12754 SW 133RD AVENUE ,S
ADDRESS:
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CI ®F T'GARD
WYOFTWAIRD PLUMBING PILRMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . s MST93-00'.-)d
13125 SW HWI Blvd. P.O.Box 23397,Tig",OrWw 97223(6W)8194175
16C4Wkt!)
SITE ADDRESS. . . : 12754 SW 133RD AVE PARCE;L:, 2SI04AC-NHI � ;
SUBDIVISION. . . . : MORP4ING HILL 8 ZONING: R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . .. . . . 197
--------------------------------------------- -----------------------------------------
CLASS OF WORK. . :NEW GARBAGE I)ISPOSALS. . : 1
TYPE OF USE. . . . :SF WOSHING MACH, . . . . . . . I BACKFLOW PREVNTRS. . :Qi
OCCUPANCY GRP. . :R3 FLOOR URAINS. . . . -- - :0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . I CATCH BASINS. . . . . . . .0
FIXTURES------.-----.--- LAUNDRY TRAYS. . . . . . : i SF RAIN DRAINS. . . . . .. I
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . .
LAVATORIES. . . . . -.4 OTHER FIXTURES. . . , . :IZI
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . v 3 WADER LINE (ft ) . . . . : 11110
UlSHWASHERS. . . . '. 1 RAIN DRAIN (ft ) . , . . :O
Remarks : PATH I
OWNER: -----------------FEES---- -------------
SPIVE.N ENTERF,RISES INC 'TIF $ 1460. 00 JH 02/04/93 —
1204 HAWTHORNE LP BPRT $ 421. 00 JH 02/04/93 —
BPLC $ 273. 65 JLH 01/26/93 93--2359h
NEWBURG OR 97132 B5PC $ 21. 05 JH 02/04/93 -
Phone #c 769-4046 CEL SSDC $ 280. 00 JH 02/04/93 —
PARK $ 500. 00 JH 02/04/93 —
Plumbing Contractors-_ -- -- ------ -- NPRT $ 43. 50 JH 02/04/93
11PLC s 10. 88 JH 02/04/93
a m e M5PC $ 2. 18 JH 02/04/93
AddresakSAELPPRT $ 147. 50 JH 02/04/93
s tr'
t�c_'
C i t y _State :.__0x,P on.) P5PC 4, 7. 38 JH 02/04/93
Zip:
R7/1J___ F-"h an e#
Reg #:__ lqqo ,7
REUUIRED INSPECTIONS ------
iis permit is issued subject to the reg—
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and All Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appt-/Sdwlk Insp
in accordance with approved plans. this Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for-, more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
X_ Gyp Board Insp
Authorized Plumbing Lontractor Signature
Call for inspection — 639-4175
__j Contractor Notes cc---_
------------
CITY OFTIGrARD ✓.
COMMUNITY DEVELOPMENT DEPARTMENT i,C-qY0FTWA1W) MASTER PERMIT
13125 SW Hv)l PW. P.O.Box 23397,T4pM,Oregon 97223 (603)MA1 75 PERMIT #. . . . . . . r IAST93-005b-
639-4171 DATE ISSUED: 02/04/93
SITE ADDRESS. . . : 12754 SW 133RD AVE PARCEL: 2S104AC-MH197
SUBDIVISION. . . . : MORNING HILL 8 ZONINGc R-25
FLOCK. . . . . . . . . . LOT. . . . . . . . . . . . .. .. 197
-----------------------------— BUILDING
REISSUE: DWELLING UN1TS: 1 BASEMENT. . . . . . . . 90 st
CLASS OF WORK. :NEW SEDRMS:3 BA'rHS:3 GARAGE. . . . . . . . . . 3423 sf
TYPE OF USE. . . :SF FLOOR AREAS------------ REQUIRED SETBACKS----------
TYPE OF CONST. -.5N FIRST. . . . -. 1075 sf LEFT. . : 15 ft RIGHT. :20 ft
OCCUPANCY GRP. .-R3 SECOND. . . -.830 sf FRONT*. :20 ft REAR. . i37 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-----------------------
HEIGHT. . . . . . . . ..25 ft TOTAL-----•-: 1905 sf SMOKE DETECTORS. JY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 95244 PARKING SPACES. . : 1
Remarks : PATH I
I...---------------------------------- PLUMBING
SINKS. . . . . . . . . . : I FLOOR DRAINS. . . . :0 BACKFLOW PREVJ\1TRS. . :0
LAVATORIES. . . . . :4 WATER PEATERS. . . il TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . :21 LAUNDRY 'TRAYS. . . sl CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . sO
WASHING MACH. . . : 1 SF RAIN DRAINS. . : l
------------------ MECHANIC PL -------------------------------- FEES ----------------
FUEL TYPES------------ UNIT HTRS. . :O type amu�.tnt by date reept
/GAS/ VENTS . . . . . .0 TIF $ 1460. 00 JH 02/04/93 -
MAX INPUT:O BTU VENT FANS. . , 4 BPRT $ 421. 00 JH 02/04/93 -
FUR14 ( 1001,, . . : 1 HOODS. . . . . . : 1 BPLC $ 273. 65 JLH 01/26/93 93-235966
FURN ) =100K . . -.0 WOODSTOVES. :O B5PC $ 21. 05 JH 02/04/93 -
FLOOR FURN. . . . -.0 CLO DRYERS. : I SSDC $ 280. 00 JH 02/04/93 -
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 02/04/93 -
GAS OUTLETSil MPRT $ 43. 50 JH 02/04/93 -
Owner:
Owner: $ 10. 88 JH 02/04/93 -
SPIVEN ENTrr--RPR!SES INC M5PG $ 2. 18 JH OE/04/93 -
1204 HAWTHORNE LP PPRT $ 147. 50 JH 02/04/93 -
P5PC $ 7. 38 JH 02/04/93 -
NEWBURG OR 97.132
Phone 0: 789--4046 CEL
Contractor:
SPIVEN ENTERPRISES INC
1204 HAWTHORNE LP
NEWBURG OR 97132
Phone #: 789-4046 CEL
Reg #. . .- 85489
_______4 3167.$ 3167. 14 TOTAL
This persit is issued subject to the regulations contained in the REQUIRED 114SPECTIONS
Tigard Municipal Code, State of Oro. Specialty Codes and all other Foot/fOL(nd ITISP Fireplace Insp
LU
applicable laws. All work will be done in accordance with approved Rost/Beam StrLtct Gas Line Insp
plans. This persit will expire if "ark is not started withinN Post/Beam Insulation Inslation Insp
days of issuance, or if work is suspended fflr eortAhan 1801C Plm/undslab Insp Gyp Board Insp
W 1:11-14/Underf I oor Rain drain In3p
Permittee Signato.ire : Mechanical Insp Water Line Insp
Plumb Jap Out Appr/Sdwlk Insp
Isst-ted LAY : Framing Insp Mechanical Final
Call f:ar in-iLection 639-4175
------------
CITYOFTIVARD CrTYORD�
FTWA SEWER CDlql\IEC'1'10lq
COMMUNITY DEVELOPMENT DEPARTMENT PE RINI I T
13126 SW Hall Blvd. P.O.Box 23397,Tigwd,Oregon W12ZJ(603)634.4176 PERMIT -Ft. . . . . . . : SWR-33-0053
6339-4171 DC47E ISSUED: 02/04/93
SITE ADDRESS. . . : 1,2754 SW i33RD AVE PARCEL: 2S1.04AC-11H197
SUBD I V.1 S I ON - . . . : [110RINI I NG HILI__ 8 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 197
----------------- -
TENANT NAME. . . . . .
USO NO. . . . . . . . . . . FI XTURE UNI TS.
CLASS OF' WORE:. . . :NEW DWELL I NG UN ITS. . 1,
TYPE OF USES. . . . . :SF NO. OF' BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR INPERV SURFACE. . : f
Remarks : PATH I
owner,: ------------------------------------------------------- FEES
SPIVEN ENTERF"RISLE INC type a M o 1,t T1 t, by date t,pcpt
12'011 HAWTHORNE LP PRMT $ 2100. 00 JH 02/04/93
1 1\4 5 P 35. 00 JH 02/04/93
NEWBURG OR 97132
Phone #: 789-4046 UEL
CONTRACTOR NOT ON FILE
1111olle ff: 2135. 00 TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sevier, Ing pection
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 lateral-. 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 "Tip and Side Sewer" Permit and the Agency willi,4nstall ateral.
Flet-mittee
Issikrecd Dy . --I
Call for inspection 639-4175
I U
INSPE^TION NOTICE
City of Tigard Building Department }
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Buoineea Phone: 639-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Tut Oas Line
Poet/Beam Struct. San, Sewer Yr6ming
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Mater Line Gyp. Bd. <Mach
Date Requested: " -S _Time: AN --PH
^� / �� '
Address:,i rte' /5 ¢ 33 Permit
Builder:-F,� LJ 4'S 7 ( - 404 ..
THE ROLLUNINC COR,-MCTIONS ARE REQUIRED:
0-
h-
Inepector�e�� Dates
APPRGVRD DISAPPROVES APPR(YVRD SUBJECT TO ABODE
_Call For Rainep.
INSPECTION NOTICE
City of Tigard Building Department
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bisiness Phone: 639-4171
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Innpection:i
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top out Cas Line FIN`AL::
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. M.
Date Requentel: 1 O Time: Q 2 AM PM
Address:� `S`/(1 ` 7J r Permit f: I J' ou
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: -
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Inspe:-tor: _ l/`--�-�- Date:� --2-5"
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
`� _ Call For Reinep.
INSr", CfION NOTICE
City of Tigard Building Department
13125 aw Ball nlvd_ Tigard, Oregon 47223
Inspection Line (Rec-O-Phone)s 639-4175 Businesa Phone: 639-4171
Inspection:—
Footing
nspection:_Footing Plbt1• Underslab mach. Rough-in Appy/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Ream Struct. San. Sewer Framing *-Bldg.Post/Beam Nech. Rain Drain InsulationBd.Plbg. Underfloor Water Linw CYP•
DateRequested= �(/�_ - � � Tom: AM _PN
Tddrese:
r�ermiFI= � 6)s-
guilder:
C c
THE FOLLOWING CORRECTIONS ARE REQUIRED:
21
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t SrX Zq aeG P s s c� e `4�r.�
Inspectors Date=
Ap}ERpyfp OIa11Fl11CNSD APPROVED SUBJECT 7" AROVs
4/G11 For Reinsp.
INSPECTION NOTICE j s�
City of Tigard Building Department \\�\►J�/
13125 SM Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busis•ess Phone: 639-4171
Inspection:_
Foo�:ing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line �FINALs
Poet/Beam Struct, San. Sewer FramingC B )
Poet/Beam Mech. Rain Drain Innulat.ion -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. �-N�ecn.
Dste Requested: V Times ._AM PM
Qr,
Addrene: `�a� _ Permit
�:_`_,Z
Builder: �—
THE FOLLOWING CORRECTIONS ARE REQUIREM
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Inspectors_ _ _ Dates Y Q O
APPROVED V DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Y�'-� all For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97723
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-417?
Inspection:
Footing Pibg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Pl
Pll)g. Underfloor Water(LLl.ne Gyp. ad. -Hach.
Date Requested:��' 2, " / Timo: -- AM C, PH
Address: zS�� �C., , 3 � Permit #.f s 0 V
Builder:
THE POLLOWING CORRECTIONS ARE REQUIRED:
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Ynepect � �� l✓� Date: ( ��
1 '
APPROVED DISAPPROVED x APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE N�-
City of Tigard Building Department
1312S SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ren-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections___
Footing Plbg. Underslab Hoch. Rouqh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
rlbg. Underfloor Nater Line Gyp. 8d. rHoch.
Date Requested: ty^�/� TitlNi + AH PN
/
Address. Z 5-// Z3'3 /rte Permit #t
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
4 Consai7e S'10fw4plc. Incl 7-0e A -
EA A Ac
ra 0!�_ -S t
Inspectors not, �atet
APPROVED DISAPPRO'!ED PP ROVED SUBJECT TOTO E
7tsQy\)
Call For ReLnsp.
INSPECTION NOTICE
City of Tigard Building Departatent
11125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_ L.G
rooting i!bg. Underelab h. Rough-in ppr/Sdw
"ound. Pl.bg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer rraming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: /., Time: AM P!l
Addrese: 1 Permit f
Builder:
TBE FOLLOWING CORRECTIONS A" REQUIRED:
--�- V �'
Inspectors,•_ _ Dotal C___
APPROVED DISAPPROVED APPROVED SIIBJRCP TO ABOVR
�` ' / Call For Reinsp.
INSPECTION NOTICE �
C
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223 \\\ —
InspeOtion Line (Rec-O--Phone)t 639-4175 Business Phone: 639-4171
Inspections 4 [>�il�`x„_ __. .
Footing Plbg. Underelab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Boam Struct. San. Sewer Framinq -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line 0". Ed. -Hoch.
Date Requentedt / ^� _ Timet cAm
/_PK
Address s J z ) � _ Permit f t j
Builders f"? V- '71//�?"
THE FOLLOWING CORRECTIONS ARE REQUIREDx
SIS,.c1u:, Q r— � a..,-4-t,-_ C -�rv�-•_ n 2 �- � K�..n-�J '��
t. I-) Ute- {�C) ✓�..� �n� � ��y.f-Q � s�.�-�!. _
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✓-Q ? r`thr- l ,--C C' S�-v� C-c1�►�--r"
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Inspectors S,r- ��-�^/; Dates
APPROVRD DISAPPROVED V APPROVED SUB.TECT TO ABOVE
_Call For Reinap.
INSPECPIO:d NOTICE
City of Tigard Building Department
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Fusinens Phones 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Apps_/Sdwlk
Fouad. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct.. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain ` Insulation -Plumb.
Plbg. Underfloor Water
Line Gyp. Bd. -!tech.
Date Requested: 41,,2/�/O � _Timet AM PM
Address% � `�/ r
Permit t
Ruilder:
THE FOLLOWING CORRECTIONS ARE MQUIREDt
Inspector:_.��22
�AITROVSD DISAPPROVED -�_ APPROVED SURJECT TO ABOVE
-Call For Reinsp.
INSPECTION NOTICE
City of Tigard Buildirg Departient
13125 BW Hall Blvd. Tigard, Oreyon 97223
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspect ion: 1�.
Footing rlbg. Undsrslah/' .' Rough 4t Appr/SdNlk
Found. Plbq. Top Out aa. Line FINALt
Po.t/Beam struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Data Requested: Cf �Z 1-�2 _Timet _, /. AM PM
Address:, / �j I� 7 Permit #t
Builders---
THE
uildert__THE FOLLOWING CORRECTIONS ARE REQUIREDt
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Inepectora Date 2
AT!*OV=D DISAPPROVED APPROVED SUBJECT Tn ABOVE
11�� Call For Reinap.
g E AON NOTICE
a:it7 of Tigard Building DOP&X722d
y912S 811 Ball Blvd. Tigard, Oregon
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-41.71
Inspections _
Footing Plbg• g
tlnderslab Mech. Rough-in Appr/Sdwlk
Found.
Plbg. Top OJt Gas Line FINAL:
Framing
Poet/Beam Struct. Snn. Sewer -Bldg.`
Port/seam mach. Rain Drain
Insulation -plumb.
Plbg. Underfloor Nater Li w
Gyp. Bd. -Hoch.
Z' —T t _AM C/ PM
Dat, Requested:
Permit -
Addresss ,
Builders
THZ FOLI.OWIN CORRECTIONS ARS REQUIRED:
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tnsVOOtor t
APPWM
DISAPPROVED y APPROVED SUHJWCT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE �
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O--Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mach. RouLfi Appr/Sdwlk
Pound. Plbg. Top Out Call L�i""� FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mm-h. Rain Drain Insulation -Plumb.
Plbg. Underfloor / Nater Line Gyp. Bd. -Nec`•,.
Date Requesteds /� -4 _C7� _ �Tlme: PM
Addresst7,5- f Permit #s
Builder:
T"I FOLLOWING CORRECTIONS ARE REQUIRED:
0.
it
L
ti
C.7
W
J
Inspectors Dates
t"PROVED DISAPPROVED APPROVED SUBJECT TO A80V2
Call For Roinep.
INSPECTION NOTICE
City of Tigard Building Departannt
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 nusiness Phone: 639-4171
Inspections —_ —
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. P1L2. Top Out Gas Line FINAL:
Post/Ream St•.uct. San. Sewer Framing -Bldg.
Post/Beam He^h. -vii� Drai' Insulation -Plumb.
Plbg. Underllo,ar 1�star
/Line Gyp. ad. -Hoch.
Date Requested: �( �'� 1 ! 3 Times AM PH
Address: / > -757q 13✓ '`'' Permit #t
Builder=_, C Cl Tyl y '
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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W
W
Inspectors_-_-_---._ -- Dates....
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
'-
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 635-4171
Inspections —-
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Foouundd.'� Plbg. Top Out Gas Line FINAL:
oat/Beam t/Beam S�tcuct. San. Sewer Framinq -Bldg.
Post Mech. Rain Drain Insulation -Plumb.
bg. Underf r > Water Line Gyp. Bd. -Mach.
Dates Requested:7_ `� '� Times
Address-_ L /� � Permit t1- �
r
Hu i.I.der: ��`'�� --
THE
THF. FOLI40WI G CJRRECTIONS ARE REQUIRED:
a
F--
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Inspector: ___ -____ Dates r
APPROVED DI SArI'floVED A/.,— APPROVED SUB&I-T To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13175 89 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Business Phone: 639--4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top out ass Line FINAI.s
Post/Beam Struct, an. sewer Framing -Bldg.
Post/Beam Koch. �) Insulation -Plumb.
Plbg. Underfloor Niter LL s 1 Gyp. ed. -Meeh.
Dake Requesteds /4e
Time: AW ..rx
7►ddrese:�f Permit ts-
Bul.lders
THL► FOLLOWI CORRECTIONS ARE REQtlIREDs
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Inspector:
APPROVED DISAPPROVED —�_ APPPWRE) /UBJECT TO ,ABOVE
Call For Reinsp. r
I
r
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Sall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639.4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/seam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation .-Plumb.
under Water Line Gyp. Bd. --Mech.
Date Requested:--Z';—� �� _ Time PM
Address: Permit f
Builder: C-9
THE FOLLOWING CORRECTIO S An REQUIRED:
_ ��'' • a" -Grit ��. y�`Ql_ t�',�'
CL
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LL
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Inspector:_ - — Date:
APPROVILD DISAPPROVED APPI(MID FUBJECT 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 Bus inena Phone: 639-4171
Inspo ons _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater/Line Gyp. Bd. -Mech.
Date Requested: 2 1 )- ,13 Time: AM / \ PM
Address: I�-1 -'!T IZ L3,:f? r c
Builder: '
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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V1
F_
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Inspector:-- --- _ Hare: 7-3
G� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
•
(",T*f'Y M TlGPPD K-CLAPT OF PAYMENT RLCEIPI M."). a93 4
CHECK AMOUN V r 505,". 14
14AME I t,*-3PT.VL--'N ENTERPRISr:115 CASH r)MOUN f 11,10
VIDDRESS I F)AYMENT DATE 02 i 04 9:3
SUBDIVISION
PURPOSr Or PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT POTD
BUILDING PFRM 4PI. 0121 lJLUMBING PeRM 147. 50
M'F.CHANl(,,V;L- PF., 4,�. 50 ',-iT. BUILD Pt-:R 1:0. 61
PLAN CHEUX r- 34. 53 '3EWFR USA 2 100. 'AIA
ul)
500. 1210
' TORM DPAlN RNA. 00 REt�IUENTIAL TROFFIC 135fe). Iito
7RANL'%TT TIF PLLS I to. 00
C.0
uj
f 117 MURNI NG HILL 8
/54 r-j W 133R1") A V
TOTAL. AMUUNT PAID 5052. 14
cl l 'y' or- i tc,oRri PE;crir-,r OF PAYMENT RECEIPT NCI.
CHECR AMOUNT 250. WA
NAME a SPIVPM MTERPRIS89 CASIA AMUUNr 0. 00
ADDRES6 PAYMLNT CATC 01 /'E, '14
US DI v Is 1014
PURPOSE OF PAYMr-.t4r AMOUNT PA T o PURPOSU OF PAYMENT AMOUNT POI
PLAN CHECK FE 00
LL)l 197 11ORMINCII WILL. #8
L."754 '�;W 133RD PI/E
TOTAL AMOUNT PAM 251A. 00
Mal
T TOF T(� /� 13173 Sw 1{au IIlvd. PLNCK/RECT $ ' l -CI �_ 1 T1 V ARD PERMIT # 675 3- U Ss-
COMMUN[W DEVELOPMENT DEPARTMENT Tigard,Oregon 97M
(503)639-4171 DATE ISSUED
JOB ADDRESS:
/,,77,5 � -�'{ �r � -TAX MAP/LOT o?SI O rl 197
SUB: Menem rn r LOT: 197 LAND USE:
VALUATION: )5.,,
OWNER SPECIAL NOTES
NAME: (U ' rs ��c(- r __ P. C REISSUE OF:
ADDRESS: QLAST REISSUE:
p jLt _��"�-7 7/ 3 FLOOD PLAIN/
PHONE: _ 3 -B-t9 -G 7 SENSITIVE LAND:
CONTRACTOR APPROVALS RE UQ IRED
NAME: _S ��'�` =n Eif? -rsP�( C PLANNING:
ADDRESS: �I� OH T�1�1����� 'e ENGINEERING: _
A)e FIRE DEPT:
�
PHONE: ` 5' ��--[`- - 7S' ,- yK6j',6 OTHER: _It f --
CONTR. BOARD #: `t' � EXP DATE: -=IZ
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: � R I!"�i,�.+n 6 �9 _ LIST/SUBCONTRACTORS:
MECH: ��n %L, P Fyr�_c:� r _� BUS TAX:
ARCH/ENGINEER J CALCULATIONS: —
NAME: ct� �arC / P C ��Sn Pry TRUSS DETAILS:
ADDRESS: 7D S.r r r a /a2_ OTHER:
X69 7�
PHONE:
PROPOSED BLDG. USE: Slle
F COMMENTS:
c
Lu
J
APi . C NT S I ATURE A
Received BY: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
m S} 3 vv58 10-432 00 Building Permit Fees 10
v
I0-431 00 Plumbing Permit Fees 4 .S 147.3 o.
-
10-431 01 Mechanical Permit Fees 43-5a 43,50
10-230 01 State Building Tax (5%) --
Building 06
Plumbing 7-0
MechanicalZ
5 j `>
10-433 00 Plans Check Fee 34, 53.
Building l
- I
Plumbing
Mechanical /D,
10-230 06 Fire - —
Sa�i� y co5j 30-2.02 00 Sewer Connection � v ` u
30-444 00 Sewer Inspection3>-
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 ���–j — — /10
52-449 00 Parks System Dev Charge (PDC) SVC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
LL 24-445 -01 Water Quality (Fee in lieu of) _.
�N
24-445-02 Water Quantity (Fee in lieu of) — — —
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