9789 SW JOHNSON STREET 4
09789 S.W. JOHNSON STREET --
INSPKC' �ON NOTICE 7�j
City of Tigard Building Departaattt
13125 Be Ball Blvd. Tigard, Oretw,n 97223
Inspecti.,n Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:__.__-- - — -- —
Footing Plby. Underslab Mach. Rouih-in Appr,sdwlk
Found. Pl.bg. Top Out Gas Line FINALt
Post/Bean Btruct. San. Sewer Fra^+tn; -Bldg.
Post/Beate Mach. Rain Drain Insulation -Plumb.
PIN. Vndwvllyoe water Line Gyp. 9d. -Nech.
Date Requested: /C7�' �Gi 1� Trost All PN
Addreses—C/ 22
yJ �^^^•����Z''�y--y�l7��" Pern�t�ty� _
Builder:
THE FOLIAji '`NG CO CPIONS ARE REQUIRED:
,7
i
Inspector:
-Y—/ APPROVED -_ b'3APPROVRD APPROVED SURJZCf TO AEOVE
_ Call For Reinep.
C►ty or Tigard Building Department
13125 He Ball Blvd. Tigard. Oregon 97223
Inf",*w-tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plt:g. ►snderelab Mech. Rough-in Aper/Sdwlk
Found. P1bg. Top rhst. Gas Line FIMAL:
Post/Beam Struct. Sh,i. Sajor Framis.q
most/Beam Mech. Rain Drain Insulation -Plumb.
Pl . Underfloor Water ))Line JGyp. Bd. -!loch.
Data Requested: /d 1/ ( Times _�;11M /,_�f_PM
Address: / » JPermit #Iqj �` `
Builders
THE FOLLOWING CORRECAd0E4S ARE 10MIREDs
Inspectors Dates
APPROVED DIS/.s'}ROVILU APPROVED SUBJECT TO ABOVE
_�r:all For Reinsp.
MLML
ANSurgwC!t NOTICE
Cicy of Tigard Building w,partniect
13125 SN Hall Blvd. Tigard. Jregon 97223
Inspoction Line (Rec-o-Phone): 639-4175 nusineas Phonei 639-41'il
Inspectiont� ------
Lng Plbg. Undernlab Mech. kOu4h-in Apprl�'dwlk t;
D+1. . Flog. Top Out Gan Line FINAL:
Post/Beam Struct. San. Sewer Framing ) 1 -Bldg.
Poet/Beam Mech. Rain Drai:. �nsulatlon ( e---, -Plumb.
1 I.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
D..te Requested:_ _PM
AddrUY
sl+i Permit 1+
Builder: _
THE FOLLOWING CORRLCTIONS ARIA REQUIRED+
Inspector+,_— Dv,te
✓ APPROVED DISAPPROVED _ APPROVED SII9JECT TO ABOVE
Call For RrAnnp.
PLUMBING PERMIT
T Y 0 F T 16 A PD 1=IE.RMI*1- 0. . . . . . . : meF91-0193
CFFYOF Tl6�!RD
COMMUNITY DEVELOPMENT DEPARTMENT «�� DATE I SSUE:D: 12/11/91
13126 BW roll Blvd, P.O.Ba 23397,719md,Oregon 07223(600)630-4176 r
i �. . . . 3 -L: 2910^ A--.TJHN
SUBDIVISION. . . . I JOHNSON/GRANT MLP ZONIPIGt [.--G
,.'oLOCK. a . . , . . . . . I LOT. . . . . . . . . . . . . :5
qL iSS CIF' WORK. . :NEW GARBPGE DISP 33AL.S. . : 1
I'l,PE OF USE. . . . :SF= WASHING MACH. . . . . . . % I SACKFLOW PREVNTRS. . i0
Ol ' UPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . :0
i iTOR I ES. . . . . „ . . e t WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :e)
I_.AUNDRY TRAYS. , . . . . :01 SF RAIN DRAINS. . . . . : 1
3INKS. . . . . . . . . , : l GREASE TRAPS. . . . . . . 10
i-AVATORIES. . . . . :c OTHER FIXTURES. . . , . 071
FUB/SHOWERS, . . . : SEWER LINE (ft) . . . . :0
ARTER CLOSETS. . : _' WATER LINE (ft) . . . . : 100
DIUHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks:
:)WNER: ---.__._...__.._ .__..._...__.. ..______.___.___.._. _...__,......_.__..,_._,_.-...._. -FE.ES -.--.,-___.._.`._.._._._...._,__
10PTHL.AND HOMES 1'.Ih= f 13821. 00 JLH 12/11/91
111 34 SW E-18TF-I PPRT t 334. 00 ,JL.N 12/11 /91
—
BPLC $ 217. 10 JLH 08/28/71 21675(,
'ORTLAND OR 97221 B5PC 11 16%. '70 JLH 12/11/91 --
Phone ih: 292-3975 +SDC $ ;?80. 00 JLH 12/11/91 -
PARK f 500. 00 JLH 12/11191 —
i-Ilt.imbing Con trar-tore-..-_ ___............ .. .___._._.. ....__ MPPT ! 40. 50 ,ILH 12/11/91 -
/'i' MPL.0 $ 10. 13 JLH 12/11/91
M5PC f i'. 03 JL.I-i 12/11/91
Add►-eFa 1s r, �i�S?/ i .� Y4 ,� PPRT $ 117. 50 JLH 12/11/91
_.... _'_
"it y I .. r5,"4,m� � Stitt e: c P5PC i 5. SEE JLH 12/11 /9 1
Reg '�► `!%.:_1a7 � _...._.__ 8"`��_ _ ._ _.
PEOUI REP INSPECTIONS
__--
Tt1,is permit is iti;~.:)..Ivid Subject to the rey-
ulattions ccrntlAined in the -Fip.Arci Municipal F oot ' foui)d I1i+p F7airi doein Insp
-ode, State of Ore. Specialty Codes a.lid all Post/Beam Sty-uc:t Wa)tet Line Insp
c,ther, applicable Jaws. All wolfk will be. done Post/Beam Mecham Appr/Sdwli- '14-isp
i.n accordance wii-h approved plans. This Plmlundslab Insp Mec:h.sr-+i-al Final
yr;•mi.t will expire if work i.g not stair + erl FILM/Underfloor P11.Imh Final
within 180 days of issuance, or if is Mechanical Insp Building Final
<iuspended for more than 180 days. Plumb Top Otot Erot> ia;.I Control
F=raming Insp Post/86-atm mechal)
Fireplace Insp Plln/UnderfIoo) -
Gas Line Insp C•vtwI Drain
-7 �� Ir,sulAt i on Insp Plumbing Top OU ,
Gyp No,ard Insp P:.umh Final
o-A 'norize0,10lt.tttPb.ing Contractor Signature
Call for inspection 639-4175
C:,6nti-xctor Notes I
MASTER F,ERMi,r
CITY OF T'GA RE) (CtIYOF AD P,ER11IT #. . . . . . . : MST91---.0193
COMMUNITY DEVELOPMENT DEPARTMEW omem
13126 SW Hall Blvd. P.O.Box'W. 97.Tigard,Oregon 91' M(U)J)'00-4176 DATE- ISSUED:
si,rc- ADDRESS—, : 09789 SW JOHN50N 5T P,ARCEL:
SUBDIVISION. . . . : JOHNSON/GRANT OILP, ZONING: C-G
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :5
BUILDING
REISSUE: DWELLING UNITS): ]. BASEMENT. . . . . . . . :0 s
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 (-,ARAGE. . . . . . . . . . .2,69 sf
T Y P'I-- OF' USE. . . SF FLOOR AREAS---_-.___._ ...--
AS- REOUIRED SETBACKS -.__._._.._-
FYVIL OF CONST. .-5N FIRST. . . . : 1305 s LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP,. :R3 SECOND. . . :0 s f FRONT. :20 ft REAR— 16 ft
S r
TORIES. . . . . . . : 1 "m I RD. L71 s f REQUIRED----
HE I GAT. . . . . . . . av ft TOTAL------- 1305 s SMOKE DETECTORS. :Y
FLUOR LCAD. 40 psf VALUE. . . . . 66672PARKING SP,ACES. . .0
Remark= -
-------------------------------------- P,LUMBTNG
LINKS. . . . . . . . : 1 FLOOR DRAINS. . :O BACKFLOW P,REVNTRS. . t0
LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0
T-Us/sviowE PS. . . . :tz-. LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATLR CLOSETS. . :2 SEWEF,' LINE: (ft ) . :41 GREASE TRAP'S. . . . . . . s 0
DI��,HWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTUREES. . . . . .V,
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SP RAIt. DRAINS. . : 1
MECHANICAL FEES
FUEL TYP,ES--------- UNIT HTRS. . :0 type amol.mt by date i-ecpt
/GAS/ VENTS . . . . . :0 T I F $ 1.580. N0 JLH 12/11/91
MAX INP,t.JT:O BTU VENT FANS. . :3 D F'R T $ 3�34. 00 JLH 12111/')1
TURN ( 101CK . . - 1 HOODS. . . . . . .. I BP,LC $ 217. 10 JLH 08/."'8/71 216756
rtJRN > =1001< . . :0 WOODSTOVES. :0 B5F-,C $ 16. '70 JLH 1c_!I 1!91 ---
FLOOR TURN. . . . .-0 CLO DRYERS. : I GSDC $ 280. 00 JLH 12/11/91
BOIL /CMP l 3HP,:0 01-IJEFR UNITS: ] PIARK $ 500. 00 JLH 12/11/91
GPS OUTLETS: 1 MP,RT $ 40. 50 J L H 12/11/91
w n e t- MP'LC i, 10. 1:3 JL1 i 12/11/91
NORTHLAND HONES M5F'C $ 2'. 03 JL H 12/11/91
1.834 5W 58TI-I P,P R T s 117. 50 JL1 4 12/11/91
P,5r,c $ 5. 88 JLH 12/11/91
r,ORTLAND OF? 972211
Phone #: 292-3975
Contractor,:
NORTHLAND HOMES
1834 SW 5811-1
1:100LAND OR 972'['1
P11-ione # : 20E3975
Reg 0. 13727 ----------------------------------------
$ 2903. B4 TOTAL
This persit is issued subject to fhe regulations contained in the ----- -- RPOUIRED INSPECTIONS
Tigard Municipal Code, state of Ore. Specialty Co&s and all other Foot /fol-incl Insp Fir-eplace Insp
applicable laws. All work will be done in accordance with approved Flost/Beam c;-,,t,Ltc-t Gas Line Insp
plans. This persit will expire if work is not started within 18@ Vlost/Bpam Meehan insLilAtion Insp
days Cf issuance, or if work is susoe"e tn 1 01, Board Insp Gyp Boad Insp
,41 PIL M/Undpt-fl oot- Rain dv-iin Insp
-Jian i rA I Insp W a t o r- L i 11 e 1:n s P
F-1 P V,m i t;t;e I S i q n a t 1-1 e Met
V-111.imb Top Ol.tt Appr,/Sdwlk Insp
Issi.ted By : Framing Insp 11 P u fi a ii i ca 1. F i ti a 1
Call for inspection 639-4175
-- ---..--- ------- ------__.__.__.__— SE:Wc.�7 CONNECTION
ITYCOFTIFARDPIE`:RM I T
PERM 1-f #. . . . • C
COMMUNITY DEVELOPMENT DEPARTMENT 00100" �WR91- �1 s
13126 SW Hrl Blvd. P.O.Boa 23397,Tip&rd,Oregon 97720PG3kEp04176 DATE ISSUED:
511-E ADDRESS. . . : 09789 SW JOHNSON-S-r - —- PARCEL: 261.02BA—,i OHN'
SUBDIVISION. . . . : JOHN SON/GRANT MLP ZONING.- C--G3
BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . :5
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE= UNITS. . .
CLASS OF WORK. . . :NEW DWELL I NG UN I TG. . : 1
TYPE_' OF USE. . . . . :SF NO. OF BU I LD I NGS: 1
I NSTAI_1_ TYPE. . . . :BUSWR I MRERV SURFACE. . : : S f
Remarks :
Owner -------------------------------------- _________.___...._._._...__ FEE=S
NORTHLAND HOMES tYpe Amol.rnt by date recpt
18:34 SW 58TH RRMT f 1900. 00 JLH 12/11/91 —
INSP `X 35. 00 JLI-i 12/11 /91 —
PORTL_AND OR 97221
Phone #: 292-3975
Contractor:
NORTHLAND HOMES
1834 SW 58TH
PORTLAND OR 97221 -------------- -------------.--_______.__ .____
Rhone #: 29r'-3975 ! 1935. 00 TOTAL_
Req #. . . 13727
REQUIRI D INSPECTIONS - ------_
This Applicant agrees to comply with all the rules and regulations Sewer lrrspect :'- orr
of the Unified Sewage Agency, rhe permit expires 180 days from
thr date issued. the total amount paid will be forfeited if the
permit expires. The Agency doe, not guarantee the accuracy of the
side fewer laterals. If the sewer i� not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the cv Yl) a lateral.
Permittee S i g n a t i_r r e
J-1'�
_...,2... ..
Call for inspection — 639-4175
I
CI l'Y OF TIGARV RECEIPT OF PAYMENT RECE'l PT INO. 19 1--i?2054 I
CHECV, AMOUNT a 4588. 84
NAME i NORTHI-AND HOME£', CASH PMOIJNT 0. 00
ADDRESS z PAYM NT DATE" m I 11,19 1
SURD 11)1 S LON
PURPOSE OF' PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT 0010UNT PAID
BUIL.DING PERM 334. 01A Pl—UMBING PERM
MECHANICAL. PE 40. 50 ST. BUILD PER r 4. 6 1
PLAN CHECK FE —22. 77 SEWER USA 1900. 00
SEWER INSPECT 35. 00 RESIDEN'rIAL- TRAFFIC FEES 1280. 00
PARKS SOC 501b. 00 STORM DRAIN SDC 280. 00
MASS TRANSIT TIF FEES 100. 00
1-01" 5 JOHNSON & GRANT
9769 -4,1 ,OHN90N
TOT'Al. PAOLIN'T F141D 4588. 84