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11512 SW CORNELL PLACE-1 N n 0 n a m --41512 SW Cornell P1 .r. INSPECTION NOTICE City of Tigard Building Departmen P.O. Box 23397 Tigard, Oregon 97223 / Phone: 639-4175 Type of Inspection /�C11 �� GG/�!7• C/N/l Date Requested—/G – I/– Time A.M. P.M. Address 6�' _ Permit * Owner_ y'�//S S/M /HDNA—e'd�e c�Y. #► _, Builder The following Building Code deficiencies are required to be corrected: Presented to _— � —_— .pproved A Inspector wow, Disapproved 2 �—Date __.._._ - CALL FOR REINSPECTION DYES ONO CINOFTIGARD MECHANICAL cmroFnWRc PERMIT COMMUN TY DEVELOPMENT DEPARTMENT F:'E=RM I T #. . . . . . . : MEC91-0 i 47 13126 BW FWI Blvd. P.O.Box ZM97,Tigard,Oregon 97223(603)639.4175 _ SITE ADDRESS. . . : 11512 SW CORNEI-L F'L PARCEL: i S 1;34DC-10400 SUBDIVISION. . . . : TIGARD PARK ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :c0 ------------------- CLASS OF WORK. . :NEW FLOOR FURN. . . . : FEVAP COOLERS: TYPE OF USE. . . . :SF UNIT HE:ATERS. . : VENT FANS. . . . OCf'UV'ANCY GRP'. . : R3 VEN fS W/O APIP'L: VENT SYSTEMS: STORIE 3. . . . . . . . : 1 BOILERS/COMP'RESSORS HOODS. . . . . . . : FF'ULI_ TYPES-------------- 0-3 HP,. . . . : 1 DOMES. INCIN: : /EL_E/ / / 3-15 HR. . . . : COMM!. I NC I ISI: MAX I 1JPUT: BTU 15--30 HP'. . . . : REP'A 1 R UNITS: F=IRE DAMPERS?. . : 30-50 HP. . . . : WOOD5TOVFS. . : GAS P'RESSURE. . , 50+ .rp. . . . : CLO DRYERS. . : NO. OF UNIT`; __ _______...____ AIR HANDI_I'JG UNITS OTHER UNITS. : F=URN ( 100r, BTU: <= 10000 cfm: GAJ OUTLETS. FURN ) =100K BTU: > 10000 cfm : Npmarks : AIR CONDITIONER iJwnel-: --_____._____----_...__w__.___.-.__. __.__.. ____ FFE5 ._.._ KRIS SIMiiNSON type --Amoi_Int by dat:? recpt 11512 SW CORNELL PLACE P'RMT f 25. 00 00 JLH 08/16/91 TIC•iAF'.D OR 9722-35PCT t 1. `S JLH 08/ t(-/-) 1 Ptione #: GAROKEN ENERGY CO, INC :3975 SW l i-7'f H BCAVE:.RTON OR 9712,215 Phone #: 641 -0389 26. 25 TOTAL Rey #. . ; 43124 ------ REQUIRED INSP'FCTIONCi This persit is Issued subject to the regulations contained in the Final Inspection Tigard Ml.micipal Code, State of Ore. Sper.iulty Codvs and all other applirdble laws. All work will he done in accordance with avroyed plans. This persit will expire if work is not started within IAA days of issuance, or if work is suspended for sore _ -- than 180 days, Plmr-m :ittee Signat�lre: Issi.led By: Call for inspection - 639--4175 GUY OF TWARD RECEIPI' OF PAYMFNT RECE i PT NO,. :91-216380. CHECK AMOUNT 26. NAME' x GAROKFN 17,.'Nl---RCjY '-.O ('ASH AMOUNT a 0. ADDRESS c 975 SW 113TH PAYMEN"r DA"rF C oa/,1 /91 SUBDIVISION BEAVERTON, OR 9-4005— PURPOSE OF PAYMENT AMC LIN'r PA I D PURPOSE OF PAYMEN't AMOUNT PAID 25. 00 1,31'. BUILD PER 1. 11512 SW CORNELL. TOT OL AMOUNT PAID 26. e5 �MIVRAMWAWUL��NKMLAqMLXALML��AM CITY OFTIFARD 4-- COMMUNITY DEVELOPMENT DEPARTMENT MOO" L U M B 1:N 6 F,E F,M IT 13125 SW HWI Blvd. P.O.Box 23397,T4prd,Onogon 97223(503)63G-4175 C.R 1111'. T if. . . . . . . . r:'IJvI90 0.1.6 0 RT 11. f:,F,'R 111 T 0. -. r-1 L M 9 0 01 0 f:,3`:)•-41'7'1 I)A*Tf.:' ISSUED: 1219/1.1 ,90 SITE ADDRESS- 3 11512 SW CORNELL PIL F,ARCELs 1E)134DC'---1040V1 SUBDIVISION. . . ., TIGARD PIARK ZONINGc L01.. . . . . . . . . . . . . :20 .............. CLASS OF' WORK. . aADD GARBAGE DISPOSALS. - a MOBILE HOME SPACES. I'Y(-,E OF- USE. . . .. SI-:* WASHING MA(:H. . . . . . . x BACKFLOW P,RF-VN*rRS,. .. -. 1. OCC'UPAN(.'Y GRP'. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . I STORIES. . . . . . . . . WATER HEATERS,, . . . . . CATCH BASINS. . . . . . . .. FIXTURES------------------- LAUNDRY TRAYS. . . . . . a SF' RAIN DRAINS. . . . . SINKS. . . . . . . . . . . URINALS. . . . . . .. . . . . . . GREASE TRAP'S. . ,. . . . . . LAVATOFIES. . . . . : 0 T H ER F'I XT U R L S. . . . . .. TUB/SHOWERS. . . . .. SEWER LINE (ft) -, , - - '. wnTE::F., CLOSETS. . 9 WATER LINE (ft) . . . . DISHWASHERS. . . . : RAIN DRAIN (ft) . . . .. F�(-ma-rks i U w i i e'r s F'E E S .... ... KIRIS SIMONSEN type anlot.trit by data -r e c,P t 11512 SW (,'ORNELL PILACE. P'AYM, $ 15. 75 JLH 09/09/90 r-,RMT $ 1.:'x. 00 rTGORD OR 97223 0. 7j Gc)rlt'racto,r: OWNFR/CONTRACTOR !-I a I-)e V. 15. 7 5 TOT A L Reg H., OWNEI� REQUIRED :INSPECTIONS This permit is issued subject to the regulations contained in the To P---OUt 11-1sp ................. Tigard Municipal Code. State of Ore. SoeCiAAty Cedes and all other Final Iiispectinvi ....... .................__............ applicable laws. A)l work will he done it ACCOTIance with ...............................1----........,........ ............ I--........-- approved plans. This pewit will expire if work is not started .................... ........................... ............ .............................-... within 180 days of issuance. or if work is suspended for sore ............... ............. than 188 days. —....... ................ ............................................................. .............I...................................I...... .............. .............. I,P-rnli.ttee ......................... ......................- ............................... Iki e d P y .................................. ........... ............................. ........................................................ .................. C a I I filar in 1-.)e c,t i c)r) 639 41715 -LITY OF T I GARD RECEIPT OF PAYMENT RECEJ'r'T NO. t 90-.204640 CHEC! AMOUNT t 1S. 75S NAME:: t S I MONSEN, k;f+J-3 CASH AMOUNT ADDRESS t 11512 W CORNE:L.l... Ft f"AYMEN"' DATE t 09/ 1 If � SUBDIVISION PURPOSE OF PAYMENT AMOUNT PA i n PURPOSE OF E`oYME:.NT AMOUNT PAID j F7�_iMF INC Fi7rt F7' 90-016 U �� i��V� ST. 1C}U I L.IJ f--C;F 0. 75 i i BAC K"FLOW DEVICE fl)Tr AMOUNT PAID 15. r INSPECTION NOTICE City of Tigard Building Department i N.O. Box 23397 Tigard, Oregon 97223 Phone: 639--4175 / Type of Inspection X �-� _ Date Requestud _ �'�D Time A.M. P.M. Address _ / / Pe?2 * -CU/4°�� Owner u- Lot Builder The following Building Code defici-mcies are required to be corrected: Presented to _ L1}-Approved Inspector — C) Disapprov!d Date CAL OR REINSPECTION 0 YE8 ❑ NO 0 - - - -__ �rK 1. 5557 1p/G,�� /_'>: �� CITY OF TICARD /.S 3c/ o- _ PLUM 131 NG PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 �>ficanks must hold Oregon Registtvion to conduct a plumbing P 0 bl/sincss or must be property owrncr/operator rot hiring outside help. , OR 97223 Nam_ a of Oevelopmert (503)639-4175 Plumbing P,!rmii NO. Jab Y/ _ ORS 814-21-610 GUMI. PRICE MAI. Tax Address X1,1 )0 Map.No. ✓�v FIXTURES - 91odc / Sunk --- _ _ 7.50 Lavatory ----x.50_ Tub or TubGhower Comb. 7.50 06 Showess erurls>ataZIP�� - wa �aose+y Iso 7.50 A �Il� 72 -d G',J� �/G Z dishwasher. 7.50 Phone Garbage Disposal 7.50 �nlc.ui� rs :`7Z 3 5�f41 --- - - Name washing Ma the .7.5u -Floor Drain 7.50 + Phone Water Heater 7.50 Occupant City/State zP Laundry Room Tray _ 7.50 Urinal 750 Ply► Other Fk1ure (Spefy) 75. 0 mopJ 1C&/ 750 r hwMe - 7.50 Contr-cllMir City/State — ZIP --- 7.50 _ MISCELLANEOUS City&re.Tete No. Sir I st 100 �J 30.00 �Y11i i 1I � tale65iRrw. Stale Pkxinbefs Bus.1k.Ro. Sewer•aa.Addit.100'_ 15.00 1`^ (R an Water Service 1 V 100' - n 20.00 1 hereby scknowlaidge that I have read this application,that IM information Water Servion.s_Addit-M)' 15.00 given is oorrect,OW I am r"WeredWth the State BulcWs Board.and also Stam li twin Orain 1 st.100' have a Stele Plunbkmp Scene that the nunbers given ars correct.that all 30.00 Plumbing wank wit♦be dons in ec oordence with altpkable pr ovWons at Ors- Slam 6 P.yn Orain Addd.100' 15.00 gon Revised StaAMos Chaplin 447 and 990 and it ppacsble codes and that no help will be empicyed unless licensed under UItS 903.(it exempt from Mobile Horne Siteoe 25.00_ State Ve91WIlIf %.Please*@ reason be". Bade Flow Prevention HOMEOWNERS-I hereby cmlify the I am the owner of the pn$bity all- Device«M_5-PoprAion Device 7-50 7, 5 U scribed above.a'which locatlnn I propose lo make a pMlmbMp Installation for Any Trap or wash Not #W own use NO I+142 property is not being constructed for"Itt.lease or rent. Cotnecyed so a Rxkxe 7.50 Calch Satln 7.50 leap.of E".Pknmbinq 40.00 Per Hr. -- — Specialty Requested Gapedbns '40.00 Per Hr. - Rain Drain, Sing Le ram. Dwig. 15.00 A Describe work rlew p addition ] etWation p repel,p Abe dim residential V1 — npn-mideotial n ExdsON use of MINIMUM-PERMIT FEE 25.00 bA*10«Pr0perty - _ SUB-TOTAL /• — ftpoliod u"of 5% SURCHARGE ^; NOTICE 25% PLAN REVIEW This pen. beoornes r*A and WOW M work or eonetruadon authorized Is not corm - —- _-_ — TOTAL rrwrmoad wMlmin tb doryapr M oeru>snlctlmxm a woAt y Mrpaded ter abandoned for a P«bd of 180 days of arty Gnu anw Uorh to oonvrAnoad. at"lCILAL 00NWTXW3 Date blued __-. - by - Gnu' �u�'��z��' /�_ �� ; �� , . � �� /� ��d (��, �y 79 231��, ��S> s firn o .�� '- t INSPECTION NOTICE eal.4 City of Tigard Building Department P.O Box 23397 OP�6 Tigard, Oregon %223 11114" Phone: 639-4175 - Type of Inspection JG�, /!9 Gom Awe, Date Requested Z Ti a A.M. P.M. Address // S� �N � to,e Permit # Owner--- - - --- — Lot # Builder The following Building Code deficiencies are required to be corrected- .r, Presented _�_.._ --------- — - — Azpprovad Inspector _ - ❑ Disapproved Date CALL FOR REINSPECTION DYES ONO I CERTIFICA fli. OF �"�A\ OCCUPANCY C11YOF TIFARD CIiYOFTi�irgRD � "► 4.3 - COMMUNITY DEVELOPMENT D ��ii `` cr FT PLRM1I M• • • • . • • a DUE 8922 ,3,2ssw►+�ien�i. P.O.eoxro97,rp.�,a.g«,o2f ? s _ f!hIM. F�EfiMI-f M. s 892293 DATr JOUWE L-0AZ1AZ-9A--- SITE ADDRESS. . . a 11512 SW CORNELL PL PARcF*t..e IS134DC-10409 SUBDIVISION. . . . I TIOARD PARK T..UN!NUe BLOCK. . . . . . . . . . I LOT. . .. . . . . .. . . . a20 -------------- CLASS OF WORK. eNEW TYPE OF USE. . . aSF OCCUPANCY GRP. uR3 OCCUPANCY LOADa TENANT NAME:. . . e R'e�mx•rP.S e C►w„ce( DON MORISSETTE PC BOX 195P4 PORTLAND OR 00000-0000 Phone Me 600--000--0000 Contractors -_______...,____....__. DON MORISSE:TTE BLDCRS, INC. P O BOX 19524 PORTLAND OR 97219 Phone Me 503--P44-•9314 Clap *. . a 35 533 occupancy of the above refere+aced building I% hereby give,), rind ewrtiftew the compliance with the Stage Of Oregon Specialty Code% fry, the group, occupancy, and use under which the re!ferrence+(.4 permit was 155WAIJ. ILI FIRE. DEPARTMENT BUILDING 'CTOR BUING OFFYCIAL - POST IN CONSPICUOUS PLACE: a INSPECTION NOTICE City of Tigard Building Department / F.O. Box 23397 T Bard, Oregon 97220 Phone: 639-4175 Type of Inspection — — �---- Date Requested_ Time_ _ A.M. P.M. Address Permit AM_ Owner _ _- Lot #_ Builder --- r /11� �% Y -- -- The following Building Code deficiencies are required to be corrected: 4— - - - - Presented to ,� Approved Inspector --- - _ _ [ I Disapproved Date -- CALL FOR REINSPECTION ❑ YES Ll NO a INSPECTION NOTICE City o' Tigard Building Department / P.O. Box 23391 ✓✓✓ Tigard, Oregon 97223 Phore: 639-4175 Type of Inspection Date Requested—__—.Ll �l Time A.M. F.M. f.ddress Permit #—k� Owner _ Lot # Builder �4��r 7�—s The following Building Cede deficiencies are required to be corrected: Presented to _ _ Approved Inspector Disapproved Date. 'L —....�. CALL POR REINSPEC77ON C7 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _._ Date Requested Time_ A.M. P.M. Address J1�__��=� � Permit Owner_ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to pproved Inspector pproved Date _ 2 CALL FOR REINSPECTION 0 YES ❑ No f INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 9723 Phone: 639-4175 Type of Inspection U. Date Requested Time A.M. P.M. Address -__-��,`5 �,��----- L�21� Permit Owner--- _— ----— ---�— Lot # _ BuilderThe following Building Code deficiencies are required to be corrected: Presented to -- ------�.�TT`�►pproved Inspector ----- _—_----- Disapproved Data — CALL FOR REINSPECTION C7 YES ❑ NO M MOAK MM�111111111111111 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time a A.M. P.M. Address �� —__.._. ��—��-- 'C Permit #ell,i � Owner Lot # Builder — The following Builriing Code oeticiencies are required to be corrected: L-,,Y7— �>i✓r rZ5Co.v_ '73ej)e _(Ci `rJisf -TV — — Auyz. Terri3O%/ c_l,slie^, Presented to C Approved Inspector _ Ll Disapproved Date G rj'L CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _,� ��-t Date Requested / 2Z _ Time_.._'`. A.M.-P.M. )�- Address �' _� i� 2_)cQ Permit #_�C71•�� Owner ��5_ Lot # BuilderThe following Building Code deficiencie re required to be corrected: i Presented to --___ krPp'r,ved Inspector Disapproved Date -tel CALL FOR REINSPECTION ❑ YES ❑ No ass aar INSPECTION NOTICE City of Tigard Building Departm P.O. Box 23397 , Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested 22I / 1%-6 Time — A.M. P.M. Address Permit Owner—� ' _- Lot BuilderThe following Building Code deficiencies are required to be corrected: l 4 Presented tr _ _— _ Approved — Inspector Disapproved Date CALL FOR REINSPECTION E] "ES CJ NO f• INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_�-:_ Z d- - 9 Time ✓ A.M. P.M. 02 Address OeA�_ X '20*1—_ i+•�+ ♦1,�_�� Permit #5?:7-jZj Owner,/ ��1.a.=- — L� �j_ Lot # Builder I 00J =a As The following Building Code deficiencies are required to be corrected: Presented to Approved / - --- Inspector /" L"7 f --- -- Disapproved Date- -- ? C-- ---------- CALL FOR RF;INSPF,CT;(-)N � � YES C__I NO ssss INSPECTION NOTICE City of Tigard Building C.-, driment P.O. Box 2339 Tigard, Oregon 9722 Phone: 639-417 Type of Inspection Date Requested Time A.M. P.M. Address permit 2 3 Owner Lot Builder The following Building Code deficiencies are requirod to be corrected: Presented to `Approved Inspector Disapproved Date zfz CALL FOR REINSPECTION YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone, 639-4175 Type of Inspection AL OF Date Requested� 9— 9d Time ;< A.M. P.M. Address Permit Owner L.ot Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION El YES I-A NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 � Phone 639-4175 Type of Inspection �-CL +--��•[ ___ /r +�� Date Requested / ., Time _ A.M.. P.M. Address //`S [Lx /!�&z,:w� Permit # `1 11): /� Owner. �7 _.__._�/— — Lot #__ Buil der The following Building Code deficiencies are required to be corrected: Presented to { I Approved Inspector � �--+'�---- - � .�_._-.- _._ .-.------_-- _T___—_ � � Disapproved Date CALL FOR REINSPE('170N ❑ YES I-_7 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested--'L."--- 00, P.M. Address _jW 'a'P91-Oo41 Owner Lot 3 Builder The following Building Code deficiencies are required to be corrected: Presented to Ap6roved Inspector Disapproved Date CALL FOR REINSPECTION YES 0 No _4:PM1 T CITY OF TOGA RD C111CITY NO . COMMUNITY DEVELOPMENT DEPARTMENT MOON 13125 S W Hall Blvd.P O.Box 23397,Tigard,Oregon 97223 (503)639-4175 9190 P 14T M P M 1' .N 0 892E43 JUB ADDRESS : 1151P !-5W TOX MAP/LOT 1.S1. 34 'TTGAWD PARK i`'.O BK I...ANU USE : R4.5 1..01 LIT 7F.' : VAI.U61 YON . 5!:.) 63P F-'AONT : 20 REAP : .1 WORK CLASS : NEW DWI�--.I- I UNIIS : I FFT : 13 PIGH1 USE 'T'YPE* : STINIGLE FAM.*I.I..y NO FILDMX)MIS "A Vm X I - WAI I CONS1 CUNST . TYPE : VN N: S : W: ('ICCUP . UPP . : R3 P 1:4(')Y OCCUP. LOAD N � W NO. STORIES : 1 :1.1.36 HOOF CONS'T : I, APFA ":)F%1-`()k"? 1�A 11;-,1:) HASFMENT*? 3PD OC CUI:` MF;*ZZAN:I'.NF"? F4A':'1:::M' I FLOOR LOAD: 40 G A P A(."IH: '(1100 5PPI(I IV? F 1...(1W(EIPM) YE:!:) TYPE. 1611111111% HFXI V'l AN (..HF(:,K FJY: i-It REISSUE OF* NO . IAC W N M()PTSL"sETTr-. DON PERMIT $3O 1. F 1.) HUM 1.9.524 14 PI AN PEVIE;W 11 9"i 65 1:)o r-tl RL n d or ripit: rw".PT 9'TATE TAX fl L:.I , 05 C OTHF:14 o I)F-VEA_0I:*'MEN1' CHAP(*.-PEi : N M(.1 P I I-.-I-I-I-- DON SOC(ST(:IRM) 11111250 . 00 R OCIrl M0WIS!:f:'11F-_ PUTI...DEPS INC. DC( S TPEE T ) "41100 00 C I.-)o "DX 19524 T I.)cl I-,i. I#:I n cI or- 97P.19 $2 5 0 P R I*--.P A T 1) < 1111/10 00) I- HONE (503) eq4 9314 TOTAL : $1 '!i/l. T his permit is Issued subject to the regulations contained in Title 14 X11 the TMC. StAte of Oregon Specialty Codes,zoning regulations RECEIPT NO. And all other applicable codes and ordinances. and It Is hereby .......... ............. .............. agreed that the work will be done In accordfin(.e with the plans and RE41JIREK) INSPECTIONS ..., fications and In compliance with all applicable codes and F OO1 :LN(:, 'if;:WIJ4 ,iinces The issuance of this permit does not waive restrictive FOUNDATION WtNL,L PATN I)PA.I.NS ianls Contractor and subcontractors shall have current cityOV. -oss tax permits This permit will expire and become null and ..Ah WAIF:1.1 I f work Is not started within 180 days,or if work is suspended or (.)NDF:'.PSI_AB C; I'Y �: i,wdoned for a period of 180 days any time after work has &Alil I. T N(ll mimpriced It shall be the responsibility of the permittee to assure PL8• 'I"OP1111.)T' all tpclkiired inspections are requested and approved F POMY.NG F IREPI ACIF INSULATION tee Sign C Pw t YP . HOARD Issiued By 4 0� I- F1.11:11 I'NS PEC T ION 639-4173 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C17YOFT167ARD 5EWEP PEPMII PTTy RD PERMIT NO. : SE892371 COMMUN.TY DEVELOPMENT DEPARTMENT 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 UATE ISSLAKE); 1/ 9/90 PRIM. PMT.NO. 892243 ,.JON ADE)PESS : 1151-2 SW (A]PNELL PL USA NUMSEP: 39162 TAX MAI.)/I OT I.S1. 3A SUB: TJ.(*.,ANl'.) PAPK LT :20 BK : I..ANT:) USE : A4.5 Sf-ECTI ON : 34 TWP: 1% 14ING : 1w Wf:)Pl< CLASS : NEW USE TYPE: SINCA-E FAMILY appl J,c!9trit agr'".evi to with all. rul.e% and l"VgLI1i1.I,ti(3l1% Of the Uni-F.Le)cl Agenc,,y . *The Permit expires 120 days from the date issued . The total. ill"I.Mill. I)oi(l wil.] 1:)Op forfaJ,ted if the I:liermit expirevi . The Agenc:y does not guar ElLntete the iiar.,czuracy of the location of the side sewer lAterals . If the sewer is 111.1t. l.l*lV.F.lAfftcI at the Mwastirement giveii-i , the j.nmtfiL1'I.er 3 Feet in iiall direc-tions +rnm the distance given . If not Tao Inc_,at"d , ;he installer %ho"I I PC..'rin:lt 111,11d thre Acienay will. instak].]. a Iateri..]. . .I.Ni: I At L . TYPE BUILDING SEWEP IMPEIPIVIOUS AWE.A: IXIIIVIF IJNIT':i . '11:_:NAN'T J.MPP0VF.:.MF:.NT 1AI I I I NG, UNITS : 1. IM rip. lal 1.)ftl I W N f1()14 1 !:1 S F T T E nON l:4.-.,.PM i.T 413 L5 . 0 0 E Wo BOX 195e4 CHA14GE. $1 ,25() . 0o 1.)(1 v t 1 1:1 n d or I.I.NE-E 'TAP INSTALL. C' OTHF14 N T Mlff21!:ISETTE. DON " I)ON MOI.11S5!3FTTIH*: BUILDI-_'415 INC . A C, lJ0 o0x 19321 T) po r-t 1.and or 97219 P44-931-1 FILPOTSTA01-1 410110 1140. 35533 TOTAL: 111111 'e"5. 00 - This permit is issued subject to the regulations contained in Title 14 PFCF.-JPT NO. of the TMC Slate of Oregon Specialty Codes,zoning regulations / , and all other applicable codes and ordinances and it Is hereby aqrppd that the work will be done In accordance with the plans and RIF_G1U.I*.V*.0 INS11"IFT"I TONG specifications and in compliance with all applicable codes and ROUG011-4---IN mrfinances The issuance of this permit does not waive restrictive i revenants Contractor and subcontractors shall have current city tikisiness tax permits This permit will expire and become null and void if work is not started within 180 days,or If work is suspended or ahsiridooed for a period of 180 days any time after work hes i oinmpnced It shall be the responsibility of the permittee to assure an rwIttirp d inspections are requested and approved J - t��,, I et inittee S OFItto l9sm'd By CAI.A.. 1`01*4 1'NSf1EXl .IA)N 6'39 /,1 J.'7 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE FEMEMEM Ealllllta� CITY OF TIGA RD I'l. UM81W., ARD IDE-PMT T NO. : PL-892369 clTyoF COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W.Hall Blvd.,P.O Box 23397.Tigard,Oregon 97223,(503)6394175 9/9- PPIM. PMT .NO 001:1 ADDAFY:i : 11512 SW CORNELI P1 I Ax MAP/Lul V5 1. ;STA C. LANIJ USE : IT'GAPI) F'Anll< LA PO BK : I (1I SIZE:: : TEM : NO : WONK CILAL.',S : NI:::W W0*T'I:::P C L.0 5 1::.T y47A. V, TYPE : STN(.;LE PAWELY UP'.INAL I)KIPI:4VN*T'P VN I.,AVOP 1i 0141y, 1A 0'::1 P1-0 M1.::17 GPP . TUB SHOWER P UPAPS VilAWASI.-IL 111.4 GAWBAG ' D.ESr--*'(:)SAl. 1. - WA(-1H:I,N(.; MACJ'I'.1NF.:*. I. 1*)WF-'.*.LL UNIT ti LAUNDWY TRAY BLOG. D11A].N ( 1.*)]*A F*- DOR DPA]'N SINK ILI WATE-14 HEATE-JA OTHER FEES : DON 114:PM IT W N pa BOX 19524 4; 1 .1 E • :710 R I=T.XTIJWES STATE TAX 08 (')'T HEA4 C 0 N T R A T o P l:4I'L('4.1 ':.V7'PATJ'(:)N NO. T his permit is Issued subject to the regulations contained in Title 14 PEr.EzPT NO. of the TIVIC. State of Oregon Specialty Codes, zoning regulations and all other applicable codes and ordinances, and It is hereby TINISPEF.CTIONS ,iqrpp(i that the work will be done in accordance with the plans and PLB . sf-r ificat,ons and in compliance with all applicable codes and POST IPr BEAM itdmanr,es The issuance of this permit does riot waive restrictive WATEP LINF. t ovenants Contractor and subcontractors shall have current city hilsirless tax permits This permit will expire and become null and PLR . TOPOUT .—A if work is not started within 180 days,or If Work is suspended or PAIN DPA INS al,andoned tor a period of "'I days any time after work has FINAL ')1T)mPn,Pd It shall be the responsibility of the permittee to assure all rf,(IiarPd inspections are requir ited and approved or, )igr ur i By SEPARATE PERMITS REQI IIRED FOR WORK OTHER THAN DESCRIBED ABOVE MF.:'(.;I-IAN I C#^,il Pit.:14M.E. I F1h, ..nMT T NO. MERW23*70 C'TYOFT11FARD CITYOFT111111AND DO)"!E:: J: :i U.)LIL 1.). I./ 9/90 COMMUNITY DEVELOPMENT DEPARTMENT F 1.1 T.M . PM T .NO 69i?2443 13125 S.W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 J 0 13 Al D 1:4 E.i5 : 1.161 21 GW C 0 P N I---L.C'_1D L OT 15:1 3/1 LIE: (W1PI) K L.1 0 In'K I AND (.ISE.: PA. 5 I 0I 511E . NO NO: WO PK CA ASIS : N1,W IJPNOUIV: t1001< I ()*I'P i1r1NDI ,14 < 1.0 USE TYPE: 51N(3I..E* I- AM'r.l,..Y F*t.)I:INA(*'I:* 1.00K+ r 114 1-1.1NIX.4 10K ('.',0N5T. TYPL VN I 'l ('1101.4 I'I.jRNA('V. V()I.:, COOL F.14 (.)L'('.UP .GRP . 143 hi ATEP Vt.::N'T' I=AN 3 Vl-:.N I VV.N Y 5ys +'.:M BILO/COMI.-I <3 VI P HOOD 1. NO. 51*OP1F1:) 1. HI_14/G(AMID '..JS .CNC;:I:NLAO'l OR(DOM DWF.I_L .UNII 5 : 1 13---.30HP I N(',JNI'..*PA1*0I:4(COM I 11F.1"I TYPE:: GAS F3111_11:4/(.11[ (1F, ,:i0--'130I P P I.IN] 'I(i Mot,iX . XNPUT WIJ4/GLJMP `50+11-lp OTHEA 2 11'w I')MIDP5'? Gr)9 (0.111 1.! T I 1-:1GH PPESS? F FF9 MOPItit.A.FTC 1.)(')N I:"EI4M1.T $10 . 00 �v lata DOD 19::50/1 DE $'VTEW 1.0 :1.:5 N port].491•1(1 or FIXTUPE9 41,150 _150 E !:;'Tn TF: 'TAX $P (M 0 THE P HFATTINIG 'INIt". . N T 1..'53505F PIAZZA AVE R 0P 9 10'1 A r PHONE (503) P,13-1.1.84 T i:4rr;Tr%'tnA*VI*0N NO 'elA I TOTAL : 111111115 F2 . 66 L PFECEIPT NO. �o �� .......................................... ................... This perm11 Is issued subject to the regulations contained in Title 14 E&ALVERE-A.) 1N!iP[-.A,'TJONS of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinan-.es, and It Is hereby Gr4l'i L :I:NE agreed that the work will be done In accordance with the plans and POG T' & Dr_'.AM specifications and In compliance with all applicable codes and WAIJI11 1 .LN ordinances The issuance c? ';a permit does not waive restrictive FJ NAL. covenants Contractor and subcontractors shall have current city htisiness tax permits. This permit will expire and become mull and void if work is not started within 180 days,or If work is suspended or ahandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to Assure all rpa,hred Inspections are requested and approved Peffnittee Sig CALIt:J1'.1T . F16.1 1N1I; 1jN 639-4175 IssuedBy 2. — — SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE OF TIW4 PLAN CItEC�102) CATI N D C11Y amroFncaw 1 PLAN d1EC / PERMT- H COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED t712:S_W.fl.r6f.dLPA.fSo�ZI291.T1y"40<etio^�Tal.(5471674•�t75 , - 5 W . 'pr/J c l l� r�;---- "i AX MAP/LOT JOB ADDRESS: ��S2 LOT: _ 7 U LAND USE: VALUATION: SPECIAL NOTES OWNEZ u REISSUE OF: -- NAME: LAST REISSUE: ADDRESS: t r' FLO00 PLAIN/ ---- •�,.c1��'! _ SENSITIVE LANG PHONE: 24 - APPROVALS RE4UIRED PLANNING: CONTRACTOR ENGINEERING: NAME: v FIRE DEPT ADDRESS: OTHER:-------------- - — --=---- I7Et1S REQUIRED PHONE: - LZST/SUQOONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: -- NAME: _ TR- C T TRUSS DETAILS: ADDRESS: PAkf:SNG PLAN: - LANDSCAPE PLAN: OTHER: PHONE C"IlENTs: --ELLC r __- ' DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE DESCRI PERMIT N ACCT H < 10-432 00 Building Permit Fees LZ-4m r 3 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Per�rTa Fees , 10-230 01 !'tate Building Tax Building !�. Plumbing 10-•433 00 Plans Check Fee Building '�' Plumbing rlech . / ✓ S U 5 t _ 30--2.07 00 Sewer Conner t i on 30-444 00 Sewor Inspection U �; 51•-448 00 T:trcet System Dev Charge (SPC) - 52-449 00 (-arks Sys'--cm Dev Charge (PDC) 31- 50 00 St(,-M Orai-ta c S sl Cev (3i 31� '(' --' 10-2.30 09 11?f0 - -10-230 06 OG Washington County Firc Irl (95X) 10--220 00 nmarl-/Wedgewood - 7 REC It - nP('I_I(;nNT SIGNnIURE - --_--�-- -- `3) Received By: � _ _ Date Received: / . cn/3587P/t8P