8705 SW REILING STREET 71
ADDRESS:
is\record\rnicrofIm\targets\bu i Iding.cioc
IFICATE, OF'
0'.1 f,UPi-'4Nc'Y
CITY OF TIGARD PE RM I T #* * . . * .
COMMUNITY DEVELOPMENT DEPARTMENT ),�SUED- liEV.22/93
13125 SW Hall blvd.Tigard,Oregon 9722381199 (503)639-4171 2G.1110[o 09700
SITE ADr)RC-:,S. . . z 08705 SW RETLING 131'
SUbE111VISION. . . . - f-.1CHECKL.A PARK ESTOTE ZONINGcV- 4. 5
. . . . . .. . . . . LOT. . . . . . . . . . .
CLA113S OF WO'Rv. :NF.W
r Y P ti, OF L.1 9 t'.
OCCUPANCY ORP. :1l
LICIEUV'ANCY LOA1): '
Remarks: PlITH I 111N
Owner:
RAY Mt.' TZGE'R
4038 "3W KANAN I+
PORTLAND OR 970- .,I
Phone #i 246-47til
CuritrActor:
Ph o n f- #9
F!ekj 40- 1 ---
This
--
This (-:ert i fivAt c.? grants cic,rupavic v o-l' the at-,ioye t-ef-r-enced bt.i i I d i ng or put t i o
thereof and confirms that the buJ I ci i nq has been 0i spect ed for (:ompl iance wi tl
the agate of Or eqon Spec.i a It V Coder, for the group, 0 C,c u p.tt n c.V and ,ILe under
whic--h t t�eferpnr-ed permit was iAsued.
I-,ZH'i,il I BUIL.DING OFrICIAL
V.,0ST IN
CITY Or TIGARD BUILDI' 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 ;r3-t*.
Plbg. Underfloor Rain Drain Framing -Plu
Alarm Water Line Insulation ec
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: - /=�J�-!C%S Time: AM PM
�y 7
Address: O 7
Builder: Ce.c G ! PermitCi !
THE FOLLOWI CORRECTI NS ARE REQUIRED;.�
1,00/0 ee
Insp ctor: Date:
'r
VAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspections Line (Rec-O-Phone): 639-41 715 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-:n ( pr/Sdwlk�
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out EI9c. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plum').
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Z Time: AM PM
Address: r3 / C?,S E f`- ._ t E c ,,t�
Builder: _Permit q: —C)
THE FOLLOWING CORRECTIONS ARE REQUIRED: l
Inspector: Y.1'9
J�J4PPROVED _ 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 Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
L derflr. Insul. Shear Wall / Gyp. Bd. C"ec
Date Requested: �r� (�1 5! Time:__AM PM
Address:
Go � IS- 1
-
flwJder: �..�4(,�?'- � �].�� c."�-`Z-ti-YZ,��1..- Perm .� �
THE FOLLOWIN C R(RzECTIONS ARE EOUIRED-
� , :::�2 C 3
Inspector&Ch 49 A g-C -- Date: 51
APPROVED __DISAPPROVED AAPPROVED SUBJECT TO ABOVE
_Call For Reinsp.4--) -�
APPLICATION - STREET IMPROVEMENVEXCAVATION I
CTO:
(WHITEFILE
ORDINANCE NO. 74-14 � I(YELLOWW)-INS'.. 1J(INSTRUCTIONS ON SEPARATE SHEET) (PINK)•OTffEN< GEN bl..rrss (BLUE)-APPLICANT
APPROVED APPLICATION NO.:
NOT APPROVED ❑ CITY OF 7IGARD, OREGON FEL AMT. 5 - _22.00 —
PENDING FEE. PMT. ❑ CITY HALI, RECEIPT NO.:
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BYt `,------.--'DATE
�
— — — — — — — — — — — — —
PENDING AGENC. "OK" ❑ Application and Progress Record
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL.
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: --_/_�:__L__!_. _-_-_- , DATE ISSUED: _.___—L___I!.---_ BY: -I- �,a�_'
vnCrers
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _C�.-___ ___Cube, Siciewallk, a►Id
)civeway approach __ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _ Ray B. Metzger 4038 SW Kanail Dr. POCtland OR _ 9.7221--3435 246-475
NAME -_ AOOR[ V CITE-- V
CONTRACTOR - Sante as Above
NAME
ADDRESS _ _-�----Cj�V 'T- -W- --1�►iONE�
PLF,NS BY-_ - elle as Above
ADDRESS � ._.-__._._..FHONE...�__�
EST IMATED IMPRC TIENT TOTAL VALUATION ( COST): S 550'00
bbLLARS
I
OR OFFI s,,� MIN.
(2) EXCAVATION DATA: V `-� OR X f • 0 = s_22.00
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLEITEM DATE REMARKS/TYPE _ BY
TY E LENGTH WIDTH DEPTH ITEM 4 QUANTIT _
TR"CT --�
—_ PCN D _
Relling St IN TION
_� R
E —
Q
U _
ESTIMATED STREET OPENING DATE: / E
ESTIMATED STREET CLOSING DATE: T
E
550.00 STREET
(3) SECURITY NO. _ ___ __. .. __ SECURITY AMT: S �. CLOSED
SURETY CO.: FINAL _.
CRIO 9 NO CHECK CASH ❑ 1116ND INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATIUN AND EXTENT. 1
SUS S,�i41' / CJS/Y1 S�rtCi Per Attached -
I{
CUR 11(
122
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT FERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAV JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGA!NST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPIACANTS SIGNATURE DATE /
Special Conditions/Provisions:
1 . All work shall conform to City of Tigard, Oregon, Standards and Specifications.
Note the attached Drawings and Details.
2. Notify City Inspector Letha Thomas (#639-4171) 24 hours before starting any work.
3. Access-to and egress-from parcels of land adjacent to the work area shall be
ma.?;tained at all times. Pedestrian safety shall be provided for by the contractor
ac all times.
4. Removal/replacement work and damage repair work shall be promptly initiated and
completed to the City's satisfaction. No work shall be considered complete until
it is accepted by the City. The City reserves the right to cause testing and
certification of work or repairs to be performed, to the City's satisfaction, at
permittee's expense.
5. Erosion control shall he provided for by the contractor.
6. ORS 757.541-571 applies (pre-notification for location of underground facilities,
etc.).
7. It is the sole responsibility of the permit holder to provide for groper right-or-entry
(and/or easements) prior to starting work. Proof of right-of-entry (and/or properly
executed easements) shall be provided to the City. The City shall in no way be
construed to be liable for the permit holders failure to obtain or provide for proof
of right-of-entry (or easements).
8. All easements deemed necessary by the City, to facilitate operation, maintenance
and access to new public facilities or to enable public usage of sidewalks, etc.,
shall be properly prepared, executed and provided to the City prior to City release
of any work assurance funds1 and prior to City closure of the project permit.
�• 1•'nt-t�C. COn�r-o� / t"Cci�roiY �N `C7K�O1 51��1\ �'� �FaVtC�C� '!Ot' '(,
10. Utility relocations, modifications or repairs, which may be necessary, shall be
performed in a timely manner at the permittee's expense.
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CONSTRUCT" 1/2" TO
ii 3/4' RADIUS LIP
(- -i -
CONSTRUCT DRIVE-'NAY APRON
MIN. 3' SAWCUT AND
VERTICAL BREAK
EXISTING COMBINATION PLACE ADHESIVE ALONG
CURB AND GUTTER JOINT IMMEDIATEDPRIOR TO
-SEE NOTE 4
ER POURING NEW CONCRETE
CUBA AND GUTT
CONSTRUCT 112- 10
3/4" RADIUS UP _\
MIN. T SAWCUT ANDf- -] CONSTRUCT DRIVEWAY APRON
VERTICAI_ BREAK-
�- EXISTING \` PLACE ADHESIVE ALONG
PAVEMENT SECTION JOINT IMMEDIATELY PRIOR TO -
POURING NEW CONCRETE
STANDARD CURB
1 SAWCUT THROUGH GUTTER PLAT SHALL BE MADE AS CLOSE
TO CURB FACE AS POSSIBLE
2. COMPLETE CURB AND GUTTER SHALL NOT BE REMOVED UNLESS
DIRECTED BY THE ENGINEER.
3. WHEN STRAIGHT CURBS ARE REMOVED, A MINIMUM OF 2 FLET
OF PAVEMENT FROM THE FACE OF CURB SHOULD BE REMOVED
AND REPLACED.
4. WHEN ENTIRE GUTTER PLATE IS REMOVED THE EXISTING
PAVEMENT SHALL BE CUT BACK AND A S" MONOLITHIC CONCRETE
BENCH SHALL BE CONSTRUCTED WITH THE NEW GUTTER TO PROVIDE
SUPPORT UNDER PAVEMENT. (SEE VALLEY GUTTER DETAILS).
--mss
CURES KNOCKOUT
FOR DRI VEWAYS
REFERENCE APPROVED BY DRAWN BY
CITY OF T1 CARD APWA i„ CAB
OREGON
SCALE aATF ClW_ FILE
HTS 7-9-93
2 UETAtLs/t um KCW WG
30'-0' MAX, 10'-0' MIN.
EXISTING DRIVEWAY
VARIES WIDTH VARIES MATCH GRADE
(SEE TAKES) - --
VARIES
MATCH WIDTH
R/W LINE
EXPANSION
JOINTS-
CONTRACTION SIDEWALK
,JOINTS
H ir)
-- CURB J01 NITS-.
_� CURB
A - FACE OF CURB
5'--0' MIN. 5'-0' MIN.
-0' M AX. 15'-0" MAX 3'-0'
PLAN
USE EXISTING EXPANSION JOINT
OR SAWCUT AND PLACE COD 1-1/2' EXPOSURE
JOINT.
ELEVATION B-B
s'
STREET
2" OF COMPACTED 3/4'-0" AGGREGATE
NOTES $ECTION A-A
1. CONCRETE SHALL BE COMMERCIAL MIX.
2. CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2- RADIUS
ALONG BACK OF CURB.
3, EXPANS10N JOINTS SHALL BE 1/2- PREMOLDED ASPHALT IMPREGNATED
MATERIAL OR EQUAL, EXTENDING FROM SUBGRADE TO FINISH GRADE-
RESIDENTIAL DRIVEWAY
FENCE APPROVED BY DRAWN BY
CITY OF TIGARD WASH. M DW20OPMI-DK CA8
SCALE DATE DWG FILE
OREGON N-T-S. 7-9-93 ,t DETAILS\FtMD-OW.DWC
CURB JOINT —
5' MIN. SEE NOPE _ R041'
ROAD
2" OF 3/4"-0' BASEROCIC
COMPACTED SUBGRADE
SIDEWALK ADJACENT TO CURD
5' MIN. ROW
ROAD
SEE NOTE 5
2' OF 3/4'-0' BASEROCK
COMPACTED SUBGRADE
SIDEWALK AWAY FROM CURB
NOTES:
1. CONCRETE SHALL BE 3000 P.S.I. AFTER 28 DAYS, 6 SACK MIX, SLUMP RANGE
OF 1-1/2" TO 3
2. PANELS TO BE 5 FEET LONG.
3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES,
UTILITY VAULTS, WHEELCHAIR RAMPS, be AT SPACING NOT TO EXCEED 45 FEET.
4. FOR SIDEWALK ADJACENT TO THE CURB AND POURED AT THE SAME TIME AS THE
CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED .JOINT NTH A MIN. 1/2" RADIUS.
5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE
CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY.
OTHERWISE SIDEWALK SHALL HAVE A MINIMI 1M IHIC KNESS OF 4 INCHES.
6. DRAJN BLOC KOUTS IN CURBS SHALL_ BE EXTENDED TO BACK OF SIDEWALK WITH 3" DIAMETER
PLASTIC PIPE AT 2% SLOPE CONTRACTION JOINT TO BE PLACED OVER PIPE-
CONCRETE
IPECONCRETE SIDEWALK
I \ RJFER 4CE APPROVED BY DRAWN BY
WA-%t CO. CS-305 CAB
CITY OF TlGARD SCALE DATE DWC. FU
CMGM N.T.S. 7-4-93 tDETM�'�t�NC-SW.DWG
:i
3/4" R- 6" �- EDGE
6" 5" .----r �-- DRAINAGE BLOCKOUT
3" I.D. PLASTIC
PIPE W/COUPLING
--►=--
0. 0� �, o , 16"
o •0• . o
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00
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TRAVERSE EXPANSION JOINTS:
1. TO BE PROVIDED AT EACH POINT OF
TANGENC`'..OF THE CURB do AT OTHER
LOCATIONS AS REQUIRED TO LIMIT THE
SPACING TO A MAXIMUM OF 20 FT.
2. MATERIAL TO BE PRE-MOLDED NON-
EXTRUDED MATERIAL WITH A MINIMUM
THICKNESS OF 1%2
TRAVERSE CONTRACTION JOINTS:
1. SPACING TO BE NOT MORE THAN 10 FT.
2 DEPTH OF THE JOINT SHALL BE AT
LEAST ONE FOURTH OF THL CROS-S•-
SECTIONAL AREA.
CONCRETE BREAKING STRENGTH:
1. TO BE 3000 P.S.I. AFTER 28 DA Ufa
STANDARD CURB
F07RMCE ,PPROVU BY DR.AMM BY
CITY OF Tl GAR WA%t Co. a--m (Mon.) ------�
S^�1LE DATE D%r- :`U
OWGM ti T S 7-9-93 J DETAMS\CUR$-SMJ)WG
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GENERAL NOTES
1. TRAFFIC SIGNS TO BE 48' X 48'
Rclo ccms' 1 m O I BLACK ON ORANGE.
100' I 2 NO COLLECTOR STREET LANE CLOSURES
MIN. OR LOCAL STREET CLOSURES DURING
THE FOLLOWING TIME PERIODS:
OwL. O
PAW AMW
7:30 — 8:30 A.M.
100' I 4:30 — 5:30 P.M.
MIN.
O I 3. THE CITYS STANDARD SPECIFICATION
< ho""E10 FOR TRAFFIC CONTROL IS 'MANUAL
100' I ON UNIFORM TRAFFIC CONTROL
�2 MIN. DEVICES FOR STREETS AND HIGHWAYS',
N I U.S. DEPT. OF TRANSPORTATION,
FLAG FHUA, 1988 EDITION.
LL-u- --T
._
f� 100' 4. ACTUAL SIGN PLACEMENT TO BE
J MIN. • • ADJUSTED IN FIELD. DO NOT REDUCE
z I • 50' MIN. BELOW MINIMUMS WITHOUT CITY
■— --1 APPROVAL
12' .
k11N. `r
• 5. THE CITY RESERVES THE RIGHT TO ADD TO
■ 100' OR MODIFY TRAFFIC CONTROL REQUIREMENTS
z
I ■ MIN z AS MAY BE NECESSARY TO EFFECTIVE-LY
■ I in CONTROL TRAFFIC AND TO ENSURE PUBLIC
FLAGGER • 0 SAFETY.
100' <
6. NO LANE CLOSURES WITHIN 200 FEET OF
A TRAFFIC SIGNAL WITHOUT PRIOR CITY
M N. Z APPROVAL
o RAWo�NamaD-7A
loo,
MIN. LEGEND
I O mLw
MEAD
.M-. 0 TRAFFIC SIGN
100'
MIN. 0 CONSTRUCTION ZONE
O .l m-w czs„ax" ■ TRAFFIC CONES OR
"""D APPROPRIATE DELINEATION
DEVICt..
TRAFFIC CONTROL
TYPICAL DETAIL
tea: APMOVO BY MAYM BY
CITY OF TIGARD G"" CAD
FlLE
OREGON HST.- -
S 7 9-93 .t DET/7RAF=rr owc
Cl-Y OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lh a (Rec-O-Phone): 639-4175 Business Phone: 639-A171
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 Insulation -Mech.
Underflr. Insul. Shear Wall Gi-p. Bd. -Elect.
Date Requested:_ �' `' S Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: "
�PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOYICE -
Inspection Line (Rec-O-Phone): 639-4175 BusrnPss Phone: 633Q,',-dl- 71 "
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Ar ,dwlk
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 Insulation -Mech. U
U
Underflr, Irciul, Shear Wallyc��4, -Elect
�
Date Requested: r Time---AM FM
Address: p ! 0,5-
Builder:
,5Builder: _ �� L/ j Permit
/)I ji
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ing ector: Date: (-' ,2
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinr H.
CITY OF TIGARD BUILDING INSPECTION NOTI
Inspection Line (Rec-O-Phone): 639-4175 Business Pho 4171
I
jInspection:
I
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 Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line c' u a io : -Mach. ( )
Underflr. Insul. Shear Wall / Gyp. Bd. -Elec .
Date Requested: �/ S Time: AM _M
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
i
i
In, actor: " Date:
APPROVED DISAPPROVED APPROVED SUBJ CT TO ABOVE
-_Call For Reinsp.
I.SPECTION NOTICE
City of Tigard Building Department
13125 SH Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 6 T
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk.
Found. Plbg. Top Out Gas Line FINAL-
Poet/Beam Struct. Sen.-Sewer ,) Framing --Bldg.
Poet/Boam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor �lWater Line Gyp. Bd. -Hoch.
Date Roqueeted s /`�'/T /9!,/ Times 11q __K__pll
Address: �S Sum �����- Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
TCU 5171-'E'ccT
Inspectors C. Dates����l�c�
e PJkIFROVED -�— DISAPPROVED APPROVED SUBJECT To ABOVET
_Call For Rei.nap.
INSPECTION NOTICE
City of Tigard Building Department
13125Sit Ball Blvd_ Tigard, Dragon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businer.e P 539-4171
Inspection:
Footing Plbq. Underslab Mach. Rou -in Appr/Sdwlk
Pound. Plbq. Top Out Oas L a FINAL:
Poet/Beam Struct. San_ Sewer --Bldg.
Poet/Beam Mech. Rain Drain In tion -Plumb.
Plbq. Underfloor Nater Lina Gyp. Bd. -Mech.
C
Date Requested: ! 3 Y! f Time: AM PH
Address: 7y,,� /� C YLC: Permit
Builder: c _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
z&_ 4
_—
APPROVED DISAPPROVED APPROVED SUB.7ECT TO ABOVE
call For Roinnp.
INSPECTION NOTICE
City of Tigard Building Department
1.3125 9W Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rot.-O-Phone): 619-4175 Business Phone: 639-4171
Inspection: 10 WQQ "N t \. —_�.2��
footing Plbg. Underslab Mach. Rc.gh-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Rd. •Meeh.
can : /
AM PM
Date Requested: � - ' ��.� � ' --}-
Address t 5 O "_AQ Q � —_�' ( �t
Builder:
THE FOLlk*ING CORRECTIONS ARE REQUIRED:
Inspector.: �� natal
.. APPROVFD _ DISAPPROVED —_ APPROVED SUBJECT TO ABOVE
Call Foe Reinsp.
INSPECTION NOTICE
City of Tigard Building Departannt f(//
13125 SW Rall Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Businean Fh n(?
Inspection:
Footing / Plbg. Underelab Mach. Rough-in Appr/Sdwlk
�
Found, ( vGas Line FINAL:
Poet/Beam Att \ San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
jg_:UnderflQnc Water Line [� Gyp. Bd. -Mech.
Date Requested:`_ Time: __ AM _ PM
{ q
)1 J C Lr
Address:__ -) 106
Perrot f t �
Builder:-
Q l r Cae 1,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector -,._e�---- --� nate:j V
APPROVED CISAPPROVED APPROVED SUBJECT TO ABOVE
Call For RPnap.
IN_SPECTION_N_OTICE
City of Tigard Building Dopar-.;-nt
13125 SR Ball Blvd. Tigard, O:egon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone6l -4171
Inspections
/Footin Plbg. Underslah Mech. Rough-in Appr/Sdwlk
l Found Plbg. Top out Cas Line FINAL:
Poet/Beam Struct. San. Sewer framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line �j Gyp. Bd. -Hoch.
D15'ate Requested: Q 11- / C/ Tuns: AN PH
gra [[//; 7
Address:_-- 7C/� ll /' 1� — Permit r:- nt/- U/y�1
Builder: cu-1
THE FOLLOWING 0ORRECTI0118 AIR MWIRED1
Innpector:_ DAte:_ �C/
APPROVED DISAPPROVED APPROVED SUBJE 7tJ ABOVEt
call For Reinnp.
'CITY OF T I GARD MASTER PERMIT 7
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . .. MST9 4--0144
13125 SW Hall Blvd.Tigard,Oregon 97223*8169 (So3),wg-4171 DATE ISSUED: 04/22/94
PARCEL: 2SI11AD-09700
SITE ADDRESS. . . : 08705 SW ITE ILING ST
SUBDIVISION. . . . : SCHECKLA PARK ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :62
------------------------------------ BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf'
CLASS OP WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :340 S-r
TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS--_-_---.._
TYPE
ETBACKG----------
TYPE OF CONST. :5N FIRS . . . . . :748 s LEFT. . : 18 ft RIGHT. :5 ft
OCCUPANCY GRP. sR3 SECOND. . . :748 s FRONT. :20 ft REAR. . .- 15 ft
STORIES. . . . . . . 62 THIRD. . . . :O s t, REQUIRED--__--__---__-.-_-_-.
HEIGHT
EQUIRED--------------------
HEIGHT. . . . . . . . : 19 ft TOTAL---.-----: 1496 5f SMOKE DETECTORS. :Y
FLOOR LCPD. . . . 140 psf VALUE. . . . . $ : 74936 PARKING SPACES. . : 1
Remarks : PATH I MIN
------------------------------------ PLUMBING -----------------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :121
LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER L'I'L3SETS. . :2 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWr1,3,H7-P9. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAlNS. . : l
MECHANICAL FEES
FUEL UNII HTRS. . :0 type amount by date reupt
/ELE/ VENTS . . . . . :0 TIF $ 1520. 00 SW 04/22/94 -
MAX INPUT:O BTU VENT' FANS. . :3 BPRT s 358. 00 SW 04/22/94 -
FURN < ilbOK . . .- I HOODS. . . . . . : 1 SPLC $ 232. 70 SW 04/13/94 94-251222
FURN ) =100K . . :0 WOODSTOVES. :121 B5PC $ 17. 90 SO 04/22/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : I C3SDC $ 280. 00 SW 04/22/94 -
BOIL/CMP ( 3HP:O OTHER UNITS: 1 PARK $ 500. 00 SW 04/EE/94 -
GAS OUTLETS:0 MPRT $ 32. 50 SW 04/22/94 -
Owner: $ 8. 13 SW 04/22/94 -
RAY METZOER M5PC $ 1. 63 SW 04/22/94 -
4038 SW KANAN DR PPRT $ 1. 10. 00 SW 04/22/94
P5PC $ 5. 50 SW 04/22/94
PORTLAND OR 97221
Phone #11 246-4751
Cont ractore ---------------------------------
OWNER
Phone #
----__-.---_-_._._.___..-_-________________-....___.-
$ 312166. 36 TOTAL
This peroit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Dre. Specialty Codes and all other Foot/found Insp Insulation Insp
applicable laws. All work will be done in accordance with approved Post/Beam Stt-LiCt Gyp Board Insp
plans. This persit will expire if work is not started within 188 Post/Beam Mechan Rain drain Insp
days of issuance, or if work is suspended for sort than 180 ys. Plm/undslab Insp Water Line Insp
PLM/Underfloor loor Appr/Sdw1k Insp
Pinprittee Signatkt-
ke - A.C. 7Z.1-A Mechanical Insp Mechanical Final
X� /? L �
t, ,- )P/ Plumb Top out Plumb Final
Ts71-ted By : rraming Insp Building Final
Call for inspection -- 639--4175
SEWER CUNNECTION
CO"ITY OF T I GARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ##. . . . . . . : SWR94-0149
312.5 SW Hall Blvd.Tigard,Oregon 67223.8160 (503)'939-4171 DATE ISSUED: 04/22/94
PARCEL: 2SI11AD--09700
SITE ADDRESS. . . : 08705 SW REILING ST
SUBDIVISION. . . . . SCHECKLA PARK ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
----------------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORN.. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: l
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Rema,r^ksi PATH I MIN
Owner-: FEES
RAY METZGER type amount by date
4038 SW KANAN DR PRMT $ 2200. 00 SW 04/22/94
INSP $ 35. 00 SW 04/22/94
POET LAND OR 9'72,*_,,.'1
Phone #t 246-4751
Contractor,:
CONTRACTOR NOT ON FILE
----------------------------------------
Phone #: 3 2235. 00 TOTAL
Req
REQUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the seasurteent
given, the installer shall prospect 3 feet in all directions from
the distance given. If not to located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Permittee Signature :
T s sued By
Call for, inspection 639-4175
Residential Building Permit Ap lip cation_
City of Tigard
13125 SIN Nall Blvd. � T
Tigard, OR 97223
"503 639-4171 j
c( Jobsite Address: ?/��
VVV l �� Offlce Use 01
V Subdlvlslon: SCIj e c K l.L�- rf�,c u - Lot#
Valuation: �T S r
Permit #
Owner: Reissue of—
f
Address: 3 S Sr- Map& TL #
LAn
r Approvals Required
Phone: 50.3 L
Planning
Contractor. �7 e' ZC�it = Ok/ Y1�2 Engineering
Address: d 3 �+_•� lc/ K/a iJ ) ,I YD -- Other _
Items Required -
Phone: _ l 3 "� c� /.- 75- / — Subcontractors _
Contractor's License #
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
Architect/Engineer:
Address: - �/j ri, < .i4 fro ��e
Phone: J. »I P A s 4 b61
COMMENTS: '�� ( f� Lr C' , 14 eIIIJ- ��,.s•�:�y-rte%�+ � .t L<.�<
Applicant Si Mature & Phone ri'uffiber
Received by: Date Received: `.
- -
Permit # Account Description Amount Amt. Pd. Bal. Due
01Bldg. Permit (BUILD) � � 3 5s
Plumb. Permit (PLUMB) //0
Mech. Permit (MECH)_ "' �.;J _ ___ ___ ,�.'?' J✓
State Tax (TAX) n i O3
Bldg: 17 , go ./
Plumb: S, 50
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
J
Mech: C 3
Sewer Connection (SWUSA) �' U v L;2.2
r
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residerttial TIF (TIF-R) /m w / v
Mass Transit TIF (TIF-MT) 110
i
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
ar Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE) _
TOTALS- 5301.3G
L',I TY 0 V 't I G P 1-4 1) RV'( I- :I.P't 0 11- H y M 1'.*N'T ft1 +,J 1-1 ( NO. p 9 4"-(,-?"`i I Ij 1.
CHF711,1'. A110ON 11' x 50"'.i"'.5 1. .it f
M E.'TZOER, ROY W. COSIA AMOUNT 3 0 00
V 9 t p 4038 SW KONAN DIOW
PORTI AND, OR
9722 1
i,111.411*11F [IF PAYMENT f-IM11 il I I P(l), 1,J 01 POYM N I
NC,194,11".1144
,11 CHANTC,61 H.
,'I..ON Ct*.'('I I I
'&,W1::.R •1:W;1,i 1, 1 `041.1.11(3
I OPM Pkf 1 i I! "J)C, H 1 I (11
TY Or T 3.C.)ARD N 1 1140. :94 V R
('1114-A111% (MOUNT - c'!5 W 0 0
4 H V.V:t R A y ("W-M (11110111SIT a pill ON
PAYMENT PAIL 04/:13/94
OF, (11,1001,11, PATO II'MRPOSE." 01% r-"AY1,1(-1,11, AMOUNt' Pt,) A)
............... ....._....I.................-._........... ...........
,I ,(",1/, t " 15 0.0 0
1—ol'i ("Ar-". -k
SUJIVA-11<141
RE11, 114(3 ')I'
(;:))(11 011OUNI PPID > P50. C110
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ig Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Under-lab ech. Roughh in Fireplace
Post/Beam Struct. Plbg. Top Out Eiec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb
Alarm <_WaW Line Insulation -Mech.
Underflr. Insul. Shear Wali Gyp. Ed. -Elec4: i
Date Requested:_ ,� Z ,,1/7 Time: AM J PM i
Address:_- lam' t- L'Com,,
v1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspetor: _ Date:
.PROVED _DISAPPROVED ,APPROVED SUBJECT TO ABOVE
—Call For Reinsp.