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11923 SW 126TH PLACE-1 y ! I .y A i" OF CITYOFTIGARD � CE:"RTIFICATE" � � COMMUNITY DEVELOPMENT DEPARTMENT OREGON OCCUPANCY�;t�RM l.0 #�. , . . . , , M5TC31-OUr; 4 13126 8W HWI Blvd. P.O.Box 23397,Tl jard,Oregon 97723(603)M4175 S I TC ADDRESS;. . . : 11923 SW 1.=:6TH PL PPRCCL: 1 G 133DD--12 600 SUDDIVIISION. . . . : VILLAGE AT. 5,L!MPtCF2 t_AI';f_ FARE'. 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 16? CLASS OF WORK. :NE'W TYPE OF USW. . . :SF OCCUPANCY GPP. :R3 OCC1.Ir'F.iN(-,Y t_OAD c 225 4 TENANT NAME. . . : Rem�r t%S ; Show of henlee Owner: .) RYSTA0T HOMES 1000 SW 169TH FAL SUITE # 303A BEAVEE2TON OR '372r.4 , 0000 ph un e 11: 503 -690 07-`7 Contractor- F. J. ontractor:F. J. RYSTAOT HOMES 13765 NW CORNELL. RD SUITE'. 100 P()PTI-AND OR 97229 F)hone Os 644--8061 '4elj ii. . : 67A80 OcctgE)&ncy of the above r^efvr•enr. pd trttildiny :i4 herebv given, and c:er^tifier, th@ compliance with the State Of Orrqun SpeciAlty Codes for the group, uccupAnc,•, end uoke under which the referenced permit wrka iaqued. FIRE:. DF-PART'MENT Fil!II..D C IN�r�EzG'T�GR BUILDING OFFICIAL POST IN GnWiP I CUOUG PLACE INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inep. -tion:__ ----- --- -- Footing Plbg. Underslab Hoch. Rough-in Appr/adwlk Found. Plbg. Top Out ace Line 7XIMt Post/Beam Struct. San. Sewer Framing 61dq. Post/Beam Hoch. Rain Drain Insulation -plumb. Plbq. Underfloor Water Line ayp. ad. Rech• /� Date Requenteds / Timet n AR _�PH Addreoe:_ - ,�G �! Permit #t_`7.� l Builder: THP FOLLOWING CORRECTIONS ARE REQUIRED: i Inspectors ' �c Date: APPROVRD DISAPPROVED APPROVED SUBJRCT TO ABOVE call For Reinsp. 1 1111, CITY OF 1'163RD RECEIPT OF PAYMENT RECElPl NO. :91—x:158 79 C14ECK AMOUNT a P5. 0. NAME : E. J. RYSTADT INVESTMENT CASH AMOUNT 0. 00 ADDRESS s 12449 NW SPR INGV ILLE RD PAYMENT DATE 07/31/91 SUBDIVISION PORTLAND, OR 97229-- PURPOSE OF 1'.1AYMENT AMOUNT PAID PURPOSE OF r,AymEpq'r AMOUNT PA 11) 25. 00 REINSPEC ION F 1 92 3 sw lolfllF TOTAL AMOUN'l POID 00 INSPECTION NOTICE City of Tigard Ek ilding Departaent 13125 Sit [call Blvd. Tigard, Oregon 97223 Inspecti.3n Line (Rec-o-Phone): 639-4175 Business Phwe: 639-4171 Inspection:_____ ------ Footing Plbq. Underelab Mach. Rough-in Appr/Sdwlk Found. P1bq. Top Out Gas Line FINAL: lost/Beam 3truct. San. 8 Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Meeh. Date Requeetedt��f�+f� �� _Time: AM _PM Addresss��/1, ��G � Permit. /. _ Builder: THE FOLLOWING ZRRZCTIONS ARE REQUIREDs 44e 21-Z i r 7 Inspectors�i/S' �[ APPROVED DISAPPROVED _ APPROVED SUBJECT Tin ABOVE ___Call For Relnsp. INF?ECTION NOTICE City of Tigard Building Departfnst 13125 SW Hall Blvd. Tig 1, Oregon 97223 inspection Line (Rec-O-Phone 639-4../5 Business Phone: 639-4171 Inspection:. Footing Plbg. arelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Boam Strvct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Requesteds. IGa ' �f _Times _ �� AN PH Address: � Cy 1. Permit nuiioer: i THE FOLLOWING CTI0MA ARE REQUIRED: � ! 1 l Inspectors i-Ll J_J� Date: -7—lee 1 (APPROVED _ OIBAPPR APPROVED SUBJIICT TO ABOVE Call For Reinsep. t t �► t INSPECTION NOTICE City of Tigard Building Deparssisent 13125 Sm Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:!__, _-�---- Footing Plbg. Underelab Mich. Gough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plwob Plbg. Underfloor Nater Lina Gyp. Bd. -Noah. Date Re4uested:_ /C/ - e Tim: PH Address s C 1 ` Permit lis Builders THE FOLiANING CDRRBIONS ARE REQUIRED: / Dates / 6 Inspectors - -- APPROVED D I SAT-1-10M) APPROVED SUBJUCT TO ABOVE Call P"t Nolnnp. ItS PECT I ONANT1a City of Tigard Building Depart asant 13125 Sw Ball Blvd. Tigard, Oregon 97223 Inspecticn Line (Rec-O-Phone): 639-4175 Busir,ss Phone: 639-4171 Inspections - Footing Plbg. Underslab Hoch. Rough-in Appr/Sdw,1k Found. Plbg. Top Out Gas Line FINAL= Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -P:.umb. Plbg. Underfloor Natter Line Gyr. Bd. -Nech. Date Requested: '�-f 4 -fir/ Time=A-61-1p PH Address / # -i-- / --� �frm7E Builder: THE FOLLOWING CORRECTIONS ARE REQU�IREDs �r l Ll r. / a 1� 1 .1 Inspector= 1- �� -': Date= APPROVED DISAPPROVED - 1 1X,NED SUBJECT TO ABOVE, Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4115 Business Phone: 639-4171 Inspection: — Footing Plbq. Underslab Hech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Strjct. San. Sever framing -Bldg. Post/Beam Necn. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. ad. -Hoch. L _ ,-/�., Date Requested: � l/ Time: AN PH Address: nn� ��i 1=-�- Permit #t_// Builder•—_�i�,�JLII ' / THE FOLT.XMING CORRECTIONS ARE REQUIRED: Inspectort �� Date: — APPROVEDAPPROVBU SUBJECT TO ABOVE Cali Tor ReLnep. INSPECTION NOTICE City of Tigard Building DelPartnent 13125 SK Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ ' Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Ream Mech. Rain Drain Insulation -plumb. Plbg. Underfloor �Water Line Oyp. Hd. . -Mech. Date Requested: ! All ` / TLm s - `ted` -pza3 Address: � e; ��tmit ajs Builder:__ TBE FOLLOWING cOFt�ZCTIONS ARE RRQUIRED: rz nvn r)rI r=r•rG FC.�f�✓Ic4i�c ;iic: iNSJ7�LL/t!'7onJ - _. 1.�.��-�---�„� "%' �'�_//��c='' �`�A�✓i•� Com_ Dates APPROVED DISAPPROVRD _ APPROVED SUSJRCT TO ABOVE mall For PoInsp. MMUMME INSPECTION NOTICE City of Tigard Building Departn3nt 13125 511 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businesr Phone: 639-4171 fir• ,r �� 1 Inspection: -- Footing Plbg. Underelab Much. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas ine \` FINALt Poet/Beam Struct. San. Sewer - lraminQ -Bldg. Post/Beam Mech. Rain Drain insulation -Plumb. Plbq. Underfloor Water Line Gyp. 8d. -Mach. Date Requested/s - ''T/I''iiiLL..mes 1/_ AM n1 '14/ PM Address: /! �'r �C�/'Pe.-Al 2 CU Builder:__ 'J THE FOLLOWING CORRECTIONS ARE REQUIRED% -,—, ALL Inspectors Dates :/ — AIPPRO rb DISAPPROVED APPROVED SUBJRCT TO ABOVE Call For Reinsp. INSPECTION NOTICE City 4 of Tigard Building Department ' 13125 SM Hall Blvd. Tigard, Oregon 97223 t Inopection Line (Ree-O-Phone): 639-1175 Business Phone= 639-•4171 .r� Inspection- Footing Pibq. Underelab Mach ugh- Appr/Sdwlk Found. Plbg. Top Out a Line FINAL- Post/Seam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Pibq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: ___L_L� l__ __Time: - -AM PM / 7 e Address:_ Permit Builder= ---------- THE FOLLOWING OORRECTIONS ARE REQUIRED: c , - � tS�awC S7-rA e- r;(,') S/-0 y%C Inspector: Data= APP"MO DIRABPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phone): 639--4175 Buninpns Phone: 639-4171 Inspection: _ --- ----— Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out GaB Line FINAL: Poet/Beam St.ruct. jater . Sewer . Framing -Bldg. Poet/Beam Mach. Drai Insulation -Plumb. Plbq. Underflocr Lin* Gyp. Bd. -Mach. Date Requested: C Tiarnr�. —AN PM Address: 14,2 / � Permit 1: 3 Builder: — THE FOLLOWING CORRSCTIONS ARE REQUIRED: Inspector: �/ ' Date: L APPROVED DISAPPROVED APPROVED RUBJECT TO ABOVE ' Call Por 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. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sower Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -mach. Date Requested: 'F1 Times /(--" AN __PN Address: 4` Zo / Permit f:� R ez'�� Builders Y STs>t�T" k4QL--•ir—C THE FOLLOWING CORRECTIONS ARE REQUIRED: 7'-- L ti IV.'Z r--"r L" f ^_ Inspectors_ i� Dates_% / APPROVRD DISAPPROVED --"PROVF'J SURJECT TO ABOVE Call For Neinsp. I I 1NSPECPION NOTICE City of Tigard Building DepartJeent 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Re^-O-Phone): 639-4175 Business Phone: 639-4171 Inapection:_� -- Footing Pibg. Underelab Mech. Rough-in Appr/Sdwlk FINAL: ?ound, bQ. Top Out Gas Line Post/Beam Sttuct. an. Skewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. 7 Date Requeetedt - � Cf Time: AM`-6 �T� Address: 'tezmit /t / Builders__ - �- 17 THE roLLOWING CORRECTIONS ARE REQUIRED: � e Inspectors APPROVED DISAPPROVED ApppovF-D ,iYn.JIRCT TO ABOVE -�y�\— Call For Relnsp. INSPECTION NOTICE City of Tigard BuLlding Departaent 13125 SW Hall Blvd. Tigard, orttgon 97223 Inspection Line (Rec-O-Phone): 639-401.,75 Business Phone: 639-4171 Inspection: [1-ico •� �S ^ �___ --- Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Swer Framing -Bldg. Post/Beam tfech. Rai 0 Insulation -Plumb. Plbg. Underfloor Wa - tar Lina Gyp. Bd. _ ,,( -Mach. 2 Date Requentedt 'J (.0 - 111 —.Time- `��AN _ PM Address: �'=�L z� 1-2- �� Permit #4/Y l B.ilder: ( -,�j 0 6 72-1 _ _. --.---- ------- THE FOLLJWIMG CnRRECTIONS ARE REQUIRED: vQK � 3 _ tnepeators _•� Datat_ �- APPROM UII:nrPNnvFh nrr:tnvFD StYR.TF.rT TO nnwF Call For Mlnap. INSPECTION NOTICE City of Tigard Building Department 13125 8V 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: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. Sd. C � -Neth. Date Requested: _- /.l .. I f Timet A , AM ____--PH Address: I //el Z 77 t D . Permit 1: (/ Builders (( b 72 -7 THE FOLLOWING CORRECTIONS ARE REQUIRED: in�p�otior'�/ Date: -_— -- - I A!}wOV�D DISAPPROVED APPROVED SURJE("T TO AEOVE Call For Reinsp. INSPF,CTION NOTICE city of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97221 Inspection .ine (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --- ----- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk end, Plbg. Top Out Gas Line FINAL- Be Struat. San. Sewed Framing -Bldg. at/Beam !No Rein Drain Insulation -Plumb. Mg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:r� ~�S_ -e�v�j _Timoa �3- AM PM Address i�/1r7 _ Per:ait #:_L �4L 3 L/ Builder: —, -- THE FOLLOWING CORRECTIONS ARE NEQUIRED: EV Ile I napmtor t _ D A t P: APPAOVBD �DI SAPPROVRD APPROVED su:i.TF(T n, Anc,ve Call Por Aainap. INSPECTION__NOTICE City of Tigard Duilding DeP&rtK'nt 13125 SH Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639•-4175 Business Phone: 639-4171 Inspection: _ -- - rooting P1bg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: <Post/Beam Struct. San. Sewer Framing -Bldg. ost/Beam Mech- Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested. -3 7 �/ Timei"e PM / -4' zz Address: l` P.rmit �e >/ j _ f k Builder:— GC THE FOLLOWING CORRECTIONS ARE REQUIRED: i 14 0 Z. t f Dates u� d DISAPPROVED - APPROVED SUBJECT TO ABOVE f Call For Reinap. I INSPECTION NOTICE City of Tigard Building Departmmlt 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree--0-Phone): 639-4175 Business Phone: 639-41 K Inspections __ --— V I looting Plbg. Underelab Mech. Rough-in Appr/Sdwik Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hach. Date Dato Requastads Times /\ AM —PM Addross: W�~ Permit Builders THE FOLIAMINO CORREC'T'IONS ARE REQUIRED: /.y��.�.�� -rf�'s•h 1.�carr.7�� ---------- Inspectors_ Dates ^Zow/. tA APPROVED DIgl1PPROVSD AP n s�CT TO ADM Call ►or Reinsp. PLUMBING PERMIT C'N OF TIOA RD A�� PERMIT #. . . . . . . : MSTI)1--0034 CirrCIFInFARD COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUED% 02/21/91 13125 SW Hail Blvd. P.O.Box 23397,1-1gad,Oregon 97223(603)639-4175 SITE ADDRESS. . . : 11923 SW 126TH PL PARCEL: 15133DD-12600 SUBDIVISION. . . . 3 VILLAGE AT SUMMER LAKE PARK 14 ZONINGe R-4. 5 BLOCK. . . . . . . . . . 9 LOT. . . . . . . . . . . . . : 163 CLASS-OF WORK. . sNEW GARBAGE DISPOSALS. . : 1 BACKFLOW PREVNTRS. . :0 TYPE OF USE. . . . 3SF WASHING MACH. . . . . . . It TRADS. . . . . . . . . . . . . . 10 OCCUPANCY GRP. . eR3 FLOOR DRAINS. . . . . . . :0 STORIES. . . . . . . . 22 WATER HEATERS. . . . . . . I CATCH BASINS. . . . . . . :0 F I XTURES----------'--- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . 11 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 10 LAVATORIES. . . . . :44 OTHER FIXTURES. . . . . :O TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . 20 WATER CLOSETS. . :3 WATER LINE (ft). . . . 1100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . 10 Remarksi show of homes OWNERI E J RYSTADT HOMES PAYM $ 100. 00 JLH 02/20/91 t800 SW 169TH PL EIPRT $ 448. 00 SUITE # 303A BPL( 291. 20 BEAVERTON OR 97224-0000 375. 1210 Phone #1 50".3- 690 0727 PARK $ 500. 00 MPR! $ 4121. 50 Plumbing TIF" $ 1350. 00 P5PC $ 7. 38 Name : PPRT $ 147. 50 Ari d r e S o B5PC $ 22. 40 Ci t y I State: M5PC $ 2. 03 one#: MPLC $ 10. 13 Reg PAYM $ 3094- 14 JLH 02/21/91 REQUIRED INSPECTIONS This permit is iqsi.ied subject to the reg.- iflations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code State of ore. Specialty Codes and all Past/Beam Stt-'Act Water Line Insp other. applicable Jaws. All work will be done Post/Beam Mech art. Appt-/Sdwlk In-lip in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is riot star'tPri PLM/Underfloor Plumb Final Within 180 days of issuance, or if work Ic Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Post/Beam Mechan Fireplace Insp Plm/Underfloor Gas Line Insp Crawl Drain Insulation Insp Plt.imbing Top Out x Gyp Board Insp Plumb Final Authorized Plumbing Contractor Signature Call for inspection 639-4175 Contractor Notesl--.----- f CIIYOFTIFARDMASTER PERMIT PE'RMI 1 #. . . . . . . : MST91-0034 (_'7 COMMUNITY DEVELOPMENT DEPARTMENT sieooel 13126 SWHWIBRd.P.O.8=23397,Tip M,Ompon97271(603)639-017b DATE ISSUED: 02/21/91 I T'E i-4L-b HE E3S. . . 6 11 5,;_; 41 126 ; -1-i PL PARCEL, 3UBD I V I S I ON. . . . ; VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 . . . . . . . . . . T LOT. . . . . . . . . . . . . : I63 BUILDING _._____.___________-.-_-_--_-._______---___ REQ I SSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 5f CLASS OP WORK. :NEW BEDRMSc4 BATHS:3 GARAGE. . . . . . . . . . :440 sf TYPE OF USE. . . :5F FLOOR AREAS.-_...__.__....___.__ REQUIRED SETBACKS-.---------- TYPE OF CONST. :5N FIRST. . . . : 1055 sf LEFT. . :5 ft RIGHT. :5 ft C)CCUI�'ANr!' 63RD. :R3 SECOND. . . : 1075 s f FNONI ft, REAR. . : 15 ft : TOR I ES. . . . . . . c 2 THIRD. . . . :O s f REUU I RED--_---_____.____-_--.__ HE I GH1.. . . . . . . . :25 ft TOTAL•-...... s f SMOKE' DETECTORS. :Y r=LOOR LOAD. . . . :40 psf VALUE. . . . . fc 105900 PARKING SPACES. . :O Remar-ks ,-. show of homes PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . 'O LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUP/SFIOWEwR. . . . . :3 L..AUNDRY TRAYS. . . -0 CATCH BASINS. . . . . . . :0 WATER CLOSE:TS. . :3 SEWER LINE:: (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 `JATF R I...INE (ft ) . - 1.00 OTHE=R FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASH I NU MACH. —:1 SF' RP I N LIRA I NS. . : 1 MEC:HAN I GAL ------ ____._....__ _.__.__.__..._...______ FEES FUEL. TYPES._......__.__....---..._._ UNIT HTRS. . :0 type amount by date recpt /GAS/ / 1 VENTS . . . . . :0 PAYM f 100. 00 JLH 0P/20/91 MAX INPUT-0 PTU VENT FANS. . :4 BPPT $ 448. 00 1 � F-URN ( 100K . . :0 HOODS. . . . . . .. 1. BPLC $ 1:91. 20 E•'URN ) -100R . . : I WOODSTOVES. :0 SEiDC $ 375. 00 FLOOR FURN. . . . :0 CLO DRYERS. : 1 PARK $ 500. 00 BOIL/CME' ( 3HO-0 OTHER UMI15:0. MI'RT 11 40. 50 / ✓ GAS OUTLETS: 1 TIE= $ 1350. 00 Owner: ___._.____,.____.._._.__._ ____.___.__. .____._._..._ ...__- P5PC $ 7. 38 E J RYSTADT HOMES., PPRT f 147. 50 1800 SW 169TIA PL E 5pc $ -;'2. 40 SUITE ## :303A I15PC $ 2. 03 BEAVERTON OR 97224-0000 MPLC 1- 10. 13 / Phone #: 503-690 0727 PAYM $ 3094. 14 JLH 02/21/91 Contract or: F'. J. RYSTADT HOMES 1800 SW 169TIA PL. SUITE 303A SEAVE.PTON Utz 97006 Phone #: 690-0727 Reg #. . : 6-1880 3134. 14 TOTAL. This persit is issued subject to the regulations contained in the -------- REOUT RED INSPECT IONS -- --- Tigard Municipal Code, State of pre, Specialtv Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Vlost/Ream rtri.sct bas Line Instp Mans, This pereit will expire if wv-W is not started withir IN Rost/Beam Mechan Ins�.tlat ion Insp days of issuance, or if work is sypr%�, fer eere that 180 dAvs. Plm/o.sndslab Insp Gyp Board Insp 1 PLM/Underfloor Rain drain Insp rex-mitten 3i G! -rc -� ..__ Mer:htanical. Insp Water Line Tns" Pi limb Top Out Appr/Sdwlk Inst, 1 =sI.Aed Py: � rraminq Ir1�p Mechanical Fina+I � Lail for i nr,,,p,,f i r, f,' ). .4 1 '/.,; SEWER CONNECTION CI1YOFTIFARD WYOFTWIND PERMIT COMMUNITY DEVELOPMENT DEPARTMENT iJU-._RMIT #. . . . . . . : SWR91-0037 13126 SW Holl Mid P.O.box 23397.Tipid,aeon G/ (503)M4175 6 '.Q- ',)T*E ADDRESS. . . : 11923 SW 126TH PL PARCEL: IS133DD-12600 I V I G*1 ON. A)I LLAGE AT SUMMER LAKE PARK 4 7rNTNIL- R- 4, - BLOCK. . . . . . . . . . LOT. . . . • . . . . . . . . : 163 TENANT NAME. . . . . : USA NO. . . .. . . . . . . :431844 FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELL-I NG UN I TS. . . I TYPE OF USE:. . . . . :SF NO. OF' BUILDINGS: 1 INSTALL 'T'YPE. . , . :BUSWR IMPERV SURFACE. . : .sf Remarks: show of homes (.)wtler: ------------------ FEES F J RYSTADT F40MES type amol-int by date rer Pt 1800 SW t6q,rH PL PRMT $ 1500. 00 SUITE # 303A INSP t 35. 00 BEAVER,rON OR 97224-0000 PAYM $ 1535. 00 JLH 02/21/91 Phone #: 503--690 07G7 Cont-actor: ------------------------------- (7 -n-INITRACTOR NOT ON FILE -------------------------I--------------- Phone #: $ 1535. 00 TOTAL REQUIRED INSPECTIONS -- chis Applicant agrees to comply with all the rules and regulations Sewer Inspectiori J the Unified Sewage Agency. The permit expires 120 days from ,.If date issued. The total amount paid will be forfeited if the nermit expires. The Agency does not guarantee the accuracy of the ,ide sewer laterals. If the sewer is not located at the measurement men. the installer shall orcspect j feet in all directions from ^he distance given, If not so located, the installer shall purchase "Tae and Side Sewer" Permit a m i t t e e St !gnsi:f ire I L Ued By: I for inspection _- 63.9--4175 CITY OF TIGARD RECEIPT OF' PAYMENT RECEIPT NO. :91--c209948 CI-IE(.-,I< AMOUNT 46;r-'9. 14 F--'J RYSTADT HOMES CASH AMOUNT 0. 00 (if)DRE SS) PAYMENT DATE 021 i?1/91 SUBD I V IS)f ON 119:'';:; 1,1.3W 126TH PL- PURPOSE OF PAYMENT AMOUNT PAID PURPOSC OF PAYMENT AMOUNT PAID .-003,4- 448. 00 -P,-U,J M*-BI N-G "P-E,:-RM- 147. 50 MECHANICAL. PE 40. 591 ST. BUILD PER 31. 81 PL.AN CHECK FE 201. 33 Sf--*WER USA 1500. 00 Sl-'.WF.R INSPE.CT 35). 00 RESIDENTIAL. TRAFFIC FEES 1 C-150. 00 PARK03 GDC - 500. 00 STORM DRAIN SLIC 375. 00 WIGS TRANSIT 'T ff- FEES 100. 00 TUTAI... AMOUNT PAID 4629. 14 �I �I i CITY QF T I GARD RECEIPT OF PAYMENT RECEIPT NC). :91-209883 CHE:C:K AMOUNT' : 200. 00 NAihl= : E, J, RYSTACJ7 F!l�ME CASH AMOUN'r 0. 00 ADDRESS PAYMENT DATE OP/20/91 SU` DIVISIf]N I iA-JRF=OSE. OF PAYME==NT AMtIUN'T PAIr) PURPOSE OF PAYMENT AMOUNT PAID Pi-AN CHECK FE -21 R _ 1 OQI. 00 PI-AN CHECK FE� 2--22R 100. 00 I I I i i i I I f 0l"AF._ AMOUNT PAID _ ._ __ ._.y x.'00. 00 i