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COMMUNITY DEVELOPMENT DEPARTMENT m CERTIFIU)IE OF
13125 SW Holl Blvd. P.O.Bax 23397,TlpM,Omg m 97223(6W)=4175 OCCUPANCY
DATE ISSUrnob
SITE ADDHESS. . . j 14233 SW 133RD AVE PARCEL: G 10,9FIF1 -v51 Olt,
SUBDIVISION. . . x THREE MOUNTAIN EE`TA'rFS' ZONINcit R--i
p
BLOCK. . . . . . . . . s LOT. . . . . . . . . . . . . s44
CLASS OF WURK. iINIEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. i R3
OCCUPAW"Y LOAD:iFiF-'4 4
I'EHANT NAME. . . i
Remarks % New SFJ) Path I STRI-il-T OPENING rl-'RMIT R11.1-QUIRED FOR SMEWALK l4 Ar-41HOW.41
ERIC. RYSTADT HOMES
13765 SW CORNELL RD
PORTLAND OR 972;.-.,9
Phone #1 644--8061
Gontrawtart
E. J'. RYSTADT HOMES
1 .*3765 MW ( DRNFLL RD SUllf", 100
PURILAINO 1)k '17229
Phone #s 64,14-8061
Req #. . : 6'T1;80
LJLor.wanc.'v of the Above referenced buildinu jr, herphy given, anal cortifiec
the compliance with ,:*tAte Of the e[jojj jpQ4..'ratty Co d e s for the group,
occupanoyl and ease Under which the referenced permit waits isamed.
VIRF DFPARJ'MFS b(T' SUILDING INWEC'TOR
POST IN CDNSPI(',UUUP) PLACE
W -
ciry OF TIGARD - REUPIFIT OF PAYMENT RECEIPT NO. 192-233163
CHECK (IMOUNT 15.75
NAME DIAL ONE WESCO PLM5G. CASH AMOUNT 0.00
ADDRESS 1015 5W 72ND AVENUE PAYMENT DATE 10/28/92
SUBDIVISION
PORTLAND, OR 97,224-
PURPosE OF PAYMENT AMOUNT PAID PURPOSE C"' PAYMENT AMOUNT PAID
CL iT BUtLD PER 0.75
0-4
Ln
CO
PLUMBINU PERMIr 092--0172
TOTAL AMOUNT PAID 15.75
��� (CPLUMBING PERMIT
- COMMUNITY DEVELOPMENT DEPARTMENT YOFTWARP ER11IT -x,172,
PLM92
11125 NW fell Blvd. P.O.Ow 23397,Tlg&M,Oregon 97223(503)63"175 �tt7 P
L,-�') -.41 i I —lWTE 1(nglipri,
SITE ADDRESS. . . : 14233 SW 133RD AVE PARCEL: 2SI09AB-05100
SUBDIVISION. . . . : THRE-E IMOUNTiIN ESTATES ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..44
CLASS OF WORK. . iAVD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :Sir WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP—,R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES------------,-- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . .1 GREASE 'TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :
Remarks: New SFD Pat backflow device
Owner: FEES
KIM PAULMAN type amount by dar- recpt
142331 SW 133RD PRMT $ 15. 0,7o PLL
5PCT $ 0. 75 PLL ',8/92
TIGARD OR 97224
Phone #s
Contractors -------_.--------------._.__---___
DIAL ONE WESCO
14915 SW 72ND AVE
TIGARD OR 9*7224 ----------------------------------------
Phone #s 639-4700 15. 75 TOTAL
Reg #. 736$6
------- REDUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top—DUt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 181 days of issuance, or if work is suspended for, more
than IN days.
Permittee Signati-tre :
Isskied By ,
Lall for inspection 639-4175
LO
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection: ,
Fcoting Pibg. Underslab Mech. Rough-!n Appr/Sdwlk�
Found. Plbg Top Out Gas Line YINALs
Poet/Beam Struct. .San. :ewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth.
Date Requested: / ��� _ �� T Timcc: _ AM PM
Address:
Builder: Z�tK
THE FOLLOWING MCCTTONS ARE REQUIREDs
— LL cf 41), 6,1.ew� r 1�
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Inapector: _/ Q/�'� / Dates _
APPROVED _V RISA/PP/ROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
city of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono): 639-4175 Business Phone: 639-4171
I napect ion:
Fo .ting Plbg. Underslab Poch. Rough-in Appr/Sdwlk
Found. Plhg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line (i Ba.) ��� -Meeh.
Date Requested:_ zy�-� T TSC;t'Z-GTL#!F- PM
Address: / /,7+..�j / 13 r Permit !:
Builder:i �� _
THE FOLLOWING CO CTIONS ARB REQUIRED:
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Inepector� ____._ Date:_ Z
JAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
INSPECTION NOTICE
City Of Tigard Building Deparm
tent /
13125 SW flat] (.Blvd. Tigard, Oregon 97223639-4171
Inspection Line (Rec-0-PPoone)/:�66339-4,1175 Bu-iinesa Phone.
Inspection•
Footing Plbg. Underslab Mech. ROugh-in Appr/Sdwlk
.'ound. Plbg. Top Out Gas Line FINAL:
d
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain
Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Bd.
Mech.
Date Requested: Time: _AM PM
�
Address / /� / Permit #::
Builder:
THE FOLLOW C WRRECTIONS ARE AEQUIRF,D:
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Date
Inspector: _ -----
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPECTION NOTICE �1
City of Tigard Building DeparFinent 1
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection,__ _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cat Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Much. Rain Drain Insulation -Plumb.
P!tg. Underfloor Water Line gyp. Bd. -Meeh.
Datta Requestedd: >'y^ c ��,'�` Time: AMI ✓ PN
Address: /c�J &,3 r Permit
Builder:
--_`��`L
THE FOLLOWING CORRECTIONS ARE PEQUIRED:
11
Inspector: __._._ Date: 5__
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTTOV NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4271
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing 'i -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Meeh.
Date Requested% ��`Z, Time: /�� AM/) &PM
Address-� -1 Permit ft'/^� U
Builders G:{ G r - �tv
THE FOLLOWING 00 CTIORS ARE REQtJIREU%
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Inepectert L.' �7 �. bates
-�APPROVRO DISAPPROV60 APPROVED SUBJECT TO ARM
Call For Reinup.
IN iNDN NOTICE
city of S gard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab (� MtGasL
hRough-in', Appr/Sdwlk
Found. Plbg. Top Out \` re FINAL:
Post/Beam Struct. Ban. BowerF, ram,ng--) -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Reques�te/d: �1 �? - Z. !!Time s AM :M
Address: 1+ rm t is.
7 _
Builder: L/
THE FOLLOWING &RRECTIONS ARE REQUIR.:D:
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Inspector: /ff-- Date:
APPROVED d.-I"DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPEC N NOTICE
City of T � Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspection:
Footing Plb,. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam atruot. San. sewer Framing -Bldg.
Post Beam M�crh Rain Drain Inaalation -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd. -Mech.
Date Requestcd: _ �7 Times AN PM
Builder: r�
TBE FOLLDWIr.G M. CTIONS ARE REQUIRED:
rz) L�.111-1A
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Inspectors_
APPROVED DISAPPROVED APPROVED SUMM-r TO ABryVF
Call For Reinsp.
INSFECTION NOTICE
City of Tigari Building Department (/
13125 SR nal.l Blvd. Tigard, Oregon 97223
Inspection Line (P.ec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. \ San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Iine Gyp. ad. -Meeh.
Date Requested:___ Timet AM _ PM
Address• z`f j`_Z ;, c CL — -Permit /
Rull ter---- -0,_ / / ��.—�
TAB IOLI.OWING RECTIONS ARE REQUIRED:
Inspector%__/ / �/ _ . Dates f
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinep.
INSPECTION NOTICE /
City of Tigard Building Department L G
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (.Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: __
Footing Plbg. Underalab Mech. Rough-in Appr/Sdw1k
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban.^Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor dater Line , Gyp. Rd. -Mech.
Date Requestedl� G 1r Time: AM 7 _PM
kry
Address: /� Permit
Buil.dPr:
TRE FOLI,OWI RRECTIONS ARE REQUIRED=
Inepecterz
APPROVED DISAPPROVED APPROVED SIIRJRt 1' TO AnOVF:
Call For RelnRp.
INSPECTION NOTICE•-
fy t City of Tigard Building Department
4/,"'Zp—tion
13125 SW Hall. Blvd. Tigard, Oregon 97223
Line (Rac-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing 1 Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. P3bg. Top Out Cas Line FINAL:
` Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Ineulatior -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. , 1 -Mach.
Date Requested: / 13 Time: A_N _ PH
,�/ • -T
Addrene: l7a � / 3~ Permit
Builder:
T'al FOLLOWING RRECTIONS ARE REQUIRED:
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Inspectors
L APPROVED DISAPPROVED e APPRO:R!D SUBJECT TO ABOVE
Call For Rein,p.
INSPECTION NOTICE.
City of Tigard Building Department
137.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Lnnpectiont_ _
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlx
Found. Plbg. Top Out Gas Line FINAL:
Pont/Hoam Struct. San. Sewer Framing pidq.�J
Pont/1103am Mech. Rain Drain Insulation `-Plumb.
Plkg. Underfloor Water Line Gyp. Bd. --Hoch.
Date Reque. edt ! r�- .2— Timfit AM PH
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Addreae:_ ��1"" ti � - �--^' Permit #t62-
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inswctort_ Uatet
AFPRt7VEb bIBAPPROVRD APPROVE.: SUBJECT TO ABOVR
Call For Reinsp.
INSPECTION NOTICE
City of. Tigard Building Department
13125 SK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-phone): 639-4175 Business Phone: 639-4173
Inspections___ _
Footing Plbg. Underelab Mech. Hough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation Plumb. 1/
'
Plbg. Underfloor Water Line Gyp. Pr' -Mech.
Date Requested: — �,�_ Time: AM PM
Andreae•. P rm t �: — -�'?
Builder:__
THE FOLI.OW�17NGCONS ARE REQUIRED:
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Date:../
APPROVED DIS PROVED APPROVED SUBJECT To ABOVE
_-Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 bW Hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Uueineee Phone: 639-4171
Inspection:
Footing
Plbq. Underslab Hach. Rough-in Appr/Sdwlk
'round. Plbg. Top Out Gas Ltne �pQ FINAL:
Framing
J/� -Hldq.�
est/Beam Struct. San. Sewer g
Post/Beam Mach. Rain Drain
Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
�Time: - AN PH
Date Requested: -�� L--- -.-L---_-
Permit
Address:-
Builder:
ddress:
THE FOLLOWING CORRECTIONS ARE REQUIRED: —
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APPROVED ^v_ DTSAPPROVSD -_ APPROVEC S:IBJECP TO ABOVE
cAll For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)• 6 -4175 Bu 91ness Ph ne: 3 -4171
Inspection' r G/ _
Footing Plbg. Underslab Mech. Rough-in 1,,ppr/Sdwlk
Found. Plbg. Top Out Gas Line FCNAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
I bg. Underfloor Water Line Gyp. 9d. Maqh.
Date Requested: All ' �� TLn/�ys V AM �PM
Address: �-7 P:rm1.t t' ! ✓( �/� _
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapectocs Dates �� f
�APPPOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call P,- Reinsp.
INSPECTION NOTICE r1�"-7
-.--
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•_ `_-
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation /2 -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requa_teds. -/ " Times _AM ` PH
f-
Addreses `7 � -�� � -�.� _ � Permit f s
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapector Date:_
APPROVED DISAPPROVED APPROVEn SUBJECT TO ABOVE
11 For Reinep.
® PLUMPING pE_RO1 I T
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F� OFTIFA CflYCv ilAy0 ##PERMIT . . . . . . . : MST92-0129
COMMUNITY DEVELOPMENT DEPARTMENT croon
131258k)r dINA P.0.eox2:w,7>g&m,orevn 9r 3(6W)639-4i76 rown- ISSUED- 07!10!92
PARCEL.- 2S 109ALA_01a 10ill�
SITE AD RF'�S.`. . : 14233 SW 133RD AVE lC?NTNC�s R -'r'
SURD IV 15 I CW1 . T14REE
MOUNTAIN E57ATE:_3
BLOCK_-�. -__LOT
_..___--�.___ :44
�_._____._w._.__.._---__--_-_.____.._.__�_ ._--_-
CLASS OF WORK. . -NEW GARBAGE DISPOSALS. . : 1 -
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BALI<FLOW PREVNTRS. . :O
TRAPS.
OCCUPANCY
CCUPANCY GRE'. . :R�; FLOOR DPAIN S : 1. . . . . . . • • • ' , • • . . . . .
CJFlCATCH PAS I N:
WATER HEATERS. . . •�'�
'fIES. . . . . . S . . . . . : 1
r --- LAUNDRY TRAYS. . « . . . s 1 SF RAIN DRAIN!S. . . . . : 1
GRE=ASE TRAFr. . . . . . . .0
SINKS, . . . . . . . : 1
I_AVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
IUP/SHC)WCR S. . . . : SEWER LINE (ft ) - - :0
WATER CLOSETS. . :3 WATER LINO c'Ft) . . . . : 100
UISHWASHERS. . ., . : 1 RAIN DRAIN (ft ) . . . . s0
Remarks .' 1,4ew 'aFD Fath 1 STREET OPE=NING PFRM11 REQUIRED FOR SIDEWALK & APPRUHL
OWNERS -_ ____. __-__..____.____._---___.____ TT.1= $ 1300. 00 JH 07/09/92 _
F_R T C RYSTADT HOMES -
137bC; SW CORNErI..L RD BF�RT 1� 4EIE), 00 JF-I 07/09!9r� ,��
BPE._C `l 31.7.. 20 JF 06/19/ ) 220 e I,
PORTLAND OR 97R:29
S5PC $ x:4. 40 JH 07/09/'3 : -,d
'Phone #: 644--8061 PARK
.f :f10. 00 JHO'l!09i�3::' -
PARK t 500. 00 JI•i 07/09/92 -
_ hIPRT 40. 50 JH 27/09/92 -
PIumbing Contract ors--------.___.__._ hiPLf 10. 13 JI-1 07/09/92
IV a m e : __ _.-._.._._ _ - --
M5PG 1• ;x. 0.3 JH 07/0)/98
wldcire5¢:-.J_E8 &(e S(1tJ :`�1Cctl.___.__.__ .__ .r _ ._
F!F'R'f f 162. 50 J11 07/09/92
�- '•yt at:e a pSPC is 8. 13 JH07i m9/9�� -
C;i t y a.�. o�► ._ �... __
Z i F,a_9.7.Q.t?_7_ h o n e-#F
Re ra M a -7._ _�8.._�_w._
REQUIRED I NSPE^.C:.T I ONS ---------
�hi.>s permit is issued subject to the reg Line Insp
-
�_rlations c.orrtained in the Ttgar'�d Munir_i.pal. F'oot !foundcInsF' Appr/Siwlk Insp
f_.ode, :tate of Ov,p. `.specialty Codes incl all Post:1Beam Mpr.hRn MechAnical Find
ut;tier aPPli1=able laws• All work will be done PLMIIJn�ier floor Plumb Fins]_
in ,acv;ordance with aper oved plans. This
per^mit will expire if wnt,k is not started Mechanical Insp Pudding Control!
wi hrin 180 days of issuance, or^ if work is P11AMu Top Out cost/Beamt�Mechar;
� �is;pended for more the„ F
180 Mays. Framing Iir eplaca Insp PIM/Underfloor
Nbas Line Insp Crawl Drain
1,19i.ilation Insp Plumbing Tap OuL
> G;yp fward Insp plt_imb Final
Frain drain Insp
A�.�thor^izlrrSiLIJ e
Gall for inspection - 639-4175
Ess
L;ont rRr_t or Nut
_Tar
CITY( F TIFARD RT
COMMUNITY D ELOAD
PMENT DEPAMENT MAa'E E R PERMIT
M25 BW Hell Blvd.P.O.Baez 233?7,TOW,Oregon 07223(603)&V-4175F r ;?MIT # . . . . . .
639 -4171. DATE ISSJED: 07/10/9:'
SITE ADURES5. . . : 141E,33 SW 133RD AVE.: PARCE=L:
SU14D i V I S I ON. . . . : THREE MOUNTA I N ESTATES ZONING! R--7
BLOCK. . . . . . . . . . .I LOT_ . . . . . . . . . . . :44
BUILDING ----______________.__.__.
`dl I SSUE: DWI=I_L I WG UN"I T5: 1 EASEMENT`. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRM5:4 BATHS:3 GARAGE. . . . . . . . . . :65QA s f
TYPE OF USE:. . . :S1= F=LOOR AREAS.____--- - - RF-Cl.1I RE=D
TYPE OF CONST. :5N FIRST. . . . - I30;:' sf LEFT. . :5 ft RIGHT. :`r ft
OCCUPANCY GRP. :R3 SECOND. . . : 1090 z f FRONT. :,211b ft REAR. . : 1`i ft
sToRIES. . . . . . . .c THIRD. . . . :0 sf REQUIRED
HEIGF-IT. . . . . . . . e$4 ft TOTAL--- -- :2390 r-f SMOP',E DETF C TORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 121732 PARKING SPACES. . .- 1
Remaar,ks : Nev,, SFD Path 1 'STREET OPENING PERMIT REQUIRED FOR SIDEWALK R APPFROAf
PLUMBING --------------------------------
,3 1 NV.S. . . . . . . . . . . I
-...____-____--_--_______________,SINE.S. . . . . . . . . . . I FLOOR DRAINS. . . . : 1 BACKFLOW PREVNTPS. . :0
i...PVN-EORIE S. . . . . :4 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0
7 UES/ HOWERS. . . . : 3 LAUNDRY TRAYS. . . : 1. CATCH LEAS I hl 7. . . . . . . :Y_,
W"76R CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . , 10,E OTHER FIXTURES. . . . . :0
UARBAGE UISP. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---------------- MEWCHANICAL ---------------- ________.w.____.____ FEES
FUEL. TYP'ES_.._._..__._.___.__ UNIT HTRS. . r0 type amol.ent by date reoDI
/G A 9/ / / VENTS . . . . . :0 TIF $ 1380. 00 JH 07/09/92 --
MAX INPOT-0 BTU VENT FANS. . s4 BP'RT $ 06. 00 JH 07/09/9,2 -
F URN ( 100K _-0 HOODS. . . . . . : 1 BP'LC: 1, 317. c:0 JF' 06/19/92 2,?8713
F=URN . . : .i WOODSTOVES. *0 S5PC $ P4. 401 JH 07/09/92 -
F=LOCIR FURN. . . . :0 CLC) DRYERS. : 1 SSDC; $ 280. 00 JH 07/09/9:' -
NOII./UMP ( 3HP:0 U1HER UNI IS:eD 1441,r, $ 500. 00 JH 01/09/9 --
GAS OU7LE:TS:2 MGRT $ 40. 50 JH 07/09/92 -
Owner^: �_.__.__._ __.__________._--.-_--.__...._.__..._____ MRl..0 1 10. 1:3 JH 07/01)/92 -
L.HIC FIYSTAUT HOMES M5P'C $ 2. 03 JH 07/09/92 -
1 3765) SW CORNELL RD PP RT $ 16E,. 50 JH 77/04/92
P5PC $ 8. 13 JH 07/09/92
-
PORTLAND Or 97E,�,9
1'teone #: 644•-6061
Contractor:
Em'. J. I?YSTADT HOMES)
1 ,4165 NW GOkNELL RD SUITE 100
r.l.lRTLAND OR 972,89
644-8061
R
67880
21 9'? T 01 A 1._
This perait is issued sub iect to the regulations contained in the -------- REQUIRED INSPECTIONS ---- --
w Tigard Municipal Cade, State of Ore. Specialty C:des and all other Foot/foe.xnd Insp Gas Line Insp
applicable laws. All work will be done in accordance with approved Post/BeAm Struct Insmlation Insp
clans. This eerait will expire if work is not started within 168 Poat/Beam Mechan Gyp Board Insp
days 0 issuance, or if work is suspended for tore than 180 d ys. PLM/Underfloor^ Rain drain Insp
llec�hanix-,al Insp Water Line Insp
rm +- 1. r r- irinm+— area: ( (, ( Pll.(Mb Top 01.!t EalJpr`/SdWlP ITISp
Framing Insp Mer_hanir.al F inAl
Fireplace Insp Pl.iamb H x„al
fpr instaectioli639--4175
CIWOFTIGARDWY
OF RD SEWLR CONNEUVIUN
4W
COMMUNITY DEVELOPMENT DEPARTMENT 01"HION 1-,E F?M I T
13125 SW Hoil BWd P.O.Bot 23397,T%W,Orepn 97 (503)OU4175 P,ERIYIIT #. . . . . . .
639-4111 DATE ISSUED: 07/10/92
SITE ADDRESS. . . : 14233 SW 133RD AVE PIARCEL: 2SI09PB-0511DO
SUBDIVISION. . . . : T11REE MOUNTAIN ESTATES ZONING: R-7
BLUCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . ..44
!\iAN'r NAME.
Lj;:sA NO. . . . . . . . . . . FIXTURE UNITS. . .
CLAS 93 OF WORI-N. . . :NEW DWFLL TNG UN I TS. , - 1
FYPE OF USE. . . . . SSF NO. OF BUILDINGS: 1
INSTALL TYr-,E. . . . :BUSWR TMF-,r--RY S(JP.FP(',F. ,
Hemat-kss- New SFD Fath I
Owner: -------------------------------------- FEES ---_--_._____.._._..
ERIC RYSTADT HOMES type amo�.tllt by date r'ecf)t
113765 SW CORNELL RD PRMT t 2100. 00 JH 07/09/92
PORILAND OR 97229 1hlSr-, $ 373. 00 JH 07/09/92.
�'rionv #: 644-8061
ontractor- ----------------
."ONTRAC,roR NOT ON FILL-.
F11-ione #: J-!135. 00 TOTAL
eq
REQUIRED INSPECTIONS
,his Applicant 80,,ees to comply with all the riles and regulations Sewer, Inspection
of the Unified Sewage Agency. The permit emaires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accureev of the
side sewer laterals, If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance Oven. If not so located, the installs- shall purchase
3 "Tap and Side Sewer" Permit and thq Agency will install a laieral,
Permittee Sjonatk-jy-p .
i -,SLIed Ely .
Call for- insoertion 639-4175
CITY OF TIGARD RECEIPT OF PiAYMENT RE,,'Crlrli' NO. -
CHEGV, AMOUNT -
ERIC RYI,')TAD,r ;iomp'.s CASH AMntJtql' s 0.
ADDRESS s 1 576 NW CORNELL ROAD F,F.)YMFNT DATE s 06/14/92
PORTLAND, nR SU BD I V I S I ot"I
PURPOSE OF PAYMFNT AMC')LJNI' PAID PURPOSE Of' P0,01MI-14T t4f11UNI PA I
V-t-PN CHECK FE 6--43P P50. 00
co
ui
'H TREE MOUNT011'4 ESTATES, LOT 44
14P33 SW 133RD
TQlAl- 0MOUNT 1"AID
CITY OF Tll--:(IRD RECEIPT OF PAYMENT RECEIPT NO. :92-229430
CHECK AMOUNT - 509 7. 89
NAME ERI.r, RYr13TADT HOMES ("ASH AMOUNT 0. 00
ADDRESS n PAYMENT DATE n 07,110/92
sim I v i s i mi
PURPOSE OF PnYMEN'r nMOUNT PAID PURPOSE OF PAYMENT AIIOU14T PAID
488. 00 PLUMBING PERM 162. 50
MECHANICAL PL 40. 50 ST. BUILD PER 34. 56
AN CHECK FE 77. 35 SEWER USA 2,100. 00
!.. WFr% INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 12-80. 0121
PARK'S ll;Dr, 500. 00 STOPM DRAIN SDC 280. 00
moss, TRANSIT TIE" F'Et-S t0o. 00
I-OT 144 THREE MTN CSTR-lr-S
14233 SW 133RD nVE
InTnl.., r)MOUNT PAID 5097. 89
CITY13115 SW Hall Blvd. PLNCK/RECT 11 `OF TIGY�RD PO Box 23397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT rgamd Oregon97M
(503)63"171 DATE ISSUED
JOB ADDRESS: 3 ,n- TAX MAP/LOT _ �SI q 4
SUB: 0514jG�, LOT: LAND USE:
VALUATION:
OWNER ' `- SPECIAL NOTES
NAME: erIC-&A ,ft_G- 'I-
f �WL5 REISSUE OF:
ADDRESS: 137!05 AJ W 00 f-KdL R1 _ LAST REISSUE:
_ POr\ , 0R 617, FLOOD PLAIN/
PHONE: 6,,qq _�SC'CC' SENSITIVE LAND:
CONTRACTOR
L_ APPROVALS REQUIRED
NAME:_ EY-(CSILI/1fPLANNING:
ADDRESS: 11371�� l,�l,�iG)Coyjke-L( � #100 ENGINEERING:
CR qL _ FIRE DEPT:
PHONE: ��144-So OTHER:
CONTR. BOARD #: S, EXP DATE:
,/ ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: C) QuU"Vwk LIST/SUBCONTRACTORS:
MECH: LA NPl IyyC BUS TAX:
ARCIIJNGINEER CALCULATIONS:
NAME: "t CL I Yah HV(C� TRUSS DETAILS:
ADDRESS: �i°�! I C✓�C{_�� � Q ' ��• _ OTHER:
q IQ-17
PHONE:
PROPOSED BLDG. USE: -
COMMENTS: .�[ b5 SIXTIZ 019W/N6 PFiQi7/T fAlf XAZ Af1b VAJ LA),DRk
APPLICANT SIGNATURE
I ece� y
l ved B : Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE,
10-432 00 Building Permit Fees
10-431 00 Plumbing PerTit Fees /62 So
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing " 7
Mechanical
10-433 00 Plans Check Fee 3 2 2
Building 3
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection ---
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) -5-
31-450
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _ �2 a .�.
24-445--01 Water Quality (Fee in lieu of)
24-445-02 Water !;uantity (Fee in lieu of)
TOTAL G S� 0 7
nm/3587P.WPF