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11942 SW 113TH PLACE p . . ! CITY OF T i OARD CERTIFICATE OF' OCCUPANCY COMMUNITY DEVELOPMENT DEPARTNNT PERMIT #. . . . . . . . MGT93-121190 13125 SW Hall Blvd.Tigard,Oregon 972239819g.-g03,q), 9A1 71 DATE ISSUED: 09/A0/93 PARCEL: 291.03AD-03POO �JITE ADDRESS. . . : 1194*'. SW 11311A PL SUBDIVISION. . . . : MEADOWGLADE ZONING.-R-4. 5 'D BLOCK. . . .. . . . . . . s LOT. . . . . . . . . . . . . .11110 1 CLASS OF WORK. :NEW T"PE OF USE. . . li SF OCCUPANCY GRP. .-R3 OCCUPANCY L.OAD:229 Tr-'N(-)NT NAME. . . : Remarks : PATH I Owner I-LOYD OLSON Phone #P. Contractors 01-SON DEVELoPmEtirr P'T .1 Ll 0 X 94E! BEAVERTON OR 97ti)e1r) Phone #: 628 -2420 Reg #. . : 521)(38 OCcupaney of than above referenced bUilding is hereby given, and (,E-rpt ifi(-,- the compliance with llh�, Gtat (- Of Cregan Specialty Gode-3 for the group, occupancy, and Li,.iw undpi which the t,eferenr.vd permit was issued. FIRE DEPARTMENT IN PECTOR Sul 'D F-dEAC PO.�3,T IN LONSPICUOUS PLACE CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT . . . . . .. 13125 SW Mail Blvd.Tigard,Oregon 97223*8199 (503)639-4171 I:PTE ISt:.;UED: OLTE I SW -i I-'L., PARCEL: L3102AB- 07: ..iJI-111 I V 1 t3 I ON. 1yfEAI)Q-,4GLkDL ZON ING.; R-- 4. 5 V11 . . . . . . .. . . . . Lu r•. . . . . . . . . . . . . . BUILVING -------------- ---------------- 1SWE. DISLLLIN6 U,k4 I TS 1 bl4SEIYIENT. . . . . . . . .0 !; f .:;LOSQ OF WORK. :NEW DEDRIM60 BATHS:3 GOWE. . . . . . . . . . i460 5f inpE OF USa. . . %Sr FLUOR AREAS--------- - - - i ;.:-i-44LKU---------- -- iY&E OF CUNST. :5N FIRST. . . . : 1007 of LEFT- 0 ft RIGHT. 0 USCUPANCY GRP. Q GLLOND. . . :803 e FNUNT. .30 f t FEAR. 6b f . . . . . . . ac THIRD. . . . i Q1 Sf REUUIRED------------------- I iE.i i"IH i'. . . . . . . . :a9 ft TOTAL--: 1810 a f SMOKE DET ECTURS. CY � LOUR LUAU. . . . 00 pst VALUE.. . . . . 1z : 91900 PARKING '13PACL S. "emarks : PATH 1 ILUMBIN6 ---- . . . . . . . . . I i'"LOUR DRAiNj. . . . :0 1, f"F Lj W P R,E:V N i,14, ,AVATURIEw. . . . . 14 WATER HERTLRS. . . : I 'REP S. . — . . . IUD/bAUwLkG. . . . :Z LAUNLkV !HAIG. . . :0 COTCAA EASINS. . . . . 1 0 WRiEP LL0bLTS. . : 3 SEWER LINE (f& . Q CSI LASE rRAPS. . . . . . . vol 1,'10AWwSHLRL. . . . vi WATEh UNE Qt ) . i 100 Oflir-R F71 A IOREF.�. . . . . ..v; 0ARIsquE DISP. . . i Ri"41N DROIN ( ft ) . -0 I 'Lip", RAIN 1)'EG�-IPNILAL FEES UNI ;' H T RS. . :0 type alnuunt by (JaW. 0 1460. 00 JH 04/15 VE-1,45S . . . . . : TIF NP'y" to L. 1 U V041' i- ANS. . ;4 1 t Ij171l). ,110 JI-1 04/ 1 tURN < LOOK . . ri NOD%. . . . . . 11 BPLl- $ 263. 85 JLH 03/301j3 I :jRki e' '-1 , . . .0 viUlJl)bTJVLV. 71D .;:,L'' . Aj j.� ji j 0 4/ I.a, :' --, V o(:OR FURN. . . 10 CLO DRYERS. i I ssuk, 4 260. 00 JH 04/15,, r, 0W .LiLMn i &TwO UfnLN UNI%il 140 w 500. 00 JH 04/ 15, ' UAb OUTLETS: 1 MPRT 6 43. 50 JH 04/15 0'." -111VA-C 4, i0. CA 6 j H IZI 4/I a 1-LC-,VD U'Uckol M5PL $ 8. 18 JH 04/15,,93 PPRI % i z;7. 150 JI-1 lb 4/ 15/'x.5 p5PIC $ 7. 38 JH 04/15,193 3UX f)46 ti $ 3146. 14 10701- I :s50: SA"t to the rg"CAn amund in Me RLUU I RLD I NLPEUI I UNS L Xipa. Lit,, Stitt ' rare. Epeciaity Lowes and &III othei, rout/ found Insp Fireplace insl, i:oos. t5o: K hill be dune in narthinq wdh approved lost /Beam struct Gas Line In9p w3un148 fw&/Peam Mechan Insulation Insp *s. 6 Lm/undslab Insp; Gyp Board Insp l- LM/Underflaar Rain LP ain c� -- _ _ . rl,�u;ra�nir� rl Lnsip Watev, Line P umb Top Out Appr/6dw1k F -aming Qap Mechanics] INSPECTION NOTICE city of Tigard Building Departaent 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phona): 639-4175 Business Phones 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line �FINALs Poet/Beam Struct. San. Sower Framing Post/Beam Mach. Rain Drain Insulation 4-P14 Plbg. Underfloor Nater Line Gyp. Rd. Date Requested- � 1c) Times RI( PM Addreaes2 (3!t- Permit is Builders ` �Loa THE FOLLOWING CORRECTIONS ARE P-WIREDs Inspectors1 —,—--T — _ Dates / —�� 7.3 APPROVED �^ DISAPPROVED /----APPROVED SUBJECT TO ABOVE Call For Reinsp. NSPECTION NOTICE City of Tigard Building Department 11125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Ptone): 639-4175 Business Phone: 639-4171 _nepect.i on% _ Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL% Poet/Beam Struct. San. Sewer FramLng -Bldg. Post/Beam Mech. Rain Drain ( Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hech. Date Requested:� Time: _ _AH "PH Address:_ I�1 rr'v� ��– – Permit Builder- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:. ,^ — Dater � G/APCROVSD DISAPPROVED APPROVKD SUBJECT TO ABOVR Call For Reinep. INSPECTION NOTP-CE City of Tigard Building Department C/ 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O--Phone): 639-4175 Business Phone: 639-4171 Inspection:— �-1 l�-j Q Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Pound. Plbg. Top Out saai Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -P1.umb. Pl.bg. Underrloor Nater Line Gyp. Rd. -Hoch. Date Requesteds � 1, -Times Times AM PM Address s � Permit 7 -xZI) Builders THE FOLLOWING OORRECTION8 ARE REQUIRED: I r"00 �.l o�f ��-l�Z\\ S y--✓�G CJ S.re 7 0)L S �� Poo fY H to — J !11 J Inspectors t-��. _ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE i. City of Tigard Building Department 13125 SLI Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection:- Footing ' 1 Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Ralu Brain Insulat�ion -Plumb. 21bg. Underfloor Water LineOyp, Bd. .' -Mach. Date Requested: 1 L -C t� Times� AM{ PM Address: 1 �-r� Permit its 1.13 -/,)0 _. Builders a _ THE FOLLOWING CORRECTIONS ARE REQUIREOs �� \A YIN^ A Lc Un M Inspectors, Date APPRWLD DISAPPROVED APPROVED SUBJECT TO 11OM Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaont 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspections, Footing Plbg. Undorelab Hoch. Rough-in Appr•/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sower Framing -Bldrj. Post/Beam Hoch. Rain Drain Insulation -P'.umb. Plbq. Underfloor Nater Lino < Gyp. Bd.` -Hoch. Date Requestedc_ Time: AM PH A Address. � � (I 'fit Z- � �� ' Kermit 1 s Builder: TB= FOLLOWING OORRECTIONS ARF; RRQUIREDt Dates z - -- DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. Www INSPECTION NOTICE City of Tigard Building Department 13125 Sri Ball Blvd. Tigard, Oregon 97223 Inspection Line `(Rec-O-Phone)t 639-4175 Business Phones 639-4171 Inspections rooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk round. Plbg. Top Out Gam Line FINAL: Post/Beam Struct. SAn. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain ( insulation .) -Plumb. Plbg. Underfloor (l,Nater Line oyp. Bd. -Koch. / 1 Date Requested: Address: I I I �}� a I .� Permit t 1 y L 7 0 Buildort THE FOLLOWING CORRECTIONS ARF. REQUIRED: L U O<" Z,✓ �t Q vv-,,-3, mss--/ C -e. \,--.A `-�' t�1'r -e. e'`S . / 1 ✓� I c: yy1y� c.� L'C/V.,- s �Z2 J e7�/" spa <$ S i Inspectors Datet 1// r --APPRO{RD DISAPPROVED ✓ APPR04ED SUBJECT TO ABOVE Call For Reinsp. NS ECTION NOTxCL City of Tigard Building Departeent 13125 ON 3al.l Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top out Gas Line FINAL: Poet/Beam Struct. San. Sewer 1laaLng \ -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp. Rd. Date Requestedt `+ ! ` ' ---Time: PM Address: A� t, Permit f Builder. TBE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors i v APPROVED DISAPPPOVRD APPROVED SUBJECT To ABOVE _—Call For Reinsp. N�,SPSCTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)! 639-4175 Business Phone: 639-4171 Inspectiont Footing Plbg. Underalab M*h. Rough in Appr/Sdwlk Found. Plbg. Top Out Can Lin* FINAL: Post/Beam struct. Ban. Sewer K ing -Bldg. Post/Beam Hach. Rain Drain insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Data Requestedt / _[�� Time: AM PM Addresn: /C // ✓ Permit Builders TRE FOLLOWING CORRECTIONS ARE REQUIRED: V "1i (n I� C) LL) J Inspector:_ "AZY APPROVED A DISM!/1pVlD APPROVED SUBJECT TO ABOVM Call For Rainsp. INSPECTION NOTICE f City or Tigard Building Departamot 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec•-O-Phone)t 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k Found. Plbq. Top Out Cas Lina FINAL: Post/Beam struck. San. Saves Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor. /Water Une Gyp. Bd. Mech. Date Requestedt t1� C� --Times / AN PM Addrene: �7 Z /�.(� Permit Builders � '�►� THE FOLLOWING CORRECTIONS ARE REQUIRED: _ f O. 2 1-- V) J .r — m J InspeotOr/__. Fsat e! �JIPPROVND DIS .✓PROVED APPROVED SUBJECT TO ABOVE —Call For Reinsp. jN6PECfION NOTICE r? j City of Tigard Building Department 13125 BO Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec 4-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Cas Line FINAL: Post/Beam StruCt. San. Sewer Framing -Bldg. a• N�oh Rain Drain Insulation -Plumb. P�bg. undertloor WaterLinoGyp. Bd. -Nech. Data RequeetgdS / '-�'J _Time: /_2�_AN PH Addrenn: 1T � Permit ft Builder: THE FOLLOWING CORRECTIONS ARE MVIRED: �- Inepec�tor: APPROVED DISAPPROVED APPROVED SDB.TECT TD ADpyR --Call For Reinsp. INSUCPION NOTICE 1: — City of Tigard Building Departaeet 13125 Bw Hall Blvd. Tigard, Oregon 97223 Inspection Lime (Rec-o-Phone)s 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Onderelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. art. 8 Framing -Bldg. Post/Beam Mach. n Drai Insulation -Plumb. Plbg. Underfloor Gyp. Bd. -.Mech. 77//Date Requested: �-iatorL �f C� _— Times pp Address: L Permit Bullders THE FOLLMING OORRECI'ION$ ARE I.EQumm J m J Inspecrto`rs _ i Dater APPROVED DISAPPROVED __ APPROVED SUBJECT To AMMg l Call For Reinsp• INSPECTION NOTICE City of Tigard Building Department 13125 SA Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I nepect ion: -- -- �oati:ig) Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Roam Struct. San. Sewer Framing -Bldg. Poet/Ream Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. h Date Requested: j _Times -PH Afdrees: � L "lt �� Permit /1 s Builder: mie. FOLLOWING CORRECTIONS ARE REQUIRED: IneFx!cter:__-- „- r`_I_`-----�--_ -- Date:_i APPROVED DISAPPROVED APPRO D DUBJECT TO ABOVE i call For Rainsp. INSPECTION NOTICE ( T! City of Tigard Building Department �- 1314S BW Ball Blvd. Tigard, Oregon 97443 Insp--e--c`ttii)on Line (Rec-o-Phone): 6 9-4175 Business Phone: 639-4171 Inapection: v _ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Rd. -Mach. Date Request*ds -2 C1 4` Time: AM PM Addresst l CI. Z `>>�J ��~ Permit f sal Builder:_- L THE FOLLOWING CORRZCTIONS ARE REQUIRED: 2]._ J i� 7 LJ �a _ I Inspector: "A/ Date:__`, APPROVED DISAPPROM __L,11pPROVED SUBJECT To ABOVE ^� Call For Reinsp. �� -� (J( INSPECTION NOTICE City of o! Tigard Building D6partmant 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (R(ec-o-Phone)s 639-4175 Business Phone: 639-4171 Inepertion4'�V/ C__�: 7� LI G � Footing Plbg. Underslab Npch. Roe h-in Appr/Sdwlk i Pound. Plbq. TopOut l . in L�INALs Post/Beam Struct. San. Sewer .aming -Bldg. Post/Beam Hoch. i rain` Insulation -plumb. Plbq. Underfloor i Water Line Gyp. Bd. -Hoch. Date Requ`�esteds /— _Times _ AN PM Address: ` VC 4 Builders vz "k THE FOTAMINO CORRECTIONS ARE REQUIRED: / q 'tel it J Inspectors Dates_/'" 1� APPROVED bISAPPROVED APPROVED BIBJECT TO ABOVE 1. Call For Reinap. C Al C l • CITY OF' TIGARD RECEIPT OF PAYMENT RECEIPT NO. CHECK AMOUNT a 50,`7. 74 N()MF- t 01-130N, LLOYD CASH AMOUNT a IA. 00 ADDRESS s PAYMENT DATE t 04/15/93 SURD 11)1 F3 I ON OURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 405. 00 PLUMBING PERM 147. w50 ;lE(.'.,HANICAL PF 43. 50 ST. BUILD PER 30. 01 I-AN CHECK FE P-6. 73 SEWER USA 1 Mo. 00 EWER INSPF*CT 35. 00 PARKS SDI! 500. 00 co — .00RM DRAIN SDC 2110. 00 REqlDr-..NTlfll,.. TRoFrIC FFES 13550. 00 !,ioscn TRANST*r TIF FFFS 110. 00 1.0T I MEADOWGI-ADE I1942 SW 113TH PL TOTAL AMOUNT PAM 5471:-7. 74 CITY Or "rIGARD RECEIPT OF PAYMENT REUExp,r t4o. :93-P38427 CHECK AMOUNT 500. 00 NAME OLSON, LLOYD CASH AMOUNT 0. 00 nDDRESS o PAYMENT DATE 03/30/93 SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT' PAID OLAN CHECK FE 250. 00 PLAN CHECK FE 250. 00 12053 SW 113TH Pl- 11942 SW 113TH PL I TOTAL 0MOUNT PAID -4 500. 00 CITY OF T I GARD SEWER i , i\iNEC1'iuiN Pl��uRfvl I T COMMUNITY DEVELOPMENT DEPARTMENT PU R 11 IT #. . . . . . . .. S 14 R 9.11�-01O 13125 SW Mall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 f., i Yi DATE IS; LJLD. 04/15/93 Ll �-)DDREESP.13. . . 11942 SW 113T1--i PL. PARCEL: L1iO3AB—L,13200 Z'Ll 1'•I r\'f' . . . . . . . . . . L07.. . . . . . . . . . . . . ;:M"F NAML . . . . . NU. . . . . . . . . . : FTXTURE UIN10S. . . . IS Or WORK. . . %NLW DWELLIN6 UNITS. . : j. L OF USE. . . . . :OF NO. OF' BUTLDINGS zl J",L:A FEE.5 type a in 0 I,ti t [.j y iJat e 1,e pt F,RMT 1i 2100. 00 JH 04/15/9,. - ;4, ,P ii ]� 0 0 JH 04i 1'�J/1) J .1 xi it r-ZACL Or" THAL'fffli NOT ON F 11_1'� e 41 11 2135. 00 TOTAL REQUIRED INS'P'ECTIONLi Applicant agrees to comply with all the riles and regulations Sewer-, Inspection e Unified Sewage Agency. The permit expires 186 days from -ME iss,-Po. The total avount paid will be fvrfvitpc. if- the % expires. The Agency jots not guarantee the accuracy of ttE sewel, later;,*,.. It the Sewer is not located at the measureovit the instaliev shall prospect .7 feet in ail directions from '-e uistan,:f ldiien. If not so located, Vc installer shall purchase *7ap and Side Sewer" Permit and 1.1 �iency will install! a lateral. _____.-______ ___ -- T ____ -L Lail for- 1312SSW Had DMd PLNCK/RECT # CIT` OF TIGARD PERMIT +I COMMUNITY DEVELOPMENT DEPARTMENT Tpr4OmVm97M / (5017)6'"171 DATE ISSUED nn z5/ 3Ai°-d 3Zb0 JOB ADDRESS: I I �t� -�'�l" IIS P"t TAX MAP/LOT ' `' _ SUB: MluL ou u Cla Je LOT: E_ LAND USE: , VALUATION: C/O G', OWNER SPECIAL NOTES NAME: W -- REISSUE OF: --- ADDRESS: _ — LAST REISSUE: FLOOD PLAIN/ PHONE: -2 `5.' 2y Z O 2 SENSITIVE I-AND: CONTRACTOR APPROVALS-REQ-0 REP NAME: �yt•�. c�4�' � ..��t.�1 cF� . r PLANNING: ADDRESS: —^ ENGINEERING: _ FIRE DEPT: _ PHONE: _ OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRLU SUBCONTRACTORS: PLUMB: t^Jo-tT,- cri.v"r, _ LIST/SUBCONTRACTORS: MECH: �t.�- �C�c+s �� _-_ BUS TAX: �— ARCH ENGINEER CALCULATIONS: — NAME: cel � �d�� TRUSS DETAILS: ADDRESS: — OTHER: ^ PHONE: PROPOSED BLDG. USE: ti~-� COMMENTS: _- -- - - — -- - ---- ---- APPLICAN SIGNATURE Received By: Date Received: 30 "` 3 PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE M.5 -0/9d 10-432 00 Building Permit Fees q u S CA-_ 10-431 00 Plumbing Permit Fees ly?,So 10-431 01 Mechanical Permit Fees 4<3 SZ 10-230 01 State Building Tax (5%) Building ;Y),L/��T/ Plumbing Mechanical 10-433 00 Plans Check Fee Building Plumbing Mechanical 10-230 06 Fire Su R43 o(6, 30-202 00 Sewer Connection U 30-444 00 Sewer Inspection 3i 3)-, 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 /3S U 25-448-05 Mass Transit TIF Fees l �' _ � v 52-449 00 Parks System Dev Charge (PDC) o S LIO 31-450 00 Storm Drainage Syst Dev Chrg l/ (SSDC) 24-445-01 Water Quality (Fee in lieu of) _ 1 24-445-02 Water Quantity (Fee in lieu of) _ TOTAL nm/3587P.WPF