14980 SW PACIFIC HIGHWAY ADDRESS.
is\records\rnic roflm\targets\building,doc
CITY OF TIGARD BUILDING INSPECTION NOTICE }
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 r
Inspection:
Footing Susp. Ceding Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water l ine Insulation 4:ech.
Underflr. Insul. Shear Wall Gyp. Iac -Elect.
Date Requnsted: L1 Zy j Time: AM PM
Address:_
Builder._(Q6 Permit lt:h�� 0(THE FOLLOWING CORRECTIONS ARE REOUIRED: 7_`""—
� of �TCr-T-7rI-ELGy t`i JLC P,c
Gca. i�l s�lr � DG VA_LL r: T c_
Tro )A va Zee
Inspector..-2i Date:
APPROVED _DISAPPROVED C� D SUBJECT TO ABOVE
_Call For Reinsp.
503-661-3566 DON OBRIST TKG & EXC 547 P01 SEP 19 '95 11:01
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k.PAM 6431 S.E.
Jeane R,);d
Porchatd, Otegoa 97136
Pb. (503) 667404
FAX (503) 667.3566
IWA ATZON, INC.
DATE:
ATTENTION: ��
at
OF: (COMPANY) :—
FROM DA`^N OBI IST EXCAVATr0Nr MC.
TOTAL # OF PAGES: (;)--•
(INCLUDING THIS SHEET)
503-667-3566 DI=N OBRIST TKU & EXC 547 P02 SEP 19 '95 11:02
FROM ; PXCO SAN I TAT I ON SEry I CE B PHONE NO. 503 222 4991. -- -,7/ P01
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(206) 695.1021
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OTY. UNIT DR8CIIIPYI0N LIN)7-
AMOUNT
I'R1GE
M arge $12500 ,
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VI.lAtE PAY FROM 1 HIS INVOICE —
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CITY OF TIGARD
COMMUNITY DEVELOPMENT D"PARTMENT
13125 SW Hall Blvd.'rigard,Orogon 97223o81O9 (503)639-4171
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Residential Building Permit Application
Cite of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
JobsiteAddress: 14980 SW Pacific Highway
Xooc
Subdivision: _ _ _ _ _ Lot .* _ _ Office Use Only
Planck/Rec M
Valuation•
Permit At �� ��� n i5��j
Comer Lot? Y N
Reissue of
Flag Lot? Y N
Map&TIL.# Q 900
Owner. Triad Tigard Limited Partnership _ C\ � Z
Approvals Required
Address: 320 Andover Park East, Suite 235 Planning_
Seattle, WA 98188
Eogineering
Phone: (206) 575-9410 Other
Contractor. Dan Obri st Demolition
Items Required
Address: 6431 SE Jenne Road
Subcontractrs
Portland, OR 97236
'truss retails
Phon3: 667•-4042
Other
Contracto(s Licence# 105618
(attach copy of current Oregon Ir^erase)
Contact Name & Phone: Dan Obri st 667-4042
Subcontractors: Architect/Engineer.
Plumbing: _ Address:
Mechanical:
!attach copy of current OR Contractor's License)
Phone:
.108 DESCRIPTION: Demol i ,ion of the Residence-950 Square Feet QLx vo o c�
(206) 575-9410
Applicant Sigrature & Phone numoer
`
1
Received by: !z. �'`� 7,I x-95 Date Received: �T�a) �,L��1,"u_1
Permit ;$ Account Description Amount Amt. Pd. Bal. Due .,
Bldg. Permit (BUILD) ZJ,
Plumb. Permit (PLUMS)
Mech. Permit (MECN) _
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection, (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF JIF-I)
Institutional TIF (TIF-IS)
Off ic!^ TIF (TIF-0) — —____--
Water Quality (WQUAL)
Water QlAantity ('.VQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) 10,
15
TOTALS-:
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Transamerica SKETCH OF PROPERTY SE OUT IN ATTACHED ORDER
To assist in locadug tb,: premises. It i not based on a survey, aad the compaay
Iassumes no, liability for variations if ata , is dimensions and location.
I
REE-5 AiND ASSOCiA"TES. INC.
CITY OF TIOPPI! OF PPYMENT RF CFJ P7 N;').
AMOUNT : J,07. 45
NAME a WOODS, 801-36 W. CO n3 -4 14MOIJNT % LA. Viel
ADDRESS o WOOLS, KELLY F. PPYMFNT DATE- c 05/24/95
13401 NE 1315TH STREET I V I c;I ON -
KIPI(LAND, WA 9#1034-
PURPOSE OF PAYMENT AMOUNT P0.11) r'! ''OSV IF r.:IAYMENT AM(AANT PAID
PI. P95-tri 167 00 PC R 1. '25
EPOSION CONfROI.... Pt"'Rill I TFEE 21. 146 (.'!1N1fML PIJAN CX 10. 7's,
EROSION CONTROL 10.. 7,:' Pf101 BUP95 018 4 ;:,5. 00
ST. BUILD PER I . l?5 FRos)ION CONTR01- PILP14ITFEE c:1. 46
E.140SION coNirnm. PLAN Cil. 10. 7 EK.)SICIN CAINTROL. 10.
1411TI-DING Pt7RH OUP99-0185 00 F)T. BUTI-D PF.'-R
ir�:40N C'ON'mot.. PERMITFFE 46 1700-01r)N U.'ONTPOL. PLAN CK
i]O",ION CONTROL t12). 7
11,3001 SW 109TH/ 14950 9'W F'Orit-U. IiWyi'
9 110 sw Pff"IF I C
, HWY
AMOUNT PAID 207, 45