11485 SW GREENBURG ROAD-1 1
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CITY OF T I GARD CERTIFYE OCCUPACATNUP
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT fit. . . . . . . i BUP930110
13126 SW Hall Blvd.Tigard,Oregon 97223-8100 ('03)'819-4171 DATE ISSUED 07/20/9*3
PARCELz IS135CD-00,W0
SITE ADDRESS. . . % 11485 SW GREENSURG RD
SUBDIVISION. . . . a DOETCHERS ADD I (ION ZONINCS:R--12
BLOCK. . . . . . . . . . c LOT. . . . . . . . . . . . . a4
f,LASS OF WORK, gREP'
TYPE OF' USE. .. . aMF
OCCUPANCY GRP. :P3
UCCUPANCY LOAD.-
TENANT NAME. . . aTHE BIRCHES APARTMENT5
1,�&marksr REPLACING wall constrtAction damaged by fire in Apt No.
wr
Owner
THE BIRCHES APARTMENTS
1. 1465 SW GREENBURG RD
TIGARD OR 9 7a2 3
Phone
PACIFIC FIRE CONSTRUCTION
9050 SW CLUB MEADOW LN
PORTLAND OR 97e2275
Vlhono #.- 297-5605
Rey 4. . m 411812 .4
Occupancy of the above referenced huild.Lng is hereby given, and cortififo,
th(- compliance with the State Of Oregon Specialty Codes for the rjrOLIP,
and
f1C'.1C,4, ancy,, -,sme. under which the referenced permit was ii5si.ted.
FIRE DEPORTMENT IL INSPECTOR
BIRC16 INSPECTOR
POST IN C014SPICUOUS PLACE.
INSPECTION NOTICE
City of Tigard Building Department
1.3125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Rea-O-Phoneys 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Edwlk
Found. Plbg. Top Out Gas Lino FINAL:
i Post/Beam Struct. San. Sewer rrnming -Bldg.
Post/Beam
Post/Beam Hach. Ravin Drain Insulation -Plumb.
Plbg. Undoriiuur Nater Line Gyp. Bd. -Noch.
Onto Rmpestedt / � l7 Time: AM PM
Address: y_f.L Permit f
Build-
TBE POLLOWIN OOARECTIONS ARE REQUIRED:
fv
Inupector:w Dates - / J p
4 APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
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.Off ECT-1OH NOTICE �L.ti.
City or Tigard Buildio9 Department
13125 Bw Hall elwd. Tigard, Oregon 9722.3
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwl.k
Pound. Plbg. Top Out Gas Lime FINAL:
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hach. Rain Drzin Insulation ( -Plum
Plbg. Underrloor Mater Line Gyp. Bd. `-Meeh.
Data Requested:�� y� Timei AH PH
Address: ^'�' Peno �ie72:3
Buiider:
THZ FOLLOWING roRRECTIONs ARE REQUIPED:
Inspector: �A Date: L- /
APPROVED - DISAPPROVED _ APPROVED SUBJECT To ABOVE
___Call For Reinsp.
INSPECTIOOT]L4_E
City of Tigard Huildi"g Departavat
13125 6w Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phono: 639-4171
Inspection: _
Footing Plbg. Underslab yAch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Li�ne� FINAL:
Post/Beam Struct. San. Sewer lCYifW 1 -Bldg.
post/Beam Rech. Rain Drain I�OfI i -Plumb.
Post/
Pllbg. Underfloor Nater Line �Oyp. Bd• \r*ch•
Dace Roqueetedt / Timet AM PM
Address: �-L / Permit fr
Builder:
THE FOLLOWING CORRECTIONS ARE MUIRED:
dIL
Date: S` l .'
I� Inspectoc1-7
-•.T� _ _
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APPROVED DI5APPROVED APPROVED SUBJECT TO ABOVE
Call For 2 iinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT ,
13125 SW Mail Blvd.Tigard,Oregon 97223.6184 (503)630-4171 „
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: 1WN,V1� Y lrrryf•21��r••tf. , fir,_, _ t �i� .. i ic;�f.'�. t I�``i li_ ,
.. .. ",' LOAD i?it,_'h:.��i._1'd t " w i- h-1�lli•a ,r�1^�• 1 w11 IED�.
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'J sdi .��%?., t; FIR Fal_i PJ.N 4.WIC:i•.'
LAf4TI'1%3Rti1N
=tnar-+ts, x rRl:_PLi-i [Nb wail ; in Apt 1\10. 8.
(E_ type: raInu .. ., . by elate 1^e!cpt.
11044iI) OR
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}aCfll I rk :r .i.'`dS (='f:i;'1`i y.JNa ....-
is pr:,nit is :asued subject to the raguiations :ertalned 1• thi rr;+iirrt3 Ing&7
r'.'.i:lpat Code, State :4f ace. +pecialti 'vcfi. ani". ilii .'.!,1. i.15 !.t iUhl f .. �r i•' _�w_._..._,........._......._........._._._._...._
,:pr ic'ab;e ia*t , All wcrk wiil be gone i,^, accordance 410 Oy p 1:30al d i ll s E'
linved plans, finis pewit wild expire if work is roll started
:hid &W days rif imance, a• if WC14 is 3;ipenofc tar ecrf
,an I&I :Jays.
i.;•-I ). f cw i r i a l.e t „ i .,r, :;'; 41 5
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PLNCK RECT # 0
CITY OF �r�rrT�D 13125 SW _ t � _____
COMMUNITY D[WELOPMPIT DEPARTMENT
rpra o,Y 972APERMIT /
(503)639-41" DATE ISSUED
JOB ADDRESS: _1s `=? S(� - o`cf .l TAX MAP/LOT —
SUB: _ LOT: _ — _ LAND USE::
VALUATION: e) _
OWNER SPECIAL-NOTES
NAME; — i4C� '/ REISSUE OF:
ADDRESS: � %"1_�`�� tK}�� �!�'_�C�f� LAST REISSUE:
FLOOD PLAIN/
PHONE: — l� �' �'� ___ _ SENSITIVE LAND:
CONTRACTO& APPROVALS REQUIRED
a
NAME: PLANNING:
ADDRESS: �t' L41�/ C-� uC� 1�/• ENGINEERING:
FIRE DEPT
PHONE: r_ =.�� �'k� _ OTHER:
CONTR. BOARD #: 2 — EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: k"-/) LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS:_ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: -r �grlc' �i�C'cs- _�rifl�;9c,-Y' •�1r� M � '�
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APPLICANT SIGNATURE T—
Received By: ------ - -- --- _ Date Received: --- -- - ' —
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PERMIT ACCT DESCRIPTI01� AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees _
_ 10-431 01 Mechanical Permit Fees —
_ 10-2.30 01 State Building Tax (5%) '3, 4 3 - 3.43
Building
Plumbing
Mechanical •
10-433 00 Plans Check Fee -
Building
Plumbing
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 T1F 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 Fees
I
52-449 00 Parks System Dev Charge (PDC) _-
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02. Water Quantity (Fee in lieu of)
I
TOTAL. /.��5 -71,91
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CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO. :93.—;-:141462
CHECK AMOUNT s '71. 93 �
NAME ; PACIF~IC FIRE CONSTRUCT. CASH AMOUNT' 0. 00
�ADLRE"SS a PAYMENT' DATE 06/18,'93
SUBDIVISION ;
�JF',f�U51 OF PAYMENT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT reWID
BUILDING "PERM --~—� 68. 150 ST. BUILDPER _ 3. 43
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I IRF_ REPAIR
11485 SW GRE.ENBUR[a #6
TOTAL AMOUNT PAID > 71. 93
6.aafn,�1.r'..rv.ri-.JIB,._; _..`w.-+'•.r...:.r..r.."'L- ... '• .. .._... .....' •: -'., t,.. r' ,', . ..-? _._ -.-.-.v..._ _..... _.._ .._ .._. s.-. _._.r_-Mla.. +.....�.r �'
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INSPECTION NOTICE '! ?"'
i City of Tigard Building Dnpartnimt �1
13125 eR Ball e1..d_ Tigard, Oregon 07223
Inepe-tion Line (Roc-O-Phono)t 639-4175 8coiness Phones 639.4171
Inspection:__
Footing PZ Vn4q=%abb) Hoch. Rough-in Appr/tidwlk
Found. �� 110p Out;! Gas Lino FINAL::
tJ� ;) Post/Beam Struct. San. Seder Framing -Bldg.
Al wo
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Nech.
fC
Data Requestedt�� t a!1 PM
Addresst /�t Q�� 4�-/ I rL�24 /Pareit 11 ��-'o a
} p� � l
Builders "� r L. ak to ter :
THE FOLLOWING CORRECT?ONS ARE REQUIREDt
Y ✓1l1�+ �µL i p .
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Inspector:X__'
--
APPROVED DISAPPROVED RPPROVED SUBJECT TO /►BONE f
_--Call For Peinsp.
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CITY OF TIGARD 6VV/
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Mail Blvd.Tigard,Oregon 977.23.8109 (503)839-4171
Paul;s. 1 A Ji'i
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5ubjFG1 to we t't]'Akicne. contained 1t1 "P i LIP-- fl.di; 11191..1
.gar4 Municipal U. tf State of Ore. Specialty Codes and ail utner 4 r•Siaec_t i vn
pplicabie Yaws, iii wc'rk viii be ;iane in eccor6anco with
op eved This; pereit wall eelfit•* if "W'k is nct tta"LC
4 days v? i.;iu 'ce. or if wo-k is 5'i,avncpd for i0!'E ...__..._.._.Y...._...___.._.._.__..__...._._._. __...____._..._..__..._..._. ...._._.
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City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw 41all Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 _
- escnption
ORS 014.21-610QTY PRICE AMT
Job ! �'/�J r V c / FIXTURES .50
Address Sink
1 1Lavatory 7.50
Tub or lubiShowor Comb.
Shower Only 7.50
-v *«. - �^• Water Closet 7.50 _
Owner '`bTwashe` _ 50
.. � a ge Disposal
"
Washing Machine .50
• ��•••i loo, Drain 7.50
iter eater 7.60
•o «• u ry Room Tray
Occupant Unnal 7.50
Cws- Other Fixtures( ea�� 7.so
J-T2 7.50 I -
MYA**-
`r00 N«. MISCEI ANEOUS
Contracto-
y sewer 1 st 100' 30.00 —
•• �• M �• uSewer-ea. c) 110' 15.00
Water Service 1st 100' 20.00
-Theie y acknowledge at I have road this ap icatxxt,that the Water Service ea.Addit.200' 15.00
information given is correct,that I am the owner or authorized agent of
Lha owner,that plans submitted are in compliance with State laws,that I Stone E Rain Drain 1st 100' 30.00
am registerod with the Construction Contractor's Board,that the number Storm b Rain Drain Addie. 100 15.00
given is correct- (Ir exempt from S istration,please give roason
belcvv Mobile Home Space 25.1X)
Back Flow Prevention
-t"J)(.' _ t 1eli Device or Anti-Pollution Device 7.50
•••«« •� Any Trap or Waste of
-� Connected to a Fixture 7.50
Describe work new 0 addition alter. '� air pateBasin 7.50
i to be done residential O non-residential O 40.00
Insp.of Exist. Plumbing per hr
40.00
Specialty Requested Inspections per hr
Existing use of Rain rain,single lama
building or Property i'l e �z/ f eR /< dwnlGng 15A0 -
Residential bacldlow preverttron
devices 15.00
Proposed use of
buikiing or property
'(Except i antral a- low
Prevention devia+s)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE.
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF —
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED.
Toln1.
Special Conditions
- --- -- -- - D?to issutxl---- - -----by --- ----------
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CITY OF TIGARD — RECEIPT OF PAYMENT RECE=IPT NO. a93-241306 , ' . •
CHECK AMOUNT a 39. 38
AME ti R. D. PLUMBING CALM AMOUNT a 0. 00
DDRE:cii5 PAYMENT DATE s 06/15/93
SUBDIVISION e •
PURPOSE OF 1='AYMF'N-f AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT AA I D �
,LUMSING PERM 37. 50 GT. BUILD PER 1. 6F3
1, 1485 9W GRhENSURG
i
TOTAL. AMOUNT PAID — _ .— __y 3 . 38