12485 SW 133RD AVENUE f
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C17YOFTIFARD CERTIFICATE OF
CITY TWRD OCCUPANCY
COMMUNMY DEVELOPMENT D'EPAR'�Ait�IT ARlooN pIsr>;MI't #. . . . . . , t MST91 02'64
W26 BW NO BNd P.O.Bac MW.Tlpod,Omgw 07",WJ#p j4176
SITE. ADDRESS. . . a 12485 SW 1.33RD AVE PARCEL: 25104AC-MI1167
SUBDIVISION— . : MORNING HILL 6 4 ON I NG t R-25
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . t167
CLASS OF WORK. :NEW _ ___.._.,.,..._.._.._..__...._....__..._...._..._.._.._._ ..
TYPE OF USE. . . t 5F
OCCUPANCY GRP. -R3
OCCUPANCY LOAD s 1225 4
TENANT NAMC. . . t
Reein'�. rkr; ;
Owner,
E. J. RY,TART HOMES
1.376 NW rORNELL RD SUJTE 100
PORTLAND OR 97229
Phone #: 644-•8061
Cuntrmc:tortE. J. RYSTADT HOMES
13765 NW CORNELL RD SUITE 100
nRTLAND OR 972� 9
Phone Ot 64.4--8,061
67880
Occupancy of the above referenced building is hereby given, and cartifiec
the co"plinnre wi'.h the State Of Oregon Specialty rocivs for the yroUp,
or_cupancry, and l..ete under which the refer,enced permit was issued.
1 � /
Df~PARTMENT LSU I E NG INSPECT
$LIILDIPJG l3P�"ICIAT_
POST IN CONSPICUOUS PLACE"
INePSGTI011 NOT7:�4
C..ltp of Tigard Building Dapertmnt
13125 SN Ball Blvd. Tigard, Oregon 97223
Inepertian Line (Rec-O-Phone): 639-4175 Buoineee Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwik
wound. Plbg. Too out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing Bld
g.
Post/Beam Mach, Rain Drain Insulation J _Plumb.
Plbg. Underfloor Water Lina1'
Gyp. Bd. -Mach.
Date Requested:-- -/0 _Time: AM ___PM
Address: Ad5dt #t
/E
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect r
�atee P
__APPROVED DISAPPROVEC 1PPAOVItD SUBJECT TO ABOVE
Call For Reinep.
INSPECn N NOTICE
City of Tigard Building neisartstent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab } Appr/Sdwlk
Found, Plbg. Top Out /5, Gas Lina ALe
Poet/Beam Struct. San. Sewer //(J�—
Past/Beam Hoch. Rain Drain I',sulation'14 -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ech; 1
Date Requeateds_� ? _Times _AM PN
Address: / ZIT—S /:3 3 Permit
r
Builder:
THE FOLLOWING COR IONS ARE REQUIRED,
L
Inspectors. � .cf _ Dates__
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
�i
--Call For Reinsp.
.NS E IQN_NOTI� (F'
city of ?igard Building at
13125 SN Ball 81 - =ig�•
Inspection Line (R ,go. 97223 ee-O-Phon = 63%-4175 Busir:eas Phone= 639-4171
Inspections—— —
Footing Plbg.
Qeralab Moch. Rcugh-in AApppr/Sdwlk
Pound. Plbg. Top Out
Oa=. sine FINALS
Post/Beam Struct. San. Sewer
P2 ar,'..ng -Bldg.
Poet/Beam Mesh- Rain Drain
insulation -ply.
plbq. Underfloor Water Lina
Gyp. Bd. -Meeh.
Date Requesteds _ l 6 Ti—= —--�
`j -7, r ci Permit
Address' ]y��
Builder= _
TBE ,OLLOWINj (MARE IONS ARE REQUIRRD'
LL'\
F IN
Inspectors
_APPROVED DISAPPROVE APPROVED SUBJECT 10 ABOVE
�-F—cell wr Ihinep.
INSPECTION NOTICE
City of Tigrrd Building Department
13125 STI Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busincas Phone: 639-4171
Inspections _ ----
root ir„4 Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.~
Plbg. Underfloor Yater Line Gyp. Bd. -Hoch.
Date R&,aeeted: / ----Ti—: AM PH
s
Address:_1.1iV 2-33,t— /1. t 1:!�?_/ _ r—
Builders _
THE FOLLOMI OORRBCTIONS ARE REQUIRED:
Ina, ^to �'” _-- Dates
APPROVED DISAPPROVED _— APPROVEn SUBJECT To ABOVE
Call For Reinep.
WXMUMU M I
INSPECTION NOTICE
City of Tigard Buil4i.eg Deparfwmmt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineac Phone: 639-4171
Inspections
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwl
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulati(,n -Plumb.
Plbg. Underfloor Nat sr Line Gyj. Bd. -Hach.
Date Requested: O Time: / AM _ �PM
Address: / .-��--� Permit
Builders
THE FOLLOWING CO CTIONS ARE REQUIREDs
v-
�(C i.
xi C-
bv �( nx r
R
Inspectors� / � ��. �J� ��� - Date: J-� t`✓ �--
APPROVED DISA�VED APPROVRD SUBJECT To IAOVE
((((((_//////Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
.13125 BO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4371
I
Inspections _
i
Fo3ting Plbg. Underslab Mech. Rough-in Appr/Sdwlk i
Found. Plbg. Top Out Cas Line FINALt �a
Post/Beam Struct. Ban. Sewer Framing -Bldg. -
Post/Beam Mech. Rain Drain Insulation -Plumb./
Plbg. Underfloor Nater Line C` ✓� -Hoch.
Date Reyuesteds_ _-V Timet
Addresae;k [-c✓ /,j_i Permit ie Z/
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
—
Inspectors ti---.r Date$ � L / y
APPROVED DISAPPROVED APPRCIVED SUBJECT TD AnOVE
i", Rei P.
i
MSPUCTION NOTICS
CCtl of Tigard Building Dspautaent
13125 811 Ball Blvd. Tigard, Oregon. 97223
Inspection Line {Roc-O-Phona): 639-4175 Business Phone: 639-4171
Ins;octione l` _
FootL-ig Plbg. Underslab ("mech. Rough-I Appr/Sdwlk
Found. Plbg. Top Out GasnT�.. FINAL:
Post/Deem Struct. San. ,ewer Framing /� -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor t�Nater Line Gyp. ad. -Hoch.
Date Requested: ✓ T Z f —Time! AJl L,pM
Address: _
Permit
Buildors— Du
THE FOLLOWING 00pitnCTtONS ARE REQUIRED:
4� r 7G
r
u
Inspector: ,- _�— Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPi:CTION NOTICE ( `�'�'" �'
City of Tigard Building Department
13125 811 Ball F.lvd. Tigard• Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Unde,:slab Mech. Rough-in Appr/Sdwlk
Found. . Tit Cas Line FINAL=
Post/Beam struct. San. sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. -Mach.
Date Requested:_ _lax --T'As° _PM
Address: 1]_s.1 �` L� ✓� _ Permit
Builder '—"
TM FO G CORRECTIONS A'',E
— i
i
Inspector: —
i
APPROVED _ DI9APPROV[A APPROVED BUBJEI'.T TO ABOVE
Call For Reinsp.
INSPECTIONr CE
City of Tigard Buildfsx pepar t,
223
13125 SK Hall Blvd. Tigard, Oregon pe=t,223
inspection Line (ROC-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Kech. Rough-in Appr/gdwlk
FoundPlbg. Top Out
Cas Line FIN,t
st/B i/= stru San. Bower Framing -Bldg.
Beam Moo Rain Drain
T.nsulation -Plumb.
-Naoh.
Plbg. Underfloor Water Line Gyp. Bd.
Data Requested: �l . ` ._ T = DR�� PM
Address: Permit ft�.
/'� �a�TL _ —
Builders _ 1
THE FoLL,OWINO CORRECTIONS ARE RZQUIREDt
,r—
IRspBetOrt _ _ Datet__ —
APPROVED DISAPPROVED APPR(MID SUBJECT TO ABOVE
_Call For Reinsp.
INSFACTION NOTICE
City of Tigard Building Depart m t
13125 ON Bell Blvd. TTLgard, Creyon 97223
inspection Tine (Rec-o-Phone)e 639-4175 Business Phone: 639-4171
Inspection:_
Footinej Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Faend. Plbg. Top Out Gas Line FINAL:
/Beam Struct. San. Sewer Framing -Bldg.
9t/beam Mach. j Rain Drain Insulation -plumb„
Plbg. Underfloor Nater Line Gyp. hd. -Meeh.
Date Requested: 1'/ � .
Time: #N _pM
#dSreu:_/��-`�'J �� Permit
yX�—
Builder:—
TM FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ! _ Date r- L ti 9 I---
APPROVSD DISAFFiko"M A APPROVED SUBJECT TO ABOVE
Qall For Minsp.
INSPECTION NO'PICE
City of Tigard Building DepartnRnt
13125 80 Hall Bird. Tigard, Oregon 9722+3
Inspection Line (Rec-O-Phon3): 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwik
Found. Plbg. Top Out t:ns Line FINAL:
Poet/Beam Strutt. San. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Under rffloo Nater Line�j� Gyp. Rd. -Meth.
Date Requesteds >A�— Time: ,X._AM _ PM
Addresse_ r( yX `� Z33
Bulkier:
THE FOLLOWIN RRECTIONS ARE REQUIRED:
J
I
i
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Buildliag Dep+rtaen*
13125 on Ball Blvd. Tigard, Oregon 157223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: :39-4171
Inspection:
Footing Plbg. Underslab Neth. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strutt. tin
Sewer Framing -Bldg.
Post/Beam Moch, Drain Insulation -Plumb.
Plbg. Underfloor r Line Gyp. Bd. -Asch.
Date Requested: �� o�-� _—__Time=
".5
Address: _ __., Permit f
Builder:—
THE FOLLOWING Oo CTICNS ARE REQUIRED:
i
Inspector:_— __— _ Date:
APPROVEDDISAPPROVED APPROVED SUBJECT TO ABOVE !
Call For Relnep.
{
IMEPECTIOM NOTICE
City of Tigard Building Dep-4--t
13125 Mw Mall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phnne)s 639-4175 Sueineee Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
nd. Plbg. Top Out Can Line FINAL:
Poet/Beam 3truct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
Date Requested: :=—>_--,,27-�-�— Time-46,r_AN PM
Addresses�L;,7 d Permit #: V T'
Builders � ZI446,
TME FOLLOWING OORRECTIONS ARE REQUIRED:
Inspectors Dates 3- Z 7--9 Y
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
i
C115YOFTIFARD
MASTER PERMIT
CITY' 1D „FRMIT' #. . , . . . . : MST91-0264
COMMUNITY DEVELOPMENT DEPARTMENT moon
13126 SW Hill Bbd.P.O.Ba 23397,Tow.Omoon 97723(603)6344176
6�3j -4171 ) SUED: 03,12Fj/92
:')ITE ADDRESS. . . : 12485 SW 133RD AVE PARCEL: 261O4AC-MI-i1.67
SIJBDIJISION. . . . : MORNING HILL 8 ZONING: R-25
BLOCK. . . . , . . . . . .. LOT. . . . . . . . . . . . . . 1.67
_..-__-_.___.__-___.__.___._._.__.--------- BUILDING
REISSUE: DWELLING UNITS: 1 BASEME.NT. . . . . . . . :0 S f
CLASS OF WORK. :NEW BEDRMS:3 BATHS:S GARAGE. . . . . . . . . . :JSP:: 5f
TYPE:. OF* USE. . . :SF FLOOR AREAS ___..._______._ REQUIRED SETBACKS
'T'YPE OF CONST. :5N FIRST. . . . : 1;300 sf LCFT. . :5 ft RIGHT. :5 ft
OCCUPANT:Y GRP. :R3 SECOND. . . : 1.J631 Sf FRONT. :20 ft REAR. . :40 ri;
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-_.--__-___.__---_-_--
HEIGHT. . . . . . . . ..25 ft TOTAL--- --___:2663 ;f SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :4O psf VALUE. . . . . 1; : 132434 PARKING SPACES— :0
Remarks :
PLUMBING -----------------------------------------
J NKS. . . . . . . . . . : I
---___--.--__________.__-__-_TNKS. . . . . . . . . . : 1 FLOOR DRAIP,.3. . . . :0 BACKFLOW PREVNTRS. . .0
LAVATORIES. . . . . :4 WATER HE:AT:=RS. . . : l TRAPS. . . . . . . . . . . . . . :O
TUB/SHOWERS. . . . :4 I-..AUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :O
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE: TRAPS. . . . . . . :0
DISHWASHE:R5. . . . : 1 WATER LINE � ft ) . : 100 OTHER FIXTURES. . . . . :0
BARPAGE DISP. . . si RAIN DRAIN (ft ) . :0
WASH T NG MACH. . . : 1 SF RAIN DRAINS— : 1
MECHANICAL _.__________.____ ___... FEES
FUEL TYPES____.__-__--...-_.._. UNIT HTRS. . :0 type amount by date rEecpt
/GAS/ / / VENTS . . . . . :0 TIF' $ 1380. O0 JLH 03/25/92 -
MAX INPUT:O BTU VENT FANS. . :4 BF'RT $ 515. 50 JI_.H 03/25l92 -
F'URN ( 1O0K . . :0 HOODS. . . . . . : 1 BGI_C $ 335. 1M JLH 12,'27/9.1. 21=1255
FURN > =100K . . : 1 WOODSTOVES. :O BapC $ 25. 7A JI-1-4 03/25/92 -
F•LOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 200. O0 JLH 02;/25/92 -
BOIL/C'MP ( 3HP:O OTHER UNITS:O PARK t 500. O0 JLH 0:3/25/92 .-
GAS OUTLETS: 1 MPRT $ 40. 50 JLH 03/25/92 -
Owner: -- --_----__.._________._.___,._______.___.___-_ MPILC E x=. 03 JLIA 03/25/92 -
E_. J. RYSTADT HOMES M5PC: t 10. 13 JL ri 03/25/92 -
13765 NW CORNS I_L RD SUITE 100 PPRT $ 15`x. 00 JLH 03/25/92 --
P5PC f -1. 75 JLH 03/,25/92 -
PORTLAND OR 97229
Phone #: 644-8061
Contractor.. _____.__.-------------------------
E. J.
_.._____________________E. J. RYSTADT HOME S
13765 NW CORNELL RD SUITES' 100
PORTLAND OR 972::9
Phone #: 644-8061
Reg 0. . : 67880
3251. 11 TOTAL.
This permit is Issued subject to the regulations contained in the --- --- REQUIRED INSPECTIONS -----�----
'igard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Invp
applicable lawn. All Mork will be dors in accordance with aaproved Rost /Beam Strr-ict Gas Line Insp
plans. This aereit will expire if work is not stf7ed w thin 180 Wostt/Beam Meehan Insulation Insp
days of issuance, or if work is suspend or lore t 80 days. Film/undslab Insp Gyp Board Tns,p
y Pl-M/Und�.erfloor r s
RAin drain Insp
I er-mittee Si n A11 Mechanial Insp WateLine lr.
Plumb Top Out Appr/Sdwlk Irsp
1 ,,sued By* _._. _- Framinq lniL Meehanicc.l Final
Tull for inspection - 639-4175
SEWER CONNECTION
PERMIT
CITYOFTWARD CIIYOFTM PERMIT #. . . . . . . : SWR92-0039
Al
01164001COMMUNITY DEVELOPMENT DEPARTMENT 000ee
13126 BIN Hdl Blvd.P.O.Bm 2M.TIMd,Orapon F&M 13oayabiwi 76 DATE ISSUED: /25/92
SITE. ADDRESS. . . : 12485 SW 133RD AVE PARCEL: 2S104AC:-MH167
SUBDIVISION. . . . : MORNING HILL F_r ZONING: R-25
BLOCK. . . . . . . . . . . LO'r. . . . . . . . . . . . . .. 167
TE.IVANT NAME— . . .
USA NO. . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UN I Ta. . : 1
1 YPE OF USE.. . . . . :Sf- NO. OF BU I LD I NC S: 1
INSTALL TYPE. . . . :BUSWR IMPFRV SURFACE. . :
Nemarks :
Owner: __..___.____________________________ - ------- -------- FEES ---___--.-_____-
E. J. RYSTADT HOMES tkipe amol_int by date rec:pt
1.3765 NW CORNELL RD SUITE 100 PRMT t 1900. 00 JLH 0.3/25/92 -
INSP $ 35. 00 J1_11 03!25/92 --
PORTLAND OR 97229
Phone #: 644-;1'
06
Contractor,: _
CONTRACTOR N() OIV I -.E
-------------------------------------
1935. 00 TOTAL_
Reg
- ---_-- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer aspect i on _
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee .he accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the A ency will install a i eral.
I,ermittee
T '�S l.s a ci D y a
Call for inspection - 639-4175
• C'W C* TIFA
RD ;n PLUMB I NG PE RM I T
(CAJ
ny
rl
AE RMI 1' ##. . . . . . . . MST) -
�)1 -OPC-4
COMMUNITY DEVELOPMENT'DEPARTMENT r
131258WHdIBMt P.O.Bast 283W,TOW,Oregon W228(503)630.4175 POTE ISSUED: 03/25/92
SITE ADDRESS. . . s 12485 S14_1.33RD AVE PARCEL c 2G 104AC--MH 16','
SUDDIVISION. . . . : MORNING 14ILL 8 ZONING: R-25
BLOCK. . . . . . . . . .
LOT. . . . . . . . . . . . . : 167
CLASS OF WCGRK. . r-NEW GARBAGE D I SPOSAL.S. . : 1
TYPF OF USE. _ . :SF. :5F WASHING MACH. . . . . . . : 1 BAC:KFL.OW F'RLVNTRS. . -0
(]CCUPF'+NCY (3RP. . :R3 FLOO S. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F'IX*FURES------------- ---- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINVa. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . ..0
LAVATOPIES. . . . . :4 OTHER FIXTURES. . . . . :O
T'UB/SHOWER,G. . . . : ; F'.WER L I NE (ft ) . . . . :A
WATER CLOSETS. . .3 WAj� 'R j L 4NE. (ft) . . . . : 11710
DISHWASHERS. . . . : 1 1\1 VRAkN. (ft . . . . :0
Rema;-ks t
r7WNER. --------------- ___._____.__._ _.____.___.__._._._._., -FEES.---____
E'.. J. RYSTADT HOME:; TIF= $ 1380. Olt' JLH 0; /,25/92 -
13765 NW CORNEt '_ RD SUITF 100 SPRT $ 51'''. 30 J'LH O''/25/9P -
BPLC # 335. 06 JLH 1c/a7/91 ?212',°55
i-'ORTLAND OR 97229 B65f'C t 25. 78 Jt..-4 03/25/9,:' _.
`'hone ##s 644-•8061 SSL)(' $ 280. 00 JLH 03/,x'°5192
1NC PARI! t "i00. 00 JLH 03/,*213/9c
Plumbi d Contractor:-` ��!'l�C'29-_-- wra t 40. 50 JI_1-1 03/25/c)2 -
,� /_ MPLC $ ::'. 0,� JLH 03/x:5/9:'
Name : C.L>v! .,L71.tI. M Ft': $ 10. t.3 JLH 0 /25/9x'
_ .__ -
Addre!ass F='PRT 4 155. 00 JLH 03I25/92
p5P(; $ '7. 75 .TLH 03/25/9,-_ -i t y � .�91.Q.b..f1____.. ..� State: �Q�. _ _ -,
Z i p s._._q 79.U.j_.._.___.Ph one#F s
Reg #: __7-Q
--__..--- REQU I RED 1 IV:iPECT I ONS -- .
."`Tho„,, permit is is!�_-d s1.ib.ject to the v ey - ____
trixt: ions contained in the Tigard Mitnic ipal F7ot/fcund Insp Rein drain Insp
C.:nde, State of Ore. C,pecialty Codes Ansi ail i Post/Beam Struct Water tine Insp
Other applicable law,;. All wnt,k will be done i'ost/BE,am MPrhan Appr/Sciwlk Insp'.
in aceordAnce with approved ple-Ans. This Plm/undsl.ab Insp Mechanical Final
oermit will expire if work is not star-ted PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final- .
pended for more than 160 days. Plumb Fop Out Erosion Control
.-� F.-arcing Insp F;raswl Drain
Fireplace lnsp
Gas Line, Insp
{ t I�o-LCQ
Insulation InsF'
Gyp Board t n s p
outhorized Plumbing Contractor- Signature
ball for insper:.tion 639-•4175
C`ontractor Notecss
----- -----
ar,� t.
CITY OF T16ARD - RECEIPT or r-"AY11f:.N1 R C;E: P-1 NU.
k
CNE„CK AMUUNT 4936. '77
i hl mE a RYSTADT, CRI:C: HOMES CASH AM(:)(.1NT 0.ill)
FIT?DFiEss r PAYMF:NT DA U.- A 03/pL. i`4
'I
SUHDIVTSIC)N y
f
PURPOSE OF PAYMENT AMOUNT VAID F-'I.11tPOSE" OF PAYMENT AM(:)1.1Nr PAID
I�l1IE.DINC.) PERM . .,.._...._.... _ ..._ ,1tP;.54I PLUMBING PC;A11...._,._._..._. ___.._.. ....�.. . �_
_.11115 5. 00
ME:C:HANTCAL PE, 40. 50 ST. BUILD PUt ;3"i. 56
PLAN CHECK FL 95 PI SFWFR USA 1900.00
SEWER INSPEEC1' :�`. . GiG1 F2E raIDE:N'1"IAI.. '1'F'tF(FF TC F E:E�a 1c!1�E). 0H
MARKS AC ':000. NN STORM DRAIN SD(: r AP). (30
ASCaS£t TRANSIT r 1F F'E ESS 1.00. 00
i
L(.)"r 16*7 MURNINO HILL 148
lV48a SW 13:3ND AVE:
ro rAl_ AMCIUN'r pAID - ) 4936. 77
.�. V�I� n,errs+M+w, w,.we.a+..-.N.W r..:— "r►..r.a....::a...-._.. ,. .._!�-.err—.:..__.._._.,__._.� ..._...�.�__.._._,._._......._.. _.._.._...«
I
I
.. -
CHECK AMOUNT
NAME r L fR I C F'YS TART HOMES CASH AMOUNT
(-41)DpFs'8 a 13765 NW CORNE.L.L. RD, #100 PAYMENT LATE r 12 7/91
PORTLAND, OR SUBDIVISION n
97G2'9-
r''UR4+f]SF OF PAYMENT AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT WHIT!
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