12570 SW GLACIER LILY CIRCLE-2 1 �
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INSPECTION NOTICE
C:ty of Tigard Building Department
13125 ISN Fall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639-4115 Business Phone: 639-4171
Inspection:_—,_---`-__- — y`_---
Footing Plbq. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Poet/Beam Struct. San. Sewer Framing
Post/Beare Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch
Date Requested:_ S20-A V _ —Timet .AN _ 0
PHi100/
Address: PemLt :
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Builder: / i7 C ) ���' �e Q 7 7
THE FOLLOWING CORRECTIONS ARF REQUIRED:
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Inspector: '���— -- -- --- — Cats:
41 APPROVED DISAPPROVED APPROVRi, SUBJECT To ABOVE
— Call For Reinsp.
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INSPECTION NOTICE
VU2 of Tigard Building Department
413125 SM M_-1 Blvd. Tigard, Oregon 97223
Inspection ',ine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
E Yaoting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Pont/Beam Strucf-. oan. Sewer Framing -Bldg. -
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Pont/Beam MF,_h. Rain Drain Insulation -Plumb.
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Plbg. Urderfloor Water Line Gyp. Bd. -Mech.
Date Requested: �� �pc,i T SAM --PM
Address:__ rj �/� C ` ermit isGl��
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Builder:
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THE FOLLOWING CORRECTIONS ARE REQUIR9:D:
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Inspectors Date: �
1___4 APPROVSn DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaont
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: o39-4171
Inspection: —_—
Footing nlbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam 3truct. San. Sewer Framing Ldg. .
Poet/Seem Mach. Rain Drain Insulation'� .ae:b.
Plbg. Underfloor Water Line '7 Gyp. Bd. -Meeh.
Date Requested: -/leo�� Times ANJG��
Address: � tr
Permit #s �
Builder __74_21f
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THE FOLLOWING CORP.ECTIONS ARE REQUIRED:
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s ri Inspecior:-- _�r- _ - — Date:,/ - L
APPROVED DISAPPROVED APPROVE!: SUBJECT TO ABOVE
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§ Call For Reinsp.
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INSPECTION NOTICE 1•^
City cl Tigar.l Building Department
13125 Sst 3a11 Blvd. TigarA, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 BusinPar Phone: 639-4171
inspection i___
-— ----
Tootin Plbg. Underelab Mech. Rough-in Appr/Sdwlk
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Found. P1 . Top Out Can Line FINALS
Poet/beam Struct. San. Sawet
/Framing -Bldg.
Poet/Beam Neck• Rain Arai
Insulation -Plumb. -
Pl.bg. Underfloor Nater Lina Gyp. 8d. -Mach.
Date Requenteds
Permit
Addcesss_��� _
Builders
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THE FOLLOWING CORRECTIONS A11M REQUIREDs
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Inspectors _ _ Datas-
PROVED DISAPPROVED APPROVED SSIB.IBCP TO ABOVE
Call For Reinep.
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INSPECTION NOTICE P.
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City of Tigard Building Depkrtment
23125 SW Hall Blvd. Tigard, Oregon 97223
t inspection Line (Rec-O-Phone): 639-4175 Businees Phone: 639-4171 ff
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. r'bg. Top Out Gan Line FINALt
of/Beam 9tmu7t. San. Sewer Framinq _Bldg,
of/Beam^Hach. _ aln Drain Insulation -Plumb.
Plbg. Underfloor Water �Line Gyp. Rd. -Noah.
Date Requested•— -d' -- AM PN
Address• Pelma ti✓ v0���
Builder.---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:__ Date: ')/ _
^`APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
0 __Cail For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SSI Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_.__,_ ---—_--
ti looting Plbg. Underalab Mech. Rough..-in Appr/Sdwlk
`Found. Plbg Top Out Gas Line FINAL:
Poet/Beam St-uct. San. Sewer Framing -Bldg.
j! Poet/Ream Mach. Rain Drain Insulation -Plumb.
i Plbg. Underfioor Waters Line Gyp. Bd. -Meeh.
'1111 ')ato Recpiented: r1� /Gy-7�-- Time 1" A44c. pM 'r
Builder:
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THE iPOLLOWING CORRECTIONS ARE RRQUIRF.D:
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Inspector:_
v 1+PPROVID DISAPPROVEL - - _ APPROVED SUBJECT TO ABOVE
`_Call For Reinsp.
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awOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 011100HBUILDING PERMIT
13126 SW HWI 13W. P.O.&pc 23W.TORR,Oregon 972M(503)639-1175 r r.r�r #, . . . . . • . JA UP 9 E -0'R1.18
.. .:,.� ,� .� • �N"I-L. i;,:�LJEI}: 0"7/31/9c:
31TE ADDRESS. . . 12'57O 5W GILC TER L..ILY f'WRGL; L: tS133DA--17 ';
3UBDIVISI014. . . . : )MART SUMMITRLAKE ZONING: R-7
"3LOC:K. . . . . . . . . . .. LO1.. . . . . . . . . . . . . .6G
tF ISSUE; FLOOR AREn'3-___..—__-_.-_-.-._ EXiER,IOR WALL 170NSTRL.JL-TT.'-1r,'
+_;LASS OF WORK. .-ADD FIRST. . . . .- 189 s f N: 5: E: W:
1'YPE = USE. . . :5F SECOND. . . : s4" PROTECT (TPENINGS?_._..._._.___._..
i'YPE OF CUNST. :5N "FHIRD. . . . a sx N: S: E;1 W. •
9GC1JPAtJGY GRP. T1:)'TAI._----..--_._: 189 s f Rf]O"r= C0I4a7: FIRE REl " .
OCCUPANCY LOAD: BASEMENT. : S AREA SEP. RATED:
STOR. : 1 IAT. : 1 s Ft 6AF2Fa1'E. . . : sf (JCI-'U FIJ: '. I1AILD:
SSM7?, MEZZ?: REDD SETBACKS------____ REG)UIRED—•__._
s
L 1 L_QAD. . . . :40 ps f L.E1=T': S=t h9'HT:7 Ft F I F? SP;-',L.r SIvIOW, ntvT. .
DWELLING UNITS: FRNT: ft REAR: 18 ft FIR ALRM: HNDICP ACC::
BF_'DRMS: BATHS: 111P `;U I1F-ACE: PRO CORR. FJAIRK 1 NO.-
.)ALUE.. $ : 8694
Remarks : PATH 5 ADDITION OF 189 SO F?`
JAMES/LOIS WINGO type amol.lnt by dal:e rnc:pt
1257O SW GLACIER LILY C:IR PRMT $ 74. 50 JH 07/31/9; —
PLt:K $ 48. 43 JI...H rc111/21 /9i 2i..cl 727
TIGARD OR 9-72;24 5PC,T $ :3. 73 ,JH 07/31/9J! —
Phone #f: 524-6477
Cantr,ar_tar:
CiEORGFF. I_CW i F'12
:2627A NE F'ORKWOOD
HILL_SBORO OR 97124
NI-1one 1#: 661--3415 $ 126. 66 I'01-AL
Req #. . : 80444
---- - - — REQUIRED INSPECTIONS
------
This persit is issued subject to the regulations contained in the Font/fo_rnd Insp
Tigard Municiaal Code, State of Ore, .3p9cialty Codes and all other Post/Beare Insp
,,nplicable laws, All work will be done in accordance with Framing Insp
approved plans. This persit will expire if work is not started Insr_tlAtion Insp
within 188 days of issuance, or if work is s,ispended for sore Gyp Board Insp
than, 198 days. Rain drain Insp
Final Inspection
l�er•mii;tew f",iqna.i,ar.ee Lf�
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C-a11 for inSDPetirm - 6,39--4175
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CITY OF T IGARD RFCF I F*T OF POYMENT RECEIPT NO. 105
CW--CK OMOUNr 'Iia. 213
114AME W I NGQ, LOIS CASH AMOUNT 0. 00 ! �
ADDRE=SS a 12570 5W GLACIER LILY CIRCLE: P'A'YME=NT DciTE- : 07/,:31./73
GI.BDIVISI(IN n
ri(JARl), OR 1)72,'--"3--
PURPOSE OF* PM'ME NT AMOUNT PAID Pl.1P,C Ot.—;E OF POYMEMT r4mnUNT F"'s D f
gUILD3,NO PERM 74. 591 ST. BUILD F'F:R 3. 73
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TOTAL,, AMOUNT PAID — ) 78. 23
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13125 SW I IM BW. PI-NCK/RLCT # 2 1�164
CITY OF TIGARD V0 Box 23397
CONINIUN IIT 1)EVELOPM EN'r IN--TA IZTNI ENT TlmnL Oregon i;7W PERMIT # -Bue f - a V
(503)639-4171 DATE ISSUED
4'.,108 ADDRESS: TAX MA11/1-0 F 33 P4 -0 41(/,g
(Z4 LOT:
LAND USE:
VALUA,-ION:
OWNER SPECIAL NOTES
NAMEc% REISSUE OF:
AODRE�S: LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR k41_--7Z APPROVALS REQUIRED
NAK:
PLANNING: dr-)ez-
ADDRESS: , _ C_
ENGINEERING:
FIRE DEPT:
PHONE: OTHER: J10a AC--
CONTR. BOARD #: EXP DATE:
ITEMS REOULR.F.Q
LU9LQNIRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: BUS TAX: _ _ __
CALCULATIONS:
NAME:
TRUSS DETAILS:
ADDRESS: I/ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT _s_J[GNA_TUR[_
Received By: Date Received:
PERMIT # ACCT # DESCk1PJION AMOUNT AMOUNT PD. BAL. DUE
S/ 10-432 00 Building Permit Fees % �� ?-b_
10-431 00 Plumbing Permit Fees —
10-431 01 Mechanical Permit Fees
10-2.30 01 State Building Tax (5%)
Building
Plumbing
Mechanical
0
10-433 CO Plans Check Fee L
Building
P1 umb i ng
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
„ 25-448-04 Industrial TIF Fees _
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees v _
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25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 CO Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Dev Chrg
— -
(SSDC) �
I
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Ouantity (Fee in lieu of) _
TOTAL �o "W �`'=�� X23 /1
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nm/35871).WPF
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CITY OF T I GORD RECEIPT OF' ;:,AYME:NI" RECE-.:I r''T NO. :92
CHECK AMOUNT z 48. 4:3 j
NAME' z 'i'tPa�"�7, LOIE,, CASIA AMOUNI 0. 00 ! �
ADDREZiS z IP570 70 SW GLACIER t._11_1 C:IHC;LE PAYMFN7 pwrE z 07l81 /92
IJED I V 15I ON
F'•IURPUi-fF. n'.' PA'YMI::NT F1MiIl1NT F'AIU 4='1-.lRF'OwiE:. Cly V'FaYMM`JT F1MlllJN";" F'AT17 ,
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PLAN C:NF.GK Fir _......_.... ._....___-�._48. 43 .._...._.�.._.,..._....._.�..._._......_.�.._.�_�. ......._...._....._.___-�__.
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TOTAL. AMOUNT Y.1011) — ' 48. 43
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