8595 SW LUCILLE COURT �aU'M!M�w �F� +Rerwa+rrtq�p^M�wsW'r"ww.swrr,r+�.+Nrt� was
�,. A; �mirn h {�. '�74Y;,.''7! �1 �u�x 'T;: {u�.'ln "�S` �7m�JY •�M• ru'{,fie '0 �. �•rp ,y'AI.aft.,�,' 'i ,��k d�.f .��
i
i�
i-
i .
i
t
� Y�r
Kf
r
:«r
�1
1
u
-14
1
• • g' • • •
M,
Now
P JVii,r.
�Y x �
•'t
INSPECTION NO�-CE
City of Tignid Building Depart=ent 13125 SA Ball Blyd. Tigard, Oregun 97223M4Inspection Line (Rec-O-Phona)s 639-4175 Business o �?16
39-4171
Inspection: J VVI
rooting P1bg. Underslab aoch. Routh-in Appr/Sdwlk
round. Plbg. Top Out Can Line �fINAL�
Post/3eam Struct. San. Sewer Framing (-Bid
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Nwh.
Date Requesteds --11 I _ Time: M PM
Address: ► 1 1 I�_,`� Permit is
Builders+/ )O� N° V`L� r girl
TRE FOLLOWING 006CTIONB ARE REQUIREOs
1 �
16.
Inspector: Dates
PROVED DMAPPROVED APPROVED SUB.;ECT TO ABOVZ
___ _ Cal.l For Reinap.
� 41 1 r+{XCM�� '1�Y311WhYdA'461�1 YIJI�YW9:f'eN1.N4M.uaM41Y',. .
e�9 1
x
.�,�
a
y
lr '�'• � �,r 'd!.
.1
S'� �J���r����'{ � yJ • t 1 ��W Yk y � > dr Y1 j� n,�� htd� sh� tl,
i
5�h1f Y
z
: t"
7
CITY OF TIGARD CE ROCCU :ANC OF
OCCUPgCY
COMMUNITY DEVELOPMENT DEPAR'TMIENT PERMIT; *. . . . . . . o MST9:3---0052 ■
DATE, i,SSUE.Do 08/20/93
13125 SW Hall Blvd.Tigard,Oregon 97223.819 (10,011630-4171
PORCE.Li 1S133DD-LUClbt
j
SITE ADDRUSS. . . a 08595 !�W LUL I LLL: L1 ZON I NU s i
i SUBDIVISION. . . . o LUCILLE
. . • . . . . . w . e LOT. . . . • r . ■ w • . • r e 1 _.............._..........._..._.,._...
JIwLA3SrpF WORK. :NEW
1 TYPE OF UgE. . . s 9F I
OCCUPANCY GRP. o R3 I
OCCUPANCY LOADa2c0 4 I
t ■
TENANT NAME:. . . a (`
14emark s a PATH 8 �
!
NORTHLAND HOME'S
1034 SW 58TH
PORTLAND OR 9'7221
Phone #o 292--3975 i
Contractors
NORTHLAND HOMES f
11934 SW 58TH 6
PORTLAND OR 97221
Phone #: 292- 3975
975
Reg #. . s 13. 27
C)cci_ipancy of the shove r,kfer•enced building is hereby giveTi, and c_e!rtiftes
t:hP compliance With the State Of Oregon 'Specialty Codes fal- the group,
occupancy, and use under, which the referenced permit was issued.
r
FIRE DE:PAR'TMENT DP I f1; NSPECTOR
i
i
BUILDTNA OFFICIAL
POST IN CONSPICUOUS PLACE
i
b,
' I
r y
INSPECTION NOTICE
city or Tigard Building Departwent
13125 SW Ball. Blvd. Tigard, Oregon 91223
Inspection Line (Roc-O-Phone)s 639-4175 Busineps Phone: 639-4171 M�
Inxpoction:._,_�_ - --- — ---
rooting Plbg. Underslab Koch. Rough-in Appy/Sdwlk
Found. Plbg. Top Out Cas Line PIN71Lt
r•
Post/Beam Struct. San. Sewer Framing -11dq.
Post/Beam Hoch. Rain Drain Insulation -Plumb. I
Plbg. Underfloor Water Line QYp• Bd. =f(sOh.
Date Requested: (D . Z� e9 3 Times AN �PM
Address: 0 � Q �1 Permit f s
1��rzv�G� I�o�+ca5 `l e
Builder:
.d:.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
T_
i -
Inspector: '' �_ �`' 'Dater G'v _
APPROVED L'/ DISAPPROVED APPROVED SUBJECT TO ABOVE
r
L/Call For Reinsp.
r
INSPECTION NOTICE
City of Tigard BaUdiog Depart a
13125 OW hall Blvd. T17ard, Oregon 17223
Inspection Line (Roc-O-Phone)s 639-4175 Business Pho 639-417Y
Inspections —
FootA.nq Plbg. Underslrb Mach. Rough-in Appr/Sdwll:
Pound. Plbg. Top Out Gas %ins FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Koch.
Date Requested: YJ Time: -AM --PH
Addraeae J_.��� I. r"-Ql Permit f: (✓-��_
BuildersJ�;
THE FOLVJWING CORRECTIONS ARE REQUIRED:
Inapector:. --- Date: -
APPROVED __ DISAPPROVED APPROVED SUBJECT TO ABOVE
c 1 Por Reinap.
■
INSPECTION NOTICE �1
City or Tigard Building I
13125 BW Hell Bled. Tigard, Oregon 9
Inspection Line (Rea-O-Phone)s 639-4175 Business Ph e: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. ■
Post/Beam Mach. Rain Drain Insulation Plumb.
Plbg. Underfloor �'� Nater Line Gyp. Bd. -Hoch. .
Late Requested:_ -�/— � �% _Times AH ._ PM
Address: / Permit
i
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
U l o✓ I'
Inspector s_ Dat
_ e:
_APPROVED ')ISAPPRO#RD APPROVED SUBJECT TO ABOVE
T _
Call For Reinap.
.......�.«.wmsna,...ww.. .. .. ..:.... _ ., .:nrawro:ao-.a•..,.......w.wnw....... .,....:........•,w3w
t
r
{�,� Iry9 •nP{ t
A
7 li
i
INSPECTIONN NOTICE f�
City of Tigard Building Department I
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections—
F-oting Plbg. Underslab Mech. Rough-in Appr/Sdw�
"mound. Plbg. Top Out ;as Line FINAL: .
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beams Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
(V
Date Requenstteds_—_ 7_-1 J T imp: t, AM /__ PM
Address:_ L/• Pe it ►:
Builder:
THE FOLLOWING FOLLOWING CORRECTIONS ARE REQUIRED: �
Inspectors__ Z,46� --
APPROVED DISAPPROVED !� APPROVED SUBTECT TO ABOVE
__Call For Rei.nsp.
1 s ,
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. an. Sewyr Framir„ -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mech.
�;/ s
Data Requested:-• -/ _ Timet — AM _ r`_PM
Addrenot �( _Gy[/
Permit f:.y_r� Z
Builders /1/,d/' !/
THE FOLL40WING CORRECTIONS ARE REQU'.RED:
Inspectors /' _ Date: 7 Z a
c
_�_APPRO'Aty DISAPPROVED APPROVED SUBJECT TO ASM
Call For Rainsp.
T ..
.h
S P,CT�ON NOTICE
city or Tigard Building Departwen ..
13125 SM Ball Blvd. Tigard, Oregon 9 2231
Inspection Line (Rec-O-Phones 639-4175 Busines onet 639-4171
Inspection:
Footing Mg. Qnderelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Vias Line
lINALt
■
Post/Beam Struct. Ban. Samr Frami 1 -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb, f
Plbg. Underfloor Nater Line gyp. Bd. \) -Mach.
Date Requestsds
Timet _ AM �(
C (. ^ + sm ?
Address: ( `D �J.J Pei.t �s`1_J ^Ue� Z ■
Bu i lder s _ �
THE FOLLOWING CORRECTIONS ARE REQUIREDs
7nsE,ectarteL�
natal
i
APPROVED DISAPPROVED APPROVED SUBJECT TO AAOVE
___Call For Reinsp.
`.'ppWa�wn�stawtrr+-
,3
d
1
F4tryw•f �
INSPECTIPN NOTIC$
City of Tigard Building Departenrrt
13125 BN Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone)r 639-4175 Business Phn9 639..4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALc
Post/Scam Struct. San. Sewer. Framing -Bldg. .
Post/beam Mech. Rain DrainInsulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch. i
- l ,� ■
1 3 �_
Date Requestadr
Ti
mes AM PN
Address: �- _� 7�•� ��•fG. ���L. C-; (_ Permit #:�2_-� � '��'- ' torr
Builder:
w
THE FOLLOWING CORRECTIONS ARE REQt1IAED: ,
„ r� '.
t ih
I C 5 d e h•,
w 1 bt
�; ,413 ! �•µ'�k
� x
Inspector
--___--- nater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
t s •
t.
t I
J
�0
4
1 a
MrCbIN4+� c Y.
INSPECTION NOTICE
City of Tigard Building Deparhment
` 13725 811 Hall Blvd. Tigard, Oregon 97223
In. action Line (Ree-O-Phone)c 639-4175 Business Phone: 71
I Rapect iOR:
Footing Plbg. Underslab Nech. Rough- Appr/Sdwlk `)lfitilt" '•
r rel a,r • �
Pound. Plbg. Top Out Can Line rINAL:
Post/Beam Struct. San. Sewer frmLng -Bldg.
Post/beam Hor_h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
_ M
Date Requested: Times
Address: J�Z-
) Permit f:_7 C/�
11
Builder:
THE FOL1,ONINO CJRRECTIONS ARE P.P.QUIRED:
1
Inspector:
_. Dates11
- APPROVED DISAPMOVRD APPROVED SURJECT TO ABOVE
_,Call For Reinap.
i
H
INSPECTION NOTICE
City of Tigard Building Departm'nt
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspection Lino (ReC--O-Phone): 639-4175 B1xeMesa p 639-417
Inspection:___—
Footing Plbg. Underslab !tech. Rough-in Appr/Sdwlk
Found. t Plbg. Top Out Gas Line FINAL: .
Poet/Beam Strcct. ' San. Sewer �Framin -Bldg.
Post/Beam !such. Rain Drain Insulation -Plums .
a
Plbg. Underfloor Water
/Line Gyp. Rd. -Hoch.
Date Requested: �" '� Times AM ?M
Address: y 7 S �_ of ( t Permit #Q-
Builder:
THE FOLI.WING CORRECTIONS ARE REQUIRED:
jj
f
I
i
Ineoec tor:
-jr;
Date: /(
I.PPROVED D SAPPRO`!ED APPROVED SUBJECT TO ABOVE
call For Reinap.
`' �9�FkFiFl�kir1aKW4W�+'aPsw•..WW.:;a��.w +c�•'��,�r�n;.;, ,,-;�,.,.. ...
' qy
INSkI TION NOTICE
Cit2 of Tiqard Buildlnq Departnwmt
13]:,S SW Nall Blvd. Tigard, Oregon 97kh.
4
Inspection Line (Rec-O-Phone)c 39-4175 Bueineae /. 6-/19-4171
w
P1 �U d t ab Mech. Rough-in Appr/Sdwlk
P Top Out ine FINAL:
Struct. San Sewer J Praming -Bldg.
Mec:h. Rain Drain I Iation -Plumb.
ideriloor Nater Line Gyp. Ed. -Mech..
rqueeteds 1,5 A Timet AM PM
/ f C..�L DCJV Z
Bet •� Permit +t
tder: 1.
FOLLOWING CORRECTIONS ARE REQUIRED:
6/v
IM
te
/21
zolzl
ao4, r
4
Inspectors_ Datee-'ss ""+�� �r
APPROVED
--bb"�`--i / DISAPPROVED �! APPROVED SUBJECT TO ABOVE s� {
Call For Reinsp.
4 I'
e
i
.;i' 1111
a
r .
G
I ' '
INSPECTION NOTICE
city of Tigard Building Department
13125 SW (tall Blvd. Tigard, Oregon 97223 � �
•�� Inspection Line (Rec-O-Phone): 639-4175 Bus.ness Phone: 63
1.
P)bg. Underelab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Gan Lino FINAL:
:►uct. San. Sewer Framing -Bldg.
Tech. Rain Drain Insulation -Plumb. I
floor Water Line Gyp. Bd. -Hoch.
looted: c --Time: ^ AM PH
J CiT l z r /l E' / Permit #r %
era ■
FOLLOWING CORRECTIONS ARE REQUIRED:
Y13
oV
1 Z
L
I
Inspector:--1 4 Datet
APPROVED D�VF,D APPROVED SUBJECT TO AB04�
Call For Reinep.
Va
1
'i
1
y
j INSPECTION NOTICE
City of Tigard Building Department
c� 13125 BR Ball Blvd. Tigard, Oregon 97323
f i Inspection Line (Aea-4-Phone)t 639-4175 Business Phone: 639-4171 p
r" I
Inspection$
'1 looting Plbq. Undorslab Koch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINALt
ngLaeam struot. �� Ban. Bower Framing -Bldg.
yvat/se" Koch. Rain Drain Insulation -Plumb.
bg.UndorlloorNater Line Gyp. Bd. -Koch.
Date RequestodeLl �a 7 Times AN PM
s-
7
Addreasf_ Permit �e
Builders
THE FOLLOWING OORRECTIONS ARE RWIIREDI
1 �
X;.
t h
Z i
Inspectortlolr Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
t:�#, Re�
Call For Reinop.
i z
y
V�yYl
1.
Y.
1
+a..
d -
CITY OF TIGARD
OREGON
March 22, 1993 '
G
Northland Homes
10211 SW Barbur Blvd. , Room 202
Portland, OR 97217
Re: Lucille Subdivision
This letter is to confirm previous conversations with the building
inspector from the City of Tigard, with Larry, field representative
from Northland Homes.
The following are minimum requirements due to the type of sail
conditions found on-site, and the way construction methods are
being employed installing utilities, streets, etc. , at the same
time that footings are being constructed, which is resulting in a
large amount of undesirable soils, rock, etc. being moved and
deposited randomly on the job site.
j All lots are required to be tested by an independent test lab
showing soils will meet minimum standards (UBC 1 & 2 family
Code.
s Also, footings already poured on Lot #1 appear to be substandard
with poor consolidation of concrete; poured without proper forming,
etc. This footing will also need to be tested to meet minimum
standards of 3,000 psi.
I
Tom Plescher
Building Inspector
br/North land.ltr
R P
I
:
I
t
(5treeta civil cuineer
Wlitie8 0 3510 ne lickiteti
(5tructurel Portland OQ 97212
Desi n 1503/288-8536
DALE F). HALLEQ, P.E. ,
IVED
March 20, 1993 MAR Z 21993
Mr. Doug Pollock ------
c/o
__c/o Northland Homes
1834 S.W. 58th Ave. ■
Portland, OR 97221
RE: Residential footings, Lot No.1, 8595 S.W. Lucille Ct. ,
Tigard, OR. Permit No. 93-0052.
Dear Doug: '
At your request:, I inspected the footings retered to
above on March 19, 1993 and have the following comments;
1. Although the footings appear crude due to lack of
forme at the time of pouring, they are more than
adequate in width to t?;.,pport this residential load.
2. The concrete was obviously very dry when poured an
can be seen by the rough appearence and numerous a
rock pockets. This will increase the ultimate
strength.
3. The fact that the concrete was poured in water will
have no effect on the ultimate strength.
4. The footings do have hr)rizontal reinforcing which
will help prevent cracking of the footings do to
settlement.
5. Since no sheer key was provided, I recommend that w
N4 vertical dowels at 24" o/c be drilled and grouted
into the footings to support the stem walls.
1 If you should questions regarding any of the above
` comments
please feel free to call or write.
s cerc.1y�
1-'
ale B. Halle P.E.
Copy: Tom Pelcher, Insp. _
Poet-It'brand tax transmittal memo 7671 N o+peeee►
H /— tem
e
no
e� Gd1'-
i 'A SMANI M00110d N0a WOKS WV91 :90 f6-51-Iii
•4$W+�A2°p 1 z•^. ,h.1.xrr1 Lti SG ,.,...,..., _.m•.«�y►y�„
INSPECTION NOTICE f
( City of
Tigard Building Department
13125 SM Gall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phon T639-4171
f Inspections _
Footing Plbg. Underelab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Can Line FINAL: .
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -lyeCh.
Date Requested:, - el- _1 PM
Address: !`S C Permit f:` 3
)� Builders '
THE FOLLOWING CORRECTIONS ARE REQUIRED: ——
1 _
1
Inspectors_ Date: ��—
`YI/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
4
41C IT1f OF TWA RDPLUMBING PERMIT
�>M�
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ##• . . . . . . : I`IST 93-'Z' 15'?
! 13126 BW Hell Bird. P.O.Box 23307.Tlplud.Oregon 07223(603)630.4176
C
{
' SITE ADDRLSS. . . : 01:1595 SW LUCII._LE CT Pf)RC"EL: ISI33DD-•LUC01
SUBDIVISION. . . . : L(JLILLE: ZONJk4G:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
CLASS OF WORK. . :NEW GARBAGE: D I SPO(31ALS. . : I �
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCIJF='AIVC'Y GRP. . :R;3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 W(a I LR HEATERS. . . . . . : .1 CATCH BASINS. . . . . . . :0
FIXTURES---_._.._.__._..___..___..- LAUNDRY TRAYS. . . . . . :0 F RAIN DRAINf�. . . . . : 1
S J,4KS. . . . . . . . . . : 1 GREASE TRAP'S. . . . . . . :0 r`
LAVATORIES. . . . . :` OYHER IXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 I
WAIER CLUSETS. . :::'. WATER LINE (ft) . . . . : Ili,0
DISHWASHERS. . . . : 1 POIN CROW (ft ) . . . . :0
Remav-k s : PATH 8
w
UWNF:'�R: _._______.---___._.___-_-_-______.___ _-----_--__-__--____FEELS
NOR141LAND HONES TIFF' $ 1460. 00 JH 02110/9:3 -
1834 SW 581 H E,F_JR T ffi 301. 00 JH 02/10/93 - !
BPLC ffi 199. 55 JLH 08/26/92
PORTLAND OR 972c 1 BSPC $ 15. 35 JH 02/ 10/93
Phone 0: . 92-,3915 SSDC ffi 280. 00 JH 01_/ 10/9;3 -
PORK f, 500. 00 JH 02/ 10/93
Plumt_�inq Contractor:--•---._._....._....._._._.. ....._--_-_ I1F'RT $ if0. 50 JH 0t'./ 10/9.3 -
��]] D /i 11P'LC $ 10. 13 JH 02/10/93 f
Name : K(.f{ ..1C�1'Yl 115F'C $ 2. 03 JH 02/10/93 - I
..� _ ,�•• _ .�
Adclress : / fi �_ � �'cL��1� '_.: PF'Rf ffi 110. 00 JH 0 /10l93 -
City :. Q4 State : F'SPC $ 5. 50 JH 02/ 10/9:3 _
Zipn (_� F='honeli: l _
Req
RL-QUI RED INSPECTIONS --------
This hermit is issued sl_lb.jec:t to the req•--
ul:ations contained in the Tigard Municipal. Foot/found Insp Rain drain Insp
Code, State of Ur-e. Specialty Codes and all Post/beam Str,uct Water, Line Insp
other- applicable laws. 011 work will he done Post/Beam P1echan Appy/5dwll( Insp
in acr_or•danc:e with approved plans. This F'1m/undslah .T.nsp Ivler�han.ir..al F' .i11a1.
permit will expire if work is not started FILM/Under-floor Plr.tmb Final
within 180 days of is 1-lance, or if work is I"lechanical In=p Building Final
suspended for more than 180 days. Plumb Top Out; Erosion Contr-ol g
Fv-am.inq Insp Crawl Drain i!
Fiv,eplace Insp
Gas Line Insp
Insulation Insp
S i g n a t Lt r•e
Call for-, inspection
t
• Contractor Notes : _ I
ka;
1
A
/ - cam''
CITYOF TIFARD
���� MASTER F''E:RIyII"1
COMMUNITY DEVELOPMENT DEPARTMENT oinoo++ PE RPI I T' #. . . . . . . :
13126 aw Hwl 8"p.O.Bac 23w,Tip W,Oregon 97?23(SW)639-4175
SITE ADDRESS. . . : 08595 5W LUC:I LLE CT PARCE:I_: i S 133Db-LUCO:I
SUBDIVISION. . . . : LLC I LLE 7.OIV I NG
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1
BUIL.DIN(3
REISSUE:SSUEw
- DWELLING UN 1 Tc,..r•': i BASE=MEN1.. . . . . . . . CO s f ■
,.,
CLASS OF' WORK. :NEW BE DRMS:3 BAT HS:E: GARAGE. . . . . . . . . . :324 s f
TYPE OF USE. . . :SF* FLOOR ARFA:a_______.._.._.__._-_ HEOUIRED
TYPE OF COIVST. :51V FiRST. f LEFT. 38 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. :596 sf FROIVT. :20 ft REAR. . - 15 ft
STORIES , . . . 2 11-11 RD. . . . :0 s f REQUIRED
HL I GHT. . . . . . . . :20 ft 'TOTAL--,-----: 1 s f SMOKE: DETE'CTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . 5/! tr4 PARKING SPACES. . : ! ■
Remarks : F'ATH H d
FILUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKF1_UW PREVN•TRS. . :0
LAVATORIES. . . . . WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . : l LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :kr
DISHWASHERS. . . . : 1 WATER LINE: (ft ) . : lr71171 OI'HE:R F'IXTURFS. . . . . .0
UARBAUE_ DISE'. . . : 1 RAIN DROIN (ft ) . :0
WASHING MACH. . . : 1 SF" RAIN DRAINS. . : 1
MECHANICAL -_____._._.____._.._._____.__._____.____.__,_--- FE-Es _.__......__.._.__..__.__.._._...
FUEL TYPES•--_,_._..____._.___.__ UNIJ HIRS- :0 type amor_rnt Ery date r'ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1460. 00 JH IZI,? 10/9:3 -
MAX INPUT :0 BI U VENT FANS. . :3 BPRT $ :1't0'7. 00 JFI QIP:/ 10/9.3
FURN ( 100K . . : 1 HOODS. . . . . . : ! BPLC $ 199. 55 JI_FI 08/26/9:_'
F"URN ) -100K . . :0 WOODSTOVES. :0 BSF'C $ 15. 35 JH 02/10/93 -
FLOOR FURN. . . . :0 CLO DRYLRS. : 1 SSDC $ 280. 00 JH 02/10/93
BOIL/CMF=' ( 3HP:0 OTHER UNI15: 1 I`ARK $ 500. 00 JH 02/10/93 -
GAS OUTLETS-. 1 MP RT $ 40. 50 JH 02/10/93 -
Owr)ev: ----IvIPLC, $ IQI. 13 JH 02/ .1.0/9;; •-
NORITHLWND HOMES I15FIC $ c . O3 JH 02/10/93 _
18: 4 SW 58Th! PPRT $ 110. 00 .1H 02/10/93 -
PSPC $ 5. 50 JH O2/10/93 -
PORTLAND OR 972,21
Phone #: 292-•3975
NORTHLFINU HOMES
1834 SW 581H
s
n PORTLAND OR 9722J.
Phone 0: 292-3975
Req 13727
2930. 06 TOT'AI_
This permit is issued subject to the regulations contained in the - ---- REQUIREINSPE CTIONS -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Faat/fo�_rncJ Jnsp Fireplace Insp
applicable laws. All work will be done in accordance with approved Fast/Beam Strutt Gas Line Insp
plans. This permit will expire if work is not started within 180 F'ost/Beam h'lechan InsUlation Insp
days of issuance, or if work is sus + far more th n 180 ays Plm/r_rndslab Insp Gyp Board Insp
RI__Irl/IJnriPr'f I oor Rain dv,a i n I" s p
�'ermittee Siiunatr_rre . __.!7 _....._.__....___._._._ hler.Franir_al Insp Water L.. ine lnsp
Plumb Top Or_rt Appr••/Sdw.11< Insp
Issi_red By : Fr-aminrl Insp IviecFrarrical Final i
Call for inspectian 639-4175
a.
r�
•
i
CITYOFTIGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT o 14" P'ER11I7
13125 8W HWI BbA P.O.am23M,TIp M,Oregon 07221(500)x34.4176 F'F;RMI T #. . . . . . . : SWP93--0048 ;
6:s9—•4171 DATE= ISSUED: 02110/'.)13 �
S I-I EE ADDRESS. . . : 06595 5W LUC I LLL Cl �''ARCE L.: 1 S 133DD-1_UC01
SUBDIVISION. . . . . LUC IL1_L ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1
■
T ENAN`F NAME. . . . . :
USN IVU. . . . . . . . . . . f=I XTURE. UNITS. . . :
CLASS OF WUf�I;. . . :NEW DWL_LL I NG UN I TS. . : 1
TYI='E: OF USE. . . . . :bF NO. OF' BU I LD I NG1;: 1 ■
INSTALL TYF'E1. . . . :BUSWR II+IF'ERV SURV-ACE. . :
Remar-ks : VIATH 8 6
NORTHLAND HOMES type anioi.rnt by date r•er,pt
1834 SW 581'1A F'R11T $ 2100. 00 JH 02/10/93 -
IN5 `b :35. 00 JH 02/10/93
F'OR TL_AND OR 97221
k'17one #: 211E-3975
Contractor: ------- --__-----------------.._._--
CON T RACTOR NOT ON F'I LE:
F•'hone #: $ 135. 00 TOTAL
Reg #. . .
RE:U01HED INSPIEC11ON5
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 186 days from
the date issued. The total amount paid will he forfeited if the ___,_,________._„_, _ __•„__W_��.�__ '
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer” Permit and the will install a later
F''er•m.ittee Signa' 1_1r e
Issi-led By : '
L.alI for inspection - 639-4175
r!
1
r
r
./ ,�,.TN;r�H?',;RK�1�. "...., i ., .: . .. .... :, . ",1}:i ..,... ...,. . .. .. :` /I%^.At•Mn �T!^"N'7'IPh1}i.�rOR:YAiY'.vill,Wn'.
RLC( #
13125 SW HpLNCKall Blvd. /
(YARD PO 21397
CITY OF T I
Tigard,Oregon 97221 PERMIT # 41�;-a a S
COMMUNITY D[:VELOI 'MENT DEPARTMENT (M)639-4171 DATE ISSUED
,L I
TAX MAP LOT S -
JOB ADDRESS: C�rS 4 c� NGS c r_- / L
SUB:
LOT: LAND USE:
- - `
�uciNQ VALUATION: -`'l
OWNER SPECIAL NOTES
NAME: AltIAZ' L L4tvel /yays ps REISSUE OF:
,�Gsl s g LAST REISSUE:
ADDRESS: / -A 3 � - �
7y 2. __ FLOOD PLAIN/
PHONE: !�2 7 Z 9 7S SENSITIVE LAND: —
CONTRACTOR APPROVALS REQU I RED_ SU 13 q,?- 00A
NAME: PLANNING: �+ /�- See camme,1,1�
ADDRESS: ENGINEERING:
k FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD #: EXP GATE: kY9-y
ITEMS REQUIRED j
•T __
SUBCONTRACTORS: PLUMB: �L
V LIST/SUBCONTRACTORS:
MECH: - BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: OW" /3 Z 2 7 TRUSS DETAILS: �-
ADDRESS: _ _ OTHER:
PHONE:
PROPOSED BLDG. USE: s� wG `e FA 0,4 —
COMMENTS: SU892-a(� �� �' -' -- ,' No
i
APPLICANT SIGNATURE
Received By: ----- —___J Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
IjlS 3-voS 2 10-432 00 Building Permit Fees —
10-431 00 Plumbing Permit Fees //0"* _ � —
10-431 01 Mechanical Permit Fees — 5-0
10-230 01 State Building Tax (5%) —
Building � S'r
■
Plumbing _)7V I
Mechanicalr43
10-433 00 Plans Check Fee )
Building
Plumbing _
f Mechanical
10-230 06 Fire
.SwR 9 uo 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial T Fees
25-448-04 Industrial TIF Fees -
7M
i
25.448-06 Institutional TIF Fees _ --
25-448-03 Office TIF Fees — --
25-448-01 Residential Traffic Fees —
25-448-05 Mass Transit TIF Fees /i r7• oo
52-449 00 Parks System Dev Charge (PDC) Su L)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) --
C-2
24-445-01 Water Quality (Fee in lieu of) _ — --
24-445-02 Water Quantity (Fee in lieu of)
TOTAL c u
nm/3587P.WPF
•w�pitr,V�a;, ., .
i
I
,•
w
i
a
CITY OF ESE Ch:.I PT OF PAYMENT RE.CE T PT NO. 3._.;-1.36 530.5
cHr:.CK A01OUNT a 4815. Of, i
NAME c NUF� f H1_gNG FiC1MCS CA{uN AMOUNT a 0. 00NAMEtEr,iii a F'NYME:N'l D417 E.
SI)BD I V I 1011
1
flURPOSE OF PAYN Nf AM13UNT PAID pUE21={0SE OF PAYMLNT AMLIUNT I1(-)II.)
_ 1 1�.
_._._.. 307. (40 PLUMBING PERM tA. 00
MECHANICAL PE 40. `50 ST. BUILD PLR
P-1-AN CHECK F=E. —40. 32 SEWER USA 0 111. +rN
' ,I WE EI INSPECT 35. 01, F'AkM5s :iI�C; �it7�k�. 00 II
,5TURM DETAIN SDC c,80. 00 REGIDENTIAL. TRAPFIC: F'E^ES 1330. 00
MASS TRANSIT TIF" F L F E; 110. (Ao
LCAT 1 1_UCILL.E» EST
8595, �iW LUC I LLE CT
T'CITAI_ AMOUNT PAID 4A 15. 06
a:
a
}
i
".' " d Me.N�.l.e."(.+wi.nv.e..tll..W Y'.'M Ae.. .. .
��,.: . �
{ F
i