14100 SW 97TH AVENUE i
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14100 5W 97TH AVENUE
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CITYOF TIG�4RQ ---PLUMBING PERU"i
DEVELOPMENT SERVICES' PERMIT#: PI-102000-00082
13125 SW Hall Blvd.,Tigard, OR 97223 (50) 639-41M41 DATE ISSUED: 3/14/00
SITE ADDRESS: 14100 SW 97TH AVE 'o//
PARCEL: 2S111 BA-09000
SUBDIVISION: PP1994-019 -'wJ`,`r ZONING: R-4.5
BLOCK: LOT: 002 Jl RISDICTION:—
TIG
-- -
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PP.EVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURF'S:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATFR LINE: 100 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of less than 100'of water service to move water meter to back of property. _
Owner: _ FEES
Type By Date Amount Receipt
ROSS, JEFFREY A+ GAYLA PRM i DEB 3/14/00 $50.00 0000641
14100 SW 97TH AVE 51PCT DEB 3/14/00 $4.00 0000641
-rIGARD, OR 97224
Total $54.00
Phone 1:
Contractor:
OWNER
REQUIRED INSPECTIONS
Phone 1: Water Service Insp
Reg #: Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: Permittee Signature:
i
Call (503) 6*4175 by 7:00 P.M. for an inspection needed the next bus nese day
CIZ r` OF i IGARD Plumbing Permit Application Plan Check#
Commercial and Res �ienti�il Recd By —
13125 SW HALL BLVD. Date Recd
TIGARD, OR 97223 Date:to P.E.
(503) 639-4171 Date to DST _=—
Prinl Or Type. Permit# "
Incomplete or illegible applicatiotrs will riot be accepted Related SWR#
Called ..-
- QTY PRICE AMT
Name of DevelopmenUProject —FIXTURES (individual) 11.50
']� P Sink
Job - / - _T170—
ite Lavatory
Sutreat Address 11.50
Address
I �l, ' (/ Tub or Tub/Shower Comb.
11 50
,
t 11.50
C) Bldg# City/State dip 2 J, Shower Only _,- 7
Water Closet _
Ware 11.50
4- 7„� Urinal
11 50
S
Mall ng Address 11.50
Owner ulte Dishwasher Garbage Disposal 11.50
jty/Stat L� Zip PhD;f� �)G I Laundry Tray —
11.50
Washing MachinelLaundry Tray
Name
11.50
Floor Drain/Floor S,nk 2"
3„ 11.50
ailing A dress Suite
OCCU�ant is 4" 11.50
Phone 11.50
ityl,,tale Ph
ZIP Water Heater O conversion O likes kind
Gas i in requires a separate mechanical permit. 32.00
ame MFG Home New Water Service
Suite MFG Home New San/Storm Sewer
3200
Mailing Address 11.50
contractor g Hose Bibs
11.50
Phone Roof Drains
Priot to permit CltylS a e ZIP --- 11.50
issuance,a copy # Exp Date Drinking Fountain
15.00
of all licenses are Oregon Const.Cont.Board Llc. Other Fixtures(Specify)
required If Exp.Date
--
expired In COT Plumbing Lie.
database
- Name 38.00
Sewer-1 st 100' _
Architect --- 32,00
Melling Address Suite Sewer-each additional 100'
38.00
or
Water Service-1 at 100'
City/Slate 'ip Phone Water Service-each additional 200' 32.00
Engineer 38.00
Describe work to be done'
Storm&Raln Uraln-1st 100'
3200.
New O Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100' 32.00
Realdenllal O Commercial O Commercial Back Flow Prevention Devices
19.00
Additional description of work Residential Backflow Prevention Device' _ 11 50
_ Catch Basin
50.U0
Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested erlhr
Yes O No O Ins actions 4500
If yes,see back of form mRain Drain,single family dwelling to Indicate work performed by 11 50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps_' QUANTITY TOTAL
WORK COULD RESULT IN INCREASED SEWER FEES.
I hereby acknowledge Ihat I have read this application,that the inlormation Isometric or riser die ram is required M quardny Tdtal is >9 rr
given Is correct.that I am the owner or authorized agent of the owner,and 'SUBTOTAL
that plans submlttod are in compliance with Oregon State Laws.
Date 8% SURCHARGE
Signature of Own d
Contact Pero N - Phone **PLAN REVIEW 26°/s OF SUBTOTAL
Re ulred onl M lixture gly total Is>9 TOTAL
1 BATH HOUSE$178.00
2 BATH HOUSE$250.00
g BATH HOUSE$285.00 •Minimum permit lee Is$50+s%surcharge,except Residential BauNlow Prevention
(This fee irtciudes all plumbing fixtures In tho dwelling and tho flrs� Devicewhich Is$25+a%surcharge
100 feel of tannery sower storm sowor and wator service) -All New Commercial Buildings require plans with isometric or riser diagram and
plan review
PLEASE COMPLETE:
Fixture Type ^� _ _v_Q_uantity by Work Performed
New Moved Replaced RemovealCapped
Sink -- --_-- — --- - —
Lavatory_ _
Tub or Tub/Shower Combination
Shower Only _
Water Closet
_Urinal
Dishwasher
_Garbage Disposal
Laundry_ Room Tray
Washing Machine-
Floor Drain/Floor Sink 2"
Water Heater
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I%dg1gftrms%pWmepp dot I MOM
CITYOF TI^ARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES DATES UIED: 10/09/1199681
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S111BA-00105
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 14100 SW 97TH AVE r, -) ,t
SUBDIVISION: TIGARDV'LLE HEIGHTSFILE
BLOCK: LOT:028
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Final Building Inspection and Certificate of Occupancy
Approved 9/23/96 by Rick Bolen, Building Inspector
Owner:
Phone:
Contractor:
RONALD R. LAUTT
14140 SW 97TH AVE
TIGARD, OR 97224
Phone: 624-7955
Reg#:
This Certificate grants oLcupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued. j
BUILDING INSPECTOR BUILDIN OFFICIAL
POST IN CONSPICUOUS PLACE
I
June 30, 1994 i CITY OF TIGARD
OREGON
Ron Lautt
14100 SW 97th Ave
Tigard, OR 97224
ILLEGAL OCCUPANCY OF BUILDING -- 14100 SW 97th Ave.
It has come to our attention that the above referenced building is currently
occupied. We have no record of a final inspection or an occupancy permit being
issued for this address.
You are hereby notified to request a final inspection and obtain a certificate of
occupancy within ten days of the date of this letter. Failure to do so could result
in civil penalties, a notice of non-compliance filed against the property, and
eviction of the building occupants.
If you have any questions, please call me at 639-4171.
� 9
erree Gaynor
(Permit Specialist
jlg/noccrtif • 7 4 4(�
13125 SW Hall Blvd., 11gard, On 972?3 (503) 639-4171 TDD (503) 684-2772 -
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Rain Drain Cover/Service INA
Footing
Foundation Water Line Ceding
Post/Beam Mach, Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg.Top Out Insulation Post/Beam Struct. Mach. Rough-in Gyp. Bd.
San. Sewer Gas LineAppr/Sdwlk
Other: Q
Date: I- Z 3 �7 ( P.M. Entry:
OL
Address: — 7
Ste:___ MST:
Tenant:_. �- BUP:
Con/Own ._ _J..1# —_ MEC:
PLM:
7��S ELC: --
THE FOLLOWING CORRE TIONS ARE REQUIRED: ELR: --
Date:
PROVED DISAPPROVED/CALL FOR REINSP. CF CO
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Ream Struct. San. Sewer Framing �id
ost/Beam Mach. X Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. /
Date Requested._? ��/ / Times AM p!l
Address. � �[/U L'z / � (�� /Permit- t. 6
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
31
Cg
LAw
Inspector: Dates ,/�' _6��►�
_�i�"PROVED y OiSAPPROVEb APPROVED SURJErT TO ABOVE
l �� Call For Neinsp.
laTYOFTIGARD Ai TWIDMASTF(-t
c
CRY TM 7y= w . . • .
COMMUNITY DEVELOPMENT DEPARTMENT .,L. I I # . . . :
13125 BW NO Blvd. P.O.9a MV.T4W,Oregm pw p3)a*417s
'JA TE ISSUED: OL/15/91
1411C)O
()DI)RESS. 97TH riVE 00
ITC
'-;t.JBD f V I Ei I ON. 7 ON I NIG
. . . . . . . . . . .
BUILDING
lE I SEUE DWELL. I INJ( ON IT"o t i 'BA r.M F-*,;,,I T. . . 1.7:._7.7 a
::;LASS OF WORK. »NEW BEDRMSt4 SA"'-HS:4 GARAGE. . . . . . . . . . :576 5 f
YPE OF USE. . . SF FLOOR REQUIRED GFTSACK -- ---- ----
YPkn OF' CONST. :5N F'I kS r. 1766 Sf LEFT. 11 ft RIGHT. - 15 ft
)CCUPONCY GRP. :R5
SECOND. 1490 f f{0!,!1'. .-:-'0 f't REAR ,
r
5TORIES. . . . . . . :2 THIRD. . . :0 f
HE I GH I.. . . . . . . . »28 f t TOTAI-----.,-------.,7,276 s f 5111E DE't ECTORS. -Y
FLUCJ'? LOAD. . . -40 p s f VALUE::. . . . . $ 1 185309 PARKING SPACES. . :0
Rempwl-e,s - 1,10 CERTIFICATE,.: OF OCCUP(INCY UNTIL_ 11(161i-r HOME PE�MOVEV FROM 151TE'
P't-UMPING)
S.)I I N I . . . . . . .. . . . FLOOR DRAIN"., BPC!-1`L0W F1REVNTP7- . ,0
LAVATORIES. . . . . .6 WATER HEATER$. I T Rr.1ps. . . . . . . . . . . . . . ..0
T 1 J B/F'i H 0 W E R r4 LAUNDRY TRAY15. . . - 1 CATCH BASINS. . -,0
WATER CLOSETS. -4 SEWER LINE (ft ) . :0 GREASE "rRAPS. . . . . . . .0
DIBHWASHERS. . . : 1 WA7EP, LINE (ft ) . : I 1;ilO OTHF R F1 X TL.'Rig 5. . . tai
GORBAUE ulsp. . . tl RAIN DRAIN (ft ) . :0
WA.-"HI NG NIPCH. : 1 13F RAIN
-CHANICAL
FUEL UNIT HTRS. -0 t v 1:1 f, -Amo'_mt by dote
/GAS/S VENTS . . . . . :0 BPRT $ 648. 00 JLH 05/16/91
MAX INPUT:0 BTU VENT FANS. . -5 SPI-C $ +L.'I . J-,'O 1'l,.H 01-/Q%/1)j 0
PURN ( 10LAK - . :0 HOODS. B 5 P G $ 3L 40 JLH 1215/ 16/91
T---(JRN ) -100K WOC)DSTOVIES. :0 MPRT $ 48f Oka JLH 01,-5/ 1 O 14 1
CLO DRYERS. MPL.0 $ 12- 00 JLH OS/IE-/C41
(,WHIR UIQ IT'S i I M15r,c f 40 JLIA OW
5/ 1,0., t. 1
OAS OUILETS: 1 PPRT $ 50 JLH 05116/91
Ow n p t- r.
10- 36 II 0--j/ I C.
RONAL.D R LAUT'r,
141.140 SW 971-H
T] 6PRI) OR 97224
Phor)P 01 6,-'.-`4--7c)515
RONALD R
143.40 SW 97TH AVE
T11.10RD Op
Ring 0. . .. �,7965
1 16 1 88 TO ViL
This pot-sit 15 imed sqbje,4 to the rm;lations contained in the FEQUIRED 1N�.;r-,EC7IONp;
%va-d Kunicinal Code, State of Ore. Sjoenaltk Codes and all other Foot/f r1I,Incl Tnisp f, tt„ppletcp lns;cl
&Wi:ablf IaWt- 1;il 161t`4 "111 01 We It 111CM-00MCt K1tn 60 VOW POSt /11PArm i)t`1A( t L?�nu tm—ine in%p
allans. This pervit will moire if wor6 is not started within 1611 F'-Inst/ppam MeL�mmrl IntAuloltior tnr. !
days of Issuance, or if work it Sufic- for we tha,,, 188 dayl. Plm/undsiab Insp Gyp EAoLAr�cj jnt;p
PL.PC/1.1m cl e�-f 1,o o r F,-Air dt""'Ain
t L u"I Jeo V�l Vq-
"A r 0 r I, )Ti f,' i T y 4a p
PA'-trlil (ctp Uut qppv/,."-;(jwIk L 0---
WISP M t s"n
CAII f'0t ir1 t:tc�c^tzcarI 6,1,9-41'7'
SEWER CONNECTION
PERMIT
CITY OF T I GA RD WYOFTM :IERMIT #. . . . . . . .. SWR91-171090
COMMUNITY DEVELOPMENT DEPARTMENT 0210"
13126 BW HWIBIVCL P.O.Box 23397,TW,Oregon vi (503)6304175 T DATE ISSUELD: 05/16/91
.1441 &0 _7
I TE AUDRESS. 97TH NVE
I V I S I ON. ZONING.
'-'%LOCK. . . . . . . . . . .. LOT. . . . . . . . .
NAME. . . . .
JSA NO. . . . . . . . . . :43647 FIXTURE UNITS. . . -
("LASS CJF W01-iK. :NEW DWELL I 114G UN I 1-!:=- - : I
rYV,E OF USE. . . :SF NO. OF BUILDINGS.- 1
.1 NSTPLL. TYPE. . . . :BLISWR IMP RV
PemcAr,ks
Jv,iner. FEES
i"MNALD R LAU","'T t,,voe a 1110 I.A-,,t, t.3 v d e-A t e
1.4140 SW 97TH PVE PRMT $ 1500. 00 JLH 05/16/91
INSP $ 35. 00 JLH 05/16/91
TIGARD OR 97;:,":214
624-7955
GON I RAC 10 R 31 ON FILE
s t53 5. 00 TOTAL.
REQUIPED I NSPECTIONS
!his Applicant agrees to cosply with all the rules and regulations hewer Tritpection
,if the Unified Sewage igency- The pek-eit expires 1.21 days from
,he date issued. The Ictal asount paid will be forfeited if the
ovait expires. The Agency dolt not guarantee the accuracy of the
side sewer latvt•als. if the sewer is not located at the vessuresent ------
qjven, the installer shall rrospect 3 feet in all directions frOw
the distance given. If not so located, the installer shall pur&ast
a "Tap and Sipe Sevier" parent and the Oarncy will instal d laterai,
Fir
, ,� -
In i t;t 4,5,
r.:.tj I fpr' jt,sDec:t ion 639-41.75;
r 13125 SWIfall Blvd. PLNCK/RECT #
�IrIT OF T TV L 1�Y Box 23397 PERMIT #
-OMMUNI'IY DEVELOPMENT DEI'ARTME'N'I 7igarQOrcgo�97213
(503)639-4171 DATE ISSUED
U
)B ADDRESS: l '�'7 V s. G(�. ' At L� , TAX MAP/LOT15/-11
;LjB: _ LOT: ___ LAND USE:
VALUATION:�/9-5h3 T _ _
NER / l SPECIAL NOTES
'SME: _ 1'('N'rI L`' C�, ���ti".�1' i �,.�1�G1 'f REISSUE OF:
DRESS: / '`� �'� -7 � �j. �' / VZC, LAST REISSUE:
FLOOD PLAIN/
PHONE: �� �/ " 7 SENSITIVE LAND: j
(A)NTRACTOR APPROVALS REQUIRED
NAME: jZUMA-N f' PLANNING:
ODRESS: ��/ ���/_ �h `t. ENGINEERING: _ _-
7 ': FIFE DEPT:
PHONE: .;7 `� ��;�J J _ OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMS: U�� '.' ' �. LIST/SUBCONTRACTORS: _
MECH• BUS TAX: .
A CCH ENGINFE CALCULATIONS: _
NAME: _ TRUSS DETAILS:
ADDRESS: _ OTHEk:
PHONE:
PROPOSED BLDG. USE: -
COMMENTS:
APPLICANT SIGNATURE
Received By: % Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT' PD. BAL. DUE
i
s /-aw 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Feeso?, Su
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) !br
Building 1. u
Plumbing /c,,3,Y -�
lechanical
10-433 00 Plans Check Fee ��1 j, z O 33 3,
Building
Plumbing _
Mechanical
10-230 06 Fire
SwRy/ � Ve 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
. ,r
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TI; Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Gev Chrg
(SSDC)
24-445-01 Water Quality (Fep in lieu of)
24-445-02. Water Quantity (Fee in lieu of)
TOTAL
i
nm/35R7P.WP1- F-6 ^v r /�f'j'� y
PERFOR. ANCE ASSURANCE A'3REEMENT
Re; 14180 SW 97th Ave WCTM 2S1� 1BA Tax Lot 1.01
I , Ronald Lautt , do hereby agree that the existing
Mobile Home located on the above referenced properted approval
all Le
completely removed from the site, prior to being g
to occupy the new single family dwelling, constructed under
Building Permit #MST91.-0081 . The Mobile Home shall be removed from
the site, to an approved location.
Failure to comply will constitute a violation of Tigard Municipal
Code 18 .44 .030 .
Date
Owner
`�l Date j `1 " - --- 1
Nbtary
M� Commission Expires
4