9580 SW NORTH DAKOTA STREET i
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9580 SW North Dakota St. --
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RTIFICAT`E OF
C'TYOFTIFARD, cE OCCUPANCY
, RMIT M. . . . . . . 1 PUP891439
0
COMMUNITY DEVELOPMENT DEP"'TIAENT
13125 SW 1JWj Blvd, P.O.Box M97,Tqwd,Ori poo 97223 (503)G19-4175 DATE ISSUEDN 12/17/90
SITE ADDRESS. . . a 9580 SW NORTH DAK011-4 '.)I PARULLs IS135CA-02900
SUBDIVISION. . . . s 6LAkHARI OCREG ZONINGs R-12
BLOCK. . . . . . . . . . t L01.. . . . . . . . . . . . . t
CLASS OF WORK. %NEW
TYPE OF' USE. . ., ISF
OCCUPANCY GRP. vR3
OCCUPANCY LOADi
TENANT NAME. . . s
Romarkos $15 rod line copy
Owners
DAN E ANDERSON
9363 SW BEAVERTON HlLtSDALE
# HWY.
BEAVERTON OR 90000-0040
Phone Mt 080-000 0000
Canty-actors
DAN E ANDERSON
MEADOWBROOK DEVI b-CIPMENT
91363 SW BE'tIVERTON-HILLSDALE HWY.
BEAVERTON ON 97006--0000
Phone #s 503-297-7666
Rep M. . s 46344
04-CUPaylCY cif the abOVO- �Vf*T'eneed building it hereby given, and certifies
the compliance with the State (If Oregoto Specialty Codes for the group,
M.'CLIPA11CY, and tmv under which the r*fwrencrod permit waz issued.
-10
I- Af-
-,---Ffki--"D-EPARTMENT UILDI INSPECTOR
� )LED 1 NO 'MPf I C I AL—
POSI IN CONSI-')ICUOUS PLACE
W WZWT
CITYOFT16ARD,.,
PLAN ChECK APPLICATION
(O!WO(TWAIWIPLAN CHECK N4 7
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT N
13125S.w.w.ewa P.o.Boxxnnr,r�ofJ«,srm. leas��is DATE ISSUED
JOB ADDRESS: J &O 5CN �(J -IALI — TAX MAP/LOTS
SU a: LOT: _ / LAND USE:
VALUATION:
OWNER SPECIAL NOTES_
NAME: �P � -C� _ REISSUE OF:
ADDRESS: LAST REISSUE:
_ FLOOD PLAIN/
_ 7 OFIK-j SENSITIVE LAND:
PHONE: _ Z— —� Gj�►
APPROVALS REQUIRED
CONTRACTORPLANNING:
NAME: — ENGINEERING: _ADDRESS: 71 7, FIRE DEPT
1?90 ,7 X OTHER: - -- -
PHONE: j_ ITE:MS REQ!IIRED
LIST/SUBCONTRACTORS:
ARC11/ENGINEER 81,l^ TAX:
NAME: _ _ _ CALCULATIONS:
ADDRESS: I _ __-_ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: ,( -THER: -
COMMENTS: /C"
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees x.37 337
/ 10-431 00 Plumbing Permit. Fees Iy+6
10-431 01 Mechanical Permit Feeselo, "jl ZJ
10-230 01 State Building Tax (5%) 35_
Building / 5
Plumbing 3
Mech
10-433 00 Plans Check Fee (1rr11. /��• ) �7-5•% 3 llU - �.j,13
Building ello, f -
Plumbing _
flech [y•�'3 I Z5C)
30x207. 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SOC) d9 _ oo
52-449 00 Parks System Dev Charge (POC) j U S U
31-450 00 Storm Drainage SysL Oev Chrg (SSDC)
10-230 09 1RF0
10-2.30 OG Washington County Fire N1 (9!.,X) -
1 220 00 art/Wedgewood
arc 11JL .l_—
APPI_ICA TSI ;NATURt= -� --- ~) / yS• ��
Received By: Date Received:
rn/3587P/18P �"
i
INSPECTION NOTICE
City of Tigerd Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of l aspeetion _ V5 __--
Date Requester-:7 ee9e, Tima_–_-- A.M. r�r-.P.M. c�
Address _ �j� �U N� . �7� �'r0 Permit # c-7 1�'3 I
Owner _— Lot # _
Builder IM Z(x V Q(L)TR Vet,k —�--
The following Buildinc Co Ie- deficienr•ies are required to be corrected:
_ �-�C"7 i-`}'P y.• _c t _r,�r�-'F?�. �c..� ��i.lav ---
dercoC"A►j
Presented to 'Approved
Inspector ❑ Cisapproved
Date Z114111FC
CALL FOR REINSPECTION
❑ Y18 0 NO
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WIrw I
INSPECTION NOTICE
City of Tigard Building Department
`r P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection rJ - I --
Date Requcsted Time-A.M.-P.M.
1
Address permit *
� ---+
Owner _ _. __ Lot
Builder --
The following Building Code deficiencies are required to be corrected:
------fes`-t`" -- �Z _— - - --- -
r�
Presented to ._ - ❑ Approved
inspector - emsepproved
Oat.
CALL FOR REINSPECTION
„(� YD8 0 NO
_ I
INSPECTION NOTICE /�C )
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection '-JQ
61
Date Requested M.___ P.M.
Address Permit #_ 4
Owner Lot—
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _` � —� Approved
Inspector ❑ Disapproved
Date _� �-
CALL FOR REI SPECTION
❑ YES 0 NO
W WK SF' 1W-1'-1—MWW-XW-1W11 IN.MW111111M
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 % � J
Type of Inspeciinn
Date Requested Time A.M. P.M.
e
Address Permit
Owni!r.-----
Builder
The following Building Code deficiencies eVrer quired to be corrected:
4
s. � It
("Z
Al I-
Ole=
v
Presented to F] Approved
Inspector F-
t Disapproved
Date
FOR INSPECTION
E��YFI EJ 140
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard Oregon 97223
Phone: 639-4175 J
Type of Inspection
Date liequested Tim,—A.M.— ._'P/./M/.
Address-- Permit 1
Owner Lot #
Builder -----
The following Building Code deficiencies are required to be corrected.
117
.— �--t�s.�'`` � _amu-�-%� •-�--�•�-+.�:
Presented to ___ proved UN
Inspector _ ❑ Disapproved
Date
CALL FOR REINSPECTION
D YEe El No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6399--41175
Type of Inspection
Date Requested_Ty_ ��. dime'\ A.M. ( P.M.
AddressO �' ��` -'?L�_--_ Permit
Ovvner —_— _._-�. Lot # -- --_-�_--
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector ❑ Disapproved
Date `-
CALL FOR REINSPECTION
❑ YE• ❑ NO
K L
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested '�5 Time A.M. P.M.
Address O V ! ¢ ' Permit # L
Owner Lot #
Builder—
The
uilder.The following Building Code deficiencies are required 'o be corrected:
Presented to tJ Approved
Inspector -- --- ❑ Disapproved
Date ��~ ------
CALL FOR RF,INSPECTION
[-1 YES 1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-,4,1755 /
Type of Inspection .. C_ L•�i �c-tv �4 :_-�1
�� G 4
Date Requestea -� � / .�,�._ Time_ _--_ A.M.
Address __._ �� -- - -- Permit
7wner _-- Lot #-- _-
1
f �Builder —
The
uilder --The following Building Code deficiencies are required to be corrected:
-----ice �-�' _ _��►.s
Presented to _ �r Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
El YES El NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested V Time . A. P.M.
Address __
j—P ,� Permi
Owner _ Lot #TBuilder
he following Building Code deficiencies are required to be corrected:
_
Presented to —_- Approved
Inspector — —._ ❑ Disapproved
Date
CALL FOR RUNSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection -- -
Dat4 Requested = � Tintyr"A A.M. P.M.
Ad&r ss _ Permit
Ow".-r — Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to/ r - Z-Kpproved
Inspector - __ ❑ Disapproved
Date —
CALl, FOR REINSPECTION
0 YES
�f
NUI L.01NG VIERMIT
CITY OF TI6A RD PEPM3, F NO . : OU11391.439
CITY
COMMUNITY DEVELOPMENT DEPARTMENT Ott"
13125 S W Hall Blvd.P 0 Box 23397.Tigard.Oregon 97223,(503)6394175 LWN I L. J.':i Si 1.11-1.1) 14/ E)/H9
IArA*1* &1111 U10
-JUI., f-U01 '0580 SW NORTH DAKOTA ST
I AX M()l I. t l 1 1.45:1. 3=A 5 ufril I BK
1,ONO Ulso R1.2*
1 01 111i.l V A- LUAT 3:ON: Al 67 ,006 9ETBACKS
FRONT : 20 PEAP :
WORK (',L.ASS : NEW 1.IN'ET5 : A. LEF—T : 5 RVA-11' : I ')
U!:il:;. '11 YK.. : SINC"OLE F AMA L Y NO- IRI:J)A00M5 . '13 EXT .WALL ('.10Nf.-iT :
L,ON'a I T'YPF,:. : VN N( . 13ATHS : 3 N: !:i : W
0(.J.JJP . : A3 PROT .(:)Pl;—N:[N(*.,S :
Of"'CUP . I DAD N 5 : F. W
TO TAL ARE-'A: 1.,eli30
114(.1 . 6 1(1 PT E 5 1.5T: 11340 ROOF CONST : FT PE 1-6:*'1"'?
1-1114.1 11H I PO e-2 N 1) 6,e10 Ar4f--:A SEPAP? r4A*T..[) :
I::1A5L'MF'N'T 7 0(:X',lJP . 5UPAP7 14A FED :
I I (JOR 1 0 o.1'.) d110 400 FIRE' 513AKI 147 Al APM7
FLOW 11 GPM DETECA"? Yl:::S
Go A 1-.9 1106" . AGGA !i!H
1,1 AN HY
i .) I-mittl 1 LI'le ic~clpy Pl::A'SiSULOF NO. 881.708
L.AS'l REISSUE.
0 F'EE'S :
W ANDEMISON DAN W. PI-"PM IT 11111337, 00
N y3f!)3 SW SDAL I PLAN REVIEW 1111-410 . 00
E
R I,t�i:ivrpi• r.arii DEixr
L'*TA*I*F:' TAX 1.6. 145
(]''HER 1111111.5 . 00
C D1iVF.1 OPMENT
0
N ANDIK.1150N DAN 17K S 7,01:11M 1 *P-50 . 00
T Hl"'ADOWSPOOK DI::'VF:L.0PMEN1' tMR,( :i Y nEf-i-T ) 1111600 . 00
R
A 9363 SW Bk':AVEP,r(:)N HIA-1..SDAI-1: $250 . 00
C 9*7006 PPEPA:rD < $ 10 . 00>
T
0 I"HONF.i. (503) 297-7666
R 1 1-0 PA'T :1.0N N'0 A6:3 *1 I T01 AL : $1. ,468 9,"5
T his permit IS Issued subject to the regulations contained in Title 14 PE(',EJP'TN('.) .
of the TMC. State of Oregon Specialty Cortes,zoning regulations ..........
and all other applicable codes and ordinances, and it Is hereby REQUTJIED :rNSPEC-TIONS
agrPP1 that the work will be done in accordance with the plans and F 00*1J N6' SE'Wl--:r4
specifications and in compliance with all applicable codes and 1-(3UNDAVLON WAI I RAIN DRAINS
orrlinFinces The issuance of this permit does not waive restrictive pc)�;*T IS DEAM WAVER LINF
covenants Contractor and subcontractors shall have current city
Nisinp.%%tax permits This per-nit will expire and become null and PLA-) .UNDER!-sl-AB I F y A P P ACI 1.4 5W
void it work is not started within 180 days.or if work is suspended or SI AD F.I.NOL..
abandoned for a period of 180 days any time after work has P11-13. '1*0P0U-1
(-ornmenced It shall be the responsibility of the permittee to assure FPAMTNU
III required in cions are requested 7nda proved F INEVILALE
114PAS LINF:
INIA.)LAVION
GYP . BOARD
Potrilittep. atllre
Issued BY
ll (.AI...L. FOR 3.NtsI'-1ECT10N 6,39-41 V)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAP' !r '1ESCRIBED ABOVE
CITY OF TIF RD CITArL
Off GON PEDMI'T NO. SE(391/11-40
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97221.(503)6394175 't
JOU AE)1)1:*4i:--.SS : 95W) SW N01:41*11 DAKOTA 3901e)
DK :
C7,
-TAX MAPA-0-1- 1�ij SUB.
I. ANG Ui*5E ; 1:41.2
I-O'l SIZEK.
!:i i'.i:c"T,IC N. 1,W P RNG: I-W
Wit 1-4K CLASS : NI-;'W
Tyj:"E: SINGI.-F. I"All"I'Ll y
Witi., f:I.1F.1(J
Agenc,.y 'The pel•llkit expir-thim 120 (JaYll, •I'1"rJlll J. 11;1.k 0 cI . The, total.
-F c.1i t w(I i-F 1,111110 Pei'mil, roxpir-O.-.411i . trot. g 1.1 m,
will be! -Cri sewe�l' is
Aanwe th*?� Cif C)f thcA 1i;iche '3 1-
licit 3.1n.�11Ltem:1 at thim mimastil-emel-it ti-le,
j.I.,IR t m. oo r 1 .4 1)4111( t
I t:1 t 1,,(1 .;
thf:lt clistel.licti.-a given .
pul'chlimu* w. ''I'lap nricl m.1.1cl thr4 A(3erlc^y
*EMpp.:'j:;lVIOUS AVILA
:I:MPn(JVI--:ME:N'T
IN S'TALL SUI I DIN('.,' SEWRI-4 TE NAN'T
r:'IXJ'(.J1--4E UN'Y'TS :
UNT'I'S
0
W $35 00
N ANUE-PO
SN 13AN E, PEMMI'T
E ("ONNECI-VION CHAI-IGE
R 1V563 5W HII I SiDAI-AR:
rJ 1- LINE TAP INSTAL.I...
C THEKIP
0
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T ANUE.PSON DAN F
A MF".AL)(:)WI:MOOK 0I:.'VEL(' PMr-A'T
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SW I: F.;AVL-:;4'TON: -i
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97 0 0
0 t)ima.v(ertrjn a 1,
R pl..I(JNI:: 297-7666 E?85. 00
pj;;ar,I!:0'PA'TI0N NO. 116,'"l
This permit is issued subject to the regulations contained In Title 14 AEC'EtPT NO. /19 7 2--
of the TMC. State of Oregon specialty Codes,zoning regulations .............
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and WV.-.�QUIPED INSPEUTUINS
specifications and in compliance with all applicable codes and jJOlj.KA+-JN
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void lfwork Is not started within 180 days.or if work issuspended ot
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required ins "a argreDested and approve
Permittee Signature
issued BY:
SEPARATE PERMITS REQUIRED VrdA V#*dAK'btW6f tWAIi4"1bt9ld'#ft3ED ABOVE
CITY CSF TI�� MEXIHOW.CAL. PIEPWI I
RD A—'4' 1::'F'.PM I T NO. ME69;1:1.4,07
"" I
C17YOFWARD
I
Otto
COMMUNITY DEVELOPMENT DEPARTMENT ci 0
13125 S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 -117� 0/ 13/8",
------ ---- 444- 891449
9,15(30 W NUPTH 1*.)Ai<L)T*A 51'
TAX MAI*-"/L-(:)I' ISI X5CA SUB: CEAPHAPT L T' : 1.
1:412
1...(37- SIZ I::,"
ITEM: NO : NO
WORK (".LASS: Ni:W F:'IJI:4NA(:'I;:: <100K 1 AIR HANDLP <10
USE TYPE.' : SINGLE.' FAMIA-Y 1:-UPNA(:*,E 1.001<4- A114 HANDI P 1.0K
(-(.*)N!'-;*T - TYPE': VIN FLOCIP FILMNACE. E-':VAP. 11:1100' LEP
OCICUP . GAP . : R3 IAEATE:114 VIENT F'AN
VF:'.N*Y* VEKNI SYSTF*iM
BI A"V111'.11mr, <311P HOOD 1.
NO. STORIES 2 I'N(*.:rNL*.RAT(')A(C)OM
DWELL . UNITS : 1. HI W(AlImp TISICINEPATOR(COM
F(JE*1 TYPE* GAS Bl.-P/roml.) 30 50HP PEPA'IR UNITS
MAX . INPUT 81...R/C:UM1' 50-1-1-K.. OTHEA
1: XPE DIMPPS ? GAS F:,TP.I.N(.; OUTLETS
HIGH
1.0w
0 FE.E5 :
W ONDE.'ASON DAN E PEKAMTI
N SW Bl::.'AVI-'..P*I*(:)N--H'.I.'I-L.SLI $1.0 . 00
E A PL.()N NEVIEW $1.0 . 11.3
R beavel-tnn FIXTUREti 11111130 .50
!STA'T'E:: IAX $
OTHE Gd
C
0
N
T F(')U14 Sli::ASONS Hl:.:A'T'TN('., AIP (:,(.)NI)
R
A P011:40 X 66409
C Ptii-t Of-, 9*7266
T
O t'.11-40NE (303) 1,751 'r-59:11.9
R I MKUTSTPATION NO. A18283 OT r.L. *52. 66
This permit is issued subject to the regulations contained In Title 14 P E C.F-.:'l P T NO. 2—
of the TMC, State, of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby 4EQUIALD ].NFiPlk_C*1'1(:)NS
agreed that the work will be done in accordance with the plans and GAL5 I INK
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POS I' a HEAM
covenants. Contractor and subcontractors shall have current city F4('JL)(',H TN
business tax permits This permit will expire and become null and I NAI..
void
A11-
void it work Is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It!;hall be the responsibility of the permittee to assure
all required PW 0lYAlp requested and proved
Permittee Signature
Issued By: 1� I
(::Al I. F:'an J.NSPECIAXIN 639-117!1,
SEPARATE Pr RMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
aim
CITY OF T167A RD F,I UMS.I.W.; PL:P1,111
17Y OF TWARD PEAMI r NO
COMMUNITY DEVELOPMENT DEPARTMENT 0*100N
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223.(503)6194175 DA*rr-'. 8/ EI/89
M_I' W- 9,1 Gil SO".Q 49
JOU l)DE)PESS : 9.`380 SW NOP'T'll DAKOTA ST
'TAX MAP/LOT
1.5:1, A LT : I BK :
LAND USE: 111.2
L,(*.)'l SIZE:
NO NO:
WORK CLASS : NEWWA'T'E f4 USE1, 13 'T PAP
USE TYPE : SIN(.A..E: FAMILY UPINAL P14VNIA
CONST . TYPE : VN LAVOWATORY ".5 "ll."Ap PPIME P
OCICUP . (011:113 141*3 1 UH SH(IWER 2 TRAPS
DT S III WA S 1-1 E P 1.
(.-AIADIAGE: DISPOSAI 1.
NO . S*1'0r4IF--S WASHT.NG MACHINk :1.
DWIEL-L.UNITS I AILINUPY *TPAY BLUG. DRAIN (DIA
FL.0014 DPAIN
SINK J. Sr-* .4 (FT)
W A'I lir P H E AT EA :1. Sl'. AWAAIN (FT
(:)'T'HE:
L
1:41,4AM1<5
0 F-EE:%
W ANDEPSON DAN E PIE PM 1. 411 3P !1)0
N
E 9363 SW BLAVE14'MN-1-11111 LG 13 A I E
R bemavel-t1:11-1 u r F'7.XTLJRF.'.!5
!3 TWTE TAX lh 6 . 63
D THEA
C
0
N
T C, 1:4 PLUMBING
R
A 3.392 5F. 51S'T
C 1.19.:1..11.iti,b m r ci c1 r 9'71P.3
T
0 PIHONIE (,503) e.A0-,-,5r70
R RELUS-1-PATION NO , :1.9907 '1101,AL $1.39 . JA
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,toning regulations 72--
and all other applicable codes and ordinances, and It is hereby Pli:1QUIRED IN!":,PEUT1(INS
agreed that the work will be done in accordance with the plans and PI-Ii.UNDEPS1 AR
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit goes not waive restrictive POST & ETI
covenants. Contractor and subcontractors shall hwle current city WAI 13.A 1 1.NE
business tax permits. This permit will expire and become null and PLA - 'T OI:)
void if work Is not started within 180 days,or if work is suspended or NAIN MAINS
abandoned for a period of 180 days any time after work has 14-IN A L
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
21
Permittee Signature
Issued By'
INSM.XTION 639--Z41 715
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE