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CITY OFTIGARD CERTIFICATE OF
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-0431
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 DATE ISSUED: 06/28/95
PARCEL. 2S114AD-0,2900
.)ITE ADDRESS. . . : 16672 SW (:51TH I.q-
:;USDIVISION. . . . : WAVERLY ESTATES 7.ONINGiR--12
,,LOC K. . . . . . . . . . : LOI.. . . . . . . . . . . . . 028
-:LASS OF WORK. :NEW
; YPE OF USE'. . . :SF
11LCUPANCY GRP. :R3
�-)CCUPANGY LOAD:23C 4
I-ENONT NAME. . . :
i4emarks : PATH I
R PARTNERS
12540 SW 68-01 PR[MY
SUITE 5
TIGARD OR 97223
Phone #: 503-639 -L-.639
,?W PARTNERS
12300 SW 69T14 AVE
I-TGARD OR 97P83
'hone #: 639-2639
-!eg *. . : 80970
(his Certificate certifies that the -.ibovp t-eferenreH Luilding or portion
hereof has been inspected for compliance with the Tigard Ouilding Co6k,
, or the y-oup and division of cccupancy and rise for which the above
--eferencesc! permit was issued, and occupancy is hereby granted.
INSPECTOR
WJ LDIN6 B
POST 114 CONSPICUOUS
15-
f - CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 1
Footing Susp. Ceiling Sprink. Rough-in Nppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in ALS
Rost/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Wats„ Line Insulation �Vlecl\
Underflr. Insul. Shear Wall Gyp. BO, -Elect.
Date Requested: L",�� '��� Time: AM PIA
Address: /� � /•-� c.l �
Builder: Permit #: 415"r 1c/_
THE FOLLOWING COR S ARE REQUIRED
L;�R�OVED
Date: L
DISAPPROVED _—APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lino (Rec-O-Phone): 639-4175 Business Phone: 639- 1 i
Inspection:�,c..l.:L-'�-h e G
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk r
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. Plbc; Top Out Elec. Rough-in FINAL:
Poet/Beam Me.:h. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ' ( 1 5 Time: AM ^I'M
Address: ! �o 4-f 12-
3 Permit H:
Bt,ilder. /� -9) �1� �- � - �7
THE FOLLOWING CORRECTIONS ARE REnUIRED:
ri
E],
f
Ins tor. Dat '
iPP110VED __Dl.gAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phor,Vj: 639-4175 Business Phone: 639- 171
Inspectior. �_�
Footing Susp. Ceiling rink. Rough-in AFpr/S I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line 0..m Bldg.
Plbg. Underfloor Rain Drain Framing n''� ` Plumb.
Alarm Water Line IlSsulatio Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
L/LDate Requestte_d:_ _Time:--AM PM
Address:
Builder: i Permit p: 7 C1 j
THE FOLLOWING CORI'FCTIONS ARE REOUIRED:
F- —
L <C
LLl
IPL
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Inspector: / Date:
APPROVED kPPROVED _APPROVED SUBJECT rO ABOVE
`Call For Reinsp.
N�SPECTION NOTICE
City of Tigard Building Department
13125 SM Mai Blvd. Tigard, Oregon 97223
InspectioL Line (Rec-O-Phone): 639-4175 Businen�e/Phone: 639 1.1
Inspection- �k�;)I1_l�t)L, ( lbj(x
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. ::an. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. U:derf loor Water
/�Linne Gyp. Bd. r g� Mach.
Date Requented: �_LL' Time, � PN
Addrena: l lc 1_ ( C {�. P+►sleit isM _0g3>
Builders - `-1 21 0
THE F()LLOWINC CORRECTIONS ARE REQUIRED:
.5 'Io;?
fi
.r
CO
LD
U)
Inepectort Date-
_ kk•pROVSD DISAPPROVED APPROVED SUBJECT TO ABOVE
._--Cal'. For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sp Ball Blvd. Tigard, Oregon 117223
Inspection Line (Rec-O-Phone): 639-4175 Buoin-iae Phone: 630,
r
Inspection:_
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
wound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. n. S"j Framing -Bldg.
ost/Beam Rech. in�Dsa p Insulation
Plhq. Underfloor L" et r yin Gyp. Bd. -Rech.
r.
Date Rogi,aateds Times AH 8!1
Add_eee: % (t" & -7 Permit i
Bulkier
THE FOLLOHTUG CORRECTIONS ARE REQUIRED:
CL ------
r4 ---n]
t9
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Inspecturi
PROVED _-_ DISAPPROVED T_ APPROVED SUBJECT 1r ABOVE
^_Ca?1 For Rainep.
INSPECTION NOTICF, n
City of Tigard Building pepartsent
13125 Sm Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone%: 639-4175 Business Phone: 639-4171
IagpeW •.on t - —
rooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
( / / Plbg. Top Out FINAL:
v �•� - F�ng -Bldg.
Poet/Beam Struct. San. Sewer
Poet/Beam Me.:h. Rain Drain
]nwilation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Neth. C„C)
/ /� ( � Time. _ 111t PM
Oaxe Requeye�teds�� /�� ^�
Y i Permit 1 C e
Adiress:
Builder• `
r
THE FOLLOWING CORRECTIONS ARE RSQUIREDt
F-
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Dater _ � _—
Inspectoc ---
APPROVED DISAPPROVRD APPROVED suBJSCT TU ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Bcilding Department
13125 SN Ball Blvd. Tig►rd, Oregon 97223
Inspection Line (Roc-O-Phone): b39-, 175 Business Phone. 3 -41.71
Inspection:
o`oti Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Purl. Top Out Gas tine FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drai:, Insulation -Plumb.
Plbg. Underfloor Water Lin Gyp. !:,I. -Mech. 1
Date Requasted: -, Time: AM PM
Address: 7T g [ �l 1►�sait is �7
Builders
THE eOLLOMING OO CTIONS ARE REQUIRED:
i
jz
lnspactor: �. _ Datel
z Z vr
APPROVED DISAPPROVED -` APPFtWRI SUBJECT TO ADM
__`Call For Rsinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63+4171
Inspection:
Footing Susp. Ce,.ing Sprink. Rough-in A dwlk f
Foundation Plbg. Undtrslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbr Top O,jt E'3r. Rough-in
PostrBeam Me(h. Scn. Sewer Gas Line Bldg.
Pibg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:_ _ 5 Time: AM PM
Address: /����� 7 I Y A
Builder:_ Permit #: 7--31
THE FOLLOWING CORRECTIONS APE REQUIRED:
iVrFi�S To
J
Lw
7
Inspector: Date: � �
_APPROVED _DISAPPR VED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TiGARD BUILDING INSPECTION N,QTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Ph�ne: 639-4 1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Idg.
Plbg. Underfloor Rain Drain Framing -P!umb.
Alarm Water Line InsulationMech-j
Underflr. Insul. Shear Wall Gyp. Bd. EleJ.
Date Requested: �1. 9_Time: AM PM
Ac dress: 9-/�-� c� 7 �r
Builder: Permit #: �� 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ce
<<
61 16C'955—'
Inspector: / Date:—
APPROVED DISA.IPR EDAPPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD r'"!-DING INSPECTION "!CI HCF
Inspection Line (Rec-O-Phonb). 639-4175 Business Phone: 639 41�
Inspection:
Footing Susp. Ceiling Sprink. 17ough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam S1ruCt Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing umb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gvp. Bd. -Elect.
Date Requested:" �.� / l � r1. Time: AM PM
Address: c
Builder: Permit #: Y — C 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
R"
,112
F-
C7
F-
W
LL1
Inspector: Date: �r,
P.P VSD ,.)ISAPPROVED —APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 7,Y
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderslabMRch�eu� Fireplace
Post/Beam StrucL' Plbg. Top Out Elec, Rough-in FINAL:
ost/Beam Meech ) San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
-Plumb.
Alarm Water Line nT sulatio Mech.
Undedlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:- r3%-e % Time' AM _ PM
�7
Address: /L• G 2 cJ� /
Builder: Permit #: 413'1—
THE
J?SrTHE FOLLOWING CORRECTIONS ARE REQUIRED:
P
Ins actor: " Date: �r
LO-PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in r/Sdwl�
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Bearn Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: S Time: AM PIA
Address: '�_� n J ��—
Builder: Permit #:
THE FOLLOWING CORRECTIONS AI?E REQUIRED:
�l C� cas c ' �`{r
Inspector. L Date: JS
APPROVED DISAPPROVED PROVED SUBJECT COVE_ C II For Re »p..
CIT`! OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 71
Inspection: r/ __1
Lt7
Footing Susp. Ceiling Sprink. Rough-in A wIk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
i'Ibg. Underfloor Rain Drain Framing -Plumb.
Alarm Wail tr .-ine Insulation -Mech.
Underflr. Insul. Sheaf Wall Gyp. Bd,) -Elect.
Date Requested:_ Q i Time:-AM
Address.
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
y
Un
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w
Inspector: Dale.
AP VED _DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Pllone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Cel;Ag Sprink. Rough-in p "I
Foundation Plbg. Underslab Mech. Rough-in Firep co
_ Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framin -Plumb.
Alarm Water Line (rlsulatioh �' �� ,� -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time; AM _ PM
Address:
C�
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v��,
NO T-
M
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N fiPi�T frr�vl .��T C��,�•r��Tc�2.—a�—
or
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Inspector:_ Date:
APPROVED
:::YAPP OVER APPROVED SUBJECT TO ABOVE
Call Foi Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4,6�
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Me�Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewers -Bldg.
Plbg. Underfloor Rain Drain C """"y -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ear Wq1 ; -Elect.
Date Requested: / 7 r/ /-� Time: AM —_PM
Address: //�(�' �,�— c � � y— ,r-
Builder: J�f `c� �c' 3 l Permit #: U y 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
71 E ES-
Ct
J
FLD
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J
Inspector-^ _ Date:
APPROVED ISAPPROVE API- 10VED SUBJEC TO ABOVE
.all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 39-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-i ppr/Sdwlk
Foundation Plbg. Underslab . Roug)-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Seweras Line / -Bldg.
Plbg. Underfloor Rain Drainrami ' -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. hear�W?� Gyp. Bd. -Elect.
Date Requested: —7 Z Time: AM PM
Address: [ � / 11
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,���� r'.f'h�vSr G�icTs �c«�_ �a/v�yrrCT�•)
ti
U P / / cif L)S C�
���4- ���► ,1 � ��i/>� , i�,�, IN S,�c r/o/�
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Inspector: T_ Date:ZZ—V
APPROVED L-EMA15-P ROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION/NOTICE
Inspection Line (Rec-O-Phone): 639-4175 BusinesMoe: 9-4171
Inspection: Q�
Footing Susp. Ceiling prink. R u pr/Sdwlk
Foundation P Ibg. Underslab Mech. Rough-' Fireplace
Post/Beam Struct. ng. Top OutElec. Rough-in FINAL:
Post/Beam Mech. an. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm ter LiR Insulation -Mech
Underflr. lnsul. Shear Gyp. 3d. -Elect.
Date Requesciad: ! 5 Time: AM PM
Address:
Builder: Permit !l:_ 9q`<-'Y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CL
J -
Fti
03
f
U.1
_J
In! I _ _ Date{ T J
APPROVED DISAPPRVED APPROVED SU0jECT TO ABOVE
J_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION' NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Pho 639-417
Inspection: 1, L
Footing Susp. Ceiling Sprink. Rough-i 7p
pr/Sdwlk
Foundation Plbg. Underslab Mech 'tough-in Fireplace
Post/Beam Struct. _ Ibg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloo Rain Drain Framing -Plumb.
Alarm Water Line Irsulation -M4ch.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ _" �,_�/ �`��, Time: AM PM
Address: / fit" 6.- 2 L 11
Builder: Permit
THE FULLOWING CORRECTIONS ARE REQUIRED:
z2 2 �
� - s
Inspector:^ _ Date:
`APPROVED L,,66APPROVED `APPPOVED SUBJECT TO ABOVE
r Reinsp.
INSPEI'TION NOTICE
City of Tigard Building Departamt /
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
tin J Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Pont/Beam struet. San. Sewer Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumt .
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
L /G
Date Requested: ] 1 / Timet AN PH
Addr ese: i 1!) 1,�_ C� / '"` t Cly�Perpit !: 7�
Builder: ?
TPF. FOLLOWING CORRECTIONS ARF. REQUIRED: J `f
F--
tn -
F-
R7
C.D _
ttl '
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f.nepectore_____
"PROVED DISAPPROVED APPROVED SUBJECT TO AROVE
Call For Reinsp.
F.
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . .
MST94--0431
13125 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DF"AT E ISSUED: 11/29/94
PARCEL: 2S 1 14AO-WE028
51TE ADDRESS. . . : 16672 SW 89TH PL
SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :028
---------------------------------------------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . ..2 WATER HCATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F I X TURES-------------- LAUNDRY T r.PYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SIMKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
FUN/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
MATER CLOSETS. . :3 WATER LINE ( ft ) . . . . : 100
DISHWASHE.RS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER: -------------------------------- ----------------_FEES------------
R PARTNERS TIF $ 1550. 00 JF 11/29/94 -
10540 SW 68TH PFRKWY BPRT f 605. 50 JF 11/29/94 SUITE 8 HPLC $ 393. 58 I NAR 11/14/94 94-2 586 �)
TIUARD OR 97223 B5PC $ 30. 28 JF 11/29/94 -
Phone #: 503-639.-2639 SSDC $ 280. 00 JF 11/29/94 -
PAPu $ 500. 00 JF 11/29/94 -
Plumbinq Contr^actor,:--__________ _.._.__ MPRT $ 45. 00 JF 11/29/94
MPLC $ 11. 25 JF 11/29/94 Name: , e . �, MC.L�1-C..ItC_ -;::7A)-' • I115PC $ 2. 25 JF 11/29/94
Addr•,ess :_a.3,00 �g �(,,�9' E 3B-fH 1, 425. 00 JF 11/29/94 -
UitY: 7lCs7 0 ... State - UIQ PSPL: $ 11. 25 JF 11/29/94 -
Lip: Phone#: 41 8 EROS $ 64. 00 JF 11/29/94 -
R e g #:.___...__._ GP- _3 ._.___ ._ Additional fees not shown here. . . . . . . . .
44• J-2-y30026' REUU I RED INSPECTIONS
1'his permit is issued subject to the reg-
ulations contained in the Tigard Municipal Fout/fvUnd Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Host/Beam Struct Water Line Insp
o:-.her applicable laws. All work wii . be done Post/Beam Mechan Appy^/Sdwlk Insp
in accordance with appr-oved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started FILM/Under,fIoor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Wtr^ FIr^oofinq Bsm
Fir-eplace Insp Crawl Dr^ain
Gas Line Insp F=tg Drain Psm' r
C, Insulation Insp
_ r�/')'L� �_ Liyp Boar^d Insp -.
``; Authorized tubing �'u tractor �.x :.l r�ture ��
Lail for inspection - 039-4175
Contractor, Notes:_._
CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW lull Blvd.Tlpard,:�repon 97223.8599 (503)639-4171 MASTER PERMIT
PERMIT #. . . . . . . : 11ST94•-0431.
639-4171 DATE ISSUED: 11/29/94
PARCEL: ES 1. 14A0-WE02:8
>ITE ADDRESS. . . : 16672 SW 89TH PL
SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :028
BUILDING -_.______________________________-.-_..____-
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :871 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :462 sf
TYPE OF USE. . . ;SF FLOOR REQUIRED SETBACKS-----------
TYPE
ETBACKS----._--- -TYPE OF CONST. :SN FIRST. . . . : 12 68: s f LEFT. . :9 ft R I GHT. .7 ft
OCCUPANCY GRP. :R3 SECOND. . . :993 S-F FRONT. :0 ft REAR. . :25 ft
STORIES. . . . . . . s2 FINBSMENT :O sf REQUIRED--_________________..
HEIGHT. . . . . . . . :30 ft TOTAL..-------:2276 S SMOKE DETECTORS. .Y
FLOOR LOAD. . . . 140 psf VALUE. . . . . $ : 168445 PARKING SPACES. . : 1
Remarks: PATH I
----------------------------------- PLUMBING
SINKS. . . . .. . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . .3 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s;3 SEWER LINE (f t) . :0 GREASE T RAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . 10
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . s0
WASHING MACI — c l SF RAIN DRAINS. . : 1
MECHANICAL ----------------- FETES
(JEL TYPES----------- UNIT HTRS. . :O type amount by date r^ecp'
/GAS/ / VENTS . . . . . :0 TIF $ 1550. 00 JF 11/29/94 -
MI4X INPUT:O BTU VENT FANS. . -4 BPRT $ 605. 50 JF 11/29/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 393. 58 KAR 11/14/94 94-258659
URN ) --100K . . : 1 WOODSTOVES. :1) 85PC M 30. 2:8 JF 11/29/94 -
i-i-UUR FURN. . . . :0 C!O DRYERS. : 1 SSDC $ 280. 00 JF 11/29/94 -
1�01L/CMR ( 3HP':O OTHER UNITS: ! P(IRK 4 500. 00 JF 11/29/94 -
GA!. OUTLETS s 1 MPRT $ 45. 00 JF 11/29/94
-
LJwner: - - _----___.___.__.__. .__v___.__ __ ____MF'I_C $ 11. 25 JF 11/29/94 -
R PARTNERS M5PC $ 2. 25 JF 11/29/94 -
12540 SW 68TH PRKWY 3BTH $ 225. 00 JF 11/29/94 -
SUITE B P5PC $ 11. 25 JF 11/29/94 -
TIGARD OR 972;='3 EROS $ 64. 00 JF 11/29/94 -
Phone #s 503-639-2639 ERPC $ 20. 80 JF 11/29/94 —
Contrar_tor: ---------------------------------ERPC $ 20. 80 JF 11/29/94 —
RW PARTNERS
1,:300 :3W 69TH AVE
tGARD OR 97223
Phone #: 639-26Z;9
Req #. . : 80970 --___--------------------------------.____
$ 3759. 71 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/found Insp Fireplace Inst
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Idec•han Insulation Insp
days of issuance, or if work is suspend!L more UAn 180 days. Plm/undslab Insp Gyp Boar-d Insp
FILM/Under^floot, F2ain rli,ain Insp
I 'er mittee fiignatur,e :�,. Mer_,1lanica1 In%p Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
I ,st.led By " _�._. �_. Framinq Insp Mechanical Final
J
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PERMIT
PERMIT #. . . . . . . . SWK94--038 ',
639-4171 DATE ISSUED: 11/29/94
P,ARCEI_ : 2S 1 14A0--WE028
:3I IT iaDDRES5. , . 1(:6 ire SW 89T1-1 PL.
SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R--i2
;3LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :028
---------------------------------
VENANT NAME. . , . . . ---
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
al_AS a 01: WORK. . . ;IAE14 DWELL I NG UN I TS. . : 1
I'YPE OF USE. . . . . :5f= NO. OF BU I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURF=ACE. . : : sf
Remarks : PATH I
,.Iwner,: ___.___—_____.__._.---------___________.______---__._____.__.___. FEES -- - -
R PARTNE=RS type amal.rnt by ,date r,ecpt
.i2b4O SW 68-FH PRKWY PRMT $ 2L''00. 00 ,JF 11/29/94 —
3UITE 13 INSF $ :b. 00 •JI` 11/29/94
'. IGARD OR 97223
i=hone #: 503-639-2631.1
not r•iact or,: —____.-•----_______.____._____.____._.
L:ONTRACTOR NOT ON FILE
one #: 2 :35. 00 TOTAL
--- -_ —
REQUIRED INSPECTIONS
his Applicant agrees to comply with all the rules and regulations Sewer Inspection
,t the Unified Sewage Agency. The peg^mat empires 100 days from
the date issued. The total amount paid will be forfeited if the
permit expire_. 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 rnstaller shall purchase
a "Tap and Side Sewer" Permit and the Agency 4ill i stall a lateral
e r,m i t t e e S i q n a t'_: ,e
CSSUetd By :
Cal for, inspection — 639-4175
J
G7
L7
J
Residential Building Permit Application `"',
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ��> G� /1 �C•c1/ c� ��
Subdivision: L("/,n a cr �,4 1�zi ISS Lot# Office Use Only
Valuation:
Planck/Rec #
� - S;
Corner Lot? Y N r' Permit# /,rJ
Reissue of
Flag Lot? Y CN
Map & TL# '
Owner: r 6ti' k.r-�rt..F/1
/ AD rovals Re ua fired
Address: /.2.2/0 f16 Z-„csxz `-lit Y !� Planning
eL rd c2/Z `i z L
Engineering
Phone: �� 7 ZE�3`� Other
Contractor:`' rt
Items Re aired
Andress: Subcontractors
-- Truss Details
Phone: — Other
Contractor's License # ac-orl 70
(attach copy of current Oregon license)
SING- 12e4tA-,-"
Contact Name & Phone:
Subcontractors: ArchitectfEnglneer: c'wc4/
U�Plumbing: A• C L Ale-, -Z.,-i,IQLca-f Address:
FV' —
11�� n Tic
Mechanical: � /f' � ���� %fin r rnv +c-
J (attach copy of current OR Contractors License)
Phone: 9 1 (�/
JOB DESCRIPTION: 4 S,r<CF-sti C[
Ap leant'Signatu & Phone number
Received by: \ i,
Date Received:
N WORMCOWWRESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) <0C)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) �� ` '' 4
State Tax (TAX)
Bldg: 190,2 '� ✓
Plumb:
Mech: 2
Plan Check (PLANCK) U���� ✓
Bldg: -�.SjY ✓
Plumb:
i
Mech: / . t _✓
Sewer Connection (SWUSA) u �..2 v d
Sewer Inspection (SWINSP) S� .� J
Parks Dev Charge (PKSDC) S�U 0
Storm Drainage Chg (SDSDC) e9-17
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _1 Z-V
Cc,mmercial TIF (TIF-C) _
Industrial TIF (TIF-1) —
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) � �_ ✓�
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) 4-V ✓
TOTALS: �� ;I 5'V�
-`" s � 3 y• jl
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Ir lr�lt- a
J1' ROM H INC. I.f1';1 I Wel(JU"11 c
I�!)Fir a I FT5140 t-M 68111 FIVF: I't4,v M1 N l I if-i 11- C 5 1 /14/94
t,llfill t V (fd 1(IN y
T Tf.itaf?11, 17F�F:f3f7h1 '?12;:!3-13588
( i1 1111 14MOI IN 1,-4-)[1) ISI44-111!-0- (if I'f-IYMf N I {IML.IIINT I'►I:1 !)
� � �� t � 1 II r , f f 1 � •'.1• r 1 . . )"i1�IV►. U14�1
t_111 I•,r, rt. Alf.,
1 to I AL NMI:ON 1 P"111 - r It MO. 4441
L;•1 I 1.IF I lllt•1tt1) ftl l',f_.1111 (If- 4• Il N1 f•I I 1 I !' I NI0,04
t !u t I OIVII 11.1111 , !.f'I.;i►, !1
Nf�hit: ,t Ft
A. W PAR I MV,Wi I t t 4 1 r It'll Il IN I 41. 4141
Ni►i.iKf::`�; I t I r ILII I.!I DH I F v 1 .I /r'�► `►�►
11=' PAYM1=.N) 111'11 IIUdI i '1tIt1 ('IIIcI'II'.1 . IJ1 t!I►'1f'll.Id1 tII�11.I1ffll t!f►11.1
c~n " I I- till ,
r It tl',I I I I 1'E:.
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,( b!r• ly114".+1 It 1 .I •`ti, 00 F'NItF:!, •�l+I . �4hljl, VIN
t?I +;(IoN11$it. 1FINF' I lL: F F. 00
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t
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I ON CYIN 1 M,"II_• f, .RM I I F I-4. h 4. 00 I-I' 1!;t I..IN I.;I 1(,I 111(:11_. 1 I l-40 t:K .,0. HN
f.foSION CC:iN11,111 �'N• H0
t tib`P Sw 64 1 H [LOS"
11+1 r►1 1 IMI 111N 1 PAID ? 5�34. 7 1
r �
2258A
0Y :
JT ROTH CONST,
CITY OF TIGARD
WAVERLY ESTATES
LOT 28
�,i b,351 SQ. FT.
_150,
1501�� 0" �� 1
15' WIDE
S.S.E.
.00
i
/
m
eo
150• / // �'
11 1/
LOWER FIdOR
15' STOPM �_-� it E1;:J5�10
EASEMENT 1 P 1' MAIN FLOOR, cn t60
EL :1630'i
s 1 �
�A.RAGE
\ L 182 0' 1
1 1 II
1
u� � I
1 , a >"
\ i �
rn 1 9.0 1 4" CONC 7' 0„ N
1 .a ¢ DRIVEWAY n> 1
(3500 PSI) `� 1
1 I S 89"58'4;' Of
50 00'
ORIGINAL
09/14/94 MRR
O
ALAfi !1A / CORD Df11On A / IOCIAT [ f In (
1305 NW 18TH AVENUE, PORTLAND, OREGON 97209 15031 225-9161 S C A"7E t ' : 2 0 ' - 0 "