Case File ADDRESS:
JIS;TV WCarir--t
is irecords\microflm\targets\building.doc
CIT' OF TIGARD
COMMUN;TY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Hall Blvd.Tlgartl,Oregon 97223o9199 (EO3)030-4171 OCCUPANCY
xxxx PERMIT 0 : MST14-.04A'-
639--4171 DATF ISSUM 04/13/95
PARCM-i IS133DD-03800
!TE ADDRESS. . . z 12554 SW BRI DGEVIEW CT
VILLAGELF. ce7YMMFR. L9KE.. P,99K 3 Z ON I NG i R-4. 5
YYPFWF USWna SFRX. o INW
E
OCCUPANCY GRP. or,,!3
UCCUPANCY LOADiEii6 4
TENAN'r i-4Am1-:
Rllark%
.- i PATH I
Owner:
NEW CASTLE 1014E INC'
P 0 Box 2:13293
TIOARD OR 97281
Phone #a 684-7543
KEN WATTS CONS CRUCTION INC
PO BOX 230925
TIGARD OR 97281
Phone #: 664-4431
Reg *. . t 100336
Occupancy of the above referenced building is hrreby given, and certifies
the compliance with the -Ste.' Of are
V. gon Gips�:ialty Codes wFor th:e gr,--up,
oc.--upancy, aKnd 1AS0 Llndf?4c- which the referenced permit loss tamued.
D
BUIL_.t7 r3
-F.CTO ILDINr Cl C
POST IN CONSPICUOUS
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL":
Post/Beam Mech. Sari. Sewer Gas Line _
Plbg. Underiknor Rain Drain Framing umb
Alarm Water Line Insulation (+nr.-�
Underllr. Insul. Shear Wall Gyp. Lid. -Elect
Date Requested: _Time:�AA4 7JPM
Address: ��J`�J �2� !J'-LQ-c�✓__(._•C�
Builder: Permit #:_ cr/Vs'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
40%�7_4
In��sper.ctoDate:
Liec/PPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (HOC-O-Plione): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwl
roundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -13ldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect,
Date Requested: 0 Time: AM PM
AddresE:
Builder: Permit
1H FOLLOWING CORRECTIONS ARE REQUIRED:
l i► -7?_"4
Inspector: ►� S Date:¢+f0�
_APPROVED __DISAPPROVED )�__APPHO�Lw- SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing .
Alarm Water Line Insulation -MOC
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:XAM PM
Address:� � J
Builder: ermit rr: Fel—c? ry
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CA
Inspector: Date:
_APPROVED v DISAPPROV D APPROVED SUBJECT TO ABOVE
' Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: - s
4>
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwll;
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall yp. Bd A--• -Elect.
Date Requested: 3L/ s- Time: AM 1 PM
Address:
Builder: Permit fl:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date:
LIF-ROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line / -Mech.
Under(Ir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: AF f Time:_L�M PM
Address: 9Z/ 9--
Builder: Permit#: ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CANr
cutin
�-" $ . o
<< v A �-
ol-- vie Y"\ A
i fc
e,-,k
Inspector:_ _ Date:
APPROVED __DISAPPROVED toeoAPPROVED SUBJECT TO ABOVE
,Cell For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Ibg. Top Ou �Q Elec. Rough-in FINAL:
Post/Beam Mach, an. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain _ mm -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: c��1/ ��j S Time)�AM PM
Address: S•S �{ o C
'guilder: 7S 1. — 7 Permit #:
TI,;_ FOLLOWING CORRECTIONS ARE REQUIRED:
n
Am
Inspector: �rL�1 _ Date: Z—'L
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
or Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: G39-4171
Inspection:_ '
Footing Susp. Ceiling rink. Rough-in Appr/Sdwlk
Foundation Plba. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Fra -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. P_'YYI . -Elect.
Date Requested: ��s/ /� _Time: Y,' AM —y'LPM
Address:
Builder: 2a q-2S 7 Permit fr: 9 f-o
THE FOLLOWING CORRECTIONS ARE REQUIRED:
--77-- �
�a
A9
L4 29OLV
Ott� A.x L1,�v .r,,•t�,,�,,,.t,• 01,7-.
7
W10
Inspector: �.� Date: Z 16
_APPROVED DISAPPROVED r APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 619-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprin'<,. Rough-in Appr/Sdwlk
Founda::on Plbg. Underslabi"c '`Hough-in Fireplace
Post/Beam Stn ,t. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewerrn Q,k,111'�'�'4Bt8g.
Plbg. Underfloor Rain Drain Framing(/ -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall �j Gyp. Bd. -Elect.
Date Requested:_ �'-----Time: AM PM
Address:
Builder: .� "/� �� Permit #: Y- e ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ot
spector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT 70 ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Merh. San. Sewerb Llne -Bldg.
Plbq. Underfloor Rain Drain /Framing -Plumb.
Alarm Water Lineulation -Mach.
Underflr. Insul. CShear Gyp. Bd. Eli t.
Date Requested: L I Time: AM /y\• PM
Address:(_ t�,� T
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insp:-:tor: Date: Z
_A"PROVED DISAPPROVED ROVED SUBJECT TO ABOVE
_Call For Reinsp.
�C`c_l'C
1,
1
h
INSPECTION NOTICE `
City of Tigard Baildiaq Departwsot
3o, !S SII Na11 Blvd. Tigard, Oregon 417223
Inspection Line (Rac-o-Phone: 63L9-4175 Business Phones 639-4171
*.ns � l/peetions_. 5 - 1.5 X57 _
ooting Plbg. IInderslab Mech. Rough-in Appr/ed-,"
^ound. Plwbg. Top Out Gas Line 1INALs
Pse+t/Beam Struct. �s��a --rr±±j ��q--�,, Framing -Bldg.
Post•duam Mach. csais_umznb Insulation -Plumb.
Plbq. IIndPrlloor ate, Line Gyp. Ed. -Mech. �k V v
_ awl '
Date Requueteds_ AM PM
Addresses �� �� 'C 3 4-2)l 77��Times t #I
Huilders-.—S/ 9-' 4LY,-) 3
TBE IOLIAMING CORRECTIONS ARE REQIIIRED:
Inspector: Dates
XAPPRMD DISAPPROVED APPROVED SUBJECT To ABOVE
__Call For Reinsp.
�eBPacrIGR NOTICE /v
City of Tigard wilding Departasat C
13325 SW Ball Blvd,
Tigard. Oregon 97223
Lnepection Line (Reo-0-Phones 639-4175 Business Phonr.s 639-4171
Inspections
Footlug Plbg. Underslab Mach. Rough-in App::/Sdwlk
Found. Plbg. Top Out Gas Line ?INALs
Post/Beam Struct. San. Sewer Framing -Bldc,.
Post/Beam Mach. Rain Drain Insulation -Plumb.
bg. Underlloor Nater Line Gyp. Ed -Koch
Date Requesteds Tlaw s
Address= ! ��'7 /�L� � �--� omit
Builders / /1'`I `,IS 7
THE FOLLOWING CORRrCTIONS ARE REQUIRED:
Inspector: DatesY- f
APPROVED 018APPROVED APPROVED SUBJECT To ABOVE
____Call For Reinup.
INSPECTION nuicz
Char of Tigard snildi09 Department
13125 aw Hall aivd. Tigard, Oregom 97223
Inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4171
Inspections
rooting Plbg. Undorslab Mach. Rough-in hppr/Sdwlk
dna. Plbq. Top out Oa• Line FINALS
�Oe am Struct.!>-San. Sewer Framing -Bldg.
et/ ,/ Rain
Drain Insulation -Plumb.
Pibg. Underfloor water Line Oyp. Rd. -Mach.
Date Requesteds f"=. /a
�p % Times AM PN
Addreu,la S CI L�',LLQ—�r,tr
rmst #1
Builders_ / n -1 S J4
TM POLL0WZNC CORRECTIONS ARE MWIREDs
lnepectors, Z Z 4
Dates
11PPIMZn DISAPPROVED ---"APPROVED SUBJECT To ABOVE
,Call For Reinsp.
INarEr'1�gN�lO�ICB
City of Tigard Building Department
1.7125 am Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639-417
Inspections
Tooting n Plbg. Underslab Mach. Rough-in Appr/rdwlk
(`ound. Plbg. Top out Can Line FINAL:
Post/Beam Str+:et. \\\ San. Sewer Framing -Bldg.
Post/Boam Hoch. Rain Drain Insulation -Plumb.
Plhg. Underfloor Hater Line Gyp. Rd. --Hoch. gyp_
Data Requested: Times
AN PH
/ UFC
llddress: __�. �F �� it f: / L7
Builder: - /��t� G7its-
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
ks
-7 _
e Inspector:__ Date:�i/IrJ9f�
DISAPPROVRD "PROVED SUBJECT TO ABOVE
_Call For Rel.nap.
INSPECTION NOTICZ
Cit? of Tigard Building Depart:seet
33125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rer,-O-Phone)s 639-4175 Buminea• Phones 639-4171
Inspections
�l Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Plbg. Top out Gas Line FINALS
Post/Beal Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. ��
Date Requesteds Times IqL-
PM
Addresss��� �; permit fs
Builders 4
TBS FOLIAMINO CORRECTIONS ARB RWMIREDs
Itis .�
Inspectors_ `/ Date: z--— /
APPROVED DISAPPROVED t APPROVED SUBJECT TO ABOVE
__Call !ar Reinsip.
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT FERMI r #. . . . . . . : MST94--0•+-+�
13125 3W Hall Blvd.Tigard,Oregon 97223.11799 (503)039-4171 DATE ISSUED: 12/07/94
PARCEL: 1 S 133DD--03600
511E ADDRESS. . . : 121554 :a�W BRIDGEVIEW CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK, 3 ZONING: R-4. 5
131-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :77
LASS OF WORK. . -NEW GARBAGE. DISPOSALS. . : 1
Y(-'F OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVN-rRS. . : 1
)CCUPANCY GRP'. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
f URIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . ..0
LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
'�i l NKB. . . . . . . . . . :3 GREASE TRAPS. . . . . . . 10
i_.AVOTORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
O OTE.R CLOSETS. :3 WATER LINE
U1��HW3hFPS. . . . : i RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
UWNERa --------- ----------____.____-- ------------------FEES---_----------.-_
hiEW CASTLE HOMES INC TIF $ 1550. 00 JF 12/07/94 -
F, O BOX 23293 BPRT $ 533. 50 JF 12/07/94 -
BPLC $ 50. 00 JF 11/16/94 94-258756
I'IGARD OR 972'81 B5,PC s 26. 78 JF 12/07/94 -
Phone #c 66,+--754-, SSDC $ 280. 00 JF 12/0'1/94 -
PARK $ 250. 00 JF 12/07/94
1 1 1.umbing Contractor:— - -------_ - - - MPRT t 45. 00 JF 12/07/94 -
MPLC $ 11. 25 JF 12/07/94
"AMC It _.� �/ IhSF'C $ 2. 25 JF 12/07/94 -
0drys: _ _ _ 3BTH $ 2: 5. 00 JF 12/07/94 -
,.t y:e_ KEN WAITS CO SS-TRMT#W INC.__-_._- _ P5PG $ 11. 25 JF" 12/07/94 -
,.p: P.OI$0)t�p30D25 _ EROS $ 64. 00 JF 12/07/94 -
F
L4 #• _ TIGAROP OREGON 97281-OW5 Additional fees not shown here. . . . . . „ . .
--•----- REQUIRED INSPECTIONS
lhi.s permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam 5truct Water Line Tn=p
ether applicable laws. All. work will be done Post/Beam Mechlin Appr/c. Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Wtr Proofing Bsm
Fireplace Insp Crawl Drain
Gas Line Insp Ftg Drain Bsmrt
Insulation Insp
/�na
Gyp Board InspPals horized Plumbing Con ctor igture
Call for inspection - 6.:39--4175
L.o n t r a c t o r Notes :
/J
V
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171 MASTER PERMIT
PERMIT #. . . . . . . : MST94- 1445
639-4171 DATE ISSUED: 12/07/94
PARCEL: 1 S 133DD-03800
.)ITE ADDRESS. . . : 12554 SW BRIDGEVIEW CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :77
--- BUILDING ------------------------..--.------------
;2EISSUE:MS1-94-0380 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :441 st
1 YPE OF USE. . . :SF FLOOR AREAS------------ REQUIRED SETBACKS------_-._
TYPE OF CONST. :5N FIRST. . . . : i O72 s f LEFT. . : 12 ft R I GHT. e 7 ft.
OCCUPANCY GRP. :R3 SECOND. . . :988 sf FRONT. :20 ft REAR. . .-23 ft
STORIES. . . . . . . :? FINBSMENT:O sf REQUIRED---------_-----------
HEIGHT. . . . . . . . ..28 ft TOTAL------:2064 sf SMOKE DETECTORS. :Y
F-LOUR LOAD. . . . :40 ps f VALUE. . . . . S : 140375 PARKING SPACES. . -. 1
Remarks: PATH I
_-.---------------------.__-.-_----- PLUMBING ---------------------------------------
SINKS. . . . . . . . . . : 3
-------------.-----_SINKS. . . . . . . . . . :3 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . cl
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . C1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
UARBAGE DISP. . . sl RAIN DRAIN (ft) . sO
W(•TGH I NG MACH. . . : 1 ,Gil= RAIN URA I NS. . : 1
----------------- MECHANICAL _________.__._-.---._--..-_______________ FEES -------------.__.
1 UEL TYPES--------- -- UNIT HTRS. . :O type amoi_int by date recpt
/GAS/ / / VENTS . . . . . :0 TIF t 155P,. 00 JF 12/07/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT f 535. 50 JF 12/07/94 -
F-URN ( 100K . . :0 HOODS. . . . . . : 1 BPL.0 f 50. 00 JF 11/16/94 94-258756
BURN ) -100K . . : 1 WOODSTOVES. :O B5PC $ 26. 78 JF 12/07/94 -
F LOOR FURN. . . . .0 CLO DRYERS. : 1 SSDC $ 280. 00 JF 12/07/94 -
BOIL/CMP ( 3HP:0 OTHER UNITSe 1 PARK $ 250. 00 JF 12/07/94 -
GAS OUTLETSs1 MPRT E 45. 00 JF 12/07/94 -
Uwners --- -___._._.______._____.__.__-_.._._-.--.---_._MPI_C $ 11. 25 JF 12/07/94
NEW CASTLE HOMES INC M5PC $ 2. 25 JF 12/07/94
i' O BOX 232193 38TH $ 225. 00 JF12/07/94 -
P5PC $ 11. 25 JF 12/07/94 -
TIGARD OR 97281 EROS $ 64. 00 JF 12/07/94 -
P- ione #: 684-7543 ERPC f 20. 80 JF 12/07/94
Contractor: $ 20. 80 JF 12/017/94 -
KEN WATT, CONSTRUCTION INC
PO BOX 230,3;:?5
rIGARD OR 97281
Phone #: 684--4431
Req #. . s 100336 -----------------•---------------------.._.
$ 3092. 63 TOTAL
This permit is issued subject to the regulations contained in the - ----- REQUIRE[) INSPECTIONS -----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 18A Post/Beam Mer-han Insialation Insp
days of issuance, or if work is suspen ed for eore4han 180� daysn� F'lm/l.tndslab Insp Gyp Board Insp PLM/Underflonr Rain dt-ain Insp
Permittee Signat�_ire ;( Mechanicai Insp Water Line Insp
Plumb Top Out Appy^/Sdwlk Insp
I s s l.i e d B y s _.__.._ _ Framing Insp M e c h a n i r.a l Final
Call for inspection - 639-4175
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT .EWER PERMIT T
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)930-4171 PERMIT ##. . . . . . . .. SWR94-0398
639-4171 LATE ISSUED: 1/07/94
PARCEL: 1S133DD-03800
SITE ADDRESS— : 12554 SW DRIDGEVIEW CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 3 ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :77
----------------------.__—_______
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . a
CLASS OF WORK. . . :NEW D(JELL I NG UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF RU I LD I NCS a 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Remarksa PATH I
1
Owner: ---______._______________.___---__._._.___.____._______.___ FEES ---._—__—_----.._
MEW CASTLE HOMES INC type amount by date recpt
H' U PDX 2:3293 PRMT $ 2200. 00 JF 12/07/94 —
INSP $ 35. 00 JF 12/07/94 —
TIGARD OR 97281.
Phone iia 684-7543
Cantract Or:
CONTRACTOR NOT ON FILE
---------------------------------
------_- ^
f Slone 1#: $ 2235. 00 TOTAL
------- RELIUIRED INSPECTiONS -- -----
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency, The permit expires 188 nays from
the date issued. The total amount paid will be forfeited if the V
pvrmit expires. 'she Agency does not guarantee the accuracy of the M�
side sewer laterals. If the sewer is not located at the measurement _
given, the installer shall prospect 3 feet in all di•ections from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will instal a lateral.
1 e r m i t t e e S i g n a t l..1 r e c C�C�',�L��'��l>
S S u e d 8 y r
Call for inspection — 639-4175
L I I Y OF I I HARV HI V I`.,, I W PI-4Y(,IF.N I kf i V,I N17. :9/4
i I kMk,)IJN I f
NEWCA13 I Lit MIME-9 4"kUli Hbl(JI.JN(
�HYMLNJ Dklk 0
V I.-j I ON
PURPOSE OF Pf4YME-:.NT AMOUN f PR 11) CIF= PAYMEN I AMOUNT PAID
BUILDZNG PERM 5135. 50 P1..(JMS1N(3 PERMt
•
MF(.',HONICAL PF 45. 00 ST. BUILD PER 40. i-44
PLAN CHECK FE 11. P-5 SEWER USA 00
6F'.Wh.'R I NSPELl' 3.5. 00 PARKS HDG OVI
RESIDENTIAL TRAV"FIC FEES 1430. 00 MASS T RANN IT Tff= Ff-.Ffn 00
HP0 UtIALITY FACIL.17Y FkF J80. 00 HRO QUANIITY f-FIG I L I Y Y V i.-V I IAO, 00
EPI NICIN COIN tRUL FES RMI'Wrm 64. 091 1-;R(,)SION CONT HCH PL.RN CK 80
ERCISICIN CONTROL 80
MS P)4--0445
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44.80
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Residential Building Permit Application j
City of Tigard -2,
13125 SW Ball Blvd. "
Tigard, OR 97223
(503) 639-4171
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Jobslte Address: L 5 5 �"/ 5 UJ
Subdivision: 'V I_I�s ctF S�.w►vw✓ Il�.ot _77 2 Office Use Only
Valuation: P{andc/Rec #___4/_
Permit # +
Owner: _ �r�,1 � G� �' is b 6 rvi x s— Reissue of
Address- ly Ivlai, & ft. #_�_-.> ~
rovals Revilred
Phone: 7 ff�
tannin
Contractor: Lo� Engineering
Address: 01her
Phone: Items Re�ulred
s: .r
Contractor's LK,onse 0
Stakx'untractors
(attach copy of current Oregon license) ':; Truss Details
Contact name phone: _ —� Other
Subcontractor-
brr
Plumbing: . i'1 LUC.-.I t �
Mechanical:
(attach copy of current OR Cogftctoes Ucense)
ArchlteelvEnginew: �-
Address.
Phone: .._.�
JOB DESCRIPTION: v'�aSS _ �� I ��
4-4,C�jz7j 0
Applicant .14 ature & Phone nih, er 6
Received by: __ Date Re, �tved:
Permit#t Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 57-35, 50 $3 57, 573
Plumb. Permit (PLUMES) ° a 2-5-,
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Mech. Permit (MECH)
State Tax (TAX) _77
Bldg: 7 L
Plumb: 111,2 )� 1 )1�'
Mech: AV
r,Y�1
J
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) � Z
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _ z-f, Z a-
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Ins'itutional TIF (TIF-IS) _
Off ic-- TIF (TIF-0) _
Water Quailty (WOUAL) -1�v Av,
Water Quantity (WQUANT) �`/CJ /0-0 ~j�
Fire District (FIRE)
Erosion Gaut Permit (ERPRMT)
Erosion Plandc/USA (ERPLAN) ;xr _ tv
Erosion Plancl,]COT (EROSN) e�L� ?�e)
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TOTALS:
L) I i Ul 1 1 11W I HE(1: 11 1 Of Pi I y Ml-.-.N 1 14A•! J PI 14CI.
(JILIAA 1414OUNI i till,. 140
HI)ME-9 [Nl*
PAYWNI Offff-. s 11/ 10,
I
PUxP0lR*-_ I,IV 1-40 Ml:NI AMLILINI PWIV 11-4yPilir-41 I'llil!
PLAIN CMEUK f+_' 50. 00
Willi
"C' -)54 ISW SRID(,4f-'.Vlr-..W CT
V I I I I OF 10 8UMMEALAKE PARKS 1-111 1
AMOIJNJ PWI)
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