Case File ADDRESS :
fP9- t5ul
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�reccrds\microflml:araets',building.dcc
CERTIFICWrE Of"
C151Y OF TIGARD UC",'UPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERM11* 0. MST9,3951f,
13125 SW Hall Blvd,Tigard,Oregon 07,1 e81" (1101),11to-4171 DAIE ISSULDt Wj/17/94
PORCEL : 18134CB-46PWA
SI I L 001.)KILSS. . . u 12419 SW (phi IUN 1)R
SUDDIVISION. . . . n ANION PO "A 11 ZUNJNV4tk---;' PI)
8L.0r-Y.. . . . . . . . . . .I LOI . . . . . . . . . . . . . 3089
CLASS OF WORK. zHEW
TYPE' OF USU. . . p aFP
OCCUPANCY (3K.'. pR3
OCCUPANCY LOAD ItIC 4
11'NANT NAML. . .
Fitt marks o
Ownerg
F'OUP P (:ONqVRUC'T1C)N
P 0 BOX .1577
HEAVFRTON OR 97075
Phone lit 641-0935
Contractart
FOUk D CONSTRU&ION
PO BOX 1577
PEAVE RTUH UP 97J15
Phone 1#.-, 64.1 -0933
Reg 0— c 71037
Occupancy of i�he above refvveni::ed bl.,Jlding is hereb,/ given, Avid certtfia,s
the onmpliar1re with the State Of Oreyovi Specialty Codes for the group,
o ,cmpancy, and USF-9- UnCIPT which -the referenced perm3. L wi4. % J.6sUed..
FIRE liEf'AF1'MENT 9 %pr., t,:)r1ECTOR
UIL 1110 -FICIAL
POST TM UONSPICUOUS PLACE
INSPE('eION NOTICE I�;
City of Tigacn Building Department
13125 9911 Hall Blvd. Tigard, Cttegon 97223
'.nspection Line (Rec-d-Phonal: 639-4175 Business ),iinet 639-4171 f
Inspection: —
tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. P1bq. Top Out Cas Line ( PTNALs
Post/Beam Struct. San. Sewer Framing
Post/"-am Neely Rain Drain Insulation Plumb
Plbg. Underfloor Nat r Line Gyp. ad.
Date Requested: / Timet __Y�._AH PH
Address.
Builder: �JJ
THE MLLONINO OORRECTIONS ARE REQUIREDt
V 10
- -- ----
Inspector 1_N /tAii Date:
Pl10VBD D2811PPROVlD APPRCYM SVWV P TO ABOV!
�`� � G1.1 for Reinap.
I MPECTION NOTICE
City of Tigard Building Department
13125 6W Ball .Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonal- ft79-4175 Buninene Phone: 639-4171
Inepoctions_
looting Plbg. Underslab Hoch. Rough-tn A
pp /auwlk
Pound. Plbq. Top Out Gas Line rlIN,�Ls
mss_
Post./Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Meeh. Rain Drain Intulation -plumy•
Plby. Underfloor Neter Line Gyp. Bd. -Hoch.
Date Requestods �- a'� C�7 Times _&1_1 AN PN
Permit 1:
Builder:-
THE FOLLOWING OORRECTIONS ARE REQUIRED:
7
Inepeatorc / - Datt 2�
--- ---
APPROVRp UISAPPROVEU APPROVED SUBJECT TO ABOVE
Call For Reinap.
i
L�ISZIL_MI ON NOTICE 1 '
City of Tigard Building Departsent
13125 SW Hall Blvd. Tigard, Oregon 97223 h
Inspection Line pec--O-Phonn): 639-4175 Businene Ph,)ne: 639-4171 +5
Inspection:__ ---------
rooting Plby. Underslab Hoch. Rough-in Appr/S6wlk
round. Plbg. Top Out Cie Line FINAL
Poet/Roam Stru::t. Sen. Sewer Framing <-Bldg '
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Water Line Gyp. Rd. -Hac /
h.
Date Requeeted: ! - �el Time: _ �11M� PH
Addreees l d /l / //n/zm Permit /:- 7__
Builder:
THE FOLLOWING CORRECTIONS ARE RBQUIP.ED:
4-Z -c.Q
Gl&-J-&1z tZ _
�-e cam/ c�� # ,� � ►� �.g � �,.�,s
.� �c�� C..v�r�' 1 l �,.`.�, gyp/:: -i7.�,��-✓+•�{—
Inspector: _ Date:
APPROVED __L/"D ISAPPROVED APPNGVED SUBJECT TO ABOVE
�-� _ Call For Reinsp.
ci r or Tigard Building Department
13125 BR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phcne)s 639-4175 Business Phones 639-4171
Inspection: _
routl.nq Plbd. Underalah Mech. Roisgh-in Appc/Sdwlk
round. Plbg. Top Out Gan Line rIMALs
Post/Beam Strucct. San. Sewer rrasoing -Bldg.
Pons./Beans sse^h. Pain Drain Insulation -Plumb.
Plbq. UnderlLoor Mater Line l� On. Bd. -mech.
Data Requested: \ - 2S e7 1 Tims PH 2
Address I-2 L1 H h CA , Per■it #, 25 #9 5 q-7—
Builders
7Builders 4yo_k' I c 1(2 l -I
THE FOU MM coermriows A►_. . z�ED=
'1AJ
Ins ors / , Z l
ps'ct L—i--LL.4.lA� � Dates cl'{
_APPROVED DISAPPROVED "_ 1 ROVED SUBJECT To ADM �
Call For Reirep.
INSPECTION NOTICE
City of Tigard Building Depart oat
13125 Sp Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Pusineaa Phone: 639-4171
----------
Footing Plbg. Underslab Nech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/seam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. 8d. -Hoch.
Date Requestedt
Address: ((� p "_ _ _ MrOit #t
7ZBuilders ��i� - 0YY
THE FOLLOVING CORRECTIONS ARE REQUIRED- 1� U 1 W
Inspectors __ Dates _ J
APPROVED DISAPPROVRD v APPROVED SUBJECT TO ABOVE
Call For ReLnsp.
City of Tigard Building Departsent
1312S 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-43,75 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/rdvik
FounO. Pltg. Top Out Gas Line FINAL:
Post/Beam Sts-uct. Flan. Sewer ePrapin � -Bldg.
Pan:/Beam Mach. Rain Drain Insulation / -Plumb.
Plbq. Underfloor Water Line Gyp. Rd. -Koch,
Date Requestods � 1 � Time: AM PN
Addr:ss:�-�l�1 ITL�� L✓� Permit t:���______i_� �1
Builder:
THE FOLLOt1I1 G OORRECTIONB ARS REQUIRED:
V
n
ci
tip.:._ �3 _
Inspectors
_^ i Dates
v
r APPvAM _, DI8APPROVRD APPROVED 813BJRM To ABOVE
/j _ � Call For Relnsp.
LhISPECTION NOTICE \�
City of Tigird Building Departvannt. 1
13125 311 Ball Ulvd. Tigard, Oregon 97223 --y
Inspection Line (Rec-O-Phona)s 639_4175 Ru9in09N Phone: 639-4171
I neper:t ion,_ 0�1
FootingPltrg. Underelab Neth. Rough-i Appr/Sdwlk `
Found. Plbg. Top Out �Gas Li �/ FINAL:
Post/Ream struct. San. Sewer ami / -Bldg.
Port/seam Hoch. Rain Drain Inenlation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Request ds-- Z -2.3 `I'(
,u,
Ann--W �pK
1lddreee 1- Z Lf 1-1 permit i 1 1r" `� S r>
yr
TF.6 FOLLOWING OORUCTIONS ARE REQUIRED:
vzt-- Vv\.�L J, o
VLC
Inspectors ` Date: -2_Z 3 el 4
-- p
11PPwGVDD _ DISAPPROVED APPROVRD SUR.IRC'I TO ABOVE
v� Call For Reinep.
JNSPEC 'ION NOT -'F W
City of Tigard Building Department II
13125 SM Ball Blvd. Tigard, Oregon 97223
inspection Lina (Rec-O-Phone: 639-4175 Buoinese Phone: 639-4171
Inspection:__ --
looting Plbg. Underslab Meoh. Rough-in Appr/Sdwlk
lo•ind. Plbg. Top Out Gas Line lINALt
I�
Post/Beam Struct.. San. Sewer ! lraminv -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor water Line Gyp. Dd. -Rech.
Date Requested) Q�7- Z2--I y Timet G�2 AN PN i
Addreess��-��� TZ"� -- Permit
Builder: _ r —
THE -IOLLONING CORRECTIONS ARE REQUI .ED:
w-1^ �) ' —y _�> 7L-- \ k--
�2e - Qr�-,,,,tea. - _ �.�� - ,.•
+j ey►-• �---cam �%�.-�
Inspectors_ • Date:
APPROVED DISAPPROVED ✓/APPROVED SUBJECT To AWVR
l�l ) Call For Reinsp.
ietsrscrioN NOTIca
City of Tigard Building Department
13125 sw BP11 Blvd. Tigard, Oregon 97223
Insrrection Line (Ree-O-Phone)t 639-4175 Business Phone: 639-4171
Inmpsctiont
io,)ting Pibq. Qndnrslab Mach. Rough-in Appr/Bdwlk
Round. plb �_ftpa_lt
Can Line
lINALt
Post/Beam Struct. /an. Moor Framing -Bldg.
Post/B9am Mach. Rain Drain Inaulatiuu -Plumb.
Plbg. Underfloor Nater Line UI Gyp. Rd, ,p -Noah.
Date Requested: / Timat ( W pM
Address- 144 I/� Permit #8q �� 1
Builder-
THE TOLLOMING OORUCTION3 ARE REQUIRED:
Inspector lzy
APPROVL'D DIBAPPROVED APPRMRD SUBJECT TO ABOV2
--Call For Reiesp.
'L
YpSp�CPION N•.7PICE <�
Ci.tl Of T.tgard Building Depart,,,t
13125 SN Ball Blvd. Tigard, ChNV n 97223
Inspection Line (Roc-O-Phone)e 639-417.' Business Phone: 639-4171
Inspact:Lon:
Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwi.k
Found. Ylbg. Top CUt, Gas Lino
PINALt
Post/Beam Struct. 8aB• ) Framing -Bid
g.
Port/Boar Hoch, Rain Drain Insulation -tlwtb.
Plbg. Underfloor *ator Line,, Gyp. Bd.
�y -Kwb,•,
Data Requested
Addresst_12A l�>
�13' /- P/arei/t
Builder: r^�� - lD L10 -�7-7 l�
TBZ FOLIONINO CORRECTIONS ARE RNWZRZDt
Inspector: -/j ?
y Date:
APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
Ci'., of T1„yard rouildi-xs Department
11125 eK Mr- I P..-A. TLneri, Oregon 97223
Ts' v; _ion Nine (:tec-O-PG%sne)s 639-4175 Businews Phones 639-417:
Yootin,,. ^ilaq. "'Cq vv.no {ech. .0u7h-in Appr./3dwlk
Pound. A 1sy. 'Iup tiwt :-as Lis,* FINAL s
Po /near jct.) /clan. 4awer Framing -Bldg.
at/Ream Mach. 7,- Rain Drain Insulation -Plumb.
Plbg. Underfloor Hator Line [� Gyp. Ed. -Hoch.
Data Roquasteds _-__Time: AN PM
Address: - /,.J/}1 /rt, permit f=
Builder:_ Llf� 5
TRE POLI.Onna OOFQECTIONE AR! RSQUIREDs
/ I —,-V\ ^tel - 1
JL
-\J/ .
inspectors -' Dates / — (p
"PaWND v DiRAPPROVED PROVED aORJEM 1b Ai/0VE
vf'.—CA __Call For Rainsp.
I�eECTIon NOTIClt ��
Citi of Tigard Building Depart=mt
""S BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons): 639-4175 Business Phone: 639-4171
InrQectiont
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Chat Can Line FINAL:
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Hoch.
Date R"uestedt_
( TLtist AH
Address t_ z_�' 1 C, l�-r 'Tiy L Permit 1 t Ci � C
Builderty =y_�
TBE F'OLJ.Oi1ING rORRECTIONS A'.tE RBWIREDt
U
V-
—�-,� ' --
ILL,
—APPROVED DISAPPROVED `APPROVED Bt1ttJRCT TO APAWIt
" &_� _—Call For Roinsp.
I�PE4'TION 110TICb ' �"
City of Tigard Building p part ant
13125 8w Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone)t 639-4175 Businoee Phone: 639-4171
Inspectiont
Footing Plbg. Underelab Mech. Rough-in A
ppr/Bdwlk
Found. Plbq. Top Out Gas Line
FINALS
Poet/Beam Struct. Ban. 80.4rr Treeing -Bldg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
�P1bq. Underfloor Nater Line Gyp. Ed. -Mech.
Date Requofteds__„e_ (� Time/t AM Pil
Addresst_�_��� '/7> (f�7 ��”,�y,r5 it-
10,��
Builders
THE FOLLONINO RRECTIONB ARE REQUIREDt
Inspectors
Date: '
1l_APPROVRD D78APPPOVED APPROVED SUBJECT TO may!
``CC --Call For Rainep_
I1l�P��4� ROTICE
City of Tigard BviUdio9 Departiment
13125 SR ®all Blvd_ Tigard, Orogo,-% 97223
Inspection Line (Rec-O-Phone)t 639-4175 Busineie Phonet 639-4171
Inspection?_____ `--,—�_--
rooting Plbg. Dnderelab Hoch. Rough-in Appr/Sdalk
`Pound. Plbg. Top out Cas Line FINAL:
Post/Beam Struct. San. $ever Framing -Bldg.
Post/Beam Mach, Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line "� Qyp. Rd. -Mach.
Date Requested t 17_"'--2-7 ] �.__T ime s _AM PM
Address � ZZ, 19 '6-'l.'�- Permit: 1t(� 3—0,
Builders `"/(i D
TBR /f�OLLOMIMG CORRECCTIONS ARE REQUIRED:
Inspector: Dates
APPlEOVBD DISAPPROVED APPROVRn SURJjtCf TO ABOVE
�� __Call for R-vinap.
INsesS'T,r.OR�ICI�Cg
city or Tigard Building Department
13125 ON Ball Blvd. Tigard, Oreglun 97223
inspection Line (Roo-O-Phone)t 639-4175 Business Phones 639-4171
Inspections_
I FoOtLag / Plfbg. Underelab Mach. Rough-in Appr/sdwlk
Plbq. Top Out ams Line tINAL:
Poot/Boas Struct. San. Sewor treeing -Bldg.
Post/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Mater Line siyp. Bd. -Mach.
Data Vequeotods -217 sl,3 Nimes I Q. AM
/� PK
Address: (2-q(q Porm t #t6?
Builders ]�� 7y��S-
771E 1'OLLUMIMa cORRECTIO1'8 ARE REQUIREDs I
L
M
1MpBolo
Dates - 2 r✓- !3
V� D DISAPPROVED V PPR(TVED BIJBJIDLT rp AdDys
Call For Reinep.
R1 1 IMB i w -_p jL
��- PERMIT #. . . . . . . : MST93-9547
CITY
OF TIGARD DATE ISSUED: 11/30/93
'
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1 S 134CB••-1 6200
:3I rFij:A@s d.7wdd,hribl6i*206bsfiNkW*4h7e
SUBDIVISION. . . . : ANTON PARK II ZONINGS R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :069
------------------- ------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . • 1
TYPE.. OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . : 1 WATER HFATERS. . . . . . : 1 CATCH BASINS. . . . . . . .0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . CO
LAVATORIES. . . . . s2 OTHE=R FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATEP CLOSE'TS. . :2 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH 8
OWNERS ---._____._._____-_-----------_-._-- -----______ ____._.__.FEES-----------------
F OUR D CONSTRUCTION TIF % 1520. 00 JH 11/30/93 -
F' 0 BOX 1577 BPRT s 358. 00 JH 11/30/93 -
BPLC f 232. 70 JLH 10/19/93 93-245278
BEAVERTON OR 97075 BSPC f 17. 90 JH 11/30/93 -
Phone #: 641-0935 SSDC $ 280. 00 JH .11/30/93 -
PARK $ 500. 00 JH 11/30/93
Pilkmbing Contractor:------ ---------- MPRT t 40. 50 JH 11/30/93 -
MPLC t 10. 13 JH 11/30/93
-
Name : �- - ��, I15PC $ 2. 03 JH 11/30/93
-
0ddressPPRT f 117. 50 JH 11/30/93 —
j t y LabA,-v States Q v ti PSPC f 5. 88 JH 11/30/93 -
T_ipe_ / 1-3 —Ph onn#s.
Rey #s .�
-------- REQUIRED INSPECTIONS ---- -
Thus permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drisin Insp
Code, State of Ore. Specialty Codes and all Post /Besm Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Me^Fran Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
per-mit will expire if work is nut started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Numb Top Out Erosion Control
='vamink3 Insp Crawl Drain
Fireplace Insp
Gas Line Insp
t ��� Insulation Insp
Z Gyp Board In_,p
Puthorized Plumbinq Contractor Signature
Call for inspection - 639-4175
Contractor Notess
MASTER PERMIT
CITY OF TIGARD DATE PERMI
ISSUED: � 1 1/30/933-9 547
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Flall Blvd.Tipud,Oregon 07223.8199 (W3)M-+171 PARCEL: 1 S 134CB-16200
SITE "ADDRESS. . . : 12'419 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 PD
BLOCK. . . . . . . . . . . L07.. . . . . . . . . . . . . :O89
--------- BUILDING ------_-__-_-.__-----_------------
REISSUE: DWELLING UNITS: ! BASEMENT. . . . . . . . .0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :412 sf
TYPE OF USE. . . :SF FLOOR AREAS_ -- -- --- -- REQUIRED SETBACKS-----------
TYPE OF CONST. s 5N FIRST. . . . : 1460 sf L EFT. . :5 ft RIGHT. s 5 ft
OCCUPANCY GRP. :R3 S1r.COND. . . :0 sf FRONT. :20 ft PEAR. . :23 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED---------------------
HEIGHT. . . . . . . . : 16
EQUIRED----------•---__-----
HEIGHT. . . . . . . . : 16 ft TOTAL------: 1460 sf SMOKE DE'TF_CTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . f: 74576 PARKING SPACES. . : !
Remarl(s : PATH 8
._.....----------------------------------- PLUMBING
SINKS SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :2 MATER HEATERS. . . : 1 'TRAPS. . . . . . . . . . . . . . :O
TUB/SHOWERS. . . . -2 LAUNDRY 'TRAYS. . . :0 CATCH PASINS. . . . . . . :0
WATER CLOSETS. . :: SEWER L.INF (ft ) . :0 GREASE 'TRAPS. . . . . . . .0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAUE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL --- -____.___---____-----____._____ FEES
FUEL_ TYPES------------ UNIT HTRa. . :2 type amount by date reept
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 J11 11/:70/93 -
MAX INPUT%@ BTU VENT FANS. . :3 BPRT t 358. 00 JH 11/30/93 -
F'URN ( 1O0K . . : 1 HOODS. . . . . . : 1 BPLC $ 232. 70 JLH 10/19/93 93-245r`_`78
FURN ) =100K . . :0 WOODSTOVES. :12) B5PC f 17. 90 JH 11/30/93 -
FLOOR FURN. . . . :0 CLQ DRYERS. : 1 SSDC t 280. 00 JH 11/30/93 -
BOIL/CMP ( 3HP:0 OTHER UNITS: ! PARK $ 500. 00 JH 11/30/93 -
GAS OUTLETS: 1 MPRT $ 40. 50 JH 11/30/93 -
Owner-: --.----------------------------------MPLC $ 10. 13 JH 11/30/93
"
FOUR D CONSTRUCTION MSPC f 2. 03 JH 11/30/93
P O BOX 1577 PPRT t 117. 50 JH 11/30/93
PSPC t 5. 88 JH 11/30/93 -
BEAVERTON OR 97075
Phone #: 641-0935
Contractor: -__.-------------------------.--.-
FOUR D CONSTRUCTION I
PO BOX 1577
BEAVERTON OR 97075
Phone #: 641-0935
Reg #. . : 71037 -- --------------------------------------
f 3084. 64 TOTAL
This permit is issued subject to the regulations contained in the ------- REDUIRED INSPECTIONS ---- --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fir-eplace Insp
applicable laws, All Mork will be done in accordance with approved Post/Beam Str-uct Gas Line Insp
plans. This permit will expire if work is not started within 189 Post,Beam Meehan Insulation Insp
days of issuance, or if work is suspended for re than 189 days. Plm/undslab Insp Gyp Board Insp
FILM/Underfloor Rain drain Insp
Permittee Signature : Mechanical Insp Water Line Insp
PIumb Top Out Appr/Sdwlk Insp
Issued By : Fr-aming Insp Mechanical Final
Call for inspection - 639-4175
PERMIT
CITYOF T DATE I I SSUED s. 11/30/93R93--0473 1/30/j933 -0473
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hag Blvd.Tigard,Oregon 97223.8100 (503)639-4171 PARCEL: 1 S 134CB-16200
SITE ADDRESS. . . : 12419 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 PD
BLOCK. . . . . . ,, . . . . LOT. . . . . . . . . . . . . :089
------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . .. FIXTURE UNITS. . . I
CLASS OF WORK. . . :NEW DWELL_I NG UN I TS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
fINSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
I Remarks : PATH 8
(awnerI ----------------------- --------------------------------- FEES
FOUR D CONSTRUCTION type amount by date recpt
P O BOX 1577 PRMT S 2200. 00 JH 11/30/93 —
INSP t 35. 00 JH 11/30/93 —
BEAVERTON OR 97075
Phone #t: 641-0935
Contractors --------------•---------••------
CONTRACTOR NOT ON FILE
Phone #: $ 2235. 00 TOTAL
------•— REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Insper_tion _ Y
�f the Unified Sewage Agency. The permit expires 190 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. It the sewer is not located at the measurement
giyen, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
P -mittee Signature:
Tssued By : --
Call for inspection — 639-4175
to 3
77,
CITY OF T I CARD — RECEIPT OF PAYMENT RECEIPT PT NO. 03-246253
CHECK AMOWN T a 5069. 64
NAM( a FOUR D CONSTRl_ICT I DN CASH AMOUN T a 0. 00
ADDRESS a PAYMENT DAZE: a 11/30/4,.-3
SURD I V 181 ON t
'IPI.JI4P0gE OF PAYMENT AMJI..IN T' F'A I 1) PURPOSE UN PAYMFN C AMI;lWN T Pfl l U
UILDINi PERM :356. 00 PLUMHINO PERM
iMEC:HANICAL_ PE 40. :50 ST. BUILD PER N1
PLAN I;HECK FE —7. 17 SEWER USIA c-200. 0a
SEWER INSPECT 35. 00 PARKS SDC 5100. Ate
STORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FELS3 1410. 00
MASS TRANSIT TIFFEES 110. 00
L..CIT 89 ANTON PARK
1c."419 SW AN'TON DR
TO l AI-. AMOUNT PAID _.) 5069. 64
Residential Building Permit Application
CYy cf Tigard
13126 W Nall Blvd.
Tigard, OR 97223
(503) 63.9-4171
I
Jobsite Address:
► tike Use Only
Subdivision:�N � PAtZL _ 2--Lot *
� � �-�,_..---- piar►c�c/Fiec#�f��t�'�;tn
Valuation:_�� s• ___ ��'
P9rmit _--
Owner: EOu K pj M �.�1,0� _ Reissue of
Address: x S 7 �W 4 4,r3 v —_
r 0 rvvals pe9uire�]
b..
Phone: �
Contractor: �E
Address:
Regulred
Phone:
Contrairtor's License#K �c2
pftac'h copy bf cuffent(kWon license)
Subcontractors:
Plumbing: C� ,� a:ALL/lo07J3/N (0
Mechanical: { <-I I1 L-tZ 14C-Al t,-)
(attach copy of cu&&# OR Conkictor's License)
ArchitecttEnglnver:
Address: T -5. 6j. W A ✓e
Phone:
COMMENTS: eY aGlt� �fL�s J
A iolcant SiA f Phone r
Received by: _ Date Received:
Permit # Account Descrlptlon Amount Amt. Pd. Bal. nue
} y/ Bldg. Permit (BUILD) — r
Plumb. Permit (PLUMB) ��
Mech Permit (MECH)
State Tax (TAX) S
Bldg: (a /
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: �2 3 2, 7 0 /
Plumb:
Mech: /va
SwR 1j Sewer Connection (SWUSA) ',Z�'0 J C,0
Sewer Inspection (SWiNSP) 3 3 _
Parks Dev Charge (PKSDC) Sao SGV
Storm Drainage Chg (SDSDC) Z / V- �'
Residential TIF (TIF-R) / 0
Mass Transit TIF (TIF-MT) // a✓
Commercial TIF (TIF-C)
Irx'.ustrial TIF (TIF-1)
Institutional T11' (TIF4S) _
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: - 3�1 Sd �I
1
I
�i
I
CITY OF T T CARD — RECEIPT OF V'AYME NT RE'CE I F."T NO. a 9:1—?4.9276
CHECK AMOUNT s 300. 00
Nt�lr= r FOUR D CONSTRUCTION CASH AMOUNT a 1A. 00
ADDRESS ° PAYMENT DATE 0 10/19/9.3
SUADIVISIUN t
i
PIIRPI.:IE f OF PAYMENT AMOUNT PAID PURPOSE- CIF PAYMENT AM[TIjNT PAID
E t..AN CHEC:K�FE: 147-68R E:50. 00 PLAN CHECK F'E. 10--6()R
U'.375 HW ANTON DR, LOT 86/REISSUE OF IP-419 ANI()N
1 '419 SW ANTON DR, LOT 89
TOTAL AMOUNT PAIL) 300. 00