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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 �I_ALS
Post/Beare Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing �'lumb
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 7_ - Time: AM PM
Address:
Builder: , - 1 ` > Permit #: I 11-1 _ cc, �4
fHE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:ctorPROVED DISAPPROVED APPF JVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PERM I t NV PERMIT
13126 SW Hall Blvd.Tigard,Oregon 07223.6109 (603)630-4171 DATE PERMIT SUED:. . . . . . . .. /
DATE ISSUED: +T1/17/9:;
I7_l0 -7 PARCEL: 2S104BD -,RM02
13
ITE ADDRESS. . .. : ktt'7M SW 138TH AVE*
:aUBDIVISI ON. . . . s ROSE MEADOWS ZONING: R-7
-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .0^►-;-ZZ
i.:LASS OF' WORK. . :NE_+rel GAPPAGE DISPOSALS. . : 1
(YdL OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNT'RS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS.. . . . . . . . . .. . . . . :Q)
S I ORI Es. . . . . . . . .. WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES,----------.---..- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . :.:3 OTHER FIXTURES. . . . . :0
TUN/SHOWE:RS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSE J*S. . WATER L I NE (f t ) . . . . : 100
D15HWASHERS. . . . s1 RAIN DRAIN (ft ) . ., . . .0
Remarks : PATH I
OWNLR:
JAY MILLER TIF $ 1350. 00 JF 01/17/95 -
P U LOX 23291 E;WM $ 180. 00 JF 01/17/95 -
SWM $ 100. 00 JF 01/17/95 -
T 1t:-JARD OR 97281 BPRT $ 465. 50 JF 01/ 17/95 -
1=honF #: 684-7543 BPLC $ 302. 58 KAR W 1. /04/95. 95-2,601
B5PC $ 23. 28 JF Oi 17/9':1 -
Plumbing G;ontractors --_.._._ __.__-__.._. _ PARK $ 500. 00 JF 01/17/95
MPRT $ 40. 50 J1= 01/17/95 -
Name : � •�_._ �,,,� M1='L.L $ 10- 13 JF 01./17,19`.; -
hlddress : ! �J __� .r�'.. , 2�� ._.__ M5PC $ 2. 03 JF' 01/1_/95 -
Lity : ___. _.._ State : c'DT'H $ 19tr. 00 JF 01/17/95 Lip: � ,_F�hone#n P5
PC�f X31 F�5PC $ 9. 75 JF 01/17/95 -
Rey # :__. IQQ. �2___ Additionai flees not shown here. . . . . . . . .
-------- REQUIRED INSPECTIONS
This permit is issued s�_cb�ert to tha reg-
M ations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore. Specialty Codes and all 1=oundation Insp Gyp Board Insp
other applicable laws. All work will be clone Post/Beam Strut Rain drain Insp
in accordance with approved plans. This Post /Deam Mtc.I-an Water^ Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of issi_cance, or if work is Plm/undslab Insp Appr/Sdwlk Insp
LL uspended for more than 180 days. PLM/Underfloor Mechanical Final
CX Mechanical Insp Plumb Final
,n Plumb Top Oi.,t Building Final
} reaming Insp Erosion Control
~ Fireplace Insp
Gas Line Insp _--
L Lctiior..ized Plumbing Contractor Signature ----_ - -----_.
W Call fur inspection - 639-4175
-+ Contractor Notes :
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CITY OF TIGARD BUILDING INSPECTION NOTICE �T
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-inFINAL.
Post/Beam Mech. San. Sewer Gas Line Bld
Plbg, Underfloor Rain Drain Framing -Plumb.Q
Alarm Water Line Insulation ech. `_
Underflr. Insul. Shear Wall Gyp. Bd. EI
Date Requested: /f�� I cj `� Time: AM PM
/ C ,—
Address:
Builder: Permit #: J — Q U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. Date:
C--*pPROVED __DISAPPROVED _APPR04ED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD 31JILDING INSPECTION NOTICE
Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ 4�
Footing Susp. Ceiling Spr nk. Rough-in –App_ r/Sdwl
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beare Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Under(Ir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: -7� Jl`7 5 Time: AM PM
Address: cr
Builder — —Permit B:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ ��� Dale:--`j ���
PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARU BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone : 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdw
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 Drai,r Framing -Plumb.
Alarm Water Lina Insulation -Mech.
Underllr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested._ 5 // `
q r / � Time: AM PM
Address: (P I' —7
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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LLJJ
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Inspector
_APPROVEI? DISAPPROVED __APPROVED SUBJECT TO ABOVE
�� _„Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE&"4 "-t —44-e
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417i -• ``�
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sd-•,Ik
Foundation Plbg. Un^lerslab ech. Rough-in Firepllc�
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL..:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Frarmn -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: , 3 &/ f, �1 Time:,�aM PM
Andress: -7l 3S �%
Builder._ _ Permit #: CJ D Z. U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i0j�
Ce �r 7 't.dlsl/l. 1� LZr✓t ^/' _ �!/9..L� _L�/C�
J .�T�vt�Lt. ic.G .L� ��/T G� iJiw'�•
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Inspector:_ Date:
APPROVED L,"DISAPPROVED _APPROVED SUBJECT TO ABOVE
ov Call For Reinsp.
CITY OF TIGARD BUILDING INSPI=CTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 B a�iness Phone: 639-4171
Inspection ? —
Footing S _p. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. F ough-in Fireplace
Post/Begin 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. Insuw. Shear Wall / Gyp. B -Elect.
� 1 C I �f
Date Requested:_ e: AM PM
Address:
Ci C
Builder: � �l --- f f sC�Permit
THE FOLLOWING CORRFCTION1z ;'EOUIRED:
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Inspector: Date: �S
,(,"APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
10 m1ppl- -1
rm.:RjiFimm OF
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CITY OF TIGARD PERMIT #. . . . .OCCUPAN
. . : MST95-001=1.10
COMMUNITY DEVELOPMENT DEPA"MINT DATE ISSUED: 1215/ 18/9'�
131215 SW Hall Blvd.Tigard,Oregon 97223@6199 (503)639-4171
PARCELt 1-=1S104SD--RM022
SITE ADDRESS'— : Is:2*687 SW 138TH AUE
SUBDIVISION. . . . : ROSE" MEADOWS "LUN ING:P-7
BLOCK. . . . . . . . . . . LOT. . . . . .. . . . . . . . 0,R2
GLASS OF WORK. :NEW
TYPE OF Uf;E. . . :SF
OCCUPANCY GRP. sR3
OCCUPANCY LOAD- 116 4
TENONT NAME. . . :
Remarks : PATH I
Owner :
JAY MILLER
P 0 BOX 23291
TIGARD OR 97281
Phone *v 684-754.'3
Contractors
JAY MILLER
PO BOX 23045 1)
TIGARD OR 97281
Phone #: 684-754,71.
Reg #. . 1 301,09
Occupan, y of the above referenced building is hereby given, and certifies,
thv comgliance with the State Of Oregon Sppcialty Codes for the group,
occuparvc , , and use under which the referenueti permit t-jas S u p ri.
'
*S(11�LDTNG INSPECTOR UIE_ IN F
POST IN GUN93PICLIOUS PLACC-
,CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 972,1398199 (603)F39-4171 MPb'l*E R PE RM I T
PERMIT #. . . . . . . : 1Y)ST95-0020
639-4171 DATE ISSUED- 01 / 17/95
to�� /?,?,tl ft-LA,9—. PORCEL;
Sll*l-- ADDRE55. tit-771-SW 138TH AVE
SUBDIVISION.. . . . : ROSE MEADOWS 2Z ZnNING: R-7
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . .
--------------------------- ---------- BUILDING
REISSUE: DWELLING UN17'S: 1 BASEMENT. . . . . . . . :0 sf
LLPbS OF WORK. :NEW BEORMS:3 BATHS:2 GARAGE. . . . . . . . . . :413 .f
TYPE OF USE. — :51'- FLOG.-% REQUIRE!) SETBACKS-----------
TYPE OF CONST. :5N FIRST. . . . -. 1636 sf L.EF'T. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R,*';' SECOND. . . -0 sf FRONT. :20 ft REAR. . :26 ft:
STORIES. . . . . . . : 1 FINBSMENT:O "f: REQUIRED
HEIGHI.. . . . . . . . .. I b fi TOTAL-------- –: 1636 5f SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :40 psf VALUE. . . . . $ 112504 PARKING SPACES. . : 1
Remarks: PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. .
LAVA-DRIES. . . . . :3 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . izi
1-Il'B/SHOWERS. . . . -2 LAUNDRY 'TRAYS. . . :0 CATCH . . . . . . . .w
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWHSHERS. . . . : 1 WATER LINE (-Ft ) . : 100 OTHER FIXTURES. . . . . :0
64RBAGE. DISPI. . . : 1 RAIN DRAIN (ft ) . :0
WAS21AING MACH. . . : 1 5F RAIN DRAINS. . : I
MECHANICAL FEES ___-______--.__--...
FUEL TYPES------- UNIT Hj'RS. . :vi type amoi-tnt Icy dat a r-oc-pt
/GAS/ VENTS . . . . . :0 TIF $ 1550. 00 J F' 01/17/95 --
MAX
MAX INPUTgo B'T U VENT FANS. . :3 SSM $ 180. 00 JF 01/1'7/95 –
FUHN ( 100K . . : I HOODS. . . . . . : 1 SWIM $ 100. 00 JF 01/17/95
FURN ) =100K . . cO WOODS 1*OVES. -k+ BPRT' $ 465. 50 JF 01/17/95
FLUOR PURN. . . . .*0 CLO DRYERS. : I BP'LC $ 302. 56 KAR 01/04,195 95-260179
BOIL/CMP < 3HP:0 OTHER UNITS: 1 BSPE $ 23- 28 JF 01/17/95 -
GAS OUTLET5: 1 PARK $ 500. 00 JF 01/17/95
Ownei. $ 40. .-10 Jl- 01/17/95
JAY MILLER MPLC $ 10. 13 JF 01/17/95
P 0 BOX 23291 m5pc $ 2. 03 JF 01/ 17/95
2BTH $ ! 95. 00 JF 01/17/95
)_10ARD OR 97281 P5PC $ 9. 75 JF 'Al/17/95
Phone #: 684-7543 EROS $ 4. 00 JF 01/17/95
Contract or,: –----------------------------ERVIC $ 80 JF 01/17/95
JAY MILLER ERPC $ 20. 80 JF 01 /17/9";
PO 60K 23E91
Ce t it:jAkD OR 9*7281
whone #: 604--7543
20109
$ 3484. 37 TOTAL
7.1
This persit is issued subject to the regulations contained in trit REUUIRED INSPECTIONS ------
C
CJ Tigard Municipal Code, State of Ore. Specialty Codes and all othir Footing Insp Pli.tmt Top Out
Uj applicable laws. All work will be done in accordance with approveu FoLindatio, Insp Framing Insp
plans. This ptreit will expire if work is not startea within 180 Past/Beam bt'-�.(Ct Fireplace inip
days of issuance, or if work is %uqp@Qg4j;4or sort than 180 days. Plc st/Seam 11rchan Gas Line Insp
(_"V"%W1 'Drain Insolation [lisp
i-mittee Sa
igntiAve A- ml 1-inds lab Insp Cjyp Board Insp
r PLM/Underfloor, Rain dt^ain Insp
s,-t ad LA v .e' Merlianic:al Insp Water- Linn loop
Utlull V3 --?A rj
CITY OF TIGARD SEWER CONNEC"TION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PERMIT #. . . . . . . : SWR95-0021
639-4171 DATE ISSUED: 01/17/'35
PARCEL: 2SI04BD---RM02��
SITE ADDRESS. . . : k-eMl SW 1--BTH AVE
SUBDIVISION. . . . : ROSE MEADOWS ZONING: R-7
BLQCl-(. . . . . . . . . . : LOT. . . . . . . . . . . . . .023
----------------------
TENANT NAME.. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UN 1'.'S- - : I
TYPE OF USE-. . . . . :SF NO. OF BUILDING-0: 1
INIF)TALL TYPE. . . . :BUSWR IMPERV SURFACE. . : f
Hemav-ks : PATH I
Owner,: FEES
JAY MILLER type am:)ljnt by date r-eept
P 0 BOX 23291 PRMT $ 2200. 00 JF 01/17/95
I N G3 $ -5. 00 JF 01/17/95
TIGARD OR 97261
Phone #: 684-7543
Contrector:
CUNTR'ACTC)R NOT ON F--I[.,.E
Phone #; s 2.c,3 . LA o 'r 0 T A L
Reg #. . : REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer 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. If the sewer is not located at the measurement
given, the installer shall prospects feet in all directions fro@
the distance given. if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
gnati.
Issi-ted By :
.'.all far inspection 639-4175
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2bo sibs-
Residential Buildi q Permit Application
City of Tigard
13125 SIV Had I BI vd.
Tigard, OR 97223
(503) 639-4171
SW f 3�'�� Ave ; I I arc{
Jobslte Address: 1 ./ -
Subdivislon: I V6e �l Q(i cwt 0\1)5 Lot# 7 1_ Office Use Oniy
r _7
PlinddRec#— '
Valuation: //Z. S C 3,
Permit #
Owner: Reissue of_
Address:-4,)( Map & TL # ,2..5 I 0'I 9 IJ K M n Z 3
:t YC 0 q7)
Approvals Required
Phone: � �`" �J�7 �
Plannin 4--
Contractor: Engineerinq "
Address: Other
Phone: Items Requlred
Contractor's License # - Subcontractors
(attach copy of current Oregon license) Truss Details
Subcontractors//: 1 I r Other
u _
Plumbing: T aQ/',1 t4S �SLr 1
Mechanical:
(attach copy of current-OR ContraCor's License)
Architect./Engineer: 1 csl yi t �► a
n Address:
`—
Phone. {5 t)j -1
a
W COMMENTS:
J
r
_ � v
plicant Siqnat re g Phone number
Received by:-�Lh,,�, Date Received: L '
'
Permit # Account Description Amount Amt. Pd. Bal. Due
/YIS 2� Bldg. Permit (BUILD) GS^ �v G>' �V
Plumb. Permit (PLUMB) '��
Mech. Permit (MECH)
State Tax (TAX) .�;S•06 3J U L
Bldg: 3_0"
Plumb:
Mech: .0
Plan Check (PLANCK) 312, 11
Bldg:
Plumb:
Mech: C�• 3
5243 v 2 Sewer Connection (SWUSA) ,7ZuU _ Z vy
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