14256 SW 133RD AVENUE � r
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14256 SW 133rd Avenue
CERTIFICATE OF
CIT1l0F
TIFARD 431YO-FuND CiCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT 0"6 r1* PERMIT #. . . . . . . :
13126 SIN HWI Blvd P.O.Sm 23W,TWmd,UrMPn
DATE' ISSUED: 05/21/9j'
PARCEL: 2G109AD-03700
PERMIT
SITE ADDRESS— s 14256 SW 133RD AVE ZONING: R-7
';UbDIVISION. . . , I THREE MOUNTAIN ESTATES
�ALOCK. . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. 4NEW
yypE OF UgE. . . -.SF
OCCUPANCY GPP. -.R3
OCCUPANCY LOADi223 4
T ENANT NAML.
Remarks:
Owl-let",I
RANDY P4DCLIFFE
17a992 SW ARKENSTONE DR
T118AP0 OR 97224
Phone 4t 721-1664PAGER
RANDY RADCLIFFE
17292 SW ARKENSTONE DR
110ARD OR 97224
Phone #: 721--18G4PP('A--'R
Rett' #. . : 45205 -� referenred buildclo i1i tke�-Vtly elven, end
Occ-upAncy of the aboy
o with the GtOtu Of Oregon Spec.�jajt-,; Cudes for the 9"'Vl
the complianc the pvv;mit watts issued.
,cc'upancy, iAnd tjoe Under which
INSPECTOR
FIRE DEPARTMENT
I A
BUILDING OFF�Xrl�L
POST IN CONSPICUOUS PLACE
——------------
�NSFEClINOTICE
a
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223 I^
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:___
Footing Plbg, Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line P1NALs
Post/Beale Struct. San. Sewer Framing -Bld
Post/Real: Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Plater Line Gyp. Bd. ech.
!" r
Date Requested: �5 -tJ 7_ Time: AN :X PN
Address: 1(1-'-2 45`6 5 L✓�.Z 3 3/0Permit
Builder:
THE FOLLOWING CORK MONS ARE REQUIRED:
4
Inspects Date
APPROVED DISAPPROVED — APPROVED BJBJECT TO ABOVE I
i
—Call For Reinap.
./a
�irr�
INSPECTION NOTICE
city of. Tigard Building Depar't—nt
13125 SW Ball B Tigard, Oregon 97221
Inspection Line (Rec-O-Pho ): 639-4175 Business Phone: 639-4171
Inspection!___
Footing Plbg. U erelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. op Out
Cas Line FINAL:
Poet/Beam St[uct. San. Sewer Framing -Bldg,
Poet/beam Mech. Rain Drain
Ine.lation -Plumb.
Pl.bg. Underfloor Water Line Gyp. Bd.
-Mach.
7 Z-- _ AM
Date Requested: —
Times 'M
Address: � —
� �,� Permit is
, s--�'—'�—
� s
Bu i 1 de r:
i
THIS FOLLOWING CORRECTIONS ARE IREDI
Ineptor: -C•� Dates
ee
e,APPROVRD DISAPPR6 U APPROVED SUBJECT TO ABOVE
11,
Call For Reinsp.
i
9w vim qwmqgzqg
l uPI4l_. 1Nt OT C):
City of Tigard Building pepart�ftent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Mg. Dnderslab Mech. Rough-in` APP r/Edwlk
Found. Plbg. Top out Gas Line
FINALS
Post/Beam Struct. San. Sewer _—�
Framing Bld
Poet/Beam Mech, �
Rain grain Ineuletion _Plumb.
P1G9. Underfloor Water Line Gyp, Bd.
gMpechDate RequestedsTlmet pN
Address: G j d _
pereit #
Builder: L
THE FOLLOWING WRRECTIOBS UIREDs
00ae.�d
A. f c
ell
Inepector:
__.,T Dater
APPROVRD ` DISAPPRiv„D APPROVED SUBJECT TO ABOVE
Gil Tor Reinsp.
INSPErji1UM NOTICE
City of Tigal.d Building 0tuKrtsent
13725 SW Bal.l. '31vd. Tiqard. Oregon 97223
Inspection Line (nec-O-Phoin): o39-4175 Busineas Phone: 639-4171
I n sp:o-ct ion: _—
Footing Plbg. Underslab Mech. Rough-in Alpr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Structs. San. Sewer Framing -Bldg.
Pout/Beam Mech. Rain Drain Insulation -Plumb.
lbq. Underfloor Water Line G;p. B". -Mech.
Date Req.osted• ,__TimeI AM r�
Addrens:1�c,2CL l� �PH
_-- _— Permit f:� �rY
Builder ---T
THE FOLLOWING CORRECT NS ARE REQUIRED:
,e
-------1G%.-«L�X r1-l�.� _,c- �. /.. �, ,c.-►..-mss
Inspector:_ v i` Date:_ 7"9 y
APPROVED DISAPPnoVED APPROVED SUBJECT TO ABOVE
call For Rainsp.
QR A OW W T
INSPECTION NOTICE
Cltg of Tigard Building Del-rtoent
13125 5" Ball, Blvd, Tigard, OrE^gon 97223
Inspection Line (Rec-0-Phone): 639"4175 Business P'l-' 639-4171
Inepectiont—_ — A r,'Sdwlk
Plbg. Underelab
HE-, Rough-in pp
Footing FINAL:
plbg. Top Out Gas Line
Found- _gldy•
San. Sewer
Framing
post/Beam Struct. _Plumb•
Rain Drain
Insulation
Poet/Roam mech. -mech.
Water Line Gyp. Bd.
plby, Underfloor AM
C rim.+
-4--Date Recy'eated:
:
�LI 5 13 Y Cl permit f
Addressw
Builder: P
T14M FOLLOWING CORpECTION
REQUIRED,
----.------
-- - - - -
i'
— Date,
Inopector,—
DISAPCROVED _ APPAOVF.D 91IB.1F.CT TO ABOVL
�.,L_— APPROVED �_— -`-
!-— Call For Rninsp•
INSPECTION NOTICE
City of Tigard Building Deparuiont.
13125 Bft Ball Blvd. Tigard. oregon 97223
Ynspection. Line (Rec one): 639-4175 Business Phone: 6A-4171
Inspection: _
Footing P Und relab Mech. Rough-in �Appr/S k
Found. Plbg. Top out Gas Line FINALS
Post/Beam Struct. San. Sewer Frami.n g -Bldg.
Post/Ream Hoch. Rain Drain
Insulation -Plume.
FYbg. Undart'loor Water Line Gyp. Bd.
-Hoch.
nate Requested:
,� Z Times --PN
rd Permit i s
Address:
Builder:_ -
THr FOLLUW'NG CORRECTIONS A WIRED:
Date:
Inspectors,__ —
APPROVED DISAPPP,IVRD APPAOVED SUBJECT TO ABOVM.
Call ♦qr Aw'nsp.
I
r
I NS PACE x ON�N(Yi'I L•E I
City of Tigard Bcild.lnq Depa'-tmxnt N/
13125 Std Hall Blvd. Tigard, Ore'Ion 97223
Inspection Line (Rec-O-Phone): 639-4175 Bur,ineos Atone: 639-4171-"
171
Inspect ton•
Footing _
Plbg. Underslab
Hrch. Lough-in l Appr/Sdwl)c
Pound. Plbg. Top out
Cas Line FINAL=
Poet/Beam Struet. San, S 4vmr
Framing -Dldg.
Post/Beam Hoch. Rain Drain
Insulation -plumb.
Plbg. Underfloor Water Lina
Com' Bd. -Mach.
Date Requested:.__/ �
---Time: AH PN
Permit
Builder:
THA FOLLOWING CORRECf16NS ARE REQUIRED:
< -lEc.
i -
2napa3lort --------
_ Date:—� r
DIBAP D � _ —
11PPROVAD SUBJECT To ABOVA
Call Fo. Relnap.
A
INSPECTION NOTICE
City or Tigard Build!-ng Department
13125 SN Ball Blvd_ TJgan d, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniuess Phonei 639-41.71
Inspection: ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Gau Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. vinderfloor Water LineLit Gr yp. Ed. J -Mech.
Date Reyuesteds ,rl r� r l - Times
Address: / 433""'L- PermitZ-
Builder:
TPP FOLLOWING CORA MONS REQUIRED:
01
Innpector:✓__ 1 Dates
T_APP DISAPPROVKD "PROM SUBJECT TG ABOVE
/ Call For Reinsp.
INSPZrTION NOT.L_CE Jf.f r
City of Tigard Building Departatent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection kine (Rec-k)-Phcne): 639-4175 Business Phone: 639-4171
Inspection-_,__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Seam Mach. Rain Drain Insulation `i -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. /
Date Requested:/ 7ZZ�� r Time: / AM ;yu_PM
Address: ��1�. L� �Z_?� _ Permit t:
- s
Bulkier: t
THE FOLLOWING CORRECTIONS ARE UIRED:
jr
I aspect nr: _ Date: /
i APPROVFD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Neinsp.
;.NSPECTION NOTICE51&_r�
City of Tigard Buildkng Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phones 639-4171
Inspection•
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam St-ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Pibl. Underfloor Water Line Gyp. Bd. -Mach.
I
Date Roqueeted: /� �� ._ Times FM
Address:_ 141.� IfY d' Permit fs C7/
Builder:
THE FOLLOWING CORRECTIONS ARE REOUIREDs
i
Inepector� Date:
-APPR04ED DISAP.IROVRlt - A.-,PROVED SUBJECT TO ABOVE
-----Call For Relnsp.
l0
XNS'LECTION N(YTI,_E
City of Tigard Bailding 'wpsrtment
13125 Sit Ball Blvd. Tigard. )reWn 97723
Inspection L,.ne (Rec-o-Phone): 639-4175 Buoineoe Phones 639-417.1
Inspection:,_,. �._.
Rough-in J Appr/Sdwlk
Footing Plbg. Underelab _
Found. Plbg• Top out
Gas Linn FINAL:
San. Sewer
Franiog -Bldg.
Post/Beam Struct.
Rain Drain
insulation -plumb.
post/Beam Meeh.
plbq. Underfloor Water Line Gyp. ad.
-Mach.
Times _Z,—AMPM
Date Requented: L� C
Permit /�—Z—
Address=
Euilder:
THE FOLLOWING CORRECTIONS RNOINZD:
.........
`7`/
Date: -
t nepeceori --rte-_ --
t�1 APVROVI:D SUBJECT TV ABoI
call he W&L"P•
INSPSGTTON NOTICE
City of Tigard Building DPpartaent
13125 SW Hall Blvd. Tigard, OrO90n 97223
Inspection Line (Rec-O-Phone): 639-4175 Businee, Phone: 639-4171
Footing Plbg. Underelab Mach. Rough-in A� ,cisdwlk
i
Found. PlbgL. ;
Tap Out Ga.s Line FINAL:
Poet./Beam Struct. Stn. Sewer Framing -Bldg.
Poet/Beam Misch. Rai!: Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Koch.
I (
Date Raquested: i " k-G}y 1 ___-__ Tit
Address: 1� 1 �7 7 -- Perwit #t
Builder:
THS FOLLOWING CORRECTIONS ARE REQUIRML:
1
Inspe4—APPROVID
_ Data: �_ l—
r
DI8A'1!`lt TD APPROVED SUBJECT TO I.BOVE
Call /or Reinep.
INSPECTION NOTICE •
City of Tigard Building Department
13125 SW Ball Blvd. Tigar6, Oregon 97223
lnepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underslab Mech. Rough-in Appr/8dalk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain 7-sulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: �f� -Time: _ 'AM PM
Address:__� �J Permit #:I/
Builder: }
THE FOLLOWING CORREL"fIONS REQUIRED:
-� � A�LLJc
L
LA t n
Inspector: �•1 L l� Date: 10- 5
APPROVES DISAPPROV! Z� PROVRD BUBJICT TO ABOW
Call For Reinsp.
+�' # Mwqw
-XIWAIMMEM
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SM Hall Blvd., Tigard, Oregon 97223
Inspection Line (Re�c-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:�V_
Footing P�ptj. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Glp. Bd. -Hech.
Date Reques�te//ds x/D eF _Time: _AN ,J PN
Addrees:�'7G'�Jr� i ~ __ Permit #s -�--
i
Builder:
THE FOLLOWING CORRECT ARE REQUIREDs
7o
--- /WZ
APlNONlD DTSA.PPAOVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
il�spa_ c'r___.�N N;_rlcE
city of SigarA Essilding pepartnent
1.3125 BN Ball Blvd. Tigard. Oregon 97223
Inspection Line (Roc- -Phone)t 639-4175 Business Phones 639-41j1
Inspections r
Underslab Hech. Rough-in Appr/Sdwlk
g
t g
Fo
Plbg. Top Out Gas Line FINAL:
Framing ..Bldg.
Post/Beam Struct. San. Sewer
Poet/Beam Mech. Ravin Drain
Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
,s
Date Requestedt ` / Tit _ AM PM
Y� Permit t s2� r �
Address:
Builder: C
TBE FOLLOWING CORREC.'TIONS ARE REQUIRED:
--------- � Date: G
Inspector: ---
L��pp DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinep.
INSPECTION NOTICE
City of Tigard Building Bepartient �� /
13125 SN Hall Blvd. Tigard, Oreyon 97223 6`) (
Inspection Line (Rec-O-Phone): 639-4175 Business Phone:.63�J 41 r
Inspection: - -
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
poet/Beam Mech. sin Dra in— Insulation -Plumb.
I
Plbg. Underfloor ater Line Gyp. Bd. -Mech.
'7 "7'` AN
Date R� :,looted: __ __ Times
Address: kit
Permit #:
---
Builder:
THE FOLLOWING CORRECTIONS RiQUIREDf "f/
// J
tnepnctor:
Dates r
PROVED DISAPPROVED APPRDVND SUB.JSCP TO ADM
Call For Reinrp.
II
k
r.
E
I
11W IMI WA IRM
{
jN6pAC"I0N N( TCE
City of Tigard Building popartlnt
13125 SN Ball 81v" Tigard.
Oregon 97223
Inspection Line (Rec-o-phone): 639-4175 Busi.neee Phone: 639-4171
Inspection
Rough-in Appr/Sdwlk
Footing b Mech. Rou9
plby. Undersls
Found. PIbg. Top Out
Gas Line FINAL:
Framing -ALAq.
Poet/Beam BLruCt. San. Sewer
Poet/Beam mach. Rain Drain
Insulation -plumb.
lnderfloor Nater Line
ayp. Ad. -Mach.
Time: _ _ _PK
Data Aequeetedt :- � — 7T� � I Q ZS
Permit 1:
Address:
Builder: '
THE FOLLONINO COAASCTIONS ARE REQOI t
I
---------------
-------------
-------------
Inspector:_ _-- ---
D13APPROVEO APPFkOvED SUBJECT TO ABOV!
_APPROVED ----
Call For Reinep.
INSPECTION ICE
City of Tigard Building Dopers, .nt
13125 sW Bail Blvd. Tigard, Orvigon 97723
Inspection Line (Roc-O_Phone)s 639-4175 Business Phones
Inspections q�AL 1
Footing Plbg, Underalab
Mech. Rough-in Appr/Sdwlk
Found.
Plbg, Ton Out Gas Line FINALS
Post/BeamStrugtr San. Sewer
"—'-t=\ Framing -Bldg.
oet/Beam Hoch. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line
GYP• Bd. .-Meeh.
Date Requested:
/ ) _ Time-
Address t
imesAddress: I LALtS� 7 -- ��
n
Permit
Bui7der[�.L �,� -7 -7 Klt�nk
THE FOLLOWING CORRECTIONS ARE REQUIRED-
___--_------
---
inspectors
Dates 7
'��P>toven DISAPPROVRD w
APPROVED SUBJECT TO Ago"
�_`Ca71 For Reinap.
i
•,� A. l
INSPECTION NOTICE L fj
City of Tigard Building Departaent
13125 SW Hell Blvd. Tigard, Oregon 97223
Inaper_tion Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171
Inspection• --- —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Jut Gas Line FINAL,
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam !loch. Rain Drain Insulation -Plumb.
Pl Unde!llOor Water Line Gyp. Bd. -Mach.
Date Requested:_ / �_ Z __—Times AMi/—_�PM
Address:—� r'"- Pe cm it f:�jl
_ I
Builders
THE FOLLOWING CORRECTIONS REQUIREM
Inspectors�_���—__ _._.._ Dates_�/�_
APPROVED _ DISAPPROVED PRO•RD SUBJECT TO ABOVE
Call
For Roi,nsp.
AM
INBPSCTI41( NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:—-, - —
i
Tooting Plbg. Underslab Mech. Rough-in hppr/Bdwlkt },
r
Found e/l Plbg. Top Out Gas Line FINALS
Poet/Beam Structs. San. Sewer Framing -Bldg.
Post/Beam Much. Raid Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Mech.
Date Aequeeked:-' I- —Time .) ' `PM
Addresss� / -r� -_ Permit
Builder:THE FOLLOWING (MBRECTION6 S REQUIRED:
_ zz
inspector � ._ .-___.._—_-_ Date:Z------,------�
pec _l._
pPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
--call For Retnnp.
M MW
IFSP8CTI0'1 NOTICE
City of Tigard Building Depart—ut
13125 so Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 business Phone: 639-4171
znspeation:
toots- plbg. Underslab Mech. Rough-.in Appy/Sdwlk
ng
Q::__ FINAL:
Found. Plbg. Ton Out Cas Line
Poet%Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mich. Rain Drain Insulation -plumb. {{)
plbg. Underfloor water Line Gyp. 8d. -Mach. (�
�7 / — PM
Date Aequeuted: Z Times AM_
d /'p'ter-,IMi-#: 5
Address:
r
Builder:
THE lOLi.uwIIK3 CORRECTION AItE REQUIRED:
-rd k
G-/C_�"l1r
3
InspeDate-
-APPROVED
.,._ -----..--_-_ - -----
APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE
Call
For Reinep.
® - PERMIT
�
CITYOF TIFARD T,7
�� MASTER �. �
COMMUNITY DEVELOPMENT DEPARTMENT t-1t)rI 1 I #• ° • ' • . ' ` ►q5'r�1— 1`
13126 SW Hdl Blvd P.O.Elm 23W.TOW.O*w 97223(603)630.41� k
SITE ADDRESS, • . : 14256 SW 133RD AVE PARCEL: 2SI09A1:1`431014'
SUBDIVISION. . . . THREE MOUNTAIN ESTATES ZONING: R--7
BLOC,K. . . , . . . . . . LOT. . . . . . . . . . . . . ::?.t�
-_______..___._-__--__ BUILDING ---------------------------------------
RrI'SSUE: DWELLI!IG UNITG: 1 BA9EMENT. . . . . . . . :0 sf
GLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :766 s f
YPE OF USE. . . :SF FLOOR AREAS __.._._____._.__ REQUIRED SETBACKS
iYE-+ OF CONST. :5N FIRST. . . . : 1 :90 sf LEFT. . : 11 ft RIGHT. : 15 ft
OCCUPANCY GRP. -R3 SECOND. . . : 1846, sf FRONT. -.20 ft REAR. - :28 fl
STORIES. . . . . . . :: THIRD. . . . :0 sf REQUIRED----------_---•________-_
HE:IGHT. . . . . . . . :23 ft TOTAL-_.__..___:31,3`6 sf SMOKE DETF_CTORS. :Y
FLOOR LOAD. . . . :40 p s f VALUE. . PARKING SPACES. . :0
PLUMBING
SINKS. . . . . ., . . . . : 1 FLOOR 1rRAING. . . . :0 BPL,!'FL-OW PREYNTRS. . :its
L-A V ATO R I E S. . . . . :4 WATER HEATER'. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TROYS. . . :0 CATCH BASINS. . .. . . . . 10
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 CREASE: TRAPS. . . . . . . .0
1?ISHWASHERa. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . ..0
�Whtt3HCiw DISP. . . : 1 RAIN DRAIN (ft) . :0
414'.°1HINU MACH. . . : 1 Sl' RAIN DRAINS. . : 1- MECHANICAL __ __._. __________. ____ FEES __....__-_--_
UF_LTYp'ES� --� ____._.._._ UNI"TyHTRS. . ,0_.__._- type amount l.)y date ►,�, -
(;Ac/ VENTS . . . . . :0 TIF" $ 1350. 00 JLH 07/15/91 _
MAX INPUT-0 STU VENT FANS. . :4 SPAT $ 580. 50 JLH 07/15/91 -
URN ( 100K HOODS. . . . . . : 1 BPLC: $ 377. 33 JLH 06/24/91 214660
URN > =100K . . : 1 WOODSTOVES. :lr L.+;3I-U * 2:4). 0 ; JLH 01/15/91 •-
L.UUM FUkN. . . . :N CLC) DRYERS. : 1 E,SDC $ :375. 00 JLH 07/15/91 -
ITL/CMP ! 3HPiO L)r11ER UNITS- 1 00 „11._I� li►J/ 1:r:'�3 ).
GAS OUTLETS: 1 MPRT 4 45. 00 JLH 07/15/91
MF'L_C. $ 11. '5 JLH 0// 15/91
RANDY RADCLIFFE M5PC f 2. 25 JLH 07/15/91
/c 4)c SW ARKENSTONE DR W,PR 1 t 14/. 50 JLH 01/15/41 -
F 5r-C 1-66 JLH 107'/ Ib1'91
10ARD OR 972r_'4
,Mone #: 721 -1864PAGFR
ontractor':
4ANDY RADCL.IF=F'E
1,7'212 :;W ARKF NSTON1 DR
7'T CARD OR 97224
1''h one #: 7E 1—18641-"POER
3425. 24, 4 TOTAL
This pereit is issued subject to the regulations contained in the -- ~---- HEUL►.1 HED 11VSPLG'1 I LING -
Tigard Muricipal Code. State of tire. Specialty Codes and all other Font/found InsP Fireplace Insp
applicable laws. All work will be done an accordance wit approved past/seam St.t-uc.t Gas Line Inso
clans, This perait will expire if work is of started hin 198 Fist /Beam Meehan Insulation Insp
:lays of issuance, or if work is suspend f r Q1 days. F'lm/unrdslatj Insp Uyp board lnsp
PLM/Underfloor Rain rli^ay.n Ins!
a+r^mit;tee Signata:,.1^e Mechanical InSp W,%ter Line Ins
Plumb Top Out Appr/9dwlk Insp
1 ti5 ij ed By f"r rsminl� 7r15p Me hran:.r al G i ,, '
C',si l fo3r irrsc�Ac..tion •-• 639•-4175
SEWER CONNECTION I,
PERMIT
CRYOFTIVARD OffOF,MRD E RM I T #. . . . . . . SW R91-0142
COMMUNRY DEVELOPMENT DEPARTMENT omem ;ATF ISSUED, �7f 15!'31
13126 BW Hdl Blvd.P.O.Bac 23307,TOW.Orcgon 97221(603)OW4176
PARCEL: 2S109AB--0 71110
ADDRESS—'11 14256 SW 133RD AVS:. ZONING: R-7
"iUDD I Y I S I ON. . . . : THREE MOUNTAIN ESTATES
PLUCK. . . . . . . LOT. . . . . . . . . . . . . :30
TENANT NAME. . . . . : F- 1 X I URE UN 1 (S. .
l_tSH NO. . . . . . . . . . : DWELLING UNITS,. ., " L
::LASS OF WORK. . . :NEW NU. OF BU I t_D I NGS: 1
TYPE OF USE. . . . . :SF
INSPALL TYPE. . . . :BUSWrt IMpEfiV SURFACE. .
9mcar ks:
_ ------------------ FEES
.-
IWner: _— ___---_
c^
:taNUY FtflDCLIFFE _—�"_.._____..-- type amount by date i^e �"t
7292'. SW ARKENSTONE UR F'RM? #+ t500. 00JL.!� 07/15/91 —
Ih15G V1171 JIH 07/19/91
IUARD OR 97224
anp 721-1864GAGER
OOT RACTOR NOT ON FILE
-----------------------------------
$ 1535. t1jo TOTAL
Phone #:
Req #. . : ------- REQUIRED INSPECTIONS ---
'his Applicant agrees to coaply with all the rules and regulations Sewer Inspection w
of the Unified 5twage Agencv. The ptreit srpires 120 days frac
the date issued. The total asount paid will be forfeited if the _ ---- --- --- ---
oertit expires. Tht Rgency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the eeasureeent --'---
given, the installer shall orosoect 3 feet in all directions frog
the distance g:vtn. If not so located, the install r ;hall purchase
a "Taa �e Side Sewer" Persit and the A stall a lateral. -- - -- --—
I-,r e m i t t e e S i q n a t u t-r
Issued By:
Caul for• inapectian -• E39-4175
*CITYOFTIFARD PLUMBING PERMIT
CffY0F1MRD PERMIT #. . . . . . . . MST91--012'
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW W Blvd. P.O.Sm 23397,TOW,Omoon 07223(M)SM X176 T11111TV Tq��115n- _qk7/1V1/q1
TE ADDRESS. . . s 1,4256 SW 133RD AVE. PARCEL: 29109AB-03700
SiJLB�i I V 15 1 ON. . . . v THREE MOUNTAIN ESTATES ZONING: R-7
SLOCK. . . . . . . . . . i LOT. . . . . . . wo . . . . s3O
.-.-----------------------------------—,------
CLASS OF WORK. . rNEW GARBAGE DISPOSALS— - I
TYT','E OF USE. . . . a SF WASHING MACH. . . . . . . r I BACKFLOW PREVNTRS. . 90
OCCUPANCY GRP. . -R3 FLOOR DRAINS. . . . . . , :0 TRAP . . . . . . . . . . . . . . r0
ST(IRIES. . . . . . . . :2 WATER HEATERS. . . . . . 1 CATCH BASIN,. . . . . . 10
FI XTURES---------- LAUNDRY TRPYS. . . . . . :0 SF PAIN DRATNG. . . . , 11
SINKS. . . . . . . . . . il GREASE TRAPS. . . . . . . tO
L.AVATORTES. . . . . :4 OTHER FIXTURES. . . . . rO
VUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . tO
WATER CLOSETS. . :3 WATER LINE
DISHWASHERS. . . . r PAIN DRqIN
Remarks :
OWNERi
RANDY RADCLIFFE TIF $ 1350. 016 JLH 07/15/91
1729e SW ARKENSTONE DP PPRT $ 580. 50 JLH 07/15/91
FPLC $ 377. 33 JLH 06/ 4/91 P14680
TIGARD OR 97224 l3 SPC. $ 29. 03 JLH 07/15/91
11-lb-tie Os 721-1964PAGER 65E)c $ 375. 00 JLH 07/15/91
PARK $ 500. 180 JLH 07!13/4)1
1_11.,;mbing Contractor: MPRT $ 4`5. 00 JL.H 07115/91
MPLCI $ 11- 25 JLH L47/15/91
N a m 9rw M5PC $ 2. 25 JLH 07/15/91
X,
Addre�.s - a e— PPIRT $ 147. 50 J LH 07/15/91
C i t at e:_0 w5rr. s 7. 38 JLH 4'7/15/91
P 10 VX #a__61_2.1,0
Pe q
REQUIRED INSPECTIONCE
'F*hl"* permit is issued L"Abject to the req-
! Nt on,: cdhtained in the Tigard Municipal Foot/found Insp F'Opplave Intp
o,.Jej State of Ore. Specialty Codes and all Foot/found, lnsp Fit eplace Insp
11-opr applicable laws. All wui k wil I be Hone Foot/found Insp Gas Line Insp
ac-cordarm-lo with *pproved plans. Thin Post/Beam struct Insulation Insp
peri(it will expire if work is not stacted Pnst /Seam Struct Gyp Board Insp
wjtftin 160 days ' oF issuance, at-, if work is Post/Beam Meehan Rain drain Ins)
Pend ed fat- X-0 th'an 100 days. Post/Seem Mechan Water Line Insp
PLM/Underf I onr Appt,/Sdwlk Insp
Met.,hanit-al Ins") Appr19dwIli Insp
Plumb Top Oift Appr,/Sdwlk Insp
Framing Insp Morhanical Final
F0,eplace Insp Additional. . . . . .
Aga 0 Plvmbiv1g 'Wo1nt:rmrtv oSillnet -,i e
Call fat- 0191304(_tion -- 639--41,75
untrActor NoteF. -
CITY OF -rjC-,,,jRj) RI~CF
1,4AME RADCUFFE, IPT OF PAYMENT (qECPIPT NO.
ODDRES,
RANDY CHErv, :91--215328
SW
AMOUNT 4710- 24
ARKENSTONE DR CASH Alv"QUNT 0- 00
.1 C,(-)R D OR 9*722-4— PAYMENT DATE 07/15igI
It I OF- ;:'AYMC---NT AMOUNT PA I1) PLJRPOc3E L-)F PAY SUBDIVISION
MENT
BUILDING PERM AMOUNT PAID
MCCHAN I CAt_ PE 580. t:io
PLAN CHECK FE
45. OkiRM
Sf7WER INSPECT 138. v)fj ST. BUILD PER 147. 50
pf)Rms SDC - sFwnp USA 38- 66
05. 00RESIo "AEN 1500. 00
RANS I T TIF FF 500. 00 STORM DRAIN SDC 12 1.5 0. 0 o
I t- TRAFFrr, FEES
sw 133RD
7LST AL AMOUNT PAID g4 710. ?4
RE(,EIT NO.
Cj'T'y OF TIGARD R�-CEIPT OF PAYMEN-T. CHEr_lt,PAMOUNT e
C) 00
CASH AMOUNT O 00
tqAmli a RADCLIFFL--, RANDY PAYMENT I)ATU"* 06/014/91
17:9 :: SW ORKE'NSTONE DR. SUIAD 11 v I S I ON
TIGARD, OR 97223—
pUf�poBE OF pAYMFNT AMOUNT PA I D pUf4poSe OF PAYMENT
AMOUNT PAID
PLAN CHECK FE
It
MOUNTAIN ESTATES,
LOT 30
134P3 SW ALPINE VIEW
'TOT'AL AMOUNT PAID
i
building Permit No.
COUNTYWIDE
TRAFFIC IMPACT FEE Planning File No.
PAYMENT OP`T'ION FORM Tax Map&Lot No.
Bate
Project Name .
I reat'ize that I must make a decision on payment of the Traffic Impact Fee(TIF) at this time_ Therefore I
request the following (Choose whichever option or options are applicable):
Cash or Check
Credit Voucher
Banc%oft or Installment Payments
and/or
M permit it the
f-1 The Ordinance allows for deferral of payment of the TIF until issuance of the o�.cupancy .
�--J I under
TIF is greater than$5,000=30. If the TIF meets this requirement,I so request
undfersta s opi that the TTI
stand the TIF must be paid prior to issuance of an oecup cY pe
will be recalculated based on the prevailing rates at time of payment. Please be advised that TIF rates
1j may increase up to six percent each July 1st. This rate increase is not subjed to appeal.
AEAPPC _ OWNER/APPLICANT
(.'C Building Permit File
Paynv"O0on Notetxx�k f�Mrn t n)?
I
s/// BW. PLNCK/RECT # -51� 9/- 1 s Ya
CITY OF Z IGARD 23397 PERMIT # �-
COMMUNITY DI?VELOPMENT DEPARTMENT lsprregoo97W
(503)63"171 DATE ISSUED _
'SOB ADDRESS: / 7a�S� � c �-� rc/ TAX MAP/LOT
` SUB: S �M't- >%5`h� ,- LOT: -�430 LAND USE:
VALUATION: -
OWNER SPECIAL NOTES
NAME: I� c � REISSUE OF:
ADDRESS: A• k-r 44— �- _ LAST REISSUE:
FLOOD PLAIN/
PHONE: Zf 7397 __ SENSITIVE LAND:
11 - l
CONTRACTOR APPROVALS REQUIRED
NAME: r�.c�nc�_ } � � PLANNING: _
ADDRESS: I ) Z `r z u4� k- � A""'� y'" --- ENGINEERING:
r_ � ,z) _ FIRE DEPT:
PHONE: OTHER: __
CONTR. BOARD #: EXP DATE: `rt
ITEMS REQUIRED
`;UBCONTP.ACTORS' PLUMB: 3/ V\� �4w�.�; LIST/SUBCONTRACTORS:
— MECH: _L (�U�^(�. r �' BUS TAX:
ARCH/ENGINEER CALCULATIONS: _
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PIIONL:
��S
PROPOSED BLDG. USE:
COMMENTS: `
114 tiWL CA n ORE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees %`/7,5z //V 71 SU
10-431 01 Mechanical Permit Fees L/S J 11,5-, UU
10-230 01 State Building Tax (5q)
Building 2 , D_
Plumbing 12, 3k
Mechanical
10-433 00 Plans Check Fee �� SL�,Gv /3�,J�
Building 77, 3,3
Plumb'ng
Mechanical
10-230 06 Fire _
�l Lill 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
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees Iia Ov 5�
25-448-05 Mass Transit TIF Fees --Zoe, 00
52-449 00 Parks System De•, Charge (PDC) Ln �bZ�
31-450 00 Storm Drainage rjyst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) ^_
TOTAI.
nm/3587P.WPF