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12438 SW ANTON UR
OCCUPANCY
CITY OF TIGARD PERMIT #. . . . . . . : M13T'),4 -4014
COMMUNITY DEVELOPMENT r)EPARTMENT DATE ISGUED- 07/0,11 /94
,,3115 SW Hall Blvd.Tigaid,Oregon 97223*8199 (503)639-4171
p^ . . 1.��.44" =W AN."~, OR �
SL89DJVlSION. . . . x ANTON ARK Il %ONJN6nn- r PQ
LOT. . . . . . . . . . . . . :093
------- ----- ---~----- -------------------- ' ------'--- --~—ci-oss or:*OF WORK. :N5W
TYPE OF USE. . . :SF
81',CUPANCY GRP. ;R3
nrrUPANCY LUAD* 122 4
! LN^^NT NAME. . . x
1?-mark3 : PATH l
|
1:'[0R D CONS7RUCTlON
P 0 BOX 1577
Phone #F 641 -0935
�
BEW)ERTON OR 971211,5
occupancy, and Use tindsor wPich the referenced prt-trit was. issved.
POST IN CONSPICUOUS PLACE
�
�
INSPECTION NOTICE
— `r City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon Q7223
Inspection Line (Rec-O-Phholne):�6--39-4175 Business Phoney: 639-4171
Inspection: Z —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poeti-- m Struct. San. Sewer Framing -Bldg /
Poet/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Nater Line O� Gyp. Bd. CNach.
Date Roqueeted:_
Addrens:J 1'N\ � �_ Permit U O
Builder: _ —
TIIE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ _ _. Date: �� r
'APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard BuUding DepartIlsnt
13125 Bit Ball Blvd. .'igard, Oregon 97223
Inspection Line (Rec--O-Plione): 631�-4175 Business Phone: 6339-4171
Inspection:-- _ --
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Can Line INALt')
Poet/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation CP.
Plbg. Underfloor Water ins Gyp. ed. -Koch.
Date Requestede Time: AM PK
Address: Permit
Builder:
TB! rot.0 IIIIG COMMONS ABR PYMZRRD2
Al
InspectorDate: f ---
\ APPROVED DISAPPROVED APPROVED SU C"r To AROVP
----Call For Relnep.
CITY OF TIG,ARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
P'LUMBING FSE:RMIT
PIERMIT #. . . . " . . : P'L M 9 It
b�s9-41 P1 DA_lE ISSUED: 09/09/94
PARCEL: 113134CB--16600
SIATC ADDRE,"S. . . : 12438 SW ANTON DR
SUBDIVISION. . . . . ANTON P,ARK 11 ZONING: R-7 PSD
BLOCK. . . . . . . „ . . LOT. . :093,
CLASS OF WORK. . :NEW GARBAGE D I SPOSALS. MOBILE 1-40ME SP,ACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . , : BACKFLOW P,REVNTRS. . : 1
OCCUPANCY GRP,. . : R3 FLOOR DRAINS. . . . . . . : TRAPS" . . . . . . . . . . . . .
GTO R I E S. . . . . . . . : 1 WATE=R HEATERS. . . . . . : CATCH BASINS. . . . . . . :
F*'TXl_LJR['S--- ------- - - --------- LAUNDRY TRAYS. . . . . . : 5F RAIN DRAING. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAP,S. . . . . . . .
LAVATORIES. . . . . .. OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : 5)EWER LINE (ft ) . . . .
WATER CLOSETS. . : WATER LINE (ft ) . . . .
DISHWHbHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : INSTALLING 13OCKFLOW DEVICES
Uwrier,: FEES
KAREN SCHWAGER type amol.Int by date r,ecpt
i_:436 BW ANTON DR PRMT $ 15. 00 BLT 09/09/94
5PCT $ 0. 75 BLT 09/09/94
VIGARD OR 97F—'23
Phone #:
Clantt-actor.
OFFORDABLL LANDSCAPE--DAVE WOLD
44365 SELL RD
BANKS OR 97106
hurie #: $ 15. 75 TOTAL
-eg #. . : 1i 3i?5
REU.UIRED INSPECTIONS
-
'his permit is issued subJect to the regulations contained in the Top--or-rt Insp
of Dre. Specialty Codes and all other Final Inspect igard Municipal Code, state 11
applicable laws. All work will be done in accordance with
ripproved plans. This permit will expire if mark is not started
within 180 days of issuance, or if work is suspended for tore
'han 180 days.
ssi.ted By :
Call for inspection -- 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SAN Hall Blvd. Permit # f//- fq- � tl
Tigard, OR 57223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N-of°wn1pgniA1 New Single Family Residences Onty
Aesw ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Jot, .139 5 ) ❑ 3 BATH HOUSE$225.00
Address QWWA. no Fee includes all plumbing fixtures in the dwelling ana the first 100 feet
or water service, sanitary sewer and storm sewer. See fees beimv.
No- FIXTURES QTY PRICE AMY
EN Sink 9.00
y+w Aar«• PhO^• Lavatory 9.00
CNner �' S(.) 14Nr,1Al i7R/d[ Tub or Tub/Shower Como. 9.00
tesla. m Shower Only 9.00
7 , �o,ei) kn Water Closet 9.00
-- No- a-0 wervoos) Dishwasher 9.00
Garbage Disposal 9.00
Occupant M.&g A.*- Washing Machine � 9.00
Floor Drain 9.00
• a• Water Heater 9.00
Laundry Room Tray 9.00 -
"r^• Urinal 9.00
Other Fixtures (Specify) 9.00
w.ft Ada- Ph- 9.00
Contractor _
`I13ry5 S�Cc •:-1 9.00
9.00
/,3"w"-s ek. Sewer tat 100' 30.00
""•A•a'""�^N• ah+Pon.To.NO Sewer-ea. Addit. 100' 25.00 --
� 3,� Water Service tat 100' 30.00
I hereby acknrnrledcle that I have read this application, that the Water Service ea. Addlt. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addie. 100' 25.00
number given is correct. (If exempt from State registration, please --- __-
give reason below.) Mobile Horne Space -25.00
Back Flow Prevention
���y) „�� �(� C�•-�� �- 94 Device of Anti-Pollution Device 9.00
^•^•• °°^^ "� °"• Any Trap or Waste Not
connected to a Fixture 9.00
Describe work, new (J addition U alteration U repair 0 Catch Basin 9.00
to be done residential U non-residential Q Insp. of Exist. Plumbing %0.001hr
Specialty Requested Inspections 40.001hr
Existirg use of
building or property _ Rain Drain, single familydwelling 30.00
Residential backflow prevention
devices r 15.00
Proposed use of
building or property -
'(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL I 1 06
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5•/. SURCHARGE r ��
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions Y.
Date issued by
CITY of TIGARDI L R P L.Pri IT
PERMIT #. . . . . . . . M3T94 I�1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/25/94
13115 SW Hall Blvd. Tigard,Orepcn 97 23.8199 (503)19394171
PARCEL: 15134C13-16600
`='iITI= ALAAtLb!� - 1�4,L0 S41 ANION OR
SUBDIVISION. . . . . ANTON PARK II ZONING: R-7 PD
BL..00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :093
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . :0 sf
CLASS OF WORK. :NEW BED RMS:3 BATHS:2 GARAGE. . . . . . . . . . :400 sf
TYPE OF U51-. . . :SF FLOOR AREAS--__._..___ __. REQUIRED SE'T'BACKS-. _.......______..
TYPE OF' CONST, :5N FIRST. . . . : 1598 sf LEFT. . :5 ft RIG141 . :5 ft
UCC:Ur''ANCY GRF'. :R.3 SECOND. . . :0 s f FRONT. :;::0 f t: REAR. . :21 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REGIUIRED--
HL I GGT. . . . . . . . :i f t TOTAL- -- --: 1598 s f' SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :40 ps f VALUE. . . . . f : BIZ1708 PARKING SPACES. . : 1
I' umar,ks : PATH I
PLUMBING ---.._...__._._.__._...___...____.._._.._...._._.___
!•SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR5. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . . 1 TRAPS. . . . . .. . . . . . . . . .0
TUB/SIIOWERS. . . . -3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . ::' SEWER LINE ( ft ) . :O GREASE TRAPS. . . . . . . :0
DIS14WASHERS. . . . : 1 WATER LINE (ft ) . : 1.00 OTHER F'IXTURES. . . . . :0
GARBAGE DISE'. . . : 1 RAIN DRAIN (ft ) . :O
WOGI4I NC., MACH. . . : 1 5F RAIN DRAINS. . : 1
MECHANICAL -- -__.___,._.._...__.__.._._.._._.._._.... .__ ._.____.._._.._._ .._-.. FEES
FUEL TYPES------------- UNIT HTRS. . :O type Amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF 4 1520. 00 JH 01/25/94 -
MAX INPUT :O BTU VENT FANG. . :3 BPRT $ 376. 00 JH 01/25/94 -
FURN ( 100K . . s 1 HOODS. . . . . . : 1 BPLC $ 244. 40 JLH 01/'05/94 94- 24? I
TURN > = IOOK . . :0 WOODSTOVES. :0 135PC $ 18. LAO JI-I 01 /.'5/94 -
F'LUUR FFURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 01 /25/94 -
P.•OIL_/CMP < 3HP:0 OTHER UNITS: 1 PARI; f 000. 00 JF1 01. /25/94
GAS OLITLETS s 1 MPRT $ 40. 50 JH 01/25/94 -
Owner: __.. . ......._____.___._.._.....__ .._.__•--_------_.--_-MPLC 1 10. 1.:, JH 01 /25/94 -
FOUR D CONSTRUCTION M5PC E x'. 03 JH 0:1./25/94
P U BOK 15 77 BPRT $ 14'7. 50D J11 01/25/94 -
P5PC $ 7. 38 JH 01/25/94 -
BEAVERTON OR '3'7075
Phone 1t: 641-0935
FOUR D CONSTRUCTION
PO BOX 1577
BEAVERTON OR 97075
1='horre # : 641-0935
Rey #. . 11037
$ 3146. 74 TOTAL
This permit is issued subject to the regulations contained in the ------ REQUIRED INSPECTION':
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 St r^I-rct vas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mecham Insulation Insp
days of issuance, or if wore is suspended for mo tha 180 d s. Plm/undslab Insp Gyp Board Insp
_PL.M/l_)nderf`loor• Rain drain Insp
r'ermittee SignatI_rre : r _._ Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By : ___ ____� F=raming Insp Mechanic-al. Fin '
Call for inspection - 639-4175
CITY OF TIGARD SEWER IFIERMIT TION
MIT
PERMIT #. . . . . . . : SWR94-�Tr?�1,"'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/25/94
13126 3W Hnll Blvd.Tigard,Oiegon 97223.81 (503j X39'-4171
PARCEL: 19134CB_.16600
SITE. ADDRESS. ., . IL430 SW ANTON DIR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 f''D
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :093
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS 01" WORK. . . :NEW DWELLING UNITS. . : 1
T YF'E OF USE. . . . . :SF NO. OF BU I LD I NGS: 1
I NS,T(11__i.. T'YF-E. . . . :BUSWR I1",r-,ERV SURFACE. . : : s f
Remarks : FIATH I
Owner: -.___------------------------------.------•-----•-------• FEES -------.-
FOUR D CONSTRUCTION type amol.xnt by date recpt.
F' 0 BOX 1577 F'RMT $ ::200. 00 JH 01/25/94
I ITSP, $ 35. 00 Jla 01/25/(-).(1
BEAVE:RTON OR 97075
Phone #: 641--0935
Cont r•act or.: _........
CONTRACTOR NOT ON FILE
F'h o n e #: E 2235. 00 TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 18@ days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does nog guarantee the accuracy of the
side sewer aterals. If the sewer is riot located at the measurement
giver,, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agenc will tall a lateral.
Flermittee Sign tf_fre : �4or"
I s n,.r e d By:
Call for- insf-ection - 639-4175
Residential Building Permi# ApRIlCation
City of Tigard — v! �
13'125 SW Nall Blvd.
Tigard, OR 07223
(503) 639-4171 1
Jobslte Address: 12- `I 3 g
p ort�c®uae only
Subdivision: IaNTaIJ PA E I< Lot #
YO PlancWRec
Valuation: O L�
Permit#
if
Owner: J:�O�iR ��. N STR LIC7'2o r./-- Reissue of
Address: aX
Approvals Rei luired
Phone: _ 'I I 0 c13 5 Planning
Engimering
Contractor: — — ---- Other_ _
ti
Address: _ __ _
G � Items Required
n�C)'i -
-_� Subcontractors
Phone: -
/� Truss Details _
Contra,-tor's License # ---
(attach copy of current Oregon license) Other
Subcontractors: / (�
Plumbing: P L U A4 8//,1(
Mechanical: S✓�EG//� y
(attach copy of currentOR Contractors License)
Architect/Engineer: Ro L L YA 9- D
Address: ltc,.3 Z S -5. QpA,/,EF-S Ear-,91"
Phone:
COMMENTS: �,��
Applicant Signature A Phone number ,
Received by: — -_—_^_-. -- Date Received:_ I
Permit # Account Description Amount Amt. Pd. Bar. Due-
Brdg. Permit (BUILD)
_ Plumb. Permit (PLUMB) /I/ 21
Mech. Permit (MECH)
Sta!e Tax
(TAX)
Bldg:
Plumb:
s1
Mech: . _
Plan Check (PLANCK) v�
Bldg:
Plumb:
Mech: �3
Sewer Connection (SN/USA) ----
Sewer Inspection (SWINSP) 3)` 3 /
Parks Dev Charge (PKSDC) 5y U Sr✓
i
7 1-
Storm Drainage Chg (SDSDC) C:�p�
Residential T!F (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL) —=
Water Quantity (WOUAN1) _ ----
Fire District (FIRE) — —
TOTALS: r7 5