12538 SW 134TH AVENUE-1 1
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12538 SW 134TH AVENUE
IN_ SP$CTION NOTICE
City of Tigard Buildisq Ivepartment
13125 SR Ball Blvd. Tigard, Oregon 9723
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4.171
Inspection:
Footing Plbg. Underslab Mech. Rough-in ( Appr/Sdwlk
Pound. Plbg. Tco OutCas Line FINALS
Poet/Beam Struct. San. Sewer Framing Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
/off
Date Requested: SCJ -? -WI--I' _Tlstset X
AM pM
Address: / f•-J 3 7 ��i, l j Permit fs ----
Builders
THF FOLLOWING CORRECTIONS ARE REQUIREDs
In
Inspectors
APPROVED DISAPPROVED APPROVED SUBJNCT TO AAOVE
Call For Reinsp.
,t
CIT�YOFTIGORD CERTIFICATE OV
COMMU,N ()FTMRD PERMIT OCCUPANCY
13125 SW HW BZ�O�EVELOPMENT DEPARjj&T 0001 #. . . . . . . 3 MST9 t--026:4
Bm 23M,TjgLt,orgpn 07223(5M)M4176SITF ADDRESS. . . . I�?�Lj,,38SW DOW ISSUED: 08,112119pSUBDIVISION. . . . 1 MORNING HILL PARCEL: 28104AC-MH17L2
BLOCK. . . . . . . . . . 3 LOT. . . . 3172ZONJVlGsCLASS OF WORK. INEWIU,TC3012MMF DU INBR5fpno E -
0
DEVELOPMENT V
Box
E
]C:rff11)F:M1tD
S
" L . . . .
Lu 'K 3
U
ASS l' WORK.
L
TYPE or., USE. . .
GRP. R.3
-
OCCUPANCY
OCCLIPA14CY LOAD.Pi?n 4
TENAINIT 11IMP
Remarw
Owner
U.- J. RYSTAD'r HOMF43
13765 WW CORNELL RD SUITE lee
PORTLAND OR 972P9
Phone *u 644—SO61
RY13TADT
13765 NW CORNELL RD SUITE lee
PORTl-nNO OR 97ay)
Phorip fit C-44-8061
('7880
Occul:p"ey of the A(-0(fvv Y-eferancetl huj )t4;rjjj is llel_eb 4_I v ell. tic
the "WtOncv with r I cey'tifie�
OCckipsinry, the State Of 01-vQon Sppqjaity Cold,
-Pferen( tj i-iet-mit wa
an" Lite kMdPr which the 15" the group,
E=:i RE DFI-T)RIMENT
"T,
T NO I NSPur
IS JJL V IC11.11.
114 CONSPICUOUS PLACE'~
INSPECTION NOTIC_F.
City of Tigard Building Department
13125 SIN Ball Blvd_ Tigard, Oregon 97223
Inspectic)n Line (Ref -Phone): 639-4175 Business Phone: 639-4171
Inspection:_____
Footing Plb3. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas_qe FINALS
Poet/Beam Struct. San. Sewer �� -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underflw,r Water Line Gyp. Bd. -Hoch.
Date Requested: O -/.j ! }. _Timet _Z--11N��
Addreee t �c 5 ( y Jlk. Permit to
Builders G.
THE FOLLOWING 14PECTIONS ARE RNWIREQ:
Inspector
Date:
APPROVEO DISAPPROV9D APPROVED SURJRCT To AEoVE
--call call For Reinsp.
ML w a.. ,m .,. •�
INSPECTION NUTICy
City of Tigard Building
7.31.75 SM gall Blvd. Tigard,Department
Inspection Line (Rec•- Ph 639-• Oregon 97223
Inspection:
4175 Business Phone: 639-41'11
Footirg
PM
lbg, Underalab --��----"—
Found. ech. Rough-in
APpr/Sdwlk
Plbg. Top Out Las Ll.ne
post/Bean Strutt. FINAL:
San. Sewer Framing
Post/Ream Neth. -Bldg.
Rain Drain
Insulation
Pl.bq• Underfloor -Plumb,
Water Line
Date AF S a� Z GYP. Bd. -Meth.
Requested:
Address: D i j •, � Time: _-AM
T t h —PH
Builders ` Permit
T11E POLI.OWINO OORRELTIONS ARE REQUIRED:
�----�_—
t
i
i
i
t
Inspector: •�,� '
APPROVED Date.
___—
DISAPPROVED L
APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depar*sient
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Pec-O- -one): 639-4175 Business Phone: 639-4171
Inspection:.
Footing Plbg. Underelabjrn
qh-in Appr/Sdwlk
Found. Plbg. Top Out FINAL=
Poet/Seam St uct. San. Sewer �
Pogt/Beam Mech. Rain Drain Insulation J--Plumb.
Plbg. Jnderfluor Water Lined Gyp. Bd. �r_ ' (Mech.
Date Requested: _ �1-_e�% Tom` — PM
Addrese: Y7�`'� l L� _. P�doiT.
Builder:
----7
17
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L,641_6 x
�_•�„�iL.•r1.e�iL./V4/1 O'Yt.. �,�s�1'/Lt�y'1.%t-+ /1ti:{L{.t�' rte' O'+'v
Inspectors Data:
L APPROVED DISAPPROVED APPROVRE) SUBJECT TO ABOVE
For Reinap.
INSPECTION NOTICE:
City of Tigard Building Departewnt
13125 SN Ball. Blvd. Tigard, Ortq,-3n 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-
Footing Plbg. Underslab Mech. Rough-in Appr/Sdw..k
Found. Plbg. Tap Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framinq -Bldg.
Poet/Beam Mech, Rain Drain Insulation -Plumb.
Plbg. Underfloor slate/r�/Line Gyp. Bd. -Koch.
Date R: T,,r.,ated• -/ 7 1z 'I _"O Ti/mesAN _ /..PM
Addreset "� Petot_�S�'t Q
Builders
THE FOLIAWINa RSC—IONS AM RRQUIRBDt
�.--
LL�:i.�
Q_
0
C " 1
1
Inopectors �.�t.� ?��• L�s't` Dates — �5 --f'1 t--
�._APPIroNID DISAPPRO D AP 'ROVED SURJSCT !'o ASM
Call Por Rwinsp. �y �� D`'
I"PgCLpIU1V t�O ICF,
13126 SW Anll ICity of Tigard Bui.lTlgacddinq pelts=rtnent i
SBlvd. , Oregon
Inspection Lina (Ree-()L 9722
s 639-4175 Business Ph
Inspection; one; 639-4171
Footing _
Plbg. Underslab Meeh. Rough-in
Found. A��t/Sdwlk
Plbg. Tap Out Gas line
Post/Beam Struct. FINAL:
San. Sewer
Framing
Post/Beam Meeh -Bldg.
Rain Drain
Ineulgtjon
Plbg. Underfloor -Plumb.
Water Line
Detre nequ'Pated: - �CYP -Meeh.
Addrese:/ ��� T'isW:
C - ""A!I —--_PM
Permit 1�
BuLLdert �
T� FOLLOWING
RR."_ A_RE - --
_-__�---_ RBQUIRED
-_ — ---�
Inspector: /
Dete:
APPROVtp _-- --
DISAPPROM
APPRWRD SUBJECT TO A8M
______Call For Ihinep.
N� SOON NOTICE
City of Tigard Building DrPartnt
13125 Sq Bal
ll Blvd. Tigard, Oregon 97223
Inepect:.on Line (Rec-o-Phone): 639-4175 Business Phone: 639-4.171
Inspections
Footing
Flbg. Underalab Mech. Rough-in
Found. APPr/Sdwlk
14bq. Top Out Can Line
PI:IAL,
Poet/Beam Struct.
San. sewer Framing
-Bldg.
Post/Beam Mech. Rain Drain �- -
�_fnsulati.on �j _plumb
Plbg. Underfloor Nater Line ��
GYP. Bd. -Mach.
Date Requested, ^ -�
Time: AM
Addroeai '' / PM
Pdri A: ^
Builder,
THE FOLLOWING CTIONS ARE REQUIRED:
----------------
--------------
InsPOctor, --'-�-�-
- Date:
APPROVSD r DIBAPPROVCD
APPROVRn SUBJECT TO ABOVE
Call "or Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
7,aspect Lon:_
Footing P1bg. Underelab Mech. Aough-in Appr/Sdwlk
Found. Plbg. Top Out ~, as Line / FINAL:
Poet/Beam Struck, San. Sever ` Framing^� -Bldg.
Poet/Ream Mech Rain Drain Insolation l -Plumb.
i
Pl,bg. Underfloor Water Line 1� Gyp. Bd. -Mech.
Date Requested•_�� �T -'= AM N
Address: 13`/ Permit
Builder:` --
THE FOLLOWING CORIZTIONS ARE REQUIRED:
— - i
i
t
Inspector:_ -----__--_— Date:__� �!
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
call For Relnsp.
i
INSP$CTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab 6. Roug—h- Appr/Sdwlk
Fot:nd. Plbg. Top Out Gas Line FINALS
Poet/Bn&n Struct. San. Sewer arcing j -Bldg.
Post/Berm Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor slater Line Gyp. Bd. -Meth.
Dare Requested: —tFZ Time: X AM PM
r
Address: �3Lr Permit - 1
Builder:
t
THE FOLLOWING CORRECTIONS ARE REQUIRED-
el
EQUIRED:«
67,
-, /
Inspector: _ Date: b L.5✓ 7/
APPROVED _ DISAPPROVED y'APPROVED SUBJECT To ABOVE
_____.Cal.l For :<einsp.
..........
I
INSPECTION NOTICE.
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-43'75 Business Phone: 639-4171
Inspection: — —
Footing Plbg. Undersia', ---Rech. Rough-in\ Appr/Sdwlk
i
i
Found. Plbg. Top Our FINAL:�--
Poet/Beam Struct. San. Sewar Framing -Bldg.
Poet/Bsdm Mech. Rain Drain u anon -Pluab-
Plbg. Underfloor water Line Gyp. Bd. -Mech.
Date Requested: /� `Tiimees / AMS} / PN
Address:__ ! L/d--� lAzltllt'fs�l �L_/ ld
Builder:
THE FOLLOWING CTIONB ARE RXQOIRRDt
7
do—
(07/-'::
- E
0_gel
i
L'�z•^'-'�-
�� t. s
Inspectors_ m�.�.,.. Dates
APPROVlD �OISAPPROeCO APPRMD SO1l.ItCT TO Awn
i1O&U he M/eq.
INSPECTION NOTICE
"Ity of Tigard Building Departw.nnt
13125 4W Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
i
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. (P-1bg. Toy Out 1 Gas Line PINALs j
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Wateer7 Line Gyp. Sd. -Mech. E
Date Requested: lJi 1 I Time: ', L7 qAM PM
Addreess 23 00 13Lf4' _ Permit #s1�`✓�
guilders V `� "�1' t �t' t_�2 -�7(o
THE POLLOWING CORRECTIONS ARE REQUIRED:
Insnecto
APPROVED DISAPPROVxU APPROVED SUBJECs' To ABOVE
—Call For Reinsp.
NSYECTION NOTICE
City of Tigard Building Depart"w-nt
13125 SN hall Blvd_ Tigard, Oregon 972 3
Inspection Line (Rec-o-Phone): 639-441175 Bu .nese Ph-)ne: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Draln Insulation -Plumb.
Plbg. Underfll),;r Water Line Gyp. Bd. -Meeh.
Date Requested: — ii�";� -"5_ ---Timet AM _PM
-e �e
Address:1 r _�'�✓ Permit ♦sib/
Hui_lder:
THIS PXLOWING CORRECTIONS ARE REQUIRED:
Inspector:
_ „APPR01rED DISAPPRoVFD APPROVED SUBJRCT TO ABOVE
---Call Fnr Reinep.
I
INSPECTION NOTICE
City of Tigard Building Depart3w-1
13125 OF Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: !
/Beam Struat. San. Sewer Framing -Bldg.
ort/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date RegaNtedt �7 i"CJ� OF� Time: PM
Address: Permit #t'�f
Builder:___
M
THE FOLLOW'NG COPRECTIONS ARE REQUIREDs E f
I
f
tnta0etltOct �f _ ---`�!Datet
kl'�PPROVRD AMPROVW /bi1AC'P A/OII!
Coil At M.lnnp.
NSP `TION NOTICE
Citp of Tigard Building Departsse,t
13125 Bp Ball Blvd, Tigaz�l, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phons: 639-4171
Inspection:
Footing —_
Plbg. Underslab Mech. Rough-in
Found. Appr./Sdwlk
Post/Beam Strutt. Plbq' Top out Gas Line
FINAL:
Sar. sewer Framing
Post/Been Mech. R -Bldg.
Rain Drain Insulation
-Plumb.
ib9- erflMi�� Water Line
IUnd—__— GYP• Ed.
Date Requ,eeted:________ ..�j Z -Mech.
Ts
Address: _
5
arm ft
Builders ��
THE MLLOWI RRECTIONS ARE REQUIRED: o
--------------
---_
------
Inspectors
APPROVED - DISAPPROVF'J
APPr WED aUBJECT TO ADM
Cell For Reinsp.
�NSPECfION /�" _
City of TiNOTICE
gard Building toent ( F
13125 Sw Ball Blued. Tigard. Oregon 97223
Inspection Lino (R--O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing ---
Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound.
Plbg. Top out GasLine
_ PJNALt
Post/seem Struct. an. Sewer '
Premi.nq -Bldg.
Poet/Beam Mech. Rain Draio I
Insulation -Plumb.
Plbg. Underfloor ter Lina
Gyn. ed. -Meth.
Date Requested:�y�=f� -� �
Timet
Address:
AM
�aa_- � �i L �''� �e�q�t7
Builder:
THE FOLLOWING qb CTIONS ARE REQUIRED: y J 1 C1� i'j
Inspector:_ —
i Date:
APPROVED DISAPPRO"D
APPROVED SUBJRCi TO ABOVE
_ G11 For Reinep.
Cit of INSPECTION N_ pTICk
13125 Y igard guil
I�Pection
B* "" Blvd. Ti yam,Line (R--C-Phone Ocegon 997223 s 639_4175
inepectione Bueineee Phone: 639-8171
��-�•±±�,��� Plbg. Undereleb i--�•
Mech. Rough-in nd. RAppr/sdwlk
Plbg. Top out Gee Line
Poet/Beam Struct. FINAL:
Hoch.
San. Sewer
Poet/Seem Framing Rain Drain
Insulation -Bldg.
Plbq. Underfloor -Plumb.
Wets. Line
Date Re GYP. Bd.
queetedt_ �j ���— Z Mech.
Address.. 5�-_L— T ime t
,/V
Builders
TNS ?'OLLO *0 CORUCIIONS A —��
RE REQUIREDs
Inspectors
----- -APPROVED Dates
bISAPPROVEp •-'��
-- APPRWRD SUBJECT To ABOVE
—fall Por P.i,,sp
�,„�„a„� MA5'fER FERMI'fCIT, YOFTIFARD . 11 # . MaT91-063
COMMUNITY DEVELOPMENT DEPARTMENT 014M M �`M . . . . . . .
13126 SW Hrt BNd.P.O.Box 23347.T0W,Oreo^VW(503)634.4176
PARCEL,
;SITE ADDRESS. . . : MORNING HILL 8 5W 134TH AVE ZONING: R-25
SUBDIVISION. . . . : MORNINF172
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . • - . __------.______._._______.._.______.___.
--_____._____________---___--------- BUILDING ------
DWELLING UNITS- 1 G�ASF_MENT. . . . . . . . :V1 sf
REIGSUE:
GARAGE
--- GARAGE. . . . . . . . . . :616 sf
I: BEDRMS:4 BATHS:3
LA5 ( REQUIRED SETBACKS - - _- __
_
t OF USE. . . : TF F1..OaR AREAS _ yf LEFT. . : 12 ft RIGHT. : i@ ft
IYFE OFCONST. FI RSf. . . . : 1302
(1CCUPANC.Y GRP'. :R:3 SECOND. . . : 109 a fi F F.ONT. : =1Z1 ft RE AR. . :c0 f t
TH I RD. . . . :0 s f 5 REQUIRED-----------__---____
HEIGHT.. c '32 sf SMOKE DETECTORS- '-Y. X2Ft TOTAL -3
_.____._.
LOOR LOAD. . . . :40 ps f VALUE. . . . . $: 121 120 PARKING ST'AC LS. . :
Remarks : __-- -- PLUMBING
----______.__---------__ DRAINS, 1� _-L•AACKFLOW PRE VNTRS. . :0
3INKS. . . . . . : 1 E 1_OOR . . . . . . . . ,
L-AVATORIES. . . . . :4 WATER HEATERS. . . : 1
TRAPS. . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 L:A1GF1 BASINS. . . . . . . .
��
WATER CLOSETS. . -3 SEWER LINE (ft ) . :0 GREASE_: T RAT'S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE: DISE'---:1 RAIN DRAIN (ft ) . :0
WASHING MP(:H. . , : 1 SF RA N DRAINS. -:1 FE=ES -------- ------
___ - MECHANICAL -----------------
FUE=L TYPES-- UNIT HTRS. . :0 type-~ amoi_tnt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF f 1;39111. 00 .JLH 04/23192 -
MAX INPUT:O ETU VENT FANS. - :4 BPFRT f 4AEi. 00 JLH 04/23/9i:-_' -
F URN ( 100K . . :0 HOCD�=. . . . . . : 1
BPLC f 317. 20 JLH 12/E7/91 ;'21c:`ib
FURN ) =100K . . : 1
WOODSTOVE:S. :O B`;PC t, X4. 4.0 .JLH 1714/w3/9E
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 290. 00 JLH 04/23/92
PARK f 500. Lh0 JLF' 04/23/y2
-
BOIL/CMF' < 3HP:0 OTHER UNITScO MPRi f 00. 5171 JLH 0412:3/92
GAS OUTLETS: 1
E't-C f 10. 13 JLH 04/23/92
-
Owner: M
--- -_.__. _._________ M5PC $ 2. 03 JLH 04/x3/92 --
E=. J. RYSTADT HOMES (-,PRT f 155. 00 JLH 04/23/9e -
13165 NW CORNELL RD SUITE: 10171 P5PC f 7, 75 JLH 04/23/92 -
PORTLAND OR 972.29
Phone #: 644-9061 --�_
Contractor:
E. J. RYSTADT HOMES
1.3765 t`IW CORNELL RD SUITE 100
PUR7LAND OR 97229
Phone #: 644-8061 -------.-----------------------------
Keg #. . : 67990 f 321715. 01 TOTAL
This permit is issued subject to the regulations contained in the
RLUU 1 READ INSPECTIONS --------
Tigard Municipal Code, state of Ore. specialty Codes and all other Foot/found Insp Fireplace Insp
Gas Line
sP
acc
post/Beam StrUct
applicable laws. All work will be done in not staartedwwithinp188ed T'ost/E.+eam Mechan insulationInsp
plans, this permit will expire if work is not s
days of issuance, or if work is suspended for sore than 188 days. pim/UndslaboInspOr- RapnBoard Insp
/� ��- �l1 Mech..,nical Insp Water Line Insp
'01- Vittee SiLlf� lt" �' l.�G .I��riL +�.��Utr Plumb Top Out Appr-/Sdwlk Insp
F=raminn Insp Mechanical Final
"Jed .y :
Call for inspertinn - 639-4175
CITYOFTIFARD CITSEWER CONNECTION
Y Two PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT omimoon
+-'ERMI T #. . . . • • • ' SWR9c i��Ou.Rt
13125 SW FWI Blvd. P.O.Bar 23307,Ti9mM,0r89W 07223(SM)430.4175
SITE ADDRESS. . . : 12538 SW 134TH AVE. PARCEL: 2S104AC—MH1ic
SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-17:.15
BLOCK. . . . . . . LOT. . . . . . . . . . . . . : 172
TENANT NAME. . . . .
USA NCI. . . . . . . . • • : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL I NGUNI T 1
l YNk: OF' USE. . . . . :SF NO. OF 91:I LO I NGS: 1
INSTALL TYPE. . . . :HLJSWR IMPERV SURFACE. . : sf
Remarks :
----------------- FEES
i:-. J. RYSTADT HOMES -- —_�_--`_— tyt3e .amount by date recpt
X33765 NW CORNELL. RD SUITE 100 PRMT $ 1900. 00 JL_H 04/23/92 —
INSP t ;5. 00 JL_H 04/23/92 --
t-,ORTLAND OR 97229
t-!hone #: 644--8061
+-ontractor: -----------.---_--_—._---_
CONTRACTOR NOT ON FILE
--------------------------------------
Phone #-, 1935. 00 TOTAL
Keg #. . .- _—.--__-- REQUIRED INSPECTIONS --_--__
This Applicant agrees to comply with all the rales and regulations Sewer J"Spec:t i on —_...
of the Unified Sewage Agency. The permit expires 180 days fromthe date issued. The total amount paid will be forfeited if the
persit explrCs. The Agency does not guarantee the accuracy of the
side sewer l..terals. if the sewer is not located at the measurement ------
given, the installer shall prospect 3 feet in ail directions from -----------
the distance given. If pct so located, the installer shall cuurcfiase -------
a 'Tao and Side Sewer" Permit and the Agency will install a lateral.
I>ermittee Signature - U4— -----
Issued
1ssued By :
Call for- inspection 6.'j9-41 75.
ISSUE >: 04/,-;�:3/22
PLUMBING PIE RMIT
CITY C* TINA RD cnyOFTWAND iOE RM I T #. . . . . . . : MST91-0263
COMMUNITY DEVELOPMENT DEPARTMENT moon
13126 SW HWI Btvd P.O.Sm 23397,TigaM,Oregon 97223(603)6394175
I T'E ADDRESS. . . : 1 1'5313 SW 134TH AVE PARCEL.t 2S104AC - MH172
SUSDI VISION. . . . INORNING HILL. 8 ZONING: P-25
BLOCK... . . . . . . . . . LOT. . . . . . . . . . . . . : 172
CLASS OF WORK. . eNEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . sSF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . .-O
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . ;I. . . . . . . . . :0
STORIES. . . . . . . . v2 WATER HEATERS. . . . . . z1 CATCH BA NS. . . . . . . r0
FIXTURES---____..__._____ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . e GREASE TRAPIC. . . . . . . 30
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . -3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . -O
Remarks
OWNER:
E. J. RYSTADT 1-40MES TIF" t 1380. 00 JLH 04/23/92
13765 NW CORNELL RD SUITE 100 SPRT 1 488. 00 JLH 04/23/92 -
>`PLC
SPLC $ 317. 20 JLM 12/27/91 221216
PORTLAND OR 97229^ B5PE $ Z'4. 40 JLH 04/2'3/92 --
F'nons M: SSDC $ 280, 00 JLJ1 04/23/92
PnRK $ 'jOO. 00 JLH 04/23/92
V-Iulflbing Contractor: ------ MPRT $ 40. 50 JLH 04/23/92
MPLC $ 10- 13 JLH 04/23/92
t4ame:— MSPC $ 2. 03 JLH 614/23/92'
Ad d r v s s c PPRT $ 155.-00 JLH 04/23/92
C i t y 2.�A A.- 1:15FIC $ 7. 75 JLH 04/23/92
zipt
Reil #i
REULITRED INSPE'CTIONS
This permit is i%si.ted sktb,jeq-,t to the v eq.
Ulatl,Z;n-. COTItainc-yd in thk. Tiq.Av-d Munir-ipsl Foot/Found Insp Rain drain Ins(
Code, State of [Ire. Specialty (:odes and all Prat/Beam 5tt,jj(-t Water er Line I v)sp
other appl icAble laws. All work wl 11 be done Vlost/Sf-am Meehan Appr/Sciw I k Ir►sF
in accordance with approved plans. This Pllm/,-lndc; lab Insp Mechanical
permit will expire if work iq not stert-ad FIL.M/Under9 oor PAtimb Finpi
within 180 (Jays of issuance, or if wovk is Mechaniral Insp Building F i:iai
%i.1s(.)rndPc1 for more than 180 days. PlI.Amb T-)p Oftt Erosion Cuntr,
FramJnq Insp Crawl Drain
Fireplace Ivi%p
GA,, Line Tntip
Insulatinvi Insp
Gyp Board 11-1:3p
mbeho CwJractor Signat-i) P
Call for Jnspszi,-.tion 639 -4175
contractor Notest—
M AM Lt: OITY OF TIGARI) RECEIPT OP PAYMCNT r4t-:CFIP'T' NO.
';456
10Mr,43 AM(JlJNT n 481)o. 01
H AMojjNT s 0. 00
PAYMEN f DOT ' 04/21/92
SUBDIVISION
OF PAYMENTAMnUNT PAIL) PLIIZPC)Sr--
OF PAYMENT AMOUNT F)A 11,)
M MECHANICAL P 488. 00 L
PE
PLONCHECK FE I ST. etjl,,L)
A R .
00
NSPCC 77. 33 p 013A
BEWE 41. 18
PAf-;- SDC 35. me, RE SI Dr-.*N T IAL. -rRIFFIC FErE-, 19oo. 00
TRANSIT Tj v,, r-'[-F 500. 00 STORM DRAIN SDC' I F.180. 00
2,80, 00
172 bLIORNJNG HILL #8
'-'536 SW 134TH AVE
AM011141' PAID
i
CITY OF T I GARD RECEIPT Of PAYMENT RF CC l PT NO. 391-221256
CHECK AMOUNT 250. 00 �
WAML a ERIC RYSTADT' HOMES CASH AMt]UNT a 0. 00
;a1�C FtE?Eire .
13765 NW CORNEC.L RCD. PAYMEN'T DATE e 12/27/91
PORTLAND, OR OUDD I V I S)ON
W1.1RPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PPYME N 1' AMC)Q T PAID
FLAN CHECK F'E! 12-82R 250. 00
,I
'! ( 1'AL AME)UNT P 1.U — _ _ _y 250. 00
I