Case File ADDRESS :
I�`Inicrafli l,target5` Uli�tl!1" y(
CITY OF TIGARD CERTIFICATE OF
C04U MUNITY .D17VELOPMENT DEPARTMENT
a:,1CCUF'faNr Y
131,76 SLY Hall Blvd 1 it I,Qmgon 9.,2,23.8199503)639-4171
1 1-ERMIT #. . . . . . . : MST93--VIS}.'
3C� -�►;i'i DATE ISSUE'Ds l /27/913
PAR(,EL_; 1 S 134C8•- 15.300
SITE ADDRESS- -, : t •'3 3 SW ANT014 DR
!':iLIS1.11101SION. . , . s ANI UN PPRK I I 7 0N1NCSs R- '7 PD
. . . . . . . . . . n I_01.. . . . . . . . . . . . . s 080
CLASS OF WORK„ :NE14
TYPE OF' Jail~. . . a SF'
UCC;U ANCY URP. : P3
OCCUPANCY L LAD:?,84 +
T N N T NAME. . . :
Remark s s PATH I
Owners
MEL-VIN WAYMIRE_, JR
P O BOX 231164
'110ARD OR 97281
Phone #: 639-6742
ME.L_V 1 N WAYMIRE
FSO BOX 23,) 164
1 TUARD OR 972281
Phone #x 639 -6748
Reg *. . s 35976
Occupancy of the Above referenced bl.rildinq is hereby given, and certl i`ies
t:hp campliAnce with the State Of [lr.:gnn Specialty Codpq fol' the gr-OUP,
occupancy, and use under• which the reft-.-enrerl permit w�1s issit .,ri.
FIRE DEPARTMENT
1 im&)INS 1. OR
CwILI I L.Dti Nr OF F :.1 AI._.
POST IN r((NSP I CU[IbS IDLACE
i
�KBPgc�lon NOTTCx
City of Tigard Building Departmw
13125 Be Ball Blvd. Tigard, OreW n 97223
Inspection Line (ROC-o-Phots)t 639-4175 Business Phone: 639-4171
Inspections —__
Foctinq Plbg. Underalab Mach. Bough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Boam Strurt. Ban. Sewer Framing -slat.
1,
Post/Beam Mech. Rain Drain Insulation -Pliub.
Plbq. Underfloor Water LLOO oyp. Bd. -lleOb•
Date Requested: 12 -i'� `' J Time: wll Plf
Address t 1 Z- z s.�l ryJely\ iA ---- - Permit #i
Builder.:.]�1S�
TBE IOLLOMIWG CORRECTIONS ARE REQUIRED:
L
Inspector: ` _--- Dare:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
UMPMCTIO[I IOTICu
City of Tigard Building Departeteut J
13125 BW Rall Blvd. Tigard, Ozwgrtn 97223
Inspection Line (Rec-o-Phone)t 639-4175 nuainess Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in APer/"Wlk
round. Plbq. Top Out Car Line
PostlBeam 3truct. Dan. Barrer Fraving
Pis"/Beam Mach. Rain Drain Insulation ( �
Plbg. t)nderfloor Wator /Li1QN.2 Gyp. Bd.
Data Pequeetede_ L (7 - l/ _Tical hM —PN
Addresat ! l ZLZ� ti1/�lby�. Poi*i!
Builder: t"OJ
'PHM FOLLOWING C7ORRMCTIONI AM RRQUIRRD:
b
t oP *I-- 1.► . �� 2L
_ � Qr�.sty �2 E • G��t P s �--�...� ��r>�:��-.�k �-�.,..�
Irtaptr.orsjhk it—
APPYANIM DI3NPPROVRD _-__ APPRWRD BUR.IRCT 10 AWN$
Ca11 For Reinap.
i
�NG_�GT�ON YOTICE
4CitT or Tigard Building Department
1.3125 lily Ball Blvd. Tigard, 'Oregon 97222
T.nopeation Ltno (Rec-O-Phone)t 639-1175 Busincna Phone: 639 4171
Inspection
Tooting Plbg. Unders.lab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Can Line
FIMAI.t
Post/Beam Struct. San. Sewer Framing _B�,1g.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Vndsr:' or Nater Line gyp. Rd. -Koch.
Date Requfsteda Time: AM PM
1lddrfatfa—L 4 ��1 Z� A Y P*rmit}f
M� (� ll Permit
Bulldera� `_r , � �},w«re, c�.3e, —(?71 f2__
TBE FOLLOWING CORRECTIONS ARE RSQUIREDt
roe
Inspector t +"�L��� �
Dales „_(_[1'-L2.-,
'2 T_
APPROVRD !_ DISAPPROVED \ XPPROYED SUBJBCr To ABOVU
--Call For Reinsp.
INSPECTION NOTICE
C�t7 of Tigard Building Depactnnut
131.25 BR Bell Blvd. Tigard• Oregon 97223
inspection Line (Rec.-4-Phone): 639-4176 Business Phone: 639-4111
Inspection: _ �✓ __-_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewer Pressing 1 --Bldg.
Poet/Ream Mach. Rain Drain Insulatitm , -Plumb.
Plbg. Underfloor rW,ater Line 0". Ed. -Mach.
Date Requestedt Iy I i _ `b ato
Ttt ,::�_— AM PN
Addreeat Z >Z �( 1J1 Permit #t M5V-g3-O�L2�
Buildett,.,Ma .�1J�
THE FOLLOWING CORRECT Rrt XMWIREDt
w r
vj
Inspector:— 1�� Data:
__APPROVED DISAPPROVED -APPROVED SUBJECT To ABCWE
1 Call For Reinsp.
insugnox NoTICE
City of Tigard Muildinq Department
13125 aR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phono)i 539-4175 Business Phones 639-4171
Inepertions (`et
Footing Plby. Underelab Mech. Rougi-in AUpr/Sdwlk
Found. Plbg. Top out pas Line FINALS
Post/Berm Struc:t. San. Sewer Framing -Bldg.
Post/Beam Mech� Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
--Line Gyp. ad. -Koch.
Date Nequesteds_ __ IL) (r -/1 Times AM PH
Addiesss l 1 Q? / ��AQV\- Permit As �-
Builders
J O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ _ Dates� o - C� a
APPROVED DISAPPROVED _ APPROVED SUSJMC'T TO Ano"..
Call For tlainsp.
INSP MON NOTICE
city of Tigard Building Departaent
13125 BW Ball Blvd. Tigard, Ore" 97223
Inspection Line (Rec-O--Phune)t 639-4175 Business Phones 639-4171
Inspections _ `_
looting Plbq. Underalab Neo6. llafgh-in _ Appr/sdwlk
Rewnd. Plbq. Top out OaB LLOO > lIxALs
Poet/Beam struct. San. Sewer sra.Lq� -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb.
Plbq. Underfloor lN^ato/r, Line Gyp. Bd. -Koch. 1,
Date Rwquested1 1l '-lL' " Times �AM pN
11 �_
Address I l C 'D � Y'1,
A Permit /t
Builder: �. ,"`VV l' ,
Tmoi 1'OLLOMINO CORRXMZCWS AU RZWIREDt 1
��.� r.•2
-Z) ,sXi—��
1 V
Inapectort _ q
_-- --- Data I. Y(� --1
--APr,ROVlD — v/DISAPPROVED APPRO'VID SUBJECT TO ABOVE
—Call, /or Reinep.
.���ECTIUN NOTICE �
City of Tigard Building Departaont
13125 SO Ball Blvd. Tigari9, Oregon 47223
Inepet-tion Lino (Rec-O-Phoneyr 639-4175 MW neaa Phone: 639-4171
Inspections
Rooting Plbq. Ondenelab Hoch. Rough-in p r
pp /Sdwlk
Found,
Plbq_Top Out Gas Line PINALs
Poet/Beam Struct. San. Messier Framing -Bldg.
Post/Ream Hoch, Rain Drain Insulation
-Plumb,
Plbg. Underfloor Water Line Gyp. Bd.
-Neth.
ds
Data RoquesteL�.2 �J z
Tues 1_// PN
Addresses��Z$ J4Vl y� Permit #s 77 X13
Builders
-L,
TRE TOLUMINO CORRECTIONS ARE RIMIRRD:
i�
C SaG
Inspectors Dates
ll1OV1►D D18APPROVED APPROVED SU
BJEC'P To ABOVE
Call For Reinsp.
Cita o ' Tigard Building Department
13125 Bw .tall Blvd_ Tigard, Oragoe 97223
Inspection Line (Rec-O-Phone)z 639-4175 Business Phone% 639•-4171
Inspections_,_
Footing Plbg. Undorslab Mech. Rough-in Appr/Sdwlk
round. Plbq. Top out Gas Line 2INALz
St/Sw St� San. Sower Framing -Bldg.
root/Seam Rain Drain Insulation -Plumb.
Plbg. Underfloor Waaler
Line Gyp. Bd. -Hoch.
Date Regzaesteds Dr�V 1 � Times _q2!�_JAm Q PH
Address:, .172-1' 1 �\
Permit it�/+
Rus.l.derz MW
LI f�1mlrle
3
TAE FOLLOWING CORRECTIONS 11RZ VJMUIRSDs
Inspectors / �f Dates O
APPROV/D DISAPPROVEDAPPROVED SUBJECT TO ABOV!
`_Call For Reinsp.
INSP6CIAdlpo? o
City of Tigard Building Departawnt
13125 OW Ball Blvd. Tigard, Oregon 97223
Inapaot n Line (Rer Ph )t 639-4175 Businusa Phone: 6.39-4171
Inupnott.oat
fto Lng ?jbg. Underalab Koch. Rough-in Appr/Sdwlk
pound.- -_ _ Pibq. Top Out Can Line FINAL:
AOst/Mas btruat. San. Sewer truing --Bldg.
Pat/seas Koch. Rain Drain Insulation _P1,unb,
Mg. Underfloor pWater Line z Gyp. Rd. -Hoch.
Date Requested: J' �( I l
2 int, _____'f ince: G�Z AN PM
Address: -7 / C1/ s Permit 1t
Buildert AA-A-4 y^ky e
TB= FOLLOWING OORRiCl'IONS ARE FJWTREDt
� �-2--,e \J 'c'_.-n �•r �a z r v �'ems.. 1 2. �,
Inspector: _ 1—/ Dates Z I
--APP�D DtAAPPYOM ✓ APPROVED SUBM-r TO ABOVE
� Call for fbsinap.
INSFE(,'TION NCYTIc,'E - y
City of. Tigard Building uepartisant
13115 SW Ball Blvd. Tigard, OrcK,r:n 97223
Inspectiun Lina (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Mg. Underslah Mech. Rough-in Appr/Sdwlk
Freund. Mg. Top Out Gas Line FINALS
Post/Beam Struct. San, E, -Plumb.
t ) Framing -Bldg.
Post/Beam Mech. Rain Innuiation
P ., Underflao Nater Lina Gyp. Bd. -Hoch.
Data Requested7a 13 __Time: A^M /��__�__PM
Addresses 1^^2L X��_� Permit #:� `' �72
or:lL
Build
THE FOLLOWING -IRCTION3 ARE REQUIRED:
Inspector:__ Date:
)�7"PROVZD DIBAPPROVED -_ APPROVED SUBJECE' To ABOVE
_—Call For Reinap.
iNsrr.!-rloN NarjcD
Cit1 of Tigard Building epartapeJst
13125 ON EhO I Blvd. Tigard, Oregon 97223
In,<lsction Line (rec-O-^hone): 639-41i5 11usireas Phone: 639-4111
La?) Plbg. UndereLt. Mach. Rough-in Appr/Sdwlk
Plbg. Top Out Goan Line FINAL:
Posr./Beam Str-.ict. Sen. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Und(rrfloor }Nater Line Gyp. Rd. -Nech.
Date xuquested: ^^Z--]-''�U- l� Timee Dy PN
Address: nt2?-% /t1�7C��. (�1( � z�}, / -1 Permit is 1 �y?-I
Builder: 1'O �h/ll� 7 [ (o /L'_
7:E FOLLOWING COMMONS ARS RBQUIRBDs
c
l c c r oy 4e-
2_e,Z4 l r
2Sr r 2 c_ -c-
0-,f
Y � f1�1.—i P_ -LT'S -•^ 2.t�.+•� C' � u.,�/
Inspectors ' Date 3 /J
__-APPROVED DISAPPROVED APPROVED SURJECT TO ABOVE
Call For Rainsp.
C11Y OF rf IGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Nall Blvd.Tigard,Oregon 97223°8199 (503)839-4171
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CITY QF TIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT `k..l wi l I ft. . . . .
1 312f 8W H&H Blvd.Tigud,Orpon 97223*81{iN (603)639-4171 ,)N 1 r.. I b2.,Ut1.': k,t,' +
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J R M,,lbI,I- _:, 1.H Jai 08/04'Y93
. "elO ) 1 14! V;,4
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#ytgwn uitihipel « Ort. tpecidlty Codes and all Wt tr F�,ot / i , i.inci •I :; 1r`•3p1•ace In sL,
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CITY ®F TIGARD ., ���r,.ia 1
pwf11Mi 1 it. . . . . a E'WIJ93--i 13f;
COMMUNITY DEVELOPMENT DEPARTMENT � ` " "
13126 8W HaB Blvd.Tlpsrd,Omgon 07223*81 H (60)639417i
.'_. . . . • ANION i Nl2f; t l
JVA� No. . . . . . . . . . t 1: r X IUIiL LINJ I.,. . ,
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k +�►-1r�L �t�}�: � r�ti i
RI LiW RED 1N,-i-LL f lUMa i
his Rppilraat agrees tc cntply with all tht rules and regulet:zns 5pwer Intspe t zsan
J tit Uta;t,ec 6ea;ye prgrncy, ht pertit exptrm lfw says frog
:'r Date issee�. N totai aaourt patelr.lt be forfeittd it the
aerc.t expires. 'he NJencg cops not guararitte the accuraac, the
cp sewer ia:eralr. If 0,,e sewer isnot locAd it she atAs%-rap-t _ -- —••-----. ____ ___� _._
the instr!iar s` 11 prespi:ct s f¢et it all directions troy
distarce
aha a^. ;.•i� � 'all a aater8l. ._._.._�.r�__.._._.__ .�__._.__Y.—._.._.,,.�-
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PLNCKJRECT p ?
CITY OF TIGARD 7191CA 0-1-V= PERVIT / .f�5f�.3
COMMUNPCY DEVELOPMENT DEPARTMENT
(M)639-4171 DATE ISSUED
� JOB ADDRESS:
12283:S.W. Anton Dr. TAX MAP/LOT.
SUB: Anton Pk. #2 LOT: 80 LAND USE:
VALUATION: ,
_ 01�NERSPECIAL NOTES �
NAME• Melvin G. Waymire, Jr. REISSUE OF,.-
ADDRESS: P.O. Box 231164 LAST REISSUE: ra
Tigard, OR 97223 FLOOD PLAIN/
PHONE: 639-6742 SENSITIVE LAND:
CONTRACTOR APPROVALS RF Vih O
NAME: PLANtlNu:
ADDRESS: " ENGINEERING:
FIRE DEPT:
PHONES f351=Ei742 OTHER:
CONTR. 'BOARD A: 35976 EXP DATE: 3/11/94
ITEMS REQUIRED
SUBCONTRACTORS! PLUMB: Harmony Plumbing Co. _ LIST/SUBCONTRACTORS:
w MECH: General Furnace BUS TAX':
ARCH/ENGINEER CALCULATIONS:
NAME: - Alan .Masmrd Design Assoc. TRUSS DETAILS:
ADDRFSS: _,,,151.5 N.W. 23rd Ave, OTHER:
Portland, OR 97210
PHONE: ` 225-9161
PROPOSED BLDG. USE• Single family residence
COMMENTS:
PPLIC NT SIGN RE '
Received By: Date Received:
CITY OF TIOARD — RECEIPT OF PAYMENT RECEIPT NO. a93-242750
CHECK AMOUNT 40. 01A
NAME s MEL.V I N 6 WAYM I RE ,i R CASH AMOUNT s 1A. 00
ADDRESS R PAYMENT- DATE a 0-i/29/93
PO BOX 231164 SUBDIVISTON y
TIOARD OR 97223—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT POID
•LAN CNEL'K FE ��— � 40, 00
LAN CHECK 7-79R — 12283 SW ANTON DRIVE
_OT Hoy ANTON PK N2
TOTAL AMOUNT PAID — — — —> 40. 00
1
II
CITY OF T I GARD — RECEIPT OF PAYMENT RECEIPT NO. s93-242969
CHECK AMOUN'f a 5158. 5E
NAME WAYMIRE, MELVIN C. CASH AMOUNT s 0. 00
ADDRESS a PO BOX 231164 PAYMENT DATE s 08/@5!93
T I GARD, OR SURD I V I S I ON :
972 23—
URPOSE OF PAYMENT AMOUNT PAID FIC RPOSE OF PAYME'N'T' AMOUNT PAID
U I LD I NO PERM YMST93--0429 400. 00 P V MS I NG PERM — — -- _ 140. 00
ME CHANICAL PE 43. 50 ST. BUILD PER 29. 18
LAN CHECK FE 10. Be SEWER LISA x:200. VAN
EWER INSPECT 35. 00 PARKS SDC 500. 00
TORM DRAIN SDC :'80. 00 RESIDENTIAL. TRAFFIC FEES 14.10. 00
ASS TRANSIT TIF FEES 110. 00
1122A3 SW ANTON DRIVE
ANTON PK. N2, LOT 80
I'TOTAL AMOUNT PAID — — — — > 5158. 56
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