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Permit
MASTER PERMIT PERMIT #.......: MST95-0271 �° ----- CITY OF � DATE ISSUED: 07/17/95 ._COMMUNITY DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503 ooe-*,r� ' PARCEL: 25104BD—RMO23 SITE ADDRESS...: 12701 SW 138TH AVE SUBDIVISION....: ROSE MEADOWS ZONING: R-7 . BLOCK..........: LOT.............:023 BUILDING -- REISSUE: DWELLING UNITS:1 BASEMENT........:0 sf CLASS OF WORK.:NEW BEDRMS:3 BATHS:3 GARAGE..........:475 sf TYPE OF USE...:SF FLOOR AREAS---- REQUIRED SETBACKS---------- TYPE OF CONGT.:5N FIRST....:1018 sf LEFT..:5 ft RIGHT.:5 ft OCCUPANCY GRP.:R3 SECOND...:1072 sf FRONT.:20 ft REAR..:35 ft STORIES.......:2 FINBSMENT:0 sf REQUIRED HEIGHT........:22 ft TOTAL —:2090 sf SMOKE DETECTOAS':Y FLOOR LOAD....:40 psf VALUE.....$: 142867 PARKING SPACEG..:1 Remarks: PATH I ------ ------------ PLUMBING — --- SINKS...... .... :1 FLOOR DRAINS....:0 BACKFLOW PREVNTRS..:1 LAVATORIES.....:4 WATER HEATERS...:1 TRAPG..............:0 TUB/SHQWERS....:3 LAUNDRY TRAYS...:1 CATCH BASINS.......:0 WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS.......:0 DISHWASHEAS....:1 WATER LINE (ft).:100 OTHER FIXTURES.....:0 GARBAGE DISP...:1 RAIN DRAIN (ft).:0 WASHING MACH...:1 SF RAIN DRAINS..:1 MECHANICAL — — ---- FEES --------------- FUEL TYPES UNIT HTAS. . :0 type amount by date recpt /GAS/ / / VENTS .....:0 TIF $ 1590.00 B 07/17/95 95-268097 MAX INPUT:0 BTU VENT FANS..:4 SWM $ 180.00 B 07/17/95 95-268097 FURN { 100K ..:0 HOODS......:1 SWM $ 100.00 B 07/17/95 95-268097 FURN >=100K ..:1 WOODSTOVES.:0 BPRT $ 540.50 B 07/17/95 95-268097 FLOOR FURN....:0 CLO DRYERS.: 1 BPLC $ 351.33 BON 07/11/95 95-267868 BOIL/CMP < 3HP:0 OTHER UNITS:1 B5PC $ 27.03 B 07/17/95 95-268097 GAS OUTLETS:1 PARK $ 500.00 B 07/17/95 95-268097 Ownero MPRT $ 45.00 B 07/17/95 95-268097 JAY MILLER MPLC $ 11.25 B 07/17/95 95-268097 P 0 BOX 230459 M5PC $ 2.25 B 07/17/95 95-268097 3BTH $ 225.00 B 07/17/95 95-268097 TIGARD OR 97281 P5PC $ 11.25 B 07/17/95 95-268097 Phone #: 684-7543 EROS $ 64.00 B 07/17/95 95-268097 Contractor: ERPC $ 20.80 B 07/17/95 95-268097 JAY MILLER ERPC $ 20.80 B 07/17/95 95-268097 PO BOX 230459 TIGARD OR 97281 ' Phone #: 684-7543 Reg #..: 300109 $ 3689.21 TOTAL This peroit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top Out applicable lea. All work will be done in accordance with approved Foundation Insp Framing Insp plans. This peroit will expire if work is not started within 180 Post/Beam 8truct Fireplace Insp days of issuance, or if work is �u�p�� m1 r are thar Post/Beam Meehan Gas Line Insp Permittee Si �- ///` Crawl nDrain Insp Insulation I Insp . PLM/Underfloor Rain drain Insp Issued By: � �~� . Mechanical Insp Water Line Insp Call for inspection — 639-4175 ' // PLUMBING PERMIT PERMIT #.......: MST95-0271 CITY � ��� � � ��� � DATE ISSUED: 07/26/95 �w�r� � � �ww�� �m���m�w� COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S104DD-RMO23 (' I TE,1o1 nf�m. SUBDIVISION....: ROSE MEADOWS ZONING: R-7 BL8CK.. .. .. .... : L8T.... ......... :023 _ CLASS OF WORK..:NEW GARBAGE DISPOSALS..:1 TYPE OF USE....:SF WASHING MACH.......:i BACKFLOW PREVNTRS..:1 OCCUPANCY GRP.. :R3 FLOOR DRAINS.. .. .. . x0 TRAPS. . ....... .. .. . :0 STORIES........:2 WATER HEATERS......:i CATCH BASINS.......:0 FIXTURES LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS.. . . : 1 SINKS.......... .. . :1 GREASE TRAPS.., . . . . . :0 LAVATOR%ES. .... :4 OTHER FIXTURES.... . :0 TUB/SHOWERS....: SEWER LINE (ft)....:0 WATER CLOSETS..:3 WATER LINE (ft)....:100 DISHWASHERS....:1 RAIN DRAIN (ft)....:0 Remarks: PATH I OWNER: ----- - -- -- --- FEES----- JAY MILLER TIF $ 1590.00 B 07/17/95 95-268097 P 0 BOX 230459 SWM $ 180.00 B 07/17/95 95-268097 SWM $ 100.00 B 07/17/95 95-268097 TIGARD OR 97281 BPRT $ 540.50 B 07/17/95 95-268097 Phone #: 684-7543 BPLC $ 351.33 BON 07/11/95 95-267868 B5PC $ 27.03 B 07/17/95 95-268097 Plumbing Contractor:------ PARK $ 500.00 B 07/17/95 95-268097 MPRT $ 45.00 B 07/17/95 95-268097 %ame ' MPLC $ 11.25 B 07/17/95 95-268097 Address: M5PC $ 2.25 B 07/17/95 95-268097 City - 3BTH $ 225.00 B 07/17/95 95-268097 - one#: 46.3 P5PC $ 11.25 B 07/17/95 95-268097 ' Reg : Additional fees not shown here......... 0 REQUIRED INSPECTIONS -- This permit is issued subject to the reg- ulations contained in the Tigard Municipal Footing Insp Insulation Insp Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp other applicable laws. All work will be done Post/Beam Struct Rain drain Insp in accordance with approved plans. This Post/Beam Meehan Water Line Insp permit will expire if work is not started Crawl Drain Water Service In within 180 days of issuance, or if work is PIm/undslab Insp Appr/Sdwlk Insp suspended for more than 180 days. PLM/Underfloor Mechanical Final Mechanical Insp Plumb Final Plumb Top Out Building Final Framing Insp Erosion Control Fireplace Insp / Gas Line Insp . 4- 4A Aut Plumbing Cont^ Signature C ll for inspection 639-4175 Contractor Notes: 47-4~s ` • PLUMBING PERMIT PERMIT #.......: MST95-G271 CITY OF � I��N��-�����w� DATE ISSUED: 07/17/95 COMMUNITY DEVELOPMENT DEPARTMENT 1o1ms Han Blvd. Tigard, Oregon 9722 3.8199 (503) 639-4171 PARCEL: 2S104BD-RMO23 SITE ADDRESS...: 12701 SW 138TH AVE SUBDIVISION....: ROSE MEADOWS ZONING: R-7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :023 _ CLASS OF WORK..:NEW GARBAGE DISPOSALS..:1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :1 BACKFLOW PREVNTRS. . :1 OCCUPANCY GRP.. :R3 FLOOR DRAINS.... ... :0 TRAP8. . . ..... . ... . . :0 STORIES. :2 WATER HEATEAS. . . . . . :1 CATCH B(-SING, . :0 FIXTURES LAUNDRY TRAYS. . . . . . :1 SF RAIN DRAINS. . . . . :1 SINKS ..........:1 ^^^~ ^^ ^^.. : GREASE TRAPS....... :0 LAVATORIES. . . .. :4 OTHER FIXTURES.... . :0 TUB/SHOWERS ^ SEWER LINE (ft)....:G WATER CLOSETS. . :3 WATER LINE (ft) . . . . : 1G0 DISHWASHERS....:1 RAIN DRAIN (ft)....:0 • Remarks: PATH I OWNER: - - ----- FEES ' - ---- JAY MILLER TIF $ 1590.00 B 07/17/95 95-268097 P 0 BOX 230459 SWM $ 180.00 B 07/17/95 95-268097 SWM $ 100.00 B 07/17/95 95-268097 TIGARD OR 97281 BPRT $ 540.50 B 07/17/95 95-'268097 Phone #: 684-7543 BPLC $ 351.33 BON 07/11/95 95-267868 B5PC $ 27.03 B 07/17/95 95-268097 Plumbing Contractor: - PARK $ 500.00 B 07/17/95 95-268097 MPRT $ 45.00 B 07/17/95 95-268097 Name � � MPLC $ 11.25 B 07/17/95 95-268097 Address y"� g��m� °p� M5PC $ 2.25 B 07/17/95 95-268097 City: _State: � 3BTH $ 225.00 B 07/17/95 95-268097 Zip: e i Phone#: P5PC $ 11.25 B 07/17/95 95-268097 Reg #: Additional fees not shown here. . . . . . . . . REQUIRED INSPECTIONS This permit is issued subject to the reg- ulations contained in the Tigard Municipal Footing Insp Insulation Insp Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp other applicable laws. All work will be done Post/Beam Struct Rain drain Insp in accordance with approved plans. This Post/Beam Mechan Water Line Insp permit will expire if work is not started Crawl Drain Water Service In within 180 days of issuance, or if work is Plm/undslab Insp Appr/Sdwlk Insp suspended for more than 180 days. PLM/Underfloor Mechanical Final Mechanical Insp Plumb Final Plumb Top Out Building Final Framing Insp Erosion Control Fireplace Insp (/ 44/ Gas Line Insp _ . Authorized Plumbing ConNlactor Signature Call for inspection - 639-4175 Contractor Notes: • Residential Building Permit Application "" JJ ' 1. �(1 3 City of T 13125 SW Hall Blvd. . Tigard, OR 97223 p..-Lc 15- o ( 1 (503) 639 -4171 7 jobsite d r C� Ad ess: 0 � �J a.� >: ..0 lls ce Lot of # . f ct n( vi � G Plan: > " # >> > .:.;:.;::. ;<::.::::<;;:. ;;;;;;;;: Valuation: 6 Corner Lot? Y N . ... . .......... . .: . Flag L Y 9 Lot? >: :: . ::::: >::: <::. >:: >::> ?: Owner: 1 / 1 . J �Yl I l_ el Address: �. 3 . .... ........ . ... ........ ...... ... .::... .:.:..:: :. d 1 cc Phone: 5Y3 o e Ol -S Contractor: .:. Address: .. . <:Details :......................:. . . Phone: >: >:: ' >::: >::: >:.> :: :; :_:::y '' ::: >:: N::... <:: »:..:::..; ..::.:: :.::: >:: >:: » >. >:.:.;:: >:: : :''' : Qther:: <. :t :...... Y ':::::.rr ":: iu > : .. Contractor's License # ' < t �� °*° (attach copy of current Oregon license) Contact Name &Phone 1 i / � ,QTY (, ( i 3 B 7-13 -115 Subco, tractors: Architec /Engineer: Plumbing: 4 L 1/l l �-) 5 LC. . . Address: "Mechanical: $ fi e l l (attach copy of current OR Contra is License) Phone: JOB DESCRIPTION: -pt. C(�; �, l A D A A / 0l/..! .. V 1 & , . ' A�pIicant Si: nature &1‘ P�1ho-neI'um_bwer, Received by: i I " lug" Date Received: -7— —1 N: \W ORD\COM DEV\RESAPP Permit # Account Description Amount Amt. Pd. Bal. Due yyJ . 0,5": -o2y Bldg. Permit (BUILD) ,5 , Plumb. Permit (PLUMB) 2Z5. o 02.25 Mech. Permit (MECH) 1/5 vG j State Tax (TAX) /7/0. 3 / Bldg: 0 7.03 • Plumb: /1. Lc Mech: 2 • 11 / Plan Check (PLANCK) a 362,5? Bldg: 357 .33/ Plumb: Mech: // Z> n ¢) -612 77 Sewer Connection (SWUSA) .00( ?c O&/ r / Sewer Inspection (SWINSP) 35 Parks Dev Charge (PKSDC) 50 Sao Residential TIF (TIF -R) /4l 7U /e/,4/ ---- ./ Mass Transit TIF (TIF -MT) /A /2-ei Commercial TIF (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) / loo / Water Quantity (WQUANT) /0 0 l00 Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) ,o q. Gd Erosion Planck/USA (ERPLAN) P11 - ''r - Z r Erosion Planck/COT (EROSN) TOTALS: .2 .Cd 567(i‘ • 2 • Solar tsaiance worxsneec Address 1Z —p 6 ®1 E ( ?, ti I,ox A calculations: North -South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. Measure the distance from the midpoint of the North lot line to the South lot line along the described line. sp ft Box B calculations: Shade point height from your structure. Box B: 1. Determine whether measurements will be based on the peak or eave of your structure. The orientation of the ridge is also important. Which la: If the roof line runs North - South, measurements will be describes based on the peak of the roof. your lot? lb: If the roof line runs East -West and the roof pitch is less (Circle one) than 5/12, measurements will be based on the eave. lc: If the roof line runs East -West and the roof pitch is 5/12 40 lb lc or steeper, measurements will be based on the peak. 2. Measure change in elevation from front property line to finished floor elevation. ID ft 3. Measure distance from finished floor elevation to the affected peak/eave. + ft 4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, deduct nothing. : ft 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot 0 ft has no slope or slopes up from the rear to the front, — deduct nothing. 6. Total figure for box B: � '," ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation. t ft 2. Measure the distance from the foundation to the affected + ft peak or eave. 3. Total figure for box C: ft (_ ' o 1Pq CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing Plumb- Alarm Water Line Insulation Underflr. Insul. Shear Wall Gyp. Bd. -Elect. 54p Date Requested: ii (-1i ( 9 Time: AM Addres: / - o ( / g Il Builder: Permit #: 4 75 - 6 ( THE FOLLOWING CORRECTIONS ARE REQUIRED: i A l`TO r _A Afir.44Mr1,7'c Wry • Inspector: / /77� Date: _APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. i 4 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing . sp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace 'ost /Beam Struc Plbg. Top Out Elec. Rough -in FINAL: - San. Sewer Gas Line -Bldg. y o •.._ ••_ Rain Drain Framing - Plumb. Alarm Water Line .Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: 1 /0 1-.C Time: XM PM Address: / - 7 C I / 3 Rr ( 75 — Builder: g ( - [ 5 Permit #: 6 , - 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: . 4 0/3 s l'L‘ '.---- C•4\f'V -A-A-C- _ 9 > > . . c ,,-c t + S z) f /J 5A.,,,,4 5L • J Inspector: y �� -- �"� Date: VIO /9c APPROVED DISAPPROVED XAPPROVED SUBJECT TO ABOVE ., Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain .- Framing - Plumb. Alarm Water Line Insulatio -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: / �� Time:�M PM Address: � ( /( O Builder: Permit #: S Dc 1 ( THE FOLLOWING CORRECTIONS ARE REQUIRED: — -- Z - 71,Q 5 ( C V4 /95 irLe • Inspector: Date: f', -- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace 'ost /Beam Stru . /Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: �s Time: AM PM Address: / 3 76/ (3E 4- Builder: d % 0 i 0' Permit #: 91..5--- a2 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: C I 4 4\ L CA 1� 'W (L.- . <iv.. s V 4 A, (Q 4 22 ,-.. 41-r (---U .---1> \ A ..., WN \. 5 s ..e_ . ?L) — 11--(}- 4\ t" - C..) -a-GQL --.6N ( 2-C1/4-jC ›"C a/V\ )a �X.) C �, -ek,A a« c.,c s L . 5 ©-�C N . vw • l y q_ . 4' ' -s L5 — -> I - r use.. 52 w, c__,../C.) W Q. v k ' Inspector: Date: a J 3 /4 S � APPROVED _DISAPPROVED 4APPROVED SUBJECT TO ABOVE (..."-?‘„ _Call For Reinsp. • CITY OF TIGARD BUILDING INSPECTION NOTICE e--z/ Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace 4 �7.: 0 " -- truct Plbg. Top Out Elec. Rough -in FINAL: '•st /Beam Mec ' San. Sewer Gas Line -Bldg. P . nderfloo Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: X/3 l .5 Time: AM PM Address: I d I 1. 3 X' t- Al Builder: Permit #: 7 —CI D. i THE FOLLOWING CORRECTIONS ARE REQUIRED: • Inspector: Date: 5/ . APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: /c; • _ - -ootin - — Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall ,// Gy Gyp. Bd. - Elect. Date Requested: / /a-- 7 C C2 > Time: AM eJ PM Address: / cD 70 r /3 Builder: Permit #: < 75 -- 7 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: t Z i e_. Inspector: 7 - —Date: 0Y,4� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp.