8870 SW EDGEWOOD STREET-1 ADDRESS:
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i:\records\microtlm\targets\buiIding.doc
1ISPECTI0N NOTICE
Citi of Tigard Building Department
13125 Sd Hall Blvd. Tigard„ Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Business Phoney. III
Inapectiont
rooting Plbg. Underslab Mech. R,,ugh-in Appr/Sdwlk
Pound. Plbg. Top Out One Line < /FINAL$ \
Post/Beam Struct. son. Sewer Framing
Post/Beam Mach. Rain Drain Insulation -Plumb
Plbg. Underfloor Mater Line Gyp. Ed.
Date Requestedt� L�Timet
Addrons: ���tl^o �_ Pvr2tTi t Ci
Build are Lam,
-�.�,a►-- (�-J 7 l
TILE FOLLOWING CORRECTIONS ARE REQUIRED$
Inspector. Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVI
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
133.25 OR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec:-O-Phone): 639-4175 Business Phone: 639-4171
Inspertionc_
Footing Plbg. Underslab !tech. Hough-i:: Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line` yp. Bd.� -Meuh.
Date Requested: AN __PM
AddreLds _za i; ,��iGua'Zz �i Permit is 61-/ —e2Z31i
Builder:
THE FOLLOWING CORRECTIONS ARE REQt;IRED:
Inspecto. Date: V
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinap.
7.1 / f
INSPECTION NOTICE
CIA-.y of Tigard Building DepartMMt
13125 SA Ball Blvd. Tigard, Oregon 97223 j
Inspec.ion Line (Re!:-O-Phone)t 639-'175 Business Phones 6 7
Inspection:__ _ I —_�
1.
Footing Plbg. Underslab Hoch. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Gas Lire FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. 1
Date Requestadt _ ? —Timet AN PN
Addreess ���nfJ ele—// 1_ Permit
Builders r.,...•,,,,...-+s.. -
,r - mak.►
TBE hiLLs>1f&ft6CTIONB ARE MWIRED.
Ineper_tccs -- Pates.___
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
INSPECTION NOTICE
!�tT of Tigard Building Department
13125 811 Ball Blwd. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone): 639-4175 Business Phones 539-4171
�II �
Inspections _�_1 w\II�) (i ,\. i i,- <� ' —_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. i Top t Cas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation --plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested__ /-i/ z- Timet 11M ---PH
Address:,_, : Pormit #s
Builder-.�l.4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IV
OF
l
rQ
Inspector v,__ __ Date•,,2
_�LA
DISAPPROVED APPROVED SUBJECT TO A.WVE
_Call
For Reinnp.
INSPECTION NOTICE
City of Tigard Buildirq Department
13125 SW Ball Blvd. Tiger", Oregon 97223
Inspection Line (Rec-O-Phona): 639-4175 Business Phenes 639-4171
Inspections
Footing Plbg. Underslab h. Rough-in Appr/Sdwlk
Found. —Top Outer Gas Line FINALI
Post/Beam Struct. San. Sewer Framing -Bldg.
i
Post/Beam Hoch. Rain Drain Insulation -Plum►
Plbg. Underfloor hater Line Gyp. Bd. _Mach,
Date Requested:_ 3-/3 J �iyT�imes __AM _ py i
Address: L/ �GC./_!(ar�s�t is -71
( _
Builders_
TBE FOLLOWING CORRECTIONS ARE
++REQUIRED:01
Inspector
Dates �_S
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
X—,Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departannt
13125 811 Hall Blvd. Tigard, Oregon 97223V63 -4111
Inspection Line (Rec-O-Phone): 639-4175 Businens Pho
Inspections
Footing Plbg. Underelab Mech. -
Rough-in Appr/Sdwlk
Found. Plbq. Top Out ---Gas-bine FINALe
Post/Beam Struct. San. Suwar Framirj
-Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line
re / Gyp. Bd. -Nech.
Date Requestedt_G� 11 —`7l TLM1 AN PM
Addrens: , /7�Q
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRF' z
Inspector Date:__ -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE N
____Call For Reinsp.
N PS ION N�"Y1'ICg
it7 of Tigard BuildiLq Departawnt
]372: SM Ball Blvd. Tigard, 01121-1 97223
Inapertion Lina (ROC-4C-Phone): 639-4175 Buaireae Phone: 639-4171
Inspection•
Footing Plbj. UnderrlsbY
Mach. Rough-in APpr/Sdwlk
Found. Plbg. Top Out pas Line
FINAL:
Pont/Roam Struct. San. Sewer.
C- Frrrofnq -Bldg.
Poet/Beam Meth. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd.
-Mach.
Date Requeated:r. —��1 / Tfines
AM PM
Addrear,: It
�p � �
Builder:
TBE FOLLOWING :JOP.AECTIONB ARS REQUIRED: ---
--------------
Inspector;_
[/�,�� --------- Date:
-"`PROVED DISAPPROVED
APPROVED 6UB,TRCT TO ABOVE
Call For Reinap.
INSPELMON NOTICE
city of Tigard Uuilding Department
13125 Bw Ra-11 Bled. Tigard, Or*,gon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
/Nm At San. Sewer Framing -Bldg.
Pdii_t/Beam Mech. Ra'n Drain Insulation -Plumb
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date ReWvatedx r 7'��
Times AM PM
1
Addreesx _76r �% Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In
apecto �� --
Date: 11-LLL
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVF.
`Call For Reinsp.
1
IBBPEC UON NOTICE
City of Tigard Buildinq Dapart'a@ent
13125 SK Ball Blvd. Tigard, Oregon 97223
Inslection Line (Rec-o-phone): 639-4175 Businee■ Phone: 639-4171
Inspection:_
footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
IP nd� Plbg. Top Out Cas Line l►INALs
Post/Beam Struct. Sen. Sewer 'raring -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line gyp. Bd. -Ner_h.
Date Requested:—_-Z -,,�6
Time: K_AN PM
Address: Permit ;:
Builder:_'
THE FOLLOWING CORRECTIONS ARE REQUIRE^D:
Inspectors
Dates
APPROVED DISAPPROVED !i- APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
set
AOPLICATION - STREET IMPROVEMENT/EXCAVATION _ COPY TO:
ORDIP' .NCE NO. 74••14 � +�'� (8 (WHITE) ; N
� �-Q (YELLOWW I
)• NSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY-b14,
(BLUE)-APPLICANT
APPROVED APPLICA'iION NO.: 477_�-_.�
NOT APPROVED [) CITY OF TIGARD, OREGON FEE AMT.: S—���_._
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBI.ICWORKS DEPARTMENT BY DATE—
PENDING AGENCY AGENCY "OK'• ❑ Application and Progress Record
PENDING INFORMATION ❑
FOR STREET IMPROVEMFNT/EXCAi!ATION MAIN TEEAONRRDOND
ANNUAL u
PENDING VARIANCE 0 EXPIRATION DATE: _
PERMIT NO.: __— iZ__� DATE ISSUED: :2 / 13/1 _ , BY: �`.. WNW=
(1) APPLICATION IS HEREBY MADE 1'3 EXCAVATE FOR AND INSTALL "0rII`-0JCb&yDCj1wftdAmm
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Carol TWQ3 1► 8870 S.W. ewaod 3t. Ti "'d,__OR 97223 1639-4@'�_
� - ADDR f 1 - 'HONE
CONTRACTOR.- (Aftlom Yet)
NAME ADDOUSN
PLANS By Per Cit St&rd&r& & ifiC4ti0no
NAME ADDRESS -��--�fiUj•1��--�
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): t _150.00
._...___.._.� DOLLARS
_---_---_`--"'-_`_---=�.-- ____.- - - ------ --- --•- - ='as _ .....mss-___.__�_..�_.
(2) EXCAVATION DATA: FOR OFFIc E: nM1N.
0.04 X 9 6�u= 6.00_
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM SI QUANTITY
STREET
OPENED
St. seed &&,, A.C. gffm—
to _
ESTIMATED STREET OPENING DATE: I / g
ESTIMATED STREET CLOSING DATE:—_—L ( E
(3) SECURITY NO. _ __ SECURITY AMT.: E l50•0 _- CLOSET
SURETY CO.: FINAL
rH�cK CASH ❑ 86140% lNSPEC.
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION ANO EXTENT. 1• All work #twill oonfocm to
City :Tarr /Specifications.
Notify C'�ty Inspector Carl
I ( , Yieveg 0639-4171) 24 hours
_
< a e before starting work.
F 61100 r $T A sr T _ ` _ -• app ae
f--- - - —-- --- - ret Utility pnl0CFAtiaw, ei:c,)
-cure � - - - - -_ -• _ _ _ _ - �.
4. Traffic control mha11 be
provided for by the
1
• z I I 1 contractor.
(5) NOPE: THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT YHE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS TI-41F CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANtffi ffiIGNATURE: DATE i 1! Y
I;
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CITY'CSF TKA RD
MASTER PERMIT
�c
CrIYOFT"PD r-N--*.RMjT
MST91-0131
COMMUNITY DEVELOPMENT DEPARTMENT 0100M
13125 SW W1 Blvd P.O.04w 2%W,Tig",OMW g7Z3(603)M4175
PARCEL: JSl02DD--jb1,
SURD I L)I S I ON. 70NINle:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . .
BUILDING ---------------------------------------- -
REISSUE: DWELL !(� UNI TS .- 1. BASFMENT.. . . . . . . . :0 Sf
CLASS OF WORK. :ADD VEDR11S.- I GARAGE. . . . . . . . . . .539 s
'YPE OF USE. . . %SF FLOOP
OF' CONST. -5N FI RST. 4r.,N3 Sf LEFT— z23 ft RIGHT, 12 ft
OCCUPANCY GRP. R SECOND. . . 7-5-3 7 S f: FRONT. -'17 ft: REAR,
Tilt f}
ST"OR I ES. . . . . . .,--1, TH I Rl)�, . 0 S f R E 0 U I R FD----------
HEIGHT. . . . . . . . :20 ft TOTAL--- 1.000 r f SMOVE DIFTECTORS. o,
F"LOOR LOAD. . . . :40 psf VAWE. . . . 557O; ' PARKING b(DACES. .
Pemarks : ab,�itiorj app)-0)4 10010 sq feet
PLUMBINC;
3INKS. . . . . . . . . . ..o FLOOR DRAINS. . . . :0 B(-)CKFLCW F1RI:-:VNTRS
LAVATURIUSE . . . . . 13 WATER HEATERS— 1.0 TRAPS. . . . . . . . . . . . . .
TUB/SIAOWERS. . . . -2 LAUNDRY TROYI',. . . -o CATCH LSA STNS. . . . . . .
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRrPS. . . . . . . rLm
,)ISHWO1,31ALPS. . . . sa WATER LINE ( ft ) . -j0 O+HER FIXIUE4F-S. . . . . .0
61-;P8AGL DISP. . . a RAIN DRAIN (ft ) . -0
WASIA I NO MACH. . . :0 Gv Pr)IN Dff-)INS. . a 0
---------------- MECHANICAL FEE"S
UNI T 1-1-f IS. . -0 type amol.�.Tlt Fi v dM e recpt
VENT., . . . . . .5 SPRT $ 301 . 00 JLH 07108191 -
WAX INPUTtO BTU VENT FANE;. . Sr'l C $ 195. 65 JLH IZN7/03/91 214977
AJRN < I OOK HOODS. . . . . . :0 DSPC $ 15. 0* JLH 07/08/91 -
( URN ) =1vivili, WUODSTOVr.S. A@ MPQT $ 31. 00 JLH 07108191
-
i-LOOP FURN. :0 CLO DRYERS. 1 0 MPLC $ 7. 75 JI.P4 071,oa/qj
(-)rHEV UNITGiO M5PC $ 1. 73 JLH 027/08/91
3AS OUTLETSiO PF,R,r s 5e. 50 JLH 07/08/c)-j
)wnt?r: p,S,p.0 $ 2. 63 J1.1-1 O7/06/'31
KnZUHIDE AND CAROL. LYN '('OKUDA
08870 SW F-:D(3EW(joD S*T
TTGARV OR 97P-;J3
f-'rione V .- 639-4877
f-ontrartov-
0 W N FJ4
Phone #7
Req 0. . -.
6,717. 13 TUTPI-
This periit is issued vib'itct to the reguiations container In the RE-QUIRED !NSPECTIONS
Tigard Muntriol Code, State of 01% Specialty Cedes and all ol"fr Foot/found Insp Gyp Board Intp
applicable lam!, All Bork will 4 done in accordance with appruved POSt/Beam 1-3trLict RA' in drain Insp
Plans. This weit will eyvire If work is not started within IS@ Post/Beam Mechatt Meuhaiiic-al Firial
days of issuance, ar if work is su1P#rd#6 for vorf than tee days, PLM/Underfloor, Plitmb Final
T"Sp Bliildinq Final
Fleriftittee I'IlAmb Top Out
Et,o,; ion Control
Ts;-soefj Rv - rrAminq IT-SP
1"SUIAt iOtl IT111P
Ca I I for inSPeCt iOTI 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s9l-215101
CHECK AMOUNT s 434. 88
14AME s TOKUDA, CAROL CASH AMOUNT 0. Oki
ADDRESS s 8870 SW EDGEWOOD PAYMENT DATE s 07/06/91
SUBDIVISION
TIGARD, OR 9-72;?3—
PUPPOSE OF PAYMENT AMOUNT PA 10 PURPOSE OF PAYMENT AMOUNT PA I D
BIJILDIMG PERM 301. 00 PLUMBING PERM
MF(',HANICAL PE 31. 010 ST. BUILD PER 19. e3
Pl..AN CHECK FE 31. 15
TOTAL AMOUNT PAID 434. 88
p .1
� r
13125 SW Hou Blv& PLNCK/RECT #
CITY OF TIGARD PO Box 23397 PERMIT #
M�lfl- 01h-
COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon 97M
(503)6'9"171 DATE ISSUED
JOB ADDRESS: �S ZG Ssu (���4, T q77 TAX MAP/LOT .Z.f/- ZOE` 1412-
SUB: _ LOT: LAND USE:
VALUATION: Z/,/,
OWNER iA I Pr tj A SPEC AL NO"
NAME: __ !� �lU *�ar3t� 7-Ukudci-- REISSUE OF:
�ADORESS 1 D `_1 W L-7D 6 E t4-2 0 0 LAST REISSUE:
q 7 2 j FLOOD PLAIN/
PHONE: J ('- 7" y _ SENSITIVE LAND:
CONTRACTOR PA PROVALS REQUIRED
- - PLANNING: 7&-- }�?
NAME: ? "Ije j -
ADDRESS: _ ENGINEEP!NG: _
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS P, QU�REQ
SUBCON CTORS: PLUMB: LIST/SUBCONTRACTORS:
( MECH: BUS TAX: _.
ARCHIENGINEER CALCULATIONS:
/'NAME: __ ��,� , -C TRUSS DETAILS:
ADDRESS: `�' 7 C'o7�s/�'�cc- ;OY? _ OTHER: --
ftl
PHONE:
PROPOSED BLDG. USE: w-,s-kin h"we
COMMENTS: _.
APPLICANT SIGNATURE
Received By: Date RecelOdt.
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
rn c�3� 10-432. 00 Building Permit Fees `/' ,D 3a.`0
10-431 00 Plumbing Permit Fees SZ•sa2,�
10-431 01 Mechanical Permit Fees
X10-23001 St'Ste. Building Tax (5X)
Build.ng
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
i
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees -
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees —
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees _
25-448-05 Mass Transit TIF Fres
52-449 00 Parks System Dev Ch?.rge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu cf)
24-445-02 Water Quantity (Fee in lieu if)
TOTAL
nm/3587P.WPF
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s91-214977
CHECK AMOUNT 1 172. 25
NAME TOKUDA, CAROL CASH AMOUNT s 0. 00
HDI)RESS 1 8870 SW EDGEWOOD PAYMENT DATE t 07/03/91
SUBDIVISION
TIGARP,- OR 97223—
f-,URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLAN CHECK FE 172. 203
'10TAL AMOUNT PAID 172. 25