11130 SW 123RD AVENUE I
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• CITY OF T I GARD MAC7'ER PERMIT
COWTOUNITY DEVELOPMENT DEPARTMENT PERMI1 -H :
12125 SW 140 Blvd.Tigard,Oregon 97223o8199 'J'6"03_)`6i9'4171 DATE 1:SUED: 06/13/94
PARCEL: 1""1 34CS-0.�600
_3I;-E ADDRESS. . . : 11. 130 SW 123RD P!_
SUBD I V 19 10(1. . . . : At\!Toi\i PARK ZONING: R-7
OLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :58
BUILDING
.;!ISSUE: DWEL.LINU UNITS: 1 B%EMENT. 0
1.1_Htj'i Ui-` WURK. :ADD BEDRMS: 1 BATHS-0 GARqSE. . . . . . . . . . :0 s
TYPE OF USE— 6!3F I- LOUR REC)UIRED SE=TBACKS---___....__-.-_.
i YPE
ETBACKS-- -----
i'Y1JE OF Lnoijj'. :5h, FIRST. . . . c:54 5f LEFT. . -7 ft RIGHT. -O ft
JCCUPANCY GRP. «Ra SECCIND. .. . 0 s>f 'RUNT. :it) ft REOR. . : 15 ft
STORIES. . . . . . . : 1 TH I RD. . . . :0 f REQU I
,1LIGHT. . . . . . . . : 16 ft 1�nTni.
f SIYIOF:E DETECTORS,,
=_LOUR LOAD. . . . :40 psf V(-)!U&. . . . . s: 11684 PARKING SPACES— :0
Rema1-I(s : ADDITION 54 51.2 F1_ PATH I
PLUMBINU
31 N KS. . . . . . . . . . :0 FLOOR DRAINS. . . . -0 B()C K FL.0 W PR E V IN T R S. 0
LAVATORIES. . . . . :0 WATER HE(-TERS. . :0 TRAPS. . . ., . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNI)RY TRAYS. . . -0 CATCH BASINS. . •. . . . . :I',)
WATER CLOSETS. . :0 SEWER LINE (ft ) - :0 GREASE TRAPS. . . . . . :0
D ISIAWASHERS. . . . :0 WPIER LINE- (ft ) . :0 UTHER FIXTURES. . . . . .0
6ARbAGE DISP— :0 HPIN DRAIN (ft ; . :0
WASH T NG MACH. . . :lil SF- RAIN DRAINS. . :0
ME LIHHNICAL F.L E b --
'UFL '(YPE5---- - UNIT IATRS. . :0 t Y tie amoi.tnt- by date r,eupt
VENTS . . . . . :0 SPRT $ 92. 50 SW 06/13/94 -
MAX JNPUT-0 BTU VENT FANS. . :O IAPLC $ ti0. 13 SW 06/07/94 9 4-2 3,3 1 b
i._URN ( 100K . . :0 HOODS. . . . . . ..0 B5P(', $ 63 SW 06/13/94 -
I-'URN ) -100K . . *0 WUr iSTOVES. 0
FLOUR TURN. . . . :0 LL( ".)RYERS. lb
BOIL/CLIP < 3HP:10 U UN 1. TS 0
UkLi LJ I LE f S:0
Ownert
�3UREN PETLRSLN
111100 SW 1;--"3RD PL.
rIGARDt,D OR 97223-0000
#, 503-590"4154
OWNER
C'!
$ 157. 26 '1.0?AL
>_ ;his permit is issued subject to the regulations contained in the RI-CADIRLD INSPECT IUNIS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Pli.tmb Final
aaol:cwith approved --'Ost/s Iding Final
able laws. vii wu4 rill be done in accordar- I -eam Fitt,'-tct Dkti
plans. This permit will excire if work is not started within W Past/Beam Meclian Erosion Cc)nti-cll
days of issuance, or if work is sisoended for more than 180 days. F-r-aming Insp Crawl Dir-ain
Insil-tiation Insp
Gyp Baav,d Insp
Rain dr-a :n Inso
Mechanic-
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Residential 6j%!dinq Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
1130 SW 123rd Placc _
P r Only
rin'�on ark Lot # Office Use O
Valuation: // . (a e L� Ptanck/Rec # j ?3
�� ((�� ff Permit #_M 5�'� q- b �-9
Owner: ��C��eVI � �PANPIIC'.. 1eT��Se°�
Reissue of 1
Address: �1�Z(_ Z f cI a c — Map & TL #
Phone: r y15 Approvals Required
Planning
Contractor: rye« t
Engineering
Address: — Other
Phone:
Items Requlred
Contractor; Subcontractors License #_ _ - ---------
(attach copy of current Oregon liraense) Tnrss Details
Contact name & phone: _ Other
Subcontractors:
Plumbing: T_
Mechanic.+I: _
(attach copy of current OR Contractor's lacer:se)
Architect/Engineer: .-)< „vkC�iL)aUjal1 Ge'vxrtckl
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Address: 14 1 SW co'k
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Phone: XLO
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JOBDESCR17ON: Ohe Foom
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Appll;.int Signature & Phone number
Received by:_ � , L- — _ Date RFce;,ed: X17
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) r/•2 •5 +� _ 1. 5y
Plumb. Permit (PLUMB) —
_ Mech. Permit (MECH)
State Tax (TAX)
Bldg: S
PlL,mb:
Mech:
Plan Check (PI_ANC
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspcction (SWINSP)
Parks Dev Charge (PKSDC) _
Storm Drainage Ghg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _^
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Fire District (FIRE)
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c-'rosic,r Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPIAN)
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Erosion Planck/COT (ERO,;N) ! _
TOTALS:
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Posti13cam Slruct. Plbg. Top Out Elec. Rough-iFIN.
Post/Bearn Mech. Sari, Sewer Ga,Line _��
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
i Date R9quested:_ I ( f --;, ij Time: AM __PM
Address:_ I ' '7 c I r � ,, I'd 'It'Y _
Builder: 5 2 -7 `� Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:__ Date:
_/PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
�^ Call For Reinsp. _`_
INSPECTION NOTICE I\
City of Tigard Building DcpartMent
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
---_—
Footing Plbg. Underalab Mach. Rough.-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam St . S . Sewer ({ Framing -Bid
Post/Beam ?Tech Rain Drain k? insulation -Plumb. '// ,
Plbg. Un-d-e-rfl�oor Water Line r, Gyp. Bd. -Meoh. b K/
Date Requested:_ I/��/ �7 j�T//i�m�1eJ: -AN _ P-M
Address: I p�-) Y Y 12-39v /- �_�reriJ��i�C M•__l_.� D�
Builder, lam-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ �� " _ ' nets:. / \
APPROVED ✓DISAPPROVED APPROVED SUBJRCT TO ABOVE
Cell. For Reinsp
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jNSPFCT:ON NOTICE VJ
City of Tigard Building Der.. rtwent
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-____ _
Footing Plbg. Undernlab Mech. Rough-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 Wateir Line Gyp. Bd. -Meeh.
Date Requested: _1- .) �]0- -L Time= AM PM
rel PM _ < <
Address. l � a 3 P�_.
Builder:_ �C C t say-) C1-5 D - 1-15 O Y S3 7 y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Datet
_._.APPROVED DISAPPROVED v APPROVED allajgcT To ABOVR
��`` _,Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__-------- ---- — --- --
Footing Plhg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain C Insulation -Plumb.
Plbg. Underfloor Water Line Q Gyp. 8d. -Mech.
Date Reouented: ('�) `TrAiym , ( SAH —PH
AddJese:_� 1 13 Fd { L Permlt�t
Builder• �/ ( L- 5�� I R-0— 5 v1-7 1
THE FOLLOWING CORRECTIUNB AAE AfWIRZDf
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InspectrJ
�/ APPROVbD DISAPPROVED APPROVED stwwrT TO ABOVE
--Call For Reinsp.
INSFECTiON NOTICE
City of Tigan] Building Department
13125 F;W Ball Blvd. Tigard, Oregon 97223
?nspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line =13d- -Mech.
Date Req::esteds ! d I`I Timet
AddressI-: L PermitMt,9 Ll- Q�4 y
Builder: ���' r5�Y1 IS-9- ?? c)
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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11PPROVRD DISAPPROVED APPROVED SURJECT TO ABOVE
—Call For Reinsp.
INSPECTION NOTICk
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171
Inspection:—
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Fou Plbg. Top Out Gae Line FINAL:
Post/Beam Stru San. Sewer Framing -Bldg.
Po B M h ain Draln Inaulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: -7- V in77 - 7 Y f� Times _AM _P//M
Address: IIIV� / 3_ rI / Pirmi
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Builders peke t Svc -Z
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THE FOLLOWING CORRECTIONS AAS REQUIRED:
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APPROVED DISAPPROVED �" APPROVED SUIMECP TO ABOVE
R `C t� Call For Reinnp.
INSPECTIONNOTICE ! 5
City of Tigard Building DeparLaent
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t �6f�39-417/5 iBuoineas Phone: 639-4171
Inspect�ion: OY�lL��!►C� [� 1 �_ ___��_
Footing 1 Plbg. Underslab Minch. Rough-in Appr/Sdwlk
1 round, Plbg. Top Out Gas Line FINAL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeeted:IL Timet )� _AM PM
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Address:
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guilder: ve
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THP. FOLLOWING CORRECTIONS ARE RHQUXRED / t 1 r7
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Inspector _ Dater
APPROVED DISAPPAOVMD �APPROVEr, SURJRCT TO ABOVF.
__Call For Reinsp.
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CITY OF TIGARD
BUILDhG DIVISION
RESIDENTIAL PLANS SUBMITTAL
APPLICANT NAME: . ` kf �e'���5e�� PLAN CHECK = _
l �`jC M�`�
ADDRESS: Iz3�c� �In�P PHONE n
DATE RECEIVED: RECEIVED RY:
CHECKLIST (All items must be in packet before plan will be reviewed)
YES NO N/A
1 [„] [ ] [ J 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape ons).
2 [�] [ ] [ ] S SITE PLANS (includingtax lot and tax map number,easements,
erosion control provisions, floor elevation of garage and main
floor, set backs, dive-way location, north arrow, scale, location
and termination of rain drains, corner elevations, and contours
if ov(r 15% grade).
3. [` l [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4 [ ] [ ] [ 1 REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be ,accepted).
C-
FLOOR PLAN(S)
V) S.
6 [ ] [ ] [ ] FLOOR FRAMING
J
[ ] [ ] [ I TRUSS JOIST S (engineering, details and layouts)
7.LQ
-j [ ] ROOF FRAMING PIAN (all hips an. allev supports indicated
and deta;led).
9. ( J [ ] [ ) ROOF TRUSSES ('engineering, details and layouts)
10. ( ] [ ) [ ) COMPLETE CROSS SECTION(S)
11 . [ ) ( ) [ ] ALL 4 ELEVATION-, ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND kEMOD�LS
12. [ ] [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering i/ walls are 8 f . high or
higher)
13. [ ] [ ] ( ] WALL BRACING (structure must meet table R-407..10, revised
alternate method 93-7, or a lateral design shall _ provided)
14. [ ] [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. (Attachments must be
clearly legible and fully referenced in the plans).
15. [ ] ( ] [ ] BEAM CALCULATIONS (all beams over 10 ft. in length or any
bearn that supports a point load).
16. [ ] [ ] [ J ENERGY CODE PAI H IDENTIFIED
DO NOT MAKE CORRECTION IN RED
RED WILL ONLY CAUSE DELAYS
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