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'"` CITY OF TIGARD BUILDING INSPECTION NOTICE
x # Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
Foundaticn Water Line Ceiling Plumb.y
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Post/Beam Mech. Shear/Sheath Framing Mec
Plbg.Und/Flr/Slab Plbc. Top Out Insulation -Eiect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. - Ids,
San. Sewer Gas Line Appr/'Sdwlk'Yl Y Reins. k
Other:
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Date: A.M./� P.M.Entry.-CARti�
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Address: _.�'j' _ .Q...t..� L./�1 "G+ �,'' '
Tenant: Ste:_ ._. ,��ST
Con/Own:�- 7 �+ �1!L' BUP:
MEC:
PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date:
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-DISAPPROVED/CALL FOR REINSP. CF CO
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OCCUPANCCITY OF TIGARD PERMIT #. .. . . . . . MST95
COMMUNITY DEVELOPMcNT DEPARTMF;,;," DATE ISSUED: 05/20/96
l13128 SW Hall Blvd.Tiqard,Oregon 97223.8199 (503)839--6171 '
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PARCEL. 1 S 1�'5DA �CI.002
11111 SITE ADDRESS. . . 1 06623 SW 11,1146SV I I W CT
I 9U8V I V I S 1 nN. . . . t CHARLES ESTATES 01'41 HU: R �.
BLf)t�F.. . . . . . . . . . LOT. . . . . . . . . . . . . 117102
CL"'41�3 OF WORK. i NE:W
TYPE: OF USE. . . y 5F
OCCUPANCY GRP. A R 3
OCCUPANCY LOAD t 2
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Remarks : 110111 1
yOwner a _...._....._..._ _... .....__.._..._ ._._ __....._.....- _,._...._.
TOM ROG RS ":(.INST. LLC
P U BOX 8015&
N' PORTLAND OR 97c80
Phone #t 684--1193
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TOAs ROGE".R£
P U BOX 80152
PORTLAND OR 97260 `
j Phone #t 452-87e5 �
Reg #. . x 95900
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This Certificate grants OC'r:".rpancGy of the alcove referenced 4uilding or portion
thereof and confirms that the building has lasso inspected 'fcompliance witty
the ;tate of Oreg n Specialty Codes for the group, c rpancy, and use undpi-
which the rpfler^er ed permit was issued.
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BUILDING INSPECTOR BUILt7INC3 OF'F'ICIAL
POST 161 CONSPICUOUS PLACL
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 4175 Business Phone: 639 4171 ��
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Footing Rain Drain
Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Shaath Framing Mech „ ", 5;� Vii• + ",t ��
Plbg.Und/Flr/Slab Plbg.Top Out Insulation E)ect P 1 {
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bld ifr'
San. Sewer Gas Line Appr/Sdwlk Rens.
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Other:
Date: --�� A.M. P.M. Entry: .
Address:
i Tenant:_ _. Ste: _.__ MST: .
BLIP: w"
Con/Own: _ —.---- MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date: -
L--APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4111
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Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. (tIdg.
San. Sewer Gas Liner/Sdwlk pp '}�/Iy Reins.
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Other:
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A.M. .-�P.M. Entry:
Address: ._, ,. ✓ �i— `, a�� , I+'
Tenant:
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BUP: ht
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THE FOLLOWIN_ COW-_ ,,': JNS ARE EQUIRED: ELR:
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Inspector:
Date:
APPROVED X DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIG ARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-C-Phune): 639-4175 Business Phone: 639-4171
Inspection:
1
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
FoundaJon ^Ibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer r13,is Lane -Bldg.
Plbg. Underfloor Rain Drain Framinc -Plumb.
Alarm Water Line Insulation -Mec
Underflr. Insul. Shear Wall Gyp, Bd, Fit
Date Requested: ( _Time: AM __PM
Ad ' I
Address: ��
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Builder: Permit tl:/v1 �1 '
THE FOLL )WING CORRECTIONS ARE REQUIRED,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
rFooting
Inspection Line: 639-4175 Business Phone: 639-4171 Rain Drain Cover/Service FINAL: 1
Foundation Water Line Ceiling16
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Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulatior -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line ,i Appr/Sdwlk/y Reins. , . `� ['
Other: vg A
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Date: `2 �_ — A.M. _P.M. Entry: ��' �`
Address: U to
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Tenant:— Ste.__._..a. MST:�J _
BLIP:
Con/ wn: MEC:
PLM:
lTHE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ Ny
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Inspector:�/L� Date:
APPROVED —DISAPPROVED/CALL FOR REINSP. CF COirr +;
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t y CITY OF TIGARD BUILDING INSPECTION NOTICE r
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water line Ceiling
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Plbg.Und/FIr Slab Plbg.Top Out Insulation ft lac
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other:
Date: 2J A.M. P.M. Entry: C-
Address: �:�__ �-� ��-C1Z.<-cJ dit
Tenant: — _ Stw MST: 2s O�U
BUP:
Con/Own: ���3 3w r'(� MEC:
PLM:
ELC:
THE FOL!_OWING CORRECTIONS ARE REQUIRED: EL.R:
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Inspector: _ Date:
—APPROVED —DISAPPROVED/C<LFOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 839.4175 Business Phone: 639-4171
t; Footing Rain Drain Cover/Service FINAL: j
Foundation Water Line Ceiling
Post/Beam Mech, Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
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Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldn.
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other: - — - -----
Date: �,�\d1 -CI Y— A.M. P.M. ►—_ Entry:
Address: y \.aa.�.�
u; Tenant- 'FT-Ste: MST. U
Con/Own:_— - w 1 LP MEC:
_ PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: __—
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Inspector:) _ Date:
—.APPROVED —DISAPPROVED/CALL FOR REINSP. CFS CO
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CITY OF TfGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
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Foundation Water Line Ceiling
A�yr4 tf Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg.Top Ciut Insulation Elect.
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Post/Beam Struct, Mech. Rough in Gyp. Bd. Bldg.
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San. Sewer Gas Line Appr/SdwlReins.
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Other. ry� . It
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Date: �o A.M. P.M. Entry:_
Address:
Tenant: Ste.. t"ST: 0 3 ;"
Con/Own: ,--- MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date:
__APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
r< , Inspection: _ I
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.
Underilr. Insul. Shear all lad -Elect.
Date Requested: Time: AM PM
Address: L 2- 2� /� lr"`��' < •
Builder: Permit #: C� y C>
THE FOLLOWING CORREC I IONS ARE REQUIRED:
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Inspe..tor:2�9Date: O yGo
—APPROVED _DISAPPROVED _,g:�6f RROVED SUBJECT TO ABOVE
!Call For Reinsp.
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�a+�' CITY OF TIGARD BUILDING INSPECTION NOTICE
FF Inspectir,i Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 u
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Inspection:
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Footing Susp. Ceiling Sprink. Rough•inAppri'dwlk
hr-`) `b+', I', Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL: f"Y
Post/Beam Mech. San. Sewer Gas Line -Bldg,
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line nsulati -Mesh.
Underilr. Insul. Shear W II Gyp. Bd. Elr.c±.
Date Requested: �� - Time: AM PM
Address:
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Buder: 3 Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: t r,
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Inspector:_ Date:
—_APPROVED _DIS
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SUBJECT TO ABOVE �
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Call For Reinsp.
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Fr ° �r a4�D Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
`iPost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Bldg, 2
r,
Ptbg. Underflocf Rain Drain
Framing -Plumb.
Xarm Water Line Insulation -Mach. t F I DrS`1J y4c � ?
Underflr. Insul. Shear Wall Gyp, Bd. -Elect.
Date Requested:__ Time: AM PM
Address: t ^llYty +t
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Builder: _
Permit #: c.. _�
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THE FOLLOWING CORRECTIONS AHE REQUIRED: yi ' ?+ s
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_A�ED _ DISAPPROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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 Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam .".'ech. 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: k 'rime: AM PM
Address:��
Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.
_APPROVED _DISAPPROVED --AFRROVED 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 .�
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Inspection:
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Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
i 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 rami' -f C t-Plumb.
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Alarm Water Line Insulation 't r� -Meth.
Underflr. Insul. Shear Wall Gyp. Bd. -F_lect
Date Requested: Time: AM QPM ■
Address:_
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: 0 Date:
_APPROVED _DISAPPROVED ROVED 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 I
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/Roam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain \ ramin Plumb.
Alarm Water Line k 1_ Insulation -Mech.
Underflr. Insul. .$Hear Wy�l!' Gyp. Bd. -Elect.
Date Requested: `1 Time: AM PM
Address:_
Builder:
/ l Permit #: Cj� C%(p z.
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T FO LOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ / Date: / Z1
APPROVED '`'DISAPPROVED APPROVED SUBJECT TO ABOVE
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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-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 raming -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. hear W Gyp. Bd. -Elect.
DateRequesteb:_ "al Time. AM _PM
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Address:_�
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Builder: Permit #:
R THE FOLLOWING CORRECTIONS ARE REQUIRED:
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► APPROVED DISAPPROVED APPROVED SUBJFCT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Rusiness Phone: 639-4171
Inspection: s
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk E
Foundation Plbg. Underslab Mach, Rough-in Fireplace ,
Post/Beam Struct. Plbg. Top Out le Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Draing. -Plumb.
Alarm Water Line t&nsulation -Mach.
Underflr. Insul. Ila c Gyp. Bd. -Elect.
Date Requested:___ I (� I ( �' Time: AM PM
Address:_ ■
C� �,, � � �,/_ 22G"��L.'�-C.��U
Builder: 7 yy/ r Permit
THE FOLLO I C RECTIO S ARE REQUIRED:
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Inspector:
APPROVED 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
a Inspection:
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Alec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Undeiiloor Rain Drain Fra -Plumb.
Alarm Water Line Insulation -Mech.
■
Underflr. Insul. Shear Wall Gyp. Bd. -Elect,
Date Requested: I I �_.- ` (� _Time: AM PM
Address: ' —X--k L
Builder:. 7 Permit #:
THE FOLLOW IN 5FRRE.CTI10 S ARE REQUIRED
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Inspector:_ �Oltr Date:
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_APPROVED _DISAPPROVE _APPROVED SUBJECT TO ABOVE
.!Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Bgsiness Phone: 639-4171
Inspection: -
Footing Susp. Ceiling- Aprink. Rough-in AppriSdwlk
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.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requestod: �,��\�', iv Time: AM PM ■
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
X CSA V ME 1 C'o 1,4, c:/C
Inspector: ` Date:_ > ,9
I APPROVED 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: U f lL C r r
Footing Susp. Ceiling Spr'.nk. Rough-in Appr/Sdwlk
Foundation Plbg. Undrzrslab Mech. Rough-in Fireplace
Post/Beam Struct. -Prbg. Top Gut Elec. Rough-in FINAL:
Post/Beam Mech. ewer Gas Line -Bldg.
Plbg. Underfloor Aain Drain Framing -Plumb.
Alarm ater Lin Insulation -Mech.
Underflr. Insul. She all Gyp. Bd. -Elect.
Date Requested: I < j L- Time: ` AM PM '
Address:,
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspecto . Date-
PROVED
ate PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
FF` Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 _
Ir
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
i
Foundation Plbg. Underslab Mech. Rough in Fireplace
o� ea Plbg. Top Out Elec. ROU h-in FINAL:
..
os San. Sewer Gas Line -Bldg.
g, Underfloor; Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ■
Date Requested:_ c1 � Time: AMPM
Address: �) (� ZJ L�-�=4�� ■
U l Permit
Builder:
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
I
Date:
Inspecto .
PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
r Reins .
Call Fo p i
ti J
n
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639 4171 ,
Inspection:_
' . .,. Sprink. Rough-in Appr/Sdwlk
Footing Susp Ceiling
Foundation P IJ. Under')ab Mech. Rough in Fireplace
i BeStkuoL f'lbn up Out Elec. Rough in FINAL:
�.ost_--eaar
�rSewer Gas Line -Bldg.
Post/Beam Mech. •
- - Framin -Plumb.
Plbg. Underfloor Rain Drain g
Alarm Water line
Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect. �
.-I Time: AM �PM
Date Requested:_
Address: l G l •
Builder. Permit #: (7 a ` L �l L
THE FOLLOWING CORRECTIONS APE REQUIRED:
5 LC V
- - - Dater
Inspector:
PPROVED SUBJECT TO ABOVE
APPROVED —_DISAPPROVED
t Cay! For Rolnsp.
,,
s
�r.
`t
rq I
} AT.^'�a i'il 'rti w t"'-. h > r' ''....p 1..Adi �. ti`'Kij „$•'�r rFri .'.ri t;,, r4. ufa M''t'r,
CRY OF_TIGARD BUILDING INSPECTION NOTICE l
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
FootingSusp. Ceiling Sprink. Rough-in Appr/Sdwlk
unda' Plug. 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 Plum.
l
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall J. ( c, Gyp. Bd.
-Elect.
Date Requested: i I �' ` ` Time:�AM ____PM .
Address:
Builder._y
3 4'f Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l
,--
Inspector:_
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
X11 1 CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �—
o"F otin - ' / 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.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Show Wall Gyp. Bd. -Elect.
Date Requested:__ (f �I Z-U Time, AM PM
Address:^
Builder: Permit q:�} ' j�/S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_¢— _ v cid _
71
Inspector: �' ' Date:
_APPROVED _DISAPPROVED ,PROVED SUBJECT TO ABOVE
_Call For Reinsp.
l PLUMBING PERMIT
MS
CITY OF TIGARD
E�F`E�h1I T #. . . , . . . 1'95-0402
COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUED: 11/15/95
13125 3W Hall Blvd.Tigard,Orogon 07223.8109 (503)839.4171
,ARCEL: 1!,�i `
p `DA-CE002
SITE_ ADDRESS. . . : 0662'3 GW K I NGSV I EDW CT
SUBDIVISION. . . . : CHARLES ESTATES ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . .
CLASS OF WORK. . : GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :NEW WASHING MACH. . . . . . . : 1 EACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :SF F`L.00R DRAINS. . . . . . . : Q� TRAPS. .. . . . . . . . . . . . . : 0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . :h CATCH BASINS. . . . . . . . 0
FIXTURES...---.-----.-.------- LAUNDRY TRAY . . . . . . : 1. GF RAIN DRAINS.. . . . . : :1 �
SINKS. . . . . . . . . . . 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . : 4 OTHER FIXTURES. . . . . : 0
TUB/GROWERS. . . . : 3 SEWER LINE (ft ) . . : 0
WATER CLOSETS. . : 3 WATER LINE (ft ) . . : 0 ■
DISHWASHERS. . . . 1 RAIN DRAIN (ft ) . . : 0
0
Ra�*•�, t-� : PATH I
i
OWNER:
'Tf_1M ROGE'RS CONST. LLC TIF 4, 15x)0. 00 JDA 11./15/9°- 95-272929
P O BOX 80152 5WM $ 180. 00 JDA 11/15/95 95--2729iR9
5WM $ 100. 00 ..JDA 1. 1./15/93 95•-272,1)2 9
'.,(3R-CLANI) OR 97280 EI_CF $ 160. 00 JDA 11/15/95 95--272329
Phone #: 684--1193 ELC15 $ 8. 00 ,JDA 11 /15/95 95--272929
ELRP $ 40. 00 JDA .i l/15/95 95--272929
Plumbing Contractor:-__.___._,__.._ _ _._._._.._._.... F'I...R5 t ='. 00 JDA 11/15/95 95-•27,''929
BPRT $ 463. 00 J DA 11/15/95 95-27292'9
Name :SAC.K COZMANF�LUInk311UCa �.._...�. DPIJ., $ 3 Ol;). 95 JDA 11/15/95 95 .-,27�"929
Address : }tel S( S B 5F'C $ 23. 15 JDA 11/15/95 95-272929
City1►�Q1 .L(�t�1.?17. ._ _.._ ;tet ate:_.�!� _ F='f1RK $ 500. 00 JDA 11/15/95 95-27:929
Z i p:_...gZ.�LZ� Phone#:.,_7joff (pc q P4F'R"f s 46. 50 JDA 11/15/95 95-272929
R e c1 Ad d i t i oil A 1. f e e s n o t s h o w 1-1 h e r,a. . . . . . . . .
REQUIRED INSPECTIONS
- - - ---
This permit is issued subject to the rag-
1-it,ations contained in the Tigard Municipal Footing Insp Low Voltage
E Lode, State of Ore. Specialty Codes and all Foundation Insp Fi.rep).ac:e Insp
i other applicable laws. All work will be done Frost/Beam Struct Gas Line Insp
in accordance with a-.Appr-oved plana. This [Dost/npam 11?ch7<an Insulation Insp
permit will expire if work is not started Crawl I!rain Gyp Board Insp
within 180 days of issi_<<ance, or if work is Pim/undslab Insp Rain drain Insp
sl.lspended for more than 180 drays. PLM/Underfloor Water Line Insp
Mechanical Insp Water Service In
Plumb Top Out Appr/Sdwll< Insp
Electrical Servi. Electrical. Final
Electrical Rough Mechanical Final
_...._.___.-._ F)�a m i n q I n s ri Plumb F'i n A l
A�_�thor zed R1�_rmbiny Contr^a¢ or Signature
Call for inspection - 639-4175
Contract o r N o t e
an,„”
1
CITY tJF TICARD 1AE #ERMI . . MI�M1- 1 ; ST95—r7.,t+0
co
+ COMMUNITY DEVELOPMENT DEPARTMENT DFl rE iSL1E D` 11/15/95
(_ •
13125 SW Hall Blvd.Tliard,Oregon 07223.6100 (603)539-4171
aITF ADDRESS. . . 06623 SW KINGSVIEW rT
GUSID I V I S I ON. . . . : ^HARL-ErS ESTATES ZONING:
E{L_Orli. . . . . . . . . . . I_OT. . . . . . . . . . .. . . :001--'
Remarks: PATH I
--------------------------- BUILDING --------------•------------------•-------------------------- ..---
j REISSUE: STORIES,.,.,,.: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-----------__
CLASS OF WORK.:NEW HEIGHT........: 25 FIRST....: 884 sf GARAGE..,.,: 40@ sf LEFT..........: 48 SMOKE DETECTRS: Y
TYPE OF USE... :5F FLOOR LOAD....: 40 SECOND.,>: 746 sf FRONT...,.....: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNIT;,: 1 FINBSMENT: @ sf RIGHT.........: 5
OCCUPANCY GRP, .-R3 BDRM: 3 BATH: 3 TOTAL------: 0 sf VAI_Ur,.i: i11904 REAR........... 31 w
----------------------------------------------------------------- PLUMBING -----------------------------------•----------------------------
SINKS...,...., : I WATER CLUSLTS.: 3 WASHING MACH,.: I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS,........: 0
' LAVATORIES.... : 4 DISHWASHERS...: 1 FLOOR DRAINS.,: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS.. 0 t
TUB/SHOWERS.,.: 3 GARBAGE DISP„: 1 WATER HEATERS, : 1 WATER LINE ft: 0 BCKFLW PREVNTR: 1 GREASE TRAPS.,: 0
! OTHER FIXTURES: @
' --- -------------------—-------
---------------- ------- --- MECHANICAL ------------------------------------------------ ---------------
FUEL TYPES------------ FURN ( 1@0K ..: 1 BOIL/CMP ! 3HP: 0 VENT FANS.....: `, CLOTHES DRYERS: 1
/GAS/ i / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS........,: I OTHER UNITS...: I
MAX INP,: 0 BTU FLOOR FURNACES: 0 VENTS........,: 0 WOODSTOVES.... 0 GAS OUTLETS...: 1
I -------------------------------------------------------------- ELECTRICAL -----------------------------------------------------------------
UNIT---
-----------------------UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--•- —-MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp.,: 0 0 - 200 amp..: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 2 201 - 400 amp..: 0 201 - 4@0 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: @ PER HOUR.....,: 0
LIMITED ENERGY,: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 LiGNAL/PPNEL...: 0 IN PLANT......: 0
KW HM/SVC/FDA: 0 601 - 1000 amp,: @ 601+81ps-10Oe v: 0 MINOR LABEL -10: 0
IN*+ amplvolt.: 0 ----------------------------------- PLAN REVIEW SECTION ------------------------------------
Reconnect only.: 0 )=4 RES UNITS..: "SVC/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
„r
---------------------------------------•---------- ELECTRICAL - RESTRICTED ENERGY ------------.------------•---------------•--------------
A. SF RESIDENTIAL-------------------------- B. COMKRC14L---------------------------------------------------------------------------------
AUDIO 14 STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LND5C LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: ilFDICAL........: OTHR: :: µ
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
1
Owner: --------------------------------------Contractor: ------------------------------ TOTAL FEES:1 3769.41
TOM ROGERS CONST. LLC TOM ROGERS
P 0 BOX 80152 P 0 BOX 80152
PORTLAND OR 97280 PORTLAND OR 97280
Phone 0: 684-1193 Phone is 452.-8725
Req M.,: 95900
9
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 4
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days,
-------_----•----------- ------—----•------------------- REQUIRED INSPECTIONS --------------------------------------------------------
rooting Insp Ple/undslab Insp Electrical Rough Insulation Insp Appr/5dwlk Insp Erosion Control
Foundation Insp PLM/Underfloor Framino insg rvo Board Insp Electrical Final
Post/Beam Strur.t Mechanical Inso Low Voltage Rain drain Insp Mechanical Final
Post/Beam Meehan Plumb Top Out -treplace Insp Water Line Insp Plumb sinal
Crawl Drain Electrical Spry' Gas Line Water Service In Buildin Final
ei s
P r� m ii,t;e e t.:;i a rt IJ r•e : Z,,c-C ` ----_-. J s,s 1..r e cf D y : �
Ca II for inspection 639 4 17 ;
ry
'tt i
$ ', , t {, , F::�r".; •;V+aoi,Vib4'N.'�.71f1sw'ai'+b��' "'�tidr:t�VSC i r ,�.r
1` SEWER CONNECTION
°r
- 'CI-7Y OF TIGARD
PERMIT
PERMIT #. . . . . . . .. �WR9`j-04 57
COMMUNITY DEVELOPMENT DEPARTMENT HATE ISSUED: 1 1/15/95 0
13126 SW Hall Blvd.Tigard,Oregon 07223.6100 (603)630-4171
PARCEL: 1 S I C'SDA--CE002
SITE ADDRESS. . . : 06623 SW KTNI:�SVTf-W CT
SUBDIVISION. . . . : CHARLES ESTATES ZONING-
BLOCK. . . . . . . . . . :
ONINGBLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002
------------------_.._---_.._________.__.____ ________.----•--______ ___.____.______..__.___.__.___—•—
,.i TCw;?NT NAME. . . . . .
I
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : i
TYPE OF USE. . . . . :SF NO. OF BUILDING 1 "
INSTALL TYPE. . . . :BUSWR T MPERV SURFACE: III o f I
' w
Remarks : PATH I
Owner,: --------------------------------------------------------- FEES
TOM ROGER a CONST. LLC type amol.rnt by date N'�--r-ecpt--
P 0 BOX 80152 PRMT $ 2200. 00 JDA 11/15/95 95--272929
INSP $ 35. 00 .JDA 11/15/93 ` '3-27. 9 9 i
j PORTLAND OR 97280
1 Phone #: 684-1193 �lil
Canty-actor,: ---____.___.._____.__.---_____..--__---
CONTRACTOR NOT ON FILE
,i
Ii
Phone #: 9 ,,'2,35. 00 TOTAL
Rep #. . :
- — REQUIRED INSPECTIONS —.___....._._....
This Applicant agrees to comply with all the rules and regulations GVWC; r Tr15pec.ti.an
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given, if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the wi 1 install a lateral.
__-_-..__
c
..... _. __..__
Call for i n s p e c:t i o n -- 639-4175
x
i'
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(543) 639-4171
Jobsite Address:
Subdivision: tl�t�__• E{Sf�TE��
Lot# =� Office Use Only
i Valuation: C1 Contact Date _ / / Initials
1 Result_
New Construction Only: (Square Footage)
Planck/Rec # I
y House: 5CPermit #� I�I r�—~
_ Garage: �� Reissue of
-�)
Corner Lot? Y CN,, Flag Lot? Y / Map & TL# /,51 DZone
Owner: r ,ti r_' j�A� Plat#
--1 � lc�_ , �.C
Approvals Required
Address: �.�' . = C k �� md C-) _
Planning Setbacks Solar
C�r<� —
� Engineering _
Phone: ( `��'=_ ) (�- C� WA
>) Other
Items Required
Contractor: E
Address: Subcontractors
Truss Details
Other
Phone: ( )
Notes '
Contractor's License #
(attach copy of current Oregon license)
Contact Name , r E --
Contact Phone: ( )
Subcontractors: Arch ltect/Engineer:
Plumbing: _ / � c ,"AAti Address:
Mechanical
(attach copy of current OR Contractor's License)
r ?orf, Phone: j_ )
JOB DESCRIPTION. N e F-
Applicant SignatLre Applicant Phone number
Received by: Date Received: '. M,lJ 6.4
N'bpndhve.pp
.. ........re.nT�T!*P•wbidi'V{,'}'.i�i7N&x"�MP.'..5 . I�'��i�MMWIINA' :Niae
Permit# Account Description Amount Amt. Pd. �;dal. Due,
IPS SE o L Bldg. Permit (BUILD) a" ✓d
1
Plumb. Permit (PLUMB) 2� �✓ ��,..�
Mech. Permit (MECH)
PLC - /0 ",
Mats Tax (TAX)
Bldg:
t
Plumb:
Mech: ,3 3
E Lc
El-
Plan
LPlan Check PICK ��i. '� 02
Bldg:
Plumb:
Mech: �/ 3
rw2Gf o �(.s� Sewer Connection (SWUSA) L,22vo ,q-7elo
Sewer Inspection (SWI' SP) 3)— - f
6
Parks Dev Charge (PKSCC) Svu 0
Residential TIF (TIF-R) % �U _ 76,
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-O) C
Water Quality (WQUAL) dy /
Water Cluantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erusion Planck/COT (EROSN)
I
TOTALS: OU lam_
r
ik
11
ro
97.83 98.26
iS 1
o LOT 2
7,500 sq.ft. 3
olz y Er(ry7rN
o
L
p = 70'2 "
» R = 37.5Q'
L = 46.10' P
05 p �1 p =
~R _ 2.5.00' W
L
L 23.18'6wi2e re
ACIVIUMY
• 26.28' 76.06'
2+05 2+00 �� '�- S 89'24'45" E 1+00
175.00'
42.95 59.70
p 53'07'48"
R = 25.00' R
R z
I.. = 23.18' L _ 4
p = 43'59'52"
R = 37.50' LOI
L 28.80'
w 7,505 sq.
46.00'19" \ LOT 6
= 37.50' —' M
30.11' w 7,520 sq.ft o
y-
y f d , „•
ti'
_ /D. Adds!
1 �
Tax Lot Map NO. -- 1
7
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