12380 SW 129TH AVENUE :0 SW 129TH AVENUE
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INSPECTION NOTICE
City of Tigar- Building Department
P.O. Box 23397 '1 J
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — f ina 1 —
6/5/90 Time — A.M. P.M. t
bat.+ Request.ar;___ —
12380 129th (off 128 & Walnut) 90-0141
Address _ _= _� Permit #_
Owner Lot #_
Builder Bushnell - 644-2663 (call befo-.e coming
The following Building Code deficiencies are required to be corrected:
Presented to — / pproved
Inspector / [_� Disapproved
/' L�
Date U'
CALL FOR REINSPECTION
❑ YES 1-:1 NO
INSPECTION NOTICE
Cit,1 of Tigard Building Department
L P.O. Box 23397
Tigard, Oregon 97223
7U�/ Phone: 639-4175 7 .W
Type of Inspection
Date Regv,T-d__���_ •� �G Time
Address Permit
Owner----- _---.____— _ Lot #_
Builder ___��e
The follow;ng Building Code deficiencies are required to be corrected:
Presented to ____ ___ .�pproved
Inspector ___ Uj Disapproved
Date
CALL FOR REINSPECTION
❑ YES ONO
t
r�
INSPECTION NOTICE
( •� �� City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
!� / �U I o one: 639-4175 d
tow �
Type of Inspection —�— 7� 22'X — --- --------- -- F
Date Requested Time _ A.M._ P.M.
Address __.�_,.� Q a Permit
U ner _ ---- Lot #,
r
Gi er
The following Building Code deficiencies are required to be corrected:
i
Presented to / � — _- I�t'Approved
Inspector " - I I Disapproved
Date ` r –
CALL FOR REINSPEC770N
❑ YES 0 NO
CITYOFTIFARD ElUILDING PIE:RMIT
CITYOFTIGA I ERlYl]:T #;. . . . . . . » IrUI''�(� (�i.4'1
DOMMUNRY DEVELOPMENT DEPARTMENT a�wEcaora
13125 SW Nell Blvd. P.O.Box 23397,Tigard,aspon 07223(603)&30a��e PRIM. P F l�M I T #. .- D U F'`3 0-0141
;SITE:: ADDRESS— .. L2:380 SW 1291+1 AV F'ARC;ELa 2SJ.04FaA -12 ,00
SUBDIVISION. .. .. . t:iE:l_I...WOOD 3 ZONING: R--4.
BLOCK.. . . . . . . . . . . I_.CIT'., . . . . . . . . . . . . s145
REISSUE: F'L..00R AREAS------------- EXTERIOR WALL_ CONSTRUCTION
CLASS OF' WORN.. »ADD F'IRST. . . . ..50 sf N» 0a Ea Wa
TYPE:: OF USE. . . :SF' SECOND. . . . sf PROTECT
TYPE OF* CONF)Y.. '.5N 'THIRD. sf N» Sa E» WC
OCCUPANCY GRI' . afi3 TUTAL---- 50 sf ROOF CONST: FIRE RET?-.
OCCUPANCY LOAD: E+ASE I7F:NT » : sf AREA SEP. RATED a
ST'OR,. » HT. .- ft GARAGE. . . » sf OCCU SEF'. RATED:
BSMT"'a MEZZ?a RECD SETBACKS._.._.__._.._._•-
FLOOR LOAD. . . . :40 pelf LEF'T•a ft RGHT: ft F'IR SPKL» SMOK DET. . :Y
DWELLING UNITS: F•RNT a ft REAR: ft: FIR ALRM» HNDICP ACC:
NE'DRMS» 1 BATH'S: IMF' SURFACE: F'RO CORR: PARKING:
VALUE. $: 1000
Renla•rP.s a
Owrie•r a -_. __.__._.._.._......_....__.__._.......____._.._._.__---.__... _.
DANIEL_ L•'USHNELL type <amrount by date rec!pt
12380 SW 139TH AVE. F'RMT s 17. 50
PLCK $ 11. 38
T IGARD OR 9.7223 5PC T $ 0.86
Phone Ha G20--b718 F'AYM $ 29. 76 .TLH 05/11/90
Cont;r•ar_ta r a .........__.._......._..._._....................._..................._....._. _.._...
NO CONTRACTOR
Pti orie #.- $ '_'9. 76 T(IT AL.
Req N. . » NONE*
_.............._......_ REQUIRED INSPEC:'TIONS
This permit is issued subject to the regulations contained in the *'00t/f0LMd Insp Water Lirie Insp
Tigard Mumcipal Co;i, State of Ore. Specialty Codes and all other Past/Beam Insp App•r/Sdwlk. Insp
applicable lava. All work will be done in accordance with P.Ini/trrndslab Insp )"i.nal Inspec tiori
approved puns. This permit will expire if work is not started Mechanir_,xl Insp
within 180 days of issuance, or if work is suspended for more P1m top---ot.it In,io _
than IAP days. XVraniiiig Insp
FA.replare Itis p
Gas Line Ins,F►
XI n s t.r 1.a t i n ri
1 n s p _..._...___.__.__
........
Permittee Permittee zYI Hoard tnsp _.._._._._.....e_...___.._...� ..__..._.._......_._.._.
13ewer Insp
J.s t.r e d ll y» _._................_....._._.._._.._....._.._____ Rain drain Ins p
Ca11 for inspection 639-4175
CITy ot-., TIC:,iiPD - RECETFT OF FAYMEt-IT RECEIPT NO. I qo-20071(.3
CHE(Ar,* AN'JUNT 1 2.9. '17 6
W-01F t BUSHNELL. DAN 1EL. CASH AINIGUNT 1 0. 00
90
12�5-�j 0 S W 1.211TH SLIPI)TV 19 1 0t,4
oPAMEN T AMOUNT PA ID PURPOSE OF PAYMENT AMON I
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vd PLAN Q1E.2fi APErLaCATIONC'TYOF TIFA ■ D 1 Box 9125 S.W Hall 7PIAN � �CPER= I SidE 90COMMUNITY DEVELOPMENT DEPARTMF-N-f-' (503)639-4171
DATE ISS'�JID —
JOB ADDRESS: 12- _--�!t1 � — TAX MAP/I OT 23 Z- V/_A ,:a Gam,
- LJOT: r LAND USE: ---
VALUATION: �iv=v 14-04 "70-0 ,0
OWNER SPECIAL NOTE'S
NAME: REISSUE OF: -�
I-- '— IAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND: _-
PHONE: -
AE'YRO'VAI�_RE�Cl7RFI)
COUMCIUR PLANNING: ---- -
NAME: ���- --- —__ E NGINEE R-1 IG:
ADDRESS: -- — FIRE DEPT _ —
OTHER:
PHONE:
BUIIDERS BGARD ,if: _— EXP DATE: -- LIST/SUBC)WIRAC ORS: _
BUS TAX:
ARC I/aKINEE-R Cm�C MATIONS: ---- —
b1AME: -- TRUSS DEI'AIIS: _
ADDRESS: OTHER: = /P
PHONE: -----
CXxR41TfI'S: , 1
SUBCONTRACTORS- PIAS: _ KNCH:
PLIMT if AOCI' 1 DESCRIPTION AMgtW AM3UNT W. BAIL. DUE
1.0-432 00 Building Permit. Fees
_— 10-431 00 Plumbing Permit Fees _ —
_—
10-431 0 i medlar.4 cal Permit Fees
10-230 01 State Building Tax (5%)
Building —. • 8^__
Plumbing
ries -- 1/ 3 S
10-433 OU Plans Check Fee
Building �' s
Plumbing
,4ech _
30-202 l,^ Cz-ver Omnecti.on --- -
------� 30-444 00 Sewer Inspection -
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (I'DC) _--- _
31--450 00 Storm Drainage Syst Dev Chrg (ScW)
10-230 06 Fire
TOTAL, —
RDC ¢ — 7/i►
AE'I*i:i.-11NP SIGNATURE
k I
Received By: '�` — Date Rp
ived: -j
of/3587P.WP
Building Permit No.
Location _J Z j 7Q S1411.)
Date _7 6 �-^-
Statement of Exemption
From Builders Board
Registration
s
Iret&I PC L— am personally exempt from registration
with tie Builders Board for the following reasons:
(�) I am performing work on property I own, a residence that I reside ia,
and/or a residence that I will reside in, I will be my own general
contractor �w—ee�± I^4^ �•�� ^�
I own, reside in, and/or will reside in the completed dwelling.
Z
Daniel E. Bushnell 1 " ti
0 , c�� �";
All subcontractors who work on this dwelling will be registered with
t!,e Builders Board.
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address 7 Permit
Typfi of Inspection
The fo!lowing Building Code deficiencies are required to be corrected:
----------------
Presented to Inspector
Date
CALL FOR RVAISPR-TION
Cl YES ❑ No
i
t
i
I
INSPECTION NOTICE
City of Tigard Building Department
1242.0 S.W. Main St. ;
Tiga•d, Oregon 97223
Phone 839.4171
Address -- — r'�' 3. a' '.-y r- Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected,
Presented to _ Inspector
Date --- ------
CALL FOR REIASPECTION
❑ VES ❑ NO
W W W
f Tigard Mechanical Pe�r�,ii �
. 1- Q T? Permit
•
- Fee
f ;.alfation ® Replace ❑ Relocation ❑ Addition ❑ Altc,ation ❑ 4%State ��----
TOTAL _r�ral.:
NGA_TiI�G -�-
. r tP.CTOR OWNER
r `
V;ORK ADDRESS_412 ? C.1 `� /y •
,y� APPLICANT 4�r ,tel_,� �1��_�
11: 3t Input F.3ting (BTU Per Hour), � ?� —__ Vent Si,Q- S'" Flue Site
f=l�rL QIP _1 GAS W' ELECT ❑ OTHER r'
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit EE ABOVE _Air Condition Compressor 15 to 30 HP 10,0p
New-up to & i.nc1.100,000 BTU !� 4.00 Air Handling 10,000 CFM _3.00
Pdew-Lg0,001 BTU's & over 5.00 lAir Handling Over 10000CFM 5.00
Floor Furnaco _ 4.00 Evaporative Cooler - 3.00 j
Wall • Floor_-Suspended W� 4.00 +Range Vent Fan 4 2.00
Install Vents Only
_ Y 2.00 Vent System
Repair,•H-at& Cooling _ _ _4.00_ Hood Commercial _ mm� 3.00 L? `
Air Condition Compressor Under 3 HP 4.00 Commercial Duct Systern 10.00 `'
Air Condition Compressor 3 to 15 HP _-`_— _ 7.50 Y 0
I - -
INSPECTOR'S COMNIENTS I
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVED BYDATE ISSUED BY _ 0gTE
RECEIPT NO. _._-- --------__..
��� _ Signature of Applicant G(
� TIGARD
MXN T. EiW IVG DEPARTMENT, + I
N°
r1e2.9 N. r. UNIC1hl p,vz. i 1 r PLUMBING PERMIT
I
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
"i igard. Such installations require inspection by the City Inspectot who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspectioa. City of Tigard Busine s Li ense required
for all contractors and sub-contractors. X541
JobOwnel�`� r _ add ess� s�'C' 7y Dat
— — - -
_NUMBER of M TOIAL �
TYPE OF PERMIT Y_ _ ITEMS FLE ON EACH _ AMOUNT
Sin3!- Family-1 bath—each A^ 25.00 �� +•'
Du tax—Each 1 bath unit __— 25,00
Additional bathrooms—each __— 10.00_ _ ,—�D r":
Mobile He ye Space—each ___ 15.00
INDIVIDUAL F I X T U R__ES(. i°if,E— RCIA
1 to 50 Fixtures in 1 building—each 3,00
51 to 100 Fixtures in 1 building—each 2.50 !j
_ 101 to 200 Fixtures 'n 1 building—each _— —� 2,00
201 or more Fixtures in 1 building—each — _ 1.50
MI.,CELLANEOUS
_Sgwer—each additional 100 ft. — —� 10.00— _ C
Water Service to building -- -- — 5.00
Oth?r (Specify): —
PERMITFor Plumbing Inspection Phone 639-4171
_4 o State C _Plumbing Contractor By
TnTA1 jV 41 r RFf FIPT Nn (eciiarl Rv ��
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BUILDING PERMIT APPLICATION
TIGARD DATE 3414
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHOt,,E _�J3--i1 til
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNLR PHONE
OWNER .).i,'•FtrRySafi,O1fJi'JOBADDRESS 123817 :i 1, 129th Avenue
LOTNO.�QJ Be W00d TIS
ARCHITECT
BUILDER amENGINEER
_1ADDRESSil049 51 Uiviaion,Pt1dDESIGNER _
STRUCTURE-- i '44EW ` ❑ REMODEL ❑ ADDITION ❑ REPAIR_ CJ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
Y$ RESIDENCE ❑ COMM F! EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE O SI AB FENCE
OCCUPANCY f�''� LAND USE ZONE R"7 �P! —
.--_ _� BLDG.TYPE FIRE ZONE__.-_. PLAN CHECK BY HEAT �g 6
Construct e3inglg family cit,jellinc� w/sttach��yams. 3 Bedrooms ths.
SEE CORRECTICIN SHEET ATTAi..HCD. -
SEWERPERMITq 22t'�Sl .. 7!jp�00
OCC.LOAD FLOOR LOAD 40 HEIGHT I y NO.STORIES i' AREA 17;%i' NO.BEDROOMS 3 VALUif�l�jF,:
_ BUILDING DEPARTMENT __.. - -SETBACKS FRONT i n REAR 26 LEFT SIDE_ _ RIGHT SIDE ri
Permit �1t�.�•(7Q— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND It IS HEREBY AGREED THAT THE
10(x•�Q WORK WILL BE DONE IN ACCORDANCE WITH THE Pl .*48 AND SPECIFICATIONS AND IN COMPLIANCE
Subtotal 319. 30 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB ,ONTRACTORS TO HAVE CURRENT CITY BUSPIESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SFWEV,PLUMBING AND HEATING.
S Tax 4 8,52
Total MO.O 1 SDC-- $4UU.OU
:..-
By L pl 21
APPLICANT OR AQENT
- - Receipt No.
Approved rjwtl
__— PHONE
1' 0-
DATE
INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor/� am r
/-a-7-3-{` �1✓_w+d Permit No.
\\.l "O W' e - 2hG�ww.— fJJ-r (a{ Rough-in -- -- —
Fixture -.
= - '�- Final
HEATING
/ Contractor
Permit No. /rho /
/1 Gas or OII `7—
Rough-in -
------ --- Final � .— _-.------
---- __ —.--.� SEWER - --
Final w -2�/-.W 13C1e
-- -------------- --- ---------------
DRIVEWAY
_ - ---_------___-__ Final —
Stour Drainage
(Rain Drain)Final
Sidewal k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OC CUP Cy ^�
CERTIFICATE OCCUPANCY - p - 1 Final -
/ Landscaping
Zoning Final
B
n� � s I■► tit it � �
- - 10,
BUILDING PERMIT APPLICATIONTI Cis�.��+ a
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILL;ER PHONE 2_f 3_ 67
ORAS SHOWIN AND APPROVED IN THE.,CCOt.1PANYING PLANS AND SPECIFICATIONS. 0WNFP.PH0,4
0 01 �3 A' 1105;ADDRESS 238y SIU 12 9,� �. LOT DlO.l�
BUILDER SAM%Q------ ADDRESS . AAH C}
NEE
&_jD
OE-9WA4thi
STRUCTURE NEW ❑ REMODEL ❑ ADDITION__❑ NE
REPAIR _ RENEWAL C1 FIRE DAMAGE DEMOLITIO
RESIDENCE C COMM ❑ EDUCATIC NAL 1:3GOV'T ❑ RELIGIOUS u PATIO ❑ CARPORT ❑ GARAGE ❑ STOPAGE ❑ SLAB❑ FENC
_�CC,urAN -LAND USE ZONE BLDG.TYPE f &__.FIREZONE — -PLAN CHECK 8Y HEAT `
Rw
SEWER PERMIT k ��---- - -
-
OCC.LOAD FLOOR LOAD HEIGHT L? N0.STORIES - - AREA7z2 NO BEDROOMS 3 YA!UrCZ j
BUILCINGDEPARTMENT --- ----+r
SETBACKS FRONT REAR 240 LEFT SICE_ RIGHT SIDE
�P'!rmit •�1,� d0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THS BUILDINr, CODE,ZONING
Pian Check �(�(a ff) 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, A.1,10 IT IS HERESY AGREED THAT THE
�. WORK WILL SE DONE IN ACCOPrANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub-total it -1-0- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
iRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMEIING AND HEATING.
Total
iScaterax •_ 2 �. 3'z
Z SDC- 94401#10" W
By PDCt� APPLICANT
Receipt No
Approved ADURESS --
.` --- ----------- PHONE
DC —
DC
EWER CONNECTION S `1.25' -� 1
'EWER INSPECTION S 2s—
EWER
2s—
"Ea WERSU CHARGE S
I
�laK- ( ave
.2t x 14
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2& x 2 do G 9G
Fp
13 Z-G x 5^ CAR
Lower— LevP�?
10
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00
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