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10742 SW NAEVE STREET �'n.ww.._ ,T.,P,n....,,w...,�.�.,,....,,.- -.,-....,,...n..-_,. .wn,.._..,..._.._.. ..�...n-.�..�.�w,w.w..,...,.. •,...�._..... _._,.. ,......gym .. - n 0'� NAEVE STREET NOV1 N 89052107" E 73.00 LO 10j ca wLV r // Q0 • 40 rr Pa ATE STC0 OR MAGE allVERT P N 894311'-CE 73.00 a -1 ---FJGH T FOOT PUBLIC AND PRIvA7E UTIU7Y SCALE DRAWING LOT 4 RENAISSANCE SUMMf � E�l5EWE1V T +It.ONC J4�,L FRONT J�h10 REAR LOT U�1E5 T w SLE .1 ,_, 'C~10 T.2S, R,1 W .1W.M. CITY OF TI R 10742 SW Naeve Street WASHING,�� OOUNM OREO*N . 1 of 1 NO�M� 219C �h t �: DRAM BY, 9'4 rl Ina Con cep t� i n c • MEC BY. WW111 $40 92n d Dri" Mod*%on a, Or. on 970V $ LE m20" AMOUNT 115 503 660—•0188 fox S03 85a-0189 r, If this notice appears clearergrn�il thorn the document, the document is ofmarginal • �` k mgr qu�. .'Y. q111111ll� 1f1 111 ISI III IlIIIIII I—L If41 y - !h «J;, ,a, !fdn"itC;� ,*, _ „FF - Pill i ili�u{IIIIIIIII�I�i� ItM��l[I�IIIIhILi I�I�IfI��ri�ill�iiili�nlli�i�i��Ililt�llurl� �i Ir ! 5 l �Ie+.'le+tt'tf.ttT!�pF��At1d1N J!«+ w.✓ -.i-as. ....- •. _ _ 'T• A . j r " i V I I e , � iw � iq{A+F�M� y tl I L ta.J.YxY + iv"S''N 9� ft ti �r r,'.f � �t���� • � � I°Ir �.. ,.f fl• !'i;I�&'1 r�1 r - I ,t ' 1�^k,r�,'��4Y .�.�tr. ' r' I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639 4171 Vi Cover/Service FINAL: ! Footing Rain Drain „ �r . ..... . Ceiling Plumb. ' � I Foundation Water Line ,gyp, �t�Y} r Post/Beam Mech, Shear/Sheath Framing -Mech. { � 0, Y I -Elect. PIbg.Und/Flr/Slab Plbg.Top Out Insulation „ Post/Beam Struct. Mech. Rough-in Gyp. Bd Bldg. Appr/Sdwlk Reins. ', San. Sewer Gas Line ; . y a F�r �r Other: ._ Date: A.M. _P.M. Entry:— If j' r Address: �17-----���--SZ'V`Q--� t, I Tenant:_— Ste: MST: BLIP: Own: -] MEC: � x,orJ► �� 77 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: i �"5its — I Y ° 1"'rltl + tiu d X40 , r ` t ; �yc.. I � l tial �t ----- r T °b Ivt� r I ! / Date: '' �"� �°�• Ins cto ' NQ _L-lPPftOVED DISAPPROVED/CALL FOR REINSP. CF CO 1 � t •"i4 Y , {,h bre S .J1b g`i J�.,11n r f rye 7 W�ry A� y r .A 4���1T'7� U4(�� 1 t 4b //��.,1�•1Y y , w -- — I Fr--- TIGARDCIT1r OF . COMMUNITY DEVELOPMENT DEPAR i HENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)539 4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLM95--0319 639-4171 DATE ISSUED: 10/19/95 PARCEL: 51 ]0D(1 c?+1�;00 SITE ADDRESS. . . : 10742 SW NAEVE ST ZONING: R--3. 5 SUBDIVISION. . . . : RE.NA I SSANCE SUMMIT BLOCK. . c LOT. . . . . . . . . . . . . :004 CLASS OF WORK— -.ALT-.AL'T GARBAGE DISPOSALS. , : MOBILE HOME SPACE'S. TYPE OF USE. — :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . : STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH EtASIN`a. . . . . . . r t...AUNDRY TRAYSi. . . . . . : �F RAIN DRFaIIVS. . . , . c GREASE TRAPS. . SINKS. . . . . . . . . URINAI_�. . . . . . . . . . . . . . . . c OTHER F I XTURG5. . . i_-AVA'TORIES. . . . . . TUB 'SHOWERS. . . . : SEWER LINE (ft ) . - - - ' 1 , WATER CLOSETS. « : WA7ER (_.INE" (ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN (ft ) . . , . : _ u Rpmar,ks : One r•esicielitial back flolw deivice. Owner..: _____________---________,___--_._____.__. FEES -••-------__.__.____...._.-- ANY type amof.cnt by date recpt DOUG' f�ARM 1074 SW ANYNAFF'RMT $ 25. 00 C:TR 10/19/95 95-c.,71863 SPCT $ 1. 65 CTR lo./11). /95 95-271863 TIGARD OR 97223 F`h0T'1e #: 503-684--4466 Contractor': DENNIS' 7 DEES 7355 SE JOHNSON CREEK BI VD PORTLAND OR 9"7220b•-9,3 "s Phone #: 777--7777 4 26. 25 TOTAL Req #. . : 6009 REOUIRED INSPECTIONS -- -_ - -_ This permit is issued subject to the regulations contained in the RF'/Backflow Pt-ev ._--•-•-----._- Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with - ipproved plans. This permit will expire if wank is not started __,. �._.._.__.._�_..__-_-- _---•----- ~ within 180 days of issuance, or if work is suspended for morethan 180 days. Permittee S i.gnat lore : B y: Call for inspection - 639- 4175 hA"; . . . _ ..>;t:.Awa,,wnNnx.•s;•:•,ftRea',NrtW+,wiiaa•'IP!r+'I+�:� .. .. rC . Cita of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 9`>- 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT PEE + ST. SURCHARGE ,w,�•,o,,,,,,,,�, r--�^� Now Single TL Raeldencn O t_ nly 1 c C11 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Jab 10-7 L/O J(,( /3U VC) ❑ 3&4TH HOUSE$225.00 Addressa�M.rr —' a. Fee Includes all plumbing bctur-e in the dwelling and the first 100 feet f �c�l� of water service, sanitary sewer and storm sewer. See fees below. W„.,..rr MMMI FIXTURES QTY PRICE AMT (♦p4'I' t f � Sir,( 1.00 f. lavatory 9.00 Owner a ry 1 treJ &91.1-qt �Tuh or TuWShower Comb. _ yam- — CWWAN no Shower Only 9•00 ! 71 <�f LI Water Closet 9.00 DlsMvasher 9.00 CArMm2 Garbage Disposal 9.0 _ Occupant Man” � Washing Machine _ — x•00 l JW� - 5W n •U>✓ q-LI"400 Floor Drain --� 9.00 Water 1leater _ 9.00 `r( - 9'7Laundry Room Tray — 9.00 N.,. Urinal r 7� Other 1 bet ares (Spec.ffy) 9.00 G 4 L a �S� fir?� 9.0o — Contractor 3:00 9.00 �'...� )O Sewer 1st 100' 30.00 _ ohm aq*JL Tr ML Sewer-ea. AddtL 100' 25.00 �—X'r07 lnie- 1r;nI (.xD,->j/q Water Service 1st 100' - 30.;10 acknowledge that I have read this applicadon, that the Water Service ea. Addit 200' 25.00 I hereby g � — — Infcrmadon given is correct, that I am the owner or authorized agent of Storm b Pain Drain 1st 100' 30.00 the owner, that plans submitted are in compliance with State laws. that -- I am registered with the Cnnstructlon Contractor's Board, that the Stomr b Rain Drain AddiL 100' 25.90 " number given Is correct. (If exempt fron State registration, please Mobile Horne Space 25.D) give reason below.) _ - --- -- Back Flow Prevention 1 Device or And-Pollution Devine i 9.00 r, rte• Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new 0— addition 0 aReratlnn 0 repair (1 Catch Basin — 8.00 to be done residential ,tQ non-reridentlal Q Insp. of Exist. Plumbing _ 40.00/hr Specialty Requested Inspections 40.00/hr Existing use of Rain Drain, single family dwelling - 30.00 bull,ng or property —.._ Residential backflow prevention devices 15.00 Prcposed use of Zr7Ya'l�- r�fxCbGe. ��f building or property .fExcepf retldanUal bac/dlow provender; dovfees) NOTICE 'Mlnlmum Fee $25.00 SUBTOTAL 7�� PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE � AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN ^EVIEW 25% OF SUBTOTAL TOTAL Special Conditions Date Issued Abv } i Y t l �_I i ,� tIF I a1,►ilat� faf�i:k.al�+� (lf 1�{I,-t�l�r.tl tail f If�t I�nl. , ! I:I-IF-.t'Ii� r(t�IlJi.11�J t !, � �� , �: • , � �, I � � i ,�i::r�l r�i•.c�i., L:r,::.;1+ aIMIILarJ 1 � �. Waw ; a UIN'c,kIN t ISL..Vi.l L,F1'thlk tli 1►Wlk� a att►%A`3,r9.5 i �1�11 i'►IV1) +il•' `.;Lll�IiLVA!�.t.!.Ih! n i L'tllal't153E Of P1IYI'lf N I 1II'+it►IJtt I I•'F�11, }'l l ,l•'i'�`, h lJP I•'f l',I'II t l 1 HIti1l.iUPl I F+h1.ilk 1+11-<n:H(1fV l l..�at f..+r: +.,..,. Univ ` l .. i.,a i 1 i� ! } ►� l . r-•':� r j L 11 , 1 lJ fiU llihllUrJ t POM h I `I �a f r max. _ M CITY OF TIGARD BUILDING INSPECTION NOTICEI' Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 639 4171 yfk Inspection: prink.rink. Rough-in Appr/Sdwlk Footing Susp. Ceiling Foundation 9• Plb Underslab Mech. Rough-in Fireplace h-in FINAL: Post/Beam Struct. Plbg.Top Out Elec. Rou 9 Post/Beam Mech. San. Sewer Gas Line -Bldg. r FramingPIw"—, ■ Plbg. Underfloor Rain Drain »' Alarm Water Line Insulation -Mech. , Undedlr. Insul Shear Wall iYP• Bd. Elect. Ir/ Date Requested: Time: AM PM , Address:_ Builder. _Permit #: 4 THE FOLLOWING CORRECTIONS ARE REQUIRED: ------------- 1'. Date:��[� Inspector. PPROVED ____DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. A y,4� r ySF{C CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: . j Footing Susp. Ceiling Sprink. Rough-in Appr/S(i.wlk p',�� Foundation Plbg. Underslab Much. Rough-in Fi epiace t I Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL: S Post/Beam Much. San. Sewer Gas Line -Bldg. �( i Plbg. Underfloor Rain Drain Framing -Plumb. ' Alarm Water Line Insulation Mach. ` Underflr. Insul. Shear Wall Gyp. Bd. -Elect. w Date Requested:_ . rime: AM PM Address: Builder: 1 D 7 y -11— _ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED' ( i II 1 i '; /C�✓' InspEctor: Date: --/tPTTf 6VED DISAFPROVFD _APPROVED SUBJECT TO ABOVE Call For Reins til, r F i� it` ` a it ffi lirr Ty�i � 1N t , nib � (�S�• ��( � �• ♦;}f! �,(Sly }}}}}}• ww• IgF1�yk�MtlI��N�11yeiM/lp,Mr+wt rain*+ _..,,..:«.., .... .r:,,n,r.aw•.r.. r-,_ ... CITY OF TIGARD CERTIFICATE 01F OCCUPANCY PERM I T #. . . . . . . n MS-f 94--0414 { COMMUNITY DEVELOPMENT DEPARTMENT DATE I SUE=D a 06/14/95 13126 SW Hall Blvd.Tigard,Oregon 972236809 (603)638.4171 I PARCEL: s .,,ITE, ADDRLSS. . . i 10741 SW NAEVF' '.;T 3USD I V I S I ON. . . . : RE=NAISSANCE SUMMIT Z ON I N(>:R-w,. Y j BLOCK s LOT. . . . . . . . • • • • • 1 0@4_ i CLASS OF WORK. :NEW TYPE' OF USE. . . c SF 1 OCCUPANCY 13RP. :R 3 ' OCCUPANCY L.OAD c c"216 4 � 'TENANI NAME. . . c I Remarks . PAI h4 I � IUwner: ___.___.._'._._.__...._.__.r.. _._. ...._...__ _....__. RF NA I''GAaNCE DEVELOPMENT MENT 167a SW WILLAME'TTU FALLS DR WEST L.INN OR 17068 i Phone #: 557--817.10171 Contyactor: RENAISSANCE DEVELOPMENT 1672 r,W WIl_LAME*TTE FALLS DR OE9T I INN OR 17068 Phone #t: 557-8000 Reg #. . : 49955 1 This Lertific^,ate cer^t ifi0s that the above building or, portion thereof has began ins4.leCted felt- r:umplianc:e with than Tigard Building Code for the grcri.1p and clivision oil caccupanc.y and use for which the above referenced permit Was issued, and ncc upancy is her,eby granted. OAICICt.'� I Nf� T hI.:,PkC:'E[]R c ' DU I E_D I NE5 OFF I C t P NL11 L i) F'aa•T IN CONSPICUOUS PLACE I i 1 pp r r yt" � fel q Yrri�,t'4 CSii I� it • t i CITY OF TIGARD BUILDING INSPECTION NOTICE I Jnspection Line (Rec O Phone): 639-4175 Business Phone: 639-41 Inspection: y N'r Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ; Foundation Plbg. Underslab Mech. Rough-in Fireplace 4 Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINA Post/Beam Mech. San. Sewer Gas Line Id . Plbg. Underfloor Rain Drain Framing Plumb Alarm Water Line Insulation ech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: y Time: 1'. M PM + Address: Builder: Permit #: /des THE FOLLOWING CORRECTIONS ARE REQUIRED: kid 1 I f t v s-1 fit* Insp ctor: JL Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. .I, � I T , v tiq i 4 lxa�a�j - _ �w 4� r1�pl�,• .�t'ti, a r. t H M t =} q +' � 'I �a;? ry r• ' ;;^Cf t, .,tr, f - �..v y I�.. r � r. i.`.ji �.t.� . t ..I' r• } � IIJ'� � �'�,lh � ir�' "^' I 4�,f�N,7rx'v��k`�����`�� � � _ ,, 11 f VT CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 9722308199 (503)539-4171 PLUMBING PERMIT PUPMIT #. . . . . , . I k'1_M1 5- 171 1 11 t �, x.. 4171 DATEISCUEDs 05/25/95 i ITE ADDRES`:z. . . : 1074-:': W NAC.:VE T 1B�iVIaICIN. , . . : RENAISSANCE SUMMIT ZONING. ( ' LOM.... . . . . . . . . . LOT. . . . . . . . . . . . . .004 1_�la�N or Wom,. . -NEW CG117^AC;f D.14SR`cO.OAI_C. . : MOD I1.0 f iC1MC ?^>�CC�. : YP; OF U;E. , . . I r` WA51 I NG MACH. . BACKFLOW PPEVN" RS. . : 1 � rI, 'Irrl1f:ANCY GRI''. . :R3 I*'1.00R DRAINC. . . . . . . a TRAPS. . . . . . . . . . . . . . . ;TC)RIES. , . . . . . . : WATER HEATE='RS. . . . . . s CATCE-1 BASINS. . . . . . . I IXTURES .. .._....._ . 1._AUNDRY TI71")Y''. . , , . ., 7r RrIN r,11AINS. . . . ; INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TMIPS. . . . . . . s � p, A'JATtIRI>r^. . . . . O'TI-}CR r IXTII^fwC. . . . . F` �L"S1CWERS. . SEWER _INC (ft) - . ­ ,q. ft) . . . ,q. a R Wi_.C1uETi"r. , W(1TfM. i_.I1111E ( Ft ) . . . . .. y )IE:HWASHERE. . . . ; RAIN DRAIN (ft ) . . . . I �m r"l�bs Ir�etell vesidellt ��al backflaw pr.,,vr?ntic7rr c.E?vir.� FEES __....._._...____........__ 1GNA CAFE Lf3NDSCAPTII•'I ., type am{:)I.arit tay date I-eept 'RMT $ 15. 00 JDA 05/25/95 _... 5PET $ 171. 75 JDC1 05/25/95 15,214 i -,014fS)4 SPRINGWf1TE'R W1 ':GTACALSA OR 971212'3 chane #I 31 - 291n 1 1"J. 75 TCITCl!_ Req '6. . : 5197 R!CQlf1RED INSPECTIONS __. ._...._ persit is issued subject to the regulations contained ii the Fil)al I11sPe t i an d munimpai Code, State of Ore. Specialty Codes and all other _.___.._ ._.................._.__...... _.. .._._...._._._....._.._-._...___ ioplicable laws. All work will be done in accordance with ,pproved plans. Tnis pertit wil) exaire if wank is not started _.___....._ _._ _... ..... _ _ ._._._ _......._. 01thin 1b1 days of issuance, ar if work is suspended for More Chan 168 days.,Qvmittep Li _.__..... __._ J 4 A, I' hi, �� ` City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 131?.5 SW gall Blvd. -- Permit # 1 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE ro...�..� -5-41.47 _, New Single Familll Resldencea OnhL C4 kce v.4ti r 1� 0 1 BATH HOUSE$140.00 a 2 BP�TH HOUSE$195.00 ,lob J�. .J y N�;t e ❑ 3 BATH HOUSE$225.00 Address air s Fee includes all plumbing fixtures in the dwelling and fisc flat 100 Ibet C q ir.• � f of water service, sanitary sewer and storm sewer. See tees below. mom,,,,M„r*am"" ---? FIXTURES CITY PRICE AMT 1 U `4rC E Sink 9.00 1.Q r - 9.00 wry A"- Lavatory 13"'9So y Tub or TubiShower Comb. 9•()D C�Wnel ------ Shower Only 9.00 Water Closet 9.00 � w Dishwasher y.00 Garbage Disposal � 9.00 Occupant Washing Machine 9.00 yw r..... _ Floor Drain 9.00 I �,r,,, c► Wcter Heater _ 9.00 Laundry Room Tray 9.00 f Urinal 9.00 1 Other Fudures (Specify) 900 i _ --.- 9.00 Contractor 7 9.00 9.00 -- rs �C 7702 T Sewer 1st 100' 30.:10 � itCG y„�prtr.,„� r•�+� Sewer-ea. Addit. 100' 25.00 S y 73 6 3/ -a91,f 7 3/ y S water Service 1st 100 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Pddtt 200' 25.00 information given is correct, that I am the owner or authorized agent M Storm 3 Rain Drain 1st 100' 30.00 the owner, that plans submitted are in compliance with State laws, that I am registered with the Constriction Contractor's Board, that the Storm 3 Rain Drain AddtL 100' 25.00 number given is correct (if exempt from State registration, please Mobile Horne Space 25.00 give reason below.) _ ----- Back Flow Prevention Device or Anti-Pollution Device I 9.00 Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new addition Q atteratfon repair Catch Basin 9.00 to be done residential g1 non-residential C, Insp. of Exist Plumbing 40.001hr Specially Requested Inspections 40.001hr Existing use of Rain Drain, single family dwelling 30.00 building or property _-_�- -- Residentiot backflow prevention devices / 15.00 J 5.C)O _ -. Proposed use of _ building or property '(Exrept resldentfal backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUP.,TOTAL at PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE �f} AUTHORIZED IS NOT COWAENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FCR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS PLAN REVIEW 23% OF SUBTOTAL COMMENCED. TOTAL�_�_ Special Conditions t___ / �s-7S 1 � 1 Date issued 1 i 1 1 CITY UF' T I CARD - RF'C'F t f'"T (IF= PAYMENT RF CE't PT NO. a 951-26'5ALK'3) CHECK AMOUNT a ;31. So rJFaMir z n. NI .A:tW MOODY C AGIA AMOUNT 0. 00 ADDRESSF'AYME ::p .NT DATE: N /25 95" PO BOA 182 SUBD I V I S ION ESI ACADA OR PURPOSE OF F"AYW NT AMOUNT Prim PURPOSE OF mYMF NT AMOtJN'f F'A T n F'l,.LiM1Ea I N[3 GE"Edt+tC L.rvl9 -I?i i 67101 S T. BUILD PFR 0. 75 q IPLUMBING RFF2M 1_M9r-0111? 15.00 t="'T. EOILD PFR 0+. 'P5 i 1yy1 I 8449 '.fW SONF1VENTURt= 10742 SW NAFVF .Y ?to TAL. AMOUNT E'A I D 1. 50 r r ,f f 16 r 9f, i L, ,4. i ph f CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in �4ppt, j Foundation Plbg. Underslab Mech. Rough-in Fireplace ` Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 40 Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Baa. Alarm Water Line Insulation -Mech. " Underflr. Insul. Shear Wall Gyp. Bd. Date Requested: ={� Time: A PM �. Address: L' -7 41-2— Builder: 1ZBuilder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Placc 5 � '` cs w cv Inspector: %ZZ I Date: — _APPROVED _DISAPPROVED "APMOVED SUBJECT TO ABO `Call For Reinsp. i Lw* I i r. 4 { u � J I INSPECTION NOTICE City of Tigard Building Departeient / 33125 SW Ball Blvd. Tigard, Oregon 97223 Inspec' ion Line (R/ec-O-Phone): 6399--4175 Buciness Phona: 3 - 171 Inspect Lon:_______ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor later Line Gyp. Bd. -Mech. Date Requested: 16 L LTime: AM PH w Y Address: „—L`-- Permit �''7 Builder: _f'+�r•i e r THE FOLLOWING CORRECTIONS ARE REQUIRED: : i Inepector: --- -- Date:f APPROVED _ DISAPPROVED APPROVED SUBJEC-T TO ABOVE --Call For Reinsp. I �I i 'I t 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 Lina -Bldg. 10 Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. �G,Jgd Underflr. Insul. Shear Wall yp. -Elect. Date Requested: !Time: AM PM 4 Builder: — Permit #: 2 LK- THE FOLLOWING CORRECTIONS ARE REQUIRED. Inspector: /✓ ,� ____ Date: 7-4-3- J !/ APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. J - Sim 11 0 .,. 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 71 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 Framin -Plumb. Alarm Water Line -Mech. • Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time: AM —Z—PM Address: 7 L 2 v� Builder: CkC'/5 ,�7Al' Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: In. a or: Late: PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE 1 _Call For Reinsp. Y � S t a, ` tell s lZ.l , t4 + �AVII AV 41 +t m ,. r� e i .�.'��"5 .,� �-�',.i?.(�i� yil!k �r�?./� il,� (; 1 � '^,i}��,t�{ •. 1 t to�o.'�"I .!1{f'I�' � t ii. -� I AL 'k CITY OF TIGARD BUILDING INSPECTION NOTICE 1�LGT Inspection _ine (Rec-O-Phone): 639-4175 Business Phone: 639-41 Inspection: _ Footing Susp. Ceiling Spink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. an. Sew Gas Line -Bldg. Plbq, Underfloor Rain Drain Framing -Plumb. 'w Alarm Water Line Insulation -Mech. • Underflr. Insul. Shear Wall Gyp. Bd. Elect. Date Requested: 7� Time: AM PM r. Address: 54✓ �� �F� �J Ey� Builder: r,,er 54iii ev, Permit tl: THE FOLLOWING CORRECTIONS ARE REQUIRED: it In pector:_10�_ — Date:_ tPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. cc AL j „, f 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-17 Inspection. Footing Susp. Ceiling Sprink. Rough-in Appr/S wlk Foundation Plbg. Underslab (!Mi)- Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer �Lirie -Bldg. • Plbg. Underfloor Rain Drain Framin -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Q hear W Gyp. Bd. -Elect. Date Requested:_ fj Time: AM PM Address: l Cj ,�{,�—�. Builder: Permit #: ` THE FOLLOWING CORRECTIONS ARE REQUIRED: t,t �'r3it k r ! I Inspector:_ Dater k' /X/ a ' AP OVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. A CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 1 Inspection: kiLz Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Ibg. Top Out Elec. Rough-in FINAL: 40 Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb, Alarm C�Wate`r Lin Insulation -Mech. * 40 Underflr, Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: %�' Time: AM PM ui .110 Address: I` Builder: Permit #: THE FOLLJWING CORRECTIONS ARE REQUIRED: r3� iVv rLc L�,_Sjr'/,.£''S to, yo 1'1., .00'9n 12 A4;ZZ Inspector: Date:. ?/ � ROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. i j 1 CITY OF TIGARD BUILDING INSPECTION NOTId , Inspection Line (Rec-O-'hone): 639 4175 Business Phone: 4171 Inspection. Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Rough-in Fireplace Post/Beam Struct. j o Our-) Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Undedloor Rain Drain Framing -Plumb. • Alarmter Line Insulation -Meth. Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ �3L�Time: AM PM Ad(lress: (� ' 7 Builder: Permit tJ: - e) �{ / THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: e Z .3 ROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE —Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTIC Insp4ction Line (Rec-O-Phone): 639-4175 Business Ph e: 3 4171 Inspection: — Footing Susp. Ceiling Sprink. Rough 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 )r�;a—� Framing Plumb. Alarm Water Line Insulation -Meeh. • Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: /C/ l Time: AM PM Address:Z*(' '��2 $ C.,,lt.A6 4 (� Builder: �Ku sii Permit #: 71 S� THE FOLLOWING CORRECTIONS ARE REQUIRED: Ins ector: Dare: p � ��— _APPROVED __DISAPPROVED ,APPROVED SUBJECT TO ABOVE _Call For Reinsp. 1 �i 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 Sirudt Plbg. Top Out Elec. Rough ' FINAL: Post/ earn Mech. San. Sewer Gas Line -Bldg, r! Rain Drain Framing -Plumb. Alarm Water Line Insulation -Meth. s. Underllr. Insul. Shear Wail Gyp. Bd. Elect. Date Requested: Time: AM PM #f f Address: z{ rj .r C 2f. i Permit N: Builder:, THE FOLLOWING CORRECTIONS ARE REQUIRED: r r7 tr � 1 0 ;i;�iiir}Synyl', j Ins -ctor. Date: � J T -_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. � ,�,,,,,,•„•.,,,,.. _..... ,..a.soar{.n.>�r+�R+�,n.{anN�#'akGa:�r 'tt^Y.„.?4r Mk,A'��:ft'�i4 ij I {i l y NN INSPECTION NOTICE City of Tigard Building Departoent 13125 sm IIall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 4 Inspection:_____ nspection:--_ — --- Footing Plbg. Un,ierelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Tc,3 Out Gas Line FINAL: Post/Beam Struc`. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. + Plbg. Underfloor Water Line C Gyp. Bd. -Mach. 1 Date Requested: - (C' `J > —T�e: _A,_AM PN M 4 Address:�o 4 Z _ Permit r: Hal-( Builder: THE FOLLOWING OORRECTIONS ARE REQUIRED: s Inspectors — ___— Date: k PROVED DISAPPROVED APPROVF-D SUBJECT TO ABOVE Call For Reinap. r" t r ti f r pr :f :i�. , t. INSPECTION NOTICE 6 City of Tigard Building pepartaent ' i, 13.125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 634 1 - I nepect ton:Y i Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Poet/Beam Struct. Framing -Bldg. . poet/Beam Mach. In Drain Insulation -Plumb. Plbg. Underfloor Water Line' Gyp. Bd. -Mech. 1 � Date Requested: , 2 ly�� Time: -KAM PM • Address: l a�� 5` l,o .3 I/ Permit r Buil.der:_.�etLrLS�l��', a THE FOLLOWING CORRECTIONS ARE REQUIRED: y r Inspector: --- - �- _-- ----- Date:- — I L'.IfiSYAOVED _ DISAPPROVED -_ "PROVED SUBJECT TO A110V! Call For Reinsp. i 01 rrR: INSECTION NOTICE City of Tigard Building DOPArta'ant 13125 SW Ball Blvd. Tigard, OreKloo 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam St.ruct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Hoch. 40• xl L Time: \ AM PN Date Requested: Address• �-�-C� �. _ Permit f&s�`� ^� �y� 4M Builder: THE FOLLOWING CORRECTIONS ARF. REQUIRED: Inepectoc: - �_ - Dats:L-11 _!�r/�� PPROVED DISAPPROVED APPROVED SU&JECT TO ABOVE _Call For Reinep. - INSSpECTION NOTICE City of Tigard Building Dttpartsent 13,25 SR gall Bled. Tigard. Oregon 97223 Inspection Line (Roc-O-Phone)s 639-4175 Pusiness Phone 171 Inspection:. root > plbq. Underslab Mech. Rough-in Appr/Sdwlk Top Out Gas Line FINAL: ik WisP Premino -Bldg. dwl,�Post/Beam Struct. San• SewerInsulation --plumb.Post/Beam Mech. Rain Drain P1bg. Underfloor Fater Line ( GYP• Rd. -Mech// I,•r)� Date Aeg'lested:,__ 1 7 Time: __K__AN PN ' ) f - /l�C(1c, .- •_� AddressPermit f :��_1 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Lf`�-- r / Inspector: Date — APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Cell For Reinsp. .._.._,._.�._._.___•.__....._._�..r,..,..._,...•,�.,...._.�..,.,...----•--._.._....__..._._..... ._.._..�..�+....�.. ....,yes t <. Now" M�glr+4' . Zvi 14 CITY OF TIGARD f �Rf;l:t. : �:S110DA R8004 COMMUNITY DEVE4QP MENTXT 1674z- s' w N�.� 51 . ;11"ie��l iv�Lir"ate.rto�n:, .. 02� ' a •AI�TM�F�»� suw)IV1131ON. . . . ... r2E.NF1I ;t�AIVt E: ;�i.11IKlIT 'ZCINING: R--3. 5 BLOCK. . . . . . . . . . . L..OT. . . . . . . . . . . . . :004 ' CLASS OF WORK. . s NEW GARBAGE D I SPOsa"AI_S. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F!. . . . . . . . . OCCUPANCY CRA. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . , . . • . . • • • .. STORIE:S. . . . . . . . ..2 WATER HE.ATERS. . . . . . s 1 CATCH BASINS. . . . : ... 10 f'I X TURF7a__ . ._._.__. LAUNDRY TRAYS. . , . . . C1 SF RAIN DRAI NS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRA 10 LAVATORIES. . . . . ..5 OTHER FIXTURES. . . . . :0 i r TUB/SHOWERS. . . . I i SEWER LINE (f t ) . . . . a O WATER CLOSETS. . :3 WATER LINE (ft ) DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) , ,. , . :0 �i Remarks: ;PATH II I FRENAISSASNCE DEVELOPMENT TIF f 1350. 00 JF 11/21/94 1672 SW WILLAMETTE_ FALLS DR BPRT $ 635. 50 JE 11/21/94 - SPI_C $ 41.3. 08 JF 1. 1/03/94 94--25S/+49 WEST L INN OR 97068 BSPC: $ 31. 78 JF 11/21/94 "- 557--8000 1/21/94 "- 557--8000 'SSDC: is 280. 00 ,JF 11 /21/94 BARK $ 500. 00 ,IF 1. 1/21/94 F'1 umbing Contracture -»__...____...___..__...___. _.-- MPRT $ 413. 00 JF 11/81/94 — MPLf., tC . 00 JF 11/`'1/94 Name., M5V',G, $ 2. 40 ,JF t1/21/9 _ ' `T C'� `5, 00 JF 11/21/94 Addr� � • •..�.. �•, �`_ `) _U 3L'�TI'1 i; mac: City 4'Z - .�..�,� _ ._..._ __ . _...�7__ 1. 25 JF 4,1/21/144 - P. _ _..__... __.. ^ SCaS EROS 4 h4, 00 JFF 11 /21/94 . Zi q _ ti ne#: _ .._.... _... ..._....... Adrlitiunal tees not !shown here. . . , . Reg __......_____ REQUIRED INSPECTIONS This permit is issued subject to the rk-rA- ulaations contained in the "Tigard Muntc.i.pal Foot/found in«�, Renin drain In F+ Code, State of l)r e. specialty Codes and All F'f�st /1. m Str-uct Water line Insp othpr applicable laws. All work will be done Post !IleAm Mectl an Appr/Gdwlk Insp in ac(­orcianc^e with approved plans. This lab Insp Mechanical Finat per-mit will expire if work is not started pLM:�Uriderfloot' Plumb Finalartthin 1f10 day% af—it#.s.aaance, .0r 1" wnrlt 1.5 Me'rhariival Insp F3(ailding Fin,2.a` s1..t%p�ndear1 for more than 180 daaYs. Plumb Top Out FroSion C'ontrel Framing Insp Crawl. Drain F i r e p i ar.e I n s P iGag Line Insp Insulation I n x F) .-_,....__._._.�._...,_._.r___.._._.. c....�1(„ 13yp Board Insp Authorized F'lumbinrl Contractor Signature Call for inspection 639..-4175 Contractor Notes: - 4 ._..._............ ..._.__.r._.-.._r_ .._......rr_.waw.w.r...r._r......»._.r...._.._.......»._._..___...n........-.w_.._......r....«.r.w... ,.y...Vw....N..wN.F.M.ph.rwl.,M.t.l.x•:wn_..a_.. -. _-w_.,nrr...___+.._.»..__..__._ .. ... .._.... — � •. •. t � r dr. I.F r5�aia 4y s a a'I .v ' 't I CITY GF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT, 13125 SW Hall Blvd.Tigard,Onpan 97223.8199 (503)639.4171 PERMIT #. . . . . . . : M5T9 4--I11414 is :(.i .4 (. 71 DATE ISSUED: ll/E..'1/94 _ i PARCEL: 2S 1 1.0DA-RSO04 �iTl E ADC:RE£3S. . . : 10742 SW NAEVE ST �I SURDIVICION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . :004 M BUILDING -------__-___.-..._---_--------_---- REISSUE: DWELLING UN I T`:�: 1. BASEMENT. . . . . . . . :0 s f CLASS OF ' ORK. :NEW BEDRMS:4 BAT'HS:3 GARAGE. . . . . . . . . . :486 sf r I-YPE OF USE:. . .. :SF" FLOOR ARF_AS- --_---- REQUIRED SETBACKS-------------- 1'YF'E OF CONST. :5N FIRST. . . . : 12:71 sf LEFT. . .-5 ft RIGHT. :5 ft UCCUPf-)NC;Y G'ZP. : R3 SI-COND. . . : 1398 sf FRONT. :20 ft REAR. . :41 ft �. ST'UR I F:a. . . . :2 F.I N85MENT:0 sf REQUIRED---------------I tE I GH'T. . .. . . :28 ft TOTAL-- ---:2669 s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . : 180485 PARKING SPACES. . :O Remarks : IDATH I PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNI-RS. . : 1 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . ..0 YUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATE P LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAIN5. . : 1 MECHANICAL -.__ ____._..._.______..______---..______-- FEES FUEL TY4!ES ---- -- -_- -- UNIT HTRS. . .0 type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF f 1550. 130 JF 11/21/94 - MAX INPUT:O BTU VENT FANS. . :5 BPRT $ 635. 50 JF 11/E:1/94 - F'URN ( 100K . . :0 HOODS. . . . . . : 1 BPLC t 413. 08 JF 11/03/94 94-25S449 � TURN ) =100K . . : 1 WOODSTOVES. :0 B 5 P C $ 31. '78 JF 11/21/94 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JF ii/21/94 - BOIL/CMP < 3HPoZ OTHER UNITS: 1 PARK $ 500. 00 JF 11/21/94 - GAS OU-ELETS: 1 MPRT t 48. 00 JF 11/21/94 - Own er s ____________________..____.______---__.-_MPL[: t 12. 00 JF 11/21/94 - RENAISSASNCE DEVELOPMENT M5PC 4 1. 441 JF 11/21/94 - 1672 SW WILLAMETTE FALLS DR 38TH f 225. 00 JF 11/21/94 - P5PC t 11. 25 JF 11/21/94 - WEST LINN OR 97068 EROS $ 64. 00 JF 11/21/94 - Phone #: 57-8000 ERPC f 20. 80 JF 11 /21/94 - Contract ay,: ---- --._____- - -_.__.___________ERPC f 20. 60 JF 11/21/94 - `` RENAISSANCE DEVELOPMENT 1672 SW WILLAMETTE FALLS DFS WEST L.I NN OR 97068 Phone #: 557--84100 Ren #. . : 49955 -------------------- $ f 3814. 61 TOTAL This permit is isFued subject to the regnlatrons contained in the ------- REQUIRED INSPECTIONS -- - Tigard Muricipal Code, State of Ore, Specialty Codes and all ether Foot/found Insp Fir^eplar..e Insp applicable laws. All work will be done cr accordance with approved Post/Beam Stv,mc-t Gas Line Insp plans. This perlit will expire if work is not started within 180 Post/Beam Mechan Insulation Insp days of issuance, or if work is suspe ed for°aore,than 180 days. Plm/undslab Insp Gyp Boar-d Insp 7 fl PLM/Under^fIoor- Rain drain Insp F e, mittee Sir1r,<rc, .rref it ��/ Mechanical Insp Water Line Insp F'Ir.1mb Top Out Appr/Sdwlk Insp Issued Bye _ F'r-aming Insp Mprhinir..,a] Fin�71 CAT I r 11 rJL- .. e CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ' 13125 SW Hall Blvd.Tigard,Oregon 97223.8194 (503)839.4171 PERMIT #. . . . . . . : SWR94-0,3,67 � DATE ISSUED: 11/21/94 PARCEL: 26110DA-R9004 .'•SITE ADDRES'ji. . . : 10742 SW NAEVE ST SUBDIVISION. . . . : REINAISSF;NCE SUMMIT ZONING: R-3. u BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .v104 TENANT NAME.. . . . . : USA NCI. . . . . . . . . . . FIXTURE UNITE=. . . . CLASS OF WORK. . . :NEW DWELLING UNIIS. . : 1 � 1YPL OF USE.. . . . . :SF NO. OF ESU I LD I NGS: 1 I Iva I A1.._I_ TYPE. . . . :13U4')W1? I11PERV SURFACE. . Remarks: PATH I Owner. -.________----------..____.___._.__._..__....._..__ .__..._._..___..___._._.______ FEES ----------_------ RENHISS+ASNCE DEVELOPMENT tyfie am .int by date r•er_pt 16'72 SW WILLAMETTE FALLS DR PRMT $ 2LOO. 00 JF 11/21/94 - INSP $ 35� 00 JF 11/21/94 WEST LINN OR 97068 Phone #1 557-8000 i V , Contr'ac'tor: CONI RACTOR NOT ON F I LL I ..............__.___._..____._.__..-_--__-_----------_-_- F'h 00 TOTAL. P e q REQUIRED IN:'PECT IONS This Applicant agrees to comply with all the rules and regulations 14ewer Inspection 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. Ir the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from ..-_-_....,___.__.__—_._.___..._....___. the distance giver.. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency 11 install a. late-al I 1- e r m i t t e e At is At Issi_reci Fey : 2 Call for inspection - 639-4173 i J � � .. •- s..a.�tMIIM"kMiM'11k�.'. At�.f�•FT.� ...... ` 10/12,104 00:54 V503 084 7207 CITY OF TIGARD 0001/003 R idontial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 539-4171 JobsVia A1ew: ll!`�Ll Ll L�)'e J�' 7 4 iey ! G py N%i,.7�� l` p"• 5r..lJ� t� `• Q , did• �b'plli sd.,q ' ;r, u" �i subdivision. I,Y)Yr',{ Lot 0 u ��'�!� `� �'si "r,��'M '`•P�;s�}fir Valuation: c/_I{)o '/O Comer LQt7 Y l T Flag Lot? Y � + o 1 L��,. •q�JC '� ��fitt1 '^ '�I�7"'y.+:ate.^ : � SR: f ;S•CC4 .{,.,!{:•OS: " ty'�T'}{r ' Owner. Y`l`P.til�l Sic ' 1 LP_ �-(. °��';•. Address: Pehnit�' ri! r,.r 1y, y.� F'+i''•.,( 'T� •,it „i r'1, ,Y Ii'�i 1111.•tt� ly •1w I r" S OV, L3 n it �:� , ,t r,. Phone: "s` i „ ' ku •�* of "4,r :',�..,;iyi�x' ";'',�••�'. ! ry;'r,v�.i[tr L•T� �'1�Q 1 I ���I �}i.l::-f. 4: j}�,t�r15� fr•'t. a �? (Contractor: }�.{ i�Y1:�!'(+•'�i. .m Cid ' � ;„ �. } Address: �Grw, _t t.p C. 1 \1-t :��rg w. .•^ "�.X: lx: ' ,�n� :; { M.�{.► �i :cit ;J.j}v jlk;?aq 1 f '1 'c•..:., �r ,. two .4 tiY•u _ v Y��i y�� ••mo�',iS �,,{ � ✓ �"` C.x��_� 1i�„a �'��"� i:i.��o�. �XS.1.'.����'it��, ♦:7r��Y�'t•,ll•.:?' •�i7 Phone: 4t41 p,�C'.•,.; '(�' ;ih MN)�!oc`:.i.:�'. `.z d�t ',.?.ti YTf(7�•: ..l'+.,`�'«.5:�:'•i',' :: Contractor's License `~ ' �_ (attach copy of current- t! flcense) Contact Name & Phone: U{t!u,C k Lllr Subcontractors: Architect/Engineer: 0lumbing: Address: L4 -- � -- , l - �/Mechanic8l: (J1'1 (attauh copy of Current OR Contractor's Llcensa) o ;,4,1`ie ry (_U�-'01 Phone: JOB DESCRIPTION: �' ��.`��Gam'/✓��f � I G�� J A llcsnt Blgnuture & Phcne number Received Uy: L Date Rewived: MN�A0ICOMDNM� Y dim M00 04 Jill III PERMIT / ACCT f DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 2 A,) Z), 10-431 01 Mechanical Permit Fees r 10-230 01 State Building Tax (5%) U , [ 3 4f• �(3 Building 3/ 7br Plumbing Mechanical i 10-433 00 Plans Check Fee 1 ,25, o� 2 17 Building W13,o�� " Plumbing / iMechanical /Z-0 ✓ 10-230 06 Fire _ 30-202 00 Sewer Connection �-0 v Z� 30-444 00 Sewer Inspection 25-448-02. Commercial TIF Fees t 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees _ 25-448-01 Residential Traffic Fees "0 25-448-05 Mass Transit TIF Fees 52-449 OI' Parks .System Dev Charge (PUC) Ste/ _ 31-450 0r, Storm Drainage Syst. Dev Chrg (SEDC) _V/ USA £ 24-445-02 Water Quantic (Fee in lieu of) _ 1a s � L cot 10TAL nm/3587P.WPF i 77, V i�R: ilf• 7 i 11 J 7�I (4` F yliµd, �1 '.}I ._....r. .._ r �.�.. --._.-.�_�__._,,.e.Yit�.1LY' YL22!-".1..:',�'+•'Y.' _.._..-r..._....._w.+. ri►+rr r.r a.�rr_r..�.rT.�J..ur._ - - .+.. .�.._._... Y 1 I.;I I Y (If, I .I.CiAlj1.) kF•I.:f IP1 01 1-114YM A—1 Hf-Cl-.JV,I NO. n9 —258 858 I:HFA.,K AMOUNT a !` /49. 61 NAM > kk:N(a.[r;!a{aNCI:: I?F_VF I..I..1F�'Mf h1 f L;H::iH flhll.►uPJ HLJI>kF::�iM o F'J1YMI=:Pd i I1F►l f e 1 1/F<'1 /94 ' lbl.}1V1.HxLIN ; p PUf•IF'1.KA" OF PAYME-I'll I IlIV II ll•,I I PAID {'I lkl•'L1!iil, III PHYhIL-,IV 1 Hill ILIN I PHI U " 1:+LILL.t11Nli I•'I kin �, •: .. iN I•'1111''ll-1lIVl� I!I••.Itl'1 ,.�.•"�• Id1l.I tlk:C:HF4N1(:N1. F-'F: Bl.l}1A) 1!I. F< a PLAN I;4IFU41A f-E 1 It.,. 00 ±,F:.WIw.Fl I. HI-i ,'.;.-'VIO. 00 " fiFWEFI INHF•'f-(;t I,1,4HMi :iln WM ,..'r 'STORM DRAIN s OG' i:l.4V1. 00 lilF.`;I DEM I 1 I II . 1 Ii111 I 010 MASS I FtFINS I T I IF I•Kks I O. 00 F:J0,1S 1 LIN IA)N I HOI 1"1-Fth'I I I I f:I. r,=+. VM M:RC:1£i J f.)N CONTROL. PLAN C*K ;:`M, 60f-:kf}�.i I I:IN C;I:IN I HOL I Mt T•94-0414 1074`' HW NAVVE, ST, FtF.Nfa I;y;IAN1.;F H(IhIM.) 1 , 1 CI f + , � r TC TAL.. HMI UNT PAID r,t. f • : ,w= '='p': til ,;i�} •��>