14101 SW 125TH AVENUE-1 4.,.1
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.CITti OF TIGARD MASTER PERMIT'
COMMUNITY DEVELOIrMF"" D T E T PFRM::TC SUED . . . . MaT94-0260
P
�. :';� r� � llATE. I�SUEU: 07/07/94
13125 SW Hell Blvd.Tigard,Orag 97223.8199 (503)839-4171
PARCEL: ',_;1' 9AP-011141S1Z1
S I TL.: ADDRESS— . 141 VII SW 125TH AVE
SUBDIVISION. . . . : ZONING: R-4. 5'
FLOCK. . . . . . . . . . . LOT. . . . . . „ . „ . . . . .
BUILDING
REISSUE: DWEL L I IqG UNIT'S:0 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :ALT BFDRMS:2 BATHS: 1 GARAGE. . . . . . . . . . .0 sf
TYPE OF USE. . . :SF FI...00R REOUIREIT
TYPE OF CONST. :5N FIRF- i . . . . :0 sf LEFT. . :0 ft RIGHT. :0 ft
Z)SE
o f F130NT. :0 ft REAR-0 f t.
OCCUPANCY GIRP. : RS
S'TORIES. . . . . . . :0 THIRD. . . . :0 Sf REOUIRED_.._____.____.._._____.__._..__.
HEIGI- T. . . . . . . . : 0 Ft TL1TA1_--_..-_-.--:0 sf SMOKE DETECTORS. :Y
FLOCr� LOP?D. . . . :0 PS-f VAL.UE. . . . . $ : 6000 PARKING SPACES. . -0
Rem-1r1<s : FRAMING IN BASEMENT' ADDING WALLS PATH ROOM AND HEAT VEN15
PLUMBING
SINKS. . . . . . . . . . ..0 FLOOR DRAINS. . . . :0 Brlr'KFLOW PREVNTIRS. . :0
L.AVATORIES. . . . . .. I WATER HEATERS. . . :0 TRAP'S. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . : 1 LAUNDRY PRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . : 1 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
D I SHWASHERS. . . . 0 WATER LINE (f' ) . :0 O TI(E13 FIXTURES. . . . . :0
GARBAGE DISP. . . :0 RfIIN DRAIN (ft ) . -.,O
WASHING MACH. . . :0 SF RAIN DRAINS. . :0
MECHANICAL _.__..___...._____..____.__ __..__________.._._....._____._.__ FEES
FUEL TYPL=S-_____.__-..___._ UNIT' H'1'Ra. . :0 Lype amnl.lrit by date recpt
/GAS/ / / VEN-rS . . . . . :4 DPRT $ 56. 50 JG 07/07/94 -
MOX INPUTeIr BTU VE:INIT FANS. . : 1 BPLC 8 36. 7-3- SW 07/'')6/94 94-254183 4
TURN ' 100K . . :0 HOODS. . . . . . :0 B5PC $ =. 83 JG 27/94 -
FURN > =-J.001'\ . . . _ WOODSTOVES. :0 11PPT $ ? . 210 JG 07/07/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : 0 MPLC $ 7. 'e"i JG 07/07/94 -
BOIL/CMP ( 3HP:0 OTHER UNITS:O M5PC 's .. 55 JG 07/07/94 -
GAS OUT'LE-S:0 PPRT t `7. 00 JG 0'7/07/94 -
Owner: ----____________-._.__.__._..____.._-_ti_. _.___-_P'S1'C 4 1. 35 JG 07/07/')+ -
TOM WALKER
141.01 SW 125TH AVE
TIGARD OR 97224
Phone #: �03--•639--35, 6
C—tractor-- ----___ ._____--__---------------
OWNER
CL Phone #:
Req_ 4. . r
V1 164. 71 TOTAL..
r This perr,it is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS
~ Tigan+ Municipal Code, State of Ore. Specialty Cafes and all othpt' PLM/Underfloor BLtildirrg Final
J applicable laws. All work wili be done in accordance with approved Mechanical I n s p —
plans. Th.s permit will expire if work is nct started within 180 PlLtmb 'Top Oi..tt _
w days of issuance, or if work s suspended for more than 180 days. Fra m:i n g I n s p
/ Ins,_tlat ion Insp
P e r m i t E e c' E;i.r n �_t I'll : �!�—� (� L ni l �i l��,/K�,.y�G y p la o a r d I n s p
Mechanical Final _
l:t s+-ted By : _ P l u m b Final
Call for insFlectior. - 639--4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 0a-S�✓V\_
Fooling Susp. Ceiling Sprink. Rough-in Appr,Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Flec. Rough-in FINAL:
Post/BQam Mech. San. Sewer Gas Line - Id .
Plbg. Underfloor Rain Drain Framing - lumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shea, 'Nall Gyp. Ed. -Elect.
Date Requested Time:_ AM I
Address:
orb t:lder:_ (Q J� �S Permit #:`"74 — CJ 2- U
THE FOLLOWING CORRECTIONS ARE REGUIRED:
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Inspector: /�.J _ Date
APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For RRinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE /
'-ispection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-
Fooling Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mesh. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Seam Mech. San. Sewer Gas Line ` -Bldg.
Plbg. Undert oor Rain Drain Framing -Plumb.
A!arm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Request/ed:/
4-/- //-3 Time: AM PM
Address:
Elei wd ,,,t<)j c l Permit #: I / — �'•� toy
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: A Date:
APPROVED APPROVED APPRGVED SUBJECT TO ABOVE
�kall For Reinsp
INSPECTION NOTICE
City of Tigard Building Departwent
13125 SN Sall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:,
Tooting Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloc_ Hater Line�j Gyp. Bd. -Mech.
Date Requested: l' 3'" –! T1i/mes _AM �PM
Addreas: ( `I ► o ► u� J � �' P.i�e"t T
BuildersYle)1550._..�,� .k�c
TRS FOLLOWING CORRYCTIONf ARE REQUIRED: 1 2
21
,tom -•�-�-
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inspactoe _ Datet� `
APPROVED DISXPPROVBD APPROVED SUBJECT TO ABOVE
_!`call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line 1Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _-,_—
F(.oting Plbg. Underslab Mech. Rough-in Appr/Sdwll:
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulatio., -Plumb.
Plbq. Underfloor Water Lina (/ -Mech.
Date Requenteds _— ( / ( ! Time: _X-4gM) PM
Addrens:_L /. •s '- Permit Is 6lS7 Q
Builders_ _ --
TNM FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ _ --- --- Date:
APPROVED DISAPPROVED APPROVED SURJltrT TO ABOVE
Call For Rein®p.
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INSFT::TION NOTICE
City of Tigard Building Depm t'rJ*L
13125 BW fla11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections _
Footinq Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL*
Post/Beam Struct. San. Sewer rami,n� -Bldg.
Poet/Ream Mech. Rain nrain �neulat1- -Plumb.
Plbq. Underfloor Water Line Gyp. Rd. -Mech.
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Date Requested*
Address: Permit _ni ST 9Y
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B•,S lder* to- 2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectoyl � _ Date:t
✓ APPROVED D1I�S�APPROVED _ APPROVED SUBJECT TO ABOVE
ifAl�Call For Relnep.
NI SPECTION D:CTICE
city of Tigard Bul.14inq DQPart"ont
13125 SSI -all. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspecti.on:_
Footing Plbg. Underalab �I ch. Rou'9h-in Appr/Sdw)k
Found. —`P r Top Out Gas Line FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation P1� �
Plbg. Underfloor Water Line Gyp. Bd. -Medh
Ph
Data Requested• Z Tialtt AM
da(ob
Address:_ / i��— Permit I ,.ZLL.1�
AA
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF.
Call For Reinap.
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. UndcralabMach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out `Z TTIne— FINAL-
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inaulation -Plumb.
Plbg. Underfloor water Line Gyp. 6d. -Mech.
4
Date Requested: {1�A0, • \("),h
M 7 __`Time: AM _ -PM
Addrees: � + _ Permit 1s IYI�.—,r4U-oa1�
Bu l lder:
THE FOLLOWING CORRECTIONS KAR REQUIRED:
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napSCiOr Date:
APPROVER V DISAPPROVED APPROVED SUBJECT TO ABOVE
✓ Call For Reinsp.
LAVY Cif JIG"RD Rk-CFUll (W PAYMENT RLGF I P I 1\1 11) j
C.HH-31, AMOUNT 36. /3
NAME W01-Y'V-44, M1-'.I..1, CASH AMOUN'T ota
1)R F 1;H a 14101 SW Ir'"Mi PAYMENT DATE 0*7/06/94
�SUBD I V I S I ON
114POSE., 61lyn ,11NI 11fi-i1l) PLIRPO�il-. OF PflYMNI VIIII(JUNI PWM
I-,I. AN CHI,i K H 7.. i 14
LO
Muk- Alivill ON] PAM 36. '7"7.10
GITY Of" TIGARD -- K-1CLIF•'1 Or PAlMF.1,11
C'rEa�K f1Mn1INT t27. 96
NAME: Will-KF.-R, MEL..I.(iSF% ASH AMI)UN C ; 0. 00
A1)1)FW9S 14.101 Sw IF16TN PAYMF:.NC 1)ATF 07/07/44
1 E14ARD, OR SUBDI V CSION ;
9 4—
PUF1POSL' OF f ,f4YPIF N?' 1.1Mfll ihll PAJ U PURPturcF:: f:IF PAYML N I 41MC 1111'41 PAID
56. 50 PI._L1lhFt.I NC4 V-4 RM r'%. lAo
MECHAh1 I C:Al._ PI 31. 00 S T. BUILD 14 14
Frl FIN CHECK FF• I. 75
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F O YAC_ AMOI.INT PAID
residential Building Permit Application
Gity of Tigard
13125 SW Hall Blvd. I
Tigard, OR 97223
(503) 639-4171
i
Jobsite Address: 14101 SW 125th , Tigard , OR 9722 1.,
i
Subdivision: Lot# Office Use Only
_
-4 Valuation: s6, o n o . n n Planck/Rec#
Corner Lot? Y N Permit# zzJ 0
Reissue of
Flag Lot? Y N
Map & TL#
Owner: T n m R hi a_l isc•,s a-_3 1 k y r A
pprovals Required
Address: _1 p i n i sw i 2 cit h Planning
T,.gard , OR 97224_
Engineering _
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Phone: 503-639-3536 Other
Contractor: Tom walker _ Items Required
Address. 1 4 1 0 1 SW 125th Subcontractors
T i r.a r d , QR g 7?2 a — Truss Details
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Phone: rin i_n i U_ 3 s i s Other
Contractor's License # _
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer:
Plumbing _ Address
it Mechanical:
(attach copy of current OR Contractor's Licensr)
Phone:
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=� l JOB DESCRIPTION: Framp Tnf.Prinr wa > > e , Pi nj ch D1 nMha .,,, Fiaich F,iwetsian3
Heating Ven�ts , Sheettock , rinish Fireplace Hearth , Finish Carpentry
/�
Applicant Signature ' Phone number
Received by: Date Received:
N WORrACOMDMRESAPP
Permit# Accouki. Cescription Amount / Amt. Pd. Bal. Due
jT9 -U�Go Bldp. Permit (BUILD)
Plumb. Permit (PLUMB) <-2 7"y �/ �— 21,W
Mech. Viornit (MECH) 31.1v ✓ _ 3/, ,t)
State Tax (TAX) S,7 3 �/ •'7,3_
Bldg-
Plumb:
Mech:
Plan Check (PLANCK) ' r�� ✓ / 7 JJ�
Bldg: �� . ;' � ✓ --
Plumb:
Mech: v
— _ Sewer Connection (SWUSA)
Sewer Inspectior (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) `
Commercial TIF (TIF-C) —
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (VVQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: (s! • LrZ . `/�
CITY OF T!GARD
BUILDING DIVISION
RESIDENTIAL °LANS SUBMITTAL
1
APPLICANT NAME: Tom R Melissa Walker PIAN CHECK #
ADDRESS: inini cti � Tigard , epi PHONE # r39- 336
DATE RECEIVED: RECEIVED BY: _
CHECKLIST (Ali items must be in packet before plan wid be reviewed)
YES NO N/A
!�1. [ ] [ ) [ ] 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2. [ ] ( J ] 5 SITE PLANS (including tax lot and Lax map number,easements,
erosion control provisions, floor elevation of garage and main
floor, set backs, drive-way location, north arrow, scale, lot-ation
and termination of rain drains, cori;i!r elevations, and contours
if over 15% grade).
3. [ ] [ ] ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
I (if hoi,se is designed for a flat lot and tl,, lot is not flat, revised
drawings a;•e required. No red lines accepted).
4, [ ] [ ] ,l REVISION TO PLANS MUS( BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5• l [ l [ ] FLOOR PLAN(S) 2
h. [ ] j ] [ FLOOR FRAMING
7. [ J [ ] ] TRUSS JOISTS (engineering, details and layouts)
S. [ ] ( ] ` ROOF FRAMING PLAN (al! hips and valley sv^ports indicated
and detailed).
— OVER —
9. [ ] [ ] ROOF TRUSSES (engineering, details and layouts)
10. [ ] [ ] h, COMPLETE CROSS SECTION(S)
11. [ ] [ ] j ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
/ \ ADDITIONS AND REMODELS
12. [ ] [ ] J BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are 8 ft. high or
higher)
13. [ ] ( ] WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design shall be provided)
14. [ j [ ] (�] ALL DETAILS REQUIRED BY NO. 1 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. ,Attachments must be
clearly legible and fully referenced in the plans).
15. BEAM CALCULATIONS (all beams over 10 ft. in length or ar�y
beam that supports a point load).
16. [ j ( ] ] F",iERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTION IN RED
RED WILL ONLY CAUSE DE` YS
bk.SUPW
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PLAN CHECK FEES LIST
PLAN CHECK # -� PERMIT DATE
JOBADDRESS_/4#Uf S w i�L04 TAX/MAP/LOT ?SIG 9�1q— u0 ya U
SUBDIVISION LOT # LAND USE �? 4^ s
VALUALATION (&uo SETBACKFRONT - REAR - LEFT RIGHT --
WORK. CLASS 00 HEIGHT TOTAL AREA
USE TYPE S F FLOOR LOAD 1ST
CONST TYPE S f HEAT TYPE 2ND
OCCUR GROUP_L:2 DWELL/UNITS 3RD
OCCUP/LOAD # BED ROOMS BASEMENT
## STORIES - # BATHS___ GARAGE
PERMIT # DESCRIPTION AMOUNT AMOUNT PD PAL DUE
r?a( BUILD PERMIT FEES
PLUMB PERMIT FEES oZ 7•a0 vO
_ MECH PERMIT FEES 31.-*,
STATE BUILD. .TAX;5%) S"• 73
BUILDING -2•Ir.3
PLUMBING I. 3.�r T—
MECHIANICAL /, ._
PLAN CHECK FEES —
BUILDING_s4 .73
PLUMBING_ _
MECHINIC'1L
SEWER CONNECTION _
SEWER INSPECTION —_
STREET SYSTEM DEV _
STORM DRAINAGE SYS — —
PARKS SYS'T'EM DEV
EROSION PERMIT _ _ --
EROSION PLAN USA _ — —
ERSOION PLAN COT
TOTAL —
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City of Tigard
19125 SW Hap Blvd.
Tigard.OR 97223
(503) 639-4171
T"3A Woltoaieal Cods MY PRICE AUT
9) Phm lt FeeO 10.00
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• ORS 814,21410 QIY PRICE AIrtT
WCTUMS
23 9up+OMMI a!Aw 3A0
�ammc*
uals -
1) but d1t vw+es 6A0 or
2) id ducts Z vwft T 50 • aoer wt 7
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31 id veal GAO
a) or Moor arwMwd Iw*r 6Ao
.m -- asst Triga
S) sppisssoo Po=t 3A0 Inv
nom
ss —�
61 cool¢eI 1 16 WA WA 6A0
a�lreur
w 6001P. P�fL w _ - -
7) b 3 H';869=p 1At b MW BTU 6.00
o-B wZ=wv,bed Pira w.
q 3-15!P;dmv snit b SNK STU 11.00
sK 0001P` P�m' trf9CH1NIF3OlJs
q 1530 H':46mv ed S1 WA 6rU 15.00
_ NOW or comp.bat puaR ar
lq 905011?;sbsop soot 14.75 mA STU 22.50 � �—
EkWiw air amrR PAR air can& — w a�wISM
-
1 t) s!W H!abeap eat 115 sd am 37.50 Waw Sirice Ist sw 20
JW howAft ntna -i Wsw Samos on.MAL lo(Y Is=
14 saim cm 450 S&M i Ids Dmia let lar 30Ao
YR waati-q
&1j /4A=CTL• 7.50Sloss i Rain Dean/Adds-100' � 15.00
tt) wwea
pob omler a.so
M�bie I+o me seem
�rG - zs ao
-� 3 -
151 b•6:0*duct 3.00 sena,or Mi1'b4u6oa 1 wAm 750
cap ar
1q hwAo&d im of V 6- ser" � s-W ,d Comecssd ba F MA 75n
Mmod served by ILA"eam 7-150
ar
17) wmbwiaaasAt 45o 0 - wimv
ar Our41sp_o1 Exst pkmd3kv per 1r
tq tppo iKinsrsbr 30.M --
�. r'P=* per Ur
1% Mrs6 sale;dolts d�ac- a.9D
0- Moo
c 2% oc ppg an+b&M ou ds 200 prsrweoa 15J00
N dennes
T 21) Mow`aper oudd
F_
QlnwsA fis Moo SUBTOTAL' *14am noes Fee sxsm SUBTOTAL ,
7 M CURC11ARGE
MAN REVIEW 25%t1F SUBTOTAL / �� PLAN REVIEW 2M OF SUBTOTAL
TOTAL —
TOTAL
Daft Issued _blr
LIABILITY; The City of Tigaid, Oregon, or It's
employees, shall not be respnnsibla for
discrepancys which may appear hPrenn.
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
FPERMIT,pNO.�sk o 4¢q SITE AL)DRE.SS_f,191
BY_*S ---.-,_.DATE
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