11853 SW 113TH PLACE U L-1 U 1_,,1 u 11 L.l (_.1 iL - ;1T L.1 1
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11853 SW 113th PI-ace
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CERTIFICATE.' OF
OCCUPANC Y'
CITMIUY OF TWA RD PERMIT #. . . . . . . . MGT)1-00137
COMNITY DEEVELOPMENT DEPARTMENT rCArrYOF TWARD,
13125S%%,"l Blvd, P.O.Eux233Q7,Tlgaid,OraqDn 97223(SW)63"M DATE. ISSUF - 09/24/91
L
'31 TE ADDRES5. . . : 1. 1853 SW 113TIA IDL PARCEL: 1SA* 34DC.-..ULI
SUBDIVISION. . . . : ZONING: R--12
Bl-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
Ci .ASS OF WORK. :NEW
I PE OF USE. . . :SF
),-CUPAN"Y GRP. I R3
OCCUPANCY LOAD 1225 4
TENANT
P&m a.,1,s
LLOYD OLSON
wr t BOX 94.8
;f*C4VER7*ON OR 9 '005
62S-24c@
Cont
LLOYD C'L`Ol\l
wr y PDX 946
8V.f':Wt'.Rr0N OR 97005
1_)CL"Jj:0allCY Cvf th-4 460ye referenced bl.Aildir)p i % FIPY'ebV UiViull, alld cert iflfS
the crifopliance with the l5tate Of Oregon Spocialty C.odes for the group,
Occupancy, and uop under which the r*fprenved pe-mit was
T-1 -0-r—P TMEt4T* MLY)ING TOP
POST TN CONSPTCIJOIJS PLACE
'4
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Instpection Line )Rec-r&-Phones 639-4175 Business Phone: 63r-4171
Inspections
Footing Pl.bg. Underslab Mach. Rough-Ln Appr/Sdwlk
Found. Pl.bg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation �-Plumb.�
Plbg. Underfloor /A Water
/Lin. Gys. Bd. Ln -
Date Requested: %� 'T �L �T es / 11M PM
A dress!'- /
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: c
inspectors X,
APPROVRD DISAPPR04ED APPROVED SUBJECT TO AB7VF.
Cell For leinap.
wl
IMSPECTION NOTICE
City of Tigard Buildinq Depertmen-
1312S 811 Ball B: r1
Tiga• , Oregon 97223
Inspection Line (Ree-O-Phon �639-4175 Business Phone: 639-417
Inspection:
Footing Plbg. U1orslab Mech. Rough-in ppr/Sdwlk
Found. Plbg. Top Out Gag Line FINALS
Post/Puam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requestede_ cT3 I _Times AN PM
Address: l-*4-- .3 �`—� Permit –eVcF
Builders 1�1. ►`
THE FOLLOWING CORRECTIONS ARE REQUIREDt
�elT—
N � N
ug QY1s� rr—nLwC � L \�1 ,i
Inspectors--! —�_ Date:_
__APPROVED DISAP OVED APPROVED SUBJECT TO ASM
__Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart—t
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/&calk
round. Plbg. Top Out Gar Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach- Rain Drain Insilation Plumb.
Plbg. Underfloor Water Line / rfp. Bd. -Koch.
Date Reque.tedt 7' ��-l ! Times
AQdree. ` Permit #I I /
Builder: ll
TBS TOLIANINO CORRECTIONS ARS RSQUIRSDs
— Ap
Inspectors ..-- -.... natal_C
APPROVED DISAPPPMRD _ APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPECTION VOTILE
City of Tigard Building Depart ent
13125 SW Ball Blvd. Tiqard, Oregon 97223
Inspection Line (Re--o-Phone): 639-4175 Bus inenn Phone: 39-4171
Inspection• -
Forcing Plbg. Underelab Mech. Rough-in Appr/Sdwlk l
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -e1dQ.
Poet/Beam !tach. Rain Drain Insulation -P1umL.
Plbq. Underfloor ``Nater Line/ Gyp. Hd. -mech.
D//ate Requwteds D n I Times 111t PM
11(et rears s _ -� - Permit O sCL-zU
q i
Builder:__ CL 1 �fYc_
TBB FOLLOWING CORRECTIONS ARE REQUIREDs
Nl a7 /' iL�01�'
en
Inapeaturs—� —_ Dates
APPROVED nISAp'ROVED APPROVEn suaileT To ABOVE
Call For Rainsp.
win
INSPECTION NOTICE
City of Tigard Building Department
13121.' SN Ball Blvd. Tigard, Oregon 97223
In .iecti.on Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 '\
Inspectlont._
Footing Plbg. Undarslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Lina FINAL:
Post/Beam S%ruct. San. Sewer Framinq -Bldg.
Pcst/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Undorflooc 'tater Lina OyQ. Ed. -M`'ci'•
Dt, Requestedi— _ Tlmes _AH _—_PM
/A(icfra'�i�. //� ��• ��arsmitt #i /i//2J 7
Builder:-- L
THE FOLLOWING CORRECTIONS ARE REQUIREDS
c
lee > AIr
✓�i. /,• �iti a" C.9 c•'<c� fli•rC�%/ct� cxx/�1Qu t T
Inspectors__(
,APPROVED DISAPPROVED APPROVED SUBJRCT 71t1 ABOVF.
Call For Reinap.
_INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing _ -Bldg.
i
Post/Beam Mech. Rain Drain Inwlation -Plumb.
Plbg. Underfic—r Water Line gyp. ad. -Mech.
Date Requ rated; !) ;540 ( Times �AM PM
1 i
Address:� ) Permit f s L7T
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectort1 - - - — - - nater"r�+
APPRMD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinmp.
INSPECTION NOTICE
City of Tigard Build.ng Depertillent �-
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phones- 639-4175 Bus'.neas Phone: 639-4171
Inspection
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALe
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insolation - 1umb.
11bg. Underfloor Nater Line Gyp. Bd. March.
Date Req�u]esstteed�r - 3y GI Time: _-_ AM PN
11 17 �_JZ_LiL 1 I +����rf7 Permit f:
dies.:
Buildsr: Le e:j_1 Sen^ -
THE FOLLOWING CC%-:.nCTIONS ARE REQUIRED:
InspecZr
�'!'7
APPROVED DISAPPROV91) APPROVED SUBJECT TO ABOVE
Call For Reins,.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Bled. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections__ _
Footing Plbg. Underslab Me^h. Rough-in Appr/Sdwl •\
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam SLruct. San. Sewer taml�nq -Bldg.
Poet/Boam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line' Gyp. Bd. -MRch.
Date Requested: ..�G 7 /�Timme: AM (` PM
/f►dfac` u� �Q t // �` pilfoit i U U/
Builders_
THE FJLLUWING CORRECTIONS ARE REQUIRED:
1
Inspectore___ — ---,—__—_- Lute: ���
�APPROVRb DISAPPROVED APPRMED SUBJECT TO !tROVE
_�C.all For Reinsp.
jjj��M� �
•r
INSPECTION NOTICE -;777
City of Tigard Bui.ldinq Department
137.25 sw Ball Blvd. Tigard, Oregon 97223
Inspect.�on Line (Rec-O-Phone): 639-4175 Businean Phone: 639-4171
Inepecti,)n: _ -- —
Fontir7 Mg. Onderelab Mech. Rough-in Appr/Sdwlk
F Uzi Plbg. ToOut
Cee Line FINAL:
Lc ..
Post/Beam Struct. Sen. Sewer ?raining -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Rpqueated: _AM _ L�—PM
Address s / _.� Permit 1 t
Bu i l der t �✓/yJ�"'/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
Inspectors
J►PPROVSD DISAPPROVED APPROVED /lUBJECT TO ABOVE
Call For Rel rep.
zwlwxw�vw�pw
INSPECTION NOTICE
City of. Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BuO nc-as Phone: 639-4171
Inspections_, - - ----
Footing Plbg. Underelab Mech. P:,u3h-in Appr/Sdwli•
Found. Plbg. Top Out Gan Line FINAL:
Poet/Ream �.truct. n. Sewer Framing -Bldg.
Poet/Hem, Hach. Rain Drain Insulation .-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested s_ `/ Z T s PM
/)�
llddreag s� --! �� � Permit F 7
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i L
on
Inspector _ _
nates")
APPROVRD DISAPPROVED -� APPROVRD SUBJRCT TO ABOVE
C211 For Reinap.
INSPECTION NOTICE
City of Tigard Building Departtaent
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line Rec-ri-Pnone): 639-4175 Business Phone: 639-4171 I
�!
Inspection=
Footing j P14 Underelab tech. Bough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struck. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plvmb.
Pl.bg. Underfloor Water Line Gyp. Bd. /--Hoch.
I.e e
stedt --Time: _ ` AM PN
l!ri%sl -�4i
Builders
TB! FOLLOWING coRRECTION6 ARE REQUIREDt
Inspgctort Date T `S
APPROVED DI'IAPPROVED APPROVED SUBJECT TO o`BOVE
_`Call For Re.nep.
INSPECT ON NOTICE
C'cy of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223 /�
Inspection Line (Rec-O-PhOmX)t 639-4175 Sueineea Phone: 639-4171
Inspect ion z
Footing Plbg. Onderelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam St.-nct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Dr. in Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: r �) �l Time: __-AMMi� G` PM
Atldresb: Permit !t��-[�CiU 7
Builder: `/6C.�NrIt/
THE FOLLOWING CORRECTIONS ARE REQDIREDt
��CJ1lLa�A.Ir !W 'zZ�oU/C
1?24/ 4 1=Z25ri
Inmpectort Datet � _
APPROVED DISAPPROVED APPROVED SUBJELT To ABOVE
___Call For Reinsp.
I
W W W ® !�
INSPECTION NOTICE
City of Tigard Building Departsent
13125 Sit Ball Blvd. Tigard, vregon 97223
Inspection L)ne (Rec-O-Phone): 639-4175 Bueineas Phone: 639-4171
Inspection:___—_, —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Ban. Sewer Framiag -Bldg.
Post/Beam Mech. in Drain \, insulation -Plumb.
Plbg. Underfloor 7Water Line Gyp. Bd. -•Mech.
Date Re vested: / _ _Times /�AM P!1
1 .
/Address: �/ -3 Permit #s!�2 UCS 7
Builder: ,
TIDL FOLLOWING CORRECTIONS ARE REQUIRED:
a
Inspector Date:__
✓�-_--APPAOV/b DISAPPROVED APPROVED 9UBJHC`r Tt` ABOVE
Cull For Relnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Bl7d. Tigard, Oregon 97223
Inspection Line (Tec-0-Phone): 539-4175 Business Phone:
635-4171
Inspection:_
Footing Plbg. Underslob Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor hater LLinne/ Gyp. Bd. -Mech.
Date Requeated! /� �'7 7 f Times FSM
Address: 2-[ 7 ��`�� �g Permit #:% Z �L-1
Builder: V
THE FOLLOWING CORRECTIONS ARE REQUIREDt
/..�� Wt/F Ila-Z 6!X 14 A?41
SON
Inspector: / '�� -Date r— !ice
✓l
APPROVED nisAPPROVEn APPROVED SUBJECT TO ABOVE
Call For Ralnep.
INSPFCPION NOTICE
City of Tigard Building Department
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec Phoneys 639-4175 Business hone: 639-4171
Inspection:_ '
c'
Footing Plbg. Underelab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rair, Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ �. —Time: AM PM
Addraes:_ // — Penult #I ! L
Builder'-- _-- �-�1' ✓L --THE FOILOWING CORRECTIONS ARF REQUIRED:
Inspector: / Date!
APPROVED DISAPPROVED "'-APPROVED SUBJECT TO ABOVE
Cell For Reinep.
INSPECTION NOTICE
City or Tigard Building Department i
13125 Sti Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--4171
Inspection:_—�__ -------- — — T
Footing Plbg. Underelab Mach. Roug'i-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor // Water Line Gyp. Bd. Mech.
Date Requested: LG �/ ! / Time: AM _PM
�
Address:—Z/ •L�_.Z ___j j 3 Permit �t
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors --— --- Date:
y APppOVgd DISAPPROVED APPROoF.D SUBJECT TO ABOVE
TT— Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 sw Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phonn): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL: .
Poet/Beam StiyCC.-'� San. Sewer Frami-ng -Bldg.
—� Rain Drain Insulation --Plumb.
at/B__
Mec
Plbg. Unda►floor
Water Line Gyp. Bd -Koch.
S `JC
Date Aeq+ieetedf Time: AM PM/ — ---
Addre is.
Permit #t
Bu 1 lde r: ..... -----
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-�'L� %�,tr0✓iLJc= �-.�� �;7 •4 ("a' ���:c✓l/N St'u c._:y
Dates
Inepeotor� —--- - —
APPRORD DISAPPROVED /PPROM) BUNJRCT TO ABOVE
call For Relnsp.
MILWIWII
INSPECTION NOTICE
City of Tigard Building Departaent
1.3125 SW Ball Blvd- Tigard, Oregon 97223
Inspection Tine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I::spection: — — --- --
Footing Plbg. Underelab Mech. Rough-in APPr/Sdwlk
�
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet./Beam Mech. Rain Drain
Insulation -Plumb.
plbg. Underfloor Water Line Gyp. Bd. -Mecli.
Time: AM _—PH
ID Requested:
erm
THE FOLLOWING CORRECTIONS ARE REQUIRED:
air
A" Vr1-e77!5
W09tL �GQU w�•S [� E'LTc-'/Lt/
i. .a 1,/
I
4I
I
1.
4
I`
I
Inspector:__ _
_ pate:
APPROVED DISAPPROVED _ APPROVED Suer=CT TO Mwx
Call Por Reinsp.
IM-KNUMMMAMN-JUNUMMEr i
INSPECTION NOTICE
City of Tigard Building DepartmRnt
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone), 619-4175 Business Phone: 639-4171
Inspections
looting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date
7Rafqueeted s
— _ L T ime s _�_AM PM
Permit #s Vv)-T L77
Builder:
' [L
THE FOLLOWING CORRECTIONS ARE RE(di1IREDs
�.y 1
Inspectors_ ~7 1 Dates
A PROVEs7 DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
. corer s- . PERMIT
�.
�'��� M ._. rFR FERMI r
GIYOFTIQIRD
COMMUNITY DEVELOPMENT DEPARTMENT r P11 I T +. . . . . .. . : 14ST91--O0{ ,
o�,aooee
13126 SW HIM BMd. P.O.Bm 233W,TOW,Oregon 97223(603)ON4176
A
I I L ADDRESS. . . : 14 1 i 31T11 PI- PARCEL : 191 34DC OL2
OUBDIVISION. . . . « Mi_F-90--0017 1 ZONING:
i_.l?C K. . . . . . . . ,. . I_O T. . . . . a
EaUi._ '., dC7 w__-..--._.-__---__--_-.__-__•_._,______ . . _ . .
PF: I SSUE: DWELLING, UNITS- : 1 BASEMENT. . . . . . . . :0 s
(.:.t_..ASS OF WORK. :NEW BEDRMS: MATHS GARAGE. . . . . . . . . . :441 s f
TYPE OF USE—. :Siw P'LOC7R iaRFAS-_.._._____-._ REQUIRED
TYPE OF CONST. :SN FIRST. . . . .-931 sf i._EFT. . :9 ft RIGHT. :r, ft
C_CUPAINICY GRP. 03 SECOND. . . :7,3c sf FPONT. :;»;fid ft REAR. . .-35 F�
1 OR I Ewa. . . . . . . :` 'rH I RD. . . . :0 s f REQUIRED-------------------
-1E I GHT. . . . . . . :215 ft TO'T'AL __...__._ : 1663 f SMOKE: DETEC:TORS. :v
.-OOR LUAU. . . . s 40 ps f VOLUE. . . . . $ : 84436 PARKING SPACES. . a 0
F? amar,ks
._ _-___---.___._-------._____----__-__ E.11-UMBING - - --------------------------------------
I
- -_____________________...___-_-.-_.-._I,WKS. . . . . . . . . . .. 1 FLOOR DRO I NS. . . . :0 BACKPI-OW PPEVNTP!;,, . :0
.-IVfATOF?YErS. . . . . 14 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0
LI/SHOWERS. . . . «c_ LAUNDRY TRAYS. . . :0 CATCH SAS)I NS. . . . . . . :0
} ! r.;i "LOSE.TS. . :LA SEWER LINE (ft) . :0 BREASE. TRAPS. . . . . . . :0
ii'. i�WAaIaE Ra. . . <
ti WATER LINE: ft ) . : 100 OTHFP FIXTURES. . . . . :171
r.rrNGaEiE DISP. . . « 1 RAIN DRAIN (ft ) . «0
MACH— : 1 SF RAIN DRAINS. . : 1
ME.CHANICAL _-_,_--_ _____.._.__.. .._.. ..._._.
-.___......__.____.__ _. ...______ FE=E=S
1. TYPE:,.__._.__._._...._.... __ U1qI1' i+rRi. . :0 type arnolant by dxte p't
VENTS . . . . . :O 'rIF $ 1.3550. 00 FILL_ 05/17/''x1 91
1haF'1J'T:rlr BTU V1`N'T FANS. . s4 Eapp'r s 383. 00 PL.L 05/.1.7/91 91
'JRN ( 100K . . : I HOODS. . . . . . : 1 8PLC: $ 252, 20 PILL 05/t7/91 91
' 'FTI ) -100K . . :0 WOOD":aTC)VE9. :0 B5PL $ 1'3. 40 PLL 05/ 1 7/91 91
!..(.)OR FURN. . . . :0 CLC) DRYERS. : 1 SSDC $ 375. 00 FILL 05/17/91 91
:.3HP«0 OTHI R UNITS: 1 PARI; $ 500. 00 PLL 05/17/01 9.1.
GAS OUTLETS i 1 MPRT $ 43. 50 PLL 05/17/91 91
! • ,,�,r,; __.._... _._._,......_•_._.._,�..__._ _. Mf-'l_C: !,
10. 88 PLL 0`i/17/`)1 9 1
1VU UL'SON M5pc $ a. 18 PLL 05/17/91 91
I Box 94(1 PPRT s 1 40. 0th PLL 05/ 17/11 91
7. 00 FILL 05/17/91 91
Fi4 OVERTON OR ')"700
� none #: 628--24r-'0
OLSON
I BOX 941.3
_t-rVLR'T1.)N CAR 7►1�07
62.8--,?420
5.?98 3 ---------------
1
—_.__—__—_—_—_ _
r :s persit it issued subtect to the regulations contained in the ------- REDUIRED INSPECTIONS -
- -- - -
?,pard Municipal Code, State of Etre. Specialty Codes and All other F o ret i f n .r rad I n s p F i re n al as;a Ins p
applicable laws, All pork will be dune in accordance witb approved Post /Ppasm Ste^uc:�t Gas 1. ine lnr;p
plans. This persit will eMnire if work is not started within 168 P�nst/Brjam Mechan Insulation Irrsp
days of issuance, or if work is suspended for sore thNo
nays. P1m/4.mdslab In-,p Gyp Hoard Insp
F'-'1..M/Ur,clot,4 1c)ar Rain drain I- p
w. r m i t t e e :>i g n ,l I•.r r^w C �j �' C-2� I c h�+n i r�.�a 1 1 tt s r� W a t p r^ 1„i i n e
FI t«mb TOP Om Appr^/S.Wi � �ns�
d B
Cal 1 for insper:t ion -- 639-417`-i
SEWER CONNECTION
CITY'OF TIGARD WR-.W�I
1� P'ERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 0n ZERMIT #. . . . . . . .. SWR91-0094
13126 BW Hell Blvd P.O.Box 23397.TOW,Oregon 97 (M)d3a 4176
DAVL-.� 15SUED: 05/ J.7/9i
ITE ADDRESS. . . t � 514 1 13TH VIL PARCEL: 1SI34DC OLC.
�AJEADI VISION. . . . MLP:90-0017 ZONING:
bLUCK. & . . . . . . . . .. LOT. . . . . . .
NANT NAME. . . . . :
USA NO. . . . . . . . . . . VZ 65O FIx'rURE UNITS. . .
t'LA95 OF WORK. . . :NEW DWELLING UNITS. . .- 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: l
INSTALL TYPE. . . . :BUSWR IMPFPV SURF'ACE. . -
--remarks:
Pvmert ----------------------------------- FEES -------------_
,_L.OYD OLSON tyre amas-tnt by date rec[)t
I BOX 948 PRMT $ 1500. 00 PILL 05/17/91 91
INS P $ 35. 00 PLL 05/17/91 91
Br—riVERTON OR 97005
628-2420
'-.QT1tf'a(.'tQr: --._—__---_._—__--..._.—..__.---_---_._
iAJNT'RACT('JR NOT ON FILE
--------------------------------------- -
one $ 1535. 00 TOTAL
REQUIRED INISPECTIONS
-Is Applicant agrees to cospiv with all the rules and re6ulatians Sewer Inspect ioti
-F the Unified Sewage Agency. The persit expires 120 days f ce
tl-e date issued. The total aeount u'd will be forfeited if the
,.'ereit expires. The Agency does not guarantee the accuracy of the
,ide Sewer laterals. If the sewer is not located at the StAlutlltnt
jiven, the installer shall prospect 3 feet in all airections trio
he distance given. If net so located, the installer shall auncimse
a "Top and Side Sewer" Pervit and 0 A 11
Agency will jristal�,a_ lateral.
ermittee Sitmat'Ar-p - ..........
Call for insrlecticin 639-4175
VILUMBING PIEPMT
C.-ITYC* TIFARDPERMIT -t.. . . . . . . . ms'r9 1 --vlvis7
CFTYOF TWA�RD
COMMU61ITY DEVELOPMENT DEPARTMENT 0"GON
13125 SW Holl Blvd P.O.Box 23397,Tlpml,Orejon 97223(SM)6394176 DATE IqSUED: 05/ L7/91
I TE ADD RES7 I 1's f 1-i -Pini # PIARCELt 10134DC- OL2
SUBDIVISION. MLP'90--0017 ZONING:
SLOCK. . . . . . . . . . . . . . . . . . . . .
CLAS IS OF WORK. . :NEW GARBAGE DISPOSALS. 11
TYPE OF USE. . . . �-3F WOSH ING MACH. . . . . . s 6ACKFLOW PREVNTRS. . -.0
OCCUPANCY GRP,. . :R3 FLOOR r)RnTN,i. . . .. . . . :0 TRAPS— . . . . . . . . . . . . ..0
STORIES. . . . . . . . s 2 WATER HEATERS. . . . . . .. I CATCH BASINS. . . . . . . :0
FIXTURES--------------- - LAUNDR'Y TPPY5. 0 SF PAIN DRAINS. . .. . . : l
': TNKS. . . . . . . . . . if GRL'Af.jE TRAVIS. . .
AVATORIF.S. . . . . 94 OTHER FIXTURES. . . .. . .0
rULA/SHOWERS. . . . s SEWER LINE (ft) . . . . CO
WATER LINE (ft ) . . . . - t00
F,I SHWASHE(`M). I RAJ 1'J.. DPAIN (ft ) . . . . 10
i+emark-%t
OWNERc
iLOYD OLSON TIF $ 1350. 00 PILL 05/17/91 91
k I BOX 94P Dpwr s 388. 00 PILL 05/17/91 y I
BV'L.0 4 252. 20 PLL 05/17/91 91
BEAVERTON OR 97005 Mr-11-1 $ 19. 40 PLL 05/17/91. 91
P,hone #c 628--2420 SSDC It .375. 00 PILL 05/17,'91 91
PARK t 500. 00 PILL 05/17/11 91
1.umb i ny Corit i,act or-: MPRT 1, 43. 50 r'L-L 05/ 17/91 91
M FJL C i 10. 8b P'L. L. 105/17/91 91
Name: iyl5p(",: $ 04. 1a L 05/ 17/91 91
I Cl Lj r v IS 9 1VJPRT $ 140. 00 k15/ 37/91 91
t y t at e,: 1:15pc $ 00 n_k. 05/ 17/91 91
P• P h u n e#i
RF_r.;LjIRf--r.) INS1:-FCT1nN5 -
11" s pev'tmit in issued sub,'Ject to the reg.
11lations contained in the ligarcl Mimiicipal Fuat /found Insp Gyp Soard Insp
,odo, Mate If Oi-e. 9pecialty Codes and all I-oot/found Insp Paii, drain Insp
!Ther- applirable, law". All. work will be dune Plost /I-IeAm Strkirt Water-, Line Insp
iri accordance with a proved plans. 'Jh i% Po-3t/beam Machan Appr/Scit,41k lTisp
J'Prmit wilt expire work is not started 'r.'Im' /undslatj T'Isr me�.:harvical f= inal
'_itl-31n 180 days of issuance, or if work is r'l .1y1i"Underf lour r-1umb Fioal
for more than, 1110 Mechimi-cal Incip SU 11 C1 i Tiq Final
plumit'l lop Out r%rosia" Control
Fr,mmiliLl 111sp
Fireplace 1n4p
G'ar, Lin" Intq)
Inswilation Insp
A ` 17
t
�tTtj ed Plli_;mhitlq Contractor SJ11-. 1 It
C a I I f r JUN p e,5119% 613-417 4
1_n n t r a c t or
clTy OF.
Ir
CITY OF TIGARD RECEIPT OF PAYMFNT RECEIPT NO. :91-213380,
[BECK AMOUNT 4523. 16
NAME OLSON, LLOYD 8 JULIA CZ14 AMOUNT 0. 00
ADDRESS s POUTF., 1 , BOX 948 PAYMENT DATE n 05/17/91
SUBD I V I S 1.ON
BEAVERTON, OR 9700!,- 1 149t SW 113TH PLACE
PURPOSE OF POYMENT AMUILINT Pri I I) PURPOSE OF Pp)YMFNT AMOUN'r rniin
MST F7L6Mi;iW6 FiRM
MECHANICAL Pr- 43. 50 ST. BUILD PER1?8. 58
C
PLAN HECK FE 163. OR SEWER USA SWR91-94 1 5*010. 00
SEWER INSPECT 35. 00 PARKS SDC 05,00. OV)
STORM DRAlN SDC 375. 00 RESIDENTIAL TRAI::'F'lf'*, FEES t E50. 00
MASS TRANS lT TIF' FEE1,3 100. 00
1 ('17 Ot flMOUNT PAID 4523. 16