11689 SW 129TH PLACE ADDRESS:
i
I �
I
• • • s • • ••
CITY OF TIGARD CERTIF-IC;ATE: OF
COMMUNITY DEVELOPMENT DEPARTMENT C CCUPANCY
13125 5W H.'9 Blvd.Tigard,Orogon 97223.8199 (503).By9,94171 PERMIT 4 „ . . . : M5T93-0151 a
1,34-4171 DATE ISSLED: 03/04/94
PARCEL: 1 Sa1a3DD-00700
(3I TE, ADUIRE,"3S. . . : 1. 1689 SW 129TH PL
MBD I VX 6 I ON. . . . : VILLAGE A'T SUMMER LAKE PARK 2 7,UN I Nl,"R-4. 5
BLOCK. ., . . . . „ . . . : LOT. . . . . . . . . . . . . ..4,+
171-ASS OF WORK. -AVD
r'YPE OF USE. . . c Sr'
OCCUFWNCY 1.3RP. :R3
OCCUPANCY r LCIAD e 1 16 4
TC NAN'T NAME. . . a
Remi,-irks: S1HTL' LICENSED kOULT FOSTER C,,ARE HOME----h1AXIM1_JM 5 RLSIDErNTS AND
CAPED I VERS.
MAX ANGELES
11689 SW 129TH FAL..
T UTARF) OR 9'72,23
D I LLON CUSTOM 13.7-CREATIONS CO
1.0:347 5W EASTRINGE AVE
POR TLAND O 1
Phone #1: 297-9116
Req it. . : 44672
1?ct:upancy of the above referencEJ buildity is hereby givpri, and certifies:
! he compl ianco with the St Ate Of Oregon :aper:iA It y Cocips for the group,
)ccupancy, anti woe r.mder which the referenced permit woe's iaawued.
FTRE 6EP4i1'','TMENT �,PUII_DIAIC1 INSPECTOR
BUYLD G a (FICIAL
rt POST IN CONW I CLIVUS PLACE
r
r"
J
r '
W
J
CITY OF T 1 GAR[
COMMUNITY DEVELOPMENT DEPARTMENTmns,r*E R 1:1 "RM;
' . :, �
13125 SW Hall Blvd.Tlg%rd,Oregon 9722308192 (503)639-0 R MT.T #.71 L. 1 , . 7. lyj_,
D E 1 S S U E D 1. 1 211
qJLL(IbE t-)T SUMPI,UN) I-AKE. PORK* -` ZON.;'PU,
DWELI-INU UNifTIS." I 1AnSL'M1---NT. .. . . . . 0 f
CLA3SUF WORK. :ADD eL,'0RjrS:4 BATHS Al GA RAGL. 0 5 f
T FLGOR Ar R1:7 u11REb " ETBACPC1
3,S T.
r'I P% 6 17 LEFI . ft RIGH -,5 f
Th I RD. 0 sf
1-11: IGHT, ,, 617 f DETEC'VORS.
F*L;.]OR LOW" : 40 [:1 s f VALAJE. 42163&:c. PARK I N6
L'(4RE hOME .—MAXIMUM :,j RL.S1LA--'NT-I Ht :- Lffi;
PLUMBING
.0 F L J 0 1-. E)I A):NS. . .S. 10 LOW 0
I WPTER HEATER':. I R0016. . . . .. . . . . . . .. . . .0
LAUN0Ry TRPVS" 0 C'AIGH SA�_INS. . . .
c L.0 SEWER LTNE: ( ft ) . :0 GRE ASE TRAPS. . . . . . . ..1D
L)1, .1 w P ;i I 1.:Ir,S. 0 WA T'l:J*; L.7 N f t 0 01-11171" FIXTI.JR-IP;. . . . .. 111
C0i.1BPr!,k:. DIEW. "'o RAIN DRAIN (ft, ) . r0
MACH,. ^0 DROINS. I
F-L-ES
F u.I I t 1.1 V ,.apt c,
E.N'T 13 7 166. 50 PLL- I 1101
PTU V(,i,-il Ff)l 0 B i: U '3 1 I:a.. J3 J L F1 I UI/(r'!12: I I
9. 43 PLL I I/,
$
if
W C.1 0 T(D E. 011 tvi;I., 1 4 V'1-1- 11
..Lu VIRYERS. Vi rl!� L 2. 07 PILL 11 /0,
1;, Id Ul !IL UNI 3 50 If. 0
H'P.7,' '-)1LJrLE`r;1i91b r:,Y:1(2 1 80 PL.L I 1.'0.1;`9:
rL
V1 ............
ti
REOU RFD I NS1:TX`( I ONS
8,d 0.1-1 Ut�et F'C)0t/fOk.jT1CJ In-jp
Gyp Poard Irisp
wlth aar'oied 1-7n5t/LAFaM StY-tkct RaiTi 01'a7.T1 1Y19p
Lued tiitlir ca via i
__j M/UnrJerf'I o or P1;-(P:b C''iltial
1; na.cctl ITIsp a' i I,d; i n 11 I rl -A—
'.!Wl I Or) 01.At Erusiryi C,oyltv
-
t"--A IT i n(4 TnnP
INSPECTION NOTICE
City of Tigard Building Departoent
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 ousiness Phone: 639-4171
Inspect[on:__.__.-_�__
Footing Plbg. Underslab Mech. Roua n Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam st.ruct. San. Sewer Franing dg.
Post/Beam Mech. Rain Drain Insulation dumb
Plbg. Underfloor Water Line Gyp. Bd. -Neth.
Date Regt:eated:_ % 77 `_Time: AN QPM
Addre as•_/_�6 f /� '�' / Permit It
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a
[C
F-
t/7
Y
W -- '- ---- --
Inmpactor:� -- ---- Date-
APPROVED DISAPPROVED APPROVED SURJECr TO APOVE
�--Call For Rel.nsp.
INSPECTION NOTICE
City -of Tigard Building Dekwrtaent
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec--O-Phone):
�n6�39-4175 Business Phone: 63S-4171
Inspection:---- -- �Wtt-kt:
Footivg Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line /gjpAp,s
Post/Beam Struct. San. Sewer Framing /- dg.
Post/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: J} ✓' I _ L� I _ Times AM Ph
hddress:_I Permit Is
Builder:i
THE FOLLOWING CORRECTIONS ARE REQUIRED-
CL
a - - - -- - ---- -
Ln
r
co
w
Inspectors Onto 7
APPROVED / DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
jSPECTION NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone): 639-4175 Business Phone: 539-4171
Inspection: _
Tooting Plbg. Underalab �fl ech. Rough-inAppr/Sdwlk
Found. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer �!� r 9) -Bldg.
Post/Beam Hoch. Rain Drain Insulatio` -Plumb.
Plbg. Undarfloor Water Line Gyp. Bd. -Hoch.
Date Requested: I, ^rl L/ Time: AM PH
Addreeeskq ` � Pe�'�t
TOLLOWINO CORRE("rIONS ARE REQUIRED:
61
00,
Afw
01/
3 " _
ix Zf
d � •
W 17-1
J � —
Inspector•__.T
___.__APPROVED DTBAPPRAVRD APPROVED SUBJEr.T TO AB(nrE
_ _Call Por Ref-nap.
NSPECTLN NOTICd j v
City of Tigard Building Department
13125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
r
Inspection: )V\lid.k ,I �n k
Pooting Plbg. Undorslab Mech. Rough-in Appr/S1w1x
Pound. Plbg. Top Out Can Line FINAL-
Post/Beam Struct. San. Sewer !rasing -Bldg.
Post/Beam Mech. Rain DrainLlnau)ltigA _plumb,
Plbg. Underfloor Nater LiJneC� J Gyp. ad. -Mach.
Data Requested: y c /(- ! ( Timat AN PM
Address: 11(6141 G��nfp1^ 71,�Q Permit
Builder:
TH1E POLLMIN0 CORRECTIONS ARE REQUIRED: 1'
a
rx
r "
ti
r
LO
w
Inspectort �' Date: 14
DISAPPROVED --_1---APPROVED SUBJECT TO ABOVE
�` �/ _Gall For Reinap.
INSPECTION NOTICE
City of Tigxrd Building Department
13125 SII Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec--o-Phone): 639-4175 Business Phone: 634-4171
•�,.1s7'fI" � lr-- ,.t..i-lry�) 1, � --
Inspection: Mac ---�-
h. Rough-in h-in Appr/sdwlk
Footing Plbg. �Cndorslab
O� Gas Line FINAL:
Found. op
/ Framing -Bldg.
(post/Beam Struct. San. Sewer
) -Plumb.
r _vain Drain, .nsulatioa "
post
(---.
/Roam Mech. _.._
/.
Plbg. underfloor Hater Liner Gyp. �'` > Neoh.
) _245_1 ! Timet _—_AM PM
Date ReQuestrnC.�t/I n
Addiese: C?` Permit t 9h
71
Bnil.der:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
0_
Cl-'
V) -- _
J _ —
W
J
Date:
Inspector: -
/APPROM DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
SN PECTION N07ICE
City or Tigard Wilding Department
13125 S* Hall Bled. Tigard, Oregon 97223
Inspection Line (Re--O-Phones 639-4175 Bneiness Phoney 639-4171
Inspection:__
Footing Plba. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer rasing ` -Bldg
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Lino Gyp. Bd. -Mech.
Data Requesteds /Tkme: AM / vK
Address:
Ruilder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:Z.
" i
'
e.
Inspectors Dates
APPROVED _ DISAPPROVRD APPROVtD aUB.IticCT In MMWK
LL all For Reinep.
z
co
W
INSPECTION NOTICE I
city of Tigard ylullding Depart -t
13125 SW Hall. Blvd. Tigard, Oregon 972214 ✓
Inspection Line (Rec-O-Phone): 639-4175 Business Phorn,: 639-4171
Inspections - -
footing Plbg. Underelab Hoch. Rough-in Appr%sdwlk
Found. Plbg. Top Out Can Laine FINIMi
Post/Beam 4truct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain
Ineu ation -Plumb.
Plog Underfloor Nater Line GYP• Bd. -Hoch.
Date Req+sasteds
Time: AM PM
Address s 11 ��-----� �� -u---f--*/ Perini! f�LL
Bsilders
TRE FOLLOWING ODRRECTIONS ARE REQUIRED:
� �' /a Q,� y���� i�✓Sty / nf�
2
J
C7
W
J
Inspectors Datss��
APPIIDVlD DISAPPPOVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
.,n
INSPECTION NOTICE
City of Tigare Building Department
13125 Sit Hall BIv I. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspsotion:
Plbg. Underslab Hoch. Rough-in Appr/S.a.:?I.k
found./ Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Une Gyp. Bd. -Much.
Date Requesteds h G _,23 Time: L6—j. AN C1�PH
A.1dreani '''' 0• Permit #t M$ `✓~C�,( /
Builder.: Atom
THE FOLLOWING CORRECTIONS ARE MWTRED:
- --
a
W
J
Inspectors ' / Deter,
"PIIDVED DISAPPROVED f/ APPROVED SUBJECT TO AROVIt
—_Call For Reinsp.
L1 I Y (if I I(.44RD -- HF(JI: I PT OF l,--1AYMFN I HUA.T.J.Pll Nil, 993-;'4`i`,90
J-W.-.CK AMCKIN I :
DILLON (APO(IM HF'.--(',HL'.')TT(IN (.sitiH AMOUN t i
10347 t-,W 1-01-;I11JDCiL P(AYl*:N1 D(flk
iit im)I V Icy I(jN
F-JORILAND, OR 9/225-
PRYM1•N I (IM1111N] 1411 1) plifil-'IM.- Of. 11141011.111 OM(li IN 11(110
LL 101.11 11.1 J NO I It I Ivi W-193 W-04 I WA. tfLA P1 111111,1 N(-) [.IF-14M
— MECHANICAL I'( 41, 50 S'T. 131-1 I A.) PLH
M91-93-051.9, t 21J 11,_.9tH PL(
1cf-
PT q. .jmmF.RLM1*--., 1.4.nT #4b
l(j,jAL AMOUNT FIWO
r..
w
M
C:] 1 Y OF: T'I GARD RP-CF:I F-T OF PPYME N I RH-,17_I PT N(i. a 9 3—P44821
L:HI~:C.K AMT_111N I 1.2p. 53
NAME~ D I I.LON C U:-j1 UM RECREA7 I UNy 1.3491.1 FaMUUN C W. NO
ADI)RESS u PfIYMF-:N T DA I F 1'".. 0:319.3
RURPt03E OF VIAYME:N'T AMOUNT PA I U PURPOSE OF- PAYMP.N C AMOUN I PA.1 U
tP2. 5 5
1168c) tiW 129 T'1 Fel_
TCITAI_ AMOUNT PAID h3
u
Residential B u'siding PermitAuplication
u iy of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
office Usa Only
Subdhvlslona'A 0(1,* a./ J,?j!3 Lot *
Plandc/Rec# �
Valuation: �-
/ Permit #--)7,75
7-t
0woer: E 1e-5 /
Reissue of
Address:
Approvals Requ .?d
1--
Planning
Phone:
t^t1�itl�erin(� .v'.
Contractor: ��0 [, ez c• 4PK = �u.7�wts r Other------- —W-
Address:
Items RecWired
Subcj.,,fractors
Phone: --
Tess De'ads
Contractor's license #
(attach copy of current Oregon license)
r <;•7:+:y>:crrvr»r:•;:::::;: ,r,.>;..r.>xroo•:.. »r;r»ws�+,xf?.o
Subcontractors:
Plumbino: e"711
Mechanical:
(attach copy of currem OR Contraclor's License) /pe P �
Architect/Engineer:_
V 1_/
Address: _
L[L
Un
r
IPhone:
J
r�
�- L L/ -
- 7.
`li ant Signa'ure & Phone number
/Received b,,:_ !_ Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
/�95f�3--o S!�'_ Bldg. Permit (BUILD) -d J-,
_ Pwmb. Permit (PLUMB) a ,'.
Mech. Permit (MECH) ,� C v
Staie Tax (TAX) 13.3
Bldg: 1 Y 3
Plumb: t
Mech:
Plan Check (PLANCK)
Bldg: _/%= • 3
Plumb.-
Mech:
lumb:Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) `
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Comrr3rr'al TIF (TIF-C)
IndustricI TIF (TIF-1)
Instik clonal TIF (TIF-IS)
ti
" Office TIF (TIF-O)
Water Quality (WOUAL)
c
Water Quantity (WOUANT)
w
Fire District (FIRE_)
TOTALS: