9500 SW MARTHA STREET w � � w w w w ws no wr
8500 SW Martha St .
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k
NULL DING PEPM( F
CITY OF TIGA RD PERMIT NO. : RU8703MI
Cl7Y0FTWAkD DATE -.,55UF.J). A./ P/(;0-1
COMMUNITY DEVELOPMENT DEPARTMENT PPIM. rjI4T .N0. H7 O:A,57)
1:1125 S W Hall Blvd�P 0 Box 23.
- '27.Vgard.Oregon 97223,(503,639-4175
'SW i
_-
T AX MAP/l..OT PSI JAHA 1/1700 1AM: COPPER CREEK YV LT : 11P
LAND USE : p7po
LOT 1417:E. : VALUATION: • 85 ,900 S E:TH A CK i
FRONT : 30 FI AP :l0
WORK CLASS : NEW DWELL—UNITS : 1 LEFT : 10 PIGH'T 16
1.14.'nE TYPE : !SINGLE VAMIL,Y NO .SEUROOMS : .3 E.Xr .WALL. CONST :
CONS'r . TYPE: VN INO.SIATHS : 2 N: 4.5 : E W:
(AXILA) GIRP. : 143 PROT .OPENIMUS
0C C'UP.LOAD N S W
TUT".- AREA: 1930
NO . liTURIES : 2 1f l SBO ROOF CONST : C F IRE:: F)FT
If;. I f-A-11,11 PO EM : 105 A 1)L f1% 5k-.1:)An7 PAIVD :
HASEMEN-1-7 3RD: (:)(:,(7L1P . SEKPAP'? PIN TED .
NE ZZANINI-i.7 SASEM' T
FA-DOR L-DAD; 1110 GARAGES : 14410 F:'.1 PE S V'P K L.P7 ALA141147
1`7 1 OW I GPM DETE CT7 YF--S
IAFAT TYPE : GASP HOOP -At"'CIESSI? LIOPP7
L-44.01104 (A Hi�*Gx F010 . 1.!;
RPOPW-41jaciow dr-J.ve woLy req. #;0.3- tin lot
_'Mulfingi. j4pril; I-riNy. --------.R QM T 7 AGMA—"-—
F,-Fo .. l r -TT7W-RVVILW 4 --T�—]
tt.imbatin Lir, 97066 F'IRE' DEPT
0 PHOUL (30,50 tiii)(
W OTHEP
N
E CHARGES ;
R MOORE RpMi CONS SOC(STORM) $250 . 00
f-S AtIOVE. S Dc( ST DE.ET ) 1111600 . 00
I Do - SUX
1.,q03 6 R PDC(*2 I-')RE,PA I D
Ah514r`T80-,3) 6qP.--3%6597U
0 Pf.X.11.151 RAI ].()N NU , 44278 1[)TAI.. : $11. e.',64 . 10
N
T
8 RECEIPT NO . 11'01.46
A
C
T F&:IQUTRIEA) INSPECT TONS
0 k4 C)tj 1 :1 t4(,, 5 1�1 i 6 1 k'-..P
R FOUNDATION WAII.- RAIN 0PAIN(:j
P051 a HKAM WAI K P I. T.Nk'
This permit Is issued subject to the regulations contained in 7 itle 14 PL.S. UNOERSI..AS CITY AF)PPCH/*iW
of the TMC, State of Oregon Specialty Codes,zoning regulations 1::i-A0 1 X NAL
and all other applicable codes and ordinances, and It is hereby FAL 14 . TOPULJ T
agreed that the work will be done in accordance with the plans and F 14AM 1:NG
specifications and in compliance with all applicable codes and r-1 FIE'PL AC F.
ordinances. The issuance of this permit does not waive tostrictiva (4%S L.
covenants Contractor and subcontractors shall have current city INS1.11 AT I ON
business tax permits This permit will expire and become null and
void it work is not started with In 180 days,or If work in suspended or GYP . ROADD
abandoned for a period of 180 days any time after -work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved. CALI FOR 'LISISPEX-TiON 639---41705
Sign
Issued By.
SEPARATE PERMITS REQUIRLD FOR WORK OTHER THAN DESCRIBED ABOVE
6f
MECHANICAL PFRM]"T*
CITY OF T'GA RD CMOFYWAIM PE T' NO- : MEW701157
7)
COMMUNITY DEVELOPMENT DEPARTMENT 04100N DA*T'1r-. IF551JEO: 1./ El/88
13125 IzA.Hall Blvd..P.O Box 23397,Tigard,Oregon 97,23.(503)639-4175
JOB- AL)DWESS ; 9500 SW MAn'T*I-IA S'T
1A M()I:)/I...C)'T :I.W4H() 1e,1100 LiUR Tv I-A' 1.12 HK
I-AND USE:
I-OT 51ZE :
ITEM: NO: NO:
4)(311K ('.,I ASS : W-.W FL)PINIACE <100K J. AT'R HANULVI (1-0
USE TYPE : STWA-E FAM111--y FURNACki' 10OK4- A1A HANDLP 10K
C'()N5*T' . '1 YPE : VN 17-1-001:4 F UPINIACE 0001 EN
(XXI-Ir." .GPP . : P3 HEAT12--:1.1 VENT FAN Aq
VENT' Vl-::N'T' . SY501KI'll
14L4, rlmp (3HP HOOD
rill WCOMP 3 1.111.41'' .1 NCX Nk:'I-'4A'T'('.)1:4(DOM
L)WFL.I-- . UNI'T'S : 1. BI-R/COMP INCINERA'TOP(rOM
sl 14'.-PAIP UNJ11 S
MAX . :I:Nr)l.)'T* [911-111/001011P 150+14P 07*11-41EP
F 100 DMI)PS7 P:LP1N(.',, OUTLETS I.
HTGH PRESS'?
1-uw r'l4I;!AiS"1
REMARKS :
—--------—----
O
MOOPI;i. HPOS PE:RMT T 11111.0.00
W
N Pa BOX 1410',3 PLAN PF.:'V1:F:;.W $0.63
E111112-1.50
R tualiLtin 97062 FIXTURES
r.)H(:)Nr-.: (503) 692-360") S1 A'T'F: $1 .73
C
0 MOUPF,;'. BADS C',DNS
N
T SAME AS A11110 t.
R 1:)(:) 114OX 1403
A
C tLial wtin nr, 97062.
T PHONE ('503) 694?---,3AO.l
0 'Y'O'T'Al 41 H"1R PEW[STRATION W.I. At4278
:C F'7' NO . "P81.41P.
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done In accordance with the plans and GALT L THE
specifications and In compliance with all applicable codes and POS'T' & F%I:-'AM
ordinances The issuance of this permit does not waive restrictive POLIGH—JIS!
covenants Contractor and twbcontraciom shall have current city VJ NAI
business tax permits This permit will expire and become null and
void If work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
P
4eSigna ure
Issued By — --+W tt445-FkFfTT.f)" A"—'qt'FtV
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIT'4
CITY OF T'VA RD TM PIESIMI'T NO : PL1370356
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(5O3)639.4175 ISSUED
--------------
T
1W.M A013P :SS : 9500 SW MAI:<i HA !iil'
TAX MOP/I..(.11,11 1.?S1 1.400 1-1700 SLJF.): COPPEP CIIEEK IV LA' :1,1 r? 1-:!K .
LAND (.)51:.-.: :
'FrEM : NO : NO:
WOPK (.:l ASS NF.W I,'jA'TFP (.;I...0 SE I' P A I:.*,
W-i-tV TYPE: SINGL.F. FAMILY URINAL. f.'.lKFl.OW PRYNTA
'TYI!)I:.: : VN L.A V 0 14 A y 0 U'l y TAM: PRIMEP
(: CCUP .GAP. : P3 SHOWER 2 GREASE T1-TAPS
l')I5HWA5HF:.n :1.
GAnBA(*,)k--: 03'i."sl'-'OSAL 1
NO , SI'DWAKS : P l4ASH'l'N(, MACHINF'.. 1,
DWELT....UNITS : 1. 1 AUNDRY TPAY It'll I'X*, J)PAIN MIA
DPAIN
GINK 1. SEWER (F**T')
W0*T*Fi-4 Hl"A11:44 .1. 5TOPM/PATN (1::"I I.
OTHER
FEES :
W MOME HPUS C(",NS PESIMI'T &:1.1.':'.1 . 00
N
E Po BOX 1/f03
i 'I.lit t i I
A cl- 'I n r ')'706';:2 F I X*T'Wir-".5
PHONE (503) 69e--3605 STATE TAX
0 T H r7i"P
C
114 WARREN DEAN
T
H MON WANRE.N PLUMBING
A 311.1, SIR: 1,37H
C
T or 97P02
O PHONE (503) e36—qi5e
mv.n T tLLRAjJXjhL Nn ilptin I 'TOTAL. : 111111.:'5:1. . 2"1
This permit is issued subject to the regulations contained in I Itle 14 RECEIPT NO. FMI 42
of the TIVIC. State of Oregon Specialty Codes,zoning regulations .......
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPE-UTIONS
agreed that the work will be done In Accordance with the plains and pf 8 .UNI F-KIP451 AS
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POST & BEAM
covenants Contractor and Subcontractors shall have current city WA'TLR 1- ltW.
business tax permits.This permit will expire and become null and P1...8 .'T(31'*IOU*T
void if work is not started within 180 days.or if work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure F I NAL�
all required inspections are requested and approved
_,iii:%' -�-
Issued By
--
(".AI...1_ ron TNSPEC."I'TON 639--4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PE.PMIT
CITY OF TIFA RD PERMIT NO. SE970358
CITYOFTWARD
ORIOON
COMMUNITY CILVELOPMENT DEPARTMENT DATF.:: Ti.il-51JES) , 1./ (iJ/Fie
M25 S.W.Hall b;-,d..P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 PP I M . PMT .N(-.) . 870355
JOR ADDPESS : 9500 SW MARTHA ST USA NLJM9E1*-4: 3A926
'TAX MAP/L.01, 251. 141HA 1-1700 SUB: (:'UPPF.:*R CREEK TV BK
I AND USE. :
SE.C."rION: 3.*a IMP: 2M RNG : 1w
W011:41K NEW
(JS11*E TYPE: SINGLE F'AMTLY
The liqll-e(ells 1.11 ecimply wi.th 191.1 UI-I(J 1` 105JU T Ilk ti C)I'll,; CIT
Sieweragif.en Agiiniry .. 1*110 Pel"mit OxPil'0111 3.20 (Jaym fi,c)in th#!, cliatcib J.mplmad Th(io tu)ta].
w.111cit.1rit, 1�)i!110 WJ1.1.1 1J)e -I`c)I—FeJ,t'V.i(1 J.-F the Aclriric,y clileiiii ricit
likl-ItOOI tl-1614 IMUC^Uir-micy (-.)-P the Ic)cnit1(irt r)4-' thim in:i.de inewrr, 11' the -.ipwopr, i!q
1111t lilt, tl-lca 1ji.vc.,ri , tliia! 3 T6eett -1.11
all cftr,e(:lti.arim fr,am tt,o d:0stm.I-I(-4P giV01-1 14' nn 1, inn J.t:j'--1 ilk t&cl t I i e 11.n if;t Ilk-1.J.P r 411-)a 1.1.
11111d S:01("4 Sor.,!Weir-" thea ACjen(iy w-J.1.1. .1k
INSTALL TYPE: BUII I)J'N('.. :A-.::WEFT TMPEPVTDtJS AREA:
FIXTURE. UNITS : TKNAN1 vir)POVEME.NT :
DWELLING UNITS: I
W.I . (:)F:. BI 1'.)GS . 1.
FF-.ES
0 1`1001-4"1: BROS CONS PF--'PM I T 11113 5
W
N pa Box 1.403 CONNECT TON CHANGE. 1.()() . 00
R E t 1.1 ilk 3.41k t J.ri 1:11. I-INE: '1AP 11NISJ)iL. .
PHONE (503) 692 36W�
OTHL.P
C
0 MOORF BADS CONS
N
T SAME' AS ABOVE:
R PC BOX 1.403
A
C t U n:l.n t:l.n 01, 9,106r,"
T PHONE (503) 69e.-.3605
0
PET*,TSTRATION NO . 41427B '11TTAL. : s t I
This permit is issued subject to the regulations contained In Title 14 --- RECEIPT NO. PRI Al2
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby REQUIRED TINISPErTIONS
agreed that the work will be done in accordance with the plans and P(A.W.M. -IN
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void If work is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
�Signature
19,111111FIZI.-FOR TH lt)w 01;3 9-*1 t 7 5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHECK APPLICATION
l PLAN CHECK # 1,e- ;7-7
PERMIT # g 7 0r
DATE ISSUED
c
Irl� '��,r,t} 3,1_3GR ADDRESS: � ��ap i'' _=�-f TAX MAP/LOT z.�� �
SUR: :1t �L?t�r6E -rte _ LOT:_ / LAND USE: PW, —
VALUATION. kt- 6,, SETBACKS: FRONT: -:,�' REAR: ./& LEFT: /o RIGHT: < <
WORK CLASS: Air HEIGHT: TO—TAE—ARF.A: c�
USE TYPE: FLOOR LOAD: _� 0_ 1ST:
CONSTR TYPE: ., HEAT TYPE: 2ND:
OCCUP GROUP: DWELL/UNITS: f 3RD:
OCCUP LOAD: NO BEDROOMS: BASEMENT:
NO STORIES: VO BATHS: .�.. _ GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT. : i FLCOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
—�-
PLAN CHECK BY: OTHER: '—
COMMENTS: - L
ACCT DESCRIPTION �-��1WUNT
OWNER 10-432 Building Permit Fees
NAME: /1IQ���: R�L� S 10-431-600 Plumbing Permit Fees
ADDRESS: f�, (1e>< i yo'; 10-431-601 Mechanical Permit Fees s ySv
td
L'4 Y, ��� - q 9u��- 10-230-501 State Building Tax (5x)
10-433 Plans Check Fee 2, 1
PHONE: �; ' 1 _� "`roT_ 30-443 Sewer Connection (202) t y�
30-202 Sewer Connection (00%)
CONTRACTOR 30•-444 Sewer Inspection j 17"')
NAME: 51--448 Street System Dev. Charge (SDC)
ADDRESS: 52-449-610 Parks I System Dev. Charge (PDC) Z ----�
_- 52"-449-620 Parks IT System Dev. Charge (PDC)
_ 31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: 10--230-505 TR.FD (95X) s
10-435 TRFD (5X) �
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95X) $�V
NAME: _- 10-435 Washington County Fire #1 (5x) - _
ADDRESS_— 10-220 Amart/Wedgewoody ._..
TOTAL - o -75,8l
PHONE:
PREPAID ; toe-.)-
315
lie
�j RAI kNCE DUE $,L Zj. -e'
APPLICANT SIGNATU"E
�,\ Received By: Date Received:-�IzAoy