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i CERTIFICATE OF
Ulrl OF T1
OCCUPANCY
p'LRMIT #. . . . . . . M;iT9�•-001F:)r'.�
COMMUNITY DEVELOPMENIi�� rE I;�t'�)�"A' ¢�eti`_5/ '
13126 8W Hall Blvd.Tigard,Onpon 97223.6199 (603)639-4171 PPIRCEL.: 2S 1046A-0.i$00
SITE ADDRESS 140: 4 SW NORTHV I EW OP
!SUBDIVIGION. . . . : CASTLE HIS.;_ #2 T_pNINU:R--12 PIE)
SLOCR. . . . . . . . . . s LUT. . . . . . . . . . . . . 1
CLASS OF WORK. i NEW
TYPE OF USE. . . :SF'
OCC!_P,ANCY GRP,. -R3
OCCUF°ANCY LOAF)s 219 4
■
TENANT NAME. . . s
Pemav,ks c PAth i I
■
NORTHLAND HOMES
1 834 SW 8TH FIVE
SUITE # 2'02 � ....
F'ORTLAND OR 97221
phone #: 0.192-3975
Contrartors
CONTRACTOR NOT ON FILE
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t Fahovia �6s
gI Hera #1. , c
This C'rrtificat:e certifies that the above referenced building or portion
then^ecit has been inspectnd for compliance with the Tigard Building trade
for the group and division of ocr,up6-mc-y and use foo which they above
referenced prof-mit was i$sl.►ed, and Oc CIApancy is hereby granted. I
DUILDING INSP°ECTOP IC:SAL
F'OG T IN CONSPICUOUS F�1_ACE:
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CITY OF TIGARD BUI
WILDING 41�5S BE s neoss Phone:lE639-4171 "
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Susp. Oiling Sprink. Rough in
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1 Footing Mech. Rough in Fireplace
Plbg. Underslab
Foundation FINAL: /
To Out Elec. Rough in
Post/Beam Struct. Plbg• p Gas Line - Ir
post/Beam Mech. San. Sewer plumb.
Rain Drain Framing '
Plbg. Underfloor •Insulation "-s e
Water Line E
ihear lect.
Alarm Gyp. Bd.
Wall
UnderSlr. Insul. PM
AM
Time: —
Date Requested:
Address:
Permit #:
Builder: rigllrP,�{a'tin
•' 4 z�yr�4.7
THE FOLLOWING CORRECTIONS ARE REQUIRED: { )0
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--'^' Date: I
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Inspector.
OVED SUBJECT TO ABOVE
OVED _DISAPPROVED _AF>Ph
_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: / /A
Footing Susp. Ceiling Sprink. Hough-in Appr/S�wlk
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.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:__ 7� Time: AM PM
Address: /!&
Builder: Permit #:,14 f O86,
THE FOLLOWING COtIRECTIONS ARE REQUIRED:
Insp
ector: Date:
PROVED _DISAPPROVED APP30VED SUBJECT TO ABOVE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4
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Inspection._
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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1(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 LE b
Alarm Water Line Insulation ech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: a/ 5 Time: AM PM r�'
Address:
Builder: Permit #: 9 S `d d O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_APPROVED SAPPROVED _APPROVED SUBJECT TO ABOVE
11 For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (ROC-0-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
s
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. '
Date Requested: �' Time: AM PM
Address: 14 0- iA ,A
Permit#:
Builder:_ '"TMJ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
JLL-28-1995 08:09 WASH.CNTY.OR.LUT/BLDG 1 503 68t 3993 P.01
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WASHINGTON %nu vsecwrMrM l UMVIL;kZ DIVISION SUC1.12.
��UNZY 155 NORTH FIRST,HILLSBORO.OR 07174
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PHONE:Si0ud40�4y0
OREGON INSPECTION REQUESTS (24 hours): 503/640.'!561 or
EPermit 05065792 Project *: P0048794 Status APPROVED Page 1 o2
Applied 03/31/95 Issued 03/31/95 Expires 12/12/S5 07/28/95 05
• RESELEC } s
Permit Title SPR - NEW OTH
j Description F3egvn 0313:
I
Job Address 14034 SW NORTHVIEW DR TI
h j Owner Name- INSPECTION - TIGARD Region D i
j Applicant Name WRIGHT 1 ELECTRIC-
Phone number 760-8522 Valuation: 0 Approved
Approval* : APP&
Inspector Comments : Re;*,.;ted_
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IVR-RESULT:
REQUEST ERi
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Mechanical : _
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Elect_-i c a l : r____ ^••.•..,._
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Structrual :
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Inspected by :_ Date :
9• Inspection Rkquaat�rd
t Final Elc'ctr. icj! 0499 E AP DN I
07/28/95 RI BjVR 3-332C C. c
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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 Fire eF '
Post/Beam Struct. Plbg. Top Out Elec. Rough-in --FTNAL: {;
Post/Beam Mech, San. Sower Gas Line C �-
' trl
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Flee 1 •
Date Requested: Time. AM PM '
Address:
Builder: Permit
THE FOLLOWING :ORRECTIONS ARE REQUIRED:
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In pertor: Dater—Ary.
XPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 art 'Ir rhir� .,
Inspection:
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i Footing Susp. Ceiling Sprink. Rough-in r/Sdw
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rouc -in FINAL:
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Post/Beam Mech. San. Sewer Gas Line -Bldg. "
Plbg. Underfloor Rain Drain Framing -Plumb.
A!arm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: Time4AM PM
Address:��
Builder:
Permit q: C .5 ,' q� •t,�r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector r S Dater
APPROVED DISAPPROVED UBJ BOVE
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. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain, Framing Plumb.
+• Alarm Water Line Insulation / Mech, •
so.
UndedIr. Insul. Shear Wal! pElect.
Date Requested: �!/ '�/�_Time: AM PM '
Address. c T
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47' I9i �C, ��r Builder: Permit #: %5 -oC)� ,
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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PROVED 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 Sus Ceiling
9 Sprink. Rough-in Appr/Sdwlk
T Foundation Pibg, Underslab Mech. Rough-in Fireplace {
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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 IIr�
Gyp. Bd. -Elect.
Dale Requested:
Time: AM PM
Address: TCS. _f) l\1 G� L�•� 1 ,
' Builder: R-6
Permit #:�s—vim
TI-Z FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ r-
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APPROVED XPISAPPROVED _APPROVED JECT TO ABOVE
XIall For Reinsp. 1
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CITY OF TIGARD BUILDING INSPECTION NOTICE ;y ,
Inspection Line (Rec O Phone). 639-4175 Business Phone: 639-4171
Inspection: i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Uoderslab Mech. Rc,,;gh-in Fireplace r!
S�
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. a
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
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Underflr. Insul. Shear Wall p Bd. 001-
Elect. ti n
Date Hocluested: 7/3/5 Time: AM PM
Address: y�'.3
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED-
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Inspector:_ Date: / 3
J _APPROVED XDISAPPROVED _APPROVED SUBJECT TO ABOVE
-XCall 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 AppNSdwlk
I .';. 1Sy IlY'tjG�j11G�S �:
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
fbst/Beam Mech. San. Sewer Gas Line -Bldg.
P!ho. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. �4s�
Underflr. Insul. Shear Wall Gyp. Bd. Elect. •
Date Requested: lQ �_3c'� Z2 5 Time: 1 AM PM
Address: t `-f U 3 Cil-'lJ�'G�l l fL ti� (ti4i\
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Builder: Permit #�IS- Oc/
THE FOLLOWING CORRECTIONS ARE REQUIRED:4Z 4
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_APPROVED 4-R,SAPPROVED _APPROVED SUBJEC TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTI:E
Inspection Line (Rec-O-Phone): 639-4175 Busir ss Phone: 639-4171
Inso�ction:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Rough ' Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: ,ti+
Post/Beam Mech. San. Sewer Gas Line / -Blog.
Plbg. Underfloor Rain Drain ramin -Plumb.
Alarm Water Linensu ation -Mach.
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Underflr. insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 60 'rime:_KAM PM
Address: / �C� 3 �v1�'_�.zx
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Builder: Permit q:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJE4 TO ABOVE
` Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTIONBess PNOTICEhone: 639-4171 �w
InsRection Line (Rec-O-Phone): 639-4175
Inspection: -
Forting Susp. Cei.ing
Sorink. Rough-in AppriSdwlk
Plbg. Underslab
. Roy Fireplace
Foundation
Elec. Rough-in FINAL:
Post/Beam Struct. Plbg. Top Out i Line -Bldg.
Post/Beam Mech. San. Sewer Gas L -Plumb.
ramin
Plbg. Underfloor Rain Drain --�, -Mech.
Water Line Insulation
Alarm -Elect.
Undedir. Insul. Shear Wall Gyp.
Z FLS Time: AM
Date Requested:
Address: r
Permit #: 7 _p
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Spector:_
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE o
all For Reinsp.
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C-1 Py' OF TIGARD — RECEIPT OF PFrYMENT REGEIPNO. a9'' 6a6I.
CHECK 14MOUNT s 0. 00
NAMR s NORTHLAND HOMES CASH rMOUNT s 15. 00
AD1)PE-6 s PAYMENT DATE s 06/c.8 9t',
SUBDIVISION s
l,-.4JRP(.)SE OF Est=aYW-'NT AMOUNT RAID PURPOSE OF PAYMENT AMOLINT PAID
MI SCE•LLANEOUS 15. QUID
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RE-INSPECTION F'F-F" FOR 14034 SW NORTHVIEW DR.
1064— %5-0086
TOTA4% AMOUNT PAID ? 1`�. 00 �
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CITY OF 'TIGARD — RECEIPT OF PAYMENT RECEIPT NO. 05--267279
CHECK AMOUNT 0. 00
NAME s NORTHLAND HOMES CASH AMOUNT o Im.00 i
ADDRESS t PAYMENT DATE a 06/PS/95
SUBDIVISION
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PURPOSE (IF' RFaYMF:N l' AMOUNT RAID PURPOSE OF PAYMENT AMOUNT RA I D
m'.i(:El»L.ANEgU�i _._... 15+. 0Q
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ISE-IN13PECTION FFE FOR 1.4034 SW NORTHVIFW DR.
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me"T 9n-eloai:
TbTALA AMOUNT PAID 15. 00
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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 Wall Gyp. Bd. -Elect.
Date Requested: Z 5S Time: AM PM
Address: � "l' G-�a `�' �C`''�•-�/ �,y,�,,7 // ��++��
Builder: Permit #:` () — (Do
THE FOLLOWING COHRECTIONS ARE REQUIRED:
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Inspector: Date:�Z4
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`APPROVED YDISAPPROVED _APPROVED SUBJECT TO ABOVE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Coiling 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.
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Alarm Water Line Insulation -Mech. I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: 2 Z
_lam � �.�•-�,;� - �►�✓a.��2 .
Inspectcr:_ �'� �^`� Date ��/
_APPROVED DISAPPROVED _APPROVED SUBJE=CT TO;ABOVE
�Kaall For Reinsp.
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CITY OF TIGARQ BUILDING INSPECTION NOTICE
Inspection Line (R'ec-O-Phone)': 639-4175 Business Phone: 639-4171 �.
Inspection: V - �-•^�-�(�-'t ti�-✓�
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslabi14Cech. Rough:y Fireplace
Post/Beam Struct. Plbg. Top Out EIPc. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line / -Bldg.
Plbg. Underfloor Rain Drainramin -Plumb.
Alarm Water Line / s o -Mech
Underflr. Insul. D <-� h9,1 w� ` r Gyp. Bd. -Elect.
Date Requested: l.P Z `-1 Time: AM PM
Address: 0 4' ��� �us`f'{i�.J •a-.�-� r /� L
Builder: _Permit a: J U e9a 41
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: �1�� -- Date.
APPROVED &ISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARO BUILDING INSPECTION NOTICE
Inspection Line (R'ec-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 Wail Gyp. Bd. -Elect. '
Date Requested: Time: AM PM I
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: , Z Z_
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Inspector:_
_APPROVED XISAPPROVED APPROVED SUBJECT TO ABOVE
r/ -. II For Reinsp.
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CITY OF TIGARQ BUILDING INSPECTION NOTICE r
InApection Line (R'ec-O-Phone)': 639-4175 Business Phone. 639-4171 ' t
r Inepection: t
Footing Susp. Ceiling Sprink. Rough-i Appr/Sdwlk
Foundation Plbg. Underslabech Roughj Fireplace
Post/Beam Mech. San Top Out Elec. Rough-in ^ FINAL: '
Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain �t raming� Plumb.
Alarm Water Line \ C 1 sulation / -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: C S
Time: AM PM I
Address:
Builder: C C
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. Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:-- Date..
_APPROVED /`DISAPPROVED __APPROVED SUBJECT TO ABOVE.
— Call For Reinsp.
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` CITY OF TICARD BUILDING INSPECTION NOTICE
Irt.pektion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ec Rough-in _ Fireplace
Post/Beam Struct. Plbg. Top Ou!%,, ,6 Elec. Rough-in FINAL:
Post/Beam Mech. Can. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain r ming -> -Plumb.
Alarm Water Line Insulation -Meeh.
Underilr. Insul. ��S_h.ar W"alf Gyp. Bd. -Elect.,,
Date Requested: � `' Lam_Time: - AM •J�/'/f�
Address.
Builder: Permit #: 2.,!
THE FOLLOWING CORRECTIONS ARE REQUIRED: L
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Inspector: L/L-��� `.�'"" Dater,, 4 C1 •t S
{ APPROVED ,LDISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinsp.
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CITY OF TIGAR.D BUILDING INSPECTION NOTICE
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tion Line (Flec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in 9 A /
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Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plb To Out p
g• P 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 Wall
Gyp. Bd. -Elect.
Date Requested:
Time: AM PM
Address:
Builder: Permit
-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
reD
7 (Q� C I 7G' G,�L� - `�-v�.•� (cam
Inspector.
Dater � S
_APPROVED DISAPPROVED +APPROVED SUBJECT TO ABOVE
a Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
In,TPection 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 Wall Gyp. Bd. -Elect.
Date Requested:
Time: AM PM
Address: I
Builder: —Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� c_�,�,'� -�,-✓ `fie -�.-,�� S'("2���..�-�.
Inspector:. ` /1�- C Date:
/DI
_APPROVED SAPPROVED __APPROVED SUBJECT TO ABOVE
�� Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE I
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:
rwGas Li
+iBeam Mech. San. Sewer
Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb. ■
Alarm •
Water Line Insulation -Mach. I
Underfli. Insul, Shear Wall Gyp. Bd.
-Elect.
Date Requested:_ c/— Time: AA1 — PM
Address: 1 yl>3 y �U✓ /"Co� /n✓ —
Builder' w� yLL) Af Permit
M-6-7-11
THE FOLLOWING CORRECTIONS ARE REQUIRED:
--
253
Inspector: < / C r
Date:
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
/ CII For Reinsp.
I
CITU OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-0-Ri one): 639-4175 Business Phone: 639-4171
Inspection:__ x
Footin Susp. Coiling Sprink. Rough-in Appr/Sdwlk
9
Foundation PI eralab Mech. Rough-in Fireplace Elec. Rough-in FINAL:
Rou
Post/Beam Struct. Plbg. Top Ou9
Post/Beam Mech. San. Sewer
Gas Line -Bldg. )
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. a„
a ,,.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Requested:
-`T�_Ji�me:
Ar,M�.5 n9'
CPi�i�rIM
Address: y31 cr /, jA4_6ermit #:
Builder: CL
THE FOLLOWING CORRECTIONS ARE REQUIRED: Date:
Inspector:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABO�V
E
Call For Reinsp. .
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CITY OF TIGAFLp BUILDING INSPECTION NOTICE
Incpection 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. hear Walla1V -- Gyp. Bd. Elect.
Date Requested:_ S Time: //�� AM PM
-
Address: 3 or v;eIJ 0/—
Builder: n layt 07! �Permit� /S-
THE FOLLOWING CORRECTIONS ARE REQUIRED:2 q Z 3925
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Inspector: Date: -1
_APPROVED ZDISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp.
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- DEPARTMENT OF LAND USE b TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415
OREGON
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' AX'Xx:.",XXX--> 1540-3470
Page : 1 of 1
Date : 04/03/95
Time . 10 . 25
Permit 'Type Residential Elec'-rical hermit Permit # : 05065792
Ilermit litatus APPROVED Applied : 03/31/95
Situo Address :14034 SW NURTHVLEW UR Ti Issued 03/31/95
1 Permit 'Title SFR - NEW Completed
Permit Descr. To Expire 09/27/95 '
Project 'Title St'R -- NEW project # PU048794
►!Iroject Descr, +r EROSION k
Parcel Number 251'1'1 - Land Use District ' •
Valuation : U
.Legal Uescr.
Owner INSPECTION - TIGARD Construction : OTH
Applicant Name WRIGHT 1 ELECTRIC Classification 900
Applicant Ad6r . : 5618 SE 135TH Occupancy R3
TIGARD, OR 9'/236 Validated by LG �
Applicant Phone: 760--8522 Inspector Area 1
Fee description Units Fee Unit Ext fee Data
-._..----------------------------------------------------------------------------
1 Square rootage [Enter Sq. Ft . ) 2000 160 . 00
Subtotal Electrical Fees : 16U . 00
State Surcharge of b% 8 . 00
Total Electrical Pees : 168 . 00 j
* ** tees Required *** * t* Fees Collected 6 Credits ***
----------------------------- -------------------------------- -----------.----
Method Check # Receipt- No. Date payment
CK U865 03/31/95 168 . 00 p
fees : 168. 00 f
Adjustments : . 00 'Total Credits : . 00
Total Fees : 168 . 00 'Total Payments : 1bLA . 00
Balance Due: . UU
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NOTICE: This permit becomes null and void If the work or t,onstrucllon for which It Is Issued Is not commenced within 180 days. Once construction hes started, ++
the permit becomes null and void If construction Is Interrupted for a period of 1110 day@. I certify that the Information presented by the applicant and l
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances govei ning the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit don not grant authority to access private property or to use easements. I further acknowledge that the use or occupanry of
the structure or building permitted depends upon my calling for Inspectluns at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval is given by the Building Officl@l. I further acknowledge that a Ilan may be placed on the title of the p,-oerty upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satlsfact- n of all Inspection requirements.
APPUCANT'S SIGNATURE
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WASHINGTONenof and Use
ELECTRICAL PERMIT
Department of Land Use dt Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412 permit
PLEASE PRINT 7 Number Q Date
Please completesections, . • 4
4. Complete Fee Schedule below `
1. Location of Installation Number of Inspections per permN allowed i
Service included: Items Cost ea. Sum
- Address I4O':'S�} SuJ IV02rKUl'Lt,JJ OR Cost(ea.)
Buildingg A. Residential-per unit
City -- Suite No. j
Tenant Name 1000 sq.n.or leas �— $11u.00 t t O•o O 4
(I}commercial) — Each additional 500 sq.ft c
or portion thereof $25.00
Limited Energy $25.00 _ 1
Map No.�J� TeX Lot Each Manuf'd Home or Modular
Dwelling Service or Feeder __ $68.00 2
Thomas Map Book: Page: Section:— _
Directions B. Services or Feeders
--- Installation,niterationa or relocation
200 amps or less $60.00 2
Commercial Residential® 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor Installation onl 601 amps to 1000 amps $160.00 — 2
Y• Over 1000 amps or volts $340.00 2
Electrical Contractor Eleyt�;�.=,�L Reconnect only $50,00 -- 2
Address S C�
City State ZIP_ C. Temporary Services or Feeders
Date Job Number _ Installation,alteration or relocation
Property Owner (Uc]R:MUAtyD KGIhEl:�. 200 amps or lose $50-CO _ 2
Contractor's License No. _mac- _ 201 amps to 400 amps $75.00 2
s s to 600 amp $100.00 2
Contractor's Board Reg. No. y"1 401 ampti
� Over 600 amps to 1000 volts sae'B'above 1
Signature of Supr. Elec' tt n D. Branch Cir.wits
License No._3�jQ'E> Phone No. 'VI(,k)-`b��:L Now,alteration or extension per panel
a) The foe for branch circuits with
purchase of service or feeder fee.
2b. For owner installations. Each branch ci.,wit __ $5.00 _ 2
b) The fee for brarch circuits without
nntPT Owner a FTme oneTlo. purchase of rervice or feeder fee. S
—__ __
Address First branch circuit $35.00 _ 2
i Each add'nl branch circuit $5.00 — 2
�1lata Zip - E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 2
The installation is being made on property I own Each sign or outline lighting __ $40.00 _ 2
1 which is not intended for sale, lease or rent. Signal circult(s)or a limited
enolgy panel,alteration
Owner'b Signature _ _ or extension $40.00 2
-d
F. Each additional Inspection n over the allowable
In any of the above
3. Plan Review section (If required) Per inspection ^� $35Ao
Per hour $55.00
Please check appropriate Nem and enter fee In sectlo:l 5B. In Plant $55.00
_4 or more residential units in one structure 5. Fees
_Service and feeder, 800 amps or more
,System over 600 volts nominal A. Enter tot,-!I of above fees $ G _.
__Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $ _
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -
above apply. Not required for temporary construction Subtotal $ _
services. ❑ Trust Account $
Balance Due $ I(CLIGO 91
l
For inspections call This permit becomes null and void If the work authorized by the permit Is not commenced 0
640-3561 or 693-4415 within 130 days frnm date of Issuance of such permit or N the work authorlred M
suspended or abandoned N any time after work Is commenced for a period of 130 days 1
24-hour recorder, one working day In advance of need Eledrlcsl Permits are non-refundable and non-trsneferabfe i
8/94
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CITY OF TIGARD BUILDING INSPECTION NOTI 9 4171
Inspection Line (Rec-O-Phone): 639-4175 Business P110
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Inspeciion:
h
S rink. Rough-in Ap /Sdwlk
Footing Susp. Ceiling P -
Plb Underslab Mech. Ruugh in place
Foundation g
�' Elec. Rough-in
h•in FINAL:
ost/Beam ct. Plbg. Top Out g
�,,,ta�- Gas Line Bldg.
post/Beam �+o '�"'—"
n r11 y. Rain Drain
Framing Plumb.
Insulation -Meeh. w
AlarfM"
Underllr. Insul. Shear Wall Gyp. Bd. Elect./
d 1 a a J , -
�� AMPM
i 2 -2 ( I `i Time:
r Date Requested:
Address:
F .
1 Permit #: 1
x� Builder: /
v .
_.. .') THE f OLLOWING CORRECTIONS ARE REQUIRED:
III
4
Date:
Inspectur:
OVED DISAPPROVED APPROVED SUBJECT T6 ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
k Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 39-4
Inspection: (J
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam MAch. San. Sewer Gas Line Bldg.
-Plumb.
Ibg. Undertloo�,.-' Rain Drain Framing
-Mech
l
Water Line Insulation . •
Alarm I
Underilr. Ir.-ul. Shear Wall Gyp. Bd. -Elect.
41
Date Requested:
• ' '`% 1
Tim PM
Address:
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Builder: `?l � 1 � � Permit t!: •1 _� _ U�c�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dater
AP Wl`GED __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: 6 1
Inspection: 2 O�C,d
f
Footing Susp, Ceiling Sprink. Rough-in S Ik
Foundation Plbg. Underslab Mecl,. Rough-in Fire ace
I
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
P t/Beam Mech. er Gas Line -Bldg.
I e loco,,• Rain Drain Framing -Plumb.
Alarm �" Wates r Line j Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: > — Time: AM �PM
Address:
Builder. Z, �1 2_ – n,r 1 Permi} q:
THE FOLLOWING CORREC(IONS ARE REQUIRED:
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�. Inspector: Date:_
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/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:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
4
Post/Beam Struct. Plbg. Top Out Elec. Pough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Nlbg. Underfloor Itin pcw'> Framing Plumb.
Alvrm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��� ��¢5 Time: AM PM
Address:—)
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect
oJy���' Date: Z
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Rpinsp.
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[-CI TTOF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0. . . . . . . r M5T95-0086
13125 BW Hall Blvd.Tigard,Orogon 97223.41199 (503)430.4171 DATE ISSUED: 03/20/95
PARCEL: 22SI04BA-03EI00
SITE ADDRES':a. . . : 14034 SW NORTHVIEW DR
SUBDIVISION. . . . a CASTLE HILL #2 ZONING: R-12 PD
BLOCK .____---_—?------------- 071
---_.__.—_---__
- --- _.--___._.--_--__—____--__________-.--__
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE Or; USE. . . . 3SF WASHING M$-w-H. . . . . . . .. 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . .0 TRAPS. . . . . . . . . . . . . . 10
E•URIE=S. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
r I X'I UFtES-- __-______._._.-• LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . 01 GREASE IRAPS. . . . . . . . 0
LAVATORIES. . . . . :3 0THER F'IXTURE:S. . . . . .0
T'UH/SHOWERS. . . . a SEWER LINE (ft) . . . . :0
i WATER CLOSETS. . c3 WATER LINE (ft ) . . . . : 1
DISHWASHERS. . . . it RAIN DRAIN (ft ) . . . . :0
Remarks: PAth i
OWNER: -_-__-_-_---_-_._______________
NORTHLAND HOMES 13WM $ 1130. 0141 JF 03/20/9.:
1634 5W ,`a,rH RVE SWM $ 100. 00 Jr- 0.3/20/9b -
SUITE # 202 BPRT E 485. 50 JF 03/2121/95
PORTLAND CIE? 97221 HPLC ! 315. 58 Kf1R 02/24/95 95-
Phone
5-
Phone #a 29 2-39.75 35PC $ 2
PARK $ 500. 00 JF 03/20/95 -
Plumbing Contract or s -- _-- _- ----_-- MPRT $ 43. 50 JF 03/20/95 -
MPLC s 10. 88 JF 03/20/95 -
IVame a XWV M5PL • 2. 16 JF 03/2121/9:':, -
Nddress :_-A -50U- c.t./ � __'. .(�C _.._ 3BTH $ 225. 00 JF 03/20/95 -
it:Y: LL7q-t -Q ;t, t. P :_..__QYZ F'_il'C $ 11. 25 JF' 03/ 0/95 _
lip: ._ 3 Phave#: fr-'�!� -y+�'' EROS $ 64. 00 JF 03/20/95 -
Reg #: 11�3� �f �,(�•_... 3"�`af��� Ociditi.onal fees not shown here. . . . . . . . .
--- - - REUU I RED I NSPECT I ONS --------
chis permit is issued s1..1b•ject to the reg-
..tlatinris contained in the Tigard Municipal Footing .Insp Insulation Insp
Code, State of Ore. Specialty Codes and all Found-.= tion Insp Gyp Board Insp
'
other .;applicable laws. All work will be done Post/Beam Struct Rain drain Insp
i
in accordance with approved plana. This post/Beam Meehan Water Line Tnsp
permit will expire if work is not started Crawl U ,ain Water Service In
{ within 180 days of issuance, or if work is Plm/undsl-ab Insp Appr,/Sdwlk Insp
I suspended for more than 180 clays. PLM/Underfloor Mechanical Finical
Mer-hanical Insp Plumb Final
Plumb Top '•'11.1t Building Final
Framing Insp Erasion Control
Fireplace Insp
Gas Lint! Insp
cluthCP' 1 Z Vd i. 11_t ng Contr aL-1:ur' ;.,rarIi-A ire
Call for inspection 639-41 ;+b
:1jntractor Netesa
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13126 BW Hall Bbd.Tigard,Oregon 97223.4199 (603)430-4171 i'L RM I 1 ##. . . . . . . : M ST9 S-•In086
DATE ISSUED: 03/,:'0/95 i
PARCEL: 2S 104BA-•tZt3Jidt7.'
SITE ADDRESS. . . : 14034 SW NORTHVIE.W ISR
�3UBDIVISION. . . . : CASTLE HILI.. #12 ZONING: R-•12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :071
.-___-__-_._.-___-_____-__-._ BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
f CLASS OF WORK. :NEW BEDRMS:4 BATHS-.3 GARAGE. . . . . . . . . . :400 sf
I YWI. OF USE. . . :SF FLOOR AREAS-___.__-._.-..•_. REQUIRED SETBAC:Ka----------_ .i
YPE. OF CONST. :5N FIRST. . . . :844 sf LEFT. . s 10 ft RIGHT. : 15 ft
OCCUPANCY UUP. cR3 SECOND. . . :91;3 sf FRONT-20 ft REAR. . :40 ft "I
MORTES. . . . . . . :. FINBSMENT:O sf
HEIGHT. . . . . . . . : 19 ft TOTAL-.---..___: 1757 sf SMOKE •DETECTORS. :Y )
FLOOR LOAD. . . . :40 psf VALUE. . . . .: 12011E PARKING SPACE5. . 31
Remarks: PAth i 1
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PRE:VNTRS. . : 1
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAF'S. . . . . . . . . . . . . . :0
]U8/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 T
WkTER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1 OTHER FIXTURES. . . . . -.'O
j GARBAGE DISH. . . : 1 RAIN DRAIN (ft) . :0
WASHING_MACH
--. . . : 1 SF RAIN
_DRAINS._: 1l�yy_._____________
- MECHANICAL - - FEES F-UEL TYPES------- UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 SWr1 $ 180. 00 JF 03/20/9b - 4
MAX INPUT:0 BTU VENT F'ANS. . 14 5WM $ 100. 00 JF 03/20/9"1 -
FURN ( 1.00K . . : 1 HOODS. . . . . . : 1 BPRT $ 48.`'.',. 50 JF 03/20/95
FURN ! 1tZ10F't . . :0 WOODSTOVES. :0 BPLC 31.5. 58 KAR 02/24/95 95-
FLOOR FURN. . . . :0 CLO DRYERS. : 1 S5PC $ 24. 28 JF" 03/20/95
ROIL/CMP ( 3HP:O OTHER UNITS: 1 PARK $ 500. V10 .1F 03/20/1)t -
GAS OUTLETSsl MPRT $ 43. 50 JF 03/20/95
Uwnev,: __._.._ .__._ ___. _.._.__.__...__.___.______..___....._.....HPLC $ 10. 88 JF 0:3/20/9`.) j
NUN T'HLAND HOMES M`•.PC:: $ 2. .18 JF 03/20/95
11:3::34 SW 56TH AVE 3FATH t 42-2:5. 00 JF 03/20/95 -
F;UI TE # 202 P5PC $ 11. 25 JF' 03/20/95- -
I
PORTLAND OR 97221 FROG $ 64. 00 JF 0:3/20/95
Phone #s 292-3915 ERPC x 20. 80 JF 03/20/95
Contractor: __ __._._...______._.._.._.__—_---_—_--_ERK='C: $ 20. 80 JF 0:3/20/'3'3 -
NURIHLAND HOMES ,
1834 SW 58'T''
y PUR(LAND OR 97221
i'h o n e #s 2)2--3975
. : 13727
''003. 77 TOTAL.
' This peroit is issued subject to the regulations contained in the -- --- REQUIRED INSPECTIONS
- -- - -
'� Tigard Municipal Code, State of Ore. Specialty Lodes and all other Footing Insp Plumb Top OLtt
' applicable laws. All work will be done to accordance with approved F o�Ind at i o n Insp Framing Insp
plans. This permit will expire if work is not started within 180 Port/Ream Str,�tct Fireplace Insp
days of issuance, or if work is suspended for more than days. Post/Beam Mechan Gas Line Insp
C.r'awl Drain lnsi-flat ion Insp
ier•mittee L3iynat,Ai.e F-'im;,.tndslab insp Irayp boaird Insp
? 4. F°LM/Underfloor^ Hain dr^ain Insp
issf-1ed By - �__--.--�-. Mec=hanical Insp Water- Line Insp
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CITY OF TIGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Nall Blvd.Tigard,Oregon 07223.8100 (503)830-4171 PERMIT #. . . . . . . : SWR95--•0086
G :`J—4171 DATE ISSUED: 0 ;/20/95
PARCEL: ES104BA-03000
SITE ADDRESS. . . : 140,.:4 SW NORTHVIEW DR
SUBDIVISION. . . . : CASTLE: HILL #` ZONING: R--12 PD"
a BLOCK. . , . . . . . . . . LOT. . . . . . . . . . . . . .071
{ TENANT Nf+ME:. . . . . ..
USA NO. . . . . . . . . . a FIXTURE UNITS. . . :
CLrso.S OF WORK. . . .-NEW DWELLING UNITS. . : 1
f•� PE OF USE. . . . . a SF NO. OF BU I LD I NGS a 1
INSTALL TYPE. . . . :BUSWR 1MPERV SURFACE. . ; : sf
,
rtemaarks a PATH I
Owner: ___.__.____.._._____------_____._..._..__._.......______._._. _.-------____.____ FEES
NORTHLAND HOMES typal amaunt by dAalte! recpt
18;3 ► GW 58TH AVE F`RMT $ 2200. 00 .JF 03/20/135 --
GUIIL # CO2 INSP $ :35. 00 JF 0a/�0/�i'n _
1 POR f LAND OR 97221
I f-hone #a 292-3975
Contractor:
CON T RACTOR NOT ON FILE
! Ghane #. ._____�_-- _......
i:23a. 00Y 1�OT11L�_.__.._._.__. ___--
�+ fey #. . -.
— REQUIRED INSPECTION',:,"
--
This Appiicant agrees to comply with all the rules and regulations Sewer IrAsper:tion _ •
( of the Unified Sewage Agency, The permit expires 20 days from
the date issued. The total amount paid will be fcrfeited if the _____.•!•_,.._• ___,.._. __ _� ____.�_._.-____.__
t permit expires. The Agency does not guarantee the accuracy of the �,_—_•__ __�_._.______� ___._
9 side sewer laterals. If the sewer is not located at the measurement
( given, the installer shall prospect ? feet in all directions from
the distance golen. If not so located, the installer shall purchase
( a "lap and gide Sewer" Permit and the will install ala eral.
1
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Ca-i11 for inspection 6. ;9--41 lb
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Residential Building Permit Application �� q5
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City of Tigard c ��u
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
-Jobsite Address S6JiyU�'Tf/
/ 011ice Use Only
✓ I
Subdlvlslon: G/�=�rG G /�iL� Lot # 7/
; ..,
Planck/Rec # .� �
Valuation: /Z 4 //s _
permit # J i+
Corner Lot? Y
} .Reissue of _ I
Flag Lot? Y
./Owner:
Approvals Required
r
j Address: 1ff -3 S S fit,le planning
T LAey-12 Engineering _
Phone: _2 `7 2- 3 7 TS Other
f
I Contractor: /✓Ort l/
I
Items Required �
Address: 163 N y e 9-C-2 Subcontraclor:;_N44{�
9 7ZZ/_ Truss Details
Phone: l 9 Z 5 Otht#
Contractor's License # 01 3 7?_ 7 V
(attach copy of current Oregon license) 1 1. 4-1 y t t
Contact Name & Phone: Pe,e,, Z92--
Subcontractors: Architect/Engineer. ISL!z/2 y
Plumbing: Address:_G-2 1 ii/
Mechanical: �,.-t� r<< ���- c /�o,t i'4.a/vr/ D.L- 774o-v
(attach copy of current OR Contractor's License)
Phone: G?9 S L 'L G/
JOB DESCRIPTION: A r/ L S T fir+ G ✓• . �/<'La✓� o
S//✓GL.Cf �/►/ti� /-•may ��r/'/.mac-C'
a
App cant Sigfiatwre & Phone number
Received by: L,,6t 1.I Date Received: 211
/Irl)
N 1W ADCOMOMFIESAPP 9
. .
Permit# Account Description Amount AmtPdBal. Due •^
/71S�fu� Bldg. Permit (BUILD) •s�' -- '
Pitimb. rermit (PLUMB) !` 2'
Mech. Permit ;MECH) - 3
State Tax (TAX) •' - �
Bldg: < ,1
Plumb:
Mech:
Plan Check (PLANCK) ����`�G 2- / �L
Bldg: / �� SKS
Plumb: _
1.
Sewer Connection (SWUSA) L) --
2cv
Sewer Inspection (SWINSP) �3)
Parks Dev Charge (PKSDC) -S�u - vv
Residential TIF (TIF-R) --
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) - - --
i
Industrial TIF (TIF-1) —_ -
Institutional TIF (TIF-IS) --....
Office TIF (TIF-0) -- — -
Water Quality (WQUAL) — -- - -
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) ��---
Erosion Planck/USA (ERPLAN) ��•'� = v
Erosion Planck/COT (EROSN)
TOTALS:
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I ry.ff/j QC►^t7rGi
d1 ..if:�: is enlitleC 1c S 1,554 in i•rtlfic /n,pec!Fe:e ;;isc;ifs r`at car �' sppL'ed tc 71F c;verges
en iof(Sf 68-131 of il:t Castle 2 Oeve O;Me• L "he uS5 Of i IF Cle'ly(r5 I iT
}rte are subject to the rules and 1im,,'ejjo is cl the Tl%• Orc)ntrrce• WARNr1VG: 44;r. ,
Tnis vouchrr must be gresrtntea at the iin� of issuancs c!tie 5Ldld4-)v Perms, Or it defer;st/ �!t
was grI ISSUIence 0"en Occuparcy PEIMP.
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MA7Fry ;E + PP0. 'ri ICN hereby assigns al/1's ;i;!V-
tilsle znd blares:in and to the! celTim :"remit ln'ect,'ee Credr;to be ^2ntet7
upon�'fr 1ssuFnce of s burl.:ng permit fcr Let +�
CA rY rL r �Ot1,'lt S'• O�BOO,^, t0 t I0 VIII ct:
AS 7 LE 1-'l:! N0. ?.su 6 iCrl, ;^ .,,rng,on w•: i
"r NORTHLAND h0ME5
'f 1834 S.t;, SSTK, SUITE 2Q2
PORTLANL , Of. 9?221
his PSSlQ;r^ER( G' T rF`;r 1.^I.CCt Fee C,,pL't is mice ar,a civQA this L,1 f;;ti.•
;R,:X GE%'�:Oi=nt_,\7 CORPORA7CN,
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CITY OF T I CARD - RECr IPT OF PAYMENT RE:CC I F.'T NO. 195--263091
CHECK AMOUNT a 3968. 77
NAME. 1
NORTHLAND HOMES CASH AMOUNT a V1. 00 I
,I y'
iil)DRE=SS 3 PAYMENT DATE s 03/20/95
SUBDIVISION s y
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PURPnSEr OF PAYMENT AMOUNT PAID PURPOSE:' OF PAYMENT AMOUNT PAID �
)1U I L.D I NG PERM 465. SO PLUMBING PERM 2i�:S. 410
ME.C:HANICAL. PE. 4:3. 50 5T. NIJILD PER 37. 71 l 5
FLAN CHECK FE 76. 4f.7 SEWER USA j-72 0. L40 I s
';EWEP INSPECT 35. 00 PARKS SDC 500. 00
1420 QUALITY FACILITY FETE HwO QUANTITY FACILITY FEE too. 00
V,ROSION CONTRCIL PERMITF'E:E: 64.. 04+ EROSION CONTROL PLAN Ct, -0, Ao
i' RF'ISION CONTROL
1 I �
1.
MST93--0086
� IR
104 AI._ AMOUNT PAID - - > 39 AR. 77
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