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14340 SW 90TH AVENUE ADDRESS: 0 SW Ic o ��� 4 C2 h N h 07 C,7 u'acotdslmicriiimllargelslbuildirg.,-ioc CITY F T'IGARD DEVELOPMENT SERVICES 13125 SW Hall Blva., Tigard,OR 972V (503)639.4 i71 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : mST96-0170 DATE 'j.GSUF-Ds' ae,/15/96 PARCEL: ':SIIIAA-GP053 ITE` IDDRESS. - - c 1434" SW 90TH AVL ZONINGek-4. 5 UBMUSION. — i GREE1,,,SWARD 1='PRK NO. 2 OALOCK. . . . . . . . .. . I LOT. . . . . . . . . . OF WORK. PNEW TYF-',E OF USE. . . :SF TYPE OF CONSTR:5N oCcUPONCY ORP. z R3 `C,ICUPANCY LOAD t I - cmav-ks - PATH I '01JR D CONSTRUCTION .�, 0 AoX 1577 3EAVErMN OR 97073 Zone #: 503-641 -0435 OUR D CONSiRUCTION ;`l �40X il'l-'177 oLnVERTON OR '17075 1"hone #s 590- 21305 1�rj #. . 1 71037 i' llis cev-tificAL4 gre-ots occupancy of k7hp above opferienced building or- POr"O" the building fore cormpljance with thRreof and confirms, that .4 has been inspected Codes rcr tyre 91-OUP9 ccupalTT y. ar-J use 'Micif'r' the State Of; Or*g" SPec'-alty hv which the permit was isfurd. S-UTLDING OFFICIAL I D I NG T.NES EI.T 0 1 R POST IN CONSPICUOUS PLACE MASTER PERMIT PIER 11.1 T #. . . . . . : CITY OF TIGARD Df41"E ISSUED: . 06/0MST96-0170 7/9& COMMUNITY DEVELOPMENT DEPARTMENT 1-.A 1-3 C E L S 11 1 A A- G PI 0,'5 3 S I T 171 SUBDIVISIUN. . . . : GREENSWARD PIARf< 1\10. L ZONING: R-4. 5 IALIDCIi. . . . . . . . . . . I__01`. . . . . . . . . . . . . 0 3 Remarks: PATH I --------------------------------------------------------------- BUILDING ---------------------------------------------------------------- REISSUE:MST95-OI 77 STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:r.4 HEIGHT........: 20 FIRST....: 'c06 ;f GARAGE.....: 440 sf LEFT..........: iJ SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND.... i sf FRONT.......... c0 PARKING SPATES: I TYPE OF :"INST.:5N DWELLING UNITS: I F lNBSMENT, 0 sf RIGAf.........: 7 OCCUP,',NCY bri'.:R3 BDRM: 3 BATH: 3 TOTAL X09 sf VALUE.1: 1425': REAR..........: 3( ------------------------------------------------------------ ---- PLUMBING -------------- -------------------------------------------------- SINKS.........: 2 WATER CLOSETS.; 3 WASHING MACII..- I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES..... 4 D;SHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CA1CH BASINS..: @ TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL --- ----------------------------------------------------------- FUEL TYPES-------- FURN ( INK 0 BOIL/CMP ( ?HP: 0 VENT FAN';.....: 4 CLOTHES DRYERS: I /GAS/ / / FURN )=100K I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS..., I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLETS...: I -------------I--------------------------------------------------- E1C7RICAL ---------------------------------------------------------------- UN11--- ---SERVICE/FEEDER--- --TEMP SRVC/FEEDERS-- ---BRANCH C)',� (T, , ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 OR LESS: 1 0 - 200 amp..: 0 0 200 amp..: 0 W/SVC OR FE A PUMP/IRRIGATION: 0 PER INSPECTION: 0 rq ADD'L 500SF.: 4 201 - 400 amp..: 0 C'01 40 amp..: 0 Ist W/o SVC,. jIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: ? 40) 600 amp..: 0 EA ADDL BR C11. 0 SIGNAL/PANEL... : 0 IN PLANT......: e, W* HM/SVC/F!)R: 0 601 - 1000 amp. : 0 60I+dmps-1000 V: 0 MINOR LABEL -10: 0 INO+ amp/volt.: 0 ----------------------------------- PLAN PLAN SECTION ----------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SQC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ----------------------------------------------------- ELECTRICAL - WSTRICTED ENERGY ---------------------------------------------------- A. ------------------------------------------------- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL----------------------------------------------- ------------------------------ AUDIO & STEREO.: vArUUM SYSTEM..: AUi10 & STEREO.! FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..- 0TH: X BOILER.........: HVAC...........: LANDGCAPE/IRRIG: PROTECTIVF SJGNL; GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC.............. DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0 Owner: -----------------------------------Contractor: --------------------------- TOTAL I'EEF:$ 3606.38 FOUR D CONSTRUCTION FOUR D CONSTRUCTION P 0 BOX 1577 PO BOX 1577 BEAVERTON OR 97075 BEAVERTON OR 97075 Phone #: 503-641-0935 Phone 0: 590-0805 Reg C.: 71037 1his permit is issued subject to the regulati,ns contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in with approved plans. This permit will expire if work is not started within 180 days of issuance, cr if work is suspended for more than IN days. --------------------------------------------------------- REQUIRED INSPECTIONS ---------- ------—------- Footing Insp PLM/Underfloor Low Voltage Gyp Board li.;p Electrical Final Foundation Insp Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final LLr Post/Beat Struct Plumb Top Out Gas Line Insp Water Line Insp Plumb Final Post/Beam Mechan Electrical Servi Gas Fireplace Water Service Ir Building Final Crawl Drain Framing Insp Ins ation nsp Appr/Sdoolk Insp Erosion Control I-levivitt,pe SignatUt-e - y /0 : . h Cal v- inspection --- 639--417`, SEWER CONNECTION _ PERMIT `+!1TY 0 F T� )6% DATE ISSUED: 06/07/9�SWR96+01�•: • COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: cS I 1 1 AA—GF'OS:; S Z Tf'3' D�1'�i " f31,d..Tipud,1,1,11!1 �7?�;3•8� it 11 �3)FB?p 4171 SUBDIVISION. . . . , GREENSWARD PARK NO. 2 "ZONING: R--•4. 5 BLOCIJ.. . . . . . . . . . . I_O`i. . . . . . . . . . . . . :05:3 TENANT NAME. . . . . r. USA NO. . . . . . . . . . FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELL I NG UN T TS. . : 1. TYPE OF' USE. . . . . :5F NO. OF BU I Lu I P4GS: 1 INSTALL_ TYPE. . . . :BJSWR IMPERV .3URFPCE: 0 sf Remarks : PATH I Owner: —____________. ______._____________._—_____._._____.____.____-- FEES FOUR D CONSTRUCTION type amount by date recpt P O PDX 1577 PRMT $ -.00. 00 P 06/07/96 96-28037: INSI' $ .35. 00 B 06/07/96 96--28037::; BEAVERTUN OR 970'75 Phone #: 03-641--0935 CONTRACTOR NOT ON FILE_ Phone #1 $ x:235. 00 TOTAL Reg #. . : �— -- REQUIRED INSPECTIONS -- --_-- This Applicant agrees to comply with all the rules and regulations Sewer Tnsper_tion of the Unified Sewage Agency, the permit �-xpires lb@ days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not gua,antee the accuracy of the side sewer laterals. If the sewer is not located at the oeasureeent given, tht installer shall prospect 3 feet in all directions from the distance giver. If not so located, the installer shall purchase a "Tap and Side Sewer" permit and theAgenc wi install a lateral, K'er mittee Si natIar e : /_ Issued By: Call far inspection - 6:39-41751 I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-41/1 Footing Rain Drain Cover/Service FIN W' Foundation Water Line Ceiling -Plumb. Post/Beam Mech, Shear/Sheath Framing `Mech. Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg. San. Sewer Gas Line Appr/Sdwik Rein.. Other: YO Date: V �-�` r P.M. G Entry: _-- Address: __,__L�� %� GG Tcnant: ta: _ MST: 76-o l 7.0 SUP: Con/Ov:�. _ �� MEC: / LD - yy) PLM: 7 I ELC: THE FOLLOWING CORIIECTIONS ARE REQUIRED: ELR: Inspector: _ _, Date: __�FI VED DISAPPROVED/CALL FOR REINFP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspecliom Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service ` INA Foundation Water Line Ceiling Ptumb, Post/Beam Mach, Shear/Sheath Framing tvle Plbg.Und/Fir/Slab Plbg.Top Out Insulation la Post/Beam Struct. Mech. Rough-in Gyp. Bd. dg. San. Sewer Gas Line Appr/Sdwlk 4W Other: Date: A,M. --P.M. Entry Address: � ��Q y'� Tenant: Ste:. MST: BUP _ Con/Own: d MEC:— PLM: EC:_PLM: ELC: THE FOLLOWING CORRECTIO S ARE REOUIRED: ELR: 4 LOft - 1- N w Inspector: Date: _APPROVED --DISAPPROVED/CALL FOR REINSP. qF41 C� CITY OF TIS' SUILDING INSPECT ION NOTICE Inspection Lino. 639-4175 Business Phone: 639-CFFOd/L Footing Rain Drain Cover/Service : Foundation Water Line Ceiling -Plumb. ,2nI eam M :ihear/Sheat; Framing -Mach, Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Peam Struc> Mach. Rough-in Gyp. Bd. -Bldg. San Sewer Gas Line Appr/f,dwlk Reins. Other: --- -_ Date: �-� 0 A.M. P.',JI. Entry: Address: — Tenant:_ Ste:— MST: BUP: Con/Own: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS.',RE REQUIRED: ELR: _ L J H Li J J Inspector: _ Date: ROVED DISAPPROVED/CALL FOP REINSP. GF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/She?,th Framing -Mach. PIbg.Und/Flr/Slab Plbg.To; Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. 13d. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: �: iZ - A.M,_._P.M. Entry: Address: C�� �7 Tenant:, Ste:____.^ MST: Con/Own: MEC: FLM: ULC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: N Cil C W Inspector716_G _- Date-- f AAPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING W aPECTION NOTICE Inspection Line: 639-4175 Businass Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. PosUBeam Mach. Shear/Sheath Frarning -Meeh. Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. Fan. Sewer Gas Line Appr;Sdwlk Heins. Other: ---- _ A.M. P.M. Entry: Date: Address: ' –�-- Tenant: — _ Ste: -__..__ MST: 7�,( MEC: —_ Con/Own:_ 7... __ -----, .�! PLM: — ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Ln "---._._`_----�— C= J _ - Inspector: C� Dat ^^ APPROVED _DISAPPROV D/C FIN9 . CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.417E Business Phone:639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Coiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg,Und/Fir/Slab Plbg.Top Out 65-0-01P -Elect. Pcst/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: Date- --- 0 A.M. RM. Entry: Address: ?) 0 �o Tenant:�._ _ Ste: MST, O lQ Con/Own: SUP: �oZ.© _ r� MEC: _ PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REOUIRED: ELR: a_ Ln Ins ctor. — Date: APPROVED _�DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection, Line: 639-4175 Business Phone:639-4171 Footing Rain Drain Cover/Service FINA Foundation Water Line Ceiling Plum . Post/Beam Mach. Shear/Sheath ramie -Mech. Plbg.Und/Flr/Slab Plbg.Top Out insulation -Elect. Post/Beam Struct. . ouyh-in Gyp. Bd. -Bldg. San. Sewer as Lin Appr/Sdwlk Reins. Other: _ Date: A.M. —P.M. Entry: Address: L - �,-_- 9[�__, Tenant:_ _ Ste: MST: BUP: Con/Own: MEC:_ PLM: ELC: U-lE FOLLOWING CORRECTIONS _ Ql D: ELR: 4_Ckzo F &-& �z Ins e.Tor: Date: APPROVEn _�DISAPPROVED/CALL FOR REINSP. CF CO CITY OF T!GARD BUILDING INSPECTION NOTICE �I Inspection Line: 639-4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb, Post/Beam Mach, he r/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg, San. Sewer Gas Line Appr/Sdwik Reins, Other: Date: 0- _ (� A.M. P.M. Entry: `Y Address: 3 925 q- Tenant: _ _—__ Ste: _ MS T: BLIP: Con/Own:. MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I- r 1- J "- ..J Inspector: _ _ Date: _ �`� og " M_PROVCD f DISAPPROVED/CALL FOR REINSP. CF CO FCITY OF YIGARD BUILDING INSPECTION NOTICE + Inspection Line: 639-4175 Business Phone,639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plumb. Post/Beam MeO. Shear/Sheath Framing -Mech. t nd/F r!,g. Top Out Insulation -Elect. PosUBeam Struct, Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Lina Appr/Sdwlk Reins. Other: Date: a !R (Q A.M. ,P.M.,,.� Entry: Address: Tenant: Ste:_ MST:qr BLIP: Con/Own: _ MEC:— F'LM: ELC: THE FOLLOWING CORRECTIONS ARE REOWRED: ELR: l , indt Inspector: ---- — - Date:./" LAWIP VED _DISAPPROVED/CALL i-OR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone:639-4171 Footing .1ren Cover/Service FINAL: Foundation rater Li Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. P!'g.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. I n. Se r Gas Line Appr/'t iwlk Reins, Other: Date: _ V_ ._ A.M. P.M. Ent : Address: j Y7;. 41 Tenant: _ Ste:--- MST: BLIP: Con/Own: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: IInspector: _ Date: � PROVED ,._DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE JFINAL� Inspection Line: 639-4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service oundatioLTaA Water Line Ceiling Pos earn Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: A.Mc-.y�p� Entry: Address: . ��y �7 D 7•—y� Tenant: _ _ Ste: MST4�1_�0 BUP: Con/Own: _ MEC:_ PLM: ELC: THE FOLLOWING CORRECTIONS AR_:: REQUIRED: ELR: _ C'rffyl� A�.Ir3ir m LD W Inspect _ Date: /S �0VED �'4APPROVED/CALL FOR REINSP. CF GO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINA U,�,_ Foundatio Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meth. Plbg.Und/Flr/Slab Plbg Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Ed. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: - Date: (e � A.M. P.M.__ Entr _ Address: / q 3YI __ --- Tenant: —- -_-- - - --- Ste:--- MST: L BUP: Con/Own'--- _--- - MEC:.----- PLM EC:.PLM _— ELC —_-- THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: ft f- N I-- J r. CM J Inspector: �....-- _ Date: ROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Fc-)ting Rain Drain Cover/Service F'NAL: Foundation Water Line Ceiling -F lamb. Post/Beam Mech, Shear/Sheath Framing Mech. Plbg.Und/Flr/Slab bg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: p.` Date: �-- - �l� A.M. _�1% Entry: Address: __.1_ q d 5 LLL - - Tenant: _ Ste: MST: -017 Con/Own:_ LQ�� L''Ve f3 4rn- MEC: PLM: l�7 S7 7,0 ELC: -�—, THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: a c Inspector 2� .oeoo" Date // t1*4-- PROVED _.DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FkNL: i Foundation Water Lina Ceiling -Plumb. Post/Beam Mech. Shear/Shea'h Framing -Mech. PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam StrUCt. Mech. Rough-in �B -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: ��C_l A.M. P.M. Entry: c-� 1 Address: � 3U �✓ Tenant:_. __ Ste:_- MST: BUP- Con/Own: _ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: f- c:v _.I Inspect -_ _ _-- —, --_--- -- — Date: PPROVED __,DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line:639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line \Appr/S� Reins. Other: _ Date: �77 (4 _ A.M. : P.M. Entry: Address: __l u,r_i fj r'��- Tenant: Ste: MST: D ;?j BLIP: Con/Own: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: fj LA YX Inspector: _ Date: 7SO-PROVED __. DISAPPROVED/CALL FOR REINSP. CF CO MN 0 1 1111 11 11 1 1 I f i* IA I i I I 11:11, IN I PI 4.1 j Pik I,! Ili A 14MI1.WIN 1 I I I i UI`fY OF Ti(:!fihU RP(.:1:: 1P( 01- 1-•44'111IFNI R l— I1!I W.J. A96 -i'JA Sr',.' I,J ll-A;K AMOUNI c 5/9 ;. .50 NAME: a FOUR U UONSTRUEJ1014 CO l:;(I:at( f-Moutdl I k'a. 1/o tJDDRU'99 PIO BOX 1577 PHYMI.N r L)A t l-. a Obi 07 6 BEAVERTON OR ,AAADIVISION 14 9 7 QY?5— PURPOSE OF' P(4YMLN'1• AMOUNT Pt-1I17 t-'I1RPUSFS OF PAVPIF.N! AMCII.IN1 !-'1111:) CL R" 011 I I.T)I NC3 PERM _ 5/40. 150 t'l.UMH.I NU 14-HM a p!). 00 vi ;(fwc flHNtt~Fti. C't 45.00 I✓:I.-FCTRtf,nI (-I.- f4ml f P10. tle X31 . BUILD pf-. 1 051. 03f+If C.:N�INIC:ftl P",..t'IPd � .Iit t K 11 . c USA 'P ooll. 00 1 J11). Will •�'— ' "f-1f�1{S i11C' 11500. 01A HF SI Uf:.N1 1 WI.. 1 I;i 0 1 1 I: 1 t I•'-i C' . 1i(�.�t:> '1"kf(NS I I' f It, I I I I P-0. 1110 FI:�C1 ut.lot..I ( ti f' t ii I I I i 'f i I 1 1 taVl,00 . 1, 1t IA.44N1ITY V1,11 : 11, 1 1 .r t t I. i(60. N0 VI&IS.1(IN tAIN 11011 t`t 11111111 1•-1: 100 It!1! 1.!. N C UNINIA. III iiJJ f Iv Po. (i1/I L.RItSIIN,1 1.!011 11111 e'1�1. L�li7 M<► P0, 1.70 t .0,111 '3W 511)11( It11tat vimlUNI PAID 5793. Ise I f t Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Ktt�d Tigard, OR 97223 G CJs (503) 639-4171 Jobsite Address: G Office Use Only Subdivision: Valuation: 14 Contact Date ! / Initials S�1�, ��r Result New Construction Only: (Square Footage) PlancklRec #,�, Permit #!y, 4" _ ) House: �2 o el f Garage: L/ V Reissue of NKT --QI 1'1 Corner Lot? N Flag Lot? Y Map & TL Zone = # s Owner: Plat E Approvals Required Address: Planning Setbacks ; Sola o � I'Ar ., �!r r ,.: . , 7 0 ''►S Engineering(" Phone: 1 El""*, .3- 7-, �� d'o � Other Contractor: Items Required Address: Subcontractors _ Truss Details Other Phone: I 1 y Notes _ _'cntractor's License # (attach copy of current Oregon license) -ontact Name: _1:j/ I :,_.,, (_:ontact Phcne: L 1 _ O S r} Subcontractors: , Architect/Engineer: Ei"V7d,i x �G T Plumbing. 1� !-� Lr�„LJ ��/ 9 a 7 Address: Mechanical 7e, (attach copy of current OR Contractor's License) Phone: ( ZVA? 2 32 — V_ 49 JOB DESCRIPTION: ,r�_ O�`�d. Applicant Signature Applicant Phone number Received by: t , �� ( '" _� Date Received: Permit account Description Amount Amt Pd. Bal. Dui Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Z;Zip ,Z 2 e Mech. Permit (MECH) 5 Gc�t Tax Bldg: 7,j 3 Plumb: Mech: Z L ECS Plan Check (PLANCK) Bldg: } 0 �Z Plumb: Mech: /l :�� . 7— Sewer Connection (SWUSA) - --- -a v' i Sewer Inspection (SWINSP) Parks Dei Charge (PKSDC) r c c� 5�,o Residential TIF (TIF-R) Z 1) -1(17o Mass Transit TIF MF-MT) 2 �r Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (T1F-IS) Office TIF (TIF-0) Water Cuality (WQUAL) •�` / � Water Quantity (WQUANT) Fire Life Safety (FLS) cc =:jsian Cntr1 Permit (ERPRMT) Erosion PlanckiUSA (ERPLAN) 7r -'y v Erosion PlancklCO T (EROSN) -7111, TOTALS: 79�53� bill FOUR D CONSTRUCTION CO, bill POST OFFICE BOX 1577 ■ BEAVERTON, OREGON, 97075 • PHONE (503)641-0935 2 R 13 0 2 ,?64/1-0/A'j '^J7NcC� 2 L o-r .53 � I co�CeeNswA�'.� i►�Ne,t' -o :20� B liaa "-n we ,. /L�3 ya 90 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE G & B PLUMBING 1592 SE 51ST HILLSBORO OR 97123 Plumbing Signature Form Permit # . . . . : MST96-0170 Date Issued. : 06/07/96 Parcel . . . . . . : 2S111AA-GP053 Site Address : 14340 SW 90TH AVE Subdivision. : GREENSWARD PARK NO. 2 Block. . . . . . . . Lot : 053 Zoning. . . . . . . R-4 . 5 Remarks : PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNEP : PLUMBING CONTRACTOR: FOUR D CONSTRUCTION G & B PLUMBING P O BOX 1577 1592 SE 51ST BEAVERTON OR 97075 HILLSBORO OR 97123 !i- tw # : 503-641-0935 Phone Reg # . . : 019907 Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If ycu have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ROBERTS ELECTRIC INC 5759 SW 48TH PORTLAND OR 97213 Electrical Signature Form Permit # . . . . : MST96-0170 Date Issued. : 06/07/96 Parcel . . . . . . : 2S111AA-GP053 Site Address : 14340 SW 90TH AVE Subdivision. : GREENSWARD PARK NO. 2 Block. . . . . . . . Lot : 053 Zoning. . . . . . . R-4 . 5 Remarks : PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM ELECTRICAL CONTRACTOR: FOUb, D CONSTRUCTION ROBERTS ELECTRIC INC P O b' . 1577 5759 SW 48TH BEAVFRTON OR 97075 PORTLAND OR 97213 1,hnne # : 503-641-0935 Phone # : Reg # . . : 9388 Signature auper nisiv g ectrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310