct. San. Sewer "*A' ' ng -Bldg.
Post/Beam ,4ocis. Rain Drain naulatLoss 1\I -plumb.
PLbg. UnAmriloor Nater Line Gyp. ad. -Rech.
Date fpuestedt „a/-*y"3_ Times
Addrese toz p_ !_Ul1�i Permit #.!!:73
TB! POLLIMPG dDRRECTIONS ARE REQUIRED,
W 2-h
Inspectort ' Date •�
/ _.2_
71
V APPROVED DISAPPROVlD APPROVED SDSefTO ABOVM
___Call
For Reinsp.
IMSPE_(�Tj_OII.NCYTICg V i
City or Tigard Building Departmart.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)e 639-4175 Business Phone: 639--4171
Inspect.Lon g �-
Footirg Plbg. Underalab IMOh. Rough-i1 Appr/8dalk
Found. Plbg. Top outi,'� Ona -0",
FIRALt
Post/Beam Struct. San. SowerL lr�iQQ a -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Koch.
Data RwWantedt Tom= AN _PX
Addreas: Permit to
BuildertO��-��/�iG
TBt FOLLOMINO CORRECTIONS ARA RE�QUIRZDD:
`1r_��Q�'� �JY •� fG. Com` L—t.✓'�.q �. ��
Not
C...err
Inspector: �'-'�� Dates 2Z l L 2
APPROVED DIOAPPROVED (' MpRCNED SUBJE4T TO ABOVE
V" c - --
_Cali For Rainep.
=
City 13125 W Ran?L91111"
S vd. Ti9azd, Oregon 97223
InaPection Line (Rea-O-pho )i 639_ l75 Nusinoaa Phones 639-4171
1119Pect ion i
Footing Plbq. nderslab
Ilseh. Rough-is? ) Appr/6dwlk
Found.
plbg. Top out Gas rInALi
Post/Boom Struct. San. Sewer
Fraaina j -Bldg.
Post/Beam Mach. Rain Drain
znaulation -Plumb.
Plbg. Underfloor Rotor Line
Uyp. Bd. -Meeh.
Date R�quNtedi
----�,T1Aas A
Address: M PM— ' ? N
Builders Permit #
TRS FOLLOMINo OOR"CTIONS ARE RRWIRSD, V 1
--�-h
R2 _ Y'V ZN
r
Inspec rot i
--���-� Dater
_APpROysp DISAPpRfiVSD
_ A
� PPR :r SUSJSCT To ABWS
Ce11 For Reinap.
INsPsgr1olf wrzcE \`
cltz or Tigard saildlaq Department 1V
13125 BW mail Blvd. Tigard, ucwgva 97223
Inspection Line (Rao-O-Ph e)s-639--4175 Business Phone: 639-4171
`�
Inspect lone - _�✓ _
Footing Plbg. Underslab kech. Rough in", APPr/Sdwlk
Found. Plbg. Top Out Gas Line
�f FIHALr
Post/Beam Struct. Man. sewer C praainq,_.+ -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Dd. -Hoch.
Gate Requested, —7 , Timer „f—AH i, PH
Address= .� �'S 1v Permit
Builders
TIE FOLLOWING CORRECTIONS ARE REQUIRED:
04cLa2L�,_Q_�a�`
I t-ck-t--j-
3 Uk
A4U 41
LQ
r� 9
inspectorr _ Dater
APPROVED DISAPPROVED
—AL "PPMRD SUBJECT TO ABOVE
�� ' Call For Reinsp.
city or Tigard Building Department
13125 SIX Hall Bled. Tigard, Oregon 97223
Inspection Line (Rec-OrPhone)1 639-4175 Business Phone: 639-4171
Inrpections
Footing Plbg. Underslab Meeh. Rough-in Appy/sdwlk
Round.
� llbq. Top Out .� Cam Line FINJ►Ls
Post/Beam struct. San. Sewer Freeing -Bldg.
Port/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor kater Line gyp. ed. -Koch.
Date Requested,_ L d -"�✓ `I 3 Times —Z—AM
Address: ( Z 7
Permit fi � X7-
Budder+_
TBE FuLLONINO CORRECTIONS ARE REQU-RED:
rnapectorr
Dates
4r
APPROVED DISAPPROVED APPROVED 9DRJECT TO ABOVE
__ Call For Peinsp.
INIP ON NOTICd
Cityof Tigard Building Department 1
L3125 W6a11 Blvd. Tigard, Oregon 97223
Inspection Lina (Roc-O--Phone)t 639-4175 Business Phone: 639-4171
Inspect ton t—aA-t,e I,„ V Cr otic / 6nna-z
Footing Plbg. Underelab "Mesh. Rou9_A Appr./9dw1k
Found. Plbg. Top Out COIs LiM FINALt
Post/Beam Struct. San. lower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Rd. -Hoch.
Date Requostedt /lD �"��
/ _Timet AH PM
/
Addrese: Z Z 3 � � 1��y �,� /�. _ Permit f i 0 ! 0 12
Builders S 1-j
THE FOLLOWING CORRECTIONS ARE REQUIREDt
'�.L_ �✓\ � 1 Z 1 � (L C-`l G L J r �- �.^ `L'� ��1^..4 t
Lo NA_
tN
�1
w C
f
Inspector: r
1/ Dabf --
AFFROVED __ DISAPPROVED �/APPROVED SUBJECT TO ABOVE
-----Call Por Relnap.
IKBPECTION KOTIGE j•"�
Cit2 of Tigard Building Department
13123 M Ball Blvd. Tigard, Oregon 97223
Inepection Line (ROC-O-Phones 639-4175 Bueineee Phones 639-4171
napeot ions
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Lina
lINALs
Poet/Ream Struat. C Frainga -Bldg.
Poet/Beem Nech. Drain
Insulation -plumb.
Plbg. Underfloor Gyp. Rd. -Koch.
`\
Dsite Requeeteds_ —` Times ,AM
Addreees Permit fs _L7�" (/ 2-3
Builders_
TAE FOI.LONINO CORRECTIONS A" REQUIREDs
Inepectorc_'
APPROVED — DISAPPROVED APPROVED SUBJRCT TO AMM
_call For Reinap.
INBPPCTION NOTICE
City of Tigard Buildieg Deportment
13125 !w1 Balk Blvd. Tigard, Oregon 97223
Inspection Line (Rac-O-Phone)t 639-4175 Business Phones 639-4171
Inspections, �-
Footing Plbg. Dnderslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
6t/Boas► Stru ::n. Sewer Framing -Bldg.
Post/Ben
fn Drain Insulation -Plumb.
PtSg. onderilooc Mater Line Gyp. Bd. h, i
(�_ -__
Date Roque tod)s i Times Ap pM
Address �/ �,j _ Permit #t
Builders Z'6L �-z
Teo FOL14WIM CORRECTIONS ARE RXQDIRBD:
Inspecto
rs — --�—— Date:
�APPROVND r- Dt3APPROVBD APPRMND BD. -TcT TO ABOVE
Call For Reinsp.
. 1-� INSYE IOl1�OT1C6 x r
a I City of Tigard Building Department
13125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phona)t 639-4175 Baainess Phones 639-4171
Inspections
Plbg. Onderslab llach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FIRALg
Post/Beam Strcct. San. Sawyer Framing -Bldg.
Post/Beam Mach. Rain Draln Insulation -Plumb.
Plbq. RndarPloor Mater Line Gyp. Rd. Bch,
Data Raa
qutedi !�!� Times _IAM PM
Addreasi �"]� (A 7L n h Permit b2 2-3
Butldert
TRW FOLLOWING CORRECTIoNs ARE REQ rmt
Inspector: i �- _--,_ Date:
-- APPROVRD DISAPPROVED _— APPROVED S7BJECT TO ASOVt
__Call For Rainsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126&W Hall Blvd.Tigard,Oregon 07223.5169 (503)634-4171 )6a iE i
yl
'' =Ir�TC11VLI)i�. � . . . . , .. . . . . e4r7? ZONING: R7PIl
Ulm,A" GT WORK.. . :NI W t3F-RJ61•1G1E G15F'(.1.SAL.S. . n i
_I.,h(f~a. M1F USE . . . . Al WFaaHING r+IF�CH. . , . . . . s i 1�r'10*L,0W PIREVNT'R �
0'.c;Ur-ANU1 GlIRS,. . :ra- r I._i3c1r? DRAX,u:w_:,. . . . . . . :0 rR()PS. . . . . . . . .
&,rL)itIes. . . . . . . . : i WATE'< HEATERS i CATCH B1-SIiNg. . ,
-_ IJNL ki 100Y13,. . . . . . :0 Csl-- l AlN DRAINS. . .
. . . . . . . . . . . GrS(46k rR(IP*w. : . . . . . .
10"I')IL 1x VUf?L6. . . . . ..01
(.;I3)akUlJkf�sl. . . . SEWER LINE
1i r, fL ri (.L.0::ilt T4, . ; WA'TC_i'. I_. NL (ft . . . . s 1wvj
iSoWAE r,IEML . . 1 ROIN _ a.iN ( ft ) . . , . ,:N
I
i.. r j*Nh 1t'r?3p1\1 X IdC r is FF 6 1460. 00 J H; ;21I
'.`57 s SW T'UCE(Lk WVE: LAPRT d :367. 00 JH 0C 471 Ili_61
liF'"I_ 6 41b. V-10 JLH 04,-' l 4/ 3 c_,90i
1 }E,0: U1 r' L)R '3 Jtp ,Ii-t IZI(> 01 ;44:3
Bpl_C 15. 00 ,JH Ob 01/93 _
313Di," fi call). 00 J H I cf.i 01. ''i:3
I-Arii', i 5s�Ql. -0 ,i H 06,'0� i' ;3 -
+0. 50 J J 06i011/r):3
i
L a t At F` ` J i! v'J t:�i k',r
12110
rcr�f; F'�F'C n G. ES JF? Qrh/Qrl.
t, I Bi I:,:, v.4+ z• i ;, ued a +ti jec;t to the
;c'atiur 'COV A'tfleCi irl the Tig.Ard Mi_cnic_ ipaI root /founu In bpi Ruin drain l ,
uc3�ty. ;..,.Att3 C: :- Ll c COde� and ai'o� t�`:+_Am citr•raLt: W-Abs<i, (_ic-e i
(:kO,4`�4 iappli'_,able Laws. t;.rl work will bts done *'or.t /beam Mechaii Appr/9dwik I,
v ii, _rrrel.xt+t{ P With a' apt-ct/P0 F L.'li';. Thl r insr3 MEQchan:l ca
qi l l expire if work is not St•Art ed 'PLM/ Undvrf loot', plumb V i,1a
160 day5 OF i%SuAnr..t't art' .i.1 work 1. i I'+?chat 114, Al !11Sp BLI) IdIOU I '.r,,;at
�peT)ded for enr•e :thav 160 days. A.icamb Top Out F-r,ision La,
Framing Inas;
Fireplace In Sp ___..__. ..�..
13Ea , Line Insp
, ;�r,uJatlon Insp
Board
:},jt Ar trantr'ac:tor �.)ignaRtclre
I. 1 n+apeCt i ort _. k, ay..
t Notes
C11 Y OF T I G,ARD __..._____ ____ ______.__�.���__-.�____
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Orepn 9722396199 (603)639-071 . . . . . . . L
35-4.171 DOTE ISSUED. 06/01-1'9--.
'1-' Ar :'31;3 CI!
L�W AN DP
3DIVISION. . . . 0 ANTON PARK 11 LUNING, R-7 P1
L.UT. . . . . . . . . . . . 10/1
BUILDING
Ri.ISSUE:M61-93-00 14 DWL-LLING UNITS'. 1 bl-)GEMENI.. . . . . . 10
L L flit Will',. NEW BEORMS:3 BPTHS:L' rjARAc3r:.. . . . . . . . . . v 400
— SIf FLOOR (4RE;6-- RF.G!UIRED
kil- U39�411'm�1. .
CW' L;UNSt. N' : 1536 s LEFT. . ft RIGHT. -.t5
) JP(4;4 c�y
UR 1.z SECOND. . . 10 !1 f FkONT. :`lb fit Ri AR. . :i�o
1. �
. . . . . . . .. 1 -0 Sf REQUIRE.[)--_. ___ _ _.___ __._. .
.CGH
EQUIRE.[)---
LGH f. 11J ft 1'GTPL - 1536 S f SMIUKE k)L-TLG'1 OR'3. '. 'Y
LOUR LOAD. . . . :40 pef VALUE:. . . . . '1,. 7i 856 VARK ING SPACES—1 4,
PLUMBING
SI 4K.i. . . . . . . . . I L.UUR DRAIN":1. . . . t11 B4CKFLOW PRU.0\1 PG.
J WATER HEATERS. : 1 TPAPS. . . . . . . . . . . . . . . 0
-.,:. LOUNDHY TRAYb. :0 CATCH N"'S 1: . . . . " . .0
wwrFR LLUSE-TS. . :L SEWER LINE (ft ) . :0 GREAbE TRAPj( . . . . . . . ;0
WATER LTNL. (ft ) . - ).QIVJ 01'HLH F 1'X TLJPLG.
RAIN DW41N ( ft ; . W)
..;WA�3E DIS-='. . .. . r I
i
SF RA 114 ')
1ILCHANICA1. FE.CS
iJ:'L 'f I fA_:3-- UNI'T HTRS. -0 ype f�:%Mouilt; Uy d-11;a
VEN78 . . . . . .0 71F 11 1460, 100 JH 06/01/93
Mp X 1. -,/k? -
I N111 l"0 10 VEW FAN-1,. , , i�P I' 1 36 1. OV, JH OL JL/ 4,i
I--URN LOOK : 1 HOODS. . . . . . It SPI-C 4 401. 00 JLH 04/1493 9 3 iP3 0 Z)
FJRN 11110K . . :0 W(JOUS1,0VEL:". .I'l B'1'Jpc S Ib. "::r ill 0h/0i 193
L.UOR FURN. e, f_L0 DRYERS. i I BPL..i:' 15. 00 ,j0 06/01/93
u 0-0 ill
OOH 041 T..-:
6A5 OUILE75: 1 WART; S00. iAla JH (46/01/9:3 -
--MPR T $ 40. LAI JH Obfltl 1/93 —
ONIA!HSCIN I MPL C * 10. 13 JFI 06/01 /93
4 75 SW FUCKI.'." r-01., JH 1216 iJ'),3
Pf-"RT is . Oki jH 06/01/9-3
01i �31*?QW15 6. r"3 Jh 06 0 1 111.3
7,1.; iUCKLR AVE
627-999i
46344
7hit permit :s Issuoe p16ject to thi r,egalations contained in the REUM,RED 114814.Cl TUNS
�.r.icipaj Coot, Stott of 0,,,e Specialty Codes and all otrer F ocit f'outid I n s p Fireplacd Insp
lipi.;cabje laws. All tivii will be done in accordance with AWOV#iU ;'0St/81P%&M Stt'ikL:t GO LAIIE' ITISP
plans. This permit will f4owe if W )r't/Beav Mechan Insulation Inst
days o" issuance, or if work 15 UllrJSlAb Insp Up B-3at L! I T1 c,.i p
f-"n'Ierf 'I ri .)� Raiii dain I lisp
Water Linc insv
App-/13dinilk insp
Gail f-Q,, i i i age L': il i i b,- _j
CIT` OF TIGARD r�.... .l
COMMUNITY DEVELOPMENT DEPARTMENT aA rE ISSUED: 06/01/1)
13126 SIN Hall Blvd.Tigard,Oropon 97223.8199 (503)839.4171
F-'AF<GELE 1134�,ci L :; I,v
ivL)a V i`til+. 4. . . . ±iN i'UN PHkK 1 1 ZIJNING 1t-.7 PD
f1CK, . . . . . . . . . . i.uT. . . . . . . . . . . . . :07 t
LE'NANT INAME. . . . . . _..._. .__.w.
30 NO . . . . . . . . . . FIXTURE UNITS. . . .
i.ABS OF WURK. . . :,VLW DWEELL_1NG 01y1 1 S. , : 1
U::;E. . . . . : NO. OF BUILDINfl;: 1
. . . . :LAU,;Wil 1i�if�E=i1V
pwij
ANDERSON 1NL r,yF=r amount by date roc-Pt
�;'j SW TUCKER AVE PRMT, L_100. 00 JH 06/1711/93
INSP i ',5. 00 JH rn6/tt71/9;.3
fi11B
4- 6P7-13999
;..711G1i. C'11i NIJ : UN 1 ILL
RE-CSU I REL) I NSF�E LTI UNC;
Tris 14pp1itint agrees to comply with all the rules a-,d regulations Sever Inspection
Of the 111sif1ed Sewage AgEncy. The permit expires He days From
the date issued. The total amount para Will be forfeited if the
pareit #90es. ?he Agency does not guarantee the aec,=ricy of the
sWe ;Pwr laterals. If the sewer is not 'Located at the measurement
g;.verif the installer shat: prospect � tett in ali dir?ctinni frvs
k:Te distance liven. If not so icr:atedT V
"Ijp,snd fiide ;ewer° '-Weit and the
Lail for inspect icln - 639-41?E;
Ik 7�l
— -—A
PA
(� A 13125SwHaff Ww. PLNCK/IZEC-i # q'
CITY OF T I GARD PERMIT # _��_Q
COMMUNM DEVELOPMENT DEPARTMENT Tipcd,Om"97W -- --
(503)63"171 DATE ISSUED _
JOB ADDRE S: / -�,5� �-= L.�-'�i TAX MAP/LOT IS
SUB: ��- ? ��-ld LANG USE: _
VALUATION:
Q R SPECIAL NOTES
NAME: _��/- ,� s– ��_ REISSUE OF: _
ADDRESS- A��S �*- �p_ � ��'" LAST REISSUE:
FLOOD PLAIN/
PHONL: �GvZ�__ �' SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED /
NAME: _ _ —_—_ _ __—_— _ PLANNING: s6d,
ADDRESS: _. _ %� " -- _ ENGINEERING:
FIRE DEPT:
PIIONE: __-- _. `— OTHER:
CEINTR. BOARD #: �Y �-t-- EXP DATE: l =�
ITEMS REQ( IREQ
SUBCONTRACTORS: PLUMB: _ 4� � r� T � LIST/SUBCONTIZACTORS:
MECH: C �� �� 1? BUS TAX:
AVCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS- _ —
ADDRESS: OTHER:
111IONE:
PROPOSED BLDG. USE-
COMMENTS:
SE:COMMENTS: — – – C) a*'J ,t .- --- �2 c-Pec- 2�
APPLICANT SIGNATURE
l
Received By: Date Received: _ L
PERMIT # ACCT # DESCRIPTION AMOUNT zAMOUNT
PD. BAL. OUE
�/ '• .� I0-432 00 Building Permit Fees s-
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees �•=� _ r U �'v
10-230 01 State Building Tax (5%)
Building ' L , r f
Plumbing c;• s /
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing _-
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection 2100 ! � o
30-444 00 Sewer Inspection
2.5-448--02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees ? S ?a J
2.5-448-05 Mass Transit TIF Fees ��/U ZL2
52-449 00 Parks System Dev Charge (POC) S 0 U Sod
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. n S3-240714
E CHECK AMOUNT 4959. 26
NAM
Et DEVELOPMENT CASH AMOUNT n 0. 00
ADDRESS t PAYMENT DATE 06/01/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID fi
BUILDING PERM 367. 00 PLUMBING PERM 125. 00
MEC!AANICAL PE 40. 5171 ST. BUILD PER 2b. 63
PLAN CHECK FE iFS. 13 SEWER USA 100. 00
SEWS INSPECT 35. 00 PARKS SDC 500. 00
STORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC 1350. 00
MASS TRANSIT TIF FEES 110. 00
1-01 77 ANTON PARK
12235 SW ANTON DR
TOTAL AMOUNT PAID 4959. 26
r
f
CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT' NO. a 93•-239025 I
CHECK AMOUNT t 1611. 00
II IVAME o D. E. ANDERSON INC GASH AMOUNT
ADDRESS u 4525 8W 96TH AVENUE=' PAYMENT DATE n 04/ 14/33
BEAVERT'ON, OR SUBU I V 15I ON
9,7005—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PL. NCHECK Ff.--_4 -37F7 4�i. 0P FLAN CMF'CK F _.4 -3�k -- 40. 00
PI-AN CHECK PE 4--39P 40. 00 PLAN CHECK F1= 4-40R 40. 00
04,
TOTt'>II_ nMOUNT PAID — - 'I be. 00
p