15616 SW 82ND AVENUE 1
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._ 15616 SW 82nd Ave
INSPECTION NOTICE
City of Tigard Buildinq Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buainees Phone: 639-4171
Inspection: _
Footing Plbq. Undoralab Mach. Rough-in AQpC/sdwlk
Found. PLbq. Top Out Gas Lina FINALS
Post/Beam Struct. :an. Sewer Framing -Bldg.
poet/Beam Mech. Rain Drain Insulation -Plueb.
Plbg. Underfloor Water Line Gyp. Bd. 46mb.
Date Requestedt / !`� _ t 11M ,PN
pe 0
A:idrese:� !1
Builder:--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 �7 _
Inspectors_" `1�'�r� _- Date:
APPROVED DISAPPROVED APPROVED BUBJECT To Awn
Call For Ruinap.
CITY OF TIGARD
PLUMBING PERMIT 13125 SW HALL BLVD.
P. O. BOX 23397
Applicants must hold Oregon Registration to con duel a plumbing TIGARD, OR 97223
twsiness or must be property owner/operator not hiring outside Iv1p. (503)639-4175
Narnp q(Develpra7ttettt GSL��_ _ Plumbing Permil No.6_��_�
�(� �I� � ) \ Description
'��w ( til�A OHS 814-21-610 QUAN. PRICE AMT.
job Tax loot Map.Na
Address
FIXTURES _
til -[lk�ck Sub6�Aslon Sink 7.50
Name name 1/ lavatory 7.50
1 7 1,111- Tub or Tub/Shower Cornh. 7.50
Ad*ql- 1 v Shovew Only — _ 7.50
Owner (� Water(Aosel - 7.50
l C e,. � ZP� DishwasheK - 7.50
Gartiage Disposal 7.50
Name Washing Machine -— 7.50
Floor Drain 7.50
Ttaif+ng ,ess v_l� Phone Water Healer -- - - 7.50---
Occupant - Laundry Room Tray -� 7.50
P City/Stale- Zip
Urinal 7.50
arty♦ '- /� Other Fr amts(Specify) r i 750
) 2 7.50
MaiWV Addrew Plane 750 -- ---
Contractor City/Stste — 21p _ 7.50
MISCELLANEOUS
Senor 1 s1 100' 30.00
lates. tate Sewer-ea.Addrt.100 - 15.00
(flesrdential) Water Servios 1 st 100' 20.00_
1 txweby e6myMsdge that I tv rve read this -k tion.the the Intor ^ water Servios ea..brdil 2�' 15.00
given is rrxred,that 1 am regi%lered vhdj the Stats t)uikWs!bard,and also Storm 6 Reit Drsin 1*1.1(10' 30.00
he"s Stale Pkxnt*V icer"ttud the rxrm(ws given are gmovd,that an - -- - ---
plumbing work will ba done in ecnordenos with&ITAicable prvvicions of ore- Storm 3 P-in Desin Addit.100 15_00
gee Revised Statutes ChWers 447 and 693 and app katrle codes end that Mows Horne Spans 25.00
no help wN be enrpbyed unless Noensed under o(1a&J3-(II exempt born - -- —
5%.1s regiwetk n.please gore reason be". Back Flow Pmver*on
t+!4.. OWNERS-1 hereby otrtify that I am the owner 0(the property de DevioeorAnti-PdkA@on Device 7-50
ecnbso above,at,Nhktt location 1 prrpo"b make a pkxnt*V InstaKedon kx Any Trap 0r W so*Not
my own t se and Cis property is not bekV onnstrucled for Drage.bane or rent_ Connected to a Rtsors 7.50
Catch Bosh f.50
—--_-- __ Specially Requested M,*peWons _40.00 Per Ht. -
-_--- __ Atter.of Pkx"blrq wIthin
an Exless V Bldg. 15.00-an.
At'r140nVE0 SIONATt)AE -�-� bwto Now Bldg.or Bulld.Addhion 25.10 mkt. -^
112��l six family
f3esrxibe work new U addition❑ aker"Oon❑ repair C7 cirJellitt 15.00
drx/a residential j l ran-n"!d9tltisl
B istkv use of
btA1*Vorprol>erty___._____ $25.00 minimum SUB-TOTAL
FNvpoeod It"of 5% SURCHARGE
25% PLAN REVIEW r+
Wgwl al
Thb rocas*bsoorn"nun and voW N wce/r or oonatru0son authodred Is n04 own- TOTAL
mwxtal*W*i 160 day mr M 0orrdr%Pa$on or veer*Is tuspomdW or abandoned kv
•Co"A of 180 days M any erns dor work Is oonvmKxed
PI CIA t-CX)WXTXWS
0nto basted _ / - -----
C'TYOFTIGrARD RD PLUMBING PERMIT
'I WA ARD
COMMUNITY DEVELOPMENT DEPARTMENT �cj 00126m . . . . . . .
13126$W Hall Blvd. P.O.Baa 23397,TOW,Oregon 97223(603)639-4175
61:69 Ali t-
S1 TE ADDRESS. 1 j61& SW 8211D AVE PARCEL: 2S112CC-107011
SUBDIVISION. . . . LANGTREE ESTATES ZONING: R-12
BLOCK. . . . . . . . . . . LOT. .39
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE I-4011E SPACES.
I Y►-'E OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PHEVNI i<S. I
.1CCUPANCY GRP. R3 FLOOR DRAINS_ _ ,, TRAPS. . . . . . .. . . . . . . .
':JORIES. . . . . . . . 12 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
I I XTURES-------- ----- LOUNDRY TRAYS. . . . . . .. 5F RAIN DRAINS
5INKS. . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . :
_AVATORIES. � . . . OTHER FIXTURES. . . . . ..
1UB/SHUWERS. . . . : SEWER LINE (ft ) . . . . -
4ATER CLOSETS. . . WATER LINE (ft ) - . :
IWASHE RS. . . . : RAIN DRAIN (ft ) . . . . i
emirks : 13PRINKLER sys"mm
jwnart ------------------- -------- - - ES
--------- ------- FEL -
11ARK DASVOLOS type ama,_int t)y dA t e c'1-1t
`61 6 SW 82ND A V L" PRIvIT $ 15. 00 JLH 06/17/91
5PCT $ 0. *75 JLH 06/ 17/91
FIUARD OR 97::24
-hone #.
]Oyltrac'tor.'. -I-,-.-- __.._.___._____._________
!Wk1[_'R
Pt)c r)e 17J. /to I I J f Hi-
REDUIRED INSPECTIONS
This cot-sit is issued subject to the regulations contained in the Final Insper-tion
Tigard Municipal Code, Stitt of Ort. Specialty Codes and all other ......
tpolicable laws. All work will be done in accordance with
ipproyee plans. This pervit will expire if work is not started
�qithirt 160 days of issuance, or if stork is suspended fer tore
Thdn lot days.
frr i t t,e:? Si Rr t
'J If(J P v
............
Ca I I for inspection 639-4175
rw
C1Y OF TIC.,inRD RECEIPT OF PAYMENT RECE I PT NO
CHECK AMOUN i5. 75
NAME DASI-4,ALOS, MARK & rIEBRA CASH AMOUN'r 0. 00
ADDRESS 1561.6 S. 14. 82ND AVENUE PAYMENT DATF e 06 17/91
SUBDIVISION
TIGARD, OR 9W.-.24- 156.16 SW 82NE AVE.
PURPOSE OF AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID
ST. I L.D 0. 75
p
BACK-FLOW WEVICE"
lolot.. AMOU1,1-1, Poli) I'�' 75
INSPE3TION NOVICE
City of Tigarll Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phones: 639-4175 Business Phone: 639-4171
Inspection:__—— — —
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas line F1'NALt
Poet/Boam Struct. San. Sewer Framingldg.`
C-1--
-
Mach. Rain Drain Insulation -Pl7h.
.~;
Plbg. Underfloor Nater Line Gyp. Bd. -Me
Date Requested:
Address-, yy -cs�
> _ r•erol;.t r►t
Builder:_ —THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: 4
APPROVED DISAPPROVED APPROVlD eveja 'P TO AWY2
Call For Reinsp.
Cl7Y®F TIGA RD CERTIFICATE OF
CrIYOFIWARD O(XUPANCY
COMMUNITY DEVELOPE4ENT DEPARTMENT (ANKDON I.-ICRICIT #. . . . . . . . IvIST90-0258
13125 WN FWl Blvd. P.O.Box 23397,11gaid,Oregon 97223(603)639-4175 C47
Sill-'- ADUREGS. . . : 13616 SW 82ND AVE F:IARC1=1-- i2S1, 12CC 1. 1500
SUBDIVIGION. . . — LANGTR.L,.' ESTATES ZONING: R-12
BLOCK. . . . . . . , . . i LOT. . . . . . . . . . . . . :47
CLASZ."I' OF WOPI-,*,. :NEW
TYPL OF UGE. . . :SF
OCCUPANCY GNP. :R3
r C. i
WCUPANCY LOADu '20 4
I L i",WNT NAME. . .
Remark.;
'11TAN PROPERTIES
Pn PDX 6635
ifl-ulit-4 OR 97007
Phone #- 64564'77
contractorl
TITAN PROPERTIES
PO sc*)X 68,35
ALOHA OR 97007
Phonsip #s C-456477
Re tj #. . : 30558
Occupancy of the above i-eferpticed building is hereby given, and tertifie-
the cawpliance with thip Btate Of Oregon Speci,alty Codes foo. the gr-,o,.jp,
occupavicy, and use under which the t"efPr'OnLed permit wAs is 7 sued.
FIRE DEPARTMENT tWU 11ING INSFLETOk
POST IN CONSPICUOUS PLACE
T/ Mr INS. CTION NOTICE
ty of Tigard Building aepartaant i --
/ 13125 SN Mal.I Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phcne): 639-4175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALt
Pon`/8'aam Struct. San. Sewer Praming /,`-Bldg.
Poet/BeAm Mech. Rain Drain Insulation l -Plumb.
v
Plbg. Underfloor water Line Gyp. Bd. -Mach.
Date Requested: / / Timet AM PM
Address:_� h -_ Permit 1 t �
Builder.: T
THE "M M OORPSMIONS ARE QUIRED: &� A7
�
.12
v STzii,��'
CC
�° ice, `�s�a�s��F• _ -
1,121 I* 11y;r
ZSCJ4/ /11AI- vee j
Inspector.
Date$do
APPROVED APPROVED SUBJECT TO ABOVE
/��all Por Reinnp.
�MgPECTION NOTICE
City of Tigard Building Departatent
13125 SW Hall 1p1Vd. Tigard, Oregon 97223
Inspection Line (Rec-O-PhMe): 639-4115 ^uni.ness Phone: 639-4171
Inspection: --
Footing PFop
Mech. Rough-in �Appr/Sdwlk
Found. Pl Top Out Gas Line FINAL:
Poet./Ream Strur_t. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plby. Underfloor Nater Line Gyp. Rd. -Mech.
Date Requeetedi /r�/ Time: AM PM
/ i
t
Address: /S4v i� A Permit #:90
Builders l"""'`✓
THE FOLLOWING CORRECTIONS AR= UVIREDs
Inspector: --......._._ - -- Date: /
APPROVED DiSAPPRc"cED APPROVED SURJECT TO ADOVE
Call For Reinep.
ww M �!
INSPECTION NOTICE
City 6f Tigard Building nepartment / 1
13125 SM Ball. Blvd. Tigard, Oregon 9722=1
Inspection Line (ROC-0-Phone): 639-4175 Business Phoneik4.44-4171
Inspections.
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL-
Post/Beam Sttuct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Uaderfloor Water Line Gyp. Bd. - h.
Date Rag4asted:__. �1 Time: or AN ---PM
Address:_ hd Permit i:/4J J! _42-
Builder-
THE
42-Builder:THE FOLLOWING CORRECTIONS ARE REQUIRED:
InspectorsDate:
AOVED -� DTSAPPROVED APPROVED SUBJECT To ABOVE
Call for Minsp.
1
- aim
INSPE ION NOTICE
City of Tigard Building Department
1312- SH Ball Blsad. Tigard, Or,r3on 97223
Inspection Line (Rec-O-Phone): 639-4175 Buelness Phoneir 639-4171
Inspection:
Footing Plbq, Underslab MOch. hough-in App,/Sdwlk
i
Found. Plbg. Top Out Gas Line
INALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Much. Rain Drain Insulation _Plumy,
Plbg. Underrloor Water Line Gyp. Bd. -Nech. f
Date Requested:_
_Times PN
Buj Idae:_15 Permit 1:
T"F FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Datet2L_ pv
Z Z____��
APPROVED DT!SAPPROVED _L —Af`rkavED SUR.TECT TO ABOVE
Call For Reinap.
INSPECTION_ NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 6 41 1
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sai. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. j -Mech.
Date Requested: Time: AM PM
Address: 71� �Cv d� ham. Permit #sl y `JAV,
Builder•_ -J4L�' - - _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
M
am
tnnpector• `DaTes /� �j
149
_APPROVED DISAPPROVRD-------ICPPROVED SUR.JECT TD ABOVE
Call For Reinap.
.MSPECTION N(YTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregor 97223 '
Tnspe-tian Line (Rec-O.-Phone): 639-4175 Busineso Phone: 639-4171
Inspection•
Footing Plbg. Underelab Kech. Rough-i.nfAppr/Sdwlk
Found. Plbg. Top Out C_l.-44rm FINAL-
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line+ GYP. Bd. l -Hoch.
Date Requested: /� �/�_AM pPM
Address:
—, , /o/& d.� �' _ permit r`/rG'
.s
Buildert_�.��� �L �_ _THE FOLLOWING CORRECTION/ ARE REQUIRED:
qse
Inspectors_ nate:
APPROVRDDI9�APFMVND APPROVED SUBJECT TO OM
RO
I/ -G11 Por Reinep.
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business P.,T P639-4171
Inspections ---
Footing Plbg. Underelab Mech. Rough-in ApFr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post./Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line -Hoch.
Date Requeoteds // �`�-�/ -T ° __,,)-�,AK PH
Address Lo .� Permit #: �D -D JC✓
Builder-
TM FOLLOWING CORRECTION8 ARE REQVIRED:
Inspector: Data: =Z
A' UROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
kNSPECTION NOTICE
City of Tigard wilding Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rac-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poe':/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain 'Insulation -Plumb.
Plbg. Underfloor Plater Line Gyp. Bd. -Mach.
Dats Requeated: — / __Time: AM PM
/� i
Address:_ � S6 h Permit #:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors
_tkPPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPBCPION NOTICi
City of Tigard Building Department
13125 an Hall Blvd. Tigard, Oregon 972 (/
Inspection Lina (Rec-O-Phone): 639-4175 Business Phoifo 639-4171
Inspection• _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer (� Framing \) -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line? / Gyp. Bd. -Hoch.
Date Requested: _ _ / _�T! —Time: _ / AH �) __PH
Addrei A Cy Permit t:`G> ✓ �
Bu i lder•
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ _ Data:_
APPROVED DISAPPROVRD PROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPZP4IOH NOTICE
City of Tigard Building n..Partint
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Businens Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rcigh-in Appr/Sdwlk
Found. /Plt�t' Gas Lire FINAL:
poet/Beam Struct. ` San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water LLi�ne Gyp. Bd. -Koch.
Date Requested:. AN
I1� ��_-✓- T � f� �''�PM
Permit 1:9-11L
Address: /J '^
Builder:_�'Cl�"` "5L THE FOLLOWING CORRECTTONS ARE REQUIRED:
Datet 2
APPROVED DISAPPROVED �— APPROVED SUBJECT TD ABOVE
Call Por Roinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--o-Phone): 639-4175 Business Phones 39-4171
Inspections --
Footing Plbg. Underelab ech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out _ -- FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requesteds ���_ �� Time= r LAK CPN
/--) / I a h Permit f s rJ
Addreess
Builders
THE FOLLOWING OORRECTIONS ARE REQUIREDs
l ,--t L`y 1L
Inspector:_— _ Dates _
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
w t Ili Is !t t
'1
IN6PNCTION_NQXCa
City of T19j" Building Department
13125 SM Ball Blvd. Tigard„ Oregon 97223
Inspection Line (Rec-O-Phone): 63Business Phone-43 -4171
Inspections_ / r�i ✓� /-1. —,_- --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
---------� ----`\�it/Beam Struct.) San. Sewer Framing -Bldg.
st/Beam Mach. // Rain Drain Insulation -Plumb.
bg.
Under floor/' Nater Line Gyp. Bd. -Mach.
Date Requested: �D ��`�v Time: / AM __ _PM
Address: �S� �_- h —_ Permit J�
Builder: �■C�'^ z[ _'
THS FOLLOWING CORRECTIONS ARE REQUIREDs
i
Inspectors _ _ Date:(/ —
APPROVED DisAPPnoVBD —_ APPROVED SUBJECT TO ABOVE
Ca11 For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectionell
s
Date Requested. y CR^ r Z' Time_X A.M. P.M.
Address 5 l h Permit #
Owner –
�Loi
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ -_._ Il'� Approved
Inspector / _.—_.- _ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 ,�ff
Type of Inspection
��l^b►UA.M.
Date Requested G�J� Time -P.M.
Addrrss Permit #
Owner _ Lot #
Builder...
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _—.s 1 Disapproved
1
Date
ALL F )R REINSPECTION
I_I YES C_l NO
MASTER PERMIT Lam.
CITYOFTIFARD Gf1YOF116ARD 1='lwRMIT' #. . . . . . . .. MST9O--t%1258
COMMUNITY DEVELOPMENT DEPARTMENT oRIeft F'I�;J:M. PERMIT #. : MST9O—O258
13125 SW Hell Blvd. P.O.Box 23397,Tlpud,Oregon 97223(&4)6394175 1)A•r E ISSUED- 09/12/90
:1.56IG SW 82ND AVE; PARCEL: 2SI12CC---11500
1:3UBDIVISION. . . » 1._A1116Tr,F:E I::.STATES ZONING-
1.41 OCK. . . . . . . . . . ...
TONING1;I...00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . .47
HUII...DIN0 .__._.._.. ..._.
SSUE s MS'r9O••-O229 DWELLING UNITS-. 1 BASEMENT,. » ., .. » ,. .. .. :0 ss f
, I (.)SS OF WORK. :NE W BEDRMSi:3 HATHS:3 GARAGE. » » :418 sf
IY1:JE: 0F USE:. . . :SF FLOOR REQUIRED
l'YT•''E: OF' CONST. .-.5N FIRST. . . . :846 Sf LEFT. . .- 10 ft: RIGHT. ::', r1.
OCCUPANCY GRP'. sR3 SECOND. . . :768 ssf FRONT. :20 ft REAR. . n27 ft
Gr0RIES. . . . . . . 22 THIRD. . . . ,.-0 !sf REOUIRED--__.__._,_�._ _.. �... ._._..._
I-ll ioHT. . . . . . . . s 20 ft TOTAL--------s1614 S•f SMOKE DETECTORS. s Y
FI-OOR LOAD— . :40 psf VALUE. . . . . $: 75 312 PARKING SaP'ACES. . :0
Reniark'sss
SINKS. . . . . » . . . . n 1 FLOOR DRAINS. . . . :O BACKFLOW 1-'Rl_VN 1 R:a. . :0
I...AVATORIES. . . . . s3 WATLR HEATERS. . . : :L TRAP'S. . . . . . . . . . . . . . sO
TUB/SHOWERS. . . . 42 LAUNDRY •TRAYS. . . ..0 CATCH BASINS. . . . . . . ."0
WATER CLOSETS. . -3 SEWER LINE (f•L-) . s0 GREASE: TRAP'S. . . . . . . sO
DISHWASHER"a. . . . : 1 WATER LINE (fi ) . s 100 OTHER FIXTURES. . . .. . 90
()AF:HA6E 1)1SP'. . . : I RAIN DRAIN (•ft) . :O
Wf•1S1•41NG 11AC 11. . . s 1 SF' RAIN DRA:I:NS. . : :L
_.... .._......._..._._._... MECHANICAL -_..__.._.. __..._._._..._. �...........__.....�_.__ .-__ F'EE:'3 .._........- .._..._.... _..__._...
UNIT HTRS. . :O type ,an10011t by (Date •recpt
GAS/ / ! VENTS . . . . . :0 P'AYM $ 46. 00 JLH O7/24/93 203O44
1,1()X INPUT.-0 BTU VENT FANS. . :3 P'AYhI $i'-..':)0. 00 T1...1•4 06/28/91%) �
17'IJRN 4 1.O0K . . : I HOODS. . . . . . s 1 BP'RT $ 3(:11. 00 l /
F.URN >-1.00K . . n 0 WOODSTOVES. :H BP'I._C $ 40.00
1:I-OUR TURN. . . . n 0 CLO DRYERS. : 1 F15FIC $ 18.05
F4().1.L./CMP' < 3HP':0 OTHER UNITS:O BF,L.0 1i :I.5.00 ! i
GAS OUTLETSs1 STDG $ 600. 00
F I TAN F'ROP'ERT IES PARK $ P50. 00
P(.) BOX 68.35 MPRT $ :36. 00
MP'LC. $ 9.. 00
(41-01.10 OR 9700'7 M::,F'1I $ 1.. 80 ✓ /
F'I.1c)ne #: 6456477 P'P'RT $ 132. 50
l c)r1tvAca tur s -._.._.._....___.._.....___........_..._...__............._.._.__.._.___. P aPC $ 6.63
i ( 1A N P'R0F,E:RTIE:Si P'AYM $ 1.429. 98 .TLH O9/10/90
j,f) PDX 6835
i)LOHA OR 97007
F,I-iane f3: 645647.7
Fi a rl it. . » 3 0 Ci 8
$ 1719. 98 TOTAL.
This permit is issued sub,ect to the regulations contained in the --- ---- REQUIRED INSPECTIONS - - -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot•/fot.ind Insp Mechanicr;.l Tnsp
applicable laws. All work will be done in accordance with approved Wtr P'•roofirlg Bssn1 Plumb 'Tr,p Ottt
plans. This permit will eentre if work is not started within 186 P'os't/Bean Strutt: Framing Insp
days of issuance, or if work is suspeded for meg, han 188 days. P'o,st/Beam Me!char, F�i.replatc:es ;ns+p
� Crawl Drain Gac:s L. .1se 111s,n
roittev 9i.4nAtt.t•r•p:\ ,..........._ Plni/Lindsslatb Insp In'at.tla, ciun :lr1;p
FILM/Underfloor Gyp Board Insp
c,t.ct d By _..._ .._._._..__._...................
...
._._._..._....._................_............._ Ftng Drain Bam' t Rain d r a i n Ins,p
Call for inspectiort — 6:39--4175
CITY OF' TICARD RECEIPT OF PAYMENT RECEIPT NO. :9(.".)---2(?4667
CHECf.-,: AMOUNT a 1429.98
N(Illf- a TIT()N PROPL.RTIES CASH AMOUNT a o.f','Q
I
PAYMENT DATE 09/12/90
SUBD I V I S 1 CIN
PURPOSE OF PAYMENT AMOUNT PAID PURr"OSE OF PAYMENT AMOUNT PAID
BUILDING PERM MST90-0250- 361 .01) PLUMF31.N0 FTRM
MELIAN ICAL PE 36. 00 S1 . BUILT.) PER 26. 40
CHECk:' FE 24.oO STREET SDC 600.(Xi
F7,1'44 3 SDG 2450.00
17„616 SW 82ND
NITAL AMOUNT PAID 1429.98
SEWED, CONNECTION
cirrOFT167ARD (7A�LF�EF:M T
�roFnsA>Rc I�Er,MI'T . . . . . . . Sw �30- e26
COMMUNITY DEVELOPMENT DEPARTMENT w�r.IM. AF.I;. . . . . a SWR90 0266
13125 SW Hyl MO. P.O.Banc 23397.T*M.Oregon 97223 603)839 4175
66
l."1.5�. Ff.I. %.1 DATE SC _
lSI'rE ADDRESS. . ,. .; 15616 SW 821`11) AVI:_ PARCEL: 2S112CC-
S:iUDDIVI:SIOhI. . . . L_ANG'TREE: F:SIA'TE S ZONING: h--12
BLOCK. . . . . . . . . .. ., L..O'T . . . . .. . . . . . . . . :47
TENANT Nfdl*IE:.. ., ., 1. ..
USA 140. . . . . . . . „ . »41G:'7 FIXTURE UNI'TS. . .
CLASS OF W0RK. .— :NEW DWELLING UNI'T'S. . a 1
TYPE OF' USE. . . .. . aSF' NO. OF BUILDINGS:
I:NSI'ALI_ 'T'YI-�E . , . , -BUSWR IMI"'EfiV SURFACE. . : a�:�f
RF.,nla•rkS a
Owrle,r a __•___.____..____ __._.___...__.__.._._.... ___.__.____._._._. __._......._...._._._._.. _ _.___._. FEES _______......_.._...__...........
I .I TAH PROPERTIES tyle nioLcrlt lay date rec::ra
PC) BOX 6835 PAYM $ 1285. 00 JLH 06/28/90
PR114' $ 1.250. 00 1 /
ALOHA OR 97007 INSP $ 35. 00
Plha1ie Eta 6456477
T I TAN PROPER T'II:"S
FSO BOX 6835
f-11_.OHA OR 9700'7
r.'hane N a 64'.56477 $ li?85. 00 TOTAL_
3 -i58
"_.._._.__._..._ RE::(4UIRED INSPECTIONS - - --
ncis Applicant agrees to comply with all the rules and regulations Sewer T11specticall
of the Unified Sewage Agency. The permit expires 129 days from
the date issued. The total amo,int paid will be forfeited if the
permit expires. The Agency does not guarantee thq accuracy of the
side sewer laterals. If the serer is not located at the measurement
given, the installer shall prespect 3 feet in all directions from
the distance given. If not so located, the instaiier shall purchase
a "Tap and Side Sewer" Permit -,red the Agency will install a lateral.
__...__...._........._.........._.__ ........
Perm:L (:tec} fSi.gn�ai;ure�»
.. ..._........._..__...._...._._-----_...____.....
I:q>s l.1 rti ci I3 y a __.........._"........._ __ __.__.__._.__-__.....__. ..___
Call far irlspectiori 639--4175
�! T I 6A RD ��sW.�9. PUW CP.O.Gm 23397 FUW 110,X A t m
Tgaci Qe -4171?3 PE ZI'T r
�1 eW�m
OMMUNITY DEVELOPMENT DEPARTMENT h d DATE ISSUED _
JOB ADDRESS:
SUB: �. � �- . ;( II7r. -7 LAND USE:
VAII�ITIC�E:
OWNER
/ SPBCTAL NOTE'S
NAME: LLQ , » ZI�7E OF:
IAST REISSUE:
AD[1E .
FrDM PLAIN/
SENSITIVE LAND:
PEE(JNE: _ A�
OONFE'RAC7nR PLANNING:
NAME: - UM:
FZI2E I)g'T -03HER:
WEW
PEfCNE:
BLME RS BUM If: . EXP DATE: BUS TAX: - —
_ARCSi/ CATA32, TICNS:
NAME71aLESS Df� :
' (MOR: 1
ADDRESS:
:;1A300tn7RAC1URS: PU MB: Iii:
PF7olff if ACCT it DE9CRIPTIC14 AK=J ANDURr PD. BAL. DUE
_ 10-432 00 Building Permit Foci _ --
10-431 00 Plumbing Permit Fees -
- 10-431 01 Mechanical Permit Fees
- - 10-230 Ol State Building Tax (5%)
Building _
Plumbing
t4ech _
10-433 00 Plans Chock Fee —
Building --
Plumbing
NEedi
30-202 00 Sewer omInection
- 30-444 00 Sewer Inspectian
I 51-448 00 Street System Dev Charge (SDC) -- ----
52-449 00 Pars S)►st m DPv ChalVe (PDC)
31-450 00 Storm Drainage Syst Dev Qug (SSDC) _
10-230 06 Fire -- -
PFr
APPLIQWJ' SIGNAIURE
EEeoeivod By: - - - . Fite Raoeivt-d: .-__-- --.
of/3587P.k'PF �. 0
NUIU
N- ( n
CITYOFTIFARD
cffaTa�w PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT °QOM PLAN CHECK IV�L`
13125 S W.Hall Blvd.P O Son 23397,Tigard,OnWi 97227,003)639A 175
PERMIT N
1 DATE ISSUED
Y JOB l 12ESS: J _lf�I O�� _A TAX MAP/LOT
SUB: __ x(1.01 : LAND USC:
/VALUA f ION:
OWNER SPECIAL NOTES } ! Z 3
:
NAq
NAME: REISSUE REISSUE OF: lP 3 I
ADDRESS: _ _ LAST RLISSUE:
FLOOD PLAIN/
SENS]1 IVU LAND:
PH_ONE_
�_�_..�.`..��L.__1-..�_ ,.�ejG .3'3� • 9/
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: ENGINEERING:^�_
ADDRESS: FIRE DEPT
OTHER:
PHONE: __ _ ITEMS REQUIRED
BUILDLRS BOARD p: EXP DATE: LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS: _ ~
NAME : TRUSS DETAILS:
ADDRESS: OTHER:
PHONE
COMME
SUBCONT RACTOF i: PLUMB: _y :�_9/ MECN ,�Q•Lt�• 9D
PERMIT q -.CCT M DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10- 432 00 Building Permit Fees
10 -431 00 Plumbing Permit Fees
11► 431 01 Mechanical Permit Fees ✓ j(
10 230 01 State Building Tax (5%)
Building c J. ✓
Plumbing ��✓
Mech
10 433 00 Plans Check Fee
Building
Plumbing
Mech
' 30--202 00 Sewer Connection
30 444 00 Sewer Inspection ✓� _ :, _
51-446 00 Street System Dov Charge (SDC) ✓ GU Ute
52-449 00 Parks System Dev Charge (PUC) ✓ �5 U J6
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) v J 0 �<
10-2 30 06 Fire
TOTAL .lop Y, Y5'
RI-C M
l �-
APP TCAN SIGNATURE
Received By: Date Received:
crl/3587P/l BP -
I�
Il< � it♦ lEi �' � ! lw
GRADINGILIMION COfJ1 1. INF )RMA'1'1ON .
t�
GENERAL.CONTRACTOR NAME& ADDRESS: CASF.FI[,it NO.:
PF RMI'F NO.:
r-
�— -- APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR TITAPI
NAME& ADDRESS: �'G' F'
�� OWNER NAME?AND ADDRESS:
T1-LPI ZONE NUMBERS:
APPLICANT: ��"-� j _ PROPERTY DESCRIPTION:
OWNER [_ F r;- (.�I'� L� STREET ADDPESS AND QROSS STREET/F.00ATED
GENERAL COMRA(7IX-)R: l��a-:j=
EXCAVATION CONTRACTOR: (.g2
Sl•IE/lOB.- _
LEGAL DFSCRIIMON:
24 IIR/AFIER HOURS EMERGENCY TAX LOT NO.: _
CO -ACT PERSC K TII.E,'TELEPHONE: 1/4 SECTION:
tj
r .IC SITESIZE,ACRES;
a- 91105
DISTURBED/WORK AREA,ACRES: _
L(WATION & ADDRESS WHERE SPOILS
LEAVING SILL.WILL BETAKEN S_IIE RUNOFF DRAINS T'O:(CIRCLE ONE)
(NOTE!I'MMITS MAY 11FREQUIRED) (CA7•C441AS- DITCH PIPE CREEK
-
_ (CIRCLE ONE) PRIVAT>~PROPERTY
(-PU, BLI
-C RIGHT C)F WAY
JaMa1 N15 1) j1 ''ATION CONTROL CESC)MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
hURING CONSTRIK-110N: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES ST'ABILI'ZE EXPOSED SURFACE
STABILIZFD C ONSTRIICI•ION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMF.'IF.R RI)NCFF CONTROL FACILITIES
CLEARING AND GRADING RESTRI('T'IONS CLEAN AND REMOVE: ALL SILT AND DEBRIS
COVER I'RACII('ES FNSIIRE OPFRAT•ION OF PERMANF FACIH FIES
CONSTRUCTION SEQUENCE O'IlIFR
OTTIF.R
PLAN FOR EROSION CONTROL PREPARED AND S(18MT1-1'EO IN ACCORDANCE WTTH"TECHNICAI.GUIDANCE IIANDBOOK".
EROSION CONTROL PLAN DRAWING,AS RI--()t IIRI;I),'IAS PLAN-ONSTRIJ(-MON NOTES COMPLE IT:,INCLUDING EMERGENCY
PHONE NUMBER. SCIIEDULEATAGING FOR INS"iAI.LATION AND REMOVALOF EROSION CONTROL MEASURES,AND
APPLICABLE ST%NDARD N(TTES.
I HAVE READ AND WILL COMPLY WITH 1'IIE ABOVE AND WII'.CONSTRUCT AND MAINTAIN ESC ME=ASURES AS NECESSARY
TO CONTAIN SEDIMENT( A 11IE CONSTRUC11ON SITE.
(42
OWNI.h rA'rl!•URET� APPI.1 AN MATUREw
011:1('1A1.11SE ONLY,
R ECEI1'T DATE ACCEI'IFD
11.1 NUMBER RECEIVED BY