13235 SW BURNHAM COURT ADDRESS:
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
11125 SW H&A Btvd Tigard,Oregon 97223*8199 (503)639-4171 OCCUPAt(",'y
Xxxx PERMIT #. . . . . . . i OUP14-0310
6,39-4171 DATE' ISSUEDs 1,R/08/94
FARCE'.- i 2-5,1'A,-: r)S- 0 1 8011
S I T'E ADDP%'7:.9S. . . j 13235 SW 13URNHkil (-.T
SUBDIVISTAW. , s BUPNHAM ::HRK ZONING i R 4. 5
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . 112
CL(,)Sc,'i OF Wl IRK. i ALT
TYPE OF LISt". . . :COM
OCCUP(INCY GRP. :D2
orntr,pi%iry t-cimlc
I'LNHIqT NA111L. . .
to hp built in half of rA clouble qit-prjr- .
VIRGINIA DYGART
13235 SW BURNHAM
TIGAPD OR 97P23
Phone #.-
Contractorm
"WNE'R
Phone #v
Reg #. . I
Occupmricy of the above referenced btAlldil-)W IS hlejleL)y WiYeYl, aT)d certil'is.-4
the compliance with the State Of Oregon Specialty Codes for the group,
c-ccupatnvy, ;;lrlo kine-Irr which thm vofr1retirsld
BUILDING INSPFCTOR BUILDING OFF=ICIAL
P09T IN r0Nfi17lTrlJr)1Jcl F)LA('F
3 ECT20A NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line Rsc-O-Phone): 639-4175 Business Phone: 639 4
C�
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas LineF>tiNAL:
Post/Ream Struct.. San. Sevmr Framing rBh)
Post/Beam Mach. Rain Drain Inaulation
Plbg. Underfloor WA tea Line Gyp. Ed.
Date Requested:_— - �� 1
Time AM PK
Addresses Perm �Y )
3/b
THE FOLLGWING CORRECTIONS ARE RWQUIRED:
Inspectors Dates —
APPROVSD DISAPPROVED APPROVED 80=;CT TO AROVE
Call For Reinap.
S ECTION—NOT I
City or Tigard Building Departisent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Li (Rec-O-Phone): 63r#-4175 Business Phon .� - l71
Inspection:W
Footing Plbg. Underslab Mach. Rough-in Lppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing-� --Bldg.
Post/Beam Mach. Rein Drain Insulation ) -Plumb.
Plbq. Underfloor / Water Line Gyp. Bd. -Hoch.
�1����1r` `.s
Dote Regteesta)dt � Time: AM 2�p�M`
Addreee' � � � ���y / -Permit
Builder:_._ —_— ---------- -- -
TOE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:�Q
`APPROVED nTSAPPROVRD APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
INSPECTION NOTICR
City or Tigard Building Department ^��
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 41
Inspect ion: _4s-k��L tC
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Fr� -Bldg.
Post/Beam Hoch. Rain Drain Insulat.i.on -Plumb.
Plbq. Underfloor Nater Line Gyp. ad. -Mach.
Date Requested:_ �(/ ( /.� / _ Time: AN PM
Address:_(, � 131� V/l./� rn � Permit it _Jf�
Builder:
TNF FOLLOWING CORRECiIO',S ARF. REQUIRED:
lnspa.tor: — -- _ — - ---- -- Dater 2
PPROVRD _ _ DTSAPPR041tD APPROVRD SUBJRCT TO ABOVR
-- _Call For Reinnp.
17Y OF T1G7ARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)8344171 BUILDING PERMIT'
PERMIT #. . . . . . . : BUP94-0 3 1 0
-7 DATE ISSUED: 10/10/94
PARCEL: 2S102DB-01801
S--ITE ADDRESS. . . : 13235 SW BURNHAM CT
SUBDIVISION. . � . : BURNHAM PARK. ZONING: R--4. 5
BLOCK. . . . . . . . .. . . LCT. . . . . . . . . . . . . : 1
--
REISSUE: FLOOR ARL Ag ---- ----- - EXTERIOR WALL. CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . 4162 sf N: 1HR S: 1HR E: 1HR W:
TYPE OF USE. . . :CUM SECOND. . . : sf PROTECT OPENINGS?-----------•--
1 YPE OF CONST. :5N THIRD. . .. . : sf N: S: E:Y W:
OCCUPANCY GRP. :B2 TO'TAL -------- 162 sf ROOF CONST: FIRE RET? :
UCCUPANCY LOAD: BASEMENT. : 5f AREA SEP. RATED:
STOR. : 1 HT. : ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT?: MEZZ:': REOD SE:-I.1?ACKS--•------ REQUIRED-----------_----.---._.
f"LOOR LOAD. . . . : ps f LEFT: -ft RGHT: ft FIR SPKL: SMGK DET. . :Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDIC;P ACC:
BEDRMG: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 2300
Remarks: Beauty salon to be bl,ilt in half of a double garage.
DtAnert -.___.___._._____.__..________._.__..__.__._______..____.._.._.._..___-.----_._._._.___. FEES ------
VIRGINIA L.YGART type amount by date recpi.
132,35 SW BURNHAM PRMT $ 3B. 50 JF 10/10/94 -
PLCK $ 25. 03 JF 10/10/94 --
! TGARD OR 97223 5PC:T $ 1. 93 JF 101117.1194
Contractor: --_ --- ----------------.------
OWNER
i 'hone #: $ 65. 46 TOTAL_
I?eg #. , --
______.._ REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. rill work will be done in accordance with Gyp Board Insp
approved plans. :1pis permit will expire if work is not started Susp Ceiing Insp
within 180 days of issuance, or if work is suspended for more Final. Inspection
than 180 days,
eimittee Signature : �
Issued By :
Call for inspection — 639-4175
COmmPrc1al Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: 32 3�` 5 W s�'�' p � cT
Qfflc� Ure �)�
Tenant: L- ter" r-,11,1 -suite #
Valuation: 3 Planck!R�.-c# _. _ __—___,_�
_ J
Owner: Map & TL#
Address: f
tlpravals Reg<?(rect
71�7P,
Phone: Engineering
Other
contractor, mom
Addre,.s Sly r )QjUANR; C_7
r
Type of const: ,J,tA-4-4 ____
Occupancy class:
Phone:
Sprinklered? Yes �NO)
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project: 162-
Story
(2Story (t st, 2nd, etc.) l tT
ArchlteLt/Engineer: _ Proposed use:
Address: Previous use.
Note: Plumbing & mechanical plans
must be submitted at time of
Phone: _ buileing permit application.
COMMENTS: WAIKIAh
�4
�,t✓d`2t.�''� a
A plic Signature & PhorVAmber
Received by: _ Date Received:
Permit At Account Description Amount Amt. Pd. Bal. Due
�wP .U 31 U Bldg. Permit (BUILD) ,38,5 U 3F.}-7V
Plumb. Permit (PLUMB)
Mecli. Permit (MECH)
State Taz (TAX) .1,Q.� � ;
Bldg: 30
Plumb:
Mach:
Plan Check (PLANCK) -Z >- v .2
Bldg: otS,p)_
Plumb:
Mach:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Jrainage Chg (SDSOu)
Residential TIF (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 (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLP%N) „
Erosion Planck/COT (EROSN)
TOTAM
Permit#: AN v
Address: f 3?_
0` Issued by: —� Date: D C
r
;A4
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.0.55(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt.from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
1. I own, reside in, or will reside in the completed structure.
El2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
beforxe or upon completion.
F13A. My general contractor is —
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
D-__113. I will be my own general contractor.
If I hire subcontractors, 1 will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form. �(
( gnature rmit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
- I ------ -/_a za - S
mv
'—Ji �—�
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PPROVEG FOR CONSTRUCTJOA�
CITY OF TIGARD Q
C4
PERMIT wpf� o 3�d SITE ADDRESS /.MALI-L- ( Pft _ Cr
- -fgY
- _.L?ATE &—j �ly 3
ala — ons. �Y ,,-J�
�._ BILITY: The City of Tigard, Oregon, or
e earl., �
M W' G -
UI"IY (11 TII:314RD - REiCKIPT Of- 1'F•IYMFNI HiA.'J d1-'I NI1. o44--c:57633
CHE.1.'K 1AM011NT s 65,. 46
NAME DV,3ART, V I NG I N 1 F1 i.f t it l fAMULIN I s 0. 00
ADI)TtESq t L.E:Ht C4, 1W•-CIN OF' }IF Wil Y FI(I r'MVN 1 D041 E z 10/10/44
SUi: DIV 1S1ON
PURPOSE IW Pf.IYM[-N 1' AMOUN 1• FAN 1 D PLJR 0!V—. 111- PH Y11ILN I FIMI'.)UN T P011)
BL)IL.DINL;' {=`:iiM HUA94 II3trh ;:ifi. 'iVl �1 . I�1I1I +� 1,i td t, 'i3
1-'I. FIN CHFCK VE: 5. 03
1 t)1 FII. F'IMI lI 1N T 14M) ,
I
CITY CSF TIGARD ✓ �
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tlqud, Orogon 97223.8199 (503)939.4171
PLUMBING PERMIT'
PERMIT #. . . . . . . : PLM94--0223
639-4171 DATE ISSUED: 10/10/94
PARCEL: 2S a.02DB--01801
SITE ADDRC ,S. . . : 13235 SW BURNHAM CT
SUBDIVISION. . . . : BURNHAM PARK ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 12
-------------------------------------------------------------------------------------------
CLASS OF WORK. > :ALT GARBAGE D P3POSALS. . : MC-NILE HOME SPACES. :
TYPE OF USE. . . . :CUM WASHING MACH. . . . . . . : BNCKF'LOW PREVNITRS. . e
OCCUPANCY GRP. . e82 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . e
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . s CATCH BASINS. . . . . . . :
FIXTURES-------------- I_AJNDRY TRAYS. . . . . . s SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . :2 URINALS. . . . . . . . . . . . . GREASE TRAPr. . . . . . . s
LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . . :
TCJB/SHOWERS. . . . a SEWER LINE (ft ) . . . .
WATER CLOSETS. . % WATER LINE (ft ) . . . .
DISHWASHERS-- : RAIN DRAIN (ft ) . . . . :
Remarkse Beauty salon to be built in half of a double garage.
Ownere --------------------------------------------------------- FEES
VIRGINIA DYGART type amount by date recpt
1. 235 SW BURNHAM PRMT• t 27. 00 BLT 10/10/94
5PCT $ 1. 35 BLT 1.0/10/94
TIGARD OR 972^3
Phone #:
Contractors --------------- -----------
OWNER
--------_____-- „_—___-----!OWNER
___
Phone #: f 28. 35 TOTAL_
Reg - -
- - ----- REQUIRED INSPECTIONS
••_.._. .
This permit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All Mork will be done i!I accordance with
approved plans. This permit wil: expire if work is not started
within 198 days of issuance, or if worll is suspended for more
than 198 days.
1--er-mittee Signatures
Hy :
Call for inspection — 639-4175
r
City of Ttga:d PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW mall 81',,,d. Permit #
Tigard, OR 9722'12
(503) G39-4171
MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE
New Single Fames R**I jM M Canty,
n C31 BATH HOUSE$140.00 E32 BATH HOUSE$195.00
Job �?�?.3,.5`S ' �J u G N ,�.� ❑3 BATH HOUSE 3225.00
Address I ar Fee Includes as plumbing fixtures in the dw"V and the first 1-10 feet
4 d" 1"1;a of water!wA4ca, sanitary sewer znd storm sewer. See fees below.
i+wtr ywaws." FIXTURES OTY PRICE AMT
Sink 9.00
warI_ �» Lavatory 9.00
Owner3 2 i~ �1.�.3 _ >4'N +�l->I �T� Tub or Tub/Shower Comb. 9.00
eaMrarr D► Shower Only 9.00
Water Closet - 9.00
Dishwastwrr 9.00
DisposalGarbage
Occupant IP ,� rPAP 7^ ,,,... - Machine 9.00
/A? Floor Drain 9.00
ar'+�•• q► Water Heater 9.0.1
LaundryRoom Tray 9.00
UAW 9.00
Other Fbctum (Specify) - 9.00 --
r.ar tire. PIN" 9.00
Contractor 900
Moab" 9.00
C- r c Sewer let 1W 30.00 -
iWrwi.�N. I.`bm tr.'& Sewer-ea.Addtt. 100' 25.0-0
Water Service let 100' 30.00
I hereby acknowledge that I have read this opplicatlon, that Line Water Service ei. AddiL 200' 25.00
infamiadon given is correct, that I am the owner or authorized agent of --
the owner, that plans submitted are in compliance with State !sws, that Storm &Rain Drain let 100' 30.n0
I am registered with thee Construction Contra:toex Board, that the Storm b Rain Drain Addlt .00' 25.00
number given Is correct. /If exempt fruit State registration, please -
Mobile Home Space 25.00
gtve reason below.)
Back Flaw Prevention
Dev!" or And-Pollution Device 9.00
Any Trap or Waste Not -'
I Connected to a Flecture 9.00-
D---escribe work new Q a'd 0 Uteratlon n repair j, Catch Basin 9.00
to b6 done resvlentfal QK non-residential 0 - Insp. of Exist Plumbing 40.00/hr
Specially Requested Inspections 40.001hr
Existing use of '/ Rain Drain, single family dwelling 30.00
building or prnperty _ 1l4'lUf+ /S(�V�� --
Residential badciknv prevention
devices 15.00 i
P•nposed use Of e �/
building or property *(Except►es/dtrrt/al hsekilow
prevention (revlces)
l'OTICE •Minimum Fee $28.00 SUBTOTAL
PERMITS BECOME VO;O :F WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 3%SURCHARUE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
1
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. FLAN F,--,MEW 25% OF Sl!BTO'fAL
TOTAL n
Spec'al Conditions
Date Msued by
(.3 1 y of 'I'lGARD — W (-'I-: I PIT k* PAYMI-:,N I NO. a 94--pb/f 4c"-j
AMOLIN I a ,NF1. 31t�
NWit DY(3AH1', VIR(31NIP CASH IMAINI o 0. IAA
13e,'.10"7 SW SURNI-4-IM Ul W14 Y ME N I I OH I 1. 44
't (W)RD, OR 50131)t v I I.-.;I(A 4
P14- H81-. OF I-,f4VMF.Ni OMUUNT P(i i v PURPUSF: LIF PI-AYMI-1V1 HMOUN I I-11-1 j 1)
1.1 tiMBIN13 Pl-fitil III Wlii- Virv`4 00 1 1 NA I I I VIV. H
M101, AMURINIV PATI) Vi
city or Tigard Building Departsont L G""Q✓�
13125 SM Ball Blvd. Tigard, oregnn 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639- 71
Inapect.ion:_�
looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater (Line 4� Gy ed. -Mach.
Date Requested%_ Time: AN J PN
Rddress: 2-S -�►'v &0,61 —� rm1.t #t —v
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED%
v.
Inspector: _ _ Date:
__
—74PPROVED — bI9APPROVRb APPROVED SUBJECT TO ABOVE
For Relnap.
i
CITY OF TIGARD
STOP WORK ORDER.
BUILDING DIVISION
13125 SW HALL BI.ND.,TIGARD, OR 97223
639-4171
JOB ADDRESS: -.-_ PERMIT #:
OWNER: _CONTRACTOR: -
YOU ARE IN VIOLATION OF THE FOLLOWING: ^t
A
AND HEREBY NOTIFIED THIS DAY OF r 1 1 : r 19_-'- AT =� `--M'
'THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABuVE Vi!5L ION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE F R:LURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REMOVE THIS NOTICE-
BUILDING INSPECTOR