Permit MASTER PERMIT "
CITY OF TIGARD PERMIT #....... t MST93 -1 15( I/
COMMUNITY DEVELOPMENT DEPARTMENT - DATE ISSUED: 04/21/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 251 14AD -00 700
SITE ADDRESS...: 018981 SW WAVERLY DR . -
SUBDIVISION ° WAVERLY ESTATES ZONING: R -12
BLOCK..........: • LOT. ........ .... : 006
- - - - -• -- -- - - - - -- BUILDING - - - - -- -- ____
REISSUE: DWELLING UNITS:1 BASEMENT........: 0 sf
CLASS OF WORk <.:NEW BEDRMS:3 BATHS GARAGE ...... ....:483 sf
TYPE OF USE... :SF FLOOR AREAS--- --- --- - - - - -- REQUIRED SETBACKS - --
TYPE OF CONST. : 5N FIRST. ...: 1264 sf LEFT..: 5 ft RIGHT. : 5 ft
OCCUPANCY GRP.: R3 SECOND...: 1002 sf FRONT.:20 ft REAR..:26 ft
STORIES.......:2 FINBSMENT:0 ' sf REQUIRED - - - - -. . _______
HEIGHT........: 29 ft TOTAL------;2266 sf SMOKE DETECTORS.: Y
FLOOR LOAD....:40 psf VALUE $° 154378 PARKING SPACES-21
Remarks: PATH I
-- -- --- PLUMBING ------ -- -- --
SINKS.......... : 1 FLOOR DRAINS '12' 3ACRFLOW PREVNTRS.. : 1
LAVA T DRIES.....: 5 WATER HEATERS...: 1 TRAPS :0
TUB /SHOWER,.....:: LAUNDRY TRAYS...:1 CATCH BASINS .. ;12'
WATER CLOSETS..: 3 SEWER LINE < ft) .: 0 GREASE TRAPS.......: 0
DISHWASHERS.... : 1 WATER LINE ft) . : 110 OTHER FIXTURES °0
GARBAGE DISP... : 1 RAIN DRAIN (ft). :0
WASHING MACH... :1 SF RAIN DRAINS.. :1
— - - - -- — : I c nL -- -- - --- -• -,- FEES :
FUEL TYPES ------------- UNIT HTRG.. : 0 type amount by date recpt
/GAS/ / / • VENTS °0 TIF 1550.00 B 04/21/95 --
MAX INPUT:0 BTIJ VENT FANS.. :4 SWM $ 180.00 B 04/21/95 --
FURN < 100K —OD 0 HOODS -1 SWM $ 100.00 B 04/21/95 - .
FURN ) =100K .. : 1 WOODSTOVES.: 0 BPRT % 370.50 B 04/21/95 -
FLOOR FURN .0 CLO DRYERS.: 1 BPLC $ 370.83 SW 04/04/95 95-263711
BOIL /CMP < 3HP:0 OTHER UNITS:1 B5PC $ 28.53 B 04/21/95 -
GAS OUTLETS:1 PARK $ 500;00 B 04/21/95 -
Owner: - ---- MPRT $ 45.00 B 04/21/95 -
ROYAL OAKS DEV CO MPLC $ 11.25 B 04/21/95 -
12096 SW ASPEN RIDGE DR MSPC $ 2.25 B 04/21 /95 --
:38TH $ 225.00 B 04/21/95 --
TIGARD OR 97224 PSPC $ 11.25 B 04/21/93 -
Phone ##: 639 -4869 EROS $ 64.00 B 04/21/95 --
Contractor: --- ------------- - -ERPC $ 20.80 B 04/21/95 ..--
ROYAL OAKS DEVELOPMENT ERPC $ 20.80 B 04/21/95 -
12096 SW ASPEN RIDGE DRIVE
TIGARD OR 97224
Phone ;#: 639-4869 .
Reg <#.. : 67111 -- - -- - -- -- ------------------
$ 3700.21 TOTAL
This percit 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 laws. 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 Struct Fireplace Insp
days of issuance, or if work is suspended for nose than 180 days. Post /Beam Mechan Gas Line Insp
Crawl Drain Insulation Insp
Permittee Signature; ,4 __ P1m /undslab Insp Gyp Board Insp
PLM /Underfloor Rain drain Insp
Issued By: CIONI/tJ MA G'a..lr✓-- Mechanical Insp Water Line Insp
Call for inspection •- 639 -4175
V
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171 C12 C � 1 , l I ®4
/Jobsite Address: S q $ Lkmotizvf 0 R ■
•
tubdivislon: W A Jf v4 l Y Lot 1 6 Office Use Only
•
Plarick/Rec.# ` 41
Valuation: /5 ( 3 7 r
: Permit # /715:07- , 5
Co rner Lot? Y
Flag Lot? Y #reissue =b# • : .. .
> Map & TL _ #'` :I' 1 :4 A Qom" 00166
'Owner: ROY #L OAKS LW), CO
Approvals Required
Address: laps 6 Su? fI.SPct' Ai t-C dR Planning
Ti
P44-165 t) 4 ( 3 1 )32.4 • Engineer 4 �. tc 1
Phone: X39 - ygtogi .
Other ���: ���:- ::.:��.:..: >;::��
• VALcAt, "*
Contractor: Items Required::::
Address: 3A (Y' Subcontractors . .
::;Truss Details
•
Phone: Other ' • .;
Contractor's License # 7C, I I 1 - r r
(attach copy of current Oregon license) Zy b r e o.1 ay. C C -C V^cti �-
Contact Name & Phone: S q In G-01 t 3 - 48b9 LAXAm 5 6 \O cM-+ti " lama
, (doe ro � � �--
Subcontractors: Architect/Engineer: A +SCOR 6
/Plumbing: HAAvmowJy PL. Address:
/Mechanical: K vsT£.0 tt E PIT i r06-
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: Si (l &L`` F*vn L Y
639 -y g'6 9
Applicant Signature & Phone number _
Received by: - r )� ).Yv.JJJJ\ Date Received: ` y 1 95
N: \WORD\COMDEV\RESAPP
Permit # Account Description Amount Amt. Pd. Bal. Due
M., 9) D /Ss" Bldg. Permit (BUILD) 570. 5T 57o So /
Plumb. Permit (PLUMB) Z Z) , 2 1S. /
Mech. Permit (MECH) a ,
State Tax (TAX) 42'03 / 4 12•03.. 7
Bldg: :P. S 3 /
Plumb: //. Z)
Mech: Z - Z'
Plan Check (PLANCK) 312. o V / 250' / / 3 2 • 08":
' Bldg: 37d • r3
A f
4 l
Plumb:
Mech: ��• Z
,56,47.4 i D 14 4 Sewer Connection (SWUSA) 21,ov U /
i
Sewer Inspection (SWINSP) 3 . 35 V
Parks Dev Charge (PKSDC) 5 56 U /
Residential TIF (TIF -R) / 7 /413 0 /
Mass Transit TIF (TIF -MT) / Zf1
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O) /
Water Quality (WQUAL) / S" /
Water Quantity (WQUANT) / 0 l) / (/ 0 /-
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) C 7 V
Erosion Planck/USA (ERPLAN) ?1'V ' 20, Pt /
Erosion Planck/C0T (EROSN) 24.k
TOTALS: S � { z/ - r Tr
562g 5.ZI
CITY OF TIGARD BUILDING INSPECTION NOTICE.
Inspection Line (Rec- O- Phone): D39:417t Business Phone: 639 -4171
Inspection:
, 4*
Footing Susp. Ceiling Sprink. Rough -in Appr/ dwk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line ) (:7L:)
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation CtIPP
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 7/.2 Time: AM PM
Address: 8
Builder: - Permit #: .� d 1 S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4 Ai
Inspector: Date: 77l `-7/ S
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
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 / Gyp. Bd. 4�
Date Requested: / //,:ricis— Time: AM PM
Address: -C.) ►� // P., k�
`` �
p 2 / ��
Builder: CO J - 7 SY„ 9 Per`nNt'#�� : ? S ,� O l S
THE FOLLOWING CORRECTIONS ARE REQUIRED:' & ?'5 O° 75
£('e G77 e / / (Y rlef ( Ct , ,f ci // P
In pector: ,> - A ,./.... / Date: 9 ^
PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. --F