14575 SW 83RD COURT . o
1:
. . : . . ..
CITY OF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13126 SW Hall Blvd,Tigard,OrGgon 97223*8199 (603"W.4171 PERMIT #. . . . . . . : MST93-0404
639,. 0 / t DATE ISSUED: 03/02/94
PARCEL: 2S1128C-128121121
SITE ADDRESS. . . z 14575 SW 83RD CT
SUBDIVISION. . . . : STARLING CROSSING ZONINGaR.-12
BLOCK. LOT. . . . . . . . . * . * . v009
i:.!.ASS OF WORK. #NEW
TYPE OF USE. . . :SP
OCCUPANCY GRP. iP.3
OCCUPOINCY LOAD I,-.122 4
'TENANT NAME. . . c
Remarks: PATH 8 Tif credit CDT93-901011
Utonerm
1) E ANDERSON INC
45"5 SW 96TH AVE
OL.'HVLR'rON Ok X4701215
Phone #: 627-9999
Contractors
DAN ANDERSON HOMES
4525 SW 96TH AVE
BEAVERTON OR 97005
Phone #1 627-9999
Pctg #. . o 46344
Occupsncy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Code% for the group,
occupancy, and ms* under which the referenced permit wes issued.
�Pr-('TON
F1 i- DEPARTMENT ILD( NSPECTOR
1 211)1
Ln POST IN CONSPICUOUS PLACE
LO
NN SPECf17N NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Husineee Phone: 639-41.71
Inspection:
Pooting Plbg. Underelab Mech. Rough-in /Appprr/\Bdwlk
Pound. Plbg. Top Out Gas Line �c1LIlp1L�J
Pont/Beam Struct. Ben. Sewer Framing
Post/Beam Mech. Rain Drain insulation CPlueb
Plbg. Underfloor Water 7Li/ne Gyp. 8d. -Nsah.
Date Requeeteds 7 Gl I TLoot PM
Addresst Permit t �
nuildert
T14E FOLLMNO 13ORRECTIONS ARE ROQUIREDs
410 7- X c Oe-'t r/cQ?r���d oA-1
,SYe4 s �s r ,-
_ Nein: 7-6 Re_-41'cl
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Inspector= fT_ Dates_ 2,,
APPROVED Z/ DISAPPROVED APPROVED 3UBJEC." TO ABUVE
,Call For Reinsp.
IN PI GTION NOTICE
f
Ci .y of Tigar,; duildfng Departman
11125 SW Hall Blvd. Figard, Oregon 9(22
Inep1r*4on Lino (Rec-O--Phone): 639-4175 Businesa: 639-4171
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appy/Bdwlk
Found. Plbg. Top Ou` Gas Line ZI_MAL S
Post/Beam Struct. S.,tn. Sewer Framing <ldq,-
Port/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line 1 Gyp. Rd. -Hach.
Data Requestedi7 (� �l7 �/ Time$
Addr6ret ►S D l -1 Perait $ 5T Lr7}.&0V
Bui.lder3__al,V% �1 _� 4`�'ti� _ Q (�2'7 �l� 1
THE FOLLOWING CORRECTIONS ARE RLQOIRM
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111
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:nspector: Dates - Z.
APPROVED DISAPPROVED APPROVED SU"CT TO ABOVR
_Call. For Reinsp.
INSP'SCTj0N f!MICE
Citi of ricard Building Department l
1312..5 Be Hall Blvd_ Tigrrd, Oregon 91223
Inspection Line (Flet-O-Phone): 639-4175 Business Phone: 63J-4171
Inspection:__ --- —
Footing Plbg. Underelab Hoch. Rough-in App./Sd-lk
Found. Plbg. Top Out Gas Line FINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line 4 Gyp. Rd. -Meeh.
Date Reques�t(eds Z —I C-`� / Timet —
address: '1 V9 Permit #t 16 C1��7 7�
t
Builder: 1�� '�� �Jb� `7L-C� - (. �{(-� _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r �� Q�uQf
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111
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Date: IzIns sectorsa-10,
---
_-` DtSAPPR(rMn V/ APPROVED StIB.TRCT TO ABOVE
call For Reinep.
INSPECT TON NOTICE
City of Tiga:-d Building Departtaent '•
13125 Sit Plait Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-C-Phone): 639-4175 Business Phono: 6V4171
Inspection
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. rlbg. Top Out Cas Line `!j` 111►I,i
Post/Beam Strttc, . San. Seuir Framing -Bld
Post/BoAm Mech. Rain Drain Insulation lua'b.
Plbg. Underfloor Water LLineG Gyp. Bd. -Nosh.
Late Requestedt �(� �T1,awa 1 L Ale. PN
Addresst i 14S��S rf � Permit 1t o6t '�'!q- 11gO /
1tuLlder l,t' 14k"
THE VOLT OWINO CORRECTIONS ,ARREE'REQUIRED:
C,e,
tom,
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Inaplebrt_
v'
APPROVED DI,SAAPPROV!!D APPROVEn SUBJECT 7" ABOVE
vCall For Rainep.
.�_
INSPECTION NoTrcE
City of Tigard Building lw!partnr_nt
13125 SW Hall Blvd_ Tigard, Oregon I:t7
Inspection Line (Rec-O-Phone): 639-4115 Buninens Phone: -4171
hooting Plbg. underslab Mech. Rough-in A•ppr/sdwlk
Round. Plbq. Top Out Gas Line �HINAL ~
Poet/Beam struct. Sr.n. Sew a Framinq -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb. ,
Plbq. Underfloor Water Line Gyp. Rd. -Mach.
Date Requested: Tlmes ,____,_Ali
hddreee: 14 ) 74 J Perm it #th 11 l 1
/ C 7
127
TBE 1r'OLIA'MING COR1WCTIONB ARE RBQUIRED:
Inspector: Date, /
:rROV6D DISAPPROVED APPnOVRD SURjlrt-T 77 ABOVE
_.-Call For Reinrp.
INSPE_TION K(.'rICE
City of Tigani Building DepartneM
13125 SR ,Vali Bl rd. Tigard, Oregon 972;93
Inspection Line (Rec-O-Phnnm): 639-4175 Bueineea Phone: 639-4171
Innpection:_
Footing Pll,y. Undersl`ab Mach. Rough-in 1ppr/Sdwlk
Found. P1!-g. Top Out Gan Line FINAL:
Poet/Beam Struct. :an. Sewer Framing -Bldg.
Poet/Beam Mech. Rein Drain Insulation -Plumb.,
Plbg. Underfloor Water Line Gyp. ad. -Mev.h.
Date Requested: �7 7 ` l/ Tithe: ry� AM _PH
Address CAS No it #1 !",�� 13-0gC)t/
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:_—6 Date: L y
APPROVED DISAPPROVED APPROVED SU9.lE(T TO A TBOVTTT"`
Cali For Reln"p.
IP S.PECTION NOTICH
City of Tigard Building DDepartamt
13125 SR Mall Blvd. Tigard, Oregon 972
Inspection Line (Rec-.O-Phone)t 639-4175 Business 9-4171
Inspection•
Footing FUV. Qn4dcslab Hoch. Rough-in Appr/Sdwlk
Pound. (���]�, pBt Gas Line FINAL-
Post/Beam Strutt. San. Sewer Framing -Bldg.
Poat/Ream Mach. Rain Drain Insulation -Plumb.
Plbq. Uudertloor Nater Line Gyp. Bd. -Meth.
Date Requested: � q _ \
( T iroe t f PM
Addresst �t 7�l //Permit
Buildert
THE FOLLOWING CORRECTIONS ARE RZQ"IREDt
In
W
41
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Ins pectort Date�—�
IlPPROVED �_� DiSAPPRO'IED APPROVED SUBJECT To ABOV!
_yCall For Retnsp.
INSPECTION NOTI�B
city of Tigard Building Puparts+ent I
13125 RV LLail B1R+ Tigard. Orogon 97223
Inspection Line (Rec-O-•Phone)t 53� 4175 Business Phone: 639-4171
Inspection: __, _
Footing Plbg. Underslab t'wh. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Oar Li FINAL:
Post/Beam Struct. San. Sewer �[Boiag •-Bidg.
Post/Beam Hach. Ral:: Drain Insulation -Plumb.
Clbg. Underfloor Wv er Une�} lyp. Rd. -Hoch.
Date Requestedt _ - ` —_Vme: AH
Address: L S ��. Permit #1
Builder: �lpado�,U�Orc►a(� (/2-7 -j
TBE FOLLOWING CORUCTIONS ARE REQUIRED:
hN`''Cr ./�f:,< �iiu�c C/�i)w-/� �� "C[l /1cCL-
V)
CAO
C.7
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'Ampectors _ Uatet -n /
DI.41kPPROVED APPROVED SUBJRCT TO ABW9
�� Call For Feinsp.
INSPECTION NOTICE
City of Tigard Building Departar-nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-417° Business Phones 4171
Inspections _
Footing Plbg. Underslab ; Msuh. Rough-in Appr/S4wlk
Found. Plbg. Top Out -Gas Line FINAL!
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line) i� oyp. Rd. -Hoch.
Date Requested: �- [ 1 Times AM PM
'%ddr000: -y_l i/� ? PmtOit del'I n GI-5 V f 61
Builder:, 4 /75 4561
TWE FOLLOnma OORRECTIONS ARE RMQUIREDs
to
F-
C.7
Inspector _ DatAt_-
APPROVED DISAPPROVED APPROVED SUBJECT 7" ABOVE
Call For Ralnrp.
jN.M=((ZN NOTICE
City of Tigard Building Departrmmt
13125 SW Ha11 Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in 2,Vr/Sdwlk
Pound. Plbg. Top Out Gas Lire FI.4AL:
Post/Beam Struct. San. Sewer FranL&6 -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LineL� _Hoch.
Date Requested: _r 611 TLms -4L—AH PK
Adrlreae: -l5 Perntt #t `13- d
Builders
THE FOLLOWING CORRRCTIONC ARE REQUIRSDt
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Inspectirt _ Date: Z-J r—
APPROVRD DI&APPROVRD APPROVED SURJNCT To IMM
Call Far Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-43.75 Business Phone: 639-4171
Inspections
o-.cine Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requeoted: �'�� � Time: _AM PH
y+
Itddrase:1L l U �� Permit i s
Builder:
THE FOU,pWING CORRECTIONS ARE REQUIRED:
J
C7
Dates - 4 , 3V
APPROVED V DIS�APPROVED APPROVED SUBJECT TO ABOVE
' ✓PRCs11 For Reinsp.
Ilse
INSPECTION NOTICE /
City of Tigard Building Depars-3went.
13122 811 Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone)t 639-4175 Businesa Phone: 39-4171
i
C!ooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
lounj,) Plbg, Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor / Nater Line Gyp. Bd. -Mach.
Date Requested:r -29 4r Timet &-r( PM
Address: - Permit {
Huildert �A oUJIM 00l((e
TAE FOLLOWING OORMCTIONS ARE REQUIRED:
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Inspectors Dates
AOPRDVRD DISAPPROVED APPROVED SUBJECT To ABOVE
--Call For Reinsp.
INSPFC.ION NOTICE
City of Tigard Building Department _ /'"
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top out Cam Line FINALt
Post/r."l, .`,trust. San. Sewer Framing -Bldg.
(-
Poet/Beam Koch. Main Drain t Insulation -Plumb.
Plbg. Underfloor Mater LLLrA Gyp. Bd. -Koch.
Date Reques`tled[ t 2 ✓ 1,�' �Timlf ]Ulc
Address: 1 � // P.rLm/it 1: r7�7 r 7 _
Builder:
THE FOLLOWING CORRECTIONS ARE REQV7REDt
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Irtspectort_� Date:J
APPROVED __ DISAPPROVED APpRoVED SUBJECT TO AgMg
Call For Reinep.
INSPECTION NOTICE
City of Tigard Buildibq Departaent
13135 M Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)s 639-4175 Business Phones 639-4171
Inspection:_ _ :V1II LA_ANA) e(` \ 'o tv,
Footing Plbg. Dnderelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out lies Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nwh.
Date Requested& f� �� TiMs „,_11B M
Addrese&� Perait f sk`y_�13'C��Z
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREPJ
1
53
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Inspectors _ nate&
—APPROVED J_ nISAPPRo"D APPWWRD SUBJECT TO ABOVE
Call For Reinep.
INSPECTTXON NOTICE
City of Tigard Building Departmant /
13175 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roe-0-Phone): 639-4175 Business Phones 9 171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
Post/Ream Struct. San. Sewer Framing -Bldg.
Post%Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Liao Gyp. Bd. -Hoch.
Date Requelsteds c`�_ Z 7 3 _Timer AH \� px
Address s i lL J ( Permit #
Builders` `4/ C'���J� CjZ7-�► ( I
THE FOLLOWING CXMCTIONS ARE REQUIRM
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Inspectoss_ Date! - 2.7~
L APPROVED DISAPPROVED APPROVED Bb:..istCT To ABOVE /
Call For Reinsp.
PLUMBING PERMIT
CITY OF TIGARD DATEIISSUED: . 11/19/93) 0
40G
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PARCEL: J:S 1 12BC-12800
SITE ADDRESS. . . : 14575 SW 33RD CT'
SUBDIVISION. . . . : STARLING CROSSING ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :009
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYF='F OF' USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :R WATER HEATERS. . . . . . : 1 Cn""'i BASINS. . . . . . . :0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 VAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 SREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
fUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS• . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Rpmar^ks : PATH 8 Tif credit CDT93-0001
OWNER: _-----------.--------------------_ _.___.---___---_-._-.--FEES-----__._.._...__.___.__.__._
D E ANDERSON INC TIF` $ 0. 00 CDT':)- -01
4523 SW 96TH AVE SSDC $ 2'80. 00 JH 11 /19/93 -
PARK $ 500. 00 JH 11/19/93 -
BFAVERTON OR 9.7005 MPRT f 40. 50 JFK 11/19/93 -
Phone #: 62'7-9999 MPLC $ 10. 13 JH 11/19/93
M5PC $ E. 03 JH 11/19/93 -
Plumbing Contrractor ...-------------- PPRT $ 132. 50 JH 11/19/93 -
/ Q� P5PC $ 6. 63 JH 11/19/93 -
Name :_ / �-G BPRT $ 364. 00 JH 11/19/9.3 -
Addr-e s s : P,1' Lo'n 7 BPLC $ 40. 00 JLH 07/12/93 93-242180
Cj.tys 6!e�ak State: �Dw B5PC $ 18. 1_0 JH 11/19/93 -
Zxp: '')v.p��1:D Phone#:_�^ ) 7E, I
Reg
---- - REQUIRED INSPECTIONS -------
This pei,mi.t is issued subject to the reg--
ulat .ions contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Coder State of Ore. Specialty Codes and all Post/Ream Str,,..ict Water- Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appv,/Sdwlk Insp
in accord<.nce with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 100 days of issuance, or if work is Mechanical Insp Building Final
suspended for, more than 180 days. Plumb Top Out Erosion Cott ral
�t Framing Insp Crawl Dram
Fireplace Insp
Gas Line Ins1:i
~ Insulation lisp
<� 7"'o�. . Cyp Board Insp
Author^i zed1 i
t�rmbi Conr n
tractor-• SignctUre
` ! Call foispection► - 639-4175
Contractor Notes :
CITY OF TIGARD PERMITS#ER. .. . . :TMST93-0404
COMMUNITY DEVELOPMENT DEPARTMBNT DATE: ISSUED: 11/19/93
13125 SW Hell Blvd.Tigard,Oregon 97223.glit? (603)639-4171
PARCEL: 2511 BC-12800
SITE ADDRESS. . . : 14575 SW 83RD CT
SUBDIVISION. . . : STARLING CROSSING ZONING: R-lc
BLOC.K. . . . . . . . . . . LOT. . . . . . . . . . . . . :009
BUILDING
REISSUE:MST93-0162= DWELLING UNITFS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :434 sf
TYI-'E OF USE. . . :SF" FLOOR AREAS_________..-- REQUIRED
TYPE OF CONST. :5N FIRST. . . . :680 sf LEFT. . :5 ft RIGHT. : 10 ft
OCCUPANCY GRP'. :R3 SECOND. . . :81 _ sf FRONT. :20 ft REAR. . : 15 ft
STORIES. . . . . . . :c' THiRD. . . . :0 sf REQUIRED---------------------
HE I GHT. . . . . . . . :22 ft TOTAL -----: 14132 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 8 : 76444 PARKING SF'ACES. . : 1
Remarks : PATH 8 Tif credit CDT93-0001
----------------------------------- F'LUIVIB I NG
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVIVTRS. . :O
LAvAroRIES. . . . . :3 WATER HEATERS. . . : 1 'TRAP-IS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHEtS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP,. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF [RAIN DRAINS. . : 7.
MECHANICAL ________.-.----______.._..._._---.____.__.___._. FEES ---__---
FUEL TYPES--__.__._._.___..._._.- UNIT HTRS. . :0 type amar_lnt by date r•ec r,t
/GABS/ / / VENTS . . . . . :0 TIF $ 0. 00 CD793--01
MAX INPUT:0 ETU VENT FANS. . :3 SSDC f 280. 00 JI-A 1 1/19/9;:, -
FLINN ( 100K . . : 1 IFOODS. . . . . . : 1 PARK $ 500. 00 JH 11/19/93 -
f-URN ) -100K . . :0 WOODSTOVES. :0 MP,RT $ 40. 50 JH 11/19/9_ -
F 1 ,10R FURN. . . . :0 CLO DRYERS. : 1 MFILC $ 10. 13 JH 11/19/93 -
IDIL/CIHF' ( 3HP':0 OT14ER UNITS: 1 M5F'C t 2:. 03 JH 11/19/93 -
GAS OUTLETS: 1 P'PRT' $ 132. 50 JH IJ /19/93
-
Owner: _..__._______._____.___._____.---_--__._._._._.__DSPC $ 6. 63 JH 11/19/93 -
D E ANDERSON INC BFIRT 111 364. 00 JH 11/19/93 -
4525 SW 96T1-I AVE_ BP'I_C $ 40. 00 JLH 07/12/9-3 93 24c�180
B5PC $ 18. 20 JH 11/19/93 -
BEAVERTON OR 97005
Phone #: 627-9999
Coritr-actor:
D ANDERSON, INC
+575 SW TUC; i,ER AVE
BEAVERTON OR 91005
VIhone #: 627-9999
.- Req #. . 46344
f 1393. 99 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPIECTIONS ------ -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
eoplicable laws. All work will be done in accordance with approved Past/Beam Struct Gas Line Insp
plans. This permit will expire if work is not st" within 188 Plost/Beam Meehan Insulation Insp
days of issuance, or if work is suspen a F'lm/undslab Insp Gyp Briard Insp
PI_M/Underfloor, Rain drain Insp
Permittee SignaLur-e : Mechanical In:,p Water Line Insp
9 Plumb Top Out Appr/SdwlI( Insp
Issued By : .-.,, __ _- __ Framing Insp Mechanical Final
Lall for inspection - 639-4175
SEWER CONNECTION
PEMIT
CITY OF TIGARD PERMIT #. . .. . . . . SWR93-0343
COMMUNITY DEVELOPMENT Df-AA T DATE ISSUED: 11/19/93
13125 SW Hall Blvd.Tigard,Orogon 97223.8190 (503)839-4171
PAR(-L-": ES 1 1213C—i 2800
SITE ADDRESS. . . : 14575 SW 83RD CT
SUBDIVISION. . . . : STARLING CROSSING ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :009
-----------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS— :
CLASS OF' WORD.. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMRERV SURFACE. . : : sf
Remarks : PATH 8 Ti.f credit CDT93-0001
Owner.: ____.__._.-------.___.___-____.___.__.___._._._.____ FEE'.i
1) E ANDERSON INC type amount by da`e recpt
4525 SW 96TH AVE PRMT $ 2200. 00 JH 11/19/93 _.
INSP $ 35. 00 JH 11/1,1/93 -
BEAVERTON OR 97005
Phone #: 627-9999
Contractor:
CONTRACTOR NOT ON FILE
Ph )e #: $ 2235. 00 TOTAL ~ —
-------
REQUIRED I NSPI_CT I ONS --- _.•_._._.
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage. Agency. The permit expires 180 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 A ��111Ia lat ral
Permittee G)ignatUr-e :
Isso..ied By .
a
R• Call for inspection — 639-4175
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CITY UP TIOARD RECEIPT OF PA)MI-ENI' RECkAPT NO. a 93—P-46 I
CHECK AMOUNT a 3589. 99
NAME a MRADOWBROOK DEVELOPMENT GASH AMOUNT a 0. 00
"ODRES91 r PAYMENT DATE r 11/22/93
SUBDIVISION
CL PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENt AMOUNT PAID
131.1IL.DING PERM 364. 00 PLUMAINO PERM 132. also
MECHANICAL PE 40. 50 ST. BUILD PER 27. 86
vil—AN CHECK FF. 10. 13 SEWER USA P.P00. law
SFWF R I NSPF CT 3.9. Owl PARKS 9DC 5(10. 00
C61 S'('(")RM DRAIN SDr, i?80. fala
uj
c'.,lARL.lNl-J CRO9GIN0
14574.5 6W 83RD Ul
E)TAL AMOUNT PAID 31.589. 99
CITY OF TICARL) RECEIPT OF PAYMEN-r RECEIPT NO. 193-242180
CHECK AMOUNT a 120. 00
LA. 00
ME i MEADOWBROOK DEVELOPMENT CASH OMOUNT
ESS 4575 SW "rUCKER AVE PAYMENT DATE 07/12/93
SIJBDIVIGION
BEAVERTON, OR 9-7005—
Ipp(')5E OF-' PAYMENT AMOUNT I"AID PURPOSE OF PAYMENT AMOUNT PAID
LPN CHECK FE
G]
Lo
uj
LOTS 9, 6, 8 STARLING CROSSING
trrplt.- pMOUNT PAID — 120. 00
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j►��` TT(� /� j� 11115 SW Hall DN4 PLNCK/RECT # 7 2C11 1 OF 11tJARD T ��97M PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT t
(503)63941" DATE IssuEo
JOB ADDRESS: r > ' TAX MAP/LOT ZS! I Z 6L SGOT
r
SUB: LOT: _ LAND USE:
—
VALUATION:
OWNER SPECIAL NOTES
' NAME: — � — r �- �-`'�' REISSUE OF: _ — —
ADDRESS: `T��LAST REISSUE:
_ FLOOD PLAIN/
PHONE: �'�"' ----
SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
l PLANNING:
NAME: _- —
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: _— 11-- OTHER: ,GpT q.3' 000j —
CONTR. BOARD #:
EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: — LIST/SUBCONTRACTORS:
MECH: _ ��Z�-�Z__ BUS TAX: --
ARCII ENGINEER CALCULATIONS:
NAME: _ ____ TRUSS DETAILS:
ADDRESS: !-- OTHER: —
PHONE:
PROPOSED BLDG. USE: --
COMMENTS: -
---
APPLICANT :IGNATU/RE
Received By: /— _— Date Received: _!5 :3
r
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. SAL. DUE
10-432 00 Building Permit Fees ✓ —
10-431 00 Plumbing Permit Fees " Z.)1J
10-431 01 Mechanical Permit Fees ,,--," �1,Z
10-230 01 State Building Tax (5%) 7SL_ z 7.6
Building
Plumbing G 41 3
Mechanical - ,3
10-433 00 Plans Che:k Fee 5-7J ,i 3 u,13
Building
Plumbing
Mechanical ZO• 3
10-230 06 Fire
S«R43 -u3 V3 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3 3 a�
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
'1-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
un
24-445-01 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
w
TOTAL -
3s�
nm/3587P.WPf
MMIORRNDUM
CIOF D
33cffY OF TIGAR®
1 TO: Applicants for residential budding !?eta
rw.*:. Brad Roast, Building Official OREGON
1
SDB�: groai,on control
l prevent
� � have
ting erosion from entering the storm
VW males for proven eat time now the guidelines have been
lines
been�difie to movfagreeable methods- The following is a review of the guide
areas that quay cause problems-
and to Pow out edea subject to, but not limited to, the
The isle of a building Pmt is
i following erooLCM control provisions.
clear
o wrests, at all times. This means:
botra
�• h public and private, oto kepi -
�antrolli.ng s�p`tractorn and suP'Pliez s from 'i�Pi'9 and
tracking dirt pato t street• p are
to' use the gravel driveway op-
the treat* it maas2 be ehOVO-I ed
_ If any dirt or gravel is trackedstre ". is not permitted nr,less the catch
off immediately- Washing of stred barrier Or filter.
p- � by s sediment
Liter-
basin inlet is properly Protect
using gravel or dirt for a ramp
to 'i�P' a curb is not pezmitt�•
_ The depositing
or stock pLlLag Of gravel, barest or dirt on a street
is not permitted- fired Prior to the start of any
O The installation of a gravel driveway required
be�eP clear of dirt.
wort. Clean or replace the gravel as needed
deed �.
METS App OQT OF 'IM :STO�tM SSWER IS THS MAIIf
aru�T11G DIRS OF8 TEM o —
o Silt barriers shall be installed as follows:
grader aao silt barrier is required.. tom°—•
_ Ibac lots with a 2! � that
alters the gra moturd of dirt
where an excava dation, etc..-) a silt barrier ial required. It can _
for a foundatic the entire street frontagsfor six
be in the foam of amcatvatiog :Alongfor five feet back, and p�� six
I' below the top of the curb, dirt mounds are not to be
inches oval in the excavation- 14ae wed
Inches of clean gr brucrier. Where -curb drops- Oscura, an
placed in or over this clod (i.e. wheel chair ramps, umased driveway
silt barrier shall be insta
. , drops, etc...)-
zap to S!, at least the above gravel barrier
O yor lots with a grade of
N is wired.
a silt barrier is required In the fors of
o lir loter with a grade aver 5!,
�-. hap bales or silt once- arm Jas been provided
The silt barrier shall remain in place until the bnLldiasq OCYT
ntl coyer (i.e. bark dust, grass. or other lasadecarpLng)• :
LD with permanent g into the ground-
the silt barrier must be Ooraaterennk the ' additional
In all cases above, if there is visible erosion leaving
neasuces must be taken to eliminate the problem.
f'RIOtt TO TUB STAR? Mff
INSTALLEDas
1<T*- E�I01f 00lfTROi• MS1I.SVR1� �� -----
13125 SW HCM Blvd, Tigard. OR 9M3 (`M) 039 4171 TDD (503)
6$4-2772 --------__-_____-----------