Permit CI1YOFTIQARD
! COMMUNITY DEVELOPMENT DEPARTMENT CfiYM MASTER PERMIT
13126 SW I SW NEB Bl d. P.O. Box 23397, Tigard, Oregon 97223 (603)839 -4176 PERMIT # ° MST93 -0084
639 -4171 DATE ISSUED: 02 /18/93
SITE ADDRESS...: 12492 SW WINTER LAKE DR PARCEL: 15134CC- 03400
SUBDIVISION ° CAPSTONE ZONING: R -4.5 PD
BLOCK ° LOT °1
BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT °0 sf
CLASS OF WORK.:NEW BEDRMS:3 BATHS:2 GARAGE :430 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST.: 5N FIRST :1321 sf LEFT.. : 7 ft RIGHT. : 5 ft
OCCUPANCY GRP.: R3 SECOND : 0 sf FRONT.:20 ft REAR..:30 ft
STORIES -1 THIRD °0 sf REQUIRED
HEIGHT °19 ft TOTAL :1321 sf SMOKE DETECTORS.:Y
FLOOR LOAD °40 psf VALUE $° 68506 PARKING SPACES..:1
Remarks: PATH I
PLUMBING
SINKS °1 FLOOR DRAINS °0 BACKFLOW PREVNTRS..:0
LAVATORIES °2 WATER HEATERS... :1 TRAPS °0
TUB /SHOWERS °2 LAUNDRY TRAYS... :0 CATCH BASINS °0
WATER CLOSETS..:2 SEWER LINE (ft).:0 GREASE TRAPS °0
DISHWASHERS °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 HTRS..:0 type amount by date recpt
/GAS/ / / VENTS °0 TIF $ 1460.00 JH 02/18/93 —
MAX INPUT:0 BTU VENT FANS. .:3 BPRT $ 340.00 JH 02/18/93 —
FURN ( 100K ..:1 HOODS °1 BPLC $ 221.00 JLH 02/03/93 93- 236302
FURN )=100K ..:0 WOODSTOVES.:0 B5PC $ 17.00 JH 02/18/93 —
FLOOR FURN °0 CLO DRYERS.: 1 SSDC $ 280.00 JH 02/18/93 —
BOIL/CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 JH 02/18/93 —
GAS OUTLETS:1 MPRT $ 40.50 JH 02/18/93 —
Owner: MPLC $ 10.13 JH 02/18/93 —
J ALLAN PATERSON M5PC $ 2.03 JH 02/18/93 —
12700 SW PACIFIC HWY PPRT $ 117.50 JH 02/18/93 —
P5PC $ 5.88 JH 02/18/93 —
TIGARD OR 97223
Phone #: 639 -3828
Contractor:
WOLCOTT PLUMBING CONTRS INC
P 0 BOX 2007
GRESHAM OR 97030
Phone #: 667 -1781
Reg ##..: 23847
$ 2994.04 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post /Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post /Beam Mechan Insulation Insp
days of issuance, or if work is suspended for more than 189 . -ys. Plm /undslab Insp Gyp Board Insp
PLM /Underfloor Rain drain Insp
Permittee Signature: 41111 .-L. . `/.. � Mechanical Insp Water Line Insp
F Plumb Top Out Appr /Sdwlk Insp
Issued By: Framing Insp Mechanical Final
Call for inspection — 639 -4175
e
CI TY 13125 SW Hall B lvd PLNCK /RECT # OF T Po so :2ss PERMIT # /71S /93 -o0
COMMUNITY DEVELOPMENT DEPARTMENT Ti I
(503)639.4171 DATE ISSUED
JOB ADDRESS: II II-/V 5W Wink 4 IakQ, TAX MAP /LOT /3 /3g CC- 03y
SUB: 0-eldp611;77 LOT: I LAND USE:
VALUATION: 0£j,, So 6
OWNER -- � SPECIAL NOTES
V
NAME: , Ai 1 n P7 REISSUE OF:
ADDRESS: f(27700 S'(.tJ Pt( /jdr�� bhf U LAST REISSUE:
l�( �•, [7 IP 9722_ 3 FLOOD PLAIN/
PHONE: I I -620 SENSITIVE LAND:
CONTRACTOR r /�,✓ ; APPROVALS REQUIRED Sui39D o009
�� • -
IV/ 54M/ 4 /
NAME: � r �l►v i �1- PLANNING: a C =1/26--
ADDRESS: P0 i' - 2f53 ENGINEERING:
Pv *1 vi d 2 o iQ, 97 2;.J,f FIRE DEPT:
PHONE: .150 _ 745 OTHER: 77F
CONTR. BOARD #: EXP DATE: e1/6
1410/ 604k ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: IGU'fl4,fi LIST /SUBCONTRACTORS:
MECH: . / t_ C 4 BUS TAX:
ARCH /ENGINEER CAICUCAT IONS :
NAME: be j') %1 r I _/�1 TRUSS DETAILS://
ADDRESS: Po • ox
P011101 DQ 9'722o
PHONE: a r 7 a - ga
PROPOSED BLDG. USE: 1) f aiki t (
COMMENTS:
.4L AOAILtDI1L' _lam.
APPLI ANT SIGNATURE
Received By: Date Received: c;) —4,73
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL:-' DUE
milLegirg 10 -432 00 Building Permit Fees 3510 3q o.-
10 -431 00 Plumbing Permit Fees / /7.S o / //7.57)
10 -431 01 Mechanical Permit Fees L,/0.5 0 / go,So
10 -230 01 State Building Tax (5%) 2 V.q/ y -
Building / 7•o0
Plumbing /
g 5.��
Mechanical .2.03
10 -433 00 Plans Check Fee ,23/. /3
Building 22/.0v
Bu /
Plumbing
Mechanical /o. i3
10 -230 06 Fire
S6Z43- 6o 7y30 -202 00 Sewer Connection v2 00 a /v0
30 -444 00 Sewer Inspection 3; 3_
25 448 - 02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees /
25- 448 -01 Residential Traffic Fees /3S d 135o
25- 448 -05 Mass Transit TIF Fees // o /�
52 -449 00 Parks System Dev Charge (PDC) Sao /// .$c'o
31 -450 00 Storm Drainage Syst Dev Chrg /
(SSDC) Apo ova
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL say, oc/ j yt��y
nm /3587P.WPF
INSPECTION NOTICE
City of Tigard Building Dept
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lkne (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Strut. San. Sewer Framing
Post /Beam Mech. Rain Drain Insulation ,/ - Plumb.
Plbg. Underfloor Water Linee Gyp. Bd. / "`� ,�?
Date Requested: �� ! . AM PM
Address: ■ _ .� / i. �. Permit # :Q3 D
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: i Date: , r 7- 0a - 9,3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.