13324 SW 136TH PLACE ADDRESS:
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CITY OF TI4A'�D BUILDING INSPECTION NOTICE
Inspection Line (Rec-C-Phone): 639-4175 Business Phone: 639-4171
Inspection:
E{/y
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Rough-in FINAL: •��
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Main Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underllr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 3/30 Jam` Time: —AM PM
Address:
Builder: �( �'�, Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r�-
H—
J
t
CA _
W
-J
lnspec or:_ Date:3-.3'0—2,&
APPROVED DISAPPPOVFD C —*f-PROVED SUBJECT 1-O ABOVE
__Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phono: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. R gh-in Appr/Sdwik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post!Be.am Struct, Pibg. Top Out Elec. Rough-in FINAL:
Post/Seam Mech. San. Sewer Gas Line l -Bldg-')
Plbg. Underfloor Rain Drain Framing Plumb. �.
Alarm Water Line Insulation -Mech.
Underflr. Inspil, Shear Wall Gyp. Bd. -Elect.
Date d:Re ueste /�' '
Q � Time: AM PM
Address: 13
Builder: Y_� f Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�_,1.�z•-�� u �� r - — i tic' ,1--
Inspector: � ,( _ Date
APPROVED lam'-61SAPPROVF_D APPROVED SUBJECT TO ABOVE
1-1
ecall For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (APc-O-Phone): 639-4175 3usiness Phone: 639-4171
inspection:
Footing Susp. Ceiling Sprink. Rough-in App,/Sdwlk
Found.:;fion Plbg. Underslab Mech. Rough-in Fireplace
PostiHeam Struct. Plbg. Top Out Elea Rough-in `FINAI--'
Post/Bpnm Mech. San. Sewer Gas Line -Bldg.
Plhg. Underfloor Rain Drain Framing C—T—im-JR,
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ -3 1�S Time: AM PM
Address: �� 1� Z ��_ ILI( y
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
..
L1 T v
F--
L
C.7
W
J
Inspecto
APPROVED DISAPPROVEDA� PPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OP TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,(Dragon 97223e8199 (503)539-4171 PERM IT #. . . . . . . : MST94-0248
DATE ISSUED: 03/2,0/95
PARCEL: 2SI04GW-082.00
1TE ADDRESS. . . : 13324 SW 1-'-6TH Pi.,
JUBDIVISION. . . . : HILLSHIRE 7..ONING:R-7 PD
. . . . . . . . . .
LOT. :082
CLASS OF WOPt/. :I\IEW
TYPL OF USE. . . :SF
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:224 4
1'1_:_'NA4J\1T NAME. . .
Rement-k9i - IDATH I
Owner-,.
PTCHARD WHITEMAN
-0154 rE'$W GUMMIT ST
WEST LINN OR 137LA08
Pharip #: (.55--8J ',6
I ontv,actov:
ICHARD WHITEMAN
5615 SW SUMMIT
)I,-":)T 1. 1NN OR 970613 -0000
hone #9 655---8156
40501
"ccUpa-acy of the above refer eiiced building is herleby given, And c:er,tifies
ou compliance with the State Of Oregon Specialty Code,; for- the group,
7upancy, and ease kinder which the v-t-fer-encedt
pet'" was issued.
1A1K_D_t1N�G_�TNS/PECTOR t)F --" IAL
POST IN CONSPICUOUS PLACE
W
MASTER PERMIT
PER #. . . . . .CITY OF TIGARD DATEMIT ISSUED: . 08/22/S9440248
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2SI04CA--08200
S I I E A D UN E 51S. . . . 13,_;x::4 SW 136 T 1-1 F-`L
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD
PLOCK. . . . . . . . . . LOT. . . . . . .. . . . . . . :082
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :635 5f
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :682 sf
TYPE OF USE. . . :SF FLOOR AREAS---------------- REDUIRED
TYPE OF' CONST. ,-5N FIRST. . . . : 1242 sf LEFT. . : 16 ft RIGHT. :5 ft
OCCUPANCY GRF.,. : R3 SECOND. . . : 1216 sf FRONT. :20 ft REAR. . :31 ft
STORIES. . . . . . . :2 F I NBSMENT:o sf REQUIRED---- --- ____._.__ ..
HE:IGHT
EQUIRED-
HEIGHT. . . . . . . . :C--'4 ft 2458 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . ..40 psf VALUE. . . . . $ : 154554 PARKING SPACES. . : 1
Rerrlai-ks : PATH I
------------------------------------- PLUMBING
__._____._-_--_.________._.--.._-
SINKS. . . . . . . . . . : I FLUOR DRAINS. . . . :0 BACKFLOW F:IREVNTRS. . : l
LAVATORIES. . . . . ..4 WAFER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY I-RAYS. . . :14 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TPAPS. . . . . . . :0
DISHWASHERS. . . . -. I WATER LINE"' (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WnSHING MACH. . . : 1 SF RFI IN DRAIN' . . t
MECHANICAL FEES ----
FUEL TYPES-------..____._ UNIT HTRS. . :ti type amoi.tnt by date r,ecpt
/GAS/ VENTS . . . . . :0 TIF $ 1520. 00 JF 08/22/94 -
MAX INPUT:0 BTU VENT FANS. . :,(i BPRT s ;70. 50 JF 06/22/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 370. 83 SW 06/15/94 94-2535c*-. ,
TURN ) = 100K . . - I. WOODSTOVE-S. :0 B5PC $ 28. 53 JF 08/22/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ .�,80. 00 JF 08/22/94 -
BOIL/CMP ( 3HP:O OTHER UNITS: 1 PARK $ 'J00. 00 JF 08/22/94 -
GAS OUTLETS: 1 MPRT $ 45. 00 JF 08/2-2/94 -
Owner,: ------------------------------MPLC $ t1. 25 JF 08/22/94 -
RICHARD WHITEMAN M5PC $ 2. 25 JF 08/22/94 --
50154
50154 SW SUMMIT ST PPRT $ 153. 00 JF 08/22/94
P5PC $ 7. 75 JF 08/22/94
WEST LINN OR 97006 M I SC $ 6/1. 00 JF 08/22/94
Phone #: 655-8156 MISC $ 20. 80 JF 08/22/94
Can t rat:t or-: ---- M I SC $ 20. 80 J F 08/22/94
RICHARD WHITEMAN
5615 SW SUMIATT
WEST LINN OR 97068-0000
(-`hone 655-8156
40501 ------ ------------------------------------
$ 3596. 71 TOTAL
permit is issued subject to the regulations contained in the REDUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foi.tnd Insp Fireplace Insp
__J applicable laws, All work will be done in accordance with approved Post/Beam Str-;Ict Gas Line Insp
plans. This permit will expire if work is not started within 184 Post/Beam Nechan Insulation Insp
days of issuance, or if work is suspended for more than 18@ days. Plm/undslab Insp Gyp Board Insp
'IJ PLM/Und ei-f 1 a at- Rain drain In s p
A
Permittee 1-3 i g nat ui-e Mechanical Insp Water Line Insp
PIUmb Top Out Appt-,/Sdwlk Insp
Is ed, By --IA& Framing Insp Mechanical F*i na I
Call fur, ins ection 639-4175
CITY OF TIGARD SEWER CONNECTION
PERM I T
COMMUNITY DEVELOPMENT D47A PERMIT #. . . . . . . : SWR94-0238
(P
,,T,MENT DATE ISSUED: 08/22/94
13125 SW Hall Blvd.Tigard,Orogon 97223e8196"( 03)669'-4171
F-*IARCEL : 2SI04CA---08200
SITE ADDRESS. . . : 13324 GW 136TH PL
SUBDIVISION. . . . . HILLSHIRE ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :082
TENONT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
Owner-: FEES
RICHARD WHITEMAN type amount by date r-ecpt
50154 SW SUMMIT SJ PRMT $ 2200. 00 JF 08/22/94
INSP $ 35. 00 JF 08/'x:/'34
WEST LINN OR 97008
Phone #-. 655-8156
Cont-r,actor: ---------------------------------
CONTRACTOR NOT ON FILE
Prione #: 4 2235. 00 TOTAL.
Reg #.
REQUIRED INSPECTIONS
Th�.s Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewaye Agency, The permit expires 180 days from
the date issued. The total amount 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 reasureillent
given, the installer shall prospect 3 feet in all directions f:,om
the distance given. If not so located, the installer shall purchase
a "Tap ani Side Sewer" Permit and the Agency will install a lateral.
Pei—mittee Signature l:
1!.�!:iued By :
Call for inspection 639-4175
aJ
-j
Residential Building Permit Application
Ciiy of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: C e
Subdivision: I Lot# Z Office Use. Only
Piasck/Rec #
valuation: /S SS q,
Owner: A_� Reissue of
Address: 5_�/ S S v4A Ma & TL # C7 4 ,
P .�
Phone. Approvals R!j uired
Planning 1 '
Contractor: x* a Engineering
Address: Other
Phone: Items Required
Contractor's License # / ` y ( Sub;ontractors
(attach copy of current Oregon license) Truss Details
Contact name & phone: Other
Subcontractors:
, lumbing: �y ��c�py
Mechanical:
(attach copy of current OR Co ractor's License)
Architect/Engineer: A f It4 u
Address: /5 i S /J�• 2 '3 `
r
r � /
J
Phone: 2 Z S - -f l b
W
J
JOB DESCRIPTION: , ' l I ')ti. 4--A1
licant Signature & Phone number f
Received by: Date Received. ' 1 4
Permit # Account Description Amount Amt. Pd. Bal. Due
a) Bldg. Permit (BUILD) S 70• J—V � s 7✓ �U� ' �
Plumb /S-5-. Permit (PLUMB) / S �. � � r
_ Mech. Permit A'/3(MECH) �/J• _ /
State Tax (TAX)
Bldg:
Plumb:
Mech: .2
Plan Check (PLANCK) ..fid • o j. .�� ���✓
Bldg: 2 70. 3
Plumb: /
Mech:
Swdt .' Sewer Connection (SWUSA)
Sewer Inspect►on (SWINSP) 3 J �� ✓
� J ,
Parks Dev Charge (PKSDC) S oo
Storm Drainage Chg (SDSDC) _�/ � `71
Residential TIF (fIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (fIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WOUAL)
•�— Water Quantity (WQUANT)
i1
F-
`�' Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
L /
Erosion Plartck/USA (ERPLAN) �r� �a'S ri ✓
C
Erosion PlanclJCOT (EROSN)
TOTALS: S93 , 71 ' S5 •n� -
F Permit No:
Address:
Issued by:_— — Date: _
____ .—__FOR OFFICE USE ONLY-----
STATEMENT:
NLY_ _STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313:
1 . L I own, reside in, or will reside in the completed structure.
2. 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A. My general contractor is_—__ -__— _ _ _ - _ _ -- -_ ,
CmAractor registration number 0 5-C) 1_,
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Signature of Permit Applicant Date
;ONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COP'S TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
I
-- Q E _ 3/32"= V
CUSTOM HOMES BY
RICHARD A.WHITEMAN Lot 82 Hillshire
781-4331-
- gn
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MAIN EL. IOO,S w
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13324 SW 136th Place
E 3/32"= V
CUSTOM HOMES BY
RICHARD A.WHITEMAN Lot 82 H�llshire
781-4331 ,
3
2
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MA in! EL. 100,5 •^�
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UPPER EL. 101,5
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F'-'LU1y1BING T
CITY OF TIGARD PERMIT 4. PERMI. . . . . . : MST94-0246
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/22/94
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171
PARCEL: 25104CA-0B200
,31TE ADDRESS. 133724 SW 136TH PL
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 F'D
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :082
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW P'REVI\ITRS. . - I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 'TRAPS. . . . . . . . . . . . . . :Q1
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F I X TU RES----- -- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . : .1. GREASE TRAPS. . . . . . . :0
L-AVATORIES. . . . . :4 OTHER FIXTURES. . . . . ilz)
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER:
RICHARD WHITEMAN TIF $ 1520. 00
50154 SW SUMMIT ST BPRT $ 570. 50
BPLC $ 370. 83 SW 06/15/94 94-253523
WEST LINN OR 97008 B5PC $ 28. 53
Phone #: 655-8156 SSDC $ 280. 00
PARK $ 500. 00
Plumbing Cunt r-act or,: MPRT $ 45. 00
MPLC $ 11. 25
Name :
Address ; M5PC $ 2. 25
PPRT $ 155. 00
City : . ..eLW. P5PC $ 7. 75
7 i p: 01 q-5 Plhone#: 64. 00
MISC
Reg # Additional fees not shown here. . . . . . . . .
------- REUUIRED INSPECTIONS
This per-mit is issued subject to the r,eg-
1-tiations contained in the Tigard Municipal Foot/found Insp Rain dr,ain Insp
Code, State of ffi-e. Specialty Codes and all Post/Beam Stv-uct Water, Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appt-/Sdwlk Insp
in Accor•dance with approved plans. This Plm/undslab Insp Mechanical Final
per-mit will expir-e if work is not stat-ted PLM/Underfloor Plumb Final
within 180 days of issuance, or- if work i ,; Mechanical Insp Building Final
S'ASpended for more than J.80 days. Plumb Top Out Erosion Control
Framing Insp Crawl Dt-ain
Fir-eplace Insp
cc Gas Line Insp
Insulation Insp
x 1194 Gyp Boar-d Insp
Pl..tthor,izA PiLlwfing Contractor Signature
Call for inspection 639-4175
C'ontt-actot- Notes :
Uj
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