Case File ADDRESS :
i \recrrdslmicroflm\targets\building doc
LLRTIFIGATL OF
CHY OF TIGARDOCCUPANCY
t RMI7 �. . . . . . . � ., ) _ .317
COMMUNITY DEVELOPMENT tJ9PART'MENT
tl11'lOWH&H OlVd.T19W.gr"" 67MoS100 (W)0$&4171 !)ATE ISSUED: 05/27/93
O I T J;�' ADDRESS. . . % 12184 :3W AN ON DR NARCCL o 1 a 134CS--1 8200
sUADIVISION. . . . a ANTON PARK #2 ZONING
BLOCV— . . . . .. . . i LOT* . . . . . « .`. . . . . 9 109
CLASS 017 WORK. a NEW
'TYPE OF USE;:. . . t SF
OCCUPANCY GRP. a R3
OrCUPANCY LOAD a 123 4
TENANT PAWE. . . i
I Remarks: P,4TM I
Owners
FOUR 0 L".0 WiTRUCT I ON
P O BOX 1577
BEAVE'RTON OR 97075
Phone lit 641•-0935
Contract or a -•-_ -�_w_____._ _..._.__.._.__.._...........-....._._.....
TOUR D CONSTRUCTIUN
F1 BOX 1.5+77
LEAVERTON UR 97075
Phone 0• 641 0935
Ree #. . 9 "11037
iOCCklpancy of thw above -efiwencrd building is her-eby Riven, and certifies
the complion':e with the ,tete Of: Ort-gon Spes_ialty Cadets for the group,
occupancy, and use under which the • eforenr_eci permit was issued.
FIRE DEPARTMENT 8 _DC I ,TOR
U I L_DIN "F Al C L'
POST IN CONSPICUOUS PLACE
I
ID_AP&'T_"dL NOTICE
Cit? Of T.tgerd Be11fin9 Departaent
13!.25 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4176 Business Phone: 639-4171
I napec!t ion:
Footing Plbg. Undo-slab Merh. AouQh-in Appr/Sdwlk
Foq:nd. Plbg. Top Out Can Line FINALt
Powt/Ream Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Ineulatiin -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -K*ch.
Date Reque
/Z ,
sted:. ��-/Z / /-3 Tiset PH
Address t_1
�U 7� (,./i7Z -fit T Permit i t`'/1 -,0,31?
Buildert�_--
TBR 1OLLOWINC r0RRRCZ:OWS ARE REQUIRED:
I:upectort Dater
__APPROVED UIBAPPP-MM 4-_*"APPRwRD BUBJECT .ro ABovz
Call For Reinap.
I NS PBCT��OT��E
Cit! oY Tigard Building Department
13125 M Hall Blvd. Tigard, Ortgon 97223
Inspection Line (Rec )►one)s 639-4175 Busineas Phornts 639-41.71
Inspection:` _
rooting ! Flnderelab Hs•!h. Rough-in Aper/Adw)k
round. lbg. Top Out Gas Line 11NALt
Post/Ber ,, St:ruct. San. Sewer Framing
Post/Seam Hoch. Rain rrain Insulation -Plumb.
Plbg. Underfloor. Nater Line
Gyp. Bd. _Hoch.
Date NeQLfsstsdt„-5 -' 7—`��7 � TLmot
Addrese s_� /Z/4z fii//i t:/ s- P.Mit t,
nuildert_ 9-ID
THE FOLLOWING OORRECTION,S ARS RNWIRRDt
Inepsctore
APPROVED _ -- DTSAPPROVSD APPROVED SdRjXr"F' To ABOVE
Call For Reinsp.
3r�PF�ote na^Ic8 ;
city or Tigard Building Depart
13125 aw Nall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phones 639-4173 Buainasa Phones 639-4171
InaPactiont
Footing P1bc,. Underalab Mach. Rough-in A
rVr/8dwlk
Found. Plbg. Top out Gas Lina
t � lINALt
t/
San Sever sewer
rYraming
Poet/�� 11sch• Rain Drain Insulation
� -Plutob. J
Plbg. Underrloor Nares_ r_.in� gyp. Bd. -
-trach.
Date Requesteds_�_L�p"
Times AM PM
Address t_/'_) L Permit
Builders
TNS POiLMXNG CORRECTIONS ARE RRQUIREDs
Inspector
--�� Dates 7S
6 APPF40M DISAPPRovRD -- APPUMM SUBJBCT To ADM
Ca!! Por- Poinnp.
I SPECJJQM NOTICR
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oragr 97227
Inspection Line (Rec-o-Phone)r 639-4175 Business Phone: 539-4171
Inspect ic-a r_
Footing Plbq. Underslab Mech. Rough-in r/Bdwrk�
Found. Plbq. Top Out Gas Line FIVALr
Poot/Beam etruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insul4--ion -Plunvb.
Plbg. Ueid�trlloarater/Jyi/nye Gyp. Bd. -Mech.
Date Requestedr � [ `7 lmrr 11M }!1
Addrassr./ . I �i7Z �u ' Permit #t
Rui 1der:.
TBE FOLLOWING CYT^' :0118 ARE RISQUIREDr
/7_/0�J T:2 l+'�IFQ,
/15 /Y1 f12/�FLS ""'L
INSTf'lC_L v� lJk��rrJ, L//�/CS TOC-!//�'-_f3
Gfik UNC AT A 1yZOAC L
f_T, �� r
'J f
Inspector, G�TNi4 77�C�ii Date=
APPROVED DISAPPRO'V1M APPROVED SUBJECT TO ABOVX
Call For Reinsp.
j�PECTION NOTICE ��
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-o-Phones 639-4175 Business Phones 639-4171
Inspektions
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
1
Found. Plbg. Top out Gas Line FINALS
P
Post/Beam Stract. San. Sewer Framing -Bldg. 4
i
Pout/Beam Mach. Rain Drain InsulaM on -Plumb.
Plbq. Underfloor Nater Line yp. Bd. -Meeh.
Date Requestads Times AN PM
Addresas Permit #s Q3
Builders
THE FOLLONING OORRECTIONS ARE REQUIREDs
Inspectors �� Dates
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSUCTION NOTICE
City of Tigard Building Departsr:nt
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Bneineee Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwl)c
Found. Plbg. Top Ovt Gas Line F'.NAL:
Poet/Beam Struct. San. Sower Framing -Bldg.
Poet/Beam Mer_h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Dato Requested:_ / ^ _Time: >� AN P11
Address: fPermit is �4 Q�J� 7
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ___� _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO AMC"
Call For Reinsp.
INSPECTION NOTICE
Citi of Tigard Building Department
13125 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)e 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. UnderslabradV uq - Appr/Sdwlk
Found. Plbq. Top out Gas Line FINAL$
Pos
t/Beam Strutt. Ban. Sewer rasing -Bldg.
Post/Beam Math. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line
/I Gyp. ad. -Mwh.
Date Requested$ -7 I q n Times AN PM
Address, /a /_ ��5.�- /X, L Permit #1
Builder= 222 U
THE FOLLOWING CORRECTIONS ARE REQUIRED,
v
Inapeators Dater 7 _ _
APPROVED DISAPPROVED APPROVED 6UBJNCT TO ABOVE
Call For Rainap.
INSPECTION NOTICE
C 'tr of Tigard Building De'.+rt—t
13125 BM Ball Bled. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Eusiness Phones 639-4171
Inspections —
Footing Plbg. Underslab Hoch. Rough-in l&ppr/Sdwlk
Found, Pl �.
Gan Line FINALS
Poet/Beam Struct. eon. Sewer Framing -Bldg.
Poet/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater 7s Gyp. Ed. \/-Nech.�„ n
49
Data Requested Times -]�—AN v PN
Address. 1,;LL� - - - Permit #8
Builders 14_6Lt� Z? /,/)
TBE FOLLOWING CORRECTIONS ARE Ra iltzD�/J L 13 - ,S-1-7 0 _
In ore 1-;Z Dates
> APPROVED DISAPPROVED APPROVED SUBJECT TO ADME
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (iter_-O-Phone): 639-4175 Business Phone: 639-4171
Inspections.— -- -- �- — -- —
Tooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. ��'�� Plbg. Top Out Gas Line FINAL-
4-
INAL:
set/Baam�yycr! San. Sewer Framing -Bldg.
st/Beam Rain Drain Ineulati.on --Plumb.
Plbg. Undetrflo Hater Lino Gyp. Bd. -Hoch.
Date Rugueeteds Times AN PH
Addreus:/ ���il�/jti� _ Permit s Q 7_
Builder: C
THE r0LL(WINO 00�RJMCTIOMB ARE REQUIREDs
Inspectors -----------__.—_ __ Date: Z"ZiG-JP 3
Y APPROVED DTSAPPROVED APPROVED SUBJECT TO ADM
Call For Reinsp.
INSPECTION NOTICE
City of Tigard But idinq Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Innpection Line (Rec-O•-Phone)a 639-4175 Business Phone: 639-4171
Inspect ion:_____
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq-. Top Out Gag Line FINAL:
Post/Beam Struct. San. Sewer 1 Framing -Bldg.
Post/Beam Mech. a n Drain ) Ineulatlon -Plumb.
Plbq. Underfloor a star Lina Gyp. Bd. -Mach.
Date Requested:__ LI Time:
._ AM �PH
Addreser___/,#';0 -r� _ Permit #: 15j 2- -G 3,/ 7
nullderr
THE FOLLOWING t'.OCTIONS ARE REQUIRED:
Inspector
/�[ Date:
/ _
__APPROVED _ DISAPPROVED __ APPROVED SUBJECT TO ABOVE
Call For Reinap.
P9SPECTION NOTICE
City of. Tlq,,cd Building RWepartmrnt
IL125 SA Hall Blvd. Tigard, Oregon 97223
inspection I_na (f<ec-O-Phone): 639-4175 Business Phone: 639-4171
Poetinr 0,. q. Underslab Mach. Rough-in k,ppr/sdwlk
Pound, ilbg. Tup Out Gas Line FINAL:
r"9t/Ream .,truct. Saa. Sewer Framing -...dg.
posti_"-am HeCh. Rain Drain Insulation -Plumb.
Plbg. tindorticwr Nater Line Gyp. Bd. -Hoch.
Date Requested:_ TiroefPH
Ad,,reses L LT- Permit !f Z
Builders
TBE 11LLOWING ODRRECTrJNS &RE REQUIRED:
Inspect.,
!a'
APPRUVF.D DISAPPROVED APPROVED 6111t,:ECT To ABOVE
__Call For Reinsp.
CITYOFTIGARD
COMMUNITY" DEVELOPMENT DEPARTMENT a ea t MASTER PERMIT
PERMIT ti. . . . . . . : .h5T92-0317
13126 SWHWIBlvd. P.o.am23awi,iig&H,omgrx+9=(603)636-4176
— -� 639-4171 -- -N — DATE ISSUED: 02/01/93
SITE ADDRESS. . . : 12184 SW ANTON DR PARCELS 1S134CB-AP109
SUBDIVISION. . . . e ANTON PARK #2 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 109
_----_---___..__._____.__._._---•-_- __ BUILDING
REISSUES DWELLING UNITSSI BASE14ENI. . . . . . . . :0 s`'
CLASS OF WORK. SNEW BEDRMS:2 AA'THS:2 GARAGE. . . . . . . . . . ..440 sf
TYPE OF' USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS----------
TYPE OF CONS T. :5N FIRST. . . . .- 1523 s f LEFT. . : 10 f't RIGHT. : 18 ft
OCCUPANCY GRID. sR3 SECOND. . . .-0 sf FRON(". :20 ft RE:AR. . :23 ft
S'TORIES. . . . . . . S 1 THIRD. . . . ..0 sf REQUIRED--_._.___._____._______
HEIGHT. . . . . . . . :23 ft TOTAL.------: 1523 sf SMOKE DETECTORS. :Y
FLOOR I-DAD. . . . :40 ps f VALUE. . . . . $ : 779178 PARKING SPACES-1
Remarkse PATH I
--------------------------------- PLUMBING _____________---____.__.__--•__--
SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW F'REVI\IT•RS. . :0 i
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 l
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :2 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE I)ISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHINS MACH. . . : 1 SF RAIN DRAINS. . : 1
--------------- MECHANICAL .--------------------------------- FEES
FUEL 'TYPES-------------- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1460. 00 JH 02/01193 -
i MAX INPUT-0 BTU VENT FANS. . :3 BPRT $ 36 7. 00 JH 02/01/93 -
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 238. 55 JLH 12/16/92 92-23472.3
FURN ) -100K . . :0 WOODSTOVES. :0 BSPC $ 18. 35 JH 02/01/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 02/01/93 •-
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 02/01/93 -
GAS OUTLETS: ! MPRT $ 40. 50 JH 02/0i/93 _.
Owner: --- ---------_._____.____-_-----.__.._.___.__._.._MPEG $ 10. 13 JH 02/01/93 -
FOUR D CONSTRUCTION MSPC $ 2. 03 JH 02/01/9.5 -
P 0 BOX 1577 PPRT $ 125. 00 JH 02/01/93 -
F'SI-'L $ 6. 25 JH 02/01/93 -
REAVERTON OR 97075
Phone #: 641-0935
Contractor: •---------------------------._-
FOUR D CONSTRUCTION
PO BOX 1577
BEAVERTON OR 97075
Phone #: 641--0935
Regf1. . : 71037 ---------------•-----.____ .._ ________________
$ 3047. 81 TOTAL
This permit is issued subject to the reyulations contained in the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 190 cost/Beam Meehan Insulation Insp
days of issuance, or if work is suspended for more than IN days. Plan/undslab Insp Gyp Board Insp
PLM/Underfloor Rain 6ra.in Insp
Permittee Signatures _ Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued Flys _ Framing Insp Mechanical Final
Call for inssp2ction - 639-4175
-- - _
CITYOFTIVA0M164MV SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT oe@eooe PERMIT
13126 SW Holl Bkrd. RO.Bm2XW7,TkWd.Uregm 972M(5W)&W4176 PERMIT #. . . . . . . i SWR92-0398
639-4171 DATE ISSUEDe 02/01/93
SITE ADDRESS. . . : 12184 SW ANTON DR PARCEL: iS134CB—AP109
SUBDIVISION. . . . : ANTON PARK #2 ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 109
TENANT NAME. . . . . s
USA NO. . . . . . . . . . s FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS— al
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . e : sf
Remarks: PATH I
Owne!re __w________________________----__.-___._--_.—_------- FEES
FOUR D CONSTRUCTION type amount by data recpt
P 0 BOX 1577 PRMT $ 2100. 00 JH 02/01/93 —
INSP $ 35. 00 JH 02/01/93 —
BEAVERTON OR 97075
Phone #: 641--0935
Contractors _—__---._---_._--_--_.__--____---
Cr3NTRACTOR NOT ON FILE
Phone #: 1 2135. 00 1OTAL
Reg #. . .
------ REQUIRED INSPECTIONS --- -- —
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from _
the date issued. The total amount paid will be forfeited if the
per@_t 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 fro@
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral. Y
Permittee 5:ynatur'e :
Issued By:
Call for inspection — 639-4175
OF
r PLNC.K/RECT # � `( (� 3�.-,JTY –
IGARD
i'()M11fMUNIIY 1)EVELOI'M ENT DEPART'..t.VT Ti p.d,Oregon 97223
PERMIT # 5_L .s? -���--
(503)(,39k.4171 DATE ISSUED , Y
OB ADDRESS: )„2 14 Sw' �� �✓ Y TAX MAP/LOT
.UB: LOT: / �_ _ LAND USE: _-
VALUATION: _�Zl
iWt
SPECIAL NOTES
IAMk : — LRWC_T f U 0 REISSUE OF: —
WRESS: 4 1�'O _ 1:5 7 7 _ LAST RL I SSUE:
�rlG�toll j/e•, FLOOD PLAIN/
'HONE: � `��� d >�% =�% SENSITIVE LAND:
.ONTRACTOR APPROVALS REQUIRED jU69?-0W(Y
IAME: �� /� a PLANNING: -
ADDRESS: ENGINEERING:
FIR[ DEPT:
'[LONE: OTHER: elf"
:ONTR. BOARD #: 7/0 7.3 EXP DATE:
ITEMS_REOUIRED
�UBCO TR._ CTORS: PLUMB: 6 6o 0 _Pc. V M 13/0 (0 LIST/SUBCONTRACTORS:
MECH: ArfAT fJ C, BUS TAX: �-
1RCIENGINEER CALCULATIONS:
IAME: ,Ux-AAI lw,4 CGa-� ___ TRUSS DETAILS:
0DRESS: 1,515 11/6L)• '2 3, OTHER:
'HONE: z 2.�=
r'
'ROPOSED BLDG. USE: -- 'r"�Gr„f �—
:OMMENTS:
IPPLI AN SIG IRE
_ �
leceived By. � _ Date Received: � _
IIIRMIi # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 Stwte Building Tax (5%)
Building
P umb i ng
Mechanical 2-U3
i
10-433 00 Plans Check Fee aLA9 ((� '—1Z
_
l
Building 9
Plumbing _
Mechanical 10.13 /
10-2.30 0" Fire
r --
b _
J<,V30-202 00 Sewer Connection : 2�J�? a I ���
30-444 00 Sewer Inspection 35
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees _
25-441 06 Institutional TIF Fees
25-448-01 Office TIF Fees _
25-448-01 Res,dential Traffic Fees 5-U �3Su
25-448-0!) Mass Transit TIF Fees
52-449 (10 Parks System Dev Charge (PDC) S G o S e u�
31-450 00 Storm Drainage 'W�.t Dev Chrg
�SSDC) Gy
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL S/Z.
nm/3587P.W14
"Fr
CITY f,:IF 7I6F1F1D — kE.C:EiI)-'T UF PAYMENT kEC:EIPl" NU. ani"--E, 2,
CHECK FWUNT 49..3'x. W
hIC�ME I
FOUR D CONSTRUCT t ON CASH AMIJUN T I sal. +7,10
f1I1CJFtL.s S I PAYMENT DATE. s We/flit /93
�3UEDIVTSION e
PURPOSE OF 1-'ilY1hFN1' AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
tAUILDINC PERM 367. 00 PLUMBING PERM 1r_`' . 610
MECHANICAL PE 40. 50 ST. BUILD F'E.R 26. (.13
PLAN CHECK FE --t. 34 SEWER USA iRl00. 00
SEWER INSPECT +5. 00 PARKS SDC; X00. 00
s`f'oPM DPA I IV SDC r::f30. 00 RESIDENTIAL TRAFFIC FEES 1350. 00
MOS)S3 TRANSTT TIF FEES 110. 00
LOT 1013 ANTON PARK May
1.'184 SW ANTON DR }
TOTAL AMOUNT PAID — —> 4932. 81
E
C'7YOFTIFARD —Th an PLUMBING PERM I1
CITY
C�
COMMUNITY DEVELOPMENT DEPARTMENTPERMIT #. . . . . . . .. 1,-;5T92-031'7
131256WHOBW P.0.B0k23W,Ti9Wd.0FvW O(50)6041ss DATE LEEAlE.D--112./-2-1-4�43
SITE ADDRESS. . . .- 12184 SW ANTON DR PARCEL: ISI34CB-AP109
SUBDIVISION. . . . : ANTON PARK #2 ZONINGS
BLOCK. . . . . . . . . . . LOT. — . . . . . . . . . . S109
--------------------------------------------
CLASS OF WORK. . sNEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . zSF WASHING MACH. . . . . . . : i BACKFLOW PREVNTRS. . .0
OCCUPANCY GRP. . PR3 FLOOR DRAL'IS. . . . . . . :0 'TRAPS. . . . . .0
STORIES. . . . . . . . x1 WATER HEATERS. . . . . . : 1 CATCH
FIXTURES------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . 11
SINKS. . . . . . . . . . sl GREASE IRAPS. . . . . . . :0
LAVATORIES. . . . . 13 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . .- SEWER LINE: (ft ) . . . . ;@
wA*rER CLOSETS. . i2 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) — :0
Remarks.- PATH I
OWNER: ---------------------------------
FOUR D CONSTRUCTION TIF $ 1460. 130 JH 02/01/93 -
P 0 BOX 1577 SPRT $ 367. 00 JH 02/01/93 -
BPLC $ 2:36. 5`5 J LH IP/16/92 92--234 i 23
BEAVERTON OR 97075 BSPC $ 18. 35 JH 02/01/93 -
Phone #& 641--0935 SEDC $ 280. (60 JH 02/01/93
-
PARF1 500. 00 j!A 02/01/93
Plumbing MPRT $ 40. 50 JH 02/01/93
MPLL $ 10. 13 JH 02/01/93
14 a m e s 13 115PC $ 2. 03 JH 02/01/93
Hddre s s i 0jr PPRT $ 125. 00 JH 02/01/93
City3 State:- v V-,5 P C $ 6. 25 JH 02/01/9-7
Zipt Phone#:
Reg #:
REOUIRED INSPECTIUNS
-
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/fol. nd Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicab-- e laws. All work will be clone Post/Beam Mechan Appr/Sidwlk In5f)
in a-cordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expirt, if work is not r ` --ted PLM/Underfloor Plumb Final
within 180 days of issuance, or if rk is Mechanical Insp Building Final
suspended for innie than 180 days. Plumb Top Out Erosion
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
-ci 3 Gyp Board Insp
—_._.-._.—
Authorize.' plumbing Contractor Signature
Call fv- inspection 639-4175
Contractor Notes: