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15241 SW 98TH AVENUE n i i I I i 1 mIN sir IN, W rta m � sr 111111111 CITY F Tf A� CEFIOCCUPARNC A6 tICCURY COMMUNITY DEVELOPMENT D4WT WYOFT '�� �'cRMI r #. . . . , . , e M8T90—Q191 13126 SWF4tlIBlvd. P.O.Box 2.3397,TIgard,Orpon97223(SM)639-4176 Uf1TE" ISSUED: 12/14/9 SITE ADDRESS. . . : 15241 SW 98TH AVE PARC EL s 2S 1 '11CA-10"500 SUBDIVISION. . . . s TAMI PARK ZONIN©s BL.00K. . . . . . . . . . a LOT. . . . . . . . . . . . . t1c - -- CLASS OF WORK. sNEW -------____.._W__,__. - TYPE OF USE. . . s SF OCCUPANCY ORP. sR3 OCC'UPANC" LOAD t 220 4 TENANT NAME. . . s Remarkss Owners JACK BRISTOL BRISTOL HOMEF- P O BOX 84 WEST L I NN OR 97068 Phone #s 503-638••-6640 Contractors _�.__.__ ....__..__. _...�...._.._.___ RUMBOLD HEATING & AIR COND 11105 S BEAVER CREEK RD OREGON CITY OR 970B45 Phone #t Reg #. . e 1476 Occupancy of the above r-ef ar• enr_,ed building is hereby given, avid certifies the compliance with the State Of Oregon Specialty Codes for the group, occupanr.y, and use under which the referenced permit was issued. FIRE DEPARTMENT BUILDING INSPECT R l ot.4e _ ILDINGr OFFICIAL � - POST IN CONSPICUOUS PLACE INSPECTION NOTICE r City of Tigard building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 ) .% V-4171 r Inapecti�:r Line e::-O-Phone): 639-4175 Business Phone: 1 Inspection: �� Footing Plbg. Underslab loch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requested: 1-2, - 1 �` 7 A __ Time: 1­_­AH G PH Addreeo: I `�� � 'f — Permit f: Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: Incl-ector: �— ------..�._` _.� Date: `J-T—Td^� APPROVED DISAPPROVED APPROVED gUBJECP TO ABOVE _^U71I For Reinsp. �WFXWLIFJ ! !!! INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection l �� ��(/L'C tTS�G7 uS27 Date Req,iested Z Ti ��q.M._rnrrP.M. Address �5-"- ' l3u Permit #9otIII Owner Lot # BuilderThe following Building Code deficiencies are required to be corrected: Presented to �✓ �L -- Approved Inspector �� ? f ��I U Disapproved Date CALL FOR REINSPECTION YES I_?J INSPIC','ION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone::: 639-4175 Type of Inspection —���� � ..� — 41 Z,11y — Date Requested 'Lr �Q ime_.�5�.,, A.M. ----P.M. Address % G�l --�—_ Permit Owner__ -- Lot #_----_--.__�_______ BuilderThe fallowing Building Code deficiencies are requires' to be corrected: Prc ented to _�. ^Approved Inspectur ❑ Disapwoved Date _ CALL 1WR(REINSPECTION DYE= ONO INSPECTION NOTICE City of TOTa-,; Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time . A.M._ P.M. Addrrss ����_ �so. &.A. Permit Owner _ _ Lot Builder The following Building Code deficiencies are required to be corrected: Presente ' to _. 4-Approved Inspector _ U Disapproved Date — �T CLL FOR REINSPECTION 0 YES ONO INSPECTION NOTICE City of Tigard Building Department P.O. Box Tigard, Oregon on 97 97223 Phone: 639-4175 Type of Inspection -- Daze Requested Time A.M. P.M. TN Address _ !� `��_�� Permit #� _ /��� Owner ------ _ Lo' ---- Builder ----- ---------- — —The following Building Code deficiencies are required to be corrected: esented to _ _ _ ---__- _ -- tZPApproved Inspector _ / Disapproved Date CALL FOR REINSPECTION YES 0 140 Xw OF INSPECT ION NOTICE City of Tigard Buildino Department P.O. Box 23,197 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- Date requested_0__ ��Qr►U Time A.M. P.M. Address __�/�s2--- Permit Owner Lot # ---_ Builder - _— The following Building Code deficiencies are required to be corrected: ------------- i Presented to _— pproY�d Inspector olre proved Date CALL FOR REINSPECTION L] YES 1=1 NO ,l INSPECTION NOTICE. City of Tigard Buiiding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 63Q-4175 Type of Inspection Date Requested--2-- 7 Time ____ A.M.----P.M. Adrl(,;r, Owner Lot #.. Builder-'IG _ —_----- _ The following Euilding Code defi,-iencies are requireri t—oybbe�corrected: I Presented to /\jlpt(lverl Inspector J Disapproved 7 Date _ ,/// � �V CALL FOR REINSPECTION ❑ YEss ❑ NO IWEECTICN NOTICE '--- City of Tigard Building Department P.O Box 'e3397 Tigard. Ooegt.,n 97223 Phone: 619-4175 Type of Inspection Date Requested r)- �/ `�U _. Time A.M..___ P.M. Address l J' �l f `4A— Permit #l Owner __-- _— lot Rudder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Dlsapproved Date ----� -� CALL FOR REINSPECTION 0 YE! ❑ NO INSPECTION NOTICE / ✓!' � City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Typq of Inspection 2�� 1` C �—�--rT��Z -�.. Da re Requested S�Gt Time_Xy'q,M, P.M. Address 1�.� Gid/ �_'«` Permit Owner Lot # Builder The following Building Code deficierries are required to be corrected: c Presented to ❑ Approved Inspector i- �� <f diapprovsd Date �!—„� CALL FOR REINSPECTION PKYEd ❑ NO R P L CITYOF T'FARD .:R N I T CITYOFIMW M 3T 9 0 0 19'1. COMIAUNFTY DEVELOPMENT DEPARTMENT OR 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 972M(SM)M4176 w7 1 A E' I U E D 06/18/20 SITE ()DI)RESS. . 15241 SW 96TH 3 TON1 1::'f)RV' Z 0 Iq 111G BLOCK. . .. . . . . . . . .I L-(:)*T*., . 1. . .1 . .......... BUII D 11113 ........... R E 1236 1 J E' DWE'.1 !_IMG UNITE): I DASEMEN'T... . . . . . . . .0 sf -i:: - s f ('I-PSS OF WORK. NEW D I,-1)R M 13 r4 T I 15):13 U()R A G 4 6 2 'T'YPE U F U S U.. . . FLOOR R EQ 131 R E 1) ET B A C.',K S------ -91.3 sf L.1:F T. 0 ft R 1 5 f.1. Yr.,E 0 F* C 0 N ST. T'i N F*I R ST. . . OCL,Ur-`()NL'Y GRF". R3 E)E.('0 N D. . . »'/134 sf FRO N'T . ^2•'H f't RL(W. - --30 't s i,o R.'i,F;a. . . TI-11RD. . -,0 ¢>f PEE u J T R'F D- 11E 1 G H7.. . . . . . .. . 20 ft T 010 L » 1F:,91 sf 13MOKE DETEC,rc)I s. :Y F1.00F, LO('il). . 40 1)fi f V f)L U E. . . . . /8834 1-4)R K I H", SPA(:EG. . '.0 R e in ar P.s PLU11DING - NTR`) --0 61 11 K'5. . . . . . . 0(.')R DROING. 0 ►`.l()C K FL.0 W F'R E LV L()V n'T 0 R I E':). . . . . »3 WATER HEATERS. : 1 . . . . . . . . . .. . . . ..0 '(JJ J..(/S Hf.)W J..7 R>.) TR(Iys. . . .0 0 3 E 3RU -0 .tOTER ULOSETf-.). G -:WER L.T.NE (ft) - --0 C -)SE TRAPS- - -, - - - - - ')lSHW(-)Sl-4k:.RS. . W AT I..-.R L.1:111-:: (f t;'I. . -. 1.(313 OTI:I-.---'R F-JXTURES, 0 ji�)RHAOE DIST'. . . c :1 R(-)J111 DRAIN (-ft) -.0 J(4".)H 3.H G 110 C,1-4. - - » 1 SF R(UN MEXI-IFINIC(fl.. FEES UEL. UNIT HTR). . .0 t,y I)f3 'A in o(t 1-1 by %J,%te re 1.)t 'CTAS/ VENTS . . . . . .0 PAYM $ 100. 00 JLAA (35/29/90 201106 !,10X THPUT-.0 v M VENT F*ANI3.. -.4 D P R T 370. 00 U R N .1 P)(d K HOODS. - J. ri r'L-C,. q, 240. 50 URN )=!I 001", -0 B5PC $ t6. 50 LUUR FURN. . . . :0 1,1-0 DRYERS). c 1 )TDC $ 6001. 00 M-jr,:O 9THE"R WAITS::0 135D(. # 250. 00 G05 OUTLETS: I PORK 4, 21.'50.. 00 MPRT $ 3'i).00 IAC,K DR151OL ITIFIL.0 $ 9. 75 )JR11".)TOL. 1-4011E.A5 1151"T $ 1. 95 1�1 U BOX 84 FIFIRT $ 1":12. 15)0 1,T917 LJINN %'J"rZ 970(`,8 1,51-'(; 4; (,. 6:3 POYII 1, 1818. 83 P-1-1 06/1.7/90 iWMI(OLD HL,WTINU & AIR COND 1(7J0 1.', 41. PF()VFT%' (.J0::VK RD C)Rr'130N 1Y OR 97045 1.918. 83 .1'0 1 OL. ,his permit is issued subject to the regulations contained in the RE0LJTr**,i) 1N 5 PC'U111 U N G Tigard Municipal Code, State of Ore. Specialty %lodes and all other Fiat/found Irisp mecl-lallical 11-1sp appl1c,ble laws. All, worl,' will be done in accordance with approved W(;-r P-rciofiiiq E(sm Pltinib t0c) Ot-it olins. this permit will expire it work is not started within W VIC)st/Beiam IvIsp Fvaniiiiq li-isl;) Crawl D,raiii Firel;)',lace Iiisp days of issuance, or if work. is suspended for more than 189 days. U P%m' t 5310 b Gas Liiiv 1iisl.) 111i t t c !>i l:t aA;1.t I'll ni/ttlit'le-f-S 1-41.) ire 111%111 a t j.(:)I-) 11-1 1r,P P1.11/1.1rider f 1.(:)cj r GyP Poard Iiisp Issi.ted By Fi.vq Draiv) Eisnilt - i.,•1 1"1s P 1 fur itspec:tian 7r,', iii,KNEW w XW GENER CUNNEC-HON ITYF TIGARD (C1W7Y0FTWMAAR ItD SWR90-020C, COMMUNFTY DEVELOPMENT DEPARTMENT 11126 SW Hall Blvd. P.O.Box 23397,Tigard,O"mpn 97223,TTII"l 1 76 DATE LaS'UED.- 0G,"AA/90 1I I I C k J.0',*.-)0 0 31–TE. ODDNL615. . . . IF.`ji�41 "iw 96TA-1 AVE.OVE '-WHDIVISTON. . . . . Ti-VIT V1(,)RK ZGHTNG. 11 L 0 C K. . . . . . . . . . ... L O'T. . 12 U� SO h10. . . . . . . . . . .416- 16 F--:1XTURE L)WIl'S. . . 1,L. 0F' W 0 R V. E W I)WELL11,10 LJNTJG- -. 1 NO. C :* EIL)ILDINGS: 1 OF:* NU13WR Tlll-,'ERV S1JF;1­(4CE--- ............ 10 C I DR,1:5 1'0 L t,y 1)e i.A M C.,t.1)-I t 1)y date 'r c-c: BRJ- 10L HOMES V,R 117* $ 1250. 00 P C) BOX 84 1 N 131-1 $ 35,11.30 WE"31' LINIA OR 97068 r-1(-)YVl 9 ;1,285. 041 31+1 106/1'//90 If;: 503 638-66,40 COH'TRAC.;101 IqO*T ON J.P.85. 0 0 OJ(I L REOUIRLD INSFIEC'1'lOW3 This Applicant agrees to comply with all the rules and regulations Sewer Tnsg)e(.,tj.c)ri ...... of the Unified Sewage Agency. The permit expires 120 days from .......... the date issued. The total amount paid will be forfeited if the „_,._. _._,,,._.,,_,._,•„_,.__,,._,__,_.,,.. ........ permit excires. The Agency dries not quarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the ,nstaller shall prospect 3 feet in all directions frop ,:he distance given. It not so located, the instiller shall purchase "rao and Side Sewer” Permit and the Agency will install I lateral. is t F�P S j. iA t t.t 1". ....�,,._.�......� _.._._,.r..................... S d 1)y 141 U P ------—.1-1....... ................... .......... C;jx I J. fc),r iiisj-.)vvtiaii 639-4175 WINES CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s9O-201741 CHECK :"1(I . Fj:�" ll,',ME x 1:4r`�15701- HOME:T CASH AMOUl'IT D rj R E:.;'-, i PO 90X 04 PAYMENT DATE 06/ tEt/W.) SUDDIV11.31ON OR C?7(168.-r 15241. SW ",181'H ST POPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF FAYMENT AMOUNT PAID ISUILDINO PERM MST90-0191 370,00 FLUMBING PERM 132.5'.� MECHmNICAL PE39. 4)0 ST . BUILD r.,Fp 27.00 PLAN CHECK FE 150. 25 SEWER USA SWP90-O2106 ,1)0 SEWER INSPECI 7r). (."() STREET SVC 600.Of) PARFS SDC 250. f-0 STORM DRAIN 5DC 250. 00 LOT 11' roTAL AMOUNT PAID CIT"YOFTIGARD3125.S t23 97 PLAN C��iI m APPLICATION r.o.eox 233v7 PLAN CiI�C n°°`°Oregon( 3)639-41771�� PERrT I M 5 COMMUNITY DEVELOPMENT DEPARTMENT C Q DATE ISSUED :TOB ADDRESS: 1 S 1'I I S 8 TAX MAP/LOT 2 S/- SUB: c C--f, U7C: LAND USE: VAI=CN: 7S'sff-3v (wNE11 SPDGIAL NOTES NAME: REISSUE OF: _ ADCC ESS: _ LAST REISSUE: +� :iDOD PLAIN/ SEN1°I'IVE LAPID: _ PRONE: — AP1PI,S I2DQULRED (21U ?ACIOR : AI )RES'S: _LU X30 K R`( w 8 z oG,8 FII2E DEQT a1HER: — PIJONE: ( 3 6- („ L -10 S 3L L O S IZM RI.3D�JIIt BLTIIDERS BOARD #: _�9 7 E cr DATE: _- `777" /L' BUS TAX: EIdG CADCLILATICKS: NAME: 74 ti_.,,� J'o-�T� TR= DETAILS: ADDRESS: _IL =i� ,'Z o`+ t/ "CG.�.�rtr• y1n cam_ OTHER: / PHONE: PTI)MB: :. , r_1 �Q o 9VMBCH: PE141UT I AOCI' f DESCRIPTION ArDCNr ANDU1r PD. BAL. DUE yu - ill 10-432 00 f i u lding F'K� t Fees -_ 1(1.431 00 Plumbing Permit Fees r., 3.�• Sz 1.0-431 Ol MedWlical Permit Fees 3.0-230 01 State Buildincl Tax (5%) C Building e Plumbinla 7.C `c Medi ME 10-433 00 Plans Cbedc F L 0• --SGL 4• �. Building .1 1/0 .571 ✓� PMirq ech S;U .• ?D(c 30-202 00 Sewer CMneCtian 30-444 00 Sewer Inspection 51-448 00 Street SYstem Dev Charge (SDC) T ti 52-449 00 Parr System Dev Charge (PDC) ����-u S u 31-450 00 Storm Drainage Syst Dev dug (SSDC) ..2_v .�U 10-230 06 Fire 'DOTAL MCMI URF. Received By: --- Date Rfeoeived: i _J • ��G of/3587P,W i I CITY Or TIC7af:!? -- PE:Ck-AF'7 OF F's'AYMEtJ7" F;FC;EIi='T NO. 2100-2U11C:)c, CFiEt.'K f-' MOUNT t 100. 00 NAMES a 1-jr-,'l ST01.. HOMES CGAbH AMOUNT t O.oo ADDF+F.5Ci . PO BOX 84 PAYMENT DiJI: O`.".ii 29/,0 I tiU1+1:)Il%IcaI.GPJ t WEIST L I NN, Ok- 97065-- I•"i4/t J SW 9GTN F'I_1F'F'l:)`E OF t~O MEET AMOUNT Poll) PURPOSE OF PAYMENT AMOUNT F''AIF FFatJ L':HF:i_.F FF. "5-68P -._ _. 110.(30 .�.,._._.._..,._.........__._...,__.._.._.......-.�..._. ...__....,__._._....w..___ I I 1 1 TOTAL_ AMOUNT PAID � � - 1E�CJ. (16 GRADINGIER ZSION CONTROL INFORMATION GENERAL.CONTRACTOR NAME&ADDRESS: CASEFILE NO.: �_ _ [..�trw•.•�-- - PERMIT NO.: _ ' _ ------ ` APPLICANTNAME AND ADDRESS: EXCAVATION CONTRACTOR - NAME& ADDRESS: -- -- p r3 6_41.%-4 OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: APPLICANT: 6, 3 S PROPERTY DESCRIPTION: OWNER; ! 3 S- Co G v STREET ADDRESS AND CROSS S-LPEET(L.00ATED GENERAL..CONTRACTOR: L- 3 FQ `r(3 1 S 2.K EXCAVATION CONTRACTOR: 6- 3 Fr- C- Ly a _ SITE/JOB: _ — LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: l 7. T c:,, ..;.. P&--h- _ _ CONTI'ACT'PERSON,TITLE,TELEPHONE: 1/4 SECTION: _ -_ 6LE, 3 b'- Gv�o_ SITE SIZE,ACRES� -- DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCL.E ONE) (NOTE:PFRMFTS MAY RE REQUIRED) CATCH-BASIN DITCH PIPE CREEK (CIRCLE ONE) PRIVATE PROPERTY PUBLIC RIGHT OF WAY -ROSION/SEDIMENTATI N CON'T'ROL (ESO MEAILRU MINIMI IM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DI(RING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACIL.IT1r;, CONSTRUCTION SEQUENCE OTHER___--___ OTT IER F'LAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH-TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,IIAS PLAN CONSTRUCTION NOTES COMPLETE INCLUDING EMERGENCY PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WTi'II THE ABOVE AND WILL CONSTRUCT'AND MAINTAIN FSC MEASURES AS NECESSARY TO CONTAIN SEDIMENT'ON THF.CONSTRUCTION SITE. --- OWNER SIGNATi1RF - APPLICANT SIGNATURE • • • • • • • • • • 4, • • • • • • • • • • • • • • • • • • • • • O • • •.i• • • • • • • • • • • • • • • • • • • • • • • • • • • • • OFFICIAL USE ONLY. RECEIPT DATE ACCEPTED FEE NUMBER RECEIVED BY