14800 SW 92ND AVENUE-1 JLU
14800 SW 92ND AVENI'E
Elk-MR
1W W
r:i1UT1LJ)1.N(*., PEA1111
CITY OF T'IGAcm� RD I-"1E_-PMTT NO , : BU8903-73.
an
IDCOMMUNITY DEVELOPMENT ,IEPAP i*MENT 4�
13125 S.W..W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223, J03)639-4175 DATE :LSSUED: A 819
'wRoxx-I
-.101i.4 A11DPE:S(5 : 1411:1100 SW 9#-.*!Nl:) AVI...'
lAX MAF'/I. O'T 251. 5:11.00 iOH: I-'T' UK :
r I'T VALL)ATTON : 4i :1.2 ,000 r;ETRALIKS
F-AONT : PEAP :
WOPK ("AASS : AW01''I'TON DWE.A. I_ LJN:I:T!;*1 LEFT: 141GHT :
1YPI7: GO*NGL.h: FAMIA...) NO. DEDWOOWI : EiXll' WPILI ('ONTI' :
(.)N!5 T' l'Yl:)F:: : VN NO. DATI+:i : N 5 ' W
IP 014P . P*.3 PROT ,OP1.:;:NJ:N(*.-',5 :
III:, .I OAD N W
T(TY AL. A 1300
N 0 G T 0['111 E*G 300 POOF* (:%')NGT : F'11-41E PEl"?
I.-K.A.CA I I 0I*;A !:iii PAW"t PATEA):
Ei(115 R!"IF N 1'7 31."'D 'AEPAP? FAT E:1)
MFKZ;?ANJ:Nr-.::'? 1:1A!5 E:M I
V L OOP 1. 40 A 14 A('.1 LK 1:: 134.. GPI4KLP'? AI ARM?
F L Ow((;Pm) L)I:;,1*1_C.1.
I'1- C*U10W2
1::'I..AI4 EIY:
PE1i$LIEK OF NO .
L.Ali V
0
W *92'. .30
N :1 1(:100 !A4 '9i-!N1.) AVE:: PE':V:IJ.:W $60 . 13
E
TA'GAI-41) 01:4 I.A.KVIT
111-401"IF'. ( !50'3) 6159- 0:41;116 i l I L: TAX $11. 63
C
0 '5 TJ PM
N
T '5(:)(" I PEKE'l,
R PDC
A
0 FIVILPATI) >
T
0
R 111)VAL 41:1.11151 .2 5
14:111;..1 P I NO .
This permit is issued subject to the regulations contained In Title 14 ..........
of the TMC. Stele of Oregon Specialty Codes,zoning regulations
and all otter Applicable codes and ordinances, and it is hereby PEJA 1"L PEA) YNGF EX-11'''I' W11
agreed that the work will be done in accordance with the plans and F*L)(:)TTNGS
specifications and in compliance with all applicable codes and VI(M-51' & HEA14
ordinances The issuance of this permit does not waive restrictive I.htAM.LNCJ
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and I N A if AT ION
void It work is riot started within 180 days or if work Is suspended or G y 1-:1 BOAkU
abandoned for a period of 180 days any time after work has I MAI
commenced It shFill be the revon,irillity of the permittee to assure
all re I.,ed Inspections Are req'uebted and approved
Permittee SignRtLirVr
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
. lll
�Mllll 1-
L
* • 7 .
_ In
-
APPROVED FOR CONSTRUCTION
'CITY OF TIGARD _
PERMIT NO. ..L_ SITE ADDRESS
BYAA- _:TITLE_:. DAT.F y
i
_ y o� ? ___moi '►► �; i N
�77
qq e�
Ml I .
i
i
LL
ti
i
' 1
i
I
1f/3T
._ m• =
41120., 70
94 w22
[ 22 f6ZS TO TNF ..F CON
N 69, u
_C30 IA -J9X !YOUR im �°1 4900 5:00 MARC" ax sa
5000
1 oC Q _qoa k tdnd in ae �
k3 A Q b R1:d o'theA .° 17 18 1 t'
fr#Ii,d a t'hu a Pf-dt .r d bQLie ` to �'Fr�.A .a ,
be uouex t., .the cAmpavly aw-A ,� � ��` Ts
NO 1',La[a�i f-i.�y boy an by 5200
CANCILLID
"";C,) Tarns rNSURANCF. Alfa � aa'O 20 sm. 2.m
or ORICGON
4 5300
4700 4800 ®`b a 21
3 16
SEE' MAP
-744. 5400 � 2s 1 11Ao
4600 R'"' 00G
G191'" ca 5500 _ Y
� t A `� P.
�r
1a /a�> 6o0 4400 0 23 E
a
_.
AWN N Ler ! 1 .D 5600
wfrt .�.rs a 24 d
4200 4300 w ;
4100 0 11 f3 570C b
a
25
b g oA � p
-9244 h pp_��nn
LE§LIE PT q TR
4000 -# f
4 R•m � '1
3900 380Q
7 6 Y
PA FK
•ou 1" 5900
3600 3700
27
4
mw 6000
"? V 28
3 SWL DAWN �
COURT *14 L4 6100
2801 n• �` u 23
3400 33Wrw
—z'---
620U
f) 21354 -
- so 30
i■1rtSCN _ __lm_ ,n...rN....N+.• ••.+„c^• :rv-f- ti .atw.n.••.
i
I
I �
I i
I I
� I
....._ ._._..__�-.yam. .�... .»--_•-.. _�_.__.—.—�- .._l. ___ -.. ..�_._ _�. .�L
.r....._.._�_w---- �___ __---_I `��_ �►�—J.• --I-- � --____.ate_....__._.._._._.__i_... .. _..»_�
, I 1
I I
r-
y.
,
t
l(� or Sj4 I
5 od+ POA M
e
i
i
x ,
i
.212 _ f �u,lc.�
t4 X 3cox�vtj
uuuu uuuu
�
MEN
�
( i ! i 1
Q;i
_- ---- -
r
I
--- a!
-
'
i
I j
i
I
i I i I
r
I
� 2
I
QJ
2 W �
2
o!
u? Q s 2 W
U
co
W W Will
c.
CITYOFTIIFARD � PLAN CHECK APPLICATION
N� Mo«ooARD PLAN CHECK b _:Q
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW HAB1vd.,P.O.Box 23997,T'gard,Oregon97223,(503)6394175 DATE ISSUED
JOB AOgRESS: ✓�� JLC oS�.( � ~ C iAX MAP/LOT
SI;B LOT: / LAND USE:
"VALUATION: 60L)
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE
_ FLOOD PLAIN/
ZC SENSITIVE LAND:
P140NE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: _ ENGINEERING:
ADDRESS: FIRE DEPT
— - OTHER: -
PHONE: _ ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
NAME: - _ --__ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN: — --- -- - --
�_Y LANDSCAPE PLAN:
PHONE: OTHER - -� --
COMMENTS:
Pr RMII 1M ACCT N DESCRIPTION AMOUNT AMOUNT PD. 1101 tun
-' L) 10-432 00 Building Permit Fees
- 10-431 00 Plumbing Permit Fees —�
T- 10-431 01 Mechanical Permit Fees V ��-
10-230 01 State Building Tax (5%) __'�•�3 �.. , �/
Building
Plumbing
Mech
10-433 00 Plans Check Fee
Building
Plumbing
Mech
30-202 00 Sewer Connection
--- 30-444 00 Sewer Inspection
51-446 00 Street System Dev Char a (SDC:) -
52-449 00 Parks System Dev Char•g,, (PDC) -�-- -- _-_--
31-450 00 Storm Drainage Syst Dev Chrg (SE )C)
10-230 09 TRFD
10---230 06 Washington County Fire MI (95X)
10-220 00 Amar•t/Wedgewood --- - ----_-._ __
XJ
I OT Al
11 - -- !l��II
RLC Y
---'APPI..ICANT SIGNATURE ---- - -
koce i ved By. — Date Received: -
cn/3587P/18P -
CITYOFTIIFARD
PLAN CHECK APPLICATION
cmL'A\ I PLAN CHECK # /E��-
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0 2cin 3-71
13125S.W.Na1BBtvd.,P.o.Box 2339T,n9agd,omgon9rm.(sos)639-4175 DATE ISSUED
J48 AU ESS ✓�/��` 11 a� �c2 A116 C V - _i AX MAP/LOT -
r LOT: _ (� ! AND USE:
SUB:
'-V ALU AT ION:
SPi:?:SAL NOTES
OWNER I �y
E R'k"T:�,SUE OF:
NAM _
ADDRESS: y { 1 iST REISSUE
;'FOOD PLAIN/
_— SENSITIVE 1—AND: _
PHONE' ��'�� 3 Y APPROVALS RE2 IRED
CONTRACTOR PLANNING:
NAME: ENGINEERING:
FIRE DEPT _
ADDRESS: — - OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCOt:TRACTORS:
ARCH/ENGINEER BUS TAX:
_
CALCULATIONS:
NAME: _ -- TRUSS DETAILS:
ADDRESS: ---- -
-- _ PARKING PLAN: _
LANDSCAPE PLAN:
PHONE: -- _____ —_ OTHER:
COMMENTS: --
PERMIT N ACCT H DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE.
10-432 00 Building Permit Feesr.
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x)
Building
Plumbing
Mech _ _
10-433 00 Plans Check_ Fee
Building _fps. 4
Plumbing
Mech _
30-202 00 Sewer Connection --
30-444 00 Sewer Inspection --
51-448 00 Street System Uev Charge (SOC) -
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSOC)
10-230 09 I-RFD
10-230 06 Washington County 1 ire M1 (95x)
10-220 00 Amart/Wedgewood - 7.57.
`�X REC M
t-�APPI.ICANT SIGNATURE
Received By: Date Received:
cn/3507P/18P
�, TO►-• <<�tl 1� E c;(`1 1> ` .[ ► '+rryi �[ .{q�)�}�i` �`s C
il..7' % _—T.
;�..Cr�a — -- r
—07
f ,rr� ry cd ri: :
$� •�`:^"^f'' � � � it i'� ` ,l
cel •, y _ � �y w �,i /
Lnp G •C c� ,,:.: (J
rA lot:
bt
p 1
rrra' t , p � p p p ~ r
Co
OCid U oz
,� frCLCl
� � rA
w
C F CL
CE
v
( 1 i
4 } t:-
Tel
�i9�a'. lye{ , I• `r `
Ni
S4 �C';'�+; r 4a �t4 h„�� ' �+` `ic���.d+��� ��'��•r;'�•�1+th, �"( �! '�I+ 4��.tk N�"�- �"�'�1�+'�+ � I�:
r�(r+a'y''' ;f,�,y... �r '��.,. ti:�;'�, �'�` l�. +r.���,?��,�,�, �R .R4 ,�1�°j` 1+';.r r •�1,++'!a y' ,�..,�'v�`� y. �t� r
r.� ,�`'�,��„r y�fi,� �, �� h,' 7!' t�yj * •�� , ' 1� � �1y �., �y.�,,,.�' �},,, �qr.M AC y�.a� ...y� �s... n •
.1� R� � �P" h .• � �'''s ..!S�jy .;h4:` 4 °[y '7."'�C�"�q';...i+';•.`te ,. �•�7` �rQ..,Fe ,.. ,.,ti �
. ,�,,,o..,�-�. -: ►.y,�.�„*s J-
BUILDING PERMIT APPLICATION SOF TIGARD DATE ta" l�t� 19 _.
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN ANDA r9UVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER Tum M111-Y JOB ADDRESS 1461210 %i ' 92nd AV'- . HOME ADDRESS `
ARCHITECT
r�PAC ENGINEER
BUILDER ADDRESS J 11:� DESIGNER
STRUCTURE ❑NEW ❑RF'MOOEL ❑ADDITION - ❑REPAIR ❑RENEWAL _ ❑FIRE DAMAGE ❑DEMOL_ITION
0 RESIDENCE ❑COMM ❑EDUCArIONAI ❑GOV'T El RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OC�.UPANCY " -'LAND USE ZONE f� BLDG.TYPE •t _FIRE ZONE PLAN CHECK BY_-___— HEAT_
ht 1
anst.xu;,t, sirigi,l& fBM.ily dW611irsy U/sttschr,_ germ,;, ro(lmes 31 brthe,
51L COM-Et-TION 5HELT ^TTALHf-O. _
,ewer Permit 0:J13 - 4'70 ..00
1 _ y
QCT LOAD--- --FS 491 L0AU_,----HEIS�HT-2 t—NQ_STORIE�____-_�A �' 4 NO.BEPR9QM-� VALUE -- - -.
BUILDING DEPAPTMENT �2:3) "'�I
— SETBACKS FRONT REAR LEFT SIDE � RIGHT SIDE
Permit
THIS PERMITIS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check '+•Qn REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE.WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax p,b4 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 2 1 (Tr, '3qi"CIC #2 ilo(1000
,,
BY IJ1 --,�. --- -------- .
APPLICANT OR AGENT
Approved Rvci�ipl No.
_�.. - .,-..ata '.*i..... .«.......�...r...w.+.......�..r....�....r....,...._. HOrJE�.......,........__,�.......... -.
a
ggD--ATE INSP. TYPE INSPECTION -r REMARKS PI,UMBING DATE
Serra
6201rhu4- - fZQU& D Contractor
8✓.P-7 �T�1a \y�w►e � ZQ TSS c�di�
1'2FNdUln��M Permit No. ! b.at f-/,,--71
�T 9 Rough-in
9 o K Fixture —
// 'r t' Ot w I( Final
9z7" Q/V _— _ Y'_ATING ---
0- - `- ? E f-%X0/7 Contractor
-'C' -.^9 zA_.. �.:C' Permit No.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Stom Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Firal
_ _ Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zot ng Final
�► w w
BUILDING PERMIT APPLICATION "of TIGARD DATE._ b• __. ,s �� �����
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILOERPHONr__0-4?'/93b
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PH..Or E___.
O �/ LOT NO
OWNER T w►,/��,�er- -h7 P. ADDRESS�� ' �x �0 -
--__ --- - Ai1fiYM�gCT.-
F.Al0WdrW R
BU1�_DER Atm ADDRESS _ _ _ DESIGpt
rJER _• A
STRUCTURE _ M1EW_ _ O_Flt Mr10EL __ CIADOIITION ❑REPAIR -- ORENEWA_L_�- DIRED MAGE ��vE^'Oi l
RESILIENCE ❑COMM 0EDUCATIC-:11 C]GOV'T ❑RELIGIOUSL�PATIO OCA.RPORT ❑GARAGE ❑STORAGE❑SL'Iti OPEN-
_•-- _.. Toot..__ _ Toto._
`--.-• - — - ..--... _ _ r.u. -.:�--_•��_._.______r r.,.__mss•.::-.---_a_.J...__ ._._r.� .---. __— �-��-�.-.r- -- ,.
ar1'L•PAtJCY. LAND.USE :. P-7 -.-BLDG TYPES __FIRE ZONF_ PLAN CHECK BY3 —� HEAT r
__.____- �j'�w.�,f9F �3nn���_F�•.' .�l w IIWi�C�i�, �l�_..__._.
See, _44- - aha
..3---
as
SEWER PERMIT_#
OCC_LO�D -•---._ _ F_4QQR.I(?AG �tv HEIQHT__j. ... NO. ST9RIE,@ ARBA ..NR.@E4RQOMg_ V9L'J.E 7�j/v0
__ ___ _. . ._._ ._ _— .___
1�errnit
BUILDING DEPARTMENT r BACKS FRONT � `0 REAR f� LEFT SIDE RIGHT SIDE
r 0 HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONI-N
PIAn Check �• N "GULATIGNS AND ALL APPLICARI.E CODES AND ORDINANCES, AND IT IS HEP.EBY AGREED THAT TF
O RK WILL BE DONE IN ACCORDANCE Wt rH THE PLANS AND SPECIFICATIONS AND IN Commt'ANC° V.,
SLt7 total _ Q• L APPLICABLE CODES AND ORDINANCES THE ISSUANCE Of- THIS PERMIT DOES NOT VtiA' .
'RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT Ca T V BUSIN•
State Tax G.IG+• ILENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING ANL` HEATING
Total .__ fir' DC
Tota _� %�s,•�`F �c
- ---- -- APPLICANT Op oGENT
LQ;,uluvpd. _ . . .__ e pt No
----
SDC
PDC — $ �.. _ /O 0
';FWER LONNE LTION
SEWER INSPECTION $ _,
SEWER SURCHARGE $
Comments:
a
v
G.o+
x .2!' 7 7
784e;Gs° Of 20, 720
Or
CYC zz x 7
a
3
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT N�
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
i igard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspectign. City of Tigard Business License required
for all contractors and sub-contractors. 7-1 G a PC 1 +
�
Job� i
Address_ 1 P D_05t-", '� Dat 1"Z-49—
NUMBER OF TOTAL
TYPE OF Pi-will ITEMS FEE ON EACH AMOUNT
A—;—�—
Sina!e Family-1 bath—each 25.00 _ �► �- 7�� C�/
Duplex-Eich 1 both unit _ 25.00 — __ ► s r
Additional bathrooms-each
Mobilo I l-irne Sp ic. -;inch_ 15.07
INDIVIDUAL FIXTUREA COMMEFiCl:M
1 to 50 Fixtures in 1 building—each 3.00
51 to 10_0 tures In 1 buildin2'oarh _ 2.B0
101 to 200 fixtures In 1 bulldinL-•each_ 2.00
701 or morn Fixtures in 1 buildin-i-each
M I S C E L L A N E O U S —
Sewer each additional 100 rt. _ 10.00
Water service to building
O1clrY):
_PERMITfor Plumbing Inspection Phone 639.4171 )
4 a State
Plumbing n Contractor By
TOTAL RECEIPT No. Issued By R
! ! W !
INSPECTION NOTICE
City of Tigard Building Department
P Box 2
Tigard,d, Oregonn 97 97223
Phone: 639-4175 /
Type of Inspection
Date Requested rim
Address r/ L'd �,(� it #,• ��J
Owner_ '] /�/ (r x-- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _ ❑ Disapproved
Date / /2
CALL FOR REINSPECTION
❑ YES 0 NO