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INSPE'CT'ION NOTICE
Cit- of Tigard Building Department
13125 SW Hail `Ilv . Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Businees Phone: 639-4171
Inspection: �Y 1 1(10
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Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line �)rINALr
Post/Beam Struct. Ban. Sewer Framing ('-_.Bldg,
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd• -Hoch.
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'I�§L Date Requesteds_ / - i+ Time: /4` "
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Address: ��y � �)�� 1 / Parmft•ii: ��
ti�``atrv� r3 t n} Buildars (`
THE FOLLC41NG CORRECTIONS ARE RF.QUIRy.D:
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Inspector:
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\I APPROVED DISAPPROVED -�_ APPROVED SUB.TECT To ABOVr
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-Cal For Rei.nsp.
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1NSPE9TION NOTICE
City of Tigard Building Depar.ment. `J
1.3125 BW Hall Olsd. Tigard, Oregon 92223
Inepw.,tion Line (Rec-O-Phone): 639-4175 Busine Phone: 639-4171
Inepeation:�
FootingPlbg. Underslab Hoch. Rou
bg 4h-in Appr/Sdwlk
Found. Plbg. Top Out Gce Line C FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rai., Drain Insulation -Plumb. ,
Plbg. Underfloor 7Water Line Gyp. Bd. -Hach.
Date Requosteds �� _.Time: TAH PH A
Address: ` ���1,(!l c V'111�� LT�iISLt Permit
Builder:_
THE FOLLOWING CORRECTIONS ARE REQDIREUt
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�]]] Inspectors 1 WWW ��_- Date:
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"PROVEDpI$APPROVRD APPROVED SD&JECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
1
13125 SW Hall uivd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-41.75 Business Phone: 639-4177 I
Inspection:__
Footing Plbq. Underelab Hoch. Rough-in Appr/Sdwl.k
Found. Plbq. Top Out Gas Line FINAL:
Post/Siam Struct. San. Sewer Framing -Bldg.
Poat/Beam Mach. Rain Drain Ineulati.on -Plumb.
Plbg. Underfloor Nater T. ne Gyp. Bd. -Mech.
Date Requested:,y/ Times AM _____PM •
Addrese• l� — Permit it ( 3
Builders_
THE FOLLAWING r*RRZC'TIONS ARE REQUIRED:
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Inape t_.:. Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reines.
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INSPECTION NOTICE
City of Tigard Building Departrte nt (A7,,7/ /v
13125 SF Hall Blvd. Tioard, Oregon 97223
Inspection Line (Rec-O-T. one.): 634-4175 Businer>s Phcoe -4 71
Inspection:
Footing Plbg. UnderslaL- Mach. Rough-in Appc/Sdwlk
Found Plbg. fop Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. :A:derfloor Water
�Line
�// Gyp. Bd. -Mach.
Date Requested: / / _Time: _AM PM
Address:
Buildar: 6 � � � ------ —
THE FULLOWINC CORRECTIONS E REQUIRED:
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Inspector: � _. — Dater
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APPROVED __ DISAPPROVED APPROVED SUBJECT TU ABOVE vt A.,
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Call For Reinsp.
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CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENti ""ON MASTER PERMIT
13126 SW FW 19Mrd. P.O.Bar 23307,Tipod,Orpon 0.223(603)830-4176 f F1 l'{I I ( I#. . » » » : M S T<j 3 0:i
DATE ISSUE[): 03/19/93
S I TE ADDRESS. . . : 1 5W KING CiL-ORGE DR PARCEL- r`5 11
SUBUIVI;SION. . . . . •n�
-C��
..._.. BUILDING
.. ._._....... _ _ ' -_._Z.O_.N_..I_.N_G_...,_:
1LOC" » . » . » » . » » » ' .
REISSUE : )WLLIMC UMILL3:IDf3LMLNT
_........_._..__ _....._.._. _._ ..
. . . . . . . . :W sf
CLASS OF: WORK. :ADD BEDRMS:O BATHS:0 GARAGE. . . . . . . . . . .r71 s f
TYPE Or USE. » :,31'= F 1_C7OR F�F3LA;''� _... __..........._._.,. REQUIRED SETBACKS-------
'TYPE
_.._..._
'TYPE:. OF• CONS i". :5N F I RST. » . . : 143 1:-f` LIFF'T. . :0 ft RIGHT. :@ f
OCCUPANCY C IRP. :R3 Sr_:1: OND. . . :Vi s f' F'RON T. :0 ft REPR. . :0 f
sr'r mms. » . . » . : i THIRD. . . . .0 sf
HE;Iwtr. . . . . . . . : ii�., ft TOTAL.-___.. ...._..: 14:3 sf SMOKE DETECTORS. : �
"L." LCTHU. . . . :40 psf VALUL:.. . . . . is Gv76 PARKING :aF'i1t:ES. . .fZI
RemaT,kti : E1,3CLOSING PORCH AND MAF1,ING A GLJI\I ROOM I\I01\1HA8I TABLE SPACE:
_.___._ __..___ .. ....__._.._........___.,.__._._.._....._.__.._
PLUMBING
SII'•►F,(,. . . . . . . . . . :+i'1 FLOOR UFtROINS. . . . '171 BAC'.KF+I_014 F=RE.'VNTRS. » .0
L_AVAI'D '.ES WATER HEF,►TE:RS. . . :0 'FRAPS. . . . . » . . . . . . . . :17.1
fUC)/CilitJwf_F2L:i» . » » :4.'1 LAUNDRY TRAYS;. . . :111 LATCH 13ASIlu113. . . . . . . :V1 r
WAILR CLOSETS— .10 SEWER LINL (ft ) . :0 GRE':.ASE:. TRAM'S. . . . . . . :171
DT:GHWF:SHEFC5. . . . ..41 WOTER LINE (i't ) :u) 0 THE:.R I 1 X'TURE::S. . . . . :171
GARBAGE DIE3E'. . . :0 RAIN DRAIN (ft ) . :0
WASHING MACH. . . 0 S f-" RAIN DRfI'1'NS. . :IC
MELPIRNICAL -._,__....__.____._.._._._.... ._... _.. ..._._._... . . FEES
FUEL TYF'Ewa -_.._.._...,_.._......._.._._.. UNIT /_•ITE?.S. . :v1 type amul_1nt by (9ate r-eept
VENTS . . . . :Q.1 BPRT '$ GE. 50 .JLH 03/09/93 93--23'7590
MAX 1IN1PIjT:�'1 E11T1_► VENT [::'ANS. . .0 LAPUC:, $ 40. 63 JUH 1713/Or-)/')3 ')3 -i:�37;`i9d
F U'RN ( 1 0111K . . .0 !-fUC3La. . . . . . .0 U5F'C $ 3. 13 JLH 03/09/93 93-2375911?
_URN ) =1017rK . . :Pj VJ00DS3T0V1::7» .0
FLUOR TURN. . . . :0 C:L..0 DRWE R,3'. : 0
BOIL/CPIP OTHER UNITS-071
CTAS OUTLk:TS:O
OwntiI.,. _....... ...._ ...._. ._._ ....... __...... _.._......._.._......... ...._._..._ ..__
I;AY HOF"E:RE::F
'.G420 GW I:iNG (:aEOR6f. 4
KINC3 U!TY OR 972LC4
F�l7une #:
TRI CITY REMODEL I NCi HOME IMP
';i i(31 NW 172ND PL
G-OHTLAND OR
..'Rune #: 629-' 42
$ 106. 6 TOTAL_
This pet-sit is issued �.bject to regulations contained in the - - - - - REOUTREU INSPE'LTT.ONS -____-----
Tigard Municipal Code, State .f Ore. Specialty Erodes anu all other F'r,ami t7_y Insp►
applicable laws. all work will be done in accordance with approved Gyp Bc)etv,d Insp _.
plans,. This pereit will empire if work is r.ot started within IN Pl.t.i .lUi.ny F-irra1
days of issuance, or if work is suspended for core '-gar, 180 days.
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►:,e r•m i t t e e 7 i cT r'r att,.1 .__...._.��,,._. .._,..___..._._....._._..._..._......_.._.... 1
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13M SW'""Md PLNCVRECT #
TIGARD -,,,,,.CITY OF �� PERMIT 1 Lr�,��� 3
i COMMUNTIYDEVgLOPMEWDEF (30)639.4e71 DATE ISSUED
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JOB ADDRESS: / `'I .Z � �� TAX MAP/LOT
SUB: &r PuyS j- —
LOT: LAND USE:
VALUATION: :L� CCl
OWNER SPCCI�L NOT��S ( ■
NAME: REISSUE OF:
ADDRESS: / ')�v _� 1 t _ k Y�s� `,^ ��d - LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND: _
— �_ -
CONTRACTOR /I APPROVALS REQUIRED
NAME: T. . _ r , - \ , Y ,_ 1-�► ,.l.T_ PLANNItIG:
ENGINEERING:
ADDRESS: -S-IS) N t,__1�,� " , r' — -
���� FIRE DEPT:
PHONE: (� 2�3 `��r �s --- OTHER: - —
CONTR. BOARD #: 1 C_ EXP DATE: �L.-1�__.�
ITEMS RE UIRFD
`,UBCONTRACTORS: PLUMB: w n. ___— LIST/SUBCONTRACTORS: _ !
MECH: ,.�,.� _ AWS TAX:
ARCH/ENGINEER CALCU0TIONS: --.
NAME: _1 , - __ TRUSS DETAILS: _
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ADDRESS: z - _ OTHER:
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PHONE: _� ---
PROPOSED BLDG. USE: _��,..� 2ncr� ,A,CI�.a-'.o�JLL r' —
COMMERfS
APPLICANT SIGNATURE i
Rece i ved B) : __ — Date Received: _A
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PO. BAL. DUt
3
���3 10-432 00 Building Permit Fees
• Z'� 1
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 Ol State Building Tax (5X) - '
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee1��
Building
Plumbing
Mechanical
10-230 06 Fire
30-2.02 00 Sewer Connection _
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
1 25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass ' ansit TIF Fees
( 52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in 'iieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
TOTAL 2
nm/3587P.WPF
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Td4�r�i�!-0I'�(AkA>".,, rfKfi�;MIWsK 11�r1 c�•k1GFrt . .. -. ,.. ...Y _ .-__._
NAP-16---FK 1,1EU 10:02 I rT.I TY OF KING CITY FAX 110:303 539-37T 1 "602 P01
Post-It"brand fax transmittal mama 7671 Morp.pes•
Tb From
KING CITY
Dept. ^ Phone
6.9�) N/_
1D S.W.116th Avenue,sting City,Oregon 97229 Phone: Prr
Fax NJG
COMMUNITY T -
APPLICATION FOR
(Instructions on reverse)
13
1. NAME OF APPL I CANT: Phce U S/76 '
ADDRESS: - L.;.c�`
ADDRESS OF PROPOSED
2. TYPE. OF CHANGE, IMPROmoNT OR OGNSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - AMCH 'IWO COPIES OF P ,S OR DRAWINGS OF
FROPOSED PROJECT: �s�v:, 1_ � o , ` .r'.r�cL-+y e
3. NAME AND �A]) S F R�2c ti/,
,,7d;o �/1! /PHONE �ICFN
4. NEIGHBORS WHO MAY BE AFF'EC'TED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER/)t{IS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCHMISSION
MEETING NEXT HELD ON
RUMSENTATIVES NAME NO.
(?he. King City Planning Cognission pill consider only those applications received at least five (5) days
prior to a fleeting,)
51GNATURE - -
APPLICATION RECEIVED BY `z��.+E'p/�Pt .�C / ��n7 DATE' �1Y) /2 _3
i
APPLICABLE FEE RECEIVED -
PLANN I NG COMMISSION DC p o Deni
7
ITIId
1 14 112
P e app 1�_ valid far a' oonths on y
;ignat,lre Date C�L�.---.-
fiOTE: t atsehullders bar requires that all persons who cantrac! fa Wer Yeir, tecideuce be
gistered vith the Builders Board WA toeans the contractor i handednsured in the job site.
—,Pat your [atectI be sin your contractor is register callingn City Ball Ph: 639-4081.
�G—ALLC� �-' � c ���� �%� r-Q A
NOTE: A permit ffamt also be, obtained f an the City of Tigard Departmeent of
Camrurrity Development Yes. N?
CITY OF TIGARD INSPECTION REPORT
The Pbove listed project has been inspec,ed and Approved _penied_
Date _ Comments
Signature _
1 Hu,ld ing 4mpec to plea,da a. one I 1? copy t,� IGing CUU) '
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G YT Y Cif- T 1(ji-IRD - HEC L.T G OF PWML.iV l PEL',E. C PT NO. rj;"y
C IA17CI; HMOUN r u 1 t�►f,, ; 'f,
NAME a 'l P T...0 I T'Y PH.Ml:101'l,.I NG C01,31.4 (4111)UN T a �c�. 4►IX�
01,)T.+lai::b") a 5161 NW .l f,-14r) PL_f cc- PAYMl_N1 VATS: a t�w;JG19i'93
f'rJ121`[L}.AND, UP SLI8D T V]S I UN
PLlli{.'ClGF OF PAYME-MT AMOUNT PP T D PLIRPWE (A' Pli-T'YWN7 ���1f71.,lr,l l PAID
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1 11:tl_l')INU PE.Plyl t,A;H 0 ST, BUT1,D PER .. 1
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I f 1 i AL. AMOUNT PPID
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