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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13195 8W Hall Blvd,Tigard,Orem Y7ltOg1N (603)639.4179
CI=F?TI1=ICA7'E OF
OCCUPANCY
xx;,x PERMIT #. . . . . . . : MaT93-••018f-
639--4171 DAA ISSUED: 07/30/93
PARCEL: 2S103-AB-0380,12.1
"'ITE ADDRESS. . . ; 12053 SW 1 137h1 PL
!3UBII I V I S I ON. . . . : MEADOWGLADE 7ON I NG s R--4. 5 PD
BLOCK. . . . . . . . . . a LO'T. . . . . . . . . . . . . :007
CLASS OF WORK. n NEW
rYr=,E.: OF USE. . , :SF
nCCUPANC:Y URP. a R3
OCCUPANCY LOAD: 123 4
TENANT NAME. . . :
Rema-I<%: PA7'W I
01-SON DEVELOPMENT'
► 13141 SW 1 1 3TFi PL
IIEAVERTON OR 97
Phone #: 628--2420
'-'untractort
(WSON DEVELOPMENT
RT 9 SOX 948
1:I1_FIVERVON OR 97005
Phone #: 628-2420
Rey #. . : 52,131313
Ocr_upancv of the ebove r~efer,enc.ed bMJ lding is hereby given, and cer~tiftee
the compliance with the estate Of Oregon Specialty Codes for the group,
occupancy, and use under- which the r~efPrencPd permit wa. iSauFd.
—"
F71 RE DEPARTMENT W 1. II. INCS PEC7'OR
1? DI G C ICIAL..
POST IN CONSPICUOUS PLr10E
CI1Y OF T I CARD lylnSTL R PERM I i
COMMUNITY DEVELOPMENT DEPARTMENT
-13125 SW Hell Blvd.Tigard,Oregon 9722398199 (503)839.4171 I)Al'E I SSUELD. 04, `05/9 3
7
MEADOW[ JJDL I
. . . . . . . . . .
BUILDING
DWL.I L I Nij UN z i
,'V— -'NEW BL b R(1 Z):3 BAI HS:2 GARAGE. . . . . . . . . ..4t-J
I-LOOR RLuUIRED
F1 1827 s LEF-T. . :4 f K-I bl-l'; . :4
0 ij f i. ;-\c.)ii,r. -,ke ft REA1,,. . i`j
TH 1 RD. . . -11, s
f ilY OKL ULTECT 01
------ PLUMAING
3 r wt f-A.-OL21i FIRL;I\j I i E.
. . . . . . . . . ..
.IES ;3 WA7''E R HEPI U R I R
LAUNIMY I QAY'13. i I-f"rC."H
SEWE*R LINE (ft ,' 0 6kL05E 'FRAPS. . . . . . .
WP'V CP L I k.L, f A,' ) AL 01/1 If I I E'l-' F i X", U P L-S.
iAkSAGE LA RAIN 1)RA1,A) Qi
4ASHING MACI-i. I Sl�. FlAlkl L,76-41;+M. . x L
M 'CHANILAL.
-L ype a in(j u vi t, b FELj
r i"vl;e e c P t
(JCI.. Vy i-T UN I T FIT Rb. 0
GAS/ VL---N T 6 . . . . . .0 'rip $ i 46Q:i. lci-c JH 0-4/05.,"K,
1A X I.14-,.! I ,IZI 01'u VEl--Cy i-'iiN-). . :4 BPR r I it IL..'. &.1 jil
-1001),I. . . . . - 1 P L L $ 217. 8 Qj Jl-ii 0,::/30 9 3
..
Wj 0. 6 0 JI-1 i-D 4/0 IS
ORN 1001', V V L.L,- 11 85PC
'L;jC)R FILIRN. . . . sO CLC) DRYEkS, t I SSbC $ L,00. 130 Jli CA 4/I.,-
1 1 U N I r'- I PAHI� $ '501b 00 J1 i IZA^4/Q1,
GfIl OU-1 LETL' : I MPR"r $ 43. 50 Jri 01+/V''
10. 613 IH 04,/,
iR. 16 JH 04/1
i 71 i 40. 00 .3111 041111.
P 5 P C 7. 00 JH 04/05/9,-
t"i regdatiars container to the fft QUi k'. V I 4SPLL I .ION
co y!d f4j-%n;' Cod!, :tate cf Lactfs Vd all time" F out I ou-id I-,)- F'ii eplace Insp
hr elifa Hitt) apijr;:Led 1 t 0 e&k III i"I't u Cia�> F-:Lfiv Incip
liL' started within W P,J!;I. boikm Meu;)ari InsulAtipili I n i
1,01- sore tear lei dayl 1-'! 41 l i.I i ab i %1) G'yp Bwar,d 1w
luol hair, 1:11,81y, 1 ,
W',At e I I r�9
P I Lt M b" I E)F1 U 1.t t
i419 rig Iwi P M
x r o c I o n L, 417 3
INSPECTION NOTICM
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buaineas Phone: 639-4171
Inspections
Footing Plbg. Underslab Nash. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Kech. Rain Drain Insulation -Plumb.
Plbg. Underfluor Nater Line tiyp. Bd -Koch.
-7 / � \X/
Date Requestede 5 / _J Time: J _AM _ PH
Address: �c-�(/,� ���� 12 Permit 1 s�___,)
builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
f
I�
Dates
% _APPROVED DISAPPROVED APPRCsgt) SUBJECT TO ABOVx
-JJJ1 For Rainsp.
NSPECTION NOTICE
City of Tigard Building Departamat
13125 BR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Bach. (tough-in Appr/Sdwlk
Found. P.lbg. Top Out Ou Lina FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach, Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp, Rd. -Mech.
Date Requested: _ L�v j 6' Z ---Time: � Am pK
�� )) .G �� /7
Addresss_ 5_J4'�r� Permit s:
Bullderz—
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
V)
C!1
inspector:
Dater
�!APPROVED _ _ DISAPPROVED ).PPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Buildiaq Department
13125 SW Ball Blvd.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)r 639-4175 Buninens Phone: 639-4173
Inspection: ^_
Footing Plbg. Underelab McCh. Rwlgh-ia Appr/Sdwlk
Found. �Plbg. Top Out Gas Lina FINAL:
Poet/Beam 3truct. San. Bawer lraali -Bldg.
Post/Beam Mach. Rain Drain / Insulatio -Plumb.
Plbg. Underfloor Mater Line Gyp. Ud. -Hoch.
Date Requested: Y� Timet AM _PH
Address: D53 �/�3 � tf�r_
Permlt 1t
Buildwr:
THE FOI.I.OWINO CORRECTIONS ARE REQUIRED:
InRpector:------ _ 1_.._ ------_ .__._ Datw:e
_ ^-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
1312S SW Ball Bled. Tigard, Oregon 97273
Inspection Line (Rer,-O--Phone)t 639-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plt+q. Topo�i.t vias Line iINALt
Post/Beam Struct. San. Swwer Framing -Bldg.
Post/Be,= Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nator Line Gyp. Bd. -Koch.
Data Requssteds 5 �'� - 1, —_Times AB PK
D53 �
Address: � �" �__ Permit
Builders._.
THR FOLLOWING CORRECTIONS ARE REQUIREDt
ie
T
Inspslctori � - ------- Dates__��
APPROVIS DISAPPROVED —` APPROVRD SfJBJECT TO ABOVE
Call. For Roinsp.
INSPECTION NOTICE
City of Tigard Building Department
L3125 Off Hall Blvd_ Sigard, Oregon 97223
Inspection Line (Rsic:-O-Phone): 639-4175 Busineen Phone: 639-4171
Inspections_ ��/� /a_,�
Footing / l�dars;&b Nech. Rough-in Appr/sdwlk
� QFound. Plbg. Top GvOas Line FINALS
Post/Beam struct. San. Sewer (' 1r=Lnq -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requested: 5 Time: AM pM
Address:
Builders
THE FOLLOWING ORMRSCTION3 ARE REQUIRED:
ti
Ins -ter: ...t, / Dates U Z��?
APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
/ Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department.
13125 Sit Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Busineno Phone: 639-4171
Inspection:
Footing Plbg. Underalah Mech. Rough-in Appr/Sdwtk
Found. Plbg. Top Out Gas Line FINAL:
P Beam Stru6t. San. Sewer Framing -Bldg,
oet/Beam Mec Rain Drtin Insulation -Plumb.
Plbg. Dnderfloo Water LLne Glop. Bd. -Koch.
DateR`equestedt yl r J I J7 :'imos — AM PK
Address:_ - 1�3 � ;� Permit Is
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
JV
-��Inepect1ort ` �.__ _� Dater
1� APPROVED DISAPPROVED APPROVED SUBJECT TO ASO"
--Call For Reinsp.
INSPECTION NOTICE
City of ri.gard Building Department
13125 SW Ba31 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Ptone): 639-4175 Busineas Phone: 639-4171.
Inspections
oati�ng Plbq. Underslab Mech. Raugh-in Appr/Sdwlk
Found. Plbg. Top Out C:,a Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. i'nderfloor Wator !ne Gyp. Rd.--T
-Mech.
Date Requested: C i� Tlme: [� —AM
1 71k
Addreas: 1 � G' Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ln
Y
J
J
Inspector: v� Date:_
APY110m DISAPPROVED APPROVED SUBJECC To ABOVE
_^Call For Relnap.
INSFECPION NOTICE
City of Tigard Building Depart:sent
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inapection Linc (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Mo. Top Out `�- e Line)
FINAL:
st/Beam St ``''��. San. Sewer Framing -Bldg.
Post/Beam Maw./ Rain Drain Insulation -Plumb.
Plbg. Under fl__ Water Line Gyp. Bel. -Mech.
Date Requested:_ _ __Time: _RM _ PN
Addrens: i ) QS. 5z") //3 Permit
Builder:
ITHE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector:—_--- Date:
4 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE ��)I
City of Tigard Building Dspartz mA.
13125 810 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 63.9-41/3 Bueineas Phone: 639-4171
Inspection:_ V
Footing Plbg. Underelab Mach. Rough-in Appr/84w1k
Found. Plbq. Top Out Gas Line �N .
�e
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain 'neulatton -Plumb.
Plbg. Underfloor Water��L�ne Gyp. 11d. -Meeh.
Dat• Pon-�astedt r� "� Time: AM PN
,w —- )
+�
Addresat 12.-VJ ?I 175� _ Permit
Builders Llnu n(�CK — -- ---
T= 1ar.LOM211O O011RlCTIOlIs AM REQUIRED:
a
to
y
H-
�'. m�� i 954.r7-
m
m
J
Inspector: �� ` � � Dat*: 2Z36 9
_APPROVED DLSAPPROVED APPROVRD SUBJECT TO ADMIS
Call For Rwinsp.
INSPECTION NOTICE
City of Tigard Building Department
13225 SW Hall Blvd. Tigard, Oregon 97223
Inspection Lind (ROC-O--Phones 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Besaw Mach. Rein Drain Insulation -Plumb.
Plbp. Underfloor Nater Line 'ryO. Rd. -Mach.
Date Requested: % � __Times AM PM
Address;_�` f Permit
Builder:
THE FOLLOWING CORRECTIONS ARK P.LQUIRED:
/3
P46 19A AD —o X20 77�L J`kL d
T
Inspectors Ilk Datet �^'
"PROM DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department Q�
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4177
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. UnSewer Framing -Bldg.
Post/Beam Mech. Insulation -Plumb.
Plbg. Underfloor Gyp. Bd. -Mech.
Date Requestedd: _ Time: --AM _ PM
Address: (�S % Permit 1 ,y
THE FOLLOWING CORRECTIONS ARE REQUIR!'D:
Inspector: Daits e
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Relnsp.
A
Cl TY OF 'I'lGARD RE:CEIF,'[* OF PAY11rNT REMPT NO. s93--238661
CHECK AMOUNT SOisH. 96
N(114E « OOLSON L)r=VEI-OPMENT CASH OWN INT 0. 00
ODDRESS z 1314) SW ll,-,.TH PAYMEN r DATE0/1/06/93
BEEAVEPTON, OR SUBDIVISION
CL r-'URF-,DSr- OF P(lYMENT A010ONT PAID PURPOSE OF PAYMENT AMOUNT r,A i t)
CC
412. 00 PLUMBING PF-,'RM 140. 00
MECHANICAL. P17 43. '50 ST. BUILD PFR 29. 76
PLAN CHECK FE A. 68 SEWER USIA 100. 00
lt',WF..R INSOECT 35. 047 PARKS SDC 500. Clo
(3-CORM DRAIN SDC Ebel. 00 RESIDENTIAL TRAFrTC FEES 1350, 00
MASS TRANSIT TIF FEES 110. 00
TOTAL AMOUNT PAID 5028. 96
�iCWE-'R C0N-,NL'CT ', CN
CITYOF TIGARD PERM 1 T
COMMUPHTY DEVELOPMENT DEPARTMENT PERMI I- # . . . ' . . .
13125$W Hal!Blvd.Tigard,Oregon 07223.8100 (503)639-4171
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0151UN. 1LADdWUHWE N I 1\16 fl-4.
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ANT NPML. .
-;I NU. . FIXTURE UNITS— .
S5 OF. WORI!. . . ANEW DWILL.LING UNI*Yii. I
Or- U,E7
b . 5 F NO. OF: BUILDIN66: 1
TOLL ID U k 1MP[:-.RV GUQFIaCE. .
FEEB
3N DEVELOPMEb.'T y P amol-ki't by date
,.L41 W 1131'H PL PRMT 2100. 00 JH 04/05/93
INSP iii. 00 JH 16141031,33
t'-iVER7'G1\J OR 97
)r)e
tot,:
T'14)CTOR NOT ON FILE
1 2135. 00
REQUIRED INSPELJIUNG
' Ppiicarit aqreea to Lorr iy with all the rules and regulations
. 1;-ified Sewage Agency. The permit ex0ires 180 this from
ite 3ssueo. The ( ital ascunt pain will be forfeited if the
I expires. The Agency does not guarantee the aLCUraCY Of tht
itwer laterals. if the sewer it not located at the measurement
the 0staller shall prospect 3 feet in .411 directions from
..stance given. Alf not sr located, the installer shall purcbaie
78p and Side Sewer' Permit and the Agency will install a lateral.
Call f`.Dr- itispectioYi 639-4175
n �J
13125 sw HA 13 A I 1 PLNCK/RECT #
CITY OF TIGARD PERMIT # 1-n3l9.3- 4/r'r
COMMUNITY DEVELOPMENT DEPARTMENT T'prd.0-g-9nz
(_503)639.1171 DATE ISSUED —
JOB ADDRESS: _-5-� S l� /./�`} �� _ TAX MAP/LOT R-6/'O 3.98 -- d3YUy
SUB: . LOT: J 7 __- LAND USE:
VALUATION: ( o J o ='� -
OWNER 1� SPECIAL NOTES
NAME: r� -L''-Q� REISSUE OF: -- –
ADDRESS: _ LAST REISSUE: _
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRALTO APPROVALS RE UQ IRED
NAME: r) L ty ok) r_� -�SLX rS� v�• y.: _ PLANNING: - -e
ADDRESS: 1 t( � 5 In.' (_L �Z _ ENGINEERING: _ i _-
��:� �� � �,. --- FIRE DEPT:
PHONE: _�•� �'- `� ? o OTHER:
CONTR. BOARD #:!; )-Q EXP DATE: :qT,03 CB
_ ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: r � LIST/SUBCONTRACTORS:
MECH: t ��'�1, �t`�-� h BUS TAX: _
ARCH/ENGINEER _ ct`^� CALCULATIONS: _
NAME: a r- 1IL ?aT_, TRUSS OETAILs: _
ADDRESS: OTHER:
a
n
N PHONE:
PROPOSED BLDG. USE: C L —
w COMMENTS:
*APLICAVT SIGNATURE
Received By: Date Received: _ :3
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
M5fy3-0 1 0' 1' 10-432 00 Building Permit Fees /,X•oU -;f /Z,c-v
10-431 00 Plumbing Permit Fees �• `� / c� --
10-431 01 Mechanical Permit Fees 3,So
10-230 01 State Building Tax (5%) a51� �� SCJ• y
Building G
Plumbing 7.
Mechanical rY
10-433 00 Plans Check Fee
Building0�67
Plumbing `
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection CZ/00
i
30-444 00 Sewer Inspection 3 S
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 Fees3f SG / 3 S o_
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC) S v u .boa `
31-450 00 Storm Drainage Syst Dev Chrg
N (SSOC) .
24-445-01 Water Quality (Fee in lieu of)
CD 24-445-02 Water Quantity (Fee in lieu of)
c�
TOTAL �(p ,5Z
nm/3587P.WpF