13690 SW TAMAWAY LANE —s
ADDRESS:
i:\records\microflm\targeis\building.doc
1
February 7, 1997
Homeowner
' 13690 SW Tamaway Ln
Tigard OR
RE: 1995/1996 Storm Damage
Permits and inspections help to ensure that work is done in compliance with minimum
code requirements. Inspections are intended to protect the occupants of buildings and
current or subsequent building owners. if the work has already been done, we can still
inspect it for compliance with code.
On January 2, 1997, you were mailed an application and instructions, along with a letter
stating you had not obtained a Building Permit for repairing storm damage.
As of this date, we have either had no response or an incomplete response froln you.
ALL FEES WILL BE WAIVED FOR BUILDING PERMITS TO
REPAIR STORM DAMAGE,.
Please contact DEVELOPMENT SERVICES at 639-4171 ext. 304 within 15 days.
Thank You,
Jill Aldrich, Customer Service Manager
Development Services
jeanneA mn2
02/20/97 12:01 '0503 684 7297 CITY OF TIGARD U 002/005
Men Checx a
-Y OR TIGARO Residential Building Peamit Application Rise oBy _ _
=S SW HALL BLVD. New Construction Additions or Alterations Cato Roe —
1ARO. OR 87223 Single Family Detached or Attached (Duplex) Date to P E
Date to OST_
iO3-639-4171
503-484-729T Print
s
Print or Type Called -
Incomplete or illegible applications will not be accepted
—" Name of PMIGCI -- Name
Job Architect Matting Address
Addf ass S to Address _
CilYrSlate Z� Phorte
erne
DAQA A46jilaPo J Name
Owner Maung address
r ° "-1 11, --- 4 Engineer Mailing Adore$$
GryrBlate �,p� hO�A
none
Nam*,
G:neral A�9s7 1 tJ Uescnbework NeM O Aodtuon O Aherstion O Reparr)r
Madin /tddreaa to as done.
Contractor g Additional 0e3rnpaon of Work:
C.tvrState Zip Phone 0t-k s►P 1 N Ci A r 1P 4950 UQ l P'J 1
Oregon const coniBuaroL,cs :p. ate
attach Copy of PRQJECT
eunent coT Business Tax or Metm•_ Esp Date
Ucenses VALUATION -
"0"1e Nh-N CONSTRUCTION ONLY:
Wch;.nical � Sq, Ft_ House: Sq. Ft. Garag•
Sub- Mailing Address
Cc,ntractor I Corner Lot YES NO Flag Lot YES NO
c tyrStat*do Phone (r heck one) (check one)
Restnrted Audio/Stereo Burglar
Cregen C oriel cant Board Uctt help Dau Energy System Alarm
Attach '.opy of _ _
Cus T
Current COT Mua,nesan or Metro a Esp ate Installation Garage Door 11VAC
Uceitsee _ Opener Systems
--"— Name (check all that Other.
Plumbing to Wilt el
Sub-
Mailing 53 Wil the electrical subcontractor wire for all YES^ NO
restricted energy installations? ��_
Contractor Has the Subdivision Plat recorded NIA I YES I NO
C.ty,State s.;p rhone �I
Oregon Ccnst Cenr. earn Lc a Eip�ace � Reissue of MS i is � Solar Ccmpltanc! L
AM2CM coos of l _ (Calculation Attached)
Current P'umt,ng L;r_s P.Date I rl hearty aanowledge that I hAtve read this sppficatton. that the
LicensesI � _ J infc;rmr_t
atio"given is corre . thht I am the owner or autt.onred
CC 9us,n°ss Tan or Metro-4 I S.F Osre I agent of fila owner. and that plans submitted srR in compliance _
_ __ with Oregon State laws. ___�_
- — va�*e I Signature of 0wner1Agent Onto
� A .Electrical r ----
Halling ACoress Contac Person Name Phone x
SUM-
Contractor FOR OFFICE USE ONLY: _
r„y-S'a:e I none
_ Plat� �TMa��
re,cn Const Cont Board Ucc X n Date —_
-ach Copy of Setbeeks: '� ene. Olar
Zurmtnt eencal Lc x – --- I Exp, f`ute --
r Licenses .._ I mg,neenng Approval: Iani,ng approval
CGT 9us,ness a:or.Nalco R EsD ata - —
� i:1s1`app doc idst) 1/97
I
RECEIVED
MAR 0 3 1997
COMMUNITY DEYFLOPMENT
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line Rec-O-Phone): 639-4175 Business Ph no- 639-4171
Inspection: Q �`= t ' _
sooting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fimplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FICIAL,
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Iri.;ulation -Mech,
Underflr !nsul. Shear W. I Gyp. Bd. -Elect.
Date Requested:, ` �y (_ Time:_ —AM PM
Address:
Builder: Permit A:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
\Nom. - _�
Inspector: ,^} r7�\ Date:
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
City of Tigard, Oregon
Detailed Damage Assessment Form
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
INSPECTED(Green) U
Name: _ _ _— LIMITED ENTRY (Yellow) U
UNSAFE (Red) U
Address: Ilk q'� ---
No.of Stories: _ DATE t TIME _ am �m
Basement: Yes U No U Unknown U
Approximate Age: ---_--years RE:ORTED BY
Approximate Area: square feet INSPECTION TEAM MEMBERS
Structural System:
Wood Frame U Unreinforced masonry U —
Reinforced Masonry U 'Tilt-up U -- —
Concrete Frame U Concrete Shear Wall U -
Steel Frame U 011ier
Primary Occupancy:
Dwolling U Other Residential U Commercial U Notified occupants to vacate
Office U Industrial U Public Assembly U premises J
Jccupantr indicate temporary housing
School U Government U lamer.Serv. U is,required U
Hospital U Other
Instructions: Complete building evaluation and checklist on next rage and then summarize results below.
Psting ` Existing Recommended
None U :� Posted at this�Asessment:
Inspected (Green) ❑ U U Yes No
Limited Entry(Yellow) U U Existing posting t y:
Unsafe(Red) U U
Area Unsafe U ❑
Recommendations:
U No further ac+.ion required
U Engineering Evaluation required (circle one) Structural Geotechnical Other
U Barricades needed in the following areas
U Other(fulling hazard remrnal,shori?tglbracinK required,etc.):
Comments(Wilyl)0sfr'd I1►l,w,f(', elr.):
Sheet o1
lu
CE R I i V I Lt:4'1 A
CITY OF TIGARD PEPMI*T #{. . . . . . .0MUPANt"'i McoT94-0001
COMMUNITY DEVELOPMENT DEPARTMENT DATE
13125 SW Hall Blvd.Tlgard,Or*gon 972234199 (503)839.071
PARCEL 2S104GA-09'51110
I TE M)DRES'S. . . s 13(690 5W TAMAWAY LN
SUBDIVISION. . . . I HILLSH-IRE' ZONING:R-7 PI)
BLOCK. I . . . . . . . . LOT.. . . . . . . . . .
---------------
LASS OF WORK. :Nl:w
;'YPE OV LISE— ibF
OCCUPANCY GRP. a u3
OCCLJr-"ANCY LOAD:231 4
TENANT NAME. . . ;
Remarks : PATH i
01DY PAPACHPISTOPULS
hone
AUS1 IN HOMES
156��9 SW 0+9TH PL.
1* 1(.33ARD OR 390-0658
Phone #s -590- 065A
Peg #. . * '77489
'?- is I-ertifirate certifips that the above referent.,06 bk-lildil)9 or portion
thereof has been insperted fa- compliance with the Tigard Building Code
for the gicup and division of oc,(,,,i Pettic:y wit-A use for which the above
efet-eviced narmit was Issued, -nd occupancy is hereby gra,nted.
BUILDING INSPECTOR "-sli I 0-fi-6' 4-Vi-'C'-IAL.
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE (11
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 V�
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab 'dough-in Fireplace
Post/Beam Struct. Plbg. Top Out ough-in FINAL:/
Post/Beam Mech. San. Sewer Gas I ine ---Id
Plbg. Underfloor Rain E rain F aming -Plumb.
Alarm Water Line Insulation -Meth.
Underflr. Insul. Shear Wall. Gyp. Bd. -Elect,
Date Requested: Time: AM PM
Address:
Builrior: 3 Peimit
0
THL FOLI_MVING CC ERECTIONS ARE REQUIRF,[3r
y - - l62_
v,-A
Inspector Date- )
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
e"k —Call For Reinsp.
mum
Page No. 1 CASE HISTORY FOR CASE NO.: MST94 0201
ANDY PAPACHRISTOPULS
13690 SW TAMAWAY LN
08/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Cole Sent Done Done Date By
MSTA007 Application received / / / / 05/19/94 PASS SW 05/25/94 BLT
MSTA010 Plan check deposit paid / / / / 05/19/94 PASS SW 05/25/94 BLT
MSTA020 Plan check by 05/25/14 / / 05/25/94 PA 70 RT 05/25/94 BLT
LISTA030 Check for prcl. restrict. / / 05/25/94 05/25/94 PASS JIG 05/25/94 BLT
MSTA092 (F) Issue combination permit / / / / 07/27/94 PASS SKW 07/27/94 SW
MSTA097 Issue plumtI ng signature fotm / / / / 07/27/94 PASS SKW 07/27/94 SW
I,STA705 Foot/found Inep / / / / 08/08/94 Post addrea*: provide approved plans on FAIL WEW OB/,'8/94 RB
site; p Ovide engineering for wall
adjacent to 10' cut. Soil erosion
control to be approved by USA. (USA
called this date for inspection of soil
erosion controls
MSTA705 Foot/found Insp / / / / 08/09/94 Footing Inspection PASS WEW 08/09/94 RIA
Pending: Provide 12" footing for
fireplace adjacent to garage Provide
adequate support for pi ;xs adjacent to
6' cut adjacent to garage.
MSTA7013 Foot/found Insp / / / / 08/15/94 pending- approval for change of seismic PASS RB 08/15/94 PH
restraints; no grounding rod in place or
marked.
MSTA705 Foot/Lound Insp / / / / 09/29/94 pending detail 91 being observed and PASS RB 09/29/94 PH
followed according to plane and
engineering.
MSTA710 Poet/Beam StrActural / / / / 08/26/94 NO MECHANICAL INSTALLED. FAIL RB 08/31/94 RP
ADDITIONAL STUDS REQ'MT OF 16" OC.,
ALSO, WHERE SEISMIC RESTRAINTS ARE
PLACED FOR ATTACHMEI'T; SHEATII BOTH SIDES
OC SHORT POKY WALL LESS THAN 14";
SUPPOi.T CROSS GIRDERS; NUT/WASHERS
MISSING AT SILL PLATE; GUSSET SPLICE.
WHERE MARKED POST/BEAM CONNECTION.
MSTA710 Post/Beam StructurAl / / / / 06/31/94 HOLD-DOWNS AT INTERIOR LF WALL OF FAIL RH X8/31/94 RB
GARAGE/DWELLING IN NON :''MPLIANCE.
PROVIDE ENGINEERING DETAIL IF NOT ABim
TO BRING UP SEISMIC RESTRAINTS ACCORDING
TO APPROVED PLANS, DRYLR VENT REQ'D TO
BE SUPPORTED W/ EITHER. 18 GA. WIRE OF 1"
STRAPS SAME GA. AS DUCT MATERIAL.
MSTA710 Post/Beam Structuial / / / / 12/23/94 APP KS 07/19/95 RB
MSTA711 Post/Beam Mechanical / / / 08/31/94 DRYER VENT SUPPORT. FAIL RB 10/11/94 RR
Page No. 2 CAFE HISTORY FOR CASE NO.: MST940201
ANDY PAPACHRISTOPULS
13690 SW TAMAWAY LN
08/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd S
Code Sent Done Done Date By
MSTA711 Poet/Beam Mechanical / / / / 12/23/94 AFP KS 07/19/95 RB
MSTA717 PLM/Underfloor / / / / 08/26/94 PASS MS 08/29/94 MRS
MSTA'120 Mechanical Inap / / / / 12/19/9^ SEE FRAMING THIS DATE FAIL RB 12/19/94 RB
MSTA720 Mechanical Insp / / / / 12/23/94 APP KS 07/10/95 RB
MSTA722 Plumb Top Out / / / / 11/10/94 PASS MS 11/14/94 MRS
MSTA725 Framing Insp / / / / 12/19/94 POSE/BEAM STRUCT. 6 MECH. APPROVAL; FAIL RB 12/19!94 RB
SOFFIT HEATING DUCT IN GARAGE; POSIITVE
CONNECTIONS; METAI PLATE PROTECTION;
STAIR SUPPORT; STAIR BLACKING; SECURE
FIRFPLACE UNITS; EXHAUST VENTING
INCOMPLETE; B-VENT CLEARANCE BONUS RM-
I"; EXTEND B-VENT 18" ABOVE ROOF LINE
-
BETWEEN DORMER; KING STUD FOR GARAGE
GLU LAM; ROOF LINE. BLOCKING; ENCLOSE LID
OF CHASES. 3; NAIL FLOOR SHEATHING-
M,,STER BATH; OVER-SPANNED CEILING
JOISTS- 18-8-1/211- ALLOWABLE 16'; FLOOR
JOISTS BUTT JOINT- VOSIITVE CONNECTION
NEEDED- AFT FAM. RM/UTILITY 6 BATH
LOCATION.
META726 Framing <REINSP> / 1 / / 12/21/94 # 1 SEE INSPECTION NOTES DIS KS 12/22/94 KBS
MS1-h726 Framing <REINSP� / / / / 12/23/94 #-1- this inspection does riot include A/N XS 12/27/94 KBS
stairs at garage
( not built t , this time)
MSTA735 Gas Line I:—p / / / / 11/10/94 48 FAIL R9 11/10/94 RB
MSTA73� Gas Line Insp / / / / 12/21/94 DIS KS 12/22/94 KBS
8 1 gas pipi;ig not c pleted at this
time
MSTA735 Gas Line Insp / / / / 12/23/94 N 1 19 psi for twenty minutes APP KS 12/27/94 KBS
MSTA740 Insulation Insp / / / / 11/23/94 APP KS 01/04/95 KBS
MSTA745 Gyp Board Insp / i / / 01/04/95 0-1- provide a complete separation A/N KS 01/04/45 KBS
between dwelling and garage seal
joint at ceiling line adjacent to
return air supply
#.I- place gyrei.m behind gas piping
to furnace at verticr.l
section
MSTA7S5 Rain drain Insp / / / / 03/15/95 PASS MS 03/15/95 MRS
® O
Page No. 3 CASE HISTORY FOR CASE NO.: MST94-0201
ANDY PAPACHRIGTOPULS
13690 SW TAMAWAY LN
08/25/98
Action Description Rey/ Schd,' End/ Action Notes Disp Hy Update Upd
Code Sent Done D,,ne Date By
MSTA760 Water Line lnsp / / / / 09/08/94 PASS MS 09/08/94 MRS
MSTA765 Appr/8dwlk Inap / / / 02/24/95 1) NOT READY COMPLETE FORMS, GRADING DIS LT 02/24/95 SW
AND COMPACTION OF ROCK AND CALL FOR
REINSPECTION.
MSTA765 Appr/Sdwlk Insp / / j / 02/27/95 1. Raise drain line in approach to 2" PEND LT r3/09/'4s NL
from top of curb,
2, Place expansion joint (felt) at cold
joints.
3. Be prepared to protect finish.
MSTA770 Misc. Inspection / / / 1 10/11/94 RETAINING WALL BY SIDE OF DRIVEWAY RETA 09 !0/11/94 OHS
APP
48TA770 Misc. Inspection / / / / 11/18/94 SHEAR- RT WINO INADEQUATE; SAME AT BACK FAIL RB 11/18/94 RB
i'NU INTERIOR OF GARAGE/DWELLING
SEPARATION; NAIL ALL SHEAR PANELS;
PROVIDE BLOCKING; NAIL SHEATHING SW
CORNER OF OARAOE.
MOTA770 Misc, tnapeztion / / / / 12/02/94 APP KS 0'1/19/95 RH
MSTA795 Mechanical Final / / / / 03/16/95 N-1 see Inspection notes DIS KS 03/17/95 KAS
MOTA795 Mechanical Final / / / / 03/17/95 h?P KS 03/17/95 KHS
MSTA797 Plumb Final / / / / 03/09/95 WH NOT VENTED DIS 08 03/10/95 OHS
NO OAS TO WH
REMOVE PLM PIPES FROM CRAWL ACCESS
NO BACKWATER VALVE ON CRAWL DRAIN
NEVER BEEN A RAIN DRAIN INSP
MSTA797 Plumb Final / / / / 03/16/95 STILL NEEDS BACKWATER VALVE DIB OB 03/17/95 GES
MSTA797 Plumb Final / / / / 03/17/95 APP 08 03/17/95 OES
MSTA799 Building Final / / / / 03/16/95 N 1 see inspection notes DIB K8 07/19/95 RB
MS—A799 Building Final / / / / 03/17/95 N 1 final grading not d ne at thir time DIS 'B 03/17/95 KBS
need to maintain
slope ratio of one vertical two
horizontal, submit
report to building dept from geo tech
( engineer
indicating other ratio would be
accepatble as
stipulated.
MNTA799 Building Final / / / / 07/19/95 CRAWL DRAIN OK PASS Rn 09/02/95 RB
i
Page No. 4 CASE HISTORY FOR CASE NO.: MST94-0201
ANDY PAPACHRISTOPULS
13690 SW TAMAWAY I.N
08/25/98
Action Description Req/ Schd/ End/ Action Not, t D19P by Update Upd
Code Sent Done Done Gate uy
MSTA960 (F) Issue Cert. of Occupancy / / / / 07/19/95 .IF 07/27/95 JF
MSTB713 Crawl Drain / / / / 03/16/95 INSTALL BACKWATER VALVE DIS GS 03/16/95 GES
01Y OF TIG
A-,,
MASTER . .. . :PERMIT
PERMIT �#. . . . . . . : MSTr34-02 .7 :
DATE ISSUED: 07/27/94
COMMUNITY GEVEL.OPMENT DEAR T
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: ES 104CA--09500
G ITE:. ADDRESS. . . : 13690 SW TAMAWAY LN
SUBDIVISION. . . . : HILLSHIRE ZONING: R•-7 Pl)
BLOCK. . . . . . . . . . . 1-01. . . . . . . . . . . . . :095
BUILDINC3 - --.___.___.---------.____..._..__ ._._-__----...---._____.
REISSUE: DWELLING UN I'T5: 1 BASEMEN'.. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :484 sf
TYPE OF USE. . . :SF FLOOR AREAS— - _--____._._ REQUIRED
TYPE OF C:ONST. :5N FIRST. . . . : 1285 sf LEF'T. . :5 ft RIGHT. : 11 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1338 5 f F RONT. :20 ft REAR. . :23 f t
STORIES. . . . . . . :2 THIRD. . . . :0 5 FEIIUIRED__-_________.___.___...
HEIGHT. . . . . . . . :31. ft TOTAL--__.._.----.2623 st' SMOKE DC::.'TECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 129.'.•70 PARKING SPACES. . : 1
Remarks : PATH 1
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW l='RFVNTRS. . : ].
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAF-'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : J. CATCH BASING. . . . . . . :0
WATER C1.OSETS. . :3 SEWER LINE eft ) . :0 GREASE TRAPS. . . . . . . :0
D 1 SHWASHERS. . . . : 1 WATLR 1-INE %' '(t ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DIS '. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRATNS. . : 1
---------------- MECHONI CAL ---__._____.___. ...___._.----•--____.__—._._ FEES
FUEL "FYPES - - UNIT' HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 SW 07/27/94 —
MAX INPUT:O B'Tl1 VENT FANS. . :4 BPRT $ 50B. 00 SW 07/:='7/94 —
FURN ( 100K . . :0 HOODS. . . . . . : 1 HPLC $ 330. 20 SW 05/19/94 94--2:52558
FURN ) :=100K . . : 1 WOODSTOVES. :0 B51='C $ 25. 40 SW 07/27/94 -
FLOUR FURN. . . . :7, CLO DRYERS. : 1 SSDC $ 280. 00 SW 07/27/94
BOIL/CMP < 3HP011 OTHER UNITS: 1 PARK $ 500. 00 SW 07/27/94 -
CAE; OUTLETS: ! MF'RT $ 45. 00 SW 07/27/94
Owner: __._ _..._ --.______. .---...- ----._.___....-_—_---___ _.-__MPLC $ 11. 45 SW 07/x7/94 -
AND" PAPACHRISTOPULS M5PC $ 2. '5 SW 07/2,7/94 -
PPRT $ 162. 50 SW 71.7/2:7/94•
F'•'5r'C $ 13. 13 SW 07/27/94 —
Phone #:
Contr-actor•:
AUSTIN HOMES
1566'9 SW 149TH F'L
T lcinRD OR 590--0658
Phone #: 590-0658
Reg #. . : 77489 ----------------------------------.._._______.--_
f 3392'. 73 TOTAL
This permit is issued subject to the regulations contained in the ------- PEOUIRED INSPECTIONS -----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp.
applicable laws. All work wili be done in accords a gith approved 'Rost/ream Struct Gas Line Insp
plans. this permit wili expire if work is t St rted�r±ithin 188 P"rst/[1vam Meeh-,an Insulation Insp
days of issuance, or if work is suspendelF or mo a thorn itklloys.. Pimp/und%lab Insp Gyp Board Insp
=M�Under,fioor• Rain drain Insp
F'et-mittee Si.gnatuv-e : � Mechanical. Insp Water, Line Insp
Plumb Top Out Appr/Sdwlk I n s p
IS,-'IAed By : -� �_ __ __ Framing Insp Mechanical Final
Call (for- inspect i, n -- 639-4175
IN
SEWER COMNLUTION
■
FIERM IT
CITY OF TIG A- PERMIT #, . . . . . . : SWR94--&'.'0V1
-RD DATE ISSUED: 07/e7/94
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard,Oregon 97223*8199 (503)6311-4171 PARCEL: L--IS104CA-09500
5I TE ADDr'-SS. . . : 13690 SW TAMAWAY LN
SUBDIVISION. . . . : HILLSHIRE ZONING: R---7 PI)
BLOCK. . . . . . . . . . . L()TL. . . . . . . . . . . . . .095
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UN IT'S. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
f'YPE OF USE.. . . . . :SF NO. OF BUILDINGS: 1
INqTnL.L- TYPE. . - - :BUSWR 1MPERV SURFACE. . S f
Remarks : PATH I
f1wner: FEES
l'JNDY 171APACHRISTOPULS type 'Amol.krlt by date recpt
PRMT $ 2200. 00 SW 07/27/94
INSP $ 35. 0.0 SW 07/27/94
Loritractor:
CONTRACTOR NOT ON FILE
2235. 1710 TOT A'-
-------- REWIRED INSPEC—IONS
This Applicant agrees to comply with all the ruies and regulations Sewer Inspectioyi
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amuunt paid will be forfeited if the
permit expres. The Agency doe- .. - juarantf,-e the accuracy of the
side sewer laterals. If the ;Pwer .. not located at the measurement
qiw, the installer shall prospect 31 feet 2,11111171i7fi-off-itins from
the distance given. If not s0 �located I ns re Iler shall rchase
a "Tap and Side Sewer" Permit and t Ag y wi I install lateral.
1:71e)-mittee Sig-n, ature.
ISSI-ked By : 61"
Call for insectioti 639-4175
I
Residential Building Permit Aplicati0n C sr
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 9722.3
(503) 639-4171
Jobsite Address: _j[ YZt L)
II Office Use ly On
Subdivision: to 11� Q� Lot #
Ptanck/RAc#
Valuation:
Perrtnit #
Owner: 11N�. - `Z_ Reissue of_ _
M & TL # 00
Address: -- - — Map
-y— ----
Approvals als Reg..uired
_ PlanningeL
Contractor: V\ USE _ Engineering —
1
Address. AI Other
Items Required
Phone:
Sutxontractors_ —
Contractor'yticense #— � q U
(attach copy of current Oregon license) Truss Details
Subcontractors: (, --f_cqty„ !< ' --
t
Plumbing:_ ` j r
t�.l
Mechanical-
(attach _ •�-�- �/
c py of!arn-ent OR n..-actor's License)
Architect/Engineer: —V I e P7 --
Address: _ �)r� u �t
Phone: 2?
COMMENTS: ► / /,9 / 1
Applicant Signature & Phone number
Received by. __ _ _ _ Date Received: ___ _
Permit « Account Descri, tion Amount Amt. Pd. Bal. Due
0-20( Bldg. Permit (BUILD) v u .SOU?-e
Plumb. Permit (PLUMB) /tr Z•,ib __
Mech. Permit (MECH) ,
State Tax (TAX) 3S .7 b' LL1
Bldg:
W
Plumb: .�
Mech: 7- 7 )
Plan Check (PLANCK) 3W, u ASO ' _q
Bldg: jj ).
Plumb:
Mech: , L
Sewer Connection (SWUSA) 1 Z u a ;t L u
Sewer Inspersion (SWINSP) 3.'
Parks Dev Charge (PKSDC) 0 0 U
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) 1q I
Mass Transit TIF (TIF-MT) 1l U
/ 1!U
Commercial TIF (TIF-C) _
Industrial TIF (TIF-I)
Institutional TIF (71F4S)
CHfir;e TIF (TIF-0)
Water duality (WCUAE)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS:
i
SANITARY � > '
/8'I`R MANHOLE �� _ i �� 100 S 89'53'13" E /
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95
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77.06,
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1 I / FO 5/80IR
EL, 88.25
85
so
T.O.C, EL. 87.79
13690 SW Tamaway Lane
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