Case File 1
ADDRESS :
i:lrecords\microflmltargets\building doc
CITY OF TIGAR, C;ki~!OiCICANE C1P'
P C)f_GUPANCY
PSERm':T N. . . . . . . I MST94• 020-'#
COMMUNITY DEVELOPMENT DEPAI iijVCNT DOTE IESUED I 05/23/95
19125 3W Hall Blvd.Tipm►d,Oregon 9722348199 (503N 8311.4171
RAf�1:F L c 2�11D9►�A-•w15O1 1 l
3IT'E ADDRESS. . . s 13699 SW ALPINE VIEW CT
`3UBD I V I S I ON. . . . I H I LL_SH I RE SUMMIT 7.ON I NG s ii—7 pF)
BLOCK�. . . . . . . . . .
I_OT_.ti.... _. w__.. . . . 101J.
1.________._.___._....__.....�.__�...._...__._______.___�_.
CLASS Or WORK. %NEW
TYPE OF USE. . . s SF
OCCLIPANC Y CRIB. %R3
OCC OPANCY LOAD.,224 4
TENPNT NAME. . . x
Remarks s F'AT14 I
Ownere - -.,_..._......_...._,......__—____.....,._...____,_—___..,.-
I._HL CONSTRUCTION
7110 f;W FIR LOOP
ill X".:*E *'t 6 0
T I f,1ORD OR 9 r2c`:s
Phone #I
t_HL CONSTRUCTION INC
7110 SW FIR LOOP'
TIGARD OR 972,13
Phone Its 624•-7714
Req 3:3769
OcCupanc:y Of the above referenced bui. ldi.ny is hereby given, and c:ertifif
the compliance with th,a Stiato Of Oregon Gpecialty Codas for the group,
crccciponcy, and use under, wvhlich the referenc:od permit was it nk-ed.
BUILDING INSPECTOR 48t-,ILUINC OF IC AL..
i POST IN CONSPICUOUS P11-ACE
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 63,-1175 Business Phone 639-4111 !
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A.,,pN9dwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sower Gas Line <,_Id
Plbg. Under,'!oor Rain Drain Framing -Plumb.
Alarm Water Line Insulatio; L eche
Underflr. Insul. Shear Wall Gyp. Bd. IN -Elect.
Date Hequested_ snc3 31 j Time: AM � M
Address: 13 Ili, L J�� yr 6
Builder:.. 7 7 / Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
SCR/�lAe
Sit/�4 /moi..!!S!� �'TG'4/>i' �i �✓/1�- I'��IY.f.
Inspector S( Date:��
,APPROVED _DISAPPROVED -:: I 'ROVED SUBJECT TO ABOV1=
_Call For Reinsp.
�L�91
City of Tigard wilding Departaent
13125 Sw Hall 'slyd. Tigard, Oregon 97223
Inspection Line (Rec-v Phone): 639-4175 Business Phone: 639-4171
Inspection'__—_�_
Booting Plbg. Underslab Mach. Rough-in C)Ap_-r/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. r)nderfloor Neter Line �j Gyp. Bd. -Mer_h.
Date R4oquested:--�= �y L Time: — AM _PM
• 0
Address: � ��0 Ccc.) Permit f:_ 2 U4�
Builder
THE FOLLOWING CORRECTIONS ARE REQUIRED:
__4fi?cU zlel ivi L1,17c
-- 7
Inspector:�.� /�Z ���--- ------ Date:
APPROVED _ _ DISAPPROVED JtADPROVED 9URJE(77' TO ABOVE
_Call For RRe`iinsp,
INSPECTION NOTICE �`�
City of. Tigard Building Departeamt
13125 BN Ball Blvd. Tigard, Orpraon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Busineee Phone: 6:19-4171
Inspection:___ — .-J-
rooting
�S--
Footing Plbg. Underalab ;.-jch. Rough- App-/Sdwlk
Pound. Mg. Top Out Line FINAL:
Poet./Beam Struct. San. Sewer Framing -31,1q.
Poet/Berm Mach. Rain Drain naulatio �> -Plimb•
Mg. Underfloor Nater L gyp. Bd. -Mesh.
8 r_7/9j ,.): 0-
bate Requeoted: Tim": AX PM
Addreoes_ J C Permit i:�_n
Build"r:. L111- 6a '/-7 7/ 1
TRE FOU.0"1110 CORRECTIONS ACRE REQUIRED:
Inepector(�,t�%� (4 Date:�F3 17,
V APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Rainap.
�NMcrloN—NOTICE _.-- ._..-- -•.•-
City f o
Tigard Building Department
13115 SN Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone); 639-4175 Business Phone: 639-4171
Inspection:._ I,- —
Footing Plbg. Underelab ech. Rough-in Appr/Sdwlk
l�
Found. Plbg. Top Out nn� FINAL,
Post/Beam struc— San. Sewerl am g YL _Bldg.
Post/Beam Mech. Rain Drain Insula+:lan -Plumb.
Plbg. Underfloor Water Line G Gyp. 8d. -Hoch.
Date Requested: /L. / Time. AM —KPM
17c? � ILC,:..�_a (7� Permit f Jf1 S7`��- o ao
?lddcese: (/
Builder'
THE FOLLOWING CORP 'IIs ARE REQUIRED,
1• �� - $ --� -1 U-Ci d vans
---------..----- --- � -"") l tits�-�.)•-�.�¢
ej _
v'
Inspector,_ Date: C1
APPROVED -�DISAPPROVED APPROVED 3URJF.t-T TO ASM
_yCall For Reinsp.
}NSPECTION NOTICE
citl or Tigard Building Departnw nt:
13125 Sit Bell Blvd- Tigard, Oregon 97273
Inepectiol Line (Rec-O-Phone): 639-4175 9usineee nhone: 639-4171
Inapection:____ --- --, -
Footing Plbq. Dnderelab Appr/Sdwlk
Found. ! Plbg. Top CM Gas Line FINAL:
Post/Beam Struct. San. Sewer (LI54- w -•Bldq.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nate//r Line Q Gyp. Bd. -'4ech.
Date Requeetedt_ ah G / Timet AN PN
Addree s•_//j -�V� r� L �� Permit ti
Builders L/ ^ ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
APPROVED DISAPPROVED ?,PPROVED SUBJECT TO ABOVE
— Call For Rainap.
INSPECTION NOTICE
city of Tigard Building [Nepartahent
1.3125 SN Nall. Blvd. Tigard. Oregon 972.:13
Inapec:',ion Line (Rec-o-phone); 639-4175 Bueineae Phsnn: 639_4171
Inspection-_
rooting Plb � T""�--� -- ----- —�
g. Underaiab M(�h Rough-ip ' Appr/Sdwlk
Found. N Gas Line X PrKAL:
Post:/Ream Struct. San, Sewer
traming _ -Bldg.
Poet/seam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater TL�inej "� Gy,. 13d. -Mech.
Date Regnw.ted,,_ y
+ Time: AM PM
Address: fZ
/ ,>� itis ) ` Permit
Builders-L
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
r c,A
Inspector::
Dates
--__11PPROVEo � )ISAPPROVRD /1PPROVEo SUBJECT To ABOVE
` _,�/Ca 11 For 11ein,ep,
t
i
INSPECTION NOTICE
city of Tigard Building 13eparta.ent
13125 811 Hall Blvd. Tigard, Orcrgon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Bnainess Phones 639-4171
Inspection:_.—_—�� — -
Footing P113-g. Underelab Mach. Rough-in Appr/Sdwlk
Fcrund. Plbg. Top Out Cas Line E'INAL:
Post/Beam Btruet. San. Sewer Framing -Bldg.
itPost/Ceam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested:_ ,_!^^TLMP: _AH __PM
AddreeF:_ — Permit #:9_4 Q 1
Builder: "—
T"It FOLLOWING CORRECTIONS ARE REQUIRED:
CA
Inspector:__t�
_-APPROVED �628APPROVED APPROVND SU&TECT TO AROVE
scall For Reinsp.
INSPECTIQ(LMOTICE
City of Tigard Building Department-
13125 OW Mall Blvd. Tigard, Oregon 97223
Inspection Line (Rao-O-Phone): 639-4175 Business Phone: 639-4171
lnepeotion: __ -- ------.-----_--.---
looting Plhg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Linn PINALs
et/B Strutt. San. Sewer Framing -Bldg.
Post/S•ma Mah. ) Rain Drain Insulation -Plumb.
(Plbg. Vndesfl000r Water LineG 0". Bd. ech.
Date Rsquesteds
C/
Address s /i ( . it 1 l/�O /
Builders
TEM VMJ OWING OORREctIONS ARE R)QUIRED:
Inspect.or: -------- - Date: 6 ZGt_��
_APPROVRD DISAPPROVED J�IPPROVED 3UBIECP Tp ABOVE
-_--Call For Rainey.
INSPECTION NOTICE 1
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone(: 639-4175 BusinenR Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. RoughInAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Bawer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor ater Liffe Oyp. ed. -Hoch.
Date Requested: e- q- "gel TLost AM PH
Address: / / /�/�ne 1//cw/'cG&Z?ft �o
Builder:
THE FOLUMING CORRECTIONS ARE REQUIRED /'
-ate ±+-
Inspector:_
APPROVED DISAPPROVHD APPROVED SUBJECT TO ABOVE
--
__Call For Reinep.
INSPECTION NOTICE
City of Tigard IAKilding Daparteeat
13125 ow Ball Blvd. Tigard, Oregon 97223
Inspection Line {Rec-O-Phone): 639-4175 Business Phone: 639••4171
Inspsctions
Footing Plbg. Underelab Mech. Rough. in Appr/Sdwlk
Found Plbq. Top Out Cas Line pINAL:
Pott/Beam Struct. San. Sewer Framing -.Bldg.
Port/Beam Mec.h, Rain Drain Insulation -Plumb.
91bg. Underfloor Mater Line Olp, Bd, -Koch.
Date R ^_ _ _ (� f�S 00
equeated: _/ _Time: JJ_ AM PM
Addreset 9 A'Of. 1 , ' C1 Permit�rt
Builders_� N� ` / `SI•Y .
THE MLL(KtINO CORRECTIONS ARE REQDIREDt
17
Inspectors_ —
Data: ( —C14
-• -_—
/A/1 P�� E
PROV^D v� DISAPPROVED APPROVED SUBJECT TO ABOVE
Y ` /, _ Call For Reinap.
v`
INSPE4'1'I0h,NOTICE
City of Tigard BuLlding Departannt
331:25 :e Hall Blvd_ Tigard, oreWn 97223
.r.ap"vc' inr '.iry --O-Phone): 639-4175 Cusiness Phone: 639 X171
—Plbg. Unde'.*slab Mach. Hough-in Appr/Sdalk
Pound. Plbg. Top Out Cas Line PINAL:
Post/Bream Struct. San. dower Framing --Bldg.
Post/Beam Mech. Hain Drain Insulation -Plumb. n
Plog. Underfluor Nater Lina Gyp. Rd. -Meeh. CP
Date Reguesteds `/�/- 9 7 Time: _AM '��LPH
Addr � L ess: IS. ! Ad 11 e. ViCiJ C41at'mit =�7— O�D
Builder: rL _Cv-"`5
THE FULLOMING ODRRECTIONS ARE REQUIRED:
Inspectors ` Date:
) /�PpROVED _` DISAPPROVED --- APPROVED SUBJI!CT TO ABOVE
-v— Call For R/insp.
CITY OF T PERM II TN#. .PERMIT. . . : MST94-0204
COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUFI): 06/10/94
13125 SW Holl Blvd.Tigard,Oregon 97223-8199 (503)839.4171
PARCEL: 25109BA-H5011
SITE ADDRESS. . . : 13899 5W ALPINL VIEW CT
SUBDIVISION. . . . : HILL_SHIRE SUMMIT -ZONINf.3: F-7 PD
BLOCK. . . . . . . LOT. . . . . . . . . . . . .01. 1
CLASS OF WORN.. -NEW GARBAGE DISPOSALS— : 1
TYPL OF USE. . . . .-SF WASHING MACH. ., . . . . . : 1 BACKFLOW PREVN-TRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :Vl T RRPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . :ib
I FIXTUR{ L - -- _----- LAUNDRY TRAY,. . . . . : 1 SF RPIN DRAI<` . . . . . . 1
SINKS. . . . . . . . . . i 1 GREASE TRAPS. . . , . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
TUB/SHUWE:RS. . . . a SEWER LINE (ft) . . . . :0
WATER CLOSETS. . -.3 WATER LINE (ft) . . . . : 100
DiSHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : 1"(4TH 1
OWNER: -•---------____.___...._F_EES----
LHL CONSTRUCT I OPJ TIF" $ 1520„ 00 SW 06/10!':4
7110 SW FIR LOOP APRT $ 530. 50 5W ih6/10/94 -
SUITE #160 BPLC $ 344. 83 GW 05/20/114 94-252561
TIGARD OR 97223 B5PC $ 26. 5' SW 06/10/94 -
Phone #: SSUC f 2130. 00 SW 06/10/94 -
PAPK f 500. 00 SW 06/10/94 -
Plumbinq Contractor:--_-_.__ _ __ MPRT f 4°3. 00 16W 06/ 10/94 -
MPl_C $ 11. 25 7 W 06/10/ )4 --
flame ; NISPC $ 2. 25 SW 06 1.0/94 -
Addr•ess : ,�Q -�L-Q- -�- � PPRT $ 170. 00 SW 06/10/94 -
City: I Aly_ State: PSPC f 8. 50 SW 06/10/94 -
Zip: �DnG'j Phone#:__
Re g #:A
- --- - REGIU I RLL I NSPEC I IONSThis permit is issued subject to the reg
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, .',tate of Ore. >~per..ialty Codes and al. i I='oat /Be,Am Fitruct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/cdwlk Insp
in accordance with approved plans. This F-1Im/1..indslab insp Mechanical Fin
permit wi ; l expire if work is not started VLM/Underf.loor PlUmb Final
within 180 days of issuance, or if work is Merhanicat Insp Building Finai
suspended for- more than 180 days. Plumb Top Out Erosion Control
Framing Insh Crawl Drain
Fireplace InsP
Gas Line Insp!1 1/►/I� Ins,,.ilation Insp
Gyp Board Insp
Authorized Plumbing Contractor Signature
Call. for inspection - 639-41-i5
Contractor Notes :_
I
C:1 iF 11004M) -- REGE'lPT (IF PAYMh.N'1 RL I,f-.IFll NU. t94 `,.;. •`,r,
hIr1MF. s
L. H.L. 1'11UN6 FRf IGT IONS INC. CAl-1N F►MfiuNT a Wi, 00
F"IDDRE.98 s 7110 SW F I R LOOP SUITE 160 F'AYMF.N'f Df-I I F t Vir, ; t 0, ` .►
T I GARD, OR ''001 1 V 191 ON
97PP3--
P- IRPOSE OF' PAYMENT AMOUNT MAID PC1RPUS3FOF' PAYMENT AMOUNT PAID
Will DINO PERM MBT'94--OF:914 .W 1.530. 50 PL.UMBI"iG PERM 170. 00
ME:f;HANII.AI_ PE
45. 00 ST. BUI:..F1 PER .37. P8
Fel t]fN CME'CK f=F 106. 06 SEWER UUA SWR94--Ot"04 p'.r'017+. 00
...3F:'WF R INSPECT :31-5. 001 PARK6 SDC `i00, Wo
l 61.ORM DRAM tnK, P80. p10 Wf3I D N F I AL 'T RAF F i C FF-.f;S 141(A. 00
MOF-if.., TRANSIT TIF' F-1-T7.9 1 10. tAo
�I
1.1899 ALPINE V I F:W LOUR T
"I t I f f11 AMOUNT P441U 86 �
CITY T I GARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMi v it. . . . . . . : MST94-0204
13125 SW Hall Blvd. rigarol,Oregon 97223-81 71 DATE ISSUED: 06/10/94
PARCEL: 2S101)BA--HS011
I I E ADDRESS. 9 1,iW ALJ-1 I NE ')I EW CT
:_,UBDIVISION. . . . s HILLSHIRE SUMMIT ZONING: R-7 Pl)
I,LOCK. . . . . . . . . . 1-0 T. . . . . . . . . . . . . :011
B(JTLDING
i�EISSUE: DWE:-I-I NG LIN I T5.- 1. BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . z70O Sf
TYPE OF USE. . . :SF FLOOR AREAS---- REQUIRED SETBACKS--
IYPE OF CUNST. :bN F I RST. . . . : 1468 S f LEFT. . :6 ft RIGHT. : 11 ft
OCCUPANCY GRP. :R3 SELUNU. . . : 1276 sf FRONT. -30 ft QEAR. . :33 ft
5'TORIES. . . . . . . :2 THIRD. . . . :0 s REDU I RED___-----._.___..-------.__-.
FIE•
ED-
HE I G14T. . . . . . . . ...214 ft TOTAL------------:2744 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 osf VALUE. . . . . $ : 1368E.4 PARKING SPACES. . : l
Pemarl-(s : PATH I
PLUMBINU
S I 11KC3. . . . . . . . . . . I FLOOR DRAINS. . . . *0 BACKFLOW PREVNTRS. . : I
LAVATORIES. . . . . .5 WATER HEATERS. . . S1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . -3 LAUNDRY TRAYS. . . 91 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . il?l GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : l RAIN DRAIN (ft ) . :@
WASHING MACH. . . : l SF RAIN DRAINS. . : !
MECHANICALFEES
FULL UNIT' HT`RS. . :0 type amount by date recF
/UAS/ VENTS . . . . :0 T I F f 1520. 00 SW 06/10/94
MAX INP1.JT:O 8111 VENT FANS. . .4 BPRT $ 53O. :�O �W 06/10/94
FURN ( 100K . . c@ HOODS. . . . . . : 1 BPLC $ 344. 83 SW 05/210/94 94--252581
FURN > =100 ; . . : I. WOODSTOVES. :O B5PC $ L:16. 53 SW 06/10/94 -
FLOOR FURN. . . . :0 CLO DRYERS. - 1 SSDC $ 280, 00 SW 06/10/94 -
BOlL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 bW 06/10/94 -
GAS OUTLETS: 1 K-IRT $ 45. 00 SW 06/10/94
Owner: ---------------------------------------MPLC $ 11. c'5 SW 06/10/94
LHL CONSTRUCTION M5PC $ . 25 SW 06/10/94
7110 SW F-_IR LOOP PPRT $ 17( . 00 S I J 06/10/94
SUITE #160 P5PC $ E. 5,71 SW 06/ 10/94
TIGORD OR 97223
Phone 0:
Contractor: --------------------------------
LHI_ CONSTRUCTION INC
1110 SW FIR LOOP
TIGAPD OR 97e23
Phone #a 624-7714
Ppg U. . s 53769 ------------------------------------------ -
$ 3438. S6 TOIAL
This pervit is issued subject to the regulations contained in the RFLJIRED INSPECTTONR)
Tioa,-d Municipal CoN, State of Ore. Specialty Codes and all other Foot./found Insp Fireplace Insp
applicable laws. All varo wil! be done in accordance with approved Post/p -1 1 'Lict Gas Line Insp
plans. This permit will vqre if work is not started within 18@ Post /St.—M mec!"Im, Ins'_I]at ion Insp
days of issuance, or if work is suspended f than Be days. Plm/lindslab Insp Gyp Board Insp
PL.M/Uriderfl oar Pain drain Insp
Permittee Signature : Mechanical Insp Water Line I Y-1 s p
Plumb fop Out Hppr/1,3dw1k Insp
1 is s o-t a d Llys Framing Insp jyjerlia"i.cal F anal
Call for inspecl; ion 639-4175
SEWER CONNECTION
CITY OF TIGARD PERMIT
COMMUNITY [DEVELOPMENT DEPARTMENT PERMIT ##. . . . . . . : SWR94-020 .
13125 SW Hall Blvd.Tigard,Orapon 97223•819V t�03;69`471 DATE ISSUED: 06/10/94
PARCEL: 2BI09BA—HSOII
51TL HDDRESS. . . s 131399 SW ALPINE VIEW CT
SUBDIVISION. . . . s HILLSHIRE SUMMI'r ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . 1011
-------------------------------------------------------------------------------------
fENANT NAME. . . . . :
USA NO FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 I
INSTALL TYPE. . . . sBUSWR IMPERV SURFACE. . : ssf
Resealrkse PATH I
Owners ----------------------------------------------------- F=EES
LHL CONSTRUCTION type amount by date I-Pr
7110 SW FIR LOOP PRMT $ 2200. 00 SW 06/10/94
SUITE. #1.60 INSP $ 35. 00 SW 06/10/9/+
TIGARD OR 97223
Phone ##s
Contractors ------^-----.--._---------------
CON'TRACTOR NOT ON FILE
Phone ##s $ 2E35. 00 'TOTAL
tdeg #. . :
- ------ REUUlRED iNSPEC11UNS -- ----
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Ppwy does not guarantee the accuracy of the
side sewer laterals. It the sewer is not located at the Ireasurement
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 Agenc i nstal a lateral.
Permittee Signature:
issued Bya --__�—.___. — —
La l i for inspert i on — 639-4175
��� -
q, ,53-35y
Residential Building Permit Application
City 0> Tigard
13125 SW Hall Blvd.
Tigard, OR 9722.3
(503) 6394171
Jobsite Address: ,[,,�_.2_�
( Gfflce use only-
Subdivision:
nlSubdivision: rhn o It�rnw..T" Lot *
_ Planck/Rec tt
valuntion• -n1�i-y!
Peri�iit 9 � -�--
Owner. _1.13t�L n ^^ — -- -- _Reissue a( ----- /
s tG o
Address:
9slS �►► o_ s.,.-,���.t� .;;:Map& 1l. a_____, t
3.'Ap�rovai$ Required
Phone:
Planning
Contractor: ,�..Engineering
Address:
..Other: —
Items Recquire(l
Phone: —
Subconti actorS _ —
Contractor's License #
(attach, copy of current Oregon license) Truss Urlails ---
Subcontractors:
ether
Su -
Plum�Ing:_—
%iechan •al:_ .Lg
(attach copy of current OR (;ontrador's Llcenss)
Architect/Engineer:
Address:
Phone-
� ., i �,`/IlD�• O / (tel L L�Gt,�
COMMENTS:
1 (/
-iAcantr-25� & Phone number
Received by: — Date Received: ---
Permit 4 Account Description Amount Amt. Pd. Bal. Due
nJ 5/'✓c'd Bldg. Perma (BUILD) .Uor �� 63o,so
Pb imb. Permit (PLUMB)
Mech. Permit (MEGH) ��
State Tax (TAC) _37
Bldg: a...5 3^/
Plumb: �L /
Mech: ••� J '
Plan Check 'PLANCK) 3sc"Op
Bldg: ��•
Plumb:
Mech:
ScrRyl U' u Sewer Connection (SWUSA) vc�0 U
'y Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) U L� r J& U
Storm Drainage Chg (SOSDC)
_x
Residential TIF (TIF-R) '' v
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional'tli (TIF-IS) _
Office TIF (TIF-0)
Water Quatity (WJUAQ
Water Ouardity .(WOUANT)
Fire District k"IRE)
TOTALS_ �� � S� 023 c
CITY OF TIGARD RECFIPT OF PAYMENT RECEIPT NO. 14A4—P5ir'581
CHECK AMOUNT a 50. 00
NAM ' a LHL CONSTRUCTION CA24i 14M(.)UN*r s 0. 00
ADORESS PAYMENT DA,rF s 05 Ir,'.!0/94
L J R D I V I ci ION
PURPOSE OF PAYMENT AMOUNI' PAID PURPOSE OF PPYMENT AMl.-i(.JN'T PA I D
PI..AN CHECK FE 5-4AR 250. 00
1.-1:899 SW ALPINE VIEW CRT
TOTAL OMOUNT PAID 2513. 00
T