10858 SW 109TH AVENUE —"now]
ADDRESS:
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I:Veoords\mlcro(I(ti\targetsV)uildincg.doc
F-CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171
PLUMBING PERMIT
PE RM 1 1" #. . . . . . . : PLM94-0166
639-4171 DATE ISSUED: 08/03/94
PARCEL: 15134AC-06100
SITE ADDRESS. . . : 10858 SW 1091-H AVE
SUBDIVISION. . . . : HART' S LANDING ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :03:
CLASS OF WORK. . :ADD GARBAGE DISP'OS'ALS. . : MOB I HOME SPACES.
TYPE OF USE. . . . .SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
JCCUPANCY GRI-'. . .R3 FLOOR DRAIN-. . . . . . . . TRAPS. . . . . . . . . . . . ., . .
STORIES. . . . . . . . WATER HEATERS. . . . . . : (''ETCH BASINS. . . . . . . :
LAUNDRY TRAY5. . . . . . : GF RAIN DF(IINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER F=IXTURES. . . . . :
TUB/SHOWERS....: SEWER LINE ( ft ) . , . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . . RAIN DRAIN (ft ) . . . . :
Remarks : BACK FLOW DEVICE
Uwner: FEES
DAVE KURHN type amol-trit by date recpt
10856 SW 1109TH PRMT $ 15. 00 SW 08/03/94
5PCT $ 0. 75 SW 08/03/94
TIGARD OR 97223
Phone #:
Contractor:
TERRA--SOL LANDSCAPING
21685 SW HEDGES DR
TUALAIIN OR 9706;2
Phone ftc $ 15. 75 TOTAL
Reg #. . : 5019
REQUIRED INSF-*IECTIONt-�)
This permit is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or . work is nded for, more
rL,
than :81? days.
wLrk ,, Lnd e d f re
cc Permittee Signatt.l,or
M4
LL,
T -isLied FAv -
Call for inspection 639-4175
M
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N.M.or 0-."M-t New Single Family Residences Only
Add' r�. ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Jot) a� EJ3 BATH HOUSE$225.00
Address cay)sr.. ZIP Fee includes all plu)nbing rixtures in the dwelling and the first 100 feet
V. '7 of water service, ss nitary newer and stone sewer. See fees )elow.
N.m.i«°«°.°r lluot .) I' FIXTURES QTY PRICE AMT
Oaii `L,�!�UA_rV
_ ✓V`- Sink 9.00
Many Adk.. Ph- Lavatory 9.00
Owner � Tub or Tub/Shower Comb. 9.00
CAYISIM. Zb Shower Only 9.00
Water Closet 9.00
N.M. .r M,..,...) Dishwasher 9.00
4:-2 Garbage Disposal 9.00
Occupant M.«,a Adk... Phm. Washing Machine 9.00
Floor Drain 9.00
c.v19W. Zip Water Heater 9.00
Laundry Room Tray 9.00
Urinal 9.00
tZ� wa - C�� :fjV A�G'I ►.W Other Fixtures (Specify) 9.00
M.00 eeAew Prime 9.00
Cont, :tor ),1 &`, e 9.00
C MraH. ZIP 9.00
A-v �Zl Z.. Sewer 1st 100' 30.00
to R.a.e.°m N.. Cb'&A T••No Sewer -ca. Addit. 100' 25.00
'1`�l Y ` Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I ister d wwit he Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number n is torr ct. (if exempt from State registration, please
give real low.) Mobile Hume Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
.r. «a.omn �•!�
D.16 Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work ew S addition Q alteration O repair O Catch Basin �! 9.00
to be done residential 'P non-residential O Insp. of Exist. Plumbing 40.00/hr
^v Specialty Requested Inspections 40 00/hr
Existing use of Rain Drain, single family dweilir,g 30.00
building or property . _
Residential backflow prevention
devices 1500
- Proposed use of
building or property
y '(Except residential backflow
m prevention devices)
V
r_j NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTP,.; TION OR WORK IS SUSPENDED OR ABANDONED
FOr' A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
PLAN REVIEW 25% OF SUBTOTAL
COMMENCED. r
TOTAL
3peclal Conditions _
Date issued __ _,by_
RIrCF.-w I ('I VII)YMI: hl l I N1 4
"MULJN 1 15. 15
14MIJI-JI41 a IIT. 016
NAME I—ANT)bCAPINH MI—.N 1 1)1.111—.' 1 LAJ3/03/1_14
f4m)RESS a pt6avS SW HIJ)HE-S DR
TUALW IN, ORF OC 706iP,--
iRPOSE (IF Vl0YMFNl AMOUI\I'l PA 1 T PURI-10BE (IFHMOUN I Pf I I I
15
t05. 00 s,I BU I I-D PE.R
UWAING PERM pi..M94-0166
1,1185A SW
I WARD, ORETAIN
1U7AL AMOUN-1 PAID 15. 75
INSPECTION NOTICE ~�
City of Tigard BuildlAg Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ r .u_. V— -\r `{)t S,1
Footing Plbg. k�nderslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
�1
Post/Beam Mech. Rain Drain Insulation "!Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
C L
Data Requested:_ Timet __—AN PM
Addrese:� 1���}� 1,� _ Perrji
Bu L lder:, ] _ �i�
THE FOLLOWING CORREGrIONS ARE REQUIRED:
N
61
LLJ
Inspect/ors Date:_
Nr PROVED DISAPPROVED APPROVRD SUB.IECT TO AROVR
_--Call For Reinsp.
INSPECTION NOTICE I
M city of Tigard Building Department
13125 SN Ball Blued. Tigard, Oregon 97221
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Aypr/Sdwlk
Found. Plbg. Top out Ga: Line fiMAy:
Poet/Beam Struct. San. Sewer Framing S1
Post/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor water Line Gyp. Bd.
Date Requ
est
ed: ZA3 Tom= /yam PH
Address: L�lJ7� ILEI Permit I: ML'T
Builder:
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
R
F-
N
H
.1
H
LD
�1
-1
Inspector:
APPROVED DISAPPROVED APPROVRD SUBJECT TO AW n
_Call For Relnsp.
INSPECTION NOTICE
City of Tigan' Building Department
13125 871 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__�_
footing Plbg. Underelab Hoch. Rough-in ( Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. !;an. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. 17 HecF.
Date Requastod: l! �� �1/� __Timb*��M PH
Address: L Permit tt e�2 r�
Builder w
THE FOLL0NING CORRECTIONS ARE MUIRED:
S 106clw c-/, f,Lorn
0(/FlL .Lo-. A eLLoctl —
bo rd's
' .1- 11N L Alb Tv
T-6 IA
Inspectors � �tL�r1n�__
Dates
APPROVED D'J/.PPAf1V11D PPROVED SUBJECT T) ABOVE
—Call For Reinep.
i
INSPECTION NOTICE t76_191-4171 City or Tigard Buildisrg Department131.25 SW Hall Blvd. Tigard, Oregon 97223Inspection Line (Rec-O-Phone): 639-6175 Bueineoa Phone;
looting Plbg. Underslab Hoch. Rough-in Appr/8ft1k
Wound. Plbg. Top Out Gas Line lINALs
Poet/Beam struct. Ban. Sewer !Gaming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Linear Gyp. Bd. -Hoch.
Date Reques
/t
�e
)d:— 67 / /.�� / TLms / AN _.pm
Addreen: ,/11 10 "S_ �L�� _ Ll' Permit ii/ OD•� a
Builder:
THE FOLLOWING CORRVCTIONS AI.E REQUTREDs
l
Inspector. Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO APOVE
_Call For Reinep.
�J'FrCfION NOTICE
City of Tigard Building Department
I3125 SW Ball B!vd. Tigard, Oregon 97223
Inspection Line (Rec-U--Phone)c 639-4175 Business Phone: 639-4171
Inspections_ _
Footing Plbg. Underelab VACh. Rough-in Appr/Sdwlk
Found. Plbg. Top Chit des Line FINALS
Post/Bean atruct. San. Sewer framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lire O Id. -Mach.
Date Requested& �J(/ / / -� Times AM 2�---PH
Addresst M-460 U Permit f i
Builders_ 1%1'1.
TAE FOLI.OWIN�C. 00kkMCTIGNS ARE REQUIREDs Bin
�- 8`Q �° -
I dr
Inspector& -- _ Dates _S '1,7- 9.�
AFFM0Vp DISAPPROVRD �APPROVRD SUBJRCf TO ABOVR
Call Pot Reinsp.
INSPECTION NOTICE
Citi of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Llne (Fac-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:`
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Tine FINAL:
Post/Beam Struct. San. Sewer Framing -Rldr-.
Post/Beam Hoch. Rain Drain nsulttion I -plumb.
Plbg. Undorfloor Water Line Gyp. IN. _ -Hoch.
Date Requested /y Time: AM PH
�)
Address:�[/ �9 _ Permit
Builder:
THE FOLLOWING CORRECTIONS ARK !UlQUIRED:
Inspectors ALI Dates—
APPROVED nTS11PP'40VRD APPROVED SUBJECT T, ABOVE
—call For Relnep.
INSPECTION NOTICE
r—ty of Tigard Building Department:
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Tine (Rec-O-Phone): 639-4175 Bunineee Phone: 639-4171.
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Fo•ind. Plbg. Top Out Gas Line FINAL:
et/Beam Strut San. Sewer Framing -Bldg.
oat/Beam M". Rnin Drai Insulation -Plumb.
(Plbg. Underflnor� Water Li a Gyp. Bd. -Mech.
Date Regiented: / _Time: AM _ PN
Addrena: I � S-5- f 0 9 Permit/t: 7-• 0 3�GCj
Builder=
THE FOLLV.;iNG CORRECTIONS ARE REQUIRED:
ell
ZZI ZLI
CL
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N
F-
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J
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CA
L7
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Inspectors Dates - 493
- 4
APPROVED DIJAPPROVED ` APPROVED JE
SUBCT TO ABOVE
Call For Reinsp.
�iPSPECTION NOTICE
city of Tigard Building Department
Z92----
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab C60h. Rough-inApprisdwlk
Found. Plbg. Top Out ��Frais�in
a LiM IINALs
Post/Beam struct. San. sewer -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater]]Line Gyp. Bd. -Koch.
Date Regssesteds �tT - ' — Time: AM — PM
,L�S /� _z�_
Address: , Permit h
Builders clE,�J 1Q( ? r/ >/ t_e —
THE FOLLOWING OORRtCTIONs ARE REQUIRED:
Inspector ----�-- Date:
APPROVED DIBAPPROVRD APPROVED 8URJECT To An My
Call For Reinap.
j-NSPECTION NOTICE
City of Tigaid Building Department
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (P.ec-O-Phone)t 639-4175 Buaineae Phone: 639-4171
Inspections
Footing Mg. Underelab Mach. Rough-in Appr/Sdwlk
Found. plbg. Out Cas Line FINALS
Post Seam Struct. San. Sower
Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
P?bg. Underfloor Water
Line 1 t.,.�. Bd. -Hoch.
Date Requestede- AM pN
Address: Permit #a
Builders
TEE FOLIAMINa 20Ra AR: KWIRRDa
17
Ln
rr
M
H
LD
U!
Inspector _.-------.��_` Dates _
APPROVED DISAPPROIrRD APPRrn7ED SDBJB'CT TO ABOVE
_`_Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart�m
13125 SH Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inapectiona
Tooting Plhg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. Goa Line FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor :tater Line Gyp. Bd. --Mech.
Date Requeste�d]s ` ! �-)[3 Times Am
Addreee: /�/ r��7 D �C/ f-� Permit 1
Builder.:
THE FOLLOWING CORRZCTIONS ARE REQUIRZDs
fti
N
F—
J
G7
V.1
J
i
Inspector: Dates
APPROV=D __ DIBRPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1 �
STATE OF OREGON
LICENSED LANDSCAPE CONT (ACTORS BOARD
AS: NO 5019 ]1
LANDSCAPING BUSINESS NON-EXEMPT ,
ALL PHASES
PLUS OACKFLOM
J
TERRA SOL LANDSCAPING LTD
21685 SM HEDGES OR
TUALATIN• OR 97062-0 ffiF_R
12/31/94
CITY OF T I GARD CERT.1F: :
OCCUP1c;prL of
ANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . i MST93--0135
13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (903)4394171 DATE ISSUED: 1217/02/9z,
PARCEL: IS134AC-06100
SITE ADDRESS. . . : 10058 SW 10';#T'H AVE
SUBDIVISION. . . . : HARTI S L.r',NDING ZONING:R-4. 5 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :032
CLASS OFWORK. LNEW
TYPE OF USE. . . rSF
OCCUPANCY f3RP. :R3
OCCUPANCY LOAD:226 4
TENANT'' NAME. . . :
VIATH I
Uwnery -•-
HOMES
1672 WILLAMETTE FALLS AVE
WEST LINN OR 97068
Phone *i 5S7-8000
Cunt ractor:
RENAISSANCE DEVELOPMENT
!672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phtne #: 557-8000
R e L4 0. . - 4")95'5
Occupancy of the above refprenued building is hereby gi,-oen, and certifies
the compIlL.-Ance with the Stiate Of Oregon Opecialty Codes for the grot.tp,
accupancv, sand use under which the t-eference-ad pet-mit was. issued.
DEPART MENT ECTOR
NCS r ILIAL
POST 114 CONSPICUOUS PLACE
LD
J CITYOFTIFARD PERM I TN#. PERMIT M MST93--013b
COMMUNITY DEVELOPMENT DEPARTMENT
CITY
NOON DATE ISSUED: 03/18/93
13126 SW Hyl Blvd.P.O.Baa 23347,TOM,Orpon 97223(603)839-4176
ARG6 e 1 •1 ;4AG
— r�rnzv+mc� s rCf a-�a TrT�.r _
SUBDIVIh�10N. . . . HORI LWNDING ZONING:
BLCJL K. . . . . . . . . . s a=L.OT, . . . . , r. . .-. •s 32 _ .
LLASaw OF-WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . sSF WASHING MACH. . . . . . . : 1 BACKFLOW F,REVNTRS. . :O
OCCUPANCY CRF'. . :R3 1=LOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH
FIXTURES-_.__-__....__...._.__.._ LAUNDRY TRAYS. , . . . . s0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . :0
LAVATORIES. ,, . . . :4 OTHER FIXTURES. . . . . :0
TUB:SHOWERS. . . . s SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . s 3 WATER LINE': (ft ) . . . . : 1.00
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . , :0
Remaryks v PATH, I
OWNER:
RENAISSANCE HOMES TIF $ 1460. 00 JH 03/18/93 - -
1672 WILLAMETTE FALLS AVE Br RT $ 44;3. 00 .JH 03/18/93 -
BPL.G $ 21.37. 95 JL H 03/10/93 93--23762
WEST 1-INN OR 97068 B5PC $ 22. 15 Jlq 03/18/93 -
Phone 0: 557-8000 SSDC $ 280. 00 ill 03/18/93 -
3PARK $ 500. 00 JFi 03/18/93 -
Plumb%ng Contractors --- - - __..f_.3!__._. PPRT $ 147. 50 JH 03/18/93 -
P5PV $ 7. 38 JH 4:3/18/93 -
No.me : ._ ; . r. ._._ MPRT $ 43. 50 1H 03/18/93 --
_ ni��
Ahdre s s MPL( $ 10. 88 JH 03/18/93
City • 81;at M5PC $ 2. 1.8 JH O3/18/93 -
Reg .
REQUIRED INSPECTIONS
T i i. s nri '_1 e( s i.r e c
`1-ilatiCr' �j � ed in t11e� �r•c� �yc _ipal Foot/fOUnd Insp Rain drain Insp
Code �t'a+,'e"�'c Ore. S) �eci.al�_ C`.e��an r.,,
F y o r i X11 Post/Seam at �t Waiter Line Insp
otF yr applicable laws. All work will be dui :• Post %Beam Me _-han Appr/Sdwlk Insp
i.n accur-dance with approved plans. fh1. s Plm/undslab Insp Mechanical Fina+ +
permit ,will expire if work is nob started PLM/Underfloor Pl-mmb Final
within 180 days of issuance, or if wurP is Mechanic-,al Insp Building Final
suspended for more than 180 clays. Plumb lop Out Erosion Control
NFraming Insp Crawl Drain
Fireplace Insp _--
Gals Line Insp
JC'm -� Insulation Insp
` Gyp Board Insp
�• F4uthorized Plumbinn Contratetor SiynatL1re
LL Call for inspection 633--417'
L-ntractvr Notess
M1i
CITY OF RECE I F'r OF PAYMENT RFCE"I F' I' NP. a 93--L':3 b 39 i
CHECV, AMli(.1NT q 50B';). 54
114011F E2LWA I SSANCE: GUS'•[C)IH HOW-9 CASH AMOUNT a 0. 00
ODDRE"Rc a 167P SW W11_I.AME TI•E: FALLS DR PAYMENT DATE o 03/3'0 93
WEST !._INN, OR SUBDIVIi,IC)N
9'7068....
a AL.IRE f)SF OF P fIYMFNT AT IUI_INT PAI 1) PURPOSE IRP OSE CIFF'AYMFNT AMI)E.INT PA I D
rt:
BUILDING PERM 443. 00 PLUMBING E"F'RM 147. 50
MECHANICAL PE 43. `30 7T. PU71_D PER 31. 71
—� PL.AN CHECK FE': 48. 83 GF:WF'R UGO ::100. 1,F)o
3FWF_Ei INSPECT 35. 00 FARES SDC 5,00. 00
Lo SIORM DRAIN SDC" 00 REFS)IDENT IAI... TRAFFIC FE"E"S 131..10. NQS
w
-+ MASS TRANSIT 1'I F FEES 1 11A. 00
T.u)169, 8 SW 10')TH AVE.
10 T'Al. AMOUNT PAIL) - -- -- `10119. 5 4
C I'l"f 0F I I b r-I R D - Rk-(.',U i V11 OF P0 r ME NT NO. 3 7 f,i?5
(Jif:—Lk ('41110UNT s 2150, 00
CASH AMOUNT IA. 00
E, PAYMENT DWI- 03/10/93
SURE)111 1�IC114
OF Pi,AYMt-l'!I' vimui.wi r r i o PIJRPVIl.;P OF t,t r I -Or.0
I. P411 CHECK F f-' C."50. 00
T '32 HAP I'' IS L F114D I NG
[01AL AMOUNT r,s"11r) 0171
CITYOFTIFARD
CnYF RD MOSTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT ORONON
TC3-- 5
13126 BW HWI Wed. P.O.Box 23397,Tigod.Orepn 97 (SW)839-4175 PERMIT #. . . . . . . . MST91Z11_-,
:39••-4.17 i DATE, ISSUED. 0,3/18/93
GITE ADDRESS. . . : 10358 SW 1179TH AVE. PARCEL: IS134AC
SUBDIVISION. . . . : HART LANDING ZONING:
'iLOCK. . . . . . . t LOT. . . . . . . . . . . . .32
BUILDING
REISSUE: DWELLING UNITS. 1 BASEMENT. . . . . .. . . :0 s
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :783 sf
TYPE OF USE. . . -SF FLOOR REQUIRED
TYPE OF CONST. :51\1 FIRST'. . . . .-935 Sf LEFT. . :7 ft RIGHT. :8 ft
OCCUPANCY GRP. .93 SECOND. . . : 1011) St FROM-. :;0 f t REAR. . :5 8
;-I URIES. . . . . . . :Z' THI RD. . . . :0 S f REQUIRED_...____._-._-_ -
I iE I GHT. . . . . . . . :26 (`.L TOTAL---- 1954 S.f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . -40 psf VALUE:. . . . . 1039 7E1 PARK ING SPACES. . : 1
Remarks : PATI.-i I
PLUMBING
SINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS3. . -0
L.AVAYORIES. . . . . .4 WATER HEATE.RS. . . I TRAPS. . . . . . . . . . . . . :0
TUB/SHOWERS. . . . G.3 LAUNDRY TRAYS. . - IZI CATCH HASINI.:3. . . . . . . .!0
WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE 'TRAPS. . . . . . . 30
DISHWASHERS. . . - - I WATi_-__I`R LINE (ft ) . ' 100 OTHER FIXTURES. . . . . :0
GARBAGE D15P. . . : 1 RAIN DRAIN (ft ) . :O
WnShINU MACIA. . . . 1 SF RAIN DRAINS. . : 1
MECHANICAL FEES
F:UE'L TYPES--- ----- UN I"I" HTRG. . ,@ 'type amount by date v,ecpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 03/18/93
MAX INPUT:0 BTU VENT FANS. . :4 Llr'F?T $ 443. 00 JI-I 0.:3/11-3/93
FURN < 100K . . ., I HOODS. . . . . . . I HPLC s 287. 95 JLH 03/10/93 93-23762`
FURN ) -100K .. . .0 wuoDsTovLs. :o B3r,c t 22. .1',5 JH 03/11-3/93 --
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 03/18/93
--
BOIL./CMP � 3HIZ-0 OTHER UNITS-. 1 PARK $ 500. 010 JH 03/18/93
GAS OUTLETS: 1 PPRT $ 14 7. 50 JH 03/112/93
Owner- , $ 7. 36 JH 03/18/93
RENAISSANCE HOMES Iv1PRT $ 43. 510 JH 03/18/93
167,2 W1IA_P.MF:'fTE FALLS AVE Mf-`LC $ 10. 86 JH 1&3118193
115PC $ 2. 18 JH 03/18/93
Wr-S'T I-INN OR 97068
Pnone #. 557-8000
Cont,r-actor:
RENA I SSANCL'" DEVELOPMENT
167L SW WILLAMETTE FALLS DR
rl:
WEST Ll NN OR 97068
_-,Ihone #: 557-3000
49955 .......
$ :3204. 54 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
LD
'igard Municipal Code, State of Dre. Specialty FodeS and all other Foot/found Insp Fii,eplace Insp
applicable laws. P11 worl, will be done in accordance with approved Post/Beam Str-uct Gas Line Insp
plans. This permit will expire if word is not started within 18e Post/Beam Mec:hAn Insulation Ins,
jays of issuance, or if Pork is suspended for mor t - 188 days, Plm/undslab Insp Gyp Board Insp
PLIYI/Ur)det,f I a or- Raj.n drain Insp
SignAtuv"e , Mecliani.czal Insp Water Line Insp
Plumb Top Out Appt-,/Sdwlk Insp
By : Framing Insp Mechanical F i na I
Call f:vt- ITIq
L ,pec,t i cin .- 639-4 .75
(CilS 'WER CONNECTION
CITYt7FT1��4RD ,
COMMUNITY DEVELOPMENT DEPARTMENT o i o11111 � PERM i 1
13125 MY Hell Blvd. P.O.Boer 23307,Tip W,Onpon 07223(603)430- 176 i..'E:R M I f #(. . . . . . .
T Fn ? -4171 DATE* I;:SSI..II"D: 03118193
51TE ADDRESS. . . : 10858 SW l0'r'1H AVE PARCEL: 1S1 4f4C--HL031:
SUBD1V151ON. . . , HART LANDING ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :32
TENANT" NAME. . . . .
USA NO. . . . . . . . . , . FIXTURE UNITS. . . .
LLASS OF WORK. . . :NEW DWELL I NL UN I T5. .. : 1
TYPE OF USE:. . . . . :SF NO. OF BU I LD I NGS: 1
I.IuSTALL TYPE. . . . :BUSWI7 I Mf•'E RV SURFACE. : s f
r�marks> : PATH I
ijw.,er. —._.__._.__________._____..___—__.. _____.___._. __.____...._______.___. FEES
17.ENAlf:IGANCE HOMES tvpe amol_rnt My date r^e:cpt
1672 WILLAMETTE FALLS AVE rRMT fi 2100. 00 .;H 03/18/93
IN;:?! -5. 00 JH 03/18/93 —
t.aEST L.INN OR 97068
'hone #r: 51J7-8Qe011r
UNI RACTOR NOT ON FILE
►!honer #: $ .:2135. 00 TOTAL.
-------- REGOUTRED I:IVSPEC"i IONS
"iis Applicant agrees to comply with all the rules and regulations Sewer Tnjpecctior
:f the !inified Sewage Agency. The permit expires 180 days from
tie date issued. The total amount paid will be forfeited if the
;,ermit 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 Agency will i�sta I a lateral.
P a r•m i.t t e e
Call for inspection — 639-4175
13125 SW Ilan 13W. PLNCK/RECT #
CITY OF TIGARD PERMIT #
COMMIJN17T DEVELOPMENT DEPARTMENT Tigard,Oregon 97723
(503)639-4171 DA fE ISSUED r
IUYS�( �a . 3��
JOB ADDRESS: TAX MAP/LOT
SUB: , '- `> �� LOT: _ S nZ LAND USE: _
VALUATION: .l03 C/f
OWNER SPECIAL NOTES
NAME: _ fir% ��S~5. �'ldlf REISSUE OF:
ADDRESS: /C �oZ �/l� i/»�E7�1�5 1� LAST REISSUE: _
FLOOD PLAIN/
PHONE: S S / � ' SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: �� { _ PLANNING:
ADDRESS: ENGINEERING: _
FIRE DEPT: _—
PHONE: _ OTHER:
CONTR. BOARD #: l �S"SEXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: ��� L`ST/SUBCONTRACTORS:
MECH: '1?-/Z BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME:
L �, /-I TRUSS utTAILS:
_ "
ADDRESS: �` l /Li�� X-4 OTHER:
PHONE:
PROPOSED BLDG. USE: --
COMMENTS:
APPLICA T SIGNATURE
Received By, Date Received: l -3
��� -
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
M -0135 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees 3•S _ 3
10-230 01 State Building Tax (5%) 2 . �� 301
Building
Plumbing 7•�3' i�
Mechanical
10-433 u0 Plans Check Fee
Building J2ff
Plumbing
Mech n i cal
10-2.30 06 Fire /
✓.'&) -011730-202 00 Sewer Connection y__ _ 0u
30-444 00 Sewer Inspection S _ 35
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /3 S U 13's 0
25-448-05 Mass Transit TIF Fees _ //U _ _ _&0
52-449 00 Parks System Dev Charge (PDC) SC)0 .
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WP1