14341 SW 134TH DRIVE I
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14341 SW 134th Dr4-1 ""
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I� GEROFTIGAMMUNITY DEVELOPMENT DOCCUPANCY. . . . I
. x LCrrf!OFD f�EFiM I'T' #. , . . . . . I M�a1`91-01322EBWFiWBMdP.O.��7,TippArpon p�(!"7)l3a417b .
Df).UE 15SL1F.i�a 918/14,92
fi I Tf� ADDRESS. . . I 143,41 SW 134.41( DR
�:iUE1DIl1I$IC1N. . « „ a T'IfRFE MOUNTAIN ESTATES pAhZC!,L.a i2Sl09AB--Q)2300
PL.00F;. . . . . . . . , . I Z.C7lV11VCi: R—'7
I..CJ'1". . . . . . . . . . . . . a fa
CLASS OF WORK, INEW
TYPE. OF l.It1F-. . . �SF
OCCUPA14C;Y URP. s R3
OCCUPANCY 4
1 LINANT NAME. . , c
Ripmork s I
ROBERT' N AND HELEN M H(4NGON
•L'120 WCDGEWOOD DR Sp
()I_Yhlpll-) WA 98501
V,hone of
Cant rac•t or a
CONTRACTOR NOT ON FIL.E
1-finflo 0'.
keR 1P. . I
Urrupanr.y of the "I"v" referene'r•d huilding i .+ Flerehy Oven, and
certif'iels
the C-dmplianc-e with the Stjata Of Oregon Sper_1.:�tty CociO en, + fie
occ ��ppTy�y, and �.iee ��rlcler wflicPl the refer^eT�L:tpd permit w�,; i �sk,pd,
y
F"IRE DEPARTMENT
_ �.1
D.'NG IN _ R
Or-
ALI 11_I.►I OFF=I C..:
POST IIV C:ON8PI[;U0(.J!3 pl_f4CE
City of Tigard 1lui ldi•.g Dopartasent
1312S SK Hall Blvd. ^igard, Oregon 97223
Inspection Line (Rec-O-Phune)s 6' �-4175 Business Phones 63y- :171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Tt p Out Lis Line FINALS
Post/Beam Struct. San. Sewer Framing Bldg.
Post/Beam Mech. Rain Drain Insulation
i
Plbg. Und, rfloor Water Line Gyi:• Bd// -Mach. 1
Date Requested: Z Timev191 � , AM )� PM
Addresss��Z 3 Permit _ --�- ""�
Builder:
THE FOLLOWING CORRECTIONS AAE REQUIRED:
Inapectc.rs J�� Dates p �- 7�-
y APPROVED 11IBAPPROVED APPROVED SUBJECT TO ABOVE
_Cali For Reinsp.
INSPECTION NOTICE
City of Tigard BuildIM Departsmt
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone 171
Inspections_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
i
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Draln Insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requesteds � 7 Timet 11M PN
Address: / 3 / Permit i 2.1
Builder t
THE FOLLOWING OORRECTIORB ARE REQUIRED:
Inspect`o�t Dates_'?"—
awl APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITYOFTIFARD ,� „�
COMMUNITY DEVELOPMENT DEPARTMENT ��e
13125 SW Hall BNd P.O.Bat 23347.Tipud.Ornpon 97M(609)63p 4176
--� 1101N 'E MIT
PERMIT #. . . . . . . .. PL1192 "Zi Vl'-.
639-4171 DATE ISSUED! 05/13/92
SITE ADDRESS. . . : 14341 SW 134TH Dig PARCEL.: 2511a9AN--02.:`;"
SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
b__ ______________ ___.______._____._____--
__
CLASS OF ---•-----------------___OF ',JORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. '.
TYPE OF USE. . . . :SF WASHINGS MACH. . . . . . . : BACKFLOW PREVNTRS. . si
OCCUPANCY GRP. . :R3 FLOUR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . " :
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES---------------
LAUNDRY TRAYS. . . . . . : 5F RAIN DRAINS. . . . . :
SINKS. . . . . . . . URINALS. . . . . . . . . . . . . GFEASE. TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
IUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :
10TCR CLOSETS. . : WATER I.._I NE (ft) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remar)(9 : SPRINKLER SYSTEM
FEES -----------------
ROBERT
--------------"ROBERT HANSON type amount by date r-ec-pt
1434: SW 134TH DR PRMT is 15. 00 JLH 0c /t 3/9r
$ 0. 75 JLH 05/13/92
TICARD OR 97224
Phone #1: 624-2941
UWNE_R
I.-)hone #:
f 15. 75 TOTAL
Reg #. . : 00000 ----,_-
_______ R<rL1UIHED 1NSF'EC'flONS --
This permit is issued subject to the regulations contained in the Final Inspec-tion
Tigard Municipal Code. State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started ___ - ---- - - -
within 180 days of issuance, or if work is suspended for more -- --- -- - ---
than 180 days.
Perm x t t e Si
Byt
Call for inspection - 639-4175
Permit No: . - _ �- •;,
r Address:
- Issued b
'� • Y: Date:
••• / FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701-055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box JA or 3B:
1 . [--P= I own, reside in, or will reside in the completed structure.
2. —� 1 understand that I must register as a construction contractor it the structure is sold
or offered for sale before or upon completion.
3. A.L_ _] My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on the struc-
OR ture must be registered with the Construction Contractors Board.
3. B. [_ ] I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above information Is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverso side of this form.
Signature of Permit Applicant UP e
CONSTRUCTION CONTRACTORS BOARD
0244J 8191
WHITE COPY TO ISSUING AGENCY PERMIT FILE
FINK COPY TO APPLICANT
T 16ARn RECE I C�1' Cl1" F�AYh+E.N'i f2E C.rE"I F'T IVfJ. a 9'—2w
CITY OF w.. 716$ .
1JAMC x 14ANSQN, RUDEST CASH AMOUNT x 15. 71.3
ADDRKSS a 14341 SW 134TH DR PAYMENTDATE Olii 13/9
SUBDIVISION :
TIGAR1D, OR 57224-•
PURPOSE OF PAYMENT AMOUNT BAIT► PURPOSE OF PAYMENT AMCIUNT FAIL
x—.a
i
o .
SPRINKLER SYSTEM
'turf Al_ AMOUNT PAID — — ) 15. 75
INSPECTION NOTICE '
City or Tigard Building Department
1312S Sw Hall Blvd. Tigard, Oregon 97223
Inspection Lire (Rac-O-Phoneys 639-417S Business Phone: 639-4171
lnspoction:
Tooting Plbq. Underalab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line PINALt f
Post/Beam Struct. San. Sewer Framing Bidg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line / Gyp. Bd.
Date Requestodt /�--� 3 'i1-� Time: �/�-- AN PH ,+
Address t L / / —3 Permit #
Builder: - G
THE FOL►.ONI,W OORRECTIONS ARE ROQUIREDt ,
' --
JF F
,/n•�� mac.y
67
�r
1 VV/
I
a
J
i
Inspectors ����.,� Datet_.7,
APPROVIM r DISAPPROVED APPROVRD BUBjZICT TO ABOVE
Call For Reinsp.
r
I��iION NOTI4B
City of Tigard eaildieg Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections _
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINALS
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation �-Plumb. _)
Plbg. Underfloor Natwr Line Gyp. ed. -Hoch.
Date Requested: -.::P_3 Times AN PH
Address s 1 ���/ f � Permit f: �z
TBS FOLLONING CORRECTIONS ARE REQUIREDs
-- 1
I
Inspectors Dater �3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Mainap.
.a.
INSPECTION NOTICE
City of Tigard Building DepnrtMent
13125 ON Ball B1 . Tigard, Oregon 97223
Inspection Lina (Roc-O-P 39-4175 Business Phone: 639-4171
Inspection: -
looting Plbg. Un "slab Mech. Rough-in ppr/Sdwl�_
Found. Plbg. T p Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor .Water Lina Gyp. Bd. -mech.
Date Requentad(s� `I /;L / Times AN ) PM
Address s // permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A
i
'23
In• tor:_ Data:
�PPROVED __ DISAPPR APPROVED SUBJECT TO ASM
Call For Reinap.
INSPEcrIOK NOTICE
Citi Of Tigard Building IDepartsmant
13125 Bw Ball Blvd. Tigard, Oregnn 97223
Inspection Line (Roc-O-phones 639-4175 Business Phones 639-4171
Inspections_
Footing --1
Plbg. Underslab Mach. Rough-in 4ppr/Sdwlk 1
Pound. � .
Plbg. Top Out Gas Line FINAL:
Post/Beam Dtruct. San. Sewer Framing -Bldg.
Post/Boam Moch• Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linee� �7 Gyp. Ed. -Mach.
Date Requested:,_ ) �/
Time. AM pM
Address: lel/ ---
Permit 1:
Builders
a
TBE FOLLOWING CORRECTIONS ARS RIQUIRED:
alA
el rn"
' ems. _
CIA
1
Inspector: _ Oats:
APPROVED DISAPPROVE APPROVED SUBJECT TO ABOVE
Call For Rainsp.
I
I
tNBPECTIOI�OZ I�
City of =igard lsildiog p97223
13125 SM Ball Blvd. Tigard.
Insprstion Lina (R_-O-Phone): 639-4175 Business Phones 6 9- 1
impactions
Plbg. Underslab Mech. Rough-in Appr/sdwlk
Footing
Found.
Plbg. Top Out Gass Line FINAL:
Pont/Seem struat. San. sewer
Framing -Bldg.
Post/Beam Mech. Rain Drain
Insulation -ply.
-Mach. PH plbg. Underfloor water LLna Gyp. Bd. Time: i
Date ReWsateds ��
_�� —. .
�CL permit #:/
Addreass 2a�_�
Builders
:�= __/ .. ..........
TM FOLLOWING CORRECTIONS ARE REQUIRED:
i
i
i
I
Date:
InapactOrt
APPROVED DISAPPROVED _ APPROVED SUBJNM 4b ABOVE
Call For Reinsp.
r
INSPRCTION aic-?,
City of Tigard OMLLMA9 DePartm—t
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone. 639-4171
`1
Inspection:
!mating Plbg. Underelab Mach. Rough-in Appr/Adwlk
Pound. Plbg. Top Out Gas Line FINALc
Poet/Beam Struct. San. Serer framing -Bldcy.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line G . Bd. -Kech.
Date Requested:, Tfae: AM PK
Address: L L Permit is
v
Builder: _
ii
TNR fOLLONING CORRECTIONS ARM RMQUIRMDS 1
i
Z
Inapactoc: �- � Date:
APPROVED DISAPPROVED APPROVMD RVHJRCT To ABOVE
Call For Reinap.
City of Tigaa+d Bd Ij�
13125 BW 8x
Inspecti11 Blvd. Tigard, Oregon 97223
on Line (Rec-O_Phon,e): 639-4175 Business Phone: 639-4171
Inspection:
Footing —
Plbg. Underslab Mach. Rough-in
Found, Appr/9dwlk
P1bg' Top Out Cao Line
Post/Beam etruct, FINAL:
San. Sewer Framing
Post/Beam -8167.
Hoch.
Rain Drain IneulatiOn\
Plbg. Underfloor R -Pl:Ab.
Water Lina
GYP. Bd.
Data Requested:_ �% �,/ f/ Time: �-/aech.
Address-���L�/ . I�._ -- AN _ PM
--
Builder: Pernitz
THE FOLLOMINo ODRRgcTIONs
ARE RaQUIR80:
i
Inspector:
Datat
rAFPApy=p
DI3APPROVRD APPROVRD Sfj"CT TO ABOVS
______Call For Rai,vp.
sEBPEcriDB NOTICE
city of Tigard Building Department
1312: sO Bal1 Blvd. Tigard, Oregon 97223
Inspection Line (R,etn-O-Phones 639-4175 Business Phone: 639-4171
Inspections a
Footing Plbg. UnderslabM�ioh. Rough-i.n hppr/Sdwlk
found. Plbg. Top Out ` Gas Link, FINAL:
Post/Beam Strut. San. awer framing -Bldg.
Post/Beam !loch. Rain Drais, Insulation -Plumb.
P).W. Underfloor Nater Line / Gyp. ed. -mach.
Dave Requesteds -�_� 7 Times 71M,{ PM
Address, 3 L /3 V Permit
Builders
TM FOLLONIMO CORRECTIONS ARE MUIRSD: C•� /Z`7�—
Inspectors 4 Des es ✓/'��'I
APPRO'VRV DISAPPROVED APPROVED SUBJECT TO ANMR
______Call For Reinsp.
INdPECTION NOTA
city ofg SigBrd Building DOregone97
13125 ew Bs11 Blvd. Sigrid, Oregon 97223
inspection Line (Arc-o-•Phone)s 639-4175 Business Phones 639-4171
Inspections
lootina Plbg. underslabMech. Rough-ic�� Appr/Bdwlk
Found, Plbg. Top Out as L n r� FINALs
Post/deal Struct. Ban. Bever framing -Bldg. I
Post/Bees Mach. Rain Drain Insulation
-Plumb.
Plbg. underfloor Mater Line / Gyp. Ed. -mocch.
Date RoWested s / l y t! TAY "A ,` _OAK PN
Addreus Permit if
Builders
TBE FOLLOWING CORRECTIONS ARE X UIREDs
Cn
�I
Inspectors /� Dates�'�� L
APPROVED DISAPPROVED APPROVED SUBJECT T'_ ABOVE
r Call For Reinep.
City of Tigard Bn
13175 Bw Sall Blvd. d� �p�t
223
Inspection Lin. (Roc-O-Phone)r 6391 41 5 Businessm s7 Phone: 639-4171
Inep.ctions
Footing Plbg. Underelab Mach. Rough-in Appr/Edwlk
Found. Plbg. Top out gas Line
FINAL:
Poet/Beam Struct. Ban. Bawer Framing -Bld
g•
Post/Beam Nech• Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line gyp. Bd.
-Mach.
Date R.quast.d, � Times
7— __Am
PM
Adar..p• (Permit
Builders r
TBS FOLLOWING 00RRECTIoM6 ARE REQUIRED,
u
f
I
Inspector:_
—.—�_ Dat.,
APPROVED DISAPPROVED
APPROVED BVBJECT 1'O ABOVE
_____Call For Rein.p.
i
INBPECTION NOTICE
City of Tigard BeilAl DepartMOOt
13125 M Ball Slid. Tigard, Oregca 97223
Inspection Lina (Roo-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Koch. Rough-in Appr/edwlk
Found. Plbg. Top Out rias Line FINAL%
Post/Beam Btruct. Ban. Bower Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. ad. -Meeh.
Date Requested: �,�/� Times AM PM
Address% / az /�7 ��_ i Permit #.--9
Builder: D
TBE FOMOMWING CTIONB ARB REQUIRED:
0
Inspecto s Date���� 9�
APPROVED DIBAPPROVRD APPROVED SUBJECT TO AnMg
Call For Rsinsp.
INSPECTION IMICE
Cit? of Tigard Beildiag Department
1312s Ew Hall Blvd. Tigard, or+egoo 97223
!inspection Lina (Roo-O-Phone): 639-4175 Buaireas Phone: 639-4171
Inspeation: ��Y epI�-G�
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bs.= Struct. San. Sewer Framing -Bldg.
Post/Bear Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Mater Line Gyp. Bd. -Hoch.
Date Reque
s
ted: l I�_ � Time: _X
AN PH
Address: ti f �`i Permit i:-[� --
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector: Date: /
APPROVED DteAPPRDVED APPROVED SUBJECT TO ADOVE
Call For Roinsp.
....ter.., .. 'gN`;M'iM!1!'.m",,m��wulMN+'Vn�°a",�,N"�"r"�"""t'�R?t9`�" ,,,;,: :., ra•W:'Amort"iT-vantlwr�W'?'7�MF.M' 1�X5x'.ro+Mere!q.•.n+•......,.,e,..
I
:;.•. ...•tiN.'.ki4IS�AiWfllm+.rx....,....
�NatBCTlcu NOTICE
Citi Of Tigard Baildlog pepaetnumst
13125 Wcall Blvd. Tigasrd, OeIWM 97223
Impaction Lim (Rec-O-Phuna)t 639-4175 Business Phones 639-417
Impactions
looting Plb9. Underalab Mitch. Rough-in Appr/8dwlh
Found. PlIF9. Top Out O&P Lina
lINALe
�Poat/Beam etruct. Ban. Bawer Framing -Bldg.
st/Bean Nech• Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line
Oyp. Bd. -Meeh.
Date Requested,_ �-"
Times AN PM
Addresas ^- _
-�/ y Permit #:�
Builder:_ qt.►.S h
TBE POLLOMINO ODRRaCPIONS ARE RRQUIRSDs
Inspectors
Dates G ��
APPRMD
DISAPPROVED APPROVED BUBJtCP To ABpYB j
call Por Reinep.
1
INSPICTICM IIOTICB
City of Tigaed E_il M Oepartsasat V
13125 Bw Hall Blvd. Tigard, Oregon 97229
Inspection Line (deo-O-Phones 639-4175 Businese Phones 639-4171
Inspections
footing Plbq. Underslab Mach. Rough-in Appr/sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. Better Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
bq. Underlloor Nater Line Gyp. Bd. -Mech.
Date Requested: e ~1-3 Tim6} /� PH
Addresses l L/3Ll/ 13 VY-4— Permit 1 s
Builders
THI FOLLOM OORRECTIONs ARK REVIREDs
I
Inspects _
_ Dates
APPROVED DISAPPROVED APPROVRD SUBJZ%-T TO ABOVI
Call For Reinsp.
a'i
..... .._,:.a�w4 "e,.f'.i.i:. .uq aus�::o. - r..:_w'.:Awl++vM.wtirlYb.YiY:e::YM�M1aCe'ANF'w'�1tlt.YWl4wYiu=.=I.MWSI6Y�yNP��;W1Y�b4•uWAvwc/MWMw:w .
IN/ IQM WTIC�
City of Tigard Building Department V
13125 M mall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone= 639-4171
Inspection:
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FIWhL= '
1
Post/Beam Struct. a
n. Bower Framing -Bldg.
Post/Beam Koch. ain ) Insulation -Plumb.
Plbg. Underfloor G�!p• Bd• -K�h•
Date Requested= Times
Address: L�1L �[ - s•.rmit _ �/y C//3Z
Builders
TBE FOLLONING "RECTIOlIB ARE REQUIRED= `
�I
Ii
1
Inspector=
'&iPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
_ tR�lalor By.;cs
City of Tigard Build& Do-
13125 SM Rall Blvd. Tigard, Oregon 97223
Inspection Line (ROC-o-PhonG)s 639-4175 Business Phones 639-4171
Inspections _
looting Plbg. anderslab Much. Rough-in Appr/Sdwlk
�nd Plbg. Top Out Gas Line FIMALs
Post/Seam Struct. San. Sewer Framing -Bldg.
Post/Beam .tech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mech.
Date Requested: { -(, - PM
Address: 13 ',7J`fes ,.�--- Permit is /—
Builder: )
TBE FOLLOMIMG (30RRECTIOMS ARE RBgIIRED:
�- �'"¢-�E/liflK /Z�il�.�ril�.•. �� (°.7E�t,CANf�� t�Yvd.�/� �
•NIST
Inspectors Dates
APPVp DISAPPROVED APPROVED SUBJECT TO ABOVE i
Call For Minsp.
j6 c�lU�
..www,wv.�„a.,,n.�:.,a�w�o.,�......._,ww,<.�.,aa,�.y,Ne:;��::M.:��-' ��:.:>.M.u..,.,.�....,,..u.,.....,«.........,,..-..,w.a«....�,.• ...-..,-....._.._..�...,,.....,..�,,..,
INBPRMIGH NOTICZ
City of Tigard Building Deparearot
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roo-O-Phone): 639-4175 Business Phones 639-4171
Inspections
�rootinq Plbg. Underelab Mach. Rough-in Appr/8dwlk
Pound. Plbq. Top Out Can Line FINALS
Poet/Beam Struct. San. Sewet Praming -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
i
Plbg. Underfloor Water Line oyp. Bd. -Mach.
Data Requestods —'7 — /I Times
Addraess �'7 y� / Permit ie"]
Builders Al 54y
TBZ POLLCMINO CORRRCTIONS AM KTIQUIRCDs
/5c,(Arz?l C/rS ilJDr
I
Inspectors 1 Date
APPBDVBO DISAPPP.OVZD APPROVED SUBJZCP TO ADM
__Call For Reinep.
CITYOFTIFARD ./
Cfi1D MASTER R RM i
r0a
COMMUNITY DEVELOPMENT DEPARTMENT ON**" PERMIT #. . . . . . . : ML'T91-01.3 :
13125 sw iwl Bad. P.O.Barr 233W.TkpM,orroon 9(503)530-4175
:ITE ADDRESS. . . : 14341 SW 134TH DR PARCEL: �51u�'�I�aD-rt1:3 5Q�t'
SUBDIVISION. . . . : THREE MOUNTAIN EdTATES ZONING: R-7
6LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
. BUILDING _______-__..._-----__--___---__-_-.-_____...
RE 1 SSI lE: DWELLING UNITS: 1 BASEMENT.. . . . . . . . :ki s f,
,.:LF-ISS OF WURK. :NEW BEDRMS:3 BH THS:3 GARAGE. . . . . . . . . . :886 s f
rYPE OF USC. . . :SF FLOOR AREAS—- _.______-_._ REQUIRED SETEACKS--_w__...--_..__
CYPE OF CONST. :5N F1 PST. . . . s1609 S LEFT. . :7 ft RIGH-r. :7 ft
OCCUPANCY GRP. :R3 SECOND. . . .- I'365 S FRONT. :2 0 ft REAR. . :26 ft
STORIES. . . . . . 2 THIRD. . . . -.0 s f REQUIRED--------------------
iE
EQUIRED-----------._--_--
IE I(3H') . . . . . . . . .20 ft TOTAL-------------: 3371 S f SMOKC DETECTORS. -Y
LfJOR LOAF). . . . :40 ps f VALUE. . . . . $ : 171188 PARKING SPACES. . :O
Ilemar'ks :
PLUMSING
iINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTIRS. . :lr
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
�'US/SHOWERS. . . . -4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSE~TS. . :3 '.FEWER LINE (ft) . :0 GREASL TRAPS. . . . . . . :N
)1SHWASHERei. . . . - 1 WATER LINE (ft ) . : 10121 OTHER F t.(TURES. . . . . :0
ARHNGE. DISP. . . I RAIN DRAIN (ft) . :0
WASHING MACE•,. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL - _._____._______. _ ----------------- FEES -__.__._..._. . .. _
FUEL TYF'F_S___.____.__._-..- UNIT HTRS. . :0 type amount by date recpi:
/GAS/ / / VENTS . . . . . :0 -f IF • 138121. 00 JLH 07/10/91 -
MAX INPUT :O PTU VENT FANS. . : 4 BPRT A 613. 00 JLH 07/ 1121/91
; URN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 3q8. 45 JLH 07/03/91 214i-j&
FURN ) =100K . . : 1 WOUDS i UVL_` . :0 B Ji l $ S0. E,'', JLH N✓/ 1�/J� a 1
--LOUR FURN. . . . !0 CLO DRYERS. : 1 SSDC $ 375. 00 JLH 07/10/91 -
POIL/CMS' < :3HP:O OTHER UNITS: 1 PARR $ 500. 00 Jl_.H 017/10/91
GAS OUTLETS: 1 MPRT $ 45. 00 JLH 07/10/91 -
JwnQr.. MPLC 9 11. 25 JLH 07/1121/91 -
ROBERT N AND HLLUN M HANSON M:al-IL $ `. 2S JLH 0111116191 --
i _'6U WFEIGEWOOD I.�R SE 1 i-1<1 t, 1 /0. 00 JL.H 16 1/ ILA yi
P5PC 8. 50 JLH 07/10/91
ILYMPIA WA 98501.
phone #:
.ont ract or. ____.__-----.------..____-_-__-- --
,7WNER
-bone #:
i f otreit is issued sub fect to the reguiations conteinea in tne -•------ REDU I RED INSPECTIONS
- -----
igard Municipal Code, 51ate of Oro. Specialty Codes and all other Foot/tn,t7d Insp Fireplace Insp
aaal icable laws. All work will be done in accordance with approved Post/Le a m St r uct Gas Line Insp
daps. This peroit will expire it worts :s not started ,tnin lee t ost/E+easpr Mecham lnsl.rlat ian lnyp
jays of issuance, or if Park is s or sere p days. Plm/uncisla:b Insp Gyp Boasrd Insp
PL..M/Undet.fIoor- Rain dreatr Insp
er-mittee Sillnatl.lt— Mer.•,har,ical Insp Water Linn Insp
Plumb lop Out Appr/Sdwlk Inst-
med By : _ Framing Insp Mercti.ilri.'al F"iral
Call for inspection - 639-4175
SEWER CONNECTION
CCITYOF T'IGA RD PERMIT.
�=HERMIT' #. . . . . . . SWR91—V.1156
-COMMUNITY DEVELOPMENT DEPARTMENT oemem
13126$Wwsi9Nd P.o.Baa23W.T*W,OrWn orrb**404 5 ;ATF_' I t3SUE:D: 07/10/'y 1
,ITE ADDRESS. . . : 14341 SW 134TH DR PARCEL: 2S109AH-0r-.'300
SUBDIVISION. . . . : THREE MOUNTAIN EST's+-i L5 ZONING: R-7
HLUCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :6
T ENA14T NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELL_I NG UN!TS. 1
TYPE. OF USE. . . . . :SF NO. OF BUILDINGS: 1
TMSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
� is r,ks:
Owner,: -------------_ ---__--- ---___--_--_ ___.__._.---.______— FEES ----____--.__—_
ROBERT N LAND HELEN M HANSON type amol.tnt by date r`ecpt
2120 WE DGEWOOD DR SE PRMT $ 1500. 00 JLH 07/10/91 —
IN SP f 35. 00 .TLH 07/10/91 —
OLYMPIA WA 9(3"Al
Phone #:
Contrac:tor. -----•--•--_____________________.__
CONTRACTOR NOT ON FILE
Phone #: 1 535. 00 TOTAL
Reg 0. . :
_------ REQUIRED INSPIEC,rIONS
This Applicant agrees to comply with ali the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 121 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Ngency does not guarantee the accuracy of the
side sewer laterals. If the sewer is net 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 'Tao and Side Sewer" permit and the Ace-cv will 11stall a lateral.
' 'or-mit;tee
�d Ery t
Call f'or inspect i nn — 639-417'
I
1
f
w
f�a r fy tt i5 ayt2a� .•yyr� 1 i .+ SYi IpliFa a�4�
'V'
CITY OF T I GARD — RECEIPT OF PAYMENT RECEIPT NO. 191-21519E,
CHECK AMOUNT y 4819. 10
NAME t HANSON, ROBERT CASH AMOUNT 0. 00
ADDRESS t 2120 WEDOEWOOD DR SE PAYMENT DATE o 07/10/91
SUBDIVISION e
OLYMPIA, WA 98501--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM —. 0Q� PL.UME�INQ FERM� 170. 00 4
MECHANICAL PE 45. 00 ST. BUILD PER 41. 40 I<j
FLAN CHECK FE 159. 70 a1 WER USA 1500. 00
SEWER INSPECT 35. 00 RESIDENTIAL. TRAFFIC FEES 1280. 00
00
PARKS SDC 1300. 0Qt STORM DRAIN SDC 375. 00
MASS TRANSIT TIF FEES 100, 00
I;
1434, 1 SW 134TH DR
T Ol Al. AMOUNT PAID - — — —> 46A9. 10
E
t' Permit No: 1 %'
P • •.�� Address:
O
N �'z Issued by:_ Date:
••••• '••• _ __FOR OFFICE USE ONLY-
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can :,e issued. Licensed Architect
and Engineer applicants, exempt from registration ender ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable bianks, and initial box 1 and either box 2A or 2B:
1. (�N I own, reside in, or will reside in the completed structure.
2. A. [`] My general contractor is
Contractor registration number
I .vill instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B. EW9 I will be my own general contractor
If I hire subcontractors, I will hire only subcontractors registered with the
Const-fiction Contractors Board. If I change my mind and do hire a genera!
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information Is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
-rl,31
Is dma-tore of Pe'rmrf Applicant Date
CONSTRUCTIO14 CONTRACTORS BOARD
0244J 1190
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
Py
T"w-- - ..---+T.�.�,.q.--..—r+�vp,.w.,�7T�-waw.R.y--rr'e.'�wi.w.`ti^RPT7'R'lfFilll�.T�•�—'.'•�•�T...r--
APPLICATION - STREET IMPROVEMENVE LAVATION COPY TO:
Q)J (WHITE)-FILE
ORDINANCE NO. 74-14 ® (YELLOW)-INSP.
INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY
( pC( (BLUE)-APPLICANT
APPROVED (x APPLICATION NO.: �—.
NOT APPROVED [] CITY OI' 7IGARD. OREGON FEL AMT.: S 2.00
91-215B25
MENDING FEE. PMT. ❑ CI•TY BALI. RECEIPT NO.:
PENDING SECURITY F- PUBLIC WORKS DEPARTMENT BY I-S.E3, DATE 65 2�1_-
– – – – – – – – – – – – – – – –
PENDING AGENCY ''OK" ❑ Application and Progress Record MAINTENANCE BOND ft
PENDING INFORMATION ❑ POR STREET IMPROVEMENT/EXCAVATION AS REQUIRFU
ANNUAL
PENDING VARIANCE EXPIRATION DATE:
T
PERMIT NO.: _a�.SGz��J DATE ISSUED: BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL ,SANITARY SUIER9ERV E___
LATERAL & TAP AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT __MEL_VIN & ELAINE_ PROPST 141BO S.W. 10310 AVE. TIGARD, OR 9722.E i 639-2403
NAME ADDRESS CITY PHONE
CONTRACTOR MILLER & SONS COI`IMC'PORS R'I'. 5 130X 62,-_ SHERWOOD OR _ # 625-6562 --
NAME AD REBS CITY J .PHONE
PLANS BY _ p� CM ST&NDARD.S & SPECILICATIONS -
NAME ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TCTAL VALUATION ( COST): E ` 3W.CC __.-
DOLLAR;
FOR OFFICE UfE: C:MIN,
(2) EXCAVATION DATA: 0.04 x S 300.00 = S _ 2.00_
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
SURFACE LUT CUT CUT MATERIAL INSTALLED
TYPE LENGTH WIDTH DEPTH ITEM 6 'QUANTITY
NAME ITEM DATE REMARKS/TYPE BY
3TAEET
OPENED
S.W. 1 3RC1 4V[;. (S E A'I'i'A 'NE;i)) INSP
R E TION
�-
O
- U -
ESTIMATED STREET OPENING DATE:— / ^j I I I I ET --
ESTIMATED STREET CLOSING DATE: / / —_ E
_ D
300-29 ST R E E T
(3) SECURITY NO, SECURITY AMT.: $ _ CLOSED
SURETY CO FINAL I
31X ((_HEck X CASH J FOND tNSPEC I _ _
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL RCIVISIONS/CONDITIONS.
FEATURES: EXCAVATION LOCATION AND EXTENT. 1. Notify Carl Vieweg, City
Inspector (#639-4171) 24 hrs.
1 I nI I ) ' before starting work.
work d'0 ' I 1
1 areal r-+ .� I 1 1 2. All work ahall conform to City
Ii,N, 1 1
a Standards & Specifications.
xx
- '' -
'APR I - - - - - x- - _ - - - - - - 3. ORS 757.541-.371 applios
S. W. 103rd AVE _ (re; prelocation of utiliti
4. Traffic control shall be
provided for by the contractor
( I I
5. A hard-surface patch is
I
I 7 .4.. i 1 requi►:ed at the end of each days
work.
(5' NOTE THE CITY CPI I IGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAV JURISDI I ION IS THAT OF WASHINGTON COUNTY OR '-HE STATE OF OREGON
THE APPLICANT AGOTEll TO DEPOSIT THE REQUIRED SEC-IRITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTR-ICTION :iPECIFICATIONS PFRTINEPT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEC� AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
)
APPLICANTS SIGNATURE - (AAn Z �\' ' 1 - . - DATE
CITY OF' T I G'1RD — RECE 1 FST OF PAYMENT RECEIPT Nn. :91-2149r,H
CHECK AMOUNT n 250. 00
NAME a HANSON, ROBERT CASH AMOUNT r 0. 00
ADDRESS s 21:'0 WEUGE:WOOD UR 5E PAYMENT DATE: 07/03./91
BOBDIVISION z
{ OLYMPIA, WO 98501—
! PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT PAID
{ PLAN CHECK FE 250. 0 ►
I
w
t4:341 53W 134*H DR
TOTAL OMOUNT PAID — —> c 50, 00
'rs, r