Case File ADDRESS :
19.0q Scj Ane,
i `.records\mic.roflm\'a gets\building.doc
CITY OF TIG;ARD BUILDING INSPECTION NOTICE
Insrection Line (Rec-(_;.i hone): 639-4175 Rusiness Phone: 639-4171
Inspw.Nirn C�/i c► ti
r
Noting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plhg. Underslab Mech, Rough-in Fireplace
PC-6118eam Struct. Pibg, Top Out Elec. Rough-in FINAL:
Post/3eam Mech. San. Sewer Gas Line
Pftg. Underfloor Rain Frain Framing -Plumt� )
Alarm Water Line Insulation J
Underflr. Insul• Shear W 11 Gyp 8cj.
-Elect.
Date Requested:_ _ Time:- AM PM
Address: , �-
Builder:___ Permit
THE FOLLOWING coRRECTION'S ARE REOUIRED:
inspoc!or:
_ Date:_
s�/APPROVED DISAPPROVED `APPROVI.D SUBJECT 10 ABOVE
Call For Reinsp.
ICFRTIFICATE OF
at rOF TIGARD PE:RMI T #. .. . .OCUAtdCYMG1 94--W7'1�+
COMMUNITY DEVELOPMENT DER`,*RT0AkNT DATE I.SUED s 08/23/95
13128 SW Nall HNd.'rIpard,Orogon 47223•S>iol. (503)639 4171
PARCEL2ki 1 1 OI3> 04;=.'.010
SITE 00DRESS. . . r 12 244 SW P1 CIES LN
SUBDIVISION. . . . ARLiNGT74 4IDGE ZUNING;R-• ., 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . 1019
IGLASS OF rr~lGFtK. aNSl,,1.__.__.__.___._________.__..__._.........____.__...___._.__.__._...____,_,..._._._..._.__._._....
TYPE' Jr USE. . . a 131'
OV.1 Y)ANCY ORP. s R",.,
OCCi I-M)NCY i..OADr:23VI 4
t-1 ' f4N f NAME.. . . t
I
F�'ICIRar-k*� � wATFI I
Owners
tl1"T CONSTRUCTION
P 0 BOX 1476 �
HIL.LSBORO VR 9 7 12`�
`1.iar►e #r 649-607(
C:ontrac:t or
OTT CONSTRUCTION
ra d BOX 1476
HILL.SWGRO OR 971-23
PhOT►e #1 7119-2560
Reg 5562-6
'hit Certificate c:e;^tifies that the above ref erenced building Or portion
'herr.of has been ins9eer_teed for campliainc:e with the Tigard Building C,)circ
Vor the Vroup and division of occ,upalncy and use for '`,0hi.ch the above
r•reforencoO permit was Jssuod, and ocClap«nr_y ihpraby g ^anted.
AL
�UILDIv�F�I C.Ti�f� RUIL_r1ING CUFF
POST IN CONSPICUOUS PLACE
I
CITY OF TIGARD BUILDING INSPECT-r',N NOTICE
Inspoctio�, Line (Rec-O Phon ,} 639-4175 Business Phone: 639-4171
Poatin9 Susp. Ceiling Sprink. Rough-in i Appr/Sdwlk 4'14-
Foundatiun Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbq. Top Out Elec. Rough-in F"JAL:
Post/Beam Mech. San. Sewer Gas Line Id
Plbg. Underfloor Rain Drain Framing rr -Plumb. 5117
J l �
Alarm Water Line Insuwa ion `7 jL� Cft9ch.
Underfli. Insul. Shear Wall Gyp, Bd. Electh
Date Requested:_ � / ��'j }� Time: AM _PM
Builder: �•
_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQ(WIED.
u
Inspector:
Date:
APPROVED 1--DISAPPROVED _APPROVED SUBJECT TO ABOVE
l�Ca11 For Reinsp.
t
G 7
o
V
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspe--tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rcugh-in App-/Sdwlk
Foundation Plbg, Underslah Mech. ROugh-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, lin. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alar. Water Line Insula!ion Meeh.
Underflr. Insul. Shear Wall Gyp, Bd Elect
Date Requested: Time: AM _PM
Add,ess:Y--L�3
Builder:
Permit p 0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In actor: Date:��J���
PSiOVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: (,39-4171
Inspeclion:
Footing Susp. Ceiling Sprink. Rough-in Appr/.Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Baam Struct. Plbn. Top Out Elea Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing (,_PIumj
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: c Time: _AM PM
Address: L.
Builder:_ Permit #: 63
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I ector:,�/ � Date:
APPROVED ,DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGAIRD BUILDING INSPECTION NOTICE
Inspection Line (R O-Phone): 539-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Firep:ace
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 -Meeh.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:- �l �S Tine AM PM
Address:
Builder. Permit p: �
THE FOLLOWING CORRECTIONS ARE REOUIRF^
I •-
I --
I
I
i
Inspector -- Date:
I APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
�tx CITY OF 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 Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rougii-in FINAL
Pott/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framingib� :
Alarm Water Line Insulation Mech. J
Underflr. Ins6. Shear Wail Gyp. Bd -Elect.
Dat9 Requested: ' Time: AM l ___PM
Address:
Builder:_-- — — Permit #:_1 '_7
THE 1-01-LOWING CORRECTIONS ARE REQUIRED:
inspector___ Date: `
_APPROVED _6_%�DISAPP,ROVED _APPROVED SUBJECT TO ABOVE
i /'mall For Heinsp.
♦ CITY OF TIGARD L
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)639-4171 PLUMBING PERMIT
PE'RM1- #. . . . . . . . rILM95-•0145
639-4171 DATE ISSUED: 06/22/95
PARCEL: 2G 1 1121BB--04200
I f Fii.,1JRESS. . . : 12244 SW AMPS LN
SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R-3. 5
FLOCK. . . . . . . . , . . LOT. . . . . . . . . . . . . :019
7LAST3 OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE ( TOME S17'!-4CES. z
TYP'F_ OF USE. , . . :SF WASHING MACH. . . . . . . : Bt1CKFLOW P'REVNTRS. . : 1
(]C�."UPANCY GRP. . :R25 FLOOR DRAINS. . . . . . . . TRAP'S. . . . . . . . . . . . . . .
=F I E5. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . . SF RAIN DRAINS. . . . . .
I...I . . . . . . . . . : URINALS. . . . . . . . . . . . . GRF"ASE TRAPS. . . . . . . .
,_AVATORIES. . . . . : OTIAEI. FIXTURLS. . . . . :
TUS/SHOWERG. . . . : SEWER LINE: (ft) . . . . :
WA"ER CLOSETS. . : WATER L.I NE (ft ) . . . . :
DT'' HVJASHERS. . . . : RAIN DRAIN (ft) . . . . :
P a ivar k s : INSTALL RESIDENTIAL BACKFLOW DEVICE
Owner: -____.__.___.__.____._---_._____._._.___.___._._._______.______ FEES ___--
RESIDENT type amount by date recpt
.12244 SW AME S LANE PRMT R 15. 00 SW 06/22/95 —
SPCT $ 0. 75 SW 06/22/93 —
TIGARD OR 972:3
(''hone #s
L.,.antractor. ._..,------
J I M' S PLUMB I N(
F'1_' BOX 7160
OLOHA OR 97007
r-'hone #: 649-403/4 4 $ 1!3. 75 TOTAL.
Reg #. . : 7186LA
-- -- REQUIRED INSPECTIONS
-
This permit i= issued subject to the regulations contained in the RP/Backflow Prey
'iyard Municipal Code, State of Ore. Specialty Cedes and all other Final Inspection —
appl:cable !aws. All work will be done it accordance with
appresed plans. This permit will expire if work is !ot started
within 198 days of issuance, or if work is suspended tar more
than 190 days. _ �____�•__ —__
ermittee Sigr,at[Ar-e : Lit
4
C aat..red By l: ._0
Call for inspection — 639--417',
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # .2Ud3,f-01 5
Tigard, OR 97223
(503) 639-4471
MINIMUM $25.00 PERMIT FEE ST. SURCHARGE
Now Single FamdN Residertcee Gni
.Job ��u S' C 1 BATH HOUSE$140.00 U 2 BATH HOUSE$195.00
( � I '�0 �tr,+� 0 3 BATH HOUSE$225.00
Addre33 -'m;o+. Fee includes all plumbing b tures in the dwelling and this dist 100 fart
of,water service, sanitary sewer and stone sewer. See fees below.
"r^•iw .,.w r.....i FIXTURES QTY PRICE~ AMT
Sink - 9.00
Lavatory 9.00
CwnerTub or Tubl3hower Comb. 900
b Shower Only 9.00 �-
Water Closet 9.011
*^• ^r••w" °•� I Dishwasher 9.00
Garbage Disposal 9.00
Occupant ,. , .o. Washitg Machina 9.00
Floor Drain --- 9.00 -
°As� Water Heater 9.00
Laundry Room Tray 9.00
�• Unnal 9.00
(vim' 0. (, Other Fixtures (Specify) 9.00
'"'N Ad~ Q 'w., 9.00
Contractor
P 0 Y 9.00
a ostmb 9.00
PIL410- (L FSewer Ist 100' 30.00
'"' � n"6. '.n` Sewer-ea. Addit 100' 25.00
t lSr 1,i7 0-C-$ -sq-mPB (- Water Ser." 1st 100' 30.00
1 hereby ack;iowledge that I have read this application• that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of --- -the owner, that plans submitted arty in compliance, with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am iiegistered with the Construction Contractor's Board• that the Storm &Rain Drain Aedit 100' 25.00
number given is correct (If exempt from State regbtration, please _
give reason below.) Mobile Horne Space 25.00
Back Flow F revention
22 Device or Anti-Pollution Device _ 9.00 _
�•^•• °••�^ .«^+� °w• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 add en alfe,ration Q repair (' Catch Basin 9.00
to be done residential 0 non-residentlal O Insp. of Exist. f;lumbtng 40.00thr
Specially Requested Inspections 40 00/hr
Existing use of --
building or property ---
Rain Drain• single family dwening 30.00
_
Residential 7arklow prevention
devices 15.00
Proposed use of _
building ur property
'(Except rosidentfol backflow
psrovsntonon davfcea)
NOTICE 'Minimum Fee 525.00 SUBTOTAL
PERMITS BECOME VOID IF WOPK OR CONSTRUC)10h'
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE � 75
CONSTRUCTION OR WORK IS SUSPENDED OR ARANDONED ---FOR A PERIOD OF 1130 DAYS AT ANY TIME AF -ER WORK IS
COMMENCED, PLAN PF-'AEW 25% OF SUBTOTAL
TC rAL
Special Conditions
- --
_� �_ pate issued ___by
CITY OF` T I GARD — RECEIPT OF' PAYMENT RFCE T PT Nn. 195-267139
t l IFi:",►4 01401JPJT a I`:,. 7'3
MIME, a J I M I S PI.-IJMF.%T N13 GAGN AMOUNT a 0. 00 �
ADDRESS e P 0 BOX 7160.E PAYMENT DATE a 06/.=2/9) �
Al_011A, OR 9UBD I V 1:8 I Ohl a
97007--
PURPOSE OF PAYMENT AMOUNT PA I D PI.IRPOGF OF PAYMENT AMMINT FSA T D
PL_UMBTNC� PF RM PL.M9 y._till�e!5 !�. 02� 8T. @LIILD PE'R 0. 75
12244 3W AMEG LANE
TOTAL. AMOUNT PA T T) -- — — —> 15. 705
CITY OF TIGAF-, BUILDING !NSPECTION NOTICE
"On ,.H tRe(. ,,-i'rone): 6J9 4175 Business Phone: 639-4171 T
lnsrectio.
Susp. Ceiling Sprink. Rough-in A r/Sdwlk
_jnd,. ion Plbg. Underslab Pp
Mech. Rough-in Fireplace
Post/Bearr Sir ict. Plbg. Top Out
Elec. Rough-in FINAL
Post/Ber-m Mech. San. Sewer
Gas Line -Bldg.
Plbq. Underfloor Rain Drain
Framing
Al,- ,n Water Line
Insulation -Mach.
Underflr. Insul, Shear Wall
Gyp. Bd. -Elect.
Date Requested: Zv
Time: AM PM
Address:��-�!L f
Builder:
Permit#:—�
THE FOLLC WING CORRECTIONS ARE REQUIRED:
17
----------------
-------------
---------- --------
Inspector:
nate:
__APPROVED ,'�tISAPPROVED —
APPROVED SUBJEC i i U ha .,•E
,Call For Reinsp.
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O•Phone): 639-4175 Business Pl,one: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough in �Ae pr/ kJ
Founaation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plby. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech
Underflr. Insul, Shear Wall Gyp. Ed. -Elect.
Date fiequested_�
—u l`y / I� Time: AM PM
Addrec,:
Builder:_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: 7
All � s — -
s - 1,112-
Inspector:
APPROVED _DISAPPROVED 4PROVED SUBJECT TO AB E
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE '
Inspection Line (Rec-O-Phone): 639-4175 Busines Phone: 639-4171
Inspection: Ir L ei
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Seam Struct. Plbg. Top Out Elec, Ruugh-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. S sear Wall Gyp. Bd. -Elect.
!'
Date Requested; Ti4s, ASM PM
Address:_ �2
Builder: Permit rY: `7 L'� �`f e�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect o�� _ Date.2/_27 7
,<- APPROVED _APPROVED SUBJECT TO ABOVE
Call For fleinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE t '
Inspection Line (Rec-O-Phone): 639-4175 BusinesE- Phone: 639-4171
Inspection
Food% 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 -Mach.
Underilr. Insul Shear Wall CQLr -Elect.
Date Requested:_—� Time: AM PM
Address: / � ——_
Builder: 4' c/�, — (c Permit #:
THE FO'_ OWING CORRECTIONS ARE REQUIRED:
v
Inspector: _ _ Date: /57��P5oe '
_APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phw-e): 539-4175 Business Phone: F'-;,-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Ream Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer `asLine_ Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp, Bd. -Elect.
Date Requested:_ ��� e- - Time:-AM pM
--
Address: l<X-
Buildar: / `?
Permit >Y: I�f-o-3g�
THE F6LLOWING CORRECTIONS ARE RFOUIRED:
Inspector:_ _ Dater
_APPROVED
_DISAPPROVED (/APP
PROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec-J-Phone). F39-4175 Business Phone: 639-4174'
Inspection: �
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Tut Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underflcor Rain Drain Framing -Plumb.
Alarm Water Line C`nsul(�_ ' -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ( 1 (1,� ;a Time: —AM _ PM
Address: nn � zg-- C,
Builder: s�J c (4, rJ Porn,4 #:
THE FOLLOWING CORHECTIONS ARE REQUIRED:
Inspector: f�k: Date:<LAPP
ROVED __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.__
Fouiing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderslabMech. Rog mh > Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain --ramin A-Q_ -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 1 I (�s Time: AM PM
Address:f�-
Builder: Lff 9—�S-C rj _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: 2
_APPROVED __DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 B,_Asiness Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab <6 t ough-irvk Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in \ FINAL:
Post'Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainramir� -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Will Gyp. Bd. -Elect.
Date Requested:_ / I f S Time: AM __PM
Address:f�c--a Y L/ C� -mt'—
Builder:20 / —5�}S(12G) Permit N: 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�� cizrti. S i�-✓ ��ic.— .44�=
C'�3' Y�-.�L.��f� "/-'/��5+'. /•7.��.7�,v /J I/<)uLTa�.7 l'c�'1 i S.
� Ae�/11
Inspector:-1;1T�J" _ Date_ i2' 3/
_APPROVED —f3tSAPPROVED 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 Pibq. Underslab Mach. Rough-in (—Firep al c_a�
Posl/Beam Slruct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Lina Insulation Mach.
Underfir. Insul. Shear W 11 Vyi; Bd. -Elect.
C.
Date Regljasted:_ I ' r Time: AM PM
Address: y� _,
Builder: (o — c) Permit q:
THE FOLLOWING CORRECTIONS ARE REQUIRED: �y"O 3 c?y
JCY
Ak
Inspector:
_APPROVED DISAPPROVED -APPROVED SUBJECT TO ABOVE
Call Fo, Reirsp.
�- CRY OF TIGAR0 BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 4usiness Phone: 639.4171
Inspection:
Foo!'Ing Susp. :oiling Sprink. Rough-in Appr/Sdwlk
Foundation Flbg. Undereleb Mech. Rough-in Fireplace
Post/Beam Slruct. Plbg. TT—Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underiloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Undertlr. Insul, Shear Wall / Gyp. Bd. -Elect
Date Requested: Time: AM PSN
Address:l,._-4 -9 L Ll JL1
Builder. L- q —4v I/q Permit q: ��� — D 3�J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In wor. Date: �J
t1PPROVEO DISAPPROVED :APPROVED SUBJECT TO ABOVE
Gall For Reinsp.
j�BPECTION IV7TICE I ��`
C.1-t7 of Tigard Build'.iog Depart,,,t 1\
13125 aw stall Bled. Tigard, Or"m 97223
Inspection Line (Roc-4)-phone): 639-4175 Business Phones 639-4
Inspection:—
Footing Plbg. Underslab Hech. Rough-in A r �
PPsda'-
/
Pound. Plbg. Top Out Oas Line
PINA1.
Post/RG^m Struct. San. Sewer i*raming -B'.dg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested:
____LL_
1 3 1 -1 c _Tlmr.= PH
Address s
Pv rmit 1. C, - C-3 r,14
Builders
TBE POLLONINO CORRECTIONS ARE RE(MIRED: _—
Inspector: 71-
�- Dato:_
APPROVL+D _ DISAPPROVRD V APPROVED S[YRTR(-r TO 11BOVt
— Call for Reinap.
MrMc- o�NOTICE
:itt of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-t)-Phone): 639-4175 Business Phones 639-417
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
.5�/Beas 8tru San. Sewer Framing -Bldg.
st/Beam Koc� Rain Drain Insulation -Ply.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested: cf Times - pK
Address: l• C
Permit 0:
Builders
THE FULLOMING CORRECTIONS ARE REQUIRED:
S a-Its��i�"rz.
- ��l� /t J l GN 17:7
-L
Inspector:_
- --- Date:
APPROVED
---_-- DISAPPROVED APPR(MD sulLIECT To ABOVE
Call For Reinep.
City or Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Lire (Rec-o-Phone)t 639-4175 Business Phone: 639.4171
Inspections
Pouting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plug. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Undorrloojd Water Line Gyp. Bd. -Mach.
Date Requested:_-_ Z Z Time= _AH _ _ PM
Adc -0882 Z l Pa-mit L -' 1 7, —
Builder:— - c;2s
TBE FOLLOWING ODRRECTIONS ARE REQDIRF.L:
v
Inspectof: � y�
� --�-- —� _ Dater
APPROVEn -'- DI^,APPROVED APPROVED SDBJE TO ABOVE
Call For Reinsp.
IN5PECTI0(1 NOTIC$
City of Tigard Building Depat.I-ment
13125 aw Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec--o-Phone)` 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina
FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
�ibg.^Underlloo !tater Line Gyp.
� Gyp. Bd. --Hoch.
`Date Requestod:_ // / / Ticoe: -AM _^PM
Addreast 7-. l qq y``72—���,7 Permit #:--24/
Builder: / Ct� �`-...1. ,:6- lel
THE FOLLOWING coRREL-TIONS ARE REQUIRRDt
Inspector: -
- Dat9:L� �1 �
__APPROVED DISAPPROVED APPROVED SUB.TRrIT TO AROVE
Call For Roinao.
('-7 �
1f SPECT ON NOTICE
Cit? of Tigard Bulldioq Departnuat
"125 aw gal) R1---+. Tigard, Oregon 97223
Inspection Line iRec-O-Phone) ,, 4175 Business Phone: 639-
4171
Inspection:
Footing Plbg. Underslah Mach. Rough-4n Appr/Sdwlk --
Found. Plbg. Top Out Gas Lina
FINAL:
Post/Seam Struct. Framing -Bldg.
Post/Ream Mec::. in D Insulation
_ -Plumb.
Plbg. Underfloor sr Lin Gyp. Bd.
-Mach, i
Da`:e Requeated: I�': 3o // ,
--Time: — AN PM
Addreeaa� 77 L/ C
/ 1_s_— Permit 1:1 1 _ i' -J /�F
SO lder:—&�9—SO 7
TdE IOLLOW'NG CORRECTIONS ARE REQUIRED: ^-- — —�—
i
Inspector;
Date
APPROVED DISAPPROVRD APPROVED SUB•)E
TO ABOVC
cal) For Rainnp_
i
i
Ns o nags
C1t7 of Tigard Building Departosnt -/
13125 BW Ball 91vd. Tigard, Oreg,an 977.23
1-..i
on Line (Rec-O-Phone), 639-4175 Business Phones 639-4171
Inspect
ootin �
Islbg. Underelab Meeh. Rough-in Appr/Sdwlk
�toun
Plbg. Top out Gas Line
FINAL:
Post/Beam struct. San. Sewer
Framing -Bldg.
Post/Peaty Noah. Rain Drain
Insulation -Plumb.
Plbg• Underfloor Mater Lime vp
// //
( ( /� C . Bd. -Hoch. i�
Date Requested,_ 7
- —TLge: AN PM
Addrose: (� G� -'
--F- ._ Permit f: /_ -c:.3q,4,(
Builder:
THR FOLLOWING OORRECTIONS ARE REQUIR&D:
2-vim % I-
----�-�.�.��'"°'
11
-- Y'-�` �� _ C L,•- `'� o _1� Lam_ � pJ__s ____
--- U
74 72-
Inspector:.` —
nater .-C�
`APPROVED bISAPPROVED
-it �
AppRpyED Sr1 4j
BJIRCT TO ABOVE Q
1/ �� Ca - For Reinsp.
I '
' CITY OF T PLUMPING PERMIT
PERMIT #. . . . . . . : MST94-0334
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 10/2',/94
13125 8W HMI Blvd. Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: c:S 1 1 OBB-AR019
SITE ADDRESS. . . : 12244 SW AME.S LN
SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R--3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .019
CL14SS OF' WORK. . :NEW GARBAGE D I SPOGALS. . : 1
FYI-1E OF LIGE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
JCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 T PAPS. . . . . . . . . . . .. . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . .11 CATCH BASINS. . . . . . . :0
FIXTURES--------.------ I-AUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS* , " , * * * * * , : t GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . .5 OTHER FIXTURE'-_3. . . . . :0
TULA/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WPIER CLOSETS. . .-3 WATER LINE (ft ) . . . . : 100
1) 1EiHWASIAERS. . . . : I RAIN DRAIN (ft ) . . . . :0
` Remarks : PATH I
I
UWNk -
R a _______.__________.______.___._._..._ _..__...__._-------____-_..____F-EES____.____________
OTT CONSTRUCTION TIF $ 1550. 00 JF 1.0/25/94 -
P O BOX 1476 SPRT $ 645. 50 JF IlD/x'5/94 -
BPLC $ 419. 58 JF 10/13/94 94-257776
I i 1 LL.SBORO OR 9 7123 B5PC 32. 2S JF 10/25/94 -
t(hone #: 649-6076 SSDC $ 2:80. 00 JF 10/L5/94 -
PARK $ 500. 00 JF 10/25/94+ -
111,,mbing Contractors _____ _ _._.____.__._ MPRT $ 45. 00 JF 10/15/94 -
� MPLC $ 11. 25 JF 10/25/94 -
Ila.me c�jiL.t'—_ 'Y.l --.�v�/�� �A�+_ r_ _ M5PC $ 2. 25 JF 10/25/94 -
laddress: 38TH $ P-2..5. N0 JF
t.;i t Y s_ _-_�i111.9YX1�1L____ _�_ _...St at e :_QIZF'SPC $ 11- 25 JF IC'/"r_'5/94
-
I1Ps 97124 )'hone#:__6_4.$761L1tj___ EROS $ 64. 00 JF 10/2.5/94
IReq #: A19fa.---.Cpnt a o g jigc--#2 _181P$i_ _ Additional fees not shown here. . . . . . .. . .
REQUIRED INSPECTIONS
i'his permit is issued s:.lb.ject to the reg-
I-dations contained in the Figard Mi..Inicipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Peam 3truct Water Line Ir+sp
other applicable laws. All work will be done Post/Beam Mecrran Appr-/Sdwlk Insp
in accordance with approved plans. This Plm/Undslab Tnsp Mechanical. Final
hermit will expire if work is not started PLM/Underfloor Pli.imb Final
within 1.0 days of isstlance, or if work is Mechanical. Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control.
Framing Insp Wtr Proofing B5m
Fireplace Insp Crawl Drain
/ Gas Line Insp Ftg Drain Bsm" t
Insulation Insp _..... _. ____.
Gyp Board Insp
fa_ith .�r t , I Plumbing Contractor Signature
Call for inspection - 639--4175
Contractor, Notes :
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
11125 SW Hall Blvd.Tigard,Oregon 972P341V (503)039-4171 PERMIT 0. . . . . . . s MST94-0394
6,39-41.71 DATE ISSUED: 10/25/94
PARCEL: 2S1:OBB-ARO19
S11E ADDRESS. . . : 12244 SW AMES LN
SU13DIVISION. . . . s ARLINGTON RIDGE ZONINi: R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :019
BUILDING ---._----------_-----_--__.__-________-
REISSUEs DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 sf
CLASS OF WORK. %NEW BEDRMSs3 BATHSs3 GARAGE. . . . . . . . . . 167c: sf
TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-----------
TYPE OF CONST. s 5N FIRST-. . . . t1574 s f LEFT. . :27 ft RIGHT. s 25 ft
OCCUPANCY GRP. sR3 SECOND. . . : 1112 sf FRONT. :20 ft REAR. . iE4 ft
STORIES. . . . . . . 12 F I NBSMENT:O s f REQUIRED---------------
HEIGHT. . . . . . . . :30 ft TOTAL------s2686 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . e40 psf VALUE. . . . . fs 184610 PARKING SPACES. . : 1
Remarkss PATH I
---------------------------------- PLUMBING --------------------------------- --- - ---
SINKS. . . . . . . . . . il
--------.----------•------_SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . %0 BACKFLOW PREVNTRS. . il
LAVATLRIES. . . . . :5 WATER HEATFRS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . 13 LAUNDRY TRgYS. . . : 1 CATCH BASINS. . . . . . . 30
WATER CLOSETS. . s3 SEWER LIKE (ft) . :0 GREASE TRAPS. . . . . . . sO
)ISHWASHERS. . . . : 1 WATER LINk (ft ) . s 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . s0
WASHING MACH. . . : 1 SF RAIN DrAINS. . : 1
--------------- MECHANICAI_ ------------------------•----------- FEES
FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/CTAS/ / / VENTS . . . . . :0 TIF f 1550. 00 JF 10/x5/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 645. 50 JF 10/25/94 -
FURN ( LOOK . . :0 HCODS. . . . . . : 1 SPLC f 419. 58 JF 10/13/94 94-257776
FURN ) =LOOK . . s l WOODSTOVES. :O B5PC $ 32. 28 JF 10/25/94 --
FLOOR FURN. . . . e@ CLO 17RYERS. s 1 SSDG $ 280. 00 JF 10/25/94 -
BOIL/CMP ( 31APrO OTHFR UNITS: 1 PARK f 500. 00 JF 10/25/94 -
GAS OUTLETS: 1 MPRT f 45. 00 JF 10/25/94 -
Owners ----------------------------------------MPLG t 1. 25 JF 10/25/94 -
OTT CONSTRUCTION M5PC $ 2. 25 JF 10/25/94 -
P 0 BOX 1476 3BTH f 225.00 JF 10/25/94 -
(:15PC t 11. 25 JF 10/25/94 -
HILLSBORO OR 97123 EROS f 64. 00 JF 10/25/94 -
Phone #s 649-6076 ERPC: • 20. 80 JF 10/25/94 -
Contraictors -------------------------------ERPC $ 20. 80 JF 10/25/94 -
OTT CONSTRUCTION
P 0 BOX 1476
1-41LLSBCIRO OR 97123
Phone 11: 789-2560
Reg #. . . 55626 --------------------------------------
$ 3827. 71 TOTAL
This perct is issued subject to the regulations contained it the ------- REOUIRED INEPECTIONS - ---
Tigard Municipal Code, State of Lire. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gass Line Insp
pians. This persit will expire if work is not started within 189 Post/Beam Mechan Insulation ;nsp
days of issuance, or if work is sus 1lQf4ri re than 1 ays. Plm/undslab Insp Gyp Board Insp
M/Underfloor Rain drain Insp
Permittee Si gnat�_�re . Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued Bye Framing Insp Mechanical Final
CAT !
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 SW Hell Blvd.Tigard,Oregon 97223•P/99 (503)539-4171 PERMIT
PERMIT #. . . . . . . : SWR94-0343
639--4171 DATE ISSUED: 10/25/94
PARCEL: 25110BB—AR019
S I m ADDRESS- - 12244 SW AMES LN
SUBDIVI61ON. . . . : ARLINGTON RIDGE ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :019
-----------._---__._—.._----------------------------.--------------,—_-----------_--------
TENANT NAME. . . . . :
USri NO. . . . . . . . . . . F=IXTURE UNITS. . . .
CLAa9S OF WORK. . . :NEW DWELLING UNITS. . -1
TYPE OF USE. . . . . :SF NO. OF' BU I LD I NGS: 1
INfSTALL. *rYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Rerearks: PATH I
Owner: ----------------________________.____Y�._—____-----u— PEES P
OTT CONSTRUCTION type amount tidate rec t
P 0 BOX 1476 PRMT $ 2 '00. 00 JF 10/25/94 —
INSP $ 35. 00 JF 10/25/94 —
HIL_I_SBORO OR 97123
Phone #: 649-6076
Contractor: ---------•---------------.----_—
CONTRACTOR NOT ON FILE
--------------------------------------
Pli ro n e #: $ 2235. 00 TOTAL
------- REQUIRED INSPF_CTIONS -This Applicant agrees to comply with all the rules and i,egulations Sewer- Inspect i On
of thr Unified Sewage Apency. The permit expires 198 days from
the date issued. The total amount paid will he forfeited if the
perAit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. J 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 locateG, the installer shall purchase
a "Tap and Side Sewer" permit and th ill instal a lateral.
erinittee Si gnat _�r
] ,a sr-ted By
Call for inspection — 539-4175
7
CltY OF TIO14RD RECEIPI FIF FSA YMFNI PFUL 11:1 1 NO.
L;Hf--.CK AMOUN 1 71
NAMF. s OIJ GONURUC:TION C1491A i-'MULJN-ra 0. 00
PAYM141 1 DAI F s 10/25/94
SU14D I v I U I CIN
1,iml-10BE OF PAYMENT AMOUNT P141D pj.IRPjjEjE (it POY111--Al IoOyll il IN 1 PHI 1.)
Mb'194-0.394 64:,. '51A V-11-11MOIN14 [A-MM
tit tAoMICAL. I-IF 145. VIO C.-Il . BUILD 1'F• ti
l"I ON UHEUK FE M(A. #43 SEWER U-40
Wk=It INSPECT 3; . 00 P14RKS SDC:
, . iijHM DRAIN SDC c`fil& ow W,.slI)14-NIlAL_ 1141-IF-Vil; kao
i,ittio-; IBANS IT TIF I- VV.-S I i,'LA. IAIA F MIS I ON (:AIN I III)E. I-+-HPI I I t Vf b4 00
ov?UIN CONTROL PLAN UK #40 t-
HCOil(Jil 1,C)NI'ROL
1,,-'044 SW AMES LN
1-M1_INGTON RIDOEv LM V)
wifil. AMOUNT PAID > 5812. 71
TIC4110) FOJIFIPT OF I--,qNPU. NI W ' 'j.IP 1 NO.
HIVIC)l IN I e. 10. 00
07-10" 1AMS31HIJUJUIN CAW I 04140t IN 1 0. 00
I"P4YMI-N 1 10-11 F! a j
'IWOSE OV, 110141-:.NT AMOAN I P"11) PURPOSI- fJF PHYM-NI" 111,11111141 Pkill)
P.50.00
*:M 1�114F.'-J LN
IN(4'1('.'IN L I 19
AMU.-INI l- Alr)
------ ---------
,14
ro t, 110 Y
?4 �
: FAMILY
` "-_
left.
DINING ►o1.Y
pN
GARAGE
M"x w4 ..,.s
! DEN
LIYiNG
-----------------------------
- -- --------,---------7 , -
� � 1
1W.z lus,s
i
,
• 1
ritle Insurance Company of Oreg+�n
as nWM of TRLE INSURANCE COMPANY OF OREGON
%SHINGTON COUNTY OFFICES
' LN COLN TOWFR T.WASSOURNE
W.Town CrAw
JUDITH K. LYN14 baso S.W.Greenbur9 R(-.,Sums 170 251 Everton.OR 97005orive
Branch Mana er por"M,OR 97223
.Senior Escrow (5M)244.83M (503)6454M
First American Tick Insurance Company of Oregon FAX(503)2,04-83377 FAX(5M)6OW51
2515 N W.TOWN CENrFR opW • REAYFRTON.ORFCXM 9 KM
f5IXT18451L120 FAX5454MI
JERREE GAYNOR
CITY OF TIGARD
13125 SN HALL BLVD.
TIGARD, OR 97223
Re: Arlington Ridege Sudivision j Z yy .S, W
Escrow # 94060807
Dear Jerree:
This is to verify that Bull Mountain Land and Development Company has paid
the required $1,424.25 cost contribution for the extension of S.W. Garde
for Lots 3, 9, 12, 19, 21, A 25. Funds have been deposited into the above
referenced escrow with First American Title.
If you have any questions, please do not hesitate to contact the
undersigned.
Sincerely,
First American Title Insurance
Company of Oregon
Tanasbourne
6 My Lkyw►"W
I Escrow Officer
���,Aentia[�Buildim ermT.A"kation j
City of Tigard
13125 SW Hall Revd.
Tigard, OR f ::23
(503) 6319-4171
Jobsite Address: _�� Lj,
�� r]5� _
Subdivision: ,�� �� r/ � Lot#
PlancktRec # L)
Valuation:
Permit#
Corner Lot? Y N��
Flag Lot? Y rr Reiss,le of_ „!
Map & Ti_ # 5 /(Jfjr3 CJ
Owner: _ 7 T" j/a_s �2— - ApprovalsRectuired,
Address: _ ;�,�'�'� _ Planning _
Engineering
Phone: C) y O 7,C_ Other
Contractor: �_Lr`fin•f�r vC / i art _ Items Required
Address. Y- Subcontractors
Truss Details
Phone: Other
Contractor's License
(attach copy of cunent Oregon license)
Contact Narne & Phone: _ �4 u i c1 /_ , c
7$95-490
Subcontractors: Architect/Engineer: AIA 5 _
Plumbing: �6C (��ST _ Address: _I 5 15 ✓'. L✓, 2 3
Mechanical - U_/A�L _ _FQ_L-+/ssa�a'/ Ll f" /0
(attach copy of current OR 2ontractor's Licensc.�
Phone: l7-2S ' 71,41
JOB DESCRIPTION:
oplicant Signature & 0honenumber
Received by: _ Date Received:
h�WORWOMD FSAPP
Permit 0 Account Description Amount Amt PO. Bal. Due
M304-03M304-03cftj Bldg. Permd,
(BUILD) GyJ% I'L' ✓t ' •��
Plumb. Permit (PLUMB) L _ _ L r•`�
_ Mach. Permit (MECH) y _ 44)-
State Tax (TAX) 4 5,7r
Bldg: _32• ✓'
Plumb- It.L ►� '��
Mach:
Plan Check (PLANCK) ?3U.dr� �� ��v•y
Bldg: 44.Sr vL
Plumb:
Mach:
.S�-RSJ r 3 Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 3) _ 3
Parks Dev Charge (PKSOC) ju o
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) 1�3 0
d
Mass Transit TIF (TIF-MT) / �_ /Z0
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) IV
Erosion Planck/COT (EROSN) ?4 6N J-'°
TOTAL$: f �/Z .