Case File ADDRESS:
9 26� W 8&,ct
I\records\microAm\targets\building.doc
INSPECTION NOTICE aj
City of Tigard Building Department
A
1312S 6M Ball Blvd. Tigard, Oregon 97:223
Inspection Line (Rac-O-Phone)t 638-4175 Business Phone: 639-4171
Inspect ion
Footing Plbg. Underslab Koch. Rough-in Appr/8dw1k
Round. Plbq. Top Out Gas Line INALy�
Post/Ream Struct. San. Sower Framing Eldq
Pr,'.i'llvam Hach. Rain Drain Insulation
Plbq. Undorfloor Water Line Gyp. Be.
Date Requestedt I1/•
Addreess
Builders
TRE FOLLOWING OORRECTIONS ARE REQUIREDt
Inspectors --~ Dates . 5 y
_APPROVED DISAPPROVED APPROVED BDBJECT TO ABOVE
'� J Call For Reinap.
InSPE
City of Tigard Building Department
13125 S* Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-•phone): 639-4175 Business Phone: 639-4171
InapecL!on: ---_
Footing PIh9• Underslab Mech. Rough-in App r/ldwlk `—
Found. Plbg. Top out Cas Lir►�,X IIRALs
Post/Beam Struct. San. sewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plhg. Underrloor Water Lin�e7 Gyp. Bd. -Meoh.
Date Requestods d y
Address:
Builder:_
TBE FOLLOWING ODRR MMONS ARR RAWIMMl
—CC ., AA
V` t 4, „r—
- l a_.
_�
Inspectors l Dates
-Lf�r=�
APPRDVlD �IBAPPRO'V11D JIPPROWD SUBJRL- TO A ilBOVt
/I�\ �T ✓Gil Por RaInsp.
INSPECTION H NOTICE
City of Tigard Building Department
13315 BW Ball Blvd. Tigard, tneq�.n 97223
Inspection Line (Roc-O-Phone)s f.39-4175 Business Phones 639-4171
Inspections
rooting Plbg. Underslab Hoch. Rough-in Appr/Bdwlk
round. Plbg. Top Out Gas Line Ms
Post/Beam Strutt. San. Rower Framing _e
it
Post/Beam Aech. Rain Drain Insulation -Plus_b.
Plbg. Underfloor Nater Liney Gyp. Bd. _Hoch.
Date Ra•piamtods v/'� Times AH PH
ck,
Builuer: (1, h)Lc. •n .LX3.S .lam, r ~
THE FOLLOMINI: CORRECTION'A ARE REQUIREDt
Af
i
i
Inspectors Dates��
�,i"PROVED nISAPPROVNrl APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOME �•� �
City of Tigard Building Dspart:eset
13125 tit• Nall Rlvd. Tigard, Oregon 97223
Inspection Line (Roc-41••Phone)s 639-4175 Business Phone: 639-4171
Inspection: —_—_------
Footing Plbg. Underslab Hoch. Rou,::-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Ruin Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. tict� -Hoch.
Date Requesstod,�:�j J- CTime: �tr7-Q—AN _PM
Addrees:_L` iGAla c 'K"
Builder: ` 6,_J 2 _
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspector _ ' Date:
APPROVED DISAPPROVED u APPROVED SUBJECT To AROVR
---Call For Reinep.
INSPECTION NOTICB '�
city or Tigard Building Departmant
1.3125 SW Mall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Busines■ Phone: 639-4171
Inspectiont�_��
Footing Plbg. Underslab Hoch. Rough-in Appr/e'dwlk
Found. Plbg. Top Out Can Line FINALi
Post/Beam Struct. San. Sewer Framing -Bldg.
poet/Beam Mech. Rain Drain Insulation _plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Roqueatteeds �7_ J /[0 / IV Timer _;U1 —_PH� _PH
Address,L2) �ac.� .,0`a/YAC) �i� 'Y ['7-511 W
ll •Wait
Builders_ ry
THE FOLLOWING OORRRCTIONS ARE REQUIREDI
v4&Jf_
-Z"PIdw t�7
Inspector
_.APPROVED _- DISAPPROVRD _— _ APP;40VRD SURJRCT TO AROVE
__Call For Painap.
LNSPE'TION NOTICE
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
InspectioniLipa (Roe-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:�(� 11+x✓' ��� \' �_
i
Footing Pibg. Underslab Keoh. Rough-ill Appr/Sdwlk
Found. Plbq. Top Out Gas Lino FINAL:
Post/Beam Struct. San. Sewer . 1r"a ng -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested: / ��" �f Tia►/e: AM PM
Address:
Builder=
TB= FOLLOWING CORRECTIONS ARS REQUIRED:
�
IL
Inspecto(.j —- - Date:
_-APPROVED APPROVED DISAPPROVRD _-ZAPPROVED SUBJECT To ABOVE
--_Call For Reinap.
City or Tigard Building Department
13125 Rq hall Blvd. Tigard, Oregon 97233
Inspection Line (Ref-O-Phoma)t 639-4175 Businoas Phone: 63q-4171
Inspections
Fcxitinq Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. (lPlbg. Top out Gas Line FINALt
Port/Beam %tract. Ran. Sewer Framing -bldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater L1ine Gyp, ad. -Neoh.
Date Requestodtk
_ `r- v+I' 7 �- ,T�t AM PM
Addroset Al
� � / T
` �1�,U�<x! )Cl/7C ermit is
Builder: � C/
THE FOLLCWINO CORRECTIONS ARE REQUIRRDt
tnepocto s
Dates_=7
APPROVED DISAPPROVED
APPROVRD SDEJECT 1'O ABOYE
__Call For Reinsp,
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . s MST94--01 1(�
13125 SW Hell Blvd.Tigard,Oregon 97223.61 l9 •(SMA04-41711 D(ITE I SSUED f 03/24/94
PARCEL: 1 S 134AI)--05500
SITE ADDRESS. . . : 1082' iW BLACK DIAMOND WAY
SUBDIVISION. . . . : BLACK BULL_ PARK ZONING s R-4. 5
BLOCK s LO'T. . . . . . . . . . . . . :24
_.___..-_.__...------------------------- BUILDING
REISSUE: DWELLINU UNITS: 1 BASEMENT. . . . . . . . :0 s ,
CLnSS OF WORK. :ADD BEDRMS:O BATHSs1 GARAGE. . . . . . . . . . s0 sF
TYPE OF USE. . . :SF FL_DOR AREAS---------- REDU I RED
TYPE OF CONST. c 5N FIRST. . . . :0 s f LEF•T. . :O ft R I GHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :882 S f FRONT. :O ft REAR—co at
SI'URIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-
HEIGHT. . . . . . . .
E_QUIRE:DHEIGHT. . . . . . . . v22 ft TOTAL—- -- - -:0 S f SMOKE' DE 'ECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 40572 PARKING SPACES- 1121
Remarks : 882 sq. ft. second story addtion- path 1
PLUMBIhif3
SINKS. . . . . . . . . . s1 FLOUR DRAINS. . . . tO BACKFLOW PRE:VNTRS. . :0
LAVATORIES. . . . . e1 WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0
1'UB/SHOWERS. . . . t0 LAUNDRY TRAYS. . . :O CATCH BASING. . . . . . . :0
WATER CLOSETS. , % I SEWER LINE (ft ) . :0 GREASE TRAVIS. . . . . . . ..0 J
DISHWASHERS. . . . &0 WATER LINE (ft ) . :0 OTHER F I X TURES. . . . . :0
CARNAGE: DISP. . . sO RAIN DRAIN (ft) . :O
WASHING MACH. . . 111 SF RAIN DRAINS. . :0
MECHANICAL -- - -__.___...__.__________.__._.._._...__...._..._._.._. _. ...- PEES
FUEL TYPES.---•---------• UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . , . . . 110 BPRT $ 242. 50 JG 03/24/94 -
MAX INPUTv0 BTI..1 VENT FANS. . - 1 BFPLC $ 1.57. 63 - O2/18/94 94--250249
FURN ( 1O0K . . : i HOODS. . . . . . :0 135VIC f 12. 13 JG 03/24/94 -
FURN ) -1O0K . . :k) WOODSTOVES. :O MPl7T s 25. 00 J113 03/224/94 -
FLOOR PURN. . . . :0 CLO DRYERS, s 1 MEPC f 1. 25 JG 03/24/94
LADIL/CMA ( 3HP:0 OTHER JNITSsO PPRT f 30. 00 JG 03/24/94 -
GAF, OUTLETS:O P5PC $ 1. 50 JG 03/24/94 -
Owner:
HAWKE:N
108i25 SW HLAC,: n*AMOND WAY
TIGARD OR 9'72223
Phone #s
Cont ract or s --------______________-____--_--_.
RASMUSSE:N & SON CONST INC
223 SE 146 TI i
PORTLAND OR 97233
Phone #: 2"3-6577
Req #. . .- 761.47
f 470. 01 TOTAL
This permit is issued subject to the regulations contained in the ----- -- REQUIRED INSPECTIONS ------
Tigard Municipal Code, &tate of Ore. Specialty Codes and all other Mechmnical Insp F'l xmb F inal
applicable laws. All worA will be done in acrordance with approved Plumb Top Out Building Finast
plans. This permit will expire if work is not started within 180 Framing Insp Y
days of issuance., or if work is suspended for @ore than 190 days. Gas Line Insp
k, "? {� Insulation Insp _
Permittee Signat�_ir-e: _i jI idai—lh-SLf Gyp Boaird Insp
Rain drain Insp
Issued By : Mechanical final
inspection 639--4175
C VVY OF JJUARI) — REC:JPT OF' PAYMENT RF:C FlJ,l NO. P94••-P,,50469
CHECK AMOUNT' a 31P. 38
NA14E. a RASMUSSEN & SON CONST CASH AMCIUN T a N.Hill
gUI)kF::SS p PAYMENT AA7k d 0.3 i'4/94
f;IJTsDIV I1;ION c
I�IuRpI]w or POYMENT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT I"A E D
.......-...1111..._w._1111....._.._1111...._._.. __.._.._...._.._........
M I LD INC3 P RM P.42.50 PLAMP I N13 PERM :301.(a@
E'CHANICAL FBF P5. HH ST. HUiI_I) PFR 1.4. 88
I
4188 5 4W RUIC;K DIAMOND WAY
I
II O TAI 0MOUN T POID - > 31.e?. 38
i
Residential Building Perimit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /DMZ✓� ��, G1JriCX ,C�-'EJ/r'+ovc� GuW
Office Use g[A
Subdivision: Lot#t
PlanckiReC#
Valuation: L.'�/�' 1 1AC), ___ _ I
- ----T Perrph #__- -- - --,/Y jr
Owner: Reissue of
Address: /Uy Z S S;G✓, �(�1rJ c/[ ,t7.%af�o.�� [✓NT Map &TL #�[S113C% -'7 ✓
Approvals Required /
Phone: _�3�- SIJ Z S! � --
Planning-��5 � -<k)r 01 �.
Contractor: VIdS07V5SrA so v CG<.S _ Engineering _^
Address: _ / J S /yl Other _
72 7
Items Rett red
Phone: 2Sa-_GS'
bamtracturs
Contractor's License
(attach copyo/c_yrrsnt�Oregon license) cuss Details
Subcontractors: yj-'(f Other
Plumbing: L(qA" -5 '0/4,
Mechanical: 11.ode. _
(attach copy of current OR ntracl.-r'si (0) l
i
ArchltectiEngineer: `A14-1 h9 ea d, _M
Address: l/l 2 5 N. el, Ol e j/c r
Por4/,! -,ACC 97 2 Z0
Phone: �7`w^ Z 3 c�S_3
COMMENTS: 2- &2
14
Applicant Signature & Phone number
Received by: Date Received: 23-Z
Permii 6 Accouret Description Amount Amt. Pd. Baal. oue
7- Bldg. Pe"mit (BUILD
Plumb. Pe"rr't (PLUMB)
^� :Ae^ti Permit (MECH)
SIM,, Tax (T.V) 1 i
Bk;g
Plumb: _ r 5 G'
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
i
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dov Charge (PKSDC)
Storm Drainage ^.hg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (Tit'-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL.)
Water Quantity (WQUANT)
Fire District (FIRE)
. 2
TOTALS,
li
CITY OF TIGARD RFCEIPT OF PAVMFNF RRC VlPl NO. o94-0=49
CHLUK AMOUNT 1 1."17.6a
"AME RASMUSSEN A SON CASH AMOUNT s 0.00
DDR SS u PAYMENT DAT+ p 03/18/94
SUBqTVfSION
11
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMO011f PAID
................... ....... ..............
157.63
1014,25 SW HLACK DIAMO1,11)
IOTAI AMOUNT PAID 157. 63
DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/840-3561/693-4415
PHONE: 503/848-8761
OREGON Page 1 of 1
Date 01/04/93
'Time 12 : 56
Permit 'Type Residential Electrical Permit Permit # U5036472
Permit Status APPROVED Applied : 01/04/93
Situs Address 10825 5W 8LACK DIAMOND WA '1'1 Issued 01/04/93
Permit 'Title SE'R - BURGLAR ALARM Completed :
Permit Desc:r. '1'o Expire : 0'//03/93
Project 'Title = SFR - BURGLAR ALARM Project # P0028250
Proiect Descr, * ERUSiUN
Parcel Number 251'1'1 - Land Use District
valuation U
Legal Descr .
Uwner HAWKEN, N.J ./MARY Construction 0'141
Applicant Name BRINK' S HUME 5ECUR1'TY Classification : 900
Applicant Addr. : 121' 0 SW GARDEN PL Occupancy : R3
PORTLAND, UR 9'/225 Validated by PH
Applicant Phone: 684-3579 Inspector Area
CUN'1'RAC'TUR : 8RINKS HOME SECURITY Lic. C 34-1660 684-3579
Fee description Units Fee/Unit Ext fee Data
-------------------------------------------------------------•--------------
Limited Energy/Alter. /Extension 1 40, 00 40 , 00
Subtotal Electrical Nees : U 40 . 00
State burcharge of 5% 0 Z . UO
Total Electrical E'ees : U 42 . 00
*** E'ees Required *** *>r* Fees Collected 6 Credits ***
Receipt No. Date Payment
01/04/93 42 . 00
TOTAL THlb DATE 42 . 00
tees : 42. OU
Ad )ustments : ' 00 'Total Credits: . 00
Total Nees : 42 . UU 'Total Payments : 42 . 00
Balance Due : , 00
II
NOTICE: This parmd b scomes null and void h rhe mirk or conslnictlon for which.N It Issued Is not commenced within 190 days. Once construction ban started,
the permit brcomos null and void If construcllon Is Interrupted for a period of 190 days. I certify that the Information presented by the applicant end
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's rollance
upon Islas and mw:::ling Information may Invalidate this permit. All prov!slons of applicable laws and nnllnsnres governing the construction and imp
of this building or structure will be compiled with whether or nut speclfl*d on the plant or naiad on the plans correction shoals. I acknowledge that
the granting of a permit doss not grant authority to access private property or to use eeosments. I further acknowledge first the use or occupancy of
the structure or building permitted depends upon my calling for Inspections aI varlou♦tmos during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the Wilding or strurture psrmlBad prior to approval by tho
Building Department Is solely al the risk of the applicant anti such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the parmlt Is Issued
spacHying them the use or occupancy of the huMing or structure Is provlslonol and revocable until the satisfaction of all inspection requirement%.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY RESTRICTED
of Land Use & Transportation
Electrical Inspection Section ELECTRICAL ENERGY
155 North First Avenue,#350-12
Hillsboro, Oregon 97124 APPLICATION
Information: (503)640470 Fu:: (503)693.4412
'PLEA-SE PRINT
Please • ' • • • Project No - �� � Permit No. S �(Q��
1. Location of Installation 'Label No— � Date /
Issued By Office
Address_. 10525 %L,) F3l ac:1c .Dtdm�vu� ��y
city Ti!2,arcl , Q2 zip code 72?3 _ 4. Type of work
Thomas Map Book: Page Section RESIDENTIAL Restricted Energy Fee $40.00
(for all systems)
Directions - _-._— Check type of work involved:
Commercial CJ Residential F_Audio and Stereo Systems*
Tenant Name Burglar Alarm
(if commercial) Telephone Syste",a"
This permit becomes null and void If the work authorized by the Garege Door Opener'
permill Is not commenced within 1.80 days from date of Issuance Fire Alarm
of such permit or If the wor'.sulhorlred Is suspended or abandonled Heating,Ventilation and Air Conditioning Systeme'
at any lime after work Is commenred for a period of 180 days. Vacuum Systems"
Electrical Permits are non-refundable and non-transferable. Other_
2. Contractor application: --a- -'-------
Electrical Contractor�,✓1 k S & r. .�.eCU 1�I COMMERCIA; Fee for each system $40.00
(see OAR 916-2b0-260)
Address 12150 !&Q C--.ar-t1en PI _
Date �-- --` 2 J b Number 3 7 c Check type of work involved:
Property Owner l oar'
Contractor's License No, 3 4.1to Boiler Controls
Contractor's Board Reg No. :lock Systema
Phone No.
Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
Instrumentatlon
Print Owner's Name Phi No. Intercom and Paging System
LOC`ATr „ / Landscape Irrigation Control"'A dress _—
G ry Medical
Nurse Calla
(Ry—� a ��{p- Outdoor Landscape lighting"
This permit Is Issued under OAR 018.320470. The applicant agrees Protective Signaling
to make only restricted energy Inoftflatone(100 volt amps or loss) Other
under this permit and to do the following:
1. Only use ado0rksl licensed persons to do Installations where
required. (CwUln resid•ntfnl and other transactions are exempt Number of Systems
from licensing, These have asterisks("). All others need Ikens-
log.) •No lk-enses are required. Licenses are r ns
2. Call rowan inspection when a!1 the Installations under this permit uired for all other insfallafio .eq
ars ready for Inspection.
9. Purchase aeparete permits for all Instal tstlone that ars not ready 5. Fides
for Inspection when the Inspector Is out to Inspect under this
permit. Enter tees $
4. Assume responsibift fbr assuming that all correctlons required
byfhe Inspectoraredow ,nd
5, Assume rosponsiblNty tot Luilling for o final Inspection when all of 5% Surcharge (.05 X total abovr.,) $ _
the corrections are completed.
The person signing this permit must be the applicant or a person T11 ta I $
su'hodrod to bind the applicant.
sinrrature Space below ressi ved fir validation.
,wilhodly"other than applicant _
For Inspections call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need