12387 SW KNOLL DRIVE A,�(.+w.e •Qv�eX y No N#W#"i�'�,.«sngEar nrnvv.Mwwr.
p W,S+y,' ``� ;e',�t `' :.'p.�;h...., •� .y �..' 1'.'dfa ''F'I.MNF'"'� W?', + S�irP "�1°�,.�`t '.s k�, I ,,+,pg�,..;;� •t'n ,��`, '�•2.n-
jo(z9 *.
i
i
4'
�5
s
ddWM•4M1�'#LtMgliWf:W�W.inwr.._uhI......
4
CITY OF TIGARD
CE:'RTIFICATL OF
GOMMUNaT1F DEVELOPMENT DEPARTMENT OCCUPANCY
1$I*$IW MeA Wvd,Tlgwd,OmW ffMoll" (503)/.1e-4171
;(1., PERMIT (i. . . . . . . a MST92-0267
639--4171
DATE ISSUE Ds 05/25/93 1
SITE: ADDRE~SS. . . 1 12387 SW KNOLL_ DR FARCE I_a 2S 101 Sf 03100
S ISDIVISION. . . . a ZONING:
BLJC;K. . . . . . . . . . a LUT. . . . . . . . . . . . . x
CLASS OF WORK. x NE=W
'TYPE OF U.-)Ew. . . a;,)F
13CCUPANC:Y 6qP. x Ex3 ■
OLCUPIANCY LEAD e l i 8 4
TENANT NAME. . . a
■
j FteM::; ;rs a PATH I NE=EL) STREET OPENING FERMI 70M ENGINEERING
13wnera
j FOUR D CONSTRUCTION
P G 80'( 1`377
BEwAVE.RTON OR 97075
Phone Iia 641-0935
Contract or a
FOUR D CONSTRUCTION
PO NIX 1577
f P,
BE'AVERTON OR 97075
Phr4,►v Na 641--09: 5
Reg ii. . . 71.01-57 I
r
Occupancy r,f the above referenced building is hereby yi.ven, and certifies
the complianve with the State Of Oregon Specialty Codes for the group,
OCCI-ApAriCy, Marled use under which this referenced permit wars issue,i.
FIRE DFFAF2TMEN'T FSU fF— I A ILDINf3
POGT IN COINSP T CUOUS PLACE
a
r
i.
iNBPEm 2F 1t4TIC&
City of Tigard dutildiDg DOPsrt'M—t 1
1.3125 SO Hall Blvd. Tigard, Oregon 97'22
Inspection Line (Roc-O-Phone)s 639-4175 Business Ph s 639-4171 I
Inspections-- - 1
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
i
Post/Beam Struct. San. Sewer Framing �„-Bldg. )
Post/Beam Koch. Rain Drain Insulation P� 1 .um�
Plbg. Underfloor Nater Line Gyp. Bd. L�4EL� "" ■
Date Reguesteds -� •� Time: AM _PH
Addresns ,'LZ,I✓L - / S Pormit iY L
Bullders_L/
TBE FOLLOWING GiORR6CTIONS ARE UI D
/1 `
Inspector:-— � ,�—--- •---- Date:
' --— --
- L-eP(5PR0VED DISAPPROVBV APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
f
A
f
FI '
1,11L
I�S,�CTI4N NOTICE
City of Tigard Building Departiment 1
13125 BW Hall Blvd. Tigard, O—gon 97223
Inspection Line (Rec-O-Phune): 639-4175 Business Phone: 639-4171
Inspection:— --_
Footing Plbg. Undoralab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor 'Nater Linn Gyp. Bd. -Hoch.
Date Requested: ,1 '� Time: /\(--Am tH •
i
Addrere: 1� ?7 �7 �fZ� Permit rs
Builder:
;t
THE FOLLOWING o70RR,ECTIONr7 ARR REQUIR$Ds
y:
is
• 1 Inspectorr Data
i
_ APPROVED DISAPPROVED APPROVED SVBJISCT TO ABO:' '
Call For Reinap.
i
A.
k�.
i.
t
V
i.
11
INSPECTION NOTICE
city of Tigard Building Dc:nx--tnent !
13125 SW Ball Blvd. Tigard, Oregon 97223 1
Irspecti.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
1
p
Footing F'Lb Underalah Mech. Rough-in Appr/Sdwlk
Found. P.ibg. Top Out Gas Line FINAL:
kil
Poet/Beam Struct. San. Sewer Framinj -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
4 _ _
Plbg. Underfloor water ;.ine Gy,,,. Bd. ) -Mech.
i
Date Requested:—_ � `— ^ime�ti vL AJPH
Address:_J� � � = ��.-�+ — Perm t
Builder:__—.cL�
THE FOLLOWING C()RRl 'IONS ARE REQUIRED:
:
Inspector: t Date: C�
r --
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
r �
----.Call For Reinsp.
f
i
1.
_ i
i
INSPECTION NOTICE
City of Tigard Building Dnpartmen
13125 SW Hall Blvd. Tigard, Oregon 9 3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in '.ppr/Sdwlk "
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Stru:.t. San. Sewe. Frar'i.ng -Bldg.
Poet/Beam Mech. Rain Drain insulation -Plumb.
I Plbg. Underfloor �1 Water Line Gyp. Bd. \) -Hoch.
Date Relluoetedt Cy" Time: AH PH
-7
Address
:T ..�r / '`, '- .. /l�/t Permit is -
Builder-
THE FOLLOWING CORi'SCTIONS ARE REQUIRED:
i
i
i,---------
Inspector- L Date:
\' 1APPROVED
DISAPPROVED =--�`
APPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
yw&s�+nNWSY�ili��7�!k
!
w
it�7Y`�5 N,�1Th,j r � (n;�GIIW,� •�'.
e �J
ff
INSPECTION NOTICE
.:it.y of Tigard Building Department
X3125 SW Ball. Blvd. Tigard, Oregon X17223
Inspection Line (Rec-O-Phone): 639-•4.:15 Business Ph
Inspection•
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
i
Poet/Beim Stn:ct- Sa,I. Sewer Framine� -Bldg.
i
Post/Beam Hoch. Rein Drain Insulation -Plumb.
Plbg. Underfloor 4ater Lina Gyp. 8d. -Mech.
Date Requested=. Time: ANPli
^7
Address:__ / Permit #s '5Z
��•• _ Builder: �..—_1_ '�_�--_ ■
THE FOLLOWING CORRECTIONS ARE REQUIRED
yll'�
Inspecto,i__ / j Dater
APPROVED DISAPPROVED APPROVED SUBJRcf To ABOVR
Call For Rei.nsp.
I
� I
' ad.. .:,. . ,�4cr0Mv',.,:,rr�.�,9r axon..•,=;....�..r-,.: ,,,r.tsr ra:+_...._-. ,.,.. ..,,,.r ...,,,..µ
h
INSPECTION NOTICE
City of Tigard Building Depart ont
i'qv x�pn�Y-16 "ri
13125 SW Hall Blvd. 'tfgard, Oregon 97223
#`r mope^tion Line (Re
c-O-Phone)• 39-41,y- Bc i ese Phonei_639-4171
Inspection:—
Footing Plbg. Underslab �"Mech. Rough-in P,ppr/Sdwl.k r
Found. Plbg. Top Out Gas Line FINAL:
b
Po,t/seam Struct. San. Sewer I?ramirl -Bldg. 4
111, 71111
Poet/Beam Meeh. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd.1_4e —-Mech.
Dake Requested• lam' Timer/
_AM �PM
?j �G� Permit
Adareeec_
'Z G�__ ■
Builder: -- ----
I THE FOLLOWING CORRECTIONS ARE RFQUIRED: Of
L-
Inspector: Date:__,
APPROVED DISAPPROV$D APPROVED SUBJECT TO ABOVE
1 Call For Reinep.
-. merilh7�11Tat4.tt+�uum�r..r.+wn.,.. .„_..,. 4�,eMAGNfUkAAMY;. vll4'I� i1�1�"4 ....
,
�l
A
INSPECTION NOTICE
city of Tigard Building r--Parlment.
13125 Sw Ball Blvd. Tigard. or-Ion 97223
Inspection Line (Rec-O-Phone): 639-4175 Sueiinevs PnOne: 639-4171
Inspection:__— _
Footing nd
5 Plbg. Uerslab Mech. Rough-in Appr/Sdwlk !
_
_ y
Found. `Plug. Top Out � Cas Line FINAL:
j Pout/Beam Strutt. San. Sewer Framing g.
i
Poe':./Beam Mech. Rain Drain Insulation -Plumb.
i`
-Hoch.
-
pibg. Underfloor /—Water Line Gyp. Bd. T e
PM
Date Re tuested:
71 eft Permit f:
Address 7-
-" ■
Builder -�
e !� CTIONS
TNB FOLLoYWING ARE REQUIRED: -- —
Date / _ —
Inspector s— - i---
l4PPROV1Cp DISAPPROVED — APPROVED SUB, To ABOVL'
4all For Reinsp. R¢
,�,.».«+-,....:..«.. ............. ..,:..».,_-..o-n-n:urtlrcc»erl.a*eea1+.+.»vM�Hrlww n•in»M:MK»YkwW�NJ+I�����
1
r
r.e
INSPECTION NOTICE
Ci-tp of Tigard Wiilding Department
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspfwtion:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewe: Framing -Bldg.
Post/Becun Mock. Rain Drain , ins ulntion -Plumb.
Plbc�. Underfloor Water Line Gyp. Bd. -Mach.
D::te Requeeled:, — Times AM 7 PM ,
Address: ' UO Permit i t�?
Builder:
THE FOLLOWING CORRECTION3 ARE REQUIRED:
Inspector:—L_! ._ �...------ ._— Oates
APPROVED `- DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
• 1 .
INSPECTION NOTICE
City of Tigard Building D.
OregoPi'
f 13125 Sit ball Blvd. Tigard, rego?I
-Phone): 639-4175 Business Phone: 639-4171
Inspection Line ;Rec-O
Inspection:
} Footing P-lbq. Underelab Mech. Rough-in Appr/Sdwlk .�
��p�G 1taiyr {� FINAL:
� kerP }{ Found. Plbg. Top Out• ;as Line
nr :
Framing
-Slag.
a� f� �f"� f � �r{y}' t '' Poet/Beam Struct. San. Sewer g
�9nrf} ii
Insulation -Plumb.
Poet/Beam Mech. Rain Drain
e4f } 1 9J
ani i }
GYP• 8d. -Mech.
Plbq. Underfloor Water Line
' Timet (t'V� AM PN �
Date Req,-:pted: �7 - —
"l ! Z. /� /' ,-a Permit f= ��� bL�o '�
Address _�_
builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ZZ
C7 641
Inspector:_
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
�j
xNSPECTION NOTICE .
City of Tigard Building Depaz't:atent
13125 SH Hall Blvd. Tigard, Oregon 97223
Inapecti.on Line (Rec-O-Phone): 639-4175 Businene Phone: 639-417-
Inspection:
i Footing Plbg. Undera.ah Merh. P�wgh-, Appr/Sdwlk
!j! Found. PIbg. Top Out Gas 1.:1e FINALs
--. _/
Post_/Beam Stran. Sewer ssct.� SJ.rAsiil�g ;i -Bldg.
r -Plumb.
(to 81
Meeh� Rain Drain Insolation
— Bd. -Meth.
underfloor water Line Gyp.
ti �p
Tildes AM ��'.—=PM w
Permit �: '12-
Address:_
TBE FOLLOW[NI1 CORRECTIONS ARE REQUIRED:
�,�!'I ....' �/P •✓SAF'�_�1�
Inspector: _ �— -- -- - Date:
APPROVED DItiAPPROVF.D APPROVED SUBJECT TO ABOVE
i�
Call For Reinsp.
'4i tz4l'
�"• '+`<<bu
,l
YI
f lr aYl •';i
eIX W,
I
r-_.-_—_._------.:.._._.-,-.•�.o.:c,+c.,..,'.-.....''t""---'�------'^--aKc---r--r^^,5...-p."".tir.o-��. - .: 1' 9.,. ,.,
1 I 111
I
APPLICATION - STREET IMPROVEMENVEXCAVATIONf(BLUE)
NY To:
(WHITE)-FILE
ORDINANCE NO. 74-14 (YELLOW) -INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AC�ENCYh1C�.
-APPLICANT
I AP:'ROVED x APPLICATION NO.: 1I�1+ _
NOT APPROVED [] CITY OI'' TIGARD, ')REGON, FEC AMT.: S 8•00 SI
I PENDING FEE. PMT. ❑
(;I IA_ IIIALL RECEIPT NO.:
PENDING SECURITY ❑ PUBLIC WORKS DE,'ARTMENT BY ..._- DATE�_� Ib qZ
1pI&,alion and Progress Rccord - - -4
PENDING AGENCY ''OK" ❑ — — — — — — — — -
FOR STREET IMPROVEMENT/EXCAVATION MAIMENAUI E BOND _
PFNUING INFORMATION ❑ ' As REQUIRED r.
ANNUAL J
PENDING VARIANCE ❑ EXPIRATIONIDATE:
PERMIT NO. ___ ?_-' �_'" 7- DATE ISSUED I.:-__ 1 'vl iZ—_ . 8Y:
A BLII�SAN. SMER SERVICE
(1 ) APPLICATION IS HERE13Y MADE TO EXCAVATE FOR AND INSTALL
I,A'PNRAL & LATERAI. 'TIE __ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _ FOM D CoSTRUCT'ON P.O. 4^11Y. 157'1 BF:AVE.R'IrAl, Oil 97075 641-0935 _ r
'VAME ADDRESS CITY PHONE
CONTRACTOR -_-_ (SAME) --� �� —
NAME ADDRESS CITY PHONE
PLANS BY. .- PE'R CITY STAIZARDS AND SPECIFICATIONS - _
NAME ADDRESS CITY PHONE
ESTIMATED IMPROVEMIEN'P TOTAL VALUATION ( COST): S `00.00
DOLLARS
FOR OFFICE CMIN '
(2) EXCAVATION DATA: 0.04 X s _ •� _
_ — i
STREET u DESCRIPTION PROGRESS & INSPECTION STATUS—
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/'TYPE BY
{ _TYPE LENGTH WIDTH DEPTH ITEM $ QUANTITY _
i STREET
N --
KNOLL DRIVE _ _ A C FE) INSP c-
R TION _
Q
U --
ESTIMATED STREET OPENING DATE: E 7 �—
ESTIMATED STREET CLOSING DATE: E
D
- 200.00 STREET
(3) SECURITY NO. SECURITYAMT.: S __ CLOSED
SURETY C.O.: FINAL
CERTIFIED CHEC iCASH 0 60N6C INSPEC.I _ —�-
i
(4) PLOT PLAN: INDICATE SITE PERT,NENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATUP!ES; EXCAVATION LOCATION AND EXTENT. ! Notify inspector LethaTWhl:Jlllas
24 hrs. before stactinj
I 1vour It.
2 11 work shall cui jggQij t; City
1 ( Sreandards ';ISpeci1cak:or1s.
3. em 9591.50 . �'-'
B _ (� - - ^ - - - - - - - - ` _ - _ _ notifications, etc. app ies.
. Traffic control mat be provided
T fir,-f�pth,' .t- f-peen tr}e!el
^me g( for b the contractOC.
_
t'fie oac way 5551T no 7J�ct.cx�Te{
1 I IWork area ' ' N
�SITE: 2387 S.W. I I $ '
I KnoLl Drive I _ the end of each day.
Conditions of MLP 92-0007 apply.
(5) NOTE TH'= CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO Ai/PLICANTS TO "ONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGi N.
THE APPLICANT AGREEC TO DEPOSIT THE REQUIRED SECU71TIES, TO COMPLY WITH ALL PERTINENT LAWS AND
�i CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE NARMLEiS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICA14TS ACTIONS.
APPLICANTS SIGN FTURE DATE
>t
INSPECTION NOTICE r/
City of Tigard Building Department (L
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Ane (Rec-O-Phone): 639-4175 Business 639-4171
Inspection:
noting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. V'.derfloor Water Line Gyp. Bd. -Mech.
Date Requeate _ld: cc/ �_�G• � 2= TimAr- j AM J PH
Addreea: :�0� , '�-CL' Permit
i Buildor: -
THE FOLLOWING CORRECTIONS ARL REQUIVED:
i
i
— i
to
i—
Inepector: O
Dato: _
PPROVED DISAPPROVED _— APPROVED SUBJECT TO ABOVE l
_Call For Reinsp. ,CF
I
Is
MUM-,
Cirf OF TIFARDiT16
�
'OMMUNITY DEVELOPMENT DEPARTMENT osnoon MASTER PERMIT
13126 seg Fwi ewe. P.O.Bm 233sl7,Ttp.rd,Oregon 97 (SW)630 175 - PE R lyl I T #. . . . . . . . h S T 9 2-•0;_'.6 7
639-•41.7.1 DATE ISSUED: 11118192
` SITE ADDRESS. . . : 12387 SW KNOLL DR PARCEL: `S101BC-KNOL2
SUBDIVISION. . . . : ML_F' 1992-0007 ZONING: i
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2
........---------------- BUILDING
REISSUE:MST92-•0266 DWELLING UNIT'S: 1 BASEMENT. . . . . . . . .0 s i` i
CLASS OF' WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :476 S f
TYPE OF USE. . . :S1- FL..00R AREAS-•----.--•_.-.-. REQUIRED SE TRACKS------- - --_ 4
TYPE OF CONST. :5N F I RST. . . . : 1231 s f LEFT. . :6 f t R I GHT. : 12 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 s FRONT. :20 ft REAR. . :35 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 Is f' REL`!UIRED-_____-________..____.._______
HEIGHT. . . . . . . . : 18 ft TOTAL---- --: 12:31 s f SMOKE DETECTORS. :Y 4
FLOOR LOAD. . . . :41Zr psf VALUE. . . . . $ : 65194 PARKING SPACES. . : !
Remarks : PATH I NEED STREET OPENING PERMIT FROM ENGINEERING j
PLUMBING
51NKSI . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPr. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . ;2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :2= SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 a
DISHWASHERS. . . . . 1 WATER LINE (ft ) . : 1.00 OT IAER FIXTURES. . . . . .0
GARBAGE D I SP. . . : 1 RAIN DRAIN ( ft ) . .0
WASHING MACH. . . : 1 SF' RA 119 DRA I NS. . : 1
1*11ECHANICAI_ __._____.___._.---.._._.._.__..___.______._. _____..__.__.- FEES
FULL 'TYPES_ --._.--.._--_-_._ UN I T H 1-RS. . :0 type am c. .rnt by date r-er_pt
/GAS/ / / VENTS . . . . . :0 TIF $ 1460. 00 JIA 11/18/92 -
MAX I IyPU-r:0 BTU VEh1T FANS. . :3 BPI RT $ 331. 00 JH 11/18/92 -
FURIV ( LOOK . . .- I HOODS. . . . . . : 1 BPLC $ 40. 00 JLH 11/05/92 917'-233-;': : r,.
FURN ) =11.00K . . :0 WOODSTOVFS. :0 B5r•'C $ 16. 55 JH 11/18/92
-
FLOOR - IJRN. . . . :0 CLO DRYERS. : .1 SSDC $ 280. 00 JH 11/18/92
BOIL./CMP ( 3HF':0 OTHER UNITS- 1 PARK ° 500. 00 JH 11/18/92 -
GAS OU1LF rS: 1. IyIPRT $ 40. 50 JJI 11/ 18/92 Owner: - - --_____.___.___.__.___..__._____________.._IhF''LC $ 10. 13 JH 11/18/92 - 1
FOUR D CONSTRUCTION 015F'C $ 2. 03 JH 11/16/92
P 0 BOX 1577 PF'RT $ 125. 00 JH 11/1£i/9 _
V-`5 PC $ 6. 25 JH 1 1/18/9c�, -
BEAVERTON OR 97075 BPRT $ 15. 00 .:TF1 .11/18/92 -
Phone #: 641-0935
Cont ra t or:
FOUR D CONSTRUCTION
a PO BOX 1577
BEAVERTON OR 97075
Pti o n e #: 641--0935
Reg #. . : 71037
$ C2826. 46 TOTAL.
This perait is issued subject to the regulations contained in the - ------ REQUIRED INSPECTIONS -- -- -- -
Tigard launicipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved P"VSt/Beam StrUct Gas Line Insp
plans. This pewit will expire if work is not started within 180 F'ost/Beam IYIecFran Inst.tlation Insp
days of issuance, or if work is suspended for more than 100 days. r'l m/unci s l cab Insp Gyp Board Insp
PI._M/Underfloor Rairr drain Insp
Permittee Signat_�.,r e ;'✓ ,.�� _ I*INcJ)anir:al Insp Water Line Insp
'
Fl�_rmb Top Out A r/Sdwlk Ins
/ PP P
Iys'.red By: Framing Insp Mechanical Final
v�
_ r
7-[F-
CITYOF TIFARD
CflY FTWRD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT «hooN PERMIT
13126 8W FWI BIMti P.O.Bat 23327,lipid,Ornm 07223(603)632.4176
PERMIT #. . . . . . . : SWR 9 2-0, 51
639-4171 DATE ISSUED: 1. 1/16/92
SITE ADDRESS. . . : 12367 SW KNOLL DR PARCEL : 2S101BC-•KNOL2
SUBDIVISION. . . . : hILF' 1992--0007 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNI-iS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 �
TYPE OF USE. . . . . :SF NO. OF BU I L.DI NGS: 1
INSTALL TYP,E. . . . :BUSWR IMF'E:RV SURFACE'. . : :sf
Remarks: F'ATH I NEED STREET OF'E:NING PERMIT FROM ENGINEERING �
Owner: -_____._____._._._.__.._._.._..._______.._..__._.___..__._-_____._____.__..______.__-. FE'--S __•-•---_..._---_.__---
F'OUR D CONSTRUCTION type amount by date recpt
P 0 BOX 1577 F;'RMT $ 2100. 00 JH 11/18/92
-
INSF" $ 35. 00 JH 11/16/92 -
PEAVERTON OR 97075 i
Phone #: 641-•0935 �
Cuntractor: -------------------------
CONTRACTOR
-----------------------CONTRACTOR NOT (]IV FILE
q
Phone #: $ 2135. 00 TOTAL i
Reg #. . :
__._...._.__._.._.__ REOU T RE:D I NSPE CT I ONS
'Ibis Applicant agrees to comply with all the rules and regulations Sewer Inspectior
of the Unified Sewage Agency. The pcn mit expires IPA days from
the date issued. The total amount paid will he 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.
F'e r m i t t e z S i lI n a t i_t r•e : � � __.._._�__..._.�..�...._. _ _..._________--•— _ �
/u I s s j_t e d B y : -
m
Call for insper_tion - 639-•4175
,V
cell,
W I
CIT)f OT TIGARD 131 �xloaolBlvd.
lv2d PLNCK/RECTr #
1w>>63"1" 27 PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 7'rard Orcg
G
—
DATE ISSUED
JOB ADDRESS: /:23�1 Std �'n o(i �` (AX MAP/LOT 2-(G f 6r—Ain I z
SUB: rJOLt_ (`�Ct�L`� LOT: C f,`,CEL-z LAND USE:
VALUATION: _ 11�4� Iwo�
OWNER SPECIAL NOTES
NAME: REISSUE OF: ,
ADDRESS: LAST REISSUE: _ ■
FLOOD PLAIN/
4 PHONE: SENSITIVE LAND:
i
CONTRACTOR APPROVALS REQUIRED
NAME: Q L-t R UAC T' 10 N PLANNING:
ADDRESS: So K I a,_7 f ENGINEERING: _
Yz),U ER-TUQ U � CT-)07 S FIRE DEPT:
PHONE: G QI I - 0 9 3 J OTHER:
CONTR. BOARD #: Y] I 0,3 EXP DATE: I -- 73_
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: 'L.U M 6 (N�� L[ST/SUBCONT`ZACTORS:
MECH: ` f � i NQ7V �L-M NJ BUS TAX:
CN/E GI EER CALCULATIONS:
NAME: �PR�' T^+�F�r TRUSS DETAILS:
ADDRESS: _ L 7 DO IJ l 8 -t-4l 44 .� I�� OTHER:
PHONE: _ �o - o U Z
PROPOSED BLDG. USE: l/w C: L.E 'P,',A 1 �V ��/[fie/UC.G_
COMMENTS:
i -
1
APPLICANT XIGNATURE
Received By: Date Received:
w
I'
PERMIT # ACCT # DESCRIPTION AMOUNT ♦MOUNT PD. BAL. DUE
10-432 00 Building Permit Fees �u u 3 o.
10-431 00 Plumbing Permit Fees L 5,t -�
10-431 01 Mechanical Permit Fees o s u.So
10-230 01 State Building Tax (59'0) : ' - --� -�
Building
Plumbing G z �
Mechanical 3
•
10-433 00 Plan: Check Fee GS" I � 1 ' 3
Building
Plumbing
Mechanical
10-230 06 Fire
rvgop�2-055 30-202 00 Sewer Correction -
30-444 00 Sewer Inspection •3? - —
I
25-448-02 Commercial TIF Fees —
25-448-04 Industrial TIF Fees — --
I
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 135o_ /3So
25-448-05 Mass Transit TIF Fees d-
52-449 00 Parks System Dev Charge (POC) so Soo
31-450 00 Storm Drainage Syst Dev Chrg
(SSDQ
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL G
nm,/3587P.WPF
e
G
i
1110 7
A.
PLUMBING PERMIT
PERMIT #. . . ....: ►IST92-0267
DATE ISSUED: lljiG 32
l G
SITE ADDRESS. .. : 12387 SW KNOLL DR PARCEL: 2S101BC-KP70L2
SUBDIVISION. . . . : MLP 1992-G!07 ZONING:
BLOCK.. . . ..... . . LOT. . . .. ... . . . . . :2
CLASS OF WORK..:NEW GARBAGE DISPOSALS. . :l
TYPE OF USE. . . .:SF WASHING MACH. . . . . . .:1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP.. :R3 FLOOR DRAINS. . . . . . . s0 TRAPS. . .. .. . . . . . . ..:0
STORIES.. . . .. .. :1 WATER HEATERS. . . . . . :1 CATCH BASINS. . .. . . . 30
i FIXTURES------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . :1
SINKS. . . . . .. . ..sl GREASE TRAPS. . . . . . .TO
1
LAVATORIES... . .:3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. .. . : SEWER LINE (ft). . . . :0
WATER CLO3ETS.. :2 WATER LINE (ft) . . . . :100
DISHWASHERS. . . . :1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I NEED STREET OPENING PERMIT FROM ENGINEERING
i
r
OWNER: ----------------------------- -----------------FEES---------------
FOUR D CONSTRUCTION TIF $ 1460.00 JH 11/18/92 -
P 0 BOX 1577 BPRT $ 331.00 JH 11/18/92 -
HPLC $ 40.00 JLH 11/05/92 92-233452
BEAVERTON OR 97075 BSPC $ 16.55 JH 11/18/92 -
Phone #: 641-0935 SSDC $ 280.00 JH 11/18/92 -
PARK $ 500.00 JH 11/18/92 -
Plumbing Contractor:----------------- MPRT $ 40.50 JH 11/18/92 -
Q MPLC $ 10.13 JH 11/18/92 -
Name: G U k C[ MSPC $ 2.03 JH 11/18/92 -
; �` " Addreas: __ PPRT $ 125.00 JH 11/18/92 -
City: State: P5PC $ 6.25 JH 11/18/92 -
21p: Phone#: BPRT $ 15.00 JH 11/18/92 -
' Reg #:
' ------- REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Inep Rain drain Inap
Code, State of ore. Specialty Codes and all Poet/Beam Struct Water Line Inep
other applicable laws. All work will be done Poet/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Inep Crawl Drain
Fireplace Insp
Gas Line Insp
/-� Insulation Insp
x � Gyp Board Insp
Authorized P1 mbing Contractor signature
Call for inspection - 639-4175
wt
Contractor Notes:
r'.
:
b' ai!•:N,1. �"Y �'-, �-. �r h T�Pn��y. �t Ll fie .
,1a>
i
i
i
•
f
CITY OF T I GARI) - RECE I P,T OF PAYMENT RECEIPT NO. :92-233830
CHECK AMOUNT 4921- 46
CASH AMOI.JNT 0. 00
FOUR D CONSTRUCTION rr
INAMEFPAYMENT DATE 11 /18/9e
F
ADDRESS SI_IBI]I V IS ION
i
rlURPOSh� GF PAYMENT AMOUNT RAID PURPOSE OFPAYMENT AMCJIJN'1" PAID
U
+
Exl1Il.17INq F'ERIh - _ 331. 0171PI._UMBING PERM 1c. ;» X10 �
40.50 ST. BUILD PER e4. 83
ME CHAN I CAI.. PE ;:100. 00
PLAN CHECK Fr 25. 1. SE-WE:ffi USA i
( ' X4 500. opt
SEWER INSPECT 5. 00
PARKS SDC
2A0. 00 RefIDENTIAL. TRAFFIC F0EG l350. 00
S ORM DRAIN SDC
'
�
MASS TRPNS I T T I F FEES 110. 021
I;P
i
PARCFI- P- KNOLL ACRES I
_ - - '
TOTAL, AMgIJN'T PAID -) 4921. 46
_._
• I
CITY OF TIBARD _ REG.IPT OF PAYMENT RECEIPT NO. t92•-233452
CHECK AMOUNT : 40.00
NAME FOUR D CONSTRUCTION CASH AMOUNT : 0.00
PCI BOX 1577 PAYMENT DATE t 11/05/92
SUBDIVISION t
BEAVEcRTON, OR 97075-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT' PAID
PLAN E'I IECK FE RF I SSUF OF 40.Q0
i
1
it
LOT 9, PARCEL 2 KNOLL ACRES j
PLAN CHECK 11-8R
TOTAL AMOUNT Pn I D
' i ppFr s
-
�,
1