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Case File ADDRESS: i r`records\microFlmltargetslbuilding. .,)c CERTIFICATE ICAOF' CITY OF TIGA OCCUPANCY COMMUNITY DEVELOPMENT D� RFwpw DATEiT SUED . . . . : M9r9;3 02tlN r DATE. IyBUET►a 09/13/93 13125 SW Hall Blvd.Tigard,r •gon 97223.8199 (503)839-4171 PARCEL: 1S1324CB-- 175041 SITE ADDhi~SS. . . r 1c298 SW ANTON DR SUBDI t;I S I ON. . . . I ANTON PARK 11 ZONING s R-7 FAD BLOCK. . . . . . . . . . r LOT. . o o d CLASS OF WORK. rNEW iTYPE. OF USE. . . :SF OI,CUPANCY GRP. a R3 OCCUPANCY LOAD s x'23 4 TENANT NNME. . . s , Remarks a PATH I Ownerr MEL_V IN WAYM I RE, .7R P () SOX 231164 'IIGARD OR 97881 Phune ii; 639--6742 Contractor. MC-LV1N WAYMIRE F'O BOX 231164 T I OARD OP 9'73131 I Phone #t 639-67421 "eg #. . a 35976 Occupancy of the abrive refierPnced building is hereby given, and cvrtifie!•, the comp] ianre with the State Of Oregon GpeciAlty Codes for that group, occupancy, .and use under which the referenced permit wan issued. FIRE DCPART'MFNT -.__ U gING SPECTOR till ..I_ FIC I Al. POST IN CONSPICUOUS PLACE I� I I a. ,L4!¢LGTION NOTICE City of Tigard Building Depart 1.7125 ON Ball Blvd. Tigard, oregm 97223 Inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4171 Inspections_ i Footinq Plbg. Undarslab Mach. Rough-in Appr/Sdwlk F.rsnd. Plbg. Top Out Gas Line FINALs Post/Ream Strur_t. San. Sewer Framing -Blue. Post/Beam Mech. Rain Drain Insulation Plbg. Underfloor Wa ter Lina Gyp. Rd. /0", Data Requested: J,( /� <N Address s i l Ln{1 V A�T3V\ �I /Permit Builders f\'n`tX THE FOLUMING CORRECTIONS ARE REQUIRED: Inspectors V _ Dates APPROVtD O1SAPPNCVZD APPROVED SURJNCT TO ABOVE �` Ca:ll For Reinsp. IRSPECfIOH NOTICE City of Tigard 3u ilding nlepartsent 13125 9W Flall Blvd. Tigard, Oregon 9723 Inspection Line (Rei- ()-Phone): 639-4175 Business :lions: 639-4171 Inspection:-_- _.__ ---- ---- rooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FIpALt Poet/Beam 9truct. San. Sewer Framing -Bldg. _ o Poet/Beim Mach. Rain Drain Insulation � FliiElb:- Plhg_ Underfloor. wa Lina Gyp. Bd. -Koch. Date Requested: �� Time: ` AM PX Address: � •��4'� Permit f t ^� 2 I Bui_iderc i THE FOLLOWING CORRRCTIons APB REQDIRED: Inapecto APPROVED DISAPPROVED APPROVED SUB,I TO ABOVE Call For Reinap. J¢P1911 N NOTUA City of Tigard Building Department 13125 SW Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Susineee Phone: 639-4171 Footing Plbg. Underalab Hoch. Rough-in lc/Sdwlk j Found. Pl.bg. Top Out Gas Line FINAL# Poet/Beam Struct. San. Sewer Framing -Bidq• Pont/Beam Koch. Rain Drain Insulation -Plumb. Pl.bg. Underfloor Mater Uns orp. ed. -Hoch. Mite Requested:_ 33� � Time= Alf PN Permit Builder:_—_ TBR FOLLOWING CORRECTIONS ARE REQUIP.ED: Inepactor:_��Llf� --- _ Dater_ / —Z APPROVED nISAPPROVItD —_ APPROVED SUBJECT TO ABOVE Call For Reinap. IN&PBCTIONAOO {fig, p Citi of Tigard Buildiag Depattwznt 1!221* BA Ball Blvd, Tigard, Or"9cm 97223 \�" InepMtLO11 1 Lira (Rec-O-Phone)r 639-4175 Business Phone: 639-4171 // Inspect ion rV- Footing Plbg. Underelah Mach. Rough-In Appr/bdwlk round. Plbg. Top out Can Line SINAL: Poet/Deem struct. San. Sewer Framing -Bldg. Post/Ream Koch. Rain Drain Insulation -Ply. Plbg. Underfloor Water Line Oyp• Rd. -Mach. Date A � —'r• equestedi, O _Timer _ _ AM __PM Address: ' / Permit 1r 7 -��► � builder:___^ _ T//ER POLIONINq ODRARC' ARE REQUIRED: r,.�nrk I I r Inspectors �� S `/ Dates "PROM DISAPPROVED APPROVED 911BJECT TO ABOVE \C� Call For Psinep. i INSR6Cia�NOTICi City of Tigard Building Dwpartw t 13125 AW 8411 Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspectiont__ `- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk round. Plbg. Top out �a Lin♦ FINAL: Post/Bono Struct. San. Sower lrmetiteq -Bldg. Post/Ream Mach. Rain Drain Mulation� -Plumb. Plbq. Underfloor Nater Line 0". b. -Hoch. Date Requestedt�-- D ` �0 4 Tialet PM ZC �` f d AJdrowst Permit �t �� U qt Builders TOM FOLLONING CORRECTICMS ARE REQUIRED: ' 2— ac, L I ry Q Te S T -- -- .� Gi CL ti ti r p a`N e. pfi 1 z u w Uv' C411 Ai I �a In art Date: DISAPPROVED APPRaV9D DUBJECT TO ABOVE ror Relnsp. INSPECTION NOTICE bk� City or Tigard Building Departsent 13125 OR Hall Blvd_ Tigard, Oregon 97223 Inspectiio`n Line (Roc-0-Phone): 639-4175 Businean Phone: 639-4171 Inspection: -'2� S Footing Plbq. MAorslab Mech. Rough-in Apnr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Pont/Beam 5truct. Ban. Sower Framinq _ dg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. d Plbq. Underfloor Nater Line Gyp. Bd. -Hoch. I Date Requesteds //'' _\_ _gime: AM Address: ' J 2.`N U�7 i'"i , ..`� \, 1✓ v J - -- — Permit #: Builder:___. nm FOLLOWING CORRECTION,. ARE REQUIRED: y v I Ste,. r Inspectors / Date:— � -_ VAppRCA/!<i? DI&APPROVED APPROVEp SUBJECT 1O ABOVE �,G�( Cell For Reinap. �P$S3 o i 1cR t� City oiTigard Building D+partaent l" 13125 SW Ball Blvd. Tigard, OrOon 97223 InePaction Line (Rvic-O-Phones 639-4175 Businewe Phones 639_4171 inspartiaett�----��—. Footing Flbq. Underslab Mech. A�.sgh-111 Appr/Sdwlk Found. Plbq. Top out Oil Lila L►1NALs I Post/Beam Btrssct. San. Sewer _(pry��� -Bldg. �`w� ))))) 9- Post/B"am Hoch. Rain Drain Insulation -Plumb, Plbq. Underrloor Nater Line Gyp. Rd. -Mach. Date Requested: q 5 l� Address: I �r� Tient rx 1Z.2 61F.r.lt Builders THC FOLLCMZNO CURRRCTIlOIMS ARR REQUIREDt �— I I (jai• -a-`�q -a Inspsotors �"�� Dates 1 / i DISAPpp"A D :Z"P D SUBJC CT To ABOVC Call For Reinap. i11A1'EC1'IOq NO�,�B City o Tigard Building Department 13125 SW Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O--Phons)t 639-41.75 Business Phone: 639-4171 Inapectiont looting Plbytdoralab Usch. Rough-in Appr/Sdwlk round. < Plbg. Top out 1 pas Lina lINALt Post/Beam Struct. San. 3iivr lrsriiag -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Pl.bp. Underfloor Mateyr/Line per, �, J� Data Requested 1.-2- ft/ l Addreas: � ' larBit ft7.11_ Hul]dnrt THE rOLLOMING OOR.RECTIONS ARE V4UIRM Inspactort_ Datat__ APPk0VZD DIBAPPP.OVED `/ APPROVED BUBJECT TO ABIm __Call For Rainnp. I City of Tigard Banding Departmant 13125 BIN Ball Blvd. Tigard, Oregon 97223 Insprtion Line (Rea-l-Phones 639-4175 Businesa Phone: 639-4171 InsPectioni Footing Plbo Dnderslab Mach. Rough-in A ppr/Sdwik Found.- Flbq. Top Out Gas Line FINALt t/Be�:S�tL - No—ch Bank. Bower Framinq -Bldg. st/Bonin � in Drain Insulation __ c -Plumb. Pibq. tlnderflo4r ater Lint GYP. Bd. -Me.h. Time= AN PM Addreas= _G Z •Parsit 1= Builder= d THR FoLLOWINa ODRRECTIORS ARE RSQUIREDI ---------- Inapttor=_ 51_ - nISAPPROVItD APPR(MRD SUBJECT TO ADO" Call For Reinsp. SN3pECTrQM MQTICE 1 city or Tigard Building Department 13125 ER Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)c 639-4175 Business Phones 639-4171 Inspention: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk KWA. 1 Plbg. Top out Gas Line FINAL: Post/seam struet. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Mach. Data R""eateds L!/ r�!/ —'� Time: _AM PM Addressr 2 4;1� &l L �`� Permit fs. /J Builders THE FOLLoWIMg TONS ARE REpUIREDr r� Inspectors / d 2 + Dates --.-�_ APPROVED DISAPPROVED APPRCNWD EU&MCT To AMMR Call For Reinsp. {` *'�'"r PL.f MBING PERMIT --CTY F I �� ' ;AR . . . . COMMUNIT'l ,'EVELOP AJEF�t 6EPAHTME'AT 13126 SW.; 8Ivd.TIpAtd,Oregon 97.2S ,Tari (503)630.071 DATE I SSUED t 06/09/93 SITE: ADDRESS. . 1G t" ,13 Law i. N"Y ON ?.ifr p'ARCEL t 1 S 1 34CB-1. 750' Sl. BD 1 V 1»,C,:JN. , . , 14N' Gi,i F+AR,ti I I 7 UN I�I('r t R--7 PD BLOCK. . . . . LOT. . . , , . . a 102 CLASS RV ,1%4,EW C 4,:'Aff ;.SPOSALG. . : .1 TYPE 0,- I '',E. , z6F .!ASW,.f'<3 MOCH• , . . : . . t 1 BACKFLOW r'REVNTRS. , 20 OCCUPANCY :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . c 4lATER hyEiaTFPS. . . . . . : 1 CATCH BASINS.. . . . , . :0 FIXTURES---•-_ w_.__ ___.. LAUNDRY TRAYS. . . SF RAIN DFRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 UREASE TRAPS. . . . . . . tO 1...AVATOR I ES, . . . . 14 OTHER FIXTURES;. . . . . .0 f UN/5h1UWERS. . . . SEWER LINE (ft ) . . . . :0 WATER CLOSETS'. . :3 WATER LINE: D I SHWASHE RS„ . . . t i RAIN DRAIN ( ft ) . . . . :0 MELVIN WAYMJRE, JR TIF $ 1460. 00 JH 06/09/93 P 0 BOX 2311 ,4 BPRT $ 391. 00 JH 06 '09/93 13F'I_C $ 254. 15 JL..H 05/x.0/9;:3 93- i IGARD OR 97281 B9PC: s 11. 53 .JH 06/09,193 - I=hnnp tt: E 39-674 S5DC s 2_80. 00 JH 06,"09/9:3 - PARK s 500. 00 JH 06/09/93 Plumbing Luntractor•s ...._.._......_.__....._...__._.._._.. . MPRT $ 4.:3. 50 .JH 06/09/9:3 - r MPLC 10. E38 .)I-I 06/09/9:3 _ Name.. � ���� M5PC $ 2. 16 JH v)6/09/9;3 - Address : _ _ _ PPR'r s .147. 50 JH 06/09/93 - CitY �_.._ _ _ - State: _ PsPC $ 7. 38 JH 06/09/93 - r i P: _ _ Ph o n e it a Peg #t REDU I RED I NOPErT I ONc; ..__._ ..._.._..._ This permit is issued Subject: to thie reg -, ulations contained in the Tigard M,,.inicipal Foot/found Insp Ravin drain Insp I Code, `'State of Ore. Specialty Codes and All PoSt /lCeam StrUCt WAter 1-Ane Insp other applicable laws. All work will be done Post/Beam Mechan Aper^/Sdwll( Insp in accordance with approved plans. This Plm/undslab Inap Mechanical Find permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Irsp Suil,. ng Final susr:! 'n1ed for more than 180 days. Plumb rap lJ�.t+ ,osion Control Framing - sp 'r'awi Drain Fireplac.. In .+p Gar, Li•ie k rdP ' Ins(.tl At 10- nsp x � ,.�',✓,t.�.1 1-- e!_-• _.__ f.;yp a��r 'i sp Authorl ed PrlUMbing C0ktWa&or Gignafure Call for inspection 6:39--4176 Contractor Notes: i CITY CSF TIGARD �Jr 1:fTi:1 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)639-4171 ' I7,,.{y'i++�yy. 121,iEI't3 cjW ANTUI,4 On .SU14. lVl6ilQIN. - 9 a ANfpig; PNRK 11 7.....,;7..... .. .- DWf::t_L INC; UN I TS r t AF WORX. INEW BEDRMS;3 BATHS.1,3 0A RACJE.. . . . . . . . . . : • ice„ OF USE. . . r S FLOUR r'VAEk', ' I.,L:T(3V40": T YOE 1)F CONST. a 3N ' F I RS'i'. . . . c 952 s f LE::FT. . 17 ft i']G' rPAh'IP.;Y (3Firw' a R !'_'rL1.,:i.ND. . . a 76 f f-RON"1'. ;;LV. ft REAR, STbA,iE5. . . . . . . ,L 'i''HIRU. . . . It f REQLJIr�En—'_•____._ .. .... . _._.__.. .._.. NE13H1'. . ... . . . :c::s t' t i"Q"f AL : 171,' f Smui'•.L: DE,l:C;'1U?:: . :'4" . r c40 E1 s Jra►_Uf::. , . :?o 857,30 PARK I NG :aPAt.'E:(5. . a 1 i3ilVl•t;:.;. . . . . .'. , . „ a i t.L�U{2 URW;:I+I�. . . ,. Lei"aCK1=lkUi�� F'Ei'r:'rif•iI"(�.,,. . ' ',' _AVf i Grii'=S . . . . e4 W0 N HEA1IFRS, TRAPS. . . . . . . . . . . . . .01 1'UL/.J 1OWL ki. ;._s L..(-il;NDH T RAYS. . . ::i (141,c•l ; llip,I NAS I . . » . . . .0 aA fSP CLUSETS. . rLWEf2 i iJ:. t t ; . .t 6REASL TRAPS. . . . . . . r 0 " iiwA! Ott:C , . . . ai wr r,. ;•( r ( !. 1 'k:' UVi-F E- ; 4Titlti :1i`1+1NF1IJL. ;J;U;F•. . . 1. 1 R" ?;;I`J ;;Ally i ft. J . :0 �JfF!oi{ll,�, i`SiiCF•i:: . , . t. ^ oi" ittH l l'( ;;:• �.�. . � _ �!UUL. i y--L'_ dl i !i i : ,. . . r. /L / A: / VErit4Ca'. Oil' Nt i_;" .4A 1 L' VL 1'4( i L L, I. Irr+, 4°: 017 '60. Fi 0, .i i l k'.•'. / I'3V0a OUff_F=; ;;al i +. �,ai+ JH • . 'L�'! '4 l II: t7. t t.tl �i'r tfr 'ir l.. C I .. l�n;ta a a 63`}a 4 is Jf,976 ir 'pErvitof i0viltri tAject to the requlat-ons canteaned in the i i.lUti IN1; i C;i i 0 IV "igar=r' manigOil'ioe, Store of Ore. (odes and all othrr root!', uunci Ila:'j C i'r c-pl,k�:e lr,sp aptiaihir'1aws. 'A'I; 1<crk wil3 tqf dere 1- ice with approved Post/Bei- Ti EAr•uct Gas Ririe lnsp iam .Thit per•riit will rod" if a ted within lu ,_ Post /Bei­" hikt"han Irlsula•t i on 01,'a/ur11131�t� 1i 1141'! C7y�a E;bNY-d Yla'. M,1�4' it Ct�i .>i'T?tali Watev- 1 ino A P Wib ,16p,lout WNpr^/Sdk1k a r , PIL Rm 7, CITY OF� TI GARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SV;Hall Blvd.Tigard,Oregon 9722398199 (503)839.4171 DWIL' X3"'kJ.b: 06/09 W J.Z:i793 SW ANTON Do PPRLFL,., RNWN PARK 11 LOT. . . . . . . . . . . . lf, dT INA"Wl' . . . . FIX"WRL, U141 Is. . . tXA-) NO. . . . . . . . . . i " UF . W07,v. . . OWL.LLING UNI 1 '3. . 'PL Uf 6SE. . . . . .GF NO UF BUILDINGS: 1 ,,�i; 1-4.L ;LAUSW!q "'SURF ALL. . VEFS N; L.V1N WAYMT.Ari, Ij i 0 e veupt ;30X &'31164 PRMT $ 2100. 00 ji,l I iOARI) U 1�if-'161 Ph tj 1i e u,3 674c- 0,Act 0 r Lix-11444A.'JOR NU T' ON 1. 01Z J I t-4L RLQIJIRLL) 1Ncj'PEC*T10N'-i This App.jcant agrees to :oliply wth all the ries and regulations '5 to Ili e r- I I 11,Pe t 100.1 C the U-Jfird S#wfije "geict. Tht pemt txpirrs'186 days f,.-" tt'4 dace i6iiued- 1h* Utal avoulit paid "ill De forfeited if thL FA axpi"'vs, fie Agency Cees not guarantee the accuracy if the .e� 41W91- Literals. If the sewer is nut located at the beasurteent givol the instkllrF shall pt aspect 3 feet in all frog tht0istance given. If not so located, the instar parchase a "Tio and Bile Sewer" Pirvii ano ,y ateral. t;t f: [ ati. l fnr t i u 1 639-4 17; CITY �� tT `1 /� jTl� »iuswH,rPLNCVRECT �V®F � 1GARD T,�.�9� PERMIT 0 /Y�St�/3- COMMUNrtT DEVELOPMENT DGPAW MEN r (501)`3'"171 DATE ISSUED JOB ADDRESS: _12,23-8-5,W, Antcin )r- . �_ TAX MAP/LOT 5 SUB: -AntuB #7 _ LOT: #102 LAND USE:VALUATION: OWNER Su,_ _ONNER SPEC[AL NOTES NAME: Melvin G. Waymire, Jr. — REISSUE OF: — --_ ADDRESS: P.0._Box 231164 LAST REISSUE: _ Tiaard, _9R 97 L FLOOD PLAIN/ PHONE_: 039-6742 _ _ SENSITIVE LAND-, CONTRACTOR APPROVAL,S__REQUIREO >mr�,gZ-Wo3 NAME: Melvin-G. Waymire, Jr. _ PLANNING: 5eZ2 ADDRESS: same �_�__—__ ENGINEERING: FIRE DEPT: PHONE: �? 7a�— _ OTHER: -TIr CONTR. BOARD #: 359'76 EXP DATE: /11/'94 ITEMS RE_ UQ IRED SUBCONTRACTORS: PLUMB: Harmony Plumbing Co. LIST/SUBCONTRACTORS: _ MECH: Genera= BUS TAX: -_---- ------- ARCH/ENGIN ER CALCULATIONS: NAME: —Quarterpoint Des any roup TRUSS DETAILS: ADDRESS: 11.825 S.W. GreEnburq Rd. B3 _._ OTHER: Tiqard,— nR 97223__— -.---- PHONE: _ 624-6388 PROPOSED BLDG. USE: Singily .e.s�]. nce --- -- --- COMMENTS:z/ Poi- -- --- -- APPLICANT Solr'1TURE Received By: Date Received: PERMIT # ACCT # 0 SCR IPIION PAOUNT AMOUNT PD. BAS. DUE 1pctq1o�W 10 .432 00 Building Permit fees 10-431 00 Plumbing Permit fees 10-4sl 01 Mechanical Permit Fees !�3 �U _ `f 3' S-v 10-230 01 State Building Tax (5%), Building / 955 Plumbing _ 7- Mechanical Mechanical 10-433 00 Plans Check fee �� u 3 �� / lS'° 3 i Building ,: 5 Plumbing Mechanical rSI 10-230 06 Fire ,5,-2y3-u 2. �Z 30-202. 00 Sewer Connection _ aZ fvv /�� 30-444 00 Sewer Inspection `3 S/ _ 3'� 25-448-02 Commercial TIF Fees _ 25-448-04 Industrial TIF Fees 'r 25-448-06 Institutional TIF Fees __- 25-448-03 Office TIF Fees _ — 25-448-01 Residential Traffic Fees - 3s u /3-50 25-448-05 Mass Transit TIF Fees 1/ _L_—_._ 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Qt,avLi ty (Fee in lieu of) TOTAL S2S l --� ' f 57001. I�{ I % nm/3581P.WPF l' CITY OF 'TI©ARD — RECEIPT OF PAYMENT RECEIPT NO. :93-241089 CHECK AMOUNT 5001. t4 NAME_ t WAYMIRE, MEL CISH AMOUNT a 0. 00 ADDRESS a PAYMENT DATE s 06/09/93 SUBDIVISION s PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYh '4"F AMOUNT PAID UILDINO PERM 391. 00 PLUMBING PERM 147. SO ECHANICAL PE 43. 50 ST. BUILD PER 29. 11 LAN CHECK FE 15. 03 SEWER USA 2100. 017 EWER INSPECT 35. 00 PARKS SDC 500. 00 MTURM DRAIN SDC ?A0. 00 RESIDENTIAL TRAFFIC FEES 1350. 00 ASS TRANSIT TIF FEES 110. 00 OT 102 ANTON PARK 2 1229H SW ANTON OR nTAL. AMOUNT PAID - - - -> 5001. 14