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12501 SW 114TH TERRACE ADDRESS: ;Z 0 1 SW llqTO4 J 1:lrecordslmicrotlm\targetslbuilding.doc w J Page No. 1 CASE HISTORY FOR CASE NO.: SWR92.-0282 FOUR D CONSTRUCTIOA 12501 SW 114T'. TERR 02/05/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update' Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- ----------------------------•----------- ---- --- -------- --- SWRA007 Application received / / / / / / 09/04/92 BLT SWM010 Plan check by / / / / 09/04/92 09/04/92 BLT SWRA020 Check for prcl. restrict. 09/04/92 / / 09/04/92 PASS RT 09/04/92 BLT SWRA080 (F) Issue permit / / / / 09/10/92 09/10/92 JH SWM705 Sewer Inspection / / / / / / 09/04/92 BLT T, ��o 1 CC F-� N I— J �r Q0 ►.i C7 !t1 J Page No. 1 CASE HI;'T r. .' FOR CASE NO.: MST92-0198 FOUR D CONSTRUCTION 12501 SW 114TH TERR 02/05/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 ApplicaLion received / / / / 09/02/92 PISS TLH 09/04/92 ELT MSTA010 Plan check. deposit paid / / / / 09/02/92 PASS JLH 09/04/92 BLT MSTA020 Plan check by 09/04/92 / 09/04/92 PASS RT 09/04/93 BLT '4STA030 Check for prcl. restrict. / / 09/61/92 09/03/92 PASS RT 09/04/92 BLT MSTA092 (F) Issue combination permit / / / / 09/10/92 99/10/92 JH MSTA092 (F) Issue combination permit / / / / 09/10/92 09iln/92 "i MSTA097 Issue plumbing signature form / / / / 09/10/92 09/18/92 JH MSTA705 Foot/found Insp / / / / 09/21/92 PASS R' 09/21/92 BLT MSTA710 Post/Beam Structural / / / / 10/15/92 APP GS 10/15/92 GES MSTA711 Poet/Beam Mechanical / / / / 10/15/92 APP GS 10/15/92 GES MSTA712 Underfloor insulation / / / / 10/21/92 APP GS 10/21/92 GES N.STA717 PLM/Underfloor / / / / 10/12/92 PASS MS 10/13/92 MRS MSTA720 Mechanical Insp / / / / 11/20/92 PASS RT 11/23/92 BLT MSTA722 Plumb Top Out / / / / 11./18/92 PASS MS 1.1/18/92 MRS MSTA725 Framing Insp / / / / 11/20/92 PASS RT 11/23/92 BLT MSTA735 Gas Line Insp / / / / 11/20/92 PASS RT 11/23/92 BLT MSTA740 Insulation Insp / / / / 11/24/92 APP GS 11/25/92 GES MSTA745 Gyp Board Insp / / / / 12/01/!2 APP CS 19hn+ 72 (^L MSTA755 Rain urain Insp / / / / / / 09/04/92 u....' MSTA760 Water Line Insp / / / / / / 09/04/92 BLT MSTA765 Appr/Sdwlk Insp / / / / / / 09/04/92 BLT MSTA765 Appr/Sdwlk Insp / / / / 12/16/92 PEND LT 00/11/93 BLT MSTA765 Appr/Sdwlk Insp / / / / 02/02/93 1. Compact rock in approach. 2. Add rock PEND LT 02/12/93 NL to sidewalk on south side of approach. MSTA765 Appr/Sdwlk Insp / / / / 02/10/93 Clean mud from lot frontage. PEND LT 02/23/93 KE MSTA795 Mechanical Final / / / / 02/10/92 PASS RT 02/11/93 BLT MSTA797 Plumb Final / / / / 02/10/93 F[AS MS 02/11/93 MRS MSTA799 Building Final / / / / 02/10/93 FAIL RT 02/10/93 BLT MSTA799 Building Final / / / / 02/11/93 PASS RT 02/11/93 BLT MSTA960 (F) Issue Cert, of Occupancy / / / / 02/10/93 JF 03/02/93 JF MSTA970 Case Finaled / / / / 02/11/93 02/11/93 131,T MSTB706 Erosion Control / / / / / / 09/04/92 BLT 4 MSTB713 Crawl :rain / / / / / / 09/04/92 BLT G. H Ln Y F— C9 W J / 1`/ V CITYOFTIOrARD Cff Y OF TWA RD, CCMMUNrTY DEVELOPMENT DEPARTMr*,4T ORIGGH 13126 SW Hal Blvd. P.O.Box 23397,Tigaml,Onigon 97223(15W)63"176 F* I GI I OCCUPIONCY I SITE ADDRE!.a) 1.v��501 SW 11411-1 `EF'RR E31-11AD I V 15 1 ON. WnIJ413 T OPOVE WET BLOCK. . . . . . . . . . : .. . . . . . . . . . . . . 116 CLASS OF' WORK. INEW I YFIF OF LJ'--'E. . . t;SF OCCUPANCY GRP. :133 ULUIPANCY LOAD PIE.P. It *rr,!\wii r NAME. . . ; Heiviarkst PWIA 3 UI-mor . F-DUR D EXOX 1577 BEAVERTON 01-1 T7075 Phone #Is 641-093r5 rOUR 1) C1171INSTRUC TION PO BOX 1577 J3r-]HVE.R101\1 OR 9711175 Phone Oo 6/41 -0935 R q g 0. . i -i'117137 0cl.upmnvy of the above refew-erwcf?d bUilding 0B hereby tai vvit, and were if i fo ' he compliance with the State Of (,Jrv4nn gpqp�:.-Ikalty (,mlei fav bVe q It,o u13, ,CCUP.11-1cy, and LIRe midt'r whit7h #,,,he reteram- ed pvi,yati; wiRF issued. jm- A14,01,411111-141 W-11rLDINU I I I It !Ill P(Y.)[ 114 PL10CL ` DEPARTMENT OF LAND USE &TRANSPORTATION WASHINGTON ' LAND DEVELOPMENT SERVICES DIVISION#350-12 155 NORTH FIRST, HILLSBORO,OR 97124 COUNTY', PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4, Perms #: 05039961 Project # : P0026443 Status APPROVED Page 1 0- Applied : 09/23/92 Issued 09/23/92 Expires 05/18/93 02/11/93 all RES'LLGC Permit Title SFR - NEW HOUSE /LOW VOLTATE 0TH Description Job Address 12501 SW 114TH T8 II Owner Name INS?ECTION - TIGARD Region D Applicant Name ROBERTS ELECTRIC . Phone number ;.,44--7754 Valuation: Approved.-�; Inapector Commentu* lteje.�ted�_- Gc C.U , T�erg - ,'JiD C�1�/ - STb =oc-c.r div S u ti N 17 TA4 2 0 J i? vcr}oN Of- 9207-. ; 1-11-A 3 _ �DS �'- Inspected by: a AA. � Date :rA j L Inspection Requested: * Final Electrical ° 02/11/93 RI JS KEY ON NAIL NEXT 2 OARA:?F DOOR 02/10/93 RI DA 01/19/93 RI DA AM 01/19/93 DN KP FILE NOTES NJ SPErTION NOTICE r City of Tigard Building Department • 1.3125 Be Ball Blvd. Tigard, Oregon 97223 Inspection Liae (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: Poet/Beam Struct. San. Sewer Framing Bldg. Post/Beam Mach. Rain Drain Insulation -Plrmb. Plbq. Underfloor WaterLineGyp. Ud. Date Requested:_ �`' _Time: \ — PM Addreed: /,SSL l�y s— � Permit #z Bui_der•__ TBE FOLLOWING CORRECTIONS ARE REQUIREDs LOO a .r m LO � InspectorQ s _ e-� t Dates APPROVED DISAPPROVED —s Mprivy a sbIM wr TO um Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Nall Blvd. Tig%rd, Oregon 97223 y 1 Inspection. Line (Ree-G-PhnnP): 639-4175 Business Phone: 639-4177 ; Inepoction•_ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk ) —tom: Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. -qst/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water. L1.ne Gyp. Rd. -Hoch. Date Requeated:_ 7 T .2- \7( �� Times �J` AN _ nM Addreses Permit 1 ! THE FOLLOWING CORREC'CIONS ARE REQUIRED: A►�� /Z-qcA Tb K/6Lle 1L' S ��UTIt j4x�7r-Am J U W J `— — InspeatorsL,C- 7_ftyjtl -- nate, 2`?��7.3 _ 11PPROVtD DISAPPROVED _APPROVED SUBJR^_T TO ABOVE Call For Reinsp. is INS1•'1.CTION NUTICE City of Tigard Building Department 13125 SW 1 Blvd. Tigard„ Oregon 97223 Inspection Line (Rec-0hone): 639-4175 Business Phone: 639-1171 Inspection: Footing rbgop slab Mech. Rough-in i Appr/Sdwlk Found. ut Gas Line FINAL: Post/Beam Struck. San. Sewer Framing -Bldg. Post/Beam HF--ch. Rain Dr-in Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:, Timet _AM _PA Address: `SU� 7/ Pavel,; Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: F- w Inspectort� Dates_=10� - APPROVED DI--APPAOVED _APPROVED 8UBJRCT TO ABOVE Call For Aeinsp. INSPECTION NOTICE City of Tigard Building Department `-- 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Duninees Phone: 639-4171 Inspection: Footing 7r1.bg. Underslab Mech. Rough-in Appr/S,lwlk Found. P?-bg. Top Out Gas Line FINAL: Poet/Roam Strurt. San. Sewer Framing -Bldg Post/Beam Hoch. Rain Drain Insulation _ 11umb Plbg. Underfloor Water Line Gyp. Bd. --Mech.. Date Requented:_ v"? A!�_-/7� Tttapi: __)AM �5___ PM Addrese: J`UI ` 'K i�,� Permit Is !/1� Luildgr:._� THE FOLLOWING CCPRECTIONS ARE REQUIREDs CL -- rt V7 F— J n -1 L,J J Inspectors / Dates /e' 3 ' ROSUBJECT APPROVED DISAPPROVED __ APPROVED SUCT TO ABOVE � 11 For Reinsp. INSPECTION NOTICE. City of Tigard Building Departsient 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ff-^-O-Phone): 639-4175 Business Phone: 639-4171 Inspect Lon: — -- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line / GypBd' -Mech. Date Requested:_— I Times _)(__AM PM Address: ■� 1L/L--`Permit Builders ---- THE FOLLOWING CORRECTIONS ARE REQUIRED: Cif Ln J U` - W inspectors Dates �v APPROVED DISAPPROVED APPROVED BDB"CT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rer.-o-Phone), 639-4175 Neatness Phone: 639-4171 Inspection: Footing Plbg. UndRralab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain neulatio� -plumb. Plbg. Underfloor watea Line t Gyp. 8 -Mech. Date Requested: r� �1��-- _Time, AMS� (( rM Adcireen: _s Q I/ '= � Permit Du ider:__ TNF. FOLLOWING CORRECTIONS ARE REQUIRED: CC F- J C,D w -j Inopmtors Ae APPMM DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinsp. M'PECTION NOTICE City of -:hard Building Department 13125 SiP Hall b,vd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone: 639--4175 Business Phone: 639-4171 Inspection: Footing Pibg. Underslab Hach. Rough-i� Appr/Sdwlk Found. Plbg. Top Out G_a` FINAL: Poet/Dean Struct. San. Sewer Framing 1 -Bldg. Poet/Beam Hach. Rain Drain Insulation -Plumb. Plhg. Underfloor Water//Line Gyp. Bd. -Hoch. Date Requested: Time: AH PH Address, _ Builder:__—_��THE FOLLOWING "JRRECTIONS APE REQUIRED: CL -- ---- -- F- �n C7 W J -- Inapector:_ � Date: ";- —- I MEN/�. APPROVED r_ DISAPPROVED APPROVED SUBJECT TO ABOVE // Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Fhone): 639-4175 Business Phone: 639-4171 Inspection: Footing Mg. Und*rslab Mach. Rough-.in Appr/fdwlk Found. /1111bg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Insulatlon -Plumb. Plbg. Underfloor Water Lino Gyp. Bd. -Mech. Date Requested: �O / Time: A AM/, G �__PH Address: `S v I / Permit it�% Bulkier: THS FOLLOWING COR TIONS ARE REQUIRED: n Inspector: 10 " Dates 04 APPROVED DISAPPROVED APPROVED SUBJRCT TO ASM ter Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SX Ball Blvd. Tigard, Oregon 97223 inspection Line (Rec-o-Phone: 639-4175 Business Phone: 639-4171 Inspection; f __-I- - Z� �_-- .--_ /, Footing Plbg. Und-rsl`h Mech. Rough-in Appr/Sdwlk Found. P1bg. Top Out (;as Line FINAL- Pont/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor Wacer Line Gyp. 8d. -Mach. Datr Requested? �/J �� '- ♦ Times M/_ZJC, &0K Address: � f�J✓ Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 a — c V) Y - .0 QU W J Inspector�s/ _j,(__1 _ nates y APPROVED DISAPPRCJED APPROVED SUBJECT TO ABOVE __Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaent 13125 SM 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. Plbq. Top Out Can Line FINAL: et/eeam 8truct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp. Ed. -Meeh. Date. Requeenstedtn I� ' 11� - Tima: --9—AN PM Addreset,`-� [ ��.��'�LS+� Permit #t riuildert L THE TOLUMIMO CORRECTIONS ARE REQUIRED: CL: --- ----- ------------ F- r - J _ - C W Inepeatort Dates -19 APPROVED DISAPPROVED \PPROVED SUBJECT TO ABOVE -_Call For Reinep. INSPECTION NOTICE L City of Tigard Building Department 13125 SO Hall, 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 FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Da Le Requested: ! V ( 2 2— Time: AM _PH Address: 1�� e�� Q r Permit #a �Z�� (u THE Ir0I1.0WING CORRECTIONS ARE REQUIRLD: CL Ci F— -J Inep�rFors' / Date: ( •� -APPROVED DISAPPROVED APPROVED SUR39CT TO ABOVE _ycall For Rainsp. INSPEMPION NOTICE City of Tigard Building Department 13125 SH Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buainess Phone: 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk of und. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Pest/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. Mech. :.te Requeeted:_ l Z�,/ _Tlime(l�AM 'PM Address: Li'/ /7 — Permit 1: � �! Bu i lder s—_��._ THB FOLLOWING CORRECTIONS ARE REQUIRED- Ci N F— W J InBpBctore --� Datei APPYAM 01"PPROV20 APPQOM liT im TO ADM Call br YAL1aP. INSPECTION NOTICE City of Tigard Building Departaent 13125 8W Ball Blvd. Tigard. Oregon 17223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in Aper/SdwlD Found. Plbg. Top Out Gas Line FINALr Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. underfloor Water Line Gyp. Sd. -Poch. Date Requesteds -2 _ ICP- 'I Z-- Times _LeI1_AK PN Address sS -) �� Permit #A51-JI -1.2 Builders C t(2 i TBE FOLLOWING CORRECTIONS ARE REQUIRZDs /Z_6-Z2 AT Crr/2� /ZA h151 T/ P&I �6LL- l D . 6A C. C - J Inspectors GE7N A 1-tamDates Z �O q 'T— APPROVBD DISAPPROVZD APPROVED BUBJZCT TO ADM Call Por Aeinsp. MASTER PERMIT CITYOF T1��_ r-,v_RmiT #. . . . . . . : 1,11ST9, 0", 8 A C4 77DATE ISSUED: 09/10/92 COMMUNrrY DEVELOPMEWT D6AMowlem PARCEL: 25103AC-WG16 SUBD I V 15 1 01\1. . . . : W,'�LNUT GROVE SURD ZONING: R.-.4. 5 I.BLOCK. . . . . . . . . . . L_oT*. . . . . . . . . . . . . : 16 BUILDING dF-A§§Ub1k WORK,. :NEW @�5�H'�y3 UNIOTAS:L TYPE OF USE. . . ;SF FLOOR REQUIRED SETBACKS- TYPE OF' CONST. :51\1 FI RST'. . . . : 1827 S f LEFT. . : 12 ft RIGHT- 15 ft OCCUPANCY GRID. R3 SECOND. . . :0 sf FRONT. :20 ft REAR. 25 ft STORIES. . . . . . . .. I THIRD. . . . :0 s REQUIRED--- HEIGHT. . . . . . . . :L'.? ft 1827 S f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . 92;7132 PARKING SPACES. . - I Remarks : PATH 1 PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAIN5. . . . :0 BACKFLOW PREVNTRS. 0 LAVPTORIES). . . . . :3 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (ft) . :0 GREASE TRAPb. . . . . . . :0 DISHWASHERS. . . . -. 1 WATER LINE ( ft ) . : 100 OTHER FI X F'URES. . . . . .0 GARBOGE DISP. . . - 1 RA114 DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL FEES FUEL TYPES------------- UNIT' HTRS. . .0 type amoi-int by date r-ecpt /GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 09/10/92 X MAX INPUT:0 BTU VENT FANS. . :4 APRT $ 41,2. 00 J1 1 09/10/92 X PURI ( 1001 . . : I F40ODS. . . . . . . I BPLC $ 267. 80 JLH 09/02/92 . FURN >=100K . . :0 WOODSTOVES. :O 85PC $ 20. 60 JH 09/10/92 X FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSP'-, $ 280. 00 JH 09/10/92 X SOIL/CMP ( 3HP:0 OTHER UNITS: I PARK $ 500. 00 JH 09/10/9,2 X GAS OUTLETS: I 1y1PRT $ 43. 50 JH 09/10/92 X Owner,.- MPLC_ $ 10. 88 JH 09/10/92 X FOUR D CONSTRUCTION 1v15PC $ 2. 18 JH 09/10/92 X Fl. 0. PDX 1577 PP R T $ 140. 00 JH O9/1O192 X P15FIC $ 7. 00 JH 09/10/92 X BEAVERTON OR 97075 Phone #: 641--0935 Contt,actot-: FOUR D CONSTRUCTION PIO BOX 1577 BEAVERTON OR 97075 Phone #-. 641-0935 Reg #. . .- 710,37 3143. 96 TOTAL this permit is issued subject to the regulations contained in 'he REOUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol-ind Insp Fir,eplave Insp applicable laws. All work will be done in accordance with approved Post/Beam Strutt Gas Line Insp plans. This permit will expire if work is not started within iN r-`ost/Beam Mechan Insi_tlation Insp days of issuance, or if work is suspencid for more than 180 days. PlM/Und-,lab Insp Gyp Bcar-d Insp -;"7 �, - -___ PLM/Under-floor Rain drain Insp Permittee Signati-it-e : ie 71- Mer:hanical Insp Wal-ei, Line Insp UJ Plumb T 0 p Out Appr/Sdwlk Insp I -,s i-i e d B y - Framing Insp Mechanical Final Ca 11 for inspection - 639--4175 SEWER CONNECTION I ff DATE IS.-SUED: 09/10/9L CITYOFTIFARD PERMIT #PERNi-r. : S- WR92-0262 COMMUNrTY DEVELOPMENT, DE MY OVT—*A 0 13125 SW HWI Blvd. P.O.Box 2M97,TOW,Oregon 97 0 SI'1"E ADDRESS. . . : 12501 SW 114TH " —FeYr, PARCEL: 2S10:3(-1C--WG16 SUBDIVISION. . . . : WALNU1' GROVE SUED ZONING: R-4. 5 BLOCK. . . . . . . . . . .: LOT . . . . . . . . . . . . . . 16 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELL_ING UNITS— : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS.- 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE— : : 5f Remarks : PATH I Owner: ------------------------------------- FEES FOUR 1) CONSTRUCTION type amoLtnt by date reu-,pt P. O. BOX 1577 FIRMT $ 2100. 00 JH 09/10/92 X INSP $ 35. 00 JH 09/10/92 X BEAVERroN OR 97075 Phone #: 641-0935 Contractor: —•—_..______._.__________.---_._._____ (AINTRACTOR ------ (AINTRACTOR NOT 01\1 FILE Phone #: $ 2.1,35. 00 TOTAL Reg RUT11111RED INSPECrIONS This Applicant agrees to cogpiy with all the rules and regulations Sewer Ins pection of the Unified Sewage Agency. The permit expires IFA days from the date issued. T"e total amount paid will be forfeited if the Permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. if the sewer ie not located at the measurement given, the installer shall prospect 3 feet in ali directions from the distance given. If not so locat!d, the installer shall purchase a "Tap and Side Sewet" Permit and the Agency will q' stall a lateral. PprmittPe Call for inspection 639-4175 CITY OF TIGARD RECEIPT OF PAYMEN"r RECEIrT NO. 02-231518 CHECK AMOUNT a 5028. 96 NAME : FOUR D CONSTRUCTION CASH AMOUNT a lb. 00 ADDR588 : PO BOX 1577 PAYMENT DATE a 09/10/92 BEAVERTON, OR SUBDIVISION 97075— PURPOSE OF PAYMENT AMC?'INT PA I D PURPOSE OF PAYMENT OM011.)NT SLI ILDING PERM 41-2. Oi F-'L.LIMP I NO PE RM 140. W IIF CHANICAL PE 43. 50 ST. BUILD PER P-9. 78 PLAN CHECK FE 28. 68 GEWFR USA 2100. 00 GEWrR INSPECT 35. 00 PARKS SDC 500. 00 ",TDRM DRAIN SDC 280. 00 RES IDENT IAl TRAFFIC' FEES 1350. 00 :,10c,;,— TRANSIT TIF' FEES 110. 00 12501 SW 114TH TERRACE, LOT 16 TOTAL. AMOUNT t-*,A I D 15028. 96 i • 13125 SW Iiau[Md. PLNCK/ECT # � `��f�2` -:2 CITE OF TIGAIZD P0Mu2339*1 PERMIT a P75 L74, 0 / 1 COMMUNITY 1KNEW I'M ENT DITARTMENT TigarS.Oragon97W (503)639-!171 DATE ISSUED _ JOB ADDRESS: /�S�' / 1 G( i �/ J�- ,� TAX MAP/LOT o7 51p 3 AC - W G /h SUB: /l.�)Z lal— Gl'c�,.1r LOT: _ �� LAND USE: VALUATION: (_Z ,cx OWNER SPECIAL NOTES NAME: A C:l: LJ G��sIle uc-r/onl REISSUE OF: ADDRESS: 0. 7 LAST REISSUE: _ �Ay wj ? 57 FLOOD PLAIN/ PHONE: Com" ��' O ia...3 SENSITIVE LAND: — CONTRACTOR APPROVALS RE UQ IRED 5146W-0004?). t NAME: `� 'C- /OS Af%0 _ PLANNING: Ole-'"l4W-' ADDRESS: ENGINEERING: FIRE DEPT: PHONE: -- _ OTHER: 7%G -V CONTR CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: �' I-'� �1f�1 Bmi LIST/SUBCONTRACTORS: MECH: ,' X74-- c - I)o !� BUS TAX: _ ARCH ENGINEER CALCULATIONS: _ NAME: '4'A AuY' ;r-4 F T- TRUSS DETAILS: ADDRESS: ,''�-�i7">F &1W, L OTHER: 1 PHONE: C 14— PROPOSED BLDG. USE: .�rf(JG�L �/''S'��Ly �ES✓DCS _ COMMENTS: r APPLICANT SI ATURE Received By: =' — Date Received: PERMIT X Acct- # DESCRIPTION AMOUNT AMOUNT PD. B / DUE /►�Stgt-Ulyy 10-432 00 Building Permit Fees ✓ /Z- �- f 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees _, �3, S`� 3, 5-V Y .y 10-230 01 State Building Tax (5%) �� Building 4.�n `. Plumbing 0 Mechanical 10-433 00 Plans Check Fee �� ` �J ' 2�'(`� Building Plumbing Mechanical 10-230 06 Fire �``+RqZ-OZ yZ 30-202 00 Sewer Connection / L) 30-444 00 Sewer Inspection 31.) 3 '� 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 [35D.cD _ /_3S6�, 25-448-05 Mass Transit TIF Fees /0 -- 52-449 00 Parks System Dev Charge (PDC) 5y u _ 5-00 � 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) a 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) f- J i OTAL S � ol�O - 5L w J I\ nm/3587P.WPF CITYOF TIGARD �CITYOF ROD PLUMB,11\10 VERMIT COMMUNITY DEl"ELOPMENT DEPARTMENT PERMIT it. . . . _ . , . MST9 2-01'-IV 13126 SW HWI Blvd. P.C.Bax 23397,TOM,OMW 97223(603)639-4176 D J-1 T F I -C;C',I I F'F)4 L71 CA ' 10/q.:, SITE ADDRESS. . . : 1X5.01 SW"1'14TH4�W7-1e'rr'ryt' 1e-. PARCELc RSi@3AC--WU16 tiUBDIVISION. . . , s WALI%JUT GROVE. SUBL) ZONING t R-4. 5 BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . .. 16 CLASS OF WORK. . :NEW (ziARBAGE DISPUqALS. . .- I TYPE OF USE. . . . sSF WASHING MACH. . . . . . . bi BACKFLOW PREVNTRS. . :0 OCCUPANCY GRP. . iR3 FLUOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 10 STURIES. . . . . . . . il WOTER HEATERS. . . . . . a CATLi! BQS I NS. . -, ., . . :0 X'1*URES----------------- LAUNDRY TRAYS. . . . . . sl SF RA I N DRAINS. .: . . : 1 . . . . . . . . . . GREASL TRAPS. . . : . . LAVATURIES. . . . . 13 OTHER FIXTURE G. . . . . :0 I UB/'SHOWLRS. . . . r SEWER L114L (ft ) . . . . :0 W A T F1 R C L.0 S E.I Z. WATER LINE (ft) . 100 D I I 7 RA114' DRAT]' (ft)'. . . . Remarks : ro UWNLRo FOUR 0 CUNSTRUC,rl(JN 111 $ 1460. 00 JH 09/10/'92 X P'. (J. BOX 1577 B 1:1 R r 410- 00 JH 09/10/9P X BPI-C 267. BQ) !LH 09/02/92 BLAVERTUN OR 97075 B5Pc 9 20. 611.1 JI-1 09/10/92 1hone #a 641--0935 SSDL, i LBO. 00 J14 09/10/92 x PARK 500. 00 JH 09/10/92 X Plumbing MPRT t 43. 50 JH 0-i/10/9? X Name: MPLC $ J.O. AS JH 09/10/90 X m5pc $ 2. 18 JH 09/10/9y X kddresso PVIRT t 140. 00 JH @,)/1 0/9;:' X ti t a t e P5PC $ 1. 00 J1.1 L719/I L71/L)2 X i ips --Phvne#1 Ray REQUlf"ZLD INSPECTIONS' ur bject to the -eg t i� nned in the Ti and M nic.iHqtl r-'oo1;/fp1.And 11nsp , RjAiii drain Insr, L.Gdgj State of (.)Ire,, '-')Perialt� Cbrjq'� and all Pust/Deam !itvlir-,t Water Line Tnqj.) uther applicaUle laws. (411 work will lie done Post/13ijam Meehan C4ppv-/Sdwlk Insr, e'A-eaccordance with approved plans. This Plm/lindqlab Insp Machanic.�al Fin,,l permit will e)qvlve if work is not stai- Led PLM/Undort I oor PILIMb Final within 113111 day,% of issuance, ov, if worfi is Mechanical Insp Bmilding Final suspended For more than 180 days. Plumb l'op Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp ASkAlation In%p Gyp Board Insp Hi.ttliorized PlumbintJ Contractor Signature Call for inspol-tion 639--4175 i.ontractor Notes .--- rMENUSelect Add-case Clone Esc to desired case and press ENTER WER 7i� :SWR92-0282 : PROJECT:WALNUT GROVE STATUS : I UPD: 09/?.5/92 : : RG: • PERMITTEE:FOUR ONSTRUCTION PRIM. . :MST92-0198 : ° ° SITE ADDRESS 12501 SW 114TH TERR ° udOaddddddddddda aaddddddddddddddddadddddddddddddddddddddadddGd� ° ° RELATED CASES IN PROJECT GROUP 3417 ° ° ° ° F MST92-0198 WALNUT GROVE FOUR D CONSTRUC 12501 SW 114TH TERR ° ° ado I SWR92-0282 WALNUT GROVE FOUR. D CONSTR.UC 12501 SW 114TH TERR °d(; ° ° ° ° ° ° ° ° 0 0 w ��.rs cor�xCr7t) s�� ; 0 0 0 0� E,o mmvu 0 0 a° °d� ° adadddddddddadddddddddddddddddddddddddddddddddddddddddddadddddddddddddadddi ° ° ° adddaaaaaaaaaaaaaaaaaaaaaaaaadddaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aapoaaaaaaaaaa1