13577 SW BRIM PLACE Ul
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1.3577 SW FRIM PLACE ,_
T I 1" .1 L H f E Or
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CITY OF TIGARD PERMIT #OCCUPAN
. . e MST95..0029
ii 1
COMMUNITY DEVELOPMENT DEPARTMENT DATE:. GG u I 1): Or:/13/96
13125 SW Hall Blvd.Tigard,Oregon 97223•B199 (503)639-4171
PARCEL: i?S1e14CD--07000
TE ADDRESS. . . . I i' L3W bkiN PL.
'-'UBD I V I G I ON. . . . i HILLSHIRF. Ec_3TATES ZONINGeR- 7 Pul
IALOCK. . . . . . . . . . a LOT. . . . . . . . . . . . .
�1.,ASG OF WORM. -NEW
I'YPE7 0('* USt. . I SF
11CLUPANCY 0 P. 773"9�
f)C(.A.IPANCY LOAD:C"'
Remarks : PATH I
'FV..PPA PACIFIC DEVELOPMENT
'hone #:
ontractor:
1ORMAN SHEARER CONSTRUCTION CO
; 10 BOX 1921
i.AKE OSWEGO OR 97OZ14
''horip #.o 636--484A
rely #. . - 55665
! hit~ Certificate go-ants occupancy of the Above ref'Prenced building or portion
' her9of and confir-ms that the biiildiny has been inspected for compliance W11-11
' ha State of Oregon Sperialty Codes for the group, 0041UPAnCy, iAnd ..Ise Undf.,r
'ohich the referenced permit was issued.
tt(JIILI)JNG"INSpEETUR BUILDING DrFICIAL
POST IN CONSPICLIDOS PL.AC
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PER1117
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PER1111'r #. . . . . . . : MST05
DA'fE ISSUED. 02/08/95
PARCEL: 2S104CD--07000
i,�b i/ SW LAR I M k'L
ULAD I V I CGI ON. . . . : HILL SHIRE ESTATES ZONING: R-7 PI)
L(J'CK. . . . . . . . . . : LOT.. . . . . . . . . . . . . :0/0
OF WLRK. :NEW GARBAGE DISPOSALS. . I
UbE. SF WASHING MAD-1. . . . . . . . I BACKVLOW PREVNTRS.
R3 FLOOR DRAINS. . . . . . . :0 T RAPIL. . . . . . .. . . . . . . . .0
;TORIES. . . . . . . . : WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
f -- 1-i-41-INDRY (RAYS. . . . . . : I SF- RAIN GRAINS. . . . . . i
INKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
NUwaIphlE.S. . . . . :ti LYMEN f IX 1*UF?Lb. . . . . :0
t-A-3/bHlJWLH.b. . . . : SEWER LINE (ft ) . . . . :0
;k I LF CLOSETS. . :3 WA I'Liq 1-1116-, ( ft ) . . . . . 10vi
I L.MWASHE RFj. . . . : 1 RAIN DRAIN ( Ft ) . . . . :0
emarks - PATH I
,,WNERI
ILkRA PALII-IL 1)EVk-A-!Jl-'11l1-l\f1 T 11--, 4 1 J50. 011 JF 02/08/95 -
SWM t 180. 00 JF 02/08/95 -
5Wm i, 11,10. 00 i1- 1112/013/95 -
LAP141 t 108. 00 JF 01:/08/95 --
-,one BPLL; $ 460. 20 JF 14)1/ II/r)5 9
B5PL $ 35. 40 JF 2112/08/95 -
1 _rmb :
11-tmb : Contractor: PARK $ 500. 0121 JF" 0 /0f3/1)5
MPRT $ 45. 00 JF 02/08/95
i� 5 JF 02
111PLL f 11. 013 9!5
,dd. e!l 2. iR5 JF OE:/1218/95
1P
313 f F1 5. Vi 0 Jr0 0 3 9 5
c,
P5PL $ ll. eb J F Od 116B 6
Odditional fees; not shown here. . . . .
REIDUIRED INSPECTIONS
!-1 i S 14)P" Mit is kS'.1jL*d 91.1t3jer
� t. to the I-eg
lations contained in the "figard Municipal Footing Insp Insulation InE,-
LUde, State of Or-P. Specialty Codes and all Foundation Insp Gyp Board Insp
Liner- applicabie laws. Hil work will be done Plost/beam Struct Rain dr,ain Ins-o
,i accordance with appi-o,it-d plans. This Post/beam mecrian Water LinN ii)
er-mxt will expire if wot-j( is not started Crawl Drain Water Service
ithin 180 days of issuance, or, if work is Plm/undslab Insp (Ippv-/Gdwlk I -.Iip
,.tFj)endecJ for- more ttan 100 days.
PLM/Underfloor, Mechanical Fine,
Mechanical Insp V-Ilumb FiylAl
Plumb Top OUt BUilding Final
[ raming Insp Erasion L.Qntrol
�xlFit-eplace Insp
z- ba-3 L.Lne In5p
e
'x11 for in,ipection 639-4175
j . , , .,,:tar Notes :
CITY OFTIGARD V1
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERM11
13125 SW Hall Blvd.Tigard,dragon 97223*8199 (503)639-4171 P'ERMIT #. . . . . . . . M5T9',5--00LL)
DATE ISSUED: 02/08/95
PARCEL,:
ADDRESS— . 13577 SW BRIM PIL
SUBDIVISION. . . . HILLSHIRE ESIATEEi ZONING: R-Y PE)
UL-OCK. . . . . . . . . . L.01.. . . . . . . . . . . . . :070
l3UlLD1NG
I'L i SSUL I DWELL INU UNITS: 1 13AGEMLNT. . . . . . . . :o
'DRMS:3 BA1 1,15:3 GARAGE. . . . . . . . . . : 787
LA- WORK. cNEW BE i
Or USE. . . .SF FLOOR REUUIRLD SErw)us_
TYP[: OF CONST. :5N F I RST. 602 T,f LEFI. . :25 ft RIGHT. : 15 ft
OCULIPANI.-Y GRP. :R3 EE'LONU. . 144-,t s I'-RONT. :20 ft REAR. . -70 ft
STORIES. . . . . . . :` FINBSMENTiO 5 f
HE 161.0 . . . . . . . . .344 t t T U I AL 3046 s i3mova-, Di.:JEL-ruRs. :y
FLUOR LOAD. . . . 140 psf VNLUE. . . . . .209758 PORK ING SPALES— : 1
t.`L.UMBING
S)I N K cS. . . . . . . . . . . I FLOOR DRAT N5. . . . :0 BACKi":LOW PREVNTRS. . : I
LHVi110RIES. . . . . lb WATER HLATERb. I TRAPS. ;. . . �;. . . . . . . :0
UB/.:')HGWLR:.). . . . :3 LAUNDRY IRAYS. . . : 1 t-ATCH .AS I . . . . . . . :0
WIL4 I L.R LLUGL'! ;.1. . :3 5EWER LINE, (ft) . 0 6REA5E TRAPS. . , . . . . :0
D I SHWA13HILP5. . . . ; I WtifLR LlNr� (ft ) . . 10121 111 HER FI X_I'Ll RE S. .
GARBAGE DltiP. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACIA. . 1 'if" RAIN .URA INb. . : 1
MECHANICAL FEES
F-U L. I`f I'-,L G- ut4i"r HTRS. . :0 t V fi P ,z.k M 0 1.1 n t by date p t
/U(4b/ VENTS . . . . . .0 "rip, s 1550. 00 JV 02/08/95
fyiiX lNr='Ul :0 13 I'LJ V L't%I T f"AN S. . :4 i3wil 1 180. 00 Jr- 01 /08/93
r Ll HN I OOK :Q) HOODS. . . . . . : 1 SWM 11 100. 00 JF od/08/95
i- URN > 10011, j. WODIM:')TOVES. :0 UPIP I f ?08- 00 JF 0 L/08/
F-LUUH FURN. . . . :0 CLU DRYERS. : I 8PILL 1, 460. 2121 JF 01/11/95 95 O6 04 1:::'
SOIL./Cmp ( 3HP-0 OTHER UNITS: 1 8 5 P C $ 35. 40 Jr OLL/0 0/')54
GAS ouTLET13: 1 PARK $ 50111. 00 JF 012/08/95
owner,:: $ 45. 0.0 JF 02/08/95
�-iILRRA PALIF IC DEVELOPMENT MPLCI $ 11. 25 if.
115PIL $ C L5 j+ I'M/08/9
38TH $ 2c'5. 140 JF 111E/08/95
P 5 P L s 11. 25 JF 0C.-,/08/95
Ph kill F EROS 1 8113. 00 il, 02/08/9`j
ContI'actor . 2 __ _ �0--l-ERPC $ 28. 60 JF Oe/08/95
NORMAN f-)RER CONS I ±Ul_ 1 ION LQ E:*R f--,C 2,P. 6 0 JF: 02/00/41:_1
,-,(j 13UX 19e
_OKE (21SWE150 OR "7 70 3 it
, 'hone 638-4848
10114L
-erlit is meed sAject to the reguiations contained in the I, - ------ - - REUU I RED INSPECT IONS
Tigard Plunicipai Lode, State of Ch-e. Specialty Codes and all other Footing Insp Pli.imb lop Ur-It
applicable laws. All work will be done in accordance with approved V'0,(ndatiun Insp Vram ing IriEp
dans. 7mis per-sit will expire if work is not started I within is$ Pus;t/Beam Stv-(-tct Fireplace Insp
-ays of issuance, or if. work is 3,.sp lat Pont/Beam Meehan Gas Line Insp
ided for Pore day
Cr at-)l Lit-ain Insi.ilation In-,
mitten I I I T1 I t'A Y'0 t, a4 'o Plm" 'Itidslat.) 1r)-io L-jyP boakt-cj insp
( PLM/Uridev,r loor- Rain drain Ins;;III e k-t I-A t I L-1 �A I I n"P WAtel" L..ille 111'3
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 SW Hall Blvd.Tigaid,Oregon 97223*8199 (503)639-4171 PERMIT
PERMIT #. . . . . . . : SWR95---0032
639.-4171 DATE ISSUED: 02/08/95
IT'E ODDRESS. . . . 13577 SW BRIM PL PARCEL: 2SI04CD-07000
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING. R7 Pl.)
iLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . ..070
ENANT NAME. . . . .
GA NO. . . . . . . . . . : FIXTURE UNITS. . .
-_f4b'? OF WORK. . . :NEW DWELL I NG UN I TS. .
y PE OF U6*E. . . . . I 5F NO. OF BUILDINGS: l
T(4-L I YPL. . . . :LAUGWFR IMPERV SURFACE.
PATH I
,wner,i FEES
IEFtFiW PACIFIC DEVELOPMEN1 type a m o i.A n t by nate r,ecpt
PRM_` i C200. 00 JF 02/08/95
IN 17, $ 35. 00 JF 02/08/951
harip #-
L,Ontr,actori
CONIRACTOR NOT ON F"ILE
Bone #: $ C`�35. 00 TOTAL
0^
REUUI RED INSPECTIONS
is Applicant agrees tc comply with all the rules and regulations Sewev, Inspection
the Unified Sewage Agency. The permit expires 180 days from
it date ;ssijed. The total amount pard will be forfeited if the
-:*t expires, The Agency does not guarantee the accuracy of the
.at sewer laterals. If the sewer is not located at the measurement
..ver,, the installer shali prospect 3 Leet in all directions from
,,)e distance given. If not so located, the installer shall p:jvchase
iap and Side Sewer' Permit and th Agency will l a lateral.
a
(i DV
L'all for inspection F39-4175
Cr SvS
W'
Residential Building Permit Application 164� J
City of Tigard ,`}
13125 SW Hall Blvd. �1-
Tigard, OR 97223
(503) 639-4171
Jubsite Address: 3S_77 15-u) 69IM Pt-
Subdivision:
FALSubdivision: 14111S IL 4 �ZS�C1l � Lot# -?-C Office Use Only
Valuation: 0' 7$
Planck/Rec #
Corner Lot? y Permit # it�'>�
Flag Lot? Y �
�. Reissue of
Map & TL # ,,)-51 O y G
Owner: ie.r i-,;% "L', c I �� Approvals Required
Address: _ _ _—� Planning
-- -- Engineering
Phone: � -4 � _ ��( l
--- Other
Contractor: J,_Lc:ll Cjr l'r7Ujj �kjC�uh ��, Items Re2ulred
Address: �C GL.,► , ( 1Z Subcontractors
(a Lk l� T, 9L6'4- Truss Details �—
Phone: ��'?,� � , Other
Contractor's License #
(attach copy of current Oregon license)
Contact Narne & Phone: N6'r w1Cf t^ -'tua w" /J -4,0,4g
Subcontractors: Architect/Engineer: l
Plumbing: Ylf 0 LOI �RW uAddress: 5-14
Mechanical: r�E lit G( 17�( - .71 c� t
(attach copy of current ORtq ntractor's License) _
Phone: z4 T T >
JOB DESCRIPTION: L4 VA,&
Applicant Signature & Phone number
Received by: Date Received:
N%WORDCOMDE"ESAPP
Permit # Account Description Amount Amt. Pd. Bal. Due
1.442 Bldg. Permit ;oY.
Plumb. Permit (PLUMBi
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech: Z�/
Plan Check (PLANCK) �l �? -' �' :2-2 y
Bldg: 46,0,
Plumb:
Mech:
�;L,leq.5 4,0 31 Sewer Connection (SWUSA)
Sewe- Inspection (SWINSP)
Parks Dev Charge (PKSDC) v
Residential TIF ('TIF-R) y 3 u Y30
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF•I)
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 (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: (, ,�t.5"S' �� -7 c
Ldr 70 NOR ESTA795
CURE—
sw. 8KIM C.T.
�-
�L•6 40.2°0 ---- -- --* S
RAWbATIC#1 (VAIN � 20� RiNC� Cp�lsT
FAIAIbRNN 10 CuRP,
-r - — 6dKAGre
SIN.EL.
I`IN.FL.EL., �•.U�
EL(,OS-
El-.IKrS
-� o0
M �
El_ A to
�QI
e L.wo „ CAJX 1 a 20
AUsE�Ijt
W'DT" ' 71 '-
1 , 4"
tPr►� = 42' 4"
NUI�M,hN 5"E4KM Ca6TKUCTION CO .
�'O,�OX i9z
LAKE CC-WECTO, M • WOM
PLUMBING PERMIT
CITY OF TIGARD PERMIT #. . . . . . . : PLM95-03115—
DATE ISSUED: 12/01/95
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd. Tigard,Oregon 9722398199 (503)839-4171 PARCEL: 2SI04CD-07000
SITE ADDRESS. 17 SW 11 PL
`:.)UPT)TUT!--iTnN. . . . : HILLSHIRE ESTATES ZONING: R-7 PT)
3LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .070
,'LASS OF WORK. . :ALT GARBAGE DISPOSAL-S, : 0 MOBILE HOME SPACES. 0
TYPE OF USE. . . . :SF-** WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . I
1CC(JPnI\ICY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WATER HEATERS. . . . . :1 0 CATCH BASINS. . . . . . . : 0
i-*I X LOUNDRY TRAYS. . . . . : 0 5F RAIN DRAINS. . . . . : 0
MINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
� .AVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWER S. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLuSETS. . : 0 WATUJLINE (ft ) . . . 0
DISHWASHE=RS. . . . : 0 RAIN DRAIN (ft ) . . . 0
R( marks: Instal 1 inq backflow pv-,event ion device
Owner: FEES
:31ERIRA PACIFIC DEVELOPMENT type amol.int by date t-erot
1..10 BOX 1754 PRMT $ 15. 00 B 12/01/95 95-213419
SPOT $ 0. 77) P 12'/0 1/9rj 99-2734 19
I-AKE OSWEGO OR 97035
Phone #: 684-3175
i!,EN WATTS CONSTRUCTION INC
1-10 BOX i--.130925
11GARD OR 97281
-'hone #: 684-4431 $ 15. 75 TOTAL
v4eq 100336
REOUIRED INSPECTIONS
This permit is issued sub')ect to the regulations contained in the RVI/Backflow Pr-pv
7igard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in acccrdance with
approved plans. This permit will expire if work Is not started
within 18@ days of issuance, or if worI, is suspended for more
than 180 pays.
["et-mittee Sionati-ir-P .- 19.kaA-4�.
.Iss�.Ied 6
Call for- inspection 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13 125 SW Hall Blvd. Permit # f 1 M `57:
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMrr FEE } ST. SURCHARGE
"•"""'°i" — New Siryle Family Residences Only
"°°
14
^°•`• j 0 1 BATH HOUSE $140 00 0 2 BATH HOUSE 5195 00
Jib Zj 7 W r �n F1 3 BATH HOUSE $225 00
Address Fee includes all plumbing fixtures n the dwelling and the first 100 feet
(� r dn of water service, sanitary sewer and storm sewer. See fees below
N.— •^•°'B"•^••" r FIXTURES QTY PRICE AMT
I Y�—Ik, poke_ i (.G Sink 9.00
MON
Ph.. Lavatory �— 9.00
7J�
Owner T'l/ N 11!5+ Tub or Tub/Shower Comb 900
"n'�'•'• Shower Only 9 00
' w ,� Water Closet — — 9.00 J
"•^•Ia"•m•"'°-1I DishwasherI
9.00 Ij
Garbage Disposal — 900
Occupant "•moo,,,,,^• Win,^
Washing Mechuie 3.00
Floor Drain 900
"' "'•
zip� Water Heater — 9.00
Laundry Room Tray 900
"•"• I - Urinal 900
Kr Cl` C _fit =x_3_14`i Other Fixtures (Specify) 9.00
Contractor 9.00
9.00
p � Ze 9 UD
IZ,?-i Sewer 1st 100' ^� — 3000
1 ' tt dt -1. 11• . '"^ °"'Bw.T•'No Sewer •ea. Addit. 100' 2500
� ---
r ` Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the -- Water Service ea Addit. 200' 2500
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 3 Rain Drain Addit. 100' 2500
number given is correct. (If exempt from State registration, please
give reason below.) Moode Home Space 2500
/� Back Flow Prevention
l._ CO. 1-36 _q5 Device or Anti-Pollution Device 9130
6— Any Trap or Waste Not
Yc �Acz GA r l Yc-13 Connected to a Fixture 900
Describe work new 0 addition 0 alteration O repair Catch Basin 900
to be done residential (D non-residential l) Insp of Exist Plumbing 40 00/hr
Specially Requested Inspections 40 00ihr
building
use of l �„
buildg cr property _ tM- -� _�� Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices °00 ( 0)
Proposed use of
building or property -
- '(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED —FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25"o OF SUBTOTAL
Special Conditions TOTAL
Date issued — _----- by -- -
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection.Line (Rec-O-Phone): 6394175 Business Phone: 639-4171
Inspection:
Footing 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
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Wator Line Insulation -Mech.
Uriderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: v< �C �(� Time: AM1� _ PM
Address: 1 3 577 J� IJPf N-t f�-- `
Builder: Ak4t#v &? r0 3 y y� Permit tt: Al S-T_ �S-00A J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
2 CIL
Inspector:_ Dater
,01�`PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
Footing
Rain Drain Cover/Service INAL
Ceiling Plumb.
Foudation Water Line g
�os'
eam Mec ShearlSheath Framing
PIbg.Und/Flr/Slab Plbg.Top Out
Insulation Efect.
Post/Beam Struct. Mach. Rough-in Gyp.A Bd.
San. Sewer Gas Line PPr/Sdwlk Reins.
Other: - _ T I -
Date: _. �__L ___ A.M. P.M. Entry:— —
_ Ste: MST: ' Qd�"
Tenant: ___ ' lBUP: —
Con/Own:.— J MEG:
PLM:
23 ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: F_LR:
_ Date: 4 5
Ins actor, - -
OVED _.DISAPPROVED/CALL FOR REINSP CF CO