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12021 SW 113TH PLACE ADDRESS: cr, � r J u LL1 .J islrecords\niicrofim\targelslt)uiidieg.doc GI7Y OF T IGARDPE.R14 1 '1*' 1111-1 V�l 1 0-', COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Or4gon 97223.6/09 99 (503)639.4171 VATL 1 k-'-tc,31LU)i 04/08/93 ,I*Tl- 0DW-5�.- A,) 11 3TVI PL PARCE-'L.- WD I V I t"t t 0N.. o NLADOWIGLADE 7 ON 114(-"): R- y. '3 PD 'LOCK. . . . .. I_1]1". . . . . . . . . . . 008 I-ASS OF WORK. tNUt"I P L OF u c. . . A si r, GRP. -R.3 ;'-NANT NAME. . . I_ iCIN E)EVE."LOPMENT COMPAI-Ay . I ]BOX 11.413 E-AW-J-0,01\1 or" 1..17005 lt;c)nE- Ot unt ract or JJ,061 Dr- r i w.ix 9,4o I ;J.-AVERTON UP 91005 Phone #i n K .1 #. . I lr•cupmncy of the nbovv rf,ferenced bmxIding is hereby given, ;And c,ertif h,- complianoe with tl-ie OF Orencin !;3pe,.Am%1ty Codes for the qr3op,, c'CUpVl'K.y$ &nd use under which the refs-renced pvv�mit was j ssu ed. 1 RE E-T-4413TME'N'T Ok DUILDING UFFXCIAL 110S'T IN CONSPICI-101K, PLACE:- LD l INSPECTION NOTICF City of Tigard Building Department 13125 SK Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bua.ineae Phone: 639-4171 Inap action•__ Fcoting Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. i'lbg. Top Out Gaa Lino /--FLNAL% :oat/Beam Struct. San. Sewer Friming Poet/Beam Mech. Rain Grain Ineulatioi, -Plumb. Plbg. Underfloor W ter Line Gyp. Bd. -Mach. Date Requeated-__ / `Timet - x -AM Permit t: T Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: (L Ln C.] W IMQnCtort _. __ flats: APPROVIM DJSAPPROVPD APPROVF_D SUBJECT 714 ABOVE Call For Reinnp. INSPECTION NOTICE City of Tigard Building Department 13125 hW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Frami':g -Bldg.) Post/Beam Mect�. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Date Requested: f7 _ Time: _--/—_AM PM Address: k710,-1) ZZ 1 Permit f: Builder .._4L__ THE FOLLOWING CORRECTIONS ARE REQUIRED: W t' e -5 f Fe-tzz� 104/1% 'rt P-0 t=6 1" Z�ivs-- 194 Ln cc u� Inepectore Dntc APPROVED DISAPPROVED APPF(OVRD SUBJECT To ABOVE Call !or Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business rhone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line INAN i Pont/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation Plua:b_� Plbg. Underfloor Water Liine,/ Gyp. Bd. --Mech. Date Requested: T! _f C j Time: h AM —PH Address:_ L��� 1 �2, � Permit Builder.• C'� THE FOLLOWING CORRECTIONS ARE QUIRED: "o Ate Inspaatorf _ —� Date,_ / 9_ APPROVED DISAPPROVED APPROVED SUBJEn TO—ABOVE Call For Reinap. II INSPEMION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones: 639-4175 Business Phone: 639-4171 Inspect ion:,_ !,_ footing Plbg. Underelab Mech. Rough-in ( Appr/Sdwik Found. Plbg. Top out Gas Line ` FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Wate Line Gyp. Bd. -Metch. Date Poquesteds _Times AM PM G /Address:_4_2, w) '2- Permit fe nul.lder: THE FOLLOWING CORRECTIONS ARE REQUIRED: R: F- N J Co CD W J Inepeatort. �!G'� I I �'I I Date! - 1 —APPRW D DISAPPRO D AffllOVlb rnrs�tcr TO AMM Call for Rainap. INSPECTION NOTICEp� City of Tigard Building Department 13125 SH Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Pho ): 639-4175 Business Phone: 639-4171 Inspection:_ ✓ _, _ Footing Plbg. nderslab Mech. Rough-in � Appr/Sdwlk_�_ Found. Plbg. Top Out Can Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Draii Insulation -Plumb. Plbg. Underfloor Water Llne Gyp. Bd. -Mach. Date Requested: d ! 31 ///�/J _Time: L/J AM PM Addr0aa:` U�I ~ / a, Permit Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: G. F- N Y 1�i1 I nepector: !/l//f7� ZAP, APPROVED DISAPPROVED APPROVED SUBJECT TO ABO'IF. _Call For Reinsp_ INSPE_C_TION 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. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line F3'.NAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hech. Date Requested: [ _ L, ? Time: AM ---PH Address:�«;� G� / -- Perm t-t /�C> _3_5 5 Builder: THE FOLLOWING CORRECTIONS ARE REQUIREDs J Inspectors_ 41—APPROVED DISAPPROVED _ _ APPROVP.D SUAJECP TO ABOVE Call Por Reinsp. 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&___ ForytIng Plbg. Underelab Mech. Rough-in L Rppr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Lost/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Pluab. Plbg. Underfloor water Limas Gyp. Bd. -Mech. Date Requested:_ '_ ^/7—9 `� Time: _ , AM P!1 Address: l? ( I T Permit I t 1'yT Builder: O ,S, THE FOLLOWING CORUCTIONS RRb REQUIRED: a V1 J m r� CD LJ J Impactors / DaL•tz 5 call Por "imp. INSPECTION NOTICE City of Tigard Building Department- 1-3125 epartment13125 SW Hall Blvd. Tigard, Orogon 97223 Inspection Line (Rec-U-Phone): 639-4175 Business Phone: 639-4171 Inspection: — --- — Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. lbg Top Out Gas Line FINAL: Post/Beam Struct. SaY Framing -Bldg. Post/Beam Hoch. Rain Drain Inaulation -Plumb. Plbg. Unlerfloor Water Line Gyp. Bd. -Mech. Date Requested:_ Z-,--21 - __ TL.= ___AM PH Address: I' � Permit Builders — THE FOLLOWING coRREcfIONS ARE REQUIRED: Inspectors_ +�- Date _APPROVED nIsAPPROVED APPROVED SURJRCT TO ABOVE call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rer_-O-Phone): 639-4175 Business Phone: 639-4171 Inspections_ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/6dam Hoch. Rain Drain Insulation -Plumb. Plbg Underfloor Water Line Gyp. Bd. -Hech. Date Requeeted:: vim. �1 2! TTLmes AN PH Address:1c ` _ Permit 7 _ Builder:��•� �., 'ME FOLLOWING CORRECTIONS ARE REQUIRED: ------------- Inspector: APPROVED DISAPPROVED L� APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall 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. �lbg. Top Out Gas Line FINALz Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mpch. - Date Requested:_ ) Time: AM -PM Address: CT l Permit 0: Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: -71 Ins] ector:JC%�--�/ Date: J — APPROVRD DISRPPT!OVED APPROVE- SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171 Inspection:— Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk Found. Plbg. Top/ Gas Line FINAL: Poat/Beam Struct. San. Sewer Framing -R:.dg. Post/Beam Mech. Rain Drain Insulr.tion -1?1umb. Plbg. Underfloor /Water Line Gyp. Bd. -Hoch. Date Requested: �( �� —_Time: AN _PH .? Addresti: L} �/ �� Permit It_ J Builder. THE FOLLOWING CORRECTIONS ARE REQUIRED: -- CL 2 J cA ILLI J Inspector:-- Dat n:__i " v A APPROVED DISAPPROVED APPROVED SUBJ9kn TO ABOVE _!Call For Reinsp. INSPECTION NOTICE / _ T City of Tigard minding Department 13125 SK Halllvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Ph 'e): 639-4175 Business Phone: 639-4171 Inspection: _ — ---- Footing Plbg Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line Gyp. Bd. -Nech. Date Requested: —_ __Time: AM _PH Address..— '�i/ Permit Builder: _ --- THE FOLLOWING CORRECTIONS ARE REQUIRED: Date: APPROVED DISAPPR:VED APPROVED SUBJECT TO ABOVE Call For Reinap. S r/6 �►'� (u- � i-yL G f7r4 3 - � / d wL 16 - �✓- 4t An d N H J �-r O'] C.� 111 J INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underslab Hech�-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL% Poet/Beam Struct. San. Sewer Framing f -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requestod:_ // _Time: � AH PM Address:_ / U�I _ Permit f:.qf n Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: - -- �r CL rr LO r r J O] -- - -- w POO e' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE. __Call For Roinsp. INSSPECTION NOTICE City of Tigard Building Dnparteent 13125 ON Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417:. Inspection: Footing Plbg. Undereiab tech. Rough-in 1 Appr/Sdwllt Found. Plbg. Top Out Gas Line FINAL: Pont/Deem Struct. San. sewer Praming -Bldg. Pont./Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Meeh. Data Requeeted: // Time: AM �[�PM Addrene:_ X,_-� y),-2 �_ Permit Builders ��� THE FOLLOWING CORRECTIONS ARE REQUIRED: -t V) Inspector: _ Date:_����Q�� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Mach. Rouqh-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Line Gyp. Bd. -Meeh. Date Requested: - �--- Time�� AM PM Lddrees: /Z *~ Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: F-- .J :1) l 1 ' p �. Inepector:_ /- J -- Date: 9"z e--T 2— 14APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _—Call For Reinep. INSPECTION NO`rICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-43.75 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk round. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct) San. Sewer Framing -Bldg. ost/Beam Mach. ) Rain Drain Insulation -Plumb. Plbg. Underfloor water Line Gyp. Rd. -Koch. Dnte Requested:_ l ` ._ (��CrI�?_ ,r t1 _Time: _>-1/_AM 2 PN Address: LEII 7 / 1 IhI 3�~ l 6,U _-_ Permit :�L_� Builder.: L- TffE FOLLOWING CORRECTIONS ARE REQUIRED: Cp a oC N F- rr J W c' W J Inspeotort � Date: /�-��✓"��� APPROVED OI811PPROVlD APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oregon 97223 inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 �.nepeations _ Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gae FINALS Poet/Beam Struct. '�. Se�wer� Framing -Bldg. Post/Ream Mech. Rath /Dra Insulation -Plumb. Plbg. Underfloor/ Water -!_ Gyp. Ed. -Mach. Date Re�Iy/ested: l Timet AM PM Acidresa:` �� ( 5� ( 3r permit ,: / �- Builder:_ TNF. FOLLOWING CORRECTIONS ARE REQUIREDs --- .. w c-� J Inspectors/_ Dates /6 1�/_�2- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE mall For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0->y11 e): 639-4175 Business Phone: 639-4171 Inspections Footing P1bg. Underalab Mach. Rough-in Appr/Sdwll. Found. Plbg. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation C�Pl.umb Plbg. Unuerfloor Water Line Gyp. Bd. -Hoch. Date Requested:_ [' I L Timers AM PN `-"- - 3S Address: 1 ` ` I _I I ��(,� >;k'T Parmit Builder: ct_(..J THA FOLLOWING CORRECTIONS ARE REQUIRED: 1 i h to J cc C.7 l.0 J Inspector: APPROVED �— DISAPPROVED APPROVED SUBJECT TO ABOVE Cell For Reinsp. . : 3 CI1Y OF TIG,ARD CrFYCFTM COMMUNITY DEVELOPMENT DEPARTMENT RD MASTER PERMIT 13125 SW HWI Blvd. P.O.Bcx 21307,Tigad,Or"m 97223(503)639-4175 PERMIT # . . . . . . ISI 5 639-4171 DATE ISSUED: 09/23/92 SITE ADDRESS- 12021 SW 113TH PL PARCEL: 2S103AB—ly1G008 SUBDIVISION. . . . : MEADOW GLADE ZONING: BLOCK. . . . . . . . . . : LO i•. . . . . . . . . . . . . :8 LAUILD11AG REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS.3 BATHS:2 GARAGE. . . . . . . . . . :455 sf TYPE OF USE. . . :SF FLOOR REQUIRED SEI*BACKS-------------- TYPE OF CONST. :51\1 F1 RST. . . . : 1319 sf LEFT. . -5 ft RIGHT. :5 f t OCCUPANCY GRP'. :R3 SECOND. . . r0 sf FRONT. :20 ft REAR. . :129 ft STORIER. . . . . . . : 1 THI RD. . . . .0 sf REUU I HEIGHT. . . . . . . . : 16 ft TOTAL-------: 1319 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . 68864 PARK I NG SPACES. . : I Remarks : -------------------------------------- PLUMB I 1\16 ------------------------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVl\1TRS. . :0 LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRNYS. . . :0 CATCH DA51NS. . . . . . . .0 WATER CLOSETS. . :2 SEWER LINE (ft ) . .-0 GREASE TRAPS. . . . . . . .0 DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE D I SP. . . : I RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. : I MEC14ANICAL FELS FUEL TYPES— _----------- UNIT HTRS. . :0 type amot.tnt by date r e t ./GAS/ VENTS . . . . . :0 TIF $ 1380. 00 JH 09/23/92 — MAX MAX INPUT :0 BTU VENT F"ANS. . :3 BPRI $ 340. 00 JH 09/23/92 — FURN ( 100K . . : I HOODS. . . . . . : 1 BVILE $ 221. 00 JH 09/23/92 — FURN ) =100K . . .-0 WOODSJOVES. -0 DSPC $ 17. 00 JH 09/23/92 FLOOR FURN. . . . :0 CLO DRYERS. : I SSL)L $ 280. 00 JH 09/23/92 — BOIL/LIMP ( 31-P:0 OTHER UNI TS: 1 PARK $ 500. 017, JH 09/23/92 — GAS OUTLETS: 1 lylf--`RT $ 40. 50 JH 09/23/92 — Owner: NPLC $ 10. 13 JH 09/23/92 — OLSON DEVELOPMENT COMPANY M5PC $ 2. 03 JH 09/23/92 R1 . 1 BOX 948 PPRT' $ 125. 00 JH 09/23/92 F15PIC $ 6. 25 JH 09/23/92 BEAVERTON OR 97005 Phone #: 628-3539 Contractor: ----------------------------------- OLSON DEVELOPMENT' HT I BOX 948 BEAVERTON 013 97005 Pf-ione #r 628 -2420 Reg #. . : 52988 2921. 91 TOTAL This permit is issued subject to the regulations contained in the -------- REUUIRLD INSPECT IONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foktnd Insp Gas Line Insp applicable laws. All work will be done in accordance with approved Post/Beam Strl.(Ct Ins,-ilation Insp plans. This permit will expire if work is not started within 188 Post/Veam Meet-iAn Gyp Board Insp days of issuance, or if work is suspended for more than 180 days. VILM/Underf 1 oar Rain drain Insp Mechanical Insp Water Line Insp I-ermittee Signati.tre : r-111-imb 'Top Ol-it Appr/Sdw1k Insp Framing Insp Mechanical Vinal issued By : Fireplace Insp Plumb Final Ua I 1 f n i- J n r p g r-t J n a — A 3 9--4175 C17YOFTIGARD (Cff YA iOW4F0 1 A D SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT " P,ERM I T 13126 SW Holl Blvd. P.O.Boer 23397,Tlpnd.Or pon 97223(603)6344176 l-'E R M I T #. . . . . . . : SWR 9 2---02 9 839--4171 DATE ISSUED: 09/23/92 � S I l F ADDRESS. . . : 12021 SW 113TH F'L PARCEL.. 2S 1 Q13AB--110008 SUBDIVISION. . . . : MEADOW GLADE ZONING: BLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . e8 TENANT NAME. . . . . u6H IVO. . . . . . . . . . . FIXTURE: UNITS. . . . CLASS OFWORK. . . :NEW DWELLING UNITS. . : 1 T YV,E OF USE. . . . . :SF NO. OF BU 1 LD I NI3S: 1 INSTALL 'TJF,E. . . . :BUSWR INP,ERV SURFACE. . _ : f Remarks : 1 Owner: ------------------------------------ -------_ __ - ---- FEES —__---------- __ OLSON DEVELOPMENT COIYIPANY type a.mot.rnt: by date recpt RT. 1 BOX 948 PRMT L 2100. 00 JH 09/23/92 — INSP `6 35. 110 JH 09/23/92 - BEAVERTON OR 9i005 i-1lone #: 6LB-3539 L..ontractor: LIONTRACTOR NOT ON FILE --------------------------------------- F,hone #: $ x"_135. 00 TOTAL REUU I RED I NSFIECT I ONS -- --_— 1hi* Ppplicant agrees to comply with all the rules and reyalations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the - permit 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 install a lateral. r Fl e r m i.t t e e S i g n a't i_r r e : �� __-___•� a _ _ _ _ _. L s s 1_r e d By . N Call for inspection — 639--4175 r— J 6] C.7 �1 J C17Y OF TICARD RECEIPT OF PAYMENT RECE I PT NO. s 98-2.31964 CIAEC f/, AMOUNT 40,06. 9 1 HAM,: : OLSON, LLOYD CASH AMOUNT 141. 00 ADDRESS : MITE I LAOX 948 PAYMENT DATE s 09/r'::;/92 SUAVERTONV OR SUBDIVISION C)7005— PJRPOS*tT OF PAYMENT MOUNT PAID PURPOSE" OF' PAYMENT nMOLINT PAID BUILDING PERM 340. 00 PLUMVING PERM 12 151. 00 MECtAPNICAL. PE 40. SoO ST. BUll—D PER 25. 28 PLAN CHFCK FV —18. 87 SEWER LGA E:100. 0Q7i qEWER INSPECT 35. 00 PARKS SDC 500. 00 13TORM DRAIN c3DC 280. 00 RESIDENTIAL. TRAFFIC FEES 1.'. 10. 00 MASS TRANSIT TIF FEES 100. 00 12.021 SW 11,16TH PLACE, MEADOW GLADE, LOT 8 TOTAL f)MDLIlql POID 4806. 91 C;1TY oF= -r1CIARD - P I`:E:.1m OF PA1ME N1' RECEIPT NO. :91 cHf cg AMOUNT 00 140144.- e Cll..'�CIIV, L I.-.c)1 D CASH Ahi[)IJNT a 0. 00 p(` 1 . SOX 948 PAYMENT DATE, a 1. /`'"r,'14 1 SUSS 2 V I S i ON BE-ViVF.RT01,-I, c:IR 1)'70019 - lG!l SSE. OF PAYME-NI AMC LIVI T VA C l) OF PAYMENT s-)A ri.INT PA 11� 2160. olzi pi r +M i2tP f I #1 . l4k - 114 ADOW1.4-AIDI. `?1JF.30TVTSIUM CITYOF TIGARD WI�D I 11A.Als I NG PERM IT• COMMUNITY DEVELOPMENT DEPARTMENT MIT #. . . . . . . . ms"rg i 13126 SW Hell Blvd P.O.Box 23397,T�prd,Oregon 97 (SM)639-4175 ;7 PER I)RIE ISSUELD: 09/237T,�. _ SITE ADDRESS. . . .- 1200'-_11 SW 113TH PL PARCEL 2S103AB—MG008 SUBDIVISION . . . I MEADOW GLADE ZONING: BLOCK. . . . .. . . . . . a LOT. . . . . . . . . . . .. . 913 ---------------------------- CLASS OF WORK. . oNEW GARBAGE DISPOSALS. . : l TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 SACRFLOW P RF V 1'41 RS. . :0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 STORTES. . . . . . . . . I WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES----------------- LAUNDRY TRAYS. . . . . . 10 GF RAIN DRAINS. . . . . 31 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . .. . . . :0 LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 _f�R L�W , ('Pt) . . . WfAIER CLOS�TG. . WA DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . 10 Remarks : UWNERz OLSON DEVELOPMENT COMPANY TIF $ 1380. 00 JH 09/23/92 RT. 1 BOX IY46 BPRT $ ;340. 00 JH 09/23/92 BPLC $ 221. 00 111 09/23/92 BEAVERTON OR 9i005 B5PC $ 17. 00 JH 09/23/92 Phone #v 628-3539 CSI,3 D C $ 2130. 00 JH 09,/E.3/92 PARK $ 50o. 00 JH 09/23/ ,P2 Plumbing 11PRT $ 40. 50 JH 09/23/92 ki MPLC * 10. 13 JH 09/23/92 Name- 115PC $ 2. 03 JH 09/23/92 Address: PPRT $ J,?x. 00 JH 09/23'/92 Cityl P5pC $ 6. 25 JH ' 09/23/1j,2 Z i P I —Phonewl- Reg #v INSPE-C.11ONS This permit is Fo is I i..ied subject to tie V-'�Y­ ot/foufi8 Mn s-P, Net I n 0 Brain Insp- ulation's contained in t I q arci M un i�t�i 1, t_'orje, State of Ore. E-.)pecialty Codes And all Past/Beam Strutt Water Line Ih'.Tp atrher applirable laws. All work will be done Post/Beam Mechan Appr/9dw1k Insp J,n arcordance with approved plans. rhivi PIM/Undslab Itis;) Mechanical Final 4� PLM/Underfloor Plumb Final permit will expire if way,k is not strl,rt vItthin 18LA days of Issuance, or if_.44'brk is Mechanir:al Insp BuildiTiy Final suspended for more than 180 ays. Plumb Top Out r--*.rosi'bn Crintrol Framing Insp Post/Beam Mechan Fireplace Insp PIm/Underf loor Gas Line Insp Crawl Drain Irotkt.ilmtion Insp Plumbing Top Out K Gyp Board Insp Plumb Final d mb)ng Contr-actor Signi-iture Call. for inspection - 639-41 /5 LUlitt-ACtor Notest , PLNCK RECT # CITYOF TIGARD 131�SW 23397 IN'Box 23397 PERMIT # nq S f Cn,NENIUNIIY DEVELOPNIEN'C DEPAR'T'MENT Tigard,Oregon 97723 (503)639-4171 DATE ISSUED q1 /�2 U,2.J 5 eo // JOB ADDRESS: _^ TAX MAP/LOT ZS/n3 A (3 0 -Ip 9 vo SUB:Y1�PCldc1HJ 1C��� LOT: _ LAND USE: _ VALUAT I ON j 0A#6f 64>�A; i OWNER SPECIAL NOTES NAME: L L- ��� L S h) REISSUE OF: ADDRESS: f2-7 1 x' 9 (,c LAST REISSUE: �� l�E !�_Tc� ►�,) A-2 `'1 0J FLOOD PLAIN/ PHONE: •--� 2 �'� 0�- '2 1 SENSITIVE LAND: CONTRACTOR / APPROVALS REQUIRED NAME: O C PLANNING: ADDRESS: 5�9./kt� _ _ ENGINEERING: _ FIRE DEPT: PHONE: _ �/ =� OTHER: -- CONTR. BOARD #: � !� EXP DATE: C61,/D^ � �LC ` Z ITEMS REQUIRED SUBCONTRACTORS: PLUMB: � t. LIST/SUBCONTRACTORS: — MECH: BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: 2-Cl TRUSS DETAILS: ADDRESS: — 1THER: PHONE: PROPOSED BLDG. USE: /L`!_� COMMENTS: S�Il39/ �0�9" C'ON� maw RE SAES ___ _-.�_--- l; APPLICAN SIGNATURE — u' - Received By: / Z - �7 �_[__1__� Date Received: �1 2 -7 4 PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE i ms11,9-0.2d 10-432 00 Building Permit Fees 3 U• vu 10-431 00 Plumbing Permit Fees s ll Uzi, 10-431 01 Mechanical Permit Fees YO•w p,,v 10-230 01 State Building Tax (5%) ��•isl l�-.Ly, Building /�• �'' Plumbing --6. 11 �S Mechanical 9 ,03 10-433 00 Plans Check Fee 3 • l3 �z geA3 b7 Building Z�l• �� Plumbing i Mechanical /0,13 / 10-230 06 Fire 5± 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 3 > 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 d•0 u 12 25-448-05 Mass Transit TIF Fees /ao 52-449 00 Parks System Dev Charge (PDQ) Sou 31-450 00 Storm Drainage Syst Dev Chrg H (SSDC) 24-445-J1 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) w TOTAL nm/3581P.WPF