12410 SW 133RD AVENUE w w wjw
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12410 SW 133RD AVENUE —
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CITY OF' TIVA
� CE F<'OCCUPANC OF RD OCCUPANCY
X x x x rcffOffl6.4RD PERMIT M,. . . . . . . t MS 90-0076
COMMUNITY DEVELOPMENT DEP,# TMW oRMON PRIM. PERMIT #. t PIST90-••0076
13125 SWPjW1Blvd. P.a Box 23397,Tigwd,Oregon 97M(503)839-4175 `- I?ATE ISSUED: 09/04/90
SITE ADDRESS. . . t 12410 SW 133RD AVE PARCEL: 2S104AB-•112600
SUBDIVISION. . . . r MORNINGHILL 07 ZONING#
BLOCK. . . . . . . . . . r LOTe . . . . . . . . . . . . r154
CI..ASS OF WORK. tNE:W
TYPE OF USE. . . t SFF
OCCUPANCY ORP. tR3
OCCUPANCY LOADt1J.8 4
TFNANT NAME".. . . t
Remarks t
1> ANUE:RSON
9363 SW BEiAVERTON H10HWAY
PEAVFRTON OR 97005
Phone #v 297-7666
Contrartort
OWNER/CONTRACTOR
Phone i!:
Reg 0. . # OWNER
0('Cupancy of the akljo�le •refr+rertced building is hereby given, and cep ti f iu—
the compliane* with �;he rotate of Oregon Specialty Codes for the group,
Occupancy, arid ►11re undr•r which the referenced permit; wit% issued.
FIRE: PEPARTMENT BUILDING INSP TOk
BUIL O OF IAL
POST IN CONSPICUOUS PLACE:
INSPECTION NOTICE
/ City of Tigard B iilding Dcpartment
�i P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ �— ty Time— A.M.--P.M.
Address .�L Yl0 l3� r� _. Permit
Owner-_ _ Lot #
Builder H IC
The following Building Code deficiencies are required to be corrected:
Presented to �. >-rpproved
Inspector .�' _ ❑ Disapproved
Date "`
CALL FOR REINSPECTION
YES 1-:1 NO
wwlrw www w ww
INSPECTION NOTICE *
F City of Tigard E!,jilding :Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested !/1 Time--A.M.-P.M.
Address Permit
Owner / Lot #
Builder
The following Building Code deficiencies are required to be corrected:
/ f
t, ,
ifl
-- Ot'iIS
-- ---- J
Presented to �Kpproved
�� 1
Inspector l,U►rl �V, V tL, c Disapproved
Date _ �C
CALL OR RRINSPF,C77ON
VES L] NO
s ■r ■r o s
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
4'
Type of Inspection /•t _-
Date Requested Time A.M. P.M.
Address /,--) �ZZI) � Permit
Owner -
3
_ Lot # �
Builder
ri
The following Building Code deficiencies are required to be corrected:
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a
u
Presented to _ _ .�gApproved
Inspector . U Dhoappntved
Date 0 -z—CLQ
CALL FOR REI ECTION
0 yea � 0
l
I
_ 1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
V/ s
Type of Inspection
Date Requested _ _�— Time A.V P.M.
Address
Permit # -
Owner ! _ Lot #
BuilderThe folloti'rg Building Code deficiencies are required to be corrected:
i
Presented to
i proved
Inspect- _ _ Ll Disapproved
Date
.L 'OR FI FCTIUN
❑ YES 13 NO
INSPECTION NOTICE
City of Tigard Building Department }
P.O. Box 23397 �In'
Tigard, Oregon 97223
Phone: 639-4175
t
Type of Inspection n.—� p - w
Date Requested— ~� Time A.M. P.M.
l
Address 3 _j - Permit # /?15 z!!&
7 4,
Owner y —
Lot
r.
BuilderThe following Building Code deficiencies are required to be corrected:
w�
Ale l21L ✓ TI T7t'G.
Presented to Approved
Inspector �� ❑ Dlupproved
Data
CALL FOR REINSPECTION
YES O NO
AW
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
s;
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _—
Date Requested �lv ^ X10 Time A.M. .P.M.
Address __1.���//� 3 YC� _ __ Permit #e,;k -0 7 r�
Owner Lot #
Builder
The following Building lode deficiencies are required to be corrected:
1 - , /_ L4441 _ '
Presented to roved
Inspector I Disapproved
Date _
CALL FOR REINW EC71ON
U YES O
INSPECTION NOTICE
City of Tigard Building Depa,tment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
�� P.M.
Address I z-q►d y✓ — __Permit
Owner_ _ Lot #
Builder N `eAJo-Lo(Arm V
The following Building Code deficiencies are required to be corrected:
Presented to I A13proved
Insptictor ❑ Dimpproved
Date
CALL FOR REINSPECTION
C] YES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection %' 4) L--
Date Requested ��— ' Time A.M. P.M.
Address �,��1 U /.� Y C' Permit iG -,f:2 74�
Owner / Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
"4LL FOR REINSPECTION
0 YEE LINO
i
i
i
I
INSPECTION NOTICE
;ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
e
T,pe of Inspection
Date Requested �� !� g Time ---A.M. P.M.
Address � ��y . r� Permit
Owner _ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
i
Presented to ' Approved
Inspector /'' �' �_� Disapproved
Date
CALL FOR REINSPECTION
❑ YEs ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of inspectionZ
—
Date Requested �Time /K A.M. -A P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Approved
InspectorfDisapproved
Date
i
CALL FOR REINSPECTION
❑ YES 1:1 NO
I
II
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
� �� Tigard, Oregon 97223
Phone: 639-4175
/ C
Type of Inspection --
Date Requested Time A.M. P.M.
Address _— L���� � - — Permit
Owner _ _ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
t AZ
Presented to — Approved
Inspector Disapproved
Date —
CALL FOR REINSPECTION
❑ YES NO
i
t
I
{
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time—�— A.M._— P.M.
Address �__._�� _,L� 3 r — Permit # i
Owner Lot #
Builder -E'
The following Building Code deficiencies are required to be corrected:
17
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v
r
✓ I
j
Presented to _ Approved r
Inspector _____ __ -___—.__ Disapproved
Date
CALL FOR REINSPECTION
0 YES (J NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 1 '
r
Type of Inspection
Date Requested 7�% l
tma�_ A.M._ P.M.
Address — L /L� Z 3rd Permit
Owner_. AL Lot #_
Builder
eQ r
The following Building Code deficiencies are required to be corrected:
ZZ rc�t_"-r;Ne l�Ct y�, IA.
2C'042 R 3,A C*AeTPS==n
t
3
Presented to � m Approved
Inspector
C..� Disapproved
Date /
CALL FOR REINSPECTION
❑ Yes ❑ NO
CITY OF T'FARD YOFTWMASTER , f:
�!m I T
CffONGWONA FERMIT #. . . . . .. .
1SI 90007GCOMMUN[TY DEVELOPMENT DEPARTMENT
MST90 0076
11125SWHW1Btvd. RO.sox 23307jigard,Cr�97223 1%603)639-4175 F,R.1 M. 0.
G 3 9 131,
SITE ADDRESS. . . : 12410 SW 133RD AVE r'JORCEL: 2G104A1B-- 12(..,00
SUBDIVISION. . . . : MORNINGHII-L #7 ZONING:
BLOCK. . . . . . . . .. . .. LOT. . . . . . . . . . . . . 1154
BUILDING
REISSUE:MST90-0075 DWELLING U141TS: 1 BASEMENT.. . . . . . . . :0 Sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . ::';`:)(:, Sf
JYPE OF USE. . . .-SF' FLOOR AREAS------- REQUIRED SEI BACKS--------
TYPE OF' CONST. :5N FIRST. . . . -. 1.946 Sf LEFT. . :5 ft R IGHT. : 10 ft
OCCUPANCY GRP. 9R3 SECOND. . » :0 Sf FRONT. :20 ft REAR. . .- 15 ft
STORIES. . . . . . . ..0 T 1-11 R J). . . . ..0 S f REQUIRED__,_._..__._._ .___. . ___...___._
HE
EOUIRED-
HE I GHT. . . . . . . . 118 ft TO T A'.-------------- 19 4 6 Sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . 40 VALUE". » . . . 92460 PARKING SPACES. . :O
Remarks:
...._......... PL U M V I N G ---
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . -,0
LAVATORIES. . . . . 33 WATER HEATERS. . . .' 100 TRAPS. . . . . . . . . . .. . . . ..0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :O CATCH BASING. . . . . . . :0
WATER CLOSETS- 12 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . ..0
DISHWASHERS. . . . : I WATER LINE' (ft) . .' JOO OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . cl SF 80114 DRAINS 11.
MECHANICAL.. FEES
F'UEL UNIT HTRS. . :O type AmOUnt by date re 1.)t
/GAS/ VENTS . . . . . :0 PRMI $ 412. 00
MAX INPUT:0 BTU VENT FANS. . :3 P1 CK $ 276. 80
TURN ( 100K . . .- I HOODS. . . . . . 1 5PCI $ (.:'O. 60
TURN )-100K . . :0 WOODSTOVES. iO STDC $ 600.00
FLOOR FURN. . . . :0 CLO DRYERS. el SSDC $ 2150. 00
BOIL/CMF' ( 31AP:0 OTHER UNITS:0 F-IARK $ 250. 00
GAS OUTLETS): I P R,M T $ 36.00
Owners PLCK $ 19. 00
1) ANDERSON 5PCT $ 1. 80
9363 SW BEAVERTON HIGHWAY PRMT $ 1.32. 5O
5PCT $ 6.6".*i .,*
BEAVERTON OR 97005 PAYM $ 100. 00 JLH 03/16/90
Phone #s 297-7666 PAYM $ 1895. 33 JLH 03/16/90
Contractor:
* OWNER/CONTRACTOR
Phone #a
Reg H. . % OWIAIA.
$ 1995. 33 TOTAL
This posit is issurl subject to the regulations contained in the REOUIRED INSPECTIONS .......
Tigard Municipal Code, State of Ore. Specialty Cod" And all other Foot/fol.ind Insp Fireplace Insp
applicable laws. All work will be done in accordance with appruved Post/Beam Insp Ga!; Line Insp
plans. This persit will expire if work is pij% startqjhin 180 Cv a w 1 D(,af n 111%UlAtiOn Insp
days of issuance, or if work is suspended "Veole, I days. Plm/Lindslab Insp Gyp Board Insp
F-11 M/Undp-r f 1 aor Rein drain Insp
Permittee SignattArev t- MpcJianiral Tnsp Water Lille 1114;p
PlUmb Top Out App-r,'Sdwlk Insp
IssLied Ely: V rAming Insp Meciianical. Final
I'm r=-tea
SEWER CONNECTION
CITYOF T11FARD P E R M I T
116PIRD
ORNOM
COMMUNrrY DEVELOPMENT DEPARTMENT PE'RM.i.'T 0. . . . . . . : SWR90 0 0 84
13126 SW Hall Blvd. P.O.Box 23397,Tigod,Oregon 97223(503)M4175 PRIM PERMIT 0. : 11ST90-007f,
�f.iQ—11,I 'l 3 DAT603,467490 ---1
SITE ADDRES,(3).. . . .' 1,241.0 SW 1.33RD AVE P'ARCE'L.: 2SI.04AD 1.2600
SUBDIVISION. . . . : MORNINGHILL #7 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 154
TENANT NAME'.'..
USA NO. . . . . . . . . . :40616 F:'IX'TLJRI'.:. UNITS. .
CLASS OF" WORK. . . -NEW DWELLING UNITS. . .' I
TYPE OF USE.. . . , . :SF: NO. OF' BUILDINGS: 1
INSTALL TYPE.. . . . .BUSWR IMPERV SURF
Rema-rks:
Owlle-r:
1) ANDERSON type? amount by date r c,1.1
')::;E:,3 S W P E A VE RT 0 N H I G H W 0 Y P R MT $ 1250. 00
INSP $ 35.00
HE*AVERTON OR 97005 PAYM $ 1.285.00 JLH 03/1.6/90
Phone #.- 297-7666
Contracto-r:
OWNER/CONTRACTOR
Phone 141 $ 1285.00 TOTAL
Reg It. . : OWNER
REQUIRED INSPLCTIONS ........
This Applicant agrees to comply with all the TUIPS and rpqulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 128 days fToe
the date issued. The total amount paid will be forfeited if the
petait expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the SPWeT is not located at the measurement
liven. the installer shall proapect 3 feet in all directions from ......
the distance liven. If not so located. the n taller sh 11 purchase
a "Tap and Side Sever" Permit and the 4 qen y VW i 9t 11 a lateral.
Si.g1lAtUTe
Pe-rrn i ttee
ISSUedBy: ...........__....... .. ...........
Gall for irispection 639--4175
CITY OF TIGARD RECEIPT OF PAYMENT REC NOi 00107875
CHECK AMOUNT 3171 .33
NAME: MEADOWBROOK DEVELOPMENT CASH AMOUNT .00
ADDRESS: PAYMENT DATE s 03-16-90
BEAVERTON, OR 97005 FLOCK NO,ADDRi
12410 SW 133RD AVE
PUPPOSE OF PAYMENT AMOUNT r'AID PURPOSE Of' PAYMENT AMOUNT PAID
----------------------------- ----------- ------------------------ ----------
BUILDING PERMIT (90-0076, 412.00 PLUMBING PERMIT -------- - .13::.30
MECHANICAL PERMIT x6.00 STATE BUILD PERMIT 'TAX ti5%) 29.03
PLAN CHECK F*FF 176.RO SEWER USA (?O.-OOe4) 1.250.00
SEVIER INSPECiON 33.00 STREET SDE 600.00
PARK'S SYSTEM DEVELOPMENT CH 250.00 STORM DkAlhl SDC 2150.00
TOTAL AMOUNT PAID - - - -> 3, 171.31
4
C11YOFTIOARD cmr AIM PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT �� PLAN CHECK q
13125 S.W.HaN Blvd_P.O.Box 21.797.Tigard,Oregon M23.(=)w"ns PERMIT q /I
DATE ISSUED
ORLSS: U S�' � , 4" _ X MAP/LOT ,1 ' 1 AR -22� o
S ZN.W1_OT: _1 � LAND USE:
-- UA I LUQ- -
----�-- lir ---�
SPECIAL NOTES 1
NAMEE •a.. `T REISSUE OF: tyi7�Yo ° /
ADDRESS: LAST REISSUE:
..� FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
-' APPROVALS REQUIRED_
CONTRACTOR PLANNING:
NAME: ENGINEERING: —
ADDRESS: FIRE DEPT
OTHER:
PHONE: ��y�-,-_ ITEMS REQUIRED
PHI1-DCRS BOARD q: _1� 7 / tXP DATE: �G - — LIST/SUBCONTRACTORS: _
BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: --- — -^_�--- TRUSS DETAILS:
ADDRESS: _ _ OTHER:
PHONE:
COMMENTS: � L ---- -
SUBCONTRACTORS: PLUMB: (�� - '�._ 1)E�' L. -1 ��''1 _
PERMIT q ACCT N OLSCRIPTION AMOUNT AMOUNT PD. BAT_. DUE
/lp f4 - cY. 7G' 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
ItuiIding
Plcmbinq 00
10-433 00 Plans Check Fee C1 ✓ .�.zsr
Building
Plumbing
Mech q11L ✓
_LVO `, 30-202 00 Sewer Connection S v
30-444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC) to Gn
52-449 00 Parks System Dev Charge (PDC) _ S'�' _� S U
31-450 00 Storm Drainage Syst Dev Chrg (SSDC),
10-230 06 Fire
Tot AL .3
RFC q
APPITCANT SIGNATURE
Received By: Date Received: _ - Z / q(,Z
cn/3587P/18P �
� 11w aB>1 � ■r iw s s 1� R
GRADINGIROSION CONTROL. TNFORNl% IO1�(
OBNF.RAL CONTRACTOR NAME&ADDRESS: CASEFI E NO
D. E. ANDERSON, INC_._ PERMTTNO.:
QZF,l QlAl Slnac,crf r,�t lri l!ln FI�rT,
(` n n n x �r17 n n (ter n t;n n 4-7n n�, APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NA ffi A ADDRESS:
unknown
w OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS: --
AMS.ICANT• �17-7 6 6 6 PROPERTY DESCRIPTION:
ow?` ` s amcSIREET ADDRES AND CROSS STREET
GENERAL CONTRACTOR s a rn
EXCAVATION CONTRACTOR, ,
Stf 08-
LEGAL DESCRIPTION:
24 WVAFTER HOURS EMERGENCY TAX LOT NO.: - -
CONTACT PERSON.TTII.E.TELEPHONE: LA SECTION:
SITE SIZE.ACRES: -
Kpit Ii ,I,3-;m;jim . '(in�t_ foreman
7 4'i 0 h DISTURBED/WORK AREA,ACRES:
LOCATION A ADDRESS WHERE SPOILS
LEAVWO SITE WILL.BE TAKEN SITE RUNQFF DRAINS TO:(CIRCLE ONE)
00M M MtI M MAY BE REQUINW) ` ATCH-BASIN DITCH PIPE CREEK
nonr,
(CIRCLE ONE)C PRIVA'I'Ep .�'PUSLIC RIGHT OF WA
EROSION/SEDIMENTATION CONTROL. CC.SM MEASURES
WNIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DUR040 CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDDAENTATION FACILITIES x STABILIZE EXPOSED SURFACE
X STABO.IZFD CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
X PERIMETER RUNOFF CONIROL FACILITIES
x CLEARING AND GRADING RESTRICTIONS x CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
07'LiFR
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH"TECHNICAL GUIDANCE HANDBOOK'.
EROSION CONTROL PLAN DRAWING.AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE MJMBER. SCHEDULFJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WM.L COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION TTE.
I',it,; 1140. ( PRESIDENT)
OWNER SIGNATURE APPLICANT SIGNATURE
C OFFICIAL.USE ONLY
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED By