Case File ADDRESS :
Sw -An
i \records\microflm\target!.building.doc
walk!M� CERTIFIC"ATE OF
L31-1k OCCUPANCY
1%LM9F
Uly F � � � PERMIT 5. . . . . . ,. z MSI*93-953L
COMMUNITY VVEWPPPENT DVPARI.&— DATE 1S9UEI-;s 216/' 16/3Af
ovv Hall Ell-d. jard,Oregon 97223-8161 (503) 6- 171
PARCELi IS134'w"B-16400
131 ADURESS. 12146/ 1jW ANTON r)k
91,19VT.V1f;T0N. . . . : ANTON PARK T1 7 ON I NIG.-R- -7 Gyri
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . 1091
CLASS Of-' W13RA. sNEW
TYPE OF USE. . . :SF
OCCUPANCY GRP, 03
OCCUPANCY L.OAD12e4 4
TF-.NONT NAME. . .
Re:v:Rrkss PATH I
FOUR D CONSTRILIC11UN
P 0 Box 1577
PE 09 OP 97075
Phone #t 64!-09.35
Cont rart nr s --
FOUR D CONSTRUC7 LIN
PO BOX 1577
SE,PVtR`Ur-J OR 97075
Phone #r 641--091,'-
Rog O. . x 71037
Uc(--,,.tpanc.y of the, above Vqf@v'v"%red bi.tilding is hereby givers, and Cwrtifif-s
the compliance with tile State Of Oregon Specialty Codes for the 91-0 P,
oce--upancy, and 1.161 Under whAch '.he referenced permit was issued.
C.) TNRpr-CT()R
ef
ntNd 9FFICIAL.
POST IN CON SPiCUOUS PU4CF
INSPECTION NOT7Cc
City of 3igard Building Departaent
13125 811 Ball Blvd. Tigard, Oregm 97223
Inspection Line (Roc-O-Phone': 635-4175 Business Phonet��63,,9--4177�1
Inspection:
Foot' ta Plbg. Underelab Noah. Rough-in Appr/Sdulk
Found. Plbg. Top Out Gas Line PINALt
Post/Beam c.Iruct. San. Sewer Framing -Hldq.
Post/Ream Hoch. Rein Drain Ineulation -Plumb.
Plbg. Undorfloor Nater Line Gyp. ad. -Mea
Dale Requestodt (r"7 T1Mt AMq._� � CPN
Addre"s- cD �/ (G / 1-9 i7 A'Y-I Permit�'8. IJ
Builder:`-=��.h�dG�_.�__Ll—{� LI/i i15�• ��y 7 7 ��j�_
THE FOLLOWING MRRRC'TIONS ARM REQU!REDt
Inepactor._ ✓� , --- —— ---- -- -�.. Date,_
OV APPROVED DISAPPROVMD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
7'.4SPECTION NOTICE
Citi of Tigard Building Department
13125 !t Ball Blvd. Tigard, Oregon 97223
Inspection Linp (Rai:-+?-Phvne): 639-8175 Business Phone: 639-4171
Inapsction:------__. _ —`— —
Footing Plbg. Underslab Hoch. Rough-in App!/EdMlk
Found. Plbg. Top Out Can Line TIMM,
Post/Beare Struct. San. Sewer Framing -Dldq.
Post/Boarn Hoch. Rain Drain Inaulation -Plumb.
Plbg. Underfloor clatter Lina Gyp. Rd. -N�ch.
Date Requested:— (n i/ Time:
Addresn: )�Z 6 7 I / n A;—r,
Builder: r.��,s� �- am,3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_j� LIiI) bc5S�'�'�
�— —
1/7
Inspectcr:_ -- Date:_/J_�
_.___APPROVED �— DISAPPROVED I APPROVED SUBJECT To ABOVE
__Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
1312.5 S" Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl.bg. Unierslab Mech. Rough-in c__1r
Appr/S
round. nlbg. lop nut Gas Line
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plusb:�
Plbg. Underfloor Water Line /, Gyp. Be. -Neon,
Drt9 Requested: //] - L`7try _�Tj��-e- �� Py
Addreset /d y& 7 /// /h ,V)7 �•1 �Pe,mit 1t--ff��_'/
Builder: �tciv s..- 7 ` XJ lel S 7�� �7 411}
ME IOLLOWIM COBEBCTIONS ARE REQUIRED:
L..
Inspecto Dates-'^( �/�� /
_ APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE �—
Call For Reinep.
NSFF('TION NOTICE (77�-' k,
City of Tigard Ruilding Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inelection Line (Rec--n-Phone): 639-41.75 BuaineRR Phone: 639-4171
Inspection:
Footing Plbg. Underalab Pech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line UINAL:
Post/Beare struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
1
Plbg. Underfloor Nater Lina
COyp. Bd. '_Mcx h.
Date , aquested`_ � Time: —,AM PM
Addrqsn:_L�T�? �,( Permit
Builders / ___Z�... �' l
TRE FOLLOWIN( XTIONS ARE REQUIRED:
Inspector: - - ^`7 ---- — D
-- -- ates 9�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE --
__Cail For Reinsp.
JSPECTION NOTICE
City of Tigard !wilding Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_______
Tooting Plbg. Underalab Meeh. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FIN^L:
Post/Beam Struct. Sen. Sewer Framing -Rldy.
Poet/Beam Mech. Rain Drain Insulation -Pl,•mb
Plbg. Undrrfloor Water Lina L(;yp
Bd. -Hoch.
Dete Requested: _, ) Time: AM _PM
Addy"no 1-4a y, /� -- Permit f:
b iIder 1 �'� �z�
TH19 FOLLOWING CORRECTIONS ARE REQUIRED:
0
Date: ��_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
AP
�/ Call For Reinsp.
1NSF'ECTION NOTICE �ll�,1,
City of Tigard Building Derartseesat
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonei)t 637r5 Business P,honer 639-4171
Inspections_ —-
L; e_
1 C'n ----.--
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top lhrt Ces Linn FINALS
Post/Beam Struct. Smn. Sewer Framing Bl�
9•
Post/Beam Hach. Rein Drain Insulation -Plumb.
Plbq. Underfloor Waty Line Cyp. Bd. --Hoch.
el
Date Requestes —f/, cI Timer W IIH PM
Addreasr�(� Z - /-'-- Permit 0_93— 9 7C.3 a
Builders � no— 74v"
TM VOUA*INO CORRECTIONS AM REQUIREDs
Jift
1 cSu
rA
inspector: _ Dates
APPROVED _` DISAPPROVED APPROVED SUBJECT TO ABOVR
Call For Reinap.
�NSYEC�ON�IdrICli � ��j���'�
city of Tigard Building Department
13125 Sw Rial Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 9unineon Phone- 639-4171
Inspections_ --� —------------
Footing Plbg. Underalah Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain CEilation -Plumb.
Plbg. Underfloor Plater Lino Gyp. Bd. -Mach.
Date ._._ AM PM
Address: �Z 6o- 7 y 12n i z:i Permit t:q:z_263�
Builder: �� / /-�u-A Y_L---!"'
THE rot"MINO CORMUrIONS ARE REQUIRED,
Inspector: _ Dstas
APPROVED DISAPPROVED APPWWRD S"BJISCT TO ABOVE
.all For Reinep.
jilseECTYON tfOTICB ��
City of Tigard Building Department
13125 80 Hall Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O-Phonu)s 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Plbg. Underelab ��h..cif- �Appr/8dwlk
Found. Plbg. Top Out Can Line -� FINALt
Post./Beam Struct. San. Sewer raming � -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plhq. Underfloor (Water
lLine
q -Hoch.
f)ete Requesteds —i"` 6 1 - 1 y Time: AM __V--'PM
Rddrese: Y� Permit #A3 ��>34-
Builder:
THE FOLLOWING CORRECiaON8 ARE REQUIRED:
61
hwA
_ _ 4-�j 1ZZlwoo
o- -.
Inspector: / Date:
APPROVED • DISAPPROVED APPROVED SUBJECT TO ABOVE
�J��/'`+✓1`.,""�— '��Call For RRinsp.
INSPECrzt1N NarJcs ( �1
Cit? or Tigard Buildirq Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phons)s 639--4175 Businerri Phone: 639-4171
Inspections __._�_
Tooting P).bg. Undereiah Mach. Rough-in Appr/Sdwlk
round. Plbg. Torp Out Gas Line FINAL:
Post/Berm Strutt. San. Sewer Framing -Bldg.
Post/Beam Hfwh. Rnin Drain Insulation -Plumb.
Plbg. Underfloor A Water
Liino Gyp. Ed. -Koch.
Dat» Requested:__ y- 7T Times �--Am
PM
Address s / Z ��!`� Permit f: /��s✓ / '�1
TiBuilders
FOLLOWING OORRECTIONS ARE RRQUIRM
Inspectors Dote:
APPROVED DISAPPROVED APPROVED SUBJSrT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaont C_`...
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 639-4173
Inspection:_-----.
Footing Pli9. Underslab Moh. Rough-in KAppr/Sdwlk
Found. Plbg. Top Out Gaa Line FINAL:
/ rys�nnyy`
Poet/Beam Struct. San. Sewer Framing y \ -Bldg.
Post/Beam Hoch. Rain Drain Insulation `Y -Plumb.
Plbg. Underfloor Water Line Gyp.
� Gyp. Bd• -Nech•
Date Requested: 1 U Times 1111 PH
Addrens: 2 L Permit #:
5 '
Builders-_ --1.-1--
TRE FOLLONING OORRECTIONS ARE REQUIRED:
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
�NSPL*CTIUN NOTICE
City 31 Tigard Building Departawnt
L1125 ON Ball Blvd. Tigard, Oregon 97223
Inopectic-n Lino ,Rec-o--Phone)t 639-4175 BueLnnua Phone: 639--4171
Va.,a,, Plbg. Und..rslab � ioh. Roulgh-in 000,Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Po:t/porm .'# ruct. Sen. dower caning ' -Bldg.
Pos'c/P3am Mech. Rain Drain Insulation -Plumb.
PLbg. Underfloor Water Line Gyp. Bd. -Mech.
1"( J
Date RwNested t j Tams t AN f'�l L1 pM
Rddreaa:�wl � /Q�1Nw� _ Permit —�--�-
Builders
TUN FOLLOWNG OORRMatIONS ARM RNVIRZDs
tic �7 ,
AA
_ va.,J+-
Inspectors__ ��a �`� D&tal, - 1 d_q If
APPROTIZD _ OIBAPPROVRD V-�PPROVRD 898JRCT TO AMM
V2)' C' ill For Reinap.
G cT•C1 TON NOTICE
Citi of Tigard Ruildinq Department
13125 BR Hall Ulyd. Tigard, Oregon 97223
Inspection Lite (Rec-O-Phur.N)c 639-4175 Business Pone 639.-4171 c
Inspection:_ _A 4
Footing Plbg. Underelab Mach. Rough-in Appr/Adwlk
Pound. Plbg. Top Out one Lina •IIp1Lt
Post/Beam 3truct. San. Sewer Framing -Bldg.
Post/Beam Piech. Rain Drain Insulation _Ply,
Plbg. Underfloor water Line gyp. Bd. 4600A,
Date Requested: - �1 _Time: "� f-PH
Address: I-A �� �� -�� Permit it 9' - '^T3 L�
Builder: e-1
THE FOLLOWING OOUNCPIONA ARL RNQUIREDt
1
S J \.
In• tort
PeC ( t
_APPROVED -V DISAPPRU{RD A.PPR`n/ED SUBJECT TO ABOVE
�� -111_ C all For Reinsp.
INUZL iion Nc:Tlc>r
City of Tigard Building Departeent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone)t 639-4175 Business Phones 639-4171
Inspections_
PootLng Mg. Under/lab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Cam Line RIVAL:
Post/Beam Struct. matt. mewor Freeing -Bldg.
Post/Beam Mech. Stain Drain Insulation _Plumb.
Plbg. Underfloor Neter Line Gyp. 8d. -Mech.
Date ltequestedt__ 7� Z ✓� --- Times e
Af (� AM PN
#ddresstA� D C VY�\QJ1 y—-- Permit !f s �
_J
{ L- `!
Builders I-
-ky _ 1 e, o I��7
THL FOLLOWING OORRECTIONS ARE RRQUIRSDt
In• ors f G
- —-- — Dater, —
___ APPRD{/!D _- DIE4IIPPAOVRD APPROV;D SU8JECf TO Ana"
-call For Peinep.
- - I
j�INgCTZOI+ ROTIG�' ��
city of TigaLrd Building Department
13125 BA Bal). Blvd_ T1.9A d Oregon 97223
Inapaction Lina (ileo-O-Phones 639-417 Business Phones 639-•4171
Inspections - V. —PO4
tooting Plbg. Undoralab Mach. Rough-in Appr/Bdwlk
Found. Plbg. Top out gag Line FINAL:
Poet/Baum 8truct. Ban. Bawer framing -Bldg.
Poet/Benin Mach. Rain Drain Tnaulatlon -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Mach.
Data Requeeteds_�� _
Address: z �l/� 1 /1^ Pel71t #-1_�L��_
Builders Iy� _ � -1
TRE F<)LLOVING OORRECfIORB ARE RFQUIRED:
Inspector Date s
APPROVED a--- DIf,APPROVED -_` APPROVED SUBJECT Tn ABOVE
call For Reinap.
j"SFyCPIQtf_10T1CB
City of Tigard Building Department
13125 M Hall Blvd. Tigard, Oregon 97233
Inspection Line (Rec-O-Phgne)c 639-4175 Business Pt,,inet 639-4171
Inspections—_ _ 1((14 - I V� _
Footing Plbg. Underal-ah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas '.ins FINALt
[opt/Mss shuck. San. Sewer Framing -Bldg.
post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line�y' / Gyp. Rd. _Mwh.
Date Regaested t I -Z l / '1
T Law AN _PH
Addreset_ V7 Permit tt 1. /I X13_4,
Ruildert
THE FOLLOWING CORUCTIOKS ARE REQUIRED-
--------- — --
---------- --------- -moi
Inspeatort _
nater
Ae'-APPROVED -^ n1aAPPROVED APPROVED SUB.IECT TO ABOVE
Cell ror ReInap.
I
...... �..... .. .. «".._._...r . r v s_ .. r.«.raw-v<.+w�rW !ww•.:YwewgsYW+
INBPICTION N-0TIC
-Cit of T
Building 7 Tigard Deparb.sa:t AF
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rsa-O-Phona�r 639-4175 Business Phone: 631.4171
Inspections_____ -—�—
Footing Plhq. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Po t/Beam Strn--mDt n San. Sewer Framing -Bldg.
Alz
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. ed. -Mach.
Data Requesteds ___ -Timer `_ PN
Address:—lLPermi.t QTS 3 1
Builder:_
TM FOLLOWING OORRECfIOIIS ARE REQUIRM
Inspect'!! natal��Z )` Y
ASIMUVfODISAPPROVED APPROVED SUBJECT TO DV
ARE
1--l-Call For Reinsp.
3!S@PIICS�Mf NOTICE
city or Tigard Building Department
13125 Bw Ball. Blvd. Tigard, QrvMPM 97223
Inspection Line (Roc->-Phons)e 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Undorelab Mach. Rough-in Appr/Sdwlk
Found. Pl.bq. Top Out Gas L!. o FINALS
/soai itruot San. Sower p -Bldg.
t/Nae Mach. 1 Rain Drain I elation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Md. -Hoch.
Date Aequesteds1 ❑ I T : JJ AN
] }M
Address Permit I r�7— / 7
Bit lders
TRE FOLLOWING CDRRUCTIONS ARE REQUIRED:
I
�I
Inspect-artDates
--___APPRDVBD OISI1PPIpVrO APPROVXD SUBJECT TO Apo"
v
411 Por heinsp.
IL�pp�'ttxl �fOTICE `• II
City of rigard Ilailding Department
1312S M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 631-4175 Business Phones 639-4171
Inspection: el
__- --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALt
Post/Beam Struct. San. Hewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Rd. -Meeh.
Date Requestodt ( J Timet AM
/� r
Addreee t `" I I / �' LAN /. Permit #i q; `l-- J 2-
Builder: t/ C(D j� 1-7D
THE FOLI.ONING CORRECTIONS ARE REQUIRED:
Ins tort Data:
APPROVED DISAPPWWEIL APPROVED SUBJECT TO ABOVE
—Call For Rei.nsp.
i
INSPECTIO- NDS
City of Tigard Building Department
13125 aV Hall Blvd. Tigardo Oregon 97223
Inspection Line (Roc--O-Phone)s 639-4175 Business Phone: 639-4171
,7
Inspection:__ v
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL:
Post/Beam Dtruct, i i4 Framing -Bldg.
Post/Boom Mach. lA Dla > Insulation -Plumb.
P1 . Underfloor ertloor ater Line Gyp. Bd. _Hoch.
Date Requested: y TLme: _AN PM
Address:-L�__-L' j� Permit 1:_
Builder:_ �2--
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
vf
Inspectors ,
Dates1
APPROVED -- DISAPPROVED �_ APPROVED SUBJECT TO AB{7VE
delI For ReineF.
City of Tigard Building De-
13125 w tali Blvd. Tigard, Oregon 97223
Inspection Lina (Rec O-Phona)S 639-1176 Business Phones 639-1171
Inspections wl ,,lJ��/'
foo Lag Plbg. Underslab Mach. Rough-in Appr/Sdwlk
I Plbq. Top out Gas Line FIBALt
Post/Seam struct. San. sewer Framing -Bldg,
I
Post/Beam Mach. Rain Drain Insulat 2n -Plumb.
Plbg. Underfloor Natter, Line Gyp, Bd. -Xwh,
64
Data Requested
fs I- ✓ ' - TLmes �A1M Z pM
Address �;
�A�` �In _ Permit 1s�7J �!-sitz
Wildersl-Ii� J it � . I
THE MUMING CORRECTIONS ARE RBQUIRBDs
to
Inspectors Dates
_APPROVED DISAPPROVED APPROVED BUBJ M To ABOVE
Call For Reinsp.
�S�'_�.�K NOTICE h1
City of Tigard Building Department
13125 BW Ball Blvd. Tigard. Oregon 97223
IBBpec•lion Line (Roc-0-Phone): 639-4175 Business Phone: 639-4171
IBBpoctLons
tag. Undwrslab Mech. Rough-in Appr;Bdwik
lbtlba. Plbg. Top Out Gam Line FINALS
PCWt/Beam Strutt. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Mg. Underfloor Nater Line Gyp. Bd. _;loch.
1
De+_e Requesteds 1 Z y(V I i_TUwt d- "' AM '� PN
Address: ►z�.�U"1 Permit #s �1 3145 32-
Builder:
LBuilder: ! ' -72D.- -7q s
THE FOLIAMING OORRECTIONS ARE RfJOIRRD:
Inspectors Date:
L �J1tlw0VE0 DISPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
�� --- PLUMBING PERMIT
CITY OF TIGARD DATEIISSUED: . 11/30/93,-95 2
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)830-4171 PARCEL: 1 S 134C:B-1640@
SITE ADDR.ESS. . . : 124E,7 SW nNTON DR
SUBDIVISION. . . . : ANTON PARK 11 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :091
-------------------------------------------------
CLASS-OF-WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYRE OF USE. . . . :Sr WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-------------- LAUNDRY TRAYS. . . . . . 20 SF RAIN DRAINS. . . . . : 1
SINKS. . . , . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER: -------------------------------- ____-_.____________.FEES----------------
FOUR D CONSTRUCTION TIF f 1520. 00 JH 11/30/93 -
P 0 BOX 1577 BPRT $ 370. 00 JH 1 1 i 30/93 -
HPLC $ 50. 00 JI-H 10!08/93 93-•
BEAVERTON OR 97075 B5PC f 18. 50 JH 11/30/93 -
Phone #: 641 -0935 SEDC f 280. 00 JH 11/30/93 -
PARI! $ 500. 00 JH 11/30/93 -
Plumbing Contractor:--•---•-------------- MPRT s 43. 50 JH 11/30/93 -
MPL.0 f 10. 88 JH 11/30/93 -
Name : C''- M5PC $ 2. 18 JH 11/30/93 -
Addres : y(/r = PPRT $ 140. 00 JH 1. 1/30/93 -
City : ____Statea � P5PC f 7. 00 JH 11 /30/93 -
Zip: )� PhoneM:, 2 ;217 BPLC f 15. 00 JH 11/30/93 -
Reg
------- REOUIRED INSPECTIONS -This permit is issued sub_jer-t to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore, Specialty Codes and all Post/Berm Struct Water Line Insp
ether applicable laws. All work will be done Post/Beam Machan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 da% s. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp _—
I Insulation Insp
GYP Board Insp ---- --�--- =
Au orized Plumbing Contractor Signature
Call for inspection - 639 -4 � 7
Contractor Notes :
CIIY CSF TIGARD MASTER RE
PERMIT #. . . , . . . : MST93-353;
COMMUNITY DEVELOPMENT DWFifilik'1T DATE ISSUED: 11/30/93
13.125 BW Hall Blvd.Tigard,Qngor. 97225.8199 (503)839-1871
PARCEL: 1 S 134CH--16400
SITE ADDRESS. . . : 12467 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II 70NING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . :091
_._.__--------------,__....___.__._._.____-- BUILDING -.___._.._____. ____._---•---..___.__ ---__.___---__-.--
REISSUE:MST93-9531 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. sNEW BEDRMS:3 BATHSs3 GARAGE. . . . . . . . . . :418 sf
TYPE OF USE. . . :SF FLOOR AREAS- --- _---- REQUIRED SETBACKS-----------•---
TYPE OF CONST. :5N FI RST. . . . :850 sf LEFT. . :7 ft RIGHT. :? ft
OCCUPANCY GRP. :R3 SECOND. . . :701 sf FRONT. :20 ft REAR. . :29 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf 14EQUIRED------------.----------
I4E I(BHT. . . . . . . . :24 ft TOTAL--------: 1551 s f SMOKE DETECTORS. Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . f : 76870 PARKING SPACES. . 11
Remarks s PATH I
PLUMBING -_------.----------------.----------__-.
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. — :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . 14 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :_' LAUNDRY ZRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . s0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . 11 WATER LINE (ft ) - : 100 OTHER F I)(TURES. . . . . :0
GARBAGE DISP. . . el RAIN DRAIN (ft ) . :O
WASHING MACH. . . sl SF RAIN DRAINS. . sl
MECHANICAL ----------------- ------------------ FEES
FUEL TYPES-----•----•---- UNIT HTRS. . s0 type amount by date recpt
/GAS/ ! ! VENTS . . . . . :0 TIF t 1520. 00 JH 11/30/93 -
MAX INPUT:O BTU VENT FANS, . :4 BPRT f 370. 00 JH 11/30/93 -
TURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC t 50. 00 JLH 10/08/93 93-
FURN ) =1001< . . -.0 WOODSTOVES. :O B5Pr_ $ 18. 50 JH 11/30/93 -
FLOUR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 JH 11/30/93 -
BOIL_/CMP ( 3HP:0 OTHER UNITS: 1 PARK 8 500. 00 JH 11/30/93 -
GAS OUTLETS: 1 MPRT f 43. 50 JI1 11/30/93 -
Owner: -------_____.___.____._-_.____._._._.______MPEG $ 10. 88 JH 11/30/93 -
FOUR D CONSTRUCTION MSPC t 2. 18 JH 11/30/93 -
P 0 BOX 1577 PPRT f 140. 00 JH 11/30/93 -
P5PC f 7. 00 JH 11/30/93 -
JLAVERTON OR 57075 BPLC f 15. 00 JH 11/30/93 -
Phone #s 641•--0935
Contractor: --_---__-_..-------------------_
FOUR D CONSTRUCTION
PO BOX 1577
BEAVERTON OR 97075
Phone #: 641-0935
Reg #. . : 71037 -----------.---- --------------------------
f 22957. 06 TOTAL
This permit is issued subject to the regulations contained in the - - --- REQUIRED INSPECTIONS --------
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with app-oved Post/Beale Struct Cas Lane Insp
plans. This permit will expire if work is not started within 198 Post/Beam Mechan Insulation Insp
days of issuance, or if worst is suspended for sope than 1198 days. P l m/un d s l a b Insp Gyp Hoard Insp
�.� PLM/Underfloor Rain drain Inst?
Permittee Signature: _ Mechanical Insp Water Line Insp
Plumb Top Out App--/Sdwlk Insp
Issr.led By : _ Framing Insp Mechanical Fina ,
(--.kl 1 for inspection - 639-4175
SEWER CONNECTION
CITY OF TIGARD PERMIT #. . . . . .T. . SWR93-0450
COMMUNITY DEVELOPMENT D(?0AR1rA&:NT DATE ISSUED: 11/30/03
13125 SW flsll Blvd.Tigard,Oregon 97223.8180 (503)830-4171
PARCEL: IS134CB-16400
SITE ADDRESS. . . : 12467 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..091
TENANT' NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE UN I,TS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: i
INSTALL TYPE. . . . :DUSWR IMPF_RV SURFACE. . : :sf
Reimarks : PATH 1
Owner --______ ___________ FEES ------------_.__.
FOUR D CONSTRUCTION type amoLlnt by date recpt
P U BOX 1577 PRMT $ 2200. 00 JH 11/30/93 —
INSP # 35. 00 JH 11/30/93 —
EEAVERTUN OR 97075
Phone #: 641-0935
Contract or s
CONTRACTOR NOT ON FILE
Phone #: t 2235. 00 TOTAL
Reg #. . .
REQUIRED INSPECTIONS ------
This Applicant agrees to comply with all the rules and regulations Sewer-, Inspect ion
of the Unified Sewage Agency. The permit expires 189 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency deps not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prosprct 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 Ageacy Nil install a lateral.
Permittee 5ignatLir-e : ' -- --� —
Issued B y : -- --_—�
Call for inspection — 639--4175
6- 5
CITY OF TIGARD RECEip'r OF PAYMENT RECEIPT NO. :93-246�`51
CHECK AMOUNr s 5142. 06
NAME a FOUR D CONSTRUCTION CASH AMOUNT r Q). 00
ADDRESS PAYMENT CRATE' 0 11/30/9.3
SUBDIVISION
PlJRP(.)SF Or- PAYME.N T AMOUN r PA 11) PUHP(A'E OF PAYMENT AMOUN 1' 1441 U
BIJ11 DING PERM 370.00 PLUMBING PERM 140. 00
MIJ.HANICAL PF 43. 5(11 S7. BUILD PER 217. ()8
PLAN CHECK FE 205. F36 SEWER 089 poo. NO
INSPECT 3,15. @#A PARKS SDC 11 00
. NO
STORM DRAIN SDC 280. 00 RES IDE'NIINE_ THAFFIG FF-1-7.9 1410. 014
MAf-4S TRANSIT TIF 1-fli-S 110. ON
L01 91 ANTON PARK
12467 SW ANTON DR
TOTAL AMO(-INT PAID 5142. 06
Al
Residential Builg Permit ApVIlicat%nn
City of Tigard din
13125 BW Wall Blvd, j
Tigard, OR 97223
(503) 6394171
Jobslte Address: 1a'0G 7 Sid Qij [Ya . _ /Jwiww3i�:i /�x/00 Q-'744�
SubdI41s:On:2kN—�'�_ _ Lot# / Cts Usk t
niv
Valuation: D, jam; ,
_ P�t'rmit is S!.� = ..s 3
owner: L u& L (�Dh) STppC tlo tJ ,> 1� ro-je of r_ -f 3._. _r � •5
Address. 7
als R�QulrE'�ft
Phone:
k >�1
>c
Contractor: f `
Address:
Phone:
_' y3Contractor's License hR �
(attach copy of current Orenon gcense)
Subcohitractors: yr�) ,�)
Plumbing: 1'C_W'1'hg�lU�!i
Mechanical:
(Mteclh copy of curfont OR Contra4Ws Ucense)
' � A
Archl%-,-'-rcnpIneer:— Af As<_,C1 i 6
Address: _ —!�1 -� r "^� 7, r—
Pnone:
COMMENTS:
Applicant . slurp& Phone wAi6e, -- _-
Rece'vedby Date Received: o <
Permit a Account DPscriptlon Amount Ami. Pd. Bial. Due
Ms�i3 fS 3l. Bldg. Permit (BUILD) ,��u � J;7 d
Plumb. Perini; (PLUMB)
J
Mech. Permit (MECH) _V, JT ' __ _r(3•s2'
State Tax (TAX) 7 Gk 27, '
Bldg:
Plumb:
Mech: o�•f u
Plan Check (PLANCK) ?� _J-7) J�
Bldg: J
Plumb:
Mech:
-6 Sewer Connection (SWUSi =Z AtW
i
Sewer Inspection (SWINSP) 3 J
Parks Dev Charge (PKSDC) Sav Se,v
Storm Drainage Clrg (SDSDC)
Residential TIF (TIF-R) I
Mass Transit TIF (TIF-MT) 0
Commercial TIF (TIF-C)
Irxiu.;trial TIF (TIF-1)
Institutional TIF (TIF-IS)
Oflics TIF (TIF-0)
Water Quality (WOUAL)
Water Ouantity (W❑UAKI-) r
Flee Dimed (FIRE)
TOTALS: 54
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