10395 SW KABLE STREET +rro x. .-., �._�wrM mA�1MN�MKMMI��VMk�M�.F�'A��:+'dM'.� j�,� 7IMMi.�M^�'IF'�'�^MYM'M"'5o�"�Id�f��y,!MA'g'�?^�MF'!rad•rn tyvaNi"n�. a�wMv�
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CITY OF TIGARD BUILDING INSPECTION NOTICE .
I-ispection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: j!
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Founda+on Plbg. Underslab Mech. Rough-in Fireplace
Posy Beam Struct. Plbg. Top Out Elec. Rough-in rj(,yp,l�✓
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Post/Beam Mech, San. Sewer Gas Line _Idy. ■
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation
Underflr. Insul, Sher Wall/ Gyp. Bd. -Elect. ■
Date Requested: Q/ �q�sg3� Time: AN, r TM
Addre-s:_ 10 3q,�_ k-'A 6 2.�:.
Builder: 2 6397: X37 _ y Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: i_ Date: ZIPS
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4115 Business Phone: 639-,4M
Inspection:
Footing Susp. Ceilinq ! Sprink. Rough-in Appr/Sdwlk
Foundation Flbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pibg. Top Out Elec. Rough-in FINAL-
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rair Drain Framing
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. BJ. -Elect.
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Date Requested: c Time:--AM PM ■
Addr-ss:
Builder:_ `_ `Permit tt: �I s 6 ( 7 Q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
_APPROVED DISAPPROVED 7 APPROVED SUBJECT TO ABOVE k ,
--Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE a
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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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. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - :Ie ct.j
Date Requested: `� C/ S Time:_—AM PM
Address:—� _Tl
Builder,,� _ j_ q� Permit #:
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THE FOLLOWING C2flRE T NS RE REQUIRED:
Inspector Data:
L/Z,
,/ IQPPROVED _DISAPPROVED _APPROVED SU 3JECT TO ABOVE
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Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inrpection Line (Rec-O-Phone): 639-4175 Business Phone: 9"171
171
1' Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rouoh-in Fireplace
Post/Beam Struct. Plbg, lop Out Elec. Rough in FINAL:
Post/3eam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm 'Na'er Line Insulation -Mech.
Underflr. Insul. Shea Wall Gyp. Bd. -Elect.
Date Requested:_ 1 S Time: AM PM ■
Address:-
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Builder: (v `?�J /C� Permit #: ��` Gl /t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspe r._ -- _ Date:—S /rrte
APPROVED _`DISAPPROVED ___APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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„'yi ; CITY OF TIGARD BUILDING INSPECTION NOTICE +
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Ix, `}' `, Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 y t
} Inspection: rev
Footing Susp. Ceiling Sprink. Roug'n-in Appr/Sdwlk v� "
Foundation Plbg. Underslab Mach. Rough-in Fireplace
FINAL:
Post/Beam Struct. Plbg. Top Out Elec. Rough-i.,
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wallyp. Bd -Elect.
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Date Requestrd: 1 Time: AM PM �rirA^��, rx �3tw
Address: 1 J �: � _ "�.rw i �q,ar+req ■
Builder: Permit #:
27�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�. 15 SNS/"f✓�L_; /70 A.,�i U4.� Al/ R7Tr
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Inspector: Date: 9— y 95
_APPROVED _DISAPPROVED Z--*RPROVED SUBJECT TO ABOVE
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CITY OF Tl-,ARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639 4171
Inspection:
Footin Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
g , �� �
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.
Framing
-Plumb. }+ .
Plbg. Underfloor Rain Drain g
Alarm Water Line rnssulattiiop ,.1 ` L � ech.
Undedir. Insul, Shear Wall y� p. Bd. -Elect.
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Time: AM __PM
Date Requested:_ ••��i�1��i —T.. �S t " , ,
Address:It
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Permit #: h
ARE REQUIRED:
THE FOLLOWING CORRECTIONS > (fay
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i Inspector:_
Date:
/APPROVED !DISAPPROVED f
____Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE i
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-411
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Inspection: Yw� 6 `---�
Footing Susp. eiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Roush-ink Fireplace
Post/Beam Struct. Plbg. Top Out E e.. h-in FINAL:
Post/Beam Mech. San Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
'7ZDate Requested: a < �_--Time:—_AM PM
Address G'
Budder: ��� (�_I Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:1_ �>
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ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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^ITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-C-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbo. Underslab Mech. Rough-in Fireplace
Post/Ream Struct. Plbg. Top Out ('----Elec. Rough-in ' FINAL:
Post/Ream Mech. San. Sewer `�`�"tltt� -Bldg.
s
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. Elect. !♦
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Date Requested: � ��_//_Time: AM PM
Address: -� C., ^� L ��Ci l>/<"
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REOUIRED:
-T-
Inspector Date:
Dater
/1APPROVED DISAPPROVED APPROVED SUBJECT TO .A30VE
_Call For Reinsp.
community Development ELECTRICAL PERMIT APPLICATION /
13125 SW Hall Blvd.
! Tigard, OR 97223 Pianck/Rec. #
Permit #
' Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 Issued by
CITY OF UG RD TDD No. (503) 6e4-2772
Inspection (503) 639-4175
1. Job Address: �/� 4. Complete Fee Schedule Below:
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Name of Development `�eB 5,y,, �r��.l��'t"s Number of Inspections per permit allowed
Address �/ J� ? �'y F N �` Service included: Items Cost(ea) Surn
City/State/Zip_���C) !7 7 4s. Residential•per unit l 4 •
1000 eq II or leas $11000
`snits
Each addsiorel500eq It or
Name (or name cf business) —
portion thereof $2500 1
Commercial❑ Residential Limited Energy $2500 2
Each Manurd Home or Modular
�Y Dwelling Service or Fonder $86 00
2a. Contractor Installatf nn only:
4b.Services or feeders
Installation,alteration,or relocation 2
Electrical Contractor _ 2no amps of less $6000 2
Address 201 amps to 400 amps $8000 2
Cit State Zip401 amps to 600 amps __ $120 00 _ — 2 �(
City — 601 amps to 1000 amps _ $16000 2
Phone No. _ Over 1000 amps or volts $340.00 2
Contractor's License No. Reconnect my $5000
Contractor's Board Reg. No. —� 4c.Temporary Services or Feeders
Installation.nitarallon,or relocation 2
Signature of Sup.. Elec'n_ 200 amps or less $5000 _ 2
License No. Phone No. 201 amps to 400 amps $7500 2
--- — -- -- 401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner Installations: sae W above
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4d. Branch Circuits
Print Owner's Name \_ y��(_e`��, 1'/ &,411 it New,alteration or extension per panel I
Address /40 5 S -5 l-C) �+b�- ` a)The lee for branch circuits with
City e�xd —_ Stated purchase of service or leader W. 2 I
Fach branch circuit $500
Phone N0.
ll% O 9/"�� b)The fee for branch circuits without
The installation is being made on property I uwn which is purchase of service or Awder Me. 2
First branch amid ' $35 00 iOL
T 2
not intended for sal ase or rent. Each additional branch circuit S $5 00 ��
Owner's Signature 1 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle __— $4000 2
Each sign or outline fighting 94000
Signal cimud(s)or a limited energy -! 2
Please check appropriate item and enter fee in section 5B. panes alteration or extension sn0 00
4 or more residential units in one structure Minot Labels(10) -� 110000
Service and feeder 225 amps or more
System over 600 volts nominal 411. Each additional inspection over
—_Classified area or structure containing special occupancy the allowable in any of the above i
as described in N.E.C. Ch.,p,er 5 Per nripe,lion $3500 _ I
Per hour $5500
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Submit s sets of plans with application where any of the above 6n Punt $5500— — -
apply, Not required for temporary construction services. Jr. Fees:
NOTICE Sa. Enter total of abode fees $
5%Surcharge(05 X total fees) $ 7_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of ling.4 for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOI Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Accoun!1Y $
Balance Due $
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CITY OP TISARD — RECEIPT OF rl(4YIrI!~N'T RECE:IPIT NO. :95-268243
CHECK AMOUNT 57. 7 5
I NAME a L.INDGREN, CARI_.PTON CASH AMOUNT 0. 00
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ADDRESS . 103145 SW KABLE PAYMENT DATE: a 07/19/95
f T I GARD, OR SUI?D l:V 1.91 ON s
97,='E'4--
V'URP,OG)E: c)F: F,AYME_N'f AMOUNT F,AII:'i PLIRrOSF CIF: F,AYMENT PMO INT PAID
ELECTRICAL. t',F—'RM.CT 515, 00 ST. BUILD PER 2. 75
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TOTAL. AMOUNT F-101t) — — —) 57. 75 (�
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line
)(Reec- -Phone) 539-4175 Business Phone: 639-4171
Inspection:_____��C. � �5��'±- �
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderskA) Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing ? -Plum:
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elec,
Date Requested:__�( Time: AM ^_—PM
Address: L�f ---
Builder: Permit #/p 5�:!z 70
THE FOLLOWING CORPECTIONS ARE REQUIRED:
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Inspector:���!� Date:_
PPROVED DISAPPROVED APPROVED SUB IECT TO ABOVE
_ Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection:`
Footing Susp, Ceiling Sprink. Rough-ir Apre
Foundation Plbq. Underslab Mech. Rough-in Fir
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water LineInsulation r -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ LD Time: AM PM
Address:_1L.352,-L ci- �
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Builder: L /Fula,_— JS e✓ T Permit #T`7 - Q /
THE FOLLOWING CORRECTIONS ARE REOUIRED:
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I' AInspector: Date._ / t �t.
OVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
',} fOf, � Inspection Line (Rec-O Phone): 639-4175 Business Phone: 639 41 — f
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 Mach. San. Sewer Gas Line -Bldg. _
g. Underfloor N Rain Drain Framing -Plumb. i
arm Insulation -Mach.
Underflr. Insul. hear all
Gyp. Bd. -Elect.
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Date Requ^sted: �o •� -�5 Time: AM PM
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Address: //_�_.
Build, .ANC, � zr ph-(-y"G Permit #: MT Ony
I THE FOLLOWING CORRECTIONS ARE REQUIRED:
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qAPector: Date: ' �7i n.....
PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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`Call For lieinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
k Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.41
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr wlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Priam Struct. Plbg. Top Out Elec. Rough-,n FINAL:
Posti9eam M9ch. San. Sewer
(_ as , -Bldg. '
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Plbg. Underficor Rain Drain Framing -Plumb. £ ■
Alarm Water Line Insulation -Mech. o
Underfir. Insul. Shear Wall Gyp. Bd. -Elect. ,
Date ReplleCt6J: Time: AM PM
Address: )
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ + 4
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Inspector: Date:
PA PROVED _DISAPPROVED _APPROVED SUBJECT O BOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 0---,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-iii FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor _ in Drairi Framinv -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: % Time: AM PM
Address:
Builder: Permit #: 5- / -7 _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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LAPP5 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: 639.4171
Inspection:
� o m Susp. Ceilinq Sprink. Rough-in App dwlk
dat g� Plbg. Underslab Mech. Rough-in Fireplace
r
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
`i.
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Niech.
Underflr. Insul. Shear Wall Gyp. Bd. -F ect. '
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Date Requested: Time:.—AM PM
Address:
Builder: Permit tt:���.�r 7.5- 1 70 ■
II
1 THE FOLLOWING CORRECTIONS ARE REQUIRED: I
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Inspector: Date:_
C. 'ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. r
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639- 171 f ;�
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� Ins action:
Footing Susp Ceiling Sprink. Rough-in Appr/Sr,wlk
Foundation Plbc,. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: ■
Post/B-ain Mech. n. 9e W ' Gas Line, -Bldg.
'Ibg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation -Mech.
UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: (� ( `!S _lime:A PM
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Aolress: � C' ���� �a—L"k-a'
Builder: Permit ;Sc c)r2 S s-cv ( 71
THE FOLLOWING CORRECTIONS ARE REOUiRED:
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Inspector: Date:
5-/—/6
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PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For 'leinsp
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CITY OF TIGARD BUILDING INSPECTION NOTICE
j Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 9 4171
Inspection:
r 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. SewerGas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
1 i
Date Requested: 6', 1S Time: AM PM
Address:
C� S --
Builder: &)_ON Permit #:
THE FOLLOWING CORRECTiONS ARE REQUIRED:
Inspector: Date:
PROVED —DISAPPROVED _APPROVED SUBJI=CT TO ABOVE
_Call For Reinsp. i
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F MASTER PERMIT
h CITY OFT11GARD r'CRMIT #. . . . . . . : ME,T95017C
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED. 05/01/95
- 13125 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)630-4171
..,Ti- ADDRESS. . . « 1+0:1`x5 5W i<APLE 51..
PARCEL: 2 S I. I I CB- 0: 721)
7UPDIVISSION. . . . .. HOOD VIEW NO. .: ZONING: R-.•:-. 5
^7-LDCK. . . . . . . . . . a _C7T. . . . . . . . . . . . . .uG i
,.,.._.__._ _ _._.______,___ _,._ .__.._.•_..._._..._-- BUILDING; ._.._.____•_.__._._M_.__ w.e..__ _.__.._ �.f..__ . ._-
RE I SSUE.: DWI~LI_I NC UNITS;el PAnCMENT. . . . . ._`0._.
CLASS OF WORK. WeW BEDRM5: 1 BATHS.s1 GARAGE. . . . . . . . . . ..0 sf �
TYPE (7f USE. . . :SF FLOOR AREAS—— .._...--_....._ REQU I Rr 7
TYPE OF CONST. :5N FIRST. . . . :630 s f LE:FT. . :O ft RIGHT. -.7 f t
1CCUPANCY GRP. s R,:; SC"COND. , . :0 f FRONT. :`.:14 ft F;LAR. . :46 f•.
T'OR.1C9. . . . . . . .. 1 FINSSMENT:O sf REQUIREII-___ ._.
IE 101.11.. . . . . . . . . 1. r TOTAL._.__.._-. ._..-.,()30 s f SMOKE EETC"C^TORG. :Y
'_LOOR LOAD. . . . :40 psf VALUE. . . . . F : 40736 PARI:INC7 SPACES. . :0 k
Ramai-ks : PiDDING 1 BATH ROOM AND 1 DED 1300M F'A',H I �
__...------._.W__._ _._ ._..___.__._.- _._..__. PLUMBING
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3INI1 3. . . . . . .k. FLOOR DR(1IN'3. . . . :VJ SACKF'LOW 17'RI_.VNTR5. . 5O
I..AVATQRIC S. . . . . : 1 WATER HEATERS. TRAPS. . . . . . . . . . . . . . :0
-Ute/GHOWERS. . . . :C LFi1JNDl"<`r TRA`r•�7. . . :0 CATCH BAS INS. . . . . . . :0
.MATER CLOSETS. . : 1 SEWER LINE ( Ft ) . :@ GREASE TRAP'S. . . . . . . :0 i
I SHWPSHER . . . . ..0 WATEr' LIVIE IF:: (ft ) . s 0 OTHER F T.'+ TUnES. . . . , :•rr
OARSAGE DISP. . . :O RAIN DRAIN ( ft ) . cO
.,:ASH a NG MACH. . . :41' 5F PAIN DRA I NG. . . 1
_..__..._....__..__._..__._ MECHANICAL -.._._._.._,_._._..._.__..__..____.___ __._.__._ _ _.... FEES .__._....._.__.... ._._. _..
I.UEL TYPES- __.._.___.....__. UNIT 11TR5. . .0 1,yPe ,Am o1lnt by (:;ate r^ecpt
'GAS/ / / VENTS . . . . . :0 SPRT ii �44. 5Q1 B 05/01/95
MAX ING'`UT:O LTU VENT FANS. . , 1 1 7. fail B 05/01/95 -
"•URN ( 100K . . -. 1 HOODS. . ^ . . . :0 P5PC 05/01/951
f URN ) -100v,0v, . . :.k'1 WOO DSTOVE`_. «V:1 MPPT 1. 25. 15171 D 05/01 ")
"LOOR F1JRN. . . . :0 CLO DRYERS. : 0 MPLC 4i 6. 25 B 715/01/95
1'1011 _/C<MP t 311p::7r OTHEP UNITS-.0 11SF'C is 1. L-5 1-1 05/01/135
GAS OUTLETS; 1 PPRT $ 4!7,. etO S 05/01 /9 J
._.... __ - ...._... _.._.,. ..........-F'''aF"C: t . .'5 1? 0r/k'li/9`5
lv!1'2LTON LIND1311EN EROS $ B os 01/h5
t�W KAT L-E ST F F?PC t• 0. 4'5 S 0 0,1 /17
I CRF'[; � t1. t45 P 05/01/9G
Phone
DEL.MAF2 CISL.RTy INC.
i
817 544 £lrCi''I IEkI';CISJ ST
-'ORTL..AND OR 97219
`hcsne tt: 246
Rey
_. '334. 91 TOTAL 4
'his persit is issued subject tc the egulations. contained in the _. - - - REQUIRED IN�SPEC T IONS
-
'iya^d Municipal Code, State of 0-re. Specialty Codes and all other Foot i.r.q Ir-rep Framing Insp
applicable laws. All work will he done in accordance with approved Fo�.rndation Insp Gas Line Insp
,dans. This perait will expire if wu is not started ..itr.in 190 Fort/BeAm 5tr,.rci Insolation Insp
Jays of issuance, or if work is s;: n• More th.. F'"nst/):beam Mer han Gyp Boar-rJ Insp
/ (�r awI Dt-ain Rain r�r•ain Irnap r
l�� 4 — J\ `__C4(9J P L IrI/U n cl et-f 1 o o r• M er r h ca n i c a l F"i r r a�.
Mechanical Insp Pll..rmh Final
T, €roecJ By I v" �I`J._. ._.. P1 .,,mb Trr�: Ot..t 1'1l.1il11iny F'inral
for^ itis;E,"'latiari 6~q..,` 7'
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OWN
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SEWER CONNECTION
CITY OF TIGARD . . . . . � 5_
PERMIT #� . . . �wR9,, n+1"?1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/01/s5
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)639-4171
PnRCEL: 251 1 1 CB-01720
C I TZ PDD RES5. . . . 1039'"1 SW KADLE ST
SU'J. D I V I S I ON. . . . : HOOD VIEW NO. W ZONING: R-2. 5
13L00%. . . . . . . . . . : LOT. . . ^ -,8 r
ti
TENANT NAME. . . . . : ■
USA 990. . . . . . . . , . .
FIXTURE UNITS. . . :
-LASS OF WORK. . . ;NEW DWELL I NG UN I TS. , r 1
1"YPE CJf•' USF'. . . . . :c.,r NO. CF RUILDINGS: 1
INST4)LL. TYPE. . . . r SUOWfi IMPERV SURFACE. . ;
2ematrks : ADDING 1 PATI( ROOM AND 1 BED ROOM PATH I �
T1
_.. . _.. ._ y..... ...... . ..__._._ FEES _._.._ ...__..._..__ _._.__.
fARLTClN LINDGRCN type amount by tete recpt
1.0.05155 SW KAI3LI' ST r`RMT 2200. 00 S 995/01
INSP # 3S. 00 p 05/01,195
T IGARD OR 971:;:3
Phone 'f: E:39--879:4
Contractore
CONTRACT'GR NnT ON FILL �
,
35. 00 TO I AL
+. _.._..._._. . REQUIRED INSPECTIONS
This Applicant agrees tc comply with all the rules ald regulations Sewer Inspection
?' aF tr,e Unified 'sewage Agency. The pereit expires 190 days free
the date issued. The total asount paid will be forfeited if the
' pernit expires, The Agency does not guarantee the accuracy of the
side serer laterals. IF the sewer is not located at the seasureeent
:lure, the installer^ shall prospect feet in all directions from ---
t`.e distance given. If not so located, the installer shall purchase
"Tap and Side hewer" Feroit and ti- y will ir,stai' ;. _...__. _. _,...__. _ _..__ __ .---.--- •. _ --
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'ermi.ti..:•r? t�i�l.. i. sre :
I.Sgued Dy
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Call fc)r- inspection 639-4175
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CITY OF: T I GARD w RECEIPT OF PAYMENT
RECEIPT NO. 195-264857
�
CHECK AMOUNT s 259 i. a l
NAME
D17-71-MER EISERT, INC.
CASH AMOUNT e
►. 00
ADDRESS 10.17 SW STEPHENSON ST. PAYMENT DATE i 05/01/95
PORTt_E'INE)y OR aUBDIVIS!ON e
97rl9--
t PURVICISF nF PAYMENT AMOUNT PAID f,URPOSE OF PAYMENT i AMOUNT PAID .
I3l1IL..UING3 PERM MST95--V0 7F1 242. 50 PL.UMBING PERM _.45 00 I •
MECHANICAL. ESE: 25. 00 ST. BUILD PER 1"i» 63 I
PLAN CHECK F"E —14. 2P SF"WF'R USA P0,00. 00
SFWEs.R INSPECT 305. 00 EROSION CONTRL7l_ pE=RM I T'F F—r- 26. 00 f
l..IdOSION CONTROL_ P ,AN CK 0. 4'5 EROSION C:ONTRCI_ 6. 4r � •
1
10395 SW KABL.E 1
I
Tgrl, AMOUNT PATI) _ ._ .. ._y '3.t. h
I:IF T I t71AR1! F�E.f E:i f'T OF Pjt)YMFFNT Rt-"CF:I PT Piro.
�
C HECK AMOUNT a 17H» itiM tAnMh DEI-MARl I�,E:R1"t INC'. COssH 014013NT a 0. G.0 I
181 7 SW rSTE"PHENS,0N 6T. r'Fa`+lMENT DATE 04lP4/95
VIORTI_ANU, OR 0-1E�0 T;!IS ION :
97c'19 I
41Rf="OgF7 OF PO YME:NT AmnLINT PAID PLIKOSF• Or- PAYWNT ANC11..INV PAID !
_....._
'a►,:l..CaN CaHEC,K F'f. 4 -5'tiR 178. 10
1039..9 SW K0t31,_i'.
I
TOTAL. AMOUNT PAID - y k"7F�.• 10
I
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-
tiy� 1'�4 rl`
�f " ,,'- �+kyyt�hk�;,.. '�;,'; " n?���: �•��� ., a a%k4. .y"h�� " '�F�r1"��k ',�b�� ,.� �h � �r�� � •t1rZ (v. �� "^ �.,,>
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At'
ARD
f='I_u�LDIr�G PERMITCITY OF TIGPERMIT #. . . . . . . . R1c'jT()3 .017S
COMMUNITY DEVELOPME►!T DEPARTMENT DATE ISSUC:D: 05/01 /95
13125 SW Hall Blvd.Tigard,Oregon 97223.6109 (503)639.4171
`3 PARCF_L: 21-,1 11 CLQ- �17;"'")
„p -ITC ADDRESS. . . :
HOOD VIEW NCI. 2 ZONING: R-3. C
CL.AT" Or WORK. . :NEW GARBAGE DISPGaALC. . :0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 90 BACKFLOW PREVNT.75. - :0 �
OccupAIUC'r' ,CRp. . :re FLOOR DRAIN-. . . . . . . 10 T PAI='G,. . . . . . . . . . . . . . ,Ch
i
STORIES. . . . . . . . . I WATER IHEATERS. . . . . . .0 CATCH F�FiSINS. . . . . . . 0
FIXTi PE'-'3 ,__. ._ LAUIVDR`! TF;A'r'S. . . . . . :0 SF" RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . s0 GREASC TRAPE. . . . . . . :0
LAVATORIES. . . . , : 1 OTHER FIXTURE . . . . . .0
TULA/SHOWERS. . . . : SEWER LINE {ft: . . . . :0
WFITE:R CL_05CTS. . : 1 Wf Tr77R LINO ('fti . . . . ?�
I)1!3HWA1GHERS. . . . 40 RAIN DRAIN :ft ) . . . . :0 �
nem arks : ADDING i. DAT'II ROOM AND 1 Pr) ROOM f" :I I
OWNER: ...... ..___._._.._. ....._.W._.w...._._._...______.._ _..___.._......_ .�_. _....__ _FrE: -____..__.._...._..__ .... _..
C1M.RL1'C"' : L 'iNI)OPEN L,,F'RT $ 24- . 5o L) Z)S/ 1/95 -
10395 SW KABL.G ST SF'LC t 157. 63 D 05 01 IS, -
L� 'f''C A 1"7. 1' La 0
rI.Gj ARD CR 1)7223 I1PRT v "1. t��,� f1 ��7/01 1)15
Phone #: 639-8724 MRLC f 6. 25 B 05/01 /95
m5pc t 1'. p V17'.101/1)5
f''lumbiny Contr�actorn _...._....._ .__...._._... PPRT 1 �+�. 4'�4�i D 05/01/95
n (J r F'5pG $ . ::5 S 075/01/95 .._
Name. o�?c-QJ1��!�... ._ _\ `'� ...., ERteS 'I _,Lr. 00 D V.11.3/0I/r.)`-j ..-
Addr^eL r1F'C 'f 3. 4'::, B 05/01/9L5 -.
ti it �ta�te: __._.___.._.._._._.... I RFC 1 X1. 45 S 05/7:1/9a
y S. .. _.___.__�..._ ..._..
Rer
_ _.._.,...._ REQUIRED INSPFC'TICSN
Phis permit is; issued 'iub.jecmt to the rogq
;.;lations u:)ntair�ed in the -rigcard ML.Mi ipal Booting Insp Rain drain Insp
Cuue, C>tat�; ri= fJrc�. Speei.alty Cndc�, c.�n(j mall round A; InsF� MechGai i�;al ('in��1
other applicable laws. All work will be done F'ost/Boam Stri..tct Pluub Final 9
; n .accurcj,nnc ? cviti-t appr•c.ved plans. This Bash/D°.:•am Machan Building Fina]
permit will e)<pir•,e if work is not started Crawl Drain Ct,csion Control �
within 180 days ar ur if work i .s 1='LM!lJnda:r Fluor
�iuspended for more than IBO days. merhanical Insp
P11_tmb 'rou OuL
r'ram.in.g Insp _ .._ ._...
Line t n s 4) ^._ __ .__ __. ......
Insulation Insp - _
th� , G ` 1 ,ctor 5i gnat#_,;
Cuall fur i.nspec::t ion - 630 4175
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