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11990 SW '12nd Hveiwe.
!Y
p!SYECTION�E
City Of. Tigard Building Departs"
13125 SN Hall Blvd• Tigard, Oregon 97223 6. -4171
Inspection Line (Rec-O-Phonel° 63°-4175 8ueineue Phone: --
E
i
Inspection:____-- ---
---.-_-_- _-----� --- 5
P).bg, Unders•.ab
Mech. Rough-in Appr/Sdwlk
Footing (`FIpAI't
Gag Line
Plbg. Top Out j
Found.
San. Seger
gcaming
FogtjBeam Strutt, �luteb•
Aaln Drain
Insulation
Poet/Beam Meeh. -Ne�A.
GYP. Bd.
Underfloor water Liue �
Plbg. ,r pt _ AN -•
Date Requosteds �,ST► / /
Addresst
Buildeit
E vO p(IIN,, CARRECTIONb ARS REQUIRED=
TH
-------------
--------------
Insp*ctOr t - i
DISAPPR(0)VED APPROVED SUBJECT To AROV2
x
Call For Reinsp.
rCITY
OF TIGARD
OREGON
April 6, 1.992
Don Stewart
1.1990 SW 72nd
Tigard, OR 97223
Re: 1.1990 SW 72nd Permit #MST 91-0021
Dear Mr. Stewart:
The last Inspection conducted on the above project was a gypsum
board on 2/2/91. The next required inspection will, be a
final inspection.
Please advise the Building Division of the status of this project
as soon as possible so the file may be kept current.
Please note that any permit without activity for over 180 days
becomes void. If you need additional time to complete the project ,
please con".act: this department so that an extension can be
discussed.
Sinrerw4y, --�
Brad Roast
Building Official
Notice.A
13125 5:!Hall BW,P.O Box 23397,Tigard,Oregon 97223 (503)639-4171
INSPECT"ON NOTICE i
City of Tigard Building Departs[ent
13125 Sit Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
pound. Plbg. Top Out Cas Line FINAL:
Post/Beam strtrct. San. Sewer Freeing -Bldg.
Pont/Ream Mech. Rain Drain Ineilation -Plumb.
Plbg. Underfloor Water Line C--GY
p. -Mech.
Date Requested:_ ==e
Addrese: , _ hd Permit #: ~�- �✓�
Bulkier:_,__
TRE FOLLOWING CORRECTI AAE REQUIRED:
I
i
I �2�
nepectorr Dates
PAOVEO DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinep.
MASTER PERMIT
CITY OFTIFARD
CRYOFTI6ARD PERMIT #. . . . . . . .! MST91-002I
COMMUNITY DEVELOPMENT DEPARTMENT CHRIMPON
13125 SW Hv)1 Blvd. P.O.Box 23097,Tigard,Oregon 07223(SM)BN-A 175 DATE ISSUED:
1:40DRLSS. 11990 SW 72ND OV PARCEL: IS136DC-0440
SUBDiVISION. . . . : FRUITLAND ACRES ZONING: C—G PD
SLOCV. . . . . . . . . . : L;JT. .
. . . . . . . . . . ..
BUILDING ------------------------------------------
3EISESLIE: DWELLING UNITS:0 BASEMENI.. . . . . . . . :0 s
CLASS OF WORK. gADD BEDR(15:0 BATHS:O GARAGE. . . . . . . . . . :0 Sf
ryr.,,E OF USE. . . :SF FLOOR AREAS----- REDUIRED SETBACKS----------------
TYPE OF' CONST. :5N FIRST. . . . :0 5f LEFT. . :0 11t RIGHT. :O f+
'_.)CCUPnNCY GRP. R3 SECOND. . . :0 5f FRONT. :'A ft REAR. . :O ft
,3TORIES. . . . . . . -0 THIRD. . . . :0 sf REOIJI
HEIGHT. . . . . . . . : 0 ft TOTAL-- - - - -- -0 s SMOKE DE=TECT ORS.
FLOOR LOAD. . . . :0 psf VALUE. . . . . $ : 3000 PARKING SPACES. . :0
RC?maV'1(S- - addition BATH ROOM
PLUMBING -----------------------------------------
N1.115. . . . . . . . . . :121 FLOOR DRAINS. . . . :0 BPCKFLOW P-REVNTRS.
LAVATORIES. , . . . : 1 WATER HEATERS. . . -0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . .0
-DATER CLOSETS. . : 1 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
')ISHWA5HERS. . . . :0 WATER LINE (ft ) . :O OTHER FIXTURES. . . . . :0
RBAGE DISP. . . :O RAIN DRAIN (ft ) . :O
HASHING MACH. . . :0 51= RAIN 11RAINS. . :0
MECHANICAL FEES
UNIT HTRS. . -0 tvne Amol.trii, tly date
VENTS . . . . . :0 BPRT $ 38. 50
1F)X 11-41'1.11 :0 STU VEM4 T FANFi. . :0 SPLC $ El 9). 0 3
IJRN ( 100K HOODS. . . . . . e O B5PC $ 1. 93
-URN ) =100K . . :0 WOODSTOVES. .0 PPRT $ 25. 01b
LOOR FURN. . . . :0 CLO DRYERS. : 0 P5PC $ 1. 25
OTHER UNITS:0 PAYM $ 91. 71. JLH 02/ 12/91
GAS OUTLETS:0
)ON STEWART
1990 SW
2MD AVE
6k
1Rl) OR 9'7223
tione #-,
Ont ract or:
NLIL I'F.LLV CO
804 N. ALBF`.RTA ST.
1--,C7R'TLr1ND OR 97217
Phone #: 503--268-7461
Req #. . : 1663 ......
91 - 71 TOTAL
This perait is issued subject to the -egulations contained in the REUUIRED INSPECTIONS
Tigard Mumcioal Code. State of Ore. Specialty Codes ane all other PLN,'Underf loor
applicable laws. All work will be done in accordance with approved Plkkmb TOP Out
plans. This ppreit will vNpire if work is not started within IN Fvamiviq Insp
of issuance, or if work is suspended rare that. 180 days. G�-p Board Triso
r-Ilt-imb Final
Pprmittee Signati.1res9
I Pl-tildiTig Final�
Tr,51Aed By
Call for insrection — 639--4175
("ITY OF TIGARD -- RECEIPT OF PAYMENT RF-.'C17TrlT NO.
CAM F,"f!CK Mioif*.N,r 91. 71
NAME NEIL KEI...L,Y REMODELING CAF.33H AMOUNT a 0. elo
ADDRESS POYMENT DATE 0;?. 1 9.1
SUBT)I V I S I ON
11990 SW 72ND
IDURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT Pqti)
25. 00
ST. BUILD PER 3. 18 PLAN CHECV FE 25. 0
DON STEWART
TO101. AMOUNT VIAID 9 t. 71;
PLNCK/REC1 N �� 31C
SW fJAI MO.
CITY OF 1 GARIE �-o it..23.197 PERMIT # ��-�o--�---
T i t t Oregon 97W
MUNITY I)I VI:LOI'MENT DEPARTMENT P(5o3)639-4171
DATE ISSUED ----
TAX MAP/LOT
JOB AUURLSS: ___, _L.C.L--�—�---" _
LOT: 3/ LAND USE: _ -----------
SUB: c ---
VALUATION:
SPECIAL NQTFS
NA
�p � �A(�'� — REISSUE OF: �- --
NAME: �� �c2K 4 _
[AST REISSUE:
ADDRESS: _I
Q - _ FLOOD PLAIN/
SENSITIVE. LAND: -�! ---
PHONE: _
APPROVALS REQUIRED
ANTRA 1 , n PLANNING: --
N�!� , Lam, y --,_ --
NAME: -
ENGINEERING: _ —
ADDRESS:
-IRE DEPT: _—____ ------
OTHER:
--
PHONE: _
CONTR. BOARD A: EXP MATE:
ITFMS RBUIRED
SUBCONT[LICTORS: PLUMB:
, LIST/SUBCONTRACTORS: -�__ -------
MECH: BUS TAX:
CALCULATIONS: _
QCµ}ENGINEER ,�,t TRUSS DETAILS:
NAME: �DI✓kN� _ --
ADDRESS: --z•-- fJ��L ti OTHER: _r ----- ----------
PHONE: _
PROPOSED BLDG. USE: �COMMENTS:
� "0- 7
��� 1 t - -- — -- - --
circ
APPLE NT SIGNATURE
Received By: _ �-/
Date Received:_---
PERP1IT N ACCT # DESCRIPTION
N40UNI AMOUNT PD. BAL. DUE
0r 2 10-432 00 Building Permit Fees
Z v d• ,,2 3 ,vy
10-431 00 Plumbing Permit Fees ———
10-431 01 Mechanical Permit. Fees - ---
��� .-
10-230 01 State Building Tax (5%) - —
Building _
Plumbing Z > _
Mechanical
10 -433 00 Plans Check Fee
Building c
Plumbing
Mechanical _
10-230 06 Fire ---
30-202 00 Sewer Connection — —
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448--04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF Fees — - -
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC) _
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) --- — - - _-_--
24 445-01 Water Quality (Fee in lieu of) — —
24-445-02 Water Quantity (Fee in lieu of) --
101111
nm/3587P.WP1'
J
b a
C11YOFTIGARD PLAN CHECK APP
MYCF1<i� RD APPLICATION
COMMUNITY DEVELOPMENT DEPdF{7 MENT PLAN CHECK
»i2sswwxeV&P.o.sm2Xr7.lb"•4a+oon W=�l�1rr `� PERMIi r 1
DATE ISSUED
JOB ADnQFSS: (!G TAK /�T !`�
SUB: -� _i.OT: r
LAND USE: --
VALUATION: SETBAQ FRONT: REAR: - LEFT:
WORK CLASS: - - RIGHT:
USE TYPE: HEIGHT: _ TOTAL AREA:
FLOOR LOAD: 1ST:
CONSTR TYPE: "AT TYPE: 2ND: --
OCCUP CROUP: DWELL/UNITS:' 3RD:
OCCU. LOAD: NO BEDROOKS:— MSEKEEN7':
NO STORIES: NO BATHS: GARAGE: --�—
IHP SURFACE: _
APPROVALS REQ_D SPECIAL NOTES ITF.HS RE UIRED
PIANNING:: _ REISSUE OF: LIST/SUBCOL"TP.ACTORS:
ENGINEERING: LAST REISSLTE: BUS TAR:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS: --
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
FLAN CHECK BY: LANDSCAPE PLAN: �-1--
CO�.1.S: OTHFF: —'--�
i+C CT N DESCRIPTICA Af'OUWT AMOL8IT PD. UAL. DUE
10-432 00 Building Permit Fees
1.0-431 00 Plumbing Permit Fees'
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) 3.L •3 ��_
Building
Plumbing / 2- )—
Mech
10-433 00 Plans Check Fee -AL �Z5,� 3
Bui lding _�.� 3 _ "-
Plumbing — -
Mech _
30-2.02 00 :.ewer Connection
30-444 00 Sewer Inspection !`
51-448 00 Street System Oev Charge (SDC) _
52-449 00 Parks System Oev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg (SSUC; --
10-230 09 TRFD -
10-230 06 Washington County Fire NI (95X)
10-220 00 Amart/Wedgewood - - -
1 OTAI.
REC N
APPLICANT SrGNATURE ^—
Received By: _ _ _ Date Received:
cn/3587P/18P
CITY OF TIGAI D
13125 SW HALL BLVD.
PLUMBING P. p_ BOX 23397
Applicants must thokt Occgon Rcglslration to conduct a plug"ng T ICs ARD r OR 97223
busincss rx must be thmPaty owner/operator not hiring oul.;d-help. (503)639--4175
Nantes d l�wek>(hnhent _ —
PlumbinK Pcrmil No.
ArrAress oavx uon
_ O(tS 011-21X10 OUAN- PRICE AMT.
Job Tax l I Map.No. -- - —
• r°•° FIXTURES _
clot chock ScbdrAsbn S:rhk 7.50
Name or nervi W snf_ siif Lavatory 750— '-V
Tub+x Ttb/ssa.+ef Dumb. �_ 7-50 ,is
e� Sth•�werOrsly __ 750—
water Ctosel 750
Ownec Gy/State 750
Dtstswastw.
Gartsaga Disposal_ _ _ 7-50 _.
-- wiStl:hywolhine -750 _
Name -- ---
taloir Orairh 7-50 _
L-ahasdry Roar Tray
Ocxupant t itytstate �~ Tip tkinal 7m
ache-- Ouherreucres(Speolyl 750
750
. — Ptbne _ 750
------
_--
1-77
750
Curttrector ZjtylSrate _-- 13P —
MtSCELLANEOUS
-- .'cry
Buis.rax t'3 Sews 1st 100' 30-00
—� Sewer-ea:Adds-100 — 15.00
Mats - a!e
fl at) waMr service 1 st 100' — 25•00 _
waterarvoa Sie� Ad, t- 15.00
I t»reby W*r"wledpa the thaw read this appGahriort tlhart t»kAWMatwt
i -� -
piven is oarecL that 1 am mgisf xedihith the Stars Dukes 60wd.and also Strxm 6 Rain Draw 1-CL 100- 3000
thaw a State pkwnbkhp Ioense tut t»rawnbem given ars oxseet,tW r 15A0
t*wwmV work wit be dose:n nomMaesoe with"vficdde P--01 Ors- Storm;I�-in Oran Add4 100
gon Revised StsbAes t3saptors 447 ane iM3 and appkable codes and that Mobile home Speoe 25.00
no"t we be e..N y u4w-3&w"ad under OM On(t errempt Inns —
SWO cs0tctraRort pt""piw reason batow'�_ 13ac1r at
aAnever50
Osvian or rr6PblMkiRiwh O wice 7
Itt7MC-0W0_t5-t t»roby oortifrave t am the owvher at this pevperty ds —
sorbwj above.at WAAc h locdton 1 pmposa tl nuke a p4 ff4AV kaldatah for Any Trap or Waata N01 7
cry owes use w%d 041 twop rly is clot NAV orxhslrsx]ad for"a-base or rent Connected b a fvd"
GIQhfSaskh -50
7.50
�` f«wP-dEadat.PYxrhtNhO -
40-00Parth. — -
---— --- -- Speolaty Foch ao.00 Per Nr.
—__
Rain Drain, t5.00
�11fTt1pfA7ED SIGNATURE ----per, ---_.._—
Desarh�e work clew[� ed("on" alwabon[] rspak - —` %,;2,5 ('
be dome resiAerHie� non-msidetttW r] MINImum PERMIT FEE 25.o cifSUIS-TOTALSt SURCIIARGE
2 S t PLAN REVIEW
Tris perark ber Mnsa ant cold M wVrk d nlOv
ODcdM atlthuA[ad M not Dom- - TOTAL
*arsoad wld*s 140 dsya^tt oor-*w"on al wreck h atwp«•d.d Of abardd'ad Iw '-
•p K4sd d 100 dsya d any Onw atw>t.ork la cp.svtiirhotA
W*C IAL 00NDITW3M ---
Oathby - ----'---
i
Building Permit No.
COUNTYWIDE.
TRAFFIC IMPACT FEE Planning File No.
PINMENT OPTION FORM _
Tax Map& Lot No_s`v
Date
Project Name _--
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore I
request the following (Choose whichever option or options are applicable):
Cash or Check
fI Credit Voucher
Bancroft or Installment Payments
and/or
L� The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the
TIF is greater than$5,000.00. If the TIF meets this requirement, I also request this option. I under
stand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF
will be recalculated based on the prevailing rates at time of payment. Please be advised that TIF rates
may increase up to six percent each Ju,y 1st. This rate increase is not subject to appeal.
OWNER-APPLICANT OWNER/APPLICANT
cc HkAding 11Armit file
Payment Option Notet"A
form IJ02
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