11912 SW 126TH PLACE ADDRESS:
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CERTIFTCATE OF
OCCUPANCY
.-CITY OF TING.. PERMIT #. . . . . . . : MST94-0322A ' DATE ISSUED: 03/2'8/95
COMMUNITY DEVELOPMENT tb)ERPNT
13125$W Hall Blvd.Tlgard,Orogan 9722308199 (503)639-4171 PARCEL: 15133DD1i.-:'J,00
SITE ADDRESS. . . 2 11912 SW 126TH PL
SUBD I V I S I ON. . . . : VILLAGE AT SUMMER LAKE PARK 4 Z ON I NG:R-4. 5
FLOCK. . . . . . . . . , LOI.. . . . . . . . . . . . . t158
CLASS OF WORK. : 14EW
TYPE OF USE. . . eSF
OCCUPONCY GRP. :03
0CC1JPPNCY LOAD-a2O 4
TENANT NAME. . . -
Remarks : PATH I
Owner:
GTONERIDGE HOME
15387 BURGUNDY ST
TIGARD OR 97224
Phone #- 590-0478
S70NERIDGE HOMES
15387 BURGUNDY ST
TIGARD OR 97i?24
Phone *11 - 5�00476
Ret
_1 61331
OcQupayicy of the akbovp referenced btAildillg is hereby given, and certifies
the complianCe with the Statt.-� Of Oregon Specialt'y CO.d#*S for' th9 gV•OIAP,
occupAvmy, and LISP under which the referenced perAit s issued.
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FAII-111-DING INSPECTOR L 1 . NG 0 ILIAL
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POF4T J1\1 CONSPICUOUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
InFs3ection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -B�JLSZ_.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Watei i ine Insulation 'loch
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I3L rK/2 Time:_ 4M PM
Address:Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'N'� fi�[i1L G:�'Zc�S.a. C��v77?�c_ .O.s�t'Zc��✓c�J 3 2c� SJR
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Inspector: Date: X8-95`
,/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION ...NICE Lj Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Insp-3ction:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm to Insulation,( n -Mech.
Underfli. Insul. Shear W II -.(ki— `" -Elect.
Date Requested: C�/J✓ nTime: AM PM
Address: [ I r/� zc� r It 1J�� -
Builder: Pei itiitt l <2 c/— 3THE FOLLOWING CORRECTIONS AtE REQUIRED:
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Inspector: _ a
_APPROVEDAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE���
Inspection Line z (DPhone 639-4_175u
P ne: 639-4171—�
Inspection: �f
Footing Susp. C ing Sprink. Rough-in �Appr/SSdwlk
Foundation Plbg. Underslab Mech. Rough-i,i Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Pnst/Rears Mech. San. Sewer Gas Line -Bldg.
Plbg. Undedloor Rain Drain Framing -Plumb.
Alarm Nater Line Insulation Mech.
Ur�erflr. Insul. ,efar
Wall
Gyp. Bd. Elect.
Date Requested: '1' 2A —6 Time. AM PM
Address:
Builder: Permit #C1 — Z THE FOLLOWING CORRECTIONS ARE REQUIRED:
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tor: lbateROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Ph ne): 639-4175 Business Phone: 639.4171
Inspection: —
Footing Susp. Ceiling Sprink. Rough-ir Appr/Sdwik�
Foundat on Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:f`/ `, Time:_—AM PM
Address:-L.1 �! i Z. ( � �, T �'-�I
Builder: Permit #:1 _C)
-rHE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.`_L l f( {Jz� y Dater
-10 APPROVED _DISAPPROVED ,APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: t.. AC-1-
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: � �J f
q / .,� Time: AM PM
Address:
Builder: Permit #: -7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_I, r,�y},a� Date: !7�
_DISAPPROVED —APPROVED SUBJECT TO ABOVE
�aPPROVED
__Call For Roinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in flip
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��'/�' j Time:
AM PM
Add _Z (4' �✓'� ��L�� — —
Builder: 72Z /' Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto", Date: ~�
Y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE L
City of Tigard Building Departse±nt
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
InspecLions_`-.
Footing Plbq. Underalab Hoch. Rough-in Appr/Sdwlk
Found. (? bq. Ttp Ou ) Cas Line FINAL-
Poet/beam Struct. San. `sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water in Gyp. Bd. -Hoch.
J t:�Date Requested: Times _PM
Addraoa:�)9 a Z., '` Permit #s
Builders IZ- 2 7
THE FOLLOWING <,ORREL-TIONS ARE REQUIRED-
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Inopec ors — Dates
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APPROVED DISAPPROVED _ - APPROVED SUBJECT TO ABOVE
---Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection fine (Roc-0-Phone): 639-•4175 Buainean Phone: 639-4171
Inspection: .
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. pibg. Top Out Gas Line FINAL=
st/eeamS an. Sewer Framing -Bldg.
Post/Beam Neth. Rain Drain IneulaLion -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requestedt ) Z Time: /SAH PH
Adciross:
_/ I C,/� /� to 4A,
Builders S 2_/
THE FOLLOWING CORRECTIONS ARE AEQDIRM
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Inspector: Date:
APPAMD DIBAPPROVIO APPROVED SUBJECT TO AS=
nCall for Rsinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SH Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:- -- - — --------- ------._.—�_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam 3truc J11— San. Sewer Framing -.Bldg.
Poe h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: I z Z' Time: _ AM PM
Address: LULL-- / Z gyp --Permit ST 7 Y-03 ?-
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIR
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Inspector:— `� " T -_-- - Data:
APPROVRb DISAPPROVED APPROVEn SUBJECT TO ABOVE
/all For Reinsp.
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�NSPECfION 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:
Rooting Plbg. Onderelab Hoch. Rough-in Appr/Sdwlk
i
Pound. �./1lbq. Top Out Gas Line FINAL:
Post/Beam struct. San. Sewer r i -Bldg.
`Post/Beam Hoch. Rain Drain ''insulation�on -Plumb.
Plbg. Underfloor Water Line (� Gyp. ed. -Mach.
Date Requested: /! L/o[�% TlIDe: ,�_AM PH
Address: La,. �- /2-(f. Permit #t g�`�3�✓ Z
Builder: 5- LO -077/I
TM FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
APPFA)M DISAPPROVED APPROVED SUBJECT TO ABOVE
� ) ,' ' Call for Reinsp.
INSPECTION NOTICE
Citr of Tigard Building Departsfent
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undersl.ab 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.
Plbq. Underfloor Water Line c (:�-Yp Bd. -Mach.
Date Requestjeds� /Z Z/- 7 n`'_ Time: AM _PM
Addresse / Z JL �ji P..C�E Permit fs
Builders'
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
l'Ah'/���v tii��r ��Ci2J1L` Jrs TIl��L=
Inspectort _ Date:_l/"'
APPF40M DISAPPROVED 'e_�'XPPRM9 D SUBJRCT TO ABOVE
_____Call For Reinnp.
INSMUTION NOTICE
City of Tigard Building Department
131.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection• _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out ` Can Line FINAL:
Post/Ream Sttuct. San. Sewer Bldg.
Poet/Beam Me.:h. Rain Drain Ineulat C -Plumb.
Plbg. Underfloor Water Line ¢ 'LGyp. ed. 2" _______PH
ech.
Date Requested: u 7 Time:
Address: �CIL�(t� lT �e� Pandit #: V�"
Builders
THE
FIOT.LtNIJNG CURAEC'TIONS ARE REQUIRED:
2nepwtoet l —_-- Date)
"FROM ! D aID "PROV=D APn^.^•:RD Sr ,ECT TO ABOVE
LW"-Fd! Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Ro:agh-in Appr/Sdwlk
Pound. Plhg. Top Out Gas Line FINAL:
Po�eam St � a .-Sewer / Frr.ming -Bldg.
,Met/Baam Mbc . Rain Drain Insulation -Plumb.
Plbg. Underfloor Water L ne Gyp. Bd. -Hoeg.
Data Requested: / / 1r / I Time: AM _2 Ce
Addrees: l(ell _ / �'. ^" �a 'c Parmit i: L.�G L Z
Builders
THE F+'LLOWING CORRECTIONS ARE REQUIRED:
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T APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
" C.11 For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departarnt
1.3125 SW Hall Blvd. Tigard, Oregon 91223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Innpec.t:ion:--- -,----
Foot inq Plbg. Underelab Hoch. Rough-in Appy/Sdwlk
Found. *Waterine
t Gas Line FINAL:
Pont/Beam Struct. Framing -Bldg.
Poet/�B-o-a-mm Mech. 1 Insulation .-Plumb.
Plbg. Underfloor` Gyp. Bd. -Kech.
Dare Requested12—
: 7 1 __Tuna: AH Z PM
Address• ! Z�1 f�,_ fl �-/l� — Permit ti Q f �0 J Z
Builder: A1fr�� �ri 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED —_ DISAPPROVRD APPROVED SUBJECT TO ABO
—__Call For Relnep.
INSPECTION NOTICE 1
City of Tigard Building Department
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
r, hater Lin Gyp. Bd. --Mech.
Date Requested:_
/ �T�i_mes� AM
Addren s:A1� � / (p / "P�rmit f 1�L_�.•.' L_�_
Builder.:
THE FOLLOW_NG CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APVROVED SURJE!'r TO ABOVE
_ Call For Reinap.
INSPECTION NOTICE �.
City of Tigard Building Departsaent.
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree--O-Phone): 639-4175 Business Phone: 639-4171
Inspection'----- —_-- _ ---_^----
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Tound� Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LLin/ee Gyp. Bd. -Nle1ch.
Date Requested: IZ- ` 1 Time: V 1^'AN PH
Mires.:��`"I�� IL- Permit 1sI" L�q-1);3Z�`
110 lders
TNF. FOLI.OWIN(. CORRECTIONS ARE REQUIRED:
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Date:_��1�_ L
V/ APPROVED DtSAPPROVRD APPROVED SUBJEfT TO ABOVE
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
Insjxw_t:ian:
I-ng Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
le?
Date Requested:_ u vTimet AH _ PN
Address-_j Z' v ! ji /1 L^ Permit 1:
Ruiider•
11IF. FOILOWING CORRECTIONS ARE REQUIRED-
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APPROVED DISAPPROVED APPROVED SUB.ISrT TO ABOVE
`Call For Reinsp.
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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. UnderslaGch ,gh-i/n� Appr/Sdwlk
V,,
Found. Plbg. Top Out Gas Line / FINAL:
Poet/Beam Struct. San. Sewer ir;ming --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line �f Gyp. Bd. -Mech.
Date Requested:_ll r l o/ z T Time: _ _AM PM
Address: C/ e+� /-�G' � � 'Permit 1: G� 0 3 2- Z
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Builder:
THE MoLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:__ vV�/yj/�_ 1 4
�T APPROVED 4 DISIIPJVBD -_ APPROVRD SUBJECT TO ABOVE
��
--Call for Nainsp.
INSPECTION NOTICE
City of Tigard B►►ilding Department
13125 sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 39-4171
Inspection: ---
Footing Plbg. Underslab1, ugh-yff Appr/Sdwlk
Found. Plbg. Top Out Gae Lin / FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested/:�// //)__,Time: __ AM PM
Address: I( / I 1-2 4-, �l7 /�' — Permit f:_ �
huilders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: — --_ ---- Date:
APPROVED _-_voIniSAPPROVED -_ APPROVED SUBJECT TO ABOVE
✓all For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 639-41751I Business Phone�_639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb. �✓
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. `L�
Date Req—tested: l _ Time: _ —AM _PM
Addreset rk K v / �)ek�it 1:� _--��
Builder ? �� �✓ �1/�/ //
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inopectort
APPROVED DISAPPROVED /APPROVED SUR.T CT TO ABOVE
K 1 C_ -
Call For Roinep.
NOV-22-94 TUE 13 : 18 ENERGY KING INSULATION 503 653 0467 F. 01
EnergyKing Insulation, Inc.
14235 Southeast 98th Court - Clackamas, OR 97015 - (503) 653-5000
PAX: (503) 553-0467
FAX TRANSMITTAL SHEET
Date: \-� r-tra
To:
Company:
Fax #:.A 4 , - 1
From: as -k
# of Pages Including Cover Sheet%
Comments:
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If you do not receive the entire transmission, please call.
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Thank you.
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NOV-22-94 TUE 13 : 19 ENERGY KING INSULFAIION 503 653 0467 P, 02
Kin Insulation) Inc.
Energy g
14235 Southeast 98th Court - Clackamas, OR 97015 - (503) 653-5000
FAX: (503) 653-0467
November 22, 1994
Ken Schrer0le:
on November 15, 1994 Energy King Insulation installed insulation in the
overhang at 11912 SW 126th, for Stoneridge Homes.
Sincerely,
`Ywm. � "-"
Martha J. Sour_go
Office Assistant
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CITY OF T I OARD P E R M I T #.
. . . .PERM. . . : MST 4--o_-;'2i
COMMUNITY DEVELOPMENT DEPARTMENT DATE PLUMBING ISSUED: 09/0c'-'/94
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 f-"ARCEL: 1.5 1.3.3 D D–I E'.100
SITE ADDRESS. . . .
S 11912 SW IE:6TH PPL_
SUBD I V I cz')I ON. . . . : VILLAGE AT SUMMER LAKE PARK, 4 .-CININ(3: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 158
CLASS OF WORK. NEW GARF-AGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : ].
OCCUPANCY GRP. . :R a FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . .. . . . . :0
SIORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. :0 SF RAIN DRAINS. . . . . : I
SINKS. . . . . . . . . . : 1 GREASE IRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS.... SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . - 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER:
STONERIDGE HOMES TIF $ 1550. 00 JF 013/02/94
1.5387 BURGUNDY ST BPRT $ 520. 50 JF 09/02/94
BP'LC $ 338. 33 JF 08/15/94 94 -255566
:'.::ARD OR 97224 LA 5 P"C $ 2,6. 03 JF 09/02/94
Phone #: 590-0478 SSDC $ 280. 00 JF 09/02/94
PARK $ cz.'50. 00 Jr 09/02/94
F.''.11-Imbing Contractors -- -- ______.____.-_ MPRT $ 43. 50 JF' 09/02/94
MPLC $ 10. B8 JF 09/02/94
Name
11115PC $ e. 18 JF 0 9/10 t'zm'/9 4
A d d t-e.,4's3BTH $ X25. 00 JF 09/02/94
City :— A P5P'C $ 11. 25 JF 09/02/94
,1014, - --
Z i p Vlh on e# EROS $ 64. 00 J F 09/0C`/94
Peg "2'14L Add i-t i ona I fees not shown here. . . . . . . . .
REOUIRED INSPECTIONS
pei,mit is issued subject to the %-ey
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State Fust/Beam Struct Water- Line Insp
. - of Ore. Specialty Codes and all
other applicable laws. All work will be done Post/lAeam Meehan Appr-/Sdwlk Insp
in acrur-danr:e with appr-oved plans. This Plm/u dsl,.-..xb Insp Mechanical Final
permit will expire if work is not stat,ted PLM/Under,floot- Plumb Final
within 180 days of issuance, or- if work is Mechanical Insip Building Final
suspended for, more than 180 days. Plumb Top Out Erosion Control
F'r-aming IT-)Sip
Fir-eplace Insp
Gas Line Insp
Insulation Insp
X Gyp Boalr,d In,,p
()-,kthov-i_-ed Plumbing Contractor Signature
Call for, inspection 639-4175
uontt-actor Notes :
A
. CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PE;�ieIIT #. . . . „ . . : MST1)4 -03,W;�'
t3125 SW Hell Blvd.Tigard,Oregon 07223.8100 ,(103)1830.4171
DATE ISSUED: 09/02/94
PAIR(,EL: 1 S 1. ;3DD--121 10
S I'TE ADDRES(2). . . : 1 191E SW 1 L' ; Fi PL
SUBDIVISION. . . . VILLAGE AT SUMMER LAKE PAR[' 4 ZONING: R-4. 5
BI_OCR. . . . . . . . . . . L.Ol". . . . . . . . . . . . . . .1 58
__.__.__.__.__.__.____.______..___.____._---•---___.. BUILDING
REISSUE: DWELLING UNITS. 1 BASEMENT. . . . . . . . :0 s f
CLASS OF' WORK. :NEW BEDRMS:4 BATHS GARAGE. . . . . . . . . . :460 S
'TYPE OF USE. . . :SF FLOOR AREAS_----------- REQUIRED SETBACKS--------------
TYPE OF CONST. :5N FIRST. . . . : .1013 s f LEFT. . : 10 ft R I GHT. : 10 ft
OCCUPANCY GRI='. : R3 Sf�COND. . . :944 sf FR ONT. :0 ft REO R. ft
STORIES. . . . . . . :2 F I NBSMENT:0 s f REOU 1
HEIGHT. . . . . . . . :20 ft 1"OTAL--- _-: 1957 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 134024 PARKING SPACES. . .- 1
Remail-(s3: PATH I
PL_UMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :4 WATER HEATERF;. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . ::_ LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . . 1 WATER LINE (ft ) . : 100 OTHER Fi:XTURES. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :IZI
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL -.______..._____._.__.__._______._.__________.... FEES
FUEL 1YPES ----___.____ UNIT HTRS. . :O type amol.lnt by date recpt
/GAS/ / VENTS . . . . . :0 TIF $ 1550. 00 JF 09/02/94 -
MAX INI='UT:O BTU VENT' FANS. . :�+ B1 'RT $ X20. 5121 JF 09/0*z../94 -
F URN ( 100K . . : I HOODS. . . . . . : 1 BPLC $ 338. 33 JF' 08/15/94 94-255566
i URN ) =-100K . . .0 WOOD STOVES. :O B5PC $ 26. 03 JF 09/02:/94
C _
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JF 09/02:/94 -
BOIL-/CMR ( 3Nr':0 OTHER UN1TS: 1 PARI; $ 2`;0. 011, JF
GAS OUTLETS: 1 MPRT $ 43. 50 JF 09/202/94 -
Owner,: --_------------_--_-.-______--__--.-.---MPLC $ 1171. 8(3 Jr 0()/0:`/94 -
Sl"ONERIDGE HOMES m5pC $ 2. 18 JF 09/02/94
.1-87 BURGUNDY ST 3BT'H $ 225. 00 JF' 09/04 -
P5PC $ 11. 25 JF 09/02/94
1"IGARD OR `37224 EROS $ 64. 00 JF 09/02/94 -
Phone #: 590--0478 ERPC $ 20. 80 JF 09/02/94 -
Cuntractor-: ---_._._.______________._.._.__.___.__..--ERPC $ -'0. 80 JF 09/02:/94 -
STONE:R.IDGE HOMES
15387 BURGUNDY ST
T"I GARD OR 97224
Phone #: t90-0478
Reg
$ 3363. 27 TOTOL
This perait is issued subject to the reculations contained in the --- -- -- REG)U f RED INSPECTIONS ----- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foo.ind Insp Fir-epla(2e Insp
applicable laws. All work will be done in accordance with approved Pust/Beam Str•1_tct Gas Line Insp
pians. This pereit will expire if wo-k i not tarted within 140 Post/Beam Mechan Insi.rlation Inst)
days of issuance, or if work is suspend;
or re to 180 Plm/Lmdalab Insp Gyp Board Insp
PLM/Under^flour Rain drain Insp
er mittee Siit;nat�.lreMechanic mal Insp Water- Line Insp
Pli.1mb Top Oi.rt. Appr/Sdwl.k Insp
l i s i_c e d By : _ F i-a m i n g Insp Mer-h a n i c a l F i n a l
mall fur, inspection - E39-41115
VOW
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13'25 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 F'EERM*IT
PERMIT #. . . . . . . : SWR94—OL'9 1
63-9-417]. DATE ISSUED: 09/02/94
PARCEL.: 16133DD-1 c 100
S.:TE ADDRESS. . . : 1 191 =' SW 126TH F'L
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 158
TENANT NAME. . . . . :
USA NO. . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . .. :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF DU I LD I N05: 1
INSTALL TYVIE. . . . :BUaWI3 IMPERV SURFACE. . : : sf
Remarks : PATH I
Ot•aner : --.___...__..__________.___.__..._______.____....._.__.._._.__._.._.____--_-__.._ F=EES
STONLRIDGE HOMES type amount by diite recpL
15387 BURGUNDY ST PRMT $ 2200. 00 J-- 09/0 :/94 —
INSP $ 35. 00 JF 09/0'_/94 --
TIGARD OR 97 :224
Phone #: 590-0478
Cant ractor,:
CONTRACTOR NOT ON FILE
---------------------------
Phone #: q, 2,235. 014) TOTAL.
po
RE_OU I RE:D INSPECTIONS
-
Applicant agrees to comply with all the rales and regulations Sewer Inspection
of tie Unified Sewage Agency, The permit expi-•es 180 days from
t're Cate issued. The total amount paid will be forfeited if the
permit expires. The Agency dols not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prosrect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the A ncy 1 i s all 1 era 1.
P e r,In i t t e e S i g n a t r_r r^e :
Issued B y
Fa I I for, inspection — 6:39-4175
I
l a ('Y l►I' Y ,1'laAkl) RF:C:FIP1• (JF PFaYhl11•II' to I.I. :1.E41'
(1111:(':14 01'I011N't . ti;iwrl.r'7
NAPIUF a S IAJNFA:1i)CWHOMES 1:114x11 OM(IIJN( a Id
ODI)I<F Sps q PF•t r•M1-N( DFi 1 F•. s 09i
4i1IND J:V.1Li 1('1111 0
I.11�l�l')i>iF: OF (4 Y M k I 1-111IJUN I PWI,1) PIJkVAUW1 . (A. F•'FIYI111=.N I 1iM(1(1h1 I PO 1 1)
11111 I)'1N(i PERM M'ci194-0.1Vtk! 'X0.50 PERM
1.11111iol4tt"Al. F'F 41. SO St. 1.111.(L.D PE.Ft
it
1'1 i11! 1 I1.C.;M; t I ")').pt bik,Wl=R USA in:i., w)td
A 11 I N4'3E'1 1. I Mi. 04411 G'1ik1,04 S)1)I:; i i I it l
�— , ,1i.l•I DRAIN illl; Pow.HH 1<ESIDP*.N'l I;FiL. IRAF.I; 1i; I I I
-r I RANWA' I T F:FTS 120.00 KRI;IBJUN (IDN I M11 N.RM► 1 1 I alai
1 ON CON't Foal.. PLAN CK P". (414 F,R1' RICIN CONUMI
LU
J
t91.P SW ti'%l 1 i I't.1i1;F:
t J'I 158
1 U I I II 3►I*II I(IFi I I'l111) w - J Vi 34t'1. P'7
LJlY 01 TIGARD RErElPT OV PAYML-NT NO. a 9 4h 55 t,6
AMIALINt a r'50. 00
NAM a FiTUNE RIDOE HOMES G.Will AMOUN'r q LA. Oki
HDOREBS a 15, 387 BURGUNDY tril* Pi4yMl-.N'l DHT+-, a 00/13/x!4
V3'U B 1)1 V 1811 UN
T 1G,A H D q ORK013N 9 lifi?3--
,.,URPOSr- OF PAYMEN I AMOUNI PAID PURPUSF CIF PAYMENT AMOUNI i,.,H I D
IAN CHECK FF
11912 sw l*A11,14
ALLAGE AT SUMMER LAKY.
IOTAL AMOUNT PAID (110
76/ -
Residential Building Permit Applicat�On
City of Tigard La�� •
13125 SW Hall Blvd. i, �'
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Only
Subdivision: �+�, a� �Umm�Z L, L t#�',�5 —
Valuation: 1.3 U Z 1 �P
Corner Lot? Y
Permit#
CN_,
Flag Lot? Y C N\ Reissue of
Map & TL# ` � � L) ti
Owner: rL 2\a.c. \S Approvals Required
Address: 1� 'b�1 1 W1 L ',k +' Planning -
Engineering
t
Phone: r "1 O'- c)`( C' Other
Contractor: CQ��� j % 1�QonE Items Required
Address: '5 7
3 r• 7 Subcontractors
(j a . l 2 Z�1 Truss Details
Phone: `1�� - c-�`( � _ Other
Contractor's License
(attach copy of current Oregon license)
Contact Name & Phone: 6 ic'c. 5 Ci V
Subcon race -�q Arch itect/Engineer: �J LL%rG
Plpirn) ink: --- ,, . ��. Address. 1-3,_
CL
CL Mechanical: _\ ! 1 �rel i r _ +1 +u,t �Lox, c� LL. ► 1
Ln (attach copy of current OR Contrahtor's License)
Phone:
r-
J
JOB DESCRIPTION: —
w
J
Applicant Signature & Phone number
Received by. — Date Received:
N MORDACOMDEVV FFP
Permit# Account Description Amount Amt. Pd. Bal. Due /
Bldg. Permit (BUILD) --5,2w-Sy S �y
Plumb. Permit (PLUMB) ?Z�
Mech. Permit (MECH) )7�
State Tax (TAX) ✓ _ ,�y - /G
Bldg: -3
Plumb: �/ z )—
Mech:
)Mech: 9•I
GID
Plan Check (PLANCK)
Bldg: _ YY
Plumb: /
Mech: " S�
Sw/t9�- 0 2y Sewer Connection SWUSA Z d l
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) �'
Storm Drainage Chg (SDSOC) j-V
Residential TIF (TIF-R) P,j C/
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
Water Quantity (WQUANT)
l-L
Fire District (FIRE)
Erosion Cntri P(•-mit (ERPRMT) C y L �l
Erosion Planck/l'SA (ERPLAN) zo 4� 2e '1 J
Erosion Planck/COT (EROSN) �' �D`�
TOTALS:
S S y �,• z 1 / S3U 3' z 1�