15971 SW KREICK PLACE + ,krlf'�O+J yw � "�/+ ,.� �k,�,. i "•�i� N'n#`�M�,'R` �'w�wN`��� � �mm,+-�►'ro`r�
I
.k
n
l
i
,. i. .
tl
ya ;�
+^2
1:
CITY OF TIGARD BUILDING INSPECTION NOTICE1
( �.
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639'�I
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fire6aiq9
Post/Beam Struct, Plbg. Top Out Elec. Rough-in NAL:
Post/Beam Mech. San. Sewer (,as Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ( Mo-.;h.
Underflr. Insu!, Shear Wall _ Gyp. P i. Elect. ■
Date Requested: e r.e: AM /QPM
Addres,-:_L 1 7z _ —
Builder: !� �2 Permit
THE FOi-LOWING CORRECTIONS ARE REQUIRED: /
Inspector: _ Date:
&�ROV- _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CERTIFICATE OF
-CITY OF T I CARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMqNT PERMIT #. . . . . . . & MST94-044114
13126 SW Hall Blvd.Tigard,Orogon 97223-809 (60J)639-4171 DATE IriSUEDI 1216/1219/9f,
PARCEL: 2S 1 1 1 DC-14800
�'JTE ADDRESS. . • a 15971 SW KREICK PL
50PI1 I V I S I ON. . . . i KREICK MEADOW& ZONIN60-7
BLOCK. . . . . . . . . . .. LOT. . • . • • • . • . . . •
GLASS OF WOR�(. :NEW
TYPE OF USE. s SF
OCCUPANCY GRO, A R.3
CICCAIPANCY LuiLDsE'R3 4
■
'f'LNAN*1 NAME.
Rrmarkst PATH I ■
Owners
rQUR D COW-3TRUCTION
P 0 BOX 15�7
BEAVERTON OR 97075
Pho,nv—#s 641 -0935
Contractor:
FOUR D CONSTRUCTION
FDO BOX 15777
T3EAVERTON OR 17075
Phone #s 641 -919351
Peg #. 710377
1 -*1 4-, t'prt i f i cat e certifies that the above referenced building or portion
1:hereuf has been inspected -for compliance with the Tigard BtAilding Code
ow the Wrot.Ap and divi.sioro of occt.tpenry cind use foc which fl-ie ahove
efv-,--enc fid ppl-mit was issued, and orcl.tpancy gronted.,
SUILA)ING INS ..V..'TO R BUILDINb OFF Ifli-
r-')OGT IN CONSPICUOU97 PLACE
w
,ru
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 630- 1tr11
i V
Inspection:_•_.
Sus Coiling Sprink. Rough in Appr/ dwlk
Footing P g
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Fseam Struct. Plbg. Top Out Elec. Rough in CFINAL;
Post/Beam Mech. San. Sewer Gas Line -Bldg. ■
Plbg. Underfloor �W , Drain Framing -Plumb_
Alarm Watei Line Insulation Mech.
Underflr, Instil. Sheat Wz,ll Gyp. Bd. -Elect.
Date Requested: ^�_ Time: AM PM
Address: � ,�� f � _1�✓Z-Q-�.C --- v1n t
eru.r£ � �G YtS 1`.Permit #:1"✓T
Builder ���
THE FOLLOWING COPRECTIONq ARE REQUIRED: _ J y4/ 0,wt �
7
Inspector: _ Date: / Z-1-2
VED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Fir Reinsp.
7
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 4175 Busi ss Phone: 639-4171
Inspgction-
Footing Susp. Ceiling Spnnk. Rough-in (�±–ppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Pu .t/Beam Mech. San. Sewer Gas U,ie -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wali Gyp. Bd. -Elect.
Date Requested: 5 _Time: AM PM
Address: _
1
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
D'V 1�–` — V b iy1 i /�
eeir' l r1aP i
i
6
4
Inspector:__ tDate: 5 Y> C7
APPROVED DISAPPROVED -APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
l
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: C
Inspection:__
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw "—'."
Foundation Plbg. Underslab Mietl . Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Fough-in FINAL:
i
Post/Beam Mech. San. Sewer Gas I.ine -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh. �
Underflr. Insul. Shear Wall G B -Elect.
Date R quested: ( -� � _ Time: AM PM
Address: �—
Builder: Permit #:�' �Q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
i
p
Inspe/ctorr. Dater
�APPROVFD _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For P.einsp.
r �J
t. 4
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (.Rec-O-Phone): 639-4175 Business Phone: 639-41
Inspection:_
Footing Su-,p. Ceiling Sprink. Roush-in Appr/Sdwlk
i
M ;I Foundation F;tig. Underslab ech. ough-ir( ke Fireplace
Post/Beam Struct. Plbg. 1 op Out Eley.. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line 7 -Slog.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line su ati -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. Elect,
Date Requested: �r/� Time:_)�_AM PM
Address: L-5-2 7Z 2�e� ,� h' Y� ` �a ■
Builder:_ '7 D 7-L Permit #:
t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Y ° r
a 1 i
Ry
1 i \
t ✓'K
t
,
`I Y
� V
r
r l'
p a4
1 A
Inspector: Dater o YY� i°�?'
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ��{�
—Call For Reinsp ti
i
'T
r.
'C
I:
um.:_ NU f r�K
CITY OF TIGARD BUILDING INSPECTION NOTICE
In3pection Line (Rec-O-Phone): 639-41:: Business Phone: 639 7
/ r
Inspection: r-
Footing Susp. Ceiling Sprinl:. Rough-in
Foundation Plbg. Underslab `fA Yk Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer `ate LInP -Bldg
�' -Plumb.
Plbg. U-,,jerfloor Rain Dram ;
Alar.n Water Line InEulation -Mech.
Underflr. Insul. hear Gyp. Bd. -Elect. - •
i
Date Requested: - �'�_Time: AM PM
Address: 7 i'� - �rft�Qs�� — ■
Builder: Permit #: ��J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ZC
_(;;, VVAr' c 7a,
V
F'f .P r-/L ell
Inspector: Dater
1
APPROVED DISAPPROVED ROVED SUBJECT TO ABOVE
i .Call For Reinsp.
t � +
1
` It.
t
Y ?0,
A, ,„r CITY OF TIGARD BUILDING INSPECTION NOTICE ,
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 „ r
1
,,� " Iia 4r1
Inspection: 144
Footing Susp. Ceiling Sprink. Rough-in Appr/S I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
w Post/Beam Struct. , lbbg`To O Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lina -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm alar Line Insulation -Mech.
� ' 1 Sten"r`� •wf>{4� µ .
Undl3rf1r. Insul, .shear Wall Gyp. Bd. -Elect.
/
Date Requested: Timv: (` AM PM
Address: l�� l �l i LZ �—� °arttr' T� �1� ,' ■
Builder: Permit#: G� ° ,' ��
THE FOLLOWING CORRECTIONS ARE REQUIRED: �t�
d rs{h�"7v CyV
r t
� � �h �f°S �r 3 r�F•�'t
r t
1 1��S�gYp�"=fit'
L 1, �Vr PPP r
f ki'
t
el-
,,,,,
Inspector: Date: ��,
_LAPPrIOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I .
tt 1fi�t ssI>„�,
.i.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection L ne (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:
y;. Footing Susp. CeilingSprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn Struct. Plbg. Iup Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Gyp. Bd. -Elect.
Date Requested: �� 3/ l'/Ij Time:,KAM PM
Address:—/
Builder: _
Permit#: j�-- C,,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
"sa
u
- t5lrye�i�i.
1 ;vii}way.
Inspector:
Date:--?
i
_APPROVED _DISAPPROVED e'A"rPROJED SUBJECT TO ABOVE
_,Call For Reinsp.
,
ra r
f .S d ;
sees 9-11,
jMSpHCT OI N NOTICE
City of Tigard Building Bepartseat
y. 13125 SW Ball Blvd. Tigard, Oregor. 07223
I
Inspection Line (Ree-O-Phone s 639-4175 Business Phonw:
k
Inspection:
Footing Plbg. 'In-'-::slab Hoch. Rough-in Appc/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
c:
pps Beam Strugt, San. Sewer Framing -Bldg.
wt/Ream Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Data RequestedsTime: AH PH
Address:__ JPermit
1: /
Builders P l—
THE FOLLOWING CORRE(TIOnS ARE REQUIRED:
i
P'
i
,
Inspector:__— ,. - ---�-� ---- Data
____APPROVED DISAPPROVED APPROVED SU&TEC-R' TO ABOVE
Call For Reinap
�t
y
4a" r
4
.. 1
a ..
INSPECTION NOTICE
City of Tigard Building Depart:aont g
11125 SN Hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones: 639-411,
Inspection:
Footing Plug. Underslab Mach. Roug�,- ,n Appr/Sdwlk
?ound. Plbg. Top Out Gas Li•is PIHALt
Poet/Beam Struct. fin:3i�7EjS Frr ing -Bldg.
Post/Beam Mech. Aet -> Ineu:ation -Plumb.
1bg. Underflooj-_-a Lino Gyp. Bd. -Hoch.
Date Requoeted. 16=� ! Titutt AH PH
Address: I } e � �• /� �� (�• Permit #i
Builder:—_ 11 ■
THE FOLLOWING CORRECTIONS ARE REQUIRED.-
Inspector:
DISAPPROVED APPROVED SUBJECT TO ABOVE
ICell par Reinep.
I;
.
f
,k
INSPECTION NOTICE
city of Tigard Building Department •
13325 6N Ball Blvd. Tigard, Oregon 97223
Inspectton Line (Roc-O-Phone)x 639-4175 BusLo-ss Phone: - 171
Inspection: _ - --
Footing Plbg. Underelab Mech. Rough-i:, Appr/Sdwlk
�Ir�n (j ( Plbg. Top Out Gas Line FINAL:
9ost/Beam Struct. San. Fewer Framing -Bldg.
Post/Beam Mech. Rain Drain :insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Dare Requested: _ �.__Time: AM PM
Addr.►ss:��_ Permit #:q y_L� v
Builder: —
THE FOLLOWING CORRECTIt-MS ARE REQUIRED:
Inspect.or� Date:��_� �
CIIPPROVRD DISAPPROVED %PPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE /
City of Tigard Hu:klding DepartAw"t
13],S 8q Mol hivA, Tig"d, Oregon 97223
Inspection Line (p^.r. z• Phone): 639-4175 Bueineeo Phore: 4171
Inspection: -
Footing 11bg. Underslab Hect:. Rough-in Appr/Sdwlk
Found. ) Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoc
h.
Date Requested: , e T : AM __,_PM
1
Addreus: 1 P rmit
-- -'
Builders --. —
THE FOLI.OWING coRRECTIONS ARE REQUIRED:
j I
Inspector:-
_�TPPROVED DISAPPROVRD - kPPROVED SUMMIT To ABOVE
Call For Reinap.
i
I
o J
"
FLLIMBINLPERMIT OF TIGARD �i4 PERMIT i . . . . . . . Z4 �.
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/07/94 �
.. 13125 9W Holl Blvd.Tigard,Oregon 97223•8199 (503)039.4171
`. IDARCEL: 2S 1 1 1.DC—KM002
a ,
SITE ADDRESS. . . : 15971 SW KREICK PL
SUBDIVISION. . . . : KREICK MEADOWS ZONING: R-7
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . :002
l CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : I.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATC.7 HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 j
{ F'IXTURES--------•- ---- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . III GREASE TRAPS. . . . . . . .0
LAVATORIES. . . . . OTHER FIXTURCS. . . . . .0
TUB/SHOWERG. . . . : SEWER LINO: (ft ) . . . . :0
WATER CL-.OSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS). . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remar"ks : PATH I
OWNER:
FOUR D CONSTRUCTION TII $ 1550. 00 KS 12/07/94 —
P 0 BOX 1577 ;:3WM $ 100. 00 KS 12/07/94 —
bWM 1• 180. 00 KS 12/07/94 —
BEAV:::RTON OR 97075 BPR $ 440. 50 KS 12/07/94 --
Phone #: E41-0935 BPLC $ 2-186. 3:, JF 11/15/94 94—
S5 C
4—
S5F'C $ 2 :. 03 KS 12/07/94 —
P1.+_imbing Conty"actor, : �b� . "ae.- PARK. $ 500. 00 KS 12/0'7/94 —
PRT
�t.:°�.� -�-y.� _ _W _ MPLG $ 10. 88
0. 50 KS 10:/07/9 + —
Name : __._. t. � �-- MF'LL $ l0. L3H KS 1�:/1�7/94 6
clddt-esu-j,; � MSf`'C $ 2. 18 KS 12/07/94 —
(:.i.tyr .�tlfis-bol'_QState :. P��PC $ 11. 25 KS 12/07/94 —
Zip' rJ7/-2'3_._._..._...Phor•ie#:_._�G.. C.'..'1_aL.� 3STH $ 2x:5. 00 KS 12/07/94 —
Rea #:_�� 'Q �.-_.__._.....-_.._._._..�3. .'... —_____ __.___ Additional fees not shown h e r�a. . . . . , ,. . .
-- -- -
REQUIRED INSPECTIONS
t Thi,, permit is issued subject to the reg--
_ilations contained in the Tigar-d Municipal f=oot/found Insp Rain dr-ain Insp
Code, State of Or,e. Specialty Lodes and all Pout/Beam Strur_t Water Line Trisp
other, applicable laws. All work will be done Post/Beam Mecha.n Appv"/5dwlk Insp
in accor-dance with approved plans. This P'lm/und+slab Insp Mechanical Final
permit will expire if work is not sta-,ted PL_M/Under•-fIoor" Plumb Final
within 180 days of isso.cance, or if wov-k is Mechanical lnsp Building Final
suspended for" mor-e than lack days. Flumb Top Out Erosion Control
Framing Insp Wtr Proofing Pim
fireplace Insp Crawl Drain
Gas Line Insp Ftg Drain Nsm t
Insulati.on Insp
_ "—•..' ----- ...__ _ _.c.?�y-.�. .. . G y fa Board Insp
AI.tt r•ized '1�_�mhing Contr"actor Si gnatur-e
Call for inspection - E39--41.15
C o n t r-actor Notes :
.M
h'
a
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT d
13125 8W Hall Blvd.•rlgard,Oregon 07223.9190 (503)630.4171 PERMIT #. . . . . . . . MST94-014 40
DATE ISC;U'ED: lc:/07/94
PARCEL:
. , SITE ADDRESS 151:)71 SW KRI-1--i F'L
SUBDIVISION. . . . : KREICK MEADOWS ZONING: R-•7
I"+LGC.K. . . . . . . . . . . _ - _.-LUT . . . . . . . . . :0 0 1j_.__._._.._._._.__.______._._____...__..___.._..__________ I
BUILDING
REISSUE: DWELLING UNI113: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:;3 BATHS:3 GARAGE. . . . . . . . . . :360 s f
I YF'E OF USL. . . :SF FLOOR AREAS-_____.______ REQUIRED
TYPE OF: CCUNST. :SN FIRST. .875 sf LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . :G 1 7 s f FRONT. :20 ft REAR. . : 15 ft
L'JUN1E`J. . . . . . . :2 FINFa;3MEN"F:0 sf REC;?UIRED-- - --- ___._._....._.._..__.__..._
FIIc101-11.. . . . . . . . :2a ft TC]TAI_------: 149 ? t,f `;MOKL DETECTORS. :Y ■
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $: 1023:,121 PARK I N61 SPACES. . : 1
a Remar•-lis: PATIi I
AL_UMBINU ---
5 1 NKS. . . . . . . .
__SINES. . . . . . . . „ . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVN'TRS. . : 1
L..AVATORIES. . . . . :3 WAFER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERG. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASSINS.. . . . . . . ..6_'1
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 �
DI(.31-AWASHE-=RS. . . . : 1 WATER LINE (ft, ) . : 100 OTHER FI XTURE�3. . . . . :0
GARBAGE DISP. . . III RAIN DRAIN (ft ) . :111
W!a`:5F1ING MACH. . . C1 Sl--* RAIN DR,4INS. . . 1
_._._....._._.__._.__.._....__._ MECHANICAL --- -- _..._._..___...-_.._._. __._._.._._.._____ ...._.__.______...__. FLEA;
p�
FUEL T'YPE.S---_.---___._._ UNIT HTRS. . .0 type -A In0,_rnt by date rcCpt
/GAS/ / / VENTS . . . . . ..0 -I 1F $ LL,t,10. 00 KS 12/07/94 -
MAX 1 NPUI• :O BTU VENT FANS. . -4. 5W1y1 $ 100. 00 KG 1,=/07/`)4
FURN ( 100K . . : 1 HOODS. . . . . . : 1 SW1+1 $ .182+. 00 Kai 12/07/94
a FURN ) -•100K . . :0 WOODSTOVES. :0 SPRT $ 440. '50 KS 12/07/94 ---
F-LOOR FURN. . . . :0 CLO ,RYERS. It 1 BPLC $ 286. 33 JF 11/15/94 94--
BUIL/CMI:1 ( 314P:O OTHER UNITS: 1 B.5PC $ ? . 03 I<G 12/07/94 -
GAS OUTLETS: 1 PARK q; 5021. 00 KS 12/Q,7/94 owner,: ___.._.___.___.___.._._____._._____ __.__._____IhPRT 1. 4.3. 50 KS 12/07/94 -
FOUR D CONSTRUCTION MPLC $ 10. 68 KS 12/07/94 -
P, O BOX 1577 M5PC $ 18 KS 12/071 P)4 -
F"5PC $ 11. 5 KC 12/07/94 -
�'' BEAVE::RTON OR 97075 3BTFi $ 22_5. 00 KS 121/07/94 -
,. Phone #: 641--O�i35 EPOS $ 64. LAO KS 12/07/94 -
F_RF C $ 20. 80 I,S 12/07/94
,.., FUUH D LONSTRUCTION ERF'C $ 20. 60 Kra' 12/07/94 -
PO BOX 1577 '
BEAVE=RTON OR 97075
Phare #: 641 093.;
Rey #. . : 71037
$ 34 7-1. 27 TOTAL
This perait is issued subject to the regulations contained in the - - -- REDUIRED INSPECTIONS
Tigard
-- -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.-.rd Insp Fireplace Insp
applicable laws. All *irk will be done in accordance with approved Post/Beam Strutt Gas Line Insp
plans. This p?reit will >xpire if work is net started within 180 Post/Beam Mechan Insulation Insp a
days of issuance, or if work .s suspended or m94 than 180 days, F'lm/undslab Insp Gyp Boar-d Insp
9 7 F=+LM/Underfloor^ Rain drain lisp
` Per-inittee Si gr <_et+_rr _ _ Mechanical Insp Water Line Insp
Plumb Top Out Aapr^/Sdwlk Insp
1 ssi-ted by: _.. ._._ .___.. Framing Insp Mechanical Final
rir.ljar +. i nn
r
f
r fit'
t
, '. :: ,,:..�,i n a r': � .,.., ''; rt"�.. M.l a ` + Iii� •^p< (e
M°
•
4 CITY OF TIGARD
SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PRM I T
nor• 13128 SW Hall Blvd.Tigard,Oregon 97223.0199 503 830.4171 r
o ( 1 FERMIT' #. . . . . . . . �WR94
i� r3 41. ? i. DATE TSGUE:D: 1.2_'/07/�34
PARCEL: 25111 DC-K11002
SITE ADDRESS. . . 15971 SW 1'ICICI'. FIL
J SUBDIVISION. . . . : KREICK MEADOWS .ZONING: R-7
)� BLOCK. . . . . . , . . . . LOT. . . . . . . . . . . . . :00
y
TE,\IANT NAML. . . . . :
USANCI. . . . . . . . . . .
FIXTURE UNITS. . . a ff
CLASS OF WORK. . . :NEW DWELLING UNI 1 i. . : 1 �
TYPE OF USC. . . . . :SF ILIO. OF BU I I_D I NUC;: 1
INSTALL. TYPEE. . . . :BUSWR IIIP,ERV SURFACE. . : : ref '
Remarks : F,ATH I r
uwner., __._.__.._____.____._._..__.._...__.____.._._.._._..._____._______.---.__.._.._..__.__._. r EEC,
Y
FOUR D 'C'ON'STRUCTION type amol_rnt by datq I,ecp
F U LAO 1b/"7 F'RMT s 2200. 00 KSS 12/07/94 -
INSF> $ ;:3°S. 00 1 11 107/94 -
BEAVE RTUN OR r)716 75j
Phone #: 641-0335
Con t rac.t or-: _---•---._____..._.__--.--__________.____
C:L71�l7 RAC,(7R MOT ON F TE_F
a
y
1 _
1 I--'hone #: :::i�.s�. 00 1`U'TAL,.__.___._____.____.__.
Req 14. . .
REUUIRED INSFIECTIONS --- --This Applicant agrees to comply with all the rules and regulations '.sewF>r .1115pection __.....
__��_
of the Unified Sewage Agency. Ths permit expires 180 days from
the date issued. The total aenunt 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 free
the distance given, If not so ;ecated, the installer shall purchase „•__•_�___.____ _ ___._....__
a "Tap and Side Sewer" Permit and the Agency wii install a lateral.
l e r,m i t t e e '..;a rj T 1.01 t;1_r r,e— _.._...._.__
Call for inspection 639--4175
rd
•t
k`
3
r r
el ■
Residential Bluiid'in4 Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
/7
Jobsite Address: 59 7/ -S'W
.-; Office Use OnIY
Subdivision: K e I(_K 1Ic�--t,0 c�S Lot# C--
Valuation: _-
� Permit#
Corner Lot? Y l N i
r- Reissue of
Flag Lot? Y ((1L
Map & TL# VC -,m ab �--
Owner: F6 K L) C40NS-i"R-�,kC-t 10 N _ Approvals Required
Address: Planning
P,Y C-Z p,1 tj CC?, C17 CO I .S Engineering
Phone: (C y `�.�:J Other _
Contractor: 5P,mC- Py �- Items Required
Address: — SUbcontractors
Truss Details
Phone: Other
Contractor's License #
I (attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Arch ltect/Engineer:
Plumbing. �_ = lLUM K k., Address: L-;u�t C Ill taNASdouRN
Mechanical: , S <- ., t,( � �C:P.1 W I
(attach copy of current OR Contractor's License)
Phone: `F o Z.o-L_-
i JOB DESCR PTION: Q Cv LC= V fl-tA it_ /
Applicant Signature & PK6i6 number
Received by: Yy ,:•' Date Received: f' l
N'WDRMCDMDE.V\RESAPP �/
- .. .-...-...,.+....+.y.•...,.,,..,..: ,-��r�vU+;*' ,,.,, ,--',.. .,.._ .. ... . ..,„.�,�erw�Qk�wtKM .. .�7Yy1M'kM'afidYbh"' Jt
Due
Permit# A,crount Description Amount Amt. Pd. Bal. D u
MWI-r)(111 U BkIg. Permit (BUILD)
1
Plumb. Permit (PLUMB) -i Z�•�a
Mech. Permit (MECH) r '
State Tax (TAX) 3 >>
Bldg: ;i_2,g-3 _
Plumb: /� Z
Mech:
Plan Check (PLANCK) z.L
■
Bldg: p2 Fl6,
PlumtI:
Mech: /U•8'
;c�I�q1 u3'�Z Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) G u
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R) 3 o
Mass Transit TIF (TIF-IAT)
Commercial TIF (TIF-C) _
Industrial TIF (T-IF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O) _
f
Water Quality (WQUAL) u
Water Quantity (WQUANT)
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) 2p•S n _ f1 •�V
Erosion Planck/COT (EROSN) Jr,,
TOTALS:
I
® �P FOUR D CONSTRUCTION CO,
1 PIC)ST OFFICF BnX 1r,7; ■ ��� „ <I>I�. da. 97075 r PHOPJF (503)641-09.3 +�
I
1�F
l /
µ
i
A0
Wr
j
s;
y.
SII
I
t (
1 , Y
CITY OF T I GARD — RECEIPT OF PAYMENT kF f.;E::I P1 NU. a 94—P5 1388
Cl iF:{..;K AMLIUN-f s v46r?. 27
NAME a FOUR D CONSTRUCTION !:.;f'12_iH PMUUN f t +�A �4
ADDRESSo PAYMENTD(Alf. a A.�/1'►'i/y
1a1 JAD I+1.18 I C.1N a
l
P URPOSt OF PAYMEN f "MOUNT' PH t 1.:) F-'I. RPI P I-1 . 1..11-• f'r1YMI:.N l HPIL)UN I I-'H 1 1) i
BUIL,Di,NO BERM 440. SV.1 F'I I1rnr+INfi ►'k:.1iM .' s'�. 00
ME HFIt\+1;,`ul F'F: 4�i. iln �:;l . N1!J L_C) F' ti »t. '+t'
PLAN i:HF.!' K F:E:: 4
SEWW'R I N'.-31-'F.0 T' .3"i. loo 1-HRK:.; IIIA. boo. ovi
R'ESl:Dl_:NT'IAt._ TRAFFIC, II 1.�1,51L1., k1V{ Mta}32a f ItFdMfa[ I 1 If f f:kF: 1:-:+i1» 4IyI
Wi'(") (41.441_11Y F'{II:I 1 I 1 Y 1 k..Ha l:.l0. 00 f it.1) (OL.161N 1 1 1 Y I f 11.l l..:l 'f Y h E.k: 1 11+U{. Wil
F 11ROS I I:IN C:1.IN f HIJL. fatty HMI 1 F b.f_ 6 4. WVi k:liUth T Uf l f.;IJI`1(HI 11,. PLAN I`F` �'►/1. t��
F Ri)SION C ONTf�I.L k-'W• 80
t f 5 9'71 c.3 W K R P.I C1,,, PL-.
-.1 KRFA C:K Mfw ADDWF; l..OT k:'
TOTAL PMI' UNT P14,1'I) — w .._ --•> 54f+c_. 27
i
� I
L 1 1 Y 111 I 'It,lll,iI I•:1 1I 11 1 It! ; 11111 111 ! ' itlIt'it
,.
a
1 11 tl1 :INCH
i
i:10 .+ I! =I ).'(-1{ I) (!I1I,I 'II'ti_ iII i'1{ f(1i1111 I1{11ifIIII 1 '1+1.1)
1
ICFdF� LL;I� I�ll +1lN_?6d"'y, i ,ll f'•�i �-', st �+ ' 1
t„I;i I I 1;:., KI 11•i4•vl lt. i
j 1 1 i+MOON T T-'W T1
.- I