15937 SW KREICK PLACE IM; 1G,ww-rr• I A IN I ";` i.',�, IM1•f•� rMll•MMILA'•+SAM' awawM«arr+*MrTMrt '�#'Rr'rrm.r9acr v4.w _
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February 1, 199h ( CITY OF TIGARD
OREGON
CELORIE,C JEANNE ` J/
15937 SW KREICK PL
TiGARD,OR 9,1224
RE: 111FRMiT 4SWR94-0393 at 15937 SW KREICK PL
y.
We issued a permit for this project on 12/7/94, however we have no record of any inspection being �
performed.
Permits expire if there has not been an inspection performed for over 180 days. in that case, the
Building Division may require a new application and lees to commence or continue work. The
City may also pursue civil enforcement if work has proceeded without the required inspections.
Please advise the Iiuilding Division, 1N WRITING, within 15 days regarding the status oi' this
nroi ut. Vou may request additional time to complete the protect. .
Respond, IN WRITING, to: Building Division, 13125 SW Hall Blvd., Tiig and OR 97223. Be
sure to inclLld.: the 161lowing information:
1. Permit 4. j
E
2. Address of property.
3. Your natne.
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4. Your day time phone number.
ij
if you are ready to schedule an inspection, please call our 24-hour Irapection Recorder at
639--4175.
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13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDA (503) x94-2772
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phorn)). 539-4175 business Phone: 639- 1
Inspection: e
Foc'ing Susp, Ceiling Sprink. R,)Lgh-in Appr/Sdwlk
Fou id:uo o Plbg. Underslab Meeh. Rough-in Fireplace
Fust,Sear i Sa Urt. Plbg. Top Out Elec. Rough-in FINAL:
Post Beam Mech. San. Sewer Gas Line -BBlcig.
Plbg. Unde poor R:iin Drain Framing Plumb.
Alarm Water Line Insulation Mech.
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J Under}Ir. Insul. Sh9ar Wall q Gyp. Bd. -Elect. ■
Date Requested: – J ! / Time: AM PM '" '
Address. 1 f KlIx—f,G
tg Builder CGIJ� / `y C,rLiST Peirfn"t'Tt'r
�. THE FOLLOWING (-')RRECfIONS ARE REQUIRED:
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Ir ,pectora Dater a
4P•Pt''�OVE D DISAPPROVED APPROVED S'1P'LCT TO ABOVE
_Call For 'ieinsp.
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CE:RT 1F .CAT (.kCIT'1( OCCUPANCY
OF
i'C:F�Id I T' d#. . . . . . . a Mt.aT`�'+--C!�4�r i
h DATE ISSUED: 06/107/95
y COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W FAN Blvd,Tigard,Oregon :7223.8199 (503)839.4171 PAFiCEL R i2 r—,I 1 11)C -14' rti�
SI1L AI)L'F?t`C3f3. . . : 1 `: T W KR IC VI PL"
I �;UBDIVISION. . . . a KNREICI< MEA�1C1W'`; ZC1h1ING:Ft '7
BLOCK. . . . . . . . . . : Ll7T. . . . . . . . . . . . . :
} CLA F, OF WORK. :NEW
TYPE:: OF U£'*iE. . . a 5F
OCCUG='ANCY a 5N
OCCUPANCY LOAD:c
I
r:eamar k� a PATIA I
1: IJUR U CONSTRUCTION {
): 0 B(..)X 1577
)3C'.pVC.p1r-)N OR 97075
FOUR D C.ONGTRUCT ION
PO BOX 1.57'7
EIEAVF-F I'm OR 97075
>''h o mv
Peq !1. . '71037
)h.iq Cer tiftcarte Yranfiffi or_r_t.tpatney of the above ve.�fe•-encbuilding nr par�tiO"
then^eof and conf`ir^me' that the building has been inspe.^tred for c:ompl ianr�e with,
the Stage of Oregon Specialty Codes for the group, ccl.tp ;cy, aarld use 1,mclpr
which the r-vf rr'canoed per^9it was issi-ted.
E'uir--4 I1�1!�t'F.CT . BUILDING OFFICIAL
ICI.f�L
po sT IN CONSPICUOUS F'F_ACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businass Phone: 639-4171
Inspection: lc .;'Vlcy
�
Footing Susp, Ceiling Sprink. Rough-in Appr/Suwlk 1
Foundation Plbg. Underslab Mech. Rough,'.-, Fireplace
d
F'ost/Beam Struct. Plbg, Top Out Elec. Rough-in P'INAI_.
Post/Beam Mech. San. Sewer Gas Line -Blot-
Plbg. Underfloor Rain Drain Framing -Pluma.
Alarm Water L'ne Insulation -Mech
r
Undsrflr. Insul. Shee.i V II Gyp. Bd. -Elect
Date Requested:__ - J- S _Time: AM
Address: � �3 7 1IJ e
Builder: ' 'Y0 Permit #: Inv-
THE FOLLOWING CORRECTIONS ARE REQUIRED: -22- l y'Vs
Inspectu . li /L - Date:-
-APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Heinsp.
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CIT ' OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lire (Rec-O-Phone). 639-4175 Business Phone: 639-4171
1,-soection:
Footing Susp. Ceiling Sprink. Rough-in Sdwlk
Foundation Plbg. Underslab Mech. Rough-in F lac
Post/Beam Struct. Plbg. Top Out Elec. Rough-in NAL: J
Post/Beam Mech. Sart. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech.
Underflr. 'nsul. Shear Wall Gyp Bd. -Elect.
Date Requested-- -Jr Cf S 'rime: AM AM V' PKI
Address:
Builder: ! __ Permit M9/�— o y y,
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
-- 7Z�>- 7y'-15-
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12
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lr,saector.
Date:
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APPROVED DISAPPROVED hPPROVED SUBJECT 10 ABOVE
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XCITY OF TIGARD BUILDING INSPECTION NOTICE �'�'"
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Inspection Line (Rec•O•Phone): 09-4175 Business Phone:
639- 71 bu`m�7'c t
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Inspection:lFooting Susp. Ce;'ing Sprink. Rough-in Apriadwlk
Foundation Plbg. Underslar. Rough
-in Mach.
Post/Beam Struct. Plbg• Too Ou, Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Nall Gyp, Bd. -Elect.
Date Requested: Tlrn e:� PM
Address:
T%,
Builder: Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: 1
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OD DISAPPROVEn APPROVED SJBJECT T ABOVE
__Call For Reinsp. p
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businesa Phone: 639-4171
Inspection: _
Footing Susp. Coiling Sprinl, Rough-in ppr/Sdwl
Foundation Plbg. Underslab Mech. Rough-rn Fireplace
Post/Beam S? uct. Plbg. Top Out Elec. ROugh-.n FINAL_:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -PI imb.
Alarm Water Line Insulation -Mech.
'Jnderflr. Insul. Shear Wall Gyp. Bd. -Elect.
■
Date Requested: ` / Time: AM PM
Ad(jress: / �Yj ✓' 4-1-�. fc: `�`�- '
Builder:__ J I) - -,7 --z, 15, Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: 't
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Y r { fi Inspector: r ff Dater
APPROVED DISAPPROVED ><APPROVED SUBJECT TO ABOVE I
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_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE .4"
(odY Inspection Line (Rec-O-Phone): 639-4175 Business Phone:
Inspection:
"T;r
Footing SusP• Coiling S rink. 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 Lin-3 Insulation -Mech.
UndedIr. Insul. Shear Wall 4� _~'✓ --
•Elect.
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Date Requested: Time: AM PM �`raf �.
Address:_ / 15 �(:.�-C- '
Builder:
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f t � ',e� } y¢i f�¢ �'•..
ppv;
Inspector: Date:/
PROVED _DISAPPROVED _APPROVED SUBQECT TO ABOVE
_Call For Reinsp.
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CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): X39-4175 Business Phone: 639-4171
Inspection:
Footing SLsr. . Ceiling Sprink. Rough-in Appr/SdwIK
Foundation 'Ibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech.. San. Sewer Gas Line -Bldg.
Plbg. Underflcc.x Rain Drain Framing -Plumb
Alarm Water Line Insulation -Mech. 'S
Underflr. Insul. Shear Wallyp B -Elect.
Date Requested: >J I /�� Time: AM _ PM
Address: J� C, ?� ?_�
Builder.
Permit #:
THE FOLLOWING CORREC-IONS ARE REQUIRED:
Inspector:_ Date:
APPROVED DISAPPROVED ':: 'PROVED SUBJECT TO ABOVE
Call For Reinsp.
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k� �r CITY OF TIGARD BUILDING INSPEC i ION NOTICE
rir r >x . [Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 1
Inspection: _ n
f : �!
' Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab etch. Ro�a�✓+C_Fireplace
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Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lino -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. ,
Underflr. Insul. Shear W72-
l Gyp. Bd. -Elect. ,
Date Requested: 1 s Tim 9:Y __PM ■
Address: Z J!2-37
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Bu.,der: Permit #:
MEW
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THE FOLLOWING CORRECTIONS ARE REQUIRED: 6�4 4uAsr u
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1 (fit
l.,b yyy� L jA'l
Ins actor: Dat
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
i _Call For Reinsp.
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CITY OF TIGARD bUILDING INSPECTION NOTICE
Inspection Line (Rec•O-Phone): 639-4175 BusinessP 639-4171
Inspection:
i t
oting Susp. Ceiling
r ��$prink_. Rough-in AppriSdwlk
oundation Plbg. Underslab �%ch. �
`
-fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: "4 "
1�
Post/Beam Mach. San. Sewer Gas Line -Bldg.
"Ibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Linensu alio -Much.
1 Indeelr. Insul. Shear Wall Gyp. Bd. -Eloct. {`�s rba4l i b`7
Date Requested: / 5 Time/�( AM PM
AddreSS:""'��'�T"'
Builder: Permit
THE FOI LOVYINGCRECTIO"'S ARE OL'INEG: Y'.
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Inspector:_ Date: Q�
APPROVED DISAPPROV APPROVED SUBJECT TO ABOVE
_Call moor Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Ph 171
1.Ly
Inspection: ��-
Footing Susp. Caili; g Sprink. Rough-in AppNSdwlk
�n!:1ndation Plbg. Underslab ech. Rougn Fireplace
Post/E?eam Struct. Plbg. Top Out e`er_Rough-in FINAL:
Post/B4,im Mech, San. Seweras '_ine -Bldg.
Plbg. Urnderfloor Ra;n Drain raming'� -Plumb.
Alarm Water Line s i n -Mech.
Underflr. Insul, Shear Wall Gyp. Ear' -Elect.
Date Requested: C C, Time: AM PM r
Address:
Builder:` Permit #: 1-7 y J —T�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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-Z Fug,✓'�' r�?%?� v��NTJ G�i,�c�cT— J,yT'C., _
CdL-"Cc I—/oAt,S r/ T firS61/Q7-1 iv
Inspector: Date:
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO/, OVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6Qz/
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam S' uct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beare Mect,. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested- �f �`/ Time: AM _Z_PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REOUIREC:
tol
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Inspector: Date:
�3� 5
:A PROVED _DISAPPROVED Lel PPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTIO4 NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Ph, 639 4171
Inspection: E
Footing Susp. Ceiling Sprink. Rough-in Aop' Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fneplace
i
Post/Beam Struct, Plbg. Top Oot Elec. Rough-in FINAL:
Post/Beam Mech, San, Sewer Gas line -Brig.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. In.sul. g h' Gyp. Bd. / Elect.
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Date Requested: _ Time. AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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rt' A
Inspector:
Date:J�L�`'�--��- _
_ PPROVED _DISAPPROVE _APPROVED SUBJECT TO ABOVE
Call For Reinsa.
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INSPECTION NOTICE
City of Tigard Building Departesttt
13125 BW Hall Blvd. Tigard, Oregon 97223
inspection Line (Roc-O-Phone)t 639-4175 Business Phone43 -4171
Inspections
Footing Plbg. Underslab !loch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Pp c.a Btrud San. Sewer Fram.nq -Bldg. `
i a
t/Beam
Ra
in )ra. Insulation -Plumb.u
�:.F.
Plbg. Underfloor Water lin, Gyp. ed. -Koch.
Date Requesteds , Timwt _,_AM PN
Aadreest � � � vi �- ' �-�C � Permit it
Builder:
THE FOLLOWING CORRECTIONS ARE REQVIREDt
A
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Inapact or: i _ Datfs
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cail For Reinap. K
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::/9j ✓ INSPECTION NOTICE
Cityof Tigard Building Department li
{ 131.25 80 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: -4171
Inspection: j
Faiting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct. eyaw3r Framing -Bldg.
Post/Beaty Hoch. R81'Ti D in% Insulation -Plumb.
lbg. Underfloor lister_LL n-e Gyp. Bd. -Hoch.
�
Date Requested- Time: AH pH
Address: C1 J T C% L
�-_ Permit /
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector: �" —
---- Date:��•���� ,
--_ PROVED DISAPPROVED s APPROVED SUBJECT TO AB
0VE
_a _Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Depart—t
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)e 639-4175 Business Phone:
Inspections --
Footing Plbg. Undarelab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Mectw
Date Requested>_ /21/ (vL� Time: PM
Addresesr/ / ✓ 4�C� G�TSmi�ls J L, ■
Builders —
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dates.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION Nary*
city of Tigard Building Depertasnt al,
13125 M Ball Blvd. Tigard, Oxm9on 97223
t Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4 71 !
i-
Inspection:
I
Plbg. Underslab Hoch. Rough--in Appr/Sdwlk
i� Plbq, Tip Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rein Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. ad. _
-Nec •
C
Date Requested: Timet PN
_ CL
Address: -Parmit f: C�� � 7 A
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Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.�...a:;; ms's;�i ✓� .��Y .n �
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Inspector:_ Dates
'APPROVED DISAPPROVED 4"P"OVED SUBJECT TO ABOVE
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Call For Seinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
!• 13125 8W Hall Blvd.Tigard,Oregon 8,223.8108 (503)830-4171
1='ERM I T #. . . . . . . : MST94---0441
6s9_�4:t i`.1 DATE I:3SUED: 12/07/94
G"Il1F�(-E-L: 21S 1 11 DC--KIyI003,
SITE ADDRESS. . . : 159:37 SW KREICK PL
ISUNDIVISIDN. . . . : KREICK MEADOWS ZONING: R-7
:.b
BLOCK. . . . . . . . . . 1_01'. . . . . . . . . . . . . r�V::•
----___--------------__._-__._--._-____ BU l LD I.NG -
REISSUE: DWELLING UNIT, : 1 BASEMENT. . . . . . . . :0 s f
CLASS OF WORN.. :NEW HEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :418 sf
TYPE OF UE)E. . . :51" FLOOR AREAS __._...._.__....... . ._.. REQUIRED SETBACKS__--_-._______ �
TYPE OF' CONST. :CN FI RST. . . . :850 ss f Lk F T. . :6 ft R I CHT'. :5 ft
OCCUPANCY GRP. :R,3 SECOND. . . -.701 sf• F-RLNT. :20 ft REAR. . :48 ft
STORIES. . . . . . . :c FINBSMENT:O S REDIDIRED- -___.._.__.______.___._..•
HEIGHT. . . . . . . . .25 ft TOTAL------.---: 1551 s SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ s 107089 PARKING, SPACE S. . : 1
Remarks: PATH I
_._________..____._____•_.__,__________.___ PLUMBING
SI1\11A5. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVN7RS. . : 1 +:
I._AVATORIE.S. . . . . :4 WATER HEATERS. . . : 1 TRAFs. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :_ LAUNDRY TRAYS. . . :0 CATCH SAS INS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :o
DISHWASHERS. . . . .. 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH 1 SF RAIN DRAINS. . : 1
MECHANICAL —____._. .________.___._ ___.______._____ FEES _._..._____..__.__._.._.__.._...
FULL T'YPEr__._______._._ UIvIT HTRS. . :0 type amount by date rec_pt
/GAS/ / J VENTS . . . . . :rtr TIF $ 1550. 00 KS 12/07/94
MAX INPUT:O STU VENT' FANS. . :4 SWM $ 1.00. 00 KS 12:/07/94
TURN ( 100K . . : 1 HOODS. . . . . . : 1 SWM $ 180. 00 KS 12/07/94 -
FURN ) =1001, . . :0 WOODSTOVI S. :0 BF,RT $ /4-53. 00 JF 11/15/94 94
FLUOR F'URN. . . . 10 CLO DRYERS. : 1 BPLC $ 294. 45 KS 12/0.7/94 —
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 B5PC $ 22. 6:a KS 12/07/94
GAS OUTLETS: 1 PARK $ 500. 00 KS 12/07/94 —
Owner: --______._.._..._._ _•__._..___..._...__.....,___.__._.—_____. _.1+1PRT $ 43. 50 KS 12/0"//94
FOUR D CONSTRULTION MPLC $ 10. 88 KS 12/07/94 —
ID 0 BOX 1577 M5PC $ 2. 18 KS 12:/07/94 —
3ST1-1 $ 225. 00 KS 12/07/94 —
BEAVERTON OR 97075 P5PC $ 11. 23 KS 12/07/94 -
t'harlle #: 641-0935 EROS $ 64. 00 KS 12:/07/94 —
Contractor-: --_.____ _......._..___..__ __ __.______.._____EFthC $ 20. 80 KS 12/07/94 —
FOUR D CONSTRUCTION ERPC $ 2:0. 80 KS 12:/07/94 -
q� V,O PDX 15.77
1 BEAVERTON OR 97075
1
1 Phone #: 641--•09.35
Reg #, . : 710;37
_____._,3498. 51 TOTAL __-----...
This permit :s 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 Insp
applicable laws. All wark will be done in accordance with approved POst/Peale Str-IACt Gas Line Insp
plans. This permit will expire if work is not started within 188 Past/Beam Mechan Insulaation Insp
days of issuance, or if work is suspended for re than 188 days. p'lm/undslab Insp Gyp ,Board Insp
PLM/Jndei•floor Rain drain Insp
Permittees U yllclt rre :�,,: :�`- Mechanical Indo Water Line Insp
Plumb Top Out Appr/Sdwlk Ins;;
Issued cky : `, Framing Insp Mechranical Final
Coal) for inspection 6:39--4175
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T I CARD PLUMBING
CITY �F 6'C-:RM11 #. . . ,. . . . . MaT94--0441
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/07/94
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (603)630.4171
PARCEL: 2S 1 1 1 DC-KM003,
i1. i E 0D0RES') : 15937 5W KREICK F I._.
;L1N1_�Iv15IUN. . . . ' KREICK MEADOWSZONING: R-7
L�I_i7Cl' LOT. . . ` • . . . . .
(✓I_(+S i Cf-` WORI-.. . :NEW GARBAGE DISPOSALS. . : 1
YPE--* OF USE:. . . . :SF" WASHING MACH. . . . . . . : 1 BACKFLOW F'RE:VN"FRS. . : 1
i?lCLUPONLY 13RP'. . : IR3 FLOOR DRAINS. . . . . . . :0 TRAPS. - . . . . . . . . :0
b I OR i E`�. . . . . . . . : WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURE..)-- __.._ _-..__._._.__ LAUNDRY TRAYS. . . . . . :10 SF RAIN DRAINS. . . . . : 7. I ■
51NK5.. . : 1 GREASE TRAPS. . . . . . . ..0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . .0
TUI?/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . ., : 1.00 �
UISHWA'S'HERS. . . . : 1 RAIN DRAIN ( ft ) . . . . :0
Remarks : PATH I
OWNER: ---______._.__________._.__.------.._.___.___.. _.._._.. ._____ ___.____FEFry-_-_.-------_.-_-_
FOUR D CONSTRUCTION TIF $ 1550. 00 KS 12/0'7/94 -
P 0 BOX 1577 SWM $ 100. 00 KS 12/07/94
SWM $ 180. 00 KS 12/07/94
BEAVERTON OR 970.75 OPRT $ 453. 00 JF 11/15/94 94
Phone #: 641-0935 BPLC $ 294. %5 KS 12/07/94 -
J 7 I' 85PC $ 22. 3 KS 12/07/94 -
f= Iumhirig Contractor. T` �^,� PARIS, $ 500. 00 I',S 12/07/94 -•
T MPRT $ 43. 50 KS 12/07/94 -
IJ, : ._` r.1�N�� hIF'LC 4 lk�. BC3 K`7 li /Qli'/�3/f -
Address C 1�._.._r,��Y._..1. ... _ M ;F'C $ 2. 18 KS 12/07/94 --
Lity : Vf �st.atca : 1^F' 0_ 3BTH 't � '� x. 00 KS 12/07/94 --
a.r_ _........_.. _... ��•-•
Zip �L F'han...c'#:..._ 4' otzl,' i,5PC $ 11. `5 KS 12/07/9 + --
Re_ #: lJ� Additional fees not shown here. . . . .
__...___....._._. REQUIRED INSPECTIONS ---
i
! Phis pe-omit is issued subject to the reel •_
it
mations contained in the Tigard Munic.ip'al Foot/fou-o' Insp Rain crain Insp
Code, State of Ore. Specialty Codes and all Poet/Beam Otruct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. Thiq F'lm/undslab Insp Muc:hanic_al Final
permit will expire if work is not started PLM/Underfloor F'lumb Final
within 180 days of issuance, or, if work is Mechanical Insp Building Finai
suspended for, more than l80 days. Plumb lop Out Erosion Control
Framing Insp Wtr Proofinq Bsm
Fireplace Insp Crawl Drain
Gas Line Insp F'tg Drain I3sm1t
/' � Ins.l-e l a t i a n Insp
O y p B n a n d i r:s p
A_itl ori �ed F' '.imbirig Contractor Signature
I::all for inspection -- 639-4L75Con1:r�,actor Note—
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-CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECT ION
13126 SW Hall Blvd.Tigard,Oregon 97223.9100 (503)630.4171 f-'C RM I T 1
PERMIT #. . . . . . . . 5WR94-••0393
C•sr� 41 i a DATE ISSUED:
ie
PARCEL: ."i 1 1 1 DC--KM00,i
SITE. ADDIRE5S. . . : 1.':39 5W „RE I CV ;"I_ t
SI(JDDIVISION. . . . : rs 'iL1GF: MEADOW,") ZONING: R-7
{LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE: UNITS. . .
CLA53 0F= WORK. . . :NEW DWELL_ING UNITS. . : 1 �
TYPE: OF USE. . . . . :SF NO. OF BUILDINGS: !
INSTALL TYPE:. . . . :DU5WH IMIDE-RV SURFA'k:.L-:. .
RNnarks : PATH I ■
FEES
FLUR D CONSTRUCTION ";ewe _imal_rnt by date recFpt I
P U BOX 1577 PRMT !; 2200. 00 KS 12/07/94 -
I1\15P $ 35. 00 KS 12/07/94
E',F_AVER-PON OR 97075
Phone #: 641•-•093
i
Contractor: ___..___.__._.--- --_--•--_._____._________
CON 1 RAC TOR NOT ON FILE
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Phone ##: t 22,,.,. 00 TOTAL
Hera #. „
REQUIRED I NSVIECT I ONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
i of the unified Selvage Agency. The permit expires 160 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 fl-nil
the distance given, If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the Agency will install a :ateral,
I:•F,r_.n ri t;ee 5i natu� e:
i s s i.r e cl N y •
Call for inspection — 639-4175
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Residential-Buildi.ing Pc=mit Appiication
3
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: `-
-, Office Use Only
Subdivision: d=_I•:_I( K lylr_.�� w� Lot#
Planck/Rec #
Valuation: �' 03'I —
fl S y� oyy� ■
Permit# _
Corner Lot? Y yN
Reissue of
Flag Lot? Yi N--'' �
Map & TL# .2 -S III DC M >�YY► ��3
Owner: {K L C tis t YZUC T iU►J Approvals Required.
Address: • x 1571 Plannin
yew-IT-) ��f� `11 15 Engineering
�G
Phone: �y ( ` 93 S Other
Contractor: tA Vol C F'`� r-,�[&I)v E Items Regulred
Address: Subcontractors —
Truss Details _
Phone: Other
Contracto,'s License #
(att::ch copy of current Oregon license)
Contact Name & Phone: tP,i-e '+'c'f-r
Subcontractors: Architect/Engineer:
Plumbing: �' y-`l_(.l M 13)r.l h Address: I`�>I S 0.(,-J , 1,?�_ —'A V C
Mechanical: C.I Q L T Y HEX- I-IKI L, -
Ii,-6 9.-rL_�,A 0 0
(attach copy of current OR Contractor's Licensei
Phone: Z-
2-S z6L
JOB DESCRIPTIO"!
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Applicant Signaturf& Phone nuT69fl
Received by: L Date Received. 1
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N\WORMCOMOEORESAPP
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Permit# Account Cascription Amount Amt. Pd. Bal. Due P II
-3.
jest 1441 Bldg. Permit (BUILD) h�•7 —
I
i Plumb. Permit (PLUMB) Z i% 2 ' t
k
Mech. Permit (MECH)
State Tax (TAX) _
f
Bldg: -2;�.6 y
Plumb: _[!, z
Mech: 2"
Plan Check (PLANCK)
■
Bldg:
Plumb:
Mech: /1",
_amu� l-y 3 f 3 Sewer Connection (SWUSA) -2- Lc,✓
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) r
i
Industrial TIF (TIF-1) '
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT) _�
Erosion Planck/USA (ERPLAN)
Erosicn Planck/COT (EROSN)
TOTALS:
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FOUR D CONSTRUCTION CO,
PC)ST GFFICE BOY 97075 ■ PHONE (503)64'1-CiQ
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l:A I Y (it f 1t.it11111 ttF: l•F..I I-�1 t)t !!(tYMF 1V I F<k t t:.1 N'I IVI..f, a'�u "',y 3'�,ti
�,Jil .t,14 HMIJUN 1 : h4Fla. 51.
NAME a FCJUR r) CONISTRUC;T ION t.,Ht'._itI HMOUNI
' aIDDRUEp?-i a l'AWOI NT D141F. 94
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PURP()S or- PAYMENT AMOHN't f='(4L[) OF t"AYMF'.N F NMt.tl_IN't PHIL)
BUILDING PERM 45 00 PI-OMla.l NH PF' RM 225. ON
MEA"JiON I(:`.Fal- PE 4:3. `,tll F311 . B011-0 1-+ R 36. 08
PL..FIN ('14F.CX FE 55. 33 !_,t_WF-,':R USA ei Wo• 00 I
"VIF
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00
SEWER INS
RES I DENT I NI.LT 315. 00 T RNFF I C; F'TMF:fy t 4 3Vt. �� Mi l�i�i� FiI")t: 500.RWN" I
I' t' T 1t F' hf:F W. 0N
t1t
L RT)fiQUIVL t.;CJN1"Rt�l., -1 Vy I11 F F.
180. 0 t C. t L�IJf�Pf"L I f Y t'(aC}I I_I T Y h F F 1►lltrt. Ilttr+ "
_ 4. tell E.Rf7i✓;.C(JIU I"t.1�d I ttUl,_ !-'I...ON f;K c'0. 8VA i
RCJI;AUN (;UNTRUL. Pol tlth
15937 KHEIG Pl..
KWIC% mv-AF)UWS) t_01
` t tJ 1 AL. (4M(.JI JN f PAID - ) `'x413,3
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