12558 SW 133RD AVENUE t
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12558 sw 133RD AVENUE
IN6PECTION NOTICE ���-� i
City of -ri9ard vaildi.ng Depart—t n
13125 M Ball Blvd. Ti9ar+i, Oregon 97223
Inspects n Li �(Reo-O'Phone): 639- 175 u¢in®se Phone: 639-417"-
Inspections, 4
Footing Plbg. Underslab llech. Rough-in Appr/Sdwlk
Found. Plbg. TOut Gas Line FINALS
op `
-H1A�.
Poet/Beam Struct. ( San. Sewer �; Framing
Post/Beam Hoch. Rain Drain
Insulation -Plumb.
Plbg. Underfloor waterline Gyp. Bd. -Hoch.
7- r ' Times AM
Dote Requestedx
Permit ix�
Address s ---y=—
Builder:
TRE FOLLOWING CCRRECTIONS ARE REQUIREDs
r
� -' Dotal
PROVED DISAPPROVED APPROVED subiNCf TO ABOVE
Call For Reinsp.
CERTir,ICATE OF
ITYOFTIFARD OCCUPANCY
CCAYOFIL
COMMUNITY DEVELOPMENT DEPARTMENT onlow P-11HERNIT #. . . . . . . .. MST91-02R66
131258WHWIBlvd. P.O.BLw23W,Tip W,OroW 97x7?ON311AW4475
T r" _j6rj_jc�L),
�..
SITE ADDPGSS. . . : 12Y38 SW 133RD AVE PAPCEL:
S
UBDIVISION. . . . c MORNINO HILL 8 ZONING: R--;.",'5
BLOCK.. . . . . . . . . . : L.07.. . . . . . . . . . . . . 4
CLASS OF WORK. :NEW
TYPE OF USE. . . :SF
OCCUPANCY ORP. :R3
OCCUPANCY LOAD:225 4
TENANT NAME. . . t
Remark!, :
E. J. RYSTADT HOME
13765 NW CORNELL RD SUITE 100
PORTLAND OR 97229
Phnne #: 644-8061
Contractor:
E'. J. RYSTADT HOWS
13765 NW CORNELL RD SUITE 100
PORTLAND OR 9722'9
Phone #o 644-.8061
Reg *. . 1 67080
Ocritparocy of thf, above refs rencecl buildinp is hereby given, and rertifie's
the compliance with the State Of Oregon Specialty Codes for the group,
orc,,ipArtr.,y,, and use tinder which �p refer onced permit war. issued.
FIRE DEPARTMENT L D I NO TNSPECTM"
L L
ALII DING r cm-
POST IN CONSPICUOUS PLACE
i
NOTICE
INSPECTIOtI .N_�r r
City of. Tig+sti'd Buildkng Departmot
13125 SO Hall Blvd. Tigard, Dragon 9722:1
Inspection Line (Reu-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:—_
�' _
Footing Plbg. Under' Mech. Rough-in Appr/Sdwlk
t
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing Bldg.
Poet/Deam Mach. Rain Drain Insulation -Plumb.
Plbg. Underlloo Water Line Gyp. Bd. 'Nech.
Date Ra 7uested: C `Tiyme= AH P11
!!a
Addrea 6 �� r- 1'trl^m� T#1-
Builder:-
THE
:Builder:-THE FOLLOWING CORRECTIUNS ARE REQUIRED:
i
� � f
E
i
Inspector:/ 7 _ _ Dater'
y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cal). Par Reinsp.
INSPECTION NOTICE
city of Tigard BuildkkAg DepertwA"'t
13125 SM Bell B1v;j. Tigard, Oreg1in 97223
Inspection Line (Rec-o-Phone►s 639-4175 Businhes Phone: 639-4171
Inspection:
Plbq. Appr/Sdw.'.k
Footing _ Underul Mech. Rough-in
Found. Plbg. Top Out
Gas Line FINAL:
Post/Beiom Struct. San. Sewer
Framing -Bldg.
Poet/Beam Meeh. Rain Drain
Insulation -Plumb.
Plb ,. Underfi--)r Hater Lina Gyp. Bd.
-Mach. j
7 {f Time AM
mate Requ��etad:_ _.-.-�
Permit -
Address:_ ��L •
Builder:__ �-
THE FOLLOWING COARECTIOMS ARE REQUIRED:
Data: / -IL
Inspectors ✓"l"
APPROVED _ DISAP/ROVED APPROVED SURJECT TO ABOVR
/P
/ ll For Reinsp.
7 -z'' 4 L
INSPECT}ON NOTICE
C1.1ty of Tigard Bulld'mq Departwent
13125 BW Ball Blvd. Tigard, Oregon 97223
InspecL:on Line (Rec-O-Phone): 639-4175 Business Phone: 639••4171
Inspection:
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line !� I1111Le
Poet/Beam Struct. San.. Sewer Framing -Bldg.
Poet/Beam Hech. Rain Drain Insulatio-. -Plumb.
Plbg. Underfloor '7 Water Line Gyp. Bd. -Mach.
Date Requested: / ^�� - 1� Time: + T AM PM
Addreas• ( Z� (��� ��/("_I`C//rr Permit /: 1 1 c1 ^0246
Builder: YAC 1`�` -
THE FOLLOWING COMNOTIONb MW PWIRED:
Inspectur s— r-' Data:
APPROVEDy� 70all
APPROVED SUBJECT RU ABOVE
For Rainsp.
I
i
City of Tigar�, building Departnient
13125 ON 110_1 Blvd. Tigard, Oregon 97223
Inspection Line (Rea-J-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl'k
Found. Plbg. Top Ou: G'ae Line FINAL*
Post/Beam Struct. san. Sewer 9raoing -Bld7.
Post/Beam Mech. Rain Drain Insulation jlg--- -Plumb.
Pit.j. Underfloor Watar Line Gyp. ed. -Nwch.
Date Requesteds�1 1 _�� `'iilne: AN PM
1 r
Addreas: r_� Permit
Builder: ' r �4
THE FOLLOWING CORRECTIONS AAE REQUIRED:
Inspector* /aL�I. Date:
APPNOVtp DIBAIPROVED APPROVED SUR.MCT TO ABOVE
Call For Reinsp.
xNBPEc�-�o� etcrrxce
City of Tigard Buildj.ag Department
1312S Sw 8311 Blvd. Tigard,, Oregon 97223
Inspection Line tRec-O-Phoneys 639-4175 Business Phone: 639-4171
Inspection: - --
Footing Plbg. Underslab Mecl•. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. '�Mach
Date Requested: �'�/ Timat AMJ PM
--,1-� �' f`
Address:- -"S d Permit f: �
Builder: .!� �
/��7T
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors__
_APPROVEDy DISAPPROVED APPROVIU) SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent 11-7*1
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone 639-4175 Business Phone: 639-4171
Inrpec*ions �i
Footing Plbg. U srslab !tech. Rough-in Appy/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Font/Beam Struct. San. Sewer Framing -Bldg.
dost;Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requested:: z / --Time: __AH _!_,PN
Address: [���� �� Permit i:�� w�.
Builders
i
TRE FOLLOWING CORRECT NS ARE REQUIP.ED:
Inapsiotoe: (� 4L. Dates
PPRUVEO DI811PPF10 APPROVED SUBJIM TO ADM
-Call For Reinsp.
IffePNCTION
,City of Tigard Building Departaeat
1:1125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-o-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL: ,
post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation L -Plumb:
Plbg. Underfloor Water Line t, Gyp. Bd. �-Hoch.
Date Requested: �I _��.!� _Times _,AN _PH
Builders_ i 1-f �4� `- / / 70
i
TRE rOLLOWINq! RRSCTIOHS ARE REQUIRED:
- r
1 _
Inspectors
APPROVi:b ,__ DISAPPR(JVED APPROVED RUBJECT 110 ABOVE
Call For Reinsp.
NSPZCTION NOTICE
city of Tigard Building Department
n 13125 M Ball Blvd. Tigard, Oregon 97223
1Y1 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_ _ --
Footing Plbg. Underalab Mach. Rough-in (2--nrj8dr►lk
Pound. Plbg. Tup Out Gas Line r-NAl's
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plump!!.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: .�-7T �� -��__ _-_,Ti.mes M PH
Address: Petmit I:I d
Builder.:_--- // �
Li_
THE FOLOWINGTTT""" TONS ARE RRQUIRED:
J
Inspector:_ L'----
-__APPROVED DISAPPF4D 7r" APPROVED SUBJRCP TO ARM
Call For Mionp.
_I�BPECTION NOTS
City Of T19ard Building D"Mwtsoe t
13125 SW Hall Bled. T19—d, OX-gon 97223
Insp—tion Line (ROC-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough--is APP r/Sdwlk
Found. Plbg. Top out Can Lina
FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain
Ineulatil.,�n _ply
Plb,f. Underfloor Hater •.ine
-Mach.
/ 1
Date RsquestedtGyp. Bd.�J ��U '�Z /
Timet PM
Address: �J�g /� ,e%L /
--=_�-� Permit 1
Builders � �- v
M FOLLOWING MONS ARE REQUIREDs l'
Inspectoci_-
Dates
y
_APPROVED- �W DISAPPROVtD - APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Gs
City of i W.LLdia4 --t
13125 gm Hall Blvd. Tigard. Oregon
inspection Line (Rec-O-Phoae)° 639-4175 Business Phone: 639-4171
inspections - Appr/Sdwlk
Plbg. Undarslsb Hach. Rol;gh-in
Footing FINALt
Plbq• Top Out Gas Line
Found. _Bldg.
San. Sewer
Framing
Poet/Beam Struct. -plumb.
Raiv Drain
Insulation
Poet/Beam Mech. -Meth.
Line
pjbq. Underfloor Nater _PM
r _ Timet .—_..-- M
9PCedl, kr'zi.-�r�.-- �• ���
nate Requ VVV
permit
pddress2
Builder:,� L_ 7-
TME FOLLOWING CORRECTICNS ARE REQUIRED!
_..� --
----------------
Data
inspector!____r��+�-- --� �
11PPROVE0
DIS►.PPROVED "`ROVED SUWICT TO ROOVL
Call For Minap.
I{
=t7223
rt�ent I
city of T,.9ard 97223
]3125 Bll Balt Blvd. TL9ard, Oregon R
es 639-417
inspection Line (Rec-o-Phone): 635-4175 Business Phon
i
inspection:
Footing plbg. under-'-ab 1.6cn
�-9h_Ln1 Bppr/Sdwlk
Found. Plbg. Top Out
L M FINAL:
Post/Beam Atruct. San. Sewer
_rasing -Bldg.
Post/Beano Rech. Pain Drain
Insulation -Plumb.
-Neck.
Plbg. Underfloor Nater Line Oyp' Bd.
_T ime s AM -PH
Date Requested.-
Permit
Address:
/ •esu
------------
Bjildert '-"--
THE rOLI.ONINo CTIONS ARE REQUIRED:
-- — {
Date:
Inspector:
Ap,,RO%iED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
r
City of Tigard Building DOPA
13125 M Hall Blvd. Tigard, pregon 97223
Inspection Line (Roc-O-Phone)+ 639-4175 Business Phones 639-4171
iuspsections
Footing Plbg. Dnderslab Koch. Rough-in Appr/Sdwlk
lcund.
Plbg. TOP Out pas---Line FINAL:
�-�
Post/Beam Struct. San. Bower Frani -Bldg.
Poet/Roam Koch. Rain Drain
Insulation -Plumb.
Plbq. Underfloor / Nater Line
Gyp. ad. -Koch.
Date Requested: 4 G�L _ / cr PM{.Time+
Z.
Ole ;1�itro
Address+ f / �
Builder:__ L�L�_ Q
TBE IOLU)WINp COPACTIONS ARE RRQOIRBD+
AA z7 ,
1
J �*Lc.
/_lDates
Inspector:
;,d ---• --
APPROVED DISAPPROVED 1 ApPROV1J EOBJECT TO ABOVE
call ror Reinsp.
INBPiClIOM 11G?ICE
City of Tigard Omilftnq 40parterot
13125 M Hall Blvd. Tigard, Orepon 97223
Inspection Line (Rea-O-Phone)s 639-4115 Business Phone: 639-4171
Icspections _r
rooting Plbg. Underslah Meeh. Rough to Appr/Sdwlk
Pound. Plbg. Top Out Gas Line ■IMA:a
Post/Beam Struct. San. Sewer naming -Bldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Msch.
Date RoWestedsc� -2- Z TimesL'T )PM
Addreens 1 `�J 3 II tr Permit #: w
Builders_ Lk L
TRi FOLLOMIMG ODRAECfIONS ARE REQUIRED:
f'
At r
VL /.,R.� r G:.�w/.t�e.."�" .C.._�.��e C►f ..�' l,: '� � ��f..•^+ /� �Sww�•^L.ti'Y'`i
ti
Inspectors " Dates
APPROVED DISAPPROVID APPROVED SUBJECT TO ABOVE
✓�all tar Reinep.
IM =17 NOTICE
CitT of. T1VA9d w.iidioq D.parra.nt
13125 M Ball Nlvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 639-4171
Inspection*
Footing P1 . Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line PIMAL:
Post/Beam Struct. San. Sewer ! Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line G,/p. Bd. -Meth.
Date Requested:_ -_Time* AM PM
Address: t 15 �7 ! Permit i* (�b 2-V4,
Builder: -Py
TIM FOLLMING CORRECTIONS ARE REQUIREDs
I
Inspector: Dater
I
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-call for Reinap.
f
k '
�... ..'..:iW+o-..+w.i..iMr+uu....w.w..wYr'w...:e,wx..:.........,......n..n.......+rw�....e....... .........rr i�.._�...Msfawruuunuwr+..>.,.._.... .. ,.�......ea.vrwrawew.aWM1'wlnlw.r+rn.Mw.+:.�...-..�......w.
Yww
�I
ti $idRRNwcrwteM.r<ca•r.p,- .- t'
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Impnomm NOTICE
City of Tigard Building Depart—t
13125 = mall sled. Tigard, Oregon 97223
Inspection Line (Ren-o-Phones 639-4175 Business Phones 639-4171
Inspection:_
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
(Ooet/Beam Struct-. San. newer Framing -Bldg.
Post/Beam Mach. \' Rain Drain Insulation -Plumb.
Plbg. underfloor Mater Lina Gyp. Bd. -Nech.
Date Requesteds
Addres
Builder:s: S 1� Y �PeimLC rD �/
TB= FOLLOWING CTIONB ARE REQUIRED:
i
f
Inspectors Date:_- 23
APPROVED DISAPPROVED APPROVED SUBJECT TO AWN
Call For Rbinmp.
i
i
INBPECTIOl1 NOTICE
City Of Tigard BuLldin7 Dspartmw
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Roc-o-Phone/ 639-4175 Buaitwaa Phones 639-4171
Inspections
Footing Plbg. Underalab !tech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Lino FINALS
Poet/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb. f
CPI.��Under Nater Line Gyp, Bd. -Hoch,
Data eetod a _Times / _1g1M pK
Address: 1�'���j C7 f,5241 r`o'c Pwrmit T I I
Builders C d�'�AA-�IV'#1
TBE FOLL3WING CORRECTIONS ARE REQUIREDI
I�
i
In•pecO
Inspectors — "� —
/% Dates
�7 7 L
i
APPROVEb DISAPPROVED APPROVED SUBJECT TO ABOVE I ,5
Call For Reinap. j
i
City or y �_ M
13123 to 14 D1mid�Sigard, 11
Inepsction Line (Roc-p.-Phone)t 639- «�O 97223
1175 Business Phonar 639-4171
Inspection:
Pooti
PLSq. Underslab Mech. Rough-in Appr/Sdwlk
na. Plbq. To Out
Top Can Line dINAL:
Post/Beam struot. San. Sewer
Framing -Bldg.
Post/Beam Hoch. Rain Drain
Insulation _ply,
Plbq. Underfloor Water Line
Off' Bd. -Neth. /
Data Requested:_
Tlmet �� PN
Address
t
Builder: /,•//_ ��
TBS 10LLOWINo CoRRBCTIONS ARL Rtgurnj)r
.
Datet
DISAPPRpytD r
APPPtOVRi SUBJECT TO ADM
Call For Rei.nsp.
f
CITYOFTIFARD
MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT C0114" RD PERMIT #. . . . . . . : h1ST91-0266
13126 BW HMO Bhrd.P.O.Bac 23397,TIMd,QWm 97?Qt1 f 6031l630.4176
ia:sy-4 1 71 DATE ISSUED: 02/27/92` -
f_
SITE ADDRESS, . . : 12'558 SW 1.33RD AVE P'ARCE'L : 2S 104AC ;ol-12104
SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-2C._
BLOCK. . . . . . . . . . , LOI.. . . . . . . . . . . . . .204
---------------------- ______._.__-- BUILDING -------------------- --------------
REISSUE: DWELLING UNITS• 1 BASEMENT: �!..f. . . :0 5f
CLASS OF WORK, :NEW BEDRMS:4 BATHS:3 GARP c:. . . . . . . . :600 S
T'YP'E OF USE. . . ,SF FLOOR AREAS-------`-- r,,r-l`QUIRED
'I YF-'E OF CONST. :5N FIRST. . . . : 1339 S��" LEFT. . : 10 ft RIGHT. : 18 ft
OCCUPANCY GRP,. : R3 SECOND. . . :992,r-''�sf FROW(. ft RCA R. . :27 ft
STORIES. . . . . . . :2 THIRD. . . . .0- S RF..QUI
HEIGHT. . . . . . . . c25 ft TOTAL--------:2331 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 11802E FIARKING SPACES. . :O
Remarks :
-------------------------------------- PLUMBING --------------.._-----___.___.._.__________
aINK9. . . . . . . . . . , 1 FLOOR DRAING. . . . :Q1 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATF'R HFATFRS. . . : 1 TPO!-,S. . . . . . . . . . . . . . :rt; _.._ ..._
TUB/SHOWERS,. . . . :A LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE: TRAVS. . . . . . . :0
D I SHWASHEPG. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE. DISP. . . : t RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : l
--------------- MECHANICAL --------------- __.__.._____._._.____._.__ FEES
FUEL TYP'ES------------ UNIT HTRS. . -0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF 6 1380. 00 JLH IZ12/27/92 -
MOX INF'UT:O PTU VENT FANS. . :4 SPIRT 1, 480. 50 JLH 02/27/92
FURN ( 100K . . :0 HOODS. . . . . . : 1 HPLC $ 312. 33 JLH 02/18/92 -
FORN ) =100K . . : I WOOD STOVES. :0 B5P'C s 24. 03 JLH 02/27/92
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 02/27/92 -
BOIL/CMR ( 3HF,:0 OTHER UNITS:O PARK 1, 500. 00 JLH 0?/27/92 -
GAS OUTLETS: 1 MP'RT $ 40. 50 JLH Oe/27/92 -
Owne: : -.-__.____.___ ____.__...__._.---____________ MFILC $ 10. 13 JLH 02/27/92 -
E. J. RYSTADT HOMES M5F'C f 2. 03 JLH 02/27/92 -
13765 NW CORNELL RD SUITE 100 PPRT E 155. 00 JLH 112/27/92 -
P5PC $ 7. 75 JLH 02/27/92 -
PORTL.AND OR 9722`9
Rhone #: 644-8061
Contractor. -----__..._-----_---.__-----_____-
F_. J. RYc', ,-)D"F HOMES
1:3765 NW CORNELL RD SUITE 100
PORTLAND OR 97229
Phone #: 644-8061
Req #. . .- 67880 -----------------------------------------
$ :3192. 27 TOTAL
This pereit is issued subject to the regulations contained in the ------_ REQUIRED INSP,FCTIONS - --- --
Tigard Municipal Code, State of Dre. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws, All work wili be done in accordance with approved Post/Pearn Struct Gas Line Insp
plans. This persit will expire if work is not started within 188 Rost/Pe,Am Mechan Insulation Insp
days of issuance, or if work is suscended for sore th n 188 days. Plea/undslatb Insp Gyp Board Insp
r PIL.M/Underfloor- Rain dr�iin Insp
PermitteFr Signature : � 41 Mer_•han ica! Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
issued By: F-raminq Insp Mechanical Final
Call for inspection - 6:39--4175
CITYOFTIGARD PLUMBING PERMIT
�WYOFTWARD PERMIT . . . . . . . : r
# IGI-91-02,66
COMMUNrTY DEVELOPMENT DEPARTMENT ORI
13126 SW Holl Blvd. p.0.Box 23397.TIOW,0mgm 97223 GON
— (SM)630-4175
DATE ISSUED: 02/27/92
�;I I-E ADDRE'.6c.". 1c'556 SW 1, 33RD AVE:
SUBDIVISION. . . . MORNING HILL 6 PARCEL: 2S1b4AC--Mj�jjF-o,j
P,LOCK. . . . . . . . . . .. LOT. . . . . :204. ZONING: 'R-25 74AL-M1-1,F,0,,
(-LASS OF WORK. . :NF.-W GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :Sp WASHING MACH. . . . . . . : 1
OCCUPANCY GRP1. . :R,3 FLO,'I'R DRAING. . . . . . . :0 BACKFLOW PREVN-rRS. . :0
,.iTORIE-0. . . . . . . . ..2 T ROPG
WATER HEATERS. . . . . . : 1
1-1-ILINDRY TRAYS. . . . . . :0 CATCH BASINS. . . . . . .
I NJKS. . . . . . . . . . : 1 SF RAIN URA IN7. . . . . .. I
LAVATonIES. . . . . :4 OTHER FIXTURES. . . . . j e GREASE TRAPS. . . . . . . :0
TUB/SHOWERS....: SI
WATER CLOSETS, . EWER LINE (ft ) . . . . so
I F.-)HWASHERS. . . . WATER LINE ( Ft ) , . . . j lee
RAIN DRAIN (ft ) D0
Remarks .
OWNER:
RYSTADT HOMESFEES--------------
TI F 1,380. 0L71 JLH 0,Y/21/9c
,�,�765 NW CORNELL RD SUITE 100 BFDRT $ 460. 50 JLH 02/27/9e
PORTLAND OR 97 1) SPI-C $ 312. 33 ,JLH 02/18/92
Phone 0: 644-8061 B5PC $ 24- 03 JLI-q 02/27/9c:
SSDC $ 280- 00 JLH 02/27/92
P I I.,m 1.1 i n Q Contractor: ----------- PARK $ 900- 00 JI-14 0212-7192
mr,R- T s 40. 50 JLH 02/27/92
Name : MPLC s 10. 13 JLH OE/27/92
Ov.m
Addres M c 1, 2. 03 JLH P 7/9 i�2
-!�5-0A—w...... PPIRT 155. 0o
City:_ Q JLH 02/27/92
zip:. &t e 7 P15PIC 7. 75 JLH 02/27/c)j.:�
Req Ph o n e#
-'- rlv--
#- -eo 3 1 - ',X
rhis pet-mit is issued subiect to the req- REQUIRED INSPECTIONS
'-tlat 'Onr, C-Ontained in the Tigard M�.tnicjpal Foot/found L- InsRain in jrj5p
Bode, State of Ore. Specialty Codes and all. Post/DeAm strurp
tither applicable laws. All work will be done Frost/Beam MechAn Appr/Sdwlk Ins
in Accordance with approved plans. This 0
P] m/undslat)0
o1" 1 If-Ip"m't will Pxr)it'P if work : q not started PILM/Underf I oo� sp Mechanical Final-
'Nith'11 180 days of iss,.(ance' Plumb Final
Suspended 9 wot,k isMechanicajsp
fOt' more than 181? da%ss. l r,
Plumb Top Out Erosion
vinal
Erosion Control
1- raming Insp L i n
vit,eplace Insp
Gas 1-ine lnqp
Insulation Insp
f-klthot-ized Plumbing con-tr,actotlSignatf.We Gyp Poard Insp
(�"ntt'actor Note :
for inspection 639-41-75
L Wood
CITY OFTIFASEW! CONNECTION
RD Ai;�
COMMUt-INTY DEVELOPMENT DEPARTMENT CffYOFTM41D 1-�'FR M IT
4
01014M LHM11 #. . . . . . . : SWR920042
13126 SW HWI Blvd. F.0 Sm 23M.Dgad,Oregon 97 (SM)ON4176
-•A1 >1 ctf7 51;11-7 7c"r,111=n-
SITE ADDRESS. . . : 12558 : 14 133RD AVE PARCEL: 2S104AC—MFP0,'P
SUBDIVISION. . . . : MORNING HILI a ZONING: R25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :204
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FTXTLIRE UNITS. . .
CLASS OF WORK, , , :NEW DWELL I NG UN I TS. . :
TYPE OF USE. . . . , :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPER� SURFnCR. . f
Remarks:
Owner: ------------------------------------
FEES
E. J. RYSTADT HOMES type amoi-int by late reept
13765 NW CORNELL RD SUITE 100 FIRMT * 1900- 00 JLH OL /a7/92
PORTLANrl OR 97229 INSP $ 35. 00 JLH
Phone #. 644-8061
Contractor.-,
CON'TRACTOR NOT ON FILE
Phonp #1
Reg #. $ 1935. 00 TOTAL
------- REQUIRED INSPECTIONS
'his Applicant agrees to COIDi with all the roles and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid wiil be forfeited if the
hermit expires. The Agency does not guarartep the accuracy of the
4jde itioer laterals. If the SPNev- is not located at toe measurement
liven, the installer shall prospect 3 feet in all di-ections, from
the distance given. If net so located, the installer shall purrhase
a 'Tap and Side Sewer" Dersit ano the Agency will install a lateral.
"et-mittee Siqnati.ti-p :
rss"ecl By:
Call for insnection 639-4175
CITY OF' T I GARD RECEIPT OF PAYMENT RECE I PT NCI. :9E-223868-
CHECK
9E:—G 3868-
CHECK AMOUNT r 4814. 94 �.
NAME: a RYSTADT, ERIC: CASH AMOUNT c 0. 00
A[)1)FdF: PAYMENT DA'Z'E: c 22/27/92
SUBDIVISION
I
PLJi*>OSE OF PAYMENT AMOUNT CIA I D PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM ,440. 50 PLUMBING PERM
MEC:HANICAL_ PE 40. 50 ST. BUILD PER 3,3, 81 �.
PLAN CHECK FE 10. 13 S3EWER USA 1100. 0►ra
SEWER INSPECT 35.1 O.0 RE'S I VENT I Al_ TRAFFIC V EES 1 C--,80. 00+ �
PARKS SVC: 0500, 00 STORM DRAIN SDC 00 �
TRANS IT TIF F EFPi 100+. 1710
a � �F
LO ;..:-'04 MORNING HILL A
12`x58 SW 133RD
i
TnTA1 AM()UNT PAID - - _) 4814. 9,t
Cl'1Y OF TIGARD — RECEIVIT OF PAYMENT RECEIPT NO. c91--2F--1259
CHECK A140LJNT r 2151►. 00
ERIC RYSTADT HOMES CASH AMOUNT r 0. 00
kbDRESS a t-3765 NW CORNELL RD. , #100 PAYMENT DATE.
PORTLAND, OR SUBDIVISION
9 7 2,F-'9—
VURPUS�� OF PAYMENT AMUUNT PA I D PURPOSE OF P,AYMFN*r AMOUNT PAID
PLAN CHECK FE 12-8.4 R 00
TOTAL- AMOUNT PAID 00
.....................