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11946 SW 128TH AVENUE ADDRESS. .� Ay"Me r s. 1:lrecordsunicrotlm\targets\building.doc w J i Y �c 0 ; U F �L �� C m ro vC) o O O d -Y � ciroo m u 3 �LL a ti v D Q) o Q)CJ C 7 N a n 0 y N a � m a n 0 rE v' CL cn Z °i ` UQ) � m y N CN rn N M CO C., co CO M M M M M M M M M M `) M m M M M M M m e e e .i rn rn rn o rn rn rn rn rn rn rn rn rn rn cn m rn rn rn rn rn rn m 'C r .- a U) ,"7 C' n: a N a r N N �` N - r N r r �` " M M C r •- •- '" N D w v LL °= r r- a a a a cn m cn cn cn cn m m rn cn cn cn m N �` J J J J J J J J W d' W K T W X af W LLW = Z J W LL: W J n m m m CO m �- F F C� g c7 2 C7 � O c C7 Z U cD 0 Z av o > S J LO a) O ci cn (n <n cn U) cn cn v) a cn 0 cn cn a cn LL o a 0- a o cn cn cn v) v) cn cn v) cn a cn a cn cn a cn U) a c_n cn z a a Z 0 O� o a a a a ad a a a d a d a a d a a d D D a a a d a a N m (3) ° J J r- a aJLL a cn v) v) v) cn v) cn cn co cn n c; cn CO �- D CD U J y� V c cO Q� y F r (n N (Q d u Vn M M C', M M M M M M M M M M M M (7 (Z M rn rn rn rn m 01 0: � 0 � rn rn rn m rn rn Q! rn rn rn rn 0) 0 0 � 03 N 0 o a r 'ea) �, Q) o 0 m a a aa e cO 04� CN Cl) McM3 ^^V), W N rn v Q m a m D A CL cL N o c d n c u v a c L° c c v v > v O O 4 u 41 C 7 d N Q c r O) L1 N u n C u o �' 0 'o a to CCC O C' � c c LLtp o S Ep c ro c y Y -z' 0 N _N o c y proj C -(� F0 Cn r' C D -C C `i c LL > a C LL. 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L..OI.. . . . . . . . . . . . . :21219 CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME_ SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . . BACKFLOW P'REVNTRS. . : J. OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . . 'TRAP'S. . . . . . . . . . . . . . . STORIES. . . . . . . . .. 1 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . FIXTURES—_---•-•._—.....—__-..-- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . a GREASE TRAP'S. . . . . . . . ;_AVATORIES. . . . . : OTHER FIXTURES. . . . . TUB/SHOWERS. . . . , SEWER LIME (ft ) . . . . : WATER CLOSETS. ., : WATER LINE (ft ) . . . . D113HWA,SaHERS. . . . : RAIN DRAIN (ft) . . . . Remat-1-(5 : IrtstaIIi.ng backrl.ow prevention device. Owner: -_.__._._.____.______.___._.._._.____.____...._._.__-...._._.._ _______.__._._._.---.._.._ _ FEES _..__._ _._____..._.. ... ERINN BAUSScRMAN type amo1.snt by dates rer_pt 11946 SW iac1TH AVE. PRMT $ 15. 00 P 08/30/95 95-269929 5PCT t 171. 75 B 013/.30/953 95•-269929 T I GARr OR 97L'23 Phone #: 579-5704 DANIEL MAYER 17"An78 SW LOIVGACRE 0LOHA OR 97006 Phone #: 840-6012' t 15. 75 TOTAL Reg #. . 6694 ------- REOUIRED INSPECTIONS This perwit is issued subiect to the regulations contained in the RF'/Bar_kflow Pr-ev Tigard Municipal Code. State of Ore. Specialty Codes and all other F i nr-11 Inspection applicable law=_. All work will be done in accordance with approves; plans. This permit will expit-e if work is not started within 180 days of issuance, or if work is suspended for wore than 180 days• > Per-mittee ri r1atlwe: _ Call fOr, inspection _ 639-4175 J A Am City of T;gard PL •MBING PERMIT APPLICATION Planck/Rec. # 3123 SW Hall Blvd. Permit # Tigard, OR 97223 (503) E 39-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE """•"'°iri•°0"""' New Single Family Residences Only Aft- � C] 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195. 9 )Ob i (i am C l . r I AUC ❑ 3 BATH HOUSE$225.00 Address tit.t. ZIP Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below. N.m.is"•""°' "••" FIXTURES QTY PRICE AMT CPINtJ f�,A+�55a�2u►��� 57�J ��7r � Sink 900 "•"0 '""•' °AeA• Lavatory 9.00 Owner Tub or Tub[Shower Comb. 9.00 Shower Only 9.00 Water Closet 9.00 "'"•"""•" °'"°'"••" Dishwasher 9.00 Garbage Disposal 9.0c Occupant M.., °,",• ��• Washing Machine 9.00 Floor Drain - 9.00 Water Heater 9.00 Laundry Room Tray 9.00 Urinal 9.00 12. Other Fixtures (Specify) 9.00 Contractor on.". 9.00 ?Cs�7`S S'v LL)m't cPe- 9.00 9.00 1 i 1 1 C�j�f!��. Sewer 1st 100' 30.00 C"P&a.T"No. Sewer-ea. Addit. 100' 25.00 r 'yA' e- Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 9.00 '"•'°'"' "�• / °iti Any Trap or Waste Not .Ltw 3C j Connectea to a Fixture 9.00 Describe work new Q addition 0,i alteration Q repair Q Catch Basin 9.00 to be done residential Q non-residential O Insp. of Exist. Plumbing 40 001hr Specially Requested Inspections 40.000ir Existing use of building or proGerty Rain Drain, single family dwelling 30.00 CL Residential backflow prevention devices 15.00 j CL: Proposed use of building r­ .operty residential backflow prevention devices,' L NOTICE 'Minimum Fee $25.00 SUBTOTAL f�� c,7 -- w PERMITS BECOME VOID IF WORK OR CONSTRUCTION J AUTHORIZFD IS NOT COMMENCED WITHIN 180 DAY S. OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDD OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25",6 OF SUBTOTAL FTOTAL Special Conditions Gtf1a{,, Date issued � - �� �Sf by ,.7 ' CITY OF TIGARP Cf�ROCC[LATE OF OCCUPANCY F'1=RM I T W. . . . . . . : IrIST92•-0�'j COMMUNITY DEVELOPMENT DEPARTMENT DATL ISSUED- 1217!1::''i 93 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 1S133DD-- 17300 MTC ADDRESS. . . 1 1946 SW 1, fsT}i AVE SURD I V 151019. . V I LLAGE AT SUMMER LAKE PARK 5 ;CCN I Nei:R•-4. 5 BL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . • :,.�rJ CLASS OF WORK. :NF:W TYPE OF USE. . . a SF OCCUPANCY GRP. :R3 OCCUPANCY L OAD s 120 4 TENANT INIAML. . . s Remarks: PATH I C]wrtpr-a MOR I GSE TTE HOMES Phone #: Contractor: _-......._._..__...__._.._. _._._..... .._____._._---.__. DON MORISSE=TTE: BUILDERS, INC. 15555 SW RANGY RD. #,Ro 1 LAKE OSWE GO OR 97035 Phone #: 620-7538 Rey 0. . 1 35!533 OCCLIpanr_y of the above referenced building is hereby given, and cert i ti E the c.omplianc_e with the State Of Orelgon Specialty Codes for the group, oc.cupavicy, and use under which the r efev enc. ed permit waas issued. F IR I?E PAR'TMENT . ... .F3U INC NC'PECTOR _.__...__._ . -.y�, 4�1 UN ' O ILIAL POST IN CONSPICUOUS PL..AC;E r F- J L r.7 W J INSPECTIONOT_Qg City of Tigard Building Department 13"S SW Ball Blvd. Tigard, Oregon 47223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections_ Footing Plbg. Underslab Mech. Hough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drein Insulation -Plumb. Plbg. Underfloor. Water Line ,yp. Bd. -Hoch. Date Request eds _ / Time: AM _Vk_PM Address: //I' �ifi�Q_,Permit � � Z2 Builder:z2! 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: L1 1-1 N H J — W 40"/ inspectors_ nate: 7' Z -S APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY(OFTIGORD cn YOF TMPD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SWHWI 6W. P.O.Sm 23397,TOW,Oregan at(503)639-417ra Ij MIASY'ER PERMIT Rr 6W H H,V E PARCLL* SUBDIVISION. . . . UILLAGE AT SUMMER LOKL P -4*1 5 ZDNINGt R-4. 5 IBLOCK. . . . . . . . . . .. f_tJi , . . . , „ 4444 . . » :w 13 BUILDING REIEUSUE: DWLLLINC UNITS; 1 BASETIENT CLASS OF WORK,. .NEW SEORMS:3 BATHS:2 GARAUL. . . . . . . . . . .420 s f *1 YPL OF UbE.. . . :SF FLOOR AREAS—- REUUiRLL 'IYPE OF GONt3T. :':jiN F I PST. . . . - I Sf L EF T. . .E, ft RIGHT. :`) C.t OCCUPANCY GRP. :N-3 SECOND. . . -0 5 f FRONT. :20 ft REAR. I tS t STORIES. . . . . . . : I THIRD. . . . :0 S.fRE UU I RED-- H E 16 H T. . . . . . . . ...20 F1, T'O T AL,---­ I ­ L­ I _:"j0 51- SMOKE DETECTORS. Y FLUUR LOAD. . . . !40 p s f VALUE. . . . . .b : 60 PkRKING SPACES. I Remarks . I-'f1i'H PLUMBING SINKS. . . . » . . . . . : 1 FLOOR DRAINS— . :0 LIACKV'LOW J:�'REVNTRS. . :0 LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0 i'(JLA/S40WE3. . . . :3 LAUNDRY I RAYL. . . -.0 CATCH BP61NS. . . . . . . .IZI WATER CLOSETS. . :2 SLWLP LINE (ft) . :@ UREASE TRAPS. . . . . . . s DISHWA51.1ERS. . . . . 1 WPTER LiNL ( ft ) . : 100 01HER FI'A*TURES. . . . . .-O (_,HRbAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHINU MACH. . . . 1 SF R"IN DRAIIIC�. . - 1 ------ MELHANICAL FLES ------ UEL TYPF-'S­------------ 4444.. UNIT HTR!j. iD -type CAMOUnt by clat e reept /603/ VLNT1j 0 TIF 1460. 00 JH 03/30/93 11AX INF,UTzO !3'J"U ')L-:N'r FANEi. . :':" llpf.0 331. 00 JH 03/';30/'); Ftik'N C 100K . . ; 1 1 1OODS. . . . . . * 1 BPLC 4 250. 00 JLH IL/ 10/92 9 L-a FURN 100K 0 WOODbI OVEG). tO I('. tj b J11 03/30/93 -- IZLUUR I- URN. . 0 CLO DRYERS. : 1 SSDL L 200. 00 JH 03/30/173 UT111-k UNITS: ,*, P.,()R k C.5kj. 016 J11 03/30/")3 (SAS DUTLE--"IS. I MPIVr, 40. 50 JH 03/30/93 Owner: ....... 10. 1", j H 0:3% 3+1+/93 monvoGun: 1-40MLSE M5PC1 12. 03 if! 03/30/93 PPR I t 1,-5. 00 JH 03/30/').s b. 25 JH 03/30/93 DON OJOHISS'ZrTE 1,4U11.JA';_Pb, INL. 1�;355 SW BONGY RD. LAKE DSWLGU OR 970 ;5 7,15 X13 2771. 4f..- T(JTf4L ias perait is issued subject to 01 114AStIMIS Contained in the REUUIRED INSPECTIONS LU Tigard 114mcipal Lode, State of Ore. Specialty Lodes and all other Fout/fwtnd InSp Fireplace Insp 8ppixatip laws. All wm will 4 T-Is -dance with approyn I-,ost/Bm emm Stwt Gas Line Insp p)at-, h:, pveit will if wor Tstvted Ivithir log Post/Lleam Mechan Insmiation Insp days Cr j esup'_-z, or if wot i cusp+ Bar# days. Vjlm/�.v-?dslab Inep Uyp boarcJ Insp Q�z � 'L.M/Underrlacw Rain insp e, m i t t e e i.c nia t t.k i,t 1@chmniii,i--k1 Insp Watpv, Line Incip Pltimh 'T(.)p 01.tt Ap p v-,/',:;d w I k I n s F.) Fv-Aminq lntFj Mechanical Finai Call ftw i!l;jp' CfTYOF TIGARD CITYOFTIVI COMMUNITY DEVELOPMENT DEPARTMENT 011190H 13125 8%%HWI Blvd P.O.Box 23397,TipW,OnVon 97 (SM)ON4175 SEWER CONNECTION _.1.RMI_T 4*. . . . . . . .. SWR9,`--038,"- G,3.--4171 DATE ISSUED: 03/30/93 '31 VE ADDRESS. . . 1 11946 SW 128TH AVE PARCEL: SUBDIVISION— ,. : VILLAGE OT 5UMMER LAI-1,E PARK, 5 ZONING- R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . c209 TENANT' NAME. USA NO. . . . . . . . FIXTURE UNITS. . . CLASS OF WOR(',. :NEW DWELLING UNITS- 1 TYPE OF USE. . . . . :SF NO. OF BU I LD I N65. 1 INSTALL TYPE. . . . ..BUSWR IMPLRV SURFACE".. H'emar-ks: PATH I FEES -------- MOPlSSETT,E HOMEa type amount by date t,ecpt PRMT $ i'100 00 JH 03/30/93 INSP 35. 00 JI-1 Plione 41 . Luritt,actot-: CC)NIRACTOR NOT Of,,J FILL— Pliolle it: $ c:135. 00 '101 AL. Req REQUIRED INSPECTIONS This Applicant agrees to comply with all the rule4 and regulations Sewer Inspectiuri of the Lh,ified Sewage Agency. The permit e,t,pires 160 days from the date issue.-q. 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 liven, th., installer shall prospec-. 3 feet in al; directions from the distance given. If not so located the installer shall purchase a "Tap and Side Sewer" Permit an v Aye V will install a lateral. i S S u e d By I L&II fUY' inspect ion 639-4175 Li _j r 1,4 - 13125 SW HAI ewe PLNCK/RECT # CITY OF TIGAR D PO Bo:2'397 PERMIT ii" r�JS��z COMMUNITI'DEVELOPMENT DEPARTMENT T'p�Om8°A�3 (503)63"I" DATE ISSUED JOB ADDRESS: 1 `9 4-b S W 12�K A U(!,, _ TAX MAP/LOT a o SUB: 1/1 �a� C�C �1�Y)�YIEY �- LAND USE: VALUATION: OWNER ' /_ SPECIAL NOTES NAME: �! 11DI-iSSPttcOnmee --- REISSUE OF: ADDRESS: LAST Slil) > 1¢��i` LAST REISSUE: -�,-� FLOOD PLAIN/ PHONE: ��`1.� _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: I �iI' ��' I C. }-1�YYIc'> PLANNING: C/I-W4. ADDRESS,: �rW D ' GL) ENGINL.ERING: _ -utC & J — FIRE DEPT: PHONE: G - .r OTHER: 7�F- CONTR. BOARD #: 33` j � EXP DATE: c13 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: � � LIST/SUBCONTRACTORS: _ MECH: 4n LnLYT(AAUS TAX: RCHLNGINEER o . ' CALCULATIONS: NAME: ( ,/,/ Tl� 1 RUSS DETAILS: ADDRESS: P, OTHER: PHONE: PROPOSED BLDG. USE.: COMMENTS: _ — -- - ---�— ------ - - - - — APPLICANT Y* fIGR RE Received By: _ __ Date Received: AMOUNT AMOUNT PD. BAL. DUE PERMIT R ACCT f DESCRIPTION � " srGs 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 1 ' ` yu, ,-o 10-431 01 Mechanical Permit Fees �-- i 10-230 01 State Building Tax i Building i Plumbing ;iechanical 10-433 00 Plans Check Fee / .22 i, Building Plumbing / Mechanical ! / 10-230 OG Fire 4 -o 3$73 30-202 00 Sewer Connection / — 3 y' 30-444 00 Sewer Inspection — 25-448-02 Commercial TIF Fees — 2S-448-04 Industrial TIF fees -- 25-448-06 Institutional TIF Fees 2S-448-03 Office TIF Fees – l3s 25-44II-01 Residential Traffic Fees ��— —�— � 25-448-05 Mass Transit TIF Fees � / / 5 52-449 00 Parks System Dev Charge (PDC) _ — 31-450 00 Storm Drainage Syst Dev Chrg o. (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (" in lieu of) — --� J `~ TOTAI W f nm/3587P.WPI