13779 SW 130TH PLACE 13779 SW 130TH PLACE
■.■ ■■.■.. .■ . .MI1 M U .■ • WI
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l:Veoolls\microflm\lergelsVwilding.doc
CITY OF TIGARD
•
A41, DEVELOPMENT SERVICES
Atilfr I-. 13125 SW Hall Blvd., Tigard, CR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT * : MST96 -0250
DATE ISSUED: 03/03/97
PARCEL :: 25104DD-01 100
>I TE ADDRESS. . . : 13779 SW 130TH PL
:;UBD' 7ISION. . . . : MOUNTAIN HIGHLANDS 7ONING:R--4. 5 P1)
:!LOCI. t LOT :010
LASO OF WORK. :NEW
TYPE OF USE. . . :SF
• PIPE OF CONSTR:5N
1CCUPANCY ORP. :R3
lCCUPANC Y LOAD:;2
remarks : PATH I
1VE PETERSON
''50'1 SW OAK ST
rIGARU OR 97.223
'hone N: 452-94'17
ant ract o.•i -_... .__. .__. .. __-__-__...._- . __---
CAND CNAV IAN GENERAL
' ONTRALTING(OVE PETERSEN)
321 SW OAK ST
'ORTLANI) OR 97023
''hone N: 45P-94!57
?eq
C . : 37046
' his Certificate grants occupancy of the above referenced butldiig or portion
' hereof and confirms that the building has been inspected for compliance with
' he State of Oregon Specialty Codes fur the group, occupancy, s1nri use under
ihich the ref(ei traced i,er-eit was issued. f
_C-71( 4!"4-"E"4"lR IN ►
L Nb INS LC.IOCt B►.II! D1Nh - ICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
• 4 1113125 SW Hall Blvd., Tigard,OR 97223 (503)639-4!7/
E.RM I T # F'L_M`�7-04�
DATE ISSUED: 03/04/97
• PARCEL.: 20104DD-01100
T TF. (ADDRESS. .. . : 1:3779 Sl•' 130TH Pl
UPD:V T S I ON : MOUNTAIN H I GHLANDr ZONING: R--4. 5 PD
'LOCK • LOT.. •, . . . :010
:LASS OF WORT!. . :A[.T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
-YPE OF USM •SF WASHING MACH 0 BACKFLOW PREVNTRS. . : 1
C CUPANCY GRP. . :P.: FLOOR DRAINS • 0 TRAPS .. • 0
-TORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
IXTURES._.___.__.._ . ... - LAUNDRY TRAYS 0 or PAIN DRAINS. . . : A
INKS t 0 URINALS t 0 GREASE TRAPS • 0
• 1VATORIES • d OTHER FI,`.TI,mES • 0
'UB/SHOWERS • 0 SEWER LINE (ft ) . . . : 0
'ITER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0
1 SHWASHE RS. . . . t 0 RAIN DRAIN (ft) . . . : 0
Anarks : Tnst111 r•e ; ident; ial back110.4 prevention clevh
':
h4 er
n
OM GREOSINGER type :amounl by dpte r•rtCpt
' 3779 SW 130TH FL_ PRMT $ 15. 00 JSD 03/04/97 97-291147
PCT $ 0. .75 .151? 0:1/04/97 97-291147
TGARD OP
'hone fk:
'AIhd MAN TRPfGATTON tt. I TORT) hli;
'315 SF 5:7,R .
ORTLAND OR 97206 _---.----------_-
iann #: 7E'-i11 ! 15. 75 TOTAL
ep S. . : 000116
- --- REQUIRED INSPECTIONS
is poroit is rssu'na subject to the regulations contained in the RP/Dackfloh Prev
. lad Municipal Code, State of Dre. Specialty Codes and all other Final Inspection
,pl cable laws. All woi •• will be done it accordance with
pproved plans. This peroit will expire if work is not started -
thin IN days of issuance, or if work suspended fir pre• _
4^ lat days,
�__,1 ' r i nr.rerf ion - 639-415
3ITY CF TIGARD Plumbing Application Pim de
13125 SW HALL BLVD. Commercial and Residential oat.Rica 0-3c
'1GARD, OR 97 223 ate ro P 712
5031 039--1171 Date to OSS /
Print or Type Relate0 SWR a_ NJ/1
Incomplete or illegible applications will not be accepted Gaited C 'c.'
ami rr eyeioprrl•nL'Prol • t FIXTURES (individual)
7 C QTY PRICE I AMT
Job . l , ,�� Mill Sink — — aj 9 00
•
Address etiq> r Lavatory
j 9U0 I
/Iiliti�•y VIIIIII
ru0 or 'uorShuwer ..orno 3 UO
d la a a e I % 00
,D mower i�mv 9 00
• Water tcoset
N.1me I 9 00
a' O,snwasner 9 00
Owner Mailing >aaress 1 Sade Garoage O soosa. I 4 00
�_ j `N rsninq Macri tie 9 00 I
�.tyuStatf I {
��D Phone cIpdr Drain T
i • 1 900
Name J. 9 JO
1 •- 900
Nater Heater —J
Occupant Mailing Address Suite 9 00
Laundry Room Tray
9 00
C,tyiStale Zip Phonf Urinal
al 1 9 VO
a1T1e
Other Fixtures Soeafyi 9 00 --I
iGItil 9 OC
Contractor m 7570,, ` surto900 �Prior to issuit:rr rJ�pq /� 9 00
lOCliCant must tws_ (, .1' 1IL PAf, ^ 900
?rowee rd r n C tit El ara Luc* o ate 1 9 00
contractors Li 'i - , 9 00
i.cens• P bing i p • • /Z . Sewer• 1st 100' 1
n'ormauon n )0 00
'or CCT C.,i_us'ri x (petro* p vale
Sewer-tea.saoaronal t 00' 2S 00 I
dataraset �l� I water Service• +st 100 30 00
Name ` .dater Service-eacn aaa t ona ;00' 25 00
Architect Storm i am Drain- 's: 100' 30 00 _
or Mailing address 1 Site Storm 3 Rain Drain•each adeitional 100' 25 00
Mobile PWme Space 25 00
Engineer I cifrislat• zip I Phone
CJmmerual i3acx F ow PreventionAnti. 25 X)0 Device or Anti. I
Pollution Device
's.:•-be.vcrrt New ? >edition 0 Alteration Pe:air D1 =ss dentiat 9acs1cw '•evention Device' 1 S JO L �
ce crone ^esioerlial 0 Non-residential 0
Any 'rap or'Was:.Net Connected to a :xture g 00
aa.-nmol description of were
Catch 3asin CO
�nso or -umoing II II40 00
m ��� te��' ��� oerrhr
Soecai hRequestea inspections wns 40 00 sg use of ?er.hr• -d g ar property 4
fain rain s ng!e'amity dwelling 30 )0 I
ccsea use 31 I^Grease'race 4.0
_,iairg or:merry
QUANTITY TOTAL
-.re .eu camping moving ar •eoiacrrg any ri*tures' Yes "' No 2' +°^etr e Y^ser ra�nsm $ ru+ea r� a y :tai $ :a
If yes see back of form) _ 'SUBTOTAL
-
i 'eredv acknowledge'ha' ',aye read this application Mat*re.nrormation II,
I ves correct that I am•^e awrer or authorrea agent at ane owner and 5% SURCHARGE I ,'?r/
-q
I
'~at is s s,.trni ed ar - ,.'mcltance with Oregon Slate _aws 1
t {pr err T a/1 0�jt. PLAN REVIEW 2i!�OF Sl'9TOTAL 'VV I ✓ / •t�m.rrr "n n r.r •_ai s:3 I
f L i I ' TOTAL
mac Parton • • p o9 I ��
/
iii() 11 tIlI 'Ntmmum permit fees 525 • 5%s,rrcnarge except aesi0rineai asf*flowL J """111
Prevention Device w-icn is S1S • 5%swcnarg•
V // �\ ,� /1
asa pimao0 doe 5196 l �
_LEASE COMPLETE AS APPROPRIATE TO PROJEcl:
Fixtures to be capped, moved or replaced Oty
Sink
Lavatory
Tub or Tub/Shower Combination !
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3„
4„
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify) '
L _
COMMENTS REGARDING ABOVE:
T
. —y�CITY OF TIGARD BUILDING INSPECTION NOTICE A)
Inspection Line: 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ihrago
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other , t G _
Date: 15[l 7 _ A.M. �3 P.M.O Entry:
Address: l
r _ ����`
Tenant. __. Ste:._. 'AST/(en.57)
Con/Own:
SI•c_-___,?.. c4 Ce-) MCC _ -----
PLM
ELC. ___ _ _
THE FOLLOWING CORRECTIONS ARE REQUIRED ELA
I tc- _ Eresb.)►n.v Qnu b _Jkr•t' 3/y1y, —
E ,,Af,is _s� r art-- -----
'.J_aar /yfg4L4.Ail iNCr 4_sr1_/r• Oil
— 4/_z____L.../r" mer O /A4-.
. �-•(_ AA'col Ai.s C+' .Y_.�.0 4,....-.7--c.,
If vez.
_ Xw P1E7z- ._LAf1r. .. N, _SL's — ——
._ / PPPP. __b __1'AI_t_ S 1704) Ale-1,_. 7
-
Ins ctor r a —
_r _ Date 2
APPROVED _ . DISAPPROVED/CALL FOR REINSP CF CO
• CITY OF TIGARD BUILDING INSPECTION NOTICE 1
Inspection Line: 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plum.
Post/Beam Mech. Shear/Sheath Framing -'ech.
PIbg.Und/F1r/Slab Plbg Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. •Bldg
San. Sewer Gas LineA•pr/Sdwlk Reins.
bacOther: k , J
Date: -y A M _ • —_ Entry:
Address: I3-73-v
� 1. _-�_ '
Tenant: —__ _-- Ste: MST:0
BUP:
Con/Own: MEC:
PLM'
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED ESR
ai rA r. 4 ./4 ___LZ ----... ., /
Air -7-7 ,1 .-- ,E5p.--?-wir-e-oel
dr of
ra e::41
1 spector � Date'
lailf11
j
1
OVED t71 APPROVEDiCALL FOH REIN$P. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plurr10
Post/deem Mech. Shear/Sheath Framing -Mech.
Plbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct, Mech Rough-in Gyp Bd -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: es1-1(3j ! 2 A.M. !�P.M.__ Entry:,-�1
Address: _13 7 7 9 —/3 0 ± L 4
Tenant: -- — Ste:_._ MDT: __Q.2.5
�� BUP: ____
Con/Own 1.�+ ..-11_s __— MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR_,Z7)/- ee191
Tee'-`",40-,4?‹-t774,/
:,,fill
l
ti / %2* - -
AGI
Inspector // Date2
/7
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceilinglum
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg Und/FIr/Slab Plbg Top Out Insulation -Elect.
Post/Beam Struct. Mech Rough-in Gyp Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
Other , —7
Date rr 1 I J
A.M. �M.__ Entry: 4 7 f
Address I :21_ _,--,1 — )3
Tenant .._ — Ste: MST
BUP
Con/Own C) t-h 5- 15 ! __. MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED• ELR:
it - !� �t%� 2 X
iCa2'4 f/t , ce —
I
Zv 4 v-t-,•-t • 71e.e -(4,-ve_74-1
Ztor Date/r( I�
ROVED DISAPPROVED/CALL FOR REINSP. CF ( CO
///c, r—" / . ?'' — /
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 630 4175 Business Phone. 639-4171 J
Footing Rain Drain Cover/Service �',1
FoL idation Water Line Ceiling - urn
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg Top Out Insulation iec
Post/Beam Struct Mech. Rough-in Gyp Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other.
Date: _ � ) -7 __ A.M. v P.M. . Entry:_901 7
_3 !
Address' / V
Tenant Ste: MST
EUP•
&Own: (-(1Z11.4 ►�-, ,5/5 %c� 7 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR _
,f)07 re/, 4,6'4 i •a?i4-4 o v /Pr — —
� �
Inspector �..— Date �(�/Y/9
!!
'�iPPROVED DISAPPROVED/CALL FOR REINSP. CF C
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
A
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb
Post/Bearr Mech. (hea)/Sheath 4filYW►' -Mech.
Plbg Und/Fli/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. ,__ eoh. Rough-i--n Gyp Bd -Bldg.
San Sewer Gas Line Appr/Sdwlk Rein
Other: -
Date• it l� h'(0,q A.M. P M Entry:_ ' _..
.1,Address .. . -7/ ! i .�e) __ ,.-4_4...-,')
Tenant Ste MST: 242__60156
^I L,- - BUP:
Con/Own: -L' -. tiU.7-22.:x. — MEC:
PLM: _--
'1.51. 94157 ELC: - -THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
1
Inspector Date: _/410/
&®M/ROVED _ _..DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Seriice FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach
PIbg.Und/FIr/Slab Plbg Top Out Insulation -Elect
Post/Beam Struct. Mech Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line (pr/§dw1�Vy Reins
Other _.._... _ `q –
Date: _ 1d' 3l \ 1 f_ A.M. /C P.M. Entry:
Address: — 7 9 /30 t V._
Tenant _-- _-- —._--- Ste:_-- – MST: % D 5D
BUP:
Con/Own: -_. _ _ - MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR:
i S-i- We& of ewe-IP fittf
wars t-k
i) f t a ct.. ripe_ ;•) Gtvrb w 1062.—
mii-on__ eR c1- s
) P(acc. i2oaie_cis _e* 14/115 est-
di _ —
z -A ,_ 00 WANgin. ,
Inspect r
--_Aiii' CZ -- Date /-►Z:&/–2f
APPROVED —DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 639-4171 •
1
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech Shear/Sheath Framing -Mech.
Plbg Und/Fir/Slab Plbg. Top Out Insul tion -Elect
Post/Beam Stn ict Mech. Rough-in Gyp Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins
Other: 90 (g, — -— —
Date' _16 - 2 - . A.M. P.M.__2_. Entryp.
Address. r 3.25 Sc o_ ! 3 o T - --
Tenant . ___ _-- Ste: _ MST /fi'0���_
^^V '7�/ B
Con/Own `' _e S Z c_5 7— MUP.EC:
� � 1, PLM
tCi'L � 907- Z7 ) E�LC::
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR —
_ 7.5,74iY�.._NALL...trs� _1VL - t"p-b_45244-
16 —
Inspector. r_ , - ___ Date: �C./,�C,
Ara‘"---11.-----DROVED ._-DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb,
Post/Beam Mech. Shear/Sheath SCM' -Mech
PIbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. CKash Gyp. Rd. •Bldg.
San. Sewer t Appr/Sdwik Reins
Other:
Date: � __ A.M. P.M. Entry.
Address: / 3-111_13_ D
Tenant: -- Ste:_-_. MST:9(p pas'4°
BUP:
Con/Own 0 11`te Lie) ? Z MEC: __-__
$-.1- q cf 5 / ELM
1 HE FOLLOWNC3 CORRECTIONS ARE REQUIRED: ELN:
/1 d e�'- 2 2 1/ z Lr 671/1.2::
6-)/S//1t c. 1212z
`vti L46104.4e s- v.v�,liC 14d- re CEO 75CSstt 46��%
14s✓e;_ fir S0 - r-
lE���r11!!d'Z�tt
,' =/" A.. 4 WKS.
i �. lt11rOS/CAW 6i4.4.40f & y?Afjtllt+ir_.„_,7 i,
,VJAd✓3/Le.. er'br44 100,oc.4 ,4ij s' -rt
- --- --- -- ----
Inspector Date /Q/CA
APPROVED _ "bDtSmaPMOVED/Ct LL FO R CF CO
J
CITY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line. 639-4175 Business Ptio le 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing •Mech.
Plbg Und/Fir/Slab Plbg. Top Out a o -Elect.
Post/Beam Struct. Mech. Rough-In Gyp Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: -71-77/6/1We A.M. .-P.M. Entry.
3
Address: -- / 7 / / 3
Tenant: Ste: MST: 74, 6•154
BUP:
Con/Own: C, Q- 'i Z—9 41.s 7 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
st l _,z, , 7440o/t,_ ,jiv01.4-3 _csa!!S
C /6c Q F.4.e4 t---
Insp. tor • _ Date 1�<
+ __DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD 13(JILDtNG INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171f•
Footirg ain Drai Cover/Service FINAL
Foundation (Water Line) Ceiling -Plumb
Post/Beam Mech Shear/Sheath Framing -Mech
Plbg Und/FIr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other
Date A.M.'! .101 Entry: _
II 7�� � ��,,II1_
Address I� � --- - ��l. 4I4,._��"`�[_<r�.
Tenant: __ _^^ Ste MST. 9_4 -02-5°
Con/Own e � ti4� ►� OUP:
L'
___ MEC:
4/3,2 -9 S 7 PLM:ELC•
--
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
In pertor A D �/n
- TT
APPROVED DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/Fir/SlabIbg. Toj OuL Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: f
Date: __1 7 9- 410'.M. Entry: ___
Address: / 3 7 7 L5 GC.) 1 3 o `:
Tenant: --. Ste: MST:/A 4.- 0 2 S
Con/Own:
nn
b� I7'l, . MEC:
4/4) 7 - .2., ,,-4. 0-L, $ --M7 ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
qt_.'ISIMCW..44 _,00 -:Tor...r..- .0"...11, ——--
iiW 1. - -
Oor i i �'
Z/ `
'4 ' L _ — ..—_Q�
" 7.--_______
(.7.7 "-z igelite,yrs:671?„7,
Inspe,MVA7 '�' bat�� *
*PPROVED ____DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
i, Post/Beam Me5fi St-Tear/S-h-art 411111110, -Mech.
l l
PIbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line /Date:
Appr/SReins.
9.
Other: L{-eCti_ LO - 7-5'13 A.M. — 0110110try:
Address: — / _3 7
Tenant: Ste:_- MST: 9'4 ' C Z S
BUP:
Con/Own: 0. -t2.k-r MEC:
yG 7
022-54/c/s. -?Vs 7 ELC: -- ---
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
tzL6dt—„,_
,-f-
.51;1/46'.s_l�,t�G. � '1�_ v _moi*'res c Si�'fly�•e.^s
i�i�v � ?D L[aid.
Inspect �e'�•
Inspector: Date
---- - --------------
APPROVED R*PFRbVED/CALL FcarSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE '
Inspection Line 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech Shear/Sheath Framing -Mech.
Plbg Und/FIr/Slab Plbg. Top Out Insulation -Elect.
Po3t/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer �. Appr/Sdwlk Reins.
Other .__
Date ./01A.M. P.M. Entry:
Address .1_77. ._____/_,50.111/10.
-_—
Tenant- ___-- -_--_-- __-----__—__ Ste: MST 9,t'.•O t.3-r)
BLIP
Con/Own _ MEC.
PLM: -
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
1 PsL—f--ag--/3" A7."/v1
Inspector _ii4.4)
- / nate /doh'
✓KPPROVED __ DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech Shear/Sheath Framing -Mech.
PIbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct Mech. Rough-in Gyp. Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date. C7/2-2-U / ! feA.M. _.P.M. Entry: _
Address: / 3 7 7 ! /30 s -- q
Tenant --- -- Ste MST .14 Os1.51)
BUP _ _
C30/Own. — �.--- — - MEC: _—
PLM.
ELC -
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
47—
�l - & .
Insper to► 1,/_G 'r'CTi
APPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL:
oundati Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San Sewer Gas Line Appr/Sdwik Reins.
Other: co
Date: cl A.MI W/4'4 Entry:
Address: .—17:27k
T7. .____1_�3.Q _. _
1 Tenant: , _ Ste:_ .. MST:9t .S0
SUP:
Con/Own .__ MEC:
PLM: _
ELC:
THE FOLLOWING CORRICTIONS ARE REQUIRED:t ELR:
CO .0__AfA3:
iZ� CUZ
lve .,t-e w Qom .
, .(1__,,, ,___‘,62 -Lre,N.1-etzolt6„..c .
6". ''---1) -) 1 -6. 4._ - --"(a 1/4..4,...A..4-5
4 N < is A \ ' c_-‘,....-* _ a C 1-
; �� 4- �u i ke. A-�
Jive.si.r.. \
In pectorAk5 -. Data V j 2 t le
APPROVED - _ DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone 639-4171
ootin Rain Drain Cover/Service AL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins
Other. JJ�
Date: _ _ A.Nrj, ` P Entry
Address: / 3-7 . /30 pL
Tenant: _ Ste: MST 76 0zsv
SUP:
Con/Own: MEC:
PLM:
ELC:
THE FOLLOWING CORSE 'IONS ARE REQUIRED: ELR:
Zr 1414/ et,' � •
7 _- -- -
1®r .Y _7 e71 /r, cr.,t, -040"444
/VO7
In actor Date V � .
OVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb
Post/Beam Mech. dear! he th Framing -Mech.
Plbg.Und/FIr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins
Other St _ (4.) �-�
Date .Q -130 —74 M. P.M. Entry:
1
Address 7 2 7 '� a) /436 ,Z-
Tenant:
LTenant: Ste: MST: 76.-10.'10 2 S l,
Con/Own:
DfS 1 E `fO?- 2 2 St BDP:
MEC:
df €15.2.t VS-7 PLC:
THE FOLLOWING CORRENS ARE REQUIRED: ELR:
&01\-SR._— -__ . -
\iLt, ---1-t- 4.2) (2)1--rer-- ."--
c',,.5 ---_ .," \ \,•� a .
Inspector: ---_`' \ _--_--- Date: 0d J
APPROVED X DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 71
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. i
Other — L� _
Date _ 1 I S c1 4 - A.M. X P.M. /Entry:
Address. __._43 1 �9 1 C, ,�`�k _`
Tenant. Ste MST: p U .�v
BU :
Con/Own LiZ. C' q.5 � " MEG:
PLM.
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED• ELR•
_
Inspector Date -
APPROVED ___.DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
--P15 Und/ Plbg. Top Out Insulation -Elect.
STnict. Mech. Rough-in Gyp Bd -Bldg.
San Sewer Gas Line Appr/Sdwlk Reins.
Other
Date -1 Sp A.M. P.M.. Entry.
Address.
Address. _ j 3 _ -2 9 1 3 c� T_(�''^
Tenant: _._ Ste: _. MrT:
BUP: _
Con/Own• (y (,61 3 - (i G&‘v MEC:
PLM:
ELC.
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR.
AAP
Date:
1AADPROVED _DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT St • MST96-0250
13125 SW Hall Blvd Tigard,Oregon 97223.8199 (503)639-4171 DATE ISSUED: 05/31/96
PARCEL: 2S104DD-01100
SITE HDDRES6. . . : 131 /9 SW 130TH PL
SUBDIVISION • MOUNTAIN HIGHLANDS ZONING: R--4. 5 PD
BLOCK • LOT 010
Remarks: PATH I
BUILDING
-
REISSUE: STORIES : 2 FLQOi AREAS--- BASEMENT...: 856 sf REQUIRED SETBACKS---- REQUIRED
CLASS OF WORK.:NEW HEIGHT : 38 FIRST • 1254 sf GARAGE..... : 7336 sf LEFT • 5 SMOKE DETECTRS: 1
TYPE OF USE...:5F FLOOR LOAD • 40 SECOND...: 958 sf FRONT • 28 PARKING SPACES:
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMEi47: 8 st RIGHT ' 5
OCCUPANCY GRP.:R3 BORM: 3 BATH: 3 TOTAL : 2212 sf VALUE..is 169139 CAR 30
PLUMBING ---
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 8 TRAPS • 0
LAVATORIES • 4 DISHAAEHERS...: 1 FLOOR DRAINS.. : 0 SEWER LINE ft: B SF RAIN DRAINS. 1 CATCH BASINS..: 0
TUE/SHOWERS...: 3 GARBAGC D1SP..: 1 WATER HEATERS.: 1 WATER LINE ft: I00 BCKFLW PREVNTN: 1 GREASE TRAPS..: B
I OTHER FIXTURES: 0
-------------- -- - MECHANICAL
FUEL TYPES FURN ( 188K ..: 0 BOIL/CMP ( 3HP: P VENT FANS t 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=188K ..: I UNIT HEATERS..: 0 .CODS t 1 OTHER UNITS...: 1
MAX 1NP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 W00DSTOVES....: 0 GAS OUTLETS...: 1
- ELECTRICAL -----
--RESIDENTIAL. UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIP4S--
1808 SF OR LESS: 1 0 - 200 asp..: 0 8 - 280 asp.. : 8 W/SVC OR FDR..: 0 PUG/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 581/SF.: 6 281 - 400 asp..: 0 281 - 488 asp. l 1st W/O SVC/FDR: 0 SIGN/OUT l-IN LT: 0 PER HOUR 0
LIMITED ENERGY.: 0 401 - 600 asp.. : 0 401 - 600 asp..: 0 EA ADD( BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT 0
MANE HM/SVC/FUR: 0 681 - 1800 asp.: 0 681+amps-1080 v: 8 MINOR LABEL -10: 8
1000+ asp/volt.: 8 PLAN REVIEW SECTION --
Reconnect only.: 8 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC DCC:
---------------------------- ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO l STEREO.: FIRE ALARM t INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: K BOILER : HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR:
,
HVAC IATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: - —-Contractor: TOTAL FEES:t 4668.95
OVE PETERSON SCANDINAVIAN GENERAL
7521 SW OAT( ST CONTRACTING(OVE PETERSEN)
7521 SW OAK ST
TIGARD OR 97223 PORTLAND OR 97223
Phone 0: 452-9457 Phone 1: 452-9457
Peg 1..: 37046
'his permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes ano all other
applicable laws. All work will be done in accordance with approved plans. This permit will empire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
REQUIRED INSPECTIONS -
Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Firal ___
Post/Beal Struct Plumb Top Out Fireplace ,resp Rain drain Insp Mechanical Final
Post/Beam Meehan Electrical Servi Gas Insp Water Line Insp Plumb Final ____
Crawl Drain Framing Insp �v place Mater Service In Building Final
I e 1..m i t t e e ..signature : -_..____ By : =-Y - t �=-- / L-_
- l
Call for inspection - 639-4175
_-
PERMIT
• CITY OF TIGARD PE RM DATE IISSUED: 05/;31966 t73171`
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 104DD-0 1 100
13125 SW Mall Blvd.Tigard,O..gon 97223.8199 1503 619-4171
SIII " . - i ,,W 1,5111TH PL
SUBDIVISIUN • MOUNTAIN HIGHLANDS ZONING: R--4. 5 PD
BLOCK LOT :010
TENANT NAME •
USA NO • FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE •SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 s
Remarks : PATH I
Owner: FEES -----
OVL PETERSON type amount by date recpt
7521 SW OAK ST PRMT f 2200. 00 JSD 05/31 /96 96--280043
INSP $ 35. 00 JSD 05/31/96 96-280043
TIGARD OR 97223
Phone M: 452-9457
CONTRACTOR NOT ON FILEE.
Phone #: $ 2235. 00 TOTAL
Req #. . "
REQUIRED INSPECTIONS -----
This
---,--- _.This !lpplicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IBB days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 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 Agen it 1 a lateral.
Permittee Signature :
i ';sued By: 1 / ri —
Call for inspection — 639-4175
AN
,
4 ,,,.. ,
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 • • 1
Jobsite Addy. I.3.").71 S w 13C' F1, Pt- . '
Subdivision: I I i' 14 1.t7 h lc' IS _ Lot# 10 Office Use Only. OS-2)1 J ...
Valuation. — /6 y / 3 y Contact Date / / Initials _
Result
New Construction Only: (Square Footage) Planck/Rec # • - '
i Permit # r'1)tf�-6„25c' _^
House: Z::1)::- 1�'i-u', Garage. ' Reissue of
5� h
' ascr►un�uN ,n ' Map RTL # 2S1o4122-alieu
Corner Lot? Y Flag Lot? Y (- N , Zone re hiS 0 D
Owner: !"` 1'
G, vc n /,-4,'Zvi Plat #
Address: 752.1 SW O Fa k S f AL .ovals Required 1
F y t,yd U17 x-72 13 Planning Setbacks C .k. Solar ST 4 N\�-
Engineering
Phone: ( Sol ) y52- 9 4S-7 Other
Contractor: <c ea•t,e(i ,^av .c,H r ,•✓live.( Cc eviv.t/(ill Items Re(LUired
Address SA rM< Subcontractors
Truss Details
Other
Notes4. l +,-►..d •
Phone. j_____ )
Contractor's License # L3 7 0 '♦ 6 (6,(1.1-11(c) —"
attpch copy of current Oregon license)
Contact Name: 00- �e 1►5,-6i _
simmommummo
Contact Phone: f COI ) Ys -(i's-1 (� ,/
Subcontractors- ECM((,t C�1i�. Ett, Architect/Engineer: r' 'a<C.c/ "t
l' / 1y13I •
Plumbing: J4� I�1 L viily vi' SQvC.la f fi! �Q 3LZ ddress
5122-n6
Mecha 31. T'rr,f-eSsi✓c (hi 352 2 7
(attach copy of current OR Contras is Licens ,
/ �' Phone. L. )
‹f It (� T�"1 F sex W Yc si(AA n et. r (.1._,-1 (� .e . 17 A-
r '
11
JOB DES IPTION: 7 `1 ��Li!
7 : ( c3 ) fc7 --' 'c7
Applicant Sign t�f_l��(/� Applicant Phone number
Received t:i - (�'''"" t� Date Received O�9 ( 6
Permit 0 Account Description Amount Amt. Pd. Bal. Due
m,t-9_0.257 Bldg. Permit (BUILD) �G47._.- )efi
Plumb. Permit (PLUMB) aaa: s - 1 h ;r '
Mechat: . Permit (MECH) 4) 4I
/1 G
9L�11 1dg: -50r 70 51 J .lU
Plumb: 1/, Z
Mech: --2, 2 r
4( -AL,c0
F Ian Check (PLANCK) ,<7 y$ ki
` a0 / 4/5-, 2ti •
Bldg: 3 '.S . it)
Plumb:
fif�4h: Z �.- / ` � -
,17'wRf(.-c.' 2 30 Sewer Connection (SWUSA) ,2u 61 172.2 lit/
Sewer Inspection (SWINSP) 3 )^ 3_
Parks Dev Charge (PKSDC) l US 0 1 0 7)
Residential T1F (T1F-R) /V / 920
Mass Transit TIF (TIF-MT) /Z0 12-i) 1
Commercial TIF (T1F-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TlF (TIF-0)
Water Quality (WQUAL) _/ �^
Water Quantity (WQUAN(") 10° /CGU
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) Ci 7
Erosion PlanckiUSA (ERPLAN) PI/ 0" 7.7 kr)
Erosion P!a-ckiCOT (EROSN) U .21),ifo
TOTALS: C-fo3, 9f L L ��'
" ' a:53. -',i
1
i
�to 4
ALA N
DIISIGN ASSOCIATES, INC.
Date: 5/16/96
To whom it may concern:
With this letter Alan Mvcord&sign Associates, Inc. gives permission for the Thge7:
Name OVE PETERSEN
Address 7521 S.W. OAR §TELET
PORTLAND, OR. 97;23
phone
to make revisions to, and additional copies of
Plan No. 2258B OPTION
for the construction of a single project located at
City or County WA COUNTY
1,ot No. L[3T-..0
Subdtviston 1tJr'ArN Ir2fs8IANo___-This permission is granted for the specific project and design listed above. This document
is valid only in original form, with an original signature in ink. Any modifications to, or
copies of this letter will void the permission granted herein.
/7,1
Zr/Y4.44•UtA 04?
____
Alan E. Mtscord, President
Alan Mascord Design Associates, Inc_
1306 NW 18ttt,yawn
Penland.Oregon 817209
503/77S4141 FAX 503!225-0933
££:OT %. 9T .t.tM tOd rr1 7OSSii N9153Q QdODSt:+W £260-GCC-£a5-
PL.o-r- PLAN A N D
LOT SCHEMATIC
13779 S.W. 130th PLACE
LOT 10, MOUNTAIN HIGHLANDS, PHASE 1
8,973 S.F.
Tigard, Oregon
Washington County 306
SCANA!NAV 1 GENERAL CONTRACTING
7321 SW Oak
Tigard, Oregon 97223 1
911155
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SCALE: 1" is 20' 1, Vrt , y "•� o'er
u,• B' i 4‘.)/>1 H 1 Z N Eer•V C-0 Pe cowl Pu AWE- Eat-/"se.
gxcAVATi ANO,N17 ii 38,17.
12oc tc, IRO s
eatos'c,N i
(c)A14'°f- 2' S.W. 130th PLACE n
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
FAITH ELECTRIC INC
PO BOX 20476
KEIZER OR 97307
Electrical Signature Form
Permit # • MST96-0250
Date Issued. : 05/31./96
Parcel • 2S104DD-0._l00
Site Address : 13779 SW 130TH PL
Subdivision. : MOUNTAIN HIGHLANDS
Block I,,,t : 010
Zoning • P-4 . 5 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN IN< SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
OVE PETERSON FAITH ELECTRIC INC
7521 SW OAK ST PO BOX 20476
TIGARD OP. 97223 KEIZER OR 97307
Phone 4 : 452 -9457 Phone # :
Reg # . . : 086309
XIiI4Virt q51611P11
Signature o �pervi. ng ETectncian
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
NW PLUMBING SPECIALTIES INC
P 0 BOX 606
GRESHAM OR 97030
Plumbing Signature Form
Permit # MST96-0250
Date Issued. : 05/31/96
Parcel 2S104DD-01100
Site Address : 13779 SW 130TH PL
Subdivision. : MOUNTAIN HIGHLANDS
Block I,r>t : 010
Zoning • R- 4 . 5 PD
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and retui n this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRAC'T'OR :
OVE PETERSON NW PLUMBING SPECIALTIES INC
7521 SW OAK ST P 0 BOX 606
TIGARD OR 97223 GRESHAM OR 97030
Phone # : 452 -9457 Phone # :
Reg # . . : 094322
•
X
III
S4rfature of Authori ri Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 4171 , ext. #310