12718 SW 133RD AVENUE ADDRESS.
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CI1Y OF T I GARD , �� � l,
COMMUNITY DEVELOPMENT DEPARTMENT RM IT [<j
13125 SW Hall Blvd.TIgard,Oregon 9722398199 (503)630.4171 14411., ISGULDt QA4/06/1113
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I 'S I Q4AC 0":j".j0j
0 E 14 P.; 17 18 !*3 W - 1 fat 11 D 0 V E; A i w G E
ULAD I V I`1I ON. . . . MORNING HI(A., 8 ZON y Nil";t Fl- 1-15
-_"K. . . . . . . . . . .^ LOT. . . . . . . . . » 199
L(11931,J) OF WORK. :NEW
'IF'L Of'
1(XUPANCY :P3
.1CCUPONCY LOAD: .1 a3
FNAN T 114AMil--.
Owner:
1*A.)RkNT (;011 iC 1 1 I-At j I I+
. '7",7 !:1{:,. 5,-3 J I(
, 'ORTUMP OR ".17i20C.
Flhont* #e 774-555!)
-LIPAN'T (AIN'T k0i," I't NCY' TNG
:727 St.-* 581il
0WTl._(W1D 0H, 97,206
h ull ti,- 7-, 1 5555
Iccupaticy of' th!. above I 1p v,enced bi.t 1 i a hereby U i-,,en, and uEwt I
liv? compl 1"sitt.-i tile !3tato Of ("Ireow, , c:ialty Codes f'or tht- qt'at.tp,
uskt- wtder which tile V-erC,r --fic pci pp 'lflit waq
J'f ALITLI)ING TPJSr'-1(_I_ MR
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BUILDING Ol'-f U. 101_
INSPECTION NOTICE
.. City of Tigard Building Department
13125 SW Bail Blvd. ' Lgard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:___ ---
Footing
_,Footing Plbg. Underelab Mech. Ro,,gh-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/team St-ruct. San. Sewer Framing
Post./Beam Mech. Rain Drain Insulation -Plumb.
Plbg.
Plbg. Undarfloor Water Line/ Gyp. ed.
Date Requested: _ `7 Time: —PM
Address: CL_ _ Permit
Builder:_ �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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rnepector: _ Dats:_y�
i _APPROVED nISAPPROVF.n APPROVED aUBJRCT TD ABOVE
_Call For Reinap.
INSPECTION NOTICE �.
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639--4171
Inspection:
<ooting Plbg. Underelab Hoch. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb. `
Plbg. Underfloor Water Line Gyp. Bd. ech.
Date Requested:_ r �.� _ --Times -AH PN
Address, /� 71S"- Permit f: UJ
Builder:
THE FOLLOWING CORREr'TIONS ARE REQUIRED:
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Inspectors _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT Tn ABOVE
call For Reinep.
INSPECTION NOTICE 1' j
City of Tigard Building Department l
13125 8w Ball Blvd Tigard, Oregon 97223
Inspection LLne (Rec-O-Phone) 39-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Us slab Mech. Rough--in LAPFAppr/Sdw1k
Found. Plbg. Top Out Gas Line FINAL-
Post/Spam Struct. San. Sewer Framing -Bldg,
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Date Requested: ^� 73 Time: _AM PM
Address. /�� 3� r Permit
',uilder.:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors L F�
APPROVED DISAPPROVED APPROVED SUP.?RCT TO AROVF.
--Call For Rslnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9727.3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: b39-4171
' 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 Mach. Rain Drain insulation -Plumb.
Plbg. Undorfloor // Water Lined Cyp. Bd. -Mach.
Date Fequestedt �i/ ����/��� ___Ti., _AM PM
Addrese:_ Permit f: r1
Builder:
THE FOLL(JWING CORRECTIONS ARE REQUIRED:
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REPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
i'" call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department j
13125 SM Hall Blvd. Tigan, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Nech. Rough-in C,Appr/Sdwlk ,
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer F.eming -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
:lhq. Underfloor Water Line Gyp. Bd. -Meth.
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Data Requested: ;7 -/ l z� Time: --AM PM
Address: �Zf� �� i?� Permit i: IT Z (y
Builder: 130f -77 ` 5_'��5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ��/� �f -Jr Date:
APPROVED DISAPPROVED _ PPROVED SUBJECT TO i,SOVE
Call For Rwinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line ,Rec-0-Phone): 639-4175 Business Phone: 639-4171
Or'--'`
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
P1Dg. Underfloor Water Line Gyp. Ed. -Rech.
Date Requested:_ �/� Z— Times /L� AN/ PH
Address: 1 ,_? Z_ ~� Permit
Builder:
THE FOLLOWING CORRECTIOR8 ARE REQFIIRZDt
- -
f.
APPROVED DISAPPROVF..D ✓ APF'ROVF.D rUBJFCT TO ABOVE
Call For Roinsp.
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. Underal.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Ream Struct. San. Sewer Fiaming -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. Line Oyp. Bd. -Mech.
Date Request`ed: ZT Time: AM --PH
Addrese:�/ / ) -- ��� Y� Permit 1:01
Builder:_,__— /� �THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector:_.......—:__-- --- --- - --- nate:
APPROVED DISAPPROVED APPROVP,D SUHJP.CT TO A80VF,
Call For Reinnp,
INSPECTION NOTICE
Cify of Tigard Building Department
13125 SSI Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- 3-Phone): 639-4175 Busineae Phone: 639-4171
Inspections-_
Forting P:bg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out ran Line RiNAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Poetj'Be.am Mech, Rain Drain Insulation - -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Jh ` t/
Date Requested: S A `t Timg1 3�r LAM _ PM
Addrese:� r� Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQDIREDs
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Inspectors (... _ `pates
APPROVED DISAPPROVED APPROVED SUBJECT TO AJKM
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball 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:
at/Beam Struct. San. Sewer Framing -Bldg.
Poat/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water LineGyp. Bd. -Hoch.
Date Requusted: �/- ;2. 3 Z Time: AM PM
Address: 2 ! 3 J -j ✓s` Permit i s /Yl 3� � Z-U�o,>
Builder: 4
THE FOLLOWING CORRECTIONS ARE RFQUIRED:
U/ 1 cel 6 LU.s 1/1 l�t J4 1�
12
CL
Inspectors Dates �_y� 7 ��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Peinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard. Oregor. 97223
Inspection Une (Rec-O-Phone): 639-4175 Businean Phone: 639-4171
Inspection:
Footing Plbg. UnderelabMech. Rough-in 1 Appr/Sdwlk
Found. Plbg. Top Out;/ Gas Line j FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/P.aam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Meeh.
Date Requested: C�c Time; AM _ PM
Address: Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQt.IRED:
Inspectors, r�_ nat
11PPROVtb __ DISAPPROVED APPRO'!ED SUBJECT TO AROVF.
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspecti.)n:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. ��Plbg. Top Out Gas Line FIAAL:
Post/Beam Struct. San. Sewer. Framing •Bllg.
Post/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ��-f Time: AM PM
Address � Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'
Inspector
_APPROVED DISAPP):3VED APPROVED SUBJRCP TO ABOVE
Call For Reinnp.
INSPECTION NOTICE 157
City of 'Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Buoinees Phone: 639-4171
Inspection:— -
Footing Plbg. Underslab Mach. Rough-in-- Appr/Sdwlk
Found. Plbg. Top Out 4.aa 7 Line) FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Prot/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. /
Date RequPated: —Time- /� �AM !� PN
AddrP:.a: �7 Q� Permit 1:1�/�aS
Builder:_ f�ZQ _----
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�) .Q��1�.� G�,-c.,/--�/��-t�-u,,•✓t.e''f ,.�-�-.. ( �./L� .Qr�-til'...G.- �..•,..,,,..�{I�.r'
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inspectors
flat_♦_'
— --- __ -_ --
APPROVEDy/D28APPROVRD _ APFROVF.D SUBJECT TO ABOVE
li Cell For Reinsp.
INSPECTION NOTICE
City of Tigard Building 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\ FINALS
Poet/Beam Struct. San. Sewer Framing I -Bldg.
Post/Beam Mech. Rain Drain ~Insulation -Plumb.
Pltx). Underfloor Nater Line gyp. ed. -Koch.
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Date ..aquestod: "2 Time: /U r AM PM
,roan: `1k Permit iel>
ilder:
THE FOLI.EMING CORRECTIONS ARE REQUIRED:
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Inapector Dater •�
AtPIIQVSO DZ5APPROV$D APPROVED SUBnCT TO ABOVE:
Call For Aoinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SSI Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr./Sdwlk
Found. Plhg. Top out Gas Line FINAL-
Post/Bean Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Flbg. Underfloor WaterLin Gyp. Bd. -Mech.
v
Date Requested: i7 - �_ -_ Time: AM PM
Address: /� z 3-3 Permit #:4(
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ZZL,
LL
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LO
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Inspector:__ ---.A' ----- _ Date:
APPROVED _ — DISAPPROVED APPROVED SUBJECT TO ABOVE
/
--Call For Reinsp.
INSPECTION NOTICE
City of Ti_-ard Building Department
L..
13125 BY Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phowa: 639-4171
Inepection: ---
Footing Plbg. Underelab Mach. Routh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet./Beals Struct. <L41Cp. Sewer l Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth. cv/
Date Requested: Timesr�
'-" Qom —
Address: 1 I 3 r Permit s — �•16)\7
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ti
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F-
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InsipectoFi _ _ _ Dates :? `
_APPROVED -` DISAPPROVED APPROVED SUBJECT TO ABOVE
��(L— —_Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 631-4175 Business Phone: 639-4171
Inspections --
Footing Plbg. Underelab Mech. Rouc,h-in Appr/Sdwll.
Found. Plbg. Top Out Gas Line FINALS
at/Beam Btruoty San. Sewer Framing -Bldg.
oat/Beam Mae Rain Drain Insulation -Plumb.
Plbg. Underfloor IIW�atter Line Gyp. Rd. �,�s�-Mech.
Date Requested:_1 �G� ^�./Z�,_ _Tlmef"Z�M —PM
Addreens_ J rc� Permit
BuildersS.�S� _,_—�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�) �. �.-�__f��- � �.%c�At_L-'•� .. .�1 �.��-moi �--
000
100,
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Inspectors_ Dere:
APPROVED DISAPPROVED APPROVED SUBJECT TO AEON=
Cell For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Fine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
F
Ung 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. -Mach.
Date Requested: ��`�(L Timeer J/` AM `_PM
Address. Z--1 /,/�J ✓ J / Pe/it
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDS
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Inspectors_- � rl
G APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Relnsp.
CITY OF' TIFA RD
CITY -LUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT ommm FERMI I' #. . . . . . ,
13126 SW HWI Bkd P.O.bm 23397,T19W.Or"m 97 (603)839-4175
;SITE ADDRESS- - 12716 SW 1333RD AVE PARCEL: 2S104AC-MI-11.0,,
SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-:::-5
DLOCR. . . . . . . . . . : LOI.. . . . . . . . . . . . . : 199
CLASS OF WORK. . :NEW GARBAGE' DISPOSALS.
IYPE OF USE. . . . :SF WASHING MACH. . . . . . . : i BACKFLOW F-IREVNTRS. . -O
OCCUPANCY GRP. . .- R3 FLOOR DRAING. . . . . . . .0 TRAPS. . . . . . . . . . . . . .0
b 10RIES. . . . . . . . il WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . ..0
FIXTURES--------------.- LAUNDRY TRAYS. . . . . . . 1 5F P(�IN DRAINS. . . . . .. I
SINKS. . . . . . . . . . .. 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . .... OTHER FIXTURES. . . . . .0
IUB/SHUWERS. . . . .- SEWER LINE (ft ) . . . . :0
WATER CLOSET S. . :2 WATER LINE (ft) . . . . - 100
DISHWASHERS. . . . ol RAIN DRAIN (ft) . . . . :0
11-marks . PATH I
UWNER:
DURANT CONTRACTING INC TIF $ 1380. 00 JLH 06/i26/9e
DP.' 58TH PPRT $ 435. 50 JLH 06/26/92
BPLC $ 283. 08 J LH 05/29/92 2c-
OR 97206 B5PC $ 21. 78 JLH 06/26/92
Phone #.- 774-5555 SSDC $ 280. 00 JLH 06/P6/92
PARK $ 500. 00 J1..H 06/26/92
Plumbing Con t ract or-: 11PRT $ -9- 00 JLH 06/26/92
MPLC $ 9. 75 JLH 06/26/92
N,4 m P115pc $
1 . 95 JLH 06/E6/92
PPRT $
14Q;, 00 JLH 06/26/92
Cita' :_.. ----state.. P5PC $ 7. 001 JI.-H 06/26
Zip: Ph,hone#:4 19
0 El
--51-3—f2,
------- REOUIRED INSPECTIONS
This permit is issued subject to tlip reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code. State of ov,e. Speciz
.kity cor.jec
�; and all Pcst/DeAm Struct Watpr L-Anp Insp
other applicable laws. All work will be done Post/Beam Mechan Pvpr/SdWlk Insp
in accordance with Aporoyed plans. 'This Plm/undslAb Insp Mechanical Final
uermit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance. or, if work is llei-han)cAl Insp building Final
%�mppnded for more than 180 days. Plumb Top Out Erosion Control
Framing Tn,51) Crawl Drain
Fireplace ln%p
Ila% Line Insp
Insulation Insp
Gyp Board Insp
Signature
J rail fo-r inspection - 639-4175
Contractor Notes :
------------
TYOFTIFARD MASTER PERMIT
MYOFTWID
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW HMI Blvd P.O.Box 23307.TOM,Or"on 97 (603)6304176
SITE. ADDRESS— . : 12718 SW 133RD AVE PARCFL: 2S3104PiC-MI.11.
SUBDIVISION. . . . : MORNING HILL 6 ZONING: R-25
BLOCK. . . . . . . . .. . : LOT. . . . . . . . . . . . . : 199
----------- BUILDING
REISSUE: DWELLING UNITS: l BASEMENT. . . . . . . . :0
1;LA55 OF WURK. gNEW BEDRIVIS:3 SPTHS:2 GARAGE. . . . . . . . . . :661 5f
TYPE OF USE. . . :SF FLOOR AREAS----- REQUIRED SETBACRS -.--.------.-___-.-
TYPE OF' CONST. -5N FI RST. . . . : 1925 Sf LEFT. . :5 ft RIGHT. : 13 ft
OCCUPANCY GRP. :R3 5E_CON D. . . :0 S f FRONT. :2'14) t-t REAR. 15 ft
sTORIES. . . . . . . il TH I RD. . . . :0 sf REQU I
HEIGHT. . . . . . . . :213 ft I OTAL ------- : 1925 9 f SMOKE DETECTORS. :Y
FLOUR LOAD. . . . :40 p5f VALUE. . . . . 100448 PARKING SPACES- 30
Remarks : PATFI I
PLUMBING
3INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . :0 BACKFLOW PREVNTRS. . :0
LAVATORI ES. . . . . .3 WATER 14EATERS. . . I TRAPS. . . . . . . . . . . . . . .0
I_LJB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . 1 CATCH DA15INS. . . . . . . :0
wA,rER CLOSETS. . :2 SEWER LINE (ft) . :O GREASE TRAP'S. . . . . . . s
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..0
t3ARBAGE 1)1 SP. - . : 1 RAIN DRAIN (ft) . :0
WASH ING MACH. . . : I SF RAIN DRAINS. . : I
--------------- MECHANICAL ----------------- FEES
F1JEL TYPES------ UNIT HTRS. . .LA type amount by date I-ec--pt
%GAS/ VENTS . . . . . :0 TIF $ 1380. 00 JLH 06/26/9i? -
MAX INPUT:0 F 111 VENT FONS. . :4 BPRT $ 435. 50 JL.H 06/26/92 -
FURN ( 1001J, . . : I HOODS. . . . . . .. I BPLL $ 283. 08 JLH 05/29/92 22
F'URN > =100K . . :0 140ODT.,I'OVES. :0 L45PC $ 21. 78 JLH 06/26/92 -
FLUOR F'URN. . . . :@ LLO DRYERS. : I SSDC $ 280. 00 JLH 06/26/9 : -
00IL/CMP ( --[IP:O OTHER UNIT9:0 PARA $ 500. 00 JLH 06/2'6/9E
GAS OUTLET5: 1 MPRI $ 39. 00 JLH 06/26/92
Ownar-- MAIC >b 9. l5 J L H 0 6
DURANT CON'rRAmING INC M5PC $ 1. 95 JLH 06/26/92
`727 DE 56TH PPRT $ 140. 00 JLH 06/26/92
P5PC $ 7. 00 JLH 06/26/92
PORTLAND OR 1)7206
�.Jione #: 774-5555
CONTRACTING INC
!:,a'7 DE 50TH
1JRTLANIJ OR 97206
; ,hone 774-5'j5!5
1teq ------------------- -----
$ 3098. 06 70THL
This pewit is issued subiect to the regulations contained in the REQUIRED INSPECTIONS ------
Tigard Municipal Code, State of lire. Specialty Codes and all other Foot/faund Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Stt-uct Gas Line Inso
L!'ais, This persit will expire if work is not started within 18@ Post/Beam Meehan 1risitlation Insp
days of issuance, or if work is suspended for tore than 161 days. PIM/Undslab Insp Gyp Boat-d Insp
PLM/Under-f loot- Rain dv-oir. r n-,p
1 ,ei mittee .,.kqnnts.tt,e : Mec:hatitt_,al Insp W-iter Line I lis p
Plumb Top Out Appt-/Sdwlk Insp
d lav : I i-Aminq Insli NI f,r-hm n i ri I i,Tj-i 1,
Carl I for 1 i-ri spec t i-on 639-4175
C'TYOF T'FARD 'S'EWER CONNECTION
-1 PE R11 I T
COMMUNITY DEVELOPMENT DEPARTMENT 1W PERMTT #. . . . . . . : F'J R 9 1?—0-2;11
4W �D
ON00"
131258W HWI Blvd P.O.Box MW.TlpW,Oregon 97 (5031830-4176 ;77'
SITE ADDRESS. . . 12718 SW 133RD AVE PARCEL: 2SI04AC—M1-1199
SUBDIVISION. . . . : MORNING HILL 8 ZONING: R--25
BLULK. . . . . . . . . . LOT. . . . . . . . . . . . . .. 199
VENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . NEW DWELL 1116 ON I TS. . " I
TYPE OF USE. . . . . SF NO. OF BUILDINGG: 1
(14r)TALL TYPE. . . :1.31.J` WR 11APF'rRv ',MPMICE.
1�ernar'k5 . PHIH I
Owner,: ------------------ FEES
DURANT CONTRACTINU INC tripe �moi.tnt by date v- C r,
DE 58-1H PRMT 8 1900. 00 JLH 06/26/92
35. 00 JLH 06/26/92
PORTLAND OR 97E06
Phone #: 774-5555
Contractor,:
CONTRACroR NOT ON FILE
Phone #: 11 1'3,".:5. 00 101,A i.-
Roy
RLUUIRLD INSVIEU11UNS
This Applicant agree- to cooDly with all the rules and regulatio,.j Sewer, Tnspection
of the Unified Se%ape Agency, The permit expires 180 days fro,,
the date issued. The total amount paid will be forfeited if the
permit expires. Tt.Le Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
civen, the installer shall prospect 3 feet in all directions frov
the distance given. If not so located, the installer shall purchast
a "lap and Side Sewer" Permit and the Aaency will ins,?Il a lateral.
Permittee b-innate-tt,er I
U
1%st.ied BvI"
Call for inspection 639-4175
J
U
J
CITY OF TIUARD — RECEIPT OF PAYMENT RECEIPT NO. :92-228944
CHECK AMOUNT" e 4783. 06
NAME, DURANT CONTRACTING CASH AMOUNT v 0. 00
ADDRESS a PAYMENT DATE % 06/26/92
SUBDIVISION i
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM 435. 50 PLUMBING PERM 140. 00
MECHANICAL PE 39. Oki ST, BUILD PER 30. 7;x,
PLAN CHECK FE 42. 83 SEWER USA 1900. 00
SEWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 112,8 0. 00
PARKS SDC 500. 00 MASS TRANSIT TIF FEES 100. 00
7ORM DRAIN SDC 280. 00
LLT 199 MORNING HILL #8
12718 S14 133RD
TOTAL (-)MOUNr PAID 478S. 06
1� A 13125 SW Hau Blvd. PLNCK/RECT #
CITY � R�OF 1 �- POBox 23397 PERMIT # 150 - 0 S
COntntuNI'n'I)1;.%'EI.OPnIENT I)FPARTNIENT Tigard.Oregon 97723
(503)639A171 DATE ISSUED
JOB ADDRESS: 1.? ��-t/ ,3 3 �Z TAX MAP/LOT
SUB: MUti�IN� t�(lL � _ LOT: I fq LAND USE:
VALUATION! " ZOO', YY 9
OWNER SPECIAL_ NOTES
NAME: SAM Cf A-5 Cc A,77?/+-C7rP- _ REISSUE OF: _
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: A-LD(/217Ur P4G-721,v",I- PLANNING: N"- _--
ADDRESS: Z72- -7 5C= 5� f C>L Cn- 7 Lct ENGINEERING:
FIRE DEPT:
PHONE: CSL- `l34- OTHER: rlF - c;-
CONTR. BOARD #: 1.414-6' _ EXP DATE: fir' �7 `�
ITEMS REQUIRED
SUBCONTRACTORS: PLUMBeifi-S LIST/SUBCONTRACTORS:
MECH: C6 A51 A BUS TAX:
ARCIJ ENGINEER CALCULATIONS: —
NAME: 11111.2t f--fToc FPUSS DETAILS:
ADDRESS: 6�/O/ 1-cv Av Y 7a C; 0-0 ,Y-- /y OTHER:
PHONE: G y I-'v/ I-� _
PROPOSED BLDG. USE: /l.c S 7>COMMENTS: Ccl``�L T"
4PPLCAN—T—kgE. �
Received Hy: __ ___ __ Date Received:
PLRMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
Aj 10-432 00 Building Permit Fees
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) >'�' o
Building
Plumbing v
Mechanical . 9�
10-433 00 Plans Check Fee 2 �1-' �� � 42
Building 2b3, u Z
Plumbing
Mechanical
10-2.30 06 Fire
30-202 00 Sewer Connection �% v
f —
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25--448-04 Industrial TIF Fees —
25-448-06 Institutional Pt Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 1z,?0-00 � �1_ v -r
25-448-05 Mass Transit TIF Fees io o.p� _ amu•
52-449 00 Parks System Dev Charge (PDC) -
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) �',) 2JY0
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/35�3/P.411'I