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CITY O
TIGARD
DEVELOPMENT SERVICES
13125 SW Hell Blvd., 179erd,OR 97223 (503)639-x0171
CERTIFICATE OF
OCCUPANCY
PERMIT M. . . . . . . s MST95--017'
GATE ISSUEDa 03/04/97
PARCEL: :;S 104BA--0�c"".'���
ST1`E i-lt)GRE43$. . . s 13882 SW NOkTH4 %EW DR 70NINGsti-12
C'►' `
SUBDIVISION. . . . a C',AST'u.E HILL #2
BLOCK. . . . . . . . . a L..OI.. . . . . . . . . . . . . e08
CLASS+,pF�WORK. aNEW._.____..__.__._____._.___.. ...____.__._.._._«..�_______...___
TYPE OF USE. . . :SF
'TYPE OF COMSTR:5N p
OCCUPANCY GRN. t P3
ry OCCUPANCY
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F?ermar^4cs : PATH i "
Owners
DON MORISSETTE HOMES
5000 SW MEADOWS RD
i 'SUITE 151
LAKE OSWEGO OR 97035
Phone #s
contractors
DON MORISSETTE; HOMES
-5000 SW MEADOW5, RU
SUITE: 151
LAKE 0 SWESO OR 97035 ,
Phone #: 620--7538
538
Reg #. . s 35533
This Certificate grants OC,4^uQancy of the kbclve referenceri bt.tilding or• portion
thereof and confirms that the building has )Seen inspected for camp) ianc:e with
the State of flr atyon �ip� c:ialty Canes for 'the;N�-
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0C.r.I_ip nr..y, and use 1-10 .te>r
which the referenced per'-sit was i9s�_lPd.
91111_DiN13 1 F'ECTOR AFICIAL_
POST IN CONSPICUOUS PLACE '
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�°t;” l r CITY OF TIGARD BUILDING INSPECTION NOTICE
yy Inspection Line: 639-4175 Business Phone: 6139-4171 + 4
Footing Rain Drain Cover/Service FINAL:
';i +, r" t v., ' +v h fF•�'y,�AE f v,�l '�'�.
pA1r ��Y ! a (u 2^ 11 -
Foundatir;i Water Line Ceiling -Plumb. ,�, l�r�,�, �,1.2#
Post/Beam Mech. Shear/Sheath Framing -Mech.
1 Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
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Post/Beam Struct. . . .MechRough-in GypBddg. 'r N
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San. Sewer Gas Line Appr/Sdwlk Rei(is.
Other: — -- 2
Date: 3%- 7 A.M. PAA. Entry: _—
Address: s' $ Z y'c�n.fft��csr�✓ A+r •
Tenant: Ste: MST: 96' o
Con/Own: _ MEC: ':
PLM:
ELAT 9—ssGL4 12T
THE FOLLOWING CORRECTIONS ARE REQUIRED: EL-10 $ h.
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Inspector: --- ��oc%i - '---- � Date:
_� PPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARL BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639 4171 `�/�+4
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
-Plumb.
Post/Beam Mech. Shear/Sheath Framin •Meeh
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-Elect.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
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Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: r'
Date: 'L-��_ 9�_ A.M. — k
Address:
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Tenant:-_. - - ---- Ste:_.._.-_ MST: ; 1
BUP: -- I I.1 k It15�r
Con/Own: --.-- ----- PLM: i al 1 r ti.
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: '{^ >
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APPROVED ----DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE ��t
�r Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:�
" Footing Susp. Ceiling \,Sprink. Rough-in Appr/Sdwlk .I �4, ;;
Foundation Plbg Unddrslab Mech. Rough in Fireplace }r, ('sky
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
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Plbg. Underfloor Rain Drain Framing Plumb.
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Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: _Time: AUS PM !
Address:
Builder:_(0 ,r1- (� 1� _ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In pectora / ' Date:
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: �-� C. '-
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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: r
Post/Beam Mech. San. Sewer Ges Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. �►
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shaar Wall Gyp. Bd. -Elect.
Date Requested: .�j I �( b Time: AM PM
Address:
Builder: _ Permit #: ( (m S —O�Q')
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THE FOLLOWING CORREr,0ONS ARE REQUIRED: `
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Inspector' di4n _ Date•_
_APPROVED ISAPPROVED APPROVED SUBJECT TO ABOVE
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I G"ARD
FLUMBING PE:RMIT
CITY OF TIDATEIISSUED: 12/29/95 0:38Q
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Orspon 47223.61119 (603)630-4171 PARCEL: 4 10�►AA—Q►:�..17!�71
`,'SITE ADDRESS. . . : 1.:3881:1 4SW NORTHV I EW OR
SUBDIVISION. . . . : L,"S'T'LE HILL # ZONING. R--12 PD
Lal_0EK. . . . . . . . . . LAT. . . . . . . . . . . . . :LA85
CLASS OF WORK. . :ALT rjARBAGE DISPOSAL-93. : 0 MOBILE HOME_: SPACES. : 0
j -TYPE OF USE. . . . -SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRI R3 FLOOR 1'�RAING. . . . . . . 0 TRAIS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
LAUNDRY TPq'YS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
i...r.VATORIE:S. . . . . . 0 (]'THER FIX-FURES. . . . 0 I
TUN/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
b1A'TC--F? CLOSETS. . : 11) WATER LINE (-Ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remav•ks; : InstaIIj.nq back•FIov1 prevF.ntion device
Owner: _.__._.____._..-----_._________.__________._.__..__..----.__..__.._._._ __--- FEES;
O.UACH PHUONG type amol.int by date r^er_pt
13882 �3W NORTHVIEW DF? PP.MT $ 15. 00 P 12/R9/95 95-274419
5PCT t 0. 71 1A 1 95-274419
TIGARD OR 97223
Phcne #:
Contv,actor,:
PRO LANDSCAPE
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P n BOX 5952
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LAL'iVc:RTCIN OR 9700E -.-------. —..----•---..-____.___.______.-....._._._._-_-__.___.__..
1-'111one #: 642 -54F A 13. 75 TOTAL r
Ren #, . 5903 �
__._._•._.__ REQUIRED 1 NSG SECT I ONS --------
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This iereit is issued subiect to the regulations contained in the Final Inspection
Tioard Municioal Cer;,, of Ore. Specialty Codes and all other
applicable laws. All wort! will be done in accordance with _•-,_�•_._•_� __ ____�� _-_ _____..-..____.._._._ __.
approved olar,s. This nersit will mire if work is not started
within 188 days of issuance, or if work it suspended for sore
than 186 days,
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Call i•or- inspection 639--•417x;
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rer. # _
13125 SW Hall Blvd. Perrt • #
Tigard, bR 97223
(503) 6?9-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE
New 9inale Family Residences Only
...,. ❑ 1 BATH HOUSE$140.00 O 2 BATH HOUSE$195.00
Job ') Ztj- O 3 BATH HOUSE$225.00
Address arar. ri Fee includes all plumbing fixtures in the dwe" and the first 100 feet
C r- of water service, sanitary sewer and storm sewer. See fees below.
rte»r. «a.' L) FIXTURES CITY PRICE AMT
C( 1 7 �� C-, ) _ Sink 9.00
r.rN w... �^• Lavatory 9.00 �
Owner Tub or Tub/Shower Comb. 9.00
wa«. Shower Only 9.00
-1 z Z-3 Water Closet 9.00 ON
.we.r«FININ«VAW..r Dishwasher 9.00
Garbage Disposal 9.00
Occupant 1011*4 MINI* Washing Machine 9.00
Floor Drain 9.00
opw. a► Water Heater 9.00
Laundry Room Tray 9.00
q-Z_ Urinal 9.00
C'Cc. (o a Other Fixtures (Specify)
� 9.00 i
o,.�., re.0 9.00
Contractor
t, L) t-5 C,X SSZ S 9.00
it 9.00
Sewer 1st 100' 30.00
a«"n.vw.."r>d uv&n.T.N.. Sewer-ea. Addit. 100' 25.00 i
'5 � .�� Water Service 1st 100' 30.00
I hereby ocknoy',ddge that I have read this application, that the Water Service ea. Addit. 200' 25.0!1
information gli n is correct, thit I am the owner or authorized agent c' Storm & Rain Drain 1st 100' 30.00 I
the owner, that plans submitted are in compliance with State laws, that
1 am registered with the Construction Contractor's Board, that the Storm &Rain Dain Addit, 100' 25.00
number given Is correct (If exempt from State registration, please -- - i
give reason below.) _ Mobile Home Space 25.00
y 1 Back Flow Prevention
Device or Anti-Pollution Device -_ - 9.00
r..,....., �• Any Trap or Waste Not
j Connected to a Fixture _- 9.00 I
Describer work new (5� addition ai eratior, repair 0 Catch Basin 9.00 v-
to be done residential 0 non-residential 0 Insp. of Exist. Plumbing 4 ,00/hr
Specialty Requested Inspection! 40.u.fhr
Existing use of Rain Drain, single family dwelling 30.00
building or property __ Residential backflow prevention
devices 15.00
Proposed usb of _
building or pr-)perty _ •(Erc(ipt residential backflow
preventlon devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VO;D IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT C)MMFNCED WITHIN 180 DAYS, OR IF 594 SURCHARGE l<
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25"/. OF SUBTOTAL
TOTAL
Special Conditions
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41.'5 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 Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. ect.
Date Requested: � � / s '� Time: AM PM
Address: Z= �'
Builder: Pemrm 'tt: [sy 7 -1—
THE FOLLOWING CE TIONS ARE E UIR D:,, _
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Inspector:! Date. j► ua fist,
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/ APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Q�
Call For Reinsp•
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Re^.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: K�.X
Focfing Susp. Coiling Sprink. Rough-in 0 pr/
For ndation Plt.g. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plog. Undertloor Rain Drain Framing -Plumb.
Alarm Water tine Insulation -Mech.
Underflr. Insul. ShearWallGyp. Bd. -Elect.
Date Requested: / /r} 7/fir= Time: AM PM
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Address: Z-
Builder: Permit #: 2 s r 01 7;1—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
!ospection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp Ceiling Sprink. Rough-in Appr/Sdwlk
Foundetion Plbg. Under.,ldb Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: a' }
Post/Beam Mech. San. Sewer Gas Line z•.
Plbg. Underfloor Rain Drairi Framing - IU
Alarm Water Line Insulation ♦ ' •
Underflr. Insu!. Shear Wall Gyp. Bd. -Elect.
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Date Requested: 7—L�L Time: AM __PM
Address:
Buuder: Permit 1t: 7.�--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. Date:
PPROVED _,DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp
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CITY OF TIGARD BUILDING INSPECTION NOTICE A:
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection;
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rnugh-in FINAL: �• '
Post/Beam Mech. San. Sewer Gas Line -Bldg. `
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Plbg. Underfloor Rain Drain Framing -Pl`773-
Alarm
m .Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyl. Rd. -Elect.
Date Requested: L2&f�1 Time: AM PM '
Address:
Builder: 7 — Jr L Z'1 Permit #:_ �— C7 ,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspect/� �Vo"—f' Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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CITY OF TIGARL BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.41 5 Rusiress Phone: 4639 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. Sawer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing .
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall CGyp. Bd. -Elect.
Date Requested: /L.�S/f[ Time: AM PM
Address:
Builder: Permit #: 1 S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector.
Dater
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABO(VE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
I Foundation F,Ibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
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Plbg. Underfloor Rain Drain Framing -Plumb. r
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp.
Date Requested: Z-Z Time: AM PM
Address:
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Z_ Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_APPROVED _DISAPPROVED _APPRO'VEU SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOl iCE
Inspecticn Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in pr/S
Foundation Plbg. Underslab Mich. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewor Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
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U;derflr. Insul. ShearWallGyp. Bd. -Elect.
Date Requested: / /2 2-/
�[S Time: AM PM
E,ddress:__ ► 3 'IT Y
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BuiIder:-_J� Permit �—
THE FOLLOWING CORRECTION; ARE REQ ABED:
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Date: 'l.7•�G�
Inspector:
APPROVED DISAPPROVEQ, PPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171 ,vu
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Inspection: ,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Siruct. 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 -Meeh.
Underflr. Insul, Shear Wall / yp. B / -Elect.
Date Requested: / Cf 5 Time.: AM PM
Address. ! Y �� /��L�' (.CSL CIL .
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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IXPPROVED 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 ( W
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 FINAI
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line In��or ' ✓ Mech.
Underflr. Insul. Shear Wall , Gyp. Bd. Elect.
Date Requested: Time.,&M PM
Address:
Builder: _ Permit #: ��s� V 7z_
THE FOLLOWING CORRECTIONS ARE EQUIRED:
In-pector. —'"/"�- 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
Inspection:
Footing Susp Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. ,Jnderslab ech. Rough-in !$ Fireplace
Post/Beam Struct. Plbg. lop Out?jkq Elec. Rough-int/2A FINAL:
Post/Beam Mech. San. Sewer Gas Line -711�l -Bldg. t '
Plbg. Underfloor Rain Drainra x i Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wcall'� �� Gyp. Bd. -Elect.
Date Requested: S t et 5 Time: AM
Address: �- -
Builder:_ _ Permit #: �—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-4�
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Inspector: �-'l./'�.i � �----- Date.
/ �
�PPi;rn1icrl _DISAPPROVED
_Call For Reinsp.
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
-13125 SW Hall Blvd. PERMIT# SLP ys -41206R_
Tigard, OR 97223 —
Phone(503)639-4171 DATE ISSUED 7-31-25-
FAX (503)684-7297
TDQ No. (503)684-2772
4 CITY OF TIGiARD Inspection (503)639 4175 ISSUED BY t_hc des -�c l,,,ch'
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF IN TALIilIATION _ 4. TYPE OF WORK
- 1 RESIDENTIAL—Rest-'cted Ener Fee. . . . . . . . . 146.00(FOR ALL SYSTEMS) 4
City Stale "Lip Check a of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Au and Ster'o Systems"
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR �
180 DAYS. Urglar Alarm
❑ Garage Door Opener"
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
ContractorEYpt _- - ❑ Vacuum Systems"
�a ❑ Other - -----
Address
Date_ _ COMMERCIAL—Fee for each system . . . . . . . . . $40.00
----- (SFE OAR 918-260-260)
Property Owner _ .heck Type of Work Involved:
Contractor's Board Reg. No. tQ=_ ElAudio and Stereo Systems'
_ ❑ Boiler Controls
1
Phone# �_______.. ____ —__..—_ ElClock Systems
i
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
Lao-z)- ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
❑ '.
This hermit Is Issued under OAR 918.320•.370 This applicant agrees to make only Nurse Calls
restricted energy installations(100 volt amps or less)under this peunit and to do the ❑ Outdoor Landscape Lighting"
following:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Curtain
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks(")All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection al 503.639-4175. ❑ Number of Systems
3. Pure hale.separate permits for all installations that are not ready for inspection
when the inspector is out to Inspect under this permit. •Nn licenses are required. t ic(rnses are required for all other installations,
4 Assume responsibility for assuring that all corrections required by the Inspector ----
are done,and
5. Assume responsibility for calling fora final inspection when all of the corrections 5. FEES
arc completed.
1 he person signin r th' permit must he the applicant of a person a. Enter Fees $_
authorized to hi I Opplicant.
h. 5% Surcharge(.05 x total ahnve)
Signal re
TOTAL
Authority if other Ihan applicant
ENFRGNP 0111
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CITY OF T I GARD RECEIPT EIF PAYMENT RECEIPT NO. s95—e68697
CHECK AMOUNT t 42. 00
hh'�IHk:` ADT BE:G R I TY SYSTEMS, INC. CASH AMOUNT s 0. 00
ADDRESS 702 NF HANL;C.7t"K PAYMENT DATE s 07/31/95
PORTLAND OR. SUB01VISION e
97P 1 P
PURE'+OSE: OF PAYMENT AMOUNT PAID PI.1RPOSE OF PAYMENT AMQI_)NT PA I D
I
ELECTRICAL PC---PMI1_ 40. 00 ST. BUILD PER r. 00
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13882 SW NORTHV I E'W DR
TOTAL AMOUNT PAID
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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 Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear WallGyp. Bd. -Elect.
Date Requested:�� T C,-�� Timee: ., AM\ PM
Address: 3 2—
Builder:
Builder: �— U off- Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ynsector: /
APPROVED _DISAPPROVED _APPROVED SUBJ-CT rO ABOVE
--Call For Reinsp.
CITY OF TIGA3D BUILDING INSPECTION NOTICE
inspection Line (Rec-O•Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Nppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line /"Insulation -Mech.
Underflr. Insul. Shear W Gyp. Bd. Elect.
Date Requested: Time AM PM
Address:
Builder: _Permit ��--
THE FOLLOWING CORRECTIONS ARE REQUIREb:
Y
Inspector .� - �- -"'� _ Date: /
� A—ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
tT _ Call For Reinsp.
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CRY 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. �l ug. 'Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: 7�� ( 5/ Time: AM PM
Address:
c—,
Builder: Permit #: 7S _C/ 7,,-?--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector:_
/APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
j
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. c�p_.9 t' Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear W-IIGyp. Bd. -Elect.
r
Date Requested:_ c�_' Time. AM PM
Address: L3 3 L () 2 A) ! 1 A,
Builder: Permit #:THE FOLLOWING CORRECTIONS ARE REQUIRED: r
Inspector: < �r Dater— '1
_APPROVED SAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE 1\I1
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. Sari. Sewer (L as Bldg.
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: —7 2
Time: ^AM PM I
Address:_
Builder: _Permit #: 57—
■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: y�^�_ ate:
J)C�PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp,
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�rw • �:t� .�. ifF'�Ytf�Ehfi'+�;rPt�t�laid+m.w.maaxr;;:n.r..�aw�rn:+aw:r,+an?uwn.nanµvrn�ana,.,•.,.. ...a-x+.�m»m.w,rt+�rfzioA'.XISW�4JWA7
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. '
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 639-4171 Date Issued 1-- 0- 'IS
CITY OF TIGARD FAX (503) 684-7297 Issued by v t M t�lha�r vt
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development �41_31le / / Number of Inspections per permit allowed
Address-/3O dal 5,1V,,��.fOOYO1'l) l���� h je. Service included: Items Cost(ea) Sum
City/State/Zip —T G(wr/L CJ+`�. ` "1 7,,�.- 4s. Residential-par unit m 4
.T L900 aq It or less $11000
LLO y(J
Name (or name of uusiness)-b.0 Via I,,` t�c�_ 1 Erwh additional 500 aq it or ,�„ �1
SL �� ,portion thereof $25 00 /040 w 1
Limited Energy $2500
Commercial❑ Residential Each Manul'd Home or Modular 2
Dwalling Service or Feeder $61100
2a. Contractor installation only: 4b.Services or Feeders
I�/ I _
Installation,amps or lose
or relocation _ 2
Electrical Contractor � t•r.�r1 � zoo am or lase 100.00 2
Address Bn2r��vin 6u% /-f)j&--_ 201 amps to 400 amps $8000 2
401 amps to 800 amps $120.00
City I3tP.it j/B,r ton State Zipr p so,amps to 1000 amps $1so 00 2
f Phone No. ���i�� over 1000 amps or volts $34000 2 .5 !
Contractof s License No.• --U ;P- /n`q—, Reconnect only 85000 rj,:
Contractoi's Board Reg. No. ..Z�M 4c. Temporary Services or Feedz—.9
Installation,alteration,or relocation 2
Signature of Supr. Ele ' -----�� zoo amps or Isse $FO 00 2
T� e— zul amps to 400 amps $7500 2
License No. ,Z 3_�5 Phone No. _ 401 amps to eoe amps $10000
Over 800 amps to 1000 volts "
2b. For owner Installations: site W above
4d. Branch Circuits
Print Owner's Name New,alteratio• or extension per panel
Address a)The lee lot branch circuit@ with
citCiState Zip_ purchase of earvke or tlseder Me. 2
y-- Each brnncn circuit $500
l Phone No. _ b)The lee for branch circuits without
The installation is being made on property I own which is purchase or service or boder Am. 2
not intended for sale, lease of rent. First branch circuit $3500 _ 2
Each additional branch circuit $500
Owner's Signature _ 4a. Miscellaneous j
(Service or'reader not included) 2 I{
3. Plan Review section (if requited): Each pump or ergalion cirde $4000 2
Each sign or outlne lighting $4000 i
Signal ccimuit(s)or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel,alteration or crension "0 00
P 4 or more residential units in one structure Mincr Labels(10) $100 DO
Service and feeder 225 amps or more
System over 600 volts nominal Q. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E C. Chapter 5 Pat inspection $3500
Per hour $55 DO
In Plant $5500
Submit 2 sets of plans with application where any of the above --
.nply, Not requirod for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ L�
5 Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRIJCTIO14 Subrorsl $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK;IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PI_RIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account M $
Balance Due $
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C!:TY OF 'T I GARD RECEIPT OF PAYMENT RECEIPT NO. s95--,?&7840
COCHECK AMOUNT % 221B.50
NAMEs CITY ELECTRIC & SUPPLY CCASH AMOUNT a t. 00
ADDRESS a 10014 SW CANYON RD. PAYMENT DATE: 0771 l 95
PORTLAND, OR SURD I V I S I ON e 97225-PURPOSE' OF PAYMENT AMOUNT PAIf.? PURPOSE OF PAYME::NT AMOUNT P010
E LE - RiCAL. ~PERMIT yPlo. QUO STBUILD PEP 10. 50
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1 3;F1E3'r'.: SW 14ORTI-IV T EW DR. _ ELC95--0152
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TOTAL AMOl1NT PAID -- --> ir-'i-''.Q►. rQf
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection: �e L/V15 .0
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Fou'datioy_ Plbg, Underslab Mech. Rough-in Fireplace
P
ost/ ea
tructF'Ibg. Top Out Elec. Rough in FINAL:
ost/Bea Mem ! `San. Sewer Gas Line Bldg.
lbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insula?ion -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ (.0 (� Q 5 Time:--AM PM
: cc ii rr ''ll
Address LYl/�(,/l
Builde J/))()Yl Se L7 -_Permit !!: `�Q��C)/ �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
5-7cL22-/0
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Inspector: Date: ct
__APPRCVED _APPROVED SUBJECT TO ABOVE
Call For Rein7p.
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CITY OF TIGARD BUILDING !WSPECTION NOTICE
,
Inspection Line (Rec-O-Phone). 639-•'175 Business Phone: 639-4171 6
Inspection--
Footing Susp. Ceding Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
P _ Plbg. Top Out Elec. Rough-in FINAL: `'
_ it
Post/68arnVoc-h. San. Sewer Gas Line -Bldg. r.
G T �Pilfg.Underfloor Rain Drain Framing -Plumb. F
Alarm Water Line Insulation Mech. •
rx " Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �: ' i / � Time: AM PM
Address:— /
Builder: Permit ►�: `�
i ` THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED _DISAPPROVED APPROVED SUBJECT 10 A OVE
_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: l 7
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
ost/Be aSlruct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mac San. Seer Gas Line Bldg
9• ndertlo Rain Drain Framing Plumb.
`Alarm Water Line Insulation -Meth.
Undertlr. Insul. Shear Wall Gyp. Bd. `Elect.
Date Requested: _ / l Time: AM _ PM
Address:
Builder: Permit #: �5 U�T2A.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_T � t•� I
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Inspect,r.__��f� Date:
j
j _APPROVED <-5ISAPPRO`JED _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: _
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/Beare Mech. Gas Line -Bldg. .
Plbg. Underfloor ain Dr-a
�iA Framing F Amb.
Alarm aer Li Insulation -Meth.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Cate ReycPsted: cq/�S –ime: �'� IJU PM
`E
Address:
Builder:� --.-�,� Permit #: �—THE FOLLOWING CORRECTIONS ARE REQUIRED:
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�Innspector:�_ Date:
J�APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
✓ Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line
(R�(Rec-O-Phone) 639-4175 Business Phone: 639-4171
Inspection:
ootin Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
f; Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struet. Plbg. Top Out Ele-. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall l Gyp. Bd. -Elect.
Date Requested:_ 51 Ct 5 Time:_46 PM
Address: `�_ Lju-(-Q L44
vim*
Builder: Permit #: Z—
THE LOWING COPRECTIONS ARE REC;UIRED:
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Inspector: �L!� �'�— Date:
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
j __Call For Reinsp.
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—— .='LUMD I NG r'E RM I T
RCRMIT t#. . . . » . . MST9
C"'ITY
OF TIGARD DATE' i aSrJE> 05/15/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: �is i 04 ISA -k'(r�tZ(4'• �
I , 13123 BW yell Blvd.Tigard,Oregon 97223.019 (503)639,-,0171 R
UBDI�'ISi ')N. . . . e 0ACL I'LL. FIIrr:_ #, ZONING: R•-12 PD,
".LOCK. . . . . . . . . . L_OT. . . . . . . . . . . . . .0 3 a "r
-LA OF WORV'» . :NEW rARSr4Cr T1^r.'0 n1_S- . : I
YPE OF USE. . . . :SF WA:.HINIG M.eCF. . . . . . , : 1 BACKFLOW PREVNTRS. . : 1
1CCL1PAINCY GRP. . :"ta r--LOOP DRAINS. , . . . . . :0 I RAPS. . . . . . 6 . , . . . . . vi
_DORIES. . . . . . . . WATER HEATERS. . . ., . . : 1 CATCH BASINS. . . . . . . :0
LnUNCRY TRAY":. . . . . . :0 5P RAI.N DRPINS. . . . .. : 1
a I NKS. . . . . . . . . : 1 CREASE TRAPS. . . . . . . .
AVATCRIES. . . . . :4 OTIiER rIXTURES. . . . . :0
TUB/SHOWERS. . . . s SEWS-'R ;_INE (ft) , . . - .0
.JATL::R CLO5ETr,. . ,.„ WATE't? LINE ( ft ) . . . . : LOCI
I SHwfluHERS» » . . : i RAIN DRAIN (ft) . . . . 10 °
1emarks : PATH i
"1WNCR _.__.__.._....�__---..__._._._ _____..___.__.._... _._ __._....____.__._.-.._-..__-FEES;.__.__..___
)ON MORI CETT[ HOMO:"" W.11 $ 1.00. 00 D 1Y. t"i/97
'1000 SW MEADOWS RD SWM 11210. 00 B 05/15/95 -
i U 11" 175 1 B 1='R T $ F-.7 00 D .?(5/15/95 "-
_AKE OSWEGO OR 97035 BPLC $ 437. 45 BON 04/19/95 95-
i#: G20 7133 r:,5)PC $ . C,25 n 03/ir/r?5
BPL.0 t `34 . 00 D IT5/1�l95 -
,. iani�; ny Contr actc R! 4 500. 4'10 11 05.%15'?5
MPRT $ 45. 00 Lx 05/15/95 -
- �.
�amr: „ � IVI('L.(� 2 1 i. LE'5 p 05/15/95 �
ddr -}-'Z.� MF)P'C 4 25 S 05/15/95
i.4y
25 B
.rti N S {p�3� (additional fvei nat; shown her,e� . . . . . . .
REQUIRED IN>:PECTIONS '
h,i ; permit is iso .:: d .,ub..ja(_t to the req
(lat ions contained in the Tiger-d Municil.-al. Footing Insp Insulation Insp t
'odp, state of Cir!?. !�I.ec ia�lty C rr.�;�s inti :�.1 1 ro andat. ion Irj r) Gyp Saar,d Insp
tither applicable laws. All work will be dorm• po�t/Beam 5truct Rain drain Insu
ill car_c:nr(J,-MCF` with approved p1,--.AnF;- . TF-,i�, F'nstr're,vn Mechan Wateir L..ine Int,t3
Cer mi't will Iprepir-�+ if work ir> not atar-�ted Cr oiwl Drain Watear• Service Ir
4ithin 1.60 days of 1 , :'uanct-, if is PITi/ondslab Insp Appr/73dwlk Insp
;aJspended for mora than 180 d. PLM/Underfloor Mechanical r : a'
Me::hanicnll Insp r'1t.(mb rinoi
r11 .tmb Top Out Building Fina
Fr•-eminu Insp rr ision Contr—
F, replace Insp
i� Ura,i L.ine Insp
l.( i�t.i,t�r' r .:C,<.: irretture
Call f':.�� ;.��Is).ae::t f Un C.,3 ., 4175
Contreactur Nate
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0
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1
cirf CSF TIGARD . . . .
. MAST!~R PERMIT
PERMIT #. . MSTr3`rM--Qrl.7c''
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/15/95 '.
13126 SW Hall:!.d.Tigard,Oregon 97223*8199 (603)630.4171
PAPCE:L . ZS1.04a A...05L00 ;..
":ITC ADDRESS— `.386:: ',1W NORTHVITW :JR 1i
:LIBDIVISION. . . . . CASTLE HILL #2 ZONING: P-12 PD
. . . . , . . . . . LOT. . . . . . . . . . . . . :085
BUrLDING _•___._..___._._ __w._____._._.___ _ .______.__....-. .
�r
REISSUE: DWELLING UNIT,,: l BAGEMC'NT. . . . . . . . 20 sf `
!LASS DE WORK, -NEW BED RMS:5 BA1 HS:3 GARAGE:. . . . . . . . . . :618 s f
'r',:' or usE. . . r aF rt COR ARCA: -
4
,1PE OF CONST. i5N f~IRST. . . . : 117,7;5 sf LEFT. . :5 ft RIGHT. :30 ft >`
'CCUPANCY GRP. :iia aEC0ND. . . . 1 C,*.! "� ;f F�!71JT. ,.:i� f t F'rAR. . :30 ft ::r;
TOR I=a, . REQUIRE
fD..---
EIGHT. . . . . . . . :^G fit TOTAL _ .. :.-,2,75 s•f 0110 .L: DCI'ECTORC. :'r' C
LOUR t..OAD. . . . 1401 ns f VALUE. . . . 195953 r1ARK I NG SPACE'S. . : 1
L
!',emai-kst PATH I
PLUMBING
INK 1. . . . . . . . . . : 1 FLOOR DRAINS. . . . tO BACKFLOW r''RCVNTRO. . : 1
ATrf ^. . . : i.
...AVATORIES. 14 WnTF.`R HETRAPS. . . . . . . . . . . . . . .0
.LP/SHOWERS. . . . :u I
I...AUrd'?RY TRA''tr a. . . :k CATCH BASINS. . . . . . . .0 t
..'ATER CLOSETS. . :3 SEWER, LINE= (ft ) . :0 GREASE: TRAPS. . . . . . . :0 �.
DI_•=1 Il.JA5HE:Ra. . . . : 1 WOTER LINE (ft ) - ; 100 OTHER r I X TU RCS. . . . . :0
1ARPAGE DISP. . . : l RAIN DRAIN (ft) . 0
::ASHTNG MACH. . . : 1 Sr RAIN DRAINS. . . 1
_. __.._.........._._.,..___ ME'CHANICni- -•_..__._._.._.._..__,..,._........._ ._._...__._.._-._....---....__.._- PEES __ _..___._..._......._.
1"Ut1. TYPES-__....._........_.._ _. .._.. U141 HTRS. . .0 type aamu,.tnt tay dat4a t-ec:pt
,GAS/ / / VENTS . . . . ,. :0 SWM $ 180. 00 B 05/15/911; `
1,10X I IXJUT;O ST'J VENT :4 3WM $ 1.00. 7.0 P 415/15/95 t
'_URN ( 10rAK . -0 HCIOD:T. . . . . . . S BERT t 673. a0 B 05/11/95 - I
!'"URN } - 1>af4'13( . . ; J. WO nD STOVFr's.. 10 SPI-r-1 1 4:7" 4.5 Snk! 041'19/95 1512'64 "..
FLOOR FURN. . . . :0 CLO DRYERS. : i Bim.PC $ 33. 6S B 05/13/95
70IL/rMp ( 3HP.0 1TIIE'R UN.ITS,., 1 BVIL.0 11 S0. 00 l 0151115J,195
GiIS OUTL.E:T5r 1 FARE! 9 a00. 00 B 05/15/95
DON MORISSE:TTE HOMES 3 HrIt...0 V• 11. ..5 B 05/15/95 -
;�'V't0 W MEADOWS RD M5C''C: ! � L` p. 1715
UITE 151 7BITI 1; E'.25. 00 B 051150/C)5
'_AI•CF' O WE Gn OR 971Z35 P5PC 111 S S. ;`'S D 015 15fr35
'Mane #: &207!536 EROS t; 64. 00 B 05/1 r/9C;
� Unt r"EICt f)I"" _ _._. .___. ......__.. ._._... . .... ..__.. _ ._..,_..... _F121"'C ai i,l'1. r)4t Ll ��I'.:a 113/'3..:r
DON MORIS ETTE 1I(]11r5 E:RPC 1; 20. 80 17, 0115 11 15/95,
5000 SIJ MEHDOWS RG
sit!t'.I� 151
At : OSWEGO OR 9'70,15
"71h on}e� #: 620753S
E
23711. 45 TOTAL
This pereit is issued subject to the regulations contained it the - RFCILIIRED TN,Pt:CTIONL3
Tigard Municipal Code, State of 0-e. Specialty Codes and all other Footing Insp PlUML Top put
applicable laws. All wort will be done in accordance with approved Fert.lnclat :an Insp r`v" tminy Insp
aians, This verbit will expire if wort+ is not started withir, 198 Fust/perm Str^t.tc:t Fir-eplacs, Insu
days :f isstlaice, or if wo4 it s,spended for sore than, 190 days. most/Peam Me0iatn Gag Line Insp
Cr,,;wl Drain
�'crmitt..e! ':. t !r- +/�•I_ , _....... . sir PLM/Undev-floor- RaiBl
nLit--&iinInt1 . +'
Metzt-lrani.c.-Al Insp Wold- L.i.np Iilst:
Call for, inspection _ E39--4175 'Y
y.
N
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1 '"f y+i i�gNy� ' ! ''." ••
SEWER CONNECTION
' CITY QF TIGAKLOF PERMIT �, .. . .pIT, . . : r
� « �WR9., Ql165
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/15/9""*
13128 SW Nall Blvd.Tigard,Oregon 07223.8108 (803)630.4971
PARCEL.: 2S 104RA-05 ,00
rITC ADDRESS— 17880' OW NOPTHVICW DR.
SUBDIVISION. . . . ; CASTLE HILL 412 70N I NG: R-- 1L-,, �'D
BI_.00K. . . . . . . . . . LOT. .. . . . . . . ,. . . . . :elS5
TENANT NAME. . . . . ;
USA NO. : FIXTURE UNITS. . . ;
CI_AG9 Er- i OPK. . , :NEW DWELLING UNITS. . . 1
TYPE: OF USE. . . . . ;SF NO. OF BU I LD I NOS i I
INSTALL TYPE- - :13USWR IMPERV URFACC. . ; : sf
Remar1« . PATH I
FEES .____.._.._.__.___..._.._..
DON MORISSETTE HOMES t /pea amo'_�11t toy tint a recpi,
5000 SW MEPDOW^ RD PRMT $ 22'.00. 00 S 05/15/95 _
l.IITC. 151 INSP ? 37. 00 n 05/15/95 -
LAKE 05WEf30 OR 97035
f"hong it. CwQI 7�i3t3
Contr-ac•tor.
"ONTROCTOR NOT nN FILE:
'bone #; x 0 :3 . 00 TOTfaL
eR #. . .
_..__..,..,__ PLUUIRED INSVIECTIONS -
--,is Apoiicant agrees to coeply with al; the rules and regulations Sewer Inspectiar;
the LMi...,d Sewage Agency, The permit expioes 180 days froe
the Fate issued. The total m zt paid will he forfeited if the
,.ermit expires. The Agency does not guarantee the accuracy of the
-ide ;ewer laterals. If the sewer is not located at the maasureeent
jiven, the installer shall prospect 3 feet in all directions from
Of distance given. If not so located, the installer hall purchase ,,_..._„___,._,__,»._-_____ - ___, __._,•,,_,___•_. _ .__...._.
"Tao and aide Seller” iereit and the/GGrr ;1 inall a laurel.
e d LAYuit��f
Gil l fol inspect ion - 639-417S'
i
Lj
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f
wr
...:,, ,al.„1, ,,, •..,... rav_.,,,,t�::,,.4..,av*-:;-,m,�, ,:-....rc,rMrN'.wMii�W,keuAAY4p�'rYISQ'"�.rn.ur..wmN►xKrlotaC.v5tn.7rMla+.Malawi'tnMw,.,n.iw4'1�r�iliAI�11Nf1YwrYMrL �.j' '•
f �
Residential Building Permit ARp'cation
City of Tigard i �3 1/!V �-xF
13125 SW Hall Blvd.
Tigard, G -
OR 97223
(503) 639.4171
Jobsite Address: ^'� c V+ ' r'W l
Subdivision•
( ,�-�y,,,, IA', I ` L Lot a_Tom_ Office Use Only
/9�. y5 Z ye PtancWRec# ! t
Valuation: 11 _
Permit
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Map&TL
Owner. _ P.I !•10121 S i 4i7Meh, I NL• Aoarovals•Reauired
Address: n kD ilk 1`J( Planning _ r
t,
LOA9 - tK 92015 Engineering
Phone: Other
Contractor. ':ame Required f
Address: •'.,,,:Subcontractors
_• `?,Tivss Details _
Phone: 5
�> Other' r
Contractor's License
(attach copy of current Oregon license) �aZq c
Contact Name & Phone:
lubcontractors:' Architect/Eng[near: FCAN�YZ_
Plumbing:t-AAneH PrKf�.-b U
N 11`1(.1 Address: M � I S
Mechanical:-rkk CDUNrT'y 7t3-iQ8ECIO 0)4. a�35
(attach copy of current OR Contractor's License) --
Phone:
j JOB DESCRIPTION:
Applicant Signature & Phone number
Received by if Date Received:
MMIdt0lCokDQVWEMP�
N .000
r r srn^r� ,any.r i'��" '+kr'�� w'f•�r�`'"tq,'�'. + - 'f�'A'S?^n b ri",�`a,N`�
r� � 11 r'dt Iir;
...a+wrW.ti6i+MlMMw.rwn.we«..rw ..._ .. ..�.......-._..- '.....-.... ... ,
�• t
Permit S Accowit Description ;r Amount Amt Pd. Bal. Due ` 1.
/77 5-o I Z Bldg. Permit (BUILD) 73 ' w _— --���"�✓
.� -
Plumb. Permit (PLUMB) 2 —7, -
T
Mech. Permit (MECH) V
State Tax (TAX) L/ 7 7,1)7
Bldg: _33, �` ✓ '
Plumb:
4 �
Plan Check (PLANCK) 4 -=
Bldg: 37 f7i ,�*'4Q'rd ��►
Plumb:
.71
Mach:
5c #Zf ^-{J G7 Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
PKSDC Tr
}: Parks Day Charge `• ( ) ------
-._Storrn Drainage Chg (SDSDC) -- -- - .:
_ ..Residential TIF (TIF-R)
\ f
......Mass Transit TIF
(TIF-MT) --
ro __.. .., _.._. ... (TIF-C) sS9i,�; `r _._.1- - ._. . �r ._e. iEC:9:71� :E➢l:�^.
-•^• Commercial TIF
Industrial TIF (TIF-1) M
Institutional TIF (TIF-IS) -
_........._ Office TIF (TIF-O)
Water Quality
:. �/ : t' ray;^ � Ti` J;' . '• _.L_. 1..2'16115%, VihA I
_. .. .
Water Quantity (WQUANT)
- -Fire District (FIRE) --
Erosion Cntrl Permit (=RPRMT)
w
Erosion Planck/USA (ERPLP,N) v�••R - '
Erosion Planck/COT (EROSN)
• w'
TOTALS: � � A,
r'
t
r •
FROM :FIPST AMERICAN TANASARN TO 503 620 0947 1995.05-15 11=44 11741 0.03!03
i
'rig ti♦ . ,` . I YY, ,Ir Prt .•y f ,1•••�
4 �r•, • + 'i•rr� • +�• r�� ti • y.rrs 7 ,lt..:�hilir r
,$1�:;5!,•�•• . ��A•A�✓?�.;,t �•f���:: ;,Rs• • �i A.AI •4�i y Ai'A?::..::.,..;�,' ! d�0{t:..:..atS�� � ��•�y;
::�, , :,j,; ,tic3z. i,:.:� �,ss�3jp;: •,,i. ! '�. �,l, f.:;. «�i��;, �,: ' ..�,.t•:. ,:,,�� t�`.•y„y : ,; :. ��TL ,.
r�'lsr:fh; ;r,`;`,,;e�r t t;5!J• !;!1;4, r�.��r dr;i,%'"�� .tii r��;t�{ tt��3i {�'' ?a+�•� �¢2 i t%4�l7��' '� +;•'; f Jf1 t�.4 i�•,•�:? °:�,;,�;;C;�L'�•
tr�•lj�a �„rf .1,I 3n.�•K•: .i,d r � +'•. ,•1 :, .r•4"1 i':5 ,t••, ( 5':`i'. •i �. v
•�•moi I y,;,..��
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C;edit,Vo:_
Cate iSsu'ad: ;•:1`
r"�_.•,�
7RAFF-7C IMPACT FEE
CREJtT VcUCHER
In accordance with the Tr&Mc I, pac:Fee Ordlnancs, Matrix..r�evelo ment Co oration 's
r f
"�fjfd is entitled to 31550 in i rafflc mp,act Fes Crsdlts that can be app!!ed to T1F c arges
on lots 68-131 of the Castle H1 No. 2 Devalc Hent. The use of TIF cr edits
�iii':•.,. �) t�• fr;.;1•,
are subJecI to the rules a,7d 11mit rions of the Tlr Ordlrancs. WARNING:
r � 'Itis vcur-�er must ba presorts at the time of issuance of the Building Permit, or tf deferrer
was granted Issuance of an Cc.-bpancy Pormit.
MATRIX CcvE_OFEiVT CORPOFA77ON hereby arsigrs ail its right,
title and interest in 7d to Nhat certain Trah'tc impact Fee Credit to be granted
t ,Q, . upon the Issuance a building per-mit for Lot 85
n' CA5iLc HILL NO. subdivision, Washington County, Oregon to the ardor oh. ;�• ::
r DON MORISSETTE HOMES
5000 S.W. MEADOWS ROAD
SUITE 151
j LAKE OSWEGO, OR 97035
r his as,;ignmsrt of Ara-tic lm pact Fee C4dit is m2Ce and riven this r:
e dsy a. 1995.
MA T RIX G VELOr'UENT CORPORATION,
I an Oregon Corporation
.;�;`.;• I 5 .,,art��, '"�1 r'r,
7W or Position
,..ice I •;;y •;;•
"'�s, •tib;•
> ;•,
�il1 � ,�:' ,%, ��.�?r � r •jl� • 1i''{r �lti ;�� 1••'y0�:•?,a,• jlt; ';;�� ay,g ti;•:,f��y(�1 t� 1 t;..%.ti: ti�
'Tt,�•q,� y •+f� • y�'f �Sti. •tP iAri �0.�}TS,���' ; r 1S4! ;.
I .....,,...wwr+...-.ww,.: .w r,,,.uro«.•...,,-...,...•. ..�.•...•.�.. .w,•.,... .,.,...,.R..nlmr.w.n-...�M+.w, .w,,.r...+.,,n.,...,..+.v ..o-:.,.r ........... n�,s.,.•—,
,Ffl r
'i e
w:N,NMWlYsbes*.W<Ren�uvwr.Wddis,+a ...ew..ia1ixbM..__..�_ ,�",,
.•M`ra.M.�M'�M'YMri'41r ��...
t
6000 S.W.Meadows Rd.,Ste.161
Labe Oswego,OR 97086
Phone:(603)620-7638
a FAX(603)620-7486
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CITY OF T I GARD _ RECEIPT OF PAYME.N i RECEIPT NO. :952165446
1
CHECK AMOUNT a 4:359. 45 t
NAME s DON MORISSE?TTE HOMES, INC CASH AMOUNT 0. 00
ADDRESS a 5000 SW MEADOWS RD. S--151 PAYMENT DATE 05,115/9!000
LAKE" OSWEGO, OR SUBDIVISION „ _
9 703 5—
I �
i PURPOSE 1 ,
F LJRF'G1iaE OF PAYMENT AMOUNT PAID Fl1Ri=CASE Off' PAYMENT AMOUNT �•FIIU
(BUILDING PERM MST95-0172 673.00 PLUMBING PERM
MECHANICAL PE 45. 00 ST. BUILD PER 47. 15
IPLAN CHECK FE c46- 70 SEWER USA 2L'oo. 00
I SEWE'R INSPECT 35.00 PARKS SCLC 500. 00
00
t� GJ C.UALITY FAC I L_I J Y rE E 180. 00 H2O GIUANT T TY FACILITY F'E:E 100. 00 w
CONTROL. PERill I TFE'-E 64. 00 EROSION CONTR01_ PLAN CK o. 81A
F RO51 ON CONTROL. r_'o. RO
1.3882 NORTHVIE'W 17R. 1
V
TOTAL AMOUNT PAID - - ) 4359. 45
�j..-.wr.�.i.+.rrwr..war••�,+�.'-_��....�_�.�..�....r. ��....���...�.....�a�........3.:►�...+..�"1�...�.. .r"L'.aY•*WY..L..,.:�vv3:.W Ti��_..._ .._..,_.....»._.—.—:....._....�—..
M
I 1:.T'T'Y OF TIGARL) .- RC'CaE'!F''"r OF PAYME=NT RF'CE=IGT NC). 05--264378
CHI--('K AMOONT s 500. 0O
NAME s DON IMOR I FiSt:'TTE HOMES COF&I 0140UNT s U1, 00 AD1)RF S a 5000 114 MEADOWS RD. S_15i1 P0'YMF:N•T DATV' s 04/19/9!5
91JBD I V I ks I ON s
l z'UR1OSEUF-�' �YMf�NC AMOUNT PAID D ~URlrE (IF P1
YMENT 6:1MClLJtJT PAID
F..'!.... ' td I�HE=CK E E. 4 4fiR r*r`'i0. 00PLAN C FG;K FF 4-4,'R
I 5
I
l
I k
1
1138147 SW NORTHV T.EW DR. A. 13892 541 L I DE:N CSR.
I TOTAL AMOUNT PAIL) 00
I
_does
•
_