11881 SW 113TH PLACE-1 i �
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WIWKWIOP
CITYOFTIFARD C(7-RTjf71CAT'E OF
WYOFTM OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT IsReoon "FMIIT #. . . . . . . :
13125 SW Hii Blvd. P.O.Box 23397,Tigard,Oregon 97223(603 0344175
'.311R ADDREF35. . . 11881 3W 11, TI-1 Pl- PARCEL: IS134DC-- 11000
�iUBDTVISION. . . . PARTITION PLrIT 1991- 044 7 ON I NG: R 4. 5
BLOCK. . . . . . . . . . s L.01.. . . . . . . . . :3
C
,LA-�35 OF WORK. cNEW
ryr,,,,7 OF USE. . . :Sr-
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:,225 4
TFNANT NAME-. . . t
Remarks -.
I-LOYD OL SON
Q'I I B ri X 948
oLOVEPTON OR 97005
Glhwie #: 6Z28-24r_0 i
Contrartors
k.LOYD OL.SON
17T I AOX 943
BEAVE ETON OR 9?005
Photte #:
Rep #. . : 5021988
Occ-k.tpanry of the above referenced bi.tilding is hpr-f,,bv given, and certifies
the compliance with the Gtatt� Of Oregon 1-3pecialtv Codes for the grolip,
ouc'upiaticyt ktlff k4be IATKIPt- which the referenced pormit was isfaued.
FIRE DEPARTMENT SU .1)INGe114qPtCT6R'
"U
�-Mlc!7Ir
POST IN CONOPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Building DepartAlent
1.3125 SW E811 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: -
Footiu9 Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top CVY Gas Line FINAL:
Poet/Beam Struct. San. Sewer. Framing
Poet./Ream Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested:_ -_Times AM pM
Address: // Eel V Permit Is
Builder: (_
THE F01L0i1ING CORRECTIONS ARE REQUIREDt
Ins for e - Dater e-
APPROVED DISAPPROVED APPROVED SUBJECT TO AHM
call For Rainap.
w w ! r
City o
3125 SM t
Inspection Line (Rec-c:-t.._ b+4-4171
Inspection:-
Footing Plbg. Underalab Mech. Rough-in Appr/adwlk
Found. Plbg. Top Out Gas Line 1IRALe
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post_/Beam Mech. Rain Drain Insulation -Plumb.
P1bg. Underfl.00r Water Line Gyp. Bd. -Mech.
nate Requested: ! ;2J-_ __Timet Q/ �11M�! 7�y _PN
Address: Permit
Builders
rBE FoLLONI110 CORRECTIONS ARE REQUIRED:
_..Q t CLI.i
n tis (7
SDR tri-.,�Cc.L+-o-✓ /�- ati
Inspector:
APPROVED DISAPPROVED APPROVED SUB.IP.r-r To ABOVE
tall For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PIM$
-81
Poet/Beam Struct. San. Sewer Framing d9
Post/Realm Mech. Rain Drain.
Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. &h
Date Requeateds el Times
/ / yh /
ones
Builder:
TflZ FOLLOWING CORRECTIONS ARE REQUIREDs
�_G
G �
— +—
Inrpeetor+ — Dates
APPrA"D DISA✓PPROVRD APPROVED SUBJECT TO ABOVE
Call For Ralnap.
INSPECTION NOTICE
City of Tigard Building Departm—t
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone= ' 9-4171
Inspections --
booting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
bound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -bldg.
Post/Beam Mach. Rain Drain Insulation ,( Vumb )
Plbg. Underfloor Nater Line GYP• Od• �-Neochh..
Date Roquenteds �1 Times AM PM
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
C 7 L
1
Y
Inspector= L� Dates Is?— /_
kAPPROVSD DIRAPPROVBD APPROVED SUBJECT TO ABOVE
Call dor Reitimp.
1=jW_
INSPECTION NOTICE
City of Tigard Building Departeient
13125 SU Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspecti-on:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor Water Line Gyp.
Gyp. Bd. -Mech.
Date Roquested: / -! Time: AM PM
Permit f:`'I Z;e, T
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4
i
;
-- --- do —
Inspectorf J --�--- Dater
-----APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinep.
INSPECTION NOTICE
city of Tigard Building Department
13125 BW Hall Blvd. Tigard. Orw an 97223
Inspection Line (Rec-4-Phone): 639-4175 Business Phone: 639-4171
Inspection: -U
-
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. Bower Praminq -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor /Water Line_./ Gyp. Bd. -Mech.
Date Requested: v "7 f Timet
Addreess SW Permit fs
7
Builders '
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7 p
tnepectors 1 _ _`_ Date:_CJ
e—MrnOVSD DIBAPPROVSD APPROVED St)BJECT TO ABOV2
Call For Rainsp.
■ R ■ ■
INSPECTION NOTICS
City of Tigard Building Departsent �✓
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg`yIIdflt\ab\ Mech. Rough-in ApprjSdwlk
Found. < Plbg. Top Out J Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor G Mater Line Gyp. Bd. -Hoch.
Date Requested: Q �C�� Time: x/—/ 7N PM
Address:1I Q // �� � Permit /:
/ fin/
Builder: • L �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G ,
Inspectors
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BUBinesB Phone: b39-41 1
Inspection: ii�'/'/::3C�
Footing Plbg. Underelab Mech. Rough--in Appr/8 '
Found. Plbg. Top Out Gas Line FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: QQ -7 F Times A—,--
Address: �` P�l �/�1 i i Permit 1t��- c': �7?•-
Builder �� >Liye=v/ 9l-00 '7 l, 1—
THR FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ Date:
APPROVED DISAPPROV=D APPROVED SUBJECT TO ABOVE
��Call For Reinsp.
WqFJUWL4WJUWJ�4WLWjq1!KMF�MwfiwBw��
INSPECTION NOTICE,
City of Tigard Building Department
1.3125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-.Ph,3ne): 639-4175 Business Phone: 639-4171
Inspection:_ �- -- -- —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. an. Sewer Framing -Bldg.
Poet/Beam Hoch. in Drain/ Insulation -Plumb.
Plbg. Underfloor star Line Gyp. Bd. -Mech.
Date Requeatads �G Time: ,AM
Address: 1�/J �� �� rte^' Permit
Builder: — -- -..-.---_-----
THS FOLLOWING CORRECTIONS ARE REQUIRED:
�r
Inspectors Data: ec/
APPROVED DIBAPPROVED APPROVED 800JECT TO 11001E
Call For Ibinap.
INSPECfI.ON NOTICE f/
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. Ban. Satter Framing -Bldg.
Post/Beam Hoch. in Drain Insulation -plumb.
Ploy. Underfloor. Nater Line Gyp. Bd. -Hach.
Date Requested: `q-'XT/ _T imp. J((--.AH -
Addreset -_// / / -3 � . Permit 1:
Builders '- -
TB= }OLLOWjWG OORRBCTIONs ARE REQUIRED:
i
1nalwctor: _ _ _ Date:
UISAPPROVRD APPROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTICE
laity of Tigard Building Depar*=nt
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 7
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALi
Poet/Beam Strucr_. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mech.
Date Requested: `� — I - I Time: AN PN
/ ddd��.l_• 1 I l//--3�' �� . Permit
Builders JA n- ('2 - 7U-2
TBE VOLL0WINO CORRECTIONS ARE REQUIPEDS
Inspector,_ Data$
—AppppVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
WrJLW_XMFj[ff_ M M MW
INSPECTION NOTICE
City of Tigard Bui)dinq Department
13125 Sp Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection• _ ---- ------
tooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. plbg. Top Out Gas Line FINAL:
Framing -Bldg.
iPost/Beam StruSan. Sewer
rd M�eo
Rain Drain Insulation -plumb.
ost/Bea
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Q �' T _ 1Vy PM
Date Requested:_. � -----
ime s
iJ l n
Add room: O I �� Permit
Buf.lder:_ ��
TAS FOLLOWING CORRECTIONS ARE REQUIRED:
,�__ ltitv�a S•LL __ i
i
r l /U - qi
Inspectors Date:_
ApPR D DISAPPROVED __- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart--t
13125 99 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Pang. Top Out Gas Line FINAL:
Poet:/Beam Structs San. Sew -Bldg.
Framing g•
Poet/Beam Neth. Rain Drain
Innulation -Plumb.
Plhq.
Under fl r-) /Water Line Gyp. Rd. -Meeh.
U � T Loe: __. _�AM _.__PM
Date Requested:_-j�lff«
�..� -LZ;G
Address: Permit
--
Builders_---� � ---- —--.
THE FOTJ.40WING CORRECTIONS ARE REQUIRED:
:,� C � T
Inspector Dstes
s/
7r "PROVED DIBl1PPROVRD APPROV=D SUBJECT To ABOV3
T-T Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departsent
13125 SW Hall Blvd. Tigard, Oregon 97223
,nepection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:- -------- -
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
6�, Plbg. Top Out Gas Line FINAL:
�l�x�—
Poet/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech, Rain Drain
Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
y�C Time: �AM PH
Date Requestedt._.�
Address: Permit «:
Builder:
9
THE FOLLOWING [XIRRECTIONS ARE REQUIRED:
b
Inspector: _�nates 60 - �� — 4
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Ralnsp.
i
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec.-O-Phone): 639-4175 Business Phone: 639-41711
Inspection: --
i
Footing Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk
f
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Draiu Insulation -Plumb.
P]bg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: - ) el- Time:
' 1
Address: Permit
��( � �
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
��F�i+%71�W7G T.9.» L��` _lti.�n' 4�= �i,J,!»I� lJi%l5 s••i7T-
✓ct as...'�.'j -
(�-' �OL�D J-� � ', ice.✓C'T'c.:`�'"�
inepector: i _._ Dates __-_--
APPROVED DISAPPROVED (---RPPROVED SUBJECT TO ABOVE
Call For Reinsp.
iir f 111
wxwff��Wxwxi vllii�i�i'I
CTY OF TICA RD
C"(0)FTLID MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 0216M
13125 SW Hall BW P.O.Butt 23N7,MpW,Oregon 91 (503)ON 4176
C) 7 T PTE 1SSIJLD� 0.5/2,9/91
;-'t- O PARCEL: I513411L-O '
LJ8 1)+1 V 1 S ION. 7 ZONING:
1k.00J. . . . . . . . . . . LOT. . . . . . .
BUILDING
REISSUE: DWELL I NG LIN I TS. I BASEMENT. . . . . . . . ..it) S f
CLASS OF WORK. -NEW BEDRMS:3 PATHS-3 GARAGE. . . . . . . . . . ..418 sf
T �F--E OF USE. . . :SF FLOOR ri PEPS REDUIPEr
iYPE. L)F CONST. :5N FI RST. . . . -899 s LEFT. . -20 ft RIGHT. -.6 ft
'117CIJPnNCY GRP. :R3 5ECOND. . . :871 s'1", F ft ki PI'li. . :..27 Vi
0 R 1 F S. . THIRD. — :0 sf REQUIRED- -_.__..
HIE IGHT, . . . . - . . -".2 9 ft TOTf)L - 1770 r f SMOKE DETECTOR!7S. , Y
1-'LOOR LOAD. . . . :40 psf VALUE. . . . . $ 1 68944 PARKING SPACES. . :0
RpmarKs. tl-)ese items m,-tst be (Jtwe belov,e c. o. can be isv.ie 1. coriditicn #3 floc(i
PLUMBING
I.r,o(:)R DRAINS. c QA F3ACKI`:L0W PREVNTRG. . 141
_AVATORIES. . . . . :4 WATER HEATERS. . . 1 7'R AP S. . . . . . . . . . . . . . .0
TlJl3!5i . . . -2 LAUNDRY 'I'MyS. . . Q.) CPT'04 B(ISINS. . . . . . v :r?j
,-JATER CLOSETS. . :3 SEWER LINE-: (ft ) . i QA GREASE TRAM'S. . . . . . . :0
D T SHWA G3HERS. . . . .. I I JATFI"rR LINE ( ft ) . 100 OTHER F I XTURES. 0
GA RBANE D I SP. . RAIN DRAIN ( Ft ) . s 0
W.00H. . !3F' RAIIA DRAINS. .
MCG'HANICAL FEES
UNIT IATR(33. . -0 t Yoe '.41 M o I.,ri t I:y rJa t e t'pcpt
VENTS . . . . . :0 T I F 1350. 00 JLH 05/219/91
INPUT :O B TIJ VENT FANIS. . ,;4 nPP!, q, 400. Q)Q) -1-14 05/.-11)PI I
N C 100K . . sl HOODS. . . . . . .. I BPLC 260. LAO JLH 05/83/91 21359.:--.
JRN -10011, 10 w000s'rnvrs3. o B 15 P C _10. 00 JLH 0 7�/2 9/91 -
r:
r.'LOOR TURN. . . . :0 CLO DRYLPS. I SSIDC 91 375. CAO JLH 015/29/91 -
M)IL/C14P < SHP-0 OTHER UNIT" : 1 P(I p K 1, 300. 00 J L 1-1 0 5/x"9/r�I -
GAS OUTLETS: I Mr.'1RT 143. 50 .31,H 05/29/91
INIPI.X 10. B8 ILH M3/; 9/91
LOYD OLSON M51:�'c 2. .16 JLH 05/29/91
1. T I BOX 940 PPPT $ 140. 00 JI-1.1 05!;=,9/'31
P`)PL $ -1. 00 J LH tab i:,9/9 1
-)VERTON OR 'I,700�5
�'One #' bc:'6--24j_'Q1
Qntrartwr-r
( Clyo 01".13ON
Ij ! I. BOX 948
140VERTON OR 97005
628-2420
529se a 1013. 56 'T0'TnL
This tierlit is issued subject to the regulations contained in the REQUIRED INSPE L-rION�,
Tigard INIunicipal Code, State of Ore. Specialty cocas and all other Foot/fai.inrl Iriso FL i?.pplairp ins 0
colicable laws. All work will be done in accordance with atoroved V'0';t /BeAM Stt-LtVt Gas Line Insp
laps. This pervit will eyoirp if wr, it not started 181 Post /SpAm MpchAn Ins;LtlAtion Insp
days of issIft urce, or if Pork is sus '-p, Plim/l.indslari Insp Uvp Bcvarcl ftisp
I'Al " t n d rl ri
'.'l 11 7(.1�4 rl'i - n
T1 p Cn ca
c' IUMtl TOO Cl'.Jt Appr/5dw1k Insp
15 ",11 Pd BY :
i
i
CirfOFTIGNO ALix
SEWER CONNECTION
4
COMMUNITY DEVELOPMENT DEPARTMENT � PI RMI T
13125SAN Him BWP.O.Bac,1MV,Tiprd,CkW07223(603)tl394175 PERMIT #. . . . . . . : SWR91-0105
6,39-4171 !:.ATE ISSUED: 05/29/91
3 T TE I)DRESS. . . : 11811 SW 113TH PL VIARCE:L: 1 S 134DC—OL.?,
3UDD I V I S I ON. . . . : 11L.F'9 0-00 1.7 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
TENANT NAME. . . . . s
USA NO. . . . . . . . . . : FIXTURE: UNITS. . . .
;I..ASS OF WORK. . . -NEW DWELLING UNITS. . : 1
i'YF'E: OF' USE. :SF IdO. OF' BUILDINGS: I
T NSTALL TYPE:. . . . :BUSWR I MPE RV SURFACE. . :
Remarks:
Owner. _.___..__._____._.___...____.R.__.___._._.________ __ _
• _ __.__________ FEES —_..._,.._____...____
LLOYD OLSON type amo+.snt by date recpt
PT i PDX 948 F'RMT $ 1500. 00 JLH 05/y9/91 —
.;LAVER MN OR 9700
'hone #: 6ii�8-244:0
'ON7 RACTOR NOT ON FILE
#: __.17-1,35. 00y TOTAL
Re[] #. . .
-- - REPUIRED INSPECTIONS
"his Applicant agrees to comply with all the rules and regulations Sewer�Inspect i on
the Unified Sewage Agency. The permit expires 120 days free
the date issued. The +otal &Brunt paid will he forfeited if the
2ersit expires. The Agency does not guarantee the accuracy of the
0* sewer laterals. If the sewer is not located at the measurement
even, the installer shall prospect 3 feet in all directions fro# _
,he distance given. If not so located, the installer shall purchase `-
a "Tap and Side Sewer" Permit and the AnenCy will instal ? iate"al,
arm i t t e! 51 gnat 1-gyre •
5 V U ef
I P v s
Ctrl 1 fqr^ ihsp0ct i on - 639-4175
f
F
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. t 91 13741
CHECK AMOUNT : 4543. t56
NPME OLSON, LLOYD CASH AMOUNT 0. 00
AUDRESS a PAYMENT DATE 05/29/91
SUBD 11)1 S I ON
PURPOSE OF PAY111F114T AMOUNT PAID PURPOSE OF PAYMENT PAID
itj- i—LDING PERM 400. 00 PLUMBING PERM 140. 00
ML,CHANlCAL PE 4 3. '50 ST. BUILD PER 29. 1 a
PLAN CHECK FE 1 71►. 88 SEWER USA 1501b. 00
SEWER INSPEur --35. 00 RESIDENTIAL TRAF=FIC FEES, 12.50. 00
PARKS SDC 500. 00 STORM DRAIN GDC 375- OIA
MASS TRANSIT TIF FEES 100. 00
11,811 SW ll ,-:,Tli FIL
TOTAL AMOUNT vfim 4543. 56
• r
�I
if
C 1"1 Y OF T I GARD —' RE C:E 1 F=AT CIF' PrIYMF.NT RECEIPT NO.
CHr:CK AMOUNT 100. 00
t,4r;mr-. : 01_9,0N, 1_1_CIYD CASH AMOUNT 0. 00
ADDRESS a PAYMENT DATE
SURD IVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE UF' PAYMENT AMOUNT F'H1D
FLAN CNECh'. Fh 5--41 F2 100. 00
a
] 181 1 8W 1, 13TH Pi...
TOTAL. AM(,:)I INT PO I D .. , 100. 00
7
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