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12400 SW 131ST AVENUE .n oo SW 131ST Al-IFT11 1 1 ICV '1• ,/ ' ' -4 ��� i i MEMORANDUM CITY OF TIGARD To: Finance From: Brad Roast, Building Official-17�-� E Date: August 28, 1991 Subject: Refund of attached performance assurance deposit. Please refund the $500.00 performance assurance deposit to: Mary L. Kolberg 12400 SW 131st Ave Tigard, Or 97223 All conditions have been satiLfied. i I i jujjjjj[jLmRmiX 7 CITY 4F T I GA RlaI . I ,® CERTIFICATE OF IrlOFTMID OCCUPANCY COMMUNITY DEVELOPMENT DEPAR91! p "I J opPERM RMI7 #. . . . . . . t M97'90-0157 pm N 13126 6W HWI Stvd P.O.Batt 29307 TOW,Or"m 0 rr 176 DATE ISSUEDA 05/30/91 SITE ADDnESS. . . 1 12400 SW 1.:s 1ST AVC PIARCELt 2SI04AB-09000 SUBDIVISION. . . . : MORNING HILL NO. 6 ZONING: R-25 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : L19 CLASS OF WORK. :NEW TYPE OF USE. . . aSF OCCUPANCY GRP. :R3 OCC'JPPNCY LOAD:220 4 TENANT NAME. pomarks : Ownpr3 ROBBA KOLBERG 9427 SW 53RD PORTLA14D OR 97229 Phone #: 245---8734 Contractor: STANLEY KOLBERG IP-41,5 NW HAG)KELL CT UNIT 7 PORTLAND OR 97229 Phone #t 643-4335 Reg *. . : 38175 Occupancy of the above veferel,L-erl building i,% hereby r--lven, and certifies the cumpliance %rkth the State Of Oregon lipecialty Cm es for the group, vcc,,-up&nL"/, and use: under whiLh the refer-pnued permit was issued. i- I Rg� DEPARTMENT I I L ID)I NG qPECTOR OFFICIAL POST IN CONSPICUOUS PLACE Ii V INaYaGTI01�110TIC8 City of Tigard Building Departsaent 13125 M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639•-4171 Inspections --- looting Plbq. Underalab Much. Rough-in Appr/Sdwlk bound. Plbq. Top Out Ras Line FINALS Poet/Beam Struct. San. Sewer Framing -Bld Post/Beam Hoch. Rain Drai:r Insulation -Plumb. Plbg. Underfloor Nater Line ✓y1 Gyp. Bd. -Koch. Dale Requesteds - 3 - r _Times AM PK Address s / 7 �/G-(, / Permit 1 s 90'O o 7 Builders THE FOLLOWING CORRECTIONS L REQUIRiDs r # Inspectors" _ Dates , _ --'APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. r rIN IN' IN IN TheWailandsConservancy May 29, 1991 George Stcele Building Inspector City of Tigard P.O. Box 23397 Tigard, OR 97223 Dear Mr. Steele, SUBJECT. ROBB KOLBERG PROPERTY, 12400 S.W. 131ST AVENUE On May 23rd I inspected Lye Kolberg property to verify the amount of fill materia hushed over onto the Wetlands Conservancy's riparian property behind the Kolberg residence. The amount of fill is negligible and not a problem from our standpoint. Howe ier, I would like to hold the line at this point and request that any future ►ot grading along our west property line he kept strictly on the individual lots. Sincerely yours, I &,ez� aoo)hn W. 3ro m e i Post Office pox 1195 T ualatin,Oregon 97062 Phone.(503)691-1394 PERFORMANCE ASSURANCE AGREEMENT Re: 12400 SW 131st Ave, WCTM 2S14AB Tax Lot 9000 I, Mary L. Kolberg, deposit the sum of $500.00 with the City of Tigard, for the purpose of i guarantee of performance (to the satisfactton of the City) of the following work on the above referenced property: o Finish earthwork grading. o Construction of second floor deck. o Removal of construction debris from site and adjacent lot. The above shall be competed by May 11, 1991. Failure to complete the work on the specified date shall constitute forfeiture of the cash deposit, and authorizes the City to expend the cash deposit for the purpose of hiring a coml etent person(B) to complete the described work. I understand that the cash deposit will be refunded in full upon satisfactory completion of the described work. S— Date_ rr—,�� 9/ / Owner -IAttCX-- r, " . Notary M Commission Expires II CITY (IF TICARD RFCEIPT OF PAYMENT kECEIPT NO. :91 0,11991 CHECK AMOUNT - r000. 00 NAME 1.1,01.-.SERB, MARY LOUISE CASH AMOUNT 0. 00 ADDRESS a 12400 SW 13iST AVE dAYMENT DATE a 04/ ff/91 TIGARD, OR 97223— SUBDIVISION PURF,OSE Or PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT 0MGL.lNT PA I D D—FP—O 500. 00 iDERFORMANCE ASSURANCE tAc.4REr-.,w,.N,r ,w,rs*iL.. AMOUNT PAtD 500. 00 CERYIr'TrATE OF' TMS C-ITYOF TIFARD J4 OCCUPANCY CJMIYOF COMMUNITY DEVELOPMENT IEP Tn ��,D T #. . . . . . . MS"i'90-4JI57 , T, ml�mm Ir PERMI 13126 SW HWI Did P.O.Box 23W.TOW,OmW olit6 75 ��7 - DOTE I Si S U E 1): CA 4 STTE ADDRLSS. . . a 12400 5W 131ST AVE PARCEL: 26104AV- 09000 SUBDIVISION. . . . a MORNING HILL NO. -, Z014ING: R-25 . . . . . . . . . . L01 . . . . . . . . . . . . . s119 CLASS OF WORK. sNEW T YPF' OF Ll BE. . . .SF OCCUPANCY GRP. cR-3 OCCUPANCY LOAD:220 4 TFr,ffflq'T I\IAMf-. . . k R(-JBSA WILBEP6 94R'/ SW 53RD POnTLAND OR 972219 Phc%ne #o 045- 8734 .5T7lqLEY KOLBER0 124JL- NW HASKELL. Cl UNIT 7 PORTLAND OR 97229 P110r)f- Or 643-4531, Romig #- . 1 38175 Oc:(.-kAF-)ancy of the above referelicPri bl..tildinp is her-pby given, and cet-tifips the (-ompitance with. the State (if Ot-ogon Sipactalty Co.J'.*% for the gromp, occ-oapancy, Anti Use under which the r(oferencp.c) pey,mj.t was issmocj. F'.I RE DEPARTMENT bl-J LL.D I NG I NSI:>F"R OFF-IC V-7 FF-IC POST 114 COW)PICUOUG PLACE INSpECTION NOTICE ,7 City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone) 639-14175 Business Phone: 639-4171 Inspections L Footing Plbg. Un -slab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINALS Poet/Beam Struct. San. Hewer Framing -Bldg. Post/Berm Rech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Nd. -Koch. Date R / - �' Times AM equested: _� � _-PH Addrarss �� !J7) Builders THE FOLLOWING CORRECTION8 ARE REQUIREDs 1 z i 0k. &�j _ lnspxtor: L_ LL / •(�c( Date: C- A�PROVE) DISAPP VSn APPROVED SUBJECT TO ABOVE �^� Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 811 Bell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Bunineon Phones 639-4171 Inspections :ooting Plbg. Underelab Mech. Rough-in Appr/Sdw1k Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing =Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. *Ch., �( Date Requesteds y -�l Times AN '/ PN Address:_ guilders •� ." �� TBE FOLLOWING CORRECTIONS\ REQUIRM l Inspector,— Date: APPRMD —V DISAPPROVED APPROVED SUBJISCT 'i0 ABOVF. , ;� Call For Reinsp. INSPECTION NOTICE 1 City of Tigard Building Depattaeot 13125 9w Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phons): 639-4175 Businsen Phone: 639-4171 Inspections Footing Plbg- Undsrslab � Mach. Rough-in Appr/Sdwlk Found Plbg. Top Out Gas Line lINALe Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation _plumb. Plbg. Underfloor. Nater Line Gyp. Bd. Date Requestede_ - 00' / Z� - Time-_----Time s PK Address: f �/ ) / '�� �`T� Permit 1: Builder: r_ 'CBE FOLLOWING CORR$CTIGKB / "QUI REDI f Inspector: -----------____ Date,:---�—= APPROVED G/ DISAPPROVED APPROVED SUB.IECP TO ABOVE --Call For Reinep. t INSPECTION NOTICE l✓ City of Tigard Buildiny Departmmt 13125 ON Hall Blvd- Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171 Inspections_ Footing Plbg. Underelab Hoc... Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Rower Framing -Bldg. Post/Beam Koch. Rain Drain Insulation _plumb, ) 1 Plbg. Underfloor Nater Line Gy . Rd. _Koch. // Date Requested: �L) y Times AM PM Address: Builders d� TBE FOLLOWING ODRUCTIONF, jam REQUIRED: 01 Inspectors- - - — - Dates l�- -16 C� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Roinep. INSPECTION NOTICE . A.ty of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-O-Phone)r 639-4175 Business Phone: 639-4171 Inspection: Footing +1bg. Underslab Hoch. Rough-in =Appr/Sd-lk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:`/� r— ©1 �l Time: --AN�} �-7—PH Address: / 7L1 t Permit is Builder: € TBE FOMDWING CORRECTION tE REQOIRED: C51 L M �2(LTCU�L=t 1 I t V �t{� i A Inspector: pate: APPROVED DIBAPPR40 APPROVED SUBJECT To ABOVE Ca/ll For Reinsp. INBpECTLN NOTICE city of TJ4ard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-4-Phone)t 639-4175 Business Phones 639•-4171 Inspections_ �f Footing P Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plimb. Plbg. Underfloor water Line Gyp. Bd. -Mach. Date Requesteds_5 -T I Times AM PM f -7Addresst < 5 Permit ft �� Builders THF FOLLOWING CORREL'PIONS REQUIRED: 6-� Inspectors/,.. Datet. APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVJ Call For Reinsp. ZNNPECTION NOTICE Citr of Tigard Building Dep Wtmmt 13125 an Ball Blvd. Tigard, Orespn 97223 Inspection Line (Roc-O-phone)s 639-4175 Bus!-nese Phones 639-4171 Inspections - 4 Footing Plbg. Undorslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINALS Post/Beam Str•.ct. Cin. Bower Framimq1?� BldS. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Wat.•ir Line Gyp. Bd. -Mach. Data Requested s . J - 'Z/- `! L Times ­2�-Als PM Address s 1� 41CfL) l-/ s f�./L'Y�/ Permit #: Builders Y THE FOLLOWING CORRECTIONS 2 REQUIRED. �'' � `l � Inspectors nates J __AeAPPRO D DISAPPROVRD APPROVED BUBJRC. TO ABOVE Call For Reinep. IMEPECTION NOTICE City of Tigard Buuiidinq Department 13125 8W Ball Blvd. Tigard, Oregon 97223 Inspectiou Line (Rec-o-Phones 639-4175 Business Phones 639-4171 Inspections Footing Plbq. Underalab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water LLine/ Gyp. Bd. -Hoch. Date Requestods r i�U %� -Time: /AN C—PH Address: S � �ermit i Builders THE FOLLOWING CORRECTIONS Ai REQUIRED: Inspectors '` Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Re!nsp. k I INSPECTION NOTIQE City of Tigard Building L4*arts—t 13125 Sw Hall Blvd. Tigard. Oregon 97223 Inspection Line (Roc-O-Phone)t 639-4175 Business Phones 639-4171 Inspections rooting Plbg. Underelab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL& Pest/Beam Struct. san. Sewer Framing -Bldg. Post/Beam Noch. Rain Drain Inoulation__~ -Plumb. Plbg. Underfloor Mater Line Gyp. ad. -Nech• Date Requestedt =�) (P-�� Titnss _AN ---PH Address. a, Builders— TIM FOLLa"INQ CORREITIONS 14SQUIRED: ,I Inspectort_, _ Dates 4?, Z n7 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. i INSPRCTION NOTICN f. City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97223 Inspectiun Line (Rec-o-Phone): 639-4175 Business Phonat 639-4171 inspections � >tiaoti.�n Plbg. Underslab Koch. Rough-in Appr/Sdwlk Fovnd. Plbg. Top Out Gas Line FINALt !� Post/Beam Struct. Ban. Bever Framing -Bldg. t Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Naterr Lino LGyp. Bd. _Koch. g Requested: !/7 _q/ ttt` Date / Timss AM PK Addresst f ase'y 6L / 3 / � Q Permit tt Builders TNN FOLLONING 00I4RECTIONB RNQUIREDt /0 v J4 i 1 i I Inspectors ',_ DatetZ- _-APPROVRD _✓_ DISAPPROVED APPROVND SUBJECT To ABOVE If y Call For Reinsp. I iMMU, INiIZCTICN NOTICE City of 719ard Building Depart—t 13115 rw Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rea-O-Phonels 639-4175 Business Phones 639-4.71 Inspections Tooting Plbq. Underslab Mach. Rough-in Appr/rdwlk Found. Plbq. Top Out as L�) fIN11Ls Post/Beam Btruct. ran. Bower Framing Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor WaterLineGyp. Bd. -Mech. Date Requesteds� LJ~ Times j-2�._AM PM Addreses �47iL�LJ / 5� Permit Builders TNN FOLLONING CORRECTIONS RNQUIREDs i 1 inrpreler� ! Dates =_•/3- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOYN Call For Reinep. IMlPECTIOB NOTICE City of Tigard Baildf Department 13125 BB Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-U-Phones 639-4175 Business Phones 639-4171 1 Inwp%ctions Footing Plbg. Underslab Mach. Rough-in Appr/8dwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam struct. Ban. Bawer framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Sd. -Meeh. Date Requesteds �/ �� Times AM PM Addree•s ,�l .� Permit t s Z, r Builders 9G`�► i TM FOLLOWING CORRECTIONS RBQUIREDs D 0. Inspectors Date se--- - .�' 9 11PPIIOV/D DISAPPROVED APPROVED SUBJECT TO ABOVE .i Call For Reinep. i i I I i a INBPlCTION NOTICE Citi of Tigard Ma lain.. Department 13125 M Nall Niwd. Tigard, Oregon 97223 Inspection Line (Rae-O-Phone)e 639-4175 Business Phones 639-4171 Inspections _ Footing Plbg. Underelab�7,, �Ln. gh-in Appr/Bdwlk Found. Plbg. Top Out _ FINAL: Post/Beam Struct. Ban. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Ed. -Noah. Date Requested,,eii ?,d -- Time: AM PM Address—l �1�i f S Permit #: Builders _ THE FOU"ING CORRECTIONS ARE RNQUIREDs _�- - ,Qc..�<. C►C .a� . l i•= 2 A Ad,4.A•_ice+ / T Inspectors �L-.,� Dater--/'L - A APPAOVEO DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. O Ix5PECTION NOTICE City of Tigard Building Department 13125 w Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)s 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FIN,%Ls Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line / Gyp. Rd. -Koch. Date Requesteds � ! Times AM P11 Addru■s {� � _,[�L 'Pit is�_.� i Bui.ldtrr s t TBR FOLLONIIIG nnjRpwcT1Z ARB MUIREDs i 1 `C A-" f v�A u f Al*r s t`A9-LF I/-4- L, at,04:36 d:! ,. tnept JPO DISAPPROVED APPROVED SUBJECT TO ABOVE : Call For Reinsp. i I ti. CITY OF T i CARD - RECE I PT OF PAYMENT RE'C:E I PT NO. J -20967`) ' CHECK AMOUNT a 15.00 NAME: : SPECIA..TY HEATING CASH AMOUNT 0. 00 ADDRESS x PAYMENT DATE : Q1c !ie:ltll SUBDIVISION PURPOSE OF FlAYMENT AMOUNT LAID PURPOSE OF PAYMENT AMOUNT PAID i I RF'I NSPi .CTI ON FEE uam,. AMOUNT PAII? I I i imsp3 TION NOTICE City of Tigard Building Department 13125 BR Ball Blvd. Tigard. Oregon 972233 inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab h. ugh-in Appr/Sdwlk Found. Plbg. Top Out �� ;Io FINALS Post/Beam Strutt. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Ods -Koch.Date ReVesteds 2 Time4-� PN Address e vPermit Builders THE FOLLOWING OOARECTIONB ARJ400RRQUIRZDs G�J'i<NOS l4 t� to I a r" Inspectors Dates APPROVED ISAPPROVID APPROVED SUAJ=CT TO ABOVE Call For Rein•p. F 11 F 11 i INBPECTION NOTICE �� City of Tigard Building Department 13123 BE Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones 639-4175 Busineas Phones 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Fouad. Plbg. Top Out Gas Line FINALS Port/Beam etruct. an. Sewer' Framing -Bldg. Post/Beam Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor Nate Gyp. Dd. -Mech. Date Requesteds - `J �� Time: AIL_ Address: ��fLl� S� Permit Builders` THE FOLLOWING CORRECTION REQUIRED: Inepwctor: 1..� Date- cf -APPROVED DISAPPROVED APPROVED gUBJECP TO ABOVE Call For Reinep. jNSPECTION NOTICI City of Tigard Wilding Department 13125 dR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phoma))ss 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. i Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Nech. Data Requested: ��-�� T -'/4M PM Address s �� / StL L l�'ermit 1 Builder: — TIM FOLLOWING CORRECTION ARE REQUIRED: 1 09 i � Inspecto/rs Dates JL APPROVER DISAPPROVED APPROVED SUBJECT TD "OVR Call For Reinep. 1 INSPECTION NOTICE f City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 YS- -- .. -/,�z,, - ,z Type of Inspection Date Requested '�S '�Q � Time A.M. _P.M. Address 4-D L ZII 5 t Permit Owner Lot #_� Builder_Tri The following Building Code deficiencies are required to be corrected: Presented to � Y-Approved Inspector — �� Disapproved Data CALL FOR REINSPECTION ❑ YES O NO i i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 G�� TI ard, Oregon 97223 Phone: 639-4175 Ty of Impaction Date Requested ��- - Time _A.M. P.M. Address �� y0 f�/ S—� Permit Owner_ Lot # //y Builder— The following Building Code defy' ..cies are required to be corrected: / 7 i _ " Presented to ❑ Approved Inspector -� _ I Disapproved r . q 7 Date Y C/ i CALL ?0 REINSPECTION YES 0 NO 'NSPECTION NOTICE `w� City of Tigard Buildirg Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested '-d Time A.M. P.M. Address — Z2 l/'nz) Permit Owner Lot Builder Tile following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION 1-7 YES 1A NO WM INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection . Datu Requested 7 — — /I D Time .--P.M. Address - 1m2yDZ Permit #!a'e6�2 Owner K� Lot # Builder The following Building de deficiencies are required to be corrected: D 4 (K •.,'�'`�¢." _ G /—'-. S./, �.dv r��� pN�'/�02 Gray Tc 4-C'��; KE �) C•-7/4 7-;�OD,7 _ --TZ's --� i'�% /AAT`rv1J Ax�,00v,:F-12 4S AUCLE-12, Presented to _ Approved Inspector , [_� Disapproved Date _..-- CALL FOR REINSPECTION C] YES ❑ NO I t i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 i Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested 'Ie'- 3- 20 Time 5-fA.M.. P.M. Address 12--loo � _ Permit #90 " 6 7 Owner _ Lot # Builder ec' L- b The following Bvilding Code deficiencies are required to be corrected: GY16w-/U ✓v` COAL 'Y4 6..3 4=d'I 14,!a11 L-I,- 4 �c.:C:Ti ilk Presented to _ Approved Inspector Disapproved Dote CALL FOR REINSPECTION ❑ YES 0 NO CITY OF T I GA RD 1yI(-'1S'TF.--'R PERMIT WYOF 04 TWIM MST90 01 57 COMMUNITY DEVELOPMENT DEPARTMENT 00140N " 5!?�,�!"11.76 13125 SW Hall Bkd P.O.BW 23397,T*A,OMW Or PRIM., PE'RMIT 0. 11ST90--015? DATE ISSU1:::D-. SITE RDDR1i*--GF-.;— ., :: 1.2400 SW 1;3I5 T AVI:'- PARCEL: 2S104A14-09000 SUBDIVISION- -, ;: MORNING HILI Iq 0. G ZONINGs R-25 BL OCK. . . . . . . . . . u 1119 -------------------------------- BUILDING REISSUE: /GA DWELLING UNITS03 BASEMENT. . . . . . . . s36 4 sf CLASS OF WORK. QEW BEDRMSa4 BATHS: 10 GARAGE. . . . . . . . « . n400 6 oaf TYPE OF USE— nSF FLOOR AREAS---------- RE OUIRED SETBACKS------------ TYPE OF CONST'.. a"• FIRST. . . . :90 9 sf LEFT— = ft RIGHT. :04 ft OCCUPANCY GRP. :R3 SECOND. . . : I1 sf FRONT. .,GY ft REAR. . - -ft 1-3)TO R I ::2 THIRD. . . . Q 20 s f R lz':()U 1:R E D 1-IC:161-IT. . .. .. :20 ft TOTAL------ :01 9 sf SMOKE DETECTORS. FLOOR LOAD. . . . :40 psf VALUE. . . . . Q 1.042 0,-) 1-4)1-'<KIIAG SPACES. Remarks: I.......................... PLUMBING ------------------------------------ SINKS. . . . . . . . . . a3 FLOOR DRAINS. . . . :0 BACKFLAN! PREVN'HTS. . LAVATORIES.. . . . . i4l WATER HEATERS. . . : J. TUB/SHOWERS. . . . : 11 LAUNDRY 'TRAYS.. ., „ nO C AT C 1-4 1-.'1()'13 1 H S.. . WATER CLOSETS. . :@ SEWER LINE (ft) . :00 GREASE DISHWASHERS. . . . : 10 WATER LINE (ft) . NO 0 OTFRJR FIXTURES.. . NO GARBAGE DISP. . . Q RA114 DRAIN (ft) . slO WAS MACH— :: S F R 0 1:N D R 01 N S. . -. ---- MECHANICAL -------------- ---------------- FEES --------------- FUEL TYPES----------- UNIT HTRS. . :O type amcmint by (late recpt S/ V E N*TS . . . . . ..41 PAY111 $ 100., 00 JLH 05/04/90 2005'74 MAX INPUTQ@1@ BTU VENT FANS. . n% BPLC $ 289. 58 1 TURN ( 1(i8K . . sO HOODS. . . . . . :0 BPRT $ 445. 50 TURN )-100K . . :0 WOODSTOVES. g B4151---Ic $ 22, 28 FLOOR TURN. . . . c CLO DRYER". n .l. 13'1'1)(.11. $ 600. CAO BOTL/CMP ( 3HP:: OTHER UNITS: J. 113 S D C $ 2:`.50. 00 GAS OUTL[L'TSIG PARK $ 250. 00 Owner: --------------------------------- - MPRT $ 40. 50 ROBBA KOLBERG Iyl C,L C J0. 13 9427 SW 53RD 115PC 2.03 P1::1RJ $ l'70. 00 PORTLOND OR 97229 1'.15.)1-1 C 1i 8. 1150 Ptione On 245-8734 PAYM h 988. `2 JLH 06/26/90 Contractorn STANLEY K01 P I.::R G 1 (.*14 1.5 NW IA 0,13 K E L I CT UN IT 7 1-41IRTI-OND OR 97k.29 Pl-ione ifu C,43-453'5 ReM U— N 38175 ------------------------------------ 6 2088. 52 TOTAL.. This permit is issued n"Kt to be regulations contained in the REUUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and Q ohm Foot/found Insp Mechaniral. Insp applicable lams. All wort, will be done in accordance with aporoved Wtr Proofinq Psm Plumb 'Top Uut olam This permit will more if work is not started within 181 Past/Beam Insp Framing Insp days of issuance, or if wart, is suspended for more than IN/81d YL Crawl Drai n Fireplaee Insp 'o PeTmittee SipIpature Bsinit SlaaL U Ci iiie Insp Plm/underslab in Insulation Insp -VLM/qncle-rf loor Gyp Board Insp tnq Drain Bsm1t Rain drain Insp Issued By: Ga....i I n f u r is_vac t;i. I'- an - 639-4115 13 EW ER C 0 N N E C"'T''t 0 N V:1[.. C11YOFTIIFARD ..R Irl I COMMUNITY DEVELOPMENT DEPARTMENT CINew RD F.-ER11111- 0. . . . . . . - S)WR90-0174 13125 SW Hall Blvd. P.O.Bot 23397,TWwd,0"m 97 0*4175 V'R I 111 F:'[:.1~1111: T* 0. -. III E-0'90-0:1..x7 41 1: ­SUE ,1) DO'T*DA'T'E: 50G/26/90 I FE ()D D R E SG. . . .. J.2400 SW 113V31' OV[:' 2SJ.0401-.i (,)900() 1.)D 1)1'.V 1'.E;10 N. . . . : MORNING HILL. NO. G ZON*I'N(-;.- 1.11 C)C I/%. . . . . . . . . . I I L.U 11 119 .................. ...... (.15f) NO. . 4.1 G 2 G F'1X*rURE (JN.FTS. . . Cl 1 5 G UF' W 0 R K. 14 E W 1)W IHA—Lf N UN FTS I 1*Y r.,E 0 F IJ 13E:. . . . F 1,10. OF DU1L.D.TN(3Si .1 T.N S I'A I L I'Y P,E: D(J G)W R .1.111'.)ERV GUFFACE. S f R III�.%r k.S- R 0 D B() K 0 L B E'R G t>,p e anIOU)"It by dAte re 1:) 3RD r:1 4�27 SW 5 R11 T d 1.250. 00 1:11:x1 1,1 . 0 0 F,0 R'T*L.A N D 0R 97229 Y 111 11, I.P.W.,5. 00 .r LAA 06/26/90 1:1fic)rie 0: P45-81:34 C C))I t rzA C t 0 r C.1C)N1'R(-)C1'OR 1101' ON FIL.E.K. 0-. 9 1285. 00 'T'OTAL. It. R E C4(J I R E 1) INGFIECTIONS This Applicant agrees to comply with all the rules and regulations viewer of the Unified Sewage Agency. The permit expires 120 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 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, AjeUncy will ins all a la eral. ................................ I-le(,in i'L.Lee S j.Q Yiatl.t V ............. ............ ............ ....... ......... 414 I'sist.tv?d BY: ........... .......... ............ ......... C.01 for irispecti.ori 639-4175 ITY OF TTGARD RECEIPT OF PAYMENT RFCEiP'r rdo. 90-21")-Z!'143 57! CHECV: AMOUNT li:'OLEIEF'G. s"rANL.Ev' CAS�H AMOUNT 0 "00-FESS a 124 IS NW HA24 ELL. c,r FWYMENT DATE r, t.)6 6/9 UNIT SUDDIVISION POP TLAND, OP "J- 22q- L440,', ISW 1'I ST AVE PUPPOSE OF P PAYMENT AMOUNT PAID URPOSE OF l-'AYMENT AMOUNT PA T E? 445.50 PLUMS ING PERM 1.7 PIEI",HANMAL PE 40.5o ST. BUILD PET "'2. 01 F'LAN CHEM: FE 199. 71 GE-MET, USA r 1250. '',EWER INSPECT 75.00 STREET SDCE1ir.,.t;;rij F-API':S SOC '2155.).00 STORM DRAIN GDC 'r()W','_ AMOUNT PAID rw Ii ClT`f' OF' TIGAP0 — RECEIPT OF PAYMENT RECEIPT NO. :90--200574 CHECK AMOUNT t I W.(10 KOL-BERG, STAT-IL.EY G. (",A'—,,H AMOUNT c 0. 00 ADDRESS 12415 NW HASICLAA.. COURT F"AYMEN r VATE 0'5/04/90 UNIT 447 SUBDIVISION F-oRrLAND, OR 972`29— MOpjqTNO) HTIJ- #6 F-'UV-'POSE OF PAYMENT Amouill, PAID PURPOSE OF PAYMENT AMOUNT PAID H-M,l CHECk- F�F­-(3- HY() TC')'TAL AMOUNT F -0t) 100. 00