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'' /• 110 , `4fill ' FENCE PER DETAIL 2/A ~h < �r ♦°P•IL bAM�1A¢`� `\ „=I - 0 5Ewew LAru& 1 L. � � Iso: 1 � . • � 1 . • lei.=� � I aIMIA •'r' ; .>,y. >�, I I r�'� �>r \ NEW 4' GONG \ ,• 4 GONG. e1DEU,eLa NEW NEW 4' COP1C., NEW 4' COWG NEtU.P'CO►JG 1+'-e' �� I n' 1 eIDfW�1LK; `' OIDELLLILK bIDfWALK AIDEWa<LK 1 \ J ''.Y x1¢01 f'X!' s'X i b " •. en. Lp ?Yr., APOW l �'x .u•woN 11T'. „►r ft0N 132 , a l1 ! P,oOPERTY LINE sem' EXIOT.CONc.I ��' S", \ ( jig ra PRIVATE ROAD -- - - -- ----- - cit ZAAWrIENT 1 " �Qr Ex1eT.3. OTONl1 NOT MAINTAINED BY 6851VI9'E 12525' - ,�,� I BY CITY Of TIGARD - — - ------ - - - - ----- EXIOT.8' Uk 6EUER _ _ _ _ :.. �.�■owa�rt !C IWE-'jITE ON BLUE I CT b' RVG TO rT4' 4tiD.e TO EM061ON CONTRC9L ERODIC�1 51,'aN PRrGvIDED EXlet.eTOe1 eEUQR EXI6T x sfuSR ENTRY t�R DETAIL :N4 TYr. FENCE PER DETAIL 2/4 Bl" CITY I �eXTIND TO NEW I EXTEND TO NEW EkIbT. :` • • I sr i DENa; T?r. REe1cENCE TY". FXISt. Private Street S.W. J `�"`° CONc. DELLE COURT r � ' I STOP I � Q pp� .._ girl tQf. PLANTI AREA _ _. - _. o I I -- _ Z O PIlO!'"ERTY LIP! EXIl17,FENGE ER08ION CONTRt7L• � / NO7 LIQ i FENCE PER DETAIL 2/4 Z I PARKING MAIL BOX GLU5TER PARKING < I I ANYTIME ANYTIME C NORTH , w co /'� SITE IMPROVEMENT PLAN )Noll. ,'_o• �- V) ` MEYE�n8 ESTATES SUBDIVISION F- �� 5 LOT PLANNED UNIT DEVELOPMENT cr Q \� y 10860 B.W. HALL BOULEVARD TIGARD. OREGON Lt! N WCTM 181 35 AD TAX LOT 3000 F- w ! 1 I W wo=rot AT G•� I I i�On !Q1' oTtn rocs ra» n.ncs AREA SUMMARIES: � � POSTS AT V OAC MAxrj t w I � �► i; PLTMPAa W- LOT 1 AREA: 3,496 80. FT. W �, BUILDING FOOTPRINT: 924 80. FT, � d� LOT COVERAGE: 26.4 Y I I _ 1 LOTS 2.3. & 4 AREA: 2,697 80. FT. I BUILDING FOOTPRINT: 024 80, FT. CLAAN P"� wtnvd LOT COVERAGE: 34.5 X \ .�eoa+wc wr r'woy"FULL�MOTw 'wa.TIERRY MATr01 °m"'� 4 LOT 6 AREA: 9,720 80, FT. ason»" paa,�. CO .+3 66AMMEN� ~4,■.' rK BUILDING FOOTPRINT: ,72 30. FT, @I MK car" LOT COVERAGE: 24.0 Y Mw 1 �1\ FgflQlflt►1 �n�ITQnI f~�tTav ._ ��� t=An�tn�t �r,�i. !. ;_FFt,lr,t� ___._\ MIOTICS: IFI►-iEPRINTORTYPEONANY � I � . II � I � I � � III � I � ���Ii �_ ll=i . -rC�- il � i �T _�_�� JIB-,_.�T�, T-�� it T•-�1 .1 , i � � I � tIi iIi ilr �.ili � I � �U778 � � L , 1. � -i- 1- � � � -�_ �- 1_ � �f ( Ir1 jt � Cry siIMAGE IS NO1 �,S GLEAR AS THIS NOTICE 1 � I ' ll I I � I I � /3 4I 6 __ 9 10 11 i �.� foo IT IS DUE TO THE -- —� QUALITY OF THE _ �7p •�� / IdO.36 �tn�Yyw�..w.,u � `W:r:i Wil•-.. ORIGINAL DOCUMENT � --- ---, - E 6Z 8Z GZ 9Z SZ fi+ Z EZ Z TZ 4Z 6T 81 LT 9T 21 fit ET tiT IT I 6 8 L 9 Q E Z T ,111i;rwl i IIII IIII IIII ���� IIIIIIIIIIIIIIIIIIIIIIII�lllll111 II II�� IIII lel �,I� IIILIII1.1.111Illllilil IIII (III IIII (illlillllllllll :Illi illl►IIII .iIIiIIIIIIiI IIII11.11 .111.1. 1111 ll1_I �I�IIII IIII ll f 1 I lel ll l�.�l l l Ihl`�I 11 N O n O C r. I M 8545 SW Joelle Court ,T(US °h CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,zt,�` _e'd27 � 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _— Date Requested /Z-- AM_ PM BLD Locdtion_1) �_ ��w JI)"11-e v7 Suite _ MEC Contact Person _ Ph 40 - Z Z � PLM Contractor _ _ _ Phi _ SWR ! Tenant/Owner _ ELC _ Fetaining Wall F_LR Footing - - Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — — Slat' ----- -- --- — SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear r- -- Framing \_7 V lC _-Lo t Tl r- I I�1dVL•���1•�-3���►�►C.�`-"t� _-- Insulation Drywall Nailing ��1 nng-7 _ Firewall Fire Sprinkler --------- -----_-- ____-- _—_—_._ __ Fire Alarm Susp'd Ceiling -- Roof Finai J PASS PART FAI _..— - — ------- - ------- — PLUMBING Post&Beam ---- --.-- — _--..__ Under Slab rop Out -------- —_ ----- — -... Water Service Sanitary Sewer --- ---- -- -----�- -- -- Rain Drains Final --- — --- -- _-- ---._...------------- P 5 T FAIL [lost& Beam --- —----- -----_— __ rough In Gas Line Smoke Dampers A PART FAIL ELECTRICAL. -- - — ------- --,—— - - Service RoughIn _--- -- ------------- -. —.----------__..--- LIG/Slab Low Voltage -- `- ------- -- ------- Fire Alarm Final — -- ---.--__ --_.— PASS PART FAIL —_�— SITE Backfill/Grading --------_------ --- - -- -- -- --- --- Sanitary Sewer Storm Drain ( Reinspection fee of$ —_ required before next;nspection. P.•v at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RE. ---_—_ __ — ( t 'InaLle to inspect-no access ADA Approach/Sidewalk Other Date I �t O� — InspectorQy1%— —_ _ Ext r-inal [ PASS PART r'AIL DO NOT REMOVE this inspection re"ord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 4,4)-r✓v�17� BLIP Date -�eque,ted ArA l� PM BLD _ Location I?7 U 1 S W ,e11''e C/ — Suite MEC Contact Person _ Ph i,'/G Z 7 7- (,- PLM _ Contractor �/'� - � --! ph SWR —_ BUILDING Tenant/Owner Retaining Wall ELR Footing -- Foundation Access: FPS Fig Drain — — Crawl Drain Inspection Notes. SGN Slab _ -- SIT Post& Beam — - Ext Sheath/Shear Int Sheath/Shear Framing Insulation ��� ----- -- Drywall Nailing Firewall Fire Sprinkler ---- Fire Alarm --- Susp'd Ceiling Roof -- Mise:_ _--_- Final __---.__-- -- -- PASS PART FAIL PLUMBING Post& Beam -- — -- -- ---- Under Slab Top out - Water Service Sanitary Sewer ---- - `- --- Rain Drains Final ---_--- - ---- PASS PART FAIL -- -- -- ----- _, -- ----- ME.CHANICAL Post& Beam _— _ --------_— — - -_-- Rough In Gas Line --- - - -- -- --- _ Smoke Dampers Final — ---------- -- -- -- ---- --. P8a§ PART FAIL ervice Rough In --�.- A _�.--------- --- ----- UG/Slab Low Voltage ------ -- -- - ----- -` Firn 61aun. ar SS �'�RT FAIL - --- -_-.- _—__—.---------- --- Backfill/Grading -�--- ---- -- - --- — Sanitary Sewer Stone Drain ( J Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: - --_� — Unable to inspect- no access ADA / Approach/Sidewalk Other — Date �� - �� / Inspector---_ __ /c'-c-�-i_1, Ext ---- Final PASS PART- FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST �' -cyZ�� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested /`l AMy p"�I"I BLD I-ocation e5-4 5 S6,✓ Jp r'll t �-�` Suite ME MEC Contact Person Ph 9/0 Z 7 Z G PLM _ Contractor _ Ph SWR U — Tenant/Owner FLC Retaining Wall ELR Footing Access: — -- Foundation FPS Fto drain — Crawl Drain Inspection Notes: S+3N Slab Post& Beam ---------- SIT Ext Sheath/Shear Int Sheath/Shear — Framing Insulation -- --- --- — - - Drywall Nailing _ — F rewall - -- -- -_.---_ - Fire Sprinkler Fire Alarm - -- Susp'd Ceiling - - Roof - S PART FAIL PLUMBING Post&Beam --- - _ —__.-- _-_-- --_--- -- _ I Inder Slab Top Out -----.--,--- ---- - - ----- 1 Water Service Sanitary Sewer - -- --` -"--- Rain Drains Final - - ---- - - -_- PASS PART FAIL MECHANICAL -_._--..—._- ------ ----- -- — ---__. Post& Beam Rough In - --- Gas Line ---- - -- ---- Smoke Dampers - Final --- ---- - -- PASS PART FAIL ELECTRICAL -----___—__.__--— -- -------s -- --- — Service Rough In --- UG!Slab t ow Voltage -- - -- - Fire Alarm Final ------ - - ----- - - PASS PART FAIL_ SITE — Backfill/Grading --- -- -- - --- —_ _ - Sanitary Sewer Storm Drain iReinspection fee of$---_—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ; Please call for reinspPrtir r RE: _ — - -- ( ] Unable to inspect- no access ADA Approach/Sidewalk h , Other __ _ Date =1 --- Inspector- --- -- -- F tt -- Final PASS PART FAIL , DO NOT REMOVE this inspection record From the job site. 11F1_—"--20411" 08 :58 r4ht "a 4A. ELEGTRIC 5032810094 P. 03 11v30/00 THU 19100 FAR 603 698 1980 CITY OF TICARD local CITY OF TIGARD 13125 S.W. HALL OLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE AAA ELECTRIC INC 2600 NC 66TH AVE. PORTLAND, OR 97213 Electrical Signature Foran i Permit#: MBT2000-00276 Date Issued: 9111100 Parcel: 18135AD-06400 Site Address: 00646 1tpW JOELLE CT Subdivision: MYERS ESTATES Block: Lot: 005 Jurisdiction: TIG Zoning: R•12 Remarks: ®IF PATH I Your company has been indicated as the electrical contractor ftr the permit indicated above. In order for the electrical permit to be vald, the signature of the supervising eActriclan is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the eddreas above, ATTN: Building Dept, No slactftal Inspecdons will be authi;rized until this completed form Is received OWNER: ELECTRICAL CONTRACTOR: KIMCO PROPERTIES LTD AAA ELECTRIC INC 22060 SE 442ND AVE 2809 NE BOTH AVE. SANDY, OR 970116 PORTLAND.OR 97213 Phone#; 503-868-7075 phone#: 229.0720 Req#: sup �0yeser. Oli Bi-nea AN INK SIGNATIJRLIE la REQUIRED ON THIS FOR X 91—gnot-6woftupervising Electrician I If you have any questions, please call (506)8394171, ext. #310 CITY OF T I G A R D MASTER PERMIT DEVELOPMENT SERVICES DATES UIED: 9/151/00 0-00276 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-1171 SITE ADDRESS: 08545 SW JOELLE CT PARCEL: 1 S135AD-06400 SUBDIVISION: MYERS ESTATES ZONING: R-12 BLOCK: LOT:005 JURISDICTION: Tlu REMARKS: S/F PATH I BUILDII�3 REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 551 of BASEMENT- at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 723 of GARAGE: 365 at FRONT: 35 PARKING SPACES: 2 TYPE OF CON3T: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE. SP..23390 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,274.00 of REAR: 25 PLUMBING SINKS: t WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: R>,IN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS SEWER LINES: 100 5r RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATF:4S: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>-100K. UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEGU3 ADD'L INSPECTIONS 1000 SF OR LESS: I 0 • 'i J0 amp: 0 200 amp: W/SVC OR FDR 1 PUMP/IRRIGATION: PER INSPECTION: EA AOD'L 500SF. 201 400 amp: 201 400 amp: Int W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY, 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT. MANU HMISVCIFDR: 001 • 1000 amp: 601+ampa•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect on1v: >-4 REq UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC CCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER, CLOCK. INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLJ: TOTAL 0 RYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,491.47 KIMCO PROPERTIES LTD KIM':O PROPERTIES LTU This permit is subject to the rngulations contained in the KIMC SE O ND 22060 SE 442ND AVE Tigard Municipal Code.State of OR Specialty Codes and SANDY, 4 ND AVEA SANDY, 4 NDA all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION. Phnne: Phone: Oregon law requires YOU to follow rules adopted by the Oregon Utility Notification Center Fhose rules are set Rea 0: uC 11083: forth in OAR 952-001-0010 throuqh 952-001-0080 You may obtain copies of these rules or dik-ct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Post/Beam Mecharlica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl ! ..:'rain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Fovndalion Dr Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Post'Beam Structural Mechanical Insp Framing Insp Gas Fireplace Electrical Final r Issued By : C "1 �'(, ��?_' �_ Permittee Signature ------ Cali (503) 639-4175 by 7:00 p.m. for an inspection needed the next husinless day CITYOF TIG,ARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00221 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 9/11/00 SITE ADDRESS; 08545 SW JOELL.E CT PARCEL: 1S135AD-06400 SUBDIVISION: MYERS ESTATES ZONING: R-12 BLOCK: LOT: 005 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UK!TS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: S/F PATH I Owner: _ FEES KIMCO PROPERTIES LTD Type By Date Amount Receipt 22060 SE 442ND AVE SANDY, OR 9705.5 PRMT CTR 901/00 $2,300.00 27200000000 INSP CTR 9/11/00 $35.00 27200000000 Phone: 503-66C• 7075 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations 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 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 frorn the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: �'1"�L,L Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plancheckf jle) ' 13125 SW HALL BLVD. New Construction Recd By. Y- TIGARD, OR 97223 Single Family Attached Date Recd =c V 503-639-4171 Date to P.E. � '.,2-�1-�y Cu Date to DST Cl `- ��-� F 503-684-7297 (� Permit#Yn St��a.Jo pub 1(i Print or Type called - tv-ad Incomplete or illegible applications will not be accepted -��,z z Name of Profe"t L 0 7" 1 Name ./t'D l6_r E,2jLid rS�U,Vs Job ��� S FSTA7F_5 Mailing Address D` Address Site Add SS Architect g A 8 E 5 5,W. J06La Co,_tR .w• W�GSNi,� ZC8 Name City/State ZipPhone ZG� P.P�PE.Q 7y,,-.5'A 6 TD o Z .S Owner Mailing Address Name Z 2 Ok s '`P 442A✓E— Engineer Mailing Address City/StateZrp Phone Genera! Name �� y7O7 City/State Zip Phone Contractor /K//rICD_A40Z-TP. Describe work New Addition O Alteration O Repair O Mailing Address to be done Prior to permit Z Z O SE- q�0 e_'o l Additional Description of Work: NE G,/ S'/-1V6j 46 tL issuance, a copy City/SSlvtey, Zip Phone ES/f, 'vCE of all licenses c 9�C I �pli9-70 are required if Ure,on onst Cont Board Exp Date PROJECT 1 ,,, expired in Cor Uc# f VALUATIOiJ $ 7 7, database /r/CIA7 3 �'/Q-� � __ Mechanical Name — NEW_CON TRUCTIO_ N ONLY: _ SUb- /4C e5 ?C4 Sq Ft Hous Sy Ft. Garage I Contractor Mailing Address Prior to pernilt ���$• m j(� Indica�e the r tricted energy installation by the electrical Issuance,a copy City'StateZfp Phone subrentia_ctor in the following areas _ of all licenses - 11111-14A/2 Q( 7720 -23 ..7?3Restricted Audio/Stereo are recuircd 11 Oregon Const Cont Board Exp Date Energy $ stem _ Alarms rpueJ,r lith / Installations Vacuum Irrigation S stern S ysterr Plumbing Name JR . r,G44Me Al r4 1/C, (check all that Other: Sub- _ ^ rte= / apply) _ Contractot Mailing Address -- Number of Units in BuildingUT_nit Nu fiber Designation B Has the Subdivision Plat recorded? NIA YES I NO Prior to permit Ciry!State Zip Phone Issuance.a copy A oar :�,K1 (,-12 -7276 - - ef all licenses are Oregon Const Cont Board Exp Date required if Lic# -7 _ expired in COT / 2 l� 3 Zs' I hearby acknowledge that I have read this application,that the databaso Plumbing Lic # EYp Datc- information given is correct,that I am the owner or euthodzerf agent DQ of the owner,and that plans Submitted are in compliance with _ `3 + 4. � r U `t - U " Oregon StaIR .ws _ Name Si Lure w, r/A— ��.--- Date Electrical AA 61tc 0C !NC, 4 Sub- Mailing Address ontaci erson Nam — Phone# Contractor 280 V4 S9� Aye, f_/L -'Me G,J �_�T 63' Mafi, _ City/State Zip phone F', ,to permit /Z aCopy fe T _N' r? . 72/3 2ZS p'Z FOR OFFICE USE ONLY: of al I tenses are Oregon Cons Cont Board Exp Date - — reouired if Lic# Plat# MaplTL#: expired in COT £'535'2(0 &-s-0 / 15 1 LL P ^MFG45 database Electrical Lic # Ex G Date Setbacks �� Zone: 15C'p Z - `?-'M /?-/-60 /3 r R.1 2--- I nc� Electrical Supervisor Lic # Exp Date Engineering Approval Planning Approval: TIF: 1_1517 e �-- .— - ------ ----- —- - - - I ldslslforms\sfa-new doc 11/20/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE J + R PLUMBING 3430B SW 209TH AVE ALOHA, OR 9700-7 Plumbing Signature Form Permit #: MST2000-00276 Date Issued: 9111100 Parcel: 1 S135AD-06400 Site Address: 08545 SW JOELLE CT Subdivision: MYERS ESTATES Block: Lot: 005 Jurisdiction: TIG Zoning: R-12 Remarks: SIF PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be acthorized until this completed form is received OWNER: PLUMBING CONTRACTOR: KIMCO PROPERTIES LTD J + R PLUMBING 22060 SE 442ND AVE 34308 SW 209TH AVE SANDY, OR 97055 ALOHA, OR 97007 Phone #: 503-668-7075 Phone # 642-7776 Reg #: I Ir 00072680 PI M 34-214PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authohzed Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD Residential Certif icate off' Occupancy Permit No.: ZnO�0_. OCs2-1�p Address: 'c-045 'SW DoE'-�- F 0Wlie I-Wonhactor: Date ot'final Inspection: I l vl Inspector: 7::Y• This structure has been found to be in substantial compliance with the prov;sions of the Stale of Oregon One& Two Family Dwelling Specialty Code and is hereby approved for occupancy.