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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 Rain Drain Cover/Service
FINA.:.:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/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:,? – 9 w A.M. p
M
Entry:
Address:
Tenant:
Ste: MST96
Con/Own: �GZ�_�Z_ C, BLIP:
�c� MEC:
PLM:ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector 110 11 —"
-- _ 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 (._ +
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Fir/Slab Plbg,Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins,
Other:
Date: "2 5 '" A.M. P.M. Entry:
Address:
Tenant Ste: MST: G
BLIP:
Con/Own:: - d/U L_ yJ���. MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED El_R:
IKPPROVEDT—
ctor. 1
_ DISAPPROVED/CALL FOR REINSP C;= CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 633-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Lino Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing - ech.
Plbg.Und/Flr/Slah Plbg. Top Out Insulation Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. tow
San. Sewer Gas Line Appr/Sdwlk
Other: \ I
Date: — 1 _ A.M. �`P.M. Entry:
Address:
Tenant: _ Ste: _ _- T
Con/Own: B P. _--
-_ MEC:
PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
01
__�S __Tl��• lv�T— C,`,�,.rjL
,ar
Insp r: ---- Date: --- --
PPROVED 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/Beanl Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
Can Sew Gas Line Appr/Sdwlk Reins.
Other:
Date: _�_L-.51�_�_1 A.MP.M. Entry:_-
Address: ���'L40
Tenant:— ---�_. —.�-- Ste:— �1
BUP.
Con/Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
In pecto���= ------ — Date: -
ROVED `DISAPPROVED/CALL FOR REINSP. F CO
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTIFICATE. OF
OCCUPANCY
PERMIT #. . . . . . .
DATE 15GAJED:
I L ADD RESS, I I i-?W OW-U..NBURG RD PAHCEL s I S 13504-AD003
JBD I V I 5i I ON. . . . r MLP95 -0010 Z ON ING R -
OLOCIA. . . . . . . . . . .* LOT. . . . . . . . . . . . . 1003
1 ASS OF WORM,. i NEW
T'YPE OF USE. . . :9F
TYPE Of-' COW;TR:5N
nC(AJPANC.Y GRP. :R3
0M-'1JPANC'Y LOAD:Z'
Ppmarh,5 - PATH I ONI. (IF 1HRE.F NFW 'J' i7ok 14LP1)5-'A010
LIND(?UI!7sl' DEVELOPMENT (ROD GPINBER6:1
P- 0. BOX 42'135
PORTLAND OR 97t24c:
phollou I#: 238-SP75
Contra at or I
LANDQUEOT DEVELOPMENT Co
P 0 BnX 42135
PORTLAND OR 97242
Phone #: 232--8c';75
Peg #. . e 464400
This Certificate PrAnts or(".-apaticy of tho above o-eferen�ed buildint) or portion
thereof and confirms that the builditiq has i-.)ePn inspected ter
(20m pliance with
-fie Stat,P of Oregmi GpPcialty Codes for the, yrvu�4 or L: ..I P4
t and u.se urider
which the referenced pe)- mi.t was issued.
BUILDING INSPEC'JOR SU I LDINt3 OFFICIAL.
PMJ IN COW3%PICUOjJS PLACE'
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT DATE r SUED i . . MST96 N 14:;
DATE. I'�SUE=D: 04/29/96
13125 SW Hell Blvd Tiyerd,droyon 97223.8199 (503)839-4171
PARCEL: 1 S 135CA-AD003
L. i4ljlj)iL.�a. . . . 11411 SW GRELNLALJRG RD
SUL01VISION. . . . : MLP95-0010 ZONING: R-12
. . . . . . . . . . . L0l.. . . . . . . . . . . . . 0031
Remarks: PATH I ONE OF THREE NEW SF for MLP95-8818
--------------------------------------------------------------- BUILDING -------------------------------------------------------------
REIoSLIE:MST96-0109 STORIES.......: 2 FLOOR AREAS---------- BASEMENT.,.; 0 sf REOUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 27 FIRST....: 670 sf GARAGE.....: 399 sf LEFT..........: 10 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 651 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: l FINBSMENT; 0 sf RIGHT,........: 10
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1321 sf VALUE..$: 92239 REAR...,.,....: 15
---------------------------------------------------------------- PLUMBING -------------------------------------------------------- -------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH.,: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS........,: 0
LAVATORIES....; 3 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GAPBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..-. 0
------------------------------------------------------------ MECHANICAL --------------------------- OTHER FIXTURES: 0
-----------------•------------------
FUEL TY['ES---------- FURN ( 10A1( ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX IIP.: 0 BTU FLOOR FURNACES: 0 VENTS.....,..,: 8 WOODSTOVES....: 0 GAS OUTLETS...: 1
---------------------------------------------------r------ ELECTRICAI- ---------------------------------------------------- -
--RESIDENTIAL UNIT--- --SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --MOIL INSPECTIONS--
1000 SF OR LESS: 1 8 - 200 amp,.: 0 0 - 200 amp..: 0 W/SVC ON FDA..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 580SF., 2 201 - 400 amp..: 8 201 - 400 amp,.: 0 1st W/0 SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 8
LIMITED ENERGY,: 0 401 - 600 asp.,: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT,.....: 0
MANE HM/SVC/FDA: 0 601 - 1000 asp,: 0 601+asps--1008 v: 0 MINOR LABEL -10: 0
1000+ asp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ----------------------------------
Recnnnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.s ) 600 V NOMINAL: f.LS AREA/SPC OCC;
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------•---------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL----------------------------------------------------•-------------------------
AUDIO 6 STEREO.: VACUUM SYSTEM,,: AUDIO d STEREO,- FIRE ALARM...,,: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :-. X BOILER,.,......: HVAC....,,....... LANDSCAPE/IRRIG: PROTECTIVE SIGN_:
GARAGE OPENER.,: CLOCK..........: INSTRUMENTATION: MEDICAL.........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS...,: TOTAL 0 SYSTEMS: 0
Owner: ------------------------------------Contractor: -•---------------------------- TOTAL FEES:$ 3521.41
LINDQUIST DEVELOPMENT(ROD GRINBERG) LINDQIIEST DEVELOPMENT CO
P.U. BOX 42135 P 0 BOX 42135
PORTLAND OR 97242 PORTLAND OR 97242
Phone t: 232-8275 Phone ti: 232-8275
Reg N..: 46448
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 180 days.
--------------------------------------------------------- REQUIRED INSPECTIONS --------------------------------•------------------------•--
Footing Insp PLM/Underfloor Low Voltage Gyp Board Insp Electrical Final
Foundation Insd Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final _
Post/Beam Strurt Plumb Top Out Gas Line Insp Water Line Insp Plumb Final _
Post/Bean Mecnan Electrical Servi Gas Fireplace Water Service In Building Final
Crawl Orain Framing Insp Insulatio(1 Insp Appr/Sdwlk Insp Erosion Control
P e r-In i t t e e !3 i g n a t U r-e: � x/ `_— I s s li ed By -
/
Call for inspection - 6:39--4175
CITY
OF TIGARD SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . a SWR96-01: .
13125 SW Hell Blvd Tigard,nnpon 97223.8199 (503)839.4171 DATE ISSUED a 04/029/96
PARCEL: 1S135CA—AD003
SITE ADDRESS. . . : 11411 SW GREENBURG RD
SUBDIVISION. . . . : ML1,95-0010 ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :00::i
TENANT NAME. . . . . :
USA NO. . . . . . . . . . FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :N(�W DWELLING UNITS. . : 1
TYPE. OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTHL.!- TYPE. . . . :BUSWR IMPERV SURFACE: 0 ,f
Rema r-ks : PATH I
Owner. ------------------------------------------------------ FEES
LINDQUIST DEVELOPMENT (ROD GRINBERG) type amol.lnt by date recpt
P. O. BOX 42135 PRMT $ 2200. 00 JMH 04/29/96 96-279744
INSP $ 35. 1210 JMH 04/C2-9/96 96-278744
PORTLAND OF? 97242
rfhone d#: 232-8275
L,ontractor: -----
CONTRACTOR NOT ON FILE
----------------
Phone #: $ 2235. 00 TOTAL
— REQUIRED INSPECTIONS - ----
Mis Applicant agrees to comply with all the rules and regulations Sewer IIns(�p-ect ion
of the Unified Sewage Agency. The permit expires IN days from ____�i�"'� ►�
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency noes not guarantee the accuracy of the
Side sewer laterals. If the s.wer 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.
1-5G:. �
w,-mittee Uignat l_1re : 1---V`
Cal for inspection — 639-4175
• 6
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. '
Tigard, OR 97223
(503) 639-41171
Jobsite Address:
Subdivision: r�,, I'� i` i' �, 5 Office Use Only
L��_L_) _ L1 _ Lot #
Contact Date 1 I Initials
Valuation: Ail Result —
New Construction Only: (Square Footage)
Planck/Rec # f' C
House. / — Garage: _ /
Permit # m>,< 4 c)i v i.SWk'.ae- 0130
Reissue of *� L-r �'�'-r
Corner Lot? Y 6/ Flag Lot? Y Map & TL # "L
& Zone
Owner: L -4 to i tw- ,y a `'t��/^�,,s.t. Ci t Plat # —------
Address: /��' ��Jb 4 2 1 �j a�rovals Required
G'r ��..� . G .�°_ ► Z y 2 _^ Planning Setbacks —�_ Solar
Engineering
Phone: --
Other
( S•• .>' ) � � Z ?�L- 7S
Contractor: Items Required
��,..� ,�I fi�.•-�r r -
Subcontractors _
AddressTruss Detail,
Other
Phone Note_ Ye7
Contractor's License # ,y/ fee. 1 ' ""
A L� ~ �'
(attach copy of current Oregon license)
Contact Name:
Contact Phone: ( S.= j ) 1:2 Z .l l 7s
Subcontractors /.,rrV�t (,/� Arch itectlEngineer:
Plumbing: ' r 2ry Address
Mechanical _ ,�:,..�.�.r -_ ... !w�...• 1 j
(attach copy of current OR Contractor's License)
Flr, h �� L fn�-•V,{stns Phone
JOB DESCRIPTION. SA 6, IA.—L, -- —
71
Applicant Signgifure Applicant Phone number
Received by: ` Date Received
M Ve0n0uhVeu00
I
Permit S Account O*suipdcn Amount Amt. Pd. Bal. Due
t LLi(I.) Bldg. Permit (BUILD) q1 Z- r L
Plumb. Permit (PLUMB) 2
Mech. Permit (MECH) 3•
Bldg:
Plumb: // 1. , 4 ' 3
Mech: 1 s
Plan Check (PLANCK) 5� lb
Bldg: l' t .SJ se?
Plumb:
Sewer Connection (SWUSA) ��
Sewer Inspection (SWINSP) � _ 3
Parks Dev Charge (PKSOC)
Residential TIF MF-R) J Y-70 _
Mass Transit TIF (TIF-MT) ZC2-0
Commercial TIF MF-C)
Industrial TIF MF4)
Institutional 71F (TIF4S)
Office TIF (TIF-0)
Water Quality (WQUAL) 6
Water Quantity (WCUANT)
F�--- Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) v Y U
^.rCSian PlancklUSA (ERPLAN) ! 3 _
Erosian PlanckJCOT (EROSN)
TOTALS:
q
CTS 5ec
;r
. � SITE PLAN s
TAX LOT 1101 , MAP 1S1 35 to
IN HE SW 1 /4 OF SECTION 35, T.1 S., R.1 W.,
W.
CITY OFA IGARD$ WASHINGTON COUNTY, OREGON
ABED FOR:
LMouST DEV.
ROD GRINBERG
P.O. BOX 42135
• =� '
PORTLAND, OREGON 97242 �q
PH.(503)232-8275
SCALE 1"=40' /
AR6E ��� 6Q• �\
12./27/95
J013 N0. 5110SITE / 6,59 SQ.FT,
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/ 19
PAR'CE
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CITY OF TIGARD
W PARCEL, 3 FF E 199.0 Approved
7011 SQ.FT, `n 900 For only the work escr'
PERMIT NO.!
Job Address:l I�(?�L
.� .� C7i'�f1�8l.tt='CT�t�
aN 84 0`10" W 123. 14'
�00, By:
Uate: 7.L96
R05ION CONTROL " , .
'-4�' Nir: �; • AS
SILT FENCE
ti N 89'58000" W 309.81'
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CITY OF TIGARD
1312 S.W. IIALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND OR 97206
Plumbing Signature Form
Permit # . . . . : MST96-0145
Date Issued. : 04/29/96
Parcel . . . . . . : 1S135CA-AD003
Site Address : 11411 SW GREENBURG RD
Subdivision. : MLP95-0010
Plock. . . . . . . : Lor : 003
Zoning. . . . . . . R-12
Remarks :
PATH 1 !`NE OF THREE NEW SF 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
PTitJMRING CONTRACTOR :
LINDQUIST DEVELOPMENT (ROD GRINBERG) GEORGE MORLAN PLUMBING
P.O. BOX 42135 5529 SE FOSTER RD
PORTLAND OR 97242 PORTLAND OR 97206
11hurne # : 232-8275 Phone 4 :
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 639-417 1 , 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 # . . . . : MST96-0145
Date Issued. : 04/29/96
Parcel . . . . . . : 1S135CA-AD003
Site Address : 11411 SW GREENBURG RD
Subdivision. : MLP95-0010
Block. . . . . . . . 1_,(A : 003
Zoni.ng. . . . . . . R-12
Remarks :
PATH 1 ONE OF THREE NEW SF 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
` 'WNER : ELECTRICAL CONTRACTOR : /
LINDQUIST DEVELOPMENT(ROD GRINBERG) EL RICAL INNO��V�IONS / 7 �6 c
P.O. BOX 42135 3021 E 129TH XVENUE � �s�
PORTLAND OR 97242 PORTL R 97236
4 : 232-9275 Phoma
Reg # . . : 699C
4
igtt�,iiu�ro-'
�upery trician ---
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310