12392 SW 133RD AVENUE-1 w
12392 SW 133RD AVENUE
�I
1
1
I
r
A
a
M
M
r-1
N
0�
M
N
r-1
CERTIFICATE OF
CITY OF TIGA RD OCCUPANCY
YPERMIT ti. . . . . . . I BUPS91426
COMMUNITY DEVELOPMENTDE T OREGON PRIM. PERMIT M. : 8914 '6
13125 SW HOW Blvd. P.O.Box 23397,Tigard,Or8Wn9. ) 't5 DATE ISSUED% 114/18/90
SITE ADDRESS. . . o 12 392 SW 133RD AVE PARCELS 2S104AB---12700
SUBDIVISION. . . . w MORNING HILL FSH 6 ZONINOx
BLOCK. .. . . . . . . . t LOT. . . . . .
CLASS OF WORK, sNEW
TYPE OF USE. . . a c,F
OCCUPANCY GRP. RR3
OCCUPANCY LOADt
TENANT NAMt . . . :
Rormarkso
Owner a -----------------------._-_-______-_
DAN E ANDERSJN
9363 SW BEAVERTON-HILLSDALE
M HWY.
BEAVERTON OR 090130-0000
Phone tin 000-000-0000
ractor t
Ci. E. ANDE.R30N INC
9363 SW BEAVE:RTON HIGHWf Y
NE AVER I'ON OR :07895
Phone br 091-7666
Req tf. . r 46344
Occupancy o•, the above referenced building is hereby given, and rertifies
the compliance with tht- State Of Orellon Sper^ialty Codes for the group,
oc.:rupancy, and use Under which the referenced permit was issued.
z'
F'IRF. DEF)ARTMENT DING INSPk R
BUILD NO F-411:1 ~- --.._.__.....
POST IN CONSPICUOUS PLACE
i
I
, tom INSPECTION NOTICE
ti City of Tigard Building Department
, P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
Type or�lnspection
Date Requested Time n A.M._ P.M.
Addressf� 3 Permit #
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspsatt,,r _._._. --- ----_-- ❑ Disapproved
CALL FOR REINSPECTION
❑ YES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 /^
Phone- 639-4175 4
Type of Inspection � ' C____C?t���-�!�_� �•• (, ��.5�_
Date Requested Time_X A.M._ P.M.
Address Permit # L �--
;;
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
7
Presented to Approved
Inspector _ [� DIApproved
Date
CALL FOR REINSPECTION
O YES ❑ NO
1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 1
C'
Type of Inspection
Date Requested_ Time A.M. P.M.
Address 1 3 Q c'- _;3� Y a Permit # C%N.?
Owner Lot #
Builder ��ll�fiCt &L,4-t,r•—Ie—
The
---
The following Building Code deficiencies are required to be corrected:
Presented to _ jl(-)Approved
Inspector Disapproved
Date
CALL FOR REINSPECTIOA'
❑ YEa ❑ NO
INSPECTION NOTICE
i
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested 11--' C Time A.M. P.M.
Address Permit
Owner _ Lot #
Builder -- -------- -------- - ---
The following Building Code deficiencies are required to be corrected;
Af ��Lf
' 4 ,
�,,)�7 G..-+�../�-. b+ L.G.7G-•�,�'.�!/l-(/�v' .w,-�e�j�.•<-L. _A itc��,� f _-
/'.1iw'�.t��i. /yrs Jlt� iC.CnrL� J/"✓Cl�'t''�'- �''.R/l�1iC.Y` Cx�..G1��^, 't4
C: n e'ot vt 'L�1
{ s '
,J` �.� �t .I �GtdylJet,c� !_� ,e,-
e"''I
`C'.'�.'-+is�,�?11�t!/ +� 'i' T-.�/� r.-4C=1�''�1..C.L"�. �� •!>'•-...r'�" -�
L. r,.._., �.�L..��- t[.a.cw.-.C:c t._ .,��.tea.Ji y ,` /// �+'� . •�<��(,..�- _
f
Presented to Approved
Inspector _ '.% [Disapproved
Date
CALL FOR REINSPEC77ON
D YES ❑ NO
a
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 �v
Phone: 639-4175
Type of Inspection `� � - —
Date Req/luessted� c _ ./Time A.M._# P.M.
Address LL. _ ��� �' Permit CT/
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
----- — _ -
J
v
Presented to If Approved
Inspector _%v'��____T ❑ Disapproved
D<ttP � `
CALL FOR REINSPECTION
O YES U NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phune: 639-4175
Type of Inspection XI-11, - z�'� )
Date Requested Time A- A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to F,I Approved
Inspector U Disapproved
Date ell
CALL FOR REIA',"ECTION
0 YES LJ NO
i
I
INSPECTION NOTICE
li City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested l— — Time — A.M. P.M.
Address ._ �� — rd Permit
Owner Lot
_._.. _ _ /,- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
��=A.C�.i /7' !✓.5?� ate. r1i /-�{!c%S.f_ �F��C.I�L^� ::
___ Ti../"yam, :— ..►'�GS'sicl�.y:��._L's��'Nu M
A
Presented to [I Approved
Inspector _ _,� Disapproved
Date --- ---- !
CALL R REINSPECTION
1C1 YES NO
INSPECTION NOTICE
C ty of Tigard Building Departmenv"W
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection I-Vt 'fo�� �' -'�— -
Date Requested 4zr fLl� 2 Tima A.M. P.M.
Addres}1� �.3 �' �✓ % �.{ Permit
Owner -��'- _ Lot #_
`'7 f
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector �J✓/ti,�L �I Disapproved
Date
CALL FOR REINSPECTION
C�]- YES C7 NO
■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ��� ,�1 �
Date Requested //—Al/ _L-2 Time _A. ._,� P.M.
Address Permit #
Owner _ Lot #
i
Builder
The following Building Code deficiencies are required to be corrected:
.✓'r .��y-e. tet' �t r..-t �� �
All
Presented to Approved
Inspector _ isapproved
Date — / e_G
CALL FOR REINSPECTION
XYE8 ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — "<1-��)
Date Requested Z(J) r2 7 Time P.M.
Address Z=2 -3 OSA /3,ti Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
I.
Presented to FT"Approved
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
DYES ONO
C17YTIFA
BUILDING PERMIT
OF -It PERMIT HO. : BU891426
RD
rCl7WYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT
MOON
ISSUED: 9/15/89
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 P I M.F'M T.NU. 891426
JOB ADDRESS: 12392 SW 133RD AVE
'TAX MAP/LOT 2S1 4AB SUB: MORNING HILL L7 :155 BK:
LAND USE: R4.5
LOT SIZE: VALUATION: $ 88, 185 SETBACKS
FRONT: 20 REAR: 5
WORK CLASS: NEW DWELL.UNITS: 1 LEFT: 5 RIGHT: 15
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 4 LXT.WALL CONST :
CONST.TYPE: VN NO.BATFHS: 3 N: S: E: W:
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 1915
NO.ETURIES: 2 1ST: 1115 ROOF CONST: C FIRE RET?
HEIGHT : 250 2ND: 800 AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 600 FIRE SPRKLR'' ALARM?
FLOW(GPM) DETECT? YES
HEAT TYPE:—GAS _ HDCP.ACCESS? CORR?
PLAN CHECK BY: rlt
REMARKS:
REISSUE OF NO.
LAST REISSUE
FEES:
W ANDERSON DAN E PERMIT $400.00
N 9363 SW BEAVERTON-HILLSDALE PLAN REVIEW $260.00
E beaverton or FIRE DEPT
R S IVTE TAX $20.00
OT ITER
DEVELOPMENT CHARGES:
C
ANDERSON DAN E SDC(ST9RM) $250.00
? MEADOWBROOK DEVELOPMENT SDC(STREET) $600.90
R 9363 SW BLAVERTON-HILLSDALE PUC("i ) $258.00
A beaverton or 97006 PkEPAID < $190.00)
T PHONE (503) 297-7666
R REGISTRATION NO. 46344 TOTAL: $1,680.00
RECEIPT NO.,/�53`�' 7
This permit Is issued subject to the regulations contained in Title 14 --------------------
of the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes end ordinances, and It is hereby FOUIING SEWER
agreed that the work will bp done in accordance with the plans and
specifications and In compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST & BEAM WATER LINE
covenants Contractor and subcontractors shall have current city PLB.UNE-ERSLAB CITY APPRCH/SW
business tax permits This permit will expire and become null and SLAB FINAL
void if work Is not started within 180 days or if work is suspended or PLB.TOPOUT
abandoned for a period of 180 days any time after work has FRAMING
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved FIREPLACE
GAS t_INE
INSULATION
GYP. BOARD
Permit ee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
-- — — SEWER PERMIT V
CIT"YOFTIGARDPIERMIT NO. : SE891474
arrow*= -wan
COMMUNITY DEVELOPMENT DEPARTMENT over" " D T'. ISSUED: 9/15/89
13125 S.w.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 ',+I M.PMT.NO. 891426
JOB ADDRESS: 12392 SW 133RD AVE USA NUMBER: 39056
TAX MAF'/LOT 251 4AB SUB: MORNING HILL LT:155 BK:
LAND USE: R4.5
LOT SIZE:
SECTION: 4 TWE': 2S RNG: 1w
WORK CLASS: NEW
USE TYFIE: SINGLE FAMILY
The applicant agrees to comply with all rules and requlaLLions of the Unified
Sewerage Agency. The pe-,mit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency does not guar-
antee the accuracy of the location 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.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
FLIES:
W ANDERSON DAN E PERMIT $35.00
N 9363 SW BEAVERTON-HILLSDALE CONNECTION CHARGE $1,250.00
F beaverton or LINE TAP INSTALL.
r�
— - — - — OTHER
C
o ANDERSON DAN E
N
r MLADOWBROOK DEVELOPMEN)
H 9363 SW BEAVERTON-HILLSDALE
A
C beaverton or 97006
T PHONE (503) 297-7666
R REGISTRATION NO. 46344 TOTAL: $19285.90
--— RECEIPT NO. 10S3,:; 7
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and It is hereby ROUGH—IN
Agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
ovenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void II work Is not started within 180 days,or If work is suspended or
Lador a period of 180 days any time after work has
It shall be the responsibility of the permittee to assure
spections are requested and approved
nature
C
e - _ _ Cal 1Fd76t_114612"'1 bl Aj-"-41-15
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
t
PLUMBING PERMIT
CITY OF T167A RD
PERMIT 010. : PL891472
cm atm
COMMUNITY DEVELOPMENT DEPARTMENT 011110,001L TE ISSUED: 9/15/89
13125 S W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639.4175 I M.PM T.N0. 891426
JOB ADDRESS: le392 6W 133RD AVE
TAX MAP/LOT 2S1 4AB SUP: MORNING HILL LT:155 BK:
LAND USE: R4.5
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOS0 3 Ti,,tP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 3 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STGRIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
R'"LARKS:
FEES:
c� ANDERSON DAN L PERMIT $147.50
Iv 9363 SW BEAVERTON-HILLSDALE
E beaverton or FIXT'URES
I' STATE TAX $7.38
OTHER
C
N WOLCOTT PLUMBING CONiRS INC.
T
R POBOX872
A Gresham OR 97030
T PHONL (503) 661-1781
T
O REGISTRATION NO. 23847 TOTAL: $154.88
R
RECFIPT NO.
This permit is Issued subject to the regulations contained in Title 14 ----_--_-------------
of the TMC. State of Oregon Specialty Codes.zoning regulations REQUIRED INSPECTIONS
and all othsr applicable codes and ordinances. and It is hereby PLB.UNDERSLAB
agreed that the work will be done in accordance with the plans and POST 8 BEAM
specifications and in compliance with all applicable codes and WATER LINE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PLB.TOPOUT
business tax permits. This permit will expire and become null and RAIN DRAINS
void If work Is not started within 180 days.or If work is suspended or FINAL
abandoned for a period of 180 days any time after work has
commenced. It shall be the responslbifity of the permittee to assure
all required Inspections are requested and approved
/rm,�-
e Signature
Issued By .__ t CALL FOR INSPECTION 639--4175
SEPARATE PEFIMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ffmKxwm
MECHANICAL PERMIT V
CITYOFTIIFARD PERMIT NG. . ME891473
TCWYAO�FTWAVCOMMUNITY DEVELOPMENT DEPARTMENT D TE ISSUED: 9/15/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639.4175 IM.PMT.N0. 891426
JOB ADDRESS: 12392 SW 133RD AVE
TAX MAP/LOT 2S1 4AB SUB: MORNING HILL LT:155 BK:
LAND USE: R4.5
LOT SIZE:
ITEM: NU: NO:
WORK CLASS: NEW FURNACE (100K 1 AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 160K+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : R3 HEATER VENT FAN 4
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.STORIES: 2 BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: 1 BLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS?
REMARKS:
FEES:
n ANDERSON DAN E PERMIT $10.00
N 9363 SW BEAVERTON-HILLSDALE PLAN REVIEW $10.88
t beaverton or FIXTURES $33.50
STATE TAX $2. 18
OTHER
C
N FOUR SEASONS HEATING AIR COND.
T
R POBox66409
A Portland Or 97266
T PHONE (503) 775-5919
R REGISTRATION NO. 48283 TOTAL: $56.56
— -_ — --_--- RECEIPT NO. /05 .35 2
This permit is Issued subject to the regulations contained in Title 14 --------------------
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and it is hereby GAS LINE
agreed that the work will be done in accordance with the plans and POST t1 BEAM
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive ROUGH IN
covenants Contractor and subcontractors shall have current city FINAL
business tax permits This permit will expire and hecome null and
void If 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 shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Pei mittee Signature
Issued 6y _ _I NSPECT ION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY
of 6rA
RD PLAN CHECK APP CATION
cmort�caRn PLAN CHECKN
4x
COMMUNITY DEVELOPMENT DEPARTMENT _ _� PERMIT N
1S1zssw.waetid.P.o.80KZMr.T4-d.0-9-9Tz�.(s�l rn DATE ISSUED
JOO ADDRESS: // 7 � �S=Gc1 /33 , Q-u+� TAX MAP/LOT
��-t= LOT: LAND USE:
SUG: N .v 6
VALUATION: G r �` —
SPECIAL NOTES
OWNER � S
Aj REISSUE OF:
NAME: LAST REISSUE:oo
_
ADORESS: r_ FLOOD PLAIN/
SENSITIVE LAND:
PHONE: A_PPROVAL5 RE :;LRED
PLANNING:
(CONTRACTOR ENGINEERING: _ —
NAME: - FARE DEPT
ADDRESS: OT14ER:
ITEMS REQUIRED
PRONE: LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: PARKING PLAN:
LANDSCAPE PLAN:
_ - OTHER:
PHONE: —
COMMENTS: L � It —
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. GAL. DUE
",i10-432 00 Building Permit Fees --
cKI 14
10-431 00 Plumbing Permit Fees --
r 10-431 01 Mechanical permit Fees ^ f
10-230 01 State Building Tax (5X) -------
Building
plumbing —
lot/
Mech
10-433 00 Plans Check Fee —
Building i
Plumbing
Mech
Cf! Sewer ConnecLion -
3U-20? 00 f,
30-444 00 Sewer Inspection
51--440 00 Street :system Oev Charge (SOC) —
57 449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage SysL Dev Chrg -
10-230 09 IRI-D
10-230 06 Washington County fire Ni
10-720 00/ AmarL/Wedgewood
�.
Pit. 11
_ L -- , tiY
APPI-ICANT SIGNATURE
_ lJ
Received By
: Uate Received:
cn/35010/18P —