8787 SW SPRUCE STREET-3 -- 8787 SN 3pctce Qtteet
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CITY OF TIGA RD (/'� CERTIFICATE OF
CfEYOf 11G.4RDD OCCUPANCY
(,OMMUNITX DEVELOPMENT DEPARTMENT �+� ,.RMI T 4E. . . . . . . : MST91 000
13126 SW Hmil Blvd. F.O.Box 23397.11owd,Oregon 07223�603t&-&A'75 f�
SITE ADDRESS. . . : 8797 SW 172PRLJCE ST PAPCEL: 19135AD--03300
SUBDIVISION. . . . : PARTITION PLAT V)90053 ZONING: R.-4. 5
BLOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . : 1
CLASS f WORK. C NEW
i'YPE OF USE. . . I SF
OL:,(:UPANCY GRP. :R3
OCCUPANCY LOAD 1 1 16 4
'rENAN'T NAME. . . I
Remar-kse adult to%ter, .:acre home
T'L.NLY PROF'FRTIEwS CORP
='O BOX 414
FI11_,.L..S,BORO 017 97123
Phontx #I 693-0185
i
C o rt t r a,c�t or-,s
TE')LY r- OPEPTIES
I:''Fa :AOX 414
iILL<<BOPO OR. 97123--0000
Phunp #c 5036481645
648. 1645
Re F; ##. . : 52551. 1
()LUkAPetncy of the above refer-enced hUildit•tg in her^nby gig and cet^tit' .kvs
;-,he compliance with the State nt` Oreyun Specialty Codes r the grape,,
occupancy, and Lisp Under- Which the r^e,fer-,PncPd per'mi•t was isi-med.
r'
r -
F'I RE' 17EF'CIRTMESt�T �Iw 1 NC E"'FGT C1R
JILDIN 0 FICIAL_
POST IN CONSPICUOUS PLACE
ASPE,cTI_OM NOTICE
City of Tigard Building Department
13125 BM Ba.: Blvd. Tigard, Oregon 97223
inspection Line (Rev-0-Phone): 639-4175 Puninena Phone: 639-4171
Inspection: ___.--- -___--------...._._--
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Pl:x . Top Out Gas Line FINAL:
Poet/B64m Strurt. San. Sewer Framing -Bldg.
Post/BeaLl Mach. Rain Drain Insulation -Plumb.
Plbg. Unr.rfloor Nater Line Z3 Gyp. Bd. -Mach.
Date Requested: _ st
_.r�l /:/`r Tissues AM PM
Address: .� �K��- � Permit
Builder:__
Taft FOLL13WING CORRECTIONS E REQUIRED:
- -= �-
Inspector:_ �� ,� Dates _
APPRGVED nTSAPPROVBD APPROVED SUBJRCT TO ABOVE
_--call For Reinsp.
T
IN'�PECP�ON.NOTICF
City of Tigard Puilding Departamt.
13125 Sit Hall Blvd. Tigard, Oregon 91223
Inspection Line (Rec-o-Phones 639-4175 Breiness Phone: 639-4171
Inspection:___ _ —_�_ _--_ -----
Footing P)bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL
PoHt/Ream ntruct. San. Sewer Framing
Poat/Beam Mech. Rain Drain Insulation -PI^mb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeste
`d
: F - / S/ -2 � Lee AM pK
Address:_ d i .� ��.� --'/'R�/GC Permit #tMf i
Builder: - _-
_7TE,ZIi� G14rTE2.
THE FOLLOWING L'ORRBCCIONS ARE REQUIRED:
�� iVI�JL 12 !,t tCk
Ai C
Inepectora ^- Dates_. -/V-19/
APPROVED DISAPPAOVECTO ABOVE
__Call For Reinsp.
IWI
INSPECTION NOTICE
City of Tigard Build'.eq Departmrmt
13125 SR Bell Blvd. Tigard, Oregon 97223
Ins;:ection Line tRec-O-Phennq: 639-4175 Businoes Phone: 639-4171
Inspections-- ��--- -------------- ---
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINAL:
Poet/beam Struct. San. Sewer araming -Bldg.
Poet/Beam Hoch. Rain Drain Inet,i :tion P.l--u-mbb..�
Plbg. underfloor Water Line Gyp. Bd.
Hoch
Date Requested: 'C ---Times AM
Address: _ Permit 1: 714- .
Builders
TR'a FOL.T"INO CORRECTIONS 4&Z REQUIRED:
rte' V41'45-2 e= l 1!rC;'1_1Z4 CW%- d PA—,-,J k1d 6 e
'ci c L,
r
L9 Jig
IAA27- 41'
JP4 Ad
Inspectors— --� _ — -- --` Date:
-_`Al,PROVRD C_DISAPPROVED _ - APPROVED SUPJECP To AROVF,
Call For Reinsp.
f
1
INSPECTION NOTICE. §
city or Tigard Building Department F
13125 ON Nall l.vd. Tigard, Ormpon 97223
Inepection Line (Roc-O-Ph e)e 639-•4175 Businebs ?hone: 639-4171
Instmaction:._ _ ===—
Footing Plbg./ deLelab Tech. Rough-in Aptir-//ad-lk
Found. Plba. Top Out Gas Line FINAL:
Fust/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Under'loor Water Line Gyp. Bd. ✓✓-Koch.
Date Requested: 2rz _ _Time:
Addreee:— V�' a 1 Permit
Builder•_. -�
Inn FOLLOWING CORRECTIONS REQUIRED: 4N ,
YU
Inspector:_IL�� _ Date: _i-J—
APPRt`VED �/DIRSPZVE APPR(WRD SUBJECT TO ABOVE
call For Reinsp.
f
SECT'ON N ICE
City of Tigard Building repartminnt
11125 OR Ball Blvd. Tigard, Oragon 97223
Inspection Lino (�Rjec-O-Phone): 639-4175 9uBineee Phone: 639-4171
Inspection: • ?�-
I/
Foots-r, P1.bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gag '_ine FINAL:
pant/Ream Strict. San. Sewer Frcmi.ng -Bldg.
post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LineGyp. Bd. -Mach.
Dale Requested -' �l - _Tleoes AM PM
Pdc+reee: / / �.. Permit
Builder.: x
THE FOIL WING LORRZCTI 3 ARS REQUIRED:
Date:
Inepeators
NPpp DISAPPROVED APPP.OVED SUBJECT TO ABOVE
Call For Reinsp.
M
iNSPLCTION NOTICE
Cit,; of Tigard Building Department
13125 SIX Hall Blvd. T1.gard, orecran 97223
Inspection Lino (Rec-O-Ohone): 639-4175 Business Phone: 639-4171
tnspect
footing Plbg. Underalab Nech. Rough-.in Appr/Sdwlk
Pound. Pltx. Top Out Gas Line FINAL:
Pobt/Beam St_rurt. San. Sewor Fram 114 -11l.dq.
Potit/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. UnderCl•)or Water Lina gyp. ad. -Koch.
Date Requested:_ 19 L ! _,TIjwv 6 PK
Addreaa:
Builder:
THE FOLLOWING OORFRCTf NS ARF REQUIRED
Inspector:— i � Date:�___�_
_-APPROVED DISAPPROM --lo_ 11PPROVED SUBJECT TO %DOVE
Y Call For Rainap.
LNSPE,CT,k jgTICE
city Of Tigard P.alldkog Depar-tAAat
13125 RN Ball Blvd. Tigard, Oregon 97223
Innpaction Line (Rec-O-Phones 539-4175 Business Phone: 639-4171
Inspection: L / l tw__I t/-- ----
Footing Plbg. Und blab Much. Rough-in Appr/Sdwlk
Fourd. Plbg. Top Out Gas Lino FINAI.s
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mcx-n. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Mach.
Date Rnquenteds_ _ Tim.ti '2 __PM
Add-sees Pormit
Auilders
TMSFOL[OWING OORRECT NS ARE REQUIREDs
Insperto f%Or
APPROVED DTSAPPROV6D APPROVED SUBJECT TO ABOVt
cell For Rvinsp.
�NFYECPIU NOTICE
City of Tigard Building Department.
37125 SW }fall Blvd. Ti-:lard, Oregon 97223
Inspection Line (Ret-0--Phone): 639-4175 UueinesBi Phone: 639-4171
inspection= -_._"- - --�
Rooting rlbg. Underelab Mach. Rough--in A;i•r/Sdwlk
g•
Found.
Plb Top Out Gas Line PINK.:
�- - - -eld
Poet/Beam Strutt. Sen. Sewer Framing g
-.Plumb.
Post/Beam Mech. Rain Drain Insulatio
-Meeh. 3 �"
Plug. Underfloor later L 1 1 Gyp. Bd. `-
r'A+:e Requested=_
Time= AM
'Lsl..s__ Perm it =l/-,QZIo3
Address=-
Builders' '� --
TBE FOLLOWING UORRE S ARE REQUIRED;
n
Inspectur:� / ---------
APPROVED nISAPPRO1:ED APPROVRD SUBJECT TO ABOVE
Call For Rainep.
1NSPECTXON,-NO,�E
city of Tigard Building Dep runt
13125 BW Hall Blvd. Tigard, C►r- gon 97223
Inspection Line (Rec-O-Phone): 639--4175 Wetness Phone: 639-4171
Inspections_ -- ------ -� — —
Footing Plbg. Underslah Mech. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Cas Line FINAL-
poet/Beam Struat. Ban. Sewer Framing -Bldg.
Port/Beam Mech. Rain Drain Inaulati—n -Plumb.
Mg. Underfloor Nater Line Gyp. Bd. -Koch.
Date _! Times
S � 3
Addreess �� lP.Mi�t s 17J�
Bu i ldor s,,, --
THE FOLLOWI�OORRR NB ARE REQUIRED:
-
- -- -- 4v /
���c___ Dates �-
nPPR�VRII DISAPPROVED APPROVIM SUBJECT TO ABOVE
Vall For Reinap.
aar
IN�FCTION NOTICE
City of Tigard Building Dep-.--ent
33125 BN Hall Blvd- Tigard, Oregon 97223
Inepecticn Gine (Rec-O-Phone): 639-4175 Business Phone: 539-4171
Inspection:__
Footing Plbg. Underel.,b Mech. Rough-in Appr/s.a ik
Pound. PIbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drairtnaulation`I -Plumb.
Plbg. Underfloor Nater I,lne> Gyp. Ed. -Mach.
Date Requesteds_ s, =� 4/ Times _y�/ AAN PM
Address: )-_fir f / Permit
Builders
THE Fo;d.OWING CORRECTtbNS ARE REQUIRED:
i� r,.lt ,.lam- u,�et,,r�a .t-�-a-w�o --d�-e:..•Q-`
04
InspectorssL� -- �- -- Date:
APPROV80 v DIS_AP/PROVEVE
D APPPnVED SURJRCr TO ABO
V Call For Reinsp.
R§?MION NOTIC9
City of Tigard Building Department
J3125 SN Ball Blvd. Tigard, Oregon 97223
Inepection Dine (Pec-0-Phone): 639-4175 Bueineey Phone: 639-4171
Inspection: --
Footing Plbg. Underalab Mech. Rough-i-i Appr/Sdwlk
Found. Plby. Top Out Gas Line FTNAL:
Poet/Beam Struct. San. Swter Framing -91'19•
Poet/Ream Mech, Riin Drain Insulation -Plumb.
Plbg. Underfloor ( 'hater Line Gyp. 8d. -Mech.
Date Requestedt —/ - Timet AM PM
Address: PermZt #e
Bulkier:
THE FULICMTNG CORRECTION14 ARE RRQUIRZ0342 �+
n Lt a✓
Ole
:rupsotort
APPROVED DTSAPPROWD APPROVED SIIB,TRCT TO ABOVE
Cal l For Reinap.
I
INSPECTION N07_ICE
city of Tigard Building Dep—'fent
13125 qW Hell Blvd. Tijard, Oregon 97223
Inspection Line (Rae-o-1-ons): 639-41'15 Business nhcue: 639-4171
Inspections_ —
Footing Plbg. Underalab me n. Rough-in Appr/Sdwlk
-------
Found. bq. To --
Top Out Gas Line FINAT.:
post/Benm Struct. San. Bever Framin7 -Bldg.
Post./Beam Mach. Rain Drain Inoulati.on -Plumb.
Plbq. Underfloor Water Ltne / Gyp_ Bd. -Mach.
Date Requested-_�=��s ! _ -Timss _ tN _PH
Address: �..r { s47 ,L_--- Permit
TEF FOLLOWING WRRECTIA B ARE MUIPEDs
Inspector: __ Dater
AFPROVED DISAPPRO'!ED a APPROVED S,1RJECT TO ABOVE
call For ReLnep.
MPRCTIOp N(=TICE
City of Tigard Building Departomt
13175 SW Ball Blvd. Tigard, Oregon 97233
Inspection Line (Rec-O-Phone): 639-4175 Business Phore: 639-4171
Inspection:__ ---- — ----
Footing Pi.bg. Underalab \ ech. Rough-ie 1 !►Fpr/Sdwlk
Pound. Pl.bg. Top Out /Can L, / FINALs
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hecht. Rain Drair
Insulation -Plumb.
Plbg. Underfloor water Line vip• Bd.
-Mach.
/ PK
Date Requeetud:
Address s ���� Permit
TBE FOLLOWING OORRECTI�EA REQUIREDt
u
r
i
Inepectorr�� -- ----� Date:
AppROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I1 MUTION NOTICE
C? ` Tigard Building Department
131, +1.1 Blvd- Tigard, Oregon 9722!
Inspection Line- :jne)s 639-4175 Business Phone: 639-4171
Inspections -AL 11 �_.✓l_^_ -----+
Tooting Plbq. Under.: Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framinq- -Lldq.
Post/Ream Moch. Rain Drain Insulation -1lumb•
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: Times,/ _WX�AM PM
I y S
Address: � �� ecTnitl fx_
guilder:
TBE FOLI.OWTNO OORRECTIO ARE REQUIRED:
ip
Inspectors � ;gee � Dates_ _,-_i
APPROVED DISAPPROVED APPROVED SUBJECT 'CO ABOVE
Call For Reinsp.
1N&P&Cf10N NoTlcv
City of Tigard Building Department
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line )Rec-o-Phone): 639-4175 Buni neon
Phone: Er'-4171
Inspect Lon-
Footing Plbg. Underelab Mach. Rouqh-in Aper/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
P6it-Beam Stru Snn. Sewer Framing -Bldg.
rPost/Beam Mac
-t/ Rain Drain Insulation -plumb.
PlUg. Underfloor Water Line Gyp. Bd �-Mach. 1
Tiae, ✓ AM PM
Dat® Requeetede— ��_-- .
I Pe�rm�i�t
Addreae: -
B:.ilder:�„r�^r.
I
THE PULLOWING CORRS OHS ARE REQUIRED-—�
Inspector, � --- - _�_—�. _.--_-- Date, Z -Z rg`7
1
APPROVED ta9APPROVEO —__ APPROVED SUBJECT 'CO ABOVE
Call For Rainsp.
INSPECTKLON NOTICE
City of Tigard Building Dwrmwtaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Busineaa Phone: 639-41'1
:nepections _— -----
PpeC'ing Plbp. Underelab Mech. Rough-in Appr/Sdwlk
nun 1 Plbg. Top out Cas Line PINAL:
v
poet/Beam Struct. San. Sewer. Framing -Bldg.
pnnt/Beam Mach. Rain Drain Insulation -PIJW3
Plbg. Underfloor Water Line Gyp. Bd. .-Hoch.
Dote Requeeted:� 1-`2PM
/ Time:C�.
Ad'1rFlaa:_�_ Permit 1:
RuIlder: Y,, -
THE FOLLOWING CORRECT NS ARS RBQUIRED:
— --T -G `Lir
Inspectors_ a�___ Date•
i
APPROVED v DISAPPRDVSD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGA RDMAS TE'R PER1111T
� CffYOFTKARD� 1::IFRM'[.*T tf. IIIST91-0003
,
COMMUNITY DEVELOPMENT DEPARTMENT OREOC44
13126 SW HWI Btvd. P.O.Box 23397,TOW,Ovegon 9722(60318DQ4175 D O T F ISSUED: 01 /08/91
I (i::. ADDRF,:1 . . . . W/87 SW (51--.1RUCE S1 PA R C I.--L 1.51.3501)- 03 3 0 0
PARTITION PLAT 1990-0513 ZONING,-. R--4.5
I
........ ...... 14 U I L DI N G
k' 'I S S U E DWELLING UNITS.- I PASEIII-`'IqT. . . . .. . -.0 13f
t:I ASS OF WORK. NEW DEDRMS:6 PATHS:7 GORAGI:.. . . . . . . .. . . :220 Sf
r."E OF U S E.. SF REQUIRE'D
1 -T. . -.
TY1'.E. OF CONST'. :`:;N FIRST. :2528 Sf L E F- 5 ft RIGHT. :5 ft
Ii(A'UPOW'Y GRVI, -RJ SECOND.. . . -,Q) f FR 0 Iq 1'. :PO ft REAR. . .-. 15 ft
.1,OR I E S. THIRD. . . . :0 f R F P W.R E D
I I r.-i'10 H T- 16 ft TOTO L ..:2528 f SM()KI7 DF--'TE(:T0R!3. -Y
I-0 0 R L n D.. -40 psf V A L L)E. . . . . 11; 120248 PARK I iT3 SPACES. 0
c.,ni a-r k s i.-i d t.k.l. 1; foste-r lionie
PLUMBING
I Iq K S. . . . . . . . .. . ... V-I 00R DRAINS. . .. . -.0 PREVNTRS. 0
1. (4 V 0 TO R.T E S. . . . . .. W A TE R 1-1 EA T E RS 'I TRPPP. . . . . .. A
T Ul-,VSHOWERS. . . .. :3 L OUNDRY TRAY S. 1. C AT 1"'11 14 0 S I INI5 0
'WER LINE (ft) . :0
J,J()J U7 1:� I'1 0 S F-J(S. . S I V&ASE TRP.PS. . . . . . . .. 3
U.SHWASHERS.. 1, WATER' L ! NE:. (ft) '1.00 0 TIA E R 17 1 XT L)R K 0
GORDnGE DISP,. . . I R(I I N DRO I hI (f t) :0
W0 ,G)HING IIALM., . . 1. SV' RAII! DR(aINS. .1
-.1 1............ MECHANIGN... FEES
1 1.11:1 TY P F".:S UNIT HTRS. . -0 type .A rn(3 t.,-vi t 1)), (] A t0 -r CJ c.,p t
V F'.NTS . . . . . :0 Pnym $ 1(40. 00 JLH 12/1-?0/90 P0782P
1:(T1.) V I:Jq T FA N 13. . P V,R 1' $ 485.. 50
I URN < 1140K . . ".0 HOODS. . . . . . ..I I BPL.0 $ 315. 58
JRN „ . :: .1 WC)ODSTOVES. -0 B5PC 1i 24. 28
I 1.00P FURN. . . . :0 UO DRYERS. I SSDC $ 375. 00
k,01'1 /cAlf." < 0 T 14 E R U Iq ITS 0 11ARK $ 1.`i0o. 130
GAS OUTLETS: I M"',R,T $ 5
e III--,L(1, $ 13. 11
11.111-Y VIROPE'PTILS (,ORP 115 P C; $ 2. 63
11(i Iii 0X 414 F)PR T* $ 207. 50
r-15FIC $ 10. 38
I D[)R 0 0R `.x'7:1.23 '1 IF $ 1350. 00
0L. 6 93---0:1 a 5 P A Y 11 $ 3236» 50 JLH 0I/08/91
lql...Y PROPERTIE'S CORP
PLIX 41. 4
OR 97123
'50364816*)45
W, 152 51 1
:3:336.50 T C)T()I-
Pis permit is issued subject to the regulations contained in the ...... RE(lUIRED INSPECTIONS
-
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/f'o(.kri(i Tiisp Gas Litle T11bp
applicable laws. All work will be done in accordance with approved P0 S t/14 V A n) S)t-P U C t III-nulvktiorl T'.1%r.1
plans. This permit will expire if woo is not started within 180 Post/Bei,%ni lllfachaii Gyp Poi%-r(l Iiisp
dJyS rf issuance, or if work is vpSVp,-- vore in 180 dare. PIM/Midslat) Iiisp Hain d-r a i ri I vi
PLM/Uriclerf loo-r 61,Ato-r I.A.iie 1:
10V M P r1i A ri i c,,A I Leap pp-r/S(I W I P 1,
PlUnih Top Out Merhariical ti)-I Al
-r A -11:1 1 1�r;I.) i Lt in I., r,j.i,a l.
( oll. for i.vlspec'tiol)
SF-i.'WER CONNEUTON
CITY OF TI ARD PERP111,
(Cl RD
COMMUNITY DEVELOPMENT DEPARTMENT PERM17' SWR91 -0001
13125 SW Hall Bivd, P O.F,ox 23397,Tigard,Cxogon 97223 639.4175 DAIE ] Sc;1.JFD.- 01 /08/91.
BW 9PRUCE'. S1 PORCEL.: IS135AD 031300
0 1)D R E 1,3
I- ARIJ.110t. ['11—AT 1,990 053 1.:ONINC3: R-4. !5
... — .............. .......................
'T"ENON'T' NAME. . . . . :
013A FIXTURE UNITS„ . .
CILAO)G OF WORK. NF. W DW1LING UN11"",
.1 YPE OF USE. . . . . .-SF' NO. OF
T N 9,T A L 1. 'T Y V,f'.. 1ii jj s w 1� T111F.:'ERV
kc?nlik-rksc aCkt"It f051:- .,•r cvre hc)int-
Otqvq.r-r: .
T*ENLY PROI::1F.RTIES CORP, type -.k ni o k.t vi t 1.1y (J ia te -r e c.,F.)t
PO 14 GX 414 P R M 7* $ 11;00. 00
LGP(.,)RO OR 1971213 PO Y M !K 1535. 00 Jl-.1-J 01/08/91
F'[)c)lle On 693-0185
..........---
(IN'T'RACTOR NOT ON FILE:
o 1.1 e- 1-5175. 06 T(TTAL
R r?
REWIRED INGPECTIONS
- -
'his )lDPliCint agrees to comply with all the ruips and regulations 1r)spectio)i
-f the Unified Sewage Agency. The permit expires 120 da'Ys from
the date issued. The tutal amount paid will be forfeited if the
Permit expires. The Agency does rot guarantee the accuracy
Y Of the
�:ide ,ewer laterals. If the sewer is not located at the weasureient
civen. the installer shal! prospect 3 feet in all di�ectiuns from ....... ........I.—..........
the distance given. If not so locatpj', the inst-iller shall purchase
j "Tap and Side Sewer" PerW !-,.j the A a e7 n1l cL YT Vv, install A lateral,
9 J.I t t.( .......... ............... ......... ....................
.4
y
....... .. ............... ..... ...... ..........
(:A1J. f(:)r i)-IS,1)kv?C.'t i vi 639-4:175)
PLUMBING PERMIT
CITYOFTIFARD PERM I.T #. . . . . . . .. M5T9 1_.0003
CITIOF T16AMRU
COMMUNITY DEVELOPMENT DEPARTMENT � ORE
S►+ aPTE I SSUED t 01/08/91
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)MAI 75
SITE ADDRESS. . . 1 8787 SW SPRUCE ST PARCEL: 15135AD-0330[a
SUBDIVISION. . . . : PARTITION PLAT 1990-053 ZONING: P-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
CLASS OF WORK. . :NEW GARBAGE A I SPOSALS. . : 1
TYPE OF USE. . . . :SF WASHINGS MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :gt
OCCUPANCY GRP. . :R3 F=LOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIEa. . . . . . . . 11 WATER HEATERS. . . . . . 11 CATCH BASINt. . . . . . . :0
FIXTURES--._____..-_____.. _. LAUNDRY TRPYS. . . . . . 81 SF RAIN DRAINS. . . . . z1
SINKS. . . . . . . . . . 11 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :7 OTHER FIXTURES. . . . . 10
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :"7 WATER LINE (ft ) . . . . 1100
DISHWASHERS. . . . : 1 RAIN DRPIN (ft ) . . . . :0
Remarks : adult foster care home
OWNER:
TENLY PROPERTIES CORP PAYM $ 100. 111121 JLH 12/20/90 207820
PO BOX 414 bPRT $ 485. 50
HPLC f 315. 53
HILLSBORO CR 97123 HSPC $ .--.4. 28
Phone #: 693--0185 SSDC $ .375. A0
PARK $ 500. 00
Plumbing Cantrar_tar:- __.___.__.__..-__ MPRT $ 52. 50
// MPLC f 13. 13 1 /
Name:��� s L� �J/!9Q Ll1G. MSpC $ 2. 63
Addressit f �• PPRT $ 207. 50
city:_ L _St at : Ji+P . PSPC t, 10. 38 /
Zip: p1� � Phone#:�� ' TF 1350. 00
Re® #: _ .�'?3�_____w__._____.___�.�__. _ PAYM 1 3236. 50 JLH 01/08/91
REGIUI RED INSPECTIONS
ll,is permit is i suesd subject to the req -
1.1lations contained In the Tigard Municipal Footlfound Insp Water Line Insp
Code, State of Ore. �'pecialty Codes and all Post/Beam 3truct Appy^/Sdwlk Insp
other• applicable laws. All work will be done Post/Beam Mechan Mechanical Final
in accordance with approved plans. This Plm/undslab Insp Plumb Final.
permit will expire if work is not started PLM/Underfloor Building Final
within 180 days of issuance, or if work is Mechanical Insp Erosion Control
suspended for more than ISO days. Plumb Top 0ut
Framing Insp _ —_--
Ga% Line Itisp
Insulation Insp
/ Gyp Board Insp
_ Rain drain Insp
Aut ur ' .ed i�.m nq Contractor Signature
Call l fo%- inspect ? on -- 631-4175
Ur.ntractor Notes :
i
I T'Y OF TT BAF<D RRC:E:1 P T' 'JF PAYMENT' Rt"CE T F'T NO. -.9 1 -'206 4()(3
C�Mr Lk: AMOUNT t 47;'1 «:5(;
r�F 11F t TENL.Y INVESTMENTS CASH AMOUNT t �'�,00
I'll""ESS . PWvMENT DATE: t 0110S,"-il
51_DDIVIE,ION t
0787 sW sr,RUCE ST �
l ll-i OU.'. OF PAY11ILN'T AMOUNT PAID FURF'09E or- F"AYMCN T AMOUNT PAID
►t1i 1 L V I NG PERM W3T'?1 -()t:►i�;"� 4E3�.5C► T='L..I.JME:1 I NCr T'C"I�M� 2�►7«tri.►
rIF:c: lANICAL F'E :"� .�C► �::;T. T31.JIC...D F'ETti r'« 29
iN CHECK F'C 228.71 t:3E-WE:R US �� . -'�:'►
>i.CJEP I NSPErf T ;5.C)() FtEG I DEN f I AL_ TRAFFIC FEES 1 ':5f.►, ►.►i:� i
I loS,1`, TRANSIT TIF r"EL S 1(10.1]s- PARKS SM ":I►lQ. (J
I
I'
i
f(
I
47-.1 .X50 II
i �
cir: 'T"T. Or-" PAYMENT F,,'r--I.,F.I PT N0 9(:)--20*7020
CHECK AMOUNT n 100.ocy
r i o,ri T E N C. Y PR 0 F E PT T VS CX R r, CASH AMOLJN"r
1', 0 BOX 414 PAYME.N'r DATE
AILLSBORO. m ?,'12"' SUBT)I Q I S I OIN
OF 1"WYMN'T AMDUNT 1-01D PURPOSE or-, PAYMENT AMIJUNT PATT)
:L.44N CHECf�," FT I Oct
M CHECK FEE 1.2--17R MET ZGER ACPE TRACTU
PAM 0MUL)NI I ()(t
C�� I
APPI,ICATION STREET IMPROVEMENT/EXCAVATION b _ COPY TO:
J I (I (WHITE)-FILE
ORDINANCE NO. 74-14 F,o 'L (YELLOW)-INSP.
(IN iTRUCTICNS ON SEPARATE SHEET) r (PINK)-OTHER AGENCY-BLD
I
(BLUE)•APPLICANT
rl d�
APPROVED 7q APPLICATION NO.: �l L�_..
NOT APPROVED C.I I1' 01 FIGARD, OREGON FEE AMT. : 14..4��0�� —`-�_--
PENDING FEE PMT. CITY HALL RECEIPT,NO.: _ L-Z 14 '"4%
PENDING SECURITY PUBLIC WORKS DEPARTMENT BY___._„� i��. DATE—_& 141._Y,L yI
PENDING AGENCY "OK'' \P1,lic,Ition and Propess Record ;,;,'%INTENANCE BOND
PENDING INrORMATION i FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED X
PENDING VARIANCE L_j EXPIRAT.ON DATYEAL'Z—�
PERMIT NO + _ ��. . DATE ISSUEDBY:
(1 ) \PPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL APRC-4/
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS
APPLICANT __TENLX PRC?EF:TIES CORP. 2209 NE 'ORNELL RD. HILLSAORr'._� 97124 i1 693- 185
NAME ADDRESS- CITU PHONE
CONTRACTOR (SAME)
NA_ __..�-__- ADDRESS CITTA
PLANS BY FUER CITY STANDARDS/SPECEFICATIONS _ _____
NAME- ADDRESS �- CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S —
DOLLARS
EOR OFFICE USE MIN.
(7) EXCAVATION DATA. 0.o4 XS__�L .kQ .-.- s --lY�-'i"W'_ _
STREET DESCRIPTION PROGRESS & INSPECT_ON STATUS
NAME SURFACE CUT Cut CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY
-- ST BEET -_ -- - --
_ PINED
INSPEv
3PRtr_E S (See attach ) R TION
Q
ESTIMATED STREET OPENING DATE:. / _-__._- S
T ---- --
ESTIMATED STREET CLOSING DATE: --.___-_.1.-_ _- ED
-- STREET
(3) SECURITY NO. -__--_ SECURITY AMT S 360.00_-,. CLOSED - - -_
SURETY CO.: __ ____ . FINAL
1[ NA1lSbcHEc.I R----- CASH P_ 80ND INS EC.___ -�
(4) PLOT FLAN: INDICATE SITE PERTINENT PHYSICAL _ SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. I I. PWity Carl Viewea, Vitt
Inspector (11639-4!;1), 24 hours
1) ( _Site. 8787S1 :e ",t. I , I N prior to starting work.
1
work area I I ! 2. All work to comply with City
!
w w -_-.-�_ ----_ r 1` _ ___._ - Standards & Specifications.
3. Excavator must comply with
S. W. SPRUCE ST. P ORS 757.541-.571 (Re: utility
_ `n prelocation, etc.)
k�, -` - -_- -_ - w - - _ I, - - -- 4. Traffic control to be provided
I I I
( I I for by applicant.
I I ( 1 —
I
(5) NOTE IHE CITY OF TIGARD DOES NOT. IIEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPEr_IFICA'fIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY REFI)LT FROM APPLICANTS ACTIONS.
- _
APPLICANTS SIGNATURE DATE _
APPLICATION STiiEET IMPROVEMENT/EXCAVA'I IOr4 �Z� i COPY TO:
ORDINANCE NO. 74-14 (WRITEFILE
(YELLOW)-(NSP,
(INSTRUCTIONS ON SEPARATE SHEET) / "� (PINK)-OTHER AGENCY
1\ �J (BLUE)-APPLICANT
APPROVED }(J APPLICATION NO.: ._��yy0�
E1
NOT APPROVD (] C Y Off' F IGARD, OREGON FEC AMT.: : _ 0,0
PENDING FEE. PMT n CITY IIALL RECEIPT NU,: '__1I
PENDING SECURITY 11 PUBLIC WORKS DEPARTMENT BY ,_ DATE__S / -7 2Z
PENDING AGENCY "OK" Cj %pph(.mon and Progress Record —
MAINTENANCE BOND
PENDING INFORMATION O FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED X
ANNUAL
PENDING VARIANCE I EXPIRATION DATE. —Qu&L_aar—__,
PERMIT NO DATE ISSUED: ---_f__.1-_2_L_ r-� _. EKY
1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL_ _.—; NYIA8;1 _SEIdfP,F;EId' _;IE___
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
Strauss Excavting, I ic,_2417_Sw ��ia 9t. Hi1 t;uUr l�,_ _
APPLICANT 5
-_�-�-- - - ADDRESS IT NE _
CONI RACTOR __ (SMn@) _ _ ____
NAME _------ AODREt4 -- - CITY PMGNE
FLANS B Y- Per City Statjddcd81�g@C� _____ _
NAME ADDRESA -- ---CITY ►1pNE
F.STIMATED IMPROVEMENT TOTAL VALUATION ( C')ST): '$ ____250•00
DOLT-ARS
(�) EXCAVAI ION DATA: FOR bFFICE USE: MIN
STREET DESCRIPTION PROGRESS & INSPECTION STATUS_
NAME SURFACE- CUT CUT CUT MATERIAL INSTALLED {TEM DATE REMARKS/TYPE BY
_ TYPE LENC.T{! WIDTH DEPTH ITEM & QUANTITY
— STREET
— -- OPENED
S[3cucc; R TION
E
Q
U
E
ESTIMATED STREET OPENING DATE:_ L _— � S
ESTIMATED STREET CLOSING DATE: T -_- —
_-. E
-- -- -_ D _
STREET
(3) SECURITY NO. SECURITY AMT,: E _2-r&•�__. CLOSED
:SURETY CO.: _ _ FINAL
_ CHECK n
CASH ❑ aCb INSPEC _ _
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. V9tifv_ City lwjwtor (4612=4171)
Carl '!le�req 24 hrs. far:for
1 SI'I'E: &'787 S.W. I F --�to e_t dr.t ng work.
SPRUCE 13T.
{ I work�F__ { I �. Excavator must cowly with
_^ ORS 757.541 - .571 (utility
S-. W. SPPIFCE ST. prrelocation etc.).
— _ 3. '.traffic control to be pruv4dW
(See attached) _ _ for by contractor.
-N--- -- -- --- - -� 1. 4. A hard surface patch is _equired
{ 1 I I at the end of each days work.
(5) NOTE THE CITY OF TIGARD DOES NOT, HERESY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF riREGON
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY W'TH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICA'4T. ACTIONS,
APPLICANTS SIGNATURE � � /�l'� LLYt��Vf"l-- Df.TE