12521 SW 134TH AVENUE I
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12521 SW 134TH AVENUE
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C:EF,TIFIC:A'CE OF
CITYCf TIGARD
OCCUPANCY
� , PERMIT M81 32
-0021
COMMUNITY DEVELOPMENT DEPAIRTMENalloo
3125&w►wiewd1�o.Sax2�,npd,avan9, (6W) 10-4,7c OF
DATE ISSULDs 09/04/92
SITE:: ADDRESS. . . z l CfSP I SW 134TH AVE PARCEL t c:S I04AC--MH I.77
SUBDIVISION. . . . t MORNING lili.1... 8 ZONINOt R--eS
BLOCK. . . . . . . . . . a l_c1T.. . . . . . . . . . . . . t 17 7
CLASS OF WORK. #NE(4
TYPE" OF USE. . . sSF:
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:203 4
TENANT NAME. . . a
Romarka # PAI-H 1
Ownrra
NUQTHLAND HOMES
iO,j4 SW 58TH
PUR•TLANU UH 9it-'21
Phone 411 iE'9c.-.3`)75
L,ontractort -._...... _.._,---._.._._..__. _......._..__.......__...__._..... _..._
NORTHLAND HOMES '
SW 50111
PORTLAND OR 97221
Phone #t 292-3�175
Reg 4. . t 1 .1727
Octrvpignr.y of the r,bove referenced building is hereby {liven, and cortifiet
the compliance with the Gtate Of Oregon Specialty C:ocieii for the grnl.apt
pcctpancy, ,and ttse under which the referenced permit wiAqk issued.
F[RE WPARTML.NT i I._ll 114le Nb--Pt-E-%
POST IN CONSPICUOUS F-11-ACE
INSPECTION NOTICE
City Of Tigard Building Department I
Inspection
13125 Sid ernll Blvd. Tigard, Oregon 97223 J/{'
Line (Rec-O-Phone) 639-4175 Business Phone: 639-4171.
Inspection:____
Footing Plbg. Un)fY slab Mech. Rough-in Appr/Sdwlk) i
Found. Plbg. top out Gas Line ~_
rINAL:
Poet/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mach. Rain Drain
Insulation _plums.
Plbg. Underfloor Nater Line Gyp. Bd.
�J
-Koch.,
Date Requnsted:�/ may`�� Tom=
-- u'f PN
Addre�,ss_---f L
Permit
Builder: cr r
,Ins FOLLONINO CORRt(PIONB ARE RBQUIREDt -
-
fe�peoler�� r c�1
DISAPPR RD '%PPROVED SUBJECT 4b ABpyD
Call For Reinap.
IN$PECTjON NOTirr ,
City of Tigard �lldDQ n
Inaprctiun Line T5 SW Nall Blvd' Tigard, Partment
Oregon 87223
Inspect ioc:s / l
(Rec-O-Phone): 639-4175 Bueineee Phone: 639-4171
Footing
P1bgRough-in, Underelab Nech, R
Found. APPr/Sdwlk
P]b9• Top put Cas Line
Poet/Beam Struct. FINAL$
San, Severer.
Framing
Poet/Bea.m r$ech, -Bldg,
Rain Drain
Plb, Inaulati.on
Underfloor -Plumb,.
Nater Line
Date s•n GYP. Bd.
guested: '�^/ —`"�� �Mtrc �
Addreaer --.L.� TiMt
PH
Builders_ ,7 Permit rt
TNR FOLLOM/INO ODRRRCTIONS
ARE RR4CiRED:
---__
InaPectors
�APPRpyED Dater
DISAPPROVED APPROVRD SUBJECT 710 ABOVE
—!Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Llne (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:—
Tooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gaa Line FINAL:
Post/Beam Struct. San. S,.wer Framing -Bldg.
Post/Beam Moch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. 8d. -Mach.
Date Requested: / ,� Z- Time: _AM __PM
Addrees:�' s� 1� `_� Permit
Builder: .� ��- �.( � __
TRE FOLLOWING CORRECTIONS AM REQUIREDt
---�dct. i�GG-�
Inspector:_—_- O C
Dater
_APPROVED DIS:.PPROVED APPROVE[: SUBJKCT To ABOVE
G1, For Reinsp.
J II;SPEGTION NOTICF.
'I City of ?'_gard Building Department `
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Ph-%ne)s 639-4175 Business Phone: 639-4171
Inspectiont
Footing Plbg. Underslab Mech. Rough-in AFpr/Sdwlk ti
Pound. Plbg. Top Out Gas Line PINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
lost/Beam Mech. Rain Drain Insulation -Plumb.
Pl.bq. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requestedt_ Times AM _ PM
Address: �-pL
Z '�C� — Permit
Builder:_ I'-<—'
THE POLLOWING CORRECTIONS ARE REQUIRED:
le
Inspector:_ Dates�_ZL�.
APPROVED DISAPPRO D ��/iP'ROVIb SURJECT To ABOVE
Call Par Reinsp.
INSPECTION NOTICE
City or Tigard Building Departasnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--,-Phone): 639-4175 Busineee Phone: 639-4171
Inspections
Footing Plb,, Unders.lab
Mech. Rough-in Appr/Sdwlk
Found.
P)Ig' Top 01:t Gas Line FINAL:
Poet/Beam Struct. S1,i. Sewer
Framing -Bldg.
Poet/Beam Mech. Ra .n Drain
Insulation _plums.
P.lbg. Underfloor Water Line
oyp•-Bd. -Mech.
Date Requenteds 7 -,2 7"�Z
Addreoo: .��
1 Permit /sc
Builder: `
THE FOLLOWING WRRECTIONS ARE REQUIRED:
Inspectors lel
p
-- Dates__7-2.
APPROVEb DISAPPROVED
APPROVED SUBJECT TO ABOVE
±/Call For Reinsp.
IMPECTION NOT1'E
city of Tigard Building Department
13125 SSI Ball Blvd. Tigard, Oregon 972
0 a��
Inspection %ine (Rec-O-Phone): 639-4175 Business Phon : 639-4171
Inspection:
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
FIND,%.:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain rnsulatio—n)
-Plumb.
P:bg. Underfloor Water Line
Gyp. Bd. -Mach.
Date Request.,a:_ l Z Timet
AN
Address:
Permit
Builders
THE TOLIAJWING CORRECTIONS ARE REQUIRED:
Inspector 1
/ ------ ---- Datet
_
—APPROVED DISAPPRGVED APPROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTICE
t.lty of Tigard Building Departsent
9312.5 SW Ball Blvd. Tigard, Oregon 97223
Inspection LLne (RSC-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• -
Footing plly. Underslab Koch. Rough-in Appr/Sdwlk
Pound.
Plbg. Top Out Gas Line FINAL:
d
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain QrAin Insulation -Plumb.
`--
Plbg. Underfloor Water Line Gyp. Bd.
-Koch.
Time: PM
Date Requested:
L�
Address:
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InsvectoT-
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
call For ijinsp.
INSPECTION NOTICE
City of Tigard Building Departmgmt /
13125 BN Hall Hlvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 39-4 1
Inepectton:——_— _
Footing Plbg. Underalab Mach. Rough-in A
ppr/Sdwlk
Pound. Plbg. Top Out Gas Lina
FINALS
Post/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mach. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Rater Lina Grp. Ed.
-Neth.
Date Requested:_ i7�—GJ� •_/
Addrea.t
---- rM t; j
Builders
THE FOLLOWING CORREf. ORS ARE REQUIRED:
Inspectors
_ PROVED DISAPPRGVED APPROVED SUBJECT I" ABs)VR
--call For Reinep.
i
1
I
NSPEcTION NOTICE
City of Tigard Building DepartMent
Ins 13125 Sq pall Blvd. Tigard,
Inspection Line (Rec-O_phone Orman X7223
Inspectl�n:
): 639-4175 Business Phone: 639-4171
Footing -
Plbg. Underelab Mech. Rough-in
Found. APPr/Sdwlk
Plbg' Top put Cas Line
Post/'team Struct. FINAL:
San. sewer IAF " Framing )
Be -Bldg,
Poet
/ am Mach. Rein Drain --=.-__,-
Insulation
-Plumb.
Plbg. Underfloor Water Line
Gyp. Bd. -Mech.
Date Regves4ed:�_�z Time. /L __AM
Address: _PM
Permit
Builder:_
!!a V LLOMINO CORRECTIONS ARE REQUIRED: —i
r
u
n
i'
t '
i
InGPector: �
_ Dates:
APPROVED - `,r DISAPPROVED —�
APPROVED SUBJECT TO ABOVE
IIX
Call For Relnep.
1—NSPdMION NOTICE
City of Tigard Building Departstent
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Unders'.ab Mech. Rough--in Appr/Sdwlk `
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct. San. Sewer �',-g
-Bldg.
Poet/Beam Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Wates ',ine Gyp. Rd. -Nech.
Date Requested:_ L_ Time. ._ )) Am pM
Address: / -
-� Parrott
Builder:
TN/S� FOLLOWING CORRECTIONS ARE REQUIRED,
(fie)
s A4 If
s`
011
_ I
JA
�mac-moi
C/10 140_
Inapmtorl _-- Dato: 7- ,l 7- 9 Y
�� DISAPPROVED __ APPROVED SUBJECT TO ABOVK
Call For Reinsp.
f
I�SPBCT'ION KOTICE �v
{ City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4177
Inapection: —
r
Footing Plbg. Underslab Mech. Rough-in �r/Sdwlk J
Found. Plbg. Top Out Gas Line FINN-:
Poet/Beam struct. San. Serer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Plater Line Gyp. Ed. -Koch.
Date Request/ed: ~% / -�/ Z_.. Tinge: AM
Address:—
1--Z3 Permit #:-6 zy'2� 1
Builder: -2 ! —
TME FOLLOWING CORASCTIONS ARE REQUIRED:
Ir,sl,ectore '4�,:L..1. Date: 7—i3-1i2—�
APPNOVED DISAPPI D APPROVED SUBJECT TO ABOVE
Call For Reinep.
i
i
NS ECTION NOTICE ry
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business P�.one: 639-4171
Inspection:_
ro-3ting Mg. Ondeselab Mach. Rough-in Appr/Sdwlk
Found. Mg. Top Out Cee Line FINAL:
< _ J
Poet/Beam Struct. Bart. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Lime. �/ Gyp. Bd. 77)L—AN
/-Mach.
Date Requastwit_ f 7 -`� _ Time: )tom AM _PM
Addreest - — /�- Permit =(11i
Builders
THE FOLLOWI!O'CORRECT B ARE REQUIRED:
,
inspector:
P«' ��-----�— Dates_
APPROVED y _ DISAPPROVEU -_ APPROVED SUBJECT To ABOVE
VIX
__Call For Reinep.
I
x.;
INSPECTION NOTICE
City of Tigard Building Departm t
13125 BW Ball Bled. Tigard, Oregon 97223
Is,spoction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Under ab Mech. Rough-in Appr/sOwlk
Fund. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mesh. Rain Drain (� Ineulatien _PIS.
Plbg. Underfloor Water Line Gyp.yp. 8
Bd. -Hoch.
Date Requested:__ - `r
_Timet _ AM �PM
Address:_ �j�l -� L�/�—
Permit Ie�-
Builders
THS FOLLOWING CORRLCTION3 ARE RFQUIRED:
f
•ter
P
Inspectors._ /
- ----------- - _ Dates Y
APPROVED I
-___ DISAPPROVED APpRI7ytb BUSJSC? TO Alloys
-.Call For neinsp.
I
av,' *M so INN PW 1�
INSPSGTION NOTTCR
city or Tigard Building DePartasot
13125 RW gall Blvd. Tigard,
InePaction Line Oregon 97223
(Rec-O-.phone): G19-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab
Mech. Rough-in Appr/Sdwlk
Found. Plbg. To out
r__ P Gas Lina PIM71Ls
et/Beam 8truct. San. Sewer Framing -Bldg.
st/Beam Mach. ) Rain [rain
Insulation -Ply.
Plbg. Underfloor Nater Linu
� nyp. ed. -Mesh.
Date Requesteds �� Cr `� Z
Time; AM PM
Address:
L _ Permit
Builder:_
THE FOLLOWING ooRB=cTIoNB ARE REQIIIRED:
I
�_
Inspectors_
Dates
v APPRGVED -
-- _ DISAPPROVED APPROVED SUH,TECf Tp ABOVE
Call For Reinsp.
IN PZCTION
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639-4171
Inspectiont
Footing Plbg. Un ersiab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. ewer Framing -Bldg.
Post/Beam Hoch. Raine Drain j Insulation -Plumb.
_t
Plbg. Underfloor01- ater ne Gyp. Ed. -Koch.
Date Requested: Time: AN PM
Addresat ���� /_73 V t -- Permit it (JU�
Builders
THE FOLLOWING CORRECTIONS ARE REQUREDs
1 -
�+ r
Inspector Dates
_APPROWD DISAPPR(VED APPROVED SUWgCT TO ABOVR
___Call For Relnep.
+rlv ".� li■r � � �
INSPECTION NOTICE
City of Tigird Building Departaent
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab
Much. Rough-in Appr/Sdwlk
ossnd Plbq. Top out Gas Line FINAL:
Post/Beam Struct. San. Bower
Framing -Bldg.
Poot/Beam Hoch. Rain Drain
Insulatlon _plumb.
Plbg. Underfloor Water Line
_ Gam' Bd. -Hoch.
Date Requeeteds_ —�
Times —PH
1►ddrsus � 'S
�� / Permlt
Builder:
TB= FOLLOWING CORRECTIONS ARE REQUIREUs
I
{
Inspectors
APPROVED D19APPROYED
— _--- APPROVED SUBJECT TO ABOVE �
i
For Reinep.
INBP=CTION NOTICE
City of Tigard Building Department
13125 Bw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. an. Sewer ! Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Rech.
Date Requested: -::�L- ,L /}Time+____AM PM
Address:_-__� --- Sit f:��-C/ ZV
Builder:-
THE
uilder:THE FOLLOWING CORRECTIONS ARE FEQUIRED:
i
Inspector✓ Date:
r�-APPROVED DISAPPROVED APPROVED SUBJECT TO ARM
--Call For Rpinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 B11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phones 639-4175 Business Phones 639-4171
Inspection: _
Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San, Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
AILS
Date Requested: Time:
Address: /4 J /:3 Permit I s-��
Builder:
THE FOLLOWING ODRRECTIONS ARE REQUIRED:
i
i
I
Inspectors- f✓ _ `_ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
!TYTIFARD ��.
C Q�
�CFDMRD
COMMUNITY DEVELOPMENT DEPARTMENT 0111410es
13126 SW HYdl W d. P.O.Hou 23307.Tig".Or"m 07223(503)&30.4175 MASTER PERMIT
PERMIT #L. . . . . . . .
639-4171 DATE ISSUED: 04/29/9,
is i L 1-4D1)RE'S5. . . : lr 521 SW 1,34TH AVE PARCEL: 2S104AC-MH1-/
SUBDIVISION- -- MORNING HILL 8 ZONING: R-25
BLOCK. . . . . . . . . . LCAT. . . . . . . . . . . . . 177
BUILDING
REISSUE: DWELLING LJN I l : 1 BASEMENT. . . . . . . . .0 y f
ELASS OF WORK. :NEW BEDR115:4 BATHS:3 GARAGE. . . . . . . . . . :280 sf
YPE OF USE. . . :SF FLOOR AREAS-----______ REPUI RED SETBACKS---_____._-
IYPE OF CONST. :5N FIRST. . . . :904 sf LEFT. . :.24 ft RIGHT. : 14 ft
OCCUPANCY GRP. :R3 SECOND. . . :953 sf FRONT. :20 ft REAR. . .- 17 1't
STORIES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED----------------------
HEIGH1.. . . . . . . . .23 ft TOTAL-----.--: 1857 s SMOKE DETECTORS. :Y
FLOUR LOAD. . . . :40 psf VALUE. . . . . f: 92262 PARKING SPACES. . :O ;
Remarks : PATH I
------------------------------------ PLUMBING
3INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNT'R5. . :0
LAVATORIES. . . . . .4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WHTER CLOSETS. . :,:' SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . a0
DISHWASHERS. -:1 WATER I_.INE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DIST'. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN LRAINS. . : l
------------ MECHANICAL -- _______.__ ____. __._.____________._.._ FEES -----__._—_----
FUEL TYPES—__---- UNIT HTRS. . :0 type amot_Int by date reept
/GAS! / / VENTS . . . . . .0 TIF $ 1380. 00 JLH 04/29/92 -
MAX INPUT:O DTU VENT FANS. . :4 BPRT $ 412. 0Z) JLH 04/29/92 _.
FURN ( 100K . . : I HOODS. . . . . . : 1 BPLC $ 267. 80 JLH 021/18/92
FURN ) =100K . . :0 WOODSTOVES. :0 B5PC ! 20. 60 JL_H 04/29/92 -
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 04/29/92 -
BOIL./CMP ( 3HP:0 OTHER UNIT13:0 PARK $ 500. 00 .]L.H 04/29/132 -
GAS OUTLETS: 1 MPRT 5 39. 00 JLH 04/`9/92 -
Owner: ------------------------------------ MPLC $ 9. 75 JLH 04/29/92 -
NORTHLAND HOMES M5PC $ 1. 95 JLH 04/29/92
"4 SW 58TH PPRT 4, 140. 00 JLH 04/29/92 -
P5PC 7. 00 JLH 04/29/92
PORTLAND OR 97221
Phone #: 292-3975
L:ontracto-^:
NORTHLAND HOMES
16,s4 SW 56TH
PORTLAND OR 9 i -,::1
Phone #: 292--3975
Reil #. . . 13717 ----------------------------------_---
f 3058. 10 TOTAL
This permit is issued subiect to the regulations contained in the ---- --- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
aQoiicable laws. All work will be done in accordance with approved Post/Beam Stri.tct Gas Line Insp
plans. This permit will expire if work is not started w1 :qq !u st/Beaqq�1 Me haw i n si.i]1 at i on Insp
Lays of lsSuahce, or if word is suspended for more than 1 daVS. /undslab rsp Gyp E�oar^d Insp
F'L_M/Underfloor- Rain drain Inso
r-'e--mittee Sivnati-gyre : vi�4t'e Mechanical Inc;ii Water- L_tnP Insp
Plumb Top Out Appr/Sdwlk Insp
�jslled sy: F=raminq In+sr, Mechanical Final
r 1 1 f or, 1 n51)ert i nrt - 6:39-4175
SEWER CONNECT-ION
�'� TIOArRD PERMIT PERMIT
-6WR92-0083COMMUNiTY DEVELOPMENT DIEPA T131258WHWjBK.d p.0,EjW23W,T0W.0rMMn O?MM
75 I)ATF ISSUED: 04/29/92
[A J 134TH
SUBDIVISION— . : MORNING, I I ----AVE 13 PARCEL: 2S104AC--MH177
BLOCK. ` _ -. LOT. . . . . . . . . . . . . .. 177 ZONING: R-25
['ENAN-r NAME. . . . . :
JSA NO. . . . . . . . . I FIXTURE UNITS. . .
�LASS OF WORK. . . :NF-W DWE LL I NG UN T I-S. .
VYPE OF USE. , , „ , :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :Bjj5wR
IMPERV SURFACE. . : f
"emarks :
Owner:
NORTHLAND HOMES FEES
1834 SW 58TIA type Imoi-tnt by date recpt
PIRMT $ 1900. 00 jL' H 04/29/92 -
PORTLAND OR 97221 INSP $ 35. 00 JLH 04/,R9/92 -
Phone #: 2-92-3975
Contractor,:
CONTRACTOR NOT ON FILE
Phone #:
Reg #. . .. 1933- V0 T07`,tL
This Applicant agrees to comply with all the rules and rer .atians RFOL.JlRr-D INSPECTIONS
of the Unified 5e4age Agency. The permit expires J80 day's from
the date issued. The total amount paid will be forfeited if the
Permit expires, The Agency does not quarantee the accuracy of the
side sewer laterals. If the sewer is net locates at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If Pot 50 lo:dted. the installer shall aur0ase
a "Tap and Side Sewer, Permit and the Agency will install a lateral.
1'-et-MJtte@
Pd By .
C&II for inspection 639-4175
W
CITYOF
T11FARD
� CIfYPLUMBING
PERMIT
ORDCOMMUNITY DEVELOPMENT DEPARTMENT �ERMrr . . . . . , .,sta6awrrietid. P.o.ea 23397,nom,a.�„vM
(SM)esw,75
i I 7 E ADDRESDATE: ISSUED: 04/29/9,7.-
S. . . s 125 '1 5W 134TH AVE
SUBDIVISION. . . . s MORNING HILL B PARCEL: 2S104AC-MH17 -
BL.00K. . . . . . . . . . s LOT. . ZONING: R-25
CLASS OF WORT;. . :NEW ��--GARBAGE`DISPOSALS. . s1 ---------------
rYpr,: OF USE- - . . 'SF WASHING MACH. . . . . . .
OCCUPANCY GRP. _ sR3 FLOOR DRAINS. . . . . . . a0 BACKFLOW PREVNTRS. . :QI
3TORIES. . . . . . . . .2 WATER HEATERS. . . . . . s1 rRAPS. . . . . . . . . . . . . . a0
CATCH BASINS. . . . .
INKS. . . . . . , . . LAUNDRY TRAYS. . . . . . :0 . . to
; 1 SF RAIN DRAINS. . . . . sl
LAVATORIES— . . . :4 OTHER FIXTUPPS. . . . . :0 GREASE TRAPS. . . . . . .
:0
..U /SHOWERS. . . . SEWER LINE (ft , .
.
WATER CLOSETS. . :3 WATER LINE (fi9 . . . . :0
I- ISHWASHERS. . „ . : 1 RAIN DRAIN (ft ) . . . . : 100
:0
Remat-kss. PATH _I
OWNERa
NORTHLAND HOMES
18.34 SW 58TH TIF $ 1:380. 00 JLH 04/29/92 --
BPRT t 412. 00 JLH 04/29/9.2-
PORTLAND OR 972'21 . SPLO s 267. 80 JLH 0c,/Ia/92
Phone tis 29E-3975 B5PC f 20. 60 JLH 04/29/92 -
SSDC f 280. 00 JLH 04/29 i9,p -
r-'1'.1mUi11,i Contrar_tor:----_________ PARK f "300. 00 JLH 044/?9/9;? -
r MPRT f 39. 00 JLH 04/29/92
Na r- r MPLC i 9- 75 JLH 04/29/92 ._
Addressa / xu' MEPC; $ 1. 95 .JLH 04/29/.
• PPRT f `J`
L A t y a --�� __. _. -- 140. 4,0 JLH 04/c'9/9c' -
t. St 7. 00 JLH 04i, 9/9�: »
#a Z _ _Phone#:
This permit is +.stI.led Subjer_t to the reg_ _ ---- RE4UIRFD INrPECTIONo` _._ ...__ .
'Alations Cotltaltied in the 7-igard Municipal Font/folAnd Ina
Coda, State of Or,K. Specialty Codes and all Rost/Bean 9Insp Rain drat Insp
Other applicable laws. All work will be
In arcordanr_e with done Post/Beam Meehan F'appr/Sdwlk Insp
�,ermit will ercPire ifpworkdis not. This startp o1lm/urndslab Insp Mar-haniC.al FitAai
s, +.hin 190 Mayr, of issuance d F1_M/Llndrprfl,00r Plumb Final
11-i,onded fn► mor-e than 180� dwyslf war^k is Mechanical Insp SklilOing final
Plumb Top Out Ft-o s i on Control
Framing Insp Crawl Drain
F ir,eplace Insp
Gay Line Insp -
' s9r _ Insulatior; Insp
Ah - _ ..---
of i � Plt_ Ping Contra-torGYP P Boar-d�� _.-_ Insp - -
S i g n a
c:.ont:raCtor Notes: Call for inspection - G39-4175 -
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CITY OF TICiAE@L1 RE«EIPT OF PAYMENT RECEIPT NO. a92-22E+E+39
CHECK AMOUNT a 4743. 10
NAME NORTHLAND HOMES CASH AMOUNT 0. 00
ADDRESS a PAYMENT DATE
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSES OF PAYMENT A010UNT PAID
66-1 LD I 4I3 PF'.RM 412- 00 PLUMBING PERM 140. 00
ME::CHAN.I CAL PE 39. 00 ST. BUILD PER R c 4. 55
PLAN CHECK FE 27. 55 SEWER USA 1900. 00
SEWER INBPEzCT 35. 00 REwSIDENTIAL. f RAF'FIC FEES 1280. 4•11,
PARKS SDC 500. 00 STORM DRAIN SDC 2A0. 00
MASS TRANSIT TIF FEES 100. 00
1_0'T 177 MHMA ;;
SW 134TH
'TOTAL $)MOUNT GSA l u i4• .• ..> 4743.A e
CITY OF T11'JARD pECEIPT OF pAYMENT RIF
PT NnUNT. :qt� -.24208
CHEC�< AMO0. LAO
CAF�I-j rmoUNT a fb. LA 0
NAME. m 1,4(IRTHLAND HUMF-1-1, INC. PAYMENT VA'rE
ADDRV.)cl; r 1634 9W 58TH AVE- 420j-' SUBDIVISION
PORTLAND, OR
97 2.2 1--
PURP09E OF PAYMENT AMOLIN-r PA I D
PURPOSE OF P(4yML--NT AMOUNT PAID ............
CHECK FE
I AN CHECK FE 3--13R
ATS, 175, 190, 191 MORNU4C.) HILL #8
To*rAL AMOUNT V'AID 20. 00