12079 SW 113TH PLACE ADDRESS:
X079 SW li!.w3or*V446E
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i:lreoords\microfim\targetsVwiiding.doc;
CE'ROIs ICATLCOF
C17Y OF TIGA
RD PERMIT #OCCUPANY MST9 3-01(3 1
COMMUNiTY DEVELOPMENT DEPARTMENT DATE ISSUFn. 08/09/93
0125 SW H&P Ilvd.lrlgwd,Argon 9TWol1oo (603)$39-41171
PARCL-,L,c
;ITE ADDRESS— - 1.2079 SW 113TH PL
'3UBDIVI5ION. . . . . MEADOWGLADE ZCIN ING:R--4. 5 PD
BLOCK. . . . . . . . . . r LOT. . . . . . . . . . . c00
Cl
_.ASS OF WORIA. eNEW
TYPE OF USL. . . v SF
UCCUPANCY GRP. gR3
OCCUPANCY LOADo229 4
1 ENANT NAME. . . :
Remarks : POTI-1 J
Owner:
LLOYD OLSON
Phone #.*
t-:ontr-;Actorr
OLSON DEVELOPMENT
RT I 13OX 948
BEAVERTON OR 97005
;,hone #.- 628-24i"0
eke #. . c 52'388
'Jer-upancy (..f the above referenced building is hereby gi% eii, and certifips
the compliancp with the State Of Oregon Spectalty Codes for the group,
f.lcrupancyq rind ctse under which the referenced psi-mit was, issued.
FIRE DE.,ARTMr-.NT 6L�- .Kf N6 I CJOR
BU 11.D IXG, Ii C I AL.
POSr i,' CONSPICUOUS t-'LACE.
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CITY OF T I GARD P041,;. 4*. . . . .
. . .
COMMUNITY DEVELOPMENT DEPARTMENT Dr-im 13SUED: 04/05/9-
13125 SW Hall Blv 1.Tigard,Orogon 97223*8199 (503)6310-4171
! ;-_ I,71167c) _;w
ZONING: N-4. 5 PI)
BU'LDING
IND UNI 1':i- I . . . . . . . . .IL) sf
CLASS 0WORK. ,IqLW BLDRMS:3 bib 1 r 1.6, GARAGE:. . . . . . . . . . :4 30 f
T yr..'u, 0lj
[ '..1.7. F 5--
FLOOR ARLP -- R' EQ
U I RE b '-_iETBi4CKS--- -
'rYPL OF GL,4ST. bN FI RS T. . 1007 S f LEFT- - :4 ft *5 f't
OL'%]UPANCY I?;-',; SLcul""D. . . B-03 S i F RON"'i . :Z:_' ft REQ 4 R. . :32 f t
s'rORIES. . . . . . . .L I HIRD. . . . .0 sf RE0UIRED-------------
! ;L 1 f3H I.. . . . . . . . :t: it 7 UTPIL- - -'. 1131 qi s f SMOKE DI""I Y
P LOUR LOAD. . . . .40 psf VALLA . . . . . s. 9 19 0Q) tPHRP'k 1146 SPACES. . I I
PLUMBINC-i",
1 N1;31 I FLUOR DRAIN!". . . . -0 BACKI LJW PREVNTHS. . :0
LF!VATURIES. . 4 WATER LRn. TRAPS. . . . . . . a . . . . . . :0
Jb,"SP1JJWC.R!.-
LAUNURY TR(aYS. 0 Cl;TCH LIAIL,ING. ZI
W01 ER LLCSL'i::i. . 5LWLR LINE (ft ) . .0 GiRlEASL. TRAPS. . . . . . . V,
1)I 31 iwqJHEWIwl. . . . I Wl;7L'R LINE 11--t . : 100 OTHE-k FI X'ILJRL','3, 0
DAREAGL UIS!~'. . . : I RAIN DRAIN ( ft ) . c 0
WOSHINU - 1 SF RAIN I
MLLHANILAL FEES --------
PUE L 'I y P i.".5 -- ---- UNII HTR5. 0 type a in L:_k)I t by daLe r e t
VENTS . . . . . .0 TIF $ 1460. 00 JFl 04/05/9,Lti
BTU VENT F441',11L. . .4 Lk i:I f I' $ 40'3. 00 JH 04/0-5/93
i . ,flq 111101; 1 HOUDS. . . . . . . t SPLC $ 40. 00 J1 H 1713/31/9G, 1.kjj"j I ':.� WOUDSTUVE-Lb. 0 b5pc $ LO. 141� id th;4/VA Ij/9 21
`Ldt_'Jil F11i\N, CLO DRYERS. 1 SSIX $ 280. 00 JH O''t/05/913
ROIL/Cir:i- 1133HER LJNITa. l Pilkilt '11 50 Vt. 00 J; 04103103
GAf3 0 LJ T L E 7"S. I MPRT $ 4-:s. 50 JF1 04/05/93
e 14). 66 J 14 04/111,5/9
LVY 1) ()i_6 M5Pc 4 i?.. 18 JH 04/05/93
P-"v rf,r, t 147. 50 JO 1;)4/05/1)3
p5p 1 A8 JH 04/05/93
13 F)C.,
)t
?ON
!i,ie cermlit it ;ss;�eu tutlic, t: tie regulations contained it 1.1)f REUUif,;FA) INqPECTIONS
;jjjj'- MUT11CIL)a Ojet State .f Ure. SPP,^Jjty CGdt5 Aiju Al. Ctt�tFclot/fo:.tnd Insp Fireplacp IT
applicade slaoss. i N: will tie deny in aLu-rdance ch Post/Beam Struct Gas Line Insi..,
LO
ia n;. Tiir pprw. ,!i.i empire if work is not stated wit,)ir .8i, Post/Beam Mechan Insulation Ins
cc itwiiv r .1 ..,k is tuiperlded for erre than 180 daysPllm/undslab I ti s l) byp Boat-d ltvsF,
I'LM/'Lli,derfloor Rain drain inst
ht
4MI.;L -i i ca I
1,t c. t- i,rio!, e Mecha I n s p Watot Line Tn5i
c"lumb lop uz.kt Appy-Iscit-4ip ir'-
F v o ir. j.ri 9 tri lylec 1,Atl iLcti
tol for inspeL:t ion 639-43 75
INSPECTION NOTTCE
Ci'.f of Tigard Building Department
13125 SW Hall Blvd. Tigard, Orm"n 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/3dwllc
Found. Plbg. Top Out Gas Line Rims )
Post/Beam Street. San. Sewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. r-xwh.
7
Date Regnestedt U �( _Time:
Address: �' 1 '1� y � Permit #sL_� � �f
Builder:
THE FOLLOPIING OORRECTIONS ARE RSQUIRRD:
C L c 1 \ 2
(Z B
j� AE� ' J �.� V�.k I V �v- ' )
A 7, A
s1-� �Cl.�„�-6�" -cJ U � V Q-�.S___.._v__ f r l.� .�•..... Q
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`' ��S �c. �h..t.C `t� "�LIQ •i'�/LS fid_�l 2� � v� a�T
l
Inspector i �"�_ `"Ater
APPROVRD _ DISAPPROVED _ l AIPROVED SUBJRCT TO ABOVS
Call For Reinsp.
INSPECTTON NOTICE
City of Tigard Building Depart-amt,
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171.
Inspections
FootingPJ.bg. Underalab Mech. Rough-in C` Appr/Sdwlk j
Pound. Plbg. Top Out vias Line FINALt
Post/Beam struct. Sari. Sewer Framing -Bice.
Pest/Beam Mach. Rain Drain Insulation -Plumb.
P1bg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requestedt_ �l� Timet �Q,AM C PN
Address: IZO-7j U3( SCA _ Permit 1t 1:i 0-0
Bu:ldar t 1 11e15k - 1V�' 1 Z�
THE F�OLL04TNO CORABCTIONS ARE REQUIREDt
a
f
Inspector: L r�n� Qc ,� Dater ` (rZ5 d/�—
"PROVZO DISAPPROVED ___11APPROV2D SUBJErT TO harwr
Call Pot Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): E39-4175 Business Phone: 639-4171
Inspection: —
Footing Plbq. Underslrb Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. K-S'an. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
L
Plbj. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: �� Time: AM PH
Address: ^/cx D L ;�--a��"'� Permit
Builder:
THE FOLLOWING CO!iRECTIONS ARE REQUIRED:
_ 7
Inspectors _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_,Call For Peinsp.
NS ECfION NOTICE
City of Ti.gnrd Building mapartsant
13125 Sm Hall Blvd. Tigard. Oregon 97223
Inspection Lino (Rac-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspection:_ _ 4
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. Dail. Bawer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation ! Plumb.
Plbg. Underfloor (�(y Uter�LLiine Gyp. Rd. ?�Zx
Date Requested. (J + 1 1� TPN
Addrees sd� _ Permit #s—
Builders sBuilders
TB= 109J.0WING ooRRacTIOlce AiR REQUIREDs
fl
Inspectors
APPROVED DISAPPROVED APPROVED SUBJECT TO \HOVE
Call For Reiner.
JNSPECTION NOTICE a/V
City of Tigard Building Departaent
13125 8w Hall Blvd. Tigard, Oregon 97223
Inspect).on Line (Rec-O-Phono)s 639-4175 Business Phoner 639-4171
Inspectton:__ 4P�
Footing Plbq. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Inaulatlon -Plumb.
Pibq. Urdecfloor Water Line LYP.
d. .-Hoch.
Date Req�uesteds CA��� Times Y _ PM
7 Z�
Address. Permit 1tU--
Builds•:s
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a
J
CIO
t
Inspectors Y 1. �t J 1--_�-�� Date:
�APPROYEO DIBAPPRovaD '' ApPROVRn SUBJECT To ABOWE
Call For Reinmp.
INSPECTION NOTICE
city or Tigard Building Department f
13125 SII' Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phona): 639-4175 Sueineae Phone: 639-4171
Inspectiors,
footing Plbg. 4nderslab Mach, Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Atruct. Ban. Sewer lralaitW -Bldg.
Post/Beam Hoch. Rain Drain Insulla-tLon� -Plumb.
Plbg. Underfloor Na/tsC Lia Oyp. 8d. y -Meeh.
Date Requested: Cf/ / Times _�1! pM
Addreset / 1
� //3 �-- 152c-- Permit ta
Guilders �V
TBS FOLD MING CORRSCTICNE ARE REQUIRED*
Inspacto/Ira 2z Dates
`APPMVIVSD DIBAPPROYSD APPROVED SUBJECT TO ABOVE
___Call For Rainsp.
INS PEc-TION NOTICE
City of Tigard Building Departannt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Linu (Rec-O-Phons): 639-4175 Busineas Phone: 639-4171
Inapection:
Footing Plbg. Underelab _HMeoh, R-ugh- Appr/8dwlk
Found, Plbg. Top Out 1 ae Line _ FINALt
Post/Beam Struct. San. Bower ��aminq -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor _ Nater Line Gyp. Bd. -Meeh.
Date Recp tedc ' Timet -'k—AM pM
Addroue: l Permit tt� ---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
r."
Inspectors^ _ Lam.
APPROVED DI3APPROVfp.� APPROVED SUBJECT TO kw)vN
_Call For Rainep.
�N�PECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-3.-Phone)s 639-4175 9usinees Phones 639-4171
Footing Plbg. Oslderelab Mech. Rough-in Appr/Sdwlk
Found. _D1bQ. 'PoF` x)11!
�� Gas Line FINALS
Post/Bean Strurt. San. Seweer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Dd. -Mach.
/
Date Requesteds ly -` _ /� Tirt�e: AK _PM
l
Addreass 4 Permit
Builders �✓ �_--_��
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspector Horse
APPROVED DISAPPROVED APPROVED SUBJRLr TO AAOVE
tX-
call For Reln_!o.
a
1
INSPECTION NOTICE
Cit;r of Tigard Building Department
13125 1V FaIL ►ilvd. Tigard, Oregon 97223
Inspection Line (Pec.-O-Phones 639-4175 Buniness Phone: 639-4171
Inspection:__
Footing Plbg. Dnderslab Mach. Rough-in Apnr/Sdwlk
Found. Plbg. Top Out Gass Li a FINALS
t/Beam 8 Ct. San. Sewer Framing -Bldg.
out/Beam M Rain Drain Insulation -Plumb.
P Ondorfloor y/Wate/rl ;L/inn}e Gyp. Bd. Mech.
Date tedt_ I�Z V ( (� Times L PM
Address: � I2- �`7 Permit is
Bullde�s �,�
THE FOLLOWING OORRECTIOIIB AM REQUIRED:
Inspectors- • Dat P: • 'Y ��
L"'
APPROVED DISAPPRO'/RD APPROVED SUB.1RcT To ABOVE
Cell For RPinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 971.23
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
Inspections
Doti- Plbg. Underelab Mech. Rough-in Appr/Sdwlk '
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water ine Gyp. Rd. -Hoch.
Date Request ds, C ,Timor AM
Address-, :? /�_�� _ Permit f: 13
Builder:
_-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
v APPROVED DISAPPROVED APPROVED SURJRLT TO ABOVE
Call For Reir:sp.
is
CITY OF TICARU �iLWLR CCJN'C-T16N
Wt: R Ile,I T
P E R Ill 1 .' it j3 Lq 0
COMMUN17 ,' r)EVELOPMENT DEPARTMENT
6125 SW Hall Blvd.Tigard,0.,ogon 97223*8199 (503)639-4171 DATE 1',`)ULL . 04/0"J/,33
JTC- AN)REGS. . . 1 CL'07' sw i 13 rj--i P%-
L
,IM I V 15 1 ON. ZUNJINCa R-1- 5 PD
-CJCK. . . . . . .. . . . LOT. . . . . . . . . . . .
..........
NAMr
5A No. . . . . . . . . FIXTURE UNITS. . . ."
,-A35 OF WURK. . . :NL.W DWELL INb UNIT5. . : 1
Y P F OF Ub E. . . . . :SF NO. OF BUILDINUS: 1
I 'YPE.. . . . :..LUbWR 11YIPIERV SURF()CE. .
marks; : PA1 H I
.-Mer, FEES
.-OYD Oi—'3UN t ypq am o i.lyl t by date
PRMT $ 2100. 00 JH 04/05/93
JNTM-IC NOT ON r-'ILL
,ionfe 4- i:.131 . iZ Z) 0;AL
RLIDUIREL) INSPIECT*IONS
1i Applicant agrees to conply with all the rules and regulations Sewer lvispec:,- IL ri
the Unified 5ewaijt Agency. The persit expires 180 days frox
e We IbSUM The total mount paid will be forfeited if the
-reit eqires. The Agency does not guarartee the accuracy of the
.de sewer laterals. It the sewer is not located at the measurement
ver, the installer shall, prospect 5 feet in all directions from
e distance giver. If not so located, the installer shall purchase
Tip vc 5idt Sewer" Persit and the Agency will install a iateral.
�? b
at-.ir e ,
Call for i ns pect i LiTi 639-4175
V11
.0
CITY OV TIGARD — PFCEIPT OF PAYMENT RELEIPT NO. 93—f-,3668"
CHECK AMOUNT a 5015. ac)
!•1(4ME t OI.-SON DEVELOPMENT CO CASH AMOUNT t 0. 00
CiDDRESS a 13t4l SW TFUFEL HILL ROAD PAYMENT DATE s 0 4,/06 9,7,
BEAVERTON, OR SUBDIVISION
97007—
i-ILIRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM MST93-0141 14-09. 00 PLUMBING Pt-RM 147. 50
MUCHANICAL PE 43. 50 ST. BUILD PER 30. 01
PLAN CHECK FS' 10. 88 SEWER LISA 01 100. 00
SFWER INSPECT 35. 00 PARKS SDC 500. 00
STORM DRAIN SDC X130. 00 RESIDENTIAL TRAFFIC FEES 1350. 00
MPGS TRANSIT TIF FEES 110. 00
LLJ
TOTAL AMOUNT PATO 5015. 89
('11Y OF TICARD RECEIPT OF PAYMENT RFCElPT NO. 193-238440
CHECK AMOU14T a 40. 00
114 p m E ti (: LSON9 LLOYD CASH AMOUNT a 0. 0o
ODDRESS PAYMENT DATE 03/31 /93
SUBDIVISION
i-'.,i.,JRPOSE OF POYMCN'r AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
AN CHECK f-.'E 40. tAo
V)
LD
Lor s MEADOW GL.ADr-
12079 SW 113TH
701AL. AMOUNT PATE) 40. 00
` 1 V
s
CITY OF TI GAI�D 131u sw ti,a wee. PL?JCK/RECT # �"J2 I� • —
%OMMUNMDEVELOPMENT DEPARTMENT Tigard,Oregon 9711J PERMIT If
(503)63"1" DATE ISSUED
JOB ADDRESS: f a D 7 L Z/3 ` TAX MAP/LOT I 4L3 /+[j -O 3�U
SUB: LOT: �p I_ANO USE: _
VALUATION:
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: — LAST REISSUE:
FLOOD PLAIN/
PHONE: _j�iZh �(�e� '�.f �' `�? I SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED SGfP�7i-OC)l v
NAME: _ PLANNING: 4 SK-121
1
ADDRESS: ENGINEERING: >OiC
FIRE DEPT:
PHONE: _ _ OTHER: 7�W-
CONI-R. BOARD #: _ _ EXP DATE: _ /nEr�aw(tC �IE_
ITEMS RF UQ IRED
SUBCONTRACTORS: PLUMB: �� LIST/SUBCONTRACTORS:
�• MECH: ALeot4 . BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS-
ADDRESS: _ OTHER:
N PHONE:
11ri 144–
PROPOSED BLDG. USE:
COMMENTS: /
APPLICANT SIGNATURE
Received By: Oa Le Received: ' :3/ ��__ _
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit fees h/0 _ 1 •-
10-431 00 Plumbing Permit Fees u
10-431 01 Mechanical Permit Fees _y 3. �� ' __ 3 •S o
10-230 01 State Building Tax (5%) C, 30-01
Building ao.t/
Plumbing 7,3 f
Mechanical .9, /
10-433 00 Plans Check Fee �"v-j�� O _/U 5i-
Building — 0, vu
Plumbing _
Mechanical /0 r6l
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448--03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PUC) S S c u
31-450 00 Storm Drainage Syst Dev Chrg
N (SSDC) _o?1--y
24-445-01 Water Quality (Fee in lieu oftCIO
24-445-02 Water Quantity (Fee in lieu of)
J r
TOTAL
nm/3587P.WPF