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I g 10 I5 . ,, IIII w ._I�I�l � ►�L���I i�.>r��l�I i.i �.L.l,l�L.�.. ���..I,,�,�..I.��r�.��w �.: M..�.� �� ,� _ t �k f • i d r 6 9cl 2S QUARTERPOINT DESIGN GROUP v J82A-I TWpi Ongm 9 223 2 1411(v L, 503-624-6388 I C . 0 Y • Sew e4 I hark- �� •��.�8'� � II RES/D�NCF a ,\ Ln CONCRE rAr e l C I005 l /�� � PR vE \ \ I I 2 7.,5 \ zr�, \ \ �Ju r ti I I \ I � • I --- - SETBACK LINE I _ I 4 ' tj Lt I7•e I< I I I I10' WIPE PRIVATE DRAINAGE �M NT L 5 \r _ PROPERT r LINE _ m 104.29,1 1 1 �PON _ LOTS s t 6 SCALE . 1/811 - 1'-C 1 UAORZNIAlK I cm I �I:il!!I�;:I �!11�i �I!'I ' II�UI II ! 'illllil�Rll i;lI� I� I IIII,I,Illllllti!i�llill.i IIIIII:I . LEGIBILITY STRIP o i 2 a 5 e c 1 i2 a 18 17 1'e 119 20 21 22 23 24 23 28 27 26 2 � Q oz OI HOW o e h r 1�J;' ADDRESS: 3W 76 P4.,,Ae i:\recordsVnIcrollm\largels%uilding.doc CITY OF TIGARD FE:RT IFICATEr OF' COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY '13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)939-4171 PERMIT #. , . . . . . ; MST94•-025' DATE ISSUED. 171.5/08/96 PARCEL: 2 >101 DC--05300 ITE 1.340: 'SW 15*1 N PL ,UNDIVIE3ION. . . . .. P4CIFIC RIDGE. Z 0 N 1 6:R--3, O -.LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s'5&6 (-LASS ASS OF= WORK. :NEW 1 YPE. OF USE. . . s SF OCCUPANCY GRP. s511 OCCUPANCY LORD s2 i Pmark s r PATH 1 _....._. .....,. _ ........._.... _._.._.... I.,ENNIS WORZNIAIA '495 fJW CHERRY I I CARD OR '372ej L ')AVE:. ME:_T ZGER " O Bux ai5 1HE'kWOOD OR 97140 1 1-,on p #e 625-7045 54999 I hi s Cert i f ieat e grant a or_•c►.►panr..,y of the above re fer•encerri bui iding or port ion I:herenf and calif Irmb that the b1.4ilds.ng has been inspected for- r_umplialnce with thg :late of Or^eyori Specialty Codes; for the yr-oup, u *c•upancy, avid use Linder •'F►ic:h the referenced permit was issi-►e►F. i3iJIL.U1tJ[i ;N!it=lCl'[)F? HUILDINO OrFICIAL. POST IN LONSP I C:UOUB PLACE .J C1. ..J CIT`r OF TIGARD BUILDING INSPECTION NOTICE Inspection Line- 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FI Foundation Water Line Ceiling u b, Post/Beam Mech. Shear/Sheath Framing e Plbg.Und/Flr/Slab Plbg.Top Out Insulation <0D Post/Beam Struct. Mech. Rough-in Gyp. Bd. Idg_ San. Sewer Gas Line Appr/Sdwlk e n Other: Date: 9715< 51 �P A.M.7 _P.M. Entry: S Address: � _li �" ���'2_'"� Tenant: _ Ste:_, }M-ST: _ —U Z BUP: _ Con/Own: MEC: PLM: _ ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: '?ti� PFG 11 7y 96- 4:T_1_fYA1e -1) 25- o Ln � r u., inspec or Date: _APPROVED —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 Calling Plum Post/Beam Mech. Shear/Sheath FramingC.:a . Plbg.Und/Flr/Slab Pibg.Top Out InsulationIec Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bld San. Sewer Gas Line Appr//Sdwlk Reins. Y_Other: _ _ ! 166_ ' Date: rJ A.M. --7RM. Entry: _ 3 / _-S Address: _ � - '" Tenant: Ste:. MST: - BLIP: — Con/Own:--_—_- ,_-_--- _ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: -p � F fT—EXA/� itlOT /k S[�/CD U OV II LD co AiG9 C� / LLJ 09d AL J Y Inspector. __ - Date: _-APPROVED C.�APPROVED/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. Post/Beam Mer:h. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation ect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: Date: A.M. P.M. Entry: Address: Tenant: — Ste: MST: s BLIP: Con/Own:_ MEC:_ 3 7 _ 5-3 $d ELC: THE FOLLOWING CORRECTIONSAREREQUIRED: ELR: r I L_.-- Ln CC _J _. Q J i Inspector: ( Date: APPROVED `_DISAPPROVED/C L FOR REINS CF CO l CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Founriatinn Water Line Ceiling -Plumb. Post/Beam Medi. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab g. ToO Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: �oA.M. ___._P.M. Entry: Address: ] Tenant: Ste:_____ MST: 9 _G.�S BLIP: Con/Own: _ MEG: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ._ H LO N F- J m r. W -- - �J Inspector: _ Date: ROVED —DISAPPROVED/CALL FOR REINSP. CF CO y � N CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-41'5 Business Phone: 639-4171 I ispection: Footing Susp. Ceiling Sprink. Rough-inF l A pr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 'ost/Beam Mech. San, Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Under(Ir. Insul. Shear Wall Gyp. Bd. lect. Date Requested: f _Time: �At PM Address:, Builder: Permit #�l S THE FOLLOWING CORRECTIONS ARE REQUIREB: (A*J-r14 (D Inspector- .1=� Date L-�Z.�9(p _APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE ____Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone). 639-4;75 Business Phone: 639-4171 i Inspection: Footing Susp. Ceiling Sprink. Rough-in App dwik Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plby. Underfloor Rain Drain Framing -Plumb. Alarm Water line Insulation -Mech. Underflr. Insul. Shear WallG`�yr: -Elect. (___, Date Requested:_ / 6- Time: AM PM c> -2� Address:_ �]�l Builder:_ _ Permit #: THE FOLLOWING CORRECTIONS ARE RrQUIRED: d rz y J G] �1 J / InspPct or: � Date: " /�.PROVED —DISAPPROVED _APPROVED SUBJECT TOO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Cei;ing Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Bch. Roug i Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain ) -Plumb. Alarm Water Line ��nsulatio, -Mech. Underflr. InSUI. Shear Wall-7 Gyp. Bd. -Elect. Date Requested: lC� Time: AM PM o Address: %_� 5 �"''C Builder: Permit #: ( �' Q � THE FOLLOWING CORRECTIONS ARE REQUIRED: J y �[ _� /!ti'.�� ;�. LJ` � /moi/✓'��'..-JTZ=rte' it Inspector. DaIe:y —APPROVED _DISAPPROVED i=--APMbVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Re -O-Phone). 639 4175 Business Phone: 639-4171 Inspection: < Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Linensulati�) -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:v ' ( Time: AM PM Address 1 .� r C� 4- if---Q Builder:_ Permit #ors.T c"� THE -FOLLOWING CORRECTIONS ARE REQUIRED: i i-:jar&c:n <y�tea a bA r J W J Inspector: Date: /ie 10c APPROVED APPROVED APPROVED SUBJECT TO ABOVE ,Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-G-Phone): 639-4175 Business Phone: 639-4171 Inspection: �, �. -.. Footing Susp. Ceiling Sprink. Rough-in Apor/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. P,)ugh-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. insul. Shear Wall Gyp. Bd. (� -Elect. Date Requested: �4 (f `) (/ Time: t� AM _ PM Address: L -- Builder:_ Permit #:(2 THE FOLLOWING CORRECTIONS ARE REQUIRED: I spector / r t" �' '� c Date:11 PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ,Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struet. Plbg. Top Out Elec. Rough-in FINAL: PostfBeam Mech. an. Se Gas Line -Bldg. Plbg. Underfloor ain Drain` Framing -Plumb. Alarm ater Line Insulation Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested- 2 (Q i y� _Time: AM PM Address: Z 3c(5J �-�- 3 Builder. THE FOLLOWING CORRECTIONS ARE REQUIRED: . C:�'+..�A �2C-*� ,� /L.(�(�• cell!....�/�� � a��� -t , V Inspector- Date: / ic - =y _APPROVFD DISAPPROVED t PFROVED SUBJECT TO ABOVE ,Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O Phone`):,6,3,9-41755 Buainess Phone: 639.4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Ap+k/ Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. �3a S �c�, � Gas Line -Bldg. Plbg. Underfloor Rain Drain //C-4Er ming -Plumb. Alarm ;ter Insulation -Mech. Underfir. Insul, Shear Wall Gyp. Bd. QJaA Date Requested: �� �( S Time. A PM Address: _3 4!�Cl ( G, Builder: _ ermit #:_e 0 —a THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ Date: /7( T 4ArKROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE ,Cali For Reinsp. ! � CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1/+ J{ Inspection:_ �0Susp. Ceiling Sprink, Rough-in Appr/Sdwlk n ation Plbg. Underslab Mech. Rough-in Fireplace k-Trost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested, /16) j Time:-L/—AM __PM Address: _�� C� � IS- V-'-- 62-:-_ � Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: v, H� J Cu LD IJ.! J Inspector: Date: —APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE `Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 Inspection: Footing Susp, Ceiling Sprink. Rough-in *IAL k Foundation Plbg. Underslab ech. Rough-�n Post/Beam Struct. g. Top Ou Elec. Rough-in Post/Beam Mech. San. Sewer ine -Bldg. Plbg. Underfloor Rain Drain �j -Plumb. Alarm ter Line In3ulatlon -Mech. Underflr. Insul. Shear Wall Gyp. Bd, -Elect. Date Requested:_ Z 1/ 1 -7 Time: AM PM Address: s Builder[ ��* Permit #: f � THE FOLLOWING CORRECTIONS ARE REQUIRED: v F-- v. a� ln-�pector: Date:_y[������ 'APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4176 Business Phone: 639-417 i Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Unders!ab Mech. Rough-in Fireplace Post/Beam Siruct. Plbg. Top Out lec. Rough i ' FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 1 �� C5 Time: AM PM Address: % Builder:)V� 1Ct yt mi 7_6, L�Permit #:f7-( 25G 3��� THE FOLLOWING CORRECTIONS ARE REQUIRED: ayt f' C' lett 4---' 47 /l- L� /4 ~ t w LL! Inspector`s ,r Dater APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639,-4175 Business Phone: 639-41 J Inspection. ! 1✓O--L�[I:�(/J y r r Footing Susp. Ceiling Sprink. Rough-ir ApprlSdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Ling -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Meeh. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ z( /-Z (� S- Time: AM PM Address: ,� 7 23 Builder: () Z j �G .- Permit #: 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: r Ln ;x Date:- APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABO __Call For Reinsp. V ASTER MPERMIT CIT ( CF TIGARD PERMIT # . . . . . . . .. MST94--&.. DATE ISSUED: 07/26/95 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Nell Blvd.Tigard,Oregon 07223.8199 (603)830-4171 PARCEL: 2S I O l DC •05362+0 . . „ 37 SW 75TH r-'L :=;DIVISION. . . . : PACIFIC RIDGE 'ZONING: R•-3. 0 OCK. . . . . . . . . . . LOT. . . ., . . . . . . . . . :5&6 BUILDING DWELLING UNIT'S: 1 BASEMENT. . . . . . . . :0 s f LASS OF WORK. :NEW BED RMS:,3 BATHS:4 GARAGE. . . . . . . . . . :985 s'f YPE OF USE. . . :St" FLOOR AREAS___--- _.._._ ._- REQU I:RED YPE OF' CONST. :5N FIRST. . . . :2:14 sf LEFT. . :cO ft RIGHT. .- IS ft :XUPANCY GRP. :R3 SECOND. . . �-. F FR(JNT. :36 ft REAR. 2'9 ft TORIES. . . . . . . :` F"INBSMENT:0 S REQUIRED---- ---_._.________-.___. 'EIGHT. . . . . . .. . :20 ft TOTAL_- S 1= SMOKE DETECTORS. :Y L.00R LOAD. . . . :40 psf VALUE. . . . . 1: : ::14468 PARKING SPACES— : 1 �emc-�rks : I`'f�T1i I PLUMBING INIf.S. . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFL..OW PREVNTRS. . : 1 AVATORIES. .. . . . :5 WATER HEATERS. . . : i TRAP'S. . . . . . . . . . . . . . :0 .'ULA/SHOWERS. . . . :/r L ill-NDV.Y TRAYS. . . : 1 CATCH BASINS. . . . . . . ..0 ATER CLOSETS. . :4 SEWER 1..INE (ft ) . :14) GREASE TRAPS. . . . . . . :0 " I�31(WASHERS. . . . . 1 WATER L?NC (ft ) . : 10+Z OTHER F T):TURES. . . . . .0 ARBAGE DISP. . . : 1 RAIN DRPIN (ft) . :0 1AaHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL .__.w._.__.__._.____.___. ___....---_.._..__........_-.- FEL4 UEL TYPES .- UNIT 1-ITRS. . -0 type amo;.tnt by d-ate r ec_pt GAS/ / / VENTS . . . . . :0 TIF $ 159121. 00 KS 07/+78/94 - INP'UT:O BTIJ VENT FANS. . :5 BPRT $ 75171. `;0 KS 0*7/013/ 34 N ( 100K . . :0 HOODS. . . . . . .. 1 BPLC E 879. 78 SW 06/2a/94 94 :339917+ LRN ) -11'LUtM; . - : 1 WOODSTOVLS. :0 B5PC $ 37&. 03 KG 07/+7.18/94 -- LOUR FURN. . . . :0 CLO DRYERS. : 1 PARK $ 500. 00 KS 07/08/94 OTHC R UNITC. 1 Mi-'1%T 1, 4!3. 00 Iia 07/03/94 GAS OUTLE7S: 1 MPLC $ 12. 00 KS 07/08/94 - ,r, PC 4 2. 40 KsS 07/1713/94 T ,Ii�,iIS WORZNIAK PPRT $ 240. 00 KS 07/0x/94 X5 SW ChiERRY f'SP'C 1. . 1714'1 KS 0.7/013/94 EROS t 88. 00 KS 07/08/94 — IPD 0'Z 9.7. E.3 GRPC $ 513. 60 KG 07/+7+3/9/+ lune #: CRPC $ 28. 60 KS 07/08/94 or,i:rac:t cal : _..._.._..._ ,._. ._........-_.._,.. ... ____... ..._ -rSWM t 180. 00 JD 07/"20/95 95- CC,13504 ME:TZGE:R SWM $ 100. 00 JD 07/�6/95 95--268504 I3 Gr A 1 E.RWOOD OR 97140 CZS-•7045 v: e #. . 54999 ._.._..._._._._..__......_....._...__ �- 6 4465. 91 TOTAL hip permit is issi.ed subject to the regulations contained in the —~ ~-- - REQUIRED INSPECTIONS -- - ry -irlyd Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.rnd Insp Fir-eplace Insp L ;F-icablt laws. All workwill be done in accordance with approved post/Beam qtr l.Ict Gas Line Insp la s. This permit will e;: .... sta ted w ' 1110 f''ost/Beam Mecham ITlsltlatioti Inst, sys of issuance, or if we ie _ Plm/iar-rdslab Insp Gyp Board Insp PLM/Utidel,floor Rain drain Insp i 4'•-cClIani.cal IT15p W,0.-ev- Line Insp 1�.Imb Top Oi_It ()ppm^/ dw1k Insp e-,t,,, f_r�jirmir+y Illap Met-hanTc_al f=inal Ce111 f•ar• 11,�,P,eL-t iorT 859-4175 L� SEWER CONNECTION CITY OF TIGARD PERMIT PERMIT #. . . . . . . : SWR94-0i24,--1' COMMUNITY DEVELOPMENT DEPARTMENT DA-rE ISSUED: 07/26/95 13125 SW Hall Blvd.Tigard,Oregon 972234199 (503)639.4171 PARCEL: 261 till DC-05---'00 ',ITE ADDRESS. . . : 13493 SW 75TFI PI.. SU3DIVISION. . . . : PACIFIC RIDGE ZONING: R-3. BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . t5j&6 TENANT NAME. USA NO. . . . . . . . . . . FIXTURE UNITS. . . CLASS OF WORK,. . . :NEW DWELLING IJNITS. ,. . l TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . . f, Remarks : PATH I Owner. FEES D—'--NNIS WORZNIAIV, type amol-Int by date recpt 7495 SW CHERRY PRMT $ 2200. @0 KS 07/08/94 1,45p' $ 35. 00 1-1,C 07/03/94 TIGARD OR 972'".3 Phone #: 620-2225 Contrac.,tor: -------- CONTRACTOR NO-. 01-4 FILE V-11-ione ff: r22,35. 00 TOTAL Reg REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspec:tiun of the Unified Sewage Agency. The permit expires 180 days fre$ the date issuEd. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 7. feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and gerc will al install a lateral.in' t mI e_- Call for inspection 639-4175 y PLAN # Cvo22,vrAL. DATE - - IS -25 PAGE # OF 2- QUARTERPOINT BEAM CALCULATIONS DESIGN GROUP 11825 S.W.Greenburg Rd.,Al E !.l T. g M• au tte, Tigard.Oregon 97223 A M - `x' ` `-40A 503-624-6388 O�O St7AN I bo P A F 2 6* S?A N a @ Ca 40 4 too &4 1sa M - .sra3s4 t- fAG-r fti 2 BAN k ri:S (099 M - 122x 455x 1.5 , ci628o s- 5�35G�fib, 58.! I2- - Co x 45-S 2-736 A. 1'21s X r.S�Kvti ►5.3 S - gi82vv IF = -73 A • .&0'.L/40b A • 2-73o x (.5/fv - +b ( 14.4-) C .46 = cis 3() (12x(L)3n 3w x12o FAM EVT = Ivy(1sr� ._. 384 E $—(p SPAN (o 2S FU: L4 CQ X ILS N l oma• (� ) /� 4 - g.5zx& SX1.5 -- Co 77-Q- 4.25 ,v,zS: 2&4 12 SPAt/ 500 PLF S -('7-7�41fe= 23.3 `. N1 - 12 2 xrov n l .r, � l U 8��b r•S Fv J r d �- Cx k Soo = 3oo o ,ocvlpb �o 2 X ►2)�35b X lzo � �f 4, � '� PLAN # W©{2.2 . DATE PAGE # Z OF QUARTERPOINT BEAM CALCULATIONS DESIt-=NFN GROUP 11825 S.W.Greenburg Rd.,Al _ -_- Tigard,Oregon 97223 Ann 5'3-624-6388 13� SPAA/ 9SO �Gw 13.,G2 x X50 x(,S 25cl-70(- (,.-7G 0(o.75 x qao _ 64 1 3. S - 2S4 X04' /Fb= toe, (q6) A . 3 x c -5 f F = 5b.3 (2o4) - 13 .5 x (2)Z x � v -71� 4- E N J C.7 J v/ RSTRIEE PERMIT OF TIGARD 17CTD G - COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: EL R95-0224 13126 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 DATE I S3UED: 11/27/95 PARCEL: 2c101 DC-05 ;00 SITE ADDRE">iS. . . : 134`33 SW 75TIA P'I._. SUBDIVISION. . . . : P'ACIF'IC RIDGE ZONING: R•-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . .. . . . :5&6 Project L`escription : BURGLAR ALARM AND STEREO SYSTEM i-). RESIDENTIAL---------- P. AUDIO R X31-ERE0. . . : X AUDIO & STEREO. . : INTERCOM & PAGING— ', BURGLAR ALARM. . . . : X BOILER. , . . . . . . . • LANDSC:AP'E/I RRIGA-f. . : GARAGE OPENER. . . . . CL_0CK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : I NSTRUMI7NTAT I ON. : OTHER. . : TOTAL # OF SYSTEMS: 0 1a1 ican t : ____________._._ __ FEES �f.hINIS WC1R7_NIAK type aino .int by date recot '495 SW CHERRY F'RMl' A+0. 00 J M H 1. 1/27/95 95-2'7;,260 5PC;`- $ 00 JMH 11/27/95 95-273260 If I CARD OR 97223 Phone #: Efi?0--i 225 '-;Ontrartora _--•--•- l7WNER t 4.x. 00 TnTAI... ---- --_ REPUT RED INSPECTIONS -- -__ Ceiling Cover Elect' 1 Service Phone #: Wall ver Elect' 1 Final This permit is issued subject to the regulations contained in the .__._. __ _ .__.._.-_____ ___ Tigard Municipal Code. State of Ore. Svcialty Codes and all other Perm it ee Si gnat Lme ~ applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ssuanceor if work i suspended for more ltiCJ`vYltn(/� a within 180 days than 180 days. sued ley _._ _..____OWNER INSTALLATION The installation is being made on property I own which is not intended for ~ ,ca1e, 1 ease, or^ rent. )WNER' S 5I GNATURE: DATE: �' CONTRAf'TOR INSTALLATION ONLY--------•-____-_----__.._---- J ,3I(: NATURE OF' SUPR. ELEC' N: DA . r LICENSE NO: _...__... Call for inspection - 639-4175 11 i IiqIE?1? KI (,F 11' I $-I Y Iq L,14 1 fit (J .1 U;I M ('1111AA-1 f-101110JI1,41 1,1 J1 1)1 11 1,1-3 t I R4 W1,11 1) I'll I, ?'. olo ti ' lilt, lyl I tAk"I Community Development RESTRICTED ENERGY ELECTRICAL APP CATION 13125 SW Hall Blvd. PERMIT # 0 Tigard,OR 97223 Phone(503)639-4171 f����� FAX(503)684-7297 DATE ISSUED / TDD No. (503)684-2772 CITY OF TIGARD !nspectiorl (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATIOI�I 4. TYPE OF WORK /3q?S SV►/ 7.54 P/, Address RESIDENTIAL—Restricted Enemy Fee. . . . . . . . . 140-01111 TU,C 9 7 2 23 (FOR ALL SYSTEMS) City State Zip Check Tyne of Work Involved: PERMITS ARE NON-TRANSHRABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR4 180 DAYS. Burglar Alarm ? 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor Type,__ _ ❑ Vacuum Systems* ❑ Other Address Date COMMERCIAL—Fee for each system . . . . . . . . . S40,00 (SEE OAR 918-260-260) Property Owner _ Check Type of Work Involved: Contractor's Board Reg. No. ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations j'� ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No C3 Instrumentation y 9 S s� C, Address 3Address Intercom and Paging Systems 0 It Z ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is Issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: 1. Only use electrical licensed persons to do installations where required.(Certain C3 Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(*).All others need licensing). 2. Call for an inspection when all of the Installations under this permit are ready rX for inspection at 503-639-4175. ❑ Number of Systems (A 3. Purchase separate permits for all installations that are not ready for Inspection when the inspector Is out to Inspect under this permit. *No licenses are required. Licenses are required fa all other installations. 4. Assume responsibility for assuring that all corrections required by the Inspector are done,and 5. Assume responsibility for calling for a final Inspection when all of the 5. FEES corrections are completed. I he person signing for this permit must 7pplicant ora person a. Enter Fees $ atri to hind the apant. b. 5%Surcharge(.05 x total above) $ Z oC Signature TOTAL $ Z•o�'-� — Aulhority if other than applicant ENERGAP.CHP 07/17/95 02115 S 503 625 5310 D Metzger Const. P.01 DAVID METZGER CONSTRUCTION, INC. P. 0. E?ox 275 a Sherwood, OR 97140 • (503) 625-7045 16 foe , woo ?, /I l� p u r . STATE OF OREO01 , CO,f , " iuCTION CONTRACTORS BOARD This certifies th the perso�,►� ' herein ;. �� is regist rid a � r 'vided by'laid, , S40ENT;,A ' A -W if gistration M P ,• r 4 tifi i �� �xplreS' t 5 t O A. MY ?'N } �•,�t � E .i, v'" �;t i►.t ft p t; , �"� �' -'�'"."'... Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 c� `Jobsite Addres07 s: J 3 W I-1 5ff) Office Use Only Subdivision: 1 Pane Lot# y Contact Date / / Initials g, Valuation: Result Planck/Rec # New Construction Only: (Square Footage) Permit # /1:5 :'( - L>3 } House: ,� Garage: _ �/YS Reissue of Mag & TL # z— I C,1 0C . 0 - i Zone Plat #� Corner Lot? Y �N Flag Lott Y I .. Approvals Required Owner: n .� ,-4 ��lltY c, WnrZn IaK- � 'p �c r�� ,. .l Planning Setbacks i Solar /y D\F- x 0u Address: J lJLU l Y �- r� Engineering 0 2 `EY72Other Phone: (";,1C)3 ) (,,9,2 Q - 222 J Items Required 1�t2,1/f M P I c' �,- Subcontractors _ Contractor: Truss Details Address - C Other r I�)l�CSC 1 Notes Phone: (J� ,� ) (� T C 4- •J _ T-- Contractor's License # _ (attach copy of current Oregon license) Contact Name: 1),1vY' 1-'d Contact Phone: (a)3 2 1 Subcontractors: Architect/Engineer: ( Oun r k W21 i1 t ?-Sf 1 Plumbing: • M i c y-Ae i `t Co , (c m U Lnzi Address: i/Mechanical: t 2[x'1 n C_OYT� �Y 14ti 1�� I I Oct 1-J, n�: (attach copy o urrent OR Contractor's License) �' Phone: Lp:" o-: -4 - 03E& _ J JOBriESCRIPTION: 4 LID'/ Apnlicant Signature U ( Applicant Phone number A Received by ,: � � i ��_�t � Date Received: _ � Z Permit# Account Description Amount Amt. Pd., Bal. Dui ~ Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Vii4' Mech. Permit (MECH) State Tax (TAX) Bldg: 3 0 3 Plumb: . ,0 Mech: ,;t yy Plan Check (PLANCK) J� / Bldg: Plumb: Mech: Sewer Connection (SWUSA) v�' �, C (2 Sewer Inspection (SWINSP) �)� 35 — Parks Dev Charge (PKSDC) .SUU Residential TIF (TIF-R) Q Mass Transit TIF (TIF-MT) --- Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) /5 V ~ / Y0 N Water Quantity (WQUANT) 6, Fire Life Safety (FLS) J w Erosion Cntrl Permit (ERPRMT) � ; _ (� �/ ,2 J LL; Erosion PlanckJUSA (ERPLAN) Erosion Planck/COT (EROSN) fiy �- TOTALS: Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 7c,o i Permit # Phone (503) 639-4171 Date Issued 9 - / -�s- FAX (503) 684-7297 ^ Issued by ci,�,.le,- s,� TDD No. (503) 684.27 ` CITY OF TIGARD 7 �f Inspection (503) 6394175 1. Job Address: 4. Complete Fee .Schedule Below: Name of Development Number of Inspections per permit allowed Address�C J Service included: Items Cost(ea) Sum City/State/Zip__(-1 rkci r—cl Residential-Per unit 100 + -i7./1--- t000 sort n or lees _L S11000 Z/0- 60Name (or name of busrnesS)— Each ndddional 500 so it or ! 1 portion thereof AL $2500 �U• •r Commercial❑ Residential Limited Energy $2500 Each Manut'd Home or Module' 2 Dwelling Service or Feeder $89 00 2a. Contractor In Jin only: 4b.Services or Feeders Installation,allerrhon,or relocation Electrical �gntra for r 200 amps or face $6000 2 Address' 201 amps to 400 amps $8000 2 City Sta ()c' zip q-11L�, 601 ampps10 oo�ps $10000 — 2 Phone No. % ' - -" _ Over 10110 amps or volts $34000 2 Contractor's License No. L Reconnect only $5000 Contractor's Board Reg. No. 4c.Temporary Services or Feeders I Inslnllahon alteration,or relocattan 2 Signature of C' pr. Ei,c'n 200 amps m less E5000 2 I.irense No. -5-6 Phone �•- —% 201 amps to 400 amps $7500 2 ' 401 amps to BOJ amps $10000 Over 600 amps'o 1000 volts 2b. For owner in a .tions: see W Wrio 4d. Branch Circuits Print Owner's Nam P, New allsrauon or extension per panel Address a)The fes for branch circuits with City_ _ State Zip purchase or eavke or'weer he. Each branch orctnl $500 Phone No. _ b)The fee for branch circuits wtfhout The installation is being made on property I own which is purchase or service or Meda he. 2 not intended for sale, (ease Of rent. First branch circwt $3500 2Each additional branch circuit $500 Owner's Signature 4e. Miscellaneous (Service or fooder not included) 2 3. Plan Review section (if required): Foch pump or irrigation circle $4000 2 tach sign or outline lighting $4000 Signal cimud(s)or a limded energy 2 Plesse check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000 _4 or more residential units In one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional Inspection over N Classified arra or structure containing special occupancy the allowable In any of the above as described in N E C Chaptor 5 Per inspection $3500 Per hour $5500 — .� In Plant $55 on —1 Submit 2 sets of plans with application where any of the above — apply. Not required for temporary construction siervices. 5. Fees: 111 NOTICE So. Enter total of above lees $ —� 5e/Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of fine A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 31 $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $r—� - COMMENCED t J Trust Account 0 $ Balance Uue $ r _� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Lin( (Rec-O-Phone): 639-4175 Business Phonr4171 Inspection:_ Footing Susp. Ceiling Sprink, Rough-in AppriSdwlk Foundation Plbg. Underslab Mech Rough-in Fireplace lt�st/Beam Stru - Plbg. Top Out E(ec. Rough-in FINAL: eam Mec San. Sewer ---P Gas Line -Bldg. Pibg. Und loer' RainI-Dain L Framing -Plumb. Alarm Water LineInsulation -Mech. Underllr. Insul. Shear Wall Gyp. Bd. -Elect Date Requested: &' -- TIPM ime: AM Address: ���' `�`J 3 –7S Builder:_ _Permit #:2:j- D L;t 5 THE FOLLOWING CORRECTIONS ARE REQUIRED: fr_ N N L F- - J Cil LLJ Inspector. Date -/...AaR.RU ED —DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY (IF TIGARD RECEIPT OF P(4YMF--'*NT RECEIPT NO. 95-26611 14 CHECK AM11UNT (,50. 00 NAME x WOR Z1\1114H., WANLY CASH OMOLINT 0. 00 A 1)1)R E SS x 7595 SW CHFRRY STREET PAYMENT DATE a 07/17/95 TIGARD, OR SUBDIVISION 97223-- FSU PPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PA'YMrNT AMOUNT PAID L Cd 13493 SW 75TH PLACE TOTAL AMOUNT P-fim 00 CITY OF TIGARD RECEurr or, PAYMENT RFCEIPT NO. 95 ?6 A,'.;0,4 CHECIA AMOUNT o 4,65. %i3 NAME DAVID METZ(73F—R CASH AMOUNT s 0. 00 ADDRESS a CONSTRUCTION, INC. PAYMENT DOTr�' e 07/26/1'41 PQ BOX 275 SUBDIVISION SHERWOOD OR 97140— PURPOSV OF PAYMr-:NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID g6ii:DiNG P*E 5T94-0i'5!J 97. 50 PLUMPING PERM 47. 50 MECHANICAL PE —3. 00 ST. BUILD PER 6. 60 PLAN CHECK Ft' 217. 5)6.1 RESIDENTIAL TRAF FIr FEES 70. 0q) EROSION CONTROL PLAN CK 7. 80 EROSION CONTROL PERMITr---tz'E 24. 00 EROS TON CONTROL 7. 80 13493 SW 75TH PL TOTAL AMOUNT PAID — — — —> 465. 7F% mry OF I IGARD RECEIPT nF PAYMENT RECEIPT NO. t 26 0 1)6 6 CHECK AMOUNT t 2 7.711. 4710 NOME NOPMANDIN El-ECTRIC, INC. CPSH AMOUNT 0. 00 p[)1)R E S,9 s 510136 N. E... CLAPSHAW HILL RD. PAYMENT DATE s 08/07/95 FOREST GROVE, OR. SUBDIVISION 97116— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID ELECTRICAL PERMIT &.160. 00 ST. BUILD PER 13. 00 LJ ELC9J--0304 13493 S. W. 75TH PL. TOTAL. AMOUNT PAID 273. 00 l ) I Of 1 .I(AMI) 117.t„:I- .IP1 111 PtI'rI'll I'Il Itt l l 11' 1 N11. 0 1:lil.!,P, ►1MOUNI :7,a. 100 i if Ii,01 i•,II)fllhtIND 11'4 1A.I I:IRtI,, INC;. GW'ill 1iMAJ1V1' » 0. 1,'0 r11!I�RI s `r1UAU- NW 13 01w 111 L.L. HD f44YMEN( [)WI 1A,-)/01 v 'a5 I'1111f:•'i i' lalil)UF y l:)Fl, til..l}�L11 V 1':i f,fJl'�1 » i-i 11;1'11 ,1 t 11 I'(��Ihl N l tlttl!I IIV1 1'fil 11 F'l.l(df-'t l:,.,i 111 1111(I'li IJ I f{MI It 1114 1 Wf I I • 1 I F l ') 1.111 iil I'F fil'dI I ��'��6i 4tty 4; I , Fttltl I� 6'I I' 1 .�•, 1,'n,. 1-- 1- J c� LD LL1 J i i ! it i f i1 0 114 1 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # QS- a 6 8966 Permit # _6 /C - 9S- j22oet Phone (503) 639-4171 Date Issued 8- 7 FAX (503) 684-7297 Issued b C L,� /Pr S'� ti ,.,,�/� CITY OF TIGARD TDD No. (503) 684-2772 y — Inspection (503) 639-4175 1. Jeb Address: 4. Complete Fee Schedule Below: Name of Developmen i Number of Inspections per permit allowed Address Service included: Items Cost(ea) Sum City/State/Zip—T irk-, 4a. Residential-per unit `,,�4 1000 sq It Orissa $11000 Name (or name of b iness) Each additional 500 sq It or 'L 1 portion thereof J t>25 00 , C/Jl Commercial❑ Residential[�' Limded Ensigy $2500 Each Manurd Home or Modular 2 Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b.Services or Feeders Inslallation,altoration,or relocation 2 Electrical Contra r j( _ 200 amps or lose $so 00 2 Address! 201 amps to 400 amps $80 00 2 -- 401 amps to 600 amps $12000 2 City —( State Zlp - 601 amps to 1000 amps $18000 2 Phone No. - -15 1 Over 1000 amps or volts $34000 2 Contractor's Cicense No. % Reconnect only $5000 Contractor's Board Reg. No. - fit" 4c. Temporary Services or Feeders Installation,alteration,or relocation 2 Signature of �jyprr.Elec'n 200 amps or leas $5000 2 1_icense No. --c Phone o. ��`�-•i,3 }( 201 mnpe l0 400 amps $7500 2 _ - -�---p r 401 amps to 600 amps $10000 Over 600 amps to 1030 voila 2b. For owner ins ta tions: see W above 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Andress a)the fee for branch circuits with City State Zip Purchase of service or feeder Am. 2 Phone No. Each branch circuit $500 b)The foe lot branch circuits without The installation is being made on property I own which is purchase of service or feeder Me. 2 not intended for sale, lease or rent. First branch cirruit Each adddiorvil branch circuit $35 00 2 $500 Ownpr's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation Crile $4000 2 Each sign or outline lighting $4000 Signal ctmutt(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel alteration or extension $4000 4 or morn residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection $3500 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above 5. Fees: apply. Not required for temporary construction services. NOTICE 5e. Enter total of above fees $ 5%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCIION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec 3) $ A PERIOD OF 1►_'0 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account IM $ Balance Due / 9 $,_ December 9, 1994 City of Tigard--Budding Office Attn : have Scc'.t 13125 SW Hall Blvd. Tigard, OR 97223-8199 Dear Mr . Scott . This letter is In regards to obtaining an extension to our building permit (# MST94-0255) for our new residence . My wife and myself are acting as our own general contractor and had planned on starting the house last summer . I teach and was trying to time the project so as to have the house framed by summer so I could assist the subs while on my vacation . Unfortunately , our building loan ran into some delays and we weren' t able to secure financing until just recently . We now plan on starting the project in early :spring of the coming year as soon as the weather permits. Knowing that the permit was going to expire prior to the etart of the project , I visited the building department and a;iked if there was anything I could do so we didn, t have to to,-felt the $5,000 .00 + fees. The Inspectors I talked with said that I could apply to your office for an extension on the permit . It you have any, questions, please do not hesitate to give us a call . Beot wishes for the holiday season . Sincerely . Aennis and Nancy Worzniak 7495 SW Cherry Tigard, OR 97223 620-2225 CITY GF TIGARD MASTER PERMIT � �� PERMIT it. . . . . . . : MST94-Oc:,..r._, COMMUNITY DEVELOPMENT DfPAR71t�I��JT DATE ISSUED: 07/08/94 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 /��lC/ --� PARCEL..: 21,3101DC--1-DR005 51 TL ADDRESS. . . : 114$7 SW 75TH FAL SUBDIVIS.ION. . . . : PACIFIC RIDGE ZONING: R--3. BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 ------------------------- ---------...-_ BUILDING --------------- REISSUE: -__.-_.____.-__..-_ -....-_.-.REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 f CLASS OF WORK. :NEW BEDRMS:3 BATHS:5 GARAGE. . . . . . . . . . : 1010 sf TYPE O1= USE. . . :SF FLOOR AREAS---------- REQUIRED TYPE OF CONST. :5N FIRST. . . . :2495 sf LEFT. . :20 ft RIGHT. :20 ft OCCUPANCY GRP. : R3 SECOND. . . : 1020 sf FRONT. :55 ft REAR. . :49 ft- STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED- HEIGHT. . . . . . . . :27 ft TOTAL----- - ; 7515 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 179870 PARKING SPACES. . : 1 Remarks : PATH I --------------------------------- PLUMBING `�I NKS. . .. . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. „ : 1 LAVATORIES. . . . . :; WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :J LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER C:LOSETS. . :4 SEWLR LINE ( ft ) . :O GREASE -TRAPS. . . . . . . :,Zi D T SHWASHEF'S. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN ( ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 --------------- MECHANICAL -------------------------------- FEES FUEL TYPES----------- UNIT H'TRS. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF s 1520. 00 Kf:S 07/08/94 _ MAX INPUT':O BTU VENT F'ANS. . :6 BPRT $ 633. 00 KS 07/08/94 FURN ( .1001; . . :0 HOODS. . . . . . : 1 BPLC $ 411. 45 SW 06/,28/94 94-253990 FURN > =1001-, . . : J. WOOD5TOVES. :0 BSWC $ 31. 65 PGS 07/08/94 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SEDC $ 280. 00 KS 07/08/94 BOIL/CMP ( 3HP:O OTHER UNITS: 1 PARI'. $ 500. 00 KS 07/08/94 - GAS OUTLETS: 1 MPRT $ 51. 00 KS 07/08/94 - Owner,: _-_.._....__.___._ _____._._--.__________.._-______Mf l_C $ 12. 75 KS 07/01.3/94 DENNIS WOR7NIAK M5PC $ 2. 55 KS 07/08/94 7495 :3W CHERRY PPRT $ 192. 50 KS O-i/08/94 - P5PC ? 9. 63 KS 07/08/94 - TIGARD OR 97223 LRO'7 9 b ': . 00 KS 0'7/08/94 - Phone #: 620-2225 Ei•tPC $ 20. 80 KS 07/08/94 - Contractor: --_-------_-__------_-- ..._-_.__.._--f:RPC $ 20. 80 KS 07/08/94 - OWNER n. Phone Q Reg - $ 3750. l3 TOTAL This permit is issuEd subject to the regulations contained in the ----- -- REQUIRED INSPECTIONS - -- - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp LD rapplicable laws. All work will be done in accordance with approved Frost/Beam Struet (Sas Line Insp J plans. This permit will expire if work is not started within 180 Post/Beam Meehan Insr_rlation Insp days of issuance, or if work is suspended-for more than 180 d ys. m/undslab Insp Gyp Board Insp LM/Underfloor Rain drain Insp Permittee Signature: Iheehanical Insp Water Line Ir►sp - 1=''1�_imb Top Out Appr/Sdwlk Insp Issued By v Framing Insp Mechanical Final Call for inspection 639--4175 CITY OF TIGARD 'SEWER CONNECTION PERM I1- COMMUNITY DEVELOPMENT D%T TI T PERMIT #. . . . . . . : SWR94-0`,+3 13125 SW Hall Blvd.Tigard,Oregon 97223.819 ( 03)B$9-4171 DATA ISSUED: �117/0f,/94 /3y�13 PARCEL: cS 101 DC-f-'RlZl05 1E ADDRESS. . . : .1•34fH SW 75TH i PL. !:AJBDIVISION. . . . : PACIFIC RIDGE ZONING: R-3. 5 . . . . . . . . . . . LOT. . . . . . . . . . . . . :005 TE:IVAIgT NAME.. . . . . USA NO. . . . . . . . . . . FIXTURE UNITS. . . . CLASS OF WORK. . . :NEW DWELL I NCS UN I TS. . : I TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BU SWP I MPERV SURFACE:. . : a i Remarks: PATH I ()wn er: ---------------------------------------------------------- FEES DENNIS WORZNIAK type amol-Int by date r-ecpt :'A93 SW CHERRY PRMT f 2200. 00 KS 07/0$/94 INSP $ 35. 00 KS 07/OB/94 - 1 IGfnRD OR 97 X23 Phone #: 620-2225 ':ontr^actor,. CONTRACTOR NOT ON FILE . on e #: t 2E:35. 00 TOTAL �- - REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations '-iewev, Inspection I of the Unified Sewage Agency. The permit expires 160 days from the date issued. The total amount paid will be forfeited if the permit expires, The Agency does not guarantee the accuracy of the _ '�- side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from +- the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Ary will install a lateral. y Permitt.twra Siynatur e : t' Call for inspection - 639-4175 i- .r U! i Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: ` I f CU X75 - lac-' Office Use Only- Subdivision: PCtC I'1"((''t C �IC'JQE Lot #_ I Planck/Rec # Valuation: �I _C�, CD 0 F.- Permit # Ar/ U Owner: .nn t nr i W-)Y-zn I Reissue of Address: 7q C15 ,; r U Che rr( Map & TL # t ( ,)(" ,✓ ;, j%/~ f , T aarc�( R72-23 Approvals Required Phone: 6029-L) 5 (� ' Planning Contractor: ' ) z ,a Engineering Address: rl�'�� � C�'leri�L Other 7 -roar( 87223 Items Required Phone: 1� :2�) _. Subcontractors '1 Contractor's License # (attach copy of current Oregon license) Truss Details _ Subcontractors: Other Plumbing: Mechanical: (attachcopy f nt OR Contractor's License) G 5 L�© Architect/Engineer: Address: J Phone: J COMMENTS: L ARE G{vrN- au.c rwN t /i�� P�N"��•� '�� i Applicant Signature & Phone number Received by: _ Date Received: — Permit # Account Description Amount Amt.. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) f �/Z. ✓ Z' S✓ Mech. Permit (MECH) •u V/ State Tax (TAX) —4(2`3 i Bldg: J J Plumb: 3 Mech.- •2 • > > ✓ Plan Check (PLANCK) Z L/ ' L' Bldg: Plumtr 1.Iech. 474.�- U �l z Sewer C)nnection (SWUSA) •�r�e ✓ 2``� Sewer Inspection (SWINSP) .�$ ✓ j �� Parks Dev Charge (PKSDC) ,S��� ✓ S vd Storm Drainage Chg (SDSDC) V cZ ry Residential TIF (TIF-R) J /�L_ Mass Transit TIF (TIF-MT) /1 y //u Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Ln Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water-fhnthty (WOUI L.) LL E its,.. //v- WMm-03mitity _ '.VVQUANT) >z►. J _ 2 v-Y1� .Fra D'alad Cr I FIRE 14 TOTALS: (4 4 T i SIARU - RE Gr I PT Of- $44Y Mk N l ftE:.l.`I- .t P 1' NU. r 914....;.L5 9'.)0 ••••: U IF LK NMOUNT a 11-50. 00 hJAME: u WI1H1,N tAK� .�ErxMN�,I;,,` CASH f4Mi:jt1N7 Wo PAYIrIFNI 4411- SUTAD C V 1111 ON : PURPOSE:. OF PAYMENT" AMOLIN T PA 1 D F=URf-'10;E OFPt1YMt-N T' AMOUN f I�f i t 10 171 ON C:HE CE; FE=: -.__...� _.._.._..._. .250. 00 N T J Ill �.J t.O'T 56 PAC t f=i C R I t7W C Iq Y, 1 1[ 1 TGARD Rf:-.L'I--It.'.'T OF IJAYMEN] REC-FAVII NO. 1.1 A' Ht K I-IMOUN t 1, I WARD, OR SLI13D I V I S I UN PURPOSE OF' PAYMVNV AM(-I(.JNI 1,4410 l-ll..IRPLKJK OF V,$4Yrll Ill HIVIOLINI t-,AJI) BUILDING PERM IVIS T94-OR'55 633. IPO P1.1.11VII41NO PF RM Ln ME=(MAN ICAL. PE 51. 00 St. BUILD Pl-R I11-411\1 CHEC.lK FE, 174. r'O `FEWER LISA [-,'WR94---0P43 RPM. 00 L ..iF.WER INSPEXT 35. 00 PARKS SDC '500. 00 SJORM DRAIN SDC ;!80. 00 Rl"ll.0 I DW 1141- 1 RAFV IL: F+V t� 1410. 00 w M01-03 TRANSIT If" Frf__* EROSION_ .r, )lA rMOSION CON'TRUL Ao LD L%W-GION CONIPUL. PLAN LK 20. 130 K RUS I LIN CON I'R(.It Pt: RM I I f I V io ,j'(ft41 "3W 75*I­j-4 IL-4- 14 RJT'(--F, 1.1"T 96 10-1AL PMLJUNT PRID 1.3b. 13 ,$-- Permit No: n] Address- -2 0 Issued by: Date: \ FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Nc :u: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board t') sign the following statement before the building permit can be issued. This state- ment 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 statern This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1 . 1 own, reside in, or will reside in the completed structure. 2. C 7 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.1 _ _l My general contractor is- _ _ ------ , Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B. �f`�-1 1 will be my own general contractor. If 1 hire subcontractors. I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will 1 contract with a contractor who is registered with the Construction Contractors Board ti and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the In`—mation Notice to Property Owners about Construction Responsibilities on the reversA of this form. J / Signature of Permit ApplicarvT Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT