10441 SW PARK STREET ADDRESS:
ANNI �^
i:\records\microfilm\targets\building doc
I
CITY OF TIGER® CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
f 13125 SW Hell Blvd.Tigard,Oregon 77223.8199 (503)839-4171 PERMIT #. . . . . . . . MST94-•0100-8
! DATF. ISSUED: 08/30/c)4
F'ARC'EI..a
23102-CS-07200
ITC ADDRESS. . . ,. 10441 5W F'Al' .31
;(.JBD I V I S ION. . . . : PARCEL Z UtV I hl[3:Ft- 7
�L.00K. . . . . . . . . . . I_UT. . . . . . . . . . . . . .
LPSS OF WORK. :NEW
! YPE OI" USE. . . :SF
1CCUPANC:Y GRP. a R3
10CUPANCY LOAD x 2 `3 4
ENANT NAME::. . .
i
j 'emaarks: path i
'.F-_N RANDALt_
i '300 SW BFIRBLIR BLVD
j UITE 300 p
'ORTL iIND OR 97219
j 1-w n e #- ;245-1131
R WEST CO INC;
-00 SW BARSUR BLVD
lJ 1.TE 300
'OQTLAND OR 97219 l
PY unp #: '45-•1 i31
Reu #. . r 57630
IOccupancy ut the above referenced ,gilding is hereby given, and certifies
j the Cumpli.anc:p with the State Of 0,-ego.. f- ne,:y.alty Codes for the group,
oaruI,ancy, and' rsse under which the- refererlc, d peAreiit was issued.
I
DI INSPECTOR
BUIL 61NG OFFICIAL <
l
POST IN C;ONSF'I CUOU5 PLACE
I
1
1
1
I
. 91'
INSPECTION NOTICE �1
City of Tigard Building Department
13125 sw Hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underalab Mach. Rough-In i.ppr/Sdwlk
Found. Plpg. Top Chit Gas Line IN
Poet/Beam Struct. San. Sewer Fra.ningdq.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor: Water Line Gyp. Ed. C-ltacls
Data Requested:— `__ZCL �, I Time: AM - (__PM
Addrnsas ` ,�--- I°W2'/� `]� r Permit 1 s
Builder:-1-1 C! L 1 ) ,_-- —
THE POLLOWING CORREC"IONS ARE REQUIRED:
-t-
Inspector: Date:_
V APPROVED DISAAoROVSD APPROVED SUR.IFCT TO ABOVE.
'� _ Call For Reinsp.
INSPECTION NOTICE \� ,
City of Tigard Building Department
33125 SN Bail 81%d- Tigard, Oregon 97223
Inspection Line !Rec-o-Phones 639-4175 Business Phone:
639-4171(��, ��i
Inspections �� � _L4S.L-x_ . .i rJ2ej
Footing Pibg. U eralab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL
Po,-t/Beam Struct. :,an. Sewer Framing Bld
Pont/Beam Mech. n^:s Drain Insulation (-Plumb.
Plbq. Underfloor Water Line [� Gyp. Ed. -NacM►
Date Requested: se/-• �' " � Times AM PN
Aldress: qq( U' L Permit ismz
Builder•_ 2 ) -
TN FOLLt3WING CORRECTIONS ARE REQUIRED:
vAA
�A�/1-r,....� ��� /���,,.� y1�. �'.`�T_S.�/�2�.�.►�.l � moi'^�
Inspector: `� `�' "-�� -�_ Dater L 5
APPROVED �� DISAPPROVED APPROVED SUBJECT To ABOVE
v �1 For Aeinsp.
NS ION NOTICE
City of Tigard Building Departs—t
L3125 BW Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ ——
Footing Plbg. UnderslaL Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drala Insulation -Plumb.
Plbg. Underfloor Watur Line Gyp. Bd. -Hoch.
Date Requostod:__, Time: 11M —PK
Address:
Address: Permit f: 1_
Rui)dpr: Q _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors l Date: , 2
Af
_—APPROVED ___eIMAPPROVBD APPROVRD SUBJECT TO ABOVE
�<� all For Reinep.
INSPECTION NOTICE —
City of Tigard Buildinq Departaeent
13125 SM [Tall Blvd. Tigard, Oregon 97223
Inspection Une (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:_._ ------- ----- --___ _—
Footing Plbg. Underelab Mach. Rrugh-in ,Arcptprr/Sdwlk
Found. Plbg. Top Out Gas Line
Post;Beam Struet. San. Sewer Framing \-•Bldg.
Poet/Beam Mech. Rain Drain Insulation - lu
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested:'_ �I%t 1 _T ! pN
Address:�U �Y [� 'e u..j t Permit /�rC �C �
Builders-7 6
THE FOLLONING OORRECTIuNs ARE REQUIRED:
Inepec or- --��!/.✓ -----------_-_ bate:
_ __.APPROVED �M_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rreinsp.
INSPECTION NOTICE
City of Tigard Building Oepartak+nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Inspection= _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl�
Found. Plbg. Top Out Gas Line FINALt
Poet/beam Struct. San. Sewer Framing -Bldg.
Post/Roam Mech. Rain Drain rnsulation -Plumb.
Plbq. underfloor Water Line Gyp. Bd. -Mech.�- 7 f
Date Requested: Time; AM PN
Address: a Permit fi 5 �QQ
Builder: 1 7k) )(J
THE FOLLOWING COPRECTIONS ARE RNWIREDt
_� •r
Inspector: i' tr1t 'S_T,_ y'
APPROVED _ _ DISAPPROt'ED APPROVED SDBJSCT TO ABOVE
---.Cali Pcr Reinnp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Bueineas Phone: 639-4171
Inspections__
Footing Plbg. Onderslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Gas Line FIN'.L:
Poet/Beam Stcuct. San. Sewer Framing -Bldg.
Poet/Beam Meeh. Rbin Drain Insulation -Plumb.
Plbg. Onderflooc Water Line Gyp, Bd, -Mach.
,f 9 L/
Date Pequested: �' Times Am P1,I
Builder: 1 s 1j V 'e Lj L -7 ' lJ,V
1HE FOLLOWING COkRBCTIONS ARE REQUIRED%
Inspect _ Y Dates� ���_—
APPROVED `^ DISAPPROVRD APPRO'/ED SII"CT TO ABOVE
____Call For Reinap.
INSPECTION NOTICE 1
City of Tigard Building nepactsant
13125 SW Ball Bled. Tigard, Oregon 97223
inspection Lire !Rec-O-Phone)c 639-4375 Business Phone: 639-4171
Inspection: ` -�
Footing P1bg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out baa Line FINAL:
Post/Beam S4.ruct. San. Sewer Framing -Bldg.
Post/8oam Mech. Rein Draln QnsYlrti- 1 -Plumb.
Plbg. Underfloor Water Line Gyp. 6d. -Meeh.
Date Requested::— -- - C 1 Timet AM L6kpx
Addrevat Permit it
Builders \
THE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector: �' v �✓ - Date:_
APPROV60 DISAPPROVED APPROVED SUBJECT TO ABOVE
r� _ ^Call For Rei.nsp.
Q/
INSPECTION NOTICE
City of Tigard Building 6apartment -
131.25 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineae Phone: 639-4171
Inspections___
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain sIa Ulation -Plumb.
Plbg. Underfloor Nater Line G� [� gyp. Bd. -Hoch.
Date Requested:_ / el Times —L_AH / PH
Address: I �a 't /� V r• _ PerrmtTlt
Builder:.� /�C C! 70 ?y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
"X- -_-
tnspect8r�/ Date: Z.45-�
APPROVED DISAPPPOVRD APPROVED SUBJECT TO ABOVF
_L Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departnkent
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_,__ _—
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
7ound. Plbg. Top Out Gas LL FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Rd. -Mech.
Date Reque1s�teed�: r- ! 1 (.l _1 Time: 11_AM CPM
Address::JIQgLII � 1� FJl /_ . P��i lit Ci'l - 00 e.
Builder: 1 1 ,- Q- _ `IC-1-I - ::j
THE ROLLOWING CORRECTIONS ARE REQUIRED:
lnapectort -`/ --- —.` - Datet__�C
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTI.E
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregoo 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinegs Phone: 539-4171
Inspection:
Footing P11-9. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas; Line FINAL:
Poet/Beam Struct. San. Sewer Framin9 -.Bldg.
==Pr -
Pont/Beam Mech. Rain :1raln Insulation -Pltunb.
Pibg. Underfloor wnter Line Gyp. Bd. -Mech.
'� _ � C
Dsta Requeat�edt J_,--�-L-LTide: AH PM
Addresses I V '1 CI I �2�L �_ P0 Mit
,J /
Builders 1�/n y�l % µ `-1- � " _7030
THE FOLLOWING CORRECTIONS ARE REQt1IRED:
Inspectors .- Dat.es�_^%+!' J�
11PPROVED DISAPPROVED _ APPROVED 8t•BJECT To ABOVE
/// —Call For Reinnp.
i
INSPECTION NOTICE
City of Tigard Building Department
13125 B'N Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec•-O--Phone): 639-4175 Bueineas Phone: 639-4171
Inepcction: - ---- ---
Footing Plbq. Ontierelab Mach. Rcugh-in Appr/Sdwlk
Found. Plbq. Top Out Cas Lino FINAL:
Poe,-/Beam Struct. an. Bever Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Data Requested: J -_Times ___AM PM
Address: 10 c� LA I � 1 �V �� P.rWm bars � t i l �Jo�
Builder: 1/-fTHE FOLLOWING OORRECTIONS ARE REQUIRED:
Inenectorf !' �/' _.--_ - --- _ Date:
i
APPROVED DISAPPROVED APPROIMD SUBJECT TO ABOVE
Call For Reinap.
XNSPE:.'PION NOTICE
City of Tigard Building uepartnent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mec�ir� Appr/Sdwlk
c� �
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing y'z -Bldg.
Poet/Beam Mech. Rain Drain -Plumb.
Plbq. Underfloor rater Line Gyp. Bd. -Mech.
!' rr
Date Requested!_ I I' I 1 'times L�/ AM PM
Addrese s q
1 1 1 I ��.1_-L 1 , 1 �'t7 f s I -- oo. r
Builders_�1� K- L.- L �1 0 3
TBi FOLLOMINQ MRRECTIONS ARE REQUIRED-
7-1.-F
EQUIRED:7.1.9 p --- --
-� tY_
Inspe.ctoc�J-`/%3��
_APPROVED DISAPPROVED APPROVED SUBJECT To ARQVF
Call For Reinsp.
J--:P.1'CTION NOTICE
city -if '•Lge,d Building Department_
13125 SW IV A.1. R,lvd. Tigard, Oregon 97223
Inspection Line (Rec n-P..r::;c 639-4175 Business Phone: 639-4171
inepoction:_ _
Footlug Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plug. Top Out Gas Line FINAL:
Post/Beam Struet. . Ban. Sewer Framing -Bldg.
Post/Beam Mech. Raln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Date Requested: /s (' _Time: _ AH PN
Address: �� L( Permit tJ'4;,6 0
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: -�J Date:
-,t__—APPROVED i DISAPPROVED APPROVED S1IB.7ECT TO ABOVE
j Cell For Rei-nap.
J
INSPECTION NOTICE
City of Tigard Building Department
13125 am Ball Blvd. Tigard, Oregon 97223
T-rrvc.ctinn Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_— UtTl I s� �-o fne /-e:t --- —
Footing Plbg. Underslab Mech. Roup -in Appr/Sdwlk
Found. Plbg. Tor. ^ '. Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requested: —Time-
mac/YY_-11M/�/'� PM
Addrees: L(J�j y� �a C tl�/ - --/Permit f: t�= L•�/ CJ
Bui.lder:_ �t '.a•1 lLLl37S� �-2-5 7_7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ir.epectcr: l ll' .--- -- -- Date,_ cl�
-
,/-APPROVED DISAPPROVED APPROVED SUBJECT To AROVE
�� Call For Reinnp.
INSPEC'fION C:OTICE
City of. Tighrd Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Ins,ect ion:_ --
looting Plbg. Undnrslab Mech. Rough-in ' Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Bram Struct. San. Sewer ( Framing Ar -Bldg.
r-
ost/Beam Mech) x Rain Drain Insulatirn -Plumb.
CP
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
Datn Requested: / - 6 ` (1 C/ Time: __AM PM
Address: l D q 7" -. ePIML?i<
Builder: 'ke 7
THE lOI.i3ONINO CORRECfION3 ARE REQUIRED:
74�
rA "'_j L9 c' rA c j GSW
- ` �
,rte �. �• c �- L�� a-�nx, vv� 4�.9
s
u
Inspector:_� �L'�� w`�'�" -�� Date:
_APPROVED j'GISAPPROVED APPROVED SftRJEOT TO ABOVE
Call For Reinap.
INSPECPInN NOTICE
City of Tigard Building Department
13125 SN Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639--4171
Inspectl.in: --- -- ------ ----- ------- --
Footing Plbg. Underslah Mach. Rough-in Appr/Sdwlk
Found. Plog. Top Out Gas Line FINAL:
Post/Peam SY_ruct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Date Roquested: rt _Time: AM __PM
Address: l���t� I �' c' t l7 _ Permit
Builder: _ J�
THE FOLLOWING CORRECTIONS ARE REQUIRED: Y 7 �—
l 0 U Qom, - ✓�,-tt W�L
z ;►� c.l turd _
t I.✓n vy\
�; �x Pius fiyo- w,
n fz C .
Inspector: y� �!"��� Date:
,_APPROVED �61SAP1'ROVED -` APPROVED SUBJECT TO ABOVE
For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Ree-o-Phons)s 639-4175 Business Phone: 639-4171
Inspection-
Footing
ns tion:Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mech.
Data Requestedt �• Time: AM _�PM
��� P /' QST_ 9t 066e
Address: ` l Gl/Z /" / Permit ft �-
Builder:— 1 r/77(-4 " 7 PA" /1 1 !� 669- 7„5
TAE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Cali For Reinsp.
INSPECTION NOTICE V
City Gf Tigard Building Department
13125 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Re(,,-O-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. — x
Plbg. Top Out. Gas Line FINAL:
Post/Beam Struc� San. Sewer Framing -Bldg.
Poet./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor dater Line Gyp. Bd. -Mech.
Date Requested: f�1- Times G AM / PM
Address: 6)lie] �_ L`t �— _�_� Permit /s,ll�0 v
Builder:
T".. FOLLOWING CORRECTIONS ARE REQUIRED:
r
12c, t
T�
r2 C2
--��• - - -
Inspector:.— ------- Date:
APPROVED DIBAPPROVKD V APPROVF,D SURJECT TO AROVE
\� \ --Cal l For Reiunp.
INS,'ECTION NOTICE
city of Tigard Building Department
1.::In Ball Blvd. Tigurd, Gregon 97223
Inspection Line (Rec-O-Phone)z 639-4175 Business Phone: 639-4171
Inspection:
Footing Plh,l. Underelab Mech. Rough-in AFpr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post .am Struct.) San. Sewer Framing -Bldg.
(Po Rain Drain Insulation -Plumb.
Nater Lino Gyp. Bd. -Mech.
Date Requested: �n' �/ _—Time: AM PM
Addreas: /<j -,/y/ Par1m,At iiqe//
euilder: ern, �c• �� IPQ.���2�'.� �f/)'7SlY•
TNR FOLLO"INO CORK MONS ARE REQUIRED: x/97-
e-u r y7 4. — --
Inspector
_1—APPROVED !� DISAPPROVED APPROVED SUELTECT TO ABOVE
___v- Call For Reinsp.
NNSPZuCrl (7" ICE
City of Tigard Building Department
13125 SW Ball Blv't. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones o_' -4175 Business Phone: 639-4171
Inspection: — ----
Footing
---Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plby. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch.' Rain Drain Insulation -Plumb.
(Plbg. Underfloor l Water Line Gyp. Bd. -Hoch.
Date Requested:/ `7 7 / Time: n AM PH
Address: in / U / Permit #t l�-
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InspectoA: 7 �. ------- - - Date.—
"PROVED
ate._APPROVED DISAPPROVED _ APPROVED SUBJECT Tl? ABOVE.
L
Call For Rei.nsp.
INSPECTION NOTICE �T
City of Tigard Building DepartAkent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Doting �n, Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lineej / Gyp. Rd. -Meeh.
Date Requested:— % 1 Time: AM & PM
eLvAddress: (/ K\ ) ` J�r Permit 1v
Builder: C t7--r 7Y V_
THE FOLLOWING CORRECTIONS ARF REQUIRED:
-- j \ 1,-) n
Inspector: -
PPROV.'D DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
CITY OF TIGARD PERMITPLUMBIN#G. PERMIT. . . . . . : MST94-0068
DATE ISSUED: 02/22/94
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-417i PARCEL: 2S102CB—PS002A
::,ITE ADDRESS. . . 1 10441 SW PARK 1ciT
sUBDIVISION. . . . i PARCEL. 2 ZONING: R-7
13LOCK— . . . . . . . . : LOT. . . . . . . . . . . . .
-------------------------------------------------- --------------------------------------
CLASS OF WORK. . sNEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . liSF WASHING MACH. . . . . . . 91 BACKFLOW PREVNTRS. . .-o
OCCUPANCY GRP. . aR31 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . e2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : I GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . ..4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . .- SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. — ill RAIN DRAIN (ft) . . . . :0
Remarks: path i
OWNER:
KEN RANDALL TIF $ 1520- 00 JH 02--/22/94
9500 SW BARBUR BLVD BPRT $ 385. 00 JH 02/22/94
SUITE 300 BPLC $ 250. 25 JLH 01/18/94 94
PORTLAND OR 97219 B5PC $ 19. 25 JH 02/22/94 —
Phone #: 245-1131 SSDC $ 280. 00 JH 02/22/9/ —
PARK $ 500. 00 JH 02/22/94 —
Plumbing MPRT $ 43. 50 JH 02/22/94 —
MPLC $ 10- 38 JH 02/22/94
a in e - MCI! ki /Lt—
may, MFJPC $ 2. 18 JH 02/22/94
Od d r e s s I
41 POPE PPRT 140. 00 JH 02/22/94
C i t y :._'&D.
S op t at e - P5PC $ 7. 00 JH 02/22/94Pho`ne#-
REOUIRED INSPECTIONS
This permit is issued subject to the reg--
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, Sl-.ate of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Meehan Appt,/Sdwlk Insp
in accordance with approved plans. This Plint/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within
,t hin 11311 days of issuance, 'zl-- if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp Board Insp
Puth 01ized Plumbing Contractor- Signature
1 gna t ure
Lit
Call for in,--pection 639-4175
ntt ,.-
Note"
A.4 civi
CITY OF TIGARDMASTER�- PERMI # ' PERMIT
e. MST94-0068
COMMUNITY DEVELOPMENT DEP.Af3TMNT G�,
DHTE ISSUED: 02/22/94
13125 SW Hall Blvd,Tigard,Qragon 97223.8199 (503)839-4171
PARCEL(; 2SIO2CB-PSOO2:A
ITE ADDRESS. . . : 10441 SW f,ARK ST -
SUBDIVISION. . . . : PARCEL 2 ZONING: R-7
11LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
------------------------------------- BUILDING
REISSUE: DWELLING UNITS-. 1 BASEMENT. . . . . . . . :O sf
(..:LASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :450 sf
I YPE OF USE. . . :SF FLOOR AREAS-- -- ----- - REQUIRED SETBACKS-------------
IrYPE OF' CONST. :5N FIRST. . . . :862 sf LEFT. . : 10 ft RIGHT, : 17 ft
OCCUPANCY GRP. :R3 SECOND. . . :776 sf FRONT. :20 ft REAR. . :36 ft
STORIES. . . . . . . :22 THIRD. . . . :0 sf REQUIRED----------------------
HEIGHT. . . . . . . . : ft TOTAL- - _.._..__: 1638 sf SMOKE DETECTORS. :Y
F=LOOR LOAD. . , . :40 psf VALUE. . . . . 83448 PARKING SPACES. . : 1
[Remarks : path i
--- PLUMBING -
)INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . 14 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TUBISHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :Vr
WATER CLOSETS. . -.3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :O
1)ISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1O0 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
!.,LASHING MACH. . . : 1 SF RAIN DRIINS. . : 1
------ MECHANICA! ----___________.____.____.__.----.-__._. FEES
UEL TYPES----_._---._.-. UNIT H'rRS. . :O type amount by date recpt
'GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JH 02/22/94
MAX INPUT:O BTU VENT FAN5. . :4 BPRT $ 385. 00 JH 02/22/94
' URN ( 1O0K . . : 1 HOODS. . . . . . : 1 BPLC $ 250. 25 JLH 01/18/94 94
1:-:URN ) =100K . . :0 WOODSTOVES. :0 BSPC $ 19. 25 JH 02:/22/94 -
i- LOUR FURN. . . . :0 CLU DRYERS. : 1 SSDC $ .280. 00 JH 02/22/94 -
BLIL/CMP ( 3HP:0 OTHER UNIT5: 1 PARK $ 500. 00 JH 02:/222/94 -
GAS OUTLETS: 1 MPRT $ 43. 50 JH 02/22/94 -
Owner-: -------_______..._._.____._________....___. _..__..__Mr'LC $ 10. 88 JH 02/22/94 -
KEN RANDALL MSPC $ 2. 16 JH 02/22/94 -
9500 SW BARBUR BLVD PPRT $ 140. 00 JH 02/2/94 -
SUITE 300 PSPC $ 7. 00 JH 02/22/94 -
PORTLAND OR 97219
Phone #: 245-1131
K R WEST CO INC
9500 SW BARBUR BLVD
SUITE 300
PORI LPND OR 97219
Phone #: 245-1131
Reg #. . : 57630 ---.____________.------------•--.__--
$ 3158. 06 TOTAL
This permit is issued subject to the regulations contained in the - ------ REQUIRED INSPECTIONS ----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /fol.tr1d Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Str•r.tct Gas Line Insp
plans. This permit will expire if work is not started within 180 post/Beam Mecham Ins UIatiOn In5F>
days of issuance, or if work is suspended for more than 180 days. P1m/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
l ,ermittee Signature: - _�!_ _ �_ Mechanical Insp Water Line Insp
Plumb Top Okit Appr/Sdwlk Insp
Issued By :t
gaming Insp Mechanical Final
Call for- inspection - 639-4175
SEWER CONNECTION
CI'T'Y OF TIGARD 'e"i PERMIT #PERMIT- : SWR940076
COMMUNITY DEVELOPMENT DFPXITJ# NT DATE. ISSUED: 02/22/94
13125 SW Hall Blvcl Tigard,Oregon 97223*8199 (5L )639-4171 PARCEL: 25102CB--PIS002A
SITE ADDRESS. . . - 10441 SW PARK ar
SUBDIVISION. . . . : PARCEL -I-' ZONING: R-7
BLOCK. . . . . . . . . . 1-0'1.. . . . . . . . . . . . . .
TENANT NAME. . . . . :
LISA NO. . . . . . . . . . FIXTURE UNITE). . .
CLASS OF WORK. . . NEW DWELLING UNITS. . : l
IYPE OF USE. . . . . :5F NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IIYIPE-.'RV SURFACE. . S f
Ppmat,ks : PATH I
Uwner-: FEES
KEN RONDALL type a al a I-tTi t by date t"ec:[it
9500 SW BORSUR BLVD PRMT 2200. 00 JH 02/22/94
SUITE 300 1h!3P 1 3`.. 00 JH 02/22/94
PORTLAND OR 97219
1 ;-f?ne #: 245-113-1
CONTRACTOR NOT ON FILE
I'llorle t 2235. 00 TOTAL
Reg #. REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage 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 lalerals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distanci given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install, a lateral.
rn i t t ()e Si g nat i_o-e
..ied By
C.-k11 for inspection 639--4175
lu39 1�
KR-IS
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: `/y S r,✓���/�
Office Use Only
Subdivision: �;.��'1�it�_�\ # �r1�3"�U5 Lot#_
Plarx�JRec#_ �'�4
Valuation: �� / Permit # /I/W
Owner: \ZV1 �av�c�ul i (}G��Y1 l5 L.L• L.. Reissue of
i Address: q 3)J St,V Su t k 300
Approvals Required
Planning —
Phone: C �5U 3)
Engineering
Contractor: V q� L)tS+ Co. 1 oc. Other`
Address: L Sint as
Items Required
Subcontractors _
'hone: Sliw�t' �
Truss Details
Contractor's License # 1 _
(attach copy of current Oregon license) Other'
Subcontractors:
Plumbing: T: k
Mechanical: Tr'l CoLwN h.� T°w r o
(attach copy of current OnContractor's License)
Architect/Engineer: �� 11uv1St N _
Address: (AL iL Sl l) gac\>.kc GWO., #3CJ
VU R l Uyq& L;Ql -
Fhone: (5G17;- �OA
c:GMMENTS:
Applicant Signature & Phone number
Received b Date Received: ^�y
Y���
Permit # Account Description Amount Amt. Pd. Sal. Due
00o Bldg. Permit (BUILD) s.
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg: -L''
Plumb:
Mech: T S
P14n Check (PLANCK)
Bldg:
Plumb:
Mech: Ci
00 Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) _:S-V
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) —
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) l�
Fire District (FIRE)
TUI ALS: 5-3 SIS j' 0 fi•
lol)1,V P.,1111\1
HIVIOUNI POIA)
U, PAYMEW
.......... 141A, 00
N0 PERM 38b. 00
!:�I . 4o;
PE 43. t-M �il . . . k
11,1 t_,�; -00. 00
.I, qN 1,1rif".CK FF Will. 00
st. F'Nlt1::i F;111
�,P WF N I NSPEC T J00
IORM DRO IN ISM: 00 PF.!-s I DEW G-11 A. 00
'I RAW�T T T I F 110, O(A
) n7 rr PARTITION 103-105
�vii44,111 tjW PARK ST
oint AMIWINT PAID Of.