12844 SW 132ND AVENUE d,
:44 Svi 132nd Avenue
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CITYOFTIGrARD
CERTIFICATE OF
ClTYOFfl6i4lD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT , P-:-RMI T 0. . . . . . . : MST91-004.3
13176 8W HYI BNd, P.O.Bar 23307,T0W,(MWn 9;g4.�6PO.,4_)76
[T C ADDRESS. . . 1 12844 SW 1.32ND AVE PARCEL: 2 a 1.04AC--•01900
::)[1141)I V I S I ON. . . . s PART I'TION FLAT 1990-43 Z ON I NG i R--4. 5
BLOl':K. . . . . . . . . . : LOT. . . . . . . . . . . . . 11
CLASS OF WORK. :NEW
TYPE OF USE. . . i SF
OCCUPANCY GRP. :R3
OCCUPANCY LOAD i 220 4
TENANT NAME. . . :
f'`a.Nmaar^k
Owner:
NArBOR HOMED
";029 SE 32ND
PORTLAND OR 97202
Phone M#: 641-5871
Cont mart ur i
Hf1RBOR HOMES
SE 3:.,ND
F,iJR (LAND OR 97202
y I
Phone #s 649 E554
Heil #. . c (,41179
Ouc:�kgiancy of the ,above referenced buildll q is hereby giver, and certifies
the c-omplianc:e wil.h the Stats Of Oregon Specialty Code% for the group,
rWUL(panc:y, and use under which thr+ refcerenced permit waaa issued.
F I P.E f)EPARTMENT D I I 'I NG I E CTC ^ y�
_ .1
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t 1i_.DiNf FICIAI
PnST 1:N CONSPICUOUS PLACE
iNSPSCTION NOTICE
City of Tigard Building Department
?.3125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinces Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Lina FINALI
Post/Beam Struct. Ban. Bawer Framing
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Laine Gyp. Rd. / =Meeh.
Date Requested: -�L- Cf _ Time: AN PM
Address: L .c 3 hd
__ _ Permit I:
Builder:__,
THE FOLLOWING CORRECTIONS ARE REQ112RED:
7
Inspector: Dates 9
APPROM DISAPPROVED ,- APPRavai, .CulvSCT To Mon
__—Call For Reinsp.
i
r ~ INSPECTION NOTICE
City of '•19ard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U--Phone): 639-4175 Business Phones 639-4171
Inspections__
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insu -ion 1v`� -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. ✓ -Mach.
Date Requesteds Times AM PH
Addreass_ caC Permit fUG/
Builders— ,C�G '�''i Lam%::✓G. -
TME FOLLOWING CORRECTIONS ARCS F.EQUIREDs
P.
rte' Y
- ----f'
inspectoc� O' � Dates�_�
t
APPROVED DISAPPROVED ,_ APPROVEn SUBJECT TO AEOVE
Call For Reinsp.
INSPECTION-NOT-19-4
City of Tigard Building Department
13125 OF BaIA Blvd. Tigard, Oregon 97223
Inspection Line (Re('-O- one): 634-4175 Business Phone: 639-4171
Inspections
Footieg Pl j Underslab Mech. Rough-in I Appr/Sdwlk
Found. Plbg. Top Out Gas Line ` FIN
Post/Beam Struct. San. Sewer Framing -Bldg.
)
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Uns Gyp. Bd. -Rech.
Cate Rerquested:_/g c'e 07 Times �AR PR
Address: h , /�- Permit
Builder:_
THE FOLLOWING C13RRECTIONS ARE REQUIRED:
�.'"_L
' I
Inspector:. DMt.e:_------__----
APPROVED ISAPPP _ __ APPROVED SUBJECT 7b ABOVE
11 For Rwinep.
INSPECTION NOTICE
City of Tigard Building Department `
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone)e 639-4175 Business Phone: 639-4171
Inspections —
Footing Plbg. 'Jnderslab Mech. Pough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
4
Post/Beam Mech. Rain Drain �Ineulatlon -Plumb.
Plbg. Underfloor Water
/Une Gyp. Rd. -Mach.
Date Requested: '� -(� Times _—A!I PM
Address: . _�! d. Permit #I C
Builders
THE FOLLOWING CORRECTIONS AAE REQUIRED:
i
Dates
_y„_APPl10VEb DISAPPROVED APPROVED SUBJECT TO ABOVE
—_Call For Reinsp. y
i
i
i
f
REAMw_xj
i
jvjPECPION NOTICE
city of Tigard Neild"q Depse—t
13125 am Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phune): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Can Line FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requesteds_ Times AM rLPN
Address: ` / Permit ise,4- -Zpjv: --
Builder:
TNR FOLLOWING CORRECTIONS ARE RRQUIRED:
Datet—.__—_^_ts-
DISAPPROVED APPROVUD BUBJBCP TO ABOVE
INSPRgXION NOTICE
City of Tigard Building Dftmrt=Mt
13125 B11 Ball Bled. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 539-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line BINALe
Post/Beam Struct. San. Sawdr Framing j -Bldg.
" f
Post/Beam Much. Rain Drain Insulation -Plumb. j
Plbg. Undertluor Water Line Gyp. Rd. -Meeh.
Date Requested: N cT Y-l! Timet AM _A� PM
Addrese:_ _ /3,11 h d _ Permit 143E-190
�y i
c
Builder: /l l � ;al:::7
THE FOLLOWING CORRECTIONS An REQUIREDt
inspectors _ Datet "f �`ez
APPROVED DISAPPROVRD _ _ -APPROVED SUBJECT TD ABOVE
_Call For Rwlnsp.
IF
MA
Bill!
INSPECTION !IOTICE r .r�r
City of Tigard Bvllding Departsent
13125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. bQTpD Out Gas Line FINAL:
Poet/Re'am Struct. Ban. Seger Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plug. Underfloor Water Line Gyp. Bd. -Mach, r
Date R ��' `I I
equested: � � Time:— AM PM 1
Address:- � �� �� Permit Is eeiz
Builder: r "
THE roLLOWING CORAtCTIONB ARE REQUIRED:
I
Inspector: ------ --- pate:
,` �APPAOV/D pI5'APPpOVRD - APPROVED f,UBJECT TO ASD�I!
--Call For Reinsp.
IUBPSCTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4375 Business Phone: 639-4171
Inspection:
Footing Plbg. D.iderslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out _ Ll:to FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bu. -Hoch.
Date Requested: y' 24/-` e/'>/ _Timet AH PN
Address: /!'Z gJV�f / 's'� Permit
Builder:. f/ iZ I-Y'VR LE r_
THEZVOLLOWING CORRUCTIONS ARE RXQUIRED:
Inspectors Date:.__?
6�iPPOMD DISAPPROVEII APPROVES StIBJECT TO ABOVE
_Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
:33.25 SW Ball Blvd. Tiganl, Oregon 97223
Inspection Line (Rec-O-Phonc): 639-4175 Busineee Phone: 639-4171
Inspections_
tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. P:bg. Tog Out GasLine FINAL:
Post/Beam Struct. San. Sewer -Bldg.
Post/Beam Hoch. Rain Drain Insulatinn -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested: y `7 �1y- Times
Addreses tJ 1-11-
�4� ">:;) _ Perpit #s`Ze4oo_
Builder: L-
T® FOLLOWING WMCTIONS ARE REQUIRED:
:z-
"74 A/c+sgsr2
_ fy�k 4cG,�Is.tiir��rc�y-,-aTo� 77z ass -rid PI..a-�..
�~x4r' WST o ,I^T f S. -'f{�72T/V /� 49ar:
GO lXc.TEHI:nrV U,r- F- Yr- 5Vi'r-t CT /
T"`s✓-� "7�c` t'7/i.1Ti':y T'D :Jt+Pf'c:L: i�Er1 �d �iA�Ag� 1�f3arf.:
-�
�/V ,G TRi�ac "r ruvt Ii �ABA9� G tAcN QZ7C 577AA9=1Nc,,
e! rt/Ecrh L"e.� 5t s r i>'Ht.tr �"osr- A/rd? Si�i�a �7 r/�Ls���4r+-t
C-3/ t�t'Y/l7s= ///�.+/SrIT S arV VI;04 'iciM s�
/3C N ,7
13AVI Ae L A o a1 Lf-iNC P T/La-S'S #3,h o vE 5 Ti41/CS
`_ 57Zd�J
-7-r-V� -so PAArz C,'9-4 b Ij&Q-r.d _
�Ef'4nc�-
5n1ns /V,U, 44'Aivr
Inspectors_1 Dates
_.� 1WPROVlD �1JISAPPRUVRD APPROVED SUBJECT TO
Cail For Reinep.
INBPECTIO" NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections --
Footing Plbg. Underslab Me,-+ Rough-in Lppr/Sdwlk
Found. lbq. Top Out Gas Line FINAL:
l
Poet/Beam Struct. Ban. Bawer Framing -Bldg.
Past/Beam Hoch. Rain Drain Insulation -Plumb.
Plhy. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: l/ �� �7 _Times /`AN PM
Addreass Permit Is
r
Builder:
i`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_. µµ
411 vv_
V
i�
Ineper tors / J��l/ Date:
APPROVED 11� 01SAPPROVRD /PI IED SUBJECT TO ABOVE
Wz Call For Relnsp.
INI
INSPECTION NOTICE ®77 moi'
City of Tigard Building Department
13125 ON Ball Blvd. rigard, Oregon 97223
Inspection Line (Rea-O-Phone)/: 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbq. UUn—derelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sun. Sewer Framing -Bldg.
Poet/Beam Mach. in Drain Insulation -Plumb.
Plbg. Underfloor Neter Line Gyp. Bd. -Hoch.
-
Date Requested: ;;Id '9 Timet AM PN
Address: F� L/!/ a h� Permit 1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
11,7
/ /7/� 7
Inspector:__.-7� C —----- — nate? +C 7
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—_Call For Relnep.
Rpm
�f-r-- .
INSPECTION NOTICE
City of Tigard Building Department
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-411
Inspection: _
Footing Plbg. Underslab Mech. Rough-in Appr/Sewlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam 3truct. San. Sewer Framing Bldg.
Post/Beam Mach. Ral.n Jraiu Insulation -Plumb.
Plbg. Underfloor Water Lina/ Gyp. Rd. -Mech.
Date Requested:
F ^c�'S � Time: AM PM
Address: ( , 13,A h d Permit
Builder:
THE FOLi.OWING CORRECTIONS A: R REQUIRED:
Inspector: ` - Date:--5 .17, _c7i
Y APPROVED _ DISAPPRONdD T APPROVED SUBJECT TO P.I. I
--Call For Rwlnsp.
IM PBCTION NOTICE
City of Tigard building Deprrtment
13125 sw ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Meeh. Rough-in Appr/duwlk
Found. Plbg. Top Out Gas Line FIP%L:
Poet/Beam 8tru San. Sewer Framing -B,Jg.
i't beam Meo�� Rain Drain Insulatioi. -Plumb.
Plbg. Underfloor Nater Line Gyp. Od. -Mach.
Date Requested: L Z Time: AM _ PM
Ad4reee: Permit t: 7 GO t
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
di{
t
Date: J�'L 7 9
At 9 DISAPPROVED APPROV*.D SURJECT To ABOVE
Call For Ralnnp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Dais AequestedTime—A.M.--P.M.
Address Permit
Owner_ Lot #
Builder — U AZ bc,,z —t-4Q sem.
The following Building Code deficiencies are required to be corrected:
s
xie–tz
Presented to --✓�pproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES U NO
INSPYCTION NOTr0 � f
City of Tigard Building DepartMent
13115 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4'.75 Busineso Phone: 639-4171,,
Inspect ion t --�—=�
Footing Plbg. Undeselab Mech. Rough-in Appr/Sdwlk
ound. vlbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor -� Water Line Gyp. Bd. -Hoch.
Date Requested tl t H _Times ' 71M PM
2
Address: I "k L4 ;j: L— Permit
Builder: [Aj:jA e�
THY FOLLOWING CORRECTIONS ARE RZQUIRZD:
r
lntlpaotort _ Datet �r4 '
APPROVED DISAPPROVED —TIPPROVED SUBJECT TO Ago"
Call
For Reinep.
i
i
{
,INEPBCPION NOTICE
City of Tigard Building Department
13135 an Ball Blvd. Tigard, Oregon 97223 1 )
Inspection Line (Ree-O-Phone): 639-4175 Business Phoney 639-4171 j
Inspections
/Footing l Plbg. Underslab Mach. Rough-in Appr/8dwlk
Found., F Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Sa.am Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Hoch.
Date RwVestedi A/__1/( Timer �AM PM
Addrosss_,/ L n Permit # �Y3
Builders
THS FOLLOWING CORRECTIONS ARE REQUIREDs
C"•� CJCs:yIT C-�/t L>S/G'i,� C�U�•ITIjU/. t�v��: � Sio
Inspectors Dater
APPROVED _ nISAPPROVED APPROVRD SUB"CTC1' To ABOVt
—.--Call For Relnep.
7
h
PLUMBING PERMIT
-0043
ITYOF TIGARD PFRMIT #. . . . . . . : MST9 1
CW0_FTWW rATE ISSUED: 03/13/91
COMMUNITY DEVELOPMENT DEPARTMENT ONOON
13125 SW Hip BW P.O.SmM
RY,71pM,Crepn W=(M)0*4175
T TP ADnRLFM_ - - , 1 PA44 (7,W I APNQ AVR T—,
3USDIVISION. . . . : PARTITION PLAr 19130-.43 ZONING- R- 4. 5
tALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
t:LASG OF WORK. . :NEW GARBAGE DISPOSALS. - 1
rypu OF USE. . , . :SF WASHING MACH. . . . . . . 11 IAACV%FL.C)W PREVNTRS, -.0
OCCUPANCY GRP. . - R3 FL OOR DRAING. . . . . . . ..0 TRAPS. . . . .. . . . . . . . . . :0
STORIFS. . . . . . . . ..2 WATER HEATERS. . . . . . 11 CATCH BAt'� '0
t7 I x"r LAUNDRY TRAYS. . . . . . -0 5F RAIN DMV�*ED *: l
SINKS. . . . . . . . . . .. I TP'JA2", 1991'0
LAVATORIES. . . . . :3 OTI-AEP FIX11JRES. . . . . ..0
_ B,-'SH0WERS. . . . SEWER LINE (ft ) . . . . :0
Z'LJER CLOSETS. . 3 1.4 A T ER L I NE (ft ) . . . . : .100 CITY OF TIGARD
01 SHWASHE R3. t R(41N DRAIN (ft ) . . . . :0
Remarks:
i iARBOR HOME', PAYM $ 100. 00 JL.H 03/11/91 210496
5029 SE 3&.ND Bpp-r s 328. 1.441
SPI-C I. 21-3. 20
PORTLAND OR 97202 b5pc $ 16. 41D
Phone #- 641-5871 SSDC $ 375. 00
PARK $ 500. 00
MPRT $ :,6. 00
MPLL $ 9. 00
Name : 5P
mC $ 1. 80
0 d d r e ss , PPRT $ 132. E0
Zen�
[:itY : t- P3PC 11 -� . 63
0 n e#I TIF $ 1350. 00
P:
req 0 PAYM $ 'BE,8. 5 JLH 03/13/91
REQUIRED INOPRC'rTCIN:�
Thi-3 r101-Mit iS iS%JJ0d %LlbjeCt to the r0f4--
I't1ations containpd in the Tigard Municipal Foot/found Insp Rain orcin Insp
Code, Stat ? of Ore. Gperialty Codes and All Post /SPOM 5truct Water Line Itisp
other applicable 1,i�w%. fill work will be done Gast/teem Mechfin Ap pr/Sclw l,k I n v
in ,ArEcni-dance with approved plans. This Plm/undvlah Insp Mechan).cal f'L'41-
P larmit wiAl expire if work is not started PLM/Underfloor Pl -.tmb Final
jJthin 1.60 days of issuance, or if work is IlechAnical Inqp Soildiny Final
1U%pvvicled for mors! than 180 days. Plumb Top Out ErDSiUn Contrcil
F r a m i n q 1114.4t1
Fireplim- e Ivi%p
U&S Lim- [lisp
Insulation Insp
Gyp Board Insp
Ohor tzptl ('-,I umbing C6ritractor Sign tore
Call for inspection 6394173
f--untravtor Not st-, i
CITYOF TIFARD
MAS'r E R FE:' RM I T
CONMUNrrY DEVELOPMENT DEPARTMENT �o ne" PERMIT #. . . . , . . . M5 T91--00/;
13125 SW HWI 6W. P-0.Ba 23W,%W,Orepn 97223(so r)630.4175
_ - _ .
:ITE ADDRESS. . . : 12844 SW 132110 AVE PARCEL: 2S104AC-•01.900
=SUBDIVISION. . . . : PARTITION PLAT 1990-43 ZONING: R-4. 5
OLOCK.. . . . . . . . . . . LO 1•. . . . . . . . . . . . . : i
._._._--------------------------------- BUILDING
PE I SSUE: DWELLING UN I r S: 1 BASEMENT. . . . . . . . : F OF WORK. :NEW BEDRMS:3 BATHS:,3 GARAGE. . . . . . . . . . :428 s f
TYPE OF USE. . . :SF r-' OOR AREAS_.__._.___._..__ REQUIRED SETBACKS-----------
TYPE OF CONST. :5N FIRST. :652 sf LEFT. . :32 ft RIGH*'. : itz, ft
JCCUPANCY GRP. :R3 SECOND. . . :556 5 f FRONT. :20 Ft REAR. . : 72 ft
,-STORIES. . . . . . . :2 THIRD. . . . :0 of REQUIRE:D_-.-_..__-._______.-...__..
IE I GF•11.. . . . . . . . :20 f t T 1238 S f S01OK.E DETECTORS. :Y
LOOR LOAD. . . . -40 psf VALUE. . . . . 64652 PARKING SPACES. . :0
Remarks :
-------------------------------------- PLUMBING
SINKS. . . . . . . . . : 1 FLOOR DRAINS. . . . :o BACKFLOW PREVNTI25. . :0
LAVOTORIES. . . . . :3 WATER HEOTERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUN/SHOWI.RS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WH I C..R C,l_OSLTS. . :3 SEWER LINES (ft ) . :0 bRE.ASE TRAPS. . . . . . . :0
DISHWASHERS. . . . s 1 WATER 1-INE (ft ) _- 100 OTHER F I X.TURF_S. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 S1= RAIN DRAINS. . : 1
_.--------------- MECHANICAL --- -___.___.___ ___._..___..________. FEES
FUEL TYPES--•-.__._._-____ UNIT HTRS. . :0 ..ype amount by date recpt
/GAS/ / / VENTS . . . . . PAYM $ 100. 00 J'LH 03/11 /91 2101r'1r_
MAX INPUT:O BTU VENT PANS. . : BPRT $ 328. 00 f r
F.-URN < 100K . . : I HOODS. . . . . . : 1 FPLC E 213. 20
FURN ) =100K . . :o WOODSTOVI�S. -0 81E.PC $ 16. 40
FLOOR F-URN. . . . :0 CLU DRYERS. : 1 SSDC $ 375. 00
BOIL/CMP ( 3HP— t OTHER UNIT*'S:o PARK f 500. 00
GAS OUTLETS.- 1 MPRT $ 36. 00
MPLC $ 9. Flo J /
fMRHUH HOMES MSPC t 1. 60 ! /
50 9 SE 32ND PPRT f 132. 50 J f
P5PC f 6. 63
PORTLAND OR 97211Z2 TIF $ 1350. 00 / r
'hone #: 641-5871 PAYM f 2868. 53 JLH 03/13/91
HHRBOR HOMES
1029 SE: 32ND
PURTLAND OR 97202
Whone #: E41 -5871
60179
$ 4968. 53 TOTAL
This perait is issued subject to the regulations contained in the - ----- REQUIRED INSPEC f TONS - - ---
Tigard Municipal Code, State of Ore. Specialty Codes and al er Foot/fo�_1nd Insp Fireplace Insp
aoolicable laws. All work will be done in accordance with appro d F'ost/Seam 5truc_t Gag Line lnsp
clans. This pewit will expire if work is t started within 181 Post/Helm Mecham Ins�.11atidn Insp
days of issuance, or if work is suspe fo ^:re this 611 days. Plm/urlds.lab Inst GYP Hoar-d Inst,
FlL..M/Unde1^fIoor Rain drain Insp
F er mitteP Siynatur^«� � Ilp0lanical lnsp Water- Line Insp
''lmb Top Out Appr/5dw1k Insp
I ,h e1.1 1► u
Bytiming ITISP Mes hanir_.a1. I inal
EWE MMMWAPFJ�WRJVEPUVE-���
CITYOFTIFARD SEWER CONNECTION T ION
PERMIT
(COMMUNITY DEVELOPMENT DEPARTMENT �o�� PERMIT #. . . . . . . : SWR90-039`;
13126 BWFWIBlvd P.O.Box 23307,TOM,Qvgm 7�,000)Jj1Ba176 DATE ISSUED: 0: /13/91
SITE ADDRESS. . . : 12844 SW 132ND AVE' PARCEL: 2S104AC-0ig00
SUBDIVISION. . . . : PARTITION PIAT 1990-43 ZONING: R-4. 5
bLULK. . . . . . . . . . r LOT. . . . . . . . . . . . . .. 1
TENANT' NAME. . . . .
.
USA 1\10. . . . . . . . . . :43600 F=IXTURE UNITS. . . :
CI._AFS OF* WORK. . . :NEW DWELLING UNITS. . �.
TYPE OF USE. . . . . :SF" NO. OF NU I LD I NGS: .1
INSTALL TYPE. . . . :DUSWR IMPERV SURFACE. . : :sf
He marks :
Dwner. _..__-------_.-----_---•---._---.__--_...._ _____.—__--.. --- -
___ FEES _----.-----_____..
HARBOR HOMES type amol.,nt by date r0cpt
5009 SE 32ND PRMT E 1500. 00
I1\ISP $ 35. 00
PORTLAND OR 9720 r'AYM 15-15. 00 JI_H 03/13/91
Chane #: 641-5871
L_untractor :
I.:UNIRACTOR NOT ON FILE
---------1535. 00~TLITAL —__._—_-�_.--
Pew #. . .
--------• REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer In„ pect i on
of the Unified Sewage Agency. The permit expires 120 days frog
the date issued. The total amount paid will be ferfeited if the
permit expires. Tte Agency docs not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect o feet in all directions from
the distance given. If not so located, the installer shall purAase
a "Tap and Side Sewer” permit and theAgen wr insta a 1 ter
.,, m u t e e! S i g n a t u r•e . �
I ti .,pd By o
Carl l for inspect ion -- 639-•4175
��F qlll Fill f F
INA yomm
ci,ry or* TIGARD PECEIPT OF PAYMENT RECE I PT NO. :91--210604
CHECK AMOUNT 4511. 313
NAME : HARBOR HOMES CASH AMOUNT z 0. 00
ODDRESS % PAYMENT DATE a 03/13/91
SUBDIVISION
12844 SW 132ND
PURPOSE CP PAYMENT AMOUNT ISA LD PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM MST91-0043 328. 00 PLUMBING I'"ERM 1.:32. 50
MECHANICAL "
PE 3600 ST. BUILDPER 24. 83,
PLAN CHECK FE 230. 00 SEWER IJSA 1500. 00
SEWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1250. 00
PARKS SDC 11500. 00 STORM DRAIN SDC 375. 00
MA68 TRANSIT TIF FEES 1 LAO. 00
1 TOTAL PMOUNT PAID 4511. 33
O
CITY OF T i GARD — RECEIPT OF PAYMENT RECE I p'T NO, :91-210496
CHECK AMOUNT s 100. 00
NAMES` e HARBOR 1-0MES - CASH AMOUNT s 0. 00
AD1�Rf�S PAYMENT DATE' a 03/11/91
SUBDIVISION
AUR QF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLAN CHECK FE 3-1.1 R 100. 00
1 0TAL. AMOUNT PAID 100. 00