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8570 SW SPRUCE STREET «.R 'e. ,f^ r 1'y r �., t 4 r` a f h�r e 9 r; ,l j CITY OF TIGARD BUILDING INSPECTION DIVISION 24..Hour filspwfion Lir,,.:639-4175 Business Phone: 61,).4171 r At Requested: 40 4-7 A.N4. 1)M MST: Location: BUR r Tenant:__ Suite: —Bldg: MEC: Contractor: Phone. PLM: (honer: Phone: ELC: ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE site Post/Beam _'oRtt13eEun Post/Beam Cover/Service Sewer/Storm Footing Roof UnIFI/Slab Rough-In Ceiling Water Line Slab Framing Top OutGas Line Rough-in UG Sprinkler Foundation Insulation Sewer LA). loodaNct Reconnect vavj( Bsmtl)mnp Drywall Storm Furnace Temp Service misc. Masonry Ceilir.# Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ileat Pump Low Volt A pprov--dApproved Approved Approved Appr/.SdwlY Not Approved <ftotAapproved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL 0 Call for reinspection M Remspection fee of required be ,.�,S#ext inspection C3 Unable to inspec! Inspector: nate: Page z of '�!�'�lk"4Yrisr_.•.....r,nr tc.:.nnytm.u,.a. .,.... ...—wwu.m ...:. ..T.c:+.rn,n:MH'N,.wa+...a..�n..:..,MaM!Mtww Mµ,w.R.. CITY (14F •rIGA D DEVELOPMENT SERVICES PLUMBING PERMIT 1,1125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97-0148 DATE ISSUED: 04/29/97 PARCEL: IS135AD-02900 SITE ADDRE ;S. . . : 08570 SW SPRUCF. ST #UNT. SUBDIVISION. . . . : METZGER ACRE TRACTS ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 .JURISDICTION.- TIG ------------------------------------------ ---------------------------------------------- - CLASS OF WORK. . :REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF 119E. . . . :3F WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . c 0 i OCCUPANCY GRP. . :P3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRA I PSS. . . , . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP:.. . . . . . . . 0 LAVATORIES. . . . : 0 O'THE'R FIXTURES. . . . : 0 TUB/SHOWERS. . . ^ 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER L.THE (ft ) . . . - 0 DISHWASHERS. . . . : 0 RAIN DR(4TN (ft) . . . : 0 Remarks : Wailer heater replacement, li;:c—kind. Owner: --------------•------------------------------- -------- FEES TOM BURGHARDT type amoia-it by date recpt 10830 SW !•TALI_ PL.VD PRMT 4 25. 00 DRA 24/29/97 97-293863 TIGARD OR 9722? SPCT $ 1. 25 DRA O4/29/97 97-293883 Phone *- Contract GEORGE MORI-AN PLUMB' S I 1 5529 SE FOSTER RI) *SEE ALSO MORLCIN PLUMPING* PORTLAND OR 9720E --- ------Phone #: '771-1145 $ 26. 25 TOTAL Reg #. . : O02OO7 -- ------ REOU I RED INSPECTIONS -------- This permit is issued subject to tl.e regulatiriis contained in the Misc. 'nspection Tigard Municipal Code, State of Ore. Specialty Crdei and all other F'ir,al Inspection applicable laws. All week will be done in accordance with _ approved plans. This permit will expire if work is not started _ — within 180 days of issuance, or if work is suspended for more than IN days. Permit Ce sign pare: - ,/zY I 5 S l e By: Call for inspection — 639—k175 I :ITY OF TIGARD Plumbing Application Recd By� '3125-SW FALL BLVD. Commercial and Residential Cate Recd -97 IGARD, OR 97223 Date to P E. 03) 639-4171 I �) Dale to O"T i Permit a Print or Type Related Swst I_ Incomplete or illegible applications will not be accepted Called__ I Name of Project DovelopmenvPro FIXI URES (:ndlvirluat I ) q1Y PRICE AMT Job Si,,k s a0 Addressreef Address it Suite Lavatory (., (( A-/ `(.1(( ( i � i ub or Tub/Shower Como. - 4.00 Bldg a QryrStaW zip shower C,nly— -- 9.00 y� Z3 Water Closet - Name /ln^ t11 7Z 9.00 / V✓I �n Orstrwasher --907— Owner OuOwner Mp,.gAddress ( Suite iarbage fsposat 4.00 ~� 1-' Washing 1Aachme � � 9.00 Clry/3tste/ p Phone Floor Dram 2' 9.90 filsrhe ,/ 1 3 9To- 4- 00a' —9 jj0 Occupant �"Ad*m Suite Water Heater 9 .00 I S 7CJ �L") �'v(1G: �( Laundry Room / Tr—ay ll CiryrSlab 27 n -- 9.00 � Una t 9.00 Nano OteFits(Spat ) 9.00 -- A Contractor Msft Address Suite .00 /l, /k 900 Ci hestate p Phone 900 Cl/ .X7 2If/ _ _ _ 9.00 ( 1 1 Oregon Const.Cont.Board Lic.9 Ex .Oate 9.00 AMetA Copy o/ -.r n — _ 9.00 I r' ^f A Exp.Date Saver-t st too' __ 30.00 I l leeneee � � - ���• t i _.___. _ COT 8usiriess Tax Or Metro t Exp.Dab Sewer Lech additional 100' .15.00 —� Water Service-1st too• _ 10.00 Name water Serwce-each auoKlonel 200' 25.00 Archke:.t L Storm S Rair Dram-ist too' 30.00 or I eta"address g,_;e Storm d Rain Cram-each additional t00' 25.00 _ Montle Home Space --------25-0-0 j Engineer GMState Zip — Phone Commercial Back Flow Prevention Device or Anti• 2500 - _Pollution Cevice �eetJtOe �' woAt Ww O—Addition O Alterauoi,O Repair • Residential Backflow prevention DevwA* 15,00 b be done: 1esidentlal O Von-residenti*I O Any Trap or Waste NoConnected to a Fixture i am—lption of worts %~ t 9 06 /6- oe,f L( yfC✓ Catch Basin — � lu!rwty� 9.00 deet rr I„tp.of Existing Plumbing 40 00 -%wos0 use of Spe^iaiy Req40.00uested Inspections 1 I X0.00 'W” or pmp" I dY'IIN juL'� k i oevhr - Ram Crain,smgie lamely dwelling 30.00 5 ad use of f �jf�rA r Grease Traps 9.00 'tpntF r 1 1 - auilding or property /lC 17 _ QUANTITY TOTAL Are y!,.capping. moving or replacing any Ifxtures1i Yes No p IsometM a rtser aisgrarn is rrouind d Quan"Total w >9 (H es sae Daek of form) 'SUBTOTAL t herebv acknowledge that I haee read this acphcation,that the information _ :lrjen.a Correct.!-lat I am the owner or authorized agent of the owner.and 5% SURCHARaF that olars submlred are in comollance with Cregari State laws. 4ignature of Ownei Agent Date Pt A;v PEV18 25% OF SUSTO TAL eoulnd only I Imure o�'�.total is>I T- :1 Contset PersonMarne /, --- Phone I`��,ZS /��/�� 'Minimum permit fee is S25 -5-A surcnarge.except Residential Backflow X 1 A��' !.7`/ f7'/ Prevention Cevice.whim,.s S 15. 5%surcharge i:ldstshplm>tpp.doc S/9ti I 1 i R P_.E�zE_Q_QI�L_ETE_!$APNIATE TQ P_9QJEQ Fixtures to by capped, moved or replaced City Sink Lavatory Tub or Tub/Shower Combination_ Shower Only Water Closet _ Dishwasher IF Garbage Disposal Washing Machine Floor Drain 2" _ 4" Water Heater r _ Laundry Room Tray_ _-- Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE:: CITY OF'fIGARD BJILpING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-41'/5 Business Phone: 639-4171 4r, Inspection: , Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Uoderslab Mech. Rougl-in F fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in ±NLA / Post/Beam !tech. San. Sewer Gas Line ldgg Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation �-Mec. Underflr. Insul. Shear Wall i Gyp. Bd. -Elect. Date Requested:_ �� Time: AM PM Address: "• G' r T� �L - � N� Builder44 : IA �GI-.- _Permit #: t �� � THE FOI_ .W�IG CORRFQT19NS AR REQUIRED: Inspe tor. PROVED —DISAPPROVED _APPRO/ED SUEJECT TO ABOVE —Call For Reins-. t i F CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ -- ' F-ooling Susp. Ceiling Sprint. Rough-in Appr/idwlk Foundation Plbg. Underslab Mech. Rough-in Firep,ace Post/Beam Slruct. Plbg. Top Out Elec. Rough-in `r') Pos'/Beam Moch. San. Sewer Gas Line (1-1dg� ../ Plbcl. Underfloor Rain Drain Framing -Plumb. / Alarm Wator Line Insulation ech.' Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: '4' i-S-�1S Time:—_A!A —_PM Address ( _L l�, fr�''C �^� ,{ I I BBu�Ider:_—� L.UF1 LQ ' ?5 S Permit #: V�t W cci THE FOLLOWING C139RECTIONS ARE REQUIRED: 1 �- r Insp r ��� =—_flats: �L IS APPROVED DISAPPROVED APPROVED SUB E'C TO ABOVE —Call For Reinsp. i Ir CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): n639-4175 Business Phone: n63-9-4171 Inspection:_ I�IILL.�C `kJ y Fooling Susp, Ceiling Sorink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. n. ewer, Gas Lino Bldg. Plbg. Underfloor ain Drain r=raming -Plumb. Alarm Water Line Insulation -Meeh. Linderflr. Insul. Shear Wall Gyp. B,;. Elect. Date Requested: a t"f Time!" AM PM �L i Address: (::> -7 G THE F=OLLOWING CORRECTIONS ARE REOIjiRED: Inspector: / Date:, APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsh. r CITY OF TIGARD BUILDING INSPECTION NOTICE ��✓i . inspection Line (Flet---&Phhone): 639-4115 Business Phone: 639.44-M Inspection: Footing Susp. Ceiling Sprink. R,wgh-in Appr/Sdwlk Foundation Plhg. Uncerslab Me-h. Ro jqh-in Fireplace Post/Beam Struct. "Ibg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. Mo.S Gas Line Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. Elect Date Requested:_�� r� �CJ. Time: AM PM Address:5 7 C., �.-G! Permit �: Builder: — �.� �THE FOLLOWING FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector: Date: APPROVED ISAPPROVED APPROVED SUBJECT TO ROVE call For Reinsp. It ` CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMI"C #. . . . . „ . : M5T94-0466 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 AA1'F_' IyaUED: 01/09/9U � PARCEL: I S 1.:5AD--02900 ITE ADDRESS. . . : 17-111570 SW SPRUCE 13T #UN1 . L; UBDIVISION. . . . : METZGER ACRE TRACTS "ZONING: R-12 bL.00:K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 �. CLASS OF WORK. . :ADG GARSAGE DIS'POSAL:a. . : 1 TYP JF' USE. . . . .SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRra. . :@ OCCUPANCY GRP. . :RS 1 LOOR DRAINS. . . . . . . :0 1-RAPS. . . . . . . . . . . . . . :0 61URIES. . . . . . . . :2 WATER HEATERS. . . . . . :2 CATCH BASINS. . . . . . . :CA FI X TURES----•-_--- --- LAUNDRY TRAY! . . . . « . :0 SF Rf4IN DRAINS. . . . . :0 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :E OTHER FIXTUR[.5. . . . . :0 w. CUH/SHOWERS. . . . : SEWER LINE WATER CL.OSETS. . r2 WAI ER LINE (ft ) . . . . : 11110 �- lll!�NWNSHf=kms. . « . : 1 RAIN DRAIN (ft ) . . . . : 100 c Pemar-ks: PATH 1 STREET OPENING PERMIT RLQUIRE:D FOR APPROACH f r; UWNLH TOM BURGHARTIT TIF 15130. 00 JF 01.i09/95 - 10830 SW HALL BL VD SWM $ 180. 00 JF 01/09/95 - SWM $ 100. 00 JF 01/09/95 - T IGAPD OR 97a23 Bp,wr $ :36 7. 1110 JF 01/09/95 - Phone #: c46-9634 SPEC $ k-'38. 55 — 1 -/06/94 94-•259315 Ny k1+R�' T I�iu L15PC $ 18. 35 JF 01/09/95 -- 1='1umbintl Conti-actor : y PARK $ 500.- 00 JF 01 i1119l9b �b©31 s- MPRT $ 37. 5 JF 01/�19/9;i "-qs- NGme: 4:�c baR:.-) _ _ MMIC $ 9. 1;3H Ji~ 01./09/9r � - Addr-ess: O BoX M°.:rwc f 1. 88 JF 01/09/95 L:itye''LAJ-4ir.1 E. _ AL1TH s I9 041 .IF k11/0')igJ ... Zip• �!'70f, t... . Phone#: (e�1Z� �//3`J __..� V15PIC $ 9. 7`5 JF 0.1/ 19/':)5 _ trey t►» - 'y-_.. i-iddition:il fees not shown her,e. . . . . . . . . R► QUI Rf D INSPECT IONS --_---- „ This permit is issued subject to the �,eq- ulataons contained in the Tigard Municipal Foot/found Insp Rain dr^pin Insp Lode, estate of Ur-e. Sper_alty lodes and a'.i Bost/Beam Str-uct Water- '.ine Insp other" applicable laws. All work will be d )rie Post/Beam Mechan Appr/ dwlk Insp in acuol,dAnce with appr-oved r�Ians. Phis PIm/undslah Insp Mechanicz.l Final per-,mit will expire if work is not started PLM/Under-floor- Plumb Final within 180 days of issuAn _e, or- ii work xs Mechanical Insp Building final suspended for, more than 100 days. Plumb Top (Jut F r a m i n q Insp Fireplace Insp Oas Line Insp Insulation Insp �..��. Gyp sciard Insp _ Authorized F'Ium y �ontrartor 5i qnature Lail for Inspection - 639-41,75 Lontt­actor Notes . IFt, ?S YYNN 1 C[lY OF TIGARD COMMUNITY DEVELOPMEN f DEPARTMENT MASTER P z RM I T 13126 SW Hag Bbd.Tigard,Orper 97223.8199 (5^'+:830-4171 PERMIT #. . . . . . . : MS f 9 4--0 166 � i ea39 - 171 DATE. ISSUED: 01,109/95 � I PARCEL: 1<S 135AD 111c': 00 1 SITL ADDRESS. . . : 06570 SW SPRUCE ST #UNT. E.1 SUBDIVIS.ION. . . . : METZGER ACRE TRACTS ZONING: R-12 f BLOCK,. . . . . . . . ,. . . LOT. . . . . . . . . . . . : 1 i ------------ -------------- -----•- BUILDING RE 1 ,SUE:s DWELLING UNITS: 1 HAST MEh' f. . . . . . . . :0 s f' CLH'36 OF WORK. :ADD E:IEDRMS::3 BATHS:2 G14RAGE. . . . . . . . . . 10 sf 1'YNL OF USE". . . :SF FLOOR ARLAS-•_-_-_.--___..- FREQUIRED c- I YPL OF LUNS i. :5N F 1 RST. . . . :633 ;f LE<FF. . :26 ft RIGHT. :46 ft OCCUPANCY GRP. :R3 SECOND. . . :565 sf F RUN 1-. :0 ft REAR-27 f STORIES. . . . . . . :2 FINBSMENT:O sf• REQUIRED--------- HEIGHT. . . . . . . . :;=i ft TOTAL--------: 1198 Sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . 140 ps,f VALUE;. . . . . $s 77463 PARKING SPACES. . :0 '+ema.rl<a: F)ATH 1 'STREET OI-T_'N1NG FERMI f REUUIRED FOR APPROi',-H PLUMBING SINK3. . . . . . . . . . : 1 FLOOR DRAINS. , . . :0 LIACKFI_OW PREVNTRS. . :1T, LAVATORIES. . . . . sL WAJER HEATERS. . . -,R TRAPS. . . . . . . . . . . . . . : Z1 TUB/SHOWCRG. . . . : 1 L A11NDI:Y TRAYS. . . :0 CATCH BA SINS. . . . . . . :111 WATER L'LOSETS. . :_2 SEWER LINE. (ft ) . : 100 GREASE; TRAPS. . . . . . . .0 U 1$1-IWASHER5. . . . : 1 WATI::R LINT_ (ft ) . : 100 OTHE.R FIXTURES. . . . . :0 (JORBAGE UISF'. . . 11 RAIN DRAIN (ft ) . : 100 wt-15H 1 NG MALH. . . : 1 SF RAIN DRAINS. . :0 LCHANIGAL ---.___.__________.____._____-- FEES -- ----------_..__ -•-._._--_-------- FUEL TYPES'-_ ___.._.._ ..._ UNIT I-ETRS. . :0 type amount by date recpt � /aAS/ / VENTS . . . . . :0 TIFF $ 1550. 00 JF 01/09/95 - MAX INPUT :111 BTU Vf'NT FANS. . :�: S14M $ 180. 00 JF 01 /09/95 - FUHN ( 100K . . : I HOODS. . . . . . : 1 SWM $ IOLA. 00 JF 1111/091/95 - FURN 1 -11110K . . :111 W(JODSTOVES. :0 LAPRT $ :367. 00 JF 01/09/95 - h LUUH f-URN. . . . :0 CLO DRYE:RS. : 1 BPLC $ `38. 55 - 12/06/94 BOI1_/ClIP c .3HP--0 OTHE=R 1JNIT5: 1 13:51-'C $ 16. 313 JF 101/09/95 GAS OUTLETS: 1 PARK $ `.:,021. 210 JF 01/09/95 - Ownpr: -.__.__-__________._.._-- -._._......--•-_•---....__. ...---MPf;T $ •7. 50 JF 01.109!95 - T(?m BURGHARDT MPLC t 9. 36 JF 01/09/535 10b_ * SW HALL_ BLVD M5PC $ 1. 68 ..TF 1111 /09 /9b - 213T•H $ 195. 0171 JF 01/09/95 - 116HRD OR 97�=� .3 F'SF'C $ 9. 75 JF 01/01)/')5 - Phone #: 246--9634 EROS $ 40. 00 JF 01/09/95 - Contractor: ----- ---- --_.__._.._____.___.._.___.__ERF'C 5 13. 0111 J1= 01/0?/95 RAYBURN'S PLUMBING, INC. ERPC $ 11-:5. 00 JF 01/091'95 - 1991310 SW C I PULE ROAD iUALA-fIN OR 97062 Phone #: 692-4139 Reg 8*18b2 $ 3273. 41 T0Tf4L This pewit i4 issued subject to the regulations contained in the - - - --- REQUIRED INSPECTIONS ---- Tigard Municipal Code, State of Dre. Specialty Codes aid all other Foot/found Insp Fireplace Insp applicable laws. Mi work will be done in accordance •1i#, approved Pc)st/Beam Str~Llct Gas Line Insp plans. This persit mirl expire 1f work is not started w.thin 180 Post/Ream Mec•haln insr.11at .ion Insp days of issuance, or if murk is suspeneforI°dda 'lm/1.lndslab Ir.s;p Gyp Hoard Insp 'I_..I/Underfloor- Rain drain Insp t-'ermittep gnat�_tI e : hler.t�anical Insp Water- Linr, Insp F='lumb Top Out Aprpr/Sdwlk .Insp Iss .led E3y: _ F rarliny Insp hler.hanir..el I incl Lai 07 In 5 p F C'T. 1.OTT - 1 IF I � I _ CUTY GF T I GARD `'EWL-R CONNECTION P"'GRM I i COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . s SWR94-0419 13125 SW Hall Blvd,Tigard,Oregon 9;223.51 j50:1)0339-417101/09/95DATE ISSUED: i PARCEL. 1 S 13 5AD-212900 ;;ITE ADDRESS. . . 06570 SW SPRUCE ST ;#UNT. £� ZONING: R--112 I bUBU1VIbION. . . . : ME_T%GER ALHE -TRACTS • TENANT NAME. . . . . s 1s FiXTUftE UNITS. . . : 16 IGA NO. . . . . . . . . • CLASS OF WORT;. . . :ADD DWELL_I NG UN I TS. . : 1 TYPE UF' USE. . . . . :SF NO. OF' BUILDINGS: 1 INbrALL TYPE. . . . :BUSWR IMPERV SURF=ACE. , '. :sf Renlar^ks: PATH 1 STREET OF='E:NING P'ERMI-r RE:QUIRE=L1 FUR AP'P'ROACH owner: __._._._______. __.. ...____._.---..._.....-.. . FEES iUM bURUHf ADT type a.notlnt by date rercpt 10830 SW HALL BLVD PRMT f 2E-V0. 00 JF 01/09/95 — TIGARD OR 970122, F-'hone #: 246--9634 flontracctor-: ),,ITFACTOR 1140T ON FILE 'hune #: f x200. 'b TOTAL ` r�ey #' • REQUIRED INSPECTIONS ---- - -- this Applicant agrees to comply with all the rules and regulations Sewer- ITISpection of the Unified Sewage Agency. The permit expires 160 days from the date issued. The total isount paid will be forfeited if the — permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sever 1s not located at the meAsurement given, the installer sha,l prospect 3 feet In all directions from the distance given. If not so located, toe In;taller shall purrhasl — a "Tap and Side Sewer" Permit and the Agency wall Install a lateral weI--Inittetr_kv,P IS ss U @ d By : _.._ _....- call for insfaection - 639 -41.71 4 : 1 �pF4 ' - Residential Ouilding Permit Arvlication City of Tigard �... 13125 3W Hall Blvd. Tigrt:'d, OR 97223 (503) 639-4171 Jcrbsitb Address: 7� �� ►�L( f��y� ),)241 )24 t f i Office Use Only Planck/Rec # f o Valuation: u Permit# +Gomer Lot? cy" N f I �� Reissue of Flay Lot? Y N Map & TL# Owner: , _�T C i�'� Ai l�}I _ Approvals ovals Re ug ired Address: �O�j'X� S,L�, 1-14tL 13/JD. _ Planning TL(�IJr'i7 r 'i� 117` ` Engineering _ Phone: ���(o-y�o �7 Other Contractor: G2L,24)e r, — Items Required Address. ^. —_ Subcontractors Truss Details Phone /�, �/4�. _ Li' �'YG .�'' %l Other Contractor's License # _ (attach copy of current Oregon license) Contact Name & Phone: Su tractors: Arch ltecUEngineer: a i Plumbing: Y111ey Address: Mechanical: _ILS—' � (attach copy of current OR Contractor's License) Phone: JOB DESCRIPTION: 1 j►It i�i�� i A A V(4/ (1IL (��tJy���(�r+�? 0,1 1;�_ Applicant Sig ure 8, lone number Received by: _�,'`. I Date Receiv ed: "1 WORDT MAMAnESAPP k 'A!44..+�49Y4'A`.W�'t'�d "dfi±dfr"klk+h'8Y0'ra!ylraW,%t�eS�J!rFt.a�lrt�nrt•+er �r�uee-w .e ,..M..«.... _ .«..... ....,,..w-agwa.•. j I Permit# Account Description Amount Amt. Pd. Bal. Due �q__ ' Bldg. Permit (BUILD) f Plumb. Permit (PLUMB) f tl L lj'sULU v'r _ Mech. Permit (MECH) �. U 5v State Tax (TAX) Bldg: �' -3 i Plumb: Mech: (, Plan Check (PLANCK) l) � Bldg: V Plumb: j Mech: Sewer Connection (SWUSA) Sewer inspection (SWINSP) Parks Dev Charge (PKSDC) 45 Z, Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) ._ Industrial TIF (TIF-I) Institutional TIF (TIF-IS) _ I Office TIF I i F-D) Water Quality (WQUAL) l_ �_�•_ Water Quantity (WQUANT Fire Distnc' (FIRE) _ Erosion Cntrl Permit (ERPRMT) �� y _q!j l0 Erosion Planck/USA (FRPLAN) Erosion Planck/COT (EROSN) 4� 1r \ TOTALS: L i .. F"""1�""r++tti"4"•T�^}Ov, •n^Msi . ......... w' -' Y+M'y vrr },.uy. .M ��•, .. r ±v,1YMtv11CNi'Wf, "iES , r Page No. 1 CASE HISTORY FOR CASE NO.: NST94 0466 TOM HURGHARDT 08570 SW S3RUCE ST Unit: UNT. 05/01/98 Action Description Req/ Schd/ End/ Action Notes Disp 8y Update Upd Codon Sent Done Done Date By MSTAD07 Application received / / / / 12/06/94 12/29/94 HAS MSTAO'n Plan check deposit paid / / / / 12/06/94 12/29/94 MAB NSTA020 Plan check by / / / / 12/29/94 APPR RLT 12/29/94 MAB a4, PSTA630 Check for prcl. restrict. / / 12/29/94 12/29/94 PASS JLG 12/29/94 MAB MSTA092 (F) Issue combination permit / / / / 01/09/95 PASS KAS 01/09/95 JF NSTA097 issue plumbing signature form / / / 01/119/95 PASS KAS 01/09/95 JF MSTA705 F,3ot/found Insp / / / i 01/10/95 APP GS 01/10/95 GES MSTA705 Footing [nap / / / / 01/10/95 APP GS 01/10/95 GES MSTA71' Post/HPam Structural / ! / / 01/13/95 APP GS 01;13/95 GES NSTA711 Post'^Pam Mechanical / / / / 02/21/95 FAN AND RANGE VENTS APPE GS 02/21/v5 GES MSTA713 Crawl P Ain / / / / 02/08/95 APP GS 02/Oh/n5 GES MSTA717 PLM/Under'loor / i / / 01/13/95 PASS MS 01/13/95 MRS NSTA717 PLM/Underfloor / / / / 01/13/95 NO CRAWL DRAIN IN AT THIS TIME APP GS 01/13/95 GES MSTA720 Mechanical snap / / i / / / F.LEC 02/C8/95 GES MSTA722 Plumb Top Out / / / / 01/31/95 APP GS 01/31/95 GES MSTA725 Framing Insp / / / / 02/08/95 STRAP TOF ru.ATES (MARKED IN GREEN] DIS GS 02/08/95 GES STAIR RISERS DON'T WORK OUT 3/8 VARIATION MAX] ELEC COVER l` i MSTA726 Framing <REINSP> / / / / 02/16/95 APP GS 02/16/95 GES 14STA726 Framing <RFINSP> / / / / 02/16/95 FIREWALL MODIFICATION APP GS 02/16/95 GES MSIA740 InaUletion Insp / / / / 02/21/95 APP GS 02/22/95 GES NS'A745 Gyp Board Insp / / / / 02/22/95 APP GS 02122;45 GES MSTA755 Rain drain Insp / / / / 02/08/95 INSTALL ISGA 17ACER WIRE DIS GS 02108/95 CES NSTA755 Rain drain Insp / / / / 02/16/95 APP GS 02116/95 GFS NSTA760 Water Line Insp / / / / 02/27/ PASS MS 02/27/95 MRS MSTA770 Misc. Inspecti x / / / / 02/10/._ 'WFERANCE RE IHR SEPERATION WALL CONF GS 02/10/95 GES NSTA795 Mechanical Final / / / / 04/21/95 SEE REPORT FAIL RB 04/21/95 RB MSTA795 Mechanical Final / / / / 04/25/95 SEE PREVIOIJS INSPECTION PEND R8 04/25/95 RB NSTA795 Mechanical Final / / / / 06/22/95 PASS RB 06/22/95 RB MSTA797 Plimb Final / / / / 04/05/05 PASS MS 04/05/95 NRS MSTA799 Building ;!net / / / / 04/21/95 SEE RE-)ORT FAIL R8 04/21/95 RB NSTA799 Building Final / / / / 04/25;95 SEE PREVIOUS INSPECTION PEND RB 04/25/95 RR MSTA799 Building Final / / / / 06/23/95 PASS RB 06/22/95 RB NSTA970 Case Finaled / ✓ / / 06/23/95 07/:'0/95 JF I s l a f w Paye No. 2 CASE HISTORY FOR CASE NO.: MST94-0466 TOM BVAGHARDT 08570 SW SPRUCE 5T Unit: UNT. 05/01/98 Ar.tior Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MST979S Misc. Inspect ;+ / / / / 02/09/95 r1A[ WALL NOT BUILT TO PLAN OR ANY FWAL GS 02!09/95 GES r LISTED SYSTEM I ti r 3` r r'!^' •�" "T h .+-� 's<•tir. .'T►^•,*+hrpw+"+�^^7'"•',y^��..1, �,. ..� m.+r -,w INV rr•.•�, ��.M.i ..w�.,y ,.^r w. 'r _ .• .. _ ..... Property ID: R272813 1 S135AD-02900 (Real Pr(jperty) Legal Description: ACRES.24 N TMS 8" Main Sower 'Line -� Electric service and Sewer coming frf.)m Spruce Street. ,e GE 4 lateral _ r to new unit! ater Current/ I ne Latere r I _ r M IN S r r 1 M 8^7' T r N.W. Natural r Gas Line 26.0 rt 00 26'— d" Two Story I T� - 46,7— — 27, 3 bedroom r 1.5 bath D079TS .7, - Unit "B" _26 Sl,)rm Drain line Op / to Hall Blvd. ditch) • 27' 0'-0 99.41 Elevation 0' -11" Finished of new const. So-Ile: V Equala,01, '.'x" y '.�y"4' '^'" !"'7"^`• v�..r-r,•*�1► f'^ew �►^ w�' v W""� '!�Ip"': 'wWi a.��ry�1 .,w.,,,��,..�yrw� �. v TUALATIN VALLEY BUILDERS SUPPLY MAILING ADDRESS: CONTRA.`tOn SERVICE CENTER: TRUSS PLANT: i Fp.Box 1136 5974.letn HC 5930 Jean Rd. Lake Oswego.OR 37035 lake Oswego.OR 97015 lake Oswego.OR V7t 4 Accounting Office Phone.637.3"73 Phoner.6357731 Phone'635.7731 Fsx 697-3883 Fax 0136-6277 Fax 816.6777 I ENGINEERED TRUSS SYSTEMS Customer Customer: _ ��urG�ar Project Name: Phone: fI-ZZ-`(y k O Quote Date: _._ Oraer Date: _--, Quote Void Alt,r: Job Address: (a ��d — Dalivery Date: i SPEC LENGTH OR WIDTH LEFT SIDE RICHT RIDE ___ TOP BOTT. LINE T CITY. Ti YPE PITCH SPAN OVER CANT'L TAIL OVER CANT LL TAIL CHORD CHORD HANG I I CUT HANG I CUT 1 IW, 5 23-0" 2 /o CoM.n w� S 2: ?-o'r 3 / Fw, S 251-0'1 Z-o" ?1 fu S� d U 22`_.d ,r 4 5 t '^� (2p,,,.. erg 5 .)s`..6u �\0't 2-'-0 ` 2'-0(1 �- 6 % F, lu S 25 v, 8 9 10 12 13 14 15 --- -- --- �- — 16 17 18 19 — 20 TERMS AND CONDITIONS OF SALE CRANE TIME TOTAL PRICE lli PLEASE READ ALLOWED --- - -- 1. MATERIAL SUPPLIER: TVBS is a material supplier, not a subcontractor. This list is not uoranteed to complete yoy!rjlotb.Purchaser must verity quantities,_pacifications and dimensions. - 2. WORKMANSHIP: TVBS guarantees material and workmanship. When factory error occurs, ACCESSORIES _— TVBS must be given the opportunity to make the rapair NO BACKCHARG ES _3z -t- are allowea without TVBS prior approval. — 8 u 3. DELIVERY: A. TVBS does not guarantee root tor, delivery. Tie driver's judgement regarding access, safety, and boom reach are final. rb _ B. Contractor must direct Driver and assume liability for any property damage to site or truck. —^ C. Contractor aids Driver in unloading and landing trusses -- D. Contractor agrees to pay for tow truck if needed. E. Additional crane time required at 588.00 per hour. �— CUSTOMER SIGNATURE ESTIMATOR SIGN1?URC ..,__.�.,_�...-........-.._. _.._,.>..........................-...-...,a.:.,e.- ... .... ...,..,-.............,_"..�..:..v..ro...m.................�....«............awsr.n�..w.,,..ww.,r��e�15y��,i IT --_l ' � � , -� ' � �� N P � _ � �: � i �'. � '� ` � i y.. "� C` r �' S ' #., ��`' *, � � � .. �p , �: +� ,7 ,� ;�. �. � . ,; y_ ,, ,V, �� �' :�-.; �, _r�__ �:, . ' . �> �� �, a Q r or � � .r 5 ��-_� -_ _J- ---_ ,, , �, � . . . __.- E � �. i _ ' r. *4" +g.r w+' ..� ,d r ... v• «, w. ._ a>•'MA"' .. .... ,. s.•r .r., .,�, �. ..•».w.r 1C; N f , !�A 'rd�,1�!�A�1B1-ri1FNR+Nf!yl�Wl�'U.�M%31`•'.. �/-03-1995 11:47 USB & PUB`, JF2 503 696 9029 P.0,2 i Thomas J. Burghardt II/V95 10830 SW Hall Blvd. Tigard, OR 97223 H i �1 To Whom it may concern I Thomas J. Burghardt owner of Property ID: 8272913 1 S135AD-029001 Acres.24 am aware'hat the property stated above is not offically recongnized as a final annexed property to the City of Tigard ur:i Jan 30th 1995. 1 undertake the proposed development of this property with that knowledge and plan to begirt'development prior to Jan. 30th 195x5 Thomas J. Burghardt 1 y 'MTFL P. Jnr , i