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11020 SW 111TH PLACE ADDRESS; 1p Ill? fl�jkc- E J W W W J i:lrecords%t nicro(Im\largelsV)uilding.doc CITY OF TIGARD COMMUNITY DEVELOPMENT 7EPA7TMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.81og (503)839-4171 PLUMBING PERMIT R'f'RMIT #. . « « . . . : PLM95 0064 639-4171 DATE: ISSUED: 04/112/9: PARCEL: 17,1341)D-05000 ITC ADDRESS. . . : 11+212"'e' SW 111TH P1_ UHDIVI jION. . . . : JEFFREY ESTATES ZONING.;: R-4. 5 PD LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 CLASS` OF_..WORK. . :ADD :�ARE3ACaf" DISPOSALS. . : MOBILE (-HOME SPACES. TYPES OF USE. . . . :SF WASHING MACH. . . . . . . : :BACKFLOW PREVNTRS. : 1 C1CCUPANCY CiRP. . :r3 FLOOR DRAINS. . . . . . . . TRAP`S. . . . . . . . . . . . . . . STORIES. . . .. . . . . s WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . : FIXTURES-- -- ____._._..__.._ LAUNDRY TRAYS. . . . . . : SIS PAIN DRAINS. . . . . : SINKS. . . . . ., . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER F-IXTURES. . . . . : TUB/SHOWERS. . . . SEWER LINE (ft) . . . . s IATEwR CLOSETS. . : WATER LINE (ft ) . . . . : I_lI5HWASHERS. . . . s RAIN DRAIN (ft ) . . . . : emir^ks : IN;STAI...L_ RE'SIDENTIA1_. BACI-Irl-OW DEVICE.. FEES �USTAVO YUSLM type ,amoi-int by dot;e r^eclat 1.020 SW 111TH PLACE: PRMT 15. 00 SW 04/10/95 .._ sr-cl 171. 75 SW 1214/10/97, HOARD OR 97-22'3 `.one! #: ontr"actor: OWNER h(In t_ ##: I'S. 7S TOTAL 0� #. . : 000+00 ----- - REQUIRFD INSPEC'T'IONS perait is issued subject to the regu"ations contained in the F P/Backflow F'r-ev Tigard Municipal Code, State of Ore, Specialty Codes and all other F'i n 71 I n speec:t i.on applicable laws. All work will be done in accordance with approved plans. This pet-pit will expire if work is not started t- Aithin 190 days of issuance, or if work is suspended for more `n than 190 days. m. es, ri.tlnaF y w all for- inspection - 639-4175 CITY OF T I GARD -• F?LCF- I PT (IFF PA'Y"MFNT l PT NC:. :95---26:3137i:, 11; ijl AMOUNT 15.). /5 NAML : Y1.1SEM, GU 3TAVC1 J. 013H AMOUNT s 0. 00 ADDRESS a 11020 SW 111TH F11_ PAYMI-NT DATE.* : 04 10/95 TiGARD, OR SI.JSDIVI5T.nN t 97PP ti... a !JRPCISE OF: n'aYMF_NT AMCIUNI RA I D PI.IRMSF: OF PAYMENT- AMOUNT FSA I D fY ..............._..----_--- Ln t_I.IMNINfi F-FRM Pl, M'3", -0064 15. 00 ST. BUILD PFR 0. 75 } J CC L. C.7 LLl J INSTALL SACf< PLOW DEVICE TOI AL AMOUNT F'A I D 15. 75 City of Tigard PLUMBING PERMIT APPLICATION Planck/R-c. # 13125 5W Hall Blvd. Permit # pq!j 15--oncjq Tigard OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE wm••r o..• Mr I New SinflleFamily Residences Only AAt- 1 C 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job to ❑ 3 BATH HOUSE$225.00 Address c.rrsr.s. oro- Fee includes all plumbing fixtures in the dwelling and the first 100 feet i (,-IN(,-INr_0 Ct 26 _3 of water service, sanitary sewer and stomn sewer. See fees below. N.m.(Of-W B.-I FIXTURES QTY PRICE AMT 6US1_AVV J'SC;H 613 -•3-1(o:f Sink 9.00 M.i�u Ad&M. l IPh- Lavatory 9.00 Owner ��E) 1 ` 1 tk I?U Tub or Tub/Shower Comb. 9.00 Cmre M.. Z4 Shower Only 9.00 Water Closet 9.00 N.m.,«••m•.rw..•••I Dishwasher 9.00 Garbage Disposal 9.00 Occupant M Add..• ph- Washing Machine 9.00 Floor Drain 9.00 cMrsrn. tb Water Heater 9.00 Laundry Room Tray 9.00 +•m• Urinal 9.00 Other Fixtures (Specify) 9.01 M..,a Ads... Ph" 9.00 Contractor 9.00 carrrsr„. za 9.00 Sewer 1st 100' 30.00 Ory 13- T., Sewer-ea. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Wat(,r Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of -- 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 Contrac°or's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please --- give reason below.) Mobile Home Space 25.00 Back Flew Prevention Device or Anti-Pollution Device 9.00 sa••••I.. •o••n •• Any Trap or Waste Not Connected to a Fixture 900 Describe work new Q addition O alteration (D repair Q Catch Basin Q Oo to be done residential C non-residential O Insp. of Exist. Plumbing 40.00/hr Specially Req,iestr d Inspections 40 00/hr Existing use of Rain Drain, single family dwelling 30.00 building or property Residential backflow prevention devices 15 00 Proposed use of building or property '(Except n!sldentlal backflow -I prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL COMMENCED f TOTAL t s• Special Conditions - Date issued l U by `Y CITY OF TIGARb-nuILD1 G INSPE�ION NOTICE Inspection Line (Rec-O-Phone)-635-4175 Business Phone: 539-4171 Inspection:_ i 'F--( o- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. fop Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Meeh. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested. �� '��IJP r: _Time: AM --PM Address: U C.i Z U �1—'—� FZ17,e—c Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: zz_ � - J D 7 J Inspector_/ Date:_ APPROVED DISAPPROVED '>: APPROVED SUBJECT TO ABOVE _Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Orr_•gon 97223 Inspect+.un Line (Rec-•u-Phone): 639-4175 Busineda Phone: 639-4111 Inspection: ^,_ Footing Plbg. Underalab cK. Ro�Zn Appr/Sdwlk Found. Plbg. Top chit —CaerLLLne FIc::';.: Post/Ream Struct. San. Sewer Framing B11g. Post/Beam Neel. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Li a ryp. Bd. -Hoch. (7 Date - Date, Requestedt_/� / 1 Times - T AN PM Address �/ Peyrt Builders THE rOLLOOKiNG CORRECTIONS ARE REQUIREDs i APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE `Call For Reinsp. 1 INSPFCTION NOTICE City of Tigard Building Department 13125 SY Hall Blvd. Tigard, Oregon 97223 `- Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 619-41.71 Inspection:___ --- Footing —Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk Found. Plbg. Top Out .:as Line �/1H7�T1 —�� Pont/Beam Struckx San. Sews+r framing g. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line �j Gyp. Rd. ��lfich. �,� Date Requested: &A 3 / Time: - AM PM Mdresa: d /Z/ �' r Perm [it �: L Builder: �� 2/ Z_ THE FOLL(M103 OORRECTIONS ARE REQUIRED: eQ r r1 CIO r LLI J � a Inspector: t 1,�' 1A' Data: APPROVED /�DISAPPROVED APPROVED SUBJECT TO ABOVE 1 ' Call For Reinsp. INSPECTION NORICE llty of Tigard Buildial Depurtmont I.j125 BBQ Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phune): 639-4175 Business Phone: 639-•4171 Inspection: Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwl.k Pound. Plbg. Top Out Cas Line Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulationumb.? Plbg. Underfloor Hater Linu Gyp. Bd. -Hoch. Mate Regveatedt � Time: AN _ c PH Address: jG2,2U 1 l �� L-e Permit #: Builder: V-7 THE FOLLOVIIIG CORRECTIONS ARE REQUIRED- Inspector:_ /ZL Date ,X i PROD DISAPPROVED APPRWRD SUBJECT TO ABOVE Call For Reinnp. INSPECTION NOTICE Clty of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phcne): 639-4175 Business Phone- 639•-4171 Inspection---_ — Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk> Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing --Bldg. Poet/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: ��11 /L)1f�— —'dime: C� PH Address: ' c PMS -e-c, Permit Builder: THR 10LL40WING CORRECTIONS ARE REQUIRED: Alp Inspector s -` _ Date:- — 7^ T APPROVED DISAPPROVRD APPRO1lSD-SVB.TIRM TO A --Call For Reinsp. "'-- r�INSPECTION NOTICE � I City of Tigard Building Department l/ 13125 M hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rec•-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__-_.._________ --- -� -------- Footing Plby. Cnderalah Mech. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINAL- Poet/Beara Stn:ct.4 San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line ' 3 / -Much. Date Requested:- Timet AM PM Address: //.0 �f�0 I ry (/t""r•�e Permit #:r� / - Oc V Builder:, & 9 C - 9 J THE POLL::.INO CORRECTIONS ARE REQUIRED: uA-s ,r-Q - f S - T-�N o V"�-e-✓1 � ` r �.'(1 �q�--Ir �� --�S _G 5 ( iws 4- CV Inspector: _ �' Data: .4 APPROVED _ DISAPPROVED �' APPROVED SUBJRr'T TO ABOVE Cr)1 For Reinap. INSPECTION NOTICE_ City of Tigard Building Department; 13125 SW Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Ree-o-Phone): 639-4175 Businena Phone: 639-4171 Inspection: Footing Plbg. Underslab Hoch. Rough-iii P_1pr/Sdwlk. Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Qan. Sawsyp' Framing Bldg. Poet/Beam Hoch. Ra ra 1L/) Insulation -Plumb. Plbg. UnderfloorWater Lislis� > Gyp. Bd. --Hoch. Dat.o Requested: / 3!� Cj V Time, hM , N Address: l//DOLOp/ /f! "7 Permit Builder: THE VOLLONING OORRBCPIONS APX REQUIRBDs _ J Date a_ APPROVF.n DISAPPROVED APPROVEn SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Ti43ard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone3 639-4171 Inspection: Footing Plbg. Und..relab Hech. Rough-in Appr/Sdwlk Found. Plbg. Trip Out Gas Line FINAL: Post/Beam strur_t. San. Sever amin Q. -Bldg. Poet/Beam Hoch. Rain Drain u`ation' wzv4c -Plumb. P)bg. Underfloor Water Line (�( Gyp. Bd -Hoch. Date Requested: � 7 / // Times Addrose: / Permit #s Builder: TBE FOLLOWING CORRECTIONS ARE REQUIRED: 6z cZ lnn � � J„v� GST--P � ��'✓' � .err S r.,- iL ` tic.2_1_11 �~S _ �,'UV�/\--•Oy---�_ per/\� � 2�,�? tr � G�/'s'`.Q-s Inspector: '�-_ .�. Date: 0 - q4 "PROM 0I8APPROM _J, APPROVED SUB.TRCT TO AROVS Call For Reinsp. C- 1NSPECfION NOTICE City of Tigard Building Department 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• _ Footing Plbg. Underslab Mech. R.:uyi,- in Appr; dwlk Found. �Itq. Top Gas LLne FINAL- Post/Beam Struct. San. Sewer Freming -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mach. Date Requestedtl Times _ AM PTt Add r e s e:,�//O —1- & l� r n V ( _ P`e�rmsiJt_�-0tLy,. Builder: THE FOLLOWING CaRRECTIQNS A" REQUIRED: Inspector:_ w Dates APPROVED —, DISAPPROVED —, APPROVED SUBJECT TO ABOVE V Call Fur Reinep. INSPECTION NOTICE Cit} of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busin000 Phone: 639-4171 Inspection:_____ --- Footing __Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. �osi/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: —Time: AM PM Addreee:�L�) 1 )� ( I Peewit is—L_I Buil.der:— , L S / I , -- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: `-� "' '-�-- Date:_�_�� ✓ APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE .--- -call fnr RPinnp. INSPECTION NOTICE City of Tigard Building Department 13125 ON Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Baum Mech. Rain Drain Insulation -Plumb. gibq. Underfloor# Water Linef/ Gyp. Bd. -Hoch. Date Requented s_ 1 Time: _—AM PM 'c 1 / � G Addreee s � 1 L) C) �� 1 Permit !s_l��—C_ 2 4 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: j fi N J G] r. 111 J Inepector:_ — bate: —_,APPROVED — DISAPPROVBDPPROVED SUBJECT TO ABOVE Call For Reinsp, INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171 Inspections — -- —-- Footing Plbg. Underalab Mech. Rough-in nppr/Sdwlk ed, Plbg. Top Out Gaa Line Fi'IAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Past/Beam Mech. Rain Drain Insulation -Plumb. Plhy. Underfloor Water Line Gyp. Rd. -Meeh. ,�� rwo Requested: !/ -� G/ Time: 11M P�PM Aci rl s.-nnns -� �� , I I I I Permit is C� HuiIders THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspect. : APPROVED DISAPPROVRD V APPROVED SUBJlt(-T TO ABOVE Call For Rainap. 4�rs.al- , mPECPION NOTICE City of Tigard Buildjng Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Sueinees Phone: 539-4171 Inspection:__`T—� Footing Plbg. Underslab Mech. Rouqh-in Appr/Sdwlk Found. Plby. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewerraminq) -Bldg. Pant/Beam Mech. Rain Drain Insulation -Plumb. P1bg. Underfloor Water Line Gyp. Bd. -Mach. Bate Requested: _ �� Time: AM PH Permit #t 70 Ru L THE F`O/1LL0WI�N/GG CO�R-jR/yE�rCTIONS ARE REQUIRED: { IUA- LI) — �- — 00, Inspector: _ —` Date: —^APPROVED V/ DISAPPROVED - _ APPROVED SUBJECT To ABOVE \ ✓ Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 sw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer rami ..f1� -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line / G Gyp. Bd. -Hoch. Date Requested: '[ /, —Time: —AM PN Address: / 2--0 � Permit 1:2 �.�2- IF Builder: Y S THE FOLLOWING CORRECTIONS ARE REQUIRED: OD LD Ill inepec�rl __APPROVED V DISAPPROVED APPROVED SUBJECT TO ABOVE V Call For Reinsp. INSPECTION NOTICE City of Tigard Building Dapartaient 13125 SN Hull Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-41'15 Business Phone: 639-4171 Inspection _ ---- Footing Plbg. Underslab Mach. Rough-in Appr;Sdwlk Found. Plbg. Top Out Gas Line Post/Beam Strnct. San. Sewer Framing Post/Beam Mech. Rain Drain Innulation -Plumb. Plbg. Underfloor Water Lin* Gyp. Bd. C__ ec .) Date Requeeted:y �! _Times /AM _ PM Address l) Z 1 -�-�— Permit Builder:— THE uilder:THE FOLLOWING CORAECTTONS ARE REQUIRED: [.Y m w tnsomctort ,� Dace: " G.gv LAppKOV[D DTSAPPROVRD APPROVED SUBJECT TO ABOVE Call For Reinep. CITY CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERT I F i rF'a"rE OF 13125 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 OCCUPANCY xxxx PERMIT #. . . . . . . : MST94-0.280 G39-•417t DATE ISSUED: 111;?8/94 PARC CL: 15134DB-_0 x801) I l E ADDRESS. . . : 1 104, SW 1 1 1 TH F')_ >UBD I V I S I ON. . . . : JE rF RE'Y ESTATES Z ON I NG:R--4. 5 Pi) fI_OCK. . . . . . . . . . : 1_07. . . . . . . . . . . . . :014 CLASS OF WCIRIi. :NEW Y1'E. OF USE. , . :SF )C:CUPANCY GRP. :R3 )C(AJPANC;Y LOAD:229=-' 4 ENANT NAME_. . . : Pemar-ks : PATIA I Owner, WESTDAI_E CONST 1671)5 NW TORREY PINE CT LAEAVERTON OR 9700 Phone #: 645•--7197 WESTDALE CONSTRUCTION 13447 SW 68THt PLACE PORTLAND OR 97223 Phone 0: 645..7197 Reg #. . : 21345 ilrcupancy c)f the above referenced building is hereby given, and certifies he compliance with the ;tate Of Ov,egun Specialty Codes for the group, ('--c, pancy, and use urnder^ which the reFerenred permit; wwi issued. OP BL,I Y 1-D I I NSPEC Nl ING OFFICIAL POST IN CONSP I C:000 a PLACE J C.7 J CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DI�P�J►R II��IT PERMIT #. . . . . . . . MS T94-01280 13125 SW Hall Blvd.Tigard,Oregon p7223•Btp (5703) 9p-4 71 DATE ISSUED: 07/29/94 PARCEL..: 1 S 134DB-05800 ADDRESS. . . . 11020 SW 111TH F'L SUBDIVISION. . . . : JEFFREY ESTATES ZONING: R--4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .01.4 -------_____...._---____---------.____ BUILDING REISSUE: DWELLING UNITS: .l BASEMENT.. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :410 sf TYIDE OF USE. .. . :SF FLOOR AREAS-__.____.____._ REQUIRED SETBACKS 1YF'E:. OF CONST. :5N FIRST. . . . : 10Q16 sf LEFT. . : 12 ft RIGHT. : 13 ft OCCUPANCY GRP. :R?. SECOND. . . :948 sf FRONT. :20 ft REAR. . 35 ft 5TORI FS. . . . . . . :2 THIRD. . . . :0 s f REQUIRED--_._w_____.___.__._...._.._ HEIGHT. . . . . . . . :22 ft TOTAL-------------: 1954 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 133017 PARKING SPACES. . : 1 Remarks : PATH I F'L_UMBING ;3I1*4KS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1 LAVATORIES. . . . . :5 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0 TIJB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DI'.SHWASHERS. . . . ' I WATER LINE (ft ) . : 100 OTHER FIXTURE:S. . . . . :0 (YARDAGE DISP. . . : 1 RAIN DRAIN ( ft i . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 _.._-----------___-- ME=CHANICAL __.._______________ .____.____-___._____.____. FEES FUEL T'YRES --__..__.._.._._.-- UNIT HTRS. . ;0 type amol.lnt by date recpt /GAS/ / / VENTS . . . . . :0 TIF $ .1550. 00 JG 07/29/94 - MAX INPUT:O BTU VENT FANS. . :4 BF'RT '$ 518. 00 JG 07/29/94 - FURN < 100RC . . :0 HOODS. . . . . . : 1 BPLC; 6 336. 70 JFG 07/18/94 94- r-URN > =100K . . : I WOODSTOVES. -0 B3PC $ 25. 90 JG 07/2-9/94 -- FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JG 07/2-9/94 SOIL/CMI=' < 3HP:0 OTHER UNITS: i PARR< 'b 500. 00 JG 07/29/94 - GAS QUTLETS: 1 MPR'T $ 45. 00 JG 07/29/94 - Owner-: ___.....__.---_ ___._______._.____.__.__._-____._.__-..MF'LCr $ 11. 25 JG 07/29/94 - WESTDALE CONST M5PC i 2. 2-5 JG 07/29/94 - 16795 NW TORREY PINE CT 3ST14 'k 225. 00 JG 07/29/94 - PbPC 4 11. 2-5 JG 07/29/94 - BEAVEERTON OR 97006 EROS $ 64. 041 JG 07/,29/94 Phone #: 645-719.7 ERPC $ 20. 80 JG 07/29/94 - Contr _tor^: -._..._ _._.._._..__...____._._.____________.___.. ERr='C $ 20. 80 JG 07/29/94 DALE PFLEUGER WEST•DALE CONSTRUCTION - 6886 SW ALDEN ST. r- PORTLAND OR 97L L-:3-0000 Rhode #: 503-246-2370 Reg #. . : IR,134`; $ 3610. 95 TOTAL._ �? This permit is issued subject to the regulations contained in the --------- REQUIRED INSPECTIONS - - ---- A^ Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /fol_tnd Insp Fir-eplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Str,.ict Gas Line Insp plans. Tris permit will expirewor is startsd_ i 'n is@ Post/Beam Mechan Insi.+lation Insp days of issuance, or if work is suspended for or than days. F'lm/1_indsslab Insp Gyp Boar-d Insp 111-M/Under,f1oor^ Rain drain Insp Per-mittee 5�gnati_ire: _ chanic_.i Insp Water, Line Insp Pl,_ b Top Out Appr^/Sdwlk Insp I si_�ed Dy :A4 __. Fr,aming ln,p Mechanical Final Call for inspection - 639•-4171 CITY Q F T I GARD SEWER CONNECT TON PERM IT PERMIT #. . . . . . . : SWR94-0:�,�'� COMMUNITY DEVELOPMENT DE.P�AXT, T DATE ISSUED: 07/29/94 13125 SW Hall Blvd.Tigard,Oregon 97223-81 9W VEY71 PARCEL: IS134DB-05800 S I T L-_ nDURESS. . . 11020 SW I I I TH IDL SUBDIVISION. . . . : JEFFREY ESTATES ZONING: R-4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014 ----------------------------------------------- TENANT NAME:. . . . . USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . - l TYPE OF USE. . . . . :5F NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : S f RFmarks- PATH I (..,�jner: FEES W1___STDALE CONST type amoLtrit by date reept 16795 NW TORREY PINE CT PRMT $ 2200. 00 JG 07/29/94 - I NS P $ 35. 00 JU 07/29/94 - 13EAVERTON OR 97006 10TIP #. C,45--/197 ,,_0N_T`RPC'1"OR NOT ON FILE one : 235. 00 TOTAL REQUIRED INSPECTIONS is Applicant agrees to comply with all the rules and regulations Sewer I vi s pect i an -,f the Unified Sewage Agency. The permit expires 180 days from the date issued. the total amount paid will be forfeited if the verait expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer snail prospect 3 feet in all directions from t'rF distance given. If not so located,-the installer shall purchase a "Tap and Side Sewer" Permit an(—the Agency 1 i ta11 a r4l. 1. d BYE Call for inspection 639 -4175 15 0 q METRO Contractor's Business License 600 NORTHEAST GRAND AVE PORTLAND, OR 97232 2736 TEL S03 797-1700 i�,1i, I � "•.f, RON BECK HEATING 2612 NE 15th " ;;•, ��` License 'lf, number 2593 PORTLAND, OREGON 97212 f' Expiration March 01, date 1995 10t got s��/Ot�rot 1G--�ECS►�?E 1C�E i�—' STATE OF OREGON CONSTRUCTION CONTRACTORS BOARD REGISTRATION CERTIFICATE This certifies that the person named hereon is registered as provided by law as a ( SPEC C O N T R/k E S I o E N T I A L Registration NON-EXEPPY Number: [ 59554 INuIV1u1, AL Expires: [ 04/25/95 ( RON dECK HEATINS RON BECK 2412 NE 151H AVE L PORTLANu OH 97212-0004 SIGNATURE OF REGISTRANT ►cam►��►or rc 1 K===4 t==4►cam Kms_ >��+t��t tit EG— THIS IS YOUR LICENSE IF YOUR LICENSE REQUIRES SPECIAL PROVI SIONS,THIS SECTION WILL BE COMPLETED AND SHOULD BE CARRIED WITH YOUR LICENSE. STATE OF OREGON STATE OF OREGON ELECTRICAL SECTION UILDING CODES AGEN LIC /REG AS NO 1370RET RESTRICTED ENERGY TECHNICIAN THIS LICENSE IS RESTRICTED T INDIVIDUAL 1 ELECTRICAL WORK WIThTN YOUR ENDORSEMENT. 1-HVAC, BECK RON 2-FIRE ALARM INSTALLATION, 2612 NE 15TH AVENUE 3-MEDICAL, 4-PROTECTIVE SIG. PORTLAND OR 9721.2 S-BOILER CONTROLS, 6-NURSE C 7-INTERCOM & PAGING SYSTMS, 10/01/93 9-CLOCK BYSTMS, 9-DATA TELE- ISSUED COMMUNICATION INSTALLATION Please _ 10/01/96 10-INSTRUMENTATION Sign EXPIRES STATE OF OREGON I CONSTRUC.,ON CONTRACTORS BOARD Registered as: No. ( 21345 Bond [ 10.000 [ 6EN: CONTR/RESIDENTIAL Insurance [ TRUCK, INS EXCH [ EXEMPT [ INDIVIDUAL ( 34850942* ANGE Expires[ 04/07/9S o Employer Accounts: 'ON FILE ( HESTOALE : CONSTRUCTION UI [ DALE 1 'rPFLEIREW Rev [ ['8447 SY'. 68TH .PL WO •r [ PORTLAND OR 97223-0000 IRS I t$`oo Z Ito WESTbA LF, 11`*til ltivs wMyel rfi, too o � � N} 1 F• Et. lob cil'y OF' TIGARD RECEIPT OF' ps:iYMI--,NT RF"(,EIV-,l No. s 94--25'5044 CHECK AMOUNT c 5595. 95 NAME s WEr)*J'DALf—"- C',C)NSTRIXT (ON f'ASH AMOUNT s (A. 00 ADDRESS s 16795 NW TURREY PINf--. Cl* PAYMENT DATV s 07/29/94 l.'UBD I V 1.1-7 1 ON WnAVERTON, ONE(311N WOW— I-,URI-"(.)SE OF PAYME.NT AMOUNT PAID r-,IJRI,10SE OF PAYMEN't AM(JIJNI PAID Ln LAUIL.DINS PERM MST94-0c'80 51S. 00 PI-IIMBIN13 PERM 00 MECHANICAL PE 45. 00 ST. BUILD PER 34. 40 PLAN CHECK Ff 97. 95 SEWER LISH HWH94-0264 2li?lmtA. 00 -.FWER INSPECI 35. 00 PARKS SDC 500. Oki STORM DRAIN SDC 2AIA. 00 RF6 t DVNI I At. IRAFFIC FEEH 1430- 00 MASS TRANSIT TIF FF-.r--J3 U-'.RI'JL3tON L;UNrr RO 'FL P .RMITFi4r. b4. 0O t-ROBION CON IUL11- PLAN CK ?o. 80 FROS ION CONTROL I to�.M SW I 11. rif PL. JUYr-ERY LBIWER LOT 14 1117AI.- AMOUNT PAID 5595. 95 • Residential Building Perrrit Apication A. , Ci;y of Tigard L (� 1312.5 SW Nall Blvd. l\ Tigard, OR 97223 (503) 639-4171 Jobsite Address:�I� I l Subdivisio . , J�Avj 4_1 Lot # LI Office Use Only / r -t Piancic/Rec # Valuation: -- Permit # /r15 Owner: Reissue of Address: Map & TL # / j '5Y066 Approvals Required Phone: IIC Planning _ contracto tEST�Is►ILS Engineering � Address: L IN lo►�U., �1Other . ✓ _ ,U4U�A,i% '��r c-7 0b �4 - ., -, — Items Required Phone: c :.>a`�•�,.,��.;c_:�.t`��v'�� Subcontractors tY1,k ,, 3 y e t- Contractor's License # ,ZVy cQ0 (attach rcopy of current Oregon license) Truss Details Contact name & phone: l_JA�L Other Sugcontractors: 1 Plumbing: FSt i l Mechanical:.2 T �/ (attach copy of current OR Cont or's nse) Architect/Engineer: R Address: 14 Nvt, IL� Phone: L4 - -7 (4 O JOB DESCRIPTION: 7TL _ Ai pt int Signature & Phone number Received by: �0 Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due mSFy�/- u�b-U Bldg. Permit (BUILD) Plumb. Permit (PLUMB) 1 2i `�` " — �� •S, `J ,` Mech. Permit (MECH) State Tax (TAX) Bldg: S• v J Plumb: Mech: �2,L " Plan Check (PLANCK) 3 y 7• Bldg: 35C. Plumb: Mech: RvSewer Connection (SWUSA)Sewer Inspection Inspection (SWINSP) 4 Parks Dev Charge (PKSDC) U S`� Storm Drainage Chg (SDSDC) S-0 -*V- Residential TIF (TIF-R) /C/- (' LIL v Mass Transit TIF (TIF-MT) z.2i Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (rIF-IS) _ Office TIF (TIF-0) -- Water Quality (WQUAL) Water Quantity (WQUANT) _ J Fire District (FIRE) Erosion Cntd Permit (ERPRMT) Erosion PlanckfUSA (ERPIAN) Erosion Pla.;ck/COT (EROSN) TJ TOTALS: CITY OF TIGARD BUILDING DIVISION RESIDENTIAL PLANS SUBMIT,,\L APPLICANT NAME: _� PLAN CHECK _ ADDRESS: . NLUU R ��-��- PHONE n 644' __77 81 DATE RECEIVED. RECEIVED BY: CHECKLIST (All items must be in packet before plan will be reviewed) YES NO N/A 1. C [ 1 [ 1 3 FULL SETS OF BUILDING PLANS (No red line revisions or tape-ons). 2. S SITE PLANS (including tax lot and tax map number,easements, erosion control provisions, floor elevation of garage and main floor, set backs, drive-way location, north arrow, scale, location and termination of rain drains, corner elevations, and contours if over 15% grade). 3. [� [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT (if house is designed for a flat lot apd the lot is not flat, revised drawings are required. No red lines accepted). 4. REVISION rTO PLANS MUST BE FOLLOWED THROUGH FROM ROOF TO FOUNDATION (detailed sections may be different from the originals as a result of your changes. These portions of the structure that are affected by the change need to be refl-cted on the plans. No red lines will be accepted). 5. Y1 [ ] [ j FLOOR PLAN(S) J 6. FLOOR FRAMING J7. TRUSS JOISTS (engineering, details and layouts) 8. [/� [ J [ j ROOF FRAMING PLAN (all hips and valley supports indicated and detailed). 1 9. (/J/ [ ] (•�j� ROOF TRUSSES (engineering, details and layouts) 10. ] [ ] COMPLETE CROSS SECTION(S) 11. ( ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR ADDITIONS AND REMODELS 12. J [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL SECTIONS (will need engineering if walls are 8 ft. high or higher) 13. [� [ ] [ ] WALL BRACING (structure must meet table R-402.10, revised alternate method 93-7, or a lateral design shall be provided) 14. ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE INCORPORATED INTO THE PLANS. (Attachments must be clearly legible and fully referenced in the plans). i 1.5. [� [ J [ ] BEAM CALCULATIONS (all beams over 10 ft. in length or any beam that supports a point load). 16. [ [ ] [ ] ENERGY CODE PATH IDENTIFIED-,,t-�, t DO NOT MAKE CORRECTION IN RED RED WILL ONLY CAUSE DELAYS J C� W .J