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isVecords\microfIniMargets\building.doc
CERTIFICATE OF
CITY CSF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : NST92--000"
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 0031 big-41171 DATE ISSUE-Do 08/12/94
PARCEL: aS i 12BC--03200
SITE: ADOF SS. . . : 14665 SW 83RD AVE
SUBDIVISION. . . . : HAMBACH PARK Z ON I NG:R—,4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 16
t�:LASS OF WORK. :NE::W
1 YPE OF USE. . . s SF
OCCUPANCY GHP. :R3
OCCUPANCY LOAD t 2'213 4
TENANT NAME. . . :
Remarks: PATH I need sub c: ,retractors names
Qwnprz
OREN WILSON
10 525 SW 69TH
PORTLAND OR 972t?3
?!hone ##: '7;35--6661
Contras:tor:
HOMUS NOW, INC.
1225 NW MURRAY BLVD
SUITE 101
POR'T'LAND nn 97229
Phone ##: 626-5245
Reg #. . t 46696
Occupancy of the above r'ef'erenced building is horeby given, and certifies
the compliance with the State Of Oregol•1 Specialty Cortes for the group,
vc.x,l..ipakncy, and use under which the resfetrenc:ed permit was i%sued.
p INCA SPE;CTOR
BUTLD1NCi Q=FICIAL
Pfll iT IN CONSPICUOUS PLACE
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INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ka-11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4l'rl
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line IRAL
Poet/Ream Struct. San. Sewer Framing 81dy.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Li a Gyp. Bd. -MSC
Date Requested: Times AM !_PM
1 _r � cam• r
Addrese s ,1 ' :? %) I C? Y V Q- Permit i.DOE:z 2 C�-lJlJlf1
Builder=--lcy.f�- r..iA�) 1 sal 3 `+
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_
APPROVED _- DISAPPROVED APPROVED SUBJECT TO ABOVE
(all For Rsinsp.
INSPECTION NOTICE
City of Tigard Building Department.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone):
63399-441115 business Phone: 9-4111
Inspection:_
Footing v11- underslab Mech. Rough-in Appr/Sawlk
Fount' Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/ream Mech. Rain Drain Insulation -Plumb.
Plbq. underfloor Water Line Gyp. Bd. L--h-:)
Date Requested: Time: / AM / PM
Address:L ,"] "�'-"`'� _ Permit :
Builder:
THE FOLLOWING CORRECTIONS ARS RE I
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jefAPPROVED DISAPPROVED APPROVED SU&MC: TO ABOVE
Call For Reinep.
I1ISPECTION NOTICE i
City of Tigard Building Department }
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: /
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwik
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 Gyp. Bd. -Mech.
Date ReC.:ds�ted:�
" lz -2-o C/ Time: AM PM
Address.-__[ -T IG J�'�C _ Permit #1
Bullder:`
THE FOL�U RREC-I'2A S ARE REQUIRED:
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_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
INSPECTION NOTICF
City o� Tigard Building Departsnxnc
13125 SW Hall Blvd. Tigard, Oreton 47223
Inspection Line (Rec•-O-Phorv9): 639-4175 Buelness Phcne: 639-4171
Inspection:
Footing P1.bg. Ur �rslab Mech. Hough-in CApp:/Sdwlk'�,
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: e�l Z --_—Times AH / PM
Address:___ � 5� Permit t:�7 ?
Builder
THE
FOLLOWING CORRECTIONS ARE F.SQUIRED:
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Inspector: L E7/�)� �,'-L. _ ___ nate:
.i�_K APPROVED --, DISAPPROVED __ APPROM) SUBJECT TO ABOVE
,Call For Reinap.
INSPECTION NOTICE
City o.` Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone); 639-4175 BusirneB Phone: 639-4171
i
Inspection:
Footing Plbg. Underslab Mech. Rough-in aper/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain l..sulation -Plumb.
Plbg. Underfloor Hater L!na Gyp. Rd. -Mech.
Date Requested:___ II `') .;:� Time: AM
Permit
Builder.
THR FOLLOWING CORRECTIONS ARE RE%JUIRED:
A � A/a T PER (YQ.4 . BUT
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InapRCtt�r:_l.ltZ�LZ T1 H��] _ / Date:
APPROVED t DISAPPROVPo APPROVED SUBJECT TO ABOVE
___Call For Reinap.
INSPECTION NOTICE 1���_-
City of Tigard Building O_partment
13125 SK Ball Blvd. Tigard, Oregon 9722?
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4173.
Inepecticn: _
Foutiny Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line cFIN�ALt
Post/Beam Struct. San. Sewer Fram.ng -Bldg.
Poet/Ream Mech. Rain Crain Insulation -dumb.
Plbg. Underfloor Water Lin q� Gyp. Bd. -Mech.
Date Requested: /1 /y / �- Timet AM PM
Address: / l (�? Permit tt�u ` v"
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector:_ Date:4
�AFPROVRD DISAPPROVED �AI'PROVED SUBJECT TO AB1V1►
` Call For Reinsp.
INSPECTION NOTICE
City of Tigard Builte'.nq Department J
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone)s 639-4175 Bue!.neas Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in APer/sdwlk
Found. Plbg. 'Cop Out Cao Line FINAL:
Post/Beam Struct. Sr... Sewer Framing -B)dg.
Post-/Beam Hoch. Rain Drain Inqulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Much.
Date Requested �� .7. _Time: 'ku _PM
Address: �4�o S J SW' �3r�w Permit
Builder:
THE FOIS.OWING CORRECTIONS ARF. REQUIREM
HoT M#X PATCH IS e--69U14ED /AJ
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2nspectors �' Ttt[A2J'' Oates 0-2
__`APPROVED DISAPPROVRD APPROVED 4UBJRCT TO ABOVE
___v_/_Ca11 For Rainsp.
.J'SPECTION NOTICE
City of 1cgvrd Buiid(ng Department
13125 Sit Nail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-('hone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. P sgh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIN s
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor WaterQLis.e Gyp. Bd, is������ -Meeh.
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Date Reuested: T AN
PH
Address: Permit f!�
:iDi FOLLOVINO CORRECTIONS ARE REQUIREDs
FULL o'r C��/ _ ,�✓r/ D
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Inspectors_ IGT/tq �� ";/ _ Dates / —3 —
APPROVED DISAPPROVED APPROVF.n SUBJECT To A.AVN
Call For Reinsp.
INSPECTION NOTICE n
City of Tigard Building DeparCaent
13125 BW Ball Blvd. Tigard. Oregon 97223 /-'- -
Inspection Line (Rec-o-Phone): 639-41 .5 Business P
Inspection:
i
Footing Plbq. nderalab Mach. Rough-in Appr/Sdwlk
Found. i-Irg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Pibg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requesteds C////^]]] 111f PM
Addreest �, J IS /Permit *_��� O�
Builder./--
THE
uilder:THE FOLLOWING CORRECTIONS ARE RRQUIREDt
Inspector _ fine:-
APPROVED 0I8"PROVE0 APPROVED SUBIFCT TO ABOVE
,_ _Cali For Reinsp.
INSPECTION I70TICE
City of Tigard Building- Department
13125 SW Hall Blvd. Tigard, Oregon 97223 �,-
Inspection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 639-4171
Inspection:_`
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Pltg. Top Out Gas tine FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech, Rain Drain Is:sulati.on -Plumb.
Plbg. Underfloor Water Line ed. -Hoch.
Date Requeeted: `7"'`7 Gam-- Time: lU4 / PM
Addresn: u )d r Permit 1: �
Builder:
THE FOLLOWING COMMONS ARE REQUIRED:
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Inspectors
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rcc-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer�) Framing -Bldg.
Poet/Beam Mech. Rain Drain Innulation -Plumb.
Plhg. underfloor Water Line Gyp. Bd. -Mech.
Date Requested
� G:/ 'V �` Times M PM
Address 4(0 Permit /:�U
Builders 2 - by 2 D ��'�'
THE 6'OUMING CORRECTIONS ARE REQUIREDI
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Inspectors
11PPROVtD DISAPPROVED --,�-6PPROVPD SUBJECT TO ABOVE
Cell For Reinap.
103PECTION NOTICE
City of Ti:and Building Department
13125 SW Hall Ulvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phone): 639--4175 Buniness Phone: (.39-4171
Inspection:
Footinq Plbg. Underslab Hach. Rough
�-in Appr/Sdwlk
Pound. Plbg. Top Out Gam e Line / FINAL:
Post/Beam Struct. San. Sewer Framing / -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: (L� Timef __ A:M „_PN
�/ �d
Address: Z��r�0/�� %� Pa/emit }i ,/ `C�[J• (G� (p
Builder:_T_
THE FOLLOWING CORRECTIOKS ARE REQUIRED:
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Inspectors �!i Date: 4)—b
APPROVED DIPAPPROVED APPROVRD SUB. RCT TO ABOVE
"Call For Reinap.
_NSPECTION NOTICE p
City of Tigard BulIdi-ng Dem sN'nt U�
13125 SN Ball Blvd_ Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ --
Footing Plbg. Underslab Nech. Rough-in I Appr/Sdulk
Found. Plbg. Top Out Gas Line FINAL:
/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -Nech.
Date Requeatedss p "er�� 7�- {vTyes _ _AN PH
Addinsa:_
Buildar-
THE FOLLOWING CORRECTIONr ARE REQUIRED:
CL"
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Inspector:_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE I
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone: 639-4175 Buninen //jlh/�p1�n/:/ 66339-4171
Impactions_.__
Footing Plbg. Underslab Mech. Ro gh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIN.*.;
Poet/Beam Struct. San. Sewer Framing -vidg.
Poet/RAam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Date Requested: C j�c� __Timet _ AM _ PM
Addroes: Cr��O � 3 — Permit f s � 6(
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Builder: (,'I LGC.� e94_1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _._ ------ _-- DAter��-`f-�—
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
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: 39.4171
Inspection:—� —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain DrainTnau( latio�) -Plumb.
Plbg. Underfloor Water Lin Gyp. Bd. ' -Meeh.
Date Requested://— s��- Times AM PM
Address: l� ✓GG-� Permit #: J/Ll
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspec7JP*PR,Owf--
DIRAPPFAMD APPROVED SUBJECT TO ABOV2
Call For Reinsp.
1
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 39•-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
ound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulatl.on -Plumb.
Plbg. Underfloor Water Line l Gyp. Bd. -Mech.
Date Requented: "p Times Aml_�
Address: Cp Q S � r� ermit 1:
Builders
TNA FOLLOWING CORRECTIONS ARE REQUIREDt
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Inspectors _ Date:
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tiqard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phonei 39-4 7
Inspection: --
Footing Plbg. Underalab Mech. Rough-in Appr/.dwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Seger Framing -Bldg.
P-at/Beam Mech. Rain Drain Insulation -Plumb.
Pltx7. Underfloor Water Line Gyp. Bel. -Mech.
Date Requested:_! ~� / _____Time: AM __PN
Address:_ _/PES it A;� _ )�
Builder: J �7 �y✓ ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Ci11 For Reinsp.
(WHITE)-FILE
APPLICATION - STREET IMPROVEMENVEXCAVATION coPv TO:
ORDINANCE NO. 74-14 r2 FA (YELLOW)-INSP.
%a " 1 (PINK)-OTHER AGENCY bldg
(INSTRUCTIONS ON SEPARATE SHEET) ) j8 (BLUE)-APPL-IICANT
APPROVED A � At-PLICATIOri NJ.: —
NOT APPROVED ❑ (•I I Y O I IGARU, OREGON FEE AMT.: S 8.00
-
PENDING FEE. PMT. ❑ CTI IIALL RECEIPT NO.: Z
PENDING SECURITY O PUBLIC WORKS DEPARTMENT BY
- - - - - - - - - - - - - - - -
PENDING AGENCY ''OK'' ❑ Application and Progress Record MAINTENANCE BOND -
FOR STREET IMPROVEMENT/EXCAVATION AS RE OUIRED
PENDING INFORMATION ❑ ANNUAL L;
EXPIRATION DATE: /
PENDING VARIANCE ❑ —
f �-
PERMIT NO.: _ ' _-_-_—, DATE ISSUED: __._«L_'_1____--_ BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR ANDXN K �'AP ANISTING SEWER
mx MAINLINE
—_— AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Mr. Oren Wilson 19525 SW 69th Ave. Tigard, OR 97223 2'46-7624 -
NAME ADDRESS CITY PHONE
CONTRACTOR _ Brian Clopton Excay. P.O. Box 472 Wilsonville OR 97070 682-0420
NAME ADDRESS CITY PHONE
PLANS BY per City Standards -
--- -
NAME � ADDRESS CITY PHC=NE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 200'00
DOLLARS
C .
(2) EXCAVATION DATA: 0.04 X S FOR OFFI2�:00 = S_ 8•�' MIN.
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
OPENED
83rd Ave. t t, cA1.t I1:.:1 INSPEC"
R TION
E —
Q
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E
ESTIMATED STREET OPENING DATE:-_ �-1_.__ � S
ESTIMATED STREET CLOSING DATE: E �A
200.00 STREET
(3) SECURITY NO. — SECURITY AMT.: S CLOSED _
SURETY CO.: / I FINAL
C_H_ECK CASH ❑ BOND r INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS CONDITIONS:
FEATURES;,E:SCAY XION LOCATION AND EXTENT. 1. All work shall Conform to City
'`�� �---� -a ,,,�-•"'"'"�' ffx Standardo/Specifications
1 I I I 2. Notify Carl Vieweg (639-4171),
SITE: 14695 -SW 83rd AV
City Inspector, 24 hrs. before
starting work alai, also, before
a ' `I covering wor .
83rd AVENUE ORS 757.541 - app --
r ; y Co.s preno ca op, ett
—
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LLLI I I I I �—
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(5) NOTE. THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURI:.DICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES. TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS 4CTIONS
APPLICANTS SIGNATURE e C
DATE / !
ciTy OF TICARD — KECEIPT OF PAYMENT RECEIPT NO. r 92-227724
CHECK AMOUNT a 4863. It
NAME WILSON, jyj I CI-JE7(A-E CASH AMOUNT 0. lae
ADDRESS PAYMENT DATE a 05/26/92
SUBDIVISION
PURPOSE Or PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
493. 00 PLUMBING PERM 1 J1 5. QA LA
I CAL PE-.* 37. 50 ST. BUILD PIER 3P. 78
PLAN CHECK F E 79. 433 SEWER USA 1900. 00
;L.WER INSPECT 35. 00 RES IDENT IAL TRAFFIC FEES i P a pl. 00
PARKS SDC 1500. 00 STORM DRAIN SDC 200. 00
Lo MA�iS TRANSIT TIF FEF1.00. 00
LIJ
14685 SW 83RD AVE
T01 At. AMOUNT P11 I D
CITY ('If- TIC'MRI) RECEIPT CI P PAYMENT RECEIPT NO. ',:'V).-:r5
CHECK AMOUNT' 00
fqpmc-* : WILSON, ORP'N
N & 11TCAE LLE fimouq,r 0. 00
ADDRESS : t05r-"5 13W 69TH AVUNUr-7 PAYMUNT DOTE- I
9UPI)l V IS I(IN
PORTIAMD OR
UNT F1011) PURP05E OF POYMENT AMOUNT PA I D
rURPOSE OF' PlOYMPNT W40%
C[AF(-.Fl FF. --El I k 250. elo
/,.')6!.5 SW -113RD W)l Hl 11
7clrilt. AMOUNT r,(),T(, 00
CITYOFTIGARD
CrrTRD
COMMUNITY DEVELOPMENT DEPARTMENT 01160"m MASTER PERMIT
13126 SW FWI Blvd.P.O.Bax 23387.Woad,Oregm 97223(603)6,30.4176 E R M I T #. . . . . . . . ly!S T 9._
639--,+171 DA"rE ISSUED: 05/26/92
1�;7.TE ADDRESS. . . : 14685 SW 83RD AVE PARCEL-. 1 12BC-O32O0
SUBDIVISION. . . . : HAMHACH PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 16
---------------------------------- BUILDING ------------------------------------------
REISSUE:
-_----_-_________-.----_-.---.__.----.----
RE.1SSUE: DWELLING UNITS- 1 I�PSEM'_N l . .. . . . . . . :0 sf
C:LHSS OF' WORK. :NEW BEDRMS:3 HATHS:2 GARAGE. . . .. . . . . . . :462 sf
TYPE OF USE. . . :SF FLOOR AREAS-___.---_-__- PEQU I RED SETBA(_1V,___-..__-_...---
TYPE OF CONST. :`;N F I RST. . . . : 174.79 s f LETT. . : 15 ft RIGHT. : 16 f t
OCCUPANCY GRP'. : R3 SECOND. . . : 789 sf FPONT. :20 ft REAR. . : 15 ft
1 S-1 ORIES. . . . . . . :2 THIRD. . . . :@ sf REG?1_IIRE:b---__._..___.__________
/ HF'CGHT. . . . . . . . :28 Ft TOTAL---- -•---:2498 sf SMOKE DETECTCRS. :Y
FLOOR LOAD. . . . -40 psf VALUE. . . . . $ : 123224 PARKING SPACE;. . :0
Rtmar-I<s : Pf1TH 1 need slab contractors names
_._.-.•---._- _--_.________-------.._._______ PLUMBING
S I NKS. . . . . . . 2 FLOOR DRAINS. . . . ;0 BACKFLOW PREVNTRS. . :0
L.HVAT'ORIES. . . . . ..c WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :c LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WP rER CLOSETS. . :2 SEWER LINE (ft) . :Q GREASE TRAPS. . . . . . . :0
DT SHWASHERG. . . , : 1 WATER I_.TNE (ft ) . : 100 01-HER F I XTURES. . . ., . :4'r
UF�RLAAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WO(=THING MACH. . . : 1 SF RAIN DIRAIN'.3. . : 1
---------------- MECHANICAL ..__------____-_-_ - _-.__-______.____- FEES
FUEL TYhES--_.._._...__._._... _. UNIT HTPG. . :0 type amol-Int by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1360. O0 JLH 05/2,6/92 -
MAX INPUT:0 BMJ VENT FANS. . :3 BPRT $ ':113. 00 JLH 0.`.5/26/92 -
F URN ( 100K . . .0 HOODS. . . . . . . I BPLC $ 320. 45 JL.H 04/10/9 .
F 'RN ) 1 O0K . . : l WOOD5TUVE.S. :0 85P'C $ 4. G5 JLH V_5/2;'6/9` -
F I_IJUR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 05/26/92 -
1!(1IL/CMP ( 31-AP:O OTHER UNTTS:Qr PARK 4 500. O0 JLH 0:5/26/9x: -
GAS OUTLETS: 1 MPRT $ 37. 50 JLH 05/26/92 -
0%gnera _._.._.__._.._.__. ____....__.__._..___.._._._ .___._._.._.__...__-• I+IPL._L $ 9. 36 JI_.A 03/,6/'32 -
OREN WILSON M5PC $ 1. 88 JLH 05/26/92 -
11
107-525 SW 69TH PPR I' $ 1i--5. OVj JLH 0;)/26/'32'
F'SPC $ 6. 25 JLH 05/26/92 -
POF,TLAND OR 972'L 3
Phone #: 735-6661
Contractor:
HOMES NOW, I NIC .
12215 NW MURRAY BLVD
N POPTLAND OR 972L9
i.-1ione #: 6,�6-5245
~ Rep #. . 4669f3
$ 3178. 11 TOTAL
Tris pereit is issued subject to the regulations contained i, the - --- --- REQUIRED INSPECTIONS --- --
LL Ticard Municioal Code. State of Ore. Specialty Codes and all other Foot/for.lnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Strutt Gas Line Insp
plans. This permit will e«oire of work is rot started within 180 Post/Seam Mechan Inst_Ilation Insp
days of issuance, or if work is suspended for more than 180 days. Plm/undslab Insp Gyp Hoard Insp
FILM/Underf 1(1 or Rain drain Insp
Mer:'110n.ic<-A1 Insp Water Line Insp
P'1 Limb Top Ol_1t Aapr/5dwlk Insp
Fr Aminrl Insp Mpchanir. ,�1 Final
SEWER CONNEC-110N
PERM I I
CITY OFTIGARD �� PERMIT #. . . . . . . : SWR92-0134
MYOF TWRD
COMMUNITY DEVELOPMENT DEPARTMENT 014100N DATE ISSUED: 05/26/92
131268W Holl Blvd P.O.Box 23397,T*M,Onagon 91 (EM)63e.4176
SITE ADDRESS. . . .* 1468b 4VE. PIARCE"-
-IUDDIVISION. . . . : HAMBPCH PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 16
TENANT NAME. . . . . :
u9A NO. . . . . . . . . . : FIXTURE UNITS. . . :
CI—ASS OF WORK. . . :NEW DWELL I N(7v UN I TS. . : I
TYPIL OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE.
Remarks: PATH I
Owner: -------------------------------------- ----------------- FEES ---------_----_..
OPEN WILSON type amount by date recpt
10525 SW 69TH PRMT s 1900. 00 JLH 05/26/92 —
INSP $ 35. 00 JL-4 05/26/92 —
PORTLAND OR 97223
1-shone #: 735-6661
Contractors --------------.___--__-----_—__
CONTRACTOR NOT ON FILE
Phone #: 1935. 00 TOTAL
Reg
------- REDUIRED INSPECTIGINS
This Applicant agrees tc comply with all the rules and regulations Sewer Inspection
cf the Unified Sewage Agency, The permit expires 180 days free
the date issued. The total amount paid will be forfeited if the
oermit 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 Agency will install a lateral.
Permittee
...........
Call for inspection 639-4175
C.0
LD
-j
CPQ ,
r 13115 SWIfall Blvd. PLNCK/RECT #
CIIN OT TIGARD PO Box 23397 PERMIT # W502 - 6
COMMUNITY DEVELOPMENT DEPARTMENT Tiigard,Oregon 9723
(503)639-4171 DATE ISSUED
I uL•p )
JOB ADDRESS: 83 q_9? L�,tiE . _ TAX MAP/LOT S/ /Z (lC 03JP0
SUB: hAMb�h VY- . LOT: LAND USE: _
_VALUATION: 1-7 7,Ooy
OWNER r��a� �9� �"'¢ SPECIAL NOTES
NAME: C�� ��'Z� t- "-✓ REISSUE OF:
ADDRESS: Io!E7ZS Li. LAST REISSUE:
%722 �- FLOOD PLAIN/
P 2-44 - 7lcz4 35= G6G1 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING: _0/,'� �C
ADDRESS: 1245*
ENGINEF"%ING:
~tz_r�4l�-►o c,z . S72Z9 FIRE DEPT:
PHONE: c:ez(�, _SzgS OTHER: /F -
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: ' �' LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG, USE:
COMMENTS:
APPI I CANTSIGNATURE
..
Received By: <« Date Received: /C/Z
U
PERMIT # ACCT # DESCRIP` ION AMOUNT AMOUNT PD. BAL' DUE
lYlsf9%-vu4� 10-432 00 Building Peo'mit Fees 3. "t' e' C.
10-431 00 Plumbing Permit Fees /ZS o' 12 )-, &0
10-431 01 Mechanical Permit Fees 37So l, --3-7-, 5(J
10-230 01 State Building Tax (5%) 7Y
Building
Plumbing _ Z
Mechanical
10-433 00 Plans Check Fee ��`! fs'3 ) _72 Y3
Building 3,2 0, 14 "
Plumbing
i
Mechanical 3,
i
10-230 06 Fire —
30-202 00 Sewer Connection
30-444 00 Sewer Inspectioi.
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees _
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees ' D 0 O �b v
25-448-05 Mass Transit TIF Fees c"v —
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) ? "u
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) —
w
TOTAL
nm/3587P.WPF