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11120 SW 124TH PLACE N t q 11120 SW 124TH PLACE I n. .c; d' N O N ri .-1 I ,11 4�� +�:.,SJ� ..',;�, 1 1' "�1�-yh S Y � ,P� �V""vim S� �: � ,«1�L�•,,•'aTry��'Y �r �� .� �r�q` ``�,��3�� "�►�►,,:,�ts�"+ti' '�►i!��P;r.. 1�f�'' b,m/ uahi!' �' f ��, �'�+`',, ! ��,. ,.�,� ,�yf►!�,r�,.. '�;b +t4 r+ F v 110 j co Z O .4 a F: anti 0m v cd I • , 1� o a a o p .rJ ril cA u 4 C7 41 04 s ry G 00 +� ` Cd 1 1� �C� OJ °• ,b �- � U oai � a 1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time. _ A.M. ,.P.M. Address //..2 .� w �� f �j Permit #� �_ OwnerLct Builder v � The 4ollowing Huilding Code deficiencies are required to be corrected: AAA Prevented to — F,�l Approved Inspector � � Disapproved Date � CALL FOR REINSPECTION 0 YES 0 Nn T NO. RUSH0001. CITY OF TWA RD JAI'K ISSUED : 1./1.P./Be aCIrY0=Fn6F7AW COMMUNITY DEVELOPMENT DEPARTMENT OR PRIM. PMT,N 880001 13125 S.W.Hall Blv!.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 W. tttMe 9W Piz TAX MA I/LOT 11-11 341CS 9600 SUB: AN I ON PARK LT : 58 RK : I AND USE: 11,7131.) VALUA*1*10N: rb 68,s9n FRONT : 20 REAP : a WORK CLASS : NEW DWELL AMITS : I I-LF'T* : 9 P 1 Of fy fl-.!1. USE TYPE;* : SINGI-E F;AMILY N(3. OF.-.13WOOMS: 3 ki-iXT' .WAI.1. CON51 CONS T* . TYPE-. : VN NO. BATHS ; 3 N: S : E: W : ocov . c.mr) . - rc�?, PROT , UPENINGF; OCCUP LOAD N: S : E : W: '1*01'611.. AREA: 1000 NC). 5,TORIES : a IS*r: 787 ROOF CONST: C FIRE HE:I CH'T : 20 P.ND: '713 AREA SFPAV47 PA 11:: D BASEMENT'? SRD: OCCUP. SEPAR7 PAI'ED: M1t--Z/AN1Nk-;'.7 HASE,:M 11' FLOOR LOAD: 40 GARAGE: 460 FIRE SPRKLR7 ALAWM7 LA,.)W I YE.S HEA,I, rYPE: GAS H DC P.ACCE S S 7 CORR7 RIEMAP- Kri Rt.I SSUE CJF- N(I I—r4 s,r PEISSUE MANNING ii T1 V E,N PER1,11 r 111134 0 .00 O 1011, "it. I-A Airi 141.-Y.11-.w lllli?Pi 00 W pcirtlnnd car, �7P-66 FIRE'. DEPT* N E 111(Y)F. I AX 11111. 1 00 OTHER 1)1..V E,I OPMEN T CHARGEli C MMNN J.Mt., S I EVEN SDC 11 ST 0 14M I 111latNo . 00 0 (ala-I(MI114001.) HOW--r.)i `-.10C I �1 1,I-M-E.1, If 111111600 . 00 1`1 1031 SE 92ND AVE . $e50 . 00 T 1`1 1.)1j1• 1, 1 111 Ild c11, lcr(P.0.)6, PAIkJ-"A'10 < $100 , 0()." A PHONE (503) 771 FJ347 C T NO '(1-'IA 01 *1 n-78. 0() 0 R REC E.Ep'r NO 2 iii This permit is issued subject to the regulations contained In Title 14 11EQUIREU INSPECTIONS of the TMC. State of Oregon Specialty Co:jes,zoronq regulations F and all other applicable codes and ordHances. and It is hereby FOUNDA1*10N WALL RAIN UPAINS agreed that the work will be done in accordance with the plans and specifications and In compliance v ith all applicable codes and AM WATER LANE ordinances The issuance of this rermit does not waive restrictive PLO .UNDE.PSLAR CITY APPPCH/SW covenants Contractor and nubccntractors shall have Current city Sl.,A8 P I NAI, business tax permits This permit will expire and become null and PLO . TOPOU T void if work is not started within 180 days,or If work issuspended or F:RAMI' abandoned for a period of 180 days any time after work hes commenced It shall he the responsibility of the permittee to ASSUre F1 REPLACE all required Inspections are MqUestlad,an d (;A!:i I., I NF.. INSULATION (,IYP. F40A140 t e Sign FletrylltZ 77 (:A1..,1... 1;;'011 INSt"I CTION A,7510-4171 Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE i i y 2 3 Yy �L T c��r r 5 5�-••-- �- a d I I I —-- --- - BUILDING PERMIT f R C17YOFFIFARDPERMTT NO. i BU870128 CITY OF 116ARD COMMUNITY DEVELOPMENT DEPARTMENT oafoo« DATE ISSUEDe 1 1 '2"x '87 13125 S W Hall Blvd.P O Box 23397.Tigard,Oregon 97223,(503)639-4175 PRIM.PMT.NO. 2e. JOB ADDRESS# 1112(1 SO) 124 TH Pl_ TAX MAP/LOT 1S134CB 860() `3UBe anton park. I-Te Bk : LAND USE# R7PD LOT SIZE% VALUATION# 4 81. 367 SETBACM:S i FRONTa 35 REAPa WORK` CLASS# IJEW DWELL. IJNITS e 1 L.EFTe 5 RIC-IHTe 51:, USE TYPES SINGLE FAMILY NO. BEDROOMSe 4 EXT.WALL CONST# CONST.TYPEfr VN NO. BATHSe 7 Ne NR Se EeNF' We NF OCCIJP.URF,. e R3 PROT .OPEN I NGS t OCCUP.LOAD Ne NR Se NR EeNR WrIII JP TOTAL AREA# 1822 PID. STORIESe 1ST# 877 POOF CONST# C FIRE PEI ItCi HEIGHT# 1a 2ND# 94!5 APEA SEPAP^ NO FATEDa NF BASEMENT? NO ?RDI OCCUR. SEPAR'. NO RATED# NP MEZZANINE' NO BASEM'T FLOOR LOAD# 4r:' GARAGE# 430 FIRE SPRb;LR , NO ALAPMT' NO FLOW(OPM) DETECTYE'` Fit—Jane: DIMP-ACCIE :S 2 NO rnRR 71 tin ---- PLAN CHECK 9Y e PFMAPVS e PE I SSUE OF NO. LAST REISSUE r1 �v SrHl.11_T; DAVID PERMIT 4 7q•00 N 19105 NE 1-114Y. 240 r'LAN REVIE4; $246. 75 i+ nowberq or 971112 r IPE DEPT PHONE (!1t 1511 67-9-6316 STATE TAY, 418. 9!' 0 rHER C DEVELOPMENT CHARGES1 N SCHULTZ DAVID SDC (STOPM1 *254).00 T CUSTOM HnMES BY DAVE INC. SDC (STPECT ', *600. 00 A 191 r:45NE HWY. 240-1 PDC (411 I $13►'►.or) C rlewberq or 97172 FREPA I D $100.0(": T PHONE r sr�"> 61q-611t) R PE13TSTF'.'aTtON NO. 43466 TOTAL: t . 1544. ''r.1 RECEIPT NO. :E.E3nE This permit is issued subject to the regulations contained In Title 14 _—_.- ._______________- of the TMC. State of Oregon Specldlty Codes,toning regulations and all other applicable codes and ordinances. and it 13 hereby agreed that the work will be done in accordance with the plans and specifications and in compllarce with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have Current city business'ax permits This permit will expire and become null and void if wark is not started within 180 days,or If work is suspended or aband-coed for a pt, od of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature Issued By CALL FOR INSPECTION 619--4175 — SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE r i { l Cirf OF TIFA RD aNOSEF,MIT cmoF n�,4rm PERMI -, NO. : rEF37'r:'i.=�1 COMMUNITY DEVELOPMENT DEPARTMENT 0"GON 13125 S.W Hall Blvd.P.O.Box 23397,1 igard.Oregon 97223.(503)639-4175 DATE ISSUED: 1 1 2� 87 JOB ADDRESS% 11120 SW 124TH PL USA NUMBER: 74591 TAX MAP/LOT 1S134CB SUBe anton f.,_,r 4 LT-. hk. : LAND USE: LOT SIZES SECTION% TWP: RNG% WORK CLASSI NEW USE: TYPE: SINGLE FAMILY she applicant agr^eps to comply with all rules and r"-gl..rlatimns of the Unified Sewerage Agency. The permit expires 120 (Jaysfr(�m the date, issued. The total amount paid will be forfeited if the permit e>tpires. The Agency does not guar- antee the accuracy of the location of the side sewer laterals. Tf the sewer is not located at the measurement given, the insst:aller shall prospect w -feet in all directions from the distance given. If not so located, the :installer shall pt_lrehese :; "Tap and Side Sewer" Permit and the Agenr,y will i.n!;tAl l a lateral . INSTALL. TYPE: BUILDING SEWER TMF,EPV,,(`)lJc, AREAe FIXTURE UN I TS i 12 TENANT IMPROVEMENT: NO DWELLING UNITS% 1 NO. OF BLDGS. 1 1 O - ---� FEES I -- — --. N SCHULTZ DAVID PERMIT $35. 0) E 19105 NE HWY. 240 CONNECTION CHARGE $1 . 100. CIO R newberg of- 9711:2 LINE TAF' INSTALL. PHONE (503) 63q-631(".) OTHER C N SCHULTZ DAVID T CUSTOM HOMES BY DAVE INC. A 19105NE H14Y. 2q(.► T newberg or 9712 R PHONE 0,51:7) 639-67,1 1'r R�r�rc��unrtnnr �uj► �i116lA --_— TOTAL1 $1 , 1T'.,.00 This,+ermit Is Issued subject to the regulations rontained in Title 14 RECEIPT NO. of the TMC, State of Oregon Specialty Codes,zoning regulations and a I other applicable codes and ordinances, and it is hereby agreei that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and ordinances The Issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void If work Is not started within 180 days,or If work is suspended or abandoned for a period of 100 days any time after work has comrr,enc,3d It shall be the responsibility of the permittee to assw, Ali required Inspections are requested and approved Permittee Signature Issued By ----- -—CALL FOR F'OR INSPEc'FION S'*9 4175 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLUMBING PERMIT t� PERMIT NO. : PLE37' 1 CITY OF TIOA RD cllyoF/ 116aRn Oi[OOM COWUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/23/87 13125 S.W.Hell Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 r .TOP ADDRESS: 11120 SW 124TH PL TAX MAF/LOT 1S134CD 8600 SUP: ant on Farb. LT: LAND USE: LOT SIZEa ITEM: N0: rlla: WORN': CLASSa NEW WATER CLOSET TRAP USE TYPEa SINGLE FAMILY URINAL NF,'FLOW PPVNTR CONST. -r'YPE.t VN LAVORATORY 4 TRAP F'r:;:T MEF: OCCUP. GRP. : TUB SHOWER 4 GREASE TRAPS DISHWASHER 1 GARBAGE DISPOSAL 1 NO.STORIES: :2 WASHING MACHINE 1 DWELL. UN I Tei a 1 LAUNDRY TRAY BLDG. LIRA I N i D I A FLOOR DRAIN SINK 4. SEWER (FT) WATER HEATER i STORM/FAIN (FT OTHER REMARKS a c7 FE=ES: W SCHUL T Z DAVID F'ERM I T $147. 50 N E 1905 NE HWY. 24() R newberq or g717,;2 FIXTURES PHONE (503) 61-9-631f) STATE TAX $7. 38 ---- OTHER G N MADORE PAUL T M AND n PLUMBING A 12560SW TIGER LILLY LANE T beaverton or 97005 O PHONF k b()5) 64"1-5174 R RE0 I ST P TION NO, !x01 TOTAL: 1►154.81� This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. of the TMG State of Oregon Specialty Codes. zoning regulations ----------_----__---- and all other applicable codes and ordinances. and it is hereby agreed that the work will be done in accordance with the plans and specifications and In compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void If work is not started within 180 days.or if work Is suspended or abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required Inspections are requested and approved i Permittee Signature Issued By — (-Al_L FOR INSPECTION 67-9-4175 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 4 W ---- �_` MECHANICAL PERMIT,_.. .^---- • , CIIYOFTIFARD FERMI T N0. : MF87t:►].3C► / cmo�s realm COMMUNITY DEVELOPMENT DEPARTMENT MOON MATE ISSUED: 11/2'x/87 13125SW "all Blvd.P O.Box 23397,Tigard.Oregon 97223.(503)639-4175 - -- - ----- - --- ----------- NO 8701178 JOB ADDRESSe 1 1 124) SW 1 -24T'H PL TAX MAP/LOT IS134CB 866() SUP: ancon jn ir-k LTB Bk': LAND USEe LOT SIZE: ITEM: NOe NOB WORk' CLASS: NEW FURNACE <100K 1 AIR HANDLR ]c i U`=E TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 1OK CONST. TYPEe VN FLOOR FURNACE EVAP.COOLER OCCUP.GRP. a R3 HEATER VENT FAN 7. VENT VENT.SYSTEM 8LR/COMP <:: "HP HOOD 1 NO.STORIES# 2 BLR/COMP 3--1 5HP INCINERATOR (LOM DWELL.UNITS: 1 BLR/COMM•' 15-30HP INCINERATOR(COM FUEL TYPE GAS L-ILR/COMP 10-50HP REPAIR UNITS MAX. INPUT BLR/COME' 50+HP OTHER FIRE DMPRS7 GAS F'IPINO OUTLETS 1 HIGH PRESS' REMARKS: PEES: W Schultz david PERMIT" 41(). 00 E 19105 no hwy 40 FLAN REVIEW �?. £38 R newbarq or 97112 FIXTURES $21 . 50 PHONE (50-7) 639--6314 STATE TAY — ----- OTHEP C N CLASS A HEATING T SAME AS ABOVE A 755 SE HALF C gresham or 970130 T PHONE (5t:►3) 667-5989 1111 REGISTRATION NO. 46039 TOTAL_1 $4 1. q5 This permit Is issued subject to the regulations contai^?d In Title 14 RECEIPT NO. of the TMC, State of Oregon Specialtv Codes,zoning regulations `---`-- and all other applicable codes an-1 G dinances, an J It Is hereby agreed that the work will be done In accordance with the plans and specifications and In compliancy with all applicable codes and ordinances. The Issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void It work is not started within 190 days.or If work Is suspended or abandoned for a period of 130 days any time after work has commenced It shall be the responsibility of the permittee to assure all required Inspections are requested and approved Permittee SlgnaturF Issued Hy ------ CALL FOR INSPECTION 639 .4175 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 4 ® �■r w w w w w �■► w PLAN CHECK APPLICATION PLAN CHECK # / '-/c PERMIT # .!S' p DATE ISSUED JOB ADDRESS: / Q j L��. T .'4 TAX MAP/LOT U SUB: ,.rr a� n LOT: - LAND USE: VALUATION: SETBACKS: FRONT:`, REAR: LEFT: RIGHT: "L WORK CLASS: ' HEIGHT: TOTAL AREA: J5?,2 Z. USE TYP75: FLOOR LOAD: 1ST: 87-7 CONSTR 'TYPE: HEAT TYPE: 2ND: fv�_ OCCUP GROUP: _ DWELL/UNITS: 3RD: OCCUP LO&D: NO BEDROOMS:_ BASEMENT; NO STORIES: NO BATHS: _ GARAGE: 'V IMP SURFACE: _"/ "/? APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS: _ ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND.: TRUSS DETAILS: N PARKING PLAN: LANDSCAPE PLAN: PLAN CHECK BY: OTI"?,R: COMMENTS: ACCT f DESCRIPTION AMOUNT OWNER ,- �/ 10-432 Building Permit Fees NAME:,"1 �� do LI 10-431-600 Plumhirg Permit Fees S y ADT)r1ESSs D_J ^Je 10-431-601 Mechanical Permit Fees - /✓E"_ L2Cr 10-230-501 State Building Tax (5%) 10-433 PLAAB Check Fee PHONE:: -3 1/d 30-443 Sewer Connection (20x) 30-202. Sewer Connection (80x) 3 CONTRACTOR 30-444 Sewer Inspectiou �J NAME:-_----,?. �;+�f 51-448 Street System Dev. Charge (SDC) ADDRESS: 52-449-610 Parke I System Dev. Charge (FDC) '77, " 52- 449-620 Parke II System Dev. Charge (PDC) $em .__ 31-450 Storm Drainage Syst Dev Chrg(SSDC) PHONE: _ 10-230-505 TRFD (95x) sig 10-435 TRFD (5X) ARCH/ENGINEER 10-230-506 10-230-506 Washington County Fire #1 (95X) s NAME: 10-435 Washington County Fire 11 (52) ADDRESS: 10-220 Amart/Wedgewood _ _ r TOTAL PHONE: G _ PREPAID M04a)1 ;(W REC # BALANCE DUE A LICANT SIC Received By: /, Date Received: CITYOF TIGARD MECHANICAL PERMIT Receipt# - Permit# -r�7�� -3 Description Table 3A Mechanical Code — QTY PRICE AMT City of Tigard 1) Permit Fee •U- -0- 10.00 13125 S.W. Hall Blvd. - --- - P.O. Box 2.3397 2) Supplemental Permit 3.00 Tigard, OR 97223 - - -- — 639-4175 11 Furnace to 100,000 BTU r 6.00 Y incl.ducts&vents _ 2) Furnace 100,000 BTU 7.50 incl.ducts&vents Name of Development 3) Floor Furoace 6.00 incl.vent _ Job Address - -- 4) Suspended heater,wall heater 6.00 I Address 20 3 a) W --or floor mounted heater Tax Lot Map No. 5) Vent not incl.in 3.00 1 _ I Lot Block Subdivision appliance permit i Name(or name of business) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Meiling Address Phone 7) Boiler or comp to 3 HP 6.00 Owner f / / , absorp,unit to 100,000 BTU `.� Boiler or comp to3HP-15 HP 11.00 City/Stale Zip 8) absorp.unit to 500,000 BTU Boiler or comp 15-30 HP 15.00 Name 9 absorp.unit+Fi-1 million - _ Meiling Address Ph" 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1 -1.75 mirlion Contractor c�+yrstete Zip 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU _ State Registration No oily Bus.rax No 12) Air handling unit to :�:I_ 4.50 10,000 CFM _ Air handling unit 7.50 1 hereby acknowledge that I have road this application that the information given Is 13) 10,000 CFM +. correct,that 1 am the owner or nuthorizod agent of the owner,that plans submitted are in -- nompliance with State laws,that I am registered th the Stale Builders'Board,that the 14) Non portable 4.50 I number given is r, act (It exempt from Staw regi.1ration please give reason below) evaporate cooler r. 15) Vent fan connected 3 00 % - -- - -- — to a single duct Ventilation system nM 4.50 16) Included in appliai ice per mit -- 1 7) Hood served by 4.50 mechanical exhaust _ - Signature(owner or agent) —` — Date 18) Domestic type 7.50 Describe work f i addition CJ alteration IJ repair O Incinerator _ F to be done residential U non-residential El19) Commercial or Industrial 30.00 type incinerator _— Existing use of Other i.e.,woodstove,water building or properly - ----_-- -- 20) heater,solar,clothes dryers,etc s 4.50 Proposed use of building or property ----- 21) Gas piping one to four outlets 2.00 _ I Type of fuel-- oil I 1 natural gas ❑ LPG ❑ electric [ 1 22) More then 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- S610 / }� STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S%O 416 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL � ABAFIGONED FOR A PERIOD OF'80 DAYS i T ANY TIME AFTER WORK IS COMMENCED. __ TOTAL E� Special Conditions -- Date issued ---- - -----by - - _