11301 SW 91ST COURT ADDRESS:
sw ep sor co��.�'
r
J
0.7
H�
C!�
LL1
J
i:\recortis\rnlcraflm\targelsUi�'Idir,.;.���
-7
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13123 SW Hokil Blvd T19ard,Oregon 972230199 (503)6304171 CERTIFICATE OF
OCCIJPtn.NCY
x x>Cn PERMIT #. . . . .. . . 0 MST92
639-4171
I DATE ISSUEDi 06, '714/93
,.'ITE ADDK---'SS. . . t 11301 SW ()I'13T CT PARCEL -.
SUBDIVISION. . . . s DAKOTA -GRUVEq ZONItG:
BLOCl/. .. . . . . . . . . LOT. . . . . . . . . . . . . 19
CLAS;71 OF WORK. cNEW
TYPE OF USE„ . . :SF
OCCUPANCY GNP. :R3
OCCUPANCY LOAD:227 4
TENANT NAME— :
Remai,-Ps . � JH I
Owner:
11 & F*' DEVELOPMENT CO
17707 SE OATFIELD RD
6LADSTONE OR 97027
1,hone #: 652-., 092
1 ontractur:
il & F DEVELOPMENT CO.
1770-1 SE OATFIELD
1A-ADSTONE OR 9700.7
i ,hon- #: 652-7092
Peg #. . c 57484
lccupAncy of the above Y-Pferenced buildinq is hereby given, and certifiesi
t.he compliance with the State Of Or-cion Specialty Codes for- the grol-lpl
,ccupancy, And use under- whirh the eferenced permit was iSSUed.
FIPE DEPARTMENT Rt LkNU INSPECTOR
L4
rL
BU L 0 1 N . . ICTAL
POST IN CONSPICUOUS PLACE
0.7
MISSION
01/29/1992 01:24 6555592 HAPPY VALLEY INSULAT P46E 01
0,301 c? 1:5�4
TABLE NO,53-0
RESIDENTIAL THERMAL PERFORMANCE CALCULATIONS
fuR.o IQ cORO rill l -
(kww 1w,Ran TalruN•1n (LVId(l1El.`�_
Regie Peel 1
•t !a valve — PM Wd AlWma
I4•ne a U N VN t s •
11d uv Ku
Val" 3/7 0071
op"wall, aav j o-
j A- I'fbyyoft r .baeM. -4-
SKr(ia•1>I1 d \ Tdo w&jm
grew
1a■ad,�
R. IfM u%&M r aor w m
15a.f M1..r ar.a \ Taa An.
vp—Aw am Saw fq?5x4 d 0.410
rr \
r.+�. b dwl,.rr p z.,�0
o.5w
a��ssethr i.�• 0540
IiliOwn owo
06 RAP woos.c. amt
) P.n52r•
COM UA. r
PfopeaeW UAT
P•rRssaww eeds�d•w 4ra1.r a rift Ilaea!a Calaaa 1. H.0 plats atfldwoy,dUa 4w.lnr�le.el�pa44r.a ry.alae 4n14e hw�R,w
Oki"wwa.��! 'a ae w4. .a ie lib senboe of ewloeLane�
Arw Rao pr lla,40 L AM ww"'A be Ib flame fv bod Plb I sW p Womd AJraswA WOW at.mow w alowe•b Na4a S We
1-'IWUM C0'4p0XvM R9QU> ►T7: W�R-13;1�1wat"21;Pla Ca1lln 31:v
y elr�en 1-1 R..bw aae6 4t�i1414b1e a.somlevF,for rAe Inalelia.eel f aw so fa rh,asj.R 21,wmMy, W Ra1141.21.Sob Edge R 1&,Da
IIs�4w..11 Orkl4te d�J V trlf rrs�ua�034(Haslli.&I R.0 Tto�•yl mn'.m fa P.,a 9 a be
a mute.ole Ill m
4 LLe.re.fOr+ml late 4eili�rape t Awn as�ilia NaII be u U�4d1ee44rrr1.4*®m!ed bs eakayi/tobw wwi l Alm"pma w
.hkh„'Ay krbdo brie!a rive
C4v...LL..i.r nr�tsl�V aria sribw■js is 4Y'bd miftg�wwly
fn�f"I'm Deo.w.►Too bee whede.w r�n4w 60 in w w l)lkgr of ire hide���bw ins r Mu Kira 17 p�vml d
LL ALUE Pd1 COA111oN ay1lMblIU
10110 CMII • V� A•I ww — ---
R-11 0.071 (wow)1.21 Q1147 R-u "M
R-40 Q0b (Nftw) R-3o arm 1-19 4w Uuft Rdr 31A Rag.
RIRA •0� (r4flr) R-06 0= R-19A O461 R-21 a41!
' (4..) R 70 0.044 R-21 0.060 R-15 0.032
(R.) R•3h 0.04 R-21A o.Rl7 R-30 0.011
R-2AA r4,044
4 —�.- 0 P-es4-44
R13 P-452
Pn �MNRr9!�fm al P4�w. —
Pl-w- lUAmoo behYemaspWaCadeVA.
INSPECTION NOTICE
Cite of Tigard Building DeN rtment
13125 SN Ball Blvd. Tigard, Oregon 971223
Inspection Line (Rec-O-Phor_• ,: 639-4175 Bueinefs Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
Pont/Deam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Roquested:_ �c Time: AN PM
Address: 13C� / -4 T Permit #i�Z_� t 9
Builder:
THE FOLL40WING CORRECTIONS ARE REQUIRED:
V)
C.0
IJ.1
_J
IInspector: ' / — ____ nets:_
APPROVED DISH^PROVED APPROVED SUBJECT TO ABOVE
call For 1.+I.:an.
I '-jECTION NOTIC1
City of Tigard Buildingv Irt"w-.nt
13125 Sit Hall Blvd. Tigard agon 97223
Inspection Line (RCC-0-Phone): 6: 417E siness Phones 639-4171
Inspection:
_
Footing Plbg. Underelab c^ ech._c;ou - Appr/Sdwlk
Found. Plbg. Top Jut /"Z—Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plunaj.
Plbg. Underfloor Water Line Gyp. Ed. -Meeh.
� r
Date Req.este:i: r ,..�� T _� PM
Address:. IL-3 D _ ` � Permit #92 -
,r
THE FOLLOWING CORRECTIONS ARZ ;ZZgUIREDz
cr
v
..J
X11
Inspector Dates ��
1/ APPROVED DISAPPROVED APPROVED SUBJRCT TO ABUV6
Call For Reinsp.
Ii1SP?CTION NOTICE
City o.` Tigard Building Department
13125 iii Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buninenn Phone: 639-4171
Inspection:_ 7
Footing Plb TJnderslab Mech. Roust-in Appr/Sdwlk
Found. Pltg.�T�t
) Gan Litte .INAL:Poet/B^am Struct. San. Framing -Bldg.
Post/Beam Mech. Rain Drain Inaulation -Plumb.
Plbg. Underfloor Hater Line Gyp. Bd. -jtech.
Date Requested: Time: ll�J AM PM
Address: - � 5 Permit IK1,z
Builder: Z ��
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inape moors _�_��_ Dates
\/ APPROVED _— DISAPPROVED APPPrVKD SUBJECT TO ABOVE
�-` Call For Reirep.
INSPECTION NOTICE
City of Tigard Building Department
13125 bff Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• — —_-- — --—
Footing Plbg. Unde.alabMec�h Rough-l� ApNr/Sdwl.k
Found. Plbg. Top Out Gas Li�:� FINAL:
Poet/Beam 5truct. San. Sewer Framing -Bldg.
Dost/Pram M .ch. Rain Drain Insulation -Plumb.
Pl.q. Underfloor Water Line Gyp. Rd. -Meeh.
Date Fequest•Pd• / _ —Time: AM PM
Address: V T / PermiL Is�d L
guilders
THE FOLLOWING CORRECTI ARE REQUIREDt
gan _ -- —
L _
f�
G] _
1.0
J
Date:_ —
1nspector:T_--
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVC
Call For Rei.nsp.
INSPECTION N.TTICE
City of T'_gard Building Department
13125 Sit Ball Blvd_ Tiqard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection:
Fc. ting P1bg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
�_—_
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watt^ Lina Gyp. Bd. -Hoch. ZL
Date Requected: �� _--Time: _AN I PH
Address: ?�� / `� — Permit f:_7 �" lJ Z _:3
Builder:
THE FOWAWING CORRECTIONS ARE REQUIRED:
zz
Inspec'_or: �y�— _ Dates��
�PPROVXD -- DISAPPRO`ID APPROVED SUBJECT TO ABOVE
Ca11 For Reinsp.
INSPECTION NOTICE
City of Tigard Building Derrarcme:-
13125 SW Ball Blvd. Tigard, M-,%joo 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —.— ----——
ting Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
d. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drail, Insulation -Plumb.
Plb9. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_
� Pwrmit
Address:
L� _
Builder•__ -
TBE FOLLOWING CORRECTIONS ARE REOIREDI
Z
Tnelxactor:_.._- -- -/—_- _- -- _-- Dates
APPR(-)VF.D DISAPPROVED APPROVED SUBJECT' TO AROVE
Cali Fcr Reinsp.
INSPECTION NOTICE
City of Tk.ijwd Building DeparS:aent
13125 SR Nall Blvd. Tigard, Oregon 9722.3
Inspection Line (Rsc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Tog Out Gas Line FT`IAL:
Post/Ream Struct. San. Sewer Framing '+-Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Cate Roquented:_ Time: 9' AM PH
".ddress: �� S~Q �a� Permit ir7 9 3
Builder:
rHE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date:
!/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departeent.
13125 SIM gall Blvd. Tigard, Oregon 9722.4
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect tons
Footing Plbg. Underelab Mach. Rough-in Appc/Adwlk
Found. Plbg. Top Out Gas Line PIlp1Lt
Post/Beam struct. San. Sewer Framing C Bldg.
`-r
Post/Beare Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Water Line Gyp. Rd. -Mech.
Date Requested: jL Times AMPH
Address: ��� 5 ( � , Permit f:GIz
Ru L lder i__/
THR FOLLOWING CORRECTIONS ARE REQu1RED:
_l cLdel.('it � -L /`O /✓t 4� -_ =Aid,10L.�
t
r
(Y
F-
N
J
h
W _
J
Inspector s__ / _ Date:
APPROVED `DIHAPppovED APPROVED SUBJECT TO ABOVR
ZCall For Reinap.
INSPECTION NOTICE
City of T1.9ard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection. Line (Rec-O-Phone)s 639-4175 1'caineee Phones 639-4171
Inspection:
Footing Plbg. Underelab Hech. Rough-in Appr/Sdwlk
FouiAd. Plbg. Top out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg-
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Neter Line Gyp. Bd. -Koch.
Rate Requested: Times AN PM
Addreee: // PermLt #t. D
Builders___14 C1 S /� / 12-
THE FOLLOWING
2THEFOLLOWING CORRECTIONS ARE REQUIRED:
r
A—
tj
J
G7 --
U' e
lyl
J
Inspectors l / Date: �~
APPROVEDA00"
DIS,APP/PROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SU Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639-4175 Business Phone: 639-41.71
Inspection:.
Footing Plbg. Undernleb Mech. Rough-in Appr/Sdalk'
Found. vI,j• Top Out Gas Line FINAL:
Post/Beam St-%.:C. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor `Water Line Gyp. Bd. �_MMec}11
Date Requested: Q Time !t _{{AM �jPH
Addreea:� JC_L Pe!mit
Builder:
THE FOLLOWING, CORRECTIONS ARE REQUIREDS
pec
In• tors •- ll� ^-_- _-��� Uatet d'-�
1PPROVED D]SAPPROVED /"PRoVEb SVSaecT To ASM
Call For Rolnap.
INSPECTION NOTICE '
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
w
Footing Plbg. Undorelab Mech. Rough-in ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulatici -Plumb.
Plbg. Underfloor water ins Gyp. Bd. -Hoch.
Date Requested:_ C 7� TIme: AM PH
Address:_ ��L � �3/ �'! L/1 Permit
�i`x �- C7 >
Build,jr:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L/wES %n Gc.,PB
3
/U " 1<6 661 '9Oz_
M
J
/J
J -
Inspectors �f Jtl<I I/l�n�il Date: �i ' /4 z3
APPROVED DIBAPPROWD _�� APPROVED SUEJXM To AW"
Call Por Re.knap.
IOry_NpTI CF
INSPEC9 ild
City of Tigard oin
went
13125 SW Hall Blvd. T , Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:— _ --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line SINAL:
Post/,lo,nm Struct. San. Sewer taming l -Bldg.
host/Beam Mech. Rain Drain C Inen -Plumb.
111bg. Underflcwr Water Line./ Gyp. Bd. -Mech.
Date Requested:__z J y ! __Timor _AM PN
Address:_ /�..� �/� �/5 t /-C.-� Peron 1:_�
Builders � _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C1/1-'�/L C'7/`C��/
f If
(i
r
F-
J
07 —�
C9
W
Inspector: i��1Da`e:
APPROVED DISAPPROVED !J APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard BJ i Lding Department
13125 SW Hall Blvd.4-ig1*4 Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdt•lk
Found. Plbg. Top Out G Line FINAL:
runt/Ream Struct. San. Sewer / Framing -Bldg.
Pooh/9#-am Mach. Rain Drain /// Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
/�J►
Date Requested:_ �% j C 3 Time: AM PM
Address•
Permit #: a_oz�3
Builders2-22 -
J
THS FOLLOWING CORRECTIONS ARE REQUIRED:
/r
/�G
Awe
rx. y
N
co
LD --
w
Inspectors-J' -- „------ "Iter
APPROVED DISAPPROVED APPROVED SUBJECT TO AHM
Call For Rsinep.
INSPECTION NO,ZICE
City of Tigard BuileA-9 Department
13125 SW Hall Blvd.01ft qlk60 Oregon 97223
InspecO on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ---
Footing Plbg. Underslab < Mech. Rough- Appr/Sdwlk
Found. Plbg. Top OutG.
Line FINAL:
Poet/Beam Struct. San. Sewer , Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: hh� - T _PM
Address: //- Permit i:�.L /
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L k�o a
u
al
J
1
0 n —
LLj
Inspectors / , __--- ---- -- nnre: �' -Is-`I .y
APPROVeDy-DIBAPP1iOVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
v
INSPECTION NOTICE
City of Tigard Building Departannt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phon : 639-4171
InspecLLon:
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top L1,+1: Gas Lino FINAL=
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor /Water
//LI-no Gyp. Bd. -Meeh.
Date Requestedt / _ �f - l._'� li ,t AM r PM
Address: `� Permit `'
BuLl.ders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C�1 - c t cz -�- t� "�ZCA a
-�
Co
�
w
J
Inspectors_
__`APPROVED �/DIBAPPROVED APPROVED SUBJECT To ABOVE
Call For A^_insp.
CITY OF: TIGARD -- RFCEIFST OF PAYMENT RF`rEJPT NO.
CHE=CK AMOUNT a 3 t 00. 6
NAME a M & F DEVELOPMENT GASIA AMOUNT a 0. 00
ADDPESS a 17707 Sp r'jA,rFIt-7l..I) PAYMENT DATE a 12/21/9P
BLADSTONE, OR SURD rVI81ON
9 70c'.7-
-URPOSE OF PAYMENT (IMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
+UILDING PERM MGTIVIL-0293 430. Oal PLUMBING PERM 147. 50
lEtHANICAL PE 43. 50 ST. BUILD PER ;31. 0E•
LAN CHECK FE '73. 78 SP.WER USA L-100. 00
.t.--,"WF:R INSPECT 1:19. 0171 PARKS 90C 500. 00
DORM DRAIN SDC 280. 00 RrGIDPNTIAL TRAFFIC PEES 1350. 00
TRANSIT TIF FU--"IrS 11.0. 00
AMOUNT PAID 5100. 84
CITYo F TfVA RD MASTER PERMIT
Cffy TWARD PERMIT #. . . . . . . : MST92-0293
COMMUNITY DEVELOPMENT DEPARTMENT OWNROWON"
13126 SW HWI Blvd. P.O.Box 23397,71gaM,Or"m
C-7 DATE ISSUED: 12/21/92
SITE ODDRESS. . . : 11301 SW 915I Cl PARCEL: IS135DB-UR9
SUBDIVISION. . . . : DAKOTA GROVES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..9
BUILDING
REISSUE: DWELLING UNITS: i BASEME14T. . . . . . . . :0 sf
CLASS OF WORK. .-NEW BEDRMS.3 BATHS:3 GARAGE. . . . . . . . . . ..441 sf
TYPE OF USE. . . :SF FLOOR AREAS---._------ REQUIRED SETBACKS-------_-__.
TYPE
ETBACKS------------
TYPE OF CONST. :5N FIRST. . . . : 1152 sf LEF'T. . :9 ft RIGHT- 10 ft
OCCUPANCY GRP. :R3 BEE014D. . . :8,--'3 sf FRONT. :20 ft REAR. . :64 ft
BTORIES. . . . . . . ..2 'THIRD. . . . .0 sf REQU I
HEIGHT. . . . . . . . :27 ft 'TOTAL------: 1975 sf SMO!',,E DETECTORS. :Y
F'LO(JR LOAD. . . . :40 psf VALUE. . . . . 98788 PARKING SPACES. . . 1
Remarks: PATH I
----------------------------------- PLUMBI14G
I NKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. V)
LAVATORIES. . . . . 14 WATER HEATERS. . . : 1 TRAPS. . . . . .
. . . . . , . . :1/1
TJB/SHOWERS. . . . 23 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . ol WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . il RAIN DRAIN (ft) . :O
WASHING MHCH. . . : 1 BF RAIN DRAINS. . .- 1
---------------- MECHANICAL --------------------------------- FEES ----------
FUEL TYPES------------ UNIT HTRS. . 90 type amount by date rerpt
/GAS/ VENTS . . . . . 00 TIF $ 1460. 00 JH 12/21/92 X
MAX INPUT:0 BTU VENT FANS. . e4 BPRT $ 430. 00 JH 12/21/92 X
FURN ( 100K . . ol HOODS. . . . . . . I BPLC $ 279. 50 JLH 12/09/92 .
FURN ) =100K . . :0 WOODSTOVES. :O B5PC $ 21. 50 JH 12/21/92 x
FLOOR FURN. . . . :0 CLO DRYERS. .- I SSDC $ 280. 00 JH 12/21/92 X
BOIL/CMP ( 3HP:0 OTHER U1qITS: 1 PARK $ 500. 00 JH 12/21/92 X
GAS OUTLETS: 1 MPRT 4, 43. 50 JH 12/21/92 X
Uwneree $ 10. 88 JH 12/21/92 X
11 & F DEVELOPMENT CO M5PC $ 2. 18 JH 12/21/92 X
17707 BE OATFIELD RD PPRP $ 147. 50 JH 12/21/92 X
P5PC, $ 7. 38 JH 12/21/92 X
GLADSTONE OR 97027
Phone #s 652-7092
Contractor: -----------------------------
ISI & F DEVELOPMENT CO.
17707 BE OATFIELD
GLADSTONE OR 97027
Phone #: 652-7092
Reg #. . : 57484 ------------------------------ --------------
$ 318;-1. 44 -TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED 114SF-IFCTIONS ------
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Foot/found Insp
Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Ins;j
plans. This permit will expire if work is not started within 180 Post/Beam Nechan Insulation Inst,
days of issuance, or if work is suspended for more than 180days. PIM/Undslab Insp Gyp Board Insp
PLM/Underfloor, Rain drain Insp
I-,Prnii 1. L ee Signat utle " Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk InsV�
issued By : Framing Insp Mechanical Final
Call for inspection 639-4175
SEWER CONNECTION
CI�OFTIGrARD PIERMYT
• COMMUNITY DEVELOPMENT DEPARTMENT MOM PERMIT 41. . . . . . . : SWR92-0381
13125 SW Hell Blvd. P.O.Box 23397,TigaM,Oregon 16 DATE ISSUED: 12/21/92
S1 T'E ADDRESS. . . : 11301 SW 91ST* Cr PARCEL: IS135DB—GR9
SUBDIVISION, . . . : DAKOTA GROVES ZONING: P -4. 5
BLOCK. . . . . . , . . . . LOT. . . . . . . . . . . . . :9
14AIYIE. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILD1NGS: 1
T NSTALL YYPL. . . .BUSWR IMPERIV SURFACE. S f
Hemarks. PATH I
(.)wT-ier,: FEES
H & F DEVELOPMENT CO type A- M o 1..k nt by date r,eept
17707 SE OATFIELD RD PRMT $ 2100. 00 JH 12/2-1/92 X
I N SP $ 35. 00 111-4 12/21/92 X
ULADSTONE OR 97027
111tione 4. 652-7092
Contractor:
t.;ONMACTOR NOT ON Fll...E
I 'Ir011F2 # 2135. 00 'TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to conply with all the rules and regulations Sewer-, Inspection
of the Unified Sewage Agency. The permit expit,es IM days from
the date issued. The total amount paid will be forfeited it the
permit expires. The Agency does not guarantee the accuracy of the
tide sewer latcrals. If the sewer is not located at the measurement
qiyen, 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 Agew ill install a lateral.
V'pt,mittee
jsslted By :
Ca J I for inspection 639-4175
it
Ln
C.D
L
q .y- Z�y �� 2_
CITY OF TI GAR]D 131u sw Hall Blvd. PLNCK/RECT #
l'OBox 23397 PERMIT # &5T
COMMUNITY DEVELOPMENT DEPARTMENT TipputOregon 97M
(563)639- 171 DATE ISSUED
JOB ADDRESS: TAX MAP/LOT .SI
SUB: j rM<-f LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: ,O�/� �- REISSUE OF:
r
ADDRESS: / ,��J o7 s����' �l��'� LAST REISSUE:
Gk 5'7G2 _ _ FLOOD PLAIN/
PHONE: ._ SL - �a Z- SENSITIVE LAND:
CONTRACTOR , APPROVALS REQUIRED
NAME: PLANNING: _
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: �,� OTHER:
CONTR. BOARD : � EXP DATE:
ITEMSRE UO IRED
SUBCONTRACTORS: PLUMB: ���� �c�iti --e LIS1/SUBCONTRACTORS:
MECH: _ Sl.���rL -' BUS TAX: _
Cj ENGINEER / CALCULATIONS:
NAME: �L - /?1>,�rc0 hit TRUSS DETAILS: _
ADDRESS: /5/S 4,'w 23" OTHER:
'NONE:
PROPOSED BLDG. USE: S
COMMENTS:
J
PPl_IC N S I NATURE
Received By: j __ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
? 10-432 00 Building Permit Fees 0.
10-431 00 Plumbing Permit Fees —So
_ 10-431 01 Mechanical Permit Fees 1c-9
10-230 01 State Building Tax (5q) •� q 6 .>' . u b
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
-�.
Building - � 7�,
Plumbing ? '773 • 1
Mechanical 0,
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3
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 /3 0 35
25-448--05 Mass Transit TIF Fees 1 U
52-449 00 Parks System De,, Charge (PDC) SOO Svc
31-450 00 Storm Drainage S;st Dev Chrg
(SSDC) .J c) i)
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
J
7]
TOTAL
J
nm/35871'.W('1