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12030 SW 113TH PLACE r . ADDRESS: moo, o sw //a rL,N H L17 U' LLJ J i:\reccrds\microflm\tar©etsVwilding.doc CITY OF TINA RD ® CERTIFICATE OF' CITYOFTWARD OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT 0216m PERM I T #. . . . . . . 1 MS7,91-031""03 13126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(EM)130-4176 UHIL SIM ADDRrSS. . . 12030, SW 113TH PL PARCELs I ON I t,46. R---4. 5 BLOCK. . . . . . . . . . a LOT*. . . . . . . . . . . . . s CLASS OF WORK—NEW TYPE OF USE. . . :SF OCCUPANCY GRP. -R3 OCCUPANCY LOA!'o- 12.1 4 TE-NANT NAME. . . c Remarksi Subdivision prelimitiary plAt/Plmnned Development rancel.0tiLtIA1 jj16Kj1 approval to divide 5. 79 acr,e% Into 9 lots between 6, S72*1 and 9, 464 11clualr-e feet, with 3. 96 Acres to be dedic-,ated to the City a%% open 6pare; 3) approval to allmj at lot depth to width ratio OF 2. 9 to 1, whereas Lode ',recti, 16. 164. 060 Y-eqUit-PS a R- 5 to J lot depth to width ratio. ZONE s R--4. 5 (Residential, 4. 5 units per acre) LOCOT-IONs South s-nd of S. W. 113th Plike (WCTM 2SI 3041A, tax lot MCA) OLSON D[-:m-opmui�vr U011PONY RT. 1 BOX 948 BE()VFRrON OR 970021; rtione #: OLSON DEVELOPMENT PT J BOX 948 b04VERTON OR 97005 Phone Ot 628-2420 Pon #. . 1 52988 Lict-upoknry of the ahove referent-ed building is hereby given, and Cet`tJfie� tule compliAnuff with the 5tate Of Orqqoyl Gpeckalty Criders for 019 yroup, ot,,c:ujj&nc%,, arid ttse undet- whit-h the refer-enced permit waii j %Fitterl, V) FIRIZ P1--,PARj,14EN,1, SUILDING INSPECTOR FT POH1' IN CONSPILIJOUS PLO(IL' C11YOFTIGARD 01YOFTWARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT onwm 3126 SW V 1,AW. P.O.Box 23307,T�prd,Oregm 97223(503)6394176 OERMIT t . . . . . . . .. -1 C72;0 639-4171 DATE IbSUED: 0//29/92 Gn I TE ADDRESL. SW I I,-TIT PL PARCEL-! 2GI0:5AB-&- 2J;, SUBDIVISION. . . . : ZONAING. R--4. 5 BLOCK. . . . . . . . . . L01.. . . . . . . . . . . . . ----------- BUILDING REISSUE: DWELL.I NG UN I TS- I BASEMENT. . . . . . . . :0 s-f CLASS OF WORK. :NEW BEDRMS:3 BATHS:2' GARAGE.. . . . . . . . . . :440 5f TYPE OF USE. . . :SF FLOOR REOUIRED iYPE OF CUNS1 . 'bN FIRST. - . . - 1316 sf LEFT. . .-5 ft RIGHT. -. 15 ft OCCUPANCY GRP. :P3 SECOND. . . :@ sf 1=RON'T. :25 ft REAR. . : 15 1-t STORIES. . . . . . . : 1 TH I RD. . . . :0 sf REQUIRED-___.___--.-_--.________ HE I GH T. , . . . . . . ..21 f t TOTAL— 131( S f rMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE=. . . . . 68456 PARKING SPACCS. . : 1 Remav^ks - Smbdivision preliminary pI,.kt /1--11anned Development concepti.tal plAil ap --------------------------------------- PLUMBING S I N K,S. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNT RS. . :0 LAVATORIES. . . . . 12 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .iel TUB/SHOWERS. . . . :2 I-AUNDRY TRAYS. . :0 CATCH BASINS. . . . . . . e0 WPTER CLOSEIS. . :2 SEWER LINE (ft) . :O SREASE TRAPS. . . . . . . :0 Dl�l HWASHERS. : 1 t%10Tr--j3 1-114E ( ft ) . : I OtZ, OTHER FIXTURES. :0 � ,PFBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 4SPING MACH. . . : 1 5F RAIN DRAING. . : 1 —.4————————————-- MECHANICAL FEE',; FUEL I*YPES---'-.4------.-.- UNIT HTR3. . :0 type amol-mt by date ref-Pt VENTS . . . . . :0 LAPRT s ;340. 00 JH 07123192 - MFAX INPUT:(A BTU VENT FANS. . :3 PPLC $ 2;21. 00 JLH 1212 7/91 12c'-791 FUi4N ( 100K . . .- I HOODS. . . . . . : 1 B5PC $ 17. 00 JH 07/23/92 FURN ) =100K — ,0 WOODSTOVES. tO MPRT $ 40. 50 JH 07/23/92 - FLOUR FURN. , . . :O CLO DRYERS. , I MPL.r 4 10. 13 JH 07/23/9o? SOIL/CmP ( 3+AP.-qI OTHER UNITS- 1 1*15pr s 12. 0:, J1-1 07/23/9;2 GAS OUTLET6: 1 PPRT $ 1 '7. 50 JH 07/23/92 Owriet-1 P5PC $ 5. 88 J14 07/23/92 LlLbUN D(--'VEL.OPML.N'T COMPANY RT. 1 BOX 9/48 BEAVERTON OR 97705 Phone #! 628-3539 Contt-;%Ctor-: OLqON HT 1 BOX 946 BLOVERTON OR 97005 ------------------------------ 154. 04 TOTAL This permit is issued subject to the regulations contained in the HE(4U1Rt-11 INS-1EC710NS LL) Tigard Municipal Code, State of Ore. Snecialtv Codes and all other Foot/found Tnsp Ffrepli4ce ln.rl applicable laws, All work will be done in accordance with approved Fro st /Seam St runt Gas Line Insc, plans. This permit will expire if work is not started 4ithin 180 Frost/beam Mechan ln%tklfkt ion Inbp days of issuance, or if wank is su nded for or.,re than k8l! days. a PIM/Undslab Ins'v Gyn Board Insp (91L PL.M/Undpt-f Ioov- Rain tit-ilin I iii m Pev,mittee Siqnati..ii ­-0'4� MertliRlitt-'al tn ;I! Water 1-ine Tnsp P11-imb Top Omt Appr/Sciw1k Inisp Ifi-si-ted Py . Fr---imintj Tnsp M In(7 him n i ca I Fi n;11 R1 1 f'or- inspect i. cin -- F,39-4175 ----------- SEWER CONNECTION CITY'OFTIFARD - PE=RM 1 C -1 COMMUNrn' DEVELOPMENT DEPARTMENT 37YOFIWARD PERMIT #. . . . . . . .. SWH92-0243 113125 SW I-WI GINd. 12.0.Box 23397,TigaM,C"qDn 9=(603)6394175 2 L>F" '-_;ITE ADDRESS. SW 113TH PL PARCEL; 2SI03AB-0030.1 !IJBDIVISION. . . . : ZONING- R-4. 15 !-rLUCK. . . . . . . . . . : LOI.. . . . . . . . . . . . . TENANT NAME. . . . . JGA NO. . . . . . . . F I Al URI:*. UNITS. . . LAr OF WORN. . . :NEW DWELL-I NG UN ITS. . 1. i'YPE OF USE. . . . . :SF' NO. OF' BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERSURFACE. . rtemAr­ks . i')wn e r,: --------------------------------------- ---------------- FEES OLSON DEVE-LOPMENT COMPANY type amolint by date r-ecrit ;,?T. 1 BOX 948 PRMT $ 2100. 00 JH OY/23/92 — INSP $ 35. 00 JH 07/23/92 OR 97005 I-,hone #: &RB-3539 :-ontractot-., -'UNI Q ACTOR NOT ON FILE I::,h o n P #- $ 35. L710 TOTAL Rey REQUIRED INSPECTIONS This Applicant agreps to comply with all the rules and regulations Sc-wei­ Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issueo. The total amount paid will be forfeited if the -)ervit expires. The Agency does not guarantee the accuracy of the Ade sewer laterals. If the sewer is not located at the measurement liven, the installer shall prospect 3 feek in all directions from the distance given. If not so located, tho installer shall purchase a "Tip and Side Sewer" Po"it "—f Agency will i-14,11 1 ssited By : Call for inst)ection 639-4175 LiJ 'oe MEMEN INSPECTION NOTICE City of Tigrrd Building Depax-Uwnt 1.3125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busir.ese Phone: 639-4171 Inspection: _i — - Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cap Line FINAL: Poet/Beam Struct. San. Sewer Framing =-Bldg. _- Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. Mach. Date Requested: -- ---Times _ AM PM Addrese:_, 0___J13 _ Permit 1s�'/ Builder• THE FOLLOWING CORRECTIONS ARE REQUIRED: r-» 2 In C7 C7 Inspector*__--L�_ — Data. APPROVED DISAPPROVED APPROVED SUS::ECT T!1 ABOVF Call For Rainnp. INSPECTION NOTICE City of Tigard Building Deepartslent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ---- — Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Koch. Rain Drain Insulation `-Plumb. Plbg. Underfloor Water Line Gyp. 3d. --Koch. w/ Date Requested; 4^ �— C� —Time. (/�J? _AM PK Address'-��Ci�L) �� v Permit I= Builder• THE FOLLOWING COP.RECTIONS ARE REQUIRED: 4 Inspector: /r ----- nate:---J-E" ----- — APPROVED DISAPPROVED - - APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NO'PICE I City of Tigard Building Department- 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phon 1: 639-4175 Businean Phone: 639-4171 iI Inspection:___ ILL Footing Plbg. U ers.lab Mech. Rough-in `C'Appr/Sdwlk / Found. P1bg. Top Out Gas Line FINAL: 1 Post/Ream Struct. San. Sewer. Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -Plumb. Pibg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested*_. Times _ AM x PM Address: ( �_� _ Pormit Builder: �_ ___ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _� --- _.___.__. Ilw'r r.• l -� � '7 L"PROM DISAPPROVED ftPPROVP.D SUn.TEr-r TO ABOVE Call For Reinap. INSPECTION NOTICF. City of Tigard Building Department 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ - Frio`.iry Plbg. Underelab Mech. Rough-in t'App Sr dwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. Hoch. Date Requested: _Time: AH _FM 1►ddresa: Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: move OZ 111 wq(� BA c K- 7a lq Ctq_ 4:2,q r CIA 1c",C-E�r.,C- 'fE4�v/ 2,,I!fn iti PPQ-v A c t4 W iti/G 'AF2!!& ©n/ Bo;w Ht Al A I cam b "' M& 140i-,7vT1oA1AL— c- e, 0L17.1." WIrK PPA &/ p/AE L/M/>E2 SioLdZA L 1,10e # SHE OF /9/9"Will cd , Inspector: lA T+�C�MN Here: /C-Z7-9Z "PROM D18APPROVID APPROVED SURJECT TO ABOVE For Reinep. INSPECTION NOTICE 21 City of Tigard Building Department 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. :ewer Framing -Bldg. Poet/Beam Mech. Rain Grain Insulatf.on -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requosted: J Z�/ �/ �_ —Time= / AM PM Address: /.-,) � /� Permit 1: _A Builder: 426��6'� THE FOLLOWING CORRECTIONS ARE REQUIRED: Inepectorr ­1 - hate. APPROVED DISAPPROVED APPROVED SUBJRC'I• TO ABOVE __Call For Reinap. INSPECTION NOTICE City of Tigard Building Department , 13125 SR Hall Blvd. Tigard, Oregon 97223 Inspection Line (nec-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. Poet/Beam Mach. Rain Drain `Insulation ; -Plumb. Plbg. Underfloor �i1 Water Line 1 GYP. dd -Hech. D��att}e--Re22quested: -/ '�, ? �O'r _Time: , "AM PN Permit ♦: Builders �——�-1- TRE 10LL011III0 CORRECTIONS ARE REQUIRED: / w Inspectors -- Oatesy_ APPawm DISAPPROM APPROVEb BMLT CT TO AWVE Call Por Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businenet Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl Found. Plbg. Top Out Gas Line FINAL: Post!Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. ff _ c Date Requeeteds y�[ 2 Z y Z Time: AH PH Address: I ' � 71 _— Permit #: Bullder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:`-- �H Tif�n r -- Date: APPROVED DISAPPROVED APPROVED ,un.7F( r TO AROVF, Call For Reinap. I14SPECTION NOTICE City of Tigard Building Departoent 131125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4173 Inspections_ Fc<,ting Plbg. Underslab M--h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. SewerCL_ ing -Bldg. Post/Beam Mach. Rain Drain a -Plumb. Plhg. Underfloor Water Line Gyp. 6d. -Mech. !.Z o,30 Tom? Date Requested: � Z' Timet AM PH Address Formic �s Builder: v THE FOLLOWING CORRECTIONS ARE REQUIRED: L n J _1 J Inspector: APPROVED DISAPPROVRI APPROVED SUBJECT TO ABONR Call For Reinsp. 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: Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Pl:,y Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Wat4err Line Gyp. Bd. -Mech. DD/ate Requested: / Z Time: A14 Y---PM lid'7­&; eee X�7'�fr-,2k--fE ,//�3 16- �� Per,,it t:4/ Builder• THE FOLLOWING CORRECTIONS ARE REQUIRM Inapaators � bates 2-- AP MOWED OISAPPROVSO � APPROVsO sOSJlCT To MMv Call For Rrinep. r1 -1 1 GA RD — RECE:I v--r OF FLAY MErNT RC.0 E I FST 1-0. c 92 30962 CHE:Ci, AMOUNT n 26,19. 04 NOME a C1L.aC1tJ 1�1''LYt 1" PIHF_N"( (::;(]M AWY CASH AMOUNT 0. 00 QDDRI''i S A RnUTE 1-5OX948 PAYMENT DATE: n 07!;!019:= fiUX{UIVIf;ION n WAVE RTUN, OR WOOS- PURPOSF OF PAYMENT AMOUNT PAID PURPOSE OF PAYMFNT AMOUNT PA 11) n BUILDING PERM 340. k-0 PLUMBING PERM 117. 50 MECHANICAL Pkv 411. `;0 ST. PUILD P.-R ;=,4. 91 Pt.AN CHECK FFP- -18. 87 SI 14FFI USA F.''1IV,O. 00 'J �iF'.I"Ic.Ft I N 7F-r,C 1 35. 00 G7 U' J 11981.5 Sw 1 1`3 TI 1 PL_. 14 ri:TAl AMOUNT PAID - - - - > PA 39. 04 r ``I u�is SW Hall Blvd. PLNCK/RECT # CITY OF I'IGA,RD ""'Oregon 9722.1 PERMIT # COMMUNITY DEVELOPMENT DE ARTMENT (507)639-4171 DATE ISSUED JOB ADDRESS: _ TAX MAP/LOT .,3 � � -�'�' 3& SUB: _ _ LOT: LAND USE: _ VALUATION: 1561 ✓ OWNER SPECIAL NOTES NAME: L L- o 7 t2 �L-S O'� REISSUE OF: ADDRESS: I lfO- 1C'_ LAST REISSUE: _ '`7`Lxx� FLOOD PLAIN/ PHONE: 2 CJ J� ���1''��2 _� SENSITIVE LAND: CONTRACTOR / APPROVALS REQUIRED NAME: ��L-SJ� ter Lr�LQ� ' �r C PLANNING: ADDRESS: �_ — _ _ ENGINEERING: _ FIRE DEPT: _ PHONE: _ OTHER: 1 d'Q CONTR. BOARD #: 52- EXP DATE: q-/J' -1 ITEMS REQUIRED SUBCONTRACTORS: P' UMB: �0.-O L ft' L�� `` LIST/SUBCONTRACTORS: v MECH: e . ��-�-^ _ BUS TAX: ARCH/ ENGINEER CALCULATIONS: _ NAME: - TRUSS DETAILS: ADDRESS: OTHER: a N PHONE: PROPOSED BLDG. USE: LL COMMENTS: SCl 19/-00/ LVIVI '��is5uA VCS_ � i/F l3C t'.41[_Sc T��S Sf� ��-.f.GIC'�� ►t"i�Glch'fS S��_ _ -- 7 APPLICANT f3IGNATURE Received By _____ Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE h' f�_.o3s3 10-432 00 Building Permit Fees ✓ 3 _"' ,�ca_ 10-431 00 Plumbing Permit Fees , SZ / ,Sz 10-431 01 Mechanical Permit Fees S-V —Y u 371 10-230 01 State Building T.,x (50/0) Building Plumbing Mechanical .0 3 � o c� 10-433 00 Plans Check Fee 2 31, 1 3 7�_ BuiIdiii, Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 3; 25-448-02 Commercial TIF Dees 25-448-04 Industrial TIF Tees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 'left 25-448-05 Mass Transit TIF Fees ' 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL 6 91 U 1-/ nm/3587P.WPF — —