11175 SW 124TH PLACE ,0
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INSPETT12N NOTICE
City of Tigard Building Department ,
13125 Sit Hall Blvd. Tigard, oregon 97223
Inspection Line (Rec.--O--Phone)s 639-4175 Business Phone: 639-4171 j
lnepection: — --
sooting P1bg. Underolab Mech. Rough-in Appr/Sdwlk
Fouad. Plby. lop Out Cas Line FIF NAQ
Pust/B�am Struct. 3au. Sewer Framirg
Foot/Beam Mech. Rain Drain Insulation -Plumb.
Pltrl. Underfloor Nater 'Line Gyp. Bd. �-f.Nsal►.--''
Date ReMiestedt —_Time: --_AM r PM
Address: 1l,LTS"" /" '�1 ^ _ Permit #t_
THE FOLIOWING CORRECTIONS ARE REQUIRED:
Inspectors .-_-1- _._.,._. -..._-...____.._ [into:
dl-"
APP tOVXD
PtOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Ca''tl For Reinap.
CITYOFTIGARD CERTIFICATE OF'
(,CrIYOF TWARD OCCUPANCY
COMMUNrTY DEVELOPMENT DEPARTMENT T-TMIT
13125 SW HWI BW. P.O.box 23397,TlqaM.Lqn 9724 1603)eP"l 75
tl 7'1
-
SITE ADDRESS. . . : 1. 11 55 SW 124TH PL PARCIFL: IS134CO-0810,
SUBDIVISION. . . . z ANTON PARK F -7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :43
CLASS OF WORK. :NEW
TYPF- OF USE. . . :GF
OCCUPANCY ORP. :R3
OCCUPANCY LLAD tP.20 4
ENANT NAME—
.-
v Pe.
Owner!,
WEDGEWOOD HOMES
13 Z SW FALCON RISE DRIVE
PIC ARD OR 97223
clhonc, #: 503P*923563
WEDGWOOD HOMES
13250 SW FALCON RIat: DRIVF:
FIGAPL) OR 97223
Ohone #o '503e983563
Peg r 3.33A
( 1ccullanc.'y (if the above V-efPl'Vn('$?d tokAildillrj is hPV'01by given, And vertifit. -
i.-he compliance, with the State Of Oregon SpeciF,lty Carii—i for the group,
)cc c,1)ia ne y, anti use undpr whirJi the referencpcl perm'.t was i%tkurcl.
FIRE DEPARTMENT B(JIl DING TNUIECIDt,
-k .1)TN ICTAL.
T
POST IN CMr3PICUOUS PLACE
INSPECTION Nr tCB
City of Tigard Buildinj Department
1.1125 SH Ba'.1 Bird. Tigard, Oregon 97223
Inspection Line (Rec-O-Photte): 639-4775 Business Phone: 639--41
Inspection:
Footing Plbg. Un, eralab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing
Post/Beam Moch. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ` -Mach• •
•'r
Das:o Requested: Titooy"/ -AN PM
41�cf�'�^' . Permit #: <,n �7
Address: /- / �
i
THE FOLLOWING CO CTIONS ARE REQUIRED¢
/ 29
Inspectorsr±[/ nate,_
-APPROVED DISAPPROVED _ AbpqOVMn 9tIBJECT TO ABOVE
tall For Reins
I
IN3p1,CTION CE
NOTI
City of Tigard IAei.lding Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Lire (Glee-OfPhone): 639-4175 Business Phone: 639-4171
Inspection:__ --
Footing P Dnderelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line FINALP
PoLt/Beam -Bldg.
Struct. San. Sewer Framing g-
post/Ream Mech. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water vine Gyp. Bd.
-Mech.
Time: AM PM
Date Requeetedt -
dot 1
Address:_ _._�� Permit �I
Builders /
THE FOWANINO WRIiCTIONS 11RZ RROQIREDt
Inspector- Dates _ -
�` APPROVSU bISAP APPRl1VISD BUBJRCT TO ABOVE
C&11 IOr 1Min•p.
INSPECTION 1 0_T
City of Tigard Building Departs0cnt
13125 SW hall Blvd. T'_gard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineaa Phone: 639-4171
1nepertion: --
Footing Pl!3q. Cnderalab liech. Rough-i.n Appr/Sdwlk
Found. Plbg 'rop Out Gas Line FINAL#
Poet/Beam Struct. San. 3eaer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -P1ttAb.J
Plbg. Underfloor Nater Lino gyp. Bd. -Hech-
Date Requeatedt
Address: .� ��_�, Permit 11�
Builder: 1. lL �L/l zMa —
IT
THE FOLLOWING CORRECTIONS ARE R'SQUIR¢D:
- 1
Inspector:
APPPOVtb DISAPPROVED — APPROVED SURJECT TO AROVE
Call Fur Relnsp.
WWI
i
Nl SPEC,`TLNOTICE
City of Tiyrud Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--n-Phone): 639-4175 Business Phoao: 639-4171
I napei:t ions _-
Footing Plbg. Underalab Mach. Rough-in 11pps/8dwlk
Found. Plbg. Top Out Gas Line Fl.NALs
P,7Nt/Beam Struc*:. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water /Liine/ Gyp. Bd. �iJ��-Meeh.
Date Pequosted• � �1 /d Tima#_Qj_AM PM
51 ^ / �Y_rj,4,F
,-�
4daaa ' l 7.S Y`-7' Permit EI
Bul:der• ��
THE F,.L.,:,WINQ CORRECT S ARE REQUIREDs
Inapnctor: --�—��',�_.__._ �Ll l_r_44�- -- -�•�----- Date: __�_ -- `
APPROVED DISAPPROVED )APPROVED SUBJECT TO ABOVF
call For Reinsp.
1NSPL*CT10N NOTICE
City of Tigard Building Det—tsent
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41'5 Busines,i :none: 639-4171
Inspection: ----
Footing Plbg. Underslab Mech. Rov411-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
poet./Beam Struct. San. Sewer Framing -Bldg.
Poot/Beam Mech. Rain Drain Insulation -Plumb.
"lbg. Underfloor Vater Line Oyp. ad• -Koch.
Date
Date Requested: .2 - sO -` W—Times PH
Address: 7y� -Permit
f-6-�--`-
Builders
THE FOLiANIpG COJLCTIONS ARE REQUIRED:
Inspecto//rs. _ Dates
�- ^RPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cal.l For Roinsp.
INSPECTION NOTICF
City of Tigard Building Department �}
13125 89 Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-A-Phone): 639-•4175 Business Phone: 639- 117
Inspection•
Footing Plbo. Undo
relab Mech. Rough Appr/Sdwlk
Found. Plbg. Top Out Gas Line-) FINAL-
post/Beam Struct. San. Sewer Fr&mLng -Bldg.
Poet/Rean. Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth.
Dame Request/eds Times PH
Addrena: / % t Permit #e
Builder:
THE FOI.LOWING coRRECTIONS ARE REQUIRED:
inspectors —
Date s r
`—'"APPWJM DTSAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE 1�
City of 'Tigard Building Department I / '
13125 SN Ball Blvd. Tigard, Dragon 97223
Inspection Line (Rec-O-Phone): 639-4115 Business Phone: 639-4�1 `
Inspection:. L '/-
Footing Plbg. Underelab Mach. Rough Ln Appr.,'Sdwlk
Found. P11jg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Dral.n Insulation -Plumb.
Plbq. Underfloor N u Lin Gyp. ad. -Mech.
Date Requested: ' J -_,Timet
L T,' Permit f1
Address: - -
Builder:THE FOLLOWING CORRECT 3 ARE REQUIRED:
L , J7�
I^�pectore. � �____ __ Date: � C_
l��v DISAPPROVED AP/,RoVED 9UHJECC TO ABOVE
Call For Reinap.
MIR MM UFIR f
Com.
INSPECTION NOTICE
city of Tigard Building Department
13125 BE Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)r 639-4175 Business Phones 6219-4171
Inspections —
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 Gyp. Bd. -Mech.
Date Requesteds1 `! Times �_AM /Sfl� PM
Address: /j/ 21s-- Permit is 'r
Builders T
THE FOLLOWING CORRICTIONS ARE RRVIREDs
Inspector J Dates / —
APPROVED DISAPPROVID BUBJECT TO ABOVE
Call For Relnso.
I
k
I
1
i
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Pall Blvd. Tignrd, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Ina ions
//Foot in Plbg. Underslab Moch. Rough-in 1ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
boat/Beam Struct. San. Sewer Framing -Bldg.
Pont./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater Line Gyp. Bd. -Moch.
Date Requested:...--7 J ^ (-�9 0 --------Times —XI _AM PM
Addresu: /II /L / " --..------- PGrmlt 1: f
Builder•
THE FOLLOWING CUWMCTIO ARE REQUIREDs
qta.: PA f fZ —z:>A ld.t y1 ay `IU T=o IT. .ca �d�i ,.1T�ATi c3>L1
AD
err7Yiy�
—T-cA26 Xe— PA
0
A-1%/--r'/.J 17 IW ! uJ A c.`
'S'.�G=Tt v�V ✓�P71_</IL�1�o /2 a.vTi51G .
Inx P.
S. 0
Inspector= ----Dates 01.1-10
y�-yFL
APPROVE'+ DISAPPROVEn APPROVED SUBJECT TO ABOVE
call Tor Neinep.
i
i
i
INS ECfION NOTICE 1^��
city of ..igard Building
13325 SN Bail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusinees Phone: 639--4171
Inspection: --- ---
Footing Plb$. Underalab Mech. Rough-in Appr/Sdwlk
Found. Top Out ) Gae Line FINAL:
Poet/Beam Stcuct. Sen. Sewer Framing -Bldg.
poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Gyp. Bd. -Hoch.
Date Requested s ,� S - `7 C' Tlatat _-_��AM� PM
Address: / L9�?� Parfit 1t J(J�C
Builder-
THE FOLLOWING CO IONS ARS PJWZPMI
oe
Inapactnr t ,� — —.---- - Data:
4APPROY 0 DIBAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-41'/5
Type of Inspection% _ 4 dee..4:4-
Gate Regi, v4d_���� _ Time.__ A.M. P.M.
Address 7� y Permit
Owner _ __ Lot #
Builder -
TW following BuildCg Code deficiencies are required to be corrected:
Presented to _ - ,-Approved
Inspector ��`Ll Disapproved
Dote tej�2
CALL FOR REINSPECTION
0 YEi ❑ NO
W WKW1WKWWW w
INSPECTION NOTICE �I
City of Tigard Building Department
P.O. Box 23397 �.
Tigard, Oregon 97223
Phon ,. 639-4175
Type of Inspection
Date Requested- �� -1 _ `ll� Time /A A.M. - P.M. f
Address —_ .L-� %��l _ permit
Owner_ __ _ Lot #
BuilderThe foliovving Building Cede deficiencies are required to be corrected:
I
Presented to __ -)Si-Approved
Inspector __ -- -_ i I Disapproved
Date
CALL FOR REINSPECTION
C_-1 YES (A NO
INSPECTION NOTICE
— r �
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection / _
Date Requested (�— �t T1 Mlo, P.M.
Address l// —�[ ��� w Permit #' S
Owner__ Lot #
BuilderThe following Building Code deficiencies ?re required to be corrected:
- -
Pnanted to —. pproved
Inspector A.
r1 0 Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ No
INSPECTION NOTICE ?�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested z� Time -- A.M. P.M.
Address �� - J a ----- Permit
Owner —_ — Lot #
—
Builder ----� - _
The following Builddg Code deficiencies r e required to be corrected:
Presented to Approved
Inspector I-J Disapproved
Date 4
CALL FOR REINSPECTION
❑ YES I J NO
INSPECTION NGTICE
City of Tigard Building Department
P O. Box 23397 �J
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ° --
Date RequestedTirtff-1d1A. P.M.
Address // 7 5 J /. I�-� Permit #-�2�
Owner -. Lot
I
Builder �' -
The following Building Code deficiencies are required to be corrected:
f�.i� r/.sLJ G/LVS/u.� a.✓T1Id.._C'.v�^.�� �Z.-!>i-
A tr �?n i wrT ?�A / Q� S.
1G -•,Cw A?y
Presented to Approved
Inspector ❑ Disapproved
Date, --
CALL FOR REINSPECTION
I- I YES ❑ NO
Mew -
MAN Fff WANXE EII
C'�OFTIGrARD
C ffl YT%OXF T1 WWAA 1RWD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGIN!
13125 SW HWI Btvd, P.O.Box 23397,Tigard.Omgcon grM(5W)600-4175 D(Yrri-,.'
SW 1241.F1 P L. PARCEL: 1S11341'V--08J-(bt-.1
1.)U D I Y:I.6 10 Iq ANTON PARK Z b N I N G)-. R
1-31 -.43
.......... PUILDING
BASEMi--.N'T. . . . . . . . :0 S-f
RF.ISSUE: DWELLING
CLASS OF WORK. ::NEW 1ILDR115-3 P'T 1.4 5,-,2 . . . . . ..360 s f
TYPE CH: USE. . . .SF FLOOR AREAS-
ft RIC-jHl . .-,�'; It,
'TY V'E 0F* C C)N S)T. :5 N FIRST . . . . .. 1.054 S f L
CRX1.)PONCY GRP. :R3 SECOND. "440 sTf FR 0 IN'T. -20 f t R E A R- - 15 'ft
FiJORIES. . ::2 14-13.R 1). '.'01 f R F..'.C1 U1 R ED---
HE I GH*T. . . 20 t 1'0 1'A L 14'34 s>f SMOKE DETE-._(,*T*ORS. *Y
PARKING : .
A-0()R L 0 n 1). . . . ..40 V()LA
'. ..- - - - - $:: 75P204 - SrIpc"Es. -.0
R e R1 a-r P.S
...... PLUMBING
1/ F'REVN'TR9. ',P)
F'LUOR DROTIAS. . . . ..0 DW,' FLOW
A V A T ORT E S. . .. . WATER . . . . . . . . .0
U14/SHOWERS. .,2 LAUNDRY TRAYS. . . -0 A W 1-4 1:t 1.)S 1:N :C4
AI A"f'E R L,L OSEI'S- - -.2 SKEWER LINE (f-U . ".0 GREASE CRAPS„ . . . . . .. :0
0 V3HW0SHERS. . . . :: I W()IF� LI W... (ft) . . 1.(40 0 114 ER F1,X] U R E
. . » : 1 RAIN DRAIN (-ft) . :0
WASHING MACH.. - - - A. SF RAIN Dk(-4U%11':;. » - .1
1ILLIHANICOL ............. FEES
FLIEL 'TYP,I*."S--------------------- ------ U Iq 1'.1 H I 1 0 tyre A III C-)U 1-1 t' try date
GAS/ VENTS . . . . . ..0 PAYM il; 300. 00 J1 14 09/05/90 204413
1110IX 1111PL1T.10 r:41 U VENI, FAN1.3. . ..P P P R T il 3 61. 00
I 'LIRN < 100K H(,)ODS. . . . . . : :1 RP L C w 234. 65
I URN >=*10WK - - '-0 W()0 1)S) 0 1)F.,5. .:(..,) 1:c5 F,(" 9 18.05
FLOOR FURN. . . . :0 C1.0 DRYERS. : I SI'DC, Ili 6)00. 00
3HP30 UNT'I'S.0 S)S 1)C 375. O3
GAS 0WI.E.1"S' 1 PARK 250. 011
kv 11 Wr V MU'RI, 't 3.3. 00
WF DGEWOOD HOW Ei 11 PL C is 8. 2K;
.
I '.3P.50 SW FAU;0N RISE= DRIVE:: 11,51- - $ 1, 6
P P R'1* $ 125. 00
5 P(7 1+ 6. 25
TIGARD OR 97223 P"
I.Iiarie ##a 5@329P3563 P A Y 11 1: 17 1.2. ()5 JLH 09/2*7/90
._1....... .......
WLDGEW(.')()D HOMES
1.3250 SW r:nl C)H RISE DRI'VE:
ITGARD OR 97223
i,hwip Ot 5032923563
0_ 9 3338
This permit is issued subject to the regulations contained in the ---- REQUIRED I NSPE CJ1 ONE;
Tigard Municipal Code. State of Ore. Specialty Codes and &I I other Fapt/fiJUild Iiisp I'lecJlearl ical 11-Isc)
Applicable laws. All work will be done in accardapce with approved W t-r P-r a(:)f Ji i-i q 14 s III PlUnib Tc)p Out
plans. This permit will expire if work is not started within 18(1 Pc)st/PeAni St-rt-tct F-rawiiiq li-isp
jays of issuance, at if work is suspended for more t n 180 days. Post/BeaMecJiari Fireplace Disp
0),.qV ? ni
(.*1-f-A W 1. 1)r it i.11 Gas Li lie p
f 1!, i i I.fr S)i. a t•LIV F"
U.M/Uridwrf loc)-r Gyp Bc)ard Insp
tiiq Di,aj.ii Bsnil t Rain dra:iii Iiisp
Cci1 :l frac illsipectiavi w 639.-4175
SEWER C'ONNECTION
CITYOF TIFARD VIE R 111 F It V,ER111.r SWR900351
CrrYOFTWARD
COMMUNFTY DEVELOPMENT DEPARTMENT 0QI[QKW It. ITIG490 0297
13125 SW Holl Blvd. P.O.Box 23397,T4pml,Oregon 07223 (503)63"75 W-17',E. '1.5SUE.D. 09/27/90
L- 0 D D R E 5 1.41RCEL: I! 134CD 0 8:1(!0
LJ P D.'r V11-3 1:C.)W. A N'T 0 N F,A k K ZONING:: R 7
11:':WIN'T MIME.
Ll NC). . . » . . . . . . .42392 F:J XT L)R E- UNITS,.
C11;. A 6 S 01"' W 0 R K N EW D W 1_L I N G LJ
'T'YF:'E OF:' L)SE'.. SF* 1-40. OF." PUILDIP"10S.- I
Ilq'S)TA L.L 'TYPE . 1.4(313 W R 1111PERV S(JRH)C',l: . . :Sf
R
C)wile-r: FELS
WE.DGr-.*.W0OD HOITIES t Y P aniCktllt by data -reupt
1 ,3R50 SW V*0LC,'ON RISL DRIVE PIRMT $ 15 0 0. 0 o
Ok M.223 V,()Y 11 1535. 00 JLH 09/;.*?7/90
CONT'RACVOR NCYT' Ohl F: ILX
..........I.................
a 1.1 e it $ J.535,. 00 TOWW.
#
REOL)IRLiT INSPECTIONS
This Applicant agrees to comply
y with all the rules a,. regulations er'�ew - Trispectiav)
of the Unifier ZPwage Agency. The pef%-( exDires 120 days from
the date issued. The total amount said will be forfeited if the .................................
permit expires. The Agency does not Quarantee the accurac- of the
side sewer laterals. If the sewer is not located at the measurement ..........
given, the installer Shall orospect 3 feet in all directions frop .............
the distance given. If not so located. the Installer Shall purchase .........
a "Tap and Side Sewer" Permit and the Agency will insta I lateral. .......
...................................... .............
Iui-.Ued BY.-
............................1................ ......... ...........................
CIA11 fc)-v j-risPPctic)vi 63941'15
1
CITY Or TIGARD RECEIPT OF PAYMENT rq:CEIPT NO. : .5228
CHEU-.'' AMOUNT : :7. 4 7.F15
NAME. WEDGWOOD HOMES, INC, CASH AMOUNT 0. (-.)(.)
f4 OUR ESS t 3250 SW r`ALC(..)N RISE DR PAYMENT DA FE 09,127/90
SUBDIVISION
I-16ARD, OR 97'2.x,`t--- i. a 1 GW 124TH rL
F'URPOSE OF PAYMENT AMOUNT F'Al D ruRrios)E OF PAYMENT AMOUNT PAID
HUILDING PE PM ms,rgci--C)297 :507% 90 r-,*E—LjR7slNG PERM 0
MECHANICAL 1"-E 3. 0o ST. BUILD PER' 25.95
BEWER UGA 1500. 00 SEWER INSPECT 3s.
5TREET SD(--'. 600. 00 PARf::'B 93DU 25o.00
...)T ORM DRAIN SDC X75.0
"247.On
TOTAL AMOLINT 1='A I l.)
View comments for selected item
6aMASTER PERMITaSaASAaSAAaaSAASSAaaaaaaaaAaaaaaa;iaaAAaASAaaaAAASAA.3AaAa&&,� AaG
:MST90-0297: PROJECT:ANTON PARK S'PATUS:I : UPD:09/27/90: :,:fLH: °
° PERMITTEE:WEDGEWOOD HOMES PRIM. . :MST90-02:)7:
• SITE ADDRESS:11175 SW 124TH PL
6A CASE HISTORY AASAAAAAAASAAAAAAaAAAAaAReq/SentaSchd/DueAEnd/DoneAAByASt+itAAAG
A705 Fc,ot/found Insp 09/28/90 KS APP °
A705 Foot/found Insp Oi/03/91 KS AFP A705
A707 Wtr Proofing Bsm't Walls
A710 Post/Beam Structural 10/09/90 KS D!:S °
A710 Post/Beam Structural 10/10/90 KS A:'P °
A711 Poet/Beam Mechanical 10/09/90 KS ')1:S °
A711 Poet/Beam Mechanical 10/10/90 KS APP °
` A713 Crawl Drain
A715 Pim/undslab Insp
° A717 PLM/Underfloor 10/09/90 MS PASS °
A718 Ftng Drain Bsm't Walls
A720 Mechanical Insp 01/02/90 KS [:FIS °
A720 Mechanical Insp 01/15/91 KS UIS °
A726 mechanical Insp 01/21/91. KS APP °
A722 Plumb Top Out / / MS FAIL
SaaaAAAAAAn�aA�.AAAAAAAAAAAAAAaAAAAAAAAAAAA_AAiiAAAaAAAAAAAAAAAaAAAAAAAAtrAAAAAASi
HISTORY: VIEW UPDATE DELETE ESC
Delete selected item
6AMASTER PERMITaAAAbASAAAAa5AAAAAAAASaAAaAAA.iAAiAAAAAaAAAaSaaSa5SS5Sa,iS555a€+aSG
:MST90-0297: PROJECT:ANTON PARK STATUS: I UPD:09/27/91: :JLH: °
PERMITTEE:WEDGEWOOD HOMES PRIM. . :MST9J-0297: e
SITE ADDRESS:11175 SW 124TH PL
6A CASE HISTORYS5AA6AAAAAAAAAAAAaiigAAAReq/SentaSchd/DueaEnd/Done5AF3yAStatAAAG
A722 Plumb Top Out Oi/15/91 Me FAIL
° A725 Framing Inep 12/05/90 KF DIS °
° A'12E Framing Insp 01/15/91 K: DIS °
A726 Framing <REINSP> 01/22/91 K:, APP °
A730 Fireplace Insp 01/22/91 K'.; N/A °
A735 Gas Line Insp 01/22/91 KDIS °
° A735 Gas Line Insp O1/28i91 K.3S APP °
A740 Insulation Insp 01/25/91 Kt3 APP °
° A'145 Gyp Board Insp 02/ 6/91 K;i APP °
° A755 Rain drain Inep 10/16/90 MS PASS °
" A76O Water Line Insp 10!16/90 MS PASS °
P.765 Appr/Sdwlk Inep 03/14/91 CWV APPR
A795 Mechanical Final
° A797 Plumb Final 03/15/91 MS PASS °
A799 Building Final
35�AAAAAA�+gAbAAAAAbbfibAAA3At<iAbAAAAASAAAAA3AAAAhA�5A3AAgA5aAAAAA�iAAAAbAAAS�iAAAAAi
k
CITYOF TWARD
gcvd Ote on Blvd. /
P.O-Box 23397 PINM/�r # "�� L/����
nocxa ate«,97223
COMMUNITY DEVELOPMENT DEPARTMENT 150-31639.4171 PE -aT —
ardE LSS
JOB ADDRESS: 1�1 �`-; ! � >�� /_ _c. TAX MAP/IUP s /- 74 C3 P6 fL
SUB: _A 1 A(.+N �/a <"� _ IDT: I IAND LGE:
V.'1Tlg1TION:
OWNER SPFlCTM- AIO'I'FS
NAME: C1)C:- LAD C ,�T, a`'t t- (` RETS.SIJE OF:
ADcI.RE,13: S im U C, Vim) IA:T RELSSUE:
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----- C Tt tt. � i ? '1 S FLOOD MUN/ —
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F'ftOrlE: SF L'TrIVE LAND:
—. -
APPR WAIS RI
�TIl2AC'PDR per:
NAME: �J�D G Lo �cr5� �-1 c`1tit�-S -41 per:
ADDRESS: �3 V C3 S, W �i�,�s 7 FIRE DEPT -
—� -
-�c�j ' A 1,t 1.). C , 'c �?�? � aIHER: — -
F'EICrIE: _ ITEMS RFMJITED
BUILDERS DOMD if: z T EXP DATE: 1)i ---
BIZ TAX:
A�ENM, Wm2 CATJ=-ATIONs:
ITAME: 1 (:4/ — TMISS DETAILS:-- -
ADDRESS: -_ OTHER: - —
1410NE: - -
cxxmxis:
SLJB00tT.RACI0RS: PILA' , MMI: -
y -
PERMrr ¢ AOCr # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
02-j 10-432 00 Building Permit Fees _ S%, Jo 2''L
10-A31 00 Plumbing Permit Fees
10-•431 01. Mechanical Permit Fees
10-230 Ol State Building Tax
Building
Plumbing
Mec h
10-433 00 Plans Cbeck Fee G� --
Building
Plumbing ---
Mec h _
W/Q U - 3•`� 30-202 00 Sewpx Omnection / o
30--444 00 Sewpx jrrpecUc n
51-448 00 st ret System Dev Ql1ttqp (SIX')
52-449 00 Par} system Dev MIrge (I'DC) >J 230
31-450 00 Storm Drainage cyst Dev Clay (SSDC) _S,,,>
10-230 06 Fite
w \�
Zt/,rp ,r�1":t;c '51 .�� ZC1I71I, ,�,5�7 fls_ ��"�"A
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R ivea By _ nate Rrcw i ved:
.ef/3587P.WPr -�—
I st s 111111 Im IN
2RA )INWEROSION CONTROL INFORMATION p f0
GENERAL CONTRACTOR NAME&.ADDRESS: CASEFILE NO.:
PERMIT NO.:
--— — _ APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME& ADDRESS: — -
OWNER NAME AND ADDRESS:
TELEPHONE NTfMBERS:
APPLICANT: ;' f r PROPERTY DESCRIPTION:
OWNER: - = STREET ADDRESS AND CROSS STREETILOCATED
GENERAL CONTRACTOR:w _ --
EXCAVATION CONRACTOR:
SITEIJOB: _
LEGAL DESCRIPTION:
24 14WAFTER HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: _
SITE SIZE,ACRES:
-- DISTURBEWWORK AREA,ACRES: —
L.00ATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN ;`TT:RUNOf-F DRAINS TO:(CIRCLE ONE)
(NOTE:PERMITS MAY BE REQUIRED) CATCH-BASIN DITCH PIPE CREEK
(CIRCLE ONE) PRIVATE PROPERTY
PUBLIC RIGHT OF WAY
ERQSISZN/SEDIMENTATION CONTROL (,ESC) MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABIL.ZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPOR/ .<Y ESC
PERIMETER RUNOFF CONTROL FACILITES
CI.EARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICE'S ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQliisiw;E OTHER
OTHER------------------ —
PLAN FOR EROSION CONTR01.PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK".
EROSIW'T-CONTROL PLAN DR/WING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLFTE,INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULEISTAGING FOR INSTALLATION AND REMOVALOF EROSION CONTROL MEASURES,AND
APPLICABLE.STANDARD NOTES.
I HAVE READ AND WILL CONIP'.Y WTTII THE ABOVE AND WILL CONS I RUCT AND MAINTAIN ESC MEASURES AS NECLSSAR1'
TO CONTAIN SEDIMENT ON THE CONSI'Rl I('1'ION srn,
OWNER SIGNA'TIIRI APPLICANT Slr fi !TIIRI
OITICIAL USE ONLY.
RECEIPT DATE ACCEPTED
I1".li NUMBER RECEIVED BY
, I
OF '1 I BARD RECEIPT OF f''AYMf.=NT REC E i f'T NO. s'i't;—204411
CHEI:k:. AMOUNT s 300.ot"
NAME t WLDGWCjuD MOME'G CASIA AMOUNT 0.0(
ADDRESS s I"ATME-:NT DATE s )9/05/90
:3L1I1L�I'JrSI:(]rJ
T I GARD, OR 9 7223
PURPOSE:. OF PAYMENT AMOUNT PAID r'URF Of -:E: OF PAYMENT' AM(31..11JT PAID
1='LAN CH�ECh: Ft __..._.._._.700.i:►t`► ..._._____.__._.._._.-.._ _.._.._....._ _._._._.__...._._....__.-
I
i
i
11175 SW 124TI•I 1.1_
I
TOTAL AtIOUN'T' r*'A I A _ — Tr,;�t1, t;►(�
1