Case File ADDRESS :
ilrecrrdslmicroflmltargetslbuilding.doc
CITY GF TIGARD CEFtOCCUPATC OF
(3C:C;UPAh'CY
COMMUNITY DEVELOPME 'T DEPARTMENT PERMIT #. . . . . . . e MST93-0200
13125 SW Hall Olvd.Tlpard,Oregor 9i_33.8199 ,4303Y,620•4471 DATE I8SLJFUe 10/27/93
PARCEL.# 1 S 134CO1381110
SITE ADDRESS. . . ! 12121 SW AN'TCIN DR
SUBDIVISION. . . . a ANTON WRK II ZONI;NGiR--7 V'D
BLOCKa 1..01'. . . . . . . . . . . . . 10655
GL.AC; or WURK. aNFW
TYPE OF USE. . . i SF
OCCUPANCY ORP. t R3
OCCUPANCY t_OAD 3 224 4
TENANT NOME. . . a
R emark% s PATH I
Ownera __._._._ .._ ...._....._.._,...._...........___..._._..._..._
FOUR D CONRTRUrTION
P 0 BOX 1`,r7'1
13EAVC.RTON OR 97075
Phone #c 641--093!
t;antract or s - _._.__._.._.._....._...__ ..._....._.Y_........._. .___._.........__._._
FOUR D CONSTRUCTION
PQ BOX 1577
BEAVERTON OR 9-eQ)'75
'hone #x 641-0935
Peg #. . s 710:37 I
Occupancy of the above referenced building is hereby di van, Amd c ort i fies �
the romplianc:e with the State Of Oregon Spoc.ialty Cinder i1or the 6.,oup,
occupancy, avid use under which the refer•enred permit d.
F] RF_" e1EPk1R'TMEN'T DIN SpECT[.'R
__�__.___ ✓ U I L_ i p 0 FIR,I
POST IN CONSPICUOUS PLACE
xrePAscrloN. ot��c�
City of Tigard Building Department
1312S M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 439-4171
Inspections ��Q_ ,V114
Fo 1ing Mg. Onderelab Nech. Bough-in Appc/Rdwlk
Found. Plbg. Top Out Gas Line
Past/Been Atrur_t, sen, eewec Framing
Poet/Beam Mer_h. Rain Draic: Insulation -Plumb.
Plbg. Underfloor Mater. Line
(� Gyp. Aid.
Date Reque )
1eteds �_L,�11�. /``413 L
TNt (,]x - 1�1Mt PN
Address: IZ�Z� /�1� A�f r Pmrtut
Builder:__ ' MU_r �� `�'_ ILAi S
THE FOLLOWING CORRRCTIOWS ARA A.-QUIREDt
i
Inapectoct r �`_"'_-- Datat!U 7-C�
DTSAPPROVRD APPROVED SUBJECT TO ABOVt
�� Call For Rainap.
City of Tigard Building Department
13125 aw Hall Blvd. TLq%rd, Oregon 97223
Inspeccion Lire (pec-O-Phan), 634-4175 Business Phone: 639..4171
Inspeationc___ F"
^ _ �r.�
V1 4- �.
Footing Plbg. Underslab Mech. Rough-in Appy//dwlk
Pound. P].bg. Top out Gas U ne INALs
Post./Beam struct. San. Sewer Framing r-
Poet/R,nam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line G•p. Rd. /`
Oat* Requested:_ LD (') 1 7 ___Timet ��1N PN
7 Win` ,1
Address: 12-12 ( / `��t�� 1_�v - Permit Is (� 491>-l-t.)
Builders t `.fir . ?�P
THE FOLLOWING OORRECTIONS ARE RRQUIIRRED s t /
c_
Inspector: 4./• _ Q - l-1 A
Date:
APPNOVtD __ DINAPPROVND APPROVED SUBJECT TO ABOVE
/� Call
For Reinsp.
1fiMMM N 1QR= l
City of Tigard Bull43ag Dapaztuent \V/
1312S BN Ball Sled. Tigard, Oregon 97223
Inspection Line (Aec-o-Phono)s 639-4175 Business Phones 6.39-4171
Inspections
Footing Plbg. Underalab Mach. Rough-in Appr/sdw'.k
found. Plbg. Top Out Gas Line /Ild1Ls
Post/Beam strur_t. Nan. Better Framing C -Oldq, /
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad.
Date Requeateds U ( 5 Tines 1AM RM PN
Address sl 2k 7 -- Permit #t_-j;5
Builders-1 --- - V� 2z)
TM KJLUWING i.c'$MRCTION6 ARC RRQUInRDs
CA-
AA, r�.•.i`
rx-
Inapnctore _ Dates 1 %
APP"MD -_ DIBAP APPROVED NU&TRCT TO NB(T't
-Call For Belnep.
City of Tigard 9nild1ng Departaant l
L312S BA Ball Bled. Tigard, Oregon 97223
Inspection Lina (Ree-O-Phone)e 639-4175 Business Phones 639-4171
Footing Plbg. Underslab Mach. Rough-in Appr/Bdwlk
Found. Plbg. Top Oat Gas Linelt�? !s.
PC"t./Beam struct. San. Sewer Framing -Bldg.
Post:/Beam Mach. Rain Drain Insulation < -Plumb
Plbg. Underfloor Mater Life Gyp. Bd. -Noah.
1.
Data Regaestedt 17 ( _ _ Timm 1x 11M !N
Addrese s _t 2-12A Permit 43"oLl D
Builders h3uf- ` -720 ._ 7,IqS--
TRE FOLLOWING COPRRCTIONS ARM RMQUIRFDs
Inspector _ . _._ Data '
APPwOVRD DISAPPRO"O APPROVMD 9UBJRGT TO AgMX
Call For Reinap.
INSPECTION ANTIC-E
C,ty of Tigard Building Department
131'S ON Hall Bl%d. Tigard, Oragon 97123
Inspection Line (Rec•C-Phone)s 639-4175 Bueineen PLone: 639-1171
Innpectiont_
rooting Plbg. tnderslab Mach. Rough-in Appr/Sdwlk
Found. Plb9. Top Out Gas FINAI.t
Poet/Roam Struct. San. sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Wator line Gyp. Bd. -Mach.
Date Requested: \ 1 Time: __AM ___PM
Addreess—\ �_. J�t�T2 y f
Permit 1 f
THE FOL.IOWING CORRECTIONS ARE RBQUIRED:
ine -ctort
APP
ROVED _ DISAPPROVND VAPPROVED SUBJECT To ABOVE
For Reinap.
Ciel or T1.9ard Building neparttremt
1312S dw Ball Blvd. T1.9ard, OrogOn 97223
Inspection Lina (Loc-O-Phona)e 61�--1175 Burinor• Phones 639-1111
Foot inq Plbg. Underslab Hoch. Rou h-in
g Appr/sdwlk
Pound. Plbg. Top Out Oaa Line
FINAL,
Post/Beam St.ruct. San. Bower !Taming -Bldg.
Post/Beam Hoch. Rain Drain Insulation
-Plumb,
Plbq. Underfloor Nater Lino
<� b• ) -Meeh.
Date Requestods_ -2--�-�3
/) Timet AM —pN
Addrosat�� �-� r-T�
Permit #s T, �9L
L
Builders
TftR LLOpI1Ni tRiCTIONa ARR RPOIDRDt
fa �
Inspectors
_ Datet� Z. 4 =•�.
L �rr�oveD DIBAPPRCJBD 'APPROtRD BUBJNM TO Kam
G11
For Rainap.
l
M?
City of Tigard Huildln7 D"rtment
13125 Bt Hall Blvd. Tigard, Oregon 972731
Inspection Line (per.-o-.Phone; 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Noah. Rough-in Appr/Sdwlk
Pound. Flbg. Top Out Gas Line
PTNALs
Post/Beam Btruct. Ban. Bower Framing -01dq.
Post/Boom Hoch. Rain Drain Insulation -Ply,
Plbq. Underfloor Nater Line i Gyp. Bd. 46vah.
Date Requestedt_ /
'lLMt ✓��M P11
Address s_J /�_1 G ( !t x/11 j Prsf1! ft
Builder: ,l_ . i t7hrl s (till? ZL.C.,
TFm FOLL0wIP0 CORRRECTIONB ARR REQUIrRDs
To PAF d' Fig i1 S
InspectorsY �'/G�n j!]
Dates u
--APPROs.) _ DISAPPROVED -_LIJOPROVRD BU832M TO AIMYn
Call For Reinsp.
Cit? of Tigard Building Department
1312S SR Ball Blvd. Tigard, Oregon 97223 �j
Inspection Line (Pecs--7hone)s 639-4175 Business Phones 639-4171
Inspections
i
Footing Plbg. Undorslab Mech. Rough-in Appr/Sdwlk
band. Plbg. Top OLt gas Lin* FINAi.s
Post/Beam Struct. Ran. Sewer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor / Motor Line gyp. Rd. -Hoch.
Date Requested: �D 1O - J J _Tams AM VK
Address: Z ( /t1r� `cl�ll — Permit is('LVo _00
Buildersc-("✓ A6c 'l( (2 l�5
' .r
7HE FOLLOWING CORRECTIONS ARE REQUIRED:
_ I
s� I
C _
1, '�-A k S,
AI
rC 4 I U t.�"1 - t''— c 7 w.Q• .
i
YIA
fe nor r �. t �. ► (Q 19 3 N �otie__7
7/rj V` C� L,Liz-l2 u.-b-
—z`7r—�—►J P4- 1 L
DIAL i V'1� L v
IerpOctort Dates o 93
APPFA'YMD DISAPPROVED V APPROVED SUBSECf TO ABOVE
��` C- Call For Relrsp.
MP_PECTIOtL NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Orogen 97223
Inspection Line (Rec-O-Phons): 639-4175 Rusinees Phono: 639-4171
:nspection:---,—_ -- i -- ��---.-^
Footing Plbg. Undarslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ran. Sewer. Framing -Bldg.
Post/Ream Mach. Rain DraLn (Insulation` -Plumb.
Plbg. Underfloor Water Line Q Gyp. Bd. -P'ech.
Cato Requested: a - ` `� Time: (� AN PN
Address r t 11�f 1 1 � '�� 1'"�' Permit I.'q3 3 0Z0y
Builder: 4- i-s -7 1
TNR FOLLOWING OORR MONS ARN PAWIRM
-L/4 e. c C3 0 1'S
C,4,'V-Q_t ��
(-e ss ��7- i
i
Inspector: �-' Oates
APPFAMn DISAPPROVED APPROV30 ff.IIJIM TO ADM
lr� Call For Reinsp.
IMd building
dance
Cit? of Tigard ldl,sq Department
13125 BW Ball Blvd. Tigard, Ocagon 97223
Inspection Line, (Rec-o-Phone)i 639-4178 Business Phones 639-4171
Inspections���-• �� ( /r� c-v�-�----�" C
Footing Plbg. Underelab ( Heoh. Rough-in) Appr/Sdwlk
Found. Plbg. Top Out 1 Gas Dine FINALS
Post/Beam Struct.. Ban. Sower �/ /rowing -Bldq.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Flbq. Underfloor Mater Line Gyp. Bd. -Hoch.
Date Roquesteds- Ji(!� Time: AH -IV,--PH
Address s 2-12 }L� � Jr Permit #t 7� ("I
Builders.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
41v- Lb
fz,- V a ,,,'T �� �f1 cam.} ,.. - �:.� i✓�s -a.`� '
f w
1 ZU
Al
—Pfy =
aro ,
Inspectors _ Dates. 1
A1�PBANBD DIS`APP7t7VRD APPROVED SUNJECT To ABOVE
Call For Reinsp.
SNS PECTI(1N�:l01'ICE
Ofty of Tign.,0 DL Acting Department
Xattlsi Ball. 87 A. flgard, Or*%gon 97223
I :.rection Line (Iter-O-•Plowf)t GA-41' BBww,neas�Phh`ones 639-4171
Irsepsctios e
Footing P11-9. U Aerslab INoh. Rough- Appr/Sdwl.k i
Found. Abri. Top Out Gas Line FINAL?
Post/Beam Strutt. San. Sewer M_ _Llnq -Bldg.
Poet/Berm Mech. Rain Drain Insulation -Plumb.
Plbg. Unde-11oos Mater Line Oyp. Bd. -Mach.
Date Requesteds_ - �r ^tel Timet ' AM _ PM
I
Addrea®t \ 1 \ (N ` r, Permit �:_ 2A
Builders 4
TRE POL 40NING CORRECTIONS ARE "MIRED:
C� .
V_Q c Q z d 7 t u`r . %
IrS f lnlc.�
Intpectort \ ---- Date:-
17
APPROVED DIEA.'•PRgVED _ APPR(wrn SUBJRCT TO ABOVZ
For Reinep.
jNSpECT19K NOTICE
City or Tigard Building Dwpartmen*
111124 811 Hall Blvd. Tigard Oregon 97223
Inspections L�LM (Roc-O-Phone)t 639-4175 Ausiness Phonez 679.4171
Inspection:- �-}-V �✓�.- �v _t.� y ---�—_��
looting Plbg. Dnderslab Mach. Rough-1.n Agpr/Sdwlk
Found. Plbg. Top Out ens Line FINALt
Post/Ream Struct San. Bower Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Mater L1ne Gyp. ad. -Neth.
C 7
Date Reguestodt_ J ( 1 _ Times AM PM
Address t A Permit
Builder:
TBE FOLLONIMG COMM TIONS ARE RBgUIMD, 1 C
p1 lc$.s o ' p A A e S Sln Z( \ ,e ca
,C3�Fh
OT Z°�+/2+��t. � �,'� w-r-C. •t�e-- .SZr��C,t
?.i �-v. '� () ''c •ter C
11 C ,, �
11 r e n, 2. "D 1Cx+ln_1 Q_a✓lam
'lur%l -� -a��w � � -_� lam' �► • � -� r e -
Inspector: Datot F ► 3 13
�APPROVlD DXS"PROVRD V APPROVED FVRJECP TO ADM
L Call For wainer.
INSPECTION NOTICE ( .
City of Tigard Building Department \\'>
13125 SO Ball Blvd. Tigard, o[xgon 97223
Inspection Line (Rec-O-Phone)s G39-4175 Business Phone: 639-4171
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam St ruct. San. Sewer Praising -Bldg.
Post/Ream Heich. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line QQ Gyp. Bd. -Mach.
nate Requested:____ (� ' —` _zo _-Timet AN PH
Address:_ 1 !C- ,/�l��z� —_-- Permit #19'2- 02 U
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
11
�..e C z s e / S v 1E`
Lev vn"'cf
C�- �f ,�� -�►;� e. -s n amu � �� ��..,,,T_
Inspector: V C� fJ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE,
c- (� Call For Reinsp.
j,NSPBCjI N NOTICR
City of Tigard Building Department
13125 911 gall Blvd. Tigard, Oregon 97223
Inspectio
`n Line (Rec-O-Phone): 639-•4175 Business Phone: 639-4171
Inspection: `TM
_ J li A_A -- 2- __
looting Plbq. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbq. Top Out Can Line FINAL:
Poet/Seam St.ruct. San. Sewer ramin� -Bldg.
Post/Seem Mach. Rain Drain Insulation -Plumb.
Pl.bq Underfloor Neter. Line Gyp. Bd. -Mech.
Date Requested:__ _ Time: AM PM
Address:_1 -j `� -- Permit !:(/�-!ls
Builder:_
TBR FOLLOWING CORRECTIONS APE RRQUIRRD: lX1
I
i
i
InspectorsDater _
APPROVED DISAPPROVRD �OVRD SUBJECT TO ABOVE
Call For Reinap.
INSPECTION N(Yfl(.'E � 7
City or Tigard Buil.dimg Departsnttt
13125 SM Hall Blvd. Tigard, oragae 97223
Inspection Lina (Roc-O-Phonw)e 639-4175 Business Phone: 639-4171
Inspectiont
Footing Plbg. Underslab Moch. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Lino FINALS
Post/Boas Struct. San. Bower framing -Bldg.
Post/Beam Moch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Lino Gyp. Bd. -Koch.
Date Requentodt ' Timet AK PM
n �z
Addreast Permit its
guilders
TBE FOLLOWING CORRECTIONS ARE UVINDS
f
i
l
Inspxtor ` Date:
1 APPAOVRD DISAPPROVED APPROVRD SUBJECT TO ABOVE/
call for Roinsp.
IAAYECTIOt1.�0YICB •�
City of Tigard Building Department
13135 MW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone)c 639-4175 Business Phone: 639-4171
InspectionR
Footing Plbg. Underslab Mach. Pough-in Appr/Sdwlk
Found. Plbg. Top out Cas Line FINALS
it/Beam Btruct. Ban. flower Framing -Bldg.
Yost/Beam Mach./ Rain Drain Insulation -Plumb.
. Underfl Mater Line Gyp. Rd. -Mach.
Data Requested Com' `;( Timis' _2�,AM __.pm
i
Addreaa s .Z / 2 /a> Mrmlt 1 r 1 OfJ
Builder:_ ALL)
TBZ FOLLOWING CORRECTIONS ARE RRWIRED:
Inspector
Date:
��APPROVRD^_Y DISAPPROVED APPROM) SUBJECT TO A90VE
r_alI For Reinap.
txaeacrioH NOTICE
City of Tigard Building Department
13126 M Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspections
Footing ^lbg. Dnderalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post:/Beam Mach. Rain Drain Insulation -Plumb.
flbg. OMI�lllOoe Nater Line gyp. Bd. -Mesh.
Date Regueetedt .3 - Times / AN PM
Addresse2 Permit #t�;/ `-a U.Z DO
Builders X J
TRX FOLLOWING CORRECTIONS ARE RRMIRM
t
i
Inspectors iA Date: b 6
__!_APPROVED DISAPPROVED _ APPROVED SUSJRCT TO Asovz
Call Fnr Reinsp.
x"ePs�`TION NOTICE I' 1 "'�_
City of Tigard haildinq Department
13125 Bw Hall Blvd. T.lgard, tVwgon 97243
Tnepection Line (Rec-0-Phone)t 639-4175 Business Phonet 639-4171
Inspectionr
Footing Plbb. Und_ralab Hach. Roush-in Appr/9dwlk
Found. Plbg. Top out Gas Line FINALS
Post/beas 8truot. NBwer Framing -Bldg.
P'Sat/Beam Hoch. -Plumb.kmiap in insulation
Plbg. Underfloor Gyp. Bd.
-Hoch. �7 ®®d
Date Rega.rtsdt -� - � Tim 16 L
Address: � 1� �7'/, �' I , for
MrmLt < dl,)
Builder:
THE FOLLOWING COP"crrOND ARE REQUIRED:
u
1
Ina �ctort --
` Datet7
L�1IPPROVRD DISAPPROVED � —�—
——. _—_ APPROVRn SUBJECT TO ABOVE
—_Call For Relnap.
INSPECTION ltqjQ /"1
City of Tigard Building Departa.nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lin. (Roe-O-Phones 639-4174 Business Phones 6.39-4171
Insisections__
(Footing ' Plbg. Und.rslab Koch. Rough-in Appr/adwlk
Found. Plbg. Top Out Gas Lin. IINALs
Post/Haase Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp.
Gyp. Ed. -Koch.
Date Requesteds_ Ll / � Times AN PM
11ddr.s•s _1 \\� Permit
Builders_ J
THE FOLLOWING CORARCTIONS ARM RRQUIREDs
Inspector:_f�(�
APPROVED �-- DISAPPROVED APPROVED SUB.TECT TO ABOVE
�_Cal.l For Rsinsp.
CITY OF TIGARD PERM I T'*. .+. . .. . . MS193 It,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722308199 (503)639.1171 DATE, I SSUED C 05/28/93
AiDDRLSS. . . : 121E1 SW ANTCN DR PARCEL: IS134LB-1380
0I V ISION. . . . . ANTON c-' r;1 11 ZONING: R -7 1-y C7
NLUGK. . . . . . . . . . . L.U'i. . . . . . . . . . . . .
_..- --.______ ___.__._._._. ...... _..._.. .. BUILDING
14E I SEUL s MSTqa--031 g DWELL S NV UN I T S: 1 BASEMENT. . . . . . . . 10 s f
CLA6S OF WURK. :'Ic-W BEORMS:3 BATHS:3 GARACit. . . . . . . . . . :410 s
f-YPE: OF UGE. . . tSF F=LOOR AREAS-•________._ REQUIRLD
TYPE C)1=- CONS'f. :514 fim3i. . . . .847 sf LLFT— SC. ft RIGHT. e8 ft
OCCUPANCY ORP. -.R3 SECOND. . . a?30 s f FRONT. t r:0 f t REAR. . :c9 f t
STORIES. . . . . . . :2 THIRD. . . t8 S PI:UUIRFD--. -
14EIBHT. . . . . . . . K,24 ft TCJTAL---------: 1577 sf SMOKE UETECTURG. :Y
FLOOR LOAD. . . . i,40 ps f VALUE. . . . . l: 799W2 PARKING SPAC ES. . : 1.
Remarke: PATH I
----_----_.__...__ _.___._ -.-----. _.________.__-- PLUMBING
tINKra. . . . . . . . . . . t FLOOR DRAINS. . . . :0 BACKF LUW PREVNTRS. . :0
LAVATORIES. . . . . 14 WATER HEATERS. . . sl TRAPS. . . . . . . . . . . . . . .0
"UD/SHOOWLAS. . . . - LNUNDRY TRAYS. . . :0 C.'ATC14 BASING. . . . . . . :0
WATER CL.OSETS. . t3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . 11 WATER LINE (ft) . L100 OTHER FIXTURES. . . . . :0
UARSPAE DISP. . . s l RAIN DRAIN (rt) . :O
WA-44ING MACH. . . : 1 EF RAIN DRAINS— : 1
MECHANICAL - _---.. __ _ ____..._..._.__---____._.__..__.____ FL=Ea
f UEL TYPrs _-_ __ _..._.___ .. UNIT HTRS. . .0 t yp1t. amount by date r•eLpt
I., / / VENTS . . . . . :0 TIF- i 1460. 00 JH 05;Eb/93 .
MA1 1 1,iPL1T:0 bTU VENT F'ANS. . t 4 PPRT f 37.:3. 00 JH 05/28/9.3 .
r'URN ( LOOK . . -. 1 HOODS. . . . . . it 8PLC f 40. 00 JH 05/28/93 .
F'URN )-1(490K . . :0 WOODSTOVE3. :0 B5PG $ 18. 65 JH 05/213/93 .
FLOOR fiURN. . . . :0 f_:L_13 DRYERS. : .1 BPLC 15. 00 JH 05/28/93 .
'�GIL/CMr= i '11ut0 OTHER UN17S. 1 SSDC $ t-180. 010 .11-1 05/28119zs
UPS OUTLET3: 1 PARK S 500. 00 JH 05/28/93
.____._--MPRT $ 43. bD JH 05/28/93
1r•OL1<R D CONST RUC'T I Ofd MPLC 6 10. 1313 1H 05/28/93
P O BOX 1577 M5PC $ 2. 18 JH 05/28/93
PPRT f 140. 00 JH 05/28/93
BEAVERTON OR 97075 P5P(_1 $ T. Oa Jai 05/28/9:3
Phone #: 641-0935
Contractor t ---- -_._.._._.______.�_.___---•--_-_-._.____.. ._.
UUN It CONSTRUCTION
PU BOX 157-7
C3LAVERTOh: OR 1907t,
Phone #. 641 -0935
[ley #. . s 71OZit" ____---__-----...__--.-------_-_-_--__-__-..
• c'f3121. 2 TOTAL_
71"1- Welt is issued subject to the regulations contained in the - ----- RELIC!I RED INSPECTIONS --- -
c Numripal Code, State of Ore. Specialty Codes and all other Foot/found Insp F-ireplaca Insp
gF,icable laws. All Mork Mill be done in arce-dance Pith approved Post/Bea• Str-uct bas Line Insp
plans. This permit will expire if Merv, is not s^,= ted within 188 Post/Beam Mechan Insulation Insp
'ave of issuance, or if nor+ is wpendrd for oe;;r an lee days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain lnsp
#.I mitten S1 r< MerhAnical Insp Water Line Insp
�
� ) F1+.►mb Top Out Appr/gdwlk Insp
s sued Ry: �_'5f5 `-' _ Frami .-)g Insp Mechonicai Final
i" f;►r in ipect ion - 639-4175
SEWER C"ONNECTION
PL HM I T
lTY OF TlCARD PERMI-� #. . . . . . .
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard.Oregon 97223*0199 (603)639-4171 DATE ISSUED:
1x ATTE: PODREGS. . . . 12121 SW ANTON DR PARCEL 1S13400-1381
SUBDIVISION— — : ANTON PARK 11 ZONINGS R-7 PI)
BLOCK. . . . . . . . . . i LUT. . . . . . . . . . . . . 3065
Tf.-.NANT DAME:. . . . . :
USA NCI. . . . . . . . . . & FIXTURE UNITS, t
Ck_A53 OF WORK. NEW DWELL INET UN 1 T8. . ; I
T,,,'P E OF USE. . . . . sSF NO. OF DU I LD I NGS. I
INGI-ALL TYPE. . . . :13IJ:3WR IMPERV SURFACE. . : -
;,:emar-ks: PPT14 I
Uwnet,--. FEEFi
111C.)UP 1) CONSTRUCTION type ALIKOUnt by date i,PL: I
P U BOX 1577 PRMT $ 2100. 00 JH 05/28/13
I NSP S 35. 00 JH 05/28/93
SEAVEi,J014 OR 17075
Plimie #: 641-4935
(:ONTRACTUR NOT ON F'1l_[:
S E135. 00 TUTAL
RE12UIRED INSPECTIONS
; ,a AWIlLant alt ett to cosply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The pervit expires 188 days free
the dAe issued. The total asmint paid will be forfeited if the
pet-sit expires. The Agency does not juarantro the accoraty of the
side sewlaterals. if the trutr is not located at the vesso-esent
4n, the installer shall prospect 3 feet in all directions free
%tance given. If not to located, the installer shat I purchase
i "Tap and Side Sewer' Pei-sit and the "il
Permittee Li a r)FA t;ul-e
s s sue d By
Call for inspectit) 639 -4175
OF
r1312S Sw 1i,a i1Md. PLNCK/RECT I !_21CIlY I�IVARD PCRMIT I -02 i U
COMMUNITY DEVELOPMENT DEPARTMENT ����" �
(sos)w9+171�n DATE ISSUED
JOBADDRESS: �� _S>- -_ 1u !`�__-� �- TAX MAP/LOT /S/ 3
SUB: ftt,\�JPpj�_-T-Z- LOT: --_- LAND USE: ---- -
VALUATION:
OW�EP SPEC IAI`NOTES
NAME: REISSUE OF: ---
ADDRESS: P. O . R�X LAST REISSUE•
�IpjyE�TZ,ti O� -� y-I�; FLOOD PLAIN/
PHONE: _ (C SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
ADDRESS: -_____----_-_--- __. ENGINEERING: --_-_- _
FIRE DEPT:
PHONE: ��THER: �%F ----
CONTR. BOARD #: EXP DATE: g_
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: .2 '�i—S�LgcA81LIST/SUBCONTRACTORS:
MECII: Stpct AL / e4
BU,
TAX:
ARCHLENGINEER CALCOLATIONS:
NAME: MPsumtx>_ - TRUSS DETAILS:
ADDRESS: lS i5 S _2-3 - _ OTHER:
<�t� rL�ar.�� bR.
-2- C)
PHONE:
PROPOSED BLDG. (ISE: Jai/U (,L.E oto M i �E S I DEtiI Com_ _ _
COMMENTS:F= uss�A E
APPLICANT NATURE_
Received By: _,��� -- Uake Received: .
i
PERMIT # ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
sd3 .VZAI'" I0-432 00 Guilding Permit Fees J/3
10-431 00 Flumbing Permit Fees
?0-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x) 2 3 __ 43
Building
Plumbing �D •'`�-
Mechanical ;2
10-433 00 Plans Check Fee
Building U 1,
Plumbing
Mechanical �t1•,S'(�
10-230 06 Fire
,5t.Pgj: Z 30-202 00 Sewer Connection
30-444 00 Sewer Inspection _ -3 � _ .3
25•-448-02 Commercial TIF Cees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Bev Charge (PDC)
31-450 00 Storm Drainage Syst Bev Chrg
(SSDC)
2.4-445--0' Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 21`
87P.Will-
CITY OF' TIGARD RECFIPT OF PAYMENT RECEIPT NO. s93—j,'40674
CHECK AMOUNT 1 4985. 21
NPIME FOUR D. CONSTRUCTION CASH AMOUNT a 0. 00
ADDRESS t PAYMENT DATE c 05/28/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
SUILDINGa--GERM 373. 00 PLUMBING PERM 140. 00
MECHANICAL PF 43. 50 ST. BUILD PER 27. 83
PUAN CHECK FE 25. 88 SEWER USA 2100. 00
SEWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES J350. 00
MASS TRANSIT TIF FEES 110. 00 PARKS RDC 500. 00
STORM DRAIN SnC 280. 00
lal2l SW ANTON DRIVE
TOTAL AMOUNT PAID — — — -0 4985. P1
CITY OF TIGARD RECEIPT OF POYMEN'T RECEIPT Nn. 03-238574
CHEC11, AMOUNT s 2916. 00
NOME s FOUR D CONSTRlJC7I0N CASIA 7110UNT s 0. 00
ADDRF88 s PO FOX 1577 PAYMENT DATE" d el 4 0 93
BF.AVERTON, OR 9)UBD I V I G 1061
97075—
PURPOSE OF PAYMENT AMOUNT Po I D PURPOSE OF PAYMENT AMOUNT PAID
FAL AN (,HE`Ck_FF-_ 4—OR 40. 00 PLAW CHECK FF 4--9R 250. ft'4
II
li:,lel SW ANTON ORIVE
RE—ISSUE OF LOT I l?, ANTON PARK 11 It. 1411,64 134TH
TOTAL_ AMOUNT PAID 290. 00
PLUMPRMI
CITY OF T I GA RD PEMM IBINU I #. . .L. . . T. i MST93-0200
COMMUNITY DEVELOPMENT DEPAnTMENT DArE ISSUED: 05/28/93
13125 8W Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
:ITE . . - ,ir, ,4 — PARCLL: 1G1:34CB138W
:JSDIVISION. . . . : ANION PARK II ZONING: R-7 PD
ii...nLK. . . . . . . . . . . L.13 T. . . . . . . . . . . . . .065
L,-Q65 OF' WORPi. W-W GARBAGE DISPOSALS. . : l
VYPL OF USE. ,. . . &SF WASHING MACH. . . . . . . z SACKFLOW PREVNTRE. . 90
OCCUPANCY GRP. . %R3 FLUOR DROING. . . . . . . t 1h I RAPES. . . . . . . . . . .. . . . :13
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : I CATCH BASINS. . . . . . . 20
FI X 1'UF*-S--- LAU14DRY TRAYS. . . . . . :0 5F RAIN DRAINS. . . . . : l
ti INKS. . . . . . . . . i- I GREASE
4VAIGNIES. . . . . .4 OTHER FIXFURES. . . . . .0
1UB/5H0WER,3j 6 , d , I SEWER LINE (ft) . . . . z@
WATER GLObETS. . :3 WATUR LINE'
D I SHWASHE HS. . . . : I RAIN DRAIN ( tt ) . . . . to
! emarks :
OWNLR:
-3UR D LUN:TRULTIUN i il; a 14; .. 00 JH 05/29/'93
P Cl U15X 1577 BPRT $ 373. 00 JH 65/28/93
BPLC f 40. 00 JH 051[28/93
1ACAVER11,014 OR 97075 D5rC $ Ia.G5) J114 05/ 8/93
ione #j 64f -0935 BPLC $ 15. 00 JH 03/28/93
S1'--.Dr; $ .aO. 00 JH 0 5/L'8/9 a
humbar,6 PAPA( 0 500. 00 jH 05/28/93
MPAr $ 4:3. `,0 JH 65/28/93
044 I%IPLC S 10. 88 JH 05/28/9.3
I d 1, q 2Sr- M5PL $ 2. 18 JH 05/21[3/93
" st'. OZ
lgb&).. PPRT $ 140.160 JH 051all/93
q 712Z --_Yh , - 4' Gyp P5pc s 7'. 00 1H 05/28/93
REQUIRED INrjP;L-;.LT ION,':,
This Ptrimt is isesved subject to tne reg
1 '
,lations contained in the Tigard Municipal Foot/found Insp Rain drain lnss
State of (it Specialty Codes avid ;'il Post/BeAm Struct, Water Lint Inst
other applicable laws. All work will be done Post/Seam Meehan Appr-,/Sdwlk Insp
i •o accordarice with appi-oved plans. This Plm/undslab Insp Mechanical Final
rnit -ill expire if work is not started PLM/Underfloor Plumb Final
— thin 11310 days of assuanLe, or if woi is Mcchanjt:al Insp Builuing Final
--i-.4sperlded for Rave "han 180 days. Pluab Top Out Erosion Canty :
Framiny Insp Lrawl Drain
Fireplace Insp
Gas Line lv�p
'nstilation Insp
p Boare Insp
CrIJ 1. jj LJ411; 'SUA,Ut bignat+.it-e
Cyril for- inspection 639-4175
Ccntractor Notes -__