Case File ADDRESS :
i.\rjcordslmicroflm\taraets\building.do,.
i
11"I"Y"
OF T 1 AMLO PERMIT #. . . .CERTIFIC01E OF
FA. a Y MST9:3
CCMMUNITY DEVELOPMENT DEPA,RTMEN., DATC I SSUE0: 05/31/9-4 �
13125 SW Hail Blvd.Tigard,Orogon 97223.8199 (503)839-4175
P(,)RCEL s 1513410B-,6300
SITE ADDRESS. . . 1 12435 bW ANTON DR
.zl_ISU I V I S I UN. . . . i ANTON PARK II 1 ON I NC s R- 7 PD
. . . . . . . . . . a LOT. . . . . . . . . . . . . 1090
CLASS OF WORK. :NEW
TYPE OF USE. . . !SF
OCCUPI, NCY rRP. a R3
OCCUPANCY LCIAD%225 4
T'E';NAN1" NAME'. . . a
(remarks a PATH I
Owners _..._ .__......_._.___._..._ ____.._._..._... _._ _..__._.._.._.. _._.._.
f'0UR D CONSTRUCTION
P 0 BOX 1577
BCAVERTON OR 97075
Phone #t 641--0935
FOUR D CONSTRUu'T'ION
PO BOX 1577
BEAVERTON OR 97075
Phone Mt 641--092:5
Peg k. . a 71.037
Occupanc,y of thw jt,tiv referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for the group,
0cc_1.+pAncv, and UwR :md .r which the refererced per-pit way; 191 Sued.
F t RE DEPARTMENT Sul 1grx ;kF %k_
TOR
... _D I N F1L
PW-3T IN r.UNSPICUOUS PLACE
I
INSpEcrupt—NOTIcE '-_ /
city of Tigard Building DeP ,'Cn'rut
13125 SB Ball BlwA. Tigard, Oregon 97223
Inspection Line (Ree--O-Phone: 639-4175 Business Phone: 639-441171
r.A l��
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. 'Pop Out Cas Line lINALt�
Post/Beam 5truct. San. Sewer Framing �Bldq.
1
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. ` �� -Mach. �
PN
Date Itequeeted: J-- /2 C r AM
/ `3sI�� Pe�i `
Aadreee: --
Builder: 5
THE FOLLOWING CORRECTIONS ARP, REQUIRM
Inspect or• _ Data:
APPROVED DISAPPROVED APPROVED SUBJECT TO Awr4it
Call For Reinsp.
INSPECTION NOTICE \�
City of Tigard Building Department
13125 Be Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41771
Inspections
r : ting Plbg. Urderslab Hoch. Rough-in Appr/8dwlk
Round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. �ewec Framing
Post/Boam Hoch. Pain D sin Insulation -Plumb.
Plbg. Underfloor water Line p Gyp. Rd. -Neth,
Date Reyvestmds_ �� 7/- / Time:J Q AM _ / ,PN
Address:
Builder: ►� 7 1� CL/y7 3// i 72u - 7 yy
9 L POLtOnNC CORRECTIONS ARE REQUIRED:
lie
-z
f
Itr XA., 'j �O XQ�J Q
ki
Y
LJ CL -I ✓� \ V e C1 ,
t - —KJ l
1��S.e_ .
inspector:- �/� Dates Y- 2 /
_APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
v4_ /-� Call For Reinap.
lNoreg-TION NOTICE
City of Tigard Building Depart-meat
13125 NA Ball Blvd. Tigard, Oregon 97223
Inspection bine (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inopectiont_ ����� L_
Footing Pltg. Unders:.ab Mech. Rough-in Appr/Sdwl
Lound.
Plbg. Top out Gas Line FINALt
Post/Beam Stn:ct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Gvp. Bd. -Meeh.
Datt, Rectueatods,
Timet ._AM PM
Address:_?� �y y Permit #I frLa-i
Builder:
TRZ FOLLOWING OORRECTIONS•ARE RFQUIRED- A
Inspectors Date: S'
APPROVED
DTSAPPROVED AppWWED StJB.lECr To ABOVR
___Call For Rainep.
INSPECTION NOTICE /
City or Tigard Building oepartarent
13125 Be Ball Blvd. Tigard, Oreson 97227
Inspection Line (Roc--O-Phone). 639-4175 Business Phone: 539-4171
Inspection:
Footing Plbg. Underelab �Mech. Rough-in Appy/&Wlk
Found. Plbg. Top Out Garr Line pINALt��
Pont/Beam Struct. San. Seger Framing
Post/Ream Mech. Rain Drain Insulation _Plump,
Plbg. Underfloor Mater Line Gyp. Bd. mph,
Date RoWestedi �- r" Time:
-- AM pM
2 q'
Addresis `"� �-✓` Permit '`
auila, s
TM /FOLLOWING COMMONS ARE REQUIRED:
06 LW o--r 9-• as r �..i�
d A
'
Inspector: (Y �^1.�—
Deter
"Pf 7M —1-'GISAPPROVED APPROVED SUBJECT TO ABOVE
�..� yCall For Reinsp.
�NSTECTION NOTICE t\ '
City of Tigard Building Uepartmant =
13125 BW Hall Blvd. Tigard, Oxegon 97223
Inspection Line (}ter.-d-Phone): 639-41.75 Buafneas Phoue: 639-4171
Inspection:
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdalk
Pound. Plbg. Top Out Gas I.]lie
Post/Beam Struct. Sart. Sewer Framing (--Bldg.
Post/Beam Mach. Rain Drain lnnulation _Ply,
Plbg. Underfloor Nater Line Gyp. Bd.
p' <-Mach. 1rV1 —
Date Requested:_ I �O - e- Tlmas J1lt __PM
Address e_ 1,,) 4,I-_ �/) ) - X-)
Permit #-t— 2f
/e�J - -) 7S
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
t
Inspector:__ _ Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Y� A /Call For Reinap.
INSYEt,`TION PoTics
City of Tigard Building Depsrtaent
1-312S 8R Ball Blvd. Tigard,igard Oregon 97223
Inupection Line (Roc--O-Phone): 639-4175 BuDinean Phone: 639-4171
Inspection:___
Footing Plbg. nnderelab Mmch. Rough-.in APPr/Sdwlk
Pound. Plbg. Tol h:t Cas Line CPIIIALt
Post/Beam Struct. San. Sewer Framing _Bldg,
Poet/7edm Mech. Bain Drain Insulation _Plu-b.
Plbg. Underfloor Nater Lina Gyp. Bd. _Mach.
Dates Requaatrldt1 Q_/� 9'(/ _TLmst Qg AM Q PN
Address:_ //� AOrf Permit
Bi,ildert _7 — 'XJ l ��517�• ���— � 7 �r
TFIT FOLLOWING CORRRCTION9 ARE REQUIPEU:
Inspector, Dat '-7
e
� '►PROVLD DISAPPROVRD APPROVED 8U8&IECT To ASOVS
_`Call For Reinsp.
j"SPECTIpN NOTICE Aja/
City of Tigard Bundling Departatent
13125 SW Hall Blvd. Tigard, Oragon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectiont_
FNxting Plbg. Underelab Hach. Rough--in Appr/Bdwlk
Po and. Plbq. Top Out Gas Line PIBALI
Pont/Ream Strutt. San. sewer Framing -8149.
PostfBaam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line dyp. Bd.
Date Reques))te[d:_ Ll _�._._Tia>•t G�� -�1N r/ PM_
Address /�1l , `�l Permit #t yL
HUilderI ` r-L Y �e �( - -)
THE FOLLOWING CORRECTIONS ARE UWIRED: to�D b q Do
Inspector:
APPROVED DISSPPROVED ` APPROVRD SUBJECT TO ABDVE
►� Call For Reinsp.
INSPECTION NOTIC19
City :st Tigan! Bulldlssg bapart..t
13125 tM hall Bled. Tigard, Oregon 97223
Inapection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Impaction: --
routing Plbg. Undarelab Hoch. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Benm Mach. Rain Drain Insulation -Plumb.
i4
I
Plbg. Underfloor Walter Line Q Oyp. ad. -Hoch.
Date requesteds (243c PH
v
Addrew-': ' �—" An Pet+lit to �oL
`\ e
Builderr
TAE FOLLOWING COPrtECTION8 ARE PJWXREDs
P611A .t .r, a f
i
v
Inspectaia� Data:
_APPROVED DISAPPROVED APPROVE[) SUBJECT 1'O ABOVA I
L^C�A ,—.Call For Reinep. f
INM-ECMLOA-AMI CE _- J
City or Tigard Building Depart-sent
13125 BW Bell Blvd. Tigard, Oregon 97223
InspsctionLine (Rec-O-Phone): 639-4175 Businesn Phone- 639-4171
Inspection•_ oa-A 1 4-1c, ---
Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out can Line FINAL:
Poet/Beam Struct. ian. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line 0 Rd.� -Hoch.
1l �
Date Requested: CI Tim, . � (� Am �.PM
Address: L� I �- �l Permit C#t, "1Z)- `"l,5
Builder:_ l.A \ ) GL4sr Co I ' O�j, ,�?
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
v >- U0,T
L� ��� � � t•-c.C.-_Y�..A�J 1
Inspectors ^---- Dates 01,
�! l
__APPROVED DISAPPROVED L1 APPROVED SUBJECT TO ABOVE
c Call For Reinsp.
h..r.r ar�I►ea<��rr r►.w
iNSPSC'i'ION R(?TICS
City of Tigard Duud"v Uwpartaaent
13125 ei Ball Blvd. Tigard, Oregon 972.23
Inspection Line (Aec-O-Phones 639-4175 Busineas Phone: 639-4171.
Inspection:
Footing Plbg. Underslab Much. Pough-In Appr/Sdwlk
Ta.,md. PMg. Top Out Oee Tine FINAL:
Poet/Begun Struct. San. sewer Framing -Bldg.
Post/Be&m Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Meeh.
Date Requestede,_y3 "- //�- / LV Timis AN J/__PN
Address: / ���.7 CFV/(i(A/l Cry o Permit i �,
Builder: _—
THS FOU4=00 OORRSCTIOK$ ARS RSQUIRSD:
a ►3 S
S
'h.pector:_ r ,VY/ILL s ates -
APPROVED DTSAPPROVED PROVED sUR.1f7T TO
Call For Reinsp.
d
I
XOT I G'E
I CAt7 Of Tigard DuildJAq Department
I-31_25 s1A Hall Dl-d- Tigard, 0ns90n 97223
Inspaction Line (ROC-0-Phone): 639-4175 Business Phone: 639-41.71
Inspection:
Foot{n9 Plbg. Underslab Nech. hA� 'ough-1n r Sdwlk
i
P-Und. Pibg. Top out gas Lint
FINAL:
Post/Beam St:ruct. San. Sewer
ML> ,x -Bldg.
Poet/Beam Mach. Rain Drain
Insulaticn -Plumb.
P1139. Underfloor Nater Line Gyp. Bd.
-Meeh.
Date Requested: Z� 141q
Time: AN PN 1
Address.i_1 L 4� �/AN f e
guilders
THl POLLOMINO CORRECTIONS ARP RRQUIRED: �IL
LY 77?
Inspector:
Date$ • 2
/APPROVED
DIf)11!}f10Vip %PPr11OVf)D g11DJDC! TO AMM
J� Call Pot flslDep.
-1 FIJI.LER r)ESIGN & ENGR. 503 243 5977 F'.
ULLIjLp--j'R 1 I CONFIRMATION
Design & .Engineering, Rx. t RECORD
JOB NO. � CLIENT 4 Z TELEPHONE CJ DIRECT
DATE
PROJECT _--
+"1 TIME —
LOCATIOq r--
IMTIATOR` RESPONDER
INDIVIDUAL INDIVIDUAL c
COMPANY COMPANY
_- ---
DESCRIPTION
I
or l
_AC TIN FOR WFO. FUA INfC
COPIES TO `--LOCATION Rea, omt y CPI Rea. ON1 v
t�
L
M1¢j`UM0 NOTICE
Citi of Tigard Buildisw^ Department
13125 aR Hall Blvd. Tigard, Oregon 97223
inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
��
Inspection: ve_- `_�_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Toff Out Gas Lina FINAL:
Pont/Ream Struct. Ban. sawarYraa1
� x -Bldg.
Post/Hoam Moch. Rain Drain Insulation ` tom ply.
Plbg. Underfloor Nater Line Opp. �. _Mach.
Date Requwsted: I ' Z l — 4 Timm
AM pX
Addra■s: 1 2- l e-! parsllt
Builder:
THE FOLLOWING CORRECTIONS ARE REQUT.RRn:
t1 �
Ieapactort Datet S-
_k::-*'APPft0 SD DIsAppwmw V APPROVED SUBJECT To ABOVE
Gil For Reinnp.
�YErrzon nczzc�
City of Tigard Building Dopartsfetft
17125 Bs! Hall Blvd. Tigard. Oregon 97223
Inspection Line (Roc-O-Phone)x 639-4177 Business Phons: 639-4171
Inspo(-tion:_,_
Footing Plbg. Onderslab Much. rAngh-Ln Appr/Sdwlk
Foand. Plbg. Top Out LLM FINAL:
Post/Beam Struct. Ban. Bower SlMLIS(�����`'/1�1ALXAy -Bldg.
fort/Beam Mach. Rain Drain IRBulitio�l�. -Plumb.
Plbg. Cnderfioor $later Line Gyp. 1d. -Koch.
Data Requestodf /_�7?,�' f - Time 1G1JM PM
Addrosstl l ��'` \ Permit. #: `q3 r S q(
Ruildert —
�C
TRE FOLLOWING CORRECTIONS AA8 Df 1
Ce a
✓\
:/1
AJ-
L-:t-✓� \,J
InspBctorf `/ Date:�? c
APPROVEDy DISAP�PROV<D __ APPAO"D SURJECT TO Ago"��`,A _V Call For Reinap.
IMPACT 01 NOTICE
city or Tigard Building Department
1312S SM Bali Blvd. Tigard, min 97223
Inepecti.on Line (Roc-o-Phone): E'9-4175 Business Phone: 639-4171
Inspection:_
Tooting P1L7. Underslab Hoch. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Can fine FINAL:
Post/Beam Struct. Ban. Sewer Fruing -Bldg.
Post./Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line J QOpp. Sd. -Mach.
Date Requested:_ f "" `� Time: _ AN PN
Address:_.i ��'( ��7 1""i•1�1 \�� _ Permit Or.
Buiider:_ __ l
THR FOLLOWING CORRECTIONS ARE REQUIRED:
f i
2
�-L _ �..�
(� Ua,,.•� �- ► V1, LJ o
ye-
Insportorr
V l
T*NO'V�D DISA OV
PPPOVRD __. APPROVRD SUB.TECT To ABE
/`,� V/CA11 Prir RnSt1ep-
INSPECTION NOTICE
city or. Tigard Building Department
13125 Bw Ball Blvd_ Tigard, Oregon 97223
Inslieation Line (Rec4Phons): .61.39-4175 Buei-nese Phone: 639-4171
Inspection:
�Mooting Plbg. Underslab ( Mach. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Lino FINAL:
Poit/Beam 3truct. San. Sewer Framing ` -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water Line Gyp. Bd. -Mech.
Date Requastads _-�) I f (/ ____TLms �Ap PH
Addrese e 1Pela'mi�t`#. 9Y��!
Builders
THE FOLLOWING CORREMONS ARE REQDIREDs
1 73 )G `i 4 QST, -- ISS v� 2
- w
Inspector:__ V .tiDate: ^1
__._.APPROVEn -_ DISAPPROVED _ % APPROVED 3l7RJECP TO ABOVK
c .� --_Call For Reinsp.
V L1
LNSPECTZON NOTICE
City of Tigard Building Departrent
13125 BW Ball Blvd- Tigard, Oregon 97223
Inspection Line (Ree--o-Phone)s 679-4175 Business Phone: 619-4171
I nepect ion:_—________ --
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out L • Li� FINAL:
Fost/Beam Strict. San. Sower -Bldg.
Port/Bram Hoch. Rain Drain In•ulatiot. -Plumb.
Plbg. underfloor Nater Lina Opp. b. -Mech.
Date Requested: iJ (L I Timt AM _�_PH
Address: t2 q 3S ` Permit to C�J 1
Builder: f tq-u-
k, WS
FOLLOWING CORRECTIONS ARE REQUIREDs
Inspector: __. Date---7-/0
APPROVED _—` DISAPPPROVED _— APPROVED SUBJECT Tn ;kwnrr
v Call For Reinap.
.LNSPECTION NOTICE
City of Tigard Built _ng ruppartment -`
13125 SN Nall Blvd. Tigard, Oregon 97223
Inspectlo:, Line (Rec-0-Phore): 639-4175 Busineas Phone: 639-4171
Aootinq Mg. Onderslab Hoch. Rough-in Appr/Sdwlk
Found. i plbq, Tpp OU Cas Lino PINAL:
Poet/Beam Struct. Ban. Baser Framing --Bldq.
Poet/Beam Hoch. Rain Ore Ln Insulation -Plumb.
Plbq. Underfloor Nator Li N Gyp. Bd. -Mach.
Date Requested$I /��_ 1� ! yI _- - - --Time: _ /� AM } _PN u
Address: l_Z�l / Y�CZtiY d�1 Permit !: '(1 c/ 7
Builder: �I<
TBE FOLLOWING CORRECTIONS ARE REQUT RED-
Inspect1}�or Date: I
APPFOVRD DISAPPROVED _ - APPROVED SUBJBCT TO ABOVE i
-- -Call For Roinep.
�fiPBCxIO� �Ig
Citi of Tigard Building Department
13125 BE Ball Bird. Tigard, Oregon 97223
inspection Lino (Roc-O-Phone)r 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/adwlk
Found. Plbg. Top out Gas Line FINALt
Poet/seas atrt:ct. �( San. Sewer Framing -Bldg.
�._._- /
Post/spam Mach. Rain Drain Insulation -Plumb.
Plbi. Underfloor Nater Line Gyp. Bd. -Hoch.
:ddresss. 1Z-43S-
ate Requestodt C �� Times AM PH
Builders '\� r
t
TRs FOLLOWING CORRlCTIONB ARB REQUZRtDs -�-
Inspector: Dates
/ C14
v APPROVBD DIAAPPROVRD APPROHSD AOBJRC7 '0 ABDNB
` Call For ReinsF.
City of Tigard Building Depnrtiwoot \ 11
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections--. _—
rooting Plbg. rnderslab Hoch. Rough-in Appr/Sdwlk !
round. Plbq. Top Out (Sas Lino FINAL:
Pow /Beam Struct San. Beyer Framing -Bldg.
Pow t Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Liao gyp. Bd. -Hoch.
Date Roqueetedt_ -/-�-C- _ Time: AN PN
Address:_f_� L( Permit O: _3
Builder:
THIS FOLtA)WrP3 CORRECTIONS ARE REQUIRED:
Ll
Inspsotort k]2Date:
__APPROVED .c_A DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Relnep.
r.
f
INSPBCTION NOTI�
City or Tigard Building Department
13125 M Ball Blvd. TigaW,.., Oregon 97223
Inspection Gine (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inepeotion:_
1bOtLog Plbg. Underslab Moch. Rough-in Appr/Sdwlk
Pau". Plbg. Top Out Oa9 :.ins FINAL.
San. Sewer -Bldg.
et/Snw Ileo Rain Drain Insulation -Plump.
!1119. Underfloor Mater Line Gyp, Rd. -ttoah.
Date Regtteeted t ` f1 Q.
/ Times �AM pN
Addremes—
Permit
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRECs f.
. ) ___�_
Inspectors /ivJ Dace:
APPROVED �DI3APPROVED APPRMED 9UR"CT TD AROVE
+7e11 Por PP[nap.
INSPECTIOII NOTICx /
City of Tigard Building Department
13L^8 gn Ball Blvd. Tigard, Oregon 97223
Inspection Line (P.*c-o-Phono)s 639-4178 Bysinsss Phan*% 539-4171
Inspections— ----
tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Toy Out Gas Line PINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Boom Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Mach.
Date Requestedt "- G� TiMt AM ��ll
Addresa t ?14 LA,`Lr , Pe,&Lt 08 7 "�7SY 1
Builders ' .,LAN
SIL' `5 -7-/0
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
I
Inspectors - __ .- _ Dates
_APPROVED bA_APPMMTD —_____ APPROVED SUBJNCf TO ABOVE
---Call For Rainsp.
INSP CION NSYl'I.CA
City of Tigard Building Department
1312S M Ball Blvd. Tigard, Orogoa 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
rooting Plbg. Undorelab Hach. Rough-in Appr/Sdwlk
round. Plbq. Top Out Gas Lina rINALs
Poet/Beam Struct. an. Sewer ) !rasing -Bldg.
Pow,/Beam Hach. \ in Drain Insulation -Plumb.
Plbq. Underfloor Mater Line Gyp. Rd. -Koch.
Date Requestods_ l / Time: AH PK
f
Addrees: `� =�J7i .)j / 1 Permit 1:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector r__� Datas�_
i
�_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
INS EkM P_v-,+LSA K
CitT of. Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Tnapection Line (Roc-O--Phorr 639-4175 Business Phones 639-4171
InspecticusI I `It 4 l
�lootLegg` Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Plbg. Top Out Can Line 11NALr
Post/Roam @trust. San. Sower Framing -Bldg.
Post/spam Hoch. Rain Drain Insulation -Plumb. F
Plbg. Underfloor Nater Line 1 Gyp. Rd. -Hoch. "r'
Date Requested& QIz p ( 3 Times AN PK
Address& z t 7s / s sr� N\ Permit
�1 ti 13 �/s y I 1
Builder& S UP 1 -Z/�T S
THE FOLLOWING CORRECTIONS ARr9W, IREUr
i
Insnscto�rs Dates
11PPH0VZD DINAPPROV11D APPROVED SURJECT TO ABOVE
Y
-C ____Call I 1 Call Por Reinsp.
i
�N<#�Vl1�fOTYC1S `W �
City of Tigard Building DeQartm mit
131.25 AR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone), 639-4175 Business Phone: 639-4171
�Insp.a tLon s
�[ooa7rq�/ Plbg. Underslab Koch. Rough-in Appr/Sdwlk
found• - Plbg. Top out Gas Line FINALi
Poet./Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Undorfloor Nater Line Gyp. B4. -Koch.
Date Requestod,N - - cl Times AN PN
Addressr ) Z,q_� Permit
Builder,—A - b
T"Z FOLLOWING C"RRErTIONS ARR RE�QUIIRREDD,
1 a
Dat
., 3
APPROVED DISAPPROVED VI*IAPPROVRD SUBJECT To ABOVE
� r
va�� ------call For Reinsp.
.� ^�_•� PLUMBING PERMIT I
CITY OF TIGARD DATE PERMIT I SSLIED: . 11/30 ")3T93-9541 1/305'334-9541
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)639-4171 PARCEL: 1 S 134CB-16300
SITE AD15RESS. . . : 12435 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :090
LLPSS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVMTRS. . :0
OCCUF'ONCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . _ . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 LATCH BASINS. . . . . . . :0
FIXTURES-----------••---- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
IUD/SHOWERS. . . . : SEWER EINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
014NER: --__- ___ ____-- - -- --------__ --------------------FEES-----------------
FOUR D CONSTRUCTION TIF 1 1520. 00 JH 11/30/93 -
P 0 BOX 1577 BPRT f 379. 00 JH 11 /30/93 -
BPLC E 246. 35 .iLH 10!1R/9:3 93-245252
BEAVERTON OR 97075 B5PC $ 18. 95 .)H 11/30/93
Phone M: 641 -0935 SSDC f 280. 00 JH 11/30/93 -
PARK f 500. 00 JH 11/3019- -
Plumbing Crntr actor-:--- -- ----------- MF'RT f 43. 50 JH 11/30/93 -
� MPLC t 10. 88 JH 11/30/93
Name:� G_ M5PC f 2. 18 JH 11/30/93
-
Address.. - I PPRT $ 155. 00 JH 11/30/93 -
City: l IJ' ro _ State: t- P5PC $ 7. 75 JH 11/30/93 Zip: Phonell:
Reg 16PO '7
--- REOUTRED INSPECTIONS - _-----
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain dra;n Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post /Peam Mechan Appy/Sdwlk Insp
in accordance with approved plans. This Plm :andslab Insp MPr,hanical Final
permit will expire if work is not started PLM/Underfloor Dlumb Final
within 180 days of issuance, or if work is Mechanical Insp 91-tilding Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Lini Insp
i Insulation Insp
Gyp P o�a r d Insp
Authorized Plumbing f.)ntractor Signature
Call for- inspet;tion • 639-4:75
Contractor (Votes . _
I
MASTER PERMIT
CITY OF TIGARD PERMIT #. . . . . . . : MST93-9541
COMMUNITY DEVELOPMENT D&PAR' M-CNT DATE ISSUED: 11 /30/93
1.3125 SV1.1 Hall Blvd,Vgard,Oregon 97223.9199 (503)639-4171
PARCEL-: 1 S 134CB-1630121
SITE ADDRESS. . . : 12435 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :090
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF 14ORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :430 sf
TYPE OF USE. . . :SF FLOOR ARE AS----- ----- REQUIRED SETBACKS------------
TYPE OF CONST. :5N FIRST. . . . .864 sf LEFT. . :5 ft R I GHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . .-725 sf FRONT. :20 ft REAR. . :36 ft
TCIR I ES. . . . . . . :2 THIRD. . . . s 0 s f REQUIRED---- ------------- —
HEIGHT. . .. . . . . . :25 ft TOTAL--------.- 1594 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VAL.UE. . . . . t s 81064 PARKING SPACES. . : 1
Remarks : PATH I
------------------------------------- PLUMBING
SINKS. . . . . . . . . . : I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . : 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WA'('ER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (f t ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
------------------ MECHANICAL ----------------------•--••-------- FEES ----------------
FUEL
--------------FUEL 1YPES-----•-- - - UNIT HTRS. . cO type amount by date recpt
/GAS/ J / VENTS . . . :0 TIF $ 1520. 00 JH 11/30/93 —
MAX INPUT:O PTU VENT FANS. . :4 BPRT t 379. 00 JH 11/30/?3 -
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC t 246. 35 JLH 10/18/53 93-245?52
FURN ) =100K . . :0 WOODSTOVES. :0 B5PC $ 18. 95 JH 11/30/93 —
FLGOR FURN. . . . :0 CLO DRYERS. : 1 3SDC S 280. 00 JH 11/30/93 —
' BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 11/30/93 —
GAS OUTLETS: 1 MPRT $ 43. 50 JH 11/30/93 --
Owner -- -- -- ------ ------- -_—__________._MPEG f 1.0. 88 .JH 11/3(6/93
-
FOUR D CONSTRUCTION M5PC $ 2. 18 JH 11/30/93 —
P D BOX 1577 PPRT f 155. 00 JH 11/30/93 -
P5PC $ 7. 75 JH 11/30/93
-
BEAVERTON OR 97075
Phone #: 641-09.35
Contractor: -------------•-----------------
FOUR D CONSTRUCTION
PO BOX 15'77
BEAVERTON OR 97075
Phone 0: 641-0935
Reg #. . : 71037
f 3163. 61 TOTAL
This pernt issued subject to the requlations contained in the - ----- REQUIRED INSPECTIONS ------
ligard Municipal Code, State of Ore. 5perialty Codes and all other Foot/foUnd Insp Fireplace Insp
applicable laws. Ail work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This pereit #ill expire if work is not started within 180 Post/Beam Meehan Insulation Insp
days of issuance, or if wtrk is suspendedjor apre than 180 days. Plm/undslab Insop Gyp Board Insp
PL.M/Underflcor Rain drain Insp
rt-t-mitten, Signatut e : Mechanical Insp Water Line Insp
Plumb Tod, Out Appr/Sdwlk Insp
issued By : Framing 3nsp Mechanical Fina).
Call for- inspection — 639-4175
- SEWER CONNECTION -
CIIY OF TIGARD PERMIT #PERMIT. . . . . . .
. SWR93--0467
f COMMUNITY DEVELOPMENT DEPAWMUNT DATE ISSUED: 11/30/93
L9125 SW Hall Blvd.Tigard,Oregon 97223•(1199 (503)639-4111
PARCEL: 1S134C8-1E300
SITE ADDRESS. . . : 12435 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 PD
BLOCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . :090
TENANT NAl~IE. . . . .
USA NO. . . . . . . . . . s FIXTURE 11N I TS. . .
GLASS OF WORE;. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
I
Remarks: PATH I
Owners ----•--------------------------------------------------•-- FEES
FOUR D CONSTRUCTION type amni.mt by date recpt
P O FOX 1577 PRMT f C-2200. 00 JH 11/30/93 -
i INSR f 35. 00 JH 11/30/93
-
i BEAVERTUN OR 97075
Phone #i F-41 -0935
II
Contractor: ------------------------..__- ----
CONTRACTOR NOT ON FILE
f 2235. 00 TOTAL
-------- REQUIRED INSPECTIONS - _..._.
This Applicant agrees to comply with ali the rules and regulatipns Sewer Inspection
of the Unified Sewage Agency. The permit expires 182 days from _
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency do-s not guarantee the accuracy of the
side sewer laterals, If the sears is not located at the seasureeent
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer Mall purchase
a "Tap and Side Sewer" Permit and the Agtmq willli ikail a literal. _
Permittee Siynatl_tre :
r _
Issued By .
Call for inspection - 639-4175
I
CITY OF T IOARU — RECEIPT OF PHYME:N 1 RECEIPT' NO. :93--P46?48
CHECK AMI IIJN 1 5148. 6 1
NHME 0 FOUR 1) CUNS'TRI.lC T 1(.'IN (;AKH AMUL.11\11 0. 1110
fIDDRF_S8 t 14AYME-.NT UN I I e 1 1/3019
St HAD IV ISI UN ,
t-URP09E OF PAYMF.�,t AMl)..1NT PAID PURPOSE OF PAYMENT AMIJUN f Pt411)
F3UIL11INQ PERM :*479. 00 PLUMF3lNl:J PERM
MECHANICAL PE 43. 50 ST. BUILD PER P6. 88
PLAN CHECK FE 1. 21.3 SEWER USA P200. 00
SEWER INSPECT ,tis. 140 PARKS SDC.; 3500. NN
STORM DRAIN riU(: '8111, 011 RESIDENTIAL TRAFF'IC FE:F S 1410, VIN
MA:3S TRANSIT T T F FEES 110. 00
LOT' 90 AN TONN Pm w
1c*435 SW ANION 1)R
107 AI. FdMCIUN TPAID ) 5J 48. ill
Pil-
Residential Buildin Permit Application
City of Tlgar-
13125 SW Niall Blvd..
Tigard, OR 97?_23
(503) 639-4171 /
Jobsite Address.
Subdivision: ��N o f lAR K L .of#
'/ °ri Pietlt/'Hec#
Valuation:
Pe mift
Owner: Ou K J
Be issue of
Address: O.
n`_ q 2 v Y vale Hr ui►wt
Phone:
00erityj.. _ �..
Contractor: Si�,v: s AE3ov E _ lv*r
Address:
iter'!_ Re ul.ed
SU6-intra-Aois
Phone: -
--
Contractor's License #I 7o 3 7
(attach copy of current Oregon license) ' f f ,�
. ;
Subcontractors:
Plumbing:
Mechanical: A L-I-V N e1\17 i LJ Ca
(attach copy of currimt OR Contractors Lkense)
Archltect/Enpineer:
Address: _ TOf�N C�A1_7 13L
Phone: z.3
COMMENTS:
Y/-0 19
Applicantture & Phone/ r
log
Received bye; Date Received: ��
Permit a Account Description Amount Amt. Pd. Bal. Due
i
/X$/fj-�5`U Bldg. Permit (BUILD) 7?, � � ?9•�
Plumb. Permit (PLUMB) 15S.60
Mech. Permit (MECH) _4(3.3 6
State Tax (TAX)
Plumb:
Mech.- •( D f
Plan Check (PLANCK) S , Z3 AS 0 2 3
Bldg:
Plumb-
Mech:
�ry .3_N6? Sewer Connection (SWUSA) 2Z e-u (;L Zud
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) ,S'ac1 / S&0
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) / V 21LO—
Mass 'Transit TIF (TIF-MT) /10
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IC)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WOUANT)
Fire District (FIRE) —`
TOTALS:
._... .._. t�-.___ _�_._. �....Y...........�.,.....r`.rte ,.......wrr...r...�..e...ww+.....r•............ ... .._.C�Y �
CITY OF TWARD – RE C EAPT CIF PAYME:'NT Hrf EIPT NO. a9:3–p "I'-rFji..'
r:HFL;K AMC)I.1N U a tivl. Will
NAME a FOUR D GON T RUC,T I ON CASH WI+10UN 1 a 4. V10
AE)URI 31b a P. U. BOX 1`'=77 (•'(4YME.NI DAU a 10/18/93
`itlNl)a V:C 4ION
BErAVF.--RTON, OR 979.1'75--
PLIiiPME OF PAYMENT AMLA IN T PA I 1) PURPOSE OF PAYMENT AMDLJN T PA T I)
lPl._lIN (.,HFC,K FE 10-638 P51 0. MVS
�16-31710 SW ANTON DRIVE, ANT-ON PARK Wi , IJ)T #9111
i
I i t I AI_ AMOUNT PAID - — - > i:'5o. 00