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12612 SW 131ST AVENUE 1 1 i 131s*'A%IBV U./ jE J is\rewrds\rrIic(-ofim\largelsV)uiiding.doc; UJ J Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0321 BRAD ROAST 12162 SW 131ST AVE 06/19/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date BY ------- ---------------------- ------- -------- -------- -------- ---------------------------------------- ---" --- -------- MSTA007 Application received / / / / 08/15/94 PASS JF 08/17/94 BLT MSTA010 Plan check deposit paid / / / / 08/15/94 PASS JF 08/17/94 BLT ' MSTA020 Plan check by 08/17/94 / / 08/17/94 PASS RT 08/17/94 BLT ' MSTA030 Check for prcl. restrict. / / 09/17/94 08/17/94 PASS JL6 00/17/94 AUT M:;TA092 (F) Issue combinatiun permit / / / / 08/17/94 ISSU RT 08/17/94 BLT MSTA705 Foot-/found Insp / / / / ^8/22/94 PASS RB 08/22/94 RB MSTA725 Framing Inap / / / / 09/06/94 pending- additional nails at-9; place PASS RB 09/03/94 RB mid line block in column; felt column as per plans. MSTA799 Building Final / / / 12/07/94 APP KS 12/09/94 KBS MSTA970 Case Finaled / / / / 12/07/94 12/08/94 JF MSTB706 Erosion ConLrnl / / / / 12/09/04 #-1- NOT APPLICABLE N/A KS 12/00/94 KBS CL CC V1 } F- J C W J Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0307 BRAD ROAST 12162 SW 131ST AVE 06/19/98 Schd/ End/ Action Notes Disp By Update Upd Acti of Description R e4/ Date By code Sent Done Done -`----- ----— — ------- -------- 05/30/96 PASS JH 06/14/96 BT2 MJTA005 Application received / / / / ppgg RT 06/14/96 BT2 MSTA008 permit Created / / / / 06/14/96 PASS JA 06/14/96 BT2 MSTA010 check for prcl. restrict. / / / / 06/14/96 06/14/96 PASS JA 06/14/96 BT2 M9TAOIJ. Plans routed t � Plane Examiner / / / / PASS RT 06,14/96 BT2 MSTA026 Plane approved by Plans Exmr / / / / 06/14/96 7 06/14/96 PASS RT 06/14/96 BT2 MSTA030 Reviewed plane routed to DST9 / / / pAg9 B 06/14/96 BON MSTA092 (F) Issue combination permit / / / / 06/14/96 MSTA093 (F) Reprint Permit / / / / 06/09/9'7 reprinted as applicant added two branch PASS JSD 06/09/97 JD circuits and low Folta,le panel. ,ad JMH 07/03/96 J•H MSTA095 (F) Reprint Permit / / / / 07/03/96 PASS JMH 01/31/97 JT MSTA097 Issue electric si�*naturo form / / / / 01/31/97 reed els sig form back 1/30/97 MSTA125 PERMIT E7(TrigION RFQUEST / / / / 12/16/96 granted by david .ritil June 30, 1997 12/16/96 IT MS1'A705 Footing Inep / / / / 06/20/96 APP GS 06/21/96 GES MSTA710 Post,Beam Structurzl / / / / 07/23/96 #-1- provide 4/6 poet at girr'rr splice A/N K9 07/24/96 KBS MSTA711 Post/Beam Mechanical / / / / 0,,13/96 APP KS 07/24/96 KBS MSTA724 Electrical Rough In / / / / 06/13/97 use wire nut@ an ground wires PASS BRP 11/24/97 MJR MSTA725 Framing Inep / / / / 06/13/97 nub}ect to electrical approval--ok to AP GL 06/15/97 J+H insulate after electrical approval. / / / / u• /11/97 APP FS 04/11/97 KBS M9TA716 Shear Wall Inep ppgg K9 06/27/97 J+H MSTA740 Insulation Innp / / / / Oe/26/97 M9TA745 GYP Board Inep / / / / 07/11/97 Drywall nailing approved PASS TLP oe/15/97 +H / / / / 09/02/96 PASS MS 08/05/96 MRS M99'A755 Rain drain Innp PASS MJR 11/24,97 MJR MSTA790 Electrical Final / / / / 11/24/97 PASS KS 11/24/97 J+H MSTA799 Building Final / / / / 11/24/97 MSTA970 Case Finaled / / / / 12/19/97 12/19/97 JT CL F— N T H J i U W J C CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line:639-4175 l:usiness Phone: 639-4171 Date Requested: — 1 M. 7"� MST: 0--2)0 7 Location: __)A L t,3 / _ BUP: Tenant: _ Suite: _Bldg: _ MEC: Contractor: ��1 Phone: 5q6 331 _ PLM: Owner: Phone: _ ELC: ELR: i SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICA SITE Site Post/Beam Post/Beam Post/Beam o'v_er79e—rvtce Sewer/Storm Footing Rocf UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer flood/Duct Reconnect Vault. Bsmt Damp Drywall Stcrm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/AIm Crawl/Found Dr Heat Pump Low Voll Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved ed Not Approved FINAL FINAL FINAL FINAL FINAL. 7 CX v7 _ n w 0 Call for reinspection D Reinspection f�of S required before nextinspectionO Unable to inapuct Inspector:y jam;,� _ _ Date: r `— �� _` 6 Page of f CITY OF TIGARD BUILDING INSPECTION DIVION ii 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: I, '' AM. P.M. MST: Location: — BUP: Tenant:_ Suite: Bld3: MEC: Contractor— erL(.11�( _ Phone: _.� - .-��r PLM: --- Owner: Phone: _ _ ELC: -- _� ELR: L _ _ SIT: _ BUILDING LDG(e6n't) PLUMBING MECHANICAL ELECTRICAL SITE Site Pti5t1F3eam Post/Beam Posi/Leam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In Cciling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Dact Reconnect Vault Bsmt Damp Drywall Stonn Furnace, Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shcar/Shcrdh Fire Spklr/Alm CrawIfFotuid Dr Heat 1'utnp Low Volt >prove Approved Approved Approved Approved Appr/Sdwlk Not roved Not Approved Not Approved Not Approved Not Approved INA FINAL, FINAL FINAL FINAL Clel A.1 Uj - -- - C7 Call for reinspecti 0 Reinspection fee of S__—_required before next inspection CI 1 Inable to inspect Inspector:�__��_-_- —_--� Dale �/ Z__7—g 7 4 Page__ of A, CITY OF TIGARD DEVELOPMENT SERVICES MASTER l�ERMIT F=HERMIT #. . , . , . . MS"96--0307 13125 SW Hall Blvd„ Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/09/97 F,ARCEL: 2S104AB-06300 SITE: ADDRESS. . . : 1c162 SW 131ST AVE SUBDIVISION. . . . :MORNING HILI_ #4 ZONING: BLOCKK. . . . . . , . . . I..-OT. . . . . . . . . . . . . . JURISDICTION: TIG Remarks: ADDITION OF 28850 FT HABITABLE SPACE AND 148 SG FT COVER PATIO ---------------------------------------—-------------------- BUILDING --------------- --------- REISSUE: STOR,ES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-----__--_-- CLASS OF WORK.:ADD HEIGHT........: 25 FIRST....: 288 sf GARAGE.....: 0 sf LEFT..........; 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 30 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: I FINBSNENI: 0 sf RIGHT..........: 8 OLEUPANCY GRP.,-R3 BDRM: 0 BATH: 0 TOTAL------: 288 sf VVLUE..$: 19362 REAR..........: 20 --------------------------------------------------------------- PLUMB IN; --------- -------- - SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 L1IIINDRY TRAYS.: 0 RAIN DRAIN ft: 99 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 S:WER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISI..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------------------------------------ -- MECHANICA- ---------------------------------------------------- FULL -------------------------------------------------FULL TYPES----------- FURN ( ION ..: 0 BOIL/CMP ( 3HP: 0 FENT FANS,....: 0 CLOTHES DRYERS: 0 /GA FURN )=INK ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAK INFO.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 1 WOODSTOVES....: 0 GAS OUTLETS...: 0 ---------------------------------------------------------------- ELECTRICAL ------- -----_- ----- — --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 asp..: 0 W/SVC OR FDF..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 asp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 asp..: 3 EA ADDL BR CIR: 4 SIGNAL/PANEL...: l IN PLANT......: 0 MAW HM/SVC/FDR: 0 601 - 1000 asp.: a 601+asps-1000 v: 0 MINOR LABEL -10: 0 1000+ asp/volt, : 0 ------------------•------------------ PLAN REVIEW SECTION ---------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -----------------------------�_ -_---------- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL----------------------------------------------- ------------------------- AUDIO d STEREO.: X VACUUM SYSTEM..: X 0,2I0 A STEREO : FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: X 0TH: :: X FOILER.........: HVAC............ LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE IPENER..: X LLOCK...........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: X DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0 Owner: -----------------------------------Contractor: ---------------------------- TOTAL FEES:$ 349.11 BRAD ROAST TEWT PER APPROVAL FR(tt' OWNER 12162 SW 131ST AVE TIGARD OR 97223-0000 Phone A. 503-684-6843 Phone Req t.. : 000131 This permit is issued subiect to the regulations -ontained it the Tigard Municipal Code, State of Ore. Spl alty Codes and all other F applicable laws. All work will be done 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 kF 180 days, -------------------------------------------------------- REQUIRED INSPECTIONS ------------------------------------------------- L Footing Insp Mechanical Insp Gyp Board Insp Erosion Control Foundation Insp Electrical Servi Rain drain Insp Post/Beam Struct Framing Insp Electrical Final _ Post/Beam Mechan Shear Wall Insp M chanical Final Crawl Drain Insulation In �,8ildinr f1757 Permittee Signat,_tr,e � _ — Issi-ted By _ Call for inspection - 639-4175 Brad Roast 12162 W 131 st Ave Tigard, OR 97223 590-3314 December 10, 1996 David Scoti, Building Official City of Tigard 13125 SW Hall Bl. Tigard, OR 97223 Re: Permit #: MST 96-0307 12162 SW 131st Ave Dear Dave: Please accept my request for extension of my above referenced permit for 180 days. I began the addition in August of this year, completing the foundation and floor system. I did not desire to complete the project during the winter months and have temporarily suspended work until early spring of 1997. Thank you for your consideration in this manner. Sincerely' Brad Roast � 1 C� Of V) J c' W J ,CITY OF TIGARD MSS MEF #ERMIrV . : COMMUNITY DEVELOPMENT DEPARTMENT »11,..'E ISSUED: 07 1IZ7I, i 96 13125 SW Hall Blvd.Tigard,Oregon 97223.0199 (503)039-4171 1--aRCL-L: 12S104A13--06300 1*1 E n-DDRE:sS. I,,IGl' OVF SUBDIVISION. , . . MORNING i-IILL #4 ZONING: 13LOCK, . , . „ . . . . . LOT . . . . . . . . . . . . Remarks: ADDITION OF 28850 FT HABITABLE SPACE AND 148 SCI FT CJVER PATIO -----------------------------------•------------------ ----•• BUILDING ------•----- --------------------- REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT.,.: 0 sf REQUIRED SETBACKS--- REQUIRED------------- CLASS OF WORK.:ADD HEIGHT........: 25 FIRST....: 288 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF USE...:GF FLUOR LOAD.,..: 40 SECOND...: 0 sf FRONT.........: 30 PARKING SPACES: 0 TYPE (IF CONST.:5N DWELLING• UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 8 OCCUPANCY GRP.:R3 BPRM: 0 PATH: 0 TOTAL------: 288 sf VALLE..1: 19362 REAR..........: 20 --------------------------------------------------------------- PLUMBING ----------..---------------------------------------_.----.-------- SINKS.........: 0 WATER CLUSETS. : 0 WASH?'iu MACH—; 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 99 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOP (RAINS..: 0 ;EWER LINE fc: 0 5F RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GA.4ME DISP... 0 WATL2 MATERS.: 0 dATER LiNE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------- ------------------------------------ MECWC.NICAL FUEL TYPES----------- FURN i 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 /GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.......... 0 OTHER. UNITS...: 0 MAX INP,: 0 BTU FLOOR FURNACES: 0 VENTS.........: 1 WOODSTOVES....: 0 GAS OUTLETS...- 0 ELECTRICAL -------------------------------------------•---••--------------- --RESIDENTIAL UNIT--- ---SERVICE/r,EDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS— ----M15CELLANEDUS---- --ADD'L INSPECTIONS-- , 1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - -d0 amp..: 0 W/5VC OR FDR..: 0 PUMP/IRRIGATION: 0 PER 1N 41JION: 0 EA ADD'L 5005F.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/D SVC/FDR: 1 SKIN/'JUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp.. : N 401 - b00 amp..: N EA ADDL BR CIR: 2 SIGNAL0ANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 6011ramps-1000 V: 0 MINOR LABEL -10: 0 1000+ amp/volt,: 0 ---------------------•-------------- PLAN REVIEW SECTION -------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------- ----- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------ AUDIO 6 STEREO.: VACUUM SYSTEM..: WJ O I STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: CTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: 4�AC............. DATA/TELE COMM.; NURSE CALLS....: TOTAL A SYSTEMS: 0 Owne-,: --- --- •--------Contractor: ---------------------------- TOTAL FEES:! 312.?b BRAD ROAST OWNER 121b2 SW 131ST AVE TIGARD OR 97223-ONO Phore N: 503-684-6843 Phone N: Reg M..: 13125 LL This permit is issued subject to the regulations contained in the Tigard Municipal Lode, State of Ore. Specialty Lodes and all other Q11 applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is nct started within 1B0 > days of issuance, or if work is suspended for more than 180 days. ~ REQUIRED INSPECTIONS ---•---------•-------------------------------------------- Footing Insp Mechanical ]resp Rain drain Insp Foundation Insp Electrical Ser•ei Electrical final ^� _ 'u past/Beam Struct Framing Insp Mechanical Final Post/Bear Machan Insulatien Insp Builli'mi f al _ Crawl Drain Gyp Board Insp ro 'on Con;roi�' Far mittae 5ignati-tr•e : -. - Issr.red FZ Ca.l1 for^ insppet on - 639--4175 Permit #: f►rJZ �� '�' 7 Address: Issued by: Mt.� UEL�r� Date:q_-��' Statement: Information Notice to Property owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can he issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed►rilh the permit. Pill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 313: 1. I own, reside in,or will reside in the completed stnrcture - FU 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale .J before or upon completion. U 3A. My general contractor is U (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR �; H-313. I will be my own general contractor eer: `" If i hire subcontractors, I will hire only subcontractors registered with the Construction Contractors C; Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the r name of the contractor. J i hereby certifN that the above formation is correct an h;►t I ha%c read and do understand the Infurmatir►n Notice to Pro c ty ers out ('unstCucti�►n idcspoohilitics on the reverse side of this ►i►rnr. w J (Signature of permit applic (Date) (While copy to issuing agency permit file, pink copy to applicant) v Residential Building Permit Application Ixt, E�i�CIq City of Tigard _ I 13125 SW Hall Blvd. ll Tigard, OR 97223 — r {(61 `� �t G(GI�i��"►Yp (503) 639-4171 1 X15 U � n 0\k, } �,-d I,L — Jobsite Address: Z 16 �� -J !�� :' p4. Subdivision: o,znc,,�ca �c_c # Lot# ` Office Use Only '� ("► N -� Valuation: �J� Z, ` _ Contact Date I I Initials _ Result New Construction Only: (Square Footage) PlanckJRec # / _ �� r) ll J Permit # Ln �o/ 1 G- 6, ,3 U 7 House s< Garage: Reissue of Corner Lot? Y Flag Lot? Y ` K Map & TL Zone Owner: Plat # �� !'��.�,T Approvals Required Address: I .%L I �� CA-2 I ?3 � /-�k i Planning Setbacks Solar Engineering Phone: (5 :�) 9 — Other Contractor: r��4 „,2 E Items Required Subcontractors A(Jress —_--- — Truss Details _ A— Other Phone: ( ) Notes —�-� `— Contractor's License (attach copy of current Oregon license) Contact Name: _ Contact Phone: ( ) Sobcontractors: ArchitecUEngineer: Plumnrna A)15 Address: CL Mechanicalix (attach copy of current CR Contractor's License) Y Phone: ( 1 -i JOB DESC N: - y L I n,t /,j s -� Applicant Signature Applicant -C ,Phone number fve b� Received by: - Date Received: = `�� `� ` M%WW%dt1$VnA09 Permit ;$ Account Description Amount Ar.it. Pd. Pat. Duu Bldg. Permit (BUILD) /�%!- �� U, .5 p 1- Plumb. Permit (PLUMS) ---- Mech. Permit (MECN) C iV-c T/Z r3R-v"414 Bldg: 03 /0 Plumb: Mech: L:L-L, Plan Check (PLANCK) ? Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) 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) Fire Life Safety (FLS) r �-- Erosion Ctrl Permit (ERPRMT) J r. E csion Planck/USA (ERPLAN) w -' Erosion Planck/COT (ERCSN) -T TOTALS: vv ti FG 4 9 $ i SI OE yn g o L.o r 01 M0FLNING HILL 4 \\/CTM %251 - 4^,S FFloo•S TAX LOT 6300 i EXIST PG IGO "49.$ FRONT" yo -O 'SITE PLAKl a J C7 W J CITY GF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST9/+--O3E:1 13125 SW Hall Blvd.Tigaro,Oregon 97223.8198 DATE ISSUED: 08/17/94 PARCEL,., 251.04AB--O63O0 SI i L ADDRLI,i5. . . . 1":162 SW 131ST AVE SUBDIVISION. . . . MORNING HILL #4 ZONING: BLOCK. . . . . . . . . . . 1_07'. . . . . . . . . . . . . :')` -_ - - BUILDING RE I SSUE: DWELLING UNITS:0 BASEMENT. . . . . . . . :0 5f CLASS OF WGRK. :ALT BEDRMS:0 bATHS:O GARAGE. . . . . . . . . . :0 sf TYPE OF USE. . . :51_. FLOOR AREAS------- REQUIRED SETBACKS------ TYPE OF CONST. :5N FIRST. . . . :0 sf LLFT. . :0 ft RIGHT. :0 ft OCCUPANCY GRP. :R3 SECOND. . . :0 of F=RONT. :0 ft REAR. . :0 ft STORIES. . . . . . . . I FINBSMENT:O 5f REUUIREn--- -----___._____.____ HEIGHT. . . . . . . . . V) ft T OTA!_ __..0 a f SMOKE DETECTORS. : FLOOR LOAD. . . . :0 ps f VALUE. . . . . $ : 1000 PARK NG SPACES, . :0 Remitr^ks : EXTGRIOP ENTRY ALTERATION PLUMBINIa aINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWFRS. . . . :0 LAUNDRY 1-RAYS. . . :V_1 CATCH BASING. . . . . . . :0 WATER CLOSETS— :0 SEWER LINE (ft ) . :O GRE=ASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER L._INE (ft ) . :0 OTHER FIXTURES. . . . . :0 GARDAUE 0ISI'. . . :0 RAIN DRAIN (ft ) . :O WASli I NG MACH. . . :0 S1= RAIN DRA I NS. . :Vl MLCHANICAI_ - __._____.___.__.____.._._.______-_._.______._ F::EES _-_-_-----___-._ FUEL TYPES------------- UNIT HTRS. . -0 type imolant by date recpt VENTS . . . . . :0 BPRT q 25. 00 JF 08/15/94 94-C.5556r4 MAX INPU7:0 I.)TU VENT' FANS. . :O BV,L(7 $ 16. 25 JP 08/15/94 94-P5556" FURh! ( I OOK . . :0 HOODS. . . . . . :0 A5PC 1; 1. 25 JF 08/15/94 94-255569 FURN ) =100K . . :0 WOOUSTOVES. :0 FLOOR TURN. . . . :0 CLO DRYERS. : 0 BOIL./CMP ( 3HP:0 OTHER UNITS:O GAS OUTLET5:O BRAD ROA13T 1162 SW 131ST AVE HOARD OR 97223--0000 Pfione #: 503--684-6843 Cont1^actor,: ------------------------------------ CONTRACTOR ---------_---__....__.--------------C ONTRACTOR NOT (IN F T LE r r ,ne #: N ne g r $ 42. 50 'TO Tk'_ �- This permit is issued ub)ect to the regulations conta:nea in the -- -- ---- REOUI RED INSPECTIONS - Tiga+,d Municipal Code, State of Ore. Specialty Codes and all 'ether Foot/fo1_Ind Insp appi:cable laws. All work will be done in accordance with approved Framing Insp w plans. This permit will expire if work is not started within 180 Building Final _ days of issuance, or if work is suspended for more than 180 days. Ev,onion Control F e r m i t t e er�r e�t/_r A67, 1� L:all for inspection - 639-4175 �o Residential Building Permit Application City of Tigard 13125 SW Hail Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Ade--rens: Cff� :e Uso Only Subdivision:�"'��c,R.�...��, /,�� 5/Lot# 9� ,;y Q Pi nck/Rec # 1 Valuation: � Corner Lot? Y Pe-mit# �M,� �/ Flag Lot? Y Reissue of 20--y-dc, Map & TL #Owner: Approvals Required Address: /%'S7��%� _BSc,_. ✓.��_�?'� planning 1' Z Engineering _ Phone: i O — _-7�� Other Contractor: �7�__ �-�f Items Required Address: _ _ Subcontractors Truss Details Phone: _ Other Contractor's License # _ (attach copy of current Oregon license) Contact Name & Phone' Subcontractors: Architect/Engineer: Plumbing _ Address: _ '— Mechanical: (attach copy of current OR Contractor's License) Phone: J L , LLj JOB DESCRIPTION: ,�,�r�,�'��•� ��r.4 �/ ��-��'Ti�,� ;;:S i O Applicant Signature & one number` Received by: Date Received: N ft0RD%C0MDMRESAPP Permit# Account Description Amount Amt. Pd. Bal. Due -ds ----f4,1— j 2 Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) /(✓ L 1 Z' Bldg: Plumb: Mech: Sewei Connection (SWUSA) — Sewer Inspection (SWINSP), Parks Dev Charge (PKSDC) Storm Drainage l'hg (SDSDC) 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) ` 1 Water Quantity (WQUANT) _ > F=ire District (FIRE) L Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) _ TOTALS: i i H li �� J is c� IBJ J ALIG 16 '94 10:52RM CITY OF BEAVERTON P. 1 it F= J W J AUG 16 '94 10:52AAM CIT' OF BEAVERTON P•2 12. 1 62 s �.✓ / 3 �v 2 X�vG�i979) 53 3 CL a r J C.7 W J ;;IIS I ---► N u � III I!� II.'' ,j � !' I � I j — - lL� ct CL F -�" I --1 LL U2 LL v F o? 6 o IL III �I z � (qub- N - - -" - - - - - - - - - - - - - - --� i I I i .I d n ow 0 � ' w IIS ' Illi i Wi J \� � w n I �► N ►r � `� Q tjo -1 I � CD I' w C3.6 ao a cc13 r; > AGE Z N w 1 1 I v maw LLfC� a al 4 4� LU w NJ h d� II0 co at' _ 1,� /,fo Cl- Q � l e s J INSPECTION NO-ICE City of Tigard Building Department 13125 Sits Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone),:: 6639-4175 Business Phone: 639-4171 Inspect ton: _ -1 ILam// / ,I� Footing Pl Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line CIpAz� Post/seem Struct. San. Sewer Framing ori Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water) Lin�e7 Gyp. Bd. -Mech. Date Requested:_ 6 /F - // _Time: AM _PM Address: (!7 _ Z 3 L , / / r��_ Permit Builder:�� THY FOLLOWING CORRECTIONS ARE REQUIRED: LL i1 F- L c.7 W c _ fnepector/:_`-1 - -- - Drtr! IIRPPROVED _ DISAPPROVED APFROVRD SUBJECT TO ABOVE __Call For Reinsp. INSPECTION NOTICE City of Tigard Building Depart-Aent 13125 SW Ball Blvd. Tigard, ')regon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 ti � 7L Inspection: [G Footing Plbg: ndarslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Strvct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requesteds� Time: _AM _PH c Address s �O�� 2 !�n)� J� "P?tilt L Bulldors� THE FOLLOWING CORRECTIONS ARE REQUIRED: rs h- r w — J Inspector: Dates �- l .$ APPRMD DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinep. CITY of TIGARD iVIF;O rER i='EFihl E T COMMUNITY DEVELOPMENT DEPARTMENT ` 13126 8W Hall Blvd.Tigard,Omgon 07223.8100 (603)630.4171 Di I E I SSULL,; Ou i'x u f au i LE ..... ... .:•.a ,.n" in ✓ftl't. ...oV 1./I'. i:iF••f i•h'I::i:'f[, fzpS..L. _ r 34(J FIRM'— . s ill -s f L E:F—F. . . ft 9 j t J 1-1 7 o CeF,F ► P ,. a6.i C3'�Iwi e�'I 5 f , iitJ,'J1T. Lh 1 v. I+f,_,,It,. rJl of RE GIUI 51*111E:. E.._i -ii?. . . . .; 4:' 1, ,i V'r.:._. . _ . . . , i• . r*J.l PARKING WA LR HEAD LHS. , . : [ F Ii!-° . . . . . . . . . . . . -,I; i_.ALrI iAN ! 1I14y�j. . . Vj .P LI,USL-i S. . :•Z+ 4LR L.I NL (ft ) . :0 Gt26_AGE TF;E3'.S'k i_ jI 'E t 'i; � , . ;a.i ,. U7lir.-F! F .IxrE1171 W;,. ,. „ , , „ DRAIN ft ) :0 :' ,_.! r�►•'i ,.',i Y;iii I t's`ci. . . :, 4'r is , Ftz m , .rttt. by daisy ti � Bi-,R 1 I r.+2. tj'0 .Til Q.) 16r'-)o i ti J VLNf 1'Ai'4!r. .;4i 0,(5. , . . . . . i' N�F�1; f �s. 23 .)0•i til /Ia/9u - I1iU JE :ca. �IIJ ti"I' 549. I Ip .fi1 ti'li, :1 rz, JRN. . . . ' I')ta"i:'F3'�. i(t ��, . E3► J1J ki+/2i3 .�).:. . a cc _ F(;i'Al.. > + r..., ,. t _ RUIU I1\15iPE':LTI()i•W�, i— L »>is sw ti,u B� PLNCK/RECT CITY OF TI GNRD Tigant Oregon 97221 PERMIT R15 fQ - D 3 3 C0MMUN11T DEVELOPMENT DEPARTMENT (503)6394171 DATE ISSUED JOB ADDRESS: TAX MAP/LOT Z5 I (�NA3 c"'6•3Ce) _ SUB: _ LOT: LAND USE: _ VALUATION: Are-96& _ OWNER SPECIAL NOTES NAME: ►� 2A� � � / r REISSUE OF: ADDRESS: I ;Z,-1 6 2 -l'Cel / 3 / LAST REISSUE: 1 �2 -17> Cf2 �/ > �- 3� — FLOOD PLAIN/ PHONE: 15;: 33 / SENSITIVE LAND: _— CONTRACTOR APPROVALS REQUIRED NAME: - C=-7 PLANNING: < _ ----- ADDRESS: ENGINEERING: , FIRE DEPT: PHONE: __-- _ OTHER: -!;LL CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MEC": — BUS TAX: _ ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: — OTHER: _ PHONE: PROPOSED BLDG. USE: -- COMMENTS: APPLICANT SlrNATURE Received By: -____ Date Rece i vC6: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building ' Plumbing Mechanical _ 10-433 00 Plans Check Fee -3&, 73 Building r' _ 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 Oev Charge (PUC) 31•-450 00 Storm Drainage Syst Oev Chrg (SSDC)LL - — 24-445-01 Water Quality (Fee in lieu of) _ CIL: --- V– 24-445-02 Water Quantity (Fee in lieu of) J �1 C TOTAL w J nm/3587i:.WPF INSPECTION NOTICE City of Tigard Building Departmen ii P.O. Box 23397 / 1 igard, Oregon 97223 Phone: 639-4175 Type of Inspection 4• '� Date Requested Time— A.M.---P.M. Address _�, �(s' ��l Permit #�L� (J/ Owner Lot # Builder The following Building Code deficiencies are required to be cc-rected: CL cY V1 i I-- A C7 LU Presented to Approved Inspector -� Isapp►oved Date 1 �� CALL FOR REINSPECTION ❑ YES 0 NO MECHANICAL C' ®F TICARD� il� P E R M IT CMCFTMRD PERMIT #. . . . . . . : MEC91-0173 4 7 COMMUNITY DEVELOPMENT DEPARTMENT 0 now 13125 SW Hill Blvd PA Sm P3W,TW",Or"m 4175 DATE ISSUED: 09/ 18/91 _c)ITE ADDRESS. . . : 12162 SW 131ST AVE PARCEL: 2SI04AIA-06300 SUBDIVISION. HILL #4 ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :92 -------------------------- CLASS OF WLIRK. . :ADD FLOOR TURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :SF I-IN IT 11EATERS. . : VENT FANS. . . . OCCUPANCY GRP. . : R,3 VENTS W/O APDL: VENT SYSTEMS: STOP I ES. . . . . . . . : 2 B 0 1 L E R'S/C 0 M P R E S S 0 R S HOODS. . . . . . . : FUEL TYPES-------------- 0-3 H P. . . . : 1 DOMES. INCIN: :, ELE/ 3-15 Hp. . . . : COMMIL. INCIN: tliAX INPU*T- BTLI 15-30 HP. . . . : REPAIR UNI'rs: FIRE DAMPER S?. . :N 30—'_0 1AP. . . . : WOODSTOVES. . : GAS PRESSURE. . . 50+ HP. . . . : CLO DRYERS. . : 1\10. OF AIR HANDLING UNITS OTHER UNITE,. r"'URN ( 100K BTU: <= 10000 cfm : GAS OUTLETS. - 171JRII > =100K BTU: > 1012100 cfm : Remar-ks: Install Air- Conditioner- Owner: ----------------- FEES BRAD ROAST type amol.int by date r-e c 1.)t 12162 SW 1315"r AVE PRMT $ 25. 00 jLH 09/18/91 5PC T 11i 1. 25 JLH — TIL ARD OR S7223-0000 Phone #.- Contr,actoy,: F" OUR SEASONS HEATING & AIR CON P 0 BOX 66409 PORTLAND OR 97266 --------------------------------- 1711-ione #.- 7755919 $ 26. 25 TOTAL Req #. 48283 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Cndes and all oth-,r applicanle laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspender for more than 180 days. Pet-mittee c.3iqnatLtrC-' r4'0&x-)-- ti Issued By : Call far- inspection 639-4175 W A. DEPARTMENT OF LAND USE & TRANSPORTATIOU " WASHINCITON LAND DEVELOPMENT SERVICES DIVISION #350-12 0^0—at�' — 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05024067 Pro je,it # : R001877'T Pada.. permit Title SINGLE FAMILY RESELEC. OT'H I>escx•iption ONE CIRCUIT Appr-ove,1,4 . —.)b kidre-r 12162 SW 131sT W TI Owner: Name Rejected I nr.Fectr,r C:c,mrnent�: Date Inspected by :_ d F- N F-- w J Inspects on * Final Electri,:al 09/23/91 RI KF CITY OF TINA RDSBUI L I'l N(a 1:1 E R V114' MY T1011RD P E R 1111' #. . . . . . . . B L)1:`9 0---14 COMMUNITY DEVELOPMENT DEPARTMENT ofteft PRIM.. PERPHY 0. v 88.1347 13125 BW Hall Bivd, P.O.Box 2.427,TOW,Oregon 97223( - - - 7 1)A'T E I S S U E 1). 0(:1/2 Q)/9 0 131SI' AVE FIORCEL.- 2S104(-)D---6,300 SUBDIVISION. NORNING 1-111 L 4 1:(L 0 CK. 1...01.. . . . . . . . . . . . . ..92 ............... REISSUE: EXYERIOR WALL CONSTRUCTION- CA.-ASS OF* WORK. .-ADD RST. .. . » « s ISI« S.- E« W 'TYI::'E OF USE. . . «SF SEX01-11). -.60 yf I::'R 0 T EC,T 0 r.'I.7'-NI N US TYPE: 01= C 0 N ST'. ,,,".;N 'T'HI RD. 00 f N« S: 11- W OC,CW-`AI'4CY GRP.. R3 '101 A L-------- 6F3 9f" ROOF' C.'ONST F'1RI: R E T': 0(',C U Pn 11 C'Y 1 0 A D DOSE-AIIENT. « Sf AREA SFP. Rnml),- (3TOR. « 2 W*. f-L. GARAGE'.'. sf OCCL) SEP. RATED: Ill 1-.'Z Z'? RECD SE'T B A C K a-.__._............_. R EQ U I R E.D ......... I-'-'L 0 C)R L C)0 D. » . .. «40 psf F--"T'« ft RGVII'« ft FIR SPKL.- SMOK DE*T'. ,, -, DWEI 1 1.H G IJ I,,I I'T'(S F*R N 1,. ft REAR« ft FIR PLRII, I-1141)1(11 (4 L C; F!IT 1)R Ill S« BATHS: IIIIP SUR'F'ACE.- PRO [,ORR-. P(-)R K IN G VALUE. li:: 801", R e ni a-r P.r;i Owrie-r-. F'EES DROD ROAS'T' type aniMtllt by date -r e c,1) :1.2162 SW 1315 I, AVE* PRm*r <6 :15. 00 1-11 CK q; `3. 75 11GARD OR 97P23-0000 5P(,T $ 0. 75 1:11-ic)r1e #.-. 503----(,84 6843 P 0 Y 11 $ 25. 50 JLH 08/1.8/90 Corit-raetorz- (.,ON*TR(-)C-TOR NOT ON F:*ILI--. e # $ 25. 50 'TOTAL Reg 0. . .. RE'ClUIRED INSPECTIC)NS -••-•-••-__..._.__ This ------ This permit is issued subject to the regulations contained in the r--(-)C)t/f0L(r1cI Irl!;p .......... ................... Tigard Municipal Code, State of Ore. Specialty Codes and all other F--raniiiiq Lisp applicable laws. All work will be done in accordance with FA.vi.il fiispeetit)i-i 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. ........... n. ............................................................... Pe.f.-Inittee ........... ....... ....... ................ Issued 14yi ................ ........... ........ Grill -fo-r iiispeeti.ari 639--41*75 U-1 CI1Y OF T I GA RD C WrYOFTIMMAND COMMUNITY DEVELOPMENT DEPARTMENT OINNOOMNF"L-LJIYIB'.[IqG 13126 SIN Holl Blvd P.O.Box 23397,Tigeml,Oregon 97 (603)8394176 PE.R III IJ #. - . .. . . . - I---'L 1119 0 0 J.2 4 PRJ11. it. - 881347 G.39 il'/1 1)A T E` 13 S U 1:D.- 0//:L 7/9 0 S"T11.7 1. ... 0 D 1)R E:S S. 12 16 2 SW :1.1-3 1 16'T AV I*-1ARCEI-" 29104Al.4-06300 S I.)1-.*11)1 V I'S 10 N. 111)R N J'N 6 1-411.I_ N0 4 ZONJNG-. R-4. 5 1-.'i L 0 C K. LCYT. :92 ................................................................................. (:ILASS OF WORK. . »ADD GARBAGE DISPOSALS. MOBILE HOME SPACES. I'Y 1-1 E 0F' USE. . . . S VWASHING BACKFLOW PREVN'TRS. . w :1. C)CCUPIANCY GNP— -.R3 F71 OOR DRAINS. . . . I'RAPS. S'T'O R I F".S. 2 W011:.R HEn*r[-.-.RS,, CA*T C IA D AS INS. FT X T U R CS -- LAUNDRY TRAYS. SF RAIN DRA114,G. . .. . ;.MINKS. . . . . . . . . . . URJ'NALS. . GREASE' L A V A T*0 R T E S. . . . . .. (YT'HER F"IX'TURES. .1.UB/SHOWERS. . . . - S[:'WE*R (ft) WATER CI 0 9 E'I'S. . WATER L,114L (ft) . .. . . : DISVIWOSHERS.. . . , .- RAJ'N DRAIN F--EES` .................. 1:(R A 1) ROAST ty 1:)e A In c)(.k 11 t by (late -f,(:r(2 1)t, 1.2162 SW 131ST AVE PRM*r 1; 15. 00 5 P CT' $ 0. 75 I'TGARD OR 97223-0000 PAYM $ 15. "75 BCP 0*711.7190 01-iar1e 44-. 503-684-6843 Cc)i-i t-r a c.,t a-r:: ............. .......................................—— ......... (,(')N'1'RAC'TOR 1,101 ON FUE J.5. 75 TOTAL_ R F.,.q If. . -------- REC.4U.1RED 111SPECT1ONS ................ ... This permit is issued subject to the regulations contained in the Final Irispc-ction Tigard Municipal Code, State of Ore. Specialty Codes and all other .................... ........ applicable laws. All 1100 will be done 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 186 days. .............. ........... Pprniittee Sigll,-AtU-re, I'SSUed Bys Call fo-r inspection G39--4175 APPROVED FOR CONSTRUCTION CITY OF TIGARD i PEI?,trill" NO.t3wpA_e,aS.3 SITE ADDRESS_i.z�G2 BY�CT � DATE \ t y�0.n 1 r 401-�, + SITE PLAN Yell_ ,I_�II s�•9 ' M�><. — M SrR. BED II I R IF N o v E E K I S T 4 x 1 \v 1 N 0-1-- n I I f �IJSTALL 411r 613 fJ10o17- 11J ;6 I Sr11`i E OPEA:1 MG I M4 II, I I , -JII 61M F.SON 6C>T —�� _ ��pLr ,'�x G L!'.00LFR t•r1 1-'K 11t , 2X6xU II r H^jjc-Joy 5Y'� w/6I r1 P�'S�N ^T 24 or-c-Ki G UZ6 �}x 4''1 cac• 4 rr 9 CLL I I I gEr.1 1 cc L�B4. uo 2rr6 ' 1" I 12. I 1Ot-oil _ 1 DOUG. — �KOOTIIJO I52- I62 SEWERPERMIT ism Unified Sewerage Agency CITY OF DATE of Washington County OWNER: C1 _ PHONE S/ OWNER' S ADDRESS, 0 /-12I---"y,NZ S TYPE OF INSTALLATIONS BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ LINE TAP I TYPE OF OCCUPANCY t NEW ❑ EXISTING SINGLE FAMILY ❑ COMMERCIAL ❑ MULT , RES . ❑ INDUSTRIAL FIXTURE UNITS DWEL-LING UNITS ADDRESS OF STRUCTURE . —_( :Zl �'— sem✓ / M / T ,IJOE' Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit expires one hundred twenty (120) days from the date of issuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral. FEES : PERMIT FEE CONNECTION CHARGE LINE TAP INSTALLATION ISSUED BY OTHER TOTAL s ATE1 OF ISSUANCE t Ck- APPLICANT' DATE OF EXPIRATION U � T SEWER PERMIT J L ADDRESS OF STRUCTURE / %z G J / ! `r_l-��. E __ QUARTER TAX MAP `� / � `�A� _ TAX LOT 0� CI - SECTION i LO -, 9 ;Z BLOCK -- -� OF r-F v 2 N i nr(-.o APPROVED BY DATE ISSUED BY DATE OF ISSUANCE: D . U . ' S , REMARKS _ I P.0. CITY OF TIGARD PLUMBING 1 �aU lkl"i. Applicants must hold Oregon Registration to conduct a plumbing PERMIT i(pr 75 business or must be property owner/operator not hiring outside help. Name M Development Plumbing Permit No. Address Description /:2 /G 2 S�✓ S T ORS 314-21-010 al1AN. PRICE AMT Job Tax Lot Map.No. 2 s/ -v.v 6 Address FIXTURES Lot 9 ? Block Subdivislon --- -_ ._--_--- f. , Mu.•nii.vc• i�.c y Sink _.._ 7.50 ams or nameof siness Lavatory 2 s>\t o o-,5 T- Tub or Tub/Shower Comb-_ 7.50 S Moiling Address Shower Only J 7.50 1eG-P:72 F-1-111 N Water Closet 7`50 r Owner City/ tete Zip -- ---_--- _ 3 -- _T`r ii v A�Cr� 2 ,722-3 Dishwasher 750 7. Phone Garbage Disposal Name Washing Machire 7.50 i r� Floor Drain _7_50 aTi iing�s Phone Water Heater / _ Occupant Laundry Room Tray_ -- - _- 7 50 1 P Clty/State �P 7.50 -11 Urinal __ Name ono Other Fixtures(Specify) 7.50 �deSs Phone 7 50 Contractor Cfty/Stats _ Zip -- - -- --- 750 MISCELLANEOUS City Bus Tax No Sewer Is,100• 3000-_-, ta's s Boeri(No_�lete u s s o. Sewer-ea Addit 100 - - - 1500 -- - (Residential) Water Servlos 1 st 100 / _ 2000 I hereby ackrxnrledps that I have read this application.that Ifine Information Water Service as.Addit.?Ibr _- 115.00 piven is oorred,that I am regisfsred with the State&Alders Board,and also Storm b Rain Drain 1 st.100' Y0 00 have a State Plumbing liosnse that the numbers given are 00nvct.that - r*nmbwmg work will be done in ecoadanoe with apt cable provisions of Ore. Stam 3 P:1n Drain Addit 100• - - - 1500 gon Revised Statutes Chapters 417 and 693 and applicable codes and that wtob+le �gp 2500 nn help will be empl ysess d unl *mieed under ORS 093. IM exempt from ----- — -- State reglastlon.please give reason below). Bade Flow Prevention HOMEOWNERS-I hereby oertlly Oral I am the owner of the properly de• Oevka at Aur-Pollution Device 7 serfs ed above,at w1 fid tocaram Opt to maks a pknlbisp inalaMMlam for Any Trap or Wash Not my own uM and anis property is not bokV oorMruded for aaM,lease or rent Cmxsecled to a Fixture - 7.50 filth Basin 7 50 — Orap.of Ejrlsl.Pkxnbing--- 10.00 Per Hr Specialty Requested Inspections - 40.00_ « r .uw a Pkxnbimg wrthii sn Exkrtkmg&dg. 15.00 min - F- AUTHORIZED SIGNATURE New Bidg.or Build.AddfNon 26.00 riven - - _ jkjjL_�n,sir lt� e fTily ---- -- - Describe work noiik�J4 addition btWstlon❑ r"Wr[] drelhig i 1.5AI.) _- tLbe done _ resldential M _ ran-tesidential F] Exts;&V use of ''u b1Allltp lx property NJWTOTAL FF d uta of `� Wjf4ChA§M e• e WQWq OrpmPony ----- TOTAL. NOTICE Thea pentr peol7fRM nYr and roil!d work cr oonMuuron s lthatisd is not oorn l l mm ad*Wdm flip dsyw E oww*u non or wortt Y alt-I ded or abandoned for a ponied of ILIO aM of any ruse alltwr work is oornarAnoad - Do" issued by -- U I Y OF I IUAHU MECHANICAL PERMIT Permit Deacrlptlon Table 9A Mechanical Coda OTY PRICE AMT City of Tigard 1) Permit Fee` 0- 0 10.00 13125 S.W. Hall Blvd. P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 4 _ 639-4175 1) Furnace to 100,000 BTU 6.00 incl.ducts&vents I 2) Furnace 100,000 BTU + T50 incl.ducts&vents _ Name of Development 3) Floor Furnace 600 incl,vent Job Address — �— )4 Suspended heater,wall heater 6.00 Address , c/ / j S T- �� or floor mounted heater Tax Lot Map rJo z s 5 i- �/N B Vent not incl.in 300 Lot �� Block Subdivision y`�/ ) appliance permit Name(or name of bus s) 6) Repair of heating,refr ig., 600 - cooling,absorption unit Mailing Address Phone 7) Boder or comp to 3 HP - 600 Owner # absorp,unit to 100,000 BTU city stela Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU `` Boiler or coma 15-30 HP Name 15.00 9) absorp.unit 1/2-1 million Mailing Address Phci 10) Boller . comp to HP 22.50 _absorp.unit 1 -1.755 million Contractor CIty,3tafe - Zip �`-� 11) Boiler or comp to 50 HP 31 50 absorp.unit 1,750,000 BTU _ State Reglsirallon No City Bus Tax No 12) Air handling unit to 450 10,000 CFM 13 Air handling unit -` - - ) 50- I hereby acknowledge that I lave read this application that the information given is ) 10,000Cf:M a owed,that I am the owner or ruthonzed agent of the owner,that plans submitted are:n -- — -- ---- --- comnliance with State laws,that f am registered with IN)State Builders'Board,that the 1 A Non portable 4 50 number given Is correct (It exempt from Stale registration please give reason below) ) evaporate cooler 15) Vent fan connected 300 - - _- to a single duct - —- -- - - - 16) Ventilation system not 4.50 included in appliance permit _ � 17) Hood served by - 450 So mechanical exhaust W Sipnafun towns►or apart) Dale Domestic type 7.50 Describe work addition 1-', alteration [_1 repair I I 19) incinerator to be done residential non-residential I ]T 19) Commercial or Industrial 30 00 Existina Ilse of _type Incinerator huiidlng or property 20 Other i e ,woodstove,water 4 50 P P Y . -- - -- _ Proposed use of ) he solar,clothes dryers,etc building or property -_ _ -__ 21) Gas piping one to lour outlets 2.00 Type of fuel- oil 9 natural gasI?l LPG (I electric (_1 - 22) More than 4-per outlet SUB-TOTAL 1-11I3 PERMIT BECOMES NULL AND VOID IF WORK OR CON- - j� S+.1UCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TOTAL _ 75 ABANDONED FOR A PER107 OF 180 DAYS AT ANY TIME AFTER _ - ---- - WORK IS COMMENCED. TOTAL 5� r Special Condifiont. �- -------------- -- - - - Dafe teslled __ ._._ . by ih-�v+{,aatixk tfti :L, �.: . 3 r��rp^ i11L 1 •,4� nr "� PIP .err 1i �` d•, 4 t WM1 Off.. LLJ JL � J t.jy f .y J J ^ .q r y. .. •y i�'�13F4✓�rl�"�••'1i'�i'?�fithdF'�'1"� +i µl �f. fd ry +,., 1. r *. ..}}rC r" s" PI UMEYENG PE111"13''T PE.11-4M11' NO. : PI 8013A*7 ITl(�FTIGARD CITYOFTIGAV COMMUNITY DEVELOPMENT DEPARTMENT WYI E:: 15SUED: 7/1.3/89 13125 S.W.Hall Blvd-P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 ,J013 ADDPESiS . 1.211.62 SiW 131.Si'T AVE 5 L'T � 92 1:-,.K 1AX MAP/1-01, SUP : MOPNVA*.�, 1111A.- PFIXI I. AND USE . IAXT !i :KZFK : T. F F'M : NO: NO: ' WOW (*'1.A5S : ADIXUTTON WA'1F:P CLOSET TPAP USE 'TYI.4.*:: : '.51NGLE: F*011`1111-y LKITNAI BKFLOW PPV NTF4 1. C'(3N!:i'1* . "f*YI:-'I'_-': : VI'l I AV('.)I-4A"T('.)PY TPAP 14411,11F.1 (,.)CCl[i I--, . G"PIP . : P3 'TUD SHOWEP E)TSHWA51H11'.1:4 GA PI3A('A:. DA'AiPOGAL- 2 WASI-F.I.N(:, MACH'T.NE I)Wl*-.-L. 1.JN1*1*S : I LAUND14Y 44-MY PLAX.— DPATN 1:1-00P DPAI"'N '-i 3'N K SEUE"14 (FT WA1*EP I-AVATEA4 SVTORM/PAT.N (F''T 011-ILEP PEPMT TIt 1.5 . 00 W 'I.P162 94W 133.19t, Uve N * E 'tiglfl-l»cl ni, F,I X T'1. P E-S R PHONE (50".511 6113/1-331.4 75 UTHE P C 0 N T R A C T 0 'rc.)i e-)I. : R RE(MIP'T' NO. This permit is issued subject to the regulations contained In Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations XN(WECTIOW) and all other applicable codes and ordinances, and it Is hereby 1:41'.A.K.4-1 1N Cr agreed that the work will be done in accordance with the plans and specifications and in compliance with all applIcrible codes and ordinances The issuance of this permit does not ovalve restrictive covenants. Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and void if work Is not started within 180 days,or It work is suspended or abandooied for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure LU —J all required inspections are requested and approved. dr-- Permittee Signature Issued By: SEPARATE PERMITS REQUIRED FOR WORK OTHER 1 HAN DESCRIBED ABOVE M:U,-1(.)N.[ A (' ll C,11TYOF T 16ARD I h-4, PFA•,A'.(A' N(J. CITYOFTWARD COMMUNITY DEVELOPMENT DEPARTMENT ONIGG" 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)62941751 F,D ,IW I.0 19 (38 WO a A.04 J.21 ew P. J* rI V U- 'TAX MAP/1-.01' 2S:IeIAI-':e,300 !'A-fl.? MORNSING 1-11:L.J... 1 1 : 9- 2 IDK LAND LISEK: :E I'EM- N('.): NO: WORK CLASS : ADDIT10IN F(.JPNA(:,E <1001K AIR HANDI P <1 0 USE 'TYI'-"K: SINGL.F.' F"AM11 y F'LMNACE, 1001<-+- AIIA HANVA-P, 10K C0NS'T . 'tYF*: : VN F'UIUP FLIPINIACE'. EVAP .C001 EA 0 C C U 1:11 . C3 1:4 P W;3 FIF-WrEP VF.'N*V FAN . VENT VF.;:Nl* - SYS'TEM FAAWCOMP <*.3HP HOPI) NO. U'TOPTE.S : P 131LAMOMP '.3-15HP JACINEPA'UM(DOM 1*.)Wl-:I...I--UNI*T'S : :1. lKIIJIM"(31011r) 15-3011-1r, T NC1NEPA*T(:)P MOM FUEL. 'TYPE WOOD 13--l-IR/COMP 30 -501-1p PE-PAIP UIS111TS MAX. INPUT 81 WCOMP 504-1-113 01"'HEA J. P'TRE. DMPIPIS ? GAS F)J-PING OUTLETS PEMA11KS : '()I"l-*E)W lnf-,tljwl 14,100" c)V c? 4 0 W 1"(3 in sit b (i PERMIT "iW J."'31st llive? *11.0 .00 EPLAN PEVIEW R tigai"d 1::,1 X FURE S $4.50 PHONE (503) 60-1-331,1 'TAX 111 .73 (11 (:Y11AC-14 0 N T P A C I 0 R L— TUTAL: This permit Is issued subject to the regulations contained In Title 14 FSE CE I PT- NO . of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and It Is hereby PEW1 EAE".1) INSFIEC"FIONS agreed that the work will be done in accordance with the plans and NAL specifications and in compliance with all applicable codes and ordinances. The Issuance of thin permit does not waive restrictive covenants Contractor and subcontractors shall have current city husiness tax permits. This permit will expire and become null and void if work Is not started within 180 days,or It work Is suspended or Q3 abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure aii required Inspections are requested and ap roved. Permittee Signature .qSl,pd Ry TON 6*39--AJ.75 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection F!pl&c__ Date Requested , /�� `� g Time �.... A.M. P.M. Address — ` 1 TSE Permit Owner ~L� Lot #_ Builder The following Building Code deficiencies are required to be corrected: JF 'P A UJ W Presented to ��// ❑ Approved Inspector lied ff blsepproved Date - CALL FOR REINSPECTION P YES ❑ NO INSPECTION NOTICE y `lx-c City of TigarJ Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection i Date Requested '�C-y '�L� Time A.M. P.M. A-r Address t' � i.� � ; _ Permit Owner ._ Lot #_ Builder The following Building Code deficiencies are required to be corrected: `Y c -46-1 i o d �Z-) it i ��.y-�G _ �2E..✓-C-1./l/`�.�-.e�C.2�t.—Cf-.�/- ..t3�'�( .— L J•r'`� V �r J Ic W Presented to _ ❑ Approved Inspector B--Disapproved Date _3 CALL FOR REINSPECTION 0 YES ONO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Dat( Requested—_� _.� e Time_ A.M. P.M. Address �% �G_ .��_ 'r Ir Permit I Owner Lot # n Builder The following Building Code deficiencies are required to be corrected: LL s t— r .a C.7 W Presented to _ I-T Appro�zcf Inst.,ector l.� Disapproved Date 3 Z'9 —0 ALL FOR REINSPECTION C] YES L_7 NO DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 1. � Contrator P44� 04, p / — Permit No. Ile Hough-in Fixture — , wHEATING Contractor /Z Permit No. Gas or Oil Rough-in -- �( SEWERrL -._�— �-�/� final �.� /• �` DRIVEN Final Storm Drainage (Rain Drain)Final Sidewalk —_j_-- -- - Curb&Street Final Apritoach BLDG. DEPT. FINAL �— _ TEMPORARY CERTIFIr_;%TE OCCUPANCY CrRTIMCATE OCC IPANCY Final LRndscaping Znninq Final BUILDING PERMIT APPLICATION DATE THE UNDERSIGNED I IEREBY APPLIES FOH A PERMI-1`FOR fI IE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— LOT NO. — OWNEH JOB ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _ _LAND USE ZONE BLDG.TYPE —FIRE ZONE _PLAN CHECK BY HEAT, s v; SEWER PERMIT# "} OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES_ AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT ' SETBACKS FRONT REAR �LEFtSIDE RIGHT— _ _ Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING J REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL. BE DONE IN ACCOROANC'e WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Cc THIS PERMIT DPS NOT WAIVE Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State tax -_ — SDC— Total PDC# APPLICA T'�V O�AGENT - Receipt No. qpy� ) ADDRESS PHONE ty� H s41 �,\ ,�` ;, r�•�r :� t �. y`,,�.�.�Lr .s�� fit}'r�� f t�s1s ��t1 ��'�'�`,:�,, +q'+tip .�� :ny�iiy�'r �((��y � i '�y�( n��'T<<��'��•� � h��p��` ".� �I 4••1 1. .ti L� '.�tl.�:l'1, Y�C�' '.'/.1h..:•[A�.6 .'4i !•'�1� .��' '4!!C� �I�«.3'a,• �' �A ?� �' � � LL�7 f• Il "' � - :L:':lC�i u..Y:?.Yr�.tiL�. .:1dL:Ya'G�:.�.VitL�1J. 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