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CITE( GF TIGARD
DEVELOPMENT SERVICES MI=PERMII-:AL...
r�H�RMIT
13125 SW Hsll Blvd., Tigard,OR 97223(503)639.4171 PS RM I T if. . . . . . . :
DATE 1:36UFD.- 0'71/04/99
PARCEL: 2S1.03AC--03700
SITE ADDRESS. . . : 12532 SW 114TH TERr'
SUPT)I V I S I ON,. ,, . . : WAI_.NUT DROVE ZON T NG: R-4. 3
SI-OCK. . . . . . . . . . : L-OT. . . .. . .. _ .. „ .. . , . :OOf, JURT SDICTION: TTG
CI--ASS Or- WORK. . :AL_T f-L-COR FURN. . . . : 0�----'-_EVAP COOL-ERS- it"r-y-A -- -- -
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . : 0
OCCUPANCY GRP. . : R,3 VENTS W/0 APPI_.: 0 VENT SYrTFr ': 0
STORIES. . . . . . . . : 0 HOII_r".RS/COMF'RFSS(1RS HOODS. . . . . . . : 0
FLI .L. TYl='CS--- .___. _._...___.__ 0-3 1 Irl. . . . : fi D011L=S. T NIC:I N: 0
GAS 3-15 HP. . . . : 0 COPIML.. TNCIN: 0
AMAX INPUT: 0 12TI.J 15 ;.iO 11P. . . . : 0 PFPA'rR UNITS: 0
F"IRE DAMPERS ). . 30--50 HP. . . . • 0 W(7ODSTOVES. . : 0
GAS PRESSURE. . . c 50+ HP. 0 CI...0 T)ftYF'RS. . : (h
NO. OF lJN T.-I-c;_.___ ...___...._..._._ AIR HANDL.I NG UN I TS OTHER UNITE). : 1
F URN ( 1O0K BTU: 0 (= 1O000 cfm : 0 GAS OUTL-ETS. : i.
r--URIV ) =100K STU: 0 ) 1.0000 r_f m : 0
r7emar,l•(s : Gas line and direct vent, zero clearance fireplace
I Jwner: _._.._..._.____-__._. ...__.._ ..___.._.......__......-...__..._.............._ _-._._..____.___.__._____.._._.._._____ FEES .._..__._.._....___...... _._.. ._
r)pir,C; POROK
typrc` amount by date r^ecpt
1.2532 SW 11 y.TI I Tr:;RR PRMT $ 25. 00 B 0;:/04/99- r.'9-31i_'.(=,`8
'`IGARD OR '?i,_, '3 5PC7 $ 1. F5 B &2/O4/99 99-312698
`hone #:
uritraeliar,:
!10T SPOT F T RF I-'1_i r & PAT T O
11.5,- 5 SW CANYON RD
11EAVCRTON OR 97O03 $ 26. 25 TOTAL_
"hone it: 503-6c'?6-913fi
' R it. . : 000717
RRPIATRED INSPECTTONr ._._._.....___.
is pek mit is issued subject to the regul:(tions coi,tetned in the Das Line I n s p
'igard Municipal Code, State of Ore. Specialty Codes ar.d all other Mecharriral. Insp
applicable laws. All work will be done in accordance with Final Inc;pecti on
-.Nproved plans. This permit will expire if work is not started
hithin 19 days of issuance, or if work is suspended for tore
a than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Cpnter. Those riles are _
;et forth in OAR 952 ?01-@@10 through OAR 952-@01-0888. You layLn
' -
obtain copies of these rules or direct questions to OX by calling
-1-
LU
J �
11y - _!'�--..__ �.._ permittee 131gnatvre:X
f-+4 ++++++++4-+++++++++++++4-+++.+++++++i-+++•�-4++ ++++++++++++++++1-+++++++++++++.++.4
Ca 11 6379-41.75 by 7:00 p. m, for in5pertiOtis needed the next brtsiness day
1-4.4.++4 ++++-$-+++++-I-++4.4.4+++•++++4.4-++++4..1 .++++++++ +-++-+-f-+++-+++ �.++++++•++++++++-h++i 4--+ f
CITY OF TIGARD Mechanical Permit A lication Plan Che "r1
PP Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd : '`1 _
TIGARD, OR 97223 Dew to P.E.
(603) 639-4171, x304 D.t-,t to DST
Print or Type Permit 1 I elt .
Incomplete or illegible a plications will not be, accepted called
Name of Developmenwro)ed Description
Table 1A Mechanical Code Price Amt
Job Street Address S1Me11, A Permit Fee 1000
Address !;3: ,j(_(_! //q t 1
1) Furnace to 100,000 BTU
Includingducts b vents 6.00
B" clry/State zip 2) Furnace 100,000 BTU+
Including ducts 6 vents J7,50
Name(or name of busmen) 3) Floor Furnace
Owner '1-�t✓Y C If, Including vent 6.00
Melling Address 4) Suspended heater,wall heater
or tioor mounted header
5) Vent not Included In appilance perk ,
CRYISlde Zip Phone 3.00
15/1)- rj CHECK ALL *Boiler Heat Air
N (or name of business) THAT APPLY: I or Pump Cond Qty Price Amt
Occupant Mailing Address 6000K Fr'�bsarb unit to
6.00
7)3 15 HP;absorb unit
CRY/state Zip Phare Ifir)k to 500k BTU 11.00
8)15-30 HP;absorb
Contractor N unft.5-1 mil BTU 15,00
014 �- 9)30-50 HP;absorb
x t P I4'( _ unit 1-1.75 mil BTU _ 22.50
Prior to permit Melling Address 10)>5011P;absorb unft
issuance,a copy t I t Kf >1.75 mil0HU
_ 37..,0
of all licenses /statePhone 11 Air handllhgg unitto 10,000 CFM
are required if 0f 1(1 L)pM!C 4.50
"red In COT Oregon Cons'.Cont.Board LICI Ex Dat r 12)Air handling unit 10,000 CI'M+
database /17E19— 7.50
Architect Nan" 13)Non-portable evaporate cooler
_ 4.50
or Mailing Address --- 14)Vent fan connected to a singlr duct
—` —300--
15)Ventilation system not Included In
Enginoer CityfState zip Phoria appliance permilt 4.50
16)Hood served by mecrranical exl,?rrs►
Describe vrork to be done: 4.50
17)Domestic Incinerators
New O R air O Replam with like kind: Yes O No O 7.50
Residentiq Commercial O 18)Commercial or Industrial type Incinerator
30.00
Additional,oration or description of work: 19)Repair unfts
k kv\ r'r:, I. �- cit v�d i h`,�('��l 4.50
20)Wood stove
L t v F h(<< ` 21)Clothes dryer,etc. 4.50
4.50
Type of fuel: oil O natural ga LPG O el-Irk;O 22)Other units
�V 4., 2C' `IVV J 1, 4.50 (/ Sc
I- I hereby acknowledge that I have read this applicatior,that the Informatbn 23)Gas piping one to four outl 4ts
given Is correct,that I am the owner or authorized agent of 2.00
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each)
.50
Signature of Owner/Agent Date 1
/ Minimum Permit Fee"25.00 SUBTOTAL _ 14,
-
le
5%SURCHARGE 1..��
Contact Parson Na a Phone — PLAN REVIEW 25%OF SUBTOTAL
R uired for ALL comma jai
rmih on
TOTAL
*State Contractor Bober Certification required
"Residential A/C requires site plan showing piaoement of unft
I:Vnechperm.doc rev 07/20/98
CITY OF TIGARD CERTIFICATE OF
COMMUNM V QBVWLOPMRNT Lai PAK.t giff OCCUPANCY
13126 BW NO Blvd,flew-',Orew STMem" 1�8, 71 PERMIT 0. . . . . . . : MST91-0221-
4-4171 DATE ISSUED: 06/17/93
PARCEL: 28103AC-03700
:zITE ADDRESS. . . c 12532 SW i 14TH UR
SUBDIVISION. . . . 4 WALNUT GROVE SURD ZONINGiR--4. 5
BLOCK. . . . . . . . . . 1 1-01.. . . . . . . . . . . . . 16
CLASS OF WORK. qNEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. 3R3
OCCUPANCY LOADo225 4
TENANT NAME. . .
Remarkss
Owner3
PINNACLE HOMES
!2735 SW GLACIER LILY CIRCLE
TIGARD OR 97223
Phone #:
Contractor,:
PINNACLE HOMES
IP735 SW GLACIER LILY CIRCLE
I'IGARD OR '7223
Phone ## 524-4it1
Reg #. . p 16177
Occupancy of the above r•efet,enced huildinR is, her-eby given, and certifies
the compliance with the State Of Oi-egon Specialty CocJes for the gv-uupl
occupancy, and use under which the referenced pet-mit we,9 issued.
FIRE DEPARTMENT U IL~ C I
B IL FFICIAL
POST IN CONSPICUDUIj PLACE
ui
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspecttion Line (Rec-O-Phone)s 639-4175 Business Phono: 5:1q-417?
Inspections —
Footing Plbg. Undermlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. To/j Ors Gas Line FINAL:
Post/Boam Struct. San. Sewer Framing
Post/Ream Hoch. Rain Drain Insulation i
Plbg. Underrloor Ve.h.er Line Gyp. Rd. +`•��
Oeste Requesteds
Addresas -" --- Pormit 1:
Bu1ldert
THE FOLLONINO CORAICTIONS ARE REQUIRED:
2 \
F-
r
Inspectors -_ Dates
APPROVED 0I"APPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinep.
. ,.
�j1tL�FsMON NOTICE
City of Tigarv4 7uildioq Department
13125 811 B40.1 Blvd. Tigard, Oregsm 91223
Inspection Line (Rec-0-Phone)s 639-4175 Business Phone: 93--4171
Inspection:
Footing Plbg. Underslab Mach. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Can Line FIN,\.:
Post/Beam Struct. San. Sewer Framing -Bldg-
Post/Beam Marsh. Rair. Drain Insulation ( -Plumb.
Plbg. Underfloor Water L!ne Gyp. Rd. ( Mach.-)
Date Requusted: _ Z' /-� Tim!ai AM PM
Address:_ t
Builders� 7�-f_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Cry - T 7 '7
Inspector:_ ,� Date:
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
' r
SNSPECTION NOTICE __
Citi of Tigard Building Depart
1.3125 sw hall Blvd. Tigard, Oregon 97323
Inspection Line (Rec-O-Phone 7639z4175 Business Phones 639-4171
Inspections
Footing Plbg. O rslob Mech. 1-3ugh-in Appr/Sdwlk `)
Found. Plbg. Top Out pas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor 1(ator Line gyp. Bd. -Mach.
Date Requested: Times AM PN
1 111- - rmit t _� z z l
Address: �
Builders—
_7Z Z
uildersZZ
TBR FOLLOWING CORRECTIONS ARS RSQUI M
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Inspectors--t ,z /1,� 7,L, ✓ --
APPROVED DISAPPROVED APPROVED SUB.TSM To AHOY=
--Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buainess Phone: 639•-417:
Inspections
Footing bg. U Zzalab Mech. Rough-in Appr/Sdwlk
Found. Plug. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulata-s: -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requeetcd%_ _ Time: AM _PM
Addree.:_ Sy�� / _ Permit #:-21
Builder:
T'tF FOLLOWING CORRECTIONS ARE REQUIRED:
F-
V)
F-
t:
U'
W
InspectorsDates
1-0_�PPROVBD DISA4'PROVED APPROVED SUBJECT TO ABOVE
__call For Relnap.
INSPECTION NOTICE
WL4 of Tigard Building Department
1:.125 SR Ha. 1 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone),:. 639`-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Undersl.ab Mech. Rough-in Appr/Sdwlk
Found. ".bg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Indulatin.n -Piumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeetedt_--� - ! —Time: _AM _PM
Address: J.Z. ��L t�~I Permit 1:_-�/ ' L`; /
Builder:__ _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
n
D
Inspect'in ------� =—•1 -- Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPBgTION NOTICE
City of Tigard Building Department
13125 SR' Hall Blvd. Tigard, Jregon 97223
Inspection Line (Roe-O-Phone)/: 639-41;5 Business Phona: 639-4171
Footing Plbg. Underslab Mach. Rough-in r p—r/S
Found. Plbg.Plbg. Top Out Gas Line FINAL:
Post/Beam Str:•.at. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Date Requeetedf � �u� __Times An PM
Addrees: 3-�— ��,� / '�h Permit f:IZy•2
Builder: •� t-C/
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
rh
a
N-
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J
Inspectors ,/,.:" J Dater
_`APPROVtD DISAPPROVED APPROVtb SUBJRCT TO ABDV!
Call For Reinsp.
INSPECTION NOTICE
City of :'igard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bijsiness Phone: 639-4171
Inspection:
Footing P1'.tg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gae Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
C
Poet./Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ �! —_-_Timet AM PM
Address: �� �C Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Of
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J
00* /
Hr,1.0
49/
1
Inspectors Dates _//L�.S�
�/AltR011f0 DISAPPROVED APPROVED BUWNCT TO ADOV74
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:
Footing Plbg. Underslab Mech. Rossgh-in �1 Appr/Sdwlk
Found. Plbg. Top Out Gas Line / FINALs
Poet/Beam Stru^t. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation .-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested s j V //�_ Time: 1�M PM
71—
Addrnas s /�`7 Permit #t
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.d !►"''ice_./'/1 ��.', - - -- ( .L.-x..67�t.G�1-C.l
r
` 11-t.-Atl- C?_.C-!AAIA
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Inspectors l _-- _ Date:_
. �"FPPROVED DISAPPROVED %PPROVED SUBJECT TO ABOVE
�� I Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart—t
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-0-Phone): 639-4175 Business Phone: 639-4171
Inspections _ --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Strurt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linn Gyp. Bd. -Mach.
Date Requested:— ` Time: _�AM PM
Addreaes
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
y
Of
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V, _ --
J
C7 —
W
J
Inspector: _ '— _^ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsg.
INSPECTION NOTICE 1
City of Tigard Building Deperterent
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-(.-Phone): 639-4175 Business Phone: 639-4171
Inspectiont
rooting P b9•
Underelan Mach. Rough-in Appr/Sdwlk
Pound. / PlDg_ T9P CKtt—� Gas Line PINAL:
Poet/Beam Struct. sen. Sewer Framing -Bldg.
poet/Dean Mech. Rain Drain
Insulation -Plumb.
-Mach.
pl,bg. Underfloor Water Lina Gyp. Bd.
Date Requested: Time: AM
Address
B:,ilae�
THE POLLOWINO CORRECTIONS ARE REQUIRED:
d
LLJ1--
T
F-
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Dater
Inspectors --
APPROVED DISAPPROVED APPROVED S,OjzCP TO ABOVE
VV
call FGr Reinsp.
�,�BpEc'rloM noTlcs
City of Tigard Building DePrrl "t
13125 B11 Hall Blued. Tigard,
Oregon 97223
Inspection Lina (Roo-O-Phono)s 639-4175 Business Phones 639-4171
Inspections
Tooting Plbg. Underslab Mach. Rough-in �_Awr/Sdwlk j
round.
Plbq. TOP Out Gas Line TIRALs
Post/Beam 8truct. Ban. Bever
Framing -Bldg'
post/Beam Meth, Rain Drain
Insulation -Plumb'
plbg. underfloor water Line Gyp.
GYP• Bd•
-Mach.
" f _Times AM PM
Date Requesteds i
Permit is �_-1—
/Addreas
Builders --
THE TOLLONIRG CORRECTIms ARE RWUIREDs
Of
W
J
S Dates-
Inspector:_
APPROVED __ DISAPPROVED __L,:I'AppROVED BUB"' TO ABdVE
Call Tor Reinsp.
INSPECTION NOTICE
City of Tigard Build .ng Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
lnspe -tions _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
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. �(
Date Requel1steds_3 LU-� �l vin� _,Time! AM X, PH
Address 1 2-i53Z- I I �^ ' Permit
Builders\V\1/1( jo 2 y �U Z
^'HE FOLLOWING CORRECTIONS ARE REQUIRED!
e,.
F-
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J
r9
LA
J
Inspector:___�_.� — ��- --- natw: � 19-3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, OreT-Jn 97223
Inspection Line (Rec-O-Phone): 639-4175 Nusiness Phone: 639-4171
Inspections _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
und. Plbg. Top Out Cas Line FINAL:
�Poosstt„/,•Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. Mech.
Date Requesteds -il' G" �— Times AM _ PM
Address: . �/ 1V I�Lr /I srmit 1s _
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED2
Ln
LLI
J
inspectors, Date:
11lPR�VtD DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinep.
i
INSPECTION NOTICE
city of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phonet 639-4171
InspectLont
Doting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Rech. Rain Drain Insulation -Plumb.
PJ.bg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requestedtt_�+ "/ / / Timet AM \ PK
Address:_ of J / Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inrpeator't
y APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE
Call For Roinsp.
t1TY0FT1firARDPLUMBING PERM:T
COMMUNITY DEVELOPMENT DEPARTMENT �IMIDPERMIT #. . . . . . . a MaT91--021
CrIY13126 BW HWI BMd.P.O.Box 23397.TOM,Onpon 97223(603)8 4�17Ei
DATE ISSUED: 07/09/92
LITE ADDRF_SS. . . a 12532 SW 114TH 4m7-Q%/'; PARCEL: 2S103AC-WI:1f.
:SUBDIVISION. . . . : WALNUT GROVE SURD ZONINGa R-4. 5
BLOCK. . . . . . . . . . a LOT. . . . ' 36
CLASS OF WORK. . :NEW GARBAGE: DISPOSALS. . e 1
TYPE OF USF. . . . .-SF WASHING MACH. . . . . . . al BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 10
STORIES. . . . . . . . :: WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . .. 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . a0
TUB/SHOWERS. . . . a SEWER LINE (ft ) . . . . 30
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . e100
DISHWASHERS. . . . .- 1 RAIN DRAIN (ft ) . . . . sO
Remarkf a
OWNER - _._._.___..___ -__._____..,...____.___FEES_____-__-..__._--._-
PINNAC;LE HOMES TIF f 1380. 00 JH 07/09/92 -
I x:735 SW GLACIER LILY CIRCLE SSDC $ 280. 00 JH 07/09/92 -
PARK $ 500. 00 JH 0'7/09/92 -
TIGARD OR 97223 MPRT t 39. 00 JH 12)7/09/92 -
!"')innp #: MPLC 1 9. 75 JH 07/09/92 -
M5PC $ 1. 95 JH 07/09/92 -
t=dumbing Contractors------ --- -------- PPRT t 147. 50 JH 07/09/92 -
f 1 P`.PC 0 7. 38 'JH 07/09/92 -
IVame BPRT $ 435. 50 .)'FI 07/Vi9/92 -
►lddressa BPLC f 40. 00 JLH 06/09/92
C i t Y ..___....__.__ .. Sate: .. "' ...21 78"JH 0 7/09/92
1a4 _
' ppa#= . __...__._F'hn►re41e ,, _„_._ � .__.. _ BPLC $ 15. 00 JH 07/09/92 -
REQUIRED INSPEIGT,I ONS - -- ---- -
.,,This permit is issued subject to the reg-
ulations contained in the Tigard Municipaal Foot/found Insp Rain drain I.A•sp' '
Code, State 'of Ore. Specialty Codes and all Post/BE-am Str•uct Water Line Insp
other applicable laws. All work will be done Post/Seam Mec,han Appr/Sdwlk Insp
in accordance withapprovedplans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Finial
wittlin 160 days of issuance, or if work is Mechanical Insp Building rib l,.,,
' sL19pendV8 for more than 180 days. Plumb Top Out Ernsion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp _--
-� Inaulatinr► InSp
Ci y p I3 u ri r c Insp _---.�..,-.._......___.
Au prized lumbinp Contractor Signature-� Call for inspection - 639-4175
Contrartor Notese
CITl/QF TiFARD My
()FIM147 MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW W1 Blvd P.O.Banc 23397,T4pd,Oregon 97 (503)8304175 PERMIT #. . . . . . . .. MST91—OE21
639-4171 DATE ISSUED: 07/09/92
SITE ADDRESS. . . : 12532 SW 114TH PARCEL: 2S103AC--WG6
SUBDIVISION. . . . : WALNUT GROVE SUBD ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
-------------------------------- BUILDING ---__--_—__—______-----_-__________—_._
REISSUE:MST91-0183 DWELLING UNITS: l BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. #NEW BEDRMS44 BATHS:3 GARAGE. . . . . . . . . . ..400 sf
TYOE OF USE. . . :SF FLOOR AREAS------------ REQUIRED SETBACKS-------------
TYPE OF CONST. :5N FIRST. . . . -.884 sf LEFT. . .-5 ft RIGHT. .-5 ft
OCCUPANCY GRP. :R3 SECOND. . . .-980 sf FRONT. -20 flu REAR. . : 15 ft
STORIES. . . . . . . :2 THIRD. . . . .-O sf REQUIRED-------------------
HEIGHT. . . . . . . . .25 ft TOTAL---------: l864 s SMOKE DETECTORS. ;Y
FLOOR LORD. . . . -40 osf VALUE. . . . . $ : 100118 PARKING SPACES. . zO
Remarks:
----------------------------------- PLUMBING -----------I-----------------------
SINKS. . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . '0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS, : 1 CATCH BAS1w;: :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . sO
DISHWASHERS. . . . : l WATER LINE (ft) . : 10121 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . il SF RAIN DRAINS. . : 1
---------------- MECHANICAL --------- ----- ---------------- FEES -----------
FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt
/bf4S/ VENTS . . . . . :0 TIF $ 1380,. 00 JH 07/09/92
MAX INPUT:o BTU VENT FANS. . :4 SSDC $ 00 JH 07/09/14i:,
FURN ( 100K . . .- I HOODS. . . . . . ol PARK $ 500. 00 JH 07/09/92
FURN ) -100K . . :Vl WOODSTOYES. cO MPRT $ 39. 00 JH 07/09/92
FLUOR FURN. . . . :0 CLO DRYERS. s I MPLC $ 9. 75 JH 07/09/92
BOIL/CMP ( 3HP:0 OTHER UNITS:@ MEPC $ 1. 95 JH 07/09/92
GAS OUTLETSj1 PPRT $ 147. 50 JH 07/09/92
Owner: -------------------------------------- p5pC $ 7. 36 JH 07/09/98,
PINNACLE HOMES BPRT $ 435. 50 JH 07/09/92
12735 SW GLACIER LIL',( CIRCLE BPLC $ 40. 00 JLH 06/09/92
B5PC 11 21. 78 JH 07/09/92
TIGARD OR 97223 BPLC $ 15. 00 JH 07/09/92
Phone #s
Contractor! ---------------_.�._.___._____.__.
PINNACLE HOMES
1i7'/35 SW GLACIER LILY CIRCLE
ITGARD OR 972,23
Phone #s 644-4017
In R p q 16177 ----------------------------------------
7:677. 86 TOTAL
This pertit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS ----- -
Tigard Municipal Code, State of Ore. Specialty Codes and All other Foot/found Insp Fireplace Insp
applicable laws. Ail work will be done in accordance with approved Post/Seam Struct Gas Line .'nsp
olikns. This permit will expire if work is not started within 180 Post/Beam Meehan Insulation Insp
dans of issuance, or if work ii itispetided for more than 189 da Plm/Lindslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
M i t t(a e r.1 1,..A t 1-t V,P Mechanical 1,15P Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
J. '-isued By! Framing Insp Mec.2hanicAl Final
Gall fol- i risr)Prt ion h39-417`.;
T'��RD CAI SEWER C014NECIION I/
Cff YO)FILm RD PERHIT
COMMUNITY DEVELOPMENT DEPARTMENT Ca sw�� r'E RM I T #. . . . . . . .. S W R 9 1--0_24 2'
13125 SW Hall SWd P.O.Sm 23397,%W,OnVan 97 (600)630-4175
SITE ADDRESS. . . : 1253# SW 114TH D47-C-/—t—, PARCEL : 2S103AC1—WG6
SUBDIVISION. . . . : WALN1JT GROVE GIJBD ZO1111\115: R-4. 5
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . :6
-I ENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :19EO DWELLING UN ITS. . : I
TYPE OF . . -SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE— :
Remarks :
Owner: FEES ------------ --
P111NACLE HOMES type A m ci)_t n t b�'v date r^rr,i
0
12/35 SW GLACIER LILY CIRCLE PRMT $ 1900. 0 JH 06/30/92
00 JH 06/30/9'C"
TIGIARD OR 97223
c-Ihone #:
trac,tor:
i "RACTOR NOT 01\1 F- I(. V:.
Phime #: L 19,7,55. 00 TOTA1_
REQUIRED INSPECTIONS
.7rit Applicant agrees to ccaplv with all the rules and regulations Seale,- Insper.,tion
of the Unified Sewage Agency. The pertit expires 180 days frop
the date issued. The total amount paid will be forfeited if the
pet-sit expires. The Agency doe.; not guarantee the accuracy of ths.,
side sewer laterals. If the sewer is not located at the eeasuresent
given, the installer shall prospect 3 feet in all directions rrov
the distance aim, If not so located, the installer shall purchase
a 'Tau and Sidi newer" Persit and the Agency will install a lateral,
Permi.ttee coiqviati-tre :
Call for ivi-Sr)ection 6;x'9-4175
CITYOF TI�T A � 131' sw 1{'0 l'",. PLNCK/RECT # —.. 1 _111��
"` -`'',`D PO Box 23397 PERMIT
#
COMMUNITY DEVELOPMENT DEPARTA4EN'f ji rd Oregon 97123
(503)639-4171 DATE ISSUED
JOB ADDRESS: 1/�� ~� ' 7 err, TAX MAP/LOT �5/ ' .3GC
SUB: _ ,� 4,� gtS`(" �v.�co�t LOT: LAND USE:
VALUATION: ` /00 /44 _ _
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: 4 7/l SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING7.
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: L EXP DATE:.Lj e 'r-2-
ITEMS
lZITEMS REQUIRED
-� LJ ���� - LIST/SUBCONTRACTORS:
SUBCONTRACTORS: PLUMB: �� LIST SUBCONTRACTORS:
MECH: _ BUS TAX:
ARCH ENGINEER CALCULATIONS: _
NAME: 7�� 1= T %6, TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
n
_ PROPOSED BLDG. USE: —
= COMMENTS:
APPLICANT SIGNATURE
Received By: _ Date Received: /a / _ c/
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PI,/, BAL. DUE
o2--I 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit FQes N7,
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building :,fi, ,7�
Plumbing 3rr
Mechanical
10-433 00 Plans Check Fee
Building �f
Plumbing
Mechanical
10-2.30 06 Fire
ZY3 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 (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)
a TOTAL �U
3 9,Gl
nm/3561P.WPF {�(� rig /
06-23-1993 08:26AM FROM Pinnacle Homes Inc TO 6847297 P.01
Me""Grana
FuTransmittal Memo 7672
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af�•t.�
GRIP"
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---- Attach Document At Line ----
�M
DEPARTMENT OF LAND USE S TRANSPORTATION
OAO WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
_fts4�
153 NORTH FIRST, HILLSBORO, OR 87124
COUNW, PHONE: 5WO40-470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693.4415
Permit # : 75036884 Project #: P2028577 Status APPROVED Page 1 of 2
Applied. 01/21/93 Issued 01/21/93 Expires : 09/07/93 06/21ij3 07 : 12
RESELEC
Permit Title SFR - ELEC/NEW HOUSE OTH
Degcription
Sob Address 12532 SW 114TH AV TI
inner Naer.e PINNACLE HOMES INC Regic!% D
Applica"t Nato CITY ELECTRIC
Phu:ie namber 292-9664 Valuation : 0 Appsuvad .
Inspector Comments: Re,jected______
h
J
J
inspectedDate :.by:! --r
;v-7
I»3Fection Requeste
Final Electrical
06/21/93 RI KF LKBX 'MAD' IF LOCKED
06/18/93 R1 MJF Aid PLSE
06/15/93 RI JCS
OG/15/93 DN KP MEED OFC? JN PASFMXNT b MOTOR
L
'L
J
O
7
J
J
06-23-1993 03:27AM FROM Pinnacle Homes Inc TO 6847297 P.02
SCOTT HILL CONSTRUCTION
2909 SE 167th J
PORTLAND, OREGON 97236 %y/mak ti'� ✓� """". �` .� '�'� 14 9 3
(503) 761.4922
TO 7— 2..... _. Boa No.
PINNACLE FiOME$......ZNs~....G1ALT WAZTRE _ ._ ... c�7[ --w�. ..........
127.35.._5.•_6. GLACIER.L Wr CIRCLE JOS NAME
___TIGARD. _QR._97213... ......._.. jos Lw
aTIOM12532 ,S.W. 114TH LOT 6
TERMS
DESCRIPTION PRICE AMOUNT
ASS: _
-_........16................. F'I,TT G _..._...._......
.......... .iia... ..... � . ...____......,...,....._,..._._..._... .............
2.50 277 50
_.._..2. _HRS... .., AC S�a�..�...... 45.00/HR 11 50
XAL 4' FWLF ..
ABS .,...», „».,.,..
31 40
_...
W
.. ....-.�.. ._..................w._......... F.�MW �
Re t .. ... ............ ,. ..�.. ......w
_.. ._ ,... _ ...%& HILL 4. 2 l.l+
ORIGINAL `a ,.,..Q—,.,...�.�� ». ... •,
""""'94pw
06-23-1993 08:27AM FROM Pinnacle Homes Inc TO 6847297 P.03
26 Aug 92 2012
PINNACLE HOMES, INC
12735 S.W. GLACIER LILLY CIRCL
TIGARD, OR 97223
DUE 10TH 12532 SW-114TH
SEWER 3" ABS:
68 ' PIPE
11 FITTINGS & WIRE
79 6.00 474 .00
RAINDRAIN 3" ABS:
85 ' PIPE
14 FIT'T'INGS
99 2. 50 247. 50
STORM SEWER 3" ABS:
75' PIPE
9 FITTINGS & WIRE
6.00 - 50C.0 Cr
1 BACKFLOW 28.00 28.00
1 RING & LID 13. 50 13.50
f—
"' WATERLINE 1" PVC
40 ' PIPE
5 FITTINGS & WIRE
45 1 . 50 67 . 50
5 HRS BACKHOE 45.00 225.00
4 HRS LABOR 8.00 32.00
1 HR LABOR 22.50 22. 50
BROUGHT SEWER UNDER FOUNDATION TO HELP PLUM
BER. ALSO TO BE ABLE TO FILL HOLE OUTSIDE.
1 .614 _ [?