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CERTIFICATE OF
I1FF CY QF TIGARD
OCCUPANCY
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COMMUNITY DEVELOPMENT Dk:.°¢► 4NT DATF". 19)t-WED s 06/.34194
13125 8W Hall Blvd.Tigard Orogor 97223.810 (503')630-4171
P(IRC.1=:1_.: 2S 104CA-09900
SITE AUDRE.aG. . . : 1.3163 SW JENNJ:t FIT
SUBDIVISION. . . . s H LLSHIRE Z(�;IINCaePD
ESI.00I{. . . . . . LOT. . . . . . . . . . . . . 1099
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CLASS
TYPE OF U E. . . o t?f'
OCCUPANCY GRP. s R3
OCCUPANCY LOAD:229 4
TENANT NAME. . . :
Realatrks s PATH I j a
31-! LDURNI' DEV
70178 SW NYPERA RD
TUALAT I M OR 97
Phone #s 692--6383
Contractor:
GHELBURNE DEVELOPMENT f
7005 SW MYSERC Rai f
WAI_,ATIN OR 97062
Phane #s 692--6383
42388
occupancy of the above refer k�..t,i .idir,g is her,et►y given, andc-
ertifie=
the complia►'►c_e with the tate Of Orngun S(�ec,i.alty Codei for 1-1-IP gr'OUP,
occupancy, ,and use under which the ref. -enuPd per' it; WAt- is�so.11ed,
}11.1ILDING INSPECTOR , .� U7t...UING FIC I
POST IN CONSPICUOUS PLA(r.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SII Dail Blvd. Tigard, Oregon 97123
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _— _ r°�5i • '
I 1
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk t 1w1
Found. Plbg. Top Out Gas Line `` FINAL,
Poet/Beam Struct. San. Sewer Framing -Bldg.
t:ha'ym H
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Fater. Line Gyp. Bd. l Hoch.
Data Requested, �� d �1 ' __Timet =AM PN
Address: LL' . C'r) G� C-�t Permit
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Builder:_ e�J 1 ► ► he Zhu t_<'t wi�) d ?O-
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THE FOLLOWING CORRECTIONS ARE REQUIRED: y '
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Inspector
_APPROVED DISAPPROVED Y A1-?ROVED SUBJECT TO ABOVF.
---Call For A4inep.
INSPEC'CION NOTICE'
City of Tigard Building Depart—*
13125 Sw Hall Blvd.. Tigard, Oregon 97223
inspection Line (Rec-C-Phone): 639-4175 Business Phone: 639-4171
Inspection:__----------- ---—
Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Footing _
Found. Plbg. Top Out Gas Line 5� FINALt
Poet/Beam .ntruct. San. Sewer Framing -Bldg.
poet/Beam Hoch. Rain Drain Insulation -Pl,smb.
Plbg. Undo:floor Water Line Gyp. Bd. -Merh.� y�
Times AN PH
Date Aeq,e,:tod: `� -
_ 0
Address. �P��71t:_ 7N.
Builder: 1 1 1 ti.! tP L < / _(L-. ■
TNM FOLLOWG OORRECTIONS ARE REQUIREDt
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INSPECTION NOTICE.
City of Tigard Building Departsent
g
137.25 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bs inesa Phone: 639-4171
inspection:
Footing plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line C_`FINALs
-B:d
post/Beam Struct, San. Sewer
Framing 9•
Pont/Beam Mech. Rain Drain
Insulation Plumb.
Plbq. Underfloor Water Liffe
Gyp. Bd. -Hoch.
—
/ �� Timet AM Ph.
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Date Requested. �� `
_ _3 l el�
Addren� . Fermis rf_ `iceC�
aes
iBuilder:_: I
THF. 1►O%LOWI.1G CORRECTIONS ARE REQUIRED: � //'r � eJ
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InepectoDates
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APPROVED —� DISAPPROVED APPROVED SUBJEf'T TO ABOVE/
Call For Reinsp.
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I'.:::dCTION NOTICE
City of Tigard Building DeParteent S
13125 SN Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inepection:___�_ ---- —
Footing Plbg. Underelab Hoch. Rough-in %ppr/Sdalk
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Found. Plbg. Top Out Gas Line r FINALt
f., -Bld
Poet/Beam strict. San. Sewer Freminq g•
Po.jt/Beam Mcch. Pain Drain
Insulation -P1 +•
Plbg. Undert jor Water Line Gyp. ad. -Koch. y
QDate Requested•__
(v Tion:
A _1 i1pnS�
Address:_J',,J_<<_ Permit
Builder:— •
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-- —- --
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Inspectors -- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinep.
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JSPECTION NOTICE
City of Tigard Building DepartmOrt
13125 ON Ball Blvd. Tigard, oregon 97223
Inspection Line tRec-O-Phones 639-4175 Business Phone: 63:-4171
Inspections --
}
Footing Plbg. Underelab !tech. Rough-in ( Appr/Sdwlk w
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Found. Plbg. Top Out Gas Line FINALS
poet/Beam Struct. San. Sewer Framing -Bldg. I„
post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -!tech.
Date Requested: Timet AN _ PN
h0dreen:_
Builder:� ��I� 234 - 5702
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPRJVED DrskpPROVED y APPROVED SUBJEL-1 TO ABOVE i
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INSPECTIAN NATscE
City of Tigard Buildinq Departumnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspect'.on Line (Rec-O -hone): 639-4175 Bu ineee Phone: 639-4171
Inspection: — ---
Footing Plbg. Underslab Hec:h. Rough-in Appr/Sdw1k
Round. Pl.bg. Top Out :as Line FINIS.:
Post/Seam Struct. Dan. Sewer Pr wing -bldg. .
Poet/Beam Mech. Rain Drain Instlation -Plumb.
Plbg. Underfloor Water Line Gypj Bd� -Mech.
Date Roquvsteds ra�/' Y Time: --AM _--PI' •
Address:_J J lc 1 Qftttc_ �/-2/� Permit 1:
Builders".2v
■
THE FOLLOWING CORRECTIONS ARE REQUIRED+- //v
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Inspector: Date: _ ---1
_APPROVED DISAPPROVED NPPROVED SURJF.CT TO ABOVE,
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Departre_•++ a;
13125 S11 Hall Blvd. Tigard, Oregon 97223 "
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
r
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line -
z a,
i-ost/Beam Struct. San. Sewer Framing !-Bldg� yip;
Post/Beam Nisch, Rein Main Inaul.ation -Plumb. t " �
Plbg. Underfloor Water
( LineGyp. Bd. -Mach. l
Dates Rwqueotedt
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/ _'Timet AM PH
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Address:��1 � ��/ ) 'P��/`)Gf Permit it
Builder: / IC]it K !17ZX -/7 /S�a /� 11�17ZA�'� _ C�C�� ■
THE FOLLOWING OORRSCTION3 ARE REQUIREDc
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Inspector: — -- —_ — Date c. y rt/ ratJ�
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,-APPROVED DISAPPROVED V/APPROVED SUBJECT 'M ABOVE I 16 'rl
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to attion dates, notes for selected item
ITER PERMITb$b$b$b$b$$b$$bfib$$$$$fi$b$bfib5ba$bfibb$$&bb$$3$fifibb$$bb$$$b$b$$fi�
T93-0493: PROJECT:HILLSHIRE STATUS:I UPD:10/01/93: :JH °
IIRPEE:PAHLISCH HOMES INC PRIM. . %MST93-04S2: °
ADDRESS:13745 SW JENNA CT y
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CASE HISTORY "
N11 Actions------------------------ Req/Sent Schd/Due End/Done By stat M
A760 Water Line Inep 10/19/93 MS PASS °
:4765 Appr/Sdwlk Inep
A765 Appr/Sdwlk Inep 02/22/94 MM PEND M
4795 Mechanical Final
795 Mechanical Final 04/15/94 RB FAIL M
UPDATE ACTION NOTE bfiafibfifib€►fififibbfififibfibafibfifibfifififib�.fibfib$bbbbbfi$bbbb$$fibC
-VENT TERMINATION REQ'D TO BE EXTENDED TO A HEIGH- OF 18" ABOVE THE
IGH END OF THE UPPER ROOF LINE. THEREAFTER, BRACED AT A POINT
•PPROXIMATELY 5' IN HEIGHT.
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;.e action dates, notes for selected item
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T93-0493: PROJECT:HILLSHIRE STATUS:I UPD:10/01/93: :JH °
ITTEF.:PAHLISCH HOMES INC P12IM. . :MST93-0493: °
'E ADDRESS:13745 SW JENNA CT °
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CASE HISTORY _
UPDATE ACTION NOTE $bfi4fifififififififififififibbtififib.$afiaa55aafifiabfiafifiabfififi5fi5fiafib$C
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}xpzvmv. AT-D". FLEXDUCT AT CRAWL SPACE AT EAST °
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'PAIR HOLES OR REPLACE FI,EXDUCT. °
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A799 Building Final 04/13/94 RB FAIL M °
4799 Building Final. 04/15/94 RR FAIL M °
1706 Erosion Control
:40713 Crawl Drain
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RDCITY CF T1eGA CERI'IF'ICATE:: W
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hell Blvd.Tigard,Oregon 97223.6199 (503)839,4171 I'LRMI'1 #. » » » » . a MLiT93G;4".a3
E.:i':i•-'Hl /.l DATE ISGUEDa 04/19/94
PARCELit F?�i1ld4CA••-1g�G.ft:� � •
fal�i i ADOCZE„'f3i�» » . a 13745SW ,y'CPINA G'T
SUDDIVISI(:)IN. . . . a HILLSHIRF ZONINOsR--7 PD I_
kr►_UCK. » . . . . . . . . a LOT. . . . . . . . . » » . . sloe ' r
I,:LA3t:; YOF^WC)RN.» aNiwW.,._..........._.,,.__... ......._... ._.._..._........._.... .,... _.,.__......._..__,...._._._.....__..........�..,...._..................._._.......,.__.
TYPL'- OF USE,. . c 9F
OCCUPANCY ORP. aR:3 �
OCCUPANCY LUAD9231 4
!
TENANT NAME". . . a t
■
1 RemarFaa a PATH :C
I
Ownera
1"AWL I SCH HOMES INC
155 SW VARNS
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VORTI_.AND OR 97223
K't►ranw 10 684-6453
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iC:ant•rar..tr►r a ._. . .- - . ... ... .......... ...._'.._ ......_.. ... ......... ................_._....._,
' PAHLISC H MOMS.-",S INC.
C 151.1010 SW KOLL PKWY
SUII'Ei Er
! AF AVE ETON OR 97006
Phone M a 684-641,53
I
Reg N. » rr 42067
Occc,►par►cy of the above rwfr•renr•ed bUilding is heret'Y giver►, a,-,d verti.fl e°ci
the c:ampli snce with the 199-ato Of Jrpgan £3pw, ialty Cadets for the 9raUp, JI
ar�cc.cpa►icy, and mse ►,cncl0•r which is iv �referer►cad permit was issued. I
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F'i4 Da'i1f; LD' INSPLC:'1OR
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F''OSI IN 11",ON':iPIC:LIOLIS F«_ACE.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63t%--4.171 ,
Inspection: �` f«'V-L.� 1i1`�l f L�--LJL1
Footing Plbg. Uuderslab Mech. Rough-in Appr/Sdwlk
,1
Found, Plbg. Top Out Gas Line FINALS ,
i
Post/Beam 3truct. Snn. Sews, C. Framing Bldg.
Post/Beam Mach. Rain Drain _ Insulation I--' -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach 4
Date Requested: `l "I �.� Time: _AM rpM
.'.Idrees:_lye JZ i le \ \C L 'L�_ Permit 0: -t_�jc"C!� 4
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
1
L
V
_APPROVED DISAPPRO`✓ED V�`
APPROVED SUBJECT TO ABOVE
For Reinsp. V
DMECTIJN NOTICE
City of Tigard Building Departawnot
13125 SW Ball Blvd. Tigard, Oregon 37223
Inspection Una (Rer.-O_Phone): 639-4175 Business Phone: 639-4171
Inspa lon:
Footing Plbg. Underalab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINA'.: -
Post/Beam Struct, San. Sewer in
9 1 -Bldg. k'
Post/Beam Mach. Rain :,-%in Insulation -plumb,
Plbg. Underfloor Water Line Gyp. Bd. -Hach. _
w
Date Requested• Time:
Z
Address: �� �`C - <f,1"\��C�
Permit fs �
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
• -A-1_
1�
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Inspector: Dates
. APPROVEDA/ DISAPPROVED _ APPRwsr SUBJECT TO ABOVE
_ Jr L-' Cnil For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223 "
Inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4171
Inspections —
looting Plbg. Underslab Hoch. Rough-in Appr/Bdwlk
Found. Plbq. Top Out Oau Line FINAL: ''
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam N,ch. Rain Drain Insulation -Pi,smb.
Plbq. Underfloor Nater Line Gyp. ed. -Mesh. �
Date Aequesteds \ 6L T Times AM PM
1►ddress s Permit #s ► L o`
Builders ;''
THi
FOLLOWING C CoRRa n
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CTIONB AAE REQ IAEDs
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Inspectors, Dato:1 - I `4
*f PROVED V DISAPPROVED —_ APPROVED SUBJECT TO Agove
✓ C 11 for Aeinsp. L_c j,
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I1fSPECT:0N NOTICE
City of Tigard Building Departeeat
1.3125 M Hall Blvd. Tigard, Oregon 97233
Inspection Line (Roo-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. U:nderslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gu Line FINAL#
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Nech.
Date Requested. — � O�L` Time: _)�— AN _PN
Addrees#
:�a Lg 2') ae 'J\-V0. r Permit i#�L4
Builders—\ \ "V\ .7 Q . Ia .1,t_n P
TER FOLLOWING CORRECTIONS ARE REQUIRED: 7�
iv
1
Inspector: Datse
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
MISPECTION LIOTICE
City of Tigard Building Departamt
13125 BE Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phon•)t 639-4175 Business Phone: 639-4171
Inspections —
e
Footing P1b Underelab Hach. Rough-in Appr/sdwlk
round. Plbq. Top Out Can Line FINAL:
Post/Beam Strutt. San. Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -I,lumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
Veto Request•ds L - Tures __)C_,AH PN
2 ' _
Address s•e-` �...) n,�7 � ��'Y�� `-- Permit #:9 0 C)
#� i ■
Builders LO_ _
TBE FOLLOWING OORRECTIONS ARE REQUIRM
— - i
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Inspector Date:`
Iw
APPROVED DISAPPROVED APPROVRD SGBJRCT TO ABOVE
Call For Re.inep.
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INQPECTIOII NOTICE
City of Tigard Building Departwent
L3125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-c-Phone)1 639-4175 Business Phone& 639-4171
Inspection: �fl.
looting Plbg. Under sl Mach. Rough-in Appr/Sdwlk '
Found. Plbg. Top Out Gas Line FINAL&
Post/Beam Btruct. Ban. Bower Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulatlon -Plumb.
i
Plbg. Underfloor Nater Line Gyp. ad. -N h.
Date Requeuted& _�' ? " _—Time& AM 7 PM
i
Address&_ /_� .1 -d[ w li/ Permit #s2'1- le `!o
Ruil.der s
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THE IM OWING CORRECTIONS ARE REQUIRRD&
ZA— F1 �.—
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;; In2pector: / — k-
_ — � Uatse rx",
. APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
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INSPECTION NOTICE
fI Cit? of Tigard Building Department _
13125 Set Ball Blvd. Tigard, Oregon 97223
1,,spection Line (Rec-O-Phones 639-4175 Businese Phones 639-4171
Inspections
^k
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Lina FINAL:
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
t;`r; Post/Beam Mach. Rain Drain Insulation -Plumb.
' Plbq. Underfloor Nater Line (�Bd` �f -Meeh. I '
Data Rapueeteds a Times AM PM
Address �,. . . _ L.• Permit. tr
Builders _ 4
2
1 r
ted THE IOLLONING CORRECTIONS AAE REQUIRED:
1
+ Inspectors l Data:? " I
I
y' APPROVED U DISAPPROVED APPROVED SUBJECT TO ABOVE
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INSPECTION NOTICE
City at Tigard Building Departaent
j 13125 811 Ball Blvd. Tigard, Oregon 97223
inspection Line (Reo-O-Phone s 639-4175 Business Phones 639-4171
Inspections
i
i Footing Plbg. Undersiab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line lINALs
qts, Post/leas Atruatj)--San. Bever Framing -Bldg.
•P st/Beam Meah.)-�'Rain Drain Insulation -Plumb.
Plbg. Underfloor pater Line Gyp. Bd. -Mech.
Times _AM
Tats Aegvesteds G- PM
Adudir:er
V e, LPermit #srs "�_7� ,�Y V`1' �� 1,1 2 -7( �jU(i� ■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L w� �e � tj
�`�TY � �- lam-✓ «...J� � �7s'
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Inspector: _v ��"V ' / Dates L -2 -c1
APPROVED IsISAPPRUIRD V APFROVBD SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Depr-taent
13125 ga Ball Blvd. Tigard, Orego& 97223
Inspection Line (Rec-O-Phone): 639-4175 B eines%Phone: 639-4171 w
� Inapeetione_ i 1� U, � _,"fir
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: ,__,
Post/Beam Struct. San. Sewer Framing -Bldg. '
a
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: �- Times �� AM PH
Addresu
.�Cr") V\V1L4 Permit f$ C L ev)C it
Builders v`r ')(t VvvQ_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
--
"
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
--Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Depart
13125 till Hall Bled. Tigard, Oregon 97223
Inspection Line (Roc-0-Y one): 634-4176 Business Phone: 639-4171 M
a
A
Inspection:
Footing Plbg. Underslab Ne^.h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can line FINAL:
Post/Beam Struct. San. 8�� Framing -Bldg.
Post/Beam Mach. Rain DrraLote/ Insula:.ion -Plumb. •
r t
Plbg. Underfloor •, Nater Lit11') Gyp. Ed. -Mach. S
Date Requested: / 7 Tuns —L—AN pM
Address: � VL�� Permit 0
Builder: (A)_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: 1J, Data:
APPROVED DISAPPROVED APPROVED SUBJECT Tl. ABOVE
Call For Reinap.
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INSPECTION NOTICE I� '
city or Tigard Building Department
13125 all Ball Bled. Tigard, Oregon 97223
Inslpec.tion Line (Ree-O-Pho s)t 6:�9-4175 Business Phones 639-4171
Inspection,__
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Moen. Rain Drain Insulation -Plumb,
Plbg. Undwr.rloor Mater Lime Gyp. Bd. -Hoch. .
Date Requested, f Ti.. —PH
Address t
Permit #► q -910
Builder,_��� (���1QJ _7
TB= FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspectort V A L L\----` _ Datet ^Z - `4- - C
APPROVED DISAPPROVED APPROVED BUB'JECT Tp ABOVE
Call For Reinsp.
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IMBPZCTION NOTICE
City or Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Ir -action Line (Rec-O-Phones 639-4175 Business Phones 639-4171 �
Inspections
1 �
Tooting ! Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Gas Line FINALS
Past/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Minh.
Date Requesteds < T1 —Times u. AM PN
Address Itr Permit 1: 9 w)
Builder:` , tL t t 1-t V 1.
THN FOLLOWING OORRECTIONS ARI! REQUIRED: w_
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Inspector: '" Dates - —Z
1 APPROVED DISAPPROVED L_/APPROVED SUBJECT TO ABC"
call For Reinap.
......_........,.,.........,....,.,....,_,.,...__... „,.,..,...,a.w++..arae;wu..s.a....+m.a.,rw.wwww..,,,.
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MASTER PERMIT
CITY OF T19/k DATEPERMITI It . . . r.IcaT94_90,+0
q— DATE ISSUED: 02:/07/94
COMMUNITY DEVELUMENARTS T
13126 SW Holl Blvd.Tigard,Oregon 87223.8199 (503)639.4171 PARCEL: 2S 104CA••-09900
SITE= ADDRESS. . . : 13763 SW JE:NNA CT
SUBDIVISION. . . . : HII_LSHIRE ZONING: R-7 PD
i
BLOCK. . . . . . . . . . . LO. . . . . . . . . . . . . :099
----•----__________._.._____._.____.-________. BUILDING
I
REISSSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . .0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :680 sf
TYPE OF USE. . . :SF FLOOR AF2EAS ---- ---- - REQUIRED SETBACKS—-----
TYPE OF CONST. :SN FIRST. . . . : 1478 sf LEFT. . : 10 ft RIGHT. -6 ft
OCCUPANCY GRP. :R3 SECONG. . . :898 sf FRONT. :ti 0 ft REAR. . :25 ft
STORIES. . . . . . . :E THIRD. . . . -0 sf REQUIRED--------------------•— 4
HE I GHT. . . . . . . . :29 ft TOTAL---•----:2376 s f SMOKE_. DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VAL-UE'. . . . . $ : 121536 P,aRKING SPACES. . : 1
Remar^I<s : PATH I SEE ATTACH ENGINEERING
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . -0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . ::3 LAUNDRY TRAYS. . . : 1, CATCH BASINS. . . . . . . :0
WATER CLOSE T5. . :3 SEWER LINE ( ft ) . :0 GREASE TRAPS . . . , . . :0
D I SI-1WASHERS. . . . : 1 WATER LINE (ft ) . : 1.00 OTHER FIXTURES. . . . . .0
UARBA13 . D1SP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRPINS. . : 1
MECHANICAL ---_.___.._._.__.____._..___.._._.__.______._...__..-..--._-._- FEES
FUEL TYPES— - --- -- UNIT HTRS. . :0 type amokint by date recpt
/GAS/ / / VENTS . . . . . :0 TIF= $ 1520. 00 JF 02/07/94 —
MAX 1NPUT-0 BTU VENT FANS. . -4 BPRT $ 488. 00 JF 02/07/94 —
FURN ( 100K . . .-0 HOODS. . . . . . : .1 DPLC $ 317. eO JL-14 01 /31/94 94-2482:26
FURN ) 100K . . : 1 WOC')STOVES. :0 BSPC:; $ 24. 40 JF 02/07/94 ---
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JF 02:/07/94 -
BOIL/CMF' < 3HP:0 OTHER UI\IITS: 1 PARI, $ 501. 00 JF 02/07/94
GAS OUTLET'S: 1 MPRT $ 45. 00 JF 02/07/94 -
Owner: - -_..._.....__._.__..__._._____--_.____.__._..________IhF'LC $ 11. 25 JF 02/07/94 -
SHELBURNE DEV M5p'C $ 2. 2'5 JF 02/07/94 —
•700B SW NYBERA RD r.'PR1- $ 155. 00 JF 02/0'7/94 -
r'SF'C $ 7. 75 JF 02/07/94
TUALATIN OR 97
Phone #: 692:-6383
Contractor-:
SHELBURNE DEVELOPMENT
7008 SW NYHERG RD
TUALATIN OR 9706,2
Phone #: 692-6383
Reg #. . : 42388 _ .... ..______.._._____.__--.-•--•---_______ ___.
$ .3350. 89 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 It.sp
applicable laws. All work will be done in accordance with approved Post/Beam Str-1.ir_t Gas Line Insp
Plans. This permit will expire if work i t7starled wi hin 180 Post/Beam Mechan Inst_ilat ion Insp
days of issuance, or if work is susp ed f more tha 8I days P1m/1_tn6; Lab Insp Gyp Boar-d Insp
PLM/Underfloor- R,,io drain Insp
PeT mi.ttee `.3ignLAt,-tr _ _.-. MechiAnic_,al Insp Wat•,r^ Line "nsp
F111_imb Top Out Appr/Sbwlk Insp
Issi_ted By _-..._. ._ ._. Fr•amin9 Insp Mechanical Final
I for-, inspection — 639-41.75 I
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SLOWER CONNECTION-
PE RM
ONNECTIONPERM I T
C17Y OF T1 PERMIT #. . . . . . . SWR94-0049
COMMUNITY DEVELOPMENTD A9R It T DATE ISSUED: 0../07/94 t
0 13126 SAY Hail Blvd.Tigard,Oregon 97223.6199 (603)639-,171 PARCEL: c S 1 Q14CA-09900 {
i SITE ADDRESS. . . : 1 .763 SW JENNA CT
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PID
BLOCK. . . . LOT. . . . . . . . . . . . . :099
------._-----_--_------_-__-_-.-_----.-____----._.--_-----------------•--.-----------------
TENANT NAME. . . . . :
s USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS 0:-7 WORK. . . :NEW DWEI-LING UNITS. . : 1
TYLE- OF USE. . . . . :SF NO. OF E•U I LD I NGS: 1
INSTALL. TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I SEE ATTACH ENGINEERING
Owner: F 1
__.__.___......___.-._..._.._..__.....___.._._.___..._. _.-___.__.__._..-_._.._..____.___________._._.___
SHELBURNE DEV type amount h% date recpt a
7008 SW NYBERA RD 'RMT $ 1-:_,EOO. 00 JrA 02/07/94 -
INSP $ 35. 00 JH 02/07/94 -
TUAI_ATIN OR 97
Phone #: 692-6313
Contractor-:
CONTRACTOR NOT ON FILE
i
Phone #: $ 22.35. 00 TOTAL
Reg #. . :
------- REOU.IRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer~ Insper_tion _
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guo,antee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet it all directions from
{ the distance given. If not so located, the installer sh 11 purchase
a "Tap and Sidi Sewer" Permit and the A ill ins ll a lateral.
F ermittee Signatl_ir
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Issi_ied By •
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Call for inspection - 639-4175 i
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7 . _
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 !
(503) 639-4171 i
I
Johalte Address: l�' .(� _ `� t� I^ cT
Office Use OnIY
Subdivision:�1 C,L���- Lot# j� t F
PlancklRec#
Valuation:
Permit # � c 4V U
� I_ 11
Owner: e N V Reissue of _
Address: 70(f)A 15,-. Al ` �F Map & Tl_ # z S 1 OgCA Oq a
/ Aporoyals Required
Phone: ('y2 —rO J S� 3 (PIP
Planning
Contractor: ��� EnginEering
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Address: Other
.Items Required
Phone:
Subcontractors
Contractor's Laanse # Lf��
(attach copy of current Oregon license) Truss:Detils I
Subcontractors: r Other.
Plumbing: ,
Mechanical: �i�L 'r�, 1 1
(attach copy of current^F? Contractor's License)
Architect/Engineer: VIA N!!L Gd ie- -b
Address:
Phone: Z 2
COAIMENTS: ✓j—a—ta, 0`— �� ��L~ �4.d ✓� i /n-e,4,
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Applicant Sig te 4.,%.
Date Received:
Received by: --
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Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Meeh. Permit (MECH) 5 w / _ _ 4/ 3
State Tax (TAX)
•
Bldg: 0 .�
Plumb: 7 1.a
Mech:
Plan ChecK (PLANCK)
Bldg:
i
Plumb:
Mech: 15_
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Sewer Connection (SWUSA) o ✓ _ �:2.2 u u
i
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
.Sud Sou
Storm Drainage Chg (SDSDC) o.L,yU
Residential TIF (TIF-R) /y/u
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _-
i +I,
Industrial TIF (TIF-1) _
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Institutional TIF (TIF-IS)
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Office TIF (TIF-0) _ _
Water Quality (WQUAL)
Water Quantity (WQUANT)
l
Fire District (FIRE)
.00
TOTALS: S 5, �• OJ .:LSD
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FEB--14-'00 TUE 20:1'j ID: TEL N0: #087 P02
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CITY OF T'I C3t:)RD Pf.t.1: :11 I OF PAYMF�N1 Kt_C':F I PIT N(:1. o 94--P-41�5' �'7
C! ACK AMOUNT 5335. A N
AME ':�Hk:L.N(.JRNF- CO C:NMiti IIMUUN1 s x). 00
UL)RF>r S o PlAYME T' I:)H'TF:,. a
St.101)IV1131ON
URPOE E OF PAYMEW AMC}LINT F'GIU) POYME;NT' 0Mi:1i.INT PA 11)
i.JZL.1'}TNL3 I�'E ItM 41:48. NV) Pl..,(.)MHJN(3 PF'.RM
Fi:l'Iif"INICAI. PE 4`.`i. WN ST. BUILD IF•,FFq 40 �
LAN I:;HF('.,K FF. 78. Wi S'V.WE:R USA Wo �
EWt:R I N:';PVC•T 313. 00 1=,ARK£ SDI.: t7l vi 0 CA 1A
TORM DRAIN GDC 280. 00 RES IDt.:NTIHL. 'TRIII F it:: F• 141V.I. 00
ASS' I RAW.i I T TIF FF.F=.8 110. 00 �
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OT 99 HILI-SH.T.RE.
37(',3 SW J'F:.NNA C.T.
OT'NI... AMOI..JNT PAID 85
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CSI V (II I IIItIRI f t t t l ll ' I 1'I I'i•Ir11R.141 fill I II!( Ntt. �' ► c'A+l' :� l+
4 t.;l1i L,ai I)MI. 01,41
`-,HI 1_.111.JF1Nt-: t)F V1:I. r!1 td I I;I-t'.tl J TIMI IUI\I I 0. 00
IJI)Ftf:t3!; . 1.iI,.I
!ORA'IJBE OF PHYMENT AM KJN IPP 1 t) 111 l 11 I!I 1'r llIF fd 1 M11111 111 I
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3 763 TAW .TF NNW CT
f4MOl), f PAID
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Fl_Ulvi_LAI IUG TE:RM I f T94--904 �
OF TIGARD NF_RIIIT #I. . . . .
CITY . . lyl S
DATE
ISSUED: 02/07/94
COMMUNITY DEVELOPMENT DEPA55ppnTMpE�tNf T PARCEL: 25104•CA�-0990121 I
SI1��2��a'fd.,Tlp�r�.Org 7 T?2�PV9pfL(1?1 (:13 1 i71
SUBDIVISION. . . . : HILLSHIRr ZONING: R-7 PD
099
BLOCK. . . . . . . , . : LOT. . . . . . . . . . . . . :
CLASS OF WORK. . rNEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAIN;i. . . . . . . :0 T RAPS. . . . . . . . . . . . . . :0 t �
STORIES. . . . . . . . :c WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FI X T'URES-------___.____- LAUNDRY T RAYS. . . . . . : 1 SF Pr'41 N DRAINS. . . . 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVPTORIES. . . . . :4 OTHER FIXTURES. . . . . :0 �
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CL..OSt_1"5. . :3 WATER LINE (ft ) . - - - : 100
DISHWASHERS. . . . : 1 PAIN DRAIN (ft ) . . . . :0
Remarks : PATH I SEE ATTACH E=NGINEE=RING f
I:1WNE:.R:
SHELBURNE= DLIV TIF $ 1520. 00 JF 02:/07/94
7008 SW NYBERA RD ElPRT $ 488. 00 JF 02/07/94
BPL..C. * 317. LVA JLH 01/31/94 94••-248226
TUAI_.A T I IV OR 97
D5PC 9' 24. 40 JF 02/07/94 -
Phone #: 692-638.3 5SDC x'80. 00 JF 02/07/94 -
PARK 4 500. 00 JF 02/07/94 -
PIumbing Contractor-:__.___._._..___.....__..__.__.____ MPR"T 45. 00 JF 01;/07/94 -
rIPLC 11. 2''5 JF 02/07/94 -
Name • C_______LS_. M5PC $ 2:. 25 JF 02/07/94 _
Address : _ __.___ P P R T $ 155. 00 JF 0:./07/94 -
City : _ Stato :_..__ PSPC.: $ 7. 75 JF- 02/07/94 - I
'.'i p: r�P h o n e# -.--
Reg
REQUIRED INSPECTIONS
- --- --
This permit i -, i ssl..ied subject to the v,eg•- r
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp 4
Specially Codec r.,,cl all Post/Beam Str^,.tct Water- Line Insp
Code, at��te of Ore. I
other-, applicable laws. A11 work will ie donor Post/Beam Mechan Appr^/Sdwlk Insp
in accordance with approved plans. Thr. .; Plm/undslab ITISF) Mechanical Final
permit will expir-e if work is not started PLM/Underfloor Plumb Final
within 180 days of issi-lance, or^ if work is Mechanical Insp Building Final
suspended for- more than 180 days. Pl .�mb Top Out Erosion Control
Framing Insp Crawl Drain
Fir-enlace Insp
Gas Line Insp
C Insulation Insp
Gyp B o a r-d Insp
Author,ized rDlumbinp Contractor Signature I
Call for insper•ticrn -- 63,9--4175
Contractor, Notes:
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