12064 SW 113TH PLACE 44 SW 11.9041 .24.
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i:Vocotds\n dcro(Im\largels\building.doc
June 17, 1996 `
ANDREWS,STEPHEN D CITY' OF TI FARO
PO BOX 144
TUALATIN,OR 97062 ��E���
F[NAI. NOTICE �
!% RE: MST94-0315 AT 12064 SW 113TH PL
Permits and inspections required by die Tigard Municipal Code are an important part of your project. Permits
help to ensure that work is done in compliance with minimum code requirements. Inspections ase intended to
protect the occupants of buildings and building owners.
On February 1, 1996,you were mailed a letter stating we had no record of any inspections in the prior 180 days on
the project authorized for the above noted address. You were advised to please respond in writing if additional
time was needed to complete the project,or call the 24-hour inspection recorder if you were ready to schedule an
inspection.
As of this date,we have either had no response or.111 fucompicte response frons you.
As the current property owner of the above project,you are responsible for obtaining the required inspections. The
responsibility is yours even if you were not the owner at the time of the original permit,
The City would like to work wid-i you to close out this project with steps taken to assure that at least minimum
code compliance has been achieved. This documentation will he helpful to you and future owners of the property.
As stated in the letter daled February 1, 1996,the City maty pursue civil enforcement if work has proceeded without
inspections or it tun unfinished project is outstanding. Your prompt attention to this ma:.er v.::'avoid such
action by the City.
To correct this situation you have some choices which are noted below, No action on your part to resolve this issue
will lead to a NOTICE OF INFRACTION.
If you need additional time to complete your project please respond, IN WRITING,within 15 days. You
may request up to 180 days. Plea;e provide the following information: Permit number,address ol-property, your
name,a day time phone number and the length of additional time you are requesting, includinsgy an explanation for
the extension, The City will notify you ONi.Y if your extension Is NOT grai,'sted.
if you are ready to schedule your next inspection please call our 24-hour inspection Recorder at 639-4175
within 15 days. Be prepared to provide Ute following infornia(ion: Permit number,address of property,your
name, your phone number,and the date you etre requesting the inspection (inspection times cannot be guaranteed,
but you may request a.m.or p.m.). The City will make every attempt to perform Ute inspection the same day it
N :,quested by 7:00 a.m. However,we are expecting a large increase in inspection requests and cannot guarantee a
sa ne day inspection.
i—
IF I OU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER IS REGARDING,OR HAVE.ANY
m QUESTIONS, please contact the Building Division at 639.4171 ext. 610(voice mall). To better serve you,
C. au
please have Use following information: Permit number,address of property,your nmc and a daytime phone
.-� number.
Thank you for your cooperatlon h1 this matter. 1'()iir prompt attention will avoid the necessity to send you a
NOTICE OF INFRACTION.
David Scott, P.E.
Building Official
13125 SW i-iall Blvd, Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
ANDRE S' INC.
"PROFESSIONAL MAINTENANCE SERVfCES"
LOCAL & NATIONWIDE
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P O. Box 144. TUALATIN, OR 97062 PHONE (503) 293.7929
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CITY CSF TIGARD MASIER F'EFlI�I1T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : 11GT94 -031`:j
13125 SW Heli Blvo.Tigard,Oregon 97223.8ll? ,AbY3),;011i 4]71 DATE ISSUED: 08/12/94
PARCEL: �'S10�AL-t—i�:�u�lZr
SI fE ADDRESS. . . 120G4 5W ]. 1:�TH FAL
SUBDIVISION. . . . : MEADOWSLADE ZONING: R-4. 5 `'D
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004
_.._._______..---.__._______—___--•--•__.__.___ BUILDING
REISSUE: DWELLING UNITS071 rh BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :FiDD Bi_DRM5:0 BATHS:O G A R A C F. . . . . . . . . . : 114 S
TYPE OF USE. . . :SF FLOOR AREAS--______.___ REQU I RC D SETBACKS----_._.—_._—
TYPE OF CONST. :5N FIRS-r, . . . -o s f LEFT— :-, ft R I GHT. :0 ft
OCCUPANCY GRP. : R3 SECOND. . . :0 sf FRONT. :0 ft REAR. 10 ft
STORIES. . . . . . . : 1 F I NBSMENT:0 ,f 9EDU I RED—
HE I GHT. . . . . . . . :
ED—HEIGHT. . . . . . . . : 10 ft TOTAL---••---••— - :0 sf SMOKE Dr" fECTORS.
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 1855 PARKING SPACES. . :0
Remarks : ADDING fa SIORAGE: ROOM NEXT 10 GARAGE 114 SQ FT
...------------------------------------ PLUMBING
SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERG. . . . :0 L(IUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLUSETS. . :O SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DI,SHWf-1SHER5. . . . :0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . :0
GARBAGE D 15'-'. . . :0 RAIN DRA i N (f t ) . :0
WASH I IVC, MAC:H. . . :0 ,aF RAI N URA I NS. . :0
MEI HONICAL ________—•---.._.___________________ FEES
FUEL TYPES----------- UNIT HTRS. . :0 type amo'_rnt by date recpt
VENTS . . . . . .0 BPRT $ 31. 00 SW 08/1,2/94 —
MAX INPUT:O BTU VLN1' FANS. . :0 BF,LC $ c0. 1:'S JF' 08/08/94 94—c:�5343
TURN ( 100K . . :0 HOODS. . . . . . :0 BSPC $ 1. 55 SW 08/12/94 —
FURN > -=100K . . :0 140ODSTOVE:S. :0
FLOOR F-URN. . . . :0 LLO DRYLRS. : N
L3OI1._/CMF' ( 3HP:O OTHER UNII'S:0
BAS OUTLETS:O
Owner.
STEPHEN A"DEIMON �Vt, /?P.-GG�"�..•
120611 SW 113TH F'L
T'IGARD OR 97223
Phone ff: 968--1355
Contractor.
OWNER
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Regff. • ___ .________.________------_________
f 5,x. 70 TOTAL
CLO
This permit is issued subject to the reg�.lations contained in the --- — -- REQUIRED INSPECTIONS -- -- —
__j Tigard Municipal Code State of Ore. SpecIaity Codes and all other Foot/fol-rnd Insp
applicable laws. All work will be done in accof•d,nce with approved Framing Insp
plan.. This permit will t.•oire if wort: is not started within 188 Fireplace Insp
days of issuance, or if work is suspen r aore than 188 days. Rain drain Insp
81-rilding Final
Permittee Sign4at'.1re : .rosion Control
I s s i.red By :
Call for inspection — 639-4175
CITY OF TIGARD MASTER F'EPMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : M S T 9 4—03-'l
13125 SW Hell Blvd.Tigard,Oregon 97223.819 abp3),11974171 DATE_ ISSUED: 08/12_'/94
PARCEL: 2S 103AN-2135O1T
SITE ADDRESS. . . : 1<<OE64 SW 113TH PL
SUBDIVISION. . . . : IrIEADOWGLADE ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO4
____-•-----_______._._ .____________.-_-_._
BUILDING
I4E I SSUE: DWELL-I NG UNITS:0 BASEMENT. . . . . . . . :0 s-F
:LASS OF WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . : 114 sf
TYPE OF USE. . . :SF FLOOR AREAS------------------- REQU I RED SETBACKS----.-_____-_-
YF'E OF CONST. :5N FIRST. . . . :0 sf LEFT. . :4 ft RIGHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :O sf FRONT. :O ft REAR. . :0 ft
STORIES. . . . . . . : 1 F I NBSMENT:kl s f REQU I
HE=IGHT. . . . . . . . : 10 ft 'TOTAL_.. _.-_ --- :0 sf SMOKE DETECTORS.
FLUOR I_JAD. . . . :40 psf VALUE. . . . . $ : 1855 PARKING SPACES. . :0
Remarks : ADDING A STORAGE ROOM NEXT CU GARAGE 114 SQ FT
PLUMPING
SINKS. . . . . . . . . . :O FI-0013 DRAINS. . . . :0 BACKFLOW F'REVNTRS. . :0
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 1-RAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :O SEWER LINE (ft ) . :O GREASE 'TRAP'S. . . . . . . ..O
DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . :0
GARBAGE= DISP. . . :0 RAIN DRAIN (ft ) . :0
WASHING MACH. . . :0 bl- RAIN URA I NS. . :0
MECHANICAL -__._.___.__..______.__.________._____._.____ FEES
FUE=L TYPES------ ------•- UNIT HTRS. . :0 type amount by date recpt
/ / ✓ / VENTS . . . . . :O HPRT $ 31. 00 SW 08/12/94 -
MAX INPUT:O DI LJ VENT FANS. . :0 BPLC $ '_V_I. 1.5 JF 08/08/94 94-25534.:,
FURN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 1. 55 SW 08/12/94 -
F=URN ) =100K . . :0 WOODSTOVES. :O
FLOOR FURN. . . . :0 CLO DRYERS. : 0
LAOIL/CMP < OTHER UNITSiO
GAS OUTLETS:O Owner,: te���tzd
STEPHEN ANDREWS
12:,064 SW 113TH CIL
IGARD OR 97223
Phone #: ')68•--1355
Cont rac:tore ----__________________----____-
OWNER
Phone M:
Reg #. . : •---- -------- ------__._______.______...____
$ 52. 70 TOTAL
This permit is issued sub)ect to the regulations contained 1n the ---- -- REQUIRED INSPECTIONS ----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp
applicable laws. All work will be done in accordance 'pith approved Framing Insp
_
plans. This permit r+ill expire if work is not started within IAA F i re p 1 ac_e I n s p
days of issuance, or :f work is suspended for more than 180 days. Rain drain Insp
Building Final
I e r m i t t e e S i g n a t 1-11-e : `--__._-- .--_ __-- Erosion C o n t r o l
IssuedBy : _� _..__-•--. -._----.__.___ __.- �__...__.._.��________ ---- --
Call for inspection •. 639-4175
k')F Permit No:
��,• �" Address:
Issued by:____ Date:
_.__FOR OFFICE USE ONLY.__ __
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need riot submit this stateme-it. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B:
1 . f I 1 own, reside in, or will reside in the completed structure.
2. ! __— l 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. AJ I My general contractor is--_---
Contractor registration number
will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B. I^will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Burd
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above Information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Signature of Permit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
0244) 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY 10 APPLICANT
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(.:1 I Y OF T'I Go RD RF:CF I PI OF P'A'YMkI\1 t FBF f:'E: J F' I NO. r94-2155,343
CHECK AMLI(JN'i e 28. y13
NAME ANDREWS, STE_F Ht-N CARH IIM(.)LJiVT' a 0. LAO
FIU1:)RESS o J2064 EM 1131'1 PfIYMF.N1 DATEr �hH/ H/y4
BUSD I V 1:41 ON
T IGARD, nRrJ...)(3M 9'7223
if1F''L Sin. OF PAYMFNI (010IJN I PAID F'LJRPOSi Of PAYM NI ONION P141
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11.064 SW 113TH
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Residential Building Permit Applicatioin
City of Tigard
93125 .SW Hall Blvd.
Tigard, OR 97223
(503) 639-4971 rr�
Jobsite Address: i' S tv «3 ( —
�, r 7 Office Use Only
Subdivision: ��+�'��., Lot # _. y _
S-� Planck/Rec #
Valuation: �r 1 1
Permit # /y�f1�_ o /,)
Corner Lot? Y N
Reissue of
Flag Lot? Y
Map & TL#
Owner: �-r r�wC�✓ _ �`J '��C``�f Approvals Required
Address: Planning
+) 2 _ << Engineering _
Phone: _l 3 5 --- Other
Contractor: _ -- Items Required
4-
Address: - Subcn-itractors
Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer: �frcd,AJ 161uj2-V1
N/
Plumbing. 4 _ Address: ( L S C.v , QitoNyJCJ/F�r -�
Merhanicil: ) �t'cti v [• t1CA. . OC. 700 1 -
(attach copy of current OR Contractor's License) —
P;Ion,
JOB DESCRIPTION: S-r-Dr`°` � �^^ ._ zmt_ U` &A�R(116 Jilt 5
Applicant Sign ture & hone number
Received by&l _ Date Received
N 1woRD%CDMDMRESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due /
h�sfs J e 3/sem Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (TAX) S �� r' ✓
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg
Plumb:
Mech.-
Sewer
ech:Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
/lass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
TOTALS:
INSPECTION NOTICE
city of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections — —
Pontin
Plbg. Underalat Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Ling FINALS
Posc/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Plater Line Gyp. Bd. `-Meeh.
Date Requested:^ yr �=y Time: i�. AM _PH
T G
Address: i/ / C - _ Permit #: j✓ 3
TBE FOLLOWING CORgECTIONS ARE REQUIRED:
I nn�,t nt-: �.. a hal�• � „�
APPROVED DISAPPROVED C APPR(WSD SUBJECT TO ABOVF.
Call F,,r Relnnp.
INSPPCTION NOTICE
City of Tigard Building Department
13125 SR Hall Blvd. 'Tigard, Oregon 97223
Inspection bine (Rer-o--Phone)r 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. "nderalab Mach. Rough-in Appr/Sdwlk
Found. Plq.Top out-) Gas Line rtNn s
Post/Beam Struct. San. Saar Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -M4ch.
Date Requested2 _�/` � TImes PM
i
Address: Permit
Builders'
#.
THE FOLLOWING ODRRECTIONS ARE REQUIREDt
Inspectors
APPROVED DIBAPPPOVRD APPROVED EDEJEC! TD Asm
Gall For Rainsp.
INSPECTION lIOTIC'd > > !C
City of Tigard Duilding Department \c
1-3125 Ba Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--a-Phone)s 639-4175 Business Phone: 639-4171
Inspection:4 _
Foatin'] Plbg. Underalab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Ilea Line FINAL:
P.et/Beam Struct.. San. Sewer Framing ) -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Undertl.3or Water Line Cyp. Bd. -Hoch.
i
Date Request
7, re
�d:(_� / Time: y_AN PH
Addreaa:_,,,1/�.� 1 �'� Permit /f I' ,51
Builder:
g ` ^�
THE POT—OWING CORRECTIONS ARE REQUIREC: r
2 CSL e .
G �-'- e" .r'
L C
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-,N (_t c v� -�' fin! cS V Q-v�- L,/�cl _
__J1T>MOVSD DISAPPROVED APPROVED SUBJ90T TO A90VX
Call For Reinap.
SNSPLrCxIO�Y M giC8
City of Tigard Building Department
23125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phones 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Atruct. Sass. Bower Framing -Bldg.
Poet/Beaim Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -Koch.
bate Requested: ` Times AM,h� PK
Addresas�• 7 I v/k g Permit •s Z - 3>8
[guilders_
TttE COLLON]'.NG OORRECTIONB ARE REQUIRED:
v'- .1 r
:2 -
R
LL) I '> GC Q cS
Inspectors
APPROVtO DISAPPROVED �/APPROVED SUBJNCT To ABOVS
Call For Roinmp.
INSPECTION NOTICE
Cit? or Tigard suildiM Depardaent
13125 BN! Hall Blvd. ?igard, Orsgoa 47223
Inspection Line (Rect-O-Phoone_)s 639-4175 Business Phone: 639-4171
Inspect ion s- -a�
Footing Plbg. Underelab Mach. Rough-in Appr/ dwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pest/Beam Hoch. Rain Drain nsulation -Plumb.
Plbg. Underfloor Nater Linegyp. Rd. -Hoch.
Date Requesteds z S Tin*: All PH
Addroaes d ` �J/,� Permit M: `23
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
42
CY
Inspectors --- .�.) t�=l_/L` Dates � )
"PROVE DISAPPROVED ✓ APPROVED BUBjNCT TO ABOVE
`_Call For Reinap.
INSPACTION NOTICE t
City of Tigard Building Deparbsent
13125 80 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-'w-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam btruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino --Mach.
Date Requesteds_ J TLpe: AM PM
Address: 1I`� `/ �c[� T(- Permit #: 7 ���
BuildersL
_ Ink I
TRE FOLLOMING CORRECTIONS ARS REQUIRSDs
6
` •r
Inspector- Dates
-`�- Dates /
i
`._APPROVED DTSAPPROVRD ��' APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECYI.ON NOTICE
City of Tigard Building Department
13125 B* Ball Blvd. Tigard, Oregon 972"'
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections147I �► P _
rooting Plbg. Undersla'3 Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out da• Line rINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Rater Line Gyp. Bd. Hoch.
Date Recluesteds_ 2 Times AM PM
Address: /.,-Z [ry_1_7�� �5 � � Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�57cl
Flo f.Q
V)
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G]
L7
W
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Inspectors -7 7 Z--0 3
VAPPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaant
1312S SW Hall Blvd. Tigard, Oregon 97223
Inspectigp Line (Rec-O-Phons)t 639-4175 Business Phone: 639-4171
Inspectiont�
Footing Plbg. UnderslabMech. Rough-in Appr/sdwlk
Round. Plbg. Top Out//L� Gas Line ) FINALS
Post/Beam Strict. San. Sewer framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Meeh.
Data Requestedt�_T `�Timas AM cp,M�
Address: U �� Permit +: d�1 D -�
Buildert
THE FOLLOWING CORRRCTIONS ARE REQUIREDt
c7 -2 2-- uL�
M
N
H
J
1
Inspector: 4 v �� Date. 7 Z 1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
- - - - - - --- ---- -i-
IMMCT ION_IOT SCE
City of Tigard Building De1artsent
13125 s11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O.--Phhonee�).�ss6639-4115 Business Phones 639-4171
Inspections
Footing Plbg. Undervlab Hach. Rough-in Appy/Sdwllc
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Date Requested:
Addreass �r(D(f I I t�^^t� , Permit #i
Builders L lCrc� ( ! .�3V1 _ ll-� 72.0 _ZL5 i'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:` n i2lig a"J --_ Dates_ q'
APPROVED DISAPPROVED L AP1ROVtD SUBJECT TO ABOVE
Call For Roinsp.
INSPECTION NOTICE
City of Tigard Building Departmwt
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspecttons _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
frost/Beam Stru�c�! San. Sewer Framing -Bldg.
�st/Beam Mech. Rain Drain Insulation -Plumb.
P`.bg. Underfl water Line Gyp. Rd. -Meth.
Date Requested: _ Times p AM K PPM
Address: /2 OG�> �/,3 i Permit 1 s
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C2'
Ln
F--
y
Inspector:
APPROVED DISAPPROVED
"PROVED SUBJECT TO ABOVE
Call For Reinup.
INSPECTION NOTICE
City of Tigard Building Dspartaent 2�
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Peat/Beam Struct. �a9-n-.-Sew—B�r- Framing -Bldg.
Poet/Beam Mach. aiR n Drain Insulation -Plumb.
Plbg. Underfloor Water 7�ne--� Gyp. Bd. -Meeh.
Date Rerluesteds y� Timet AM PM
U -
Address: Permit /s
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
.J` Call For Relnsp.
CITY OF T I GARD CERE OCCUPATIFICATNUF
CY
COMMUNITY DEVELOPMENT Df PFR14IT #. . . . . . . : 11ST93 0231.1
13125 SW Hall Blvd �JRVT AL
e DATE ISSUEDs 12/1, 91/93
_4
4'r
Tigard,Orogon 97223*81 03) 171
PARGELa 2S103AB-03500
I I E. ADDRESS. . . : 1.2064 SW 113TH F-wL
'-:;IJBD I V I SI ON. . . . : MEADOWULADE ZONING sR-4. 5 VID
i-A.-OCK. . . . . . . . . . C LOT. . . . . . . . . . . . . t 1211214
CLASS OF WORK. :NEW
FYPE OF USE. . . :SF
OCCUPANCY ORP. -R-3
,ICCUPANCY L7AD:224 4
NAME. . . .-
Pemarks : PATH
I LOYI) OLSON
1.3141 SW TEUFEL HILL
hEAVERTON OR 9 700 7
Phone #v 628-.2420
Contract ort
OLSON DEVELOPMENT INC
13141 SW TELIFEL HILL
BLAVERTON OR 97007
Phone 628- 2420
Reg #. 901155
OcTuparicy Of the Above referenced bui Iding j ;i liprebt! t4i ven, oncl cert i f i et'
I:he compliance with the Stati? Of Ot-equin Specialty Lodes for the qt-oup.
orL'Llpancy, and use under which the, referenc..,er; pei,mit .4As ISSUed.
LJIOFFICIAL
LDININSPECTOR
OF."r,I C I AL
B tj , I 6F
POST IN CONSPICUOUS PLACE
CITY OF TIGARD I�It��li~T? Fer~1,I�II�
COMMUNITY DEVELOPMENT DEPARTMENT . .. . . . . . . .
13126 SW Hall Blvd.Tigard,Oregon 97223*099 (503)639-4171
D:
I V IS I ON. MEODOW;-,I ADE
J,i. . . . . . . . . . . . . .�004
bUiLDING
' 'ZurZ: DWELLING UNITG , . . . . . . . . 0
Z)-:' WORK. NEW BLD RMS 4 3 BA""HS:3 6ARAUE. . . . . . . .. . -iL,6
REJ) 'kLj*L�14� 1"',
CSF- USE. . . ,!31- FLOOR ARFOS- -- RLULJ I
1-"' OF CONST. 5N F- I H S"i . . . . I~ S f LEFT. . :4 ft IRIUHT. -4
-'aW ft
41L.3. . . . . . . REQU AIRED—
�;I ej l.,j: —"1,r,C;',,,0 1
60, LOAj). . . . :44.% pi i03110 PARKING
Pktii i
PLUMBING 3. . . . . . . . . . : FLOOR I)RiAliqb. . . . :IZI 1AACIAFLOW PREVN1 RS. . 0
4'rOR IES. . . . . :4 WATEk HEA1 LRS. . . : 1 *1 RAPS. . . . . . . . . . . . . * 0
'.')I IOWL tu. . , . . .., 1.i4UNDRY i kAys. . . 10 CA'TCH LAAS I NS. . , . . . , :0
-R CLUSL'i U. . :3 SLWER LINE (ft ) . :0 GREASL TRRPS. . . . . . . :0
IWASI iE PS. . 1 wArER L114L:' (ii, ) . . 100 i.-J THC:.:P T! 1 7?
i)!bt . . . . i RAIN DRAIN (ft ) . :0
NG N(4i.'I i. . 13F R04IN I
'AL -ES
MLLHANI( FL
YFES UNIT" i 1 66 type ama 1,1111; by date cl 1. r�
/I VLNTt-3 -.0 1 IF $ 1460. 00 JH 05/06/93 X
I NP,UT AN 4 BPRI $ 44:-.',. 00 JH 4+,://6/93 X
. . . . . . BPLL L8 1. 9 b JLH 04/16/91 9.
115 ,]`H0�15/0 9 3 x
WOOD4.1
Ij f 7U R!,4. . . . 2111 E ILE) DRYLRb. I SISDC 280. 00 JH 05/06/93 X
— !-A.AP < 3 HP-0 0 T VIC,R 0 N 1 Tt: 3. PAPK is ;: w'0. 00 j I It '0 S/0 C, 3 A
I-JAG CJLJ'f LE'T b., I 11PRI, It 43. 50 JH 05/06/93 X
C'/�a X
L D bt-'iUN M5;-Ic $ 16 Jrf 05/499 2, X
":'A 'IEOHA. V110 3,4 7. b0 11.4 0�..' 10 X
pcUlpc t 7. 38 JH 0'5'/0 6 9,3 A
;j, (J,'4 J L. L I-L I I,1)f1 1�.f-i
1 141 (-.)W I CLIFEC. H 1 LL
1E04. :D4 TOTAL
U!Iit J$ liSUFO 11,1,JPLt to the reguiations contained in the REULARED INSPECI IONS
N�; � j 11
CID 5'p, 6--;it of fipg�iaity Cadt% And a 11 other r"00t/fOLUICI Insp Fi,^eplace ins[,
A;i war„ t4ill o done in accordance w.,th approve,,, Post/beam GtrUILA Gas i-iiip krisp
INA11 f'!Pirf if willk is not startea within 180 Pust/kioam mectiall insulation lnsp
:4'AAP'e1 or 1, K, 04 is 5 t-"Ilm/undslau ITISP by-P I-Auar-d jr1sp
PLM/Uiider,f I ow- Rain di,aivi I 'i i 1.i
Mechmiiit-al Irish Water Livie 1r1 ()
Plumb ( ur, Out Appv,/6dwlk Disp
F)-'aM1T-'q " nsp lyle(Jlanlc;al Fs11<
639-41715
-M
DEVELOPMENT DEPARTMENT
OMqCITY OF TIGARDMUNITY
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639-4171
'P'ERMIT #. . . . . . . SWR9,=-'-0204
6 -4171 i)o'ri- 1551LA-4 &j/0,6111',
SITE ADDRESS. . . : I�47M4 SW I I.LTI-A F-11- PARCEL; 26103FW-16
SUBL)iVISION. . . . : MLW)0W1j1-WlJE. J-'D
BLOCK. . . . . . . . . . . L 0-1. . . . . . . . . . . . 004
, LNANr' NRMi:- . . . . . .
jSA NO. . . . . . . . . . . FIXTURE UNil "i. . . 2
CL ASI'� OF W0R1K. " . .Ni*EW DWELL 11'413 LJN :i. . : a.
11r'PE OF USE. . . . . .G ' NO. OF' BUILDINGS: 1
TYPIL.. . . :BLJ5WR iMPERV SURFACE,.
iqemarksi . PAI; l I
FEES
DYI) LJLSUNdateaLe ),e(-r.�j
type A M,Q .int by
k4l ,:SW Trz.UFLL 1AILL PRMT $ 2100. 00 JH 05/06/93
• NSP $ "'.i5. 00 iii 051106119�'3
OR 9701,C
.WRACTG.'� NOT UN f7
o t)e A4 13:5. 00 'TUTAL
RELIUIFLED INSPLCTIONu
,is 14ppikant agrees to comply with a,l 0e rules and regulations Sewer- Inspection
of Unified Sewage Agency, TM perait expv Ps 161 days fro#
the date issued. 'The total amount paid soili be forfeited if the
expires. The Agency does not guarantee the accuracy of the
aterals. If the sewer is not ideated at th! seasureaerit
L,), the nsteller ihali prospect 3 'Peet ir, ali directions from
6'"tarice given. If not so locat=d, the installer shall purchaseAp ant Bide Sewer' Permit an Agency viii ins ll is Lateral.
Lt
�C-b, By �
I L for, i ri,4 pe(--t i oft 639-4175
L
G I TY OF: T I CARD -.. RE:CE I1' 'r OF P()YMF='NT RE'C;F I PT NO. 03 109
CHECK AMOI_INJ a yr0rj� . 54
NAME a OL.ON DEVF_I_OPME_N'1' CASH AMOUNT 0. 00
ADDRESS t PAYMENT DATF 05/06/93
13141 SW TEIJFEL HII_.I_ RD SUBDIVISION
Etk.AVE.RTON OR 97007--
'URPOSF' OF PAYMENT AMOUNT PA J C1 PURPWilr OF PAYMENT AMOUNT PAID
un 147. 50
> IFCHANICAI_ PF 43. 50 ST. BUILD PER 31. 71
LAW CHECK 17'E 48. 83 SEWER LISA J,I RIO. 00
)EWER INSPECT 35. 00 PARKS SDC 500. 00
c' ;TIJRhI DRAIN 5UC: �?FJ0. 00 RESIDENTIAL 'rRoi FII: FFF'S 1:350. 017,
T RANS I`F TIF' FEES 1 10. 00
1,.064 SW 113TH I.OY f+ MEADOW GLADE:
Mr31 9.3-0239
r0l HL AMOUNT PAID _ - > 5089. 54
•
CITY OF" T I GARD — RECEIPT OF' PAYMENT RECEIPT NO. ,9:; P39 124
CHECK AMOUN i' c r.::�--)o. 00
NA111F a (3L...AN DE.VC'l._.OPMENT ,ASH AMOUNT a 0. 00
A 1)D R F S5 a 13141 E*,W TUE:FE:L. PUL ROAD PAYME'NT DATE' 16/93
NF'AVE-RTON, OR SUP01VISION a
PUHPOSE. OF PAYMFNr AMOUN'i PA 11) PURPOSE OF PAYMENT AMOUNT PAID
PL-AN CHECK PE
1,:.'064 5W i 13TH, LOT 4
TMAL AL AMOUNT r.,A I[i _ _. _.y 250. 00
SIJ IY
CITY 'OF
i31zs sw Fta«11W. PLNCK/REGI #TIGARD PO Box 23397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT 7igard,Oregon 97VJ
(503)639-4171 DATE ISSUED
JOB ADDRESS: 2 L � '�'� / TAX MAP LUT
SUB': LOT: _ LAND USE:
6
VALUATION: 01 a n o n�
OWNER SPECIAL NOTES
NAME: L v `'! L S '� &j REISSUE OF:
ADDRESS: / 3 / -`��--,�`J 44_.tp LAST REISSUE:
cL 2 of '7y 7 FLOOD PLAIN/
PHONE: Lf S — Z`P -2 ` SENSITIVE LAND:
CONTRACTOR J APPROVALS REQUIRED -•S08efl-001�
NAME: PLANNING: neCl- a&h6 K/-
ADDRESS: ENGINEERING:
_ FIRE DEPT:
PHONE: ", L-t-- Z OTHER: —
CONTR. BOARD #: FXP TE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: l-v'�o4�u,�--s r LIST/SUBCONTRACTORS:
MECH: �� BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAIL.-,:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: ° ti
COMMENTS:
APPLICAN SIGNATURE _
Received By: ��_ Date Received:
_�L L LSA_l 7
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. RAL. DUE
10-432 00
Building Permit fees 3 ,�0 �1.�� ,.��
10-431 00 Plumbing Permit Fees _
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building _I
Plumbing
Mechanical
r UJ U
SV10-4.33 00 Plans Check Fee '
Building
Plumbing
Mechanical /Q.y�`
10-230 06 Fire _
30-202 00 Sewer Connection ;2-1 o t
30-444 00 Sewer Inspection
25-448-0? Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _
25-448-0'► 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 Dev Chrg
rd (SSDC) _
N 2.4-445-01 Water Quality (Fee in lieu of) -
24-445-02 Water Quantity (Fee in lieu of)
1J TOTAL
nm/3587P.WPF