12270 SW 128TH AVENUE-1 lb
y
ADDRESS .,
OK
1
D
?N .
isVeco(-dsVnicroflni\targets\t)uilditig.doc
LEGIQILITY STRIP 16 17 ie - _ -
23 24 25 26 27 2e 2
C I
01 HONI GV1OZ
00
i l (iI lii �l � I, I it
��i l�l �� � (a.J� I.�.a,�,�.•�.t.��..�.1...�a l_� I_�_I �I a�.�.� i li I o if.
•./ - •w•r+v'wy•.DfLCMr•rMM.w;♦aw.• Mrs_..+�wai�>' M^.:►..-,�fw-•+art+.,•. ..w. .✓►.w.�.sr.w� w....+
w
1 /:A
`�, �./' � ter � i \� i � •
L
f24 Alf 41
rb
rf� ' ff
Y"
f/ 0�r Gln,, t.
102,''� ,,� �' .+' i � �,/�. �,,�,• � � l� � 11
"O
+ ,000,
(�
pel
ol
et
Job
' 1
i'
1 n t r:, .� _ , _ _ . __ _.. - �:.' � �• .� res �
Nom•
1
l 2 L- .7 G► i 'e
x. ✓`
SCALE : APPROVED 8Y : DRAWN BY
DATE REVISED
I „SII SW 128”' AVEMfE '
0111AWINC NUMSER
10 ■ 114 MMIt}p OM NO IMM CVMMIMT•
c , ._. .:.•4.��► iI•�<_<I�ji1111;i; �i�;�.IlISI+� �11�1►111��1!��rl'�'i��n;;;;� ., .. , .,
LEGIBILITY STRIP o R 2
I 3 4 5 6 7 8 9 I O I I 1 2 1�3 1 4 18 1'7 18 1 9 20 21 2 2 2
'' cm 24 25 26 27 28 29 30 4y�
O I i
1 b M o N I • log
O�
„ !r
:_ �,1�,�.�.��ir� ,I,�,ll�„��,���.�.�llili iIII � iIli111i1 � 11I1 � 111111111ii � I � I � Ii�IIIII III I I I
. . II LI � LiIi i � � 11111 � 1 � lllll � l � ll� llll SII I i i �r.�lil
•
If�
T
,1..
�Ca
J
1
2
•./.� .+�.-.- _• a �'M�y, • A . . _ „ .. .+.."....,• y .....: ..I'V�F• •r••,_r�w�4V..._r!•� /iJ�Ir
A ot
a
I
too
OVA
/0 4
G -
`tit ' ✓ ' n=Z
� I• � I
�_....r_• .. . _�+.VY.r.��..iV/+.K•Rln>.M.�r ......w•�rr>..r. ♦ • •nrlP_� .. .. r ' � � /� ` �' �• � � �_—� •. .!
s
t �
Y" '
it
01
-
ti�
/Z'
as
/' r /1,�� �+✓�,�. 400'r AP'P'ROVED BY
SCALE (11?AWN BY
DATE NE VISED
DRAWING NUMSIFR
I'� ? of, t
POW010 0#4 40 I 'M Ctt*APMNV
y
„>w,i:7..rw�,aM7>F.Wuw, .y,�...:,,,:.. ..,•,...+h.wH.atr .a+ ,ir.,,,.,.,.. - .. ,.. .. .hnidor.ltc4 r p,,. ..,.. 'i `.:� ;,...;, ,.
+4uI0M►vlpkquY�Nxa ;i!' `I I I ' � �1 I I I I J i I C � i i� � �+rsrm' u�wau.`•�:.,.iiuhYtlwMYF�'.�;.9wMi+CJ�Wf :YU;;. nJC+l'wJG�pi11�4�I1'il td�eifa�er.,ob�r°i�Wi,a .,x,�Y�a,:,wv:.M�.�,.-;,��aia�w.Moi «un�3�'�eWmt��lilk.�.WM„,�w�:
II II I,� �II I ,II ( '
,f If1(., , liddIld�d Illliiddl�dl�d�i�, i���l Idlll��ll�llid� ��� , � � ,��:.
� ,.Id 1111 111 IIII Illi 111d Iilllllll IIII IIII IIIIIIIii�llil IIII Illi IIII I
d I i
LEGIBILITY STRIP o d 2 3 a 5 � � � � ip I � i2 I'3 la � e 17 � e i9 20 2d 22 23 2a 25 2 � 3'0 � -
._.� I o mm.I cm 6 2 7 28 2 9 x
01 HON I 9410%7
I Will 00f '
1S
Z
� r
t �
1-01-•
,
24 ,ti'/J fq,'ii,llff►
tj
12
r 1
?-1 .) GAIN
I I
lftb-
1�
vi
t60
_ ......_. .. �,. , 5
77'4
\� 41�
I �.
Joe^s`� �. ►.� SCALE: `> APPROVED BY DPAWN BY ;,► j„/
P AE VISE
ftw 4 -Y
sw
DPAWING NUMBER
1't 14
.� 1• !� ►111111711) OM NO 10041 C4llAlIMtM •
.... ,..,.............._.�+.'+1 y�.°r,..i,�r.,.,.. ,...�.�.,.i..-.............w..r.++...+wM.r..�...,+«•�+u^...rwv.•..._....... .w_+ra.—�_.- .nM'M/JM!,t -. .«...._,..m..,... ... w.......-. - " .,.- ....... .. ...., ..- ., _.. .,.... ........ ._ _
.,., v �alYlY1LWWWi:iv...',�r..:...'. .. ..MM.�Y31idAdlli�NfdEiWGYMO. '. �..� '. u.,:;' ''•i, .: i": .
.�.. � {y +! { {( 1 ` I I + 71gt,'r:..wnr.. .,'.'�rKYbw:ialMil'iCa;nrh-.. o.'.d�•e•s.. ..af�rN a,�ii':. 5 ;
1 i I!1 I I I i�'I I I I I!!I I�I I� I I�f��1 4�� f j f I��I�4 I��I�I I I I��i I(I I'I�} 1� �1 1 1 I krY�.�::idl'b �` .tiS�Y+r.�n.iv ki�'�MJr4�."�Mrylilr:�J•:wn�
LEGIBILITY STRIP
C ,III 11(i��i� � ����191,� I ��I� f� I .��I :, I �"I'�, , X111 i� � SII � �,� 1 ; ��: ;�I 1�� � �i lyl.rl�l�� ��,���F;����,�I�a�il�l���jlll������; :: , •,
cm 18
4 50 I I 12 13 14 1 � 1 '7 19 20 21 22 23 24 25 26 27 26 29 3G
1
'tet of
i
S
'L
�1
1
1
r
� ter• 00 �'l � �— � L t•� ' ..>. f � .
�� l05 � 6 G l � � •
,
1
1 '
r '
1
f _
111 r
;
4) 4.
r•. I _
r,,
• r;
! en ,
`..
fly
.� %k
k 70740
r
�+ 1
do
1 �..«..�. .w«r�w+_�•�..r_ar#Y.+.,r+l�w• �,. r .r.....- .�.- :.r w r w•+.�+w� Yr ..w ... � ., ... _ .. .. .....w
• ,�
of r
fopf
APPROVED BY /
K•/ � UAtF ,
FlEvic f D
AVE'NL
Df1AW0lkQ NUMBER
a.�I��.
R„'� n.R4f1A6M�dlVI:TnOM�:SIS_r1MF nr..._•nh,�..,.�.....• ......�_,......�..,....__-.._...._._...................+.�..�+.��...W....................�....w�.......__ �.
L .... •_ f ' •, � ��'� � ' I��''"'' "" '"'' IIII �IIV'iifl Illi IIII IIII IIII II II IIII'IIII I��i{i 1� ��11 ,! IIII IIII IIII IIII IILI ►Id
F�wtli
I IIII lfdi IIII IIII III',
LEGIBILITY STRIP 0 a g 9 l0 11 12 I 14 i 1 !� 17 ► 1
-Mai cm ® 9 20 21 22 23 24 25 26 2'7 29 20 30
c l
11 01 6 L H NI w1oZ
, � L�1.� �,1�1 J an �,�.1�. ,U i. 1. 1�1�1�.�11 I�.�.LJ.( ,) I i I i I i I 1 I I I ! I I ( I I i I I i I I I�� i I I i i I I I I 1 , ► I I I I , ! i I ► 11 , I I ► i , ► I I , I 01F
,�.� ,al..l�i�...�.,�.L.�J�����nl�.�1� 11M�.�>�h��.1,�,�
r
H
LMi► ., RESS•
;L70 ASTIiAvo4ars
J -
islrccordslrtilcro(Im�targelsV�uilding.dc�c
c�
W
J
$ m \
2 dee
§ U\ {\ § i\
-
_
E oa) kka ) E
\ 5 c o ®±
\ § f / C? OR
§ƒ
z a , ) 0c u ! ] 3Q
mGqA@ $ $ $$ %
§ § ® \§
§ §
F- t
% ® S m c m « m { F
i m m = m o « m a R § ' , \
�
_- 0
{\
CN
co
W U) Lf) m u m m u u w
k } } } } ( LL } LL (n
\ L \
LO
F
jcn
LL % L f§ r. ƒ E { / CO 9 }
� n
@ M&
� � 7
tn
® § 2 \ G $ m $ / to
o
m / ) §
� � g a A A a e
$
~ §
� ±
G §
u
Q
± §
Cl 8
�
ru
/ k
� _ K
)
2 > � \ cu
/ & P - k a E
� r ) _
� t C / ƒ E ( } !
� \ ƒ k ° / \ C c
« = c c ) Si # f \ G t
/ \ \ f UL 6 ) z tr g E § m ] /
7 ° R R G g m 2 m $ * 2
4 r f } ) 2 $ k a a « k { k @ k
2 r r e r e e P e E P r r R
m n m « m in n § m m
c \_
\ )
\ ) \
° c )
\{ �) \
6
0 cc \
k k k k \ 7 k k
f S 4 { S § §
�
}�
04
LO
C14
( § < / ( 2 < < <
a T LL LL a IL _ CL
�
£
U
c _ _ w o. I cr m m
� A ƒ & i I %
� 2 �
Q � 0
2 ) k
L) w ~ ^ » CL
/ § � § 2
� 3 4 $ � § $ k § §
m
.S ®
> j
v
- \ G G §
\ ( § \ §
e
2
%
/
2 \
LU
S ) ƒ \ c § ) I c
\ ) °
k \ I J u E i )
t L 0 ° r-
< / / 2
+ '! \ <
«
u u o u 0 0 0
7 u 2 w w w w w w
CITY OF TIGARD BUILDING INSPECTION DIVISION
l� J 24-Hour Inspection Line: 639-4175 Business Phone: 39-4171
Date Requested: � �i7 .4.M ✓" P.M. MST
Location: 7(// _ a) ��(1 `Y t�/ BUP:.
Temult: Suite2:_ _Bldg: MEC:_
Contractor:�y� ) Phone: _73f f A-7--PLM:
Ghrocr:__ _Phone: � pC� � ELC:� ��
ELR:
BUILDING n•t) PLUIV jING MEO iC�L ELECTR►CAL� < -SITE
Site cam Posbtie:un Po i1r 7 MiVer/gervice Sewer/Stonn
Footing Roof IJndl'I/Slab Rough-In Ceiling Water 1,inc
Slab Framing Top - . Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storni Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Sh(mr/Sheath Firc Spklr/Alyn Crawl/Found Di I lent Ptunp I.ow Volt _
Approved Approved Approved Approver. Approved
Appr/Sdwlk N2LAWuved Not Appmved Not Approvedo mvcd Not Approved
FINAL FINAL INAL FINAL
cc
Ln
a
r
F—
J `
L' - --
W
0 Call for reinspection Reinspection fee of Srequired/before next inspection C3 I)nable to inspect
Inspector: -_ _� ^_—_ Dete —�� ( Page of _
F CITY Cir T I GARD MASTER PERMIJ
'COMMUNITY DEVEI.OPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398190 (503)639-4171 DA FE ISSUED: 03/03/9b
t.T[;� U U L 6 6. d 'ZI b W I U i H Nva
EXPIREM ARCEL-: *C`5104AA-113800
Jr-AD1VISION. . . . BE[_LWOQD 3 ZONING: R-4. 5
..00K. . . . . . LOT. . . . . . . . . . . 1`a7
BUILDING
ISSUEc DWEL..LING UNITSW:0 .. . . . . . . . :0 s f`
OF WORK. :ADD BLURMS:O BATHS:O GARAGE. . . . . . . . . . :210 s
T-PE OF USE. . . :SF FLOOR RLULJIr�'-D :3E*l'"4J`K5------------ --
,PE OF CONS7. :5N F'I RST. . . . :0 S f LEF T. . : 10 ft RIGHT. :o ft
'CUPANL;Y GRP. :IR"' ISECOND. . . .0 5 f FRONT. Q) f t REAR. . :36 f
TORIES. , . . . . . : I F I NBSMENT:0 S f REQU I
IGH1 . . . . . . . . .. 14 It TOTAL-.:0 Sf 5MOKE OfZTECTORG.
UUH L-UPD. . . . :40 psf VALUE_. . . . . $ : ;;417 PARKING SPk(;ES. - :0
marks : ADUITIUN 10 GARAGE 2110 SO FT
------------------------------------- PLUMBING
1NKS. . . . . . . . . . .Qf
FLOOR DRAINS. .0 13ACKFLOW PRL_VN I li'b. - :4.1
AVPTQR1ES. . . . . :0 WATER HEATERS. . . :Q1 TRAPS. . . . . . . . . . . . . . :1211
iB/SHOWER13. . . . -0 LAUNDRY TRAYS. . . :+L. CATCH BASINS. . . . . . . :0
ITER CLOSETS. . :0 SEWER LINE (ft ) . :0 OR('--*AcjE TRAPS. . . . . . . :N
iGHWASHERS. . . . .lb WATER LANE (1;t ) . :0 L+1'I-iE R F I X'I*'U R E S. Ql
A HbHUE 1)1 SP. :0 RAIN DRAIN (ft ) . :0
451-1 ING MACH. 0 GF RAIN DRAINS. :O
MELHANICAL FELS
A-'_L UNIT 1.4 TRS. . .0 t y[)e Lmnoi.mt b,' late
VENTS . . . . . :0 BPRI $ 44. 50 JDA 03/03/95
!X INIPUTCO BTU VENT FANS. . :0 B I'",I-C $ 28. 93 J F 02/21/95 95-AUL
JRN ( 100K . . :0 HOODS. . . . . . :0 B5PC a. c.5 JDA 03/03/95
JRN ) =100K — :0 WOODS I ODES. :0
_AJUH F URN. . LL.0 DRYLRS. : 0
01HLU UNi'IG:ql
GAS OUTLEAStIVA
iner.
W.LLLiHft
']iW IZ:81H AVF_
LUHRI) OR 971223
loyle
.)ntrautot-.-
---------------- ------------------------------
$ 75. 66 TOTOL
is permit is issued subject to the regulations Contained in the REOUI RLD I N14-ILL. f IONS
;ard Municipal Lode, State of Om Specialty Crldes and all othqr F"o o t; i ri y Insp
'licable laws. All work will be done in accordance with approved Fcm.mclAtinti Itisp
ans. This permit will expire if work is not started within 160 Framing Insp
of issuance, or if i ark is suspended for T: � than lE* days. Hairs dv,.v.in lTisp
_J
I r1ittep S�iqnatl.ir Ei-osion Control
L,ali tot, irispf�c,txon - 639-4175
Residential Building Perm-it App.lcatlon
'City of Tigard
13125 SW Hall Blvd. LI�-
Tigard, OR 97223
(503) 639-4171
Jobsite Address: AC)a766)
Subdivision: `i._,�._ Lof#1 Office Use Only
Valuation: 3 Planck/Rec #
Corner Lot? Y ('� Permit # /I
Flag Lot? Y JN) Reissue of
Map & 1"L#
Owner: _(� lyVl e; Approvals Required
Address: (.�L , c i-�, / _ Planning
I r cQ►^C� ���d 7, Engineering ---
Phone: Other
Contractor: _ Items Required /
Address. C Iui/1�t �j.N
,�,bcontractors
-- Truss Deta
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer:
n Plumbing: Addresr,
cc
Mechanical:
} (attach copy of current Lai Contractor's License)
�- Phone
41
W JOB DESCRIPTION: f,� --
J ' -%
Applicant Signature & Phone number
Received by: Date Received:'
Permit 4 Account Description Amount Amt. Pd. Bal. Coo
Bldg. Permit (BUILD) )) •,-1
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 1.13 Z Z
Bldg: • Z 3
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: ? 4
Plumb:
Mach:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF.-O)
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FL.S)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) _
TOTAL
Permit#:
Address: J. a 7 D 0-
r:
:Z
Issued by: Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, URS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building perr,dt can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, e:-empt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 3B:
&r 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, � -ill hire only subcontractors registered with the Construction Contractors
Board. if I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
�- name of the contractor.
Ln
I hereby certify that the above information iz,correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
tAj
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)