15565 SW 79TH AVENUE-1 �r
15565 SW 79TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinene Phone: 639-4171
Inspection:
Fo3ting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Tod Out Gas Line FINAL:
Post/Beam Struct. San. Sewed Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requeeted:_� �� _Time: AM _PM
Addrena:__ 5 5,�' � � _ Permit #:__
tc�Builder:
THE :rOI.LOWING CORRECTIONS ARK REQUIRED:
Inspector:-'�' T ems` Date:1 �2
T__APPROM DIBAPPROVKD APPROVKD 8UwRCT TO ABOVE
G1_ !or Reinsp.
INSPECTION NOTICS
City of Tigard Building Departsent
13125 SW Ball Blvd_ Ti+lard, Creqon 97223
Inspection Line (Rec-o-•Phone): 339-417rIusiness Phone: 639-4171
Inspections____ _A—
Footing Plbg. Underelab Mech. Rough-in Appr/adwbc
Found. Plbg. T.,)p Out Cas Line FIN.:Ls
Poet/Beam Struct. San. Sewer Framing ld
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
1 1
Dace Requested: ��—C�v` -.Times _AMPM
Permit
Builder �J�l == zi/G �dlO lY D/ 73
THE FOLLOWING CORRECTIONS ARE REQUIRED:
27--,r J� ���` Q L� /N <22
Inapactor nets:
--APPROVED DISAPPROVED _ APPROVRD SUFJECT TO ABOVE
Call For Reinap.
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INSPECTION N(YTICE
City of Tigard Building Department ! ��..✓
13125 SR Hall, Blvd. Tigard, Or"cson 97223_,
Inspection Line (.Rec-O-Phone): 639-4175 Bunineus Phone: 639-4171
Inspecti.•n:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bram Struct. Saiz. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor slater Line
` yp. BGd: Mvch..
./
Date Regssesteds �� Z Times
Address:__ _ P/ermiit s
Clird7L./ _2L2
T119 FOLLOWING CORRECTIONS ARE REQUIRED:
7
Issepector _____ _ Dates
APPROVFD DISAPPROVED APPROVED EUDJECP To ADM
_Call For Reinsp.
i
�.
PER
aI NOTIC S
Cit-, of Tiggak-d rd Building 'perpsrtaent
13125 On hall Blvd. Tigard, Oregon 972.3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41ii
Inspection __ ---- - '-
Footing Plbg U,e.erslab Mech.. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas :Ane FINAL:
post/Beam Struct. San. Sewer Framing -Bldg.
?ost/Beam Mech. Rain Drain neulatof n �1 -plumb.
"lbq. Tlwlerfloor Water Line Gyp. Bd. -Mech.
S 'c
Date Remaeetedt j,-- Timet — AM PM
Builder:THE FOL.LOWIrG CORRRCTIONS ARE REQUIRED:
i
�i
Inapwctort --- — _, Date= r`
"APPROVED DIBAPPROV=D APPROVED SUBJECT To ABOVE
Call For Reinsp.
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INSPECTION NOTICE f
City of Tigard Buildljmg Depactsnnt
13125 SW Hall Blvd. Tigard, tVegnn 97223
Inspection Line (Rec-O-Phone): 639-4175 6usiness Phone: 639-4171
Inspection --
Footing Plbg Underreel`ab Mech. Rough-in Appr/Sdwlk
F-und. c—P1bq Trop gt:t'� Gas Tina FINALS
Poet/Beam Struct. San. Sewer 8raming -Rldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requestedt ! 4— Time: ?AM -_-PH
Address: �V S�5 7�1 Peit
Builder:__—_��IE��Z _—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspe to ---_-- Data:
)APPROVED DISAPPROVED APPRO'JED SUBJECT TO ARM
Call For Relnep.
INSPECTION_,NOTLCE
city of Tigard Building Department �C'` •�
13125 8W Ball Blvd. 'Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ —.-
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plb-I. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:/ ---Time: -AM _--/�"PM
Address:
Builder'--.THE FOLLOWING CORRECTION:; ARE REQUIRED:
1.
I n9Vw-wf nr: Date:
APPROVRU DISAPPROVRD APIR(,`:ED 8118.IECT TO ABOVE
Call For Reinsp.
■
ZNSPECTIOCl Nn
City of Tigard Baildatsgig pepart-mkent.
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Re,-O-Phone): 639-4175 Uueiness Phone: 639-4171
Inspection._------------
rooting Plbg. Underslab Hach. Rough-in Appr/Sdw1k
Plbg. Top Out Gas Line FINAL:
et/Beam 8tru San. Sewer Framing -Bldg.
Rain Drain Innulation --Plumb.
Plbg. Underfloor Plater Lie Gyp. Bd. -Mech.
Date Requestedt l Tom= AN PN
Address:_ �) /-/ f-_.1 � Petmlt
Ruildor:�_--
TNK FOLUMING CORRECTIONS ARE REQUIREDt
C.
.napector:_-_, �_--
Datet�.L_ / 1
APPROVED _ DISAPPROVED _ APPROVED SUBJECT TO ABOVE
'[1` Call For Reinap.
b E!,-TION NOTICE ! f
City of Tigard Building Depar"ient L �t
13125 ON H^11 Blvd. Tigard, Oregon 97223
lnepect.ior. Line (Ree-O-Phone).- 639-4175 Business Phone: 639-01.71
Iueioection:,—Y_ ---
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
(Found Plbg. Top Out Gas Line FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mich. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth.
Date Requee:ed: /_1���7 7 �y,Timet AM PM
Addresa: ��SGri /� / f /r �f:
Builder-:_
THE FOI"MING CORRECTIONS ARE REQUIREDt
Date:
APPROVED DISAPPROVKD APPROVED SUBJECT TD ABOVE
Call For Reinsp.
CITYOFTIFARD MASTER PERMIT
CITYOFTWARD GIFFRMIT #. . . . . . . : MST91 -0173
COMMUNITY DEVELOPMENT DEPARTMENT OR too"
13125 SW Hall Blvd. P.Q.Box 23397,Tigmd,Oregon 9I223d"6pQ-4175 �- I . DATE ISSUED: 11/01/91
PUDRk SS. . . : 1''-J:j 5 SW 791-H AV PARCEL: 2S 1 1 LCA--0:3900
SUBDIVISION. . . . : DURHAM ACRES ZONING: R-12
13L.00K.. . . . . . . . . . . LOT. . . . . . . . . . . . . .
BUILDING
RI-I SSUF.: DWELL I NG UN I TS: 1 BASEMENT. . . . . . . . :0 S f
CLASS OF WORK. :ADD BEDRMS: 1 BATHS: 1 GARAGE. . . . . . . . . . :0 sf
_TYPE OF USE— :SF FLOOR AREAS-- - -__-- REQUIRED SETBACKS-_______-._._._
TYFIE OF CONST. :5N F I RST. . . . :-:22 s f LEFT. . :5 ft R I GHT. :5 ft
OC•CUFIANCY GRE'. : R3 SECOND. . . :0 sf FRONT. :1'0 -Ft REAR. . : 15 ft
S-rORIES. . . . . . . : 1 THIRD, . . . :0 sf REQUIRED-- ------___---_.__.__--
HEIGHT.. . . . . . . . : 1 1 ft TOTAL-------:0 s f SMOKE DETEECTORS. :Y
FLOOR LOAD. . . . ..40 psf VAL_UE. . . . . $ : 20700 PARKING SPACES. . : 1
Remarks : Bed:•-uom addition to existing SFD.
FIL_UMBING
`3INKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW F'REVN'TRS. . :0
I_AVAfORIES. . . . . : 1 WATER HEATERS. . . :0 T'RFIF'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : 1. LAUNDRY TRAYS. . . :0 CATCH BA51NS. . . . . . . :0
WATER CLOSETS. . : 1 GEWLR LINE (ft ) . :0 GREASE TRAVIS. . . . . . . :0
i)1 SHWASHERS. . . . :0 WAT Ic R LINE (ft ) . .0 OTHER FIXTURES. . . . . :0
GARBAGE DISF'. . . :0 RAIN DRAIN ( ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS—:1
MECF'GNICAL --------------- FEES
FUEL TYPES- --___.____._ UNIT HTRS. . :0 type amount by date recpt
VENTS . . . . . :0 BPRT 4 146. 50 FILL 11/01/91 219297
MAX INPUT:O BTU VENT FANS. . :. BF'LC 4, 95. 23 PLL 11 /01/91 219297
F URN ( 100K . . :0 HOODS. . . . . . :0 MF,RT 4, 20. 50 PLL 11/01/91 219297
1-=URN ) =100F, . , .0 WOODSTOVES. :17) MF'I_C: * 5. 13 F'L..L 11/01/91 219297
F=LOOR FURN. . . . :0 CLO DRYERS. : 1 M5r'C $ 1. 03 PILL 11/01 /91 219297
130IL/CMF' ( 3HF':0 OTHER UNITS:O PIPRT f 4:5. 00 FILL. 1. 1/01 /91 2192.97
GAS OLlTLETS:O F-15PC If 2. 25 FILL 11 /01 /91 :'19297
fawner: ------________.__ __._ --_--_--_.___._...___-_ JA5F-IC 4 7. 33 FILL 11/01/9; 219297
WES LARSON
15565 SW 79TH AVE
11GARD OR 97224
I-1hune #: 639•-2125
F= IVE STAR HOMES
! P'-'-'70 SW BOONES FERF?Y RD
1 1 CARD OR 9.7E.24
F='hone #: 684-3315
NeU0. . . 61130 __.___._._._ ------------------------
f 322. 97 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 Gyp Soard Insp
applicable laws, All work will he done in accordance with approved FIo st/Beam St r,uct Rain dv�a i n Insp
plans. This permit will empire if work is not started within 11@ Qost/Beam Mechan Mechanical Final
days of issuance, or if work is suspended for more than 1�@ days. F'l m/Lind s l a b Insp F'l u m b F i-.i a l
Me:hanical Insp Smildi.ng Final
FIermittee Siyn�stLlre : C1 �__`..... I-111-kmb Top 01-It
Ft-aminq Insp
I s y Li e d B Y ' L _-.--..__.-._._.__ I n s I.p l a t ion Insp
Cal fur inspect ion - 639-4175
C11Y OF TICAPD — RECEIP) OF I-,AYMr-.NT RECEIPT NO. %29'7
CHECK AMOUNT 227. 74
NAME % FIVE STAR CONSTRUf"TION CASH AMOUNT 0. 00
PAYMFNT DATF 11 /01/91
ADDRESS a 1588P SE 114rH
SUBDIVISION
CLACKAMAS, OPEGON 97015--- 1.5565 SW 79TH A v'C
PURPOSE OF PAYMENT 44MOLJNT PAID PURPOSE OF PAYMENT AMOUNT PA 10
BUILDING PERM MST91-0173 146. Fiet PLUMBING PERM 45. 00
MECHANICAL PE 20. 50 ST. BUILD PFR I li.l. 6 1
PLAN CHECK FE 5. 13
TOTAL AMOUNT PAID 227. 74
vd. PLNCK/RECT #
Box 23397 01" TIGARD32w1aul pl ��
ERMIT # 7;3
COMMUNITY DEVEI.,OI'htENT DEPARTMENT Tigard,Oregon 97223 —
(503)09-4171 DATE ISSUED
JOB ADDRESS: Ile 5 b S. TAX MAP/LOT
SUB: LOT: LAND USE: Z-
VALUAT I OiJ &0
OWNER SPFrIAL NOTES
NAME: tU5 L o.y, s o r-) REISSUE OF:
ADDRESS: I A (OS S w `? � t _ LAST REISSUE: --
_ I GG i r Cif q '70% FLOOD PLAIN/
PHONE: C "- S,3--3 2- SENSITIVE LAND:
CONTRACTORt1.� APPROVALS V QUIRED
NAME: �-f \) F S-t ur oYw1k-3 PLANNING: _-__--
ADDRESS: tl�-�-?u ,.c FkI �'�r I\'c� ENGINEERING:
i 4 L9ya• 91 d�-4 _ FIRE DEPT: — ---
PHONE: 0 1 •`� OTHER:
CONTR. BOARD #: 6 _ EXP DATE:
rr ITEMS REQUIRE)
SUBCONTRACTORS: PLUMB: _ 1`�a\ µIN ��� UKAk- inr� _ LIST/SUBCONTRACTORS:
MECH: I�_ BUS TAX: _
ARCH ENGINEER, CALCULATIONS:
NAME: _.Doti 4 LA) CL l _ TRUSS DETAILS: �—
ADDRESS: `� ^J1c� 5 (AQ Q00V� e C"E�f r'( I► r� OTHE!,: _.
PHONE:
PROPOSED BLDG. USE: I,; raC,w
COMMENTS: IAS APPYW /A aivA&AW rb
APPLICANT SIGNATURF
Received By: Date Received: ,h - -2 2-
i
KWXIFL� ■
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 33
Plumbing
Mechanical / 03
10-433 00 Plans ChE.ck Fee
Building _
Plumbinq
Mechanical —15-
W-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-C6 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 Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) --- --- -- - ---
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3581'P.WP17
CITY OF TIGARD RECEIPT OF PAYMENT r4ECE1PT NO. �')J-J'18894
CHECK AMOUNT x 95. ::3
NAME FIVE STAR CONSTRUCTION CASH AMOUNT 0. (be
ADDRESS SE 114TH PAYMENT DATE 10/2P/91
I Y 10 1(IN
CLACI-4 AMPS, OR 9 7,Z't 5--
pURposE: OF PAYMENT AMOUNT f-4111)
PURPOSE OF PAYMENT AMOUNT PnID
E CK FE 951. 23
15165 SW '79TH
A11OLINT PAID 95. '3