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12303 SW 131ST AVENUE
' ,. '. IL ;�, ��a � �• a* �, it x ' " e '� A � /a ADDRESS: ro/p 1377� jSW j3v, 9 t . lAre I " � a . . r 1w t - . i � r • • . • • • ' i CITY OF TIGARD DEVELOPMENT SERVICES 13125 SI',Hall Blvd.,Tigard,OR 97223 (503)639.4171 CERTIFICf-VfL OF OCCUPANCY i PERMIT #. . . . . . : i•STc)6._0c''L0 DATA: ISSUED: 03/05/97 I PfIRCEL: ES104D'1-01. 10(1 ai f: ADDRESS. . . : 13779 SW I .30TH PL SUBDIVISION. . . . : MOUNTA I M HIGHLANDS 7 viv I NG:R--4. 5 PI) BLOCK.. . . . . . . . . . e LOT. . . . . . . . . . . . . :010 .__._...___________w___.-_...____..------- CLASS __.___CLASS OF' WORK. :NEW -"'- TYPE OF- USC::. . . !.jr' TYPE OF- CONSTR:5N OCC;UPAVCY GRP. :R3 OCCUPAh-C:Y LOAD:2 Pemark!. : PATI! I I OVE PETERSON 7521 SW OAK ST TIGARD OR 97;:23 'hone #: 452--9457 Contractors SCANDINAVIAN GENERAL CONTRACTINC' (OVE PETERSEN) 7521 aW OAK ST POPTLAND OR 97223 Phone, #: 452-9457 Reg d#. . : 370*46 This Cprtificate grants occupancy of the above refpreiwpd buildiily or port it n thpreof and confirms that the build+ ng has been inspected for com,-1 fiance wir' the ;hate of Oregon Specialty Code-!, for the Nr4 .tp, occ;l.►penc_y, nd .Awe under whir.,h the re'Fei enc:ed permit was :a a�..►wd. C1l L irNb iNSPECTUR _ BIiiLD y cc v F POST IN CONSPII:UMJS PLACE J IV J CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd.,T'gard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM970070 DATE ISSUED: 03/04/97 1-,nRC—;—: 2S104DD--01100 STTF ADDRFSS. .. . : 13779 SW 130TIA PL SUDDIYTSION. . . . - MOUNTAIN ZONING- R-4. 5 PF) BLOCK . . . . . . . . . .. LOI.. . . . . . . .. . . . . . :010 CLASS OF WORV. . :ALT GARBAGE DISPOSALS. : 0 r4081!_E HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . : t OCCUPANCY GRr. . :R3 F:.,OOR DRAINS. . . . . . TRAPS. .. . . . . . . . . . . — 0 STORIES. . . . . . . . . 0 WOTER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0 rIXTURES----------- LAUNDRY TRAYS. . . . . : 0 CF RAIN DRAIN'S.. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : QA GREASE TRAPS. . . . . . . . 0 1 AVATOPIES. . . . . : 0 nTIAER FIXTURES. . . . : 0 TUD/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSF.'T9. . : 0 WATER LINE (ft ) . . ID DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remav-14s . Instal ]. re,ii.dential backflow prevention devi.ee Owner: ------------------------------------------------------ FEES TO"; r"J R—7 0 S I N G E R i,y P v avvini: by d.?tv rpcpt 13779 SW 13OTH PL PRMT $ 1':.,. 00 JSD 03/04/97 97-291147 !71PCT $ e. 75 -TSD 7 Ili 7 TIGARD OR 97223 Phone #: Contt"aCtOr: RAIN MAN TRPTGATION & LIGHTING 2915 SE 5 PORTLAND CR 97006 Phone #: 7nn.4-,411 $ 1.5. 75 TOTAL Reg #. . - 000116 REDUIRED INSPECTIONS - ------ Thi$ pel,git is issue,-' subject to the regulations contained in the RP/Backflow Prez, Tigard Municipal Code, State of Ore. Specialty Codes and all other Final InspFicti,on applicable laws. All wor;: we 11 be done in accordance with apprrved plans. This persit will empire if work is not starled sin 180 days of issuance, ur if work is suspended for eore V days W i t t P Ln 9 11 e d Call for inspection 639-4175 -ITY CF TIGARO Plumbing Application Rec ol9�=�= 13125 SW HALL. BLVD. Commercial and Residential Date Recd C 71GAI,R0, OR 97223 Cate to P E 503) 039-4171 �"atr.to DST '-,±r nit$ F m Print or Type Related SWR s 'r,comple,a or illegible applications will not be accepted coned Hume ct Ce eloaMenLProlgpx FIXTURES (individual) Job QTY F`RIC[ AMT I ' ,� �� �� �� :imk 900 Address r9� �, 1Lavatory vft, 9 00 j (. r �- - I Tub or 7 ubtbnower Como -f i a e 'ip Shower Only --�-- I Water Closet V.ImB I 900 Dishwasher I 3 00 i- Owner I Marl ng wdressSune Garbage Disposal _ 900 JYasmvng Machine 900 C,tw5tate yip I Phone Floor Cryn 3 - �- 400 Name 9.00 a 9 00 Occupant MadingAndress Surte Nater sealer I 900 Laundry Room Tray 9 00 ,ty,State Zip Phone Unnal 900 1 c Other Fixtures tSoeafyl _ 9.00 9 Contractor to agar l Sults 9 oti P-or to,ssuancq' r T,ip p 9.00 arrlica,it must � v� �I/7� � 9.00 oroviae an rjjp n C n �nt. B aril Lica xp 3,e 900 ,-ontracrors ' 4 1 ) C l )_ 1- �l -- license P bang �r '- /! I 9.00 i P.,A e i Sewer- 'sl 100' nrormaoon r v� '� _+, 30 00 -� Sewer-each acidiUo tal 100' 'or CCT C _ism ,ax r elro s I xp ate 2500 I aatabasel water Service- tst 100' X0.00 Nan a later Service-eacn addrtlonai 200' 25 00 -- Architect Storm i Ram Drain- 1st 100' t 3000 or k-aiiing address Suite Storm 3 Rain Oram-each additional t00' 25 00 _) Mobile Home Spa,:e 25.0 4ibrSlate Engineer Z. Phone Commercial Baca F ow Prevention Cev,ce cr Anti- 25 00 _. Pollution Device S,.-be .vcrx New ,Z ierlitton D AIter3tion Re� t 3ack3Cw--eventicn_BwCO I t � 30 ce :one resiCertta, O Non-residential O Ary ,-rap or Aas;a Nct Oar ectea to a =,xture I I 3 00 :atonal:escnobonof xcnt —' Catlin 9asin 900 - r1cxlsun9=umbmg I 0 00 I = Oer.'hf CL !Irg ,se if Soeclaxty Requested inspeci,ons I e0 00 .,tai mg or properly I per.hr 1- yam--rain single`amuy Cwening i 1 30 J0 pcosed use of I Grease Traps ,J0 > .naxrg or,rooerty F-- QUANTITY TOTAL ire •cu ca0erng Tovirg 7r -eciac;rg any 9xturesl Yes - N0 ; 30rfetr :.^sercagram a^_uve^_ f.,:an:ry-dal s B r If yes see back of fortnl �— 'SUBTOTAL (-j "e,nv a0nowleage that lave read;his 3ppucatton. 'nat'Me information f W y s^orrect that t am'"e,wrer or autnOn: - ed agent if tie awner and 5°: SURCHARGE J atla s sucrritleal are :L mpltanCe.vtih C'•re^yon State _aws. i t 14pf Oerf V to / ,ill PLAN REVIEW 25% OF SUBTOTAL �� / I ( r r` / ✓1 Mecx.rm cnry f'rure=, .--•al s>3 yIJI�/ TOTAL tactPerson s a Ph-go 1 _ I 1 '%Afmmum permit fee s 525 -5'6 surcnarre except Pesla�,xrual Ba KAow / 1 �-(� J Prevention Device ,vrlcn is S15 - 536 s. charge 'asts plmaoP doc MIS �1 -I.-F.AaE.QQMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped_ moved or replaced t Sink 1 Lavatory Tub or Tub/Shower Combination I ~,'power Only _ V`d, ter Closet ' Dist vasher _ Garbage Disposa' Washing Machine Floor Drain 2" { J 4" Water Heater ^ Laundry Room 7 ray j Urinal _ Other Fixtures (Specify) •' C L,_ r a'OMMEN;TS REGP.RDING ABOVE: L 4.1 r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service " Foundation Water Line Ceiling -Plumb. Post/Beam Mech, Shear/Sheath Framing Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk Reins. Other: t�- Date: �7 A.M. P.M. Entry: Address: Tenant:— Ste: MST:9�90 � BUP: Con/Own: . — �9 a- Ce� MEC:_ PLM: ELC: THE FOLLOWING CORRECTIONS ARE REOUIRED: ELR: /��IC�i,.Ni4L E�u3rj2w L�v��rfitd�_ l4�•�� ����9� v� ak ,� ��'' vez h W res o1,,. Ins ctor LAPPROVED _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF'rIGARD BUILDING INSPECTION NOTICE. Inspection Line: 6394175 Business Phone: 639-41,71 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling :Plum Post/Beam Mach. Shear/Sheath Framing ech. [Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. Sari. Sewer Gas Line Apr/Sdwlk Reins. Other: _� Date: A.M. Entry:_ Address: —3 �h — Tenant: Ste: MST. BLIP: _ Con/Own: �_. MEC: PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 04 Y 4F f J V J / I spector: Date, OVED -)DMAPPROVE D/CALL FOR REINO. CF CO CITY OF TIGARD BUlf DING INSPECTION NOTICE l Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/San,ice FINAL: Foundation Water Line Ceiling (EDD Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Othor: _ Date: A.M.,P.M. Entry: Address: _ 1 -� :27 13 d Tenant: _ Ste: MST:% 4.Z BLIP: Con/Own: —IVMEC: PLM: ELC: �.-----THE FOLLOWING CORRECTIONS ARE REQUIRED: ELF.: 071P.l 09 7 P-2 J t LU J Inspector: Date.. _APPROVED —DISAPPROVED/CALL FOR REINSP. C CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling 4 lum i Post/Beam Mach. Shear/Sheath Framing -Mech. Pibg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: 11 _ Date: - r A.M.�M. Entry: �` 0 Address: —� �� Cn q� 4 Tenant:_ Ste: MST: BLIP: Con/Own: MEC: _T PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: i Af J W J IYns torr I— - Date. ,APPROVED __ . DISAPPROVEDiCALL FOR REINSP 111 CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Lioe:639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service IN t_ Foundation Water Line Ceiling - lurn Post/Beam Mach, Shear/Sheath Framing Mach, Plbg.Und,Flr/Slab Plbg.Top Out Insulation - lac Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: - -? A.M. t/P.M. Entry: � - 7 O 'T Address: ��_ —� l—a� -- Tenant: Ste: MST: _G on wn:�Jf MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: CL 1�V V W Inspector`"" / _ Date: evQ A,�APPROVED _�DISAPPROVEDICALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Plumb. )st/Beam Mach. hea/Sheat,i ramin -Mech. ''Ibg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. , Mech. Roug— h-i—n-`, Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Refn Other: — Date: _ A.M —P.M. Entry:_ Address: `I Tenant: Ste: MST: BUP: Con/Own: ZS f MEC: PLM: 94(S 7 ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ct fN CA LJ Inspector:r _ Date `DISAPPROVED/CALL FOR RE'NSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone:639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Ivi,nh. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line pr/ dw Reins. Other: I CA Date: �J A.M. —P.M. Entry: _ Address: 3 7 -7 !2 3,0 Y-A Tenant: Ste: 'VISI `~ Con/Own: f3UP:MEC: PLM: ELC: THE FOLLOVVING CORRECTIONS ARE REOUIHED: ELR: _ Piri n r (fcUL. a un tz drha�Gi J f LUJ AEr Inspo^tor: , r�.`a Date- j�- -APPROV ED ____DISAPPROVEDiCALL FOR REINSP. CF CIO 1 - 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/FIS/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in =GypBd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: �G� A.M. _P.M._— Entry: _ Address: �j 7 7 ! SO-) 5 U PL- Tenant: _ _ StP: - MST: ti�� S7� MEC: --- Con/Own: �S_� G- PLM: 2--z- 751 ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: F- s co w Inspector: _— Date: .IU � —APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: ' Foundation Water Line Ceiling -Plumb. Po5:19eam Mach. Shear/Sheathram ri -Meth. Plbg.Una'clr/Slay Plbg.Top Out Insulation -Elect. Post/Beam Struct. < ech. Ro Gyp. Bd. -Bldg. San. Sewer Appr/Sdwlk Reins. Other: /_ Date: 'L�Ll�— A.M, X PM. Entry: Address: / 35 7.1 Tenant: Ste: MST• (p_Or�.� BUP: Con/Own:�� Z MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: oo LT%�V/c� Q!�/�/ �JDIf✓ t L�4LIIs�LS T� �� irt�•�yyLlZre /�GCc�SSrJC2&R.7 _44c; J /�Jrt6 9;fr�pr6sa Inspertor �2 -- i—�— bate: /0 _AFPROVED _'Dt9r�PPROVED/CAU-F08- IN_$,Ei CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Pnone: 679-4171 Footing Rair. Drain Cover/Service FIN,,L: Foundation Water Line Ceiling -Plumb. PostfBeam Mech. Shear/Sheath Framing -Mech. Plbg Und/Flr/Slab Plbg, Top Out nsu a ro -Elect. Post/Beam Struc' Mech, Rough-in Gyp. Pd, -Bldg. Sar. Sewer Gas Line Aprr/Sdwlk Reins. Othe;: Date �_1�— A.M. �.M. Entry- Address: -- Address: Tenant: Ste: MST: go BLIP: Con/0-.w: d�_ - ,j Z"9��,r�, MEC: —' PLM: E : — THE FOLLOWING CORRECTIONS ARE 9EQUIRED: ELLLR: T F- _J L - r' W -- ---- Insp for �–__�--_ �_. - - Date .�r V IP _—� 0 __DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILt'►ING INSPECTION NOTICE Inspection Line: 639-4175 Business Pnone: 639-4171 Footing an Drain Cover/Service FINAL: Foundation (Water Line Ceiling -Plumb. Post/Beam Mech. Shear/EMeath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas, ne Appr,'Sdwlk Heins. Other: _— Date: Entry: Address: 13 7 7� Terant: Ste: MST: OZSp Con/Own: BUP: — -- -. MEC: I"LM: `�✓f-Z - 9US � ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: CL F- r r-r U' Uj J .041 In vector: A_ DOW. APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Lirr 639-4175 Business Phore: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Ibg. Top^ , Insulation Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: P �/ A.M. A1. Entry: _ Address: . -3 7 25 u,) ` -3 D �_ Tenant: Ste: _ MST/ Z$ Con/Own: � 7+''7'l� MEC:— x/U — vZo�J�+ P1, s yc,/S PLM' y.Sc- � ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r v�� oe h- J L7 W — Inspe qC: ED _DISAPPROVED/CALL AOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line:639-4175 Business Phone:639-4171 Footing Rain Drain Cover/Service FINAL: \ Foundation Water Line Ceiling -Plumb, Post/Beam MaV Shy ear/Sheat -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: -4-Rti Date: -� - 7-9L A.M. - P�___ try: Address: Tenant: Ste: _ MST: (Q 7- O 0 BLIP: _ Con/Own: �-4�t •�. MEC:_ THE FOLLOWING CORRECTION ARE REQUIRED: ELR: -e e97 ze- cc Inspector: __ _ __ _ Date, _APPROVED --tNSAR VED/CALL FwgsCF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain drain Cover/Service FINAL: Foundation Water Line Ceiling -Piumb. Post/Beam Mech. Shear/Sheath Framing -Mech. PIbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer `_Y�.T � —' asi -.=---" Appr/Sdwlk Reins. Other: __ Date: _f� lr AM(. P.M. Entry: Address: Tenant: _-- Ste: _- MST: !-a _ Cin/Own: BUPMEC:_ - ------ PLM: --- ELC: THE FOLLOWING CGRRECTIOi IS ARE REOUIr1ED: ELR: CL H- XI- J Inspector: - , s Date:�SY✓ PROVED _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain ver Servi FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: _-!� (2A.M. P.M. Entry: ` - AddrEss: f/ .3 7 2t�-- Tenant:------ ------ — Ste:_ - MST: D .S� BUP: ro /Own: -- ---------- — - MEC: PLM: ELC: --�—— -- THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: V) L W Inspector: G �� Date: "Ozo APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: oundeti Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Pibg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _ A.M. �k Entry: Address: Tenant: ` Ste:,_ MST: __, BUP: Con/Own: MEC: PLM: ELC: — THE FOLLOWING CORRECTIONS ARE REQUIRED:` ELR: Jz L44 ZcCC,Cnr J W • Je _ Date: ED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 rooting) Rain Drain Cover/Service AL Foundation Water Line Ceiling -Plumb. Post/Bearn Mech, Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bi. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: `` AA, ��JJ' Date: _ 6e 2 L A,9,W' Entry: Address: 13-7 — Tenant: Ste ^_ MST: BUP: Con/Own:` _ MEC: PLM: ELC: THE)FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Fu/ un pA95 AZOM2 In ector: Y Date:-� ROVED DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Lane: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Calling -Plumb. Post/Beam Mach. ear/ he th Framing -Mach. PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer �, - IGas Line Appr/Sdwlk Reins. Other: �""�`'�' �—�--Q Date: b A.M. _P.M._ Entry: Address: 13 -77 4l `� 40 "O ZZ- q 4L _ Tenant:._ Ste: MST: !6 —,1 2 S Q Z J.� BUP: Con/Own: nj5 I �0?— 2 MEC: a-e PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: w SL-v, - J t cU W J Inspector: Date: Jd _APPROVED A DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech, Shear/Sheath Framing -Meeh. Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Strutt, Mech. Rough-in Gyp. Bd. -Bldg. San Sewer Gas Line Appr/Sdwlk Rein Al Az 9 Other _ 1h Date: _ _ tv A.M.�—P.M. ,n,Entry: Address. / �� 9 / 3c) `�//'1- Tenant _ Ste: MST: I , —f --f��I BUP: Con/Own: '�F�� Z..� CJ �.S [ 4 V'__ MEC: PLM: ELC. THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: a IY t— J .r CD LU — -- Inspector: —__ Date: —� APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 I F)oting Rain Drain Cover/Service FINAL: F)undrhon Water Line Coiling -Plumb. Post/Beam Mech. Shearioi,cd,�, F,aming -Meeh. g.Und/ Plbg. Top Out Insulation -Elect S1-dMMech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins, Other Date: �_� - A.M. P.M.._, Entry: ' Address: _ �3 2 g / Tenant: - Ste:-�__ MST: _ 6), BUP: Con/Own: LQ 22 Cl D(n(-e _ _ MEC: PLM: ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: v. H- - - - r H J x C9 - - - W J Z ;PROVED t Date: —DISAPPROVED/CALL FOR REINSP. CF CO r CITY OF TIGARD MASTER F'ERAIT COMMUNITY DEVELOPMENT DEPARTMENT FDERM I'l- #. . . . . . . .. MST96—Vlc50 13125 SW Hall Blvd.Tigard,Or4,gon 07223.8189 (503)836-417' DATE: ISSUED: 0`f/u1/96 F,ARCE-L-: I_S 104DD-01 100 SITE ADlifZESS. . . : 137/9 SW 1301-H F'L SUBI)IVISION. . . . : MOUNTAIN HIGF-ILANT).a -ZONING: F1--4. 5 F'D BLOCK. . . . . . . . . . . 1_01.. . . . . . . . . . . . . :C'11 0 Remarks: PATH I --------------------------------------------------------------- BUILDING ----------•------•------------------------------------------------ REISSUE: STORIES........ 2 FLOOR AREAS---------- BASEMENT...: 856 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.-.NEW HEIGHT........: 30 FIRST....: 1254 sf GARAGE.....: 736 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND... : 958 sf FRONT.........: 20 PARK 146 SPACES: I TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: @ sf RIGHT.........: 5 OCCUPANC7 GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2212 sf VALUE..1: 169139 REAR..........: 3@ ----•---------•-------------------------------------------------- PLUMBING ----------------------------------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 ATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0 TUi/SHOWERS...: 3 GARBAGE DISP..: i WATER HEAIERS.: I WATER LINE ft: 1@0 BCKFLW PREVNTR.: 1 GREASE IRAPS..: 0 01HER FIXTURES: 0 - -------------------------------------------------- ------ MFCHAN'CAL -------------- FUEL TYPES----------- FURN ( 10& ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 /GAS/ / / FURN )=10012 ..: I UNIT HEATERS..: 0 HOODS........,: 1 OTHER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVE6....; 0 GAS OUTLETS...: 1 --------------------------------------------------------------- ELECTRICAL ------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 amp..: 0 @ - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION; 0 EA ADD'L 50@SF.: 6 201 - 4@0 amp.,: 0 2@1 - 400 amp.. : 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp.. : 0 401 - 600 amp., : @ EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANE lel/;VC/FDR: 0 601 - 1000 asp.; 0 601+81ps-1@00 v: @ MINOR LABEL -10: @ 1000+ alp/volt.: 0 ------------------------------------ PLAN P.EVIEW SECTION ----------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------- ------------------------- ELECTRICAL - RESTRICTED ENERGY --------------------- --------------------------- A. 5F RESIDENTIAL--------------------------- B. COMMERCIAL-------------------------------------- ------------ -----•------------------ AUD1U it STEREO.: SYSTEM..: AUDIO $ STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT; BURGLAR ALARM..: 0TH: :: K BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECT?VE SIGN.: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL......,.: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL M SYSTEMS: 0 Owner: ----------------------------------Contractor: -- --------- --- -- -- TOTAL FEES:$ 4668.95 OVE PETERSON SCANDINAVIAN GENERAL 7521 SW OAK ST CONTRACTING(OVE PETERSEN) 7521 SW OAK ST TIGARD OR 97223 PORTLAND OR 97223 Phone M: 452-9457 Phone 1: 452-9457 Reg C.: 37046 a clif This permit is issued subject to the regulations contained in she Tigard Municipal Code, State of Ore. Specialty Codes and all other L' applicable laws. All work will be donF 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. h .� --------------------------------------.------------------ REQUIRED INSPECTIONS ------------------- -----------------------•--------- - J Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Scwlk Insp Erosion Control Foundation Insp Mechanical Insp 1-010 Voltage C-p Board Insp Electrical rinai w Post/Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical final J Post/Beam Mechan Electrical Servi Gas Insp Water Line Insp Plumb Final Crawl Drain Framing Insp i p�ljac�e Nater Service In Building Fina' 1 ,i 9n.at 1-ti-r _ -_. '1�+....._.. I ssr-ted By : Call for inspection - 659-4175 -----� IGN PERMIT CITY OF TIGARD DARMI T TE ISSUED:. �5/31W566�02J0 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 104DD-01 100 13125 SW Hall Blvd.Tigard, Ori n 972 03 630-4171 1g , _ P'1_SITZ ADDRE�L�. . . . 1 / W 1., - I SUBDIVISION. . . . : MOUNTAIN HIGHLANDS ZONING: R-4. 5 F'D BLOCK. . . . . . . . . . . LI'l .. . . . . . . . . . . . . :010 TEIUANI- NAME. . . . . USA NO. . . . . . . . . . FIXTURE UNITS. . . : �I CLASS OF WORT,. . . :NEW DWELL_I NG UN I TS. . : 1 I YP'E OF USE, . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYF'E. . . . :BUSWR IMFJERV SURFACE: 0 sf Remarks: F'ATH I -------------------------------------------------------- FEES ---.------------ UVL-. P'E'TERSON type amol-int by date recpt 1 SW OAK ST F'RMT s `x_00. 00 JSD 05/31/96 96--280043 INSP $ 35. 00 JSD 05/31/96 96-28004; TIGARD OR 97223 Phone #: 45: -9457 Conti-actor.: CONTRACTOR NOT ON FILE l,hone #: $ E235. 00 TOTAL Ft e q #. . : -------- REQUIRED I NSF'ECT I ONS - ------ This Applicant agrees to comply with all the rules and regulations Sewer, Inspection of the Unified Sewage Agency, The permit expires 180 days fromthe date issued. The total amount paid will be forfeited if the -- pe,rnt expires. The Agency does not guarantee the accuracy of the _ — side sewer laterals. If the serer is not located at the aeasuresent -- given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase -- ---- a "Tap and bide Sewer" Permit and the lVZI a lateral. -- - . 'er mittee Signati.rre : —_ .- -r E / Call for inspection - 639-4175 i-- J 1 �11 Residential Building Perinit Application City of Tigard 13125 SW Hall BI,1d. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 3 7) `–I/U h'► 14 �,I Ic,N r)/� — Office Use Only Subdivision: r Lot# �U 1� / 1 3,Y Contact Date / / Initials Valuation. - 7 Result New Construction Only: (Square Footage) Planck/Re-- it House: -7 `7 != r'�us �'aa Permit # H'15 - 2 SU $SG'ha�cm�n, uN�,arage: �.7r� Reissue of Map & 7'L# 2SIU4 DD -gI) gj Corner Lot? Y © Flag Lot- f N`' Zone Y z, S' h D _ �, Vt r� epi Plat # Owner: r Address: — -)"31 SCJ OA:e s� . Approvals Required _ I t y 6r rOf01 0,-7 22Planning Setbacks Solar - Enginer-ring _ Other Phone: Contractor: Ca tee('�^ay�a H Geyutvw.� Co w�✓n•tAr n� Items Required Address: SCt vn,c, Subcontractors Truss Details Other Notes t u jt, hfr..�1. Phone: Contractor's License (attach copy of current Oregon license) Contact Name. C fc�+5�-vi i- Contact Phone: y-r? `14S_7 Subcontractors eC 7P Architect/Engineer: Plumhm, 1 1 b�H o�-Ic.�tilS�93LZ- drJress t� t 2 6 - -- - Mechc, cal: I /t 9 y-�SS1✓e- P4 �5? ? 7 ~ (attach copy of current OR Contrac is Lrcens Phone. L ) h— 1 J JOB DES,Gf IPTION: SI n I/V �04P" I II, vuW V((,C&V-: M I�;°7o-t PIP4 t Apl.licint'Signdfu Applicant Phone number Received b Date Received. C5 7�� y' - - - r•ba�nnvewr r Permit# Account Description Amount Amt. Pd. Bal. Due y� -U 5 v Bldg. Permit BUILD Plumb. Permit (PLUMB) Mech. Permit (MECH) L� u _ "X) �G Bldg: a, S'P'.( _55540 Plumb: Mech: ,�� Plan Check (PLANCK) ,��ys: 2U <? ./� 2.0 • Bldg: .J�/$• !!l/ Plumb: Mech: Sewer Connection (SWUSA) uU Gv Sewer Inspection (SWINSP) Pa-ks Dev Charge (PKSDC) U Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL, Water Quantity (WQUANT) LL Fire Life Safety (FL_�) Erosion Cntrl Permit (ERPRMT) L Erosion Planck/USA (ERPLAN) '. �v Uj c� -- OV J Erosion Pla,,ck/C07 (EROSN) - � TO FALS: � 9 14 '.041. I l,ji I I ImUl.INI 00 14,110 IJVk It' v!91 VAD J NIAV ON 11- '141 C.I IN A.1,41%1, p-wl '-M ICI-114 pi if, 1,f-IMI VI IIdI-'1J c1 it -111L Ik ItA I PIA J 1) 1 it. 114 1.1) LU (A I It 111 'TI W.1ki i P11 (A If,1 4 f h11 M I IA 1 1 11 1 UA.I. I-11-11 if 1111 ". NAME a Pk:.I L.W-A'.N t I.)V L 0141JUNI a 0. 140 VIDDRF SS a VB14 SC;(-4NDINiWJ.AN GENERAL C.IJI-4M POYMNI W.M.. 19 C-, 7521 SW OW 91' P101471-MD Ok 97k:1031-- PLINPURF OF PAYI41: Jf* WiRM Prill) PURPUSE (JF PfIYI1W-N1 $414t ION 1 1-11-1 J P MILDINC4 PFRI1 MIS T9b,--Q1PbQ1I 60A. 1110 PLUMBINIII PERM CL. MEC34ANDAL PF 45, IM k4"LF-(-J 131 GAL Pk HM t I SW,l1. WDA 131 . 141J.11 V PER 58. 90 BUI1_VIN14 PLAN CHIA-Af, MV.*.C`Hr1NtrAL PLAN (ME CK A t.P5 LSIEWL1.1 IJC34 CHWH961-111P.30 i?F91111. 00 S+WFI? INLPF-VA .35. 00 PARR-1 SDL 1 obO. (40 J IAF' I Dr--'N I I Al- I*R11F P I C FF",F9 t 470. Old MAISS TRAM111 T 1"11- FEES WA. 00 Hi-.,() (.UAL .1 1 Y FAC I L I TY FFF- 100. 00 HP-0 OLIAN111Y FACIL11Y F14, 101A. 00 ('11I Lo 1;:'! STUN NIROL. PERMI TFEE,." E,4. GIA EROSION CONINUL 44 PIJGR r`0 10 LU -j I-MIGION U;ONTRUL. po. 1,3 7*79 13w 13o"I-H PL W,;196 50 ITA'AL 11414010141 P$411) 653. 95 —4 9- J A l A N OHSICN ASSOCIATES, INC. Date:_ 5/16/96 To whom it may coacem: With this letter A/&A Mascalyd Dix Associates,Ina gives permission for the Buyer: Nene OVE PE,'PM N Ad&eaa' 7321 S.W. OAR STREET _ 2QEIW, OR. 97223 _ phone to make revisions to, and additional copies of Plan No. 2258B OPTION for the construction of a single project located at: City or County WA COVNTY _ Lot No. IM 10_ Subdivision SIN HIGHLAND This permission is granted for the specific project and design listed above. This document is valid only in criginal form, with an original signature in ink Any modifications to, or copies c4 this letter will void the permission granted herein. V1 Alan E. Mascord, President Alan Mascord Design Associates, Inc. J W J 1305 N,'W 18th Avenue POrtLVA,Oregon 87209 5Q1/'L?"61 FAX 503 i 225-0933 Z2:0T 96, 9I .1,UW Tod rl-6 DOSSH N91S3C GdOOSHW £2:60-GGZZ-�09 PLO-r- PL.AN AN D LOT SCHEMATIC 13779 S.W. 130th PLACE LOT 10, MOUNTAIN HIGHLANDS, PHASE 1 8,973 S.F. Tigard, Oregon Washington County 5,\6 -� J;ANDINAVIAN GENERAL CONTRACTING 7521 SW Oak ,Tigard, Oregon 97223 I I/ O t>er4cM q Lr °ur k s r- JIB. 1 S cRns'onl oN--JevL 2. s Ices ��N P"- USA 1� �"AK• �N�n9um c;Ty \ �eN F.F. 37q sei F�� Tl 1+a SCALE: 1" 20' n (JfArH 1 �l Gq cope comPu Awz- 13,4 s E)(4AVA-rg At,,* F- V7 f2o-1L �f1S AJ L '' S.W.130th PLACE .L co CITY OF T:GARD 13125 S.W. HALL BLVD. TIGAPD, OR 97223 IMPORTANT PERMIT NOTICE FAITH ELECTRIC INC PO BOX 20476 KEIZER OR 97307 Electrical Signature Form Permit # • • • . : MST96-0250 Date Issued. : 05/31/96 Parcel . . . . . . : 2S104DD-01100 Site Address : 13779 SW 130TH PL Subdivision. : MOUNTAIN HIGHLANDS Block. . . . . . . . Lot . 010 Zoning. . . . . . . R-4 .5 PD Remarks : PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to +he start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: OVE PETERSON FAITH ELECTRIC INC 7521 SW OAK ST PO BOX 20476 f1 TIGARD OR 97223 KEIZER OR 97307 N Phone # : 452-9457 Phone # : r Reg # . . : 086309 J WX ----- J Signaturd of Supervielng Electrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NW PLUMBING SPECIALTIES INC P O BOX 606 GRESHAM OR 97030 Plumbing Signature Form Permit # . • . MST96-0250 Date Issued. : 05/31/96 Parcel . . . . . . : 2S104DD-01100 Site Address : 13779 SW 130TH PL Subdivision . : MOUNTAIN HIGHLANDS Block. . . . . . . : Lot : 010 Zoning. . . . . . . R-4 . 5 PD Remarks : PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: OVE PETERSON NW PLUMBING SPECIALTIES INC 7521 SW OAK ST P O BOX 606 TIGARD OR 97223 GRESHAM OR 97030 C. It : 452-9457 Phone # : N Reg # . . : 094322 r J X w Sigrfature of Author* d Plumber J Please return tris ccn i Meted form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. 11310