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III CITY OF TIGARD 13MDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Appr;Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloo, Rain Drain Framing -Plumb.
Alarm Water Line Ins -Mech.
Underflr, Insul. Shear Wall Gyp. Bd.-I) -Elect.
Date Requested: _ � Time:/__XAM PM
Address:
Address: ����� '—G�1 c)`9 v�1 �J '•'
Builder: Permit #: 1
THE FOLLOWING CORRECTIONS ARE REQUIRED
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Inspecto _ Date:
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�PROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CIT! OF TIGARD B'tILDING INSPECTION NOTICE
l Inspection Line (Rec
-0-Phone). 339*1175 Business Phone 71
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Founda',)n Plbg. Underslab Mech. Rough•in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: r
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation <T-2 2h
Underflr. Insul. Shear Wall I Gyp. Bd. -Elect.
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Date Req jested:_ l ( �� Time: AM PM
Address:_ S "�' --- p�
Builder:_ Permit #:
THE FOLLOWING CORRECIIONS ARE REQUIRED:
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Ir spector. _ _ Date:_ I 1_
'ROVED _013APPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CERTIFICATE OF
PANY
CITY OF T I GARO PERMIT #OCC. . . .U. . . I CMST95-0078
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/18/95
13126 SW Hall Stvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2r3l02DD--BPW05
SITE PODRESS. . . i 085Y5 SW JOHN CT
SUBDIVISION. . . . I BRIDGEPAW Z ON I NG: R 7
BLOCK— , . . . . . . . LOT. . . . . . . . . .. . . .
CLASIS OF WOW. iNEW
TYPE OF USE. . . :SF'
OCCUPANCY ORP. IR3
OCCUPANCY LOADIliB 4
TENANT NAME. . , :
Pemarks - PATH I
UWner3
RIVERSIDE HOMES
15455 NW GREENBRIER PKWY
SUITE # 140
BEAVERTON OR 97006
Phone *: 645-.0966
Contractors
RIVERSIDE HOMES INC
15455 NW GREENBRIER PKY
SULTE #140
BEAVERTON OR 97006--5700
Phone #1
Reg #. . s 70065
phis Certific-ate cer^tifievi that the above referenced building or portion
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t,hervuf has been inspected for compliance with the Tigard Building Code
foe-, the gr ai..ip and di.vision of oc,uktpancy iAnd use for which the dbove
oefori?nced pet--mit was isslied. and OcL•mP-'ncy hereby granted,,*
B ILDING O ,F IAL
tl�J M AD I NU O�i FIC
POST IN CONSPICUOUS PLACE
CITY OF TIGA.RD BUILDING INSPECTION NOTICE
Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639 1 �
Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Ap r/Uwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Strucl. Plbg, Top Out Elec. Rough-ir FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing um
Alarm Water Line
Insulation
Underflr Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ 1 - -�----Time: AM PM
Address:__. L 7
Builder:
Permit k: ?6 J �� _I X
TNL FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:
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PROVED DISE>PPROVED APPROVED SUBJECT 1-O ABOVE
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CITY OFTIGARD BUILDING INSPECTION NOTICE t '�'trrti'
Inspection Line (Rec-O-Phone): 539-475 Business Phone: 639-4171
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Inspection: 4o, ,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace( +'� ,
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: � '` `'
Post/Beam Mech. San. Sewer Gas Line -Bldg. ' '° a"�' �`�` •�
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Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd, Elect fC
Date Requested: /� r ( l , Time:--AM �ePM
Address:
Builder:_
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~ "� l 1 'j Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: y / Date:7 :Z r'
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"ra CITY OF TIGARD BW!_DING INSPECTION NOTICE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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�If A i Inspection:
Footing Susp. Ceiling Sprink. Rough in Appr/S wlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
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s Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
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Post/Beam Mech. San. Sewer Gas Line -Bldg.
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Plbg. Underfloor Rain Drain Framing
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Alarm Water Line Insulation Mech.
Under}Ir, Insul_ Shear Wall Gyp. Bd. Elect.
Date Requested: G .� Time: AM PM
Address: O ✓
Permit 1 �7T �td°tib�1� - ��YSy tier
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Builder:
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1 THE FOLLOWING CORRECTIONS ARE REQUIRED,+"`
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Inspector: Date: 67 �L i� �h, „
APPROVED ISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rac-O-Phone): 639-417r, Business Phone: 639-4171
Inspection:_
Footing Susp. Coiling Sprink. Rough-in ,pr dwIk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Strutt. Plbg. Top Out Elec- Rough-in FINAL:
Post/9e,—.m Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
■
Underflr. Insul. Shear Wa!I 1 Gyp. Bd. -Elect.
Date Requested:_ _� (,.I _Time: AM PM
Address:_ q,' J— - 1 _
Builder: —Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: CL Date: f/ -27,
—APPROVED ,DISAPPROVED `APPROVED SUB � -A�QVE
_Call For Reinsp.
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y~ CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rer-.-O-Phone): 639-4175 Busine:s Phone: 639.4 1
Inspection:
Footing Susp Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. an. ew Gas Line -B S
Plbg. Underfloor ain rain Framing
Alarm ater Line Insulation"
Underflr. Inslll. Shear Wall Gyp. Bd. -Elect.
Date Requested: ���(� —Time.-,X_AM _PM
Address:--c-1�>S? (A 19 <nccoC_ w
Builder. t � r-�� r' ��,� Permit tt: �
THE FOLLOWING CORRECTIONS ARE REQUIREL)7/
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Inspe tor: _ Date:
PROVED ,DISAPPROVED `APPROVED SUBJECT TO A VE
_Call For Reinsp.
DEPARTIMENT OF U.ND USE & TRANSPORTATION
WASHINGTON 155
DEVhLOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124 �
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit POO-0'17%4 At.at.u£ asl+ i at 1
ApplieA 05/30/9a 1 rk'ue.3 05/30/9", Expires 11/26/95 06/01 /9'.;
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Permit. Title SFR - NEW 1401j�lE C)Ti1
Des-cript.iwi HALL/FANNO 7RK/857', :"W JOHN C..T 3equn U5/3f1/r�5
Job Address T1
Owner Name INSPECTION - T I GARD I2e�i crn
Applirarit. Name EVANS ELECTRIC IN i d
M�,ne nurfibo-r 9'79-- 1224 Valuation () Approved____ ;
Inspector Comments - kejecte(l__.�_.,_
IVR- RESULTS
RE,)IIEST ERROP
Mi+.-.•hanl -al
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S t.r u c t x u a l :,,--_
` Cler.eera.l
I nspei:`ed by ,
Inspec;ti.nn Reques _ ..
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Cover & Servi(.,3 0403 F AP DN 1VR
I)6/01/9ci RI RIIVR 34-405 . :
CITY OF TIGARD BUILDING INSPECTION NOTICE l
Inspection Line (Re,.-O-Phone); 639-4175 Business Phone: 639-4171 N/
Inspection: _
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireulace
i
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Blo?.
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insui. Shear Wall Gyp. Bd. -Elect.
Date Requested. /n - . S Time: AM PMu`
Address:
Builder.
SOC f t�rum-� Permit #: �Sl 5`00 7F
✓e✓ �
THE FOLLOW CORRECTIONS AREAEQUIRED.,_
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IPEDDate:
`DISAP:_ao
APPROVED SUBJECT TO ABOVE
r Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE d
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63*,*,_171 /
Inspection:_--- - '
Footing Susp. Ceiling Sprink. Rough-in A r wlk
Foundation Plbg. UnderslabRoJgh_in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San, Sewer ,as Line--
-Bldg.
Plbg. Underfloor Rain Drain ramin -Plumb
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:
3 (f� Time: AM PM
Address:
Builder: ^_ Permit #: ,�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I spect r. Date:_
ZAPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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DEPARTMENT OF LAND USE dr TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
j ^OUN-�/' INSPECTION REQUESTS: 503/640.3561/693-4415
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OREGON >!XXXXXXXX---> 640-- 3470
' Pace 1 of 1
Date 05/30/95
'rime 10 : 12
Hermit 'Type to iclentittl Electrical Permit Permit # 05068238
Permit StRtUs APPROVED Apss ed 05/30/95
Situs Addx�e'as '!'1 Issued U5/3i1/95 �
Permit Title SF'R •-� NEW HOUSE To Expire Completed
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t'ermit De�srr . HALL/FANNO (-'RK/8bV1) :,W JOHN ('T : 1]./26/ 5
L'r<nject Title �l'lt •- NL•:W Hol-ISE project # P0050354
Project Jescr. IIALL/FANNc ::)W JOHN CT * EROSJON
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parcel Number 2 .111 L�.trul Use L)istr:i r_t
Valuation (�
Legal. Descr ..
Owner 1N' PEI"]'lIJN - T.16ARD Construction OT
Applicant Name EVANS ELEC'.('R1C 1N Classification 900
Applicant Addr. : 1186'/ SW WILTON AV Occupancy
TIGARD, CUE: 9'/223 Validated by J5
Applicant Phone : 5'/9 1224 Tti pecccr Area
F,ee description Units Fee/Unit Ext fee Data
iquareTFnotage - -- [ Ent erv:�q. Ft . J 1500 135 . 00
Subtotal Electz ! cal Fees : 135 . 00 �
State Surcharge of b% 5 . 75 6
Total Electrical r't;es : 141 . 75
Required **�; k*k Fees Collect
& CreditsCo11E� , *>r* I
Mothc.}d Check Al-_ktc+r.eipt No. � hUate._..__ ______..__._----._ ______.._ k
.---------• _ _._..__...-._ - Payment �
CK 1103 U5/30/95 141 . '7',
ti *r<****** 141 . 75 I
Fr_r_•s : 141 . 75
Adjl.stments : . OU ibtal Credits : 00
'j:otal Fees : 141 . 75 'Total Payme-nts : 141 . /5
balance Due : . Ota
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NOTICE: This permit becomes null and veld If the work or construction for which It is Is%uad Is not commenced within 180 days. Once construction hes started,
the permit becomes null and void If construction Is Interrupted for a period of M days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
j upon false and misleading Information m-y Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
tho granting of a permit does not gran t authority to access prlvatn property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted de fends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance w'.h the varhus codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at it,--:ek of rhe applicant and such use or occupancy is revocable until nil Inspectlo-requirements are satisfied and
approval Is given by the Building Oflicl,,l. I further acknowledge that a lien may be placed on the title of the operty upon which lheper nit la Issued
specifying that the use or occupancy of the building ur structure Is provislnnal end revocable until the s�tl action of all Inspec"n reo—uhmaments.
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Pi, CANT'S 611CINATURE
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WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use&Transportation
Xkcal Inspection Section APPLICATION '
155 N
155 North First Avenue,#350-12
Hillsboro,Oregon 97124 a
Information: 609 640-3470 Fax: 603 693-4412
Hd
Permit l
Please �PLEASE PRINT triplete all Sections, I a Number ._ J ,�L� Date -J (�
1. Loc4fign of Installation4. Complete Fee Schedule below
Address � J�_ -__—sem a Number of Inspections per permit allowed 6
/ Buildin3 Service Included: Items Cost(ea.) Sum
City/fir r;/ _ Suite No. -- —
Tenant Name A. Residential-per unit
(if commercial) �. —- -- 1000 sq ft.or i...s ___�-__ $110.00 /L�-.-- 4 ■
Each additional 500 sq.ft
Map No. __.__— _. Tax Lot _.-_—_—.__._._--- or portion thereof 1--- $25.00
Limited Energy ____r $25.00 ___-_.._- 1
Thomas Map Book: Pa e: Saction: Each Manuf'd Home or Modular
Directions _ L NNV Grp tt Dwelling Service or Feeder —_ $60.00 -- 2
7_a , ----
B. Services or Feeders
Commercial❑ Residential❑ lnsta,lat,on,alterations trr reipcabon
200 amps or less $60.00 . .._ ___-. 2
2a. Contractor lAstallation only: 201 amps to 400 amps $60.00 _____ __��- 2
Electrical Contractor ctor L S t'eC i T� 401 amps to 600 amps �_ $120.00 —� 2
f �—�' -- 601 amps to 1000 amps $160.00 _ 2 j
Address LCr7 6WM �^ ._ ' Over 1000 amps or volts $340.00 ___._ �_. 2
City �— �_.__ State ZI�� Reconnect only $50.00 — — ... 2
Date _ Job Number _._—
Property Owner _ — Temporary Services or Feeders
Contractor's License No. ^�_V0 Z __'._.. Installation,alteration or relocation P
I 2
Contrac.�tor's Board Reg. No, /U �/ � _ 201 amps or less __-__.. $50.00 _ ____.
, 201 amps to 400 amps $75.00 ____.. .._ _ 2
X 00 6
o 401 amps tamps ______ $100.00
Signature of Supr. Elec'n �r 0, Over 600 to 6000 1000 volts see°A°above
License No.[,� Phone No. 17 /1
D. Branch Clrcults
2b. For owner Installations: New,alteration or extension per panel
a) The fee for branch circuits with
r nt wner's Fume
Phone No purchase of service or feeder fee.
Eich branch circuit $5.00 __ _ __ 2
sass b) The fee for branch circuits without
_ -- — P ._
purchase of service or feeder fee.
mate First branch circuit __—__ $35.00 .___ __._—__ 2
Each add'nl branch circuit___—_ $5.00 -- 2
The installation is being made on property I own E. Miscellaneous (Service or FF?der not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle __ $40.00 ----- 2
Each sign or outline lighting _ ___ $40.00 _____- ___. 2
Owner's Signature Signal circuit(s)or a limited
anergy panel,alteration
3. Plan Review section (if required) or extension - ___ $40.01 2
Please check appropriate Item and enter fee In section 5B. F. Tach additional Inspection over the allowable
it: •.;nv of the above
_ __4 or more residential units in one structure Pei 4 ;miction $35.10
�_-Service and feeder, 800 amps or more Per hoar - _- $55.00
__-System over 600 volts nominal In Plant _____ $55.00
_Classified area or structure containing special
occupanUy as described in N.E.C. Chapter 5 5. Fees _ 00
Submit 2 sets of plans with application where any of the A. Enter total of above fees $ J-3 S
above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ -_
services. Subtotal $
This permit becomes null and vold if the work authorized by the permit Is B. Enter 25% of line A for
not commenced within 1 M days from date of Issuance of such permit or Plan Review if required (Section 3) $
If the work authorized Is suspended or abandoned at any time after work Subtotal $ _
Is commenced for a period of 1a0 days. Electrical Permits are non-
refundable and nontransferable. Trust Account -- ,5.
For Inspections call $ y 7?
Balance Due 1
6S1-3699 or 681-3698 fit
24-hour recorder, one working day in advance of need k.
6L26 3/95
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
1 Inspection Line (F,ec-O-Phone): 6394175 Business Phone: 6 -4871
Irn;pection: '
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Po,d/Beam Struct. op Ou3 Elec. Rough-in FINAL:
Posti3eam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line J Insulation -Mech.
■
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested. 1 a-S (J Time. AM _PM
n Address: `S 7 s ���-/Z Y L ■
? Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED: -�
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Inspector. ^_! Date:
VED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 1
Inspection: Z
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Hirth. Rough-in Firepiace I
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lire -Bldg. ■
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Wat?r Line Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect. xL
Date Requested: �� -�/ �� Time: ,%M PM
Address: SZ '41 Aw
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspect,r: Date:
AP VED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectio• '.ine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Spr' k.4o ;-1 ----A-ppr/SdwIk f
Foundation Plbg. Underslab Mec n Fireplace
i \ eam SS . Plbg. Top Out Elec. Rough-in FINAL:
..��
„�t/Ream Mach_ San. Sewer Gas Line -Bldg.
g. UndeRain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Und 3rflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: f7 L ( '; Time:__A.M PM
Address: h� 2s �—
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Builder: Permit #: 'D LL��7 _co
THE FOLLOWING CORRECTIONS ARE REQUIRED: (t'1 O
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Inspector: ����-- Date:
Vi'
`APPROVED I APPROVED ROVED SUBJEC T TO ABOVE
G ,all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE d
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 63 1
Inspection: I
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
`lsost/Beam S1ume' Plbg. Top Out Elec. Rough-in FINAL:
ost/Beam Me� c ` San. Sewer Gas Line -Bldg.
��nefIoor Rain Drain Framing -Plumb.
Alarm �� Water Line Insulation -Mach.
■
Und-Arllr. Insul. Shear Wall Gyp. Bd. EetZ��/
Date Requested: / `/ 5 Time: AM 1M
- Address:
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: — Date:_ ��zi
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE-
Call For Reinsp.
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CITY OF TIGARD B LDI G INSPECTION NOTI �
Inspection Line (Rec-O-Phone): 539-4175 Business Pho 6 9-417
Inspection: t '
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Susp. Ceiling Sprink. Rough-in - Appr/Sdwlk
4�•
FPlbg. Underslab Mech. Rough-in Fireplace �ry
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: '
Post/Bec m Mech. San. Sewer Gas Line -Bldg. �� ■
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear W II Gyp. Bd. -Elect.
d'
Date Requested: Time_�2� 1T� D" PM
Address- 5 /
wilder. � S O _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In ector Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
PLUMBING S='E:RMlI- -001;•_;
`1
".
PERMIT #. . . . . . . : MST9 ;
a CITY OF TIGARD DATE ISSUED: 03/10/95
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL- 2:33102DD-OP005
13126 BW Hall Blvd.Tigard,Oragon 97223.6199 (603)630.4171
h' TT_ i-+li1)ilf.;:,;a. . . : 06575 SW .J(:1HN
SUBvIVISION. . . . : BRIDGEPARK BONING: k-7
BLOCK__-__-_____sLOT005
-____-.__ ___-____.--____
--- _______._.._____._.__._
L:LASS OF WORK. . :NC W GARBAGE DISPOSALS. . : 1 i
WASHING
c" •EM. . . S NG MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
i YPE OF USE. . . . SF
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
■
I
I'OkIGS. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
RAIN DRAINS. . . . . : I
F 1 X TU RES-- -__._____ _._ LAUNDRY T RAYS. . . . . . :0 5F
J bINKS. . . . . . . . . . 11 GREASE TRAF'5. . . . . . . :k� "
I.-AVATORIES. . . . . . 3 OTHER FIXTURES. . . . . :0 i
IUB/SHOWErRS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. - -2 WATER LINE_ (ft) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
■
Remarks: PATH I I"
IJWNE±k: ---•-.__.______._.______._..__-_________ _._______._______.__F=EES___.-._.______._____. `f`
RIVERSIDE HOMES I'lF f 1550. 00 JD 0 s/10/9' 95-2&2748 I'
15435 NW GREENBRIE`R PKWY SWM t 180. 00 JD 03/10/95 95-262749 �..
_ P.
SUITE # 140 GWII 1 100. 00 JD 03/10/9;: 95--262148
BE:A')ERTON OR 9700E BPRT $ 450. 50 JD 03/10/95 95-262746
Phot„_ #: 645-0986 SPL._C $ 292. 83 KAR 11/08/94 94-258524
B5PC $ 22. 53 JD 03/10/9 95-262748
Plumbi.ng Con r,eic,ter.. - ..._.._._.__..-,;----_•.----__.. PARI'. $ 500. 00 JU lr4/ 10/9:�
C z Me c n t e" MPRT $ 40. 50 JD 03/10/95 c 4+
Name: 10. 13 JD 0:31111115 9:5-2b,2748
._ _
i•'address: 1i23.S2 .. _c-J14�f _ ._.__ ... 115PL $ 2. 03 JD 03/10/95 95-262746
laity : � 81H ♦ 19 5. 00 JD 0.3/10/95 95-26P746
Z i p a 7a_ ,3._ _. _Ph one#: S._9�_'_Y.2 �'j._.-_ E='S1'L' 9. 75 JD 03/10/95 95-26`'749
Reg #: �- ,�3_ _._.___ Additional fees not Shawn here. . . . . . . . .
- REUUIRED INSPECTIONS
ihis permit is issued subject to the reg-
�tations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore. Specialty lodes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post/Beam Struct Rain drain Insp
in accordance with approved plans. This post/Beam Mechan Water Line Insp
permit will expire if work in not started Crawl Drain Water Service In
within 1130 days of issuance, or if work is Plm/undslab Insp Appr•/Sdwlk Insp
iiuspended for more than 190 days. PLM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb 'Top Out Building Final
Framing Insp Erosion C'onLrol
Fireplace Insp
Gas Line Insp
0+.itF a -ized Plumbin [ ontractor Signati.;re
for, inspection - 639-••4175
i~ontractor Notes : - - --
a ...........
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST95—•0078
13126 SW Hall Blvd.Tigard,Oregon 97223.8104,'.:(603)4394171 DATE ISSUED: 03/10/95
PARCEL: 2S 102DD--BP11A05
s
SITE ADDRL': IZ,L `. " SW JOHN CT
SUBDIVISION. . . . s BRIDGEPARK ZONING: R- 7
BLOCK. . . . . . . . . . s LUT. . . . . . . . . . . . . :005
---------------------------------- BUILDING _._._.__.___.--.--.____....____..._______________..__
IRE ISUEs DWELLING UNITS 1 BASEMENT. . . . . . . . s0 5f i
5
CLASS OF WORK. sNEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . 1416 Sf
1'YPE OF USE. . . :SF FLOOR AREAS-- -----.-- REQUIRED
I YPE OF CONST. s5N F'IRST. . . . : 1540 sf LEFT. . :5 ft RIGHT. .- 10 ft ■
ULCUPANCY GRP. :R3 SECOND. . . :0 S f FRON'T. :20 ft REAR. . : 15 ft
51UFR1ES. . . . . . . : 1 FINBSMENT:0 :f REQUIRED---•-__----__.__-_____-.
14EIGH'T•. . . . . . .. . : 18 ft TOTAL---------. 1540 sf GMOKE CETECTORG. :Y
FLOOR LOAD. . . . :40 p',sf VALUE. . . . . sl: s 106344 PARKING SPACES. . : 1 �
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PRI VNTRS. . : 1
'FA LAVHTURIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS* . . * . . . . . . . . . . 10
1-UB/SHOWERS. . . . sE LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . .0
WATER CLOSE TS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURE'S. . . . . :111
�+ UARBAGE DISP. . . : 1 RAIN DRAIN (ft) . sO
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL --- --- ____..___._.______...___________ FEES
FUEL TYPES-------------- UNIT HTRS. . :Q) type amol.lrit by date ►•eclat
1 /(3H5/ / / VENTS . . . . . :0 TIF f 1550. 00 JD 03/10/95 95•--262748
MAX INPLIT:121 LTU VENT FANS. . :3 SaW11 $ 1B0. 00 JD 03/10/95 95- 262746
FURN ( 100K . . : 1 HOODS. . . . . . s1 SWM i 100. 00 JD 03/1fi/95 95-262748
F URN ) =10011 . . :0 WOODSTOVES. s O BPRT $ 450. 50 JD 03/10/95 95--262748
FLOUR FURN, . . . s 0 CLO DRYERS. : 1 BPLC $ 292. 83 KAR 11/08/94 94--6:5 1524
t BOIL/CMP ( 3HP:0 OTHER UNITSsl B5PC $ aa. 53 JV 03/10/95 95-•262748
[BAS OUTLETS a 1 PARK $ 500. 00 JD q.13/10/95 95-262748
Owner: ---- .___.-_.____.______ _______._.__.__..._...._.__.._.._.MF'RT $ 40. 50 JD 03/10/95 95-262748
RIVERSIDE HOMES MPLC $ 10. 13 JD 03/10/95 95-262:7148
15455 NW GREENB RIER PKWY M5PC $ 2. 03 JD 03/10/95 95--264748
SUlIE # 140 'BTH 4 195. 00 JD 03/10/95 95-262748
BEAVERTON OR 97006 P5PC f 9. 75 JD 03/10/95 95-26a("48
Phone #a 645•-0986 ERCJS $ 64. 00 JD 0:3/10/95 9`" x'62748
Lontractor: __.__...____..__.___._..._-.___._.-._..__.__.-____...ERPC. $ 20. 80 JD 03/10/95 95--262748
RIVERSIDE HOMES INC ERPC $ 20. 80 JD 03/10/95 95-: 6i".'.74A
T, 15455 NW GREENBRIER PKY
SUITE #140
BEAVERTON OR 97006-•••5700
¢` Phone #s
Reg #. . s 7006:,
k 3458. 87 TO 1`AL
This perait is issued subject to the regulations containec In the ---- - - - REQUIRED INfiPLUT IONS - --
Tigard Municipal Cade, State rf Ore. Specialty Codes and all other Footing Insp F11mrib Top Out
h applicable laws. All wont will be done in accordan wit^ aporo'ed Fol.lndat ion Insp Framing Insp
plans. This perait will expire if work is not start within lbgi Post/Beam Strutt F'irep'lace Insp
days of issuance, or if work is suspen a •e an 180 days. Post/Beam Mechan Gas Line Insp
Crawl Drain Insulation Insp
'pr,mittee '-J1.1 at�_!r Insp Gyp Board Insp
.__._---- _ .
�� -_� PLM/Underfloor Rain drain Insp
ss _tEc1 by .
Inr,p Water Line in-,r)
t.,a) l fior irrr..pe*ction - 634J--4175
77
a7 i
eH�tAla r r my
.,.. x� u u ;r rxj...nwt7jUhl•� elvtltwg"}
f
7" V@y�vQ�j ,;y}' }. ✓� 7j'4. f�A1' Mb`CA' /rf 4'77,ZI
.I
�I
'Ja
SEWER CONNECTION
CITY 4F TIGARD 1 PERMIT
PERMIT #. . . . . . . : SWR95--0077
COMMUNITY DEVELOPMENT DEPARTMENT DATE= ISSUED: 03/10/95
1313 8W Hall Blvd.Tigard,Onpon 97223.0199 (603)630.4171
PARCEL: L5102DD—BP005
085775 SW ,JOHN CT
:it;E+UIVISI014. . . . : BRIDGEPARK ZONING: R—%
LOI.. . . . . . . . . . . . . :005 `
TENANT 14AME. . . . . ..
USA NO. . . . . . . . . . . FIXTURE UN J I r, . .
CLASS OF WORK. . . ::NEW DWELLING UNI I'S. . : 1
TYPE OF USE. . . . . :SF NO. Of= BU I LDI NGS: 1
INSTALL TYPL. . . . :DUSWR IMf'ERV SURFACE. . :
F
rtEmarFcs;: PATH I
1
Owners _,_ _._._.______...._____.__.._—_____—__.___...._____.___-.__.___.__ ..__. FEES - -_...._.____...__._._.. ■
RIVERSIDE HOMES type camo1.tnt by date r^ecpt �
154bb NW GREE:NBRIU.R VKWY f'RMT $ 2x00. 00 JD 03.'10/95 95-262748 �
SUITE # 140 INSP $ :.':j. V10 JD 111.3/10/95 95-26274b ;r ;
BEAVERTON OR 97006
(-':,hone #.- 645--0986
Contract or a
Cmi rRAC'TUR I140T ON FILE
�.
Phone #: 4 L23,15. 00 TOTAL
Reg #. . I
-- -- - - - REQUIRED INSPECTIONS --
' This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency, Tne permit expires 180 days from
the date issued. The total amount, paid will he forfeited if the
permit expires. Tee Agency does not guarantee the accuracy of the
side sewer, laterals. If the sewer is not locateda the measurement
given, the ;nstalier shall prospect ? feet in all 1�ect9ons from
the distance give-. if not so located, the insta ler shall purchase `__,•..____,__ __,_,_,_,__ __ �_ _�. _ __.� :;
a "Tap and Sine Sewer" Permit ana icy winstall a lateral.
P e r-m x t t e e b i u n,a t p r.,eF.
Call for inspection - 639--4175
1
�� �Td
q
Residential Building Permit Application
dity of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Only
/Subdivision: � � '��L�-'� Lot# 05
U _ Planck/Rec #
Valuation: /U" 3q),
Permit#
Corner Lot? Y ('��
Reissue of
Flag Lot? Y �%
Map & TL# / 0 V�_ ����,�,�- s
Owner: �,c�e�,�de- �42 Ale� Approvals Required
Address: yr5�N Planning
7 00 Engineering
Phone: ` v �� Other
Contractor: �� e- a a-' `� - Items Required
Address: -- Subcontractors ^"
-- Truss Details
Phone: Other
Contractor's License #?w� �■e
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer:
.l Plumbing: 1�Cz _ Address:
/Mechanical:
V (attach copy of current ORRt ontractor's License)
Phone:
JOB DESCRIPTION:
tl
Applicant Signature & Pho number
Received by: _ Date Received: _
N MORMCOMOEV\RGSAPP
�;y, I
.rte '� _ ,, •;. -.-r pyo ,,- ;�a
��'� :��r�E.. rP '��,��'��G�R�•°'� (ch•t n'��Jf � •�r .M� 1t�,�'1' .. R7 'k•..
� u*`:�'; _.,.... �,-.. .._, .... .... ......-.r...., ��.ween-•.rrce�+.ri�M�'rik9F5'C�dtl�„�1C��'."�'•ii'3n,9h�'�.. �,.
Permit# Account Des.ription Amount Amt. Pd. Bal. Due
` � ,. 5 c, Sv•�C1 i .; R
I�Safi ti o i S Bldg. Permit (BUILD)
f
Plumb. Permit (PLUMB)
Mech. Permit (MECH) —4L ILI
State Tax (TAX) 3 L,
Bldg: .5 > B
Plumb: i
Mech:
v fir-
I
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: /o•0
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
{ Parks Dev Charge (PKSDC) V
r
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) " --
Mass Transit TIF (TIF-MT) / 'r h'
Commercial TIF (TIF-C)
i
Industrial TIF (TIF-1) —
Institutional TIF (TIF-IS)
Office TIF (TIF-0) ---
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE) —
Erosion Cntri Permit (ERPRMT)
Erosion PlancklUSA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
�_« wrxs�.rrNTMtlM'WY4�5tMiflkR'0.VKgMBIWxMNwNh+Rlwa°.,vew.mv.,.
II
�.. I. � ''�i_ I�.� ��ty.".���` ��"'A����°fi�?r'i^F#R"a � rl.,-�1�„ „ Int.'1,9R!°jai+r�+i^ I�IY1W�'�'JITTI...:•��. i�° �°1V J 1'":-. ..;� :,..,
CONSULTING D NEE I_ SIC.
14700 &VL OXY 0WW- su 305
L'£AVOtipl, OlR 07007 (503) 6
1
5'
5'
65.00'
i
Ir
-l - - \ OeN
I
20'
110.98' O
5' _
lw=20'
_TEIACKS: ,
FRONT - 2 i
5' BRIDGEPORT LOT 5
6.506 S.F.
� H
yM L
ry'
y
f.
ro
'p
,b
i
r .. t ■
i
l I,
k. +I a► ,
�r ,I CITY C1F' 'F I("iARD - RE.C:t.T f''"C n.- PAYMEPiT RECE I P'T NO. a 5 fa?74B
ct,jF.CV AMOUNT s 5443. 87
CASH AMOUNT a 0.00
" NAME a RIVERSIDE HOMES INC
IAI)17RE8�a a 15455 NW GREENBRIE:R PKWY PAYMENT PATEt 03/10/9"e �)
�I( SUBDIVISION e
SUITF 140
t ' I BEAVERI'ON OR 97006—
.` PURPOSE OF PAYMENT AMOUNT PAID PURPCISE OF PAYMENT AMOUNT PAID
ij —7;r t IT U[L.T1IN[i PERM MST95- V�07f3 450. 50 PLUMBING PERM 19
" I-IAN I CAL. PE
40, S0 ST. BUILD PER 3�i. :31
I MFC
>LAN CHECK FE 52'. 96 SEWER USA
OWRy°, 007'T ?��"r0� '7r0
,EWER INSPEC�'T :.35. 00 PARKS SDC J00. ON
RESIDENTIAL TRAFFIC: FEES 1.4;.30. 00 MASS TRANSIT 'TIF F EEEi � ''-0• OV,IF120 QUALITY FACILITY FEE 180. 00 1.120 QUANTITY FACILITY FEE 100. 00
IF"F2C)SION CONTROL. PERMITf E:E: 64. 00 utC15IC)N CONTROL. PLAN C:1:
i17ROSION CONTROL. PLA. 80
I
BR I DGEPARK LOT 5
I1 Ata75 SW JOHN CT
?I TOTAL AMOUNT PAID - —) '5443. 87
,i
� t
1
K�1
it. t w.,...—""'"5. tv,""''""'""a'.-..e,�.-•-.�...r.....owl-�qlR.q.„,»...,<....._».»...w,.........,_, .,,,,,y,.,,.........., _ I