13799 SW BENCHVIEW TERRACE ADDRESS:
i lrecords\microflM\13rgetslbuilding.dcc
INIP&CTION NOTICE
city or Tigard Building DepartIMMUt
13115 SO Beall Blvd. Tigard, Oregon 97223
Inspection (Rec-O- hone):
_OP-4175 Buaineaa Phone$ 639-4171
Inspet:tiont
Footing Plbg. derelah Koch. Rough-in Appr/Sdwlk
Tound. Plbg. Top Out Gas Line FINALt
Pc t/Beam Struct. San. Sewer Framing -Bldg.
!bet/B-tam Koch. Rain Drain Insulation -Plumb.
P'.bg. Underfloor Mater Line Gyp. Bd. -Koch.
Date Requested t1/ TU"t �� AN -PK
x1dresst � P.mit It�-['t�1 Sf -
Builder:_
THE FOLLOWING CORRECTIONS ARK RKQUIREDt
Iv
f
1 �2.�q �
Inspec rt_ � _ Datet -�[/7C /
ZAPPROVED DISAPPROVKD APPROVED SUBJECT TO ADME
__`call For Reinsp.
CITYOF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 9W Hall Blvd,Tigard,Oroyon 97223*8199 (503)x39.4171
PLUMBIML•i PERMIT
PERMIT #. . . . . . . s PLM94--02S.
639-4171 DATE ISSUED: 11/30/94
PARCEL: 2S 104 CD-04400
SITE ADDRESS. . . ; 13-799 SW BENCMVIEW TERR
SUBDIVI'SION. . . . e HILLSHIRE ESTATES ZONING: R•-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :044
CLAS; OF WORK. . :(-ADD GARBAGE DISP'OSALS. . : MOBILE- `___
HUME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : PACKFLOW PREVNTRS. . si
OCCUPANCY GRP. . :R:j FLOOR DRAINS- - . : TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . sr' WATER HEATERS. . . . . . a CATCH BASINS. . . . . . . : i
FF IXTIJRE5 __.______._.__...._._ LAUNDRY TRAYS. . . . . . s SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . s GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . s I
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : II
Remarks : BACKFLOW DEVICE
Owner: -------------------------------------------------------- FEES
' I
BRUCE TILLEY type amount by date recpt
14169 SW STARDUST LN PRMT f 15. 00 JG 11/3e/94 -
5PCT $ 0. 75 JG 11/3121/94 -
TIGARD OR 9722:3
Phone #a 579-9332
L;sntratctora --------•-__--______--___.___-_.-_
OWNER
Phone #e $ 15. 75 TOTAL
Reg
—•------ REQUIRED INSPECTIONS
ibis permit is issued subject tc the regulations contained in the RP/backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable Isms. All work Mill be dine in accordance with
approved plans. This permit will expire if work is not started
within 181 days of issuance, or if work is suspended for more
thar. 181 days.
Per-mittee f:;�gnati..tr
I i a s u e d 0y : _
Caul for inspection - 639-4175
City of Tigard PLUMBING_PERMIT APPLICATION Planck/Rec. # _
13125 SW Hail Blvd. Pe,mit +# /'/n
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
�y N.No.. � New Simla FamityResidences Only
«• O 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job l � �dC L PiJ(� ❑ 3 BATH HOUSE$225.00
Addressamh«• / 2 z 3 zr Fee Includes all plumbing fl,rtures in ft dwelling and the flint 100 feet
of water service, sanitary, sower and stomi sewer. See fees below,
N•,ey�a n.m.,M 7u•M«I FIXTURES QTY -PRICE AMT
Sink b.00
Mo"A" • .�^ Ph- Lavatory r� 9.0c
Owner �f F�G� fL�7 -1-/iC , Tub or Tub/Shower Comb. _ 9.00
caw.•»-moi / n► Shower Only 9.00
�
I J i Water Closet 9.00
Dishwasher 9.00
ev -le 5��2 z 3 Garbage Disposal 9.00
Occupant M.Iny,by... �.» Washing Machine 9.00
Floor Drain 9.00
���•• Water Neater 9.00
Laundry Room Tray 9.00
N•m• Urinal 9.00
Other Fixtures (Specify) 9.00
M..i'0yes«.- MOM � � 9.00 ---
Contractor --
9.00
n. 9.00
Sewer tat 100' r� 30.00
„a.R.p.n.ee�N. "�- cRr au. Tn No Sewer-ea. AddR. 100' 25.00
Water Service lot 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service on. Addit. 200' 25.00
Information given Is correct, that I am the owner or authorized agent of - -
! Ike owner, that plans submitted are In compliance with State laws, that Stone 8 Rain Drain 1st 100' - 30.00
I am registered with the Construction Contractor's B..ard, that the Storm &Rain Drain Addit. 100' 25.00
numter given Is correct. (If exempt from State registration, please -- -- -
give reason belowMobile Hoar. Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
b""e'1.66.4 svw. 2- �M• Any Trap or Waste Not
Connected to a Fixture 900
Describe work new (, addition - aRoration 0 repair ( Catch Basin - 9.00
to be done residential Q non-residential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
huHding orproperty Existing use f Rain Drain, single family dwelling 30.00
_ � _ ---
Residential backflow prevention
devices 15.00
Proposed use of ---
hulkling or property _ __ -�-- I •(Except residential backflow
1 prevention do0ces)
NOTICE "Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHOR17.ED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE J
V
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEU
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 13
COMMENCED. PUN REVICW 28•/.OF SUBTOTAL
v_ TOTAL
L Tj
I J
3pe6al Conditions -
_ _ Date issued �� � ��tJ � ��� by
G I 1'Y OF 1 1 GARD REUP 11'1 uF PHYM.N I N(J. a 94---el.~09
GHFAK AMLJIUN V c 15. 75
NAMF c TILLEY HOMES, INC GASH AMOUNT v Q). wo
A D 1.)R F.9q, s PAYMENT DATE v 11/30/94
SUBDIVISIUN
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT RMOUN U PAT D
15. 00 ST. BUILD PER Q). 75
13799 SW BF,NCHVIEW lFRR
101AI. (4MIJIJI'41 PAID 5. l5
MPECTION NOTICE
City of Tigard Building Departaent
131,25 ag Ball Blvd. Tigard, Orogon 97223 /
Inspection Line (Roc-O-Phones 639-4175 Business Phone: 639-4171
Inspection:_
V(�.�� r-_-
Footing Plbg. Underalab Mech. Rough-in Appr/sdwlk
Pound. Plbg. Top Out Gas Line FTNAL:
Post/Beam struct. San. sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:`— 1 `✓(? J . Time: PH
JO �Z- \ � �J �JZ..J Permit #:�1�
Address: —
Builder: ---
TIIE FOLIANING CORRECTIONS ARE REQUIRED:
Inspector: Date:
j_/'APPROVE /D _ DISAPPROVED V APPROVXD SUBJECT TO ABOVR
�'� _Call For Reinsp.
CITY F TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT. CERT I FI C:ATE. Of
13125 SW Holl Blvd.Tl4wd,Orpom 97223.5104 (1143)634-4171 OCCUPANCY
xAXX PERMIT #P. . . . . . . a M1::T94-91Q1
639-4171 DATE ISSUED! W/2Z/94
PAPC EL o 4 9104CD--04400
SITE ADDRESt7. . . a 13799 CW DEOC:HVIE:.W 1' -'Rk
SUBDIVISION. . . . a HILLSHIRE: ESTATES ZONINGiR-7 F'11)
BLOCK. « • . . . . . . . ►I C-Ol... . . . . . . . . . . . . a044
CLASS OF WORK. :NEW
TYPE OF USE. . . a SF
OCCUPANCY GRP. 03
R3
OCCUPANCY LUAU a► 24 4
TENANT NA6xllr. . . a
r."em ark!' a PATH I
Owners
li PRUCE T ILL_EwY
14189 SW STARDUST LN
T'IGARD OR 97283
BRUCE TILL KY HOOFS I
49'7 SW OLD SCHOLLS FERRY RT) �
�J
PORTLAND OR 97223
Phone Ma e9cF--4435
Rey 0— m 81984
Occmpancy of the aahove referenced building is hereby given, end vertifies
he compliance with thw Stato Of Oregon Specialty Godes for the group,
ort-UF wiry. and use under which the referenced rermit was s%#.ted.
OR
J LDI G f)F'F C L
POST IN CONSPICUOUS PLACE
it
I
M5PBCCION NCITICE
city or Tigard Building Departaent `f
1.312S 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (RsL--O-Phone)s 639-4175 Busineae Phone: 639-4111
Inspection:--__
Rovtin4 Plbc. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Lina FINAL:
Post/Beam Struct. San. Sewer Framing dg,
Post/team Hoch. Rain Drain Insulation _Ply,
Plbg. Underfloor (� Natter Line] Gyp. Bd. - ech,
)<'
Date Reryueeted:�/; - 1 LnZ-4q Time: ,__AN pM
Addreee:_ y ��-�J Permit
Builders 1 ,�
THE POLI.owING GORRECTIONB ARE REQUIRED:
Inspectors-., ��--...... Dates
/APPROVED -� DISAPPROVED L A',PROVED SUBJECT TO ABOVE
_Call For Ref nap.
N� SPEC1[O!(_NOTICE
City of Tigard Building Departsumt
13125 OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)s 639-4175 Business Phones 639-4171
Inspections_ _ 'k-k
Footing Plbg. Underelab Mech. Rouqh-in �Jkp;,/Sd�-lk
Found. Plbg. Top out Gas Lino FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Unairtloor Nater Line Gyp. Bd. -Hoch.
Date Requesteds _ I - C 1 Li TLMs _,Y_AN _pN
Addresss 1`o qt-, r V%tI. t s) 1 -- I I O i
HuIIder sj
THE FOLIDWING COPA MONS ARE REQUIRM
r CZAMayT
�A7- Tim l i --
- To�-Rte,"' �s
Inspectors Dates
_APPROVED __ DISAPPROVED X APPROVED SUBJECT TO ABOVE
------CAI 1 For Reinsp.
INSPECTION NOTICE � I
Citi or Tigard Building Department
13125 BO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Phone): 639-4175 Business Phones 639-4171
Inspection:__
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation _plumb.
Plbg. Underrloor Water Line Gyp. Bd. -Mach.
Date Requested s___j e) 9 9 11
((�� Times .cr q AM �OLPN
Addressi1"7� ]Qyl�' �\'/1 w �' Permit V-3 y _�'v
Builders -7 i 9
TNR FOLLOWING CORRECTIONS ARE R3QUIRRDt
22'
Inspectors
Inspector: /i / / / ►� � Dates � �/ L
_A 1.PFnv/kDDIBAFPROVRD APPROVED SUP,JECT To ABOVR
aIt For Rainep.
1NSP1C1 O -NOT�CE F'
City of Tigard Building Depertoeat
13115 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inepactloni..---
Footing Plbg. Underslab Mech. Rough-in Apps/Sdwlk
Pound. 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.
Data Re"Oeteds _1_� �,
TLMs AM �_PM
��C
Addy.•• 1Ct ti� V I�'i I) I (YPersa t #_s'
1 L ._
Builders — 1 33
THE FOLLOWING CORRECTIONS ARE REQUIREDs
CVYI " Do i L C� �Fel V1QL'�"l
Inepecto _ Dates_zz�
_ 11PP1lO�RD DISAPPROVED _ APPROVED SUBJECT TC ABONE
__Call Fuer Relnep.
111SPSCTION NOTICS
r ty of Tigard Building DaPwrttmWt
19125 SO Hall Blvd, Tigard, oregon ' _'223
Tnspection Line (Roc-0 Phone): 639-4175 Business Phone: 639-4171
tnepection: --- --- ----
W.roting Plbg. Underslab Hach. Rough-in Appr/Sdwlk
•,,w Plbg. Top Out Gas Line FINAL:
R,at/" •am Structs San. Sewer Framing -Bldg.
Punt/Bean Koch. Rain Drain Insulation -Plumb.
Pl.bg. Undo. flour Water
Line (/ Oyp. �� hJ�C.-Mach.
Date Requested: / ` ` TLOS I {� ,_AM PM
Address:- r']C.`Z✓/ �C J �'�/itet7it �ts�y�-9/o%
TRS vOLLOWINO 001MCTION8 MR PJWIIIRD:
Impsato t Date:- f
--�—APPROVRD DISAPPROVRD APPROVRD SUBJECT TO AROVR
Call For Rainsp.
Jr";
.r f
a,�
INSPECTION NOT1cr
city or Tigard Building Department 4
13125 811 Ball Blvd. Tigard. Oregon 97223 i
Inspection Line (Rec-O- hone): 639-4175 Business Phone: 639-4171
L NCL
I
Inspection: j
Footing Plbq. Underalah M ah. Rough-in App Sdwlk
Pound, Plbg. Top Out Gas Line FINAL:
Post/Denm Struct. Ban. sewer Framing -Blc'g•
Post/Beam Hoch. Rain Drain Insulation -Plumh•
Plbg. Underfloor Nater Line Gyp. ad. -Hoch.
r
Date Regarstedt _ _ ro
_PM
��/ r.it
Address: I
Builder L LA1
THE FOLLOWINGc IONS ARE REQUIRFD:
a
Inspector
,APPROVED _ DISAPPROVED APPROVED SU&TECT TO ABOVE
i
call For Reinap.
INBpsCT�on norx�g ��
City or Tigard waiiding oepartmeot
L7125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec•O-Phones 639-4175 Vusinogs Phones 639-4171
Inspections_,
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Fcnand. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Bower Framing -Bldg.
Peet,/gaam Mach. Rain Drain Insulation -Plumb.
PIb;j. Underfloor Nater Line Meeh.
Olt
Date Requeateds_ /�� Time: AN v
Addresses_ I �7c l�yl IpLJ !/"t#s
Builders
TI-IB FOLLOWING CORRECTIONS ARE REQUIRRDs PC-'
711,
N /14
G 4 Inspectors _ _ Data 1. .->� I
APFROVID DISAPPROVED APPFAMRD SUBJECT To AnoVa
_/� Call For Reinap.
City or Tigard Building Department
13225 XM Nall slVd. Tigard, Oregon 97223
Inspection Line (1460-0-Phone 1639-41!5 Business Phone, 639-4171
InapeotLon,
Footing
Plbg. Underslab Koch. Rough-is,
Appr/Sdwlk
Found. Plbg. Top out
Gas Line rINAL,
Post/80am Struct. San. Sewer
Framing -Bldg.
Post/Beam Hoch. Rain Drain
Insulation -Plumb.
Plbg. Undernoor Mater Line
Oyp. ed. --Hoch.
Data Rayuwetedl
TIMI AM
Add re a s i —'----
Permit
Builder,
TNR loLLONING OORRR(-TIONS ARE RVQUIRRD,
P III
Inspectors /��
oat*I
APPROVED DISAPPRDVRD V /
App"fD /DIIJfC! TO ADM
rC �� _—Ca 3 1 Por Rn I nal
City or Tigard Building nnpsrtaant
13125 aw Nall lllvd_ Tigard, Oregon 97223
Inspection Line (Roc.--O-Phone)r 639-4175 BUISiness Phone# 639-4171
tk
Pool l n
q Plbq. Underslab Noah. Rt-ugh-Ln Appr/Sdwlk
Pound.
Plbq. Top Out gas Lino
PINALr
Post/Ream Strum. San. Newer framing -Bldg.
Post/Neam Hoch. Rain Drain ~\
Insulation J -Plumb,
Plby. Underrloor Mater Line gyp. 5d. f,
-Hoch.
Data Roque sted#
_TLmo# AM IPN
Address > 7 �� ��✓SCC ) �e� /M T
,�.
Builders
TNR MLLOMING OORRSCTIONs Alts RsQOIRRDt
Inapeoto
Date t 'r -k;��
---_11PPROVsO DIBAPPR("D _ +_ APPROVRD SDeasr-r TO A9tn►R
r_Call
For Relnap,
IMepJd 2k0soll ding 1� (✓
city of rlgar ,lldfoq Department
13123 M Hell Blvd. Tigard, Orwgon 97223
Inspection Line (Rev.--o-Phons)t 639-4175 Rualnaa• Phones 639-4171
I napr7t 1 on s
Pootinq Plbg. Undurslab Hoch. Rough-in Appr/sdwlk
` l /
Pound. Plbq. Top out �VrmLnq
(K��[` MAL,
Post/Ream Struct. Ban. Sewer -Bldg.
Post/Ream Hoch. Rain Drain Insulation `'
-Plumb.
Plbq. Under.rioor Nater Line gyp, b, h ��
Unto Rwquesteds �- /+- /� Tines
Ad _� `j°
dress /
It 1 t r
Builders 1, r �- f_' / / ��("c�— � CJYYI atm']/ .t`
THR POLLONINO CORUCfIONS ARP RSWIRND,
AVOt
CA
�im�A__(�
- C4 -
Inspectors nater
DIRAPPROVtb APPROVRn 811R.IKrT To ABOVR
Call For R•alnsp.
LNSP$CfIO+�N rI_ce
City of Tigard Bul.ldi09 Department
13126 611 Hall Blvd. Tigard, Oregon 97.223
Inspection Line (Rec-O-Phone)t 634-4175 Business Phones 639-4171
Inspections
Footing Plbq. Underelab Noah. Rough-in Appr/Sdwl):
Found. Plbg. Top Out Gas Line MINALt
Past/Beam 9truct. San. Bower
Fraisi n9 hf -•91eq.
Poet/Beam Hoch. Rain Drain Insulation
..Plumb.
Plbg. underfloor Nater Line gyp, ad.
� h.
Date Requested, (p y 7 9 �� 1107
�
PM
Addrewat
/
Buildor: �(( - LPA lQ
TR)s FOIXOWIN0 CORRECTIONS AAE REQUIRE I�y � (Ab;/
Alt
00,16ty� '
- _ (40L
Inspector t
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinap.
INSPCTION NOTICE
City or Tigard Building Dopert�t
13125 X11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Undarslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Sd. -HoLh.
Date Requastedt �f�e _ 9!v Times AN PH
Address s k„ '� 222 ri c R-/rocralt rk f 1 C�/[�/
Builders '
THE FOUORING CORRCCTIONS ARE R1•Qt1IREDt
i
Inspecto
APPROVED DISAPPROVED -_ APPROVFD 9"R.MrT TO ABOVE
_ ___Call For Rslnep.
Vi..µ.
INSPECTION NOTICE
City of Tigard Building Department
1.3125 B11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections +�
Footing Plbg. Underslab Hoch. Rough-in Appr/Bdwlk
round. Plbg. Top Out Gas Line rINAL1
Post/Beam Struct. Ban. Sewer ira�inq 1s -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Waster Line Gyp. ad. -Hoch.
Date ReWostedt (n 1 9 q TL et
Addroeet )
'Pr
Buil5- 17 —
AH �_NI
TRE VOLLONING COMMONS ARIL REQUIRED=
I�
Inspector Datet '�� —
.APPROVED DISAPPROVED T APPROVED SU&IZCT To ABOVR
__Call For Reinsp.
INSEECTION NOTICE
City of Tigard Building Department
13125 OR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Undersla<__ Nsoh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out FINALS
Post/Roam Btruot. Ban. Bower �1 frMing / -Bldg.
Post/Beam Keoh. Rain Drain Insulation ..Plumb.
__—
Plbg. Underfloor Water Line Gyp. ed. _Koch.
Date Requesteds (� - ��f Tiaas AK C� —PK
llddress s_f 2 C) �� `51_ '/7C��✓i CLc� ��°/1�irm t �/" /1 )
6
Suildertr./
TRE FOLLONINO CORRECTIONS ARE REQUIREDs �
1CL / )
S fit.
) l' 6
Inspectors_ \ i"V L s• L Dates 7 �'�
-----APPROVED ��DISAPPROVED APPROVED SUBJECT To—ABOVER
Call For Reinsp.
�� C1,
INSPECTION_NOTICE
City of Tigard Building Department ov
1312S Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (pec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Swam Struct. San. hewer Framing -Bldg.
Post/Beam Mewls. Rain Drain Insulation -Pluah,
Plbg. Underfloor Mater Line C� Gyp. Rd. -Neth.
Date Requested s -t� `. Times 11M PM
Addreses_ ` �1 1 ASO ,vt J� VJ,J Permit Is
Builders__
TRE FOLLOWING CORRECTIONS ARI REQUIRED,
Z7-�!' -Liy c
\ c� i• ��-�7`---
' _r-P A � L-v. c CJ w\ L1 e�
"7V�r
�K %Lvv
_APPROVED IB"PROVED APPROVRn SUBJECT IV ABOVR
,—'eC'411 For Aeinsp.
s--
f
�I��p.�f. Ion NUTICF
City of Tigard Building Department
13125 sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone)t 639-4175 Business Phones 639-4171
Inspections ---
Tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
hound. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
pl
Date
uyusstedt o �-1t�' v:) _ Timet AMPM
Address. `)� t.J Permit f t_(�,-I-/`o
Builders
TEE TOLLOMING CDRRECTIOM_ ARE REQUIREUs �
-- T- .
1
1
AV
Inspectors __ � ��%'�_ _ Date,_ � / 3
APPROVED _ ISAPPROVED APPROVED SUBJECT TO ABOVE
i Call For Reinep.
INBYBCTI0�7 NOTICE'
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspoction Line (Rae-O-Phone): 639-4175 B::sl.neas Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach, Rough-f.n Atipr/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. Rd. -Mach
Date Requestedt_ Z� "�C"\
1 r) Tlna: � _ pM
Address s l -1 -t
Permit 1:_ 1 rl n I
Builder:
.PRE FOLLOWING CORRECTIONS ARE REQUIRED: Q C
CA
ILA
Ok
EC)IT,L
--�--Ute_---- -----—\��C�.►�/� .
y\ok
Inspector: —c)4
APPROVND %,""DISAPPROVED APPROVED SUBJECT TO ABONN /
1�Ca11 For Reinap.
�grscrlon NOTICE ���
City of Tigard Building Departaaot
131.25 SII Mall Blvd. 'igard, Oregon 47223
Inspection Line (Pec-0-Phone), 639-4175 Business Phones 639-4171
Inspections_
Rooting Plbg. Underslab Mach. Rough-in Appr/edwlk
Round. Plbq. Top Out pas Line ►IMALs
Post/Bram Struct. Sen. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line ,( Gyp, Sd. _Mach.
Date Requested,_ `��j ' \`� _—Tim*' AM ^ pp
Addreses-\.71 �� �-1 \�p-�� tip , Permit to
Builders
'17Q 1OLLOMIlR7 ODRRECTIONS ARE REQIJIREDs
l-►l � 1
�� � �'1..,0-��1n -G nom` �.l ti;�-y�-�L S._p �!^`��-( �t-�•,ti--�._
&6
1
v" liNI
Inspectors— , Dates`
---_APPROVED _ L,DIDAPPROVED APPROVED SUBJECT TO ABOVE
C l Call For Reinsp.
INSPECTION NOTICE N
city of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons)t 639-417S Business Phone= 639-4171 �.
I
Inspection:- -,
looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
found. <Pb—q iTop Ou� Oa• Line ANAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbq. Underflao , Nater Line Gyp. Sd. kn7Nech.
Data Requestodt_ 14- 2- 22 Time: _ VL� AN PN
C� q / 1
Saar...= 1�_LL �C'f")✓�F cJ% Y/Parte t i a 9 .LLL/
,S7 7�
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
Datet
APPROVED _ DISAPPROVED APPROVED SUBJEC.' To ABOVE
7� _ call !or ReinsP.
i
YHIcno-14 r ra
city of Tigard Building nepartasnt
1312S SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-phone): 639-4175 Business Phone: 639-4171
Inspect ion:. -_ _-__-
Tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. P102. Top Out Gas Line !'INALa
Post/Beam Struct. Framing -Bldg.
Post/seam Mach. Rain Ora Insulation -Plumb.
Plbg. Undurfloor 'hater Lima Gyp. 5d• -Meeh.
Date Requested: S Thos AM PM
Address: ���� c/> ..��L��'1'L Permit It ,
Builder:
TRE TOLLOMING ooRRAcTIONS ARE REQOIREDt
Inspect ' �.__��_�. Date
APPROVRD DISAPPROVED ------- APPROVED SUBJECT TO
Call For Reinap.
IMSPMCTIOM NQTIC[ 6(
City of Tigard Maildinq Dvpartmsot
13125 = Mall Blvd. Tigard, orogoe 97223
Inspection Line (Rac-4-Phone)t 639-4175 Business Phones 639-4171
Inspections.__ -- _--
Pootinq Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Gas Line FINALS
Post/Beam Btruct. San. sewer framing -Bldg.
Poet/Beam Koch. aln Drain ` Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Date Requested s I. r'� _Times AK PK
1lddrese� I�f 1 1 'j-:C"-w��(Permit
Builders `dam e Ci - `7>1I L _
THE TOLLONING CORRECTIONS ARR REQUIREDs
Inspectors `� "` Dates ,
✓ APPROVED DISAPPROVRD APPROVED SUBJECT T+` AR(M
/��` n Call For Reinep.
INBPECTION NOTICE (�
City of Tigard Building Depsriae nt
13125 BII Ball Blvd. Tigard, Oregon 97223
Inapection Line (Roc-O-Phone)i 639-4175 Business Phones 639-4171
Inapeatlons —_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Cas Line FINALS
xet/Beam atruct. San. Sewer Framing -Bldg.
Post/Beam MM-h. Rain Drain Inauletion -plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -K"ch.
Date Requestedd s-_-�� - - Timo c AM PM
Address s '-�I�l �_- V�V t p.,`� Permit 1 s� q
_...
Bul.ldert� [A _-
THE FOLLOWING CORRECTIONS ARE RBQUIRiDt C
- -�.�^-Tam•^_�..2_���_ �'6 /tip_ _--- --
—,���-✓�•�' s,u,�-sir �--�-�t-�-�!`Q'?r?��-''
4'
z -- !-� v
AA
t _ _
Inspectors�__ Dates
___APPROVED -- DISAPPRLAmn -�4PpppVED SURJECT TO ABOVE
l _ Call For Ralnnp.
MrNCTION NOTICE
City of ':oiriard Building Depattmont
131.25 Bw Sall Blvi. T1 gard, Orrq n 97223
Inspection Line (Rec-,O,,-Phh1onne)t 639-4175 Business Phones 639-4171
Inspections___.__ /Va-&--) _
rooting Plbg. UnJarelab Meeh. Rough.-In Appr/Bdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Jan. Sewer Framing -Bldg.
Post/Beam Mesh. Rain Dain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Rd. �/-�h.
Date Requesteds 7- �� , Times V— AN PN
Addresee�yj� .�sr�%� .ettJ ,Pormlt f�9�- 9,10/
Builders e 7
O717
NGORETE rO (TIONS ARE REQUIRED=
Inspectors ��
/ Dates ! Q
y APPROVED _ DISAPPROVRD APPROVED SUBJECT TO ABOVE
cal For Reinsp.
INBPZCTION NOTICE
Cit? of Tigard Building pepert-aent
1312S Bw wall Blvd. Tigard, Oregon 97223
Inspection Line (Roc--C-Phone).3 639-417S Business Phone, 639-4171
Inspections__
Iootin Plbg. tlndernlab Mach. Rough-in A
ppr/Bdw1k
Found. Plbg. Top Out Gap Line FINAL,
Post/Beam atruet. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb t n
Plbg. Onderfloo+
Water Une Gyp. Bd. -Mach.
Datr, Requested, � TLtaa, AN PM
Builder,
TRE FOLLONIN ('ORRCTINB ARE REQt1IRED,OE
Inspectors
Date,
-APPROVEDDISAPPROVED -/AppROVED BtlBJ1tLT TO ABOVE
yL1 2) For Reinsp.
INSPECTION NOTICZ
City of Tigard Building Department
13125 HR Hall Blvd. Tigard, Oregon 97223
Inspection Lina.(Rec-O-Phones 639-4175 Business Phones 639-4173
Inspectionr
Rooting Plbg. Underelab Mach. Rough-in Appr/Sdwl.k
Pound. Plbg. Top Out Cas Line FINALr
Post/Beam Ntruct. San. Newer Framiny -Bldg.
Post/Beam Mach. Rain Drain Insulation -Ply.
Plhg. Underfloor Mater Litres Gyp. Bd. -Koch.
Date Requont.eds _L - q Timet `AM PM
Address: l 1 c� ��J ..ny (� Permit i -y I
Bullderr�Il f P.JC U lL LL/l-)- /_�l Z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_
Dates
✓_APPROVED -` DISAPPROVED APPROVED NUBJECT TO ABOVE
Call For Rpinnp.
i
CITY OF TIGARD
STOP WORK ORDER
BUILDING DIVISION
13125 SW HALL BLVD.,T IGARD, OR 97223
639-4171
JOB ADDRESS: i 3"7CICj C,_a,,, Qu ._k_~.-3 A0M\)'ERMIT#:
OWNER: _ CONTRAOR: 1 ---
YOU ARE IN VIOLATION OF THE FOLLOWING:
AND HEREBY NOTIFIED THIS -� DAY OF fil-C,L- 19�1� AT Z-'•'4 RRM,
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN k [j
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REMOV HIS NOTICE-
BUILDING INSPECTOR -`
r
INBPECTION NO'^-ICE
Citt or Tigard pudding Department
13135 BE Miall Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone), 639-1175 Bu ins.• Phone, 39-1171
Inspectiont L^,71
n �`
Footing Plbg. Und.relab Koch. Rough-in Appr/Sdwlk
round. Plbg. Top out Gas Lin.
FINAL,
Poet/Baa. Btruct. San. Sewar Framing -Bldg.
Poet/Beam Koch, Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Dat. Requested,_ J—
Addy...: J�C�c� .c� V �,-..-� Permit t,`�
i l 0
Builders
TM FOMMING CORRECTIONS ARE REQUIRED,
12
A- w7- 4
Inspector, 1 % Dat.,
APPROVED _DISAPPROVED APPROVED SUE.TECT To Abova
V Call For Reinsp.
PLUBING
- -CITY OF TIGARD PERMMIT #. PERMIT. . . . . . : MST94--9101
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/24/94
13125 SW Hall Blvd.Tigard,Or*gon 9722398199 (503)639.4171
PARCEL: 2S10400--HE044
SITE ADDRESS. . . : 13799 SW BENCHVIEW TERR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PI)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :044
---------------------------------------------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : l
TYPE OF USE. . . . -SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
JCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TROPS. . . . * . . . . . . . ' " 00
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CAI CH BASxNS. . . . . . . s0
FIXTURES------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS......-1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . till
LAVATORIES. . . . . c5 OTHER FI XTU,r',E'-. 0
TUB/SHZ)WERS. . . . : SEWER LINE
Wt-1IE R CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : l RAIN DRAIN (ft ) . :0
Remarks: PATH I
1_JWNER1 -----------------FEES---------------
BRUCE TILLEY TIF $ 1521211. 00 MAB 03/24/94 -
141h9 SW STARDUST LN BPRT_ $ 560. 50 MAB 03/24/94 -
BPLC $ 364. 33 JLH 03/07/94 94-249685
TIGARD OR 97,23 85PC $ 28. 03 MAB 03/24/94 -
Phone t;a 579-9332 9SDC 11 280. 00 MAB 03/24/94
PARK $ 500. 00 MAB 03/24/94
Plumbing i-ontractort----------------- MPRT $ 45. 00 MAP 03/24/94
MPLC $ 11. 25 MAb 03/24/94
Name: M5PC $ 2. 25 MAB 03/24/94
Addre PPRT $ 162. 50 MAP 03/24/94
C i t e: P5PC $ 8. 13 MAP 03/24/94
Z i P:__A1L_J_-":5 Phone#: tgq6 - S-Z
Reg
REQUIRED INSPECTIONS -------
-This permit is issued si..tbject to the reg-
ulations contained in the Tigard Municipal Foot/fOlAnd Insp Rain drain Insp
("ode, State of Ore. Specialty Codes and all Post /Ream Strl.tut Water Line Insp
other applicable laws. All work will be done Post/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
nermit will expire if work is not started PLM/Underf I oor Plumb Final
within 180 days of issuance, or if work is Mechanical In=p Building Final
SLISpended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
I ns u 1 at i-n Insp
ILI 11 dix- 2/A Gyp Board Insp
ATthorAzled -P—Fumbing co�_t_r;` 41 ct_707§�9��ture
Call far inspection - 639--4175
Contractor Notes:
CITY SOF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-91 0 1
13125 SW-Hall Blvd.Tord,Orpon o7223.9163(39CIh OW-4171 DATE ISSUED: 03/24/94
PARCEL: ES10400-HE044
SITE ADDRESS. . . : 13799 SW BENCHVIEW T'ERR
SUBDIVISION. . . . : HIl_LSHIRE ESTATES ZONING: R-7 PD
PLOCI... . . . . . . . . . . LOT. . . . . . . . . . . _044
044
------------------------------.--_-.-- BUILDING REISSUE: DWELLING UNITS-. 1. BASEME=NT. . . . . . .. . &0 f
CLASS OF WORK. :NEW BEDRMS:4 BATHSe3 GARAGE. . . . . . . . . . s726 sf
TYPE OF USE. . . :SF FLUOR AREAS------------ REQUIRED SETBACKS------------
1 vPE OF CONST. :5N FIRST. . . . : 1404 s f LEFT. . .-8 ft RIGHT. s 8 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1573 S f FRONT. -20 ft REAR. . :`3 ft
STORIES. . . . . . . ..2 ';HI RD. . . . s 0 S f REQUIRED-
HEIGHT. . . . . . . . :
EQUIRE:D-----------•- --HEIGHT. . . . . . . . :24 ft TO'TF,L---- --s 2977 s f SMOKE LSE TECTORS. :Y
FLOUR LOAD. . . . :40 psf VALUE. . . . . fs 150010 PARKING SPACES. . ei
Remarks : PATH I
------------------------------------- PLIJMBINO ---------- -------------------------------
SINKS. . . . . . . . . . .. I
-------•- --------------------._---_----._SINKS. . . . . . . . . . : 1 FLOUR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . e5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10
TUB/SHOWERS. . . . :? LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 DATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE D 1 SP. . . : 1 R(- I N DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . el
MECHANICAL __._------------•---.--•----.___._____..__ FEES
FUEL TYPES------•------ UNIT H'TRS. . :O type amount by date recpt
/GAS/ ! / VENTS . . . . . :0 TIF f 1520. 00 MAB 03/24/94 -
MAX INPUT :O BTU VENT FNNS. . :4 APRT f 560. 50 MAP 03/24/94 -
FURN ( 100K . . :0 HOODS. . . . . . sl BPLC $ 364. 33 .JLH 03/07/94 94-249685
FURN ) -100K . . : I WOODSTOVES. :O B5PC t 28. 03 MAB 03/24/94 --
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 MAB 03/24/94 -
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK f 500. 00 MAB 03/24/94 -
GAS OUTLETSel MPRT $ 45. 00 MAB 03/24/94 -
Owner: -- - ----------- ----------------.____-p1PLC $ 11. 25 MAB 03/24/94 -
BRUCE TILLEY M5PC: f 2. C-5 MAB 03/24/94 -
14189 SW STARDUST LN PPRT $ 162. 50 MAB 03/'"x-'4/94 -
P5PC f 8. 13 MAO 03/24/94 -
T I GARD OR 97223
Phone #: 579-9332
SPLICE TILLEY HOMES
0497 SW OI_D SCHOLLS FERRY RD
F'(.!RTL.AND OR 97223
Phone #: 292-4435
Reg #. . : 81924
$ 3481. 99 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS ----------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Foost/Beam Struct Gas Line Insp
plans. Thi% permit will expire if work is not started within 188 Post/Beam Meehan Insulation Insp
days of I5 oiire, or if work iF =,,spen ed for sort than 1R. days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permr Lt o� � r1nat,'Wk� ; Mechanical Insp Water Line Ins)
Plumb *fop out Appr/Sdwlk Insp
Tssiled TAY " _ ' Framing Insp Mechanical Final
Call for inspection - 639-4175
CITY OF T i GAR® SEWER PERMIERMI :t✓TION
T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . I SWR94-0105
13125 SW Hall Wvd,Tlgard,Oregon 97223.9109-'(W4MIF4171 DATE ISSUED: 03/24/94
PARCEL: 2510400—HE044
SITE ADDRESS. . . : 13799 SW BENCHVIEW TERR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R—•7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :044
--------------_---------------------------------------------•---- ----
TENANT NAME. . . . . ..
USA NO. . . . . . . . . . : FIXTURE UNITS— : 1
CLASS OF WORK— :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SLJRFACE. . : : sf
Remarks: PATH I
Ownerl ------------------------------------------------ ---- FEES -------•__------
BRUCE TILLEY type amount by date recpt
14189 SW STARDUST LN PRMT $ 2200. 00 MAB 03/24/94 —
INSP $ 35. 00 MAB 0.3/24/94 —
TIGARD OR 97223
Phone #: 579-9332
CONTRACTOR NOT ON FILE:
------------------------------------------
I ti ori e #: f 2235. 00 TOTAL
------ REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The parmit expires IN days from
the date issued. The total an-lint paid will be forfeited if the
permit expires. The %ency does not guarantee the accuracy of the
side sewer lateral%. If the sewer is not located at the measurement
given, the installer shall prospect 3 toot in all directions from
the distance given. If viot so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lat 1.
P v I mittee 5ignaL:vr e :
-ted By .
Lail for inspection — 639-4175
CITY OF IIHARD — RECEIPT OF PAYMENT RFCFfLlI NO. t 9 4—P-"Vi P 467
CHECK AMOUNT t 546(:,. ':)`a
NAME r TILL.Ey, BRUCE CASH AMOUN'r o 0. 00
11 DDRESS t V.IAYMk::Nl DOFF t P3/c'4.,'94
SUBDIViSION
01I(tPOSE OF PAYMENT AMOUNT, PAID PURPOSE OF PAYMENT AMOUNT PAID
.............. ..
....................
1) wii .m 50,10.50 PIA)MR1140 Pl.--.Rll 16P. 50
MECHANICAL PF 4% FIR sr. BtJIL.D PER ;3A. 41.
"I.AN CHECK FF I P5.1.111.1 SEWER USA ppow.wo
6-FWFR INSPECT 145. 00 PARKS c;DC 500. 00
6TORM DRAIN SDC 2API.00 RESIDENrl0l... TRAFFIC FEES 1410. 014
ASS TRANSTV TIF FEES f i 0. ON
J.3799 . W BEN(,HV:(FW Tf..RR
IT'DIAL AMOUNT PAID 5466.99
_0 J ^J1
v ~r
I co r
so
e i � r QS �..
L4
4t iN�W�Sd� �9d
W�01
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13 7 99 S� t�enCR J vrvJ tit tae!
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Residential Building Permit Application
City of Tigard ~
13125 SW hall Blvd.
Tigard, OR 97223
(503) 639-41171
Jobslte Address:/3 7 71 �e e) ,tu) kxwL-
Subdivision:
//,&));<t- J�1 J Lot#� � e Use Only
�r
PlandJRec#�`..
Valuation:
/so,
Perplit #
Owner: /J/f'l�'� ! , I rClf Reiss.10 of
T�
Address:�(�f/8q scv 5��dMap r TI_
T
_ 2el 1� Z Ap2mypip F�eguLr d
Phone: .�
' Planning
Contractor: —i4j-29 �' —F�I Engineering _
Address: f��r'� .; 5 A- d"5t ' er __---
i ar
11in
eaulred
Phone: racicrs
Contractors License # t
- --- -
(attach copy of current Oregon license) its
Subcontractors: / TT
Plumping: � /-J r /✓/yj ? � .
Mechanical:„ � I
(attach copy of current O Contractor's License)
Archltect/Engineer: 1,1 /`//
Address: 15/; �J tL) Z 3 Ye
or rL;�z /0
Phone:
COMMENTS: oq / � bd` � -L Al aiILY7. 1.+.�,�_� '� L` QCT +�•-
Applicant Signature/&Phone number
Received by: Date Received. 3
Permit i# Account Description Amount Amt. Pd. Bal. Due '
Bldg. Permd (BUILD) j-6-0.$-n
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
S ate Tax (TAX)
/
Bldg: '.�3✓ +������
Plumb: •/ 3
Mech. 2•Z i
Plan Checl� (PLANCK) ��r 5
Bldg: �
Plumb: `
Mech- ___1 ' ✓
SSR -01 Sewer Connection (SWUSA) o2c� UO 4I�
'�4 Sewer Inspection (SWINSP) 3�> S'
Parks Dev Charge (PKSDC) ~ 0t
Storm Drainage Chg (SOSOC)
Residential TIF (TIF-R) L)
Mass Transit TIF (TIF-MT) //U
Commerci,it TIF (TIF-C)
Indtfstrial:HF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Ouai'ity (WOUAL)
Water Ouantity (WOUANT)
Fire District (FIRE) M _
TOTALS:
�.i
Cl, FY C11- TIGARD RF.L;F,IPI' OF. lJ14YMt-NI 10 1 f I I N!1,,
14MLION I
AME a TILLEY HOMES 1,01.41 AMI.UN
IJOHI:Ss, t Ps-4YMENI Vf4ll-- t 03/07/94
9.04DI V I S I ON
IRPOCIE OF PAYMENT AMOUNT PrA i o PIJRPOHE� (-JF PAYMENT' AMOUNT NAA 1)
I.JIN 11HU."K Fr- 3--1'7R 250. 00
3799 SW BENCHVIEW TFRR, HILLSHIRE ESTATFS, L(Jt' 44
11101 AMOUNT PWD