12394 SW GRANT STREET A
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(,':ERTIFlCATS: OF
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OTMItD OCCUPANCY
�
COMMUNITY DEVELOPMEN; DEPARTMENT 0"0011 #. . . . . . . :
13126 SW HMI 8W. P.O.Bax23367,T4pH,Orogm M23(6W)&W-4175
E31 TL-: ADDRESS. . . : 123q4 SW GRAW" s-r tPARCEL: J�:S14'Li:.;--J0HNL
I
SUBDIVISION. . . . : JOHNSON/GRANT MLP Z 0 N't N("i G'G
PLOCI... . . . . . . . . . . 1-01'. . . , . . . . . . . . . :2
CLASS OF WORK. :NEW
1 YPF- OF USE. . - '-51:
OCCUPANCY GRP. 'R3
1CCUPANCY LOAD 120 4
LNA� T NAME.
ti
e m a-k
)Wrler :
1�11-1 P'l"HLAND HOMES
8- P SW 58TH
IORTLiIND OR 97221
,hone #. 292-3975
-.ontrectorl - --
-
,IUHIHLAND HOMES
1.634 SW 1581111
i3OHTLA14D OR 97221
F.'hune 0. a92-3973
13,127
of the above referenced building is hereby given, And certiFies
cupanuy A
Uhe compliance with the, State Of Oregon '3peci-Alty Go,ie4 For' the [It'31- Pi
occupancy, And use under which the referenced permit was issued.
...........
EN'rt�lra 6R
ago;
Bu I LD I G F I C:.
POST IN CONSPICUOUS PLACE
IF vm� an
j��PECT IO,L/ IIQ—T II rE
City of Tigard Building Department
1317.5 811 Ball Blvd. Tigard, C vWn 97223
Inspection Line (Rec-O-(Pkone): 639-4175 Business Phone: 639-4171
'
Inspection:
Footing Plbg. Underelab Mach. Rough-in APer/8dwlk
Found. Plbg. Top Out Gas Line "
ALt
Post/Beam Struct. San. Sewer Framing Eld
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: l_� �-z —�L Times AN _PM
Address:.JZ 7 l� C��j c� Permit #8 �- I
Builder:
THE FOLLOWING WRRE::TIONS ARE REQUIRED:
G'
Inepectot:_ — _ _ Date:
< APPROVED DISAPPROVED APPROVRD SUUJZC— TO ABOVE
Call For Reinsp.
ar W fqw ar ar
INSPECTION WYrL'-E
City of Tigard Building Dem,t2*'nt
13.125 Sit Ball/ lwd. S17ard,
Oregon 97223
-O-Pq�vna): 839-4175 7ueineas Phone:
Inspection Line (I2oc639-4]71
Inspection: =— !"
Mech. Rough-in Appr/Sdwlk
Footing P1 Underelab �.__
Found. P1 Top Out
Cas Line FINAL:
Post/F:,aam Struct San. Sewer
Framin�� -Bldg.
Fosc/Ream Mech. Rain Drain
Inauletion -Plumb.
plbg. underfloor Nater Line Gyp. Bd.
-Meet.
Time: _--AM PM
Date Requested!
� � Permit 1:
Address:
Builders
TOR VOLLCNINO CORRECTIO148 ARE RIQUIRED:
�2 LM
r
I•"1�
Date:
Inopecto
--- �-
?PROVED DISAP VF.D APPROVED SUBJICT TO ABOVE.
Call For Reinnp-
].NSPECTIOii_�SCR'
City of Tigard Ouildisq nepartaent �.
.13125 BW Hall Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639--4175 Buniness Phone: 639-4171
Inspection: .
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Ge,s line FINAL:
Post/Beam Struct. Sen. Sewer Framing -Bldg.
Post./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. -Mech.
)41
Date Requentedr L� ----Times — AM M
Addrens: - a L Permit f: : /
Railder.,
3'HF. I U'r)WING CORRECTIONS ARE REQUIRED:
Inspectors_ Dater
APPROVED DISAPPROVED APPROVED SUBJEM TO Atn"
Call ft-, Reinsp.
rtlSi'r. 6N,NOTICE
city of figarA Building Depar.taent
13125 BW fiat l 01+d. Ti.gar.A, Oregon 97223
Insoection M_ne (Rec-O-'honE): 639-4175 Business Phone: 639-4171
Inspection --
Footing Plbq. Underalab Mach. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Gas Line FINALs
Post/Ream Struct. San. Bower F:,amtnq -Bldg.
Poet./Beam kvch. Rain Drain Insulation , -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Mach.
Date Requested: _ e _Times _AM _PP
Addream: __-- Permit
Builders --.---- ---
THF FOLLOWING CORRECTIONS ARE PFQUIRED:
1�ffl 01,
Inspector: ��� Datei (6
"N( APPROVED DISAPPROM "PROVED SUBJ1CT TO ABOVt
///���� Call Ior Minsp.
e
MMj
xNBPECTION Ndr.IC6
c't:y of Tigard Building Departaent
7.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspect.!on Tine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections._
rLv3tin9 Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Tog Out
Can Line FINAL-
post/Beam Strucl_ Sari. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain
Insulation �Ju-b.
Plbq. Underfloor Nater Line Gyp. Bd. -Koch.
1� / �__ Timet AM
Uate Requested: •-- PM
Permit fit,
Builder:
TfJE POLIAWINC rORRECTIONS ARE REQUIRED'
77 i
inspector: Datas�l
APPROVED DISAPPROVED APPRnVED SUBJECT TO ABOVE
Call For Rainsp.
h
LN ffKMEk_NQrI_CE
City of Tigerd building Department
13125 EN Hall Blvd. Tigard, Oregun 97223
Inspection Line (Hoc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:------ — -- -- —.----- ---
footing P1bg.. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line PLNAL:
Poet/Beam Struct. son. Server Framing -Bldg.
Post/Heam Mach. Rain Drain Insulation Plumb.
PINI.
PINI. Underfloor Matur Line Gyp. Bd. -Mach.
Date Requested: - --Timer AM __PM
Aldreast J - Permit 1t_r
Su I ldert��,��1Z' jL4Lv,
TNR POLLOW NG OORR=CTIONS AHE REQUIRED:
Z) �c��T�l� .�,1'�Sj.�l.�i� w 'moi Tf� _ "r� itJSi:sllrl:iuA-
fv�l
P� e,5Gov, - _-
Inspectors- 6 - Date:
APPROVED X DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinap.
]N'q_F1 loN�IOTICE
City of 2igard Building Department
13.125 SN Hail Blvd. Tigard, Oregon 972 3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63'3-4171
inspection• --� ---
Footing Plbg. Urderelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas L.ne FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation -)Plumb.
Plbg. Underfloor Water Line Gyp. Rd. Mock
Date Requested:_ :22 � � Tisst AM PM
Address: �� �L/ �-� yPermit 0 _L ^s
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_.. r , _ Date:_
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
�HSPECTION 110TICE ' J
City of Tlgard Buildf_eg r),po.rtment
131
25 BM Hall Blvd. Tigard, Or*'g 97223 --=
Inspection Lino (Roe-O-Phone): 639-4175 Business Phone: 39-4111
I n spec t ion:_____
Footing Plbq. Undprelab
Neth. Rough-in Appr/bdwlk
�
Pound. P1 . Top Out Gas Line FINALS
Poet/Beam Stcuct.. Ban. Beller
Framing -Bldg.
post/Beam Me:.h, Rain Drain
Insulation -Plumb.
plbg. Underfloor Mater Line Cy ��
Time: --PH
Date Requested&
Permit
Addrees:,_Z2 0
Builders -�" G ;y
THE FOLLOWING pORRECTIONS ARB REQUIRRUs
Date:I,
Inspector: — —
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IES$ -F-Mi CE
City of Tigard Buil ling Department
13125 BW Pali Blvd. Tigard, Dreg n 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections ----
looting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Fra"nfj -Bldg.
Post/Beam Mecn. Rain Drain euon ~� -plumb.
Plbg. Under.f.- or Water Line Gyp. Bd. -Mech.
Date Requeet vd.. ' _Time: '_A/M' _PM
Address:-/_ 1' Permit -
�� A
3�—:•-�------
TNS FOLLOWING CORRECTIO118 ARE REQUIPEDt
Tn"ctor:.__T_=/ _ Datet �'�r -7_
APPIZOVFn DISAPPROVED APPROVED BUBJECT TO ABOVE
Call For Reinsp.
Ink.1,
City of Tigard _.,:i.lding Departsr'-'nt
13125 SW Hall Blvd. Tiger,., Om,-in 97223
Inspection Lire (Rec-O-Phone): 639-4175 Buninerrno�P�hoone: 639-4171
Inspection:_ � ._ - = - -----
Footing Plbg. Undereloh Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Lina FINAL:
i
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water(( Line Gyp. Rd. -Mach.
Date Requested:_ l�l�]_�Z __Times _AM _PH
Address: Permit #
Butlder:,��—vn J ✓—�lo Z� .__�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Tnepoctor. ��' - ---— ------ --- Dat; :� -- -
APPROVED DISRPPROV3D APPROVED SUBJECT TO ABOVE
Call For Reinnp.
i,NeYECTION NOTICE � vl
City of Tigard Building Department
13125 all Ball Blvd. Tigard, Or- on 97223
Inspection Linw (Rec-O-Phone)s 639-4175 Bunxness "hone: 639-4171
Inspection:_ _
Footing Plbq. Underslab Mach. Rough-in Appr/,dw1k
Found. Plbg, Top Out Gas Line FINAL: r
Post/Beam Struct. San. Sewer Framing -•91dy.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: _1- -'J7, TieMi AM /„__.PM
Addreas:, ( ( 110--V Permit it►__iI�d S
Builders D - l 6 Z2- ---
TB= TOUAMIN11 ODRUCTIONS ARE REQUIRED3
;--
Loo-
- Lo, `
Inspector: Date l
APPROVED 7/--DISAPPROVSD APPROVED SU13JECT TO ABOVE
11 For Rsinsp.
}NSPKC°ION NOTICE
City of Tigard Building Department
13125 SM Bal'. Blvd. Tigard, Oregon 97223
Inspect',on Line (Rec-O-Phore): 639••4175 Businesto Phone: 639-4171
!'ook{.n1 Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fund. F.lbg. Top O'it Cas Line FINAL:
Post/Ream Struct. San. Sewer Framiny� -Bldg.
Post/beam Hoch. Rain Drain insulation -plumb.
Plbg. Underfloor Water Line Gyp. T'j. -Hoch.
Data Requen' std: � ' Z' _- —Timet x _AH —_,PH
Address Zy3�y L Permit ,s L ( _O f4f
Buildert-a Z- ✓-1-S
THE FOL'.JWING CORRECTIONS ARE REQUIRED:
Inspectors
-'-:� Date-
-
APPROVED _-_ DlshppRCIVED r APPROVED SUBJECT To -ROVE
For Rei.nap.
I .
_jNBPz(LT '.10'tICE
City of Tigard Buildirnq DePartlmllt 3
1.3125 BY Ball Blvd. Tigard, Oreyo
Inupel-tion LS.ne (R,c--U-Phone)s 639-4175 5ueiuess Phone: 639-4171
Inspaction:.- _
Mach. Rou h-in Appr/Sdwlk
footing
Plbg. Underslab y
Top Out
Found.
Plbg. Gas Line FINAL:
Framing -Bldg.
poet/Beam Stru-t. an• sewer
Insulation
-Plumb.
Post/B3am Mach. Rain Drain
Nater Line
Plbg. Underfloor J GYP•
Bd.
-Meeh.
Date Requested:_, L� -
Permit Is
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
,/f ---- Dater/- Gi
InspOCtort
�/ App D _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Fcr Reinap.
City of Tigard Building Department
13125 SR 0:M Blvd. Tigard. oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ions --
Footles 9 Plhg. Underslab ech. Rough-fin Appr/Sdwlk
Pound. Plbg. Top Out
gas Line FINALS
p.et/Beam Struct. San. Sewer Framing -Bldg.
Past/Deem Mech. Rain Drain
Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd.
-Meth.
Detre Requeateds
Times . _PM
4441, g7 _ .. Permit s /
Address s_
THE FOLI.ONIN^ CORRECTIONS ARE AEaVIRED:
1nBPOCtOr Date: _
APPRCVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOVICE
City of Tigard Building DepartmOnt
13125 90 Ball Blvd. Tigard, Oregon 17223
Inspection Line (Rec-O-Phones 639-4175 Bsseijeee Phones 639-4171
Inspections —_ - ' '' .. , ^� .'�i9�i �/t_•-_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Tip Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Aster Line GYP• Bd. -Koch.
Date Rsqueeted: / , l _Time° ._PM
Addreas:�
Permit
r
Builders — - -
TRK FOLLOWING CORRECTIONS ARE REQUIREDt
Inspectort"J/
--APPROVID DISAPPROVED APFRtwrll SUBJECT TO ABOVE
Call For Refnap.
�Nsescrlud poTlcE �;//
City of Tigard cuilding DepartAbnnt
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phone: 639-4171
Inspection: �� -—-- —'
Footing Plbg. Underslab Hach. Roagh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Posst-/Beam Struct. San. Sewer Framing -Bldg.
'Post/Beam Noah Rain Drain Insulation -Plumb.
Vibg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested ` l� —�__—Times _M
Permit `/:
VJ
Builder! ( ( --�
THE FOLLOWING OORRECTIONS ARE REQUIRED:
i
Inspector: Date.
.—�----
APPROVED DISAPPRnVBD - APPRMED SUBJECT TO ABOVF
Cal: For Reinsp.
NS I_iCT ILNOTICE
City or Tigard Building Depart—t
13125 SK Ball Blvd. Tigard. Oregon 97223
Inspection Lina (Rea-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
i
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
am Struc San. Sewer Framing -Bldg.
c Post/Beam Hoch. Rain Drcia Insulation -Plumb.
PZ�_
Underfloor/ Water Line Gyp. Bd. -Hoch.
Dquested: 1 L-z-� -� Times -_ --AN -----PH
Address e 1-7, J_L! C �`� Permit
BuildersIJlW1I�rZL-
THE FOLLOWING cORRZCTIONB ARE REQUIRED:
Inspect r: ------- -- __ ----------- Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPECTION���
City of Tigard Building Departaru:t
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rac-O-Phune): 639-4175 Business Phone: 639-4171
Inspections— — _ — --
ting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
y' pond e Plbg. Top Out Gas Line FINAL:
\Post✓/Beam Struct. San. Sewer Framing �' -Bldg.
Post/Beam Mach. Rain Drain Insulatio � / -Plumb.
Plbg. Unierfloor Water Lina Gyp. Bd.. /��nn.. //Mu� ch.
Date Roquested:,
Address: 6 _--_ Permit #1
Builder:.
THE FOLI.OWj= ERECTIONS ARE REQUIRED:
I
Inspector:--�L � __a_ Date: I 1
V APPROVED DISAPPROVED _- APPROVED SUBJECT TO ABOVE
Call For Rei.nsp.
�e
s
CITYOFTIFARDOFCnYYM
ND MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT \anooM a '1=RM 1 #• . . . ' ` ' ` IhST7i 1
1312b SW FWI BNd. P.O.Bac 23347,Tipud,OrOW 07723(6W)6*4175PATE 16SHER1 i274
644
ITE PDDRESS. . . : 12'3945W GRANT S'1 PARCEL._: cS1171i:BA -,Tf71Ir,1;_
SUBD I V I S I ON. . . . : JOHNSON/GRANT MLP' ZONING: C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . :
--------- BUIL.DING ---------_.__.______._.________._.
uE I SSUF". DWELL.1 NG UN ITS: 1 BASEMENT. . . . . . . . :0 f
CLASS OF WORK. :NEW DEDRMS:3 HATHS:2 GARAGE. . . . . . . . . . :369 sf
TYPE OF USE. . . :SF FLOOR AREAS—'—___.___.-- REOU I RED SE BACKS-- _------`
T'YP'E OF CONST. :51\1 FIRST. . . . : 1305 sf LEFT. . .-7 ft RIGHT. :8 ft
OCCUPANCY GRP. :R.3 SECOND. . . :0 sf FRONT. :c0 ft REAR. . :23 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf
HEIGHT. . . . . . . . :20 ft TOTAL-----•--: 1-%05 Sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 p s f VALUE. . . . . $ : 66672 PARKING SPACES—:0
PLUMBING rtem ar ks : ------------------------- -
SINKS
--------------- -
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 -f RAE'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 I-AUNDRY TRAYS. . . :0 CATCH BASING. . . . . . . :0
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
-1ERS. . . . : 1 WATER L I (f t ) . :0 OTHER FIXTURES. . . . . ..0
D I SHWASI
(aARBAGE D I SP. . . : 1 RAIN DRP. (ft ) . :0
WASHING MACH. . . : 1 51= RAIN DRA I NS. . r, 1.
-
MECHANICAL
--------------- __.__..____________ FEES -- ---- - - ---_`
FUEL TYPES-- --------''--- UNIT HTRS. . :0 type amol.rnt by date reept
/GAS/ / / VENTS . . . . . :0 TIF i 1380. 00 JLH 12/11/91 -•
MAX INPUT:0 BTU VENT FANS. . :3 BF'RT b 334. 17.11 JLH 1.2/11 /91 _.
� URN ( 100Kc 1 HOODS. . . . . . : 1 SPL_C 1, 217. 10 JLH 08/28/91 216756
f-URN > =100K . . :0 WOODSTOVES. :O BOPC $ 16. 70 JLH 12/ 1- 1/91 -
FLOOR FURN. . . . :0 Cl...O DRYERS. : 1 SEDC $ 280. 00 JLH 12/11/91 -
BOIL/CMP ( 311P:0 OTHER UNITE: l PARK $ 500. 00 JLH 12/11/91 —
GAS OUTLETS: 1 MT-"'RT $ 40. 50 JLH 12/11/91 Owner-: -------------------------------------- MPL_C $ 10. 13 JLH 12/11/91 —
NORTHLAND HOMES MSPC $ L. 03 JLH 12/11/91 -
1834 SW 58TH P5PC i, 5. 88 JLH 12/11/91
PPRT 1i 117. 50 JLH 12/11 /91
PORTLAND OR 97221
)::,hone #: 292-3975
Contractor':
[NORTHLAND HOMES
1.634 SW 58TH
F'CIRTLAND OR 9722:1
Phone #: 292-3975
Req #. . : 13727
f 2903. 84 TOTAL
This permit is issued subject to the regulations contained 1n the ------- REQUIRED INSPECTIONS ---
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Foot/found Insp Fireplace Insp
applicable laws. All Mork will be done in accordance with approved Post/.Beam Str1.let Gas Line Insp
olans. This permit will expire if worlk is not started within IN Post/Seam Meehan Insl_rlatiOn Insl-
days of issuance, or if work is suspended foe thin 180 days. 'Im/i.rndslab Insp Gyp Board Insp
( 774�
PLM,`Under-fIoor- Rain drain Inst
t+lPer-mittee. Siynati_1r'e : echanical In,p Water Line Insp
Pl1.1mb Top Out Appr/Sdwlk Insp
1.5siaed Bv : _ Fr-aminy Insp Mechanical F inal
Call fore inspertion — 639-4175
SEWER CONNECTION
CITYOFTIFARD r"ERM I T
CF1Y0F s4 -RMIT #. . . . . . . : SWR91—'0e15
COMMUNITY DEVELOPMENT DEPARTMENT anew
13125 SW HWI HOW. P.O.Box 23397,TkpW,C*epn 97
75
DAT17 ISSUED:
5I TE ADDRESS. . . : I,-_1394 SW GRANT ST P15HCEL: 2S102BA—J0H%--.'
SUBDIVISION. . . . : JOHNSON/GRANT ML-F' ZONING- C---G
BLOCK. . . . . , . . . . . LOT. . . . . . . . . . . . . :2
iFNANT NAME. . . . .
LISA NO. . . . . . . . . . . FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . zl
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYP'E. ., :BUS)WR IMP,ERV SURFACE. . : f
1tefllav'ks :
Llwner : ------------------ FEES
NORTHLAND HOMES type amok.knt by date re(.:pt
1834 SW 58TH PRMT $ 1900. 00 JL.H 12/11/91
11\1S;72 $ 35. 00 TLI-4 12/11 /91
V,ORTLAND OR 97221.
292-3975
NORTHLAND HOMES
L334 SW 58TH
I 'DR-I'LAND OR 97212A
Vllione 202-13975 $ 193!5. 00 TOTAL
Pec-1 #. 13727 REQUIRED I NSPIECT I ONS ------
This Applicant agrees to comply with all the rules and regulations Sewet, InEopertio.-.
of the Unified Sewage Agency, The permit expires 180 Jay; from
the date issued. The total amount paid will be forfeited if the
permit expires, The Agency ries not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the weasurvent
given, the installer shall prospect -a feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agenc 'I ins-tall a lateral.
'c
1
Pler-mittee Signati-it-e :
By :
Call for. inspection 639-4175
PLUMBING PERMIT
PERMIT #. . . . . . . : M(::)T(Il 0195
.ZirfOF T16A CRY RD DATE ISSUED: 10'/11/91
COMMUNITY DEVELOPMENT DEPARTMENT Mew
13126 SW HdI RIV&0.0-BOX 23W,T", 91 (I 91990.4176 2C.11 RI
(,RA�JT ST _67-
SITE JOHNSON/GRANT MLP ZONINGs C--G
S1Jr4D I V I S I FIN. . . . :
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
-----------
CLASS OF WORK. . cNEW GARBAGE DISI OSALS. . .", I BACKFLOW PREVNTRS. . 10
TYPE OF USE. . . . WASHING MACH. . . . . . . : TRAPS. . . . . . . . . .
so
FLOOR DRAINS. . . . . . . :0
OqCUPANCY GRP. , :R3 WATER HEATERS . . . 11 CATCH BASINS. . . . . . . :0
GTORIES. . . . . . . . . I LAUNDRY TRAYS. . . . . . 30 13F RAIN DRAINS. . . . . 11
FIXTURES----------------- GREASE TPPPS. . . . . . . I CA
SINKS. . 11
:2 FIXTURE S5.
LAVATORIES. . . SFWF-..FR LANE (ft ) . . . . :0
TUB/SHOWERS. . . . :
WATER CLOSETS. . :2 WATER LINE ( Ft ) . . . . :0
DISHWASHERS. . . 1AIN DRAIN (ft ) . . . . :0
OWNER:
t,IORTHLf4ND HOMES TIF $ 1380. 00 JLH 12111 /?I
ISZ334 SW 58TH BP RT $ 334. 00 JLH 12/11/91
LAPI_C $ 17. 1(b JLH On/28/91 2167'.5
'PORTLAND OR 97221 S5PC t 16. 70 JLH lc/11/91 -
S F)rl c I c-.eo. 00 JLH 12/11/91 - wr
Phone PARK $ )00. 00) JL14 IL/I 1/91 -
11PRT $ 40. 50 JLH iLl 11i91 -
MPLC $ .10. 1,3 JLJ 1 12/ 11/91 -
M5Pc $ 2'. 0,3 JLH 12111 1r)I
5. 88 JLH IF/11/91
Add V-4 5
C i t at e PP r,T $ 117. !70 JLH 1;i�/ 11/91
Phoneill
P:
FREOUIRli'D INSPFCTIONS
This permit is issued sub iect to the rey- Insp kain dY-Ain Ing',
,,t,j,,L�Ljunc . ined in the Tigard Municipal Foot /found
Code, State of Ore. G)pe,::ialty Codes and all Post/Beam sitruct Water Line Insp
will be clone Post/beam Ilechan Pppr/cjdwlk Inst
other applicable laws- All wot-k Mechanical F"in;1
e with app.r,(Ived plans. This Plm/undqlab Tosr) Mec
ill icccirdanc not Started VILM/Underf loot" p.ju!,;b Final
pel-mit will expire i f work i%ov, if work is Mechanical ITISP B%tilding Fii)al
jokthin 180 days of issikancel plumb Top Out Erosion control
suspended for morel than ISO dAY%. pn st am Mpt.-han
Framing Insp
Fireplace Insp P,l m/Underf I clot-
Cias Line Inep Crawl Drain
In%ulAtion Insp
pl,jMtjjnp Top ChAt
�,4XUtyp BOW-d 17191-3 Pl'Amb 1.' inAl
ng Contrc or Siqriature
Plumbing Caall for- inspection 639-4175
Contractor Not es
RECEIPT CIF P,AYMFNT Rr,cri vi'T NO. 191--PP0540
CITY OF' TIGARD CHECK AMOUNT 4588. 81
NOPTHLAND HOMES CASH AMOUNT 0. ok
PAYMI NT Dwrt-
0 D L)RES S SAJBD I V f G I ON
PURPOSE OF PAYM(INT (WOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM ;3'34. 00 PLUMBINO PErvi 117. `50
OECHANICAL PE 40. 50 POILD PER 24. 61
PLAN CHECK FE --c'c'. 77 9%EW.--.R LISA 1900. 00
GEWER INSPECT 3015. 00 RES IDFNTIAL. TRAFFIC FEES 1 P80. 00
PARKS SDC 'x00. 017, STORM DRAIN SOC f--!A0. 00
MASS TRANSIT TIF- FEES 100. 00
LAIT 2 JOHNSON &- GRANT
12394 SW GRANT
TOTAL AMOUNT PAID 4588. 84