12681 SW 133RD AVENUE ADDRESS:
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CERTIFICATE OF
OCCUPANCY
CITY OF TIGARD PERMIT #. . . . . . . .
MST92-0020
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/24/95
13125 SW Hall Blvd.Tigard,Oregon 972234199 (503)830-071
'-- 'ITE ADDRESS— : 12681 SW 133RD AVE
PARCEL: CS104AC-04100
;l ISDI VISION. . . . " MORNING) HILL 6 ZONINGsR-25
LALOC14. . . . . . . . . . c LOT. . . . . . . . . . . .
CLASS OF WORK. :NEW
TYPE OF USE. . . iSF
OCCUPANCY GRP. .-R3
OCCUPANCY LOAD:223 4
TENANT NAME. . . :
Fcmarks : PATH I
Owner:
NORTHLAND HOMES
1834 SW 58TH
V'ORTLAND OR 97221
Phone #: 292--3975
Ga n t rmcwt ov, : — ----
1,4ORTHLAND HOMES
:1834 SW 581H
[-',ORTLAND OIR 97221
Phone i'92-3975
litag #. 137 ''7
OCCUPancy of the above refercriced hi-tilditig is hereby given, and ce rt i f j
the compliance with the estate of oregol, Spef-jalty Codes for i-ilp groMpf
OCCUriallcy, and use under whivh the referenced permit.. wai
S'u Pd.
,BUILDING INSPECT-6-R LLY-4); t.; T.
POST 1114 CON -jr-11CUOUS PLACE
C17Y F TIFARD CMOF lik.RD� MASTER PERMIT
-COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Fell Blvd. P.O.Baa 2M97,TV",Oregon 97223(503)6394175 PERMIT #. . . . . . . .. MST921--kb1Z1i7_'W
639-4171 DATE ISSUED: 04/14/92
'_}ITC ADDRESS. . . : 12681 SW 133RD AVE PARCEL:
Lz 2S104AC--111ij.i_
:SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25
1`iLDCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 163
BUILDING
RE I SSUE,-.MSTI)2--00 18 DWELLING UNITS): I BASEMENI. . . . . .. . . :0
"LASS OF WORK. :NFW BEDRMS.-4 PATHS:3 GARAGE. . . . . . . . . . :324 s
TYPE OF USE:. . . :SF FLOOR AREAS-.• - REOUIRFD 5ETBAC1-(G'-----------
fYPE OF CONST. :5N FIRST. . . . :974 Sf LEFT. . -6 ft RIGHT. : 14 ft
)CCUPANCY CARP. :R3 SECOND. . . .-9733 s FRONT. ft REAR. . :49 1.11
-3TOR I ES. . . . . . . :2 IHIRD. . . . :0 s RFOLJ I RED---------------------
IE I G1 11.. . . . . . . . :,R,3 ft 1907 Sf SMOKE DETECTORS—Y
.LOOR LOAD. . . . :40 psf VALUE. . . . . 93554 PARKING SPACES— :0
",'emai-ks : PATH I
_-------------------------- PLUMBING
SINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVNT RS. 0
!._AVATORIES. . . . . ..4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
1"LID/SHOWERS. . . . :2 LAUNDRY TRAYF . . . :0 CATCH Bn5IN5. . . . . . . :Q,
AATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
)ISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0
tiORBAGE DISP. . . : I RAIN DRAIN (ft ) . :0
t4ASHING MACH. . . : 1 SF RAIN DRAIN5. . tl
MECHAN."XPL FEES
_UE-.".L TYPES LIN I T HTIRS. . -0 type amount by date r,Q'-'r'-
/GAS/ VENTS . . . . . :0 TIF 1380. 00 JLH 04/15/92
1,1AX INPUT:Vi JATLJ VENT FANS. . :4 BPRT 41`5. 00 JLH 04/15/92
-
"URN ( 100K . . .- I HOODS. . . . . . : 1 LAPLL $ 40. 00 JLH Od/18/92
;.'Ut:N ) =100K -0 WOODSTOVES. :0 TMa 7 C $ 20. 75 JLH
LUGR FURN. . . . :0 CL.O DRYERS. : I SSDC $ 280. 00 JLH 04/15/92
0IL.. CMP ( 3HP:0 0-f HER UN 1 1 S:0 00 J L 1A 04/16/92
GAS OUTLETS: 1 MPRT $ 39. 00 JLH 04/15/92
ijwnei, _.._ __.___._...__-_. ..._ _._.._._..__.__...___,____._.____._. MPLC $ (). 75 JI-1-4 04/3.5/1)i-::.'
'100FHLAND HOMES M5PC 1. 95 JLH 04/15/9x'
8,
34 13W 98TIA 14-0. 00 JI-14 04/15/92
P5PC f 7. 00 JL.H 04/15/92.
;ORTLAND OR 972,21
#.1 292:'-3975
antantr ac,tor.: --- ——————————--
,1URTHLOAND HOMES
SW 58711
OR'rLAND OR 97221
V-1 292-3975
Flo
t: 2833. 45 TOTAL
his permit is issued subject to the regulations contained in the ------- REOUIRED INSPECTIONS
�4 i9ard Nunicioal Code, Stitt of Ore. Specialty Codes and all other Foot/found Insp Fireplace Tnsp
UJ applicable laws. All work will be done in accordance with approved Post/Beam StrLkVt GAS Line InSp
_J plans. This permit will expire if work is not started within 160 Post/Beam Mechan Insulation Inst.,
days of tifvance. or if work it suspended for more than 160 days. PIM/lAndslab Insp Gyp Board tnsp
• PIL M/Unde -floor- Rain drain T ns t,
Mputiayiical Insp Water Li(ie Inst!
Plumb Top Out Appt,/Sdw I t( Inst:,
Issued Hv � Fr'atftlnq Insp MPL'Ilanical F inal.
Call for inspect -'. on 639-4175
C17YOFTIGARD
A SEWER CONNECTION
C�nroFTWARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT om!m91 N PERMTT #. . . . . . . : SwR92--000"
13125 SW HWI BNd. P.D.Box 23.997,Tipid,Cor o 97223(603)630-4176
^— --- E,3')-4171 DPTE ISSUED: Q)4/14/')2`
-JITE ADDRESS. . . : 12681 SW 133RD AVE PARCEL.: cS112r4AC--hIF-118S
IUBDIVISION. . . . : MORNING HILL- 6 70NING: R -P5
-3LUCK. . . . . . . . . . . LOT— . . . . . . . . . . . : 185
I'ENANT NAME:. . . . . :
.1SA NCI. . . . . . . . . . . FIXTURE UNITS. . . .
i:L.ASS OF WORK.. . . :NF_W DWELL ING UNITS. . : 1
I YF=E: OF USE. . . . . *.SF NO. OF BU I LD I NGS i 1
1:NSTAL_I_ TYPE. . . . :EUSWR I MPERV SURFACE. . : : s f
emarks : PATH I
;.Jwner,: --- - _-___________.__.__________..-----_-- _.._____._.___.______ FEES
NORTHLAND HOMES type amnr.lnt toy date r,ec r +:
834 SW 58TH PRMT 3 1900. 00 JLH 04/15/94
0 -
INSP 9, 35. 0JI_H 04/15/x? � _
i AOR TLAND OR 972'21
Phone #: 292-3975
_;i.lntra�_,tar,: •-•-•..____.._._._._.____.___.___.___....._..-___.._
,IORTHLAND HOMES
183.4 5W 5L3TH
1-'CIRTLAND OR 97221 _.-_--------------------_.___..---__._._•__
,hconP #: 29i2-3975 $ 1 335. 00 TOTAL
Rey #. . 137c•:7
------- REQUIRED INSPECTIONS ------
This Applicant agrees to comply with all the rules and regulations Sewer Ins nett icn
of the Unified Sewage Agency. The permit expires 190 days from
she date issu!d. The total amount paid will be forfeited if the _ 4_ ____.-
9ermit expires, The Agency does rot guarantee the accurar of the
Side sewer laterals. If the sewer is not located at the measurement __� _ ___•�.•. ___�_ __ __,• ____ ___._�_
civen, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shail purchase __,-_
"Tap and Side Sewer" permit and the Agency will install a lateral.
ger-mittee Signat�err~e :
S s r.led Dy:
Cell for inspection 639--4175
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6394175 Business Phone: 639-417'1
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in i-ireplace
Post/Bean Struct. Plb,,. Top Out Elec. Rough-in e'=1N
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: 5— (Z _ Time:�AM PM
Address:
Builder: Permit tt: t7 C�Lr 7 6)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
INSPECTION NOTICE
City of. Tigard Building Department
13125 sW Ball Blvd_ Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4.1.75 9usiness Ph 39-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/S3wlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb./
Plbg. Underfloor WaterLine Gyp. Bd. �.ch.
Date Requested:
/ -/(/ J� ___Timet —AM , `PM
Address: (p�� f� 7 Permit t:
Buil-der:
THE FOIJAMING CORRECTIONS ARE REQUIRED:
�Le 2 TG
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Inspectors Date:_ a _�
APPROVED DISAPPROVED APPROVED SUBJECT TO NROVL*
Call For Reinap.
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INSPEC'MM hO:icE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223 U
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. :inderulab Mach. Rough-in Aopr/Sdwlk
Found. Plbg. Top Out) Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Waater Line Gyp. Rd. -Mech.
Date Requeetede_z� 1�i ^--i 2 Time: AM PH
_a'1 i �
Addreen:_ ` Permit t
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Duilder•
TNS FOLLOWING , RRF.CT{(/ S ARE REQUIRRD:
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Inspector• _ Date: r C,
L____APFROVED DISKPPROVkD APPROVRD SUBJECT TO ARMS
r Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 ..R Hall Blvd. Tigard, Oregon 97223
Inspectlzn Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Insp^ction:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
Post/Bohm Strur_t. San. Sewer. Framing -Bldg.
Poet./Beam Mech. Rain Drain InsulationPlumb.
Plbg. Underfloor Watar Line Gyp. Bd. -Meeh.
Date Requested: Time: 4 AM PN
Address: l C/.J�fJ,! Permit
Builder:
TME FOLLOWING CORRECTIONS ARE REQUIRED:
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inspectors_ /1[rCi Date:
�'-JI'PAOVED DISAPPROVED APPR(WED SUBJECT To ABOVE
Call rot Reinap,
INSPECTION N'MICE
City of Tigard Building Department
131.25 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (RPc-O-?hone): 639-4175 Buoinena Phone: 639-4171
Inspections ^_ _
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. m�lbg. Top Out Gan Line FINAL:
Poet/Beam Struct. swat Framing -Bldg.
Poet/Beam Mech. Ra.ln Drain Innulation -Plumb.
Plbq. Underfloor. Water Line Gyp. Bd. -Mach.
Vate Requantedt / c�_ Times -AH ---PH
liddress:1 t� ✓ ' iJ3 Permit 1: �
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED
tnapector: Date: 9'L
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinap.
INSF_FCTION,�N-O-T-IC—E
city of Tigan! Bull id ng Department
13125 SW Ball Blvd. Tigard. Oregon 97223
Phone: 639-4171
Inspection Line (Rec-O-Phone): 639-4175 Business
Inspection:__
r iwlk
Footing plbg. Undecelab Mech. ?tough-in APP /�
Found. Plbq• Top Out
Gas Line FINP.L:
Frami•�g !-Bldg.
Poet./Beam Struct. San. Sewer
Ines lation Plumb
Poet/Beam Nech. Rain Drain �__�-
Plbg, Underfloor Hater Line Gyp. Bd. —�
AM H
Data Requested:, ( /
/ i lJ/f l / r`_ Perm It t
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Addrees:__
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Data:_Z:�
InspOctor:_„_
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RPPROVEr APPROVED SUBJECT TO ABOVE
APPROVED PROVED
DLS ---
G_- Call °or Reinep.
INSPECTION NOTICE
City of Tigaur4 Busi(fi.ng Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing 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 Water Line Gyp. Bd. Mach. 7/�
Time; AM J PM
Date Requested. _
r
Address:, '�J�/�� f/JrI'" Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Af —
Inspectors Date
�^"API3ROVlD
0I8l1PMWM APPRMD SUMCT TO ASME
Call For Reinep.
INSPECTION NOTICE --
City of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639--4175 Buniness Phone: 639-4171
Inspection:Footing Plbg.Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strur_t. San. Sewer Framing , /--Bldg.
Poet/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gy..,. Bd. /// --Mech.
Date Requested:__2 /4 -`� - Time: AM
Addresn: (� fl z /r�d Permit i:— -�� )
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Builder: 2 rz f/-Q;% Z i
THE FOLLOWING. CORREt'TIONS ARE REQUIRED:
Inspector: / Date: / 7zo ._-�
A?PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOPICE
City of Tigard Building Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-V-Phone): 639-4175 Business Phone: 639-4171
Inspection%
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation `-' -Pi"_�D
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: 7— -----Time: AM 1, PN
Addtess: i> ZJ /rc�- Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED%
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Inspectors_! Date I
APPROVED DISAPPROVED _ APPROVED SURJECT TO ABOVE
Call For Reinsp.
�( INSPECTION NOTICE C� )
000 City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 9-4175 Business Ptonc: 639-4171
i
Inspection: `
Footing P1Lg. Und Blab Mech. Rough-in Appr/Sdwlk
c
Found. Plbg. Top Out Gas Line rINAL:
Poet/Beam Rtruct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ Time: _ AN — PN
Address:_ f Z f-3 Permit 1:�
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CL
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Inapector: Date:-
PROVED D18"Pr APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City o1.' Tigard Building Department
13125 SU Elall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/F-Iwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
rlbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: �j' z2- Timet __AM PM
Addrees t I z(a (I �J Permit #a,-!2 -06 2-0
Builders 71$q- 1 t406 _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector'_ - Date: -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Gepartaoent I\�II,I►�//
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab Mach. Rough-in C Appr./Sdwlk
Found. Plbg. Top Out Gas Line
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Water L',ne Gyp. Bd. -Mach.
Dale Rarquaetedc t!✓ � 7Time: _AM PM
Address:_ �� � � r Permit 1:-C V
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inmpeotor: C'L• _ Dnte: C' �� —���----.
APPROVtD DISAPPR D ( fitI APPROVXD 8UBJKCT TO ABOVE
Call For Rei,nsp.
INSPECTION NOTICE y
City of Tigard Building Departftent N�
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor / Water Line Gyp. Bd. -Hoch.
Date Requested: C� "� �� __Times AM —4—PX
Address: �GC�C�6/ / ✓� _ Permit /s �-'
Builders
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
12161 - MALA n.L02 Chb
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Inspectors LLI 7'
11PPAOVlD DISAPPR D APPROYEb OtlBJItCT TO ABOM1/6
Call For Relnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
3nepection:_�� _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line -Mech.
nate Regveated: r .44 - ' Time: AN
Address: Z �„� /.��% Permit #:
Builder:
T11P FOLLOWING _DRRECTIONS ARE REQUIRED:
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Inepwteet Date:
ArhIOVgo ^T J DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departwent.
13125 SA Hall Bled. Tigard, Oregon 97723
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections. _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. sewer Framing -Bldg.
----
Poet/Beam Hoch. Rain Drain Insulation ) -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date RErquested: c 7th �" _Time: GAM PM
Address: /.Q/"EZ / 3-:3 r� Permit #: SG�'7 �C
Builds-r:���-tte-- �7 f '
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Data: � 7 / "
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
City of Tigard EMilding Departsent
13125 fell Hall Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inupection•
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. SewerFraming -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor .c,Water Line Gyp. Bd. -Hoch.
Date Requested% �J I Time: __AM /n1 PM
Addrese:�� e
��f_r Permit �
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ,i.L'� Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Rainey.
INSPECTION NOTICE
City of Tigard Building Department
13125 S11 Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I nnpection:,_ __---
F(x)tiny Plbg. .inderalab (Hech. Rough-in Appr/Sdwlk
Found- Plbg. Top Out Gas Line FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloo Watecr, Line Gyp. Bd. -Hoch.
Date Requenteds �/! �.`] f— Time: AM __PM
Addrerss: ��7`}►/' (J / Y Permit
Builder: f
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors
APPROVED DTSArPROVED APPROVED SUa7JtCT P.BOVR
—r Call Fnr Reinsp.
INSPECTION NOTICE
City of Tigard Building Dep rt mt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspections --
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Port/Stam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hech>' Rain Drain Insulation -Plumb.
Plbg. Underfloor ,J/Water
Line 7 Gyp. Bd. -Nech.
Date Requested: J i7 -� "' Time: ____AM PN
Arlcirene•._J ���''X / `� ✓ Pe It
Builders-_-ee 2L
THE FOLLOWING CORRECTIONS ARE REQUIRED.
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Inspectors Date: r, '
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 633-4,1755 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pot /Beam Struct. San. Sewer Framing -Bldg.
Poet/Poem Koch. Rain Drain Insulation -Plumb.
Plbq. Underfloor water Line Gyp. Bd. -Mech.
Ilato Requested: / L- Timet ✓&-AM ) PM
Address: /� L� 0 / Permit t:
BuIIder: --
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dates
APPROVED �v DISAPPROVED _ APPROVED SUBJEC^ TO ABOVE
Call For Reinap.
INSPECTION NOTICE_
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg_
Post/Beam Mech. Rain Drain insulation -Plumb.
l Plbq. Underfloor Water Line Gyp. Bd. -Nec.h.
DAtn Requested: _��j_ �i_ Time: _AM PM
Addreae: L�? 1 r� Permit 04.2- L U
Bti i l der:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Z.
..tor• •�i� __ - --- Dates -----
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD -- RECEIV,( OF PAYMENT RECEiPT NO. c 9 c 6 Q)0 0-
CHFCK AMOIJNT 47F!8. 4!.j
NAME NORTHLfIND CASH AMOUNT 0. 00
ADDRESS z 1834 SW 58TH #c Dir' V,AYM(--'NT DATE a 04/t4/92
PORTL.()Nl), OR SUBDIVISION
97�,2,1-
r-,,URP(l6E OF POYMNT PMOUNT POI D PURr)Oc,,[-- OF VAYMFNT AMOUNT PA 11)
BUILDING PERM 415. 00 PLUMBING PERM 141A. 00
MECHANICAL PE 39. 00 91'. BUILD PER 2 9, "V)
PLAN CHECK FF- 9. 7r) ll.,')FWER Min oul. 00
SEWER INSPECT 35. 00 PARKS SDC 500. 14,21
S*t()RM DRAIN SDC Loo00 RESTOFNTIAI_ TRAFFIC Fr.-,S 1200. 00
MAC, TRANSIT 71F FEE-13 100. Q10
MORNING 1-111-1. *81 LOT 185
TOTAL AMOUNT PAiu 4728. 45
PLNCK RECT # -2- CC)
CITY OF TIGARD 13'PORox2337
PERMIT # MI.Sfc2-UUP D
C01tAtUNi11' DI:1'IsLOPAiIsNT I)F;I'AR"I'�111:N"I' Tigard,Oregon 97:J3
(503)639A171 DATE ISSUED
JOB ADDRESS: Z�O$ ^S �✓ /3 �._.��� TAX MAP/LOT �_S/DUAL-h7N 'X
SUB: LOT:
LOT: LAND USE: _
VALUATION:
OWNER SPECIAL NOTES
NAME: Alam ti.�_.��a'`* �5 xAv C- REISSUE OF: ins
ADDRESS: i?7 .4 , 2-oL LAST REISSUE: -
•�oH 7 ZZ1 FLOOD PLAIN/
PHONE: .Z-7Z – 39 7S `^ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: i'/o rl f _ PLANNING: _
ADDRESS: ENGINEERING: _
FIRE DEPT:
PHONE: OTHER: _
CONTR. BOARD #: 7 2-7 EXP DATE: .
1 ITEMS REQUIRED
SUBCONTRACTORS: PLUMB. _ J, LIST/SUBCONTRACTORS:
MECH: _ -e 4-��_X BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS: d—
ADG.,.E:)S. OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
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APPL CANT GNATURE
Received By: Date Received:
,
PERMIT r ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
L-OOZO 10-432 00 Building Permit Fees
�15z41----
_ 10-431 00 Plumbing Permit Fees NO '
10-431 01 Mechanical Permit Fees ' v—
"� 10-230 01 State Building Tax (5%)
Building Win,
Plumbing
Mechanical
10-433 00 Plans Check Fee �/� i=� e >
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection /ldrl i acv
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees �.
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Oev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24 445-01 Water Quality (Fee in lieu of)
i1 24-445-02 Water Quantity (Fee in lieu of) _
F_
TOTAL
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nm/3587P.WP1