11405 SW GREENBURG ROAD i
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Seam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation - -lec
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: 'z A.M. ^P.M. Entry-
Address:
ntr Address: -
Tenant:_.. Ste: MST7,k-.� y
1 L/ BUR
Con/Own: ?%� 1�' 7 S �_. MEC: ---
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
OC
f
Inspector: ��i C-7 4 CD C� {„� Date:
APPROVED _DISAPPROVED/CALL FOR REINSP. CF' CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
Post/Beam Mach. :,hear/Sheath Framing ~ -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ��- Z j rl A.M. _P.M._ Entry:
Address: _ N G S S .4
Tenant: Ste: ST:Cl4'"0/4V V
/� BLIP: _
Con/Own: MEC:
PLM:
ELC: .
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —
Ins actor:
- - - Date:
, N?PROVED - DISAPPHOVE U/CALL FOR REINS 7 CF CO
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. BIt1 6.
San. Sewer Gas Line Appr/Sdwlk ein
Other: _I _
Date' A.M. P.M. / Entry•
Address: _
Tenant: -- -_- ( - Ste: ST Q
81 1P.
Con/Own: __ MEC:
PLM.
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: - _
b
Inspe r -------- Date:
VED _DISAPPROVED!CALL FOR REINSP. CF CO
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTIFICATE OF
OC(-'IJV-,AI,4cy
PERMIT #. . . . . . . : 01 ST 9 6 0I
DATE 155UFD: 01 /10/97
PARCEL: 15135CA--AD00"'
j-
-ITE ADDRESS. . . a 11,405 SW GREE-NDURG RD
I V I rj I ON. . . MLP9 5--0010 Z ON I NG i R 121
. . . . . . . . . . L01.. . . . . . . . . . . . . 0
I I-ASS OF WORK. 4 NEW
I YPE OF USE. . . :GF
JyPF OF CON STRc5N
11 U.)PANCY GRP. t R3
i I lf"(04C Y LOAD i
,mar ksg PA1,11 I
Owners
I.-INDQUIST DEVELOPMENT (ROD GRINBERG)
G. D. EAOX
PORTLAND 00 97242
V"hone #t 23-?--6ke-'7!:
Contractor: -- ------ --—
OWNER
Phwie Mn
Rea #. . - 13125
This Certificate grant,% OCCUpancy of the aboyea referenced hLijidirig Or pov-t. i0n
tharrof ar)(I confirms that the bUilding has been ins ected for compliance with
the State .3f Oregon Specialty Cod" fOv- ti-)P gr-0'_'P,' cr�'Pablc-Y, And rise uncler
which the re-fevenced pet-mit was iss,.4po-j.
I._
ING INSPEk-10P BUILDING OFiFiL'16L-'
POST It.) CONSPICUOUS PLACE
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : M5T96--0144
13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)839-4171 LATE: ISSUED: 04/x:9/96
PARCEL: 1 S 135CA—AD00(_2
SITE ADDRESS. . . : 1 1 41115 :iW GFtEENBUR6 RD
SUBDIVISION. . . . : MLP95-0010 ZONING. R--12
BLOC:K. . . . . . . . . . . LUT. . . . . . . . . . . . :004=
Remarks: PATH I ONE OF THREE NEW SF CONSTRUCTION FOR MLP95-0010
--------------------------------------------------------------- BUILDING ---------------------------------------------------------------
REISSUE:MST96-0109 STORIES. .....: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT.........: 27 FIRST....: 670 sf GARAGE....... 399 sf LEFT........... 16 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 651 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 11
OCCUPANCY GRP.-R3 BDRM: 3 BATH: 3 TOTAL------: 1321 sf VALUE..$: 92239 REAR..........: 30
--------------------------------------------------------------•-- PLUMBING ------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS. : 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS.,: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 8
-------------------------------- ----
------------------- --- MECHANICAL ------------------------------------------------------------
FUEL TYPES----------- FURN ( 1801( ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 8 WOODSTOVES....s 0 GAS OUTLETS...: 1
----- ------- ELECTRICAL --------------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1088 SF OR LESS: 1 0 - 200 amp..: 8 0 - 208 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 508SF.: 2 201 - 480 amp..: 0 gal - 488 amp..: 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 8 401 - 600 amp..: 0 481 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 1N PLANT......: 0
MAW HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1080 v: 0 MINOR LABEL -10: 0
IBM+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ------------------------------- --
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDRI=225 A.: ) 600 V NOMINAL: CLS AREWSPC OCC:
-------------------- ELECTRICAL - RESTRICIE� ENERGY ----------------------------------------------------
A. SF RESIDENTIAL-------------------------- 8. COMMERCIAL------------------------------------------ ---------------------------------
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....s INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE S?GNL:
GARAGE PANER..: CLOCK..........: INSTRUMENIATIONt MEDICAL........: OTHR: 1:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: 0
Owner: -----------------------------------Contractor: ----------------------------- TOTAL FEES:i 3521.41
LINDQUIST DEVELOPMENT(ROD GRINBERG) OWNER
P.0. BOX 42135
POR'LAND OR 97242
Phone M: 232-8275 Phone A:
Reg t..: JILL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 188 days.
--------------------------------------------------------- REQUIRED INSPECTIONS -----------------------------------------------------
Footing Insp PLM/Underfloor Low Voltage Gyp Board Insp Electrical Final
Foundation Insp Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final _
Post/Beam Struct Plumb Top Out Gas Line Insp Water Line Insp Plumb Final
Pcst/Beal Mechan Electrical Servi Gas Fireplace Water Service In Building Final _
Crawl Drain Framing Insp , Insulation Insp Appr/Sdwlk Insp Erosion Control —T
F ermittee Signat1are : t+a„ued By :
Call for, inspection -- 639-4175
CITY OF TIGARD SEWER F'� IERMT TIOIV
T
COMMUNITY DEVELOPMENT DEPARTMENT F-'ERMIT #. . . . . . . : SWR96-0129
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 DATE ISSUED: 04/.'-=!9/96
PARCEL: IS135CA—AD00;
'�I TIS AGG1tE,�if:i. . . : 1 1415 SW C�REF_NBURG RD
;UbD1VISION. . . . : ML.'95-0010 ZONING: R--1
BLOCK. . . . . . . . . . . LO-I.. . . . . . . . . . . . . :002
T ENANI NAMk�. . . . . ;
USA NO. . . . . . . . . . ; FIXTURE UNITS. . . : 0
CLASS OF WORK. . . -.NEW DWELLING UNITS. . : 1
F YF'E OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks: PATH I
Owner: ----------------------------------------------------- P=EES
I_INDI;UIST DEVELOPMENT (ROD GRINBERG) type amoi-trit by date recpt
V.I. 0. BOX 42135 F'RMT $ 2200. 00 JMH 04/29/96 96-27874::
INSP, $ 35. 00 JMH 04/29/96 9C
P'ORTI_AND OR 97242
Phone #: 232-8275
Gontractor:
CONTRACTOR NOT ON FILE
---------__________________________._ .
Phone #: f 2235. 00 TOTAL
Oleg #. . .
REQUIRED INSPECTIONS -------
This Applicant agree: to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the _
side sewer laterals. if the sewer is not located at the measurement -�
given, 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 Agency will install a lateral. _
4'ermittee !signature .
I Is s i_t e d B
Call for inspection 639-4175
Residential Building Permit A plication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
,lobsite Address: t1--LLLI �. L•' c r • .,/ ,. > �.� ;
Subdivision:&L P4 Lo ll Lot # �.•., r l r' < Office Use Only
Valuation: Contact Date ! / Initials
— - Result /
New Construction Only: (Square Footage) r'tanck/Rec # '
I ? :,,. Oermit # r�15 ty t�/y 5 - o(f q
1
House: _ I Garage l� — Reissue of O c'Tom/
Corner Lot? Y "N Flag Lot? Y Nle Map & TL# / ; ,C'A
Zone _
Owner: / ,I N,SPlat # �-
Address n Ap royals Required
/ L 1 > k `12 / �f -P
°/ ] 9 2- Planning Setbacks _ Solar
-- Engineering —
Phone: Other
Contractor: �,, .,, t L'�►-Pt a-P items Required
Address: Subcontractors_
- -- Truss Details
Other '+ -
Phone. ) Notes f� tin
rte,/bi/n4„ �.
Contractor s License
r (attach cgpy of current Oregon license)
Contact Name: (�
Contact Phcne: L�, )
f=ist �ku Tri VT _W E S RP_F
Subcontractors: �� ��jL � 'I �'U ` 'fit
(Injr, V&f �Q� � ���� Arch itectJEngineer: 1�1't j
�l ., r >a� s-t--
Plumbing; Address: 1a''TLA('I
Mechanical:
(attach copy of current OR Contractor's License),
l�lc �, ,,.�� ; �f� h, Lth•t��b� 1',�r,' 0 hone:
JOB DESCRIPTION S , gala tea<' I y S ;dt'rr�i /
Applicant Slgnature Applicant Phone number
Received b �"-"-
y ---- Date Received: C=
��d tt,r�li� �"'hC�t . I1_t C L(.(,►� C�' J�'C 1` �.Q Cf�'i .t.�' c:��' Ct ,'�' ��'� L! (,1�/
Permit Account Description Amount Amt Pd Bal. Due
Bldg. Permit (BUILD) ! - !
Plumb. Permit (PLUMB)
Mech. Permit (NECH) Z
Bldg:
Plumb: // y , y �� v 3 �/y► 3
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) -;2Z- �2 c•��
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC) 57 Sc-✓
Residential TIF MF-R)
Mass Transit TIF (TIF-MT) 2-fI
Commorcial TIF (TIF•C)
Industrial TIF (TIF4)
Institutional TIF (TIF-IS) _
Cffics TIF (TIF-0)
'Nater Quality (WQLIAL) /
'Nater Quantity ('NCUANT) , ' Oa
Fire Life Safety (FLS)
Erosion Cntrl Permit (EFtPq.M7j
Erosion P+anckJUSA (ERPLAN) fir 1 3
Erosion Planck/COT (ERCSN) i r 2;
T07ALS:
,�� m" ,�
SITE PLAN
TAX LOT 1101 , MAP 1 S1 35 CA
IN HE SW 1 /4 OF SECTION 35,
� T.1 S. R.1 W. �;'w.N
CITY OF TIGARD, WASHINGTON COUNTY; OREGON
PREPARED FOR:
LINDQUIST DEV.
ROD GRINBERG
P.O. BOX 42135
PORTLAND, OREGON 97242
PH: (503)232-8275 8•� '� " " �
+� �1
"SCALE 1"=40' / AREL �
12/27/95
6'SQ Q.FT.
JOB NO. 5110SITE U S / p \2 2009.., r, i�.;�''
g ,. x.
/ �� ` •/ tc �. ,, a { 3,, • ;681
J04 1969
`Cl
�N /
7 � t 19q2 �Y ,o-
PA CE
o•PAKCE
652 S .FT Q 0
4�0 /DR/ Npvs G
F
195.6 93.6 v II/69
/ � ..� X90„ ' �,� I • !
pARC�L 3 FF E 99.0 i
/ 7011 SQ.FT.
_ p - - - - - _ _
N 88'40'10" W 123. 14'
EROSION CONTROL
SILT FENCE
N 89'58'00" W 309.81'
1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND OR 97206
Plumbing Signature Form
Permit # . . . . : MST96-0144
Date Issued. : 04/29/96
Parcel . . . . . . . 1S135CA-AD002
Site Address : 11405 SW GREENBURG RD
Subdivision. : MLP95-0010
Block . . . . . . . . I,ot_ : 002
Zoning. . . . . . : R-12
Remarks :
PATH I ONE OF THREE NEW SF CONSTRUCTION FOR MLP95-0010
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNI-;P : P1,1JMATNG CONTRACTOR :
LINDQUIST DEVELOPMENT(ROD GRINBERG) GEORGE MORLAN .PLUMBING
P.O. BOX 421.35 5529 SE FOSTER RD
PO'3TLAND OR 97242 PORTLAND OR 97206
Phone # : 232-8275 Phone # :
Reg # . . : 02734
X --
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRICAL INNOVATIONS
3021 SE 129TH AVENUE
PORTLAND OR 97236
Electrical Signature Form
Permit # • • . • : MST96-0144
Date Issued. : 04/29/96
Parcel . . . . . . : 1S135CA-AD002
Site Address : 11405 SW GREENBURG RD
Subdivision. : MLP95-0010
Block. . . . . . . . Tot . 002
Zoning. . . . . . . R-12
Remarks :
PATH I ONE OF THREE NEW SF CONSTRUCTION FOR MLP95-0010
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
( MM-;k : ELECTRICAL CONTRAC'T'OR:
LINDQUIST DEVELOPMENT(ROD GRINBERG) MECTRICAL INNOVATION,
P .O. BOX 421.35 3021E 129TH
//
CIA
PORTLAND OR 97242 PORTL_ R 97236 �� `t�ar'� 04. 7,/
Phone P : 232-8275 Pie # :
Reg #. . : 266 C
ignature of SupervisKg Efectrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 4171 , ext. #310