12214 SW LANSDOWNE LANE •.WM•—. .•�aYan....•••.'-•.._..•.Y'.JlaYk»uWl�f�'�aM�MM✓iYM+ii1�hW�Y�WMwM:aVMW 1M�/i�M►V4WYia1M.M1A1i:10a.iNlp�YWTA.WhaY+•:!.«w�w. :_.n.�i wu;'dMIpWYNPY:WilYM3L+Y4MYNM1 FwMWLIIMin Llv.Mler.�.'Ww'..r.�.w..I�.�ria.nwvi..
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122L4 SW LANSDOWNE LA14E
INSPECTION,NOTICE
City of Tigard Building Departoe
nL
13125 SN Ball B1v%1. Tigard, oregon 97223
Inspection Line (Rec-- Phone)s14�9-4175 Business Phone: 639-4171
Inspect ion:_-
Plbg. Und slab Mach. Rough-in ^Appr/Sdwlk
Footing - -
Pound.
Plbg To Out Gas line FINAL:
Poet/Beam Struc': San. Rewar
Prssm'.ng
Post/Beam Nem Rain Dra:r
Insulation -p'inmb'
pi,bg. Underfloor Water Lina Grp. Bd.
-Mach. i
----Tim, _PM
Uate Requeeteds,4,2-., V
�),f Permit #1�7wo
Addres s t�. -
°��: t 1
Huitdert,_,��
TBE FOLLOWINC MRRZCTIONS ARE REQUIRED'
i
-- ,--
Dat s:- ----- ?� �.qz
(... -
Inspectors 7`^
-(LAIPROVE� OVED APVROVED SUBJECT TO ABOVE
__ DISAPPR ----
call For Reinap.
rye..../
�N�ECf10N NOTICE _ est
City of Tigard Building Oregon 97223
13125 99 Nall Blvd. Tigard.
inspection Line (Rec-O-Phone): 639-4175 Bualnese Phone: 639�4171J'
Inspection:J__ —-- Appr/sdwlk
plbg. Underelab Mcch. Rough-
in
Footing FINAL:
plbg. Top out Oae Line
Fount'. -E�ldg
i
Framing
Posr' 3� Strutt. san. Sewer Ineulatlon t.-�
-Plumb•
j
Post/Bc:un Mach.
Rain Drain e f
plbg. Underfl.00r Water Line
oyp. 8d.
PM
/) _ 1 ime_
Jul
Date Requested:, v
i
Permit is
Address:._
c 4— '
Builder: �+
THE FOLLOWING CORM-TIONS ARE REQUIRED: —_
-- ------
-- --- / Date:���G
Tnopect0r.-P---
DISAPPROVED - APPROVRD FURJECC TO ABOVE
—APPROVED __ --"
Call For Reinsp.
Sa 3 s-Y 3
_J._1!8kECTI0p NOTICF
City of Tigard Building Depart sent
13125 SW Ball Blvd. Tigard, Oregon 97223
inepoction Line (Rec-O-Phone): 639-4175 Buninees Phone: 639-41'11
Inspection:
Footing Pl.bg. Undere'.ab Mech. Rouqh-in Appr/So lk
Fouad. Plbg. Top Out Gas Line F?NAL&
Post/Beam Struct. San. Sewer Pram:.ng -Bldg. `
Post/Benin Mech Rain Drain Insulat.ior -Plumb.
Plbg. Underfloor Water Line Gyp. Bd, Mech.
Date RequesteAl—_1 .Z= �G, Tis ) AM PM
Address:--.
rr
Builder:
<' c
THE FOLLOWING CORRECTIONS ARE QUIREG:
{
_Date:
Inspector: �_ --
M PROVED '__"�D=Call
APPROVED SUBJECT TO ABOVE
For Reinep.
IF
F,
�IT�'C�FTIFARD MY FLE 01"'
COMMUNITY DEVELOPMENT DEPAKMENT 047PT I 1AT
7
23W Tjgqjd,Ckspn OW(5W)630-4175 on"" OCCUPANCY
13125 SW HWI Mid P.O.BOK
G39 -4171 DATF ISSUED1 12/11/9p
p " L.N PARCEL4 ILS
IT E ADDRESS. . . l _2,1� SW LANS-DOWNEZONINGs 11-4,, 5
FYRE5" ")Ni--
.. . . . . . . . . . . . . 97
BLOCK. . . .. . . . . I
1-1-i-ISS of -;,dLW
IYPE OF USL. . . 15F
UCCU-IANCY URP. IR3
OCCUPANCY L CLAD P 127 4
TENANT NAME. . . j
Hefflarlls,v
MICHAEL HL.'14PHRFi'
12385 SW 12JST AVE
1-10ARD OR 97224
Phone #s 684-9737
Conti- jActors -- ----
M HUMPHREY FUSEWOUD DEVELOPMENt M
1&381 c',W IPIST AVE
t113RD OR 97P.23
Phalle 01 684-97.';7
Rog 0. 46560
Ur C,L,p..n vV of t h e A bc,v c- v-eft e
- -onvd buildillU it 110"ily 4' verl, and c.tartifies
t
the compliance with the State Of Oregall G)per:lalt:v Godeig for the Fyoupl
Llfle kinder, Which the y-,eferencpul permit HA
rm 1►EPART1+1E1,11
fit.)i 1.1)1 14142mT
posi, 1N CONSPICUOUS PL.HCE
�NsrscrroM, NOTics
City of Tigard Building Departam t:
13125 SN Ball Blvd. Tigard, Oregon 97223
Inapect'on Line (Rec-O-Phone)s 639-4175 Balinese Phone: 639-4171
F�otirl Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found Plbg. Top out Gas Line FINAL:
^ost/3eam Strutt. San. Sew,. Framing
Post/Beam Mech. kaln Drain Insulation -Plumb.
Plbg. underfloor Nater Line Gyp. Bd. -Mach.
Date Requesteds Time: AM —PN
Address:, Permit f. (N
Builder: ---—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l
-- -- - -_% ---- Date.
Inepector:
APPROVED DISRPPROVED APPROVRU SUBJECT TO ABOVE
Call For Reinep.
rA
Cffyjj
"17YOF 716ARD IM
C C n MA IF&W
UNrTY DEVELOPM.u—NT DEPARTMENT I 0016ft
'L77
31 SW I Blvd. P.O.p.o.Box 2.3397,T*m Or"w 97223(&)3)&9-4175
PLUi'? AG PERMIT
PERMIT # . . . . . . : PLM92-014
6;s9-4171 DATE ISSUEDi 12/08/92
SITE ADDRESS. . . : 12214 SW LANSDOWNE LN PARCEL: 2SI03BC-0680(li
SUBDIVISION. . . . : FYRESTONE ZONINGi R-4. 5
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . 87
CLASS OF WORK. . INEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOkJ PREVNTRS. . gi
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . .. TRAPS. . . . . . . . . . . . . .
STORIEb. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URTNALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . a
TUB/SHOWERS. . . . : SEWER L!NE ift ) . . . .
WAICR CLOSETS. . : WATER L114E (ft) . . . . :
DISPIJASHERS. . . . I RAIN DRAIN (ft) . . . .
Remarks :
Uwneri --------------------- FEES ----------- ----
MICHAEL HUMPHREY type amoi.int by date recpt
12385 SW 121ST AVE PRMT $ 15. 00 BCR 12/08/92 —
5PCT $ 0. 60 BCR 12/08/92. —
T I GARD
TIGARD nR 97224
Phone #e 684-971-;.7
Contractor:
FAR WEST PLUMBING
PO BOX 597
ESTACADA OR 97023
[-`hone #e $ 15. 60 TOTAL
Req 78939
------- REQUIRED INSPECTIONS
This pe.mit is issued subject to the regulations contained in the Final inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work P411 be done in accordance with
approved pians. this permit will expire if work is not started
within 18V days of issuance, or if work is suspended for more
that 180 days.
e r m i 1;t e e S i y ri a t 1-t r e
..............
Issijed Byi
Call for inspectioi 639-4175
RECTIVIT OF- V,,IYMFNT Hp.",Elf)'T NO. ci,1441,3
,3
UIlY (IF TIGARD CHECK AMOIJNI
"0. CASH AMOUNT 0. 00
t\AlviE Rip.GEWOOD DEVELOPMENT t:(]. PAYMENT DATE 08
14',38.5 E35W lelS (IVF--- SUBD IV I S 1 CJ14 a
TICARD, OR 9.7c'213
PURPOSr OF PAYMENT MOUNT PAID PURPOSSE OF PAYMENT AMOUNT PA 11)
0. 60
Q10 ST. BUILD PFR
PLAIMIAWO PF"
F-1-1.)MBING Pf.---RMII' #9p-01195 FOR, FYRF'41"UNt:-
TGTAL tIMOLINT r-,AID
Caty ^F Tigard Huildinq nepartarent
13125 SA Ba�.i B1v-1. Tigard, Oregon 97223
Inspect on Line iRec-u-ilho:+Rl: 639-4175 Business Phone: 639-4171
Inspection: - ----- - ---- __�
Footing Pl.bg. Underelab Mach. Rough-.in Appr/Sdwlk
Found. 11bg. Top Out gas Line FINALt
Post/Ream Stru^_t. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Dra n Insulation -plumb.
Plbg. Underfloor water -Ins gyp. Bd. -Mech.
Date Requostedt 10 I I Z
` - Times J1M qPM
Address: 1 1l_I Gl. A,e^ Q(,l)VU to—tkQ Permit is j-A5F f,2. C17g
Buiiders SQ-use Alf 1
THE FOLIAWINO CORRECTIONS ARE REQUIRED:
Inepectoot=----✓ - —---- _---- Oate:�
X APPROVED i UISAPPRC:VED -� APPROVED SUBJECT TO ABOVE
✓ Call For Reinsp.
w 4 w ■w ser w. w4
INSPECTION NOT LO
City of Tigard Building Depart=ent
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business PhonF• 639-4171
Inspections, �---._-- -------—
looting i•ibj. Underalab Nech. Rough-in < ppr/Sdwlk
Pound. Plbg. 'rap out Gas Line FINAL:
Post/Beam Struct. San. Sewer Fr.am�ng -Bldg.
Post/Beast: Necc. Rnin Drain Insulatioi -Plumb.
Plbg. Underf'jor Adtar Line
/ Gyp. Bd. -Koch.
Date Requested: `.�!�I__Ci Z-__.,T-_...._Time: x ____PM3
i v
Address 7 �Y -- �-t_ Permit is�� Gr �+
Builders ------ -- —
TBE rvU*.`RIINO CORRECTIONS JWN REQUIREDs
1E. '�c 4-I
Dia VAJIL'CRAI
Inspector:
11L'111AS Data:_,L�__�
�_�_�
APPROVED DISAPPROVED _LZAPPROVED SUWECr TO ABOVE
Call For Reinsp-
I.wag-TION 110TICS
City of Tigard Building Dppbrt:inent.
13125 SN Ball Blvd. Tio-cel, ore•gon 97223
Inspection Line (Roc-C. Phone); 639-417+ [Business phone: 639-4171
Inspect Lon!_ — --_---�'
rooting Plhg.
Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line FINALS
post/Beam Struct. San. Saws[
Framing -Bldg.
Poet/Beam Mech. Rain Drain
Inaulation -plumb.
-Mech.
plbq. Und -floor Water Line gyp. Bd.
T1,mes
AM —
PM
Date Requested:•_, l C� ��� j �" —
�- �� -
Farsnit
Address•_"rGiG i
Ani1 .ar:.
THE oOLLONING CORRFCTI`)NS ARE REQUIRED:
---------—
Dates
Ir;epector t,_.r�=9 —
AppROVtD Di3APPROV6D -�APPROVFD suFUECT TO ABOVF-
Call Ful Reinep.
I
City of Tigard But, 'sg Department
13125 611 Hall Bivi. :iyard, Cre9on 97223
T.nepection Line (Rec-o-Phone): 639-4175 euainena Phone: 639-4171
To
ot.ing Plbg. Underalab (�1 o�ok.. Rough- Appr/Sda,lk
Found. Plb;. Top Out Gas Lina FTVALt
Poet/Beam Striiet. San. Sewer lraming� -Bldg.
Poet/Beam Hoch. Rain Drain 6n -Plumb.
Plby. Underfloor Wates Lina Gyp. Bd. -Hoch.
Times11M P'H
Date Requeaterls
Addrena:
Builder-
THE FOLLOWING i,1,MgCTION$ ARE REQUIRED:
i
Inspector / Dater
—. .APPROVED DTSAPPROVED J APPROVED SUBJECT TO ABOVE
Call For Roinap.
NSP __JA Na
Ties (�
City of Tigard Bu'lding Dwpart,a0nt
13125 BW Hall 81-rd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 euaines+s Phone. 639-4171
Inspections_. __ �—�_
Footing Pllx3_ Underalabb Mach. Rough-in Appr./S�1wl.k
F..:snd. Plbq. Top Gut J ) Can Line PINALs
Pout/Beam Struct. San. .;ewer Framing -Bldg.
Pont/908M. Mac:b. Rain Drair� Insulation -Plumb.
Plbq. Underfloor slater Lina Gyp. Bd. -Mach.
Date Requesteds�. � J7 �� Times AM -7
Address: ` _Z11� �LA �, ( C�j VL oPP
f ermit
Builders_�� ( Aj . �L
T:iE FOLLOWING CORRRCTI.ONS ARF REQUIR&Ds
Inspectors ''_JE/ ` nate:
iiPPROVBD DTSAPPROVED
�.-._- _ APPF.OVSD SUBJECT TO ABOVE
Ce 11 For Rai;.p.
IMSpECT1014-KOTI(l
City of Tigard Building DepartAb"Ot
13125 BN Ball Blvd- Tigard, Ore<]on 97223
Inspection Line (Rec- 'hone): 639-4175 Bunineg" Phone: 639-4171
Inspection: �-� --� -_J----
P . Underelab Mach. Rough-in Appr/Sdwlk
Footing
plbq• Top Out Gas Line
FINAL=
Pound.
Foet./3eam Struct. Man. Sewer
Framing -Bldg.
Post.!Beam Mech. Rain Drain
insulation -Plumb.
plbg. Underfloor Nater Line Gyp. B1.
-Meth.
/.�
Date R 3queatect:_ ,*--7 :5-7-
Address: �+
. !Z:l�. i1�?4 i7tf� permit
.._1-�/
Buil.der:_,___
,rig FOLLOWING CORRECTIONS ARE REQUIRED:
---- - - -
Date:
Inepector: �----.------ i
APPROVED DISApPR:1VRD
APPROvEn SUBJECT TO AP^'E
Call For Reir-P•
City of Tigard Bui
13125 Sp Ball Blvd, Tigard,
Inspection Line (Rec-O_phone), s39._g175 Asn 92223
:napecl-i.ons Business Phones 634-4171.
roots sg -- ----
plbg. Underelab Mech. Rough-in
Found. Appr/Sdw?.k
Plbq•Top put Cas Lina
Poet/Beam Struct. FINAL:
Ban. Sewer
----_._ Framing -Bldg.
Post
/B`'°10 Mech. Main Drain �
Insulation
Plbg. Underfloor -Plumb.
Nater Line-
- GYP
Date Requested • Bd. -Hoch.
Address:_ ( _Time[ .
__PM
Builder:'-'a -� .. ➢ermi.t is c
THE MLIONINO CORRg01•IONS ARE RERIM
------------
- —
jl
i
r
r
APPROVIDD Data:�_ -
DISAPI�ROVgp
APPROVF,p SUBJECT TO ABOVE
—Call For Reinep•
INSPECTIQp MMW—Z
City ,f Tigard Building DePartma"t
13125 B11 Ball Blvd. Tigard' Oregon 97223
Inspection Line (ReC--o-Phone): 639-4175 Husinoas ph,ne: 639-43.71
Inspections ---—'--
Footing Plbg. Underelab
Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line trINALs
Framing -Bldg.
it/Beam 8truct.'N San. Sewer
-- � -Plumb.
1 Rain Drain insulation
Port/Beam Nech.
-Koch.
Gyp. .
water Line Hd
plbq. Underfloor lbq
Time' AN _PM
Date Requested:
Addreess_ /
Builders
TgE FOLLOWING CORRECTIONS ARE REQUIRED: r —
L
-------------
r
Inspecto,y — ----. I
—APPROVED DISAPPROVED APPROVED 3jgjgCP To ABOI/Z
f� ____. DI ----
Cal- For Reinsp.
■
NSPECTION NfYP
ICU
City Of Tigard Building
13125 BW Ball Blvd. Tigard, Oregon� nt
Inspection Line (ROC-0-Phone): 639-4175 Bua s Phone: 639-4171
Inspection:
Footing —-�"--------
Plbg. Underelab Mech. Rnugt:-in
Found. AFFr/SdMlk
Plbg' Top out Cas Line
FINAL:
Poet/Beam Struct.
San. Sewer Framing
-Bldg,
Poet/Beam Nech. Rain Drain
- Insulation -Plumb.
Zlbq, Underfloor Water Line
�-_ GYP. Bd.
_ -Meeh. �.
Datil Requested,
/
Addraeec __Time: —AM PN
L - r
Builder;
TNS FOLLOWING CORRECTIONS ARE REQUIRED: ----
Inspectors
Date._
APPROVED `^ DISAPPROVED ---L�-
�/ APPROVRD SUBJECT To ABOVE
--Call For Reinap.
� f
City of ?i.4erd sai1�� 9DINVOwtessa722�
13125 901 Hall Blvd. ti4ard• Ora9oa
Inspection Line (ROC-o-Phone)s 639-4175 Business yhona+: 639-417].
Inepections_ ---- __
___�— Rough-in Appr/Adwlk �
Plbg. Underelab Hach.
rooting (;am Lino
Tound. PINhi,t
Piby. Top Out
lrami:.y -Didq.
Post/beam 8truotSan. Sewer. _Plumb.
Drain Insulation
Rain
Post/Beam Hach. -Neth.
ploy, Underfloor Nater Line
Gyp. Ad.
� PM
6 _Timet G
Date
Address s _���1'a -.,
Builders
TV- MLLONINO CORPRUTIONB ARE AEQU'RID I
_-...........
�
Inspecto s —`-------
_ DISAPPROVED
APPROVED SUBJECT TO ABOVE
APPROVED
Call For Reinep.
�-'"
CITYOFTIVARDCIVY RD mAs'rER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
'3125 SW HWI Blvd. P.O.Bcm 23397,TipM,Oregon 9W 3(6011)6*4176 C4_7 -'ERMIT #. . . . . . . :
-4171 DATE ISSUED: 06/01/9c?
SITE ADDRES!,�. . . : 12214 SW LANSDOWNE LN PARCEL: 2SI03BC
SUBDIVISION. . . . : FYRESTONE ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . :7
BUILDING
REISSUE: DWELLING UNITS: 1 BA!3EMENI . . . . . . . . .0 Sf
CLASS OF WORK. sNEW BEDPMS:4 SATHS:3 GARAGE. . . . . . . . . . :833 Sf
TYPE OF USE. . . -SF FLOOR RE(-,)UIRED
IYPE OF CONSI. :bN FIRST. . . . :227J s L-FT, . : 11 ft RIGHT. :S ft
OCCUPANCY GRP. -R3 SECOND. . . :0 5 FRONT. ft REAR. . : 18 f
STURIES. . . . . . . : 1 THIRD. . . . :0 S f RE OU I RED---------
HE I GIAT.. . . . . . . . 1 r7 f t TOTAL- - S f SMOKE DETECT ORS. : Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 19460 PARK I NG SPACES. . .0
Remar-ks,-, PATH I
. ____ _ PLUMBING
E_:y I NKC. . . . . . . . . . . I FLOOR DRAINS— — :0 BACKFLOW PREVNTRG. -0
LAVATORIES. - - . . :4 WATER HEATERS. . . : I T R AP F,). . . . . 0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . : I CAI f-H BAS I�*S: 0
WA E'ER CLOSETS. . :3 SLWER I-INE (ft) . 40 GREASE TRAPS. . . . . . . :0
DISHWASHERS. : . . : 1 WATr.:.R i 1NE (ft ) . ' 100 OT14EP rIXTUREC. . . . . .0
UPtibAGE DiSP. . . : 1 RAIN DPAIN (ft ) . :0
WASHING MACH. . . : 1 GF TRAIN DRAINS.. . : 1
------ ---------- MECHPNICAL FEES
DUEL UNIT HTFR5. . :0 tvpe a in()1-1 n t trly ria t e t,ecpl
' BAS/ VENTS . . . . . :0 TIF $ 1380. 00 JLH 06/01/92
AAX INPUT:O BTU VENT FANS. . :4 BPRT $ 483. 00 JLH 0 6/01.,/92
-
I URN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 313. 95 JLH 05/18/92 c'P 7:-*
'AJRN ) =1001" . . : I WOODSTOVF1-,. 0 DSPC t 24. 1.5 JLH 06/01 /92
I LULJR FURN. . . -.0 CLO DRYERS. : I SFJDC $ 2AO. 00 JLH L716/01/92
BOIL/Cmp ( 3HP-0 OTHER UNiTS:0 PORK Is IWO. LAO 1i L-14 06/V_11/9i
GAS OUTLETSel MPRT 40. 50 JLH 06/01/92
MPL.C i 10. 13 JLH 06/01/92
AICHAEL HUMPHREY MSPC 4 E. 03 JLH 06/01/92
1.2385 SW 121ST AVF PPrRT t 1 50 JLH 06/01/92
6. 1:3 JLH 06/01 /92
I'IGARD OR 1317224
;-:Ihonp #: 6S4--9737
Contractor:
M HUMPHREY ROSEWOOD DEVELOPMENT CO
12'3S5 SW 121ST AVE
, iGAK) OR 972-23
1:"hone 684-9737
46568
1 Z2?04. 39 TOTAL
his permit is issued subject to the regulations contained in the +SUUIRED INSPECTIONS
iigmt-d Municipal Code, State of Ore. Specialty Codes end all other Foot/FoLkmi irisp Fireplace Inso
applicable laws. All work will be done in accordance with approved Prist/peam Str.'%i2t; Gas Line InsL.
Glaris, This aervit will ewpir@ if work is not started within 18@ Post/Beam Meehan Insi.il 8,1 ion I ri s j,
days of iss-ance. or if work is suspended f r more than days. 1:11m/Lindslati Insp Gyp Boar-,J Insp
PLM/Undev-f laoi- Rain dt-aii- I n-3 p
Insp Water Line Insp
_e Meuhaiiical
Plumb Top O(it Appt-/Sdwlk Insp
-ted Py - � Fr amir:, Mechanical Mechanial F i ti�l 1
Ca.1 1 f'ot- inspection on — (G39-4 175
CITYOFTIFARD SEWER CONNECTION
cjlnfffY4� F-,E RMI
T-
0'404D
COMMUNFTY DEVELOPMENT DEPARTMENT 0216M PERMIT #. . . . . . . : SWR%-.'-0180
13125 SW HWI SW P.O.Bac 23M,ngwd,Or"on 97 (603)&V4175
67l4 04.t "t, BM+E f8911EBw
.;ITE ADDRESS. . . : 12214 SW LANSDOWNE LN PARCEL:
SUBDIVISION. . . . : FYRESTONE ZONING- R--4. 15
LALUCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :7
TENANT NAME. . . . . i
USA NO. . . . . . . . . . i FIXTURE. UNITS. . . :
CLASS OF !;0RK. . . Nr7:"W DWELL- ING UN 1 TS. . : 1
TYPE OF L�,E. . . . . a SF NO. OF BUILDING)S: 1
I N�-')I AL..L T . PE. . . BUSWR IMPIERV SURFACE.. . : : Tf
kvmar*.s: P'ATH I
F,)wr)er: -.-- FEES
MICHAEL HUMPHREY type amount t3y date t-ecpt
1,---'385 SW 121ST AVE VIRMT $ 1900. 00 JLH 06/,211/92
TN�3P $ .35. 00 JLH 06/01/92
TIGARD OR 97224
Phone #: 684-9737
Ccntr,actut-1 --------------
F(-'til'!RACT0R NOT ON F"ILE
1935. 00 TOTAL
1�ep
REDUIRED INSPECTIONS
This Auliu-t agrees to comply with all the roles and regulations Sawet, Inspec:tivn
of the Unified Sewaqe Agency. The permit expires 180 days from
the date Issued. The total amount oaid will be forfeited if the
permit expires. The Agency does rnt 9varantet the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall c)rospe,-t 3 feet in all directions from
the distance uiven. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and 4the Agency will Iry 11 a lateral.
Pet-mittee
Fid By
Call for- 'inspection 639-4175
RDPLUMBI;.G PERMIT
arf oF TIFA 11FJI0. PERMIT 11. . . . . . . : MaT92- ►DtD99
COMMUNITY DEVELOPMENT DEPARTMENT °""ON
131'.15 SW wi gad. P.o.eon moo':,"no.�d,OMM e�(�)ear� ! f l I E S SU E D: 06/1211/n
-_ P'ARCE'L a 251.03BC-06900
ITE ADDRESS. . . , IdM14 SW L':ANSDOWNE C-..N ZONING: R--4. 5
,i.1SDI V I SI ON. . . . : FYRCSTONE
+LICK• . , . . • • • • • : LOT_ . . .._.... ...
.L..FaGS OF WORK. . :NEW
______ GARSAGE r)ISP(r50LS. . : 1
BACKFLOW . . . . . 30'
TYPE OF !JaF. . . . %SF WASHING MACH. . . . . . . si TRAPS. . . . . . . . . . . . 10
OCCUPANCY GtP. . :R3 FLOOR DRAINS
CATCH BASINS• • . • ., . . 10
STORIES. . . . . . . . : 1 WATER HEATFR,i, . . . • • : 1 SF RAIN DRAINS. . .,
L.RUNDRY TRAYS-1. . . . • • : 1
►=TXTURFS-_.__.._-._._-______._ GREASE _1 RAP'S. . . . . . . :6�
SINKS. . . . . . . .1 . : 1
L.AVATORIES. . . . . . 4 OTHER FIXTURES. . . . . :t�
TUTU/SHOWERS. . . . ; SI=WER LINE (ft ) • • • . :0
WA'fE=.R rJ..OGETS. . : :5 WATER LINE ( `t) . . . . : 100
DISF{WASHE:RS. . . . : 1 RAIN DRAIN (ft) . , . . :0 ,,..
Ftemarksa PATH I
owNthe TIF ` 1,300. 00 .JLH 06/01/9 :
MICHfaF`,L HUMPHAE-Y BPRT $ 493. 00 JLH 06/01/.12 -
12385 SW- 121�T AVE SPLC $ ;31-.. 95 JLH 05/18/92 22V'7
BSpC y 24. 15 .JL.H 06/01/1` �.
T IGARD OR 97224 SSDC t 280, 00 .�LF-1 06/01/9e: _
Phone #2 694-9'737 SSDC ♦ 5O0.00 JLH 06/01/9r-'PARK
-
pitambing Contractor ;- 'tom" �- MPRT $ 40. 50 JLH 06/01/92
MP'LC f 10. 13 JLH Of-/01 ,'9.,:
M50PC is 2. 103 JL.H 06/01/92
/92 _
Nam : , E _.L.* —..� ��_ � i ..... _ �,.�. ..._..._ PPRT * 16F. 50 JL.H 06/01/92 -
Address fi. 13 JLH 06/01/92 -
C i t v: .�.�t�.��°1I __ _._. _____ e e
z i p s _ -..-__ .»r'h all e#
Ren
P.EOU I RE D I NSP CCT I ON5 -
Th+is .permit is issi_ted subject
to the reg- Foot /foun1
ttlations contained in the Tigard Municipal
Fost, EteamdS+ ruc7t Wstter^Rain dl Line Insp '
Coda. 5tai;e of Ore , gppaialty r /S wl.k Insp
All .war^,k will be done P oSt�:,�/E��,�m i lerhan ,App " a
ether applicable laws. Plm/undsl�ab Insp Mechanical Final
in accordanr.e with approved plait)%. This nor
permit will expire ifswon�eisoraifstarked PL.Mh�rtical.linsp Blt'ildingnFinnl
wit.hl-t► 180 days of is � pli.tmb Tap Out Erosion Contr•o:1
s'Cispended for more than ISO days. FramingInsp Crawl
Drain
Fir•epleat.t? lnfp _ __.....
I;ias I._i rte Insp _ .._�_�. ....._. _.__..
Insulation Insp
Gyp Board Insp
Auth�rize_h plumbing ContCa to _Sign, "T_nspection - 6:39--4175 t'
Not 1 ...-....._...._..�.._._..._..
f..;ontretr•t nr No
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.YMENT Dfa S F
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f.• �w I..AN�uuwrl�
T) �E=LEMEN� 14
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MIN'C F'FlT T1 __ _ ?,4. 1
AM _.....- C F,F RM 1.
YME.N1 F'I.LIMpIN
[JF' .._._..
-or-) 40.fJ�71 raEwE.EI us P TI;AR� C REED F�p�Cn,00
$1.1i1 T1YNQ Of3 c
MF�PLON ("V4ty. f S:. 1`A
c,E�JER IriSP CT ,IF Fl:ES ?�►N-0011
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1
CITY OF T I faAt2D - REC r I F�'T CIF PAYMENT' RECEIPT NO. :92-227377
CHECK AMOUNT' m 250. 00
� CASH gMOt.1Ni a �. ��
I
NAME, ROSEWOOD DEVELOPMENT PAYMENT DATE= a m/ to/9a
ADDRESS y 12385 SW 121ST StjBDIVISION �
TIGAR'), OR
97 ::c 3
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF w�A'YMENT AMOUNT PAID
0. eel
PLAN CHECK FE
i
I
I
12214 SW +ACT
SVOWNE
YESTM" '7
IFR ,
i TOTPL AMOUNT PAID - - - >
c'SV1. 00