12496 SW 134TH AVENUE .�u,.a....,....+.aYWuiNM�R4.w,Mwy�Ni.4�MtlYPM1�'1iY4YM�Y�YAL'W�1NaY<WMi�UN'r'�Mo%MW��iWIYWM4kX'�111u1Y1M/11['14��[�B(�` �. �;
l
12496 SW 134TH AVENUE
INSPECTION !iOTICE
City of Tigard Building Departaent
13125 SU Ball Blvd. Tigard, oregon 47223
Inspection Line�(`ROO-Q-Phone): 639-4175 Business Phone: 639-4171
Inspection,
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL:
poet/Beam Struct. San. Sewer Framing -Bldg.
poet/Beam Mech. Rain Drain Insulation -Plumb. \
Plbg. Underfloor Water Line Gyp. Bd. <-Meeh 1
Date Requested:_ //-/� - C-h PM
A('.drneai� �� !��' y Permit +t
nu1.ider:
THE FOLLOWING CORREL-TIONS ARE RROUIRED:
I --
Date:
I napert0i t f _----------- -
L/APPROVED DISAPPROVED APPROVED SUBJECT TO A90VE
Call For Reinsp.
MECHAN I CAL
CITYOFTIFARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT TCORIOM MID PERMIT #. . . . . . . : MEC92–OL-1,
13126 SW Hell Blvd. P.O.Box 23397,TV-d,Oregon 91�34*3)4"15 DATE ISSUED: 11/10/9,,
SITE ADDRESS. . . : IC496 SW 134TH AVE PARCEL: 2S104AL--1y1H17�'
SULAD I V I S I ON. . . . : MORNING HILL 8 ZONING: R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 173
CLASS OF' WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERcj.
'TYPE OF USE. . . . .51" UN IT HEATERS. . : VEIN 1- FANS. . . :
OCCUPANCY GRP. . :R--- VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS 140ODS. . . . . . . ..
FUEL TYPES------------- 0-3- Hf-.1. . . . DOMES. INCIN:
: /WOD/ 3-15 HP. COMML. I NC I N:
MAX INPUT: BTU 15-30 HP. REPAIR UNITS:
FIRE DAMPERS?. . c 30-50 HP. . . . : WOODSTOVES. . .- I
L-7AS PRESSURE. . . -. 50+ HP. . . . : CLO DRYERS— :
IVO. 0F' UN I T S------------ AIR HANDLING U 1\1 1 1 S OTHER UNITS. -
FURN t 100K BTU: (= 10000 c f m : GOS OUTLETS. .-
TURN ) =100K BTU- > 10000 cfm:
Remarks: Pellet Stove "Environmental II " inset-t
OWTiet-: FEES
ROGER BAUMGARTEN type a M o 1.1 yl,t by date r,ecpt
12496 SW 134TH AVE PPMT
00 BCR 11/ 10/92
92-233581)
5PCJ I. 25 BCR 11/10/92
92-2335,89
I 1GORD OR 97223
Phone #.-
Cont v-actor: -..----------------------__.--_.–_
CONTRACTOR NOT ON FILE
-------------------------------
P;-Iollp 4: $ 26. 25 *TOTAL
Re
REQUIRED INSPEC11UNS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, Staie of Ore. 5pecialty Lodes and all other
applicable lam:. All work will be done in accordance with
approved plans. This permit will expire if wor, is not started
within 180 days of issuance, or if work is s,.-pent :� for sore
than 180 days.
f-'et-mittee
Issi-ted By :
Call for inspection 639-4175
I M - ---
MECHANICAL PERMIT Planck/Rec.
Cit, of Tigard APPL ICATION
134.25 SW Hall Blvd.
PO Box 23397
Tigard, OR 97223
q Q171 esaipuon OTY PRICE AMT '
(503) 639-
.,,,. Table 3A Mechanical Code
�- -0- _0. 10.00
1) Permit Fee
Job3.00
Address 2) Suppiomental Permit
urnace to 100, 600
« 1) incl.ducts&vents
i e` urnace loo,000 + 7.50
2) incl.ducts&vents
' oor urnanco 6 00
QWilt?f .r 3) incl.vent
Suspended neate(,w Bator 6.00
q) or floor mounted healer
ent not me.in 3.00
ytT: 5) appliance permit
occupant K epau of eaung,reing. 6.00
6) cooling,absorption unit
i er or comp, at pump.air con 6,00 3
,,. 7) to HP absorp unit to 100K BTU
oder or comp, eat pump,au con 11.00
8) 3-15 HP absorp unit to 500K BTU _
5i,or comp. neat pump,air corgi
of 15.00 -
Contractor V g) 15-30 HP absorp unit.5.1 m l BTU -
�ir con .
i er or comp,heat pump,� 22.50 _
10) 30-50 HP absorp unit 1-1.75 min B -
TU
i er or comp, neat Dump.air con 31.50
re y ac aN ge at ave res us application,t nat a 11) 50,.{p absorp unit 1.75 miles_
r •en ing unit to 4.50
inionnation given is correct.that I am the owner o W h State agentzod 12) 1c Opp CFM -
of die owner,that plans submitted are in comp a mg--
laws,that I am registered with the Construction Contractors Board, _ 7.50
that the number given is correct. (11 exempt from State registration, 13) 10,000 CTM+
please give reason below.) on portab e 450
14) evaporate cooler -
_ ent an connect 3.00 __-
15) to a single duct
en u aeon system r.ot 4.50
16) included in appliance permit
_-Serve Y 450 - _-
17) mechanical exhaust
ommerctal or to stria 30.00
a �twn a teratpn reps r 18) type incinerator --
scn w n� non.residential Q
to be done residential Q er t.e.,wo store,water 4.50
xtsung use o
19) heater,solar,clothes dryers,etc
building or property 2.00
20) Gas piping ane"'out outlets
Proposed use of _-
building or property 21) More than 4-per outlet
Type of hn7vl -oil Q natural gas Q LPG Q electric Q -
0 C Minimum Fee$25.00 SUBTOTAI _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
5%SURCHARGE
AUTHORIZED is NOT COMMENCED WITHIN 180 DAYS,OR PLAN FEVIEW 251 Of SUBTOTAL
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED IS COMMENCED. 180 DAYS AT ANY TIME TOTAL -
AFTER WORK __--
Special Conditions- by _- - ---
Date issued
►r►rra«wT
Cry OF TT'3ARD RECEIPT OF PAYMENT RECFIPI' Ni,. :92-233589
CHECK AMOLINT 26. 25
NAME i BilUMGARTrN, LAUREL P. CASH 0MOLIN"I 171. 00
ADDRESS 12496 SW 134TH AVE. PAYMEi\ir DATE
Tl(-.-,ORD, OR SUBDIVISION
PUPPOSE OF PAYMENT AMO,JN F PAI 1) PURPOSE OF PAYMU(',lT AMOUNT PA I D
MECHANICAL PE 25. 00 ST. BUILD PER 1. 25
TOTAL.. AMOUNT PAID 26. 25
TIOARD CITYOFTF6.411t1 E:.RTI.FICATE OF
C TY OC
COMMUNITY DEVELOPMEI,YT D97zn (6�TM6E
°RO°N OCCUPANCY
13125 SW Hall Blvd. P.O.Box 23327"l9u o,OraOo"
- E,3y•-4171 DATE 1 S5UGD t 09/30/92
PARCEL r
,tTE FIDURE39. . . a 12496 SW 134TH AVE ZONINGI R-25
SUBDIVISION. . . . t MORN I NO HILL. 8
LOT. . . . . . . . . . . . . 1173
CLASS OF WORK. INEW
TYPE OF USE. . • %SF
OCCUPANCY ORP. I R:3
OCCUPANCY LOAD t118 4
TE..NAN1" NAME-3
Remarks :
` Owner-; _..__..._.._._...__... _ ......_. ._..... _..
E. J. F1Y5'TA17"E HOMES
137;,5 NW CL)RNELL. RI1 SUITE 100
PORTLAND OR 97229
Phone AFI 644-8061
Contra►ctort
E, J, RYSTADT HOMEr'a
13765 NNI CORNELL RD SUITE 100
PORTLAND OR 972E9
Phone 111 644--806 1
Rei; 6,1890
Clrc �►F,�nty of tthn a ht►ve ref erenced buil.ciint� is hes^et�y ;liven, anti t art i f i e
lF
the compliance with the State Of Sner�ial'�y Gr.►r.1►35 f��r the gr-olt43,
occ.,.jp;Inc-v, And Use under whirl, tt►w v efc•s-ells. ed per�►it wL" i �s�.led.
11,40 1
__..__-F 1 F2►��YI►f'F�AFZI'ML'.N7 ..�•'`.
_._.__.._.r._._ E�f I i I'►3 h Cll-f-1 C;I i
pI'a5'T IN GUMSP I CUOUt3 PL.ALF
r
INSPECTION NDUQ 2 f
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oreqon 97223
Inspection Line (Rw.-o-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing P1'q. Underalab Mech. Rough-in Appr/Sdwlk
Found. P'bg. Top out Can Line FINALS
Post/Beam Struct. fan. Sewer Framing -Bldg. 1
Post/Bean Mach. M in Drain Insulation -Plumb.
Pibg. Underfloor Nater Line Gyp. Bd.
Date Requested:-_ �0 -/1,- T /PN
Addresss f 7 Permit i
Buildersl
TM FOLLOMING CORRECTIOKS An RBQUINiDs
Inapsctor: ��/ I Date: Q' y - q z -
nrrruwr•.) _ DISAPPROVED _ APPROVED SUBJECT To ABOVk
Call For Reinap
INSPECTION NOTICE
City of Tigard Hui-ding Departisnnt
13125 ai Sall Blvd. Tigard, oresgon 97223 i
Inspection Line (Rec,'%-Phone): 639-4X75 Business Phones 639-41 1
,
Inspection•
mss._'--
Foot ing Plbg. W4celab Nsch. Rou:lh-in -_ Appr/Bdi
Pound. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Cl
1 Water Line Gyp. Bd. -Mech.
Date Recrsasted: -/ " ` —Times AM PM
Addriss:_ ; (r�_� _ Permit is
Builder: 3t
TBS FOLLOWING RRECTIONS ARE REQUIRED:. --
Inspectors LETF�A T i�aMA s Dates
APPROVED DISAPPROVED _1zAPPROVBD BUBJBCT To ABOVE
call For Rslnsp.
Iux xortr
City Of r Building be
1.11,25 sW Bal.l Bled. Partoent ✓ -�_'
Inspection Line (Rec-O-PhTigard, Oregon 97223
Inspection: one
): 639-4175 Buet_ncae Phone: 639-4171
Foot i T g
Plbg• Underslab Mech. Rough-in
Found. Appr/Sdwlk
Plbg. Top Out Gag Line
Poet/seam Struct. FIMAL.
San. Sewer Framing
Post/Beam mech. -Bldg.R
Rain Drain
Insulation
-Plumb,
Plbq. Underfloor Water Line
y� �/�/ GYP. Bd.
Date RecPie)etadt .�� L!/ � -Meth.! Z
Addrena: L c Tim•t PM
J3uilders �� Permit 1
� - � .
T" Mumma OOARdcTIOMB ARE RtQOIMD.
---------------------
-------------
APPROVED UISAPPROVRD -
APPROVED BUBJEt+r TO ABOVE
__call For Reinap.
1
IN&PBCTION_NOTICE
city of Tigard Building Depa-trent
r►' I 13125 SW Hall Blvd. Tigard, Vragon 97223
1 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
r
Footing Plbg. Underelab Mech. Rough-in ( A PP /Sdwlk
Found.
Plbg. Top Out Gas Line FINAL-
poet/Ream Struct. Ban. SeMrer
Framing -Bldg.
Insulation -plumb.
poet/Beam Mach. Rain brain i
-Nech.
Plbg. Underfloor Nater Line Gyp. Bd.
'
Time! _PM
Date Requested:
�Y�
perml.t
Address: -_
Builder:
THE FOLZ.OWING CO CTIONB ARS 1REQUIRED: _
Dates
Inspectors "AL
APPROVED OIe11r \7t- +1PPROVED SUBJECT TO ABOVE
Call for�Misnep. 1
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab ech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/seam Struct. San. Sewer Framing -Bldg.
Port/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: 7 / Time: � AH __(,PN
Address: �l Permit f:`,L�j
Builders
THE FOLLOWING -RECTIONS ARE REQUIRED:
Inspector: Dater Ll _
'�k_AFPROVED DISAPrROVED APPROVED SUMTECT TO ABOVE
__Call For Reina).
1
I
S
1
LN
SPEC>IONNOTICE
city of Tignrd Building D-partn7223
13125 Sit Hall Blvd. Tigard, oreCP I
: 639-4175 Bualnene Phone: 639-4171
Inspection Line (Rec-O-Phone)
1
Footing Plbg. Unae-slab
HCCh. Rough-in Appr/5dwlk
Pound. Plbg• To;, Out
Gas Line FINAL:
poet/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam K—h. Rain Drain
Insulation > plumb.
-ilech.
plbg. Underfloor slater Line off' Sd'
Time
��
Date Requested' �jy�S�
— M
-U�
Perm-i
Address: /.2
Builder
THE Pt7LLOWING CORR"CTION8 MM RXQUTA'.uc
- 1
- -- Datet Z-/�
Inspeotort
!/ wppAOV"D RI:�1.�phnvSD __._.
Applo "D SGwwT To ASW"
Call Tor asinap.
LNSPECTIJN NOTICE
City of Tigard Building Departaent
13125 SM Ball Blvd_ Tigard. Oregon 97223
Inspection Line (Rec-O-phone):
339-4175 Business rhone: 639-/.171
Inspection:__,—___— �� '�"-- ----- -- i---
Footing
Plbo. U.:derslab Mech. Rough-in Appr/Sdwlk
Found. 9• op
P15 TOut Gas Line FINAL:
-Bld
post/Beam Struct. San. Sewer .Framing g
post/Beam t5ech.. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line -Neth.•� Gyp. Bd. \x�
A!f t _PM
Date ReQu9atedf Time:' (
Permit is 1��
Address: {{--
Builder:
THE FOLLOWING CORRECTIOAB AAs "OU RED'
d d�,Q .- ,fit
U
/ y
Ins-jectorf Oater 7'
APPROVED �[tISAPPROVSD APPROVED SVBJECT TO ABU"
,4, " 'Call
For Rwinap.
i
INSPE::TION NOT
r.Cg
City of Tigard �sild°ag DeparCeoat
Inspection 1312s hW Hall Blvd. T£ga,-d,
Line (Roc--o-Phone 639417_ Oregon 97223
Inspection• _
Business Phone: 639-4.171
Footing ,-----— - -___�
Plbg. Underelab Mar,, Rough-in
Found. APpr/Sdwlk
Plbg. Top out Gas Line
Poet/Beam St FINAL:
FINAL:
Sen. Sewer
Framing
Post/Boam Mach. -Bldg.
Rain Drain
Insulation
Flbg• Underfloor -Plumb.
Water Line
_ Gyp. Bd.
Date Requested: - C? 1 -Meeh.
+ — --_ _Tim
ses
Addres : AM PM
BnilaHx: Permit
THE, POLLOWIHG RLCTION3
ARL REQUIRED:
IL
Inspectors`%/� - -- --------- - _
APPROVED
DISAPPROVED
APPR()VED SrIBJE(`T TO ABOVL
i
_ --,_Call For Peinsp.
r4w I 1111i 1111111
INSPECTION NOTICE
City of Tigard Buildf_ng Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inapec�iont
Sooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINtL:
s Beam 8t[uc�. San. Sewer Framing -Bldg. l
Bc
Gain Koch. ~ Rain Drain Insulation kk
_ -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach,
Date Requested: —�c - %/���
T�STj���f1_���� / r_PM
Adrlrees: 4et;PjQ
Builder:_
THE FOLL3WIN.: bDRRECfIONS ARE RRQUIRED:
r
Data: /
�_APPROVRD DISAPPROVED ✓ APPROVED SUBJECT TO ABOVE
_—Call Fot Refnnp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Chone,: 639-4175 Business Phone: 639-4171
Inspection: 1 1 �� 7 1) 4 ,
Footing Plbg. Underslab pecc �olgh4-fa.—
qh • Appr/Sdwlk
Pound.
Plbg. Top Out Gee Line PINALt
Pont/Beam Struat. San. Sews Framing -Bldg.
Poet/Beam Mach. Rain Drain
Insolation -Plumb.
Plbg. Underfloor Li
Water Lina Gyp. Bd _ j ''
. --
Date Requested:�—I ^�
Time: N----�` PM
Address:
-7�Pe"rmit
TNR FOLI. TNG CORRECTIONS AMv - ---
RiQOIRSDt
i
Inspector
1
-- --— natal
API'ROVRD DINAPPROVRD
-- _.- APPROVED SUBJECT TO ABOVE
-_`call For Reinsp.
INSPECTION NOTICE
City of Tigard Ruilo�."` Lpart.rst:
13125 SSS Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect
Footing
Plbg. Undorelab Mech. Rough-in Appr/Sdwlk
i Pound.
Plbg. Top Out Gas Line FINAL:
Framing -Bldg. i
Post/Beam St' uct. San. Sewer g
-Plumb.
Poet./Beam Medi. Rain Drain Insulat
Plbg. Underfloor dater Line GYP• 13d•
-Mech.
Titset �
Date Requeetede,_, -- - �
Builders
TEM ypLLONIElO CORRECTIONS ARE REQUIREDt
1
Dats:
Inspectors
pppROVEO DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
a>m
L/
CITYOFTIGARD �,�,��
COMMUNITY DEVELOPMENT DEPARTMENT oRmoc»e MAS C E R PERMIT
13126 8W Hall Bbd.P.O.Ba 23397,TOW,Or*W 07233(603) 176 F E R M I T #. . . . . . . : MST 9 1•-&?6 ti
639-4171 DO-1-l= 15)SUE=D: 05/21/92
:SITE ADDRESS. . . : 1496 SW 134TH AVE PARCEL: ".5104AC--MI-117.
;SUBDIVISION. . . . : MORNING HILL. 8 ZONING: IZ-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1T3
----------------------------------- BUILDING --------------------------------------
Fti_l SSUE:MST9 1--0267 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 5•f
CLASS OF WORK. :NEW BE^DRMS:4 BATHS:2 GARAGE. . . . . . . . . . :561 sf
TYPE OF USE. . . :SF FLOOR AREAS-_-_._.___._-- RFOUIRED ---
T'YP'E OF' CONST. :5N FIRST. . . . :216F3 sf LEFT. . : 10 ft RIGHT. : 10 ft
OCCUPANCY GRE;. :R3 SECOND. . . :0 s f FRONT. :='0 Ft REAR. . : 19 f t
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIf2ED- ---_--------_____.-_
HE I GH T. . . . . . . . : 10 Ft TOTAL_- -- - :21 F+,3 S f SMOKE: DETECT ORS. :Y
r-LUOR LOAD. . . . :40 psi VALUE. . . . . $: 11219826 PARKING SPACES. . :0
Remarks :
---------------------- PLUMBING -------_-_-_----.-_.-___----__-_.
SINKS. . . . . . . . „ . : 1 FLOOR DRPINS. . . „ :0 DACKFLOW F'RFVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWF_RS. . . . ::3 LAUNDRY TRAYS". - - :0 CATCH BASINS. . . . . . . :1Z1
WA L ER GLUSE'rS. . :2 SEWER LINE" (ft ) . :0 GREASE= TRAPS. . . . . . . ..0
DISHWASHERS. . . . : 1 WPTER LINE (ft ) - : 100 rJTHFR FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASH1,46 MACH. . . : 1 SF- RAIN DRAINS— : 1.
MECHANICAL --------------- _____._..___._--_-_-- FEES
FUEL TYp'ES-- _ - - UNIT HTRS. . :0 type <"Amoulit by date r-ecnt
/GAS/ / / VENTS . . . . . :0 TIF $ 13,80. 00 PLL 0;/:_'1/92 227
MAX INPUT :0 ITU V1r.NT FANS. . :3 C'PI?1' $ X"'6a 12111 JLH 12/27.%91 221261450. 00 PI_.L 05/�=:i/92 227
FUkN ( 100K . . :0 HOODS. . . . . . : 1 BF LC 'i�/IJ ��.
TURN ) =10121K . . : 1 WOODS TOVEfS. :0 B5PC $ 22. 90 FILL 05/21/92 227
FLOOR FURN. . . . :0 CLO DRYERS. : 1. BPLC $ 15. 00 PLL 05/21/92 227
BOIL/CMF' OTHER UNITS:@ SSDC t 2'80. 00 t-'L.L 05/21/92: 22:`7
GAS OUTLETS: 1 PARK f 500. 00 V'LL 05/2:1/92 227
(.lamer.,: _.__.__._..
MPRT $ 37. 50 PLL 05/21/92 227
L. J. RYSTADT HOMES MPLC f 9. 38 PLL 051/21/92 i?e7
1:3765 NW CORNELL RD SUITE 100 M5PC f 1 . 66 NL.L 0`;/c1/9'r' del
PPRT f 132. :,0 PLL 05/C:1/92 227
P5PL f 6. 63 PL_L. 05/21/92 22
P,!fone #: 644--8061
Contractor: -------------------•-------------
L. J. RYSTADT HOMES
13765 NW CORNELL RD SUITE: 100
F-,ORTLAND OR 97F'29
Phone 0: 644-6061
He #. . 678630 _.____.__ ___._____..--•___-..
R 3093. 79 TOTAL
This permit is issued subject to the regulatiors contained in the ---- --- REOUI RE~D INSPECTIONS ~--
Tigard Municipal Code. State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insv
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work .s not started within 180 Post/beam Mechan Insulation lnsl
days of issuance, or if wore is suspended for more than 180 days. F'lm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
L er mittee 3ign�sture: � Mechanic-al Inst) Water Line Insp
& plumb Top Out Appr/Sdw1k Insp
bsued Ery : -_.. F r ,minn
�; .�,sp Mech�a„iral Final
11� al
for 1nsr,pct. ian - 639-4175 —
'TY OF TIFA rcdi flWrNFa SEWER CONNECTION
CPERMITPMENT D ��+
COMMUNITY DEVELOPMENT DEPARTMENT arrr1315m1M417c PERMIT #. . . . . . . : SWR9�--+rla4:�
13126 SW I.1dl Blvd. P.O.Bax 23W-Tip�id,ate^
639--4171 DATE ISSUED: 05/21/9
PARCEL: 2a104AC--MH '0E-
SITE ADDRESS. . . : 12494 SW 133RD AVE ZtJNING: R_V5
-:UBD M S I ON. . . . : MOPN I NO HILL 8 . . . . . . . 1206
ILOCK. . . . . . . . . .
�nT______..___-_____....________.______._..__._____.___._____...___...__ _
TENANT NAME. . . . . : FIXTURE UNITS. . . :
_;5A 1\10. . . . . . . . . . s DWELLI Nr !JN I T5. . : 1
s]LASS OF WORK. . . :NEW r
NO. OF BUILDINC:.S: 1
Yp'E OF' USE. . . . . :SF IMPERV SURFACE:. .
1NSTALL TY'-)E. . . . :BUSWR
;enl.�trks :
FEES
C.lwner: ---_---____----______ type 4Mol_mt b,'� date r'ecp
C. J. RYSTADT HOMES F'RMT 4 1900. 00 JLH X13/18/92 -
1?,765 NW CORNELL RD SUITE 100 INSF' !, 35. 00 JLH 0-'/ 18/92 -
i
PORTLAND OR 970:9
Rhone #: 644-8061
:unt v-actor: ---_-__�__ -----•-.___._____----_...
CONTRACTOR NOT ON , ILE
1935. 00 TOTAL
Phone #:
Req #. . : __._____ REQUIRED INSPECTIONS ---
This Applicant agrees to comply With ail the rules and regulations Sewer Inspection
of the Unifitd Sewage Agency. The permit expires 168 days from t:a s e Fina 1 e d
the date issued. The total amount paid will be forfeited if the _ .-_ ------ -
permit exoires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is nct located at the measurement
giyen, the installer shall prospect 3 feet in ail directions from
the distance given. If not so located. the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral. �-
I �.,r•mit tee 5 i q n a t ..i r e : _ (JA-
1 1
11 for inspection _ 639-4175
PLUMBINSY PFRmi'r
"CITYOFTIFARD CAYOFM PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT MENT DATE ISSUED: 05/21/94-7.'
13125 BW Hmil Blvd P.O.Box 23397,Tk mW.Oregon 97 (SM)6304175
SITE All AM'7��G- . . ,SW 1341H AV[.. PARCEL: 2S104AC:�M—H173
SUBDIVISION. . . . : MORNING HILL 6 ZONIN-,: R--25
BLOCK. . . . . . . . . . . 1_01". . . . . . . . . . . . . : 173
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . iSF WASHING MACH. . . . . . . t BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . :R;3 FLOOR DRAINS. , . . . . . t0 TRAPS. , . . , . . . . . . .0
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F=IXTURES-------------- LAUNDRY TRAYS. . . . . . z0 SF-RAJ!,N DRAINS. . . . . : t
SINKS. . . . . . . . . . 11 .11 GRILSE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTUNES. . . . . :O
IUB/SHOWERS. . . . : SEWER LINE' (ft ) . . . . :0
WATER CLOSETS. . :2 WATER LINE ( Ft ) . . . . . 100
711 SHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . i(b
Remarks
OWNERI
F—J. RYSTADT HOMES TJ 1.. 13,80, 00 PLL 0 45/21/92 227
13765 NW CURNFLL RD SUITE 100. 458. 00 PLL 05/21 /92 227
BPLC $ 250. 00 JLH 12./P-7/91 221r"61
PORTLAND OR 97229 B5Pc $ L".21."tM'P L L 05/2-1/92 227
Phone #s 644-8061 BPLC $ 15. 00 PLL 05/21/92 2:?-'
73SDC $ 280. 00 PLL 05/21/90' 22-I'
JDAF41, f, 500. 00 PLI- 05/21/92 i='27
MPRT s 37. 50 PLL 05/21 /92 227
Nam 1? MPLC t 9. 38 PLL 05/21/9p- i-E,
MSF 1. 86 PILL 015/21/92 22,
L:it v P{-'RT s 132. 250 PLL 05/21/92 2K/
Z i p -1h o n e#t 5. E+3 PI-1 05/,21 /92 227
P51
Reg
REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the 'riqard mi..,nicipal Foot /found Insp Rain drain Insl,
L70(le, State of Ore. Specialty Codes and all POSt/Bea(N StIr-I.AUt Water Line Insp
other Applicable laws. All work will )p clone Plo-,t/Ekpam Meehan Appr/Sdwlk Insp
) n ..;ccovdance wtth approved plans. This Plm/undslab Insp Mechanical Fi,)Al
Permit will expire if work is not started VILM/Underf l not, Plumb Final
-ittTT-n 190 days of issuance, r)v, if Work is Mectiantcal Insp Building Final
'.upended f•,r more than 180 days. Pliiml.) Top Omt Erosion Control
Framinq Insp Crawl Drain
Fireplac.e Insp
Gas Line Insp
In-iltlation Insp
Gyp Suard Insp
Huthorized Plumbing Contractor Signato.;rr
Call for inspection 639-4175
Cont riikctor Notess
---
MILMRALARLILP
P �
I" CITY CSF-' T I GARD RECEIPT OF PAYMENT RECEIPT I+iU. s 92-227569
CHE(..'K AMOUNT u 4568. 79
NAME; t ERIC RYSTrADT HOMFF3, INC CASH AMOUNT % IA. Ql0
VADDRESS s 13765 NW CORNELL RD X1100 P'AYME'NT DATE_ e 05/21/92
A.JBr)IVISION
PORTLAND OR 97229--
PURPOSE RPOSE: OF PS,YMENT AMOUNT PAID PURPOc E OF PAYMENT AMOUNT VIA I D
P1.-UMIa I NCS_FBF RM 132. 50
MECHANTCA! PE 37. 50 ST. BUILD PER :31. 41
1-WFR 11P"; 1500. 00 SEWER INSPECT' 35. 00
PARKS SOC 500. 00 STORM DRATN SDC 0181A. 00 F
RESIDENTIAL TRAFFIC F=E ES 1 i E10. hlo MASS TRANSIT T i F FEES :100. 00
1,:496 SW 134TH AVE:
t(1(-.)RNINC4 HILL #A, LOT ,173
l)TAl- AMOUNT PAID - - _ -) 4968. 79
�
{
. I
. �
y CITY OF T mARD - RECEIPT OF PAYMENI RECEIPT NO. ,91-ezle61
NAME , ERIC RYSTADT HOMES CHECK AMO NT , 2501, 00
ADDRESS , 13765 NQ CORNELL RD. , ¥1■@ CASH AM0(g7, , 0. 00 )
PORTLAND. OR pH,YaENT DATE , 12/27/91 i
97269- . SUBDIVISION ,
r"URPOS OF PAYMENT AMUUNT PAID PURPOSE OF PAYMENT
\
_ _ AMOUAI PF�iD .CHEc_ k rE -,-1-2-706
_! -§§R ~ 0.
` [
%�.
Tnfm,
MOUNT PAID -
. . .a ..... . ^
. ... . .. . .. ..--