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16675 SW 89TH PLACE c A swt �� ?LAM M. i:Vec . . . . . .. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 63Y-4171 Late Requested: --- A M. __ P.M.—_. MST: --J -- Location: —�L,1 lP Ly--�EKP:.—.. _ Tenant:---- --- -- - Suite:_v—Bldg: M};C: Ccntractoi._ _ Phone: / p p PLM: �] r)Nner:-0;„ ° ' — - I'honc: !a _.o d 11 EL C: rl — ELR: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Stone Footing Roof Undl-'l/Slab Rough-In ('citing Water line. Slab Frarung Top Out Gas line hough-In IJG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MIS(. Masonry Ceiling Rain Drain eollljC I X;Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr scat Ptunp Low Volt Approved Approved Approved Approved Approved Appr/&iwlk Not Approved Not Approved 'pnrved No l A proved Not Apprrtvcd FINAL. FINAL FINAL, ' FINAL r w J _ r7 C'all fcreit ;IxC m O Rein pe;tiou fee of Srequired before next inspection n Unable to inspect Page of Inspector.__-- ,�� Date: — CITY OF TIGARD DEVELOPMENT SE.9VICE:)' ELECTRICAL_ PERMIT J3J25SWHall IJIvd., Tigard,DA97223 (503)639-4171 PERMIT #: E.LC97-0257 DATE 1 ;SUED: 04/30/97 PARCEL: 2S114AD-0.3000 SITE Ar'i.)RESS. . . : 16675 SW 89TH Pl., SUBDIVISION. . . . :WAVERI__Y ESTATES /ONING:R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . :029 JURISDICTION: TIG Pr-o J ect Descr^i pt i on : install 2 branch circuits//job t 2859-137 - --RE5IDENT IAL UNIT---- -- -T'�MP SRVC/FEEDERS----.- -----MISCELLANEOUS--.-__.- 1000 SF OR LESS. . . . : 0 0 - 200 amp. : . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH Ar J' L. 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED C"IEPgY. . . . . : 0 401. - FOO amp. . . . . . . : 0 SIGNAL../PANF_l. . . . . . . : 0 MANF. HM/ SVC/FT)R. . : 0 601--amps-1000 'lUlt5. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- --- --BRANCH CIRCUITS------ ---ADD' L. INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . . 0 EA HDD' l_ DRNCH CIRC- 11. IN F'1_ SIT. . . . . . . . . . . . 0 601 - 1000 amp. . . . . : 0 ----------- --- PLAN REVIEW 5r:C,TION- 100+0+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -- -------__.__.________.___ _____.__.________._----_____._.______. FEES MARIA LENNARTZ type amount by date recpt 16675 SW 89TH PI._ PRMT $ 4Z, O0 TAT 04/30/97 97-293915 TIGARD OR 97224 SPCT $ 2. 00 TAT 04/30/97 97-293915 Phone #: Contractor-: -------------------_.----------------_--_-_--.---_---.--._-_ PHOL':N I X ELECTRIC CO L 4R. 00 TOTAL 7379 SW TECH CENTER DR. ------- REOUIRED INSPECTIONS ----- TIGARD OR 97223 Ceiling Cover Under•grol.nnd CovF� Phnne #: 684-3600 Wall Dover Elect' l Service Reg #. . : 000522 This pernit is issued subject to the regulations cosi ained in the _ -Ir � Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitt e isignatu s.- applicable applicable laws. All work will be done in accordance with LL approved plans. This pereit will expire if work is not started �within 180 days of issuance, or if work is suspended for sore N than 180 days. !ss-ued By INSTALLATION ONLY --_._w.�.---_.----------------.. _ �- The installation is being made on property I own whicl• is not intended for -_� gale, lease, or, tent . CIZ (VNER' S SIGNATURE: DAT,E: c� INSTALI_.ATION ONL_Y ___.---.------------------________. ,T GNATURE OF S1JPR. ELEC' N: Olt C f DATE: 1_ 1 CENSE N0 Call for inspection - 639--4175 its RPR-30-97 WED 09;37 AM PHOENIX ELECTRIC FAX NO. 503 684 3611 P, 02/02 CITY OF TIGARD Electrical Permit Application Plan Cheer 13125 SW NAIL BLVD. TIGARD OR 97223 "hone(503)639-4171, x304 Date ReCtl Date to P.E. Inspection (503) 639-4175 Print of TYPO Date to DST Fax(503) 684-7297 Incomplete or illegible will not be accep,'ed Permit o - 1, Job Address: "� cellae Name of Development Complete Fee Schedule Below: Number r l Ins{&t'•tons per pin Mowed Name(or name of business) Service included: Address �` QI Itel;,s Cost Stam City/Statefzp� 40. Resie;nUai-per unit 1000 sq.it.or less Each acdit"ll 50o sq.ft.or $110.00 ---�4_ 4 Commercial❑ Each — portion thereof $2.b.00 L"fi ted Energy —` -- t Fa.h Manut'd Home or Moerula. $2.5.00 2a. Contractor installat/on only: Dwlilling Service nr Feednr `— (Attach copy-btAll current llcenst+v) ------.— EJecbical Contmcto 4b.Set-,ices or Feeders Addy� — Installaticn,alteration,or relocation C.ty 1 200 amp: or less Phone N _Stale --�Zp {Ot SDS tc gpp CZ37 aMPS:")40o D8 �- x.00 7 $eo.w Job No, () - 1 `� "---- -- 601 amps tr, ;DW amps $780.00 _ 2 Over 1000 amp;or volts E'80.00 2 ORCont. Lice, No . ��— �aa.00 —�—� OR State CCB Reg. No. P•Dattj_ ! � Re:onnea only � � —��_-._ 2 s�o 0o z Ex COT --- COT Busatess Tax or Metro No. - - Tem oraExp.Date41-4 P ia Senn. or Foedtus installation,alterapon,c,•relocation Signature of Supr. Elec'n 200 amps or less $� 201 amps to 40O amps — 2 401 amps to 600 amps S7'.r.00 �y— License No. Q Over 600 amps to 1000 vors, --- $100,00 Phone No. Fxp.Date_. — ( eee'b"anove. 2b. For Owner installations: 4a.Brunch clrauits New.aheration or ernenslon px pr:!tai 3) rhe tee for bra"cirru rs w;a; Print Owners Name Durcriase of servlca or Address - -- feeder roe. City Each branch circuit State-- Tp— - b)The tee for F-ancr ntcurtb Phone No. i= -----_ Without purCllA."of —— — service or feeder too. The installauun is being made on property I own which is not Fist branch c;rturt intended for sale, lease or rant. Each addinonal branch Circuit 2 Owner's Signature 4e.Ml9ee7911anoores (Snrv;ctr or feeder not indud" '�-- -- — Earn pump Of irrigaonn circle $40.,X7 _ _ 3. Plan Review section (if required):" s�r al grcuit(siqn or s tolrta 1 mhrtod ennfgy— �`0'`0 z ——_— z 1Panel,alteration or etrtension 540.00 Please check appropriate item And enter lee in section 58. Minor I,abets(I a) 2 4 or rno,-v residenttrri-9L;in one stnicturn S1M.Ol. Service and feeder 225 amps or mare Q.Each ar'ditlonal Ins System ovrr 600 volts nominal the allow ole In any of the Phabove abovvee b CIO Classlfied area or st>'ucttlr ar ins � _ e containing sP�+aat occupancy DP.lion as dAscnbsrd in N.E.0 Chapter ,5 Pet wur C7 In Plant W — 555.00 "— ST,00 Submit 2 sets or plans with appllattl,n where any o1 the ebave apply. Not roqulred for temporary constfvr eon sE,vlws 5. Fees: { Sa.Enver total of above fens NQTf� 5`1;Surcharge(.OS X total lees) S subtotal $ PERMITS BECOME VOID IF WO{, OR CUNST t -t 5b.Enter 25%of line Sa for $ �i 44 II NOT COMMENCED VOID I 180 f,K r Fil C' ON A1. MOFIZED IS PI'rn Review f r ;r ISS USPpNDED CSA ApANUONED,'ON A PEGIIOCIOFRIA DIA 5 AON T ANY `�(Sec $ Sr-Dlota/ S 17- ''uriRK IS COMMENCED. Ix, rust Account r0',gl balance Due s -� D DO ca W J RECEIVED APR 3U1997 COMMONUY 0I .fLUPMfNl J CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phcne: 639-4171 Footing Rain Drain CoveNService Foundation Water Line Ceiling -Plumb. Post/beam Mech. Shear/Shewh Framing Mech Plbg.Und/Flr/Slab Plbg. Top Out Insulation jr -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg. San. Sewer Gas Line A pr/Sdwlk Reins. Other: L _ i Date: — A.M. _PM. Ent Address: a(b p Tenant: nn . St :� MST: Con/Own: Jr`�irti.r�.[ � MEC - MEC��_ „• PLM: ELC:71T--Y1-LS7-- THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Q _ N Y W 1.0 Inspector _- APPRO'.ED APPROVED/CALL FOR REINSP. CF CO CITY O F TI GAR D MECHANICAL DEVELOPMENTSERVICES PERMIT 13"25 W Hatt Blvd., Tigard, OR 9722: (503)639.4171 PERMIT #. . . . . . . : MEC97-0110 DATE ISSUED: 04/30/97 PARCEL: 2SI14AD-03,000 SITE ADDRESS . . : 16675 SW 89TH PI_ SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :029 JURISDICTION: TIG CI—ASS OF WORK. . :ADD FLOOR VURN. . . . : 0 E-VAP COOLEPS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS V1/0 APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILEr .i/COMPIRESSORS HOODS. . . . . . . : 0 FUFL TYPES------------• 0-3 HP. . . . : I DOMES. IIVC IN: 0 :GAS 3-1.5 HP. . . . : 0 COMMI..... INCIN: 0 M(4X INPUT: it uru 15-30 PP. . . . - 0 r.EPAIR UNITS: 0 FIRE DAMPERS')_ : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE_ - 50+ HI='. . . . : 0 CLO DRYERS. . - 0 NO. C)F AIR HANDL_TNG UN I TS OTHER UNITS. : 0 FURN ( 100K BTU: 0 l= 1.0000 rfm : 0 GAS OUTLETS. - 0 Fl.'RN ) =100K BTU: 0 1.0000 ofin: 0 Remarks : instl ! boil.,r/heat pump job # 8W Owner-: FEES MARK LENNARTZ type amount by date r-erpt 1.6575 SW 89TH PL PRMT $ 25. 00 TAT 04/30/97 97-27.93897 TIGARD OR 97224 5PCT $ 1. 25 TAT 04/30/97 57-293897 Phone #: Contractor: ------------------------------ Cl...IMATE CONTROL INC 331 -9 NW Pwn_rm OR 97210 Phone #: 223-4393 $ PS. 25 TOTAL Reg #. . : 000621 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Oaks Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable ]awi. All work will be done in acrordaner with Misr. Inspection approved plans. This permit will expire if work is not started Final Inspection within IN days of issuance, or if work is susoende, for more than 180 days. 0 Permittee Si a t t rel Issued By : /Call. for inspection 639-4175 Pian Check X _ CITY OF TIGARD Mechanical Permit Application Re:dB; 13',25 aNV HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 �� Date P E.-- (603) 639-4171, X304 Date to OST— Print or Type Permit a Incomplete or illegible applications will not be accepted MCL Destrph0n i Table 1A Mechanical Code ATY PRICE AMT Job Saar AOItlY l S�+MN- M) Permit Fee a F - o 10.00 Address C 7s P 8) Supplemental Pe and 300 tar nanr ar txisrxs,i Furnace to 100,000 BTU 6.00 Owner , ��._-_-, Pd.duca.s&vents M"1°q AdOi" 2.) Furnace 100.000 BTU* 7.50 ind.ducts&vents CMSu" zip Phone 3.) Floor Furnace - ind.vent Name for name or�l 4.) Suspended heat-If.wai'_ heater 6.(0 or floor mounted heater Occupant Uft"Ad"U 5.) vent not ind.in 3.00 appliance pennd CiiyrS ata �Phana 6.) Boiler or comp,heat put V.air Gond. I _ to 3 HP;absorp and to tOt;i(BTU 1 7) Boiler or corny,heat pump,au Gond. 11.00 3-15 Ht}absocp and to 500K BTU I Contractor �� _ 8.) t3aler or Donny,heat pump.air cond. 2�o ti 15-M HP;absom unit.5-1 mil BTU Attich copy o: 93NOMAMPHorre 9.) Biller or oomp,lu,^at pump.air pond. - 22-50 C unent Licenses _ I 22 'y? f_3 30-50 HP absorp unit 1-1.75 nul BTU onwalc Cat.80.N L,ca Exp Due 10.) Boiler or comp.heat pump,air Gond. 37.50 >50 HP;absorp unit 1.75 mil BTU COT l 31�a tiratry a Exp.Oas 11.) Air handling and to 4.50 1q.p00 CFM Architect N-ne 12.) Au handling unit - 7.50 - 10.000 CTM+ -- - or wtacr'V A°tl'�" 13.) Non portable 4.50 _ evaporate cooler Engineer C°1"`"a I '+e 14) Vern fan connected 3.00 to a single duct Desube work New O Adddinn O Alteration O Repair O 15) Ventilation system not 4.50 to 7e done Residential O Non-residential O included in appliance permit Add-tional Description of worst 16) Hood served by - mechanical exhaust 450 17) Domestic incinerators -- 7.50 - Existing use of type incinerator --- 18) Canmertaal or industrialuindustrial inkling or property _ --- -- - -- 14) Clothes dryers,etc 4.�0 Prop%ise.l use of I 2U1 Other units --- T- 45U building or property - -_--- iype of fuel-orl O natural gas LPG O electr+c U 21) Gas piping one to lour outlets 1.00 i-I hereoy acknowledge that I have read tilts application,that the 22) More than 4-ner outlet (each) - 50 ca reformation g Yen is conrct,ttiat I am the oc.wwr or authonz agent of J tte owner,that plans submitted aie in compliance.with Oregon State OTY.SU8TOT4L ;aws. Signatuie of OwnerfAgent Date 'SUBTOTAL. -- Z- 5% ` y ��(' 5%SURCHARGE --- Contact Pemon Narne Phone PLAN REVIEW 25%OF SUBTOTAL -- _ TOTAL _� % r `� ev 719 ch tdoc 'Minimum permit fee is S25•5%surcharge 1ev 7/96 r r J l� U' W J F?EGEiVED APR 3 � 1997 COMMUNITY DEVELOPMENT Home Layout ..... ........... ..........---.............----- _..._.._...__1..__ .................... .................. ............................................................................ ............ ............................ . ................................. ....... .................... ....................... __..._..._.__f..-.---..... ................................. .............. ........ . ................ ... ......................... ......... ............ .....................E......l......................................................... .. ......................................................-.. -.-.-....-.....-... ...... .............. ............I..... . ........ .. .. . ..... ..... ....... ...... .. ......... .......I...................... .. J ..... ......... ..... ...... .................. .............................. ....... ........................... ......___................... . "'*G .... .................................................... .............. ....... . . pcG......__.......... .............................. .......................... ................................ .... .............................. ........ .... ... ........................... elf ............................... . ............. .... ............................................ .......................... .......................................................... ............... "A" .................................. ...I.. ..............-.1.1.............I............ .............I............. ........... .......................................... .................................... ..................................................... ......I ............. ................-1............................... ....... ..................... ...................... ................... ..... ......I............................. .... ........ ................................................... ................ ............. ......................... .. ............................. ................................... ...... ...... . ............ .................................... . ........ ............................ ...... ............................. ...... ....... ............. ........................... .............. ...... ....... ............. .......... ..................... ............................. ....4 ....... ............. .... ........ .. ........ ................... ..................... ................................. ........................ . .................... ...... ...................... 777....777' ......................... ...... ....... ... ................... ...................... .. .... .................... ....... f- 0 Windows Windows Doors Walls Roof Floors CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregc-i 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT #. . . . . . . . PLM9 5--0 i 639-4171 DATE ISSUED: 06/2:'7/95 PARCIEL: 2S 1 14(-'iD---lD30Q)0 ITE ADDRESS. . . : 1GG75 SW 891-N PL UBDIVISION. . . . : WAVERLY ESTATES ZONING: R—IQ LOCI<.. . . . . . . . . . . L.O . . . . . . . . . . . . . . :0`9 ------------------------------------------------- LASS OF�WORK. . :ADD GiARB()GE DISPOSALS. . : MOBILE HOME SPACES. : YF�E OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW F'REVNTRS. . : 1 XCUPANCY GRP. . -.R3FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . ;TORIES. . . . . . . . :2 WATER HEATERS. . . . . . . CATCH BHSINS. . . . . . . : LAUNDRY TRAYS. . . . . . : Gf' RAIN DRAIN:. . . . . : SINKS. . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . . SEWER LINE (ft ) . . . . : WATER CLOSETS. . : WATER LINE DISHWASHERS. . . . : RAIN DRAIN ti ft ) . . . . R e mar k ti : INSTALL RESIDENTIAL F_;ACI-11F _OW DEVICE FOR YARD SPRINKLER SYSTEM. Owner, __.. ._- BRIAN BCLLAII types amount by date recpt 16675 SW 139TH PLACE PRMT $ 15. 00 SW 06/2:7/95 — SPCT $ 0. 75 5W 06/;:'7/')5 - TIGARD np 97 Phune #: Cont r-act or a MATT SANDER LANDSCAPING 17f35 SW T. V. HWY #R ALOHn OR 97006 Phone #: 642:—IG17 $ 1.5. 75 TOTAL n-g #. . : 00570: REDU I RED INSPECTIONS is pereit is iisued subject to the regulations contained in the RFI/Back f 1 ow Prev igard Municipal Code, State of Ore. Specialty Codes and all other Final InsipecLion .plicable laws. All work will be done in accordance with pproved plans. This peeoit will expire if work is nct started ithin 180 days of issuance, or if work is suspended for more an 190 days. er -Iiiiarrat -kr C, lE e u B Call for icispection - 639-4175 L� City of Tigarri PLUMBING PERMIT A?PLICATION Pl_nck/Rac. # 13125 I-W Hail Blvd. Permit # '))ill 115J 5 Tigard, OR 97223 (5J3) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE W-0 i—ift-1 Nr.•Singie Family Residences Only /� ❑ 1 akffi HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job 5 _L-) � /L ❑ 3 BATH HOUSE$225.00 Address cawflaw ar Fee includes all plumbing futures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below. FIXTURES QTY PRICE AMT Sink 9,00 w..y Ad*— arra. Lavatory_ 9.00 _ Owner /116.. 75 �5'a) �q / _ Tub of TutUShower Comb. 9.00 `�"°"" '• Shower Only 9.00 Water Closet 9.00 "•"• •^•°' Dishwasher _ 9.00 Garbage Disposal 9.00 Occupant �.. Washing Machine 9.00 Floor Drain 9.00 Water Heater 9.00 Laundry Room Tray 9.00 Unnal 9.00 Other Fixtures (Specify) 9.00 Y.•p ApM. Ph— Contractor �/ � n _ 9.00 L) .J • T- l/, -'S 9.00 ^� uirra,r. 1 m 9.00 ` Sewer 1st 100' .Lb R.V -14- .. CIV&..TY IM Sewer -ea. .lddit. 100' 25.00 V �',7n'! ( t/ /- Water Service list 100' 30.00 -- I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.0 Y� information given is correct, that I am the owner or authorized agent of - 'j the owner, that plans submitted are in compliance with State laws, that Storm 8 Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If txempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flaw Prevention Device or Anti-Po!lutlon Device 900 '4•"'• "a" °i'• Any Trap or Waste Not Connec:ed to a Fixture 9.00 Describe work new addition V alteration •spair Q Catch Basin 9.00 to be done residential (J non-resider'+al Q Insp of Exist. Plumbing 40.001hr Specially Requested Inspections 40.00/hr Existing use of budding or property Rain Drain, single family dwelling 30.00 _ Y _ Residential backflow prevention devices 1500 Proposed use of _ budding or property '(Except residential backflow prewntlon devices) f' NOTICE 'MinimumFee-3H 0 FM 13T0TAL PERMITS BECCME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CCMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 71ME AFTER WORK IS ::OMMENCED PLAN REVIEW 25% OF SUBTOTAL �r TOTAL I`> Special Conditions ( 6Date issued `� j by Ll i�E CytY OF TIGARD -- RECEIPT OF PAYi .EN'T RFCT-I PT 1.40. CHP-CR AMOUNT s 15. 75 N(AME MATT f.-")ANDP-R LANDW'APING CASH AMCIUNT a 0. 00 At.)1)R L 9 11:1 SW 71JALATIN VALLEY m�4Y PAYMENT DATE a 06/271139. ALOHA, OR SIJBDTVISION 9'/006--1 P49 PURPOSE OF PAYMENT APHAINT PAID PURPOSE nF PAYMENT AMOUNT PAID �,LAJMBING PERM PLM95-01�52 00 ST. BUILD PER 0. 75 166-15 SW A9TIA PLACE I TOTAL AMOUNT PAID 15.75 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection LineRec O Phone): 639-4175 Business Phone: 4171 Inspection: Footing Susp. Ceili 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 �-PEb Alarm Water Line Insulation -Mech. Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ _ Time:: /AM PM Address: ,^�_� k Buildei: �e L( ;,�- J�D r?---- Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: J-. i Inspector: _ Date: (,! ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE `Call For Reinsp. CITY OF T.GARD BUILDING INSPECTION NOTICE Inspection LMe (Rec-O-Phone): 639-4175 Business Phoru: 639-417 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation+. Plbg. Undarslab Mech. Hough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in IN Post/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framingu Alarm Water Line Insulation ech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: _( � Time:_ZAM __PM Address: Builder: �% �[- (C- .7�{_� Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: r N s U' J Inspector / — D ,+e:-?:;? 4 � (.eAPP_ROVFD _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITYOT TIGARD CERTIFICATE: OF OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PE-RthIT #. . . . . . . .. MST94 13125 SW Hall Blvd.Tigard,Or4gon 972234199,1503)&W.4171 DATE: 1 c39U _D: 02/21/95 PARCEL: 2S 1 1 4 AD._0:3000 I1'F: IaDDRESS. . . 16675 SW 89TH RL 4A)DIVISION. . . . : WAVERL.Y E&rATES ZONING:R--la L'OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :029 LASS OF WORK. :NIEW I YPE OF USE. . . :SF )CCUPANCY GRP. :R,3 irf UPANCY LOAD:226 .4 :.14ANT NAME. . . marks : PATH I )Fvrier- . ------._._.._._,_.._–..--_._.._.__--......._–._.__–....-- IJ—VIN WAYMIRE TR 0 BOK 2.:31164 � IGARD OR 97281 hor►e +: 639--6742 ,1ELV IN WAYM I RE I'O BOX 231164 i IGARI) OR 97:381 -'hone #: 633- 6742 ?eg #. . 1 35976 )t,c..c.lraarricy of i.he above referenced building is hereby piven, and certifies !;he compliAncem with the (:)tate of Or^egos Specialty Codes for the grot.tp, i,c!(Z11+pcncy, ani-1 use under which the referenr..ed Pet-Alt' w . s issued. FUILDINr CF'EC'CCIR - B IILDING F - IA►_ POST IN CONSPICUOUS PLACE; LA ,J C7 1 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 MASTER PERMIT PERMIT #. . . . . . . . IYIST94--0,'3.`55 DATE ISSUED: 09/23/94 f'ARCF:I-: 2S 1 14AO-WE029 `.31 TE ADDRESS. . . . 16675 SW 891"H F'L SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12 BLOCKS. . . . . . . . . . . LOT. . . . . . . . . . . . . .029 BUILDING REISSUE: DWELLING •.-1N I TS: 1 EAASEMENI". . . . . . . . r 0 s1 CLASS ON WORK. :NEW BEDRMS:3 ;3A"fHS:3 GARAGE. . . . . . . . . . :425 -,f T'YPE'. OF USE. . . :SF=' FLOOR AREAS__..____.__.._._._..._ REQUIRED SETBACF'S------_......_...___..._.. 1"YPE OF CONST. :5N FIRST. . . . : I&H,4 S LEFT. . :5 ft RIGHT. :5 ft (1CCU1'-ANCY f=,RF'. : R3 SECOND. . . : 1.00.=' sf �Rr)N"f. : 0 ft REAR. . :33 ft STORIES. . . . . . . :2 F I NBSMEN T':0 s f HEIGHT. . . . . . . . :�.G ft TOTAL..-_------.:4266 sf SMOKE DETEC FORS. :Y L.00R LOAD. . . . :40 psf VALUE. . . . . $ : 153435 PARKTNG SPACES. . : 1 Remarks : PATH ? PLUMBING ':-'INKS. . . . . . . . . . : 1 FLOOR DRAIN`:,1. . . . :0 BACKFLOW PRE=VNTR'3. . : 1 1_AVATORIES. » . . . :5 WATER HEATE.RS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 1.UB/SHOWERS. . . . :3 LAUNDRY TRAYS. 1. CATCH BASINS. . . . . . . :O WATER CLOSETS. . :3 S WER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 D)RHWASHERS. . . . : I WATER I-..INE:: (ft ) . : 1.00 OTHER FIXTURES. . . . . :0 13ARBAGE DISP. . . : 1 PAIN DRAIN (ft ) . :O WASHING MACH. . . . 1 SF RAIN D RA T NS. . : 1 MECHANICAL _._.____.._.__.._._..____.___._____..----______ FEES ------ DUEL 'TYPE -- --____..__._....- UNIT HTRr. . -0 type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF= $ 1550. 00 JF 09/23/94 - MAX INPUT:O 1+I VENT FANS. . :4 BPRT $ `.=,68. 00 JF 09/23/94 - =URN ( 100K . . :0 H013DS. . . . . . . 1 BPLC $ 369. 20 JF 09/14/94 94-256700 F'"URN > -1001•! . . : I. WOODSTOVES. -0 B5PC $ 28. 40 JF 09/23/94 ._ , L.00R TURN. . . . :0 CLO DRYE:RS. : 1 SSDC $ 280. 00 JF 09/_3/94 - DOIL-/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 51x0. 00 JFK 09/23/94 - GAS OUTLETS: 1 MPRT $ 45. 00 JF 09/03/94 - (.4N.net" : MF L_(_ $ 11. 2L-) JF 09/23/94 MI-1-VIN WAYMIRE JR M5PC' $ 2. 25 JF 09/23/94 - I ' 0 BOX 2:31. 164 3BTH $ 225. 00 JF 09/23/94 P5PC $ 11. 25 JF 09/23/94 - TIGARD OR 974:.181 ERO`•' $ 64. 00 JF LA 1)/23,/91, - Phone #: 639-6741 ERF-C $ 20. 80 JF 09/23/94 - Contracto,,: _- _-.---------------------_--^ERPC $ 20. 80 JF 09/23/94 MELVIN WAYMIRE Ln PC, FAOX 2131164 J TIGARD OR 97261 c� Phone #: 639-6742 Reg #. . a 35976 $ 3695. 95 TOTAL J This perait is issued subject to the regulations contained 1n the -- -- --- REQUIRED INSPECTIONS - - - - - - Tigard Municipai Code, State of Ore. Specialty Codes and all other Foot/found Insp Fir-eplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Str-uct Gas Line Insp plans. This persit will expire if work is not s ted within 182 Post/Beam Mechan Ins�_,lation Insp days of issuance, or if work is suspended_ th 181? days. Plm/undslab Insp Gyp Board Insp V?I__hl/Uri det-f1oot- Rain dr-ain Insp mittee Signaturer "�. JJ�tMectianica.l Insp Water, Line Insp Plumb Top Out Appr/Sdwlk Insp l. ssued Ey : _T_ _ F -aming Insp IheLhanical Final Call for^ inspection - 639-4175 CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERM I T 13125 SW Hall Blvd.Tigard,Oregon 97223.8194 (503)839-4171 PERMIT #. . . . . . . : SWR94--0318 DATE: ISSUED: 09/23/94 PARCEL: 2S114AO—WE029 .i I 'i i- ADDRESS. . . : 166 731 SW 8'.)f i i f'L �UDDIVISION. . . . : WAVERLY ESTATES ZONING: R-1; TALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :029 TENANT NAME::. . . . . : '.JSA NO. . . . . . . . . . : FIXTURE UNITS. . . : ('.LASS 01:7 WORN.. . . :NEW DWELL I NG Uhl I TS. . : 1 I-YPE OF USE. . . . . :SF NO. OF DU I LD I NGS: 1 INSTALL TYPE. . . . :IIUSWR IMPERV SURF=FICE. . : : s Pemarks : PATH I OWTIE!1...: —__ —. — _.— --.—_.------_____. .._ __ — --_.--_-----_._.___.— _—_.. FEES IELVIN WAYMIRE JR type amol_rrlt by date rrecpt 0 BOX 231164 PRMT $ 2200. 00 JF 09/c�'3/94 — INSP $ 35. 00 JF 09/23/94 — TIGARD OR 97231 ',hone #: 639-6742" ..;o n t Tact o r: -----------------------•—••------— :-ONTROCTOR NOT ON FILE 'FI o n c, 44 : $ 1=235. 00 TOTAL ------- REQUIRED INSPECTIONS ---This Applicant agrees to comply with all the rules and regulations Sewer inspection of the Unified Sewage Agency. The permit expires 188 days from _ the date issued. The total amount paid will be forfeited if the permit expiras. The Agencv does not guarantee the accuracy of the — .>.de sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from "ie distance given. If not so located, the installer shall) purchase _ "Tap and Side Sewer" Permit and the Rge/111, lateral. e r in i t t e e F s".r'rJ Fav . v. Call for inspection — 639•-4175 ca c� u., J ;# Residential Building Permit Application LQ�� _ Ci y of Tigard G 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 16675 SW 89th Place ' Subdivision: Waverly Estates Lot# 29 Office Use Only + w Planck/Rec At ' Valuation: /5�3�4�) •1 = -- r Corner Lot? Y Permit# 5�-� -- Reissue of Flag Lot? Y �N — t x Map &TL# ,�.�f�/.� �1�` Owner: Melvin G. Waymire, Jr. Approvals Re uired Address: P.O. Box 231164 PlannIng Tigard, OR 97281 -�- Engineering Phone: 639-6742 Other Contractor: Melvin G. Waymire, Jr. Items Regui-ad Address: P.O. Box 231164 Subcontractors Tigard, OR 9281 ' Truss Details Phone: 639-6742 Other Contractor's License # 35976 (attach copy of current Oregon license) Contact Name & Phone: _ MP1 Wa=ice 633)-6742 _ Subcontractors: Arch ltect/EngIneer: _.Alan Mascord, Designer Plumbing: Harmony Plumbing Co. Address: 1515 N.K 23rd Ave. i Mechanical: General Furnace Portland, OR 97210 (attach copy of current OR Contractor's License) w Phone: _ 225-9161 LL, J JOB DESCRIPTION: Cone r l,-L sinale-family home - Path A ,Aix,/ Appli ant Signature & Ph��on,,��eumber Received by: r`,1_.C.��1 _ Date Received: M:IWORDICOMDEVIRESAPP G Permit# Account Description Amount Amt. Pd. Sal. Due X113 Bldg. Permit (BUILD) GY,&V S Plumb. Permit (PLUMB) U�w„'/ Mech. Permit (MECH) State Tax (TAX) d/ _k, Bldg: Plumb: Mech: L J Plan Check (PLANCK) i Bldg: e3G' , 20 % Plumb: Mech: St�l;,1b� Sewer Connection (SWUSA) a�U ✓ J Sewer inspection (SWINSP) Parks Dev Charge (PKSDC) r Syv Storm Drainage Chg (SDSDC) F''� ✓ Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) � / Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) _ Water Quantity MQUANT) Fire District ,FIRE) Erosion Cntrl Per;nit (ERPRMT) �_, Erosion Planck/USA (ERPLAN) 194' Erosion Planck/COT (EROSN) 24 TOTALS: Sri 5 ,`JG INSPECTION NOTICE City of Tigard Building Departsent 13325 SM Ball Blvd. Tigard, Oregon 97223 d InsE.ection Line (Rec-O-Phone): 639-4175 Business Phone: 6 9 Inspection:____ Foot inq Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. CBa� Framing --Bldg. Pont/Beam Nech. C'Rai Drain, Insulation -Plumb. Pltq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: ��A, I 7 Time: _4�K—AM PM Q Addrese:_ U1 Permit Bu Idor• THE FOLLOWING CORRECTIONS ARE REQUIRED: 7 tc Inspector: _ —_ Dater PROVED DISNPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinep. INSPECTION NOTICE_ City of Tigard Building l:-oartswent 13125 Sw Ball Blvd. Tigard, Orek,,-nn 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phan39-4171 Inspections Foot i-Ig Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poot/Beam 5truct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requested: (�/ 7 L:_L _r r —Time: AM __PM Address: Permit Is L Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: 0. N y ti J m �-a L7 J Dates r _ �--"APPROVED — DISAPPROVED APPROVED SURJErT TO AEtOVE _—Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 131.25 SW Ball Blvd- Tigard, Oregon 97223 Inspection Line (Rec-0-Phone)s 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in `A.ppr/Sdw t Found. Plbg. Top Out Gab Line FINAL: Poet/Beam s*ruct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Ed. -Meth. Date Requeated:_- �_ � Time: AM PM Address._L�F'4 / ) :.L_rf Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: xze 06 1—Z Inspector: Date: e3 i `3_ / APPROVED DISAPPROVED APPROVED 80BJEC'f TO __Call For op. INSPECTION flOTI('E City of Tigard Building Department 13125 SW Ball Blvd. Tigard, oregon 9722 Inspection Line (Rec-o-Phone)= 639-4175 Business P o : 639-4171 Inspection: _ ach. -—— Footing Plbg. Underslab Rou h- _ Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer C Framing -Bldg. Post/Boam Mach. Rain Drain Insulation -plumb. Plbg. Underfloor / Watsr Line Gyp. Bd. -Meeh. Date Requested: !/ _ l1 /� Time% — /—/_�—PM Addrees: GJ w `/ Termit Builder:THE FOLLOWING CORRECTIONS ?ARE REQUI Inspector: Date: Y, .APPROVED DISAPPRoVRD — APPROVED SUBJECT TO ABOVE Call Por Reinep. INSPECTION NOTICE /� City of Tigard Building Department 13125 B11 Ball Blvd. Tigard, Oregon 97223 Inspecticn Line (Rec-O-Phone)s 639-4175 Business Phone 6 9-4171 Inspections Footing Plbg. Underslab Hoch. Rough-i. Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framl:.y -Bldg. Post/Beam Hoch. Rain Drain ti n� -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Heoh. Date Requesteds 7 �Q� //�J G��,Jry/ f/��/ �. Times / AH ?� PH Address: 1��:(G 1_S C� Permit f: `l _nJ_�y� Builders 4, 7:1) THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors - _ _ Date: _ CxFPitOVED -_ DISA!'PROVED APPROVED BUBJECr TO ABOVE Call For Reinsp. INSPYCPION NOTICE city of i Building Department 13125 SN Ball Blvd. Tigard, Oregon97 223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- Inupection: Footing Plbg. Underelab Hoch. Rough-in ApprjSdwlk Found. 111ig. Tl> Can Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. rost/Beam Hoch. Rain Drain I::s::lation -Plumb. Plbg. underfloor Nater Line Gyp. Bd. -Meeh. Date Requested: �/ / / � Time: AM PN e� —11 �1 �� Permit N: � Addrona:I L, (} j ��-3•- _ Builder: THE FOL.IA)WING CORRECTIONS ARE REQUIRED: -tel Inspector- _ Date: APPROVP.D DISAPFROVRD APPROVED SUBJCT TO ABOVE --Call For Reinep. .:r INSPECTION NOTICE City of Tigard Building Departseat 13125 SA Hall Blvd. Tigard, Oregon 972 3 Inspection Line (Rea-O-Phone)a 639-4175 Business n 639-4171 Inspection: Footing Plbg. Underal.ab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALS Poe ru San. Sewer Framing -Bldg. P Beam Meds.) Rain Drain Insulation -Plumb. jlbq. Underfl Water. Line Gyp. ad. -Meeh. Date Requested: -y 1 Time: �-/—AM PM Ad0reass 1 111 ��7 Eel ' _permit is Builders THE FOLLOPma CORRECTIONS An REQUIRED: F- N f-- G] Inopectoc: � ._ _ Dace: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _"Call For Poinap. INSPECTION NOTICE city of Tigard Building Department 13121; St1 Hall. Blvd. Tigard, Oregon 97223 Inspection /Lina (Ree-O-Phone): 639-4175 Business Phone: 6 9 17 Inspection:_1GI� Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Pl.bg. UnderfloorWath er LLn9' / Gyp. Bd. -Hoch. bate Recpses/ted: f� TWet A,Wress: �(� � r / �(�_� Permit At�`7y J: Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: PROVED DISAPPROVED APPROVED SUWBCT To ABOVE ___Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-•4175 Business Phone: 639-4171 Inspections_. ootin; ` Plbq. Underslab Hech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam !Seth. Rain Drain Insulation -Plumb. Plby. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:, �fa (/ / 7 Time: AM l _PH l 4' 7S Sac Address: Permit Builder: (4,p "HE FOLLOWING CORRECTIONS ARE REQUIRED: m C.7 w Inspector: ----- - — --- --- Date:__ DISAPPROVED _ APPROVED SUBJECT To Call For Reinsp. JNSPECfION NOTICE City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O• Phone): 639-4175 Business Phono: 63 1 1 Inope-tion: Footing Plbg. Underalsb Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PIRALt Poet/Beam Str.uct. San. Sewer Framing -Bldg. Post/Tloaw Hoch. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line yp. ed..> -Mach. Date Requested; A(wrons:l 0,67ca ) Permit it Builder THE FOLLOWING CORRECYIONs AR}! RRgUIPED: Af CO W Inspector Datet APPRMD D29APPROVZD _ C.Orpw VED SVMCT TO 11BONB Call For Relnap. J U-JARD - RFAA,AP I Of 1.'A YMI NI WA,'LAP'l NCI. g9x4- G1,417 CS RMOUNT W 1)Y M 1:R I---. Ivi E.L.V CPI AMOLIN'l 00 F4 01 RF.Ci 1,N r t,flO4.-Al Wilk' 1 01..)r 1 94 H I I bf)t v 1.1'.1 T OI'll �1 IRP"O'd Of Pf1YMPN,r "Mi XIN r PA 11) Povirim.ir. ck PwtnF,1i,1i 4'111.0 I FF' 9 -.3t R iebO. IAO Pi 13W IV. , ) rH VSIOIRS, 1 .0! N.. AMOUNI PAID ovi 41C L.J I Y (_IF I I W-IRD "' P1 1 16 1 tU I't)y lyl I 1A1 10 (A .11,1 NO. 1 9 1,10A,1; HMIAUP41' I N I.I M mul . 1,1T.0( HMI JUN I 2 it 4/in. -i/ A L)I)R U. 73 1. lyl V N I 14-111 0 :AJBDI V 0-i tc)" PURPOSE.*, OF PHYlyff-411' I-IMIJUNt PAID PJJkPHf-:A-, Ol'; PAYMAI 1.1MOUNI t-,MD 'E rx V.c-'tj. 00 BUILA)MB PERM PI 1 Nil MM MECHANICAL PE 45. 00 W . BUILD 41 . '4171 PLAN CHECK rt--- i'*.illl. 45 !A,-.Wv.H USJA i?200. 00 SU14FIR J NSPECT 39. 00 PARKb SDU' INMA. 00 1-IffIRM DRWN SUIC 0.1110. 1/10 fill VRAr-P IC F-U-9 143111. VIVI mi.v FRANS-1 T A I F f"FF 1;-0. 00 F F2 )4)I CIN CTIN I HCA. Pt-RM I To"EFP. 64. 00 FimostCIN CONI RUL PLAN FV .V% 80 i-POS)ION I'T)NIROL ijo. Ho if- 67'9- SW STI'll PL. rKUI'I.1-k..Mi�l �•IM,I.JKLr LCJ1lyVtK IU• JYJJ ,410 .3b41 HM.lU 14. 17`.14 dd a 2258 - By MEL WAYM1111 CI11' GF TIGARU WAVERLY FSTAlf" l O1 i9 6,U!`, SU. r!. � �yr15u' x4`40 E. 65gQ cj In • MAIN FLUOR ^' n If�f)' v EL-*5 0 w carlAr, F1 7164 0' Q > tit Q 4' CONC Q Q DR VI WAY a 3 7 1 N d 13500 PSII :irti / ry c i i•� 50 06/16/94 MRu ORIGINAL I AI. A 7 AJ Af ( RD 1) 10 H A110 ( 1AIIf 111 ': 1308., N W 18TH AVENUE, f'pNTI AND. OVE60N 97209 15031 225-916,1 S C A L E 1 ' 7 0 0 CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-0355 13125 SW Hall Blvd,71gard,Oregon 97223e8199 (503)639-4171 DATE ISSUED: 09/23/94 PARCEL: 2S114A0--WE029 TIE ADDRESS. 16675 SW 89TH PL. SUBDIVISION— . : WAVERLY ESTATES ZONING: R-12 . . . . . . . . . . LOT. . . . . . . . . . . . . :029 t.:1.-AGS OF WORK. . -NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . .. . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PIREVNTRS- . - I OCCUPAN'--Y GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 STORIES. . . . . . . . :2 WATER HEAFERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES--------------- LAUNDRY TRAYS. . . . . . : 1 SF R(-)IN DRAINS. . . . . . I SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . .55�5 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . 'O WATER CLOSETS. . :3 WATER LINE DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0 Remarks : PAI*H I OWNER: MED-VIN WAv1y1lRE JR TIF $ 1'550. 00 JF 09/23/94 P, 0 BOX E31164 LA P R T $ 568. 00 JF- 09/23/94 BPLC $ 369. LO JF 09/14/94 94--256701/1 TIGARD OR 97c-'81. B5PC $ 28. 40 JF 09/23, 34 -- Phone Phone #: 639-6742 SSDC $ 280. 00 JF 09/23/94 - PARK $ 500. 00 JF 09/23/94 - 1:11umbing Contractor-: MPRT $ 45. 00 JF 09/23/94 - MPLC $ 11. 25 JF 09/23/94 Na in E3 C --. M"P' $ 2. 25 JF 09/23/94 0 Addi-e z BTH $ 225. 00 JF 09/23/94 City : State ;____ P 5 P,L 9, 11. 25 JF 09/23/94 Z i p 7. ERUS $ 64. 00 JF 09/23/94 Reg #: Additional fees not shown here. . . . . . . . REUUIRED INSPECTIONS ----- This per-mit is issued subject to the r-eg - ulations contained in the Tigard MIAnicipal Foot/found Insp Rain drain Insp Code, State of Or-e. (.3pecialty Codes and all Post/Beam Str-uct Water- Line Insp other- applicable laws. All vjot-k will be done Post/Beam Meehan Appr/Sdwlk Insp in arcor-dance with Appt-(ivPd plans. This Plm/undslal.-) Insp Mechanical Final pet-mit will expire if work is not star-ted PLM/Underfloor plumb Final within I81b days of issi-tance, or if work is Mechanical Insp Building Final suspended for, more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fit-eplace Insp Gas Line Insp inSLIlatiOn Insp it Gyp Uoar-,d Insp 1�1ze;d zed Contr-actor, Signatur-e Call for, inspection - 639-4175 Contt-actor- Notes :