6913 SW PINE STREET i:\records\microflm\targets\building.doc
C F�PTJ f-I C A T E
CITY OF TIGAq OCCUPANCY
NT
wT PF.RMI'l i*. . . . . . . x MST9;2 --0-J, ;
COMMUNITY DEVELOPMENT DEPAR MITE MT)LIEDt 04/11/94
13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)839_4 L 171
PARC r%L : I S 3.;3G A 1) 0i- A 0 0
1.Tri AUUHL16S. 01,'31,.3 .-:)W P I NL
SUBDIVISION. . VILLA RIDGE Z ON I NG;IN- 4. 5
BLOCK. . . . . . . . . . .. LOT. . . . . „ . . . . . . . 16
CA ASS OF' WORK. :NEW
TYPE OF' USF:. . . :SF
XCUPANCY Orit.". I R3
OCCUPANCY LOOD2118
NAML. .. - -
Remav ksi P01H I NEED STREET OPENING PERMI 'l
Own 0 r g - -.-- -.--—......
FRANK C'ARDWELL
10555 SW 69TH
TIGARD OR 9722"
244-6900
CHARLES STEARNS
24560 SW HF ACHMN RD
cnPNEt-ILIS OR 971 1.-,
Phone #:
Reg ##. . n 4611413
OccoApAnc.y of the above refer-enc:,etj tktjjcjijjg 1% he,,4mk)y iii vpn, and cerfifies
the u.ompliAnce with the State Of 01-?Qun Special :y Urdes frsr the gv- P,
or-,cupsticy, and L(%V Linder" which the ccfvrenr-ed pet-mit W-44 1 %sued.
FIRE DEPARTMENT 'ECT 0
P09T IN l.,ON!,3PT(-'UOLJS PLACE
INSPECTION NOTICE
Ctty ' Tigard Building DepartAhMnt /
13125 S1: dall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_v_`- ----- --------- ----
F(�oting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line HINl1 f
Punt/Beam Struot. San. Sewer Framing -Bldg J ,(
Poet/Beam Mech. Rain Drain Insulation `: h.7 u
-Plumb. ,//�
/ Plbg. Underfloor Water Line (. Gyp. Bd.
Date Requesteds �'� ` `� Timet �\j— AM PM
Addreess 1�1:1� // Permit is `G�'r 3C -2-
Builders 1 ) � - �6 U �p Zd
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-- —
f
Inspectors V U - - Dates
V))APPROVED _ DISAPPROVED APPROVED 898jRCT To AgovL►
�G_ L.� Call For Reinsp.
INSPECTION NOTICF. ��/► ply/
City of Tigard Buildinq Departakent:
13125 SW Ball Blvd. Tigard, Oregon 97223
Tnnpection Line (Rec-O-Phone): 639-4175 Buninens Phone: 639-4171
Footing Plbg. Undersiab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line �►INAyi\�
Poet/Ream Struct. San. Sewer Framing -Bld
Poet/Beam Mech. Rain Drain Insulation / -Plumb.
Plbg. Underfloor Water (Lino Gyp. ed. -Hoch.
Date Regi:esteC: { LL � / Time:
Address: ^���� 1J��Q. Perm/it it^Mc5Vg?, >5 2-1
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
_.._
Inspector -- Date!_
APPROVEDISA,PPRO�VSD APPROVED SURJF.rT TO ABOVE
�T,� _�C'� all For Relnep.
INS PE(IT ION NOTICE
City of Tigard Building Department
131.25 BR Ball Blvd. Tigard, Oregon 97223
Inspection Liae (Rer-a-Phone)r 63:-4175 Runiness Phone: 639-4171
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Ream Struuliz))V San. Sewer Framing -Bldg.
Post/Beam Hoch. \ /�` Pain Drain Insulatlon -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
� I
Date Requentt �eddt . L __T vn( _AN PM
Address: C)a 1 7 `��� Permit ft `
jr U Z 1
C
Builder: & I /
THE FOLLOWING OORREu.PIONS ARE REQUIRED.
✓APPRo1RD DIBAPPROM APPRMD 803JUM To ADM
Call For 7einep.
INEPSCTIoII NOTICS
City of Tigard Building Depastasint
1312S BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phones 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Onderslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Trip Out Can Line (FINAL: )
Post/Beam Btruct. San. Sewer Praming �B g.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Onderilcor Nater Line Gyp. ad.
Date Requesteds Z ` C` Times AM PN
Address: UJ , \ L �A Permit 1: ,� C� •, _
Builders
TBS FOLLONING OOPRiCTIONS ARS RSQOIRSDs
j-v G�
Je_.—
uiapectort_ — Dates S " ? 1
APPROVZD DIBAPP D APPROVSD SDBJSCT TO ABOYS
v �` �)Z Call For Rainap.
INSPECTION NOTICE. \y
City of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-.Phone)t 639-4175 Business Phone: 639-4171
Ir tpections -----.---_.__--- _
Footing Plbg. Underalab Mach. hough--in Appr/Sdwlk
Found. Plbg. Top Out Cas Line �PINALe '
Post/Beam Strutt. San. 3ewnr Framing
Pont/Beam Mach. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. �N�Oh• )
1 t
Date Roqu/e_steds Time: __AN PH
Address: (l Gr( ?7 �(yy APerrmit-y#s M�,l�C�t2 a�z
Builder: -7
THE FOLLOWING CORRECTIONS ARE kEQUIRED:
��L.�; ► G z�1, 1 .15 �����-��S ���'
Inspector -- - Date.-
"PROVED
ate:APPROVED I DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building fiepartment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-1-Phone): 639-4175 Business Phone: 639-4171
Inspection:------...------ - -- ------------ ----
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch,
Date Roque sted:--_--------�----- _ _ `Timet ^ AM PM
Address:—_ _ Permit fsN /i( `17 C-_12_(
Builder:_—.__ — YLl l.( IL_ 1 ?l t>
THE FOLLOWING CORRECTIONS ARE REQUIRED:
67
Inspector: /�� — —`--- Date:
i
.APPROVED DISAPPROVED _�PNROVED SUBJECT TO ABOVE
_call Por Reinap.
INSPECTION NOTICE (�
City of Tigard Building Department _-
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Businesses Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. PIbg. Top Out Can Line FINAL%
Poet/Beam Struct. San. sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Pitg. Underfloor Water Line yp. Bd. -Mach.
Date Requesteds__ 1 _ `� lCt� Time: AM FM
a
Addreee:_l _ Permit �s
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
\�.�► =2=4 ,r
Ineprctor: ✓`�-��j 1�. ���"_►��_ 1 .. l� C�
1 - Date:
11PPROVXD DISAPPROVED V APPROVED SUBJECT To ABOVE
Call For Aeinap.
SPECTIQN NOTICE I\l)
City or T4gard Building Department
13125 SII Bale Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections.
Footing Plbg. Underslab Hoch. Rough-in �Appr/Rdalk
Found. Plbg. Top Chit ciao Line Q FINALS
Poet/Baas Struct. San. Sorer Framing -Bldg.
Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requesteds i _Time: AH PH
Address: �
PerJhit 1: ��j—'
Builders
THE FOLLOWINO CORRECTIONS ARE REQUIRSDs
zs C,Z
r°z a..
Inspectors
�
7IFPROM DI8APPROVED APPRr rut) SUBJECT TO ABgyS
Call For Reinsp.
INSE'ECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-P¢one)t 639-4175 Businees Phone: 639-4171
Inspection:_ —_ 1( b u t Y
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam struct. San. Sewer -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line) Gyp. Bd. -Mech.
Date Requested: ' 5 4r TLaos �D/y/J7� AM PM
Address: 1 ( - ftrolt /I1 `"-O 52-
Builder:
THE FOLLOWING MRRECTIONS ARE REQUIRED: (�
wo
V9Aue.
Inspector:
APPROVtD DISAPPROM V----APPROVED SUBJ9(,-r��TO ABc)VF,
_ I Call For Reinsp.
INSPECTION NOTICE ? -�
city or Tigard Building Departmant
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg.. Onderslab Mach. Rough-in Appr/sdwlk
Found. �PH*. ftP Out Gas Line FINALS
Post/Beam Struct. Man. Bawer Freminy -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg, r -rfloor Nater Line Gyp. Bd. -Mach.
�
Date Aedueeteds 21- 1".) _Timet � AM rM
Addresns__� y ., Permit #1-12
Builder:
THE FOLLOWING COP.REC'"ONS ARE REQUIRED:
/ -- Date s --�-�+
,x_- APPROVED _ _ DISAPPRo,;:n APPROVED SUBJECT TO ABOVE
-__Cal'i For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13L25 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)t 639-4175 Business Phone: 639-4171
Irsper_tions_
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line RINALt
Post/Beam Struct. San. Bower Clraming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lite Gyp. Bd. -Mach.
`l�
Data Raqureate > > 2 d: . -Times )) AK PK
Addreset f lz) (� \l _ Permit
i
THE tf?LLOWINO OORR=CTIONS ARE REQUIRED:
l l �C (�Lim _7 Z
V1 C1 1 LA'g� U \_�A 5 U ��
1'Zt-
LkgAj v'L 1� —
�2 v i � z Ar-r,
✓l t '\ f l
L)
_.(4 c; z-,i tic C.cr.r s Z
S c�✓ a�w� .,. r _.. 1
1 A...,, ,
Inspector: /�.-�V �•��.J"� Data:
APPROVtD V DIBAPPROWD APPROM ,MMM To Ag_
L� --,,call
PRCall For Reinsp.
INSPECTION NITICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineae Phone: 639-4171
Inspection: l�i�w,� ,C T ( - - r y �°_•s�t��.-r-�
Footing Plbg. Underslab Mach. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: '� _ Timet AH PM
/ C^
Address:
(1 �1 3 +'�--(� Permit
Builder:
:
THE FOLLOWING CORRECTIONS APE REQUIRED:
S.
_> d
�N LAe
Inspector: _ Date:
APPROVED _VISAPPROVSO APPROVED SUBJECT TO ABOVE
\' L"�_ L L tall For Reinap.
7�
jgECTION NOTICE
Cit? of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
`nepection Line (Roc---Phone): 639-43.75 Business Phoney 639-4171
Inspection:
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Round. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sir Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Date Requested: II,. z —Time: _ AH PB
Address: Lo`I r (/'-Q Permit
Bui.lders
THE FOLLOWINGi1ODRRECTI;INS ARE REQUIRED:
Q c �t_1✓ R_ rte_r J 't-t�
��c �� —z-.�' �s� _rte✓= � �.�,�_ —
Inspector: �/4'�~�`/ 'L _- / 2- 3 / 3
Date:
APPROVED DISAPPROVED ,�IPPROVED SUBJECT TO ABOVE
Call
For Reinsp.
INSPECTION NOTICE
city or Tigard Building Department
13125 SW .Tall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-4-Phone): 639-4175 Business Phonet 639-4171
Inspections
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Han. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Hoch.
Date Requested: l ---—_—Time: _:!gLM __PH
Address:-L- // 1!L.4_ Permit #
Builder:_
THE FOL-4*1NG CORRECTIONS ARE REQUIRADt
_ J
i
Inspector.: jf[.S i_ natal��� _
.PPROVED DISAPPROVED APPROVED SUBJECT TO ABOt9
fall For Reinsp.
APPLICATION — STREET IMPROVEMENT/EXCAVATION COPY TO:
❑ IWHITE)-FILE
ORDINANCE NO. 74-14 ❑ (YELLOW)-INSP.
VI�
52--(PINK)-0:TPW A-AGGP}f Y
(INSTRUCTIONS ON SEPARATE SHEET) (] (BLUE)-APPLICANT
APPROVED LrJ APPLICATION NO.:
NOl APPROVED ❑
CITY OF TIGARD, OREGON FEC AMT.: S
PEN DING FEE. PMT. ❑ C.I I Y IIALL RECEIPTCCNO.:
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT RY � ' F ' - DATE— �� � Y
r
PENDING AGENCY "OK'. ❑ Application and Progrrss Record
MAINTENANCE BOND M
PENDING INFORMATION U FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED I-
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: DATE ISSUED: --.- -__1 _L_._:' BY: __�!- ------- - ---.----
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ _ /j b -
f�N/t"Y AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY RE IREMENTS.
-
APPLICANT //�f /`ti f �' �> (1 o Tr7/y 3 !! r�( C/1 _�7 a z,� 4%
___� �l'� L��
NAME ADDRESS C1��- PHONE
CONTRACTOR
NAME ADDRESS CITU PHONE
PLANS BY _
- NAME ADDRESS
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ /
DOLLARS
FOR OFFICE USE: ` �^ ., MIN.
�2) EXCAVATION DATA: 0.04 x s —
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
IVF ME SUR"ACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
rOPENED
—� INSP C-
E TION
Q
_ U
ESTIDIATED STLEET OPENING DATE:— / / — - S
ESTIMATED STREET CLOSING DATE: ' I -' __-- E
D
(3) SECURITY NO. _ ---- SECURITYAMT.: $�O('D '0J CTREET
LOSED
SURETY CO.: —._ _ _ __ FINAL
CERTIFIED CHECK D CASH WF BOND C INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS J CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. A
1 I
—
1
(S) NOTE THU CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CIT-1 AND
EMPLOYEES AGAINST ANY IN,URY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE DATE_ / /
INSPECTION NOTICE i\Iti
City of Tigard Building Department V
13125 NO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ryec-O-Phlone)t 639-4175 Business Phones 639-4171
Inspections ( ttxx �1
Footing Plbg. Underelab Mach. Rough--in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lfne FINAL:
Post/Beam Etruct. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain insulation e- -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
Date Requestedt 1hi j J __Time: AAM
Address: of( / r/1� `'- Permit f:(A`�l �2--
Builder:—
THE FOLLOWING
-^Builder•_THEFOLLOWING CORRECTIONS ARE REQUIRED: ,p
1
Inspector: �� L �r `" Dates / 7
____APPROVED DISAPPROVED LI/APPROVED RUB.JECr To ABOVE
Call For Reinap.
INSPECTION NOTICE_
City of Tigard Building Department l
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-41.71
Inspect ion z__
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
�a
Post/Beam !tech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Mach.
Date, Requested: /�) -�" �' _ Time: AM PM
q 1
Address: `J/ /y ��'�'�^Q Permit f: �i.l-D 3.�
Builder: r e ~THE FOLLOWING FOLLOWING CORR3CTIONS ARE REQUIRED:
Inspector:_ y Date:/0
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
V
INSPECTION NOTICE
City of Tigard Building Department-
13125
epartment13125 nll Hnll Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Onderelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Ib_ NY /tract-' Ban. Sewer Framing -Bldg.
Poet/NY h`y Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. -Meeh.
Date Requested: r� TLmet VA PN
Address: l l (( '� 4 i tJ u Permit t:l�\rA ) '
Builder:�
THE FOLLOWING CO:iRECTIONS ARE REQUIRED: a }
VNAJ1,�1
t�CL G�,t_.� �---c-�/� w � `a`� Q--A� `�F c�� �a-✓doh 1�
JJL
410 V
Inrpector: 0
Dates
APPROVED �/ DISAPPROVICD APPROVED SUBJECT To ABOVE
i
V Call For Re-Insp.
INSPECTION NOTICE 1-
City of Tigard Building Department
13125 SN UP11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 /Business Phone: 639-4171
Inspection:—
E.3oting Plbg. Under.elab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldq.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
?� Time _AM PN
Date Requestehhd: 1 1 : � �y z
Address: , f )�'-:° Permit #t ��) 1) -(/:/- I
Builders__ �r l�
THE FOLLOWING CORRECTIONS ARE REQUIRED: Y`A ( t `' 'v � -��"-70
Inspector: / Date:C�X=
APPROVED —_— DISAPPROVED APPROVED SUBJECT To ABOVE '
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-tn Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: _ _ Timet _AM PM
r...7
Address:- fl.� Permit f: G
Builder•
THE FOLLOWING CORRECTIONS
ARE REQUIRED:
Inspector:_— Date: 7 Z 9
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departamt
13125 SM Hall Bled. Tigard, Oregon 97223
Inspection Linc (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
FOand. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hech. Rain Drain Ansulation -Plumb.
Plbg. Underfloor Neter Lino Gyp. ad. -Mach.
Date Requested:_ / Z 1 ' ` Time: _AM P!l
i
Address:l!'1Y (` 1�/V t Permit i't
Builder: 0
THE FOLLOWING CORRECTIONS ARE REQUIRM
Inspectors_ "��� _ _ Date:
__APPROVED _`/DISAlROVED APPROVED SUBJECP TO ABOVE
Call For Reinsp.
PILUMPING ERMTT
. . . . . . . ... S T 3 :
CITY OF TIGARD J)ATE.T. ISSUE"PD. 0910911 1993' 0) .
17
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223e61199 (503)839-4171 1--,r)RCEL: V,313GAD-02:800
SI,11*e.'
,d ADDRESS— 06913 GW PINE
SUBDIVISION. . . . : VTLLA RIDGL' ZONING: N-4. 5
UL.00K. . . . . . . . . . LOT. . .
CL-ASS 0F` WORK. . :NEW GNRPAGE DISPO',.)A1_5. ,. BACKFLOW PREVNITIRS. . :0
TYPE OF UrjF-. . . . :SF WASHING MACH. . . . . . .
OCCUP(MY GRP. . :R3 FLOOR DRAINS. . . . . . . ..0 -0
STORIES. . . . . . . . C1 WATER HEATERS. . . . . . : 1 cwrai msms. . . . . . . ..0
F1x'TURE5----- L-CiUNDRY TRAYS. . . . . . : 1 t?1" RAIN DRVIINE. . . . . . I
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
L A V AT 0 R1 E 173. . . . . -3 OTHER FIX'TURFS. . . . .
TUB/SHOWERS. . . . SEWER LINE (ft ) . . . .
WATER CLOSE-'TS. . -3 Wr,TER LINE.', (ft ) - - : 100
DISHWASHERS. . . . : 1 MAIN DRAIN (ft ) . . . . :0
T _-T
NEED STREC PERMIT
EEG--
FRANK CARDWELL0. 00 JF 09/09/9:'s X
' 0355 SW 69TH B P,R T 443. 00 JF 09/09/93 X
BPL.0 007. JLH 1 1,7/92
OR 97L:-.'„3 LA 5 1.5 JF 0 09/03 X
-,80. 00 JF'. 09/09/93 X
244-4,9017.1 SS D C ;.:.
r,A rR i< f, 500. 00 JF 219/09/93 X
i umbing MPRT $ zi 3. 5 0 JF 09/09/93 X
MPI,_C $ 10. 88 JF 09/019/93 X
18 JF* 0`?/09/93 X
r e s:.; PPR F 147. 50 JF 09/09/93 X
7. 38 JF
V p5pc 09/09/921 x
St'At
h 0 1 P#
...... REOUIRED INSPECTIONS
T'[jiS permit iS iSSIAod 5,,.Abject to the reg.-
r_tjations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
C,(j,, state of Ore. Specialty Coded end all Post Beam Stl'uct water Line Insp
ether applicable laws. All work will be done Post/Seam Merhan Appr/Sdwl1( Insp
in Acucv-dancp App),oved p) ans., Thii plin/i.indslab Irsp Me(-hanica). Final
permit will expire if wurk is not started PLM/Underfloor Plumb Final
MechanivaAl Insp Building Fiiial
i,!ithin 180 day-, Of iss'Aance, or if t':Ov-l-( ' s
,t.,tspended for more than 180 days. Plumb TOP Out Erosion Control
F=raming Insp Crawl Drain
Fireplace Insp
Gas 1_ine In-p-
Insulation i n s p
Gyp Poard insp
-the nbi r, rZACtor Signature
For i' pectiotl 4175
j
t r act a N u t
CITY OF T IGARD IV i f I J TE R F.,L R M I I �.
1. r 6. . . . . . . . MST9
COMMUNITY DEVELOPMENT DEPARTMENT DA*1'1.'- ISSUED' 1119/09/93
13125 SW-Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171
SUBDIVISION. . . . : VILLA RIDGE 7 ON ING- R---4. 5
PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .6
BUILDING
E.I SGUE D W E 11.L I 1\1 U U 11,41 T U: 1. B'A 11.3 K",IIJ 0 5f
,i. �;S OF WORK. NEW BEDRMS!3 BATHS:3 GARAUE. . . . . . . . . . .576 5 f
i_ 01--* USES.. . . :3F FI.AlOP ORI-:1(15 PLOUlf,"LL) SL'TBACKS
!-Y[--,E' OF CONST. :5N F*I RS'T.. . . . . 1993 S f LEFT. . :`.`r ft RIGHT. :'S ft
OCCUPANCY GRP. :R3 SECON1.). V1 S f FRONT. -.20 ft REAR. . -,, 16 ft
STORIES. . . . . . . i I THIRD. . . . :0 S f REOLJI
I IL 1 014T. . . . . . . .. : 18 ft TOTAL - : 1963 $1` 13MOI-1,E DETECTORS. Y
FLUOR LOAD. . . . .40 ps VALUE. . . . . $ 103666 FORK INUi SPACE
Rvviav,ks : FIATH I NLED STREET OPENING PERMIT
PLU11BING
5 T NKS. . . I FLOOR DRAINS. :• . . -Q1 (.1 C,i�l I-DW PREVNTRS. . -1P
LAVATORIES. . . . . ., AATER HE'ATERIS. : 1 TRAPS. . . . . . . . . . . . . . :0
TUE!/SHOWSERS. . . . :3 LAUNDRY TRAYS. - 3. CATCH Bnf..,)INS. . . . . . . :IZI
WATER CLOSETS. . :3 SEWER I_INE (ft ) . :O GREASE TRAPS— . . . . .0
DISHWASHERS. . ., . : 1. wArE'M LANE. (ft ) . - 11L+111 OT1--1E'R f-IXTURES. . . . . .0
GARBAGE DISP. , .. : I RAIN DRF41N (ft ) . 10
WOSHING lylPfH. . . : 1 SF PAIN DRAINS— I
MECHANICAL FEES
UEL. P/Pfl_S UNIT -0 type Amol..Int by dAte i-ecpt
/GAS/ VENTS . . . . . -0 T 1F=' $ 1460. 00 JF 09/(119/93 X
MAX INPUT:0 8'r U VENT FANS,. . -4 DPRT F 44,::,.. 170 JF 170/09/93 X
PURN ( 1000 : 1 HOODE;. . . . . . . I BPLC $ 287. 95 JLH 1,,/1719E., 9c- -.347a
b5PC $ 2 a. 1 115 it 0`) 09 9 3 x
0 WOC)DSTOVE�3. V1
F1_UOR FURN. . .0 CLO DRYERS. I SEDC $ x:80. QA @ JF 171°,/09!93 X
DUILiCMP 3HPr@ OTHER UNITS.- 1 P A R 1-1 $ 500. 00 JF 09/09/93 X
GAS OUTLETS: 1 MPIRT $ 4 ;. 50 JF 09/09/93 X
Own er: MPLC $ 10. 68 JF 0'.)/'7.1'",P)` X
FRANK CARDWELL M5PC $ 2. 18 JF 09/09/93 x
SW 69T11 P P R T $ 1/1.7. 50 J F 0':)/09/93 X
P5PC, $ 7. 38 JF 0r'/09/93 X
I G A R D OR 974_,
,:lore #: 244–.6900
IORLEG STEARNS
4!j60 SW SEA(>1MAN RD
ORNELIUS OR 9711131
i'loyle #:
'e 46 19 9
$ 3i-_-'04. 54 TOTAL
-his permit is issued subject to the regulations contained in the REG.UIRED INSPECTIONS
igard Municipal Code.. State of Ore. Specialty Codes and ail nothe- Foot/fo,.And Insp Firepl,-ice
Insp
;plicable laws. All work will be dcne it accordance with approved F10st/Eleam F.1t.t'l.tc-t Ens Line Insp
dans. This permit will expire if work is not started within 180 Post/BeLAm Mec_FiAn Jnrii.tlation Insp
-
of
ssuance, or if work is suspended for more than 180 days, P 1 in .An d E tab Insp Gyp Soar-,d Insp
F11_11 Uri(J e i�f-1(-)a r P.Ain drain Insp)
mittee iee4orw Mec-hnyiirM. In Water Line Insp
P11-tMin "'op O1.At Appr/gdwlk Insp
—1-ted 9%, r ................ P
inf.riertion 6319--4175
CITY OF T I GARD SEWER CONNEC'TICIN
PE.,RMI -l"
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : 5WR92-040,
13126 SW Hall 81,J.Tigard,Oregon 97223*8199 (603)639.4171 DATE ISSIALD: 09/0')/93
PARCEL-- IS136AD02800
5 1 TE ADDRE'3 S. V161)13 '- W PJANIL
'5L.jBD I V I S I ON. . . . VILI.-A RIDGE ZONING: R-4. 5
. . . . . . . . . . LOT.. . . . . . . . . . . . . :6
'FI-NIANIT NAME. . . . . :
1JSA NO. . . . . . . FIXTURE UNITS- -
U11-ASS CIF WORK, :NEW DWELL I NIB UNI I TS. . - I
T vPE OF USE. . . . . :SF- NO. OV` BUILDINGS: l
TNSTAI-L. TYPE. . . . :B U S W R, IMPERV SURF-TICE.
Remar,ks: PATH I NEF_,D STRICT OPENING PERMIT
Owner,: -- -, FEES
FRANK CARDWEL.L type amol.tnt t)y clat e recpt
10555 :W 69TH PRIVIT 16 '2200. 00 Jr 0'3/09/'):x, X
I NISP $ `x5. 00 JF 09/09/93 X
I IGORD OR 9'7?23
1:1hnne #: 244.--6900
Co .,�t-Actor,,
CONTRACTOR NOT ON 1= 11...E
_,0TI e # 2235. 00 TOTAL
Apu ft. .
RE*(IUIRED INSPECTIONS)
This Applicant ag,•ees tc comply with all the rules and regulations Sewer, fnspec7-tion
ul the Unified Sewage Agency. The permit expires 16e days from
the date issued. The total amour,t paid will be forfeited if the
permit expires. 'he Agency does not guarantee the accuracy of the
side sewer 1?te.-als. if the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance giver. If not so located, the , .11er shall purchase
P "Tap and Side Sewer" Permit and the Age--, will ;rstall I
1-,ei-mittpe 137i gnat f..(r-e
d P
Cail for inspection 639-4175
1312SSWI1:1l13hd.[ PLNCK/RECT H% �• Z_S✓
L)
CITY OF TIGARPERMIT a M5t9Z -d 5
(.ONlN1UNITY 1)I EILOI'M1,,N"C UEPARTNIF.N'1 GFrvnl Greg n972Z3
(503)639 4171 DATE ISSUED
� uv
JOB ADDRESS: -tc� �'�._. �y� _— _ TAX MAP/LOT S 3� Act
SUB: _ LOT: ___ LAND USE: _
/� VALUATION: 3��4' • ✓ —._
OWNER �� SPECIAL NOTES
NAME: ��?-oma. d %r��� L� :�'�� /� __ REISSUE OF: _
ADDRESS: LAST REISSUE:
FLOOD PLAIN
PHONE: SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME:, �� � :r'` r _ PLANNING:
ADDRESS: �� S� o ��Lt� - ENGINEERING:
_ (�&llld c/ ILL t`> FIRE DEPT:
PHONE: _ OTHER: JW-
CONTR.
-CONTR. BOARD #: EXP DATE: z
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: —_ LIST/SUBCONTRACTORS:, /`)-,r,
MECH: — BUS TAX: _
ARCH ENGINEER CALCULATIONS:
NAME: — TRUSS DETAILS:
ADDRESS: __-- -- OTHER:
PHONE: __� - --- --- -----
PROPOSED BLDG. USE:
COMMENTS:
APPLI NT SIGNATURE
Date Received:
Received BY ��� — —
i
III RM I T # ACCT # DESCRIPTION AMOUNT AMOUNT PO'. BAL. DUE ' '
,r1�f9z_u.5 ') 10-432 00 Building Psrmit Fees 1642,vu.
l V3
_ 10-431 00 Plumbing Permit Fees 1.
VZ
10-431 01 Mechanical Permit Fees '/ /�3' >v
1.0-230 01 State Building Tax (5%)
Building
Plumbing 7.3
Mechanical
10-433 00 Plans Check Fee a` �`� 5-7)
Building { /
Plumbing
Mechanical --,/0 ,S PY
10--2.30 06 Fire
30-202 00 Sewer Connection �� 7-2-Oa
30-444 00 Sewer Inspection 3}
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 /,3S0 135()
25-448-05 Mass Transit TIF Fees I/4 //0
52-449 00 Parks System Dev Charge (PDC) S ucJ ' Soo
31-450 00 Storm Drainage Syst Bev Chrg
(SSDC) •/
2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAi_ 5339.51 ��,
nm/13587P.WPF
PLANSM
-J _
_ -- U- —
�_> 233 SE WASHINGTON STREET
F',U SBORO, OP,cGON 97123
PHONE: (503)8484061 FAX: (503)681.7646
A1.1 of that tract of land described in deed to Frank D. Cardwell
and Grace D. Cardwell per 1)-cumene No. 80 14110 together with a
portion of that tract of land de;cribed in deed to Frank D.
Cardwell and Grace Cardwell in Book 1054, Paye 239, Washington
County deed records, being a part of Lct 6, Block 3, "VILLA RIDGE, "
a plat of record located in the NE 1/4 of Section 36, T. 1S. , R. 1W. ,
W.M. , City of Tigard, Washington County, Oregon, being more
particularly described as follows:
Beginning at an iron rod set marking the northwest corner of the
South 75. 00 .feet of the North 150.00 feet o,-' said Lot 6; thence
along the north line thereof parallel with the south line of said
Lot 6, S89 "58100"E, 89. 37 feet to an iron rod set; thence leaving
sai3 line, SO'07110"E, 74 .90 feet; thence N89"5810011W, 1.9. 37 feet;
thence SO"07 ' 10"E, 99.99 feet to the south line of said Lot 6,
being a point on the north right-of-way line of. S.W. Pine Street;
thence along said line, N89"5810011W, 70.00 feet to the southwest
corner of said Lot 6; thence along the west line of said Lo* 6,
NO"07110"W, 174 .89 feet to the point of beginning.
Containing 13 , 693 square feet.
-A 1tIT
wpb2.parcell. 1395
8/27/92
QEGISTIR ;
P
A D JIYOR
ICON
JULY !R. :Vba`
torw Ot1U1s1t
(��.
1008
CITY OF:* TICARD RECEIPT OF' PAYMENT RECEIPT NO. :93-0'44034
CHECK AMOUNT 5189. 54
NAMES CARDWEI I, GRACE CASr. AMOUNT 0. 00
1ADDRESS) PAYMENT DATE 09/09/93
SUBD I v I S I Oil
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMr:.NT AMOUNT PAID
PU ILD
INS PERM 443. 00 PUJMBING PERM 147. 50
MECHANICAL- PE 43. 50 ST. BUILD PER 31. 71
PLAN CHECK FE 48. 113 81:*W[--'R USA 22,00. 00
SEWER INSPFCT 35. 00 PARKS S D C `:x00. 00
iSTORM DRAIN SDC 280. 00 RESIDENT'-AL TRAFFIC FEES 1 00
(MASS TRANSIT TIF FEFS 110. 00
i
(,913 SW PINT
101AL AMOUNT PAID 5189. '54
CITY (]F' TIGORD tPT 0' PAYMF-'NT RFs".r-iv-,r NO. :9t:'—c:34789
CHECK AMOUNT : c.50. 00
NAME : COR1D140-1, CiRACE & FRANI'. CASH ()MOUNT t 0. OLA
ADDRESS) : 105c`)Fj SW F,I1Ttl f)VF'N'JF"r PAYtV!*4 r DATE. : 1 p
I v 1 S 101,11
T16nRD, (.:)Fi
PURP:11,)f3E OF' PAY11F111 AM001-41' PAID 111)PP093F OF PAYMFNT fiMOLINI rjATD
11. AN CHECK FE
,11.3 SW PINE STREET
TOTAL AMOUNT PAID 250. 00
I
® kiUa._.. .1.. . I.';PSL 1 I
C17YOFTIGARD 1 1 1<I•t l I tr. . ��Uk�' — ,=
CnYOFTWARD hATL ISSLICI): t�F3!c_4/9r
COMMUNITY DEVELOPMENT DEPARTMENT omlmooN
13126 SW Hdl Blvd P.O.Ba 23377,Tip ud,Orepon 117?23(SW)63964176
"1 I NG: R-4. 5
+i a r.. . . . . . . . . . . LU 1-. . . . . . . . . x h
I_XTE.RIUR WALL C.MN(_iTRUCwTMI"
OF WURK. :l)FM FIRST. . . . : sf IV: S: Ei WN
r_.1F iY5L. . . :01 R SECOND. . . f F'RU T E'�CT
i4- L.:UNST. .0 5N THIRD. . . . : s;f IV: fad E: W:
I it',rl�Il:Y
GRP. :111 1*0TAl_..-----•---- , 1zr SF ROOF CONST: FTRI. RC 17 a
I I li-'l4NL:Y LUAL)f BASEMENT. f AREA SEP. RATE U:
HT. : ft GARPbL. , . : =t UL , Ii_P. F2F1I k::E):
MEZ Z?: RE01) SE.TBnC:K3—_._.___._— REQUIRED_.______,_____ -
�? UM). . . . s ft•s f LEF f: Ft R1'A lT: ft 1=I R SPK1_: 5110K Iii:: I . . :
t-)l L.L.ING UNIT'rGi F=RNT: ft REAR: ft FFIt1 i~al_FcM. HNDILW HL.'C.::
BATHS: PRQ CORR: IN6..
0
emar 1<4: DEMULISH STAPLE;. IV(:) SEWER DR SE V,TIL. '101':IK. "L1._ DE.IAHIS MUSt' BE Hlt-J'1L1Vk-.'
1.)1- 1 L.1 1NF3PE:LT 10H.
Wnt:,r --_______ __. __._.__________.._ _.._.____ ___ ____---____.____-- FEES
I �}rhll. I.Irl+.i�WF-.L.L tyr)e rnmar.int: by date r er..rat
SW 691H PRMT f 25. 00 JH 08/24/92 --
50-T 1F 1. 25 .JH 08/2 4/92 ..
1 I '.i111<U OR 97223
I crnt #t: 244-6900
c'_6. 25 1UTAt_
,:Fi �r. , Ii11ZlrZ�tltO
REClUiHE'D INfa`PECIIUNS
'hi: oermit is issued subject to the regulations contained in the
----------
I!pard Municipal Coder State of Ore. Soecialty Codes and alk other
2uc licahle laws, All work will be done 1n a cordance with
inoroved plans. This permit will expire it work is not starteC, .
wlt`,ir I80 days of issuance. or if work is suspended for more
+.her IN days.
t,et m i L t r'e Si gnats 'r ctee %" r� /u�. ___ _____._ __._.._. .. ... .....
rer_I E3V
Call for• inspect; ion - 639•-4175
CITY OF TIGARD RECEIPT Or PAYMENT RECEIPT NO. 02-E'30880
CHE,Cl-,P, AMOUNT i-716. 25
NAME t CORDWELL, GRACE CASH AMOUNT n Vj. L710
ADDRESS PO BOX -'.,30143 PAYMENT DATE t 08/0'4/92
SUBDIVISION
TIGARD, OR 97;.--:-;-23-
0
PURPOSE OF PAYMENT AmouNT Pn I i) PURPOSE OF PAYMrNT AMOUNT PA I D
BUILDING PERM 25. 00 ST. BUILD FIER 1. 215
Dr-.MOL ITION PERMIT FOR STAKE (47
6913 SW PINE Sl
TOTAL. AMOUNT PWDi--*15)