7705 SW PFAFFLE STREET-1 ADDRESS:
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i:\records\microtlmMargetstuiiding.doc
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, oregon 97123
Inspection Line (Rec-O-Phone)s 39-a41a755 Business Phone: 639-4171
Inspection:_
Footing Plbg. Undersl,ab Mech. Rough-in Appr/3dwlk
Found. Plbg. Top Out Gas Line FINAL:
Past/Ream Struct. Ser.. Sewer FramLng -Bldg.
Poet/Beam Mech. Rain Drain Ineulatiun -Pl'�mb.
Plbg. Underfloor /Water Line Gyp. Rd. -14ech.
Date Requested• l ^ '' Timet
tA
Address:."7 ?b`SJ t7_�y��_ _ Permit #i . < (�
Builder: VI&Y l 7C-1y /-� LI�/ lP jr _
THE FOLLOWING OIRRECTIONS ARE REQUIRED:
Inspector:_/rL� Date:�'
`APPROVED DISAPPROVEDJ( APPROVED SUBJECT TO ABOVE
77
Call For Reln:p.
r
-71
INSPECTION NOTICE,�-•�
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: E39-4171
Inspections —_—
Footing Plbg. Underslab Mech. Rough-in P.ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Ban. Sewer F-doing -Bldg.
Post/Beam Mech. Rain Drain / Insulation .-Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requeste i t �', -� I -�(/1 I -----T imr t ,A %M pfd
Add:"sat. I�L -V
"rL�+ �e Permit 1i LfA
Builder:_!/.VN A1'-1st(Ic)l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
c
Tnapector: _ -- Date: - _-� —24
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF.
Call For Reinsp.
CITY OF TIGA RD
CffYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT OR100m
13126 SW FWD Blvd. P.O.Box 23307,Tlpml,Orogon 97223(503)639-4175
D:
)ITE ADDRES9. . . ! 1.�`17',"075 c.'.)W
SUBDIVISION. . . . r, ZONING: R-12'
L OT. . .. . . . . .
CLASS OF WORK. . -ALT GARBAGE 1 1C,D I L i- HOME SPACES.
TY1.+- OF' USE. . . . iyfF WASHING MACH. . . . . . . : SAD(FLOW PPEVNTRS.
0("C'UPANCY GRP. 3 1:7 j_0 0 f,11 DRAVI' T R Ap,�5. . . . . . . . .I - -
STORIES. I . . . . . . . WATEF? HEA,rF-*.*Rs. . . . . . CATCH BASINS. . . . . . .
F I X TU Pr-'r-- LAUNDRY TPAYS. . . . . . . `=,F RAIN DRAINS. . . . .
SINK'S. . . . . . . . . . URINALCES. . . . . . . . . . . . . GREASI:- -(RAP(;'). . . . . . . .
Lill ATOR I E.5. ., , , , OTHER FIVrl'RES. . ., . .
71,B/SHOWERS. SEWER LIN`. ift) — . !
W(-!!E.R WOTER LINL I f-t
1)1E H W P S H K R S). . . RAIN DRAIN - f't
IiYSTE�Jl FREPK -AUE l,; I f\1 1) 11,4
Owner: FEES
HAWTHORNE VII-Li"i i:,lSGPC',1PTFS t Y,,7 e am,m r,t by date
DALTON REALTY " PRMT 215. 00 JLH 05/30/91
18n I rjW "518,111 1:);":- r:,(7T 1, 1. ,�,5 JI-1-i 015,13011?1
PnRTLAND'OR
e #: 4' 7-14:
P�iene . 4 IrITAL
RFOUIRED INSPECTIONS
.:.1 Pervit is issued subJect to the reoulat-ons contained in the I Q 0(A t i T)c-1)
Tigard MuniTival Code, State of Ore. Specialty Codes and all other r. j.nAl Inspec-tion
applicable laws. Pll work will be done in accordance w0-
eoprived clans. This cerct will eXpirp if W-L -,Pd
within 180 days of issuance, or if work is sslue,4eLl f-,T, ou-e
18t days. ......
permittee
1 e Dv -
CA 2 for insoaction 639-4175
C CITY OF TIGARD
�1 �' i 13125 SW HALL BLVD.
PLUM I 1 N�. PERMIT G� � ' P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing T IGARD, OR 97222
business or must lie property ownef/operator not hiring outside heap. (503)639-4175
Name of00"lopmerd
/1-11
Plumbing Permit No,
-/Q QJr Il&- -_..- ---
Mdress r / [lnx ripfi«r
7] �q - S( 1) P> "'% I'�{e ORS fr14-21-1310 OUAN. PRICE AMT.
Job Tax lot Map.No. —
AdCroae ) C .�_ FIXTURES ^^ —
I at 1 Mock Subdiv191on sink 7.5U
Name or name a 1Asesess RL-' , TO
r, . Lavatory 7.50 -
L /�N-', '� Tub m Tow
ubfSher tomb. 7.50 ---
Mailing Address Showeronty 7.50 —
�,5� -� - cL �L14 - bsd -- 7.50
Owner waterC
/sta!tee y� dip -
'-f It , U Dishwasher - 7.50
phone Garbage Oisl oral 7.50
Z(1-7 ' r��i t`i J - Washing Mac3wne - - 7.50
Name —-- -
Floor Drai,a 7.50
Maiifirg (ess Phone— water Healer -- 7 50
Laundry Room Tray 7.50
0ccupent City/State r'Ir Urinal 7,50
— --}sf Other Fixtures(Specify) 7.50
ame --
I
7.50
('"1 t )
ny Phone 7.50
L --- 7.50
(A;ntr.for CHy/State zip —
MISCELLANEOUS _
l dy&re. Tex IJo' Sewer 1 st 100' 30.00 -
Z.icSea.Addit-100' t 5A0 —
tate s.Boar-dNo.----�--tele >as Dus. �� Sew"-as. -- --
(Residential) Water Service 1st 100• 20.00
Water Service ea.Addit2M' 15.00
I hereby acknowkxi"hurt I have reed Cris appWAtlon,Cud the InfOr Msti(m — —
green is oorred.%iot I am regisierod wide the State t3cAJ84 s 1108M.and also Storm b Rain Orem t St.100' 30.00
terve a State PkRnbing Towne that C»ntxrtbam given are correct.that ah
Murt*ing wo(k"be done in wrordawith KV6Ceble prwaseons of Ore- Sturm ti Pyn Drain Addit.100--— 1x5
.00
noe
gon Revised Sistutes Chapters 417 and 693 and SPPOCaWe LodOs and that Mobile Horne Spnoe �— — 25M
no help will be empkryed unless W,ensed bander ORS Gn 01 exempt from —
State regis stir)n.please give reavxa below). Back Flow Preve nbcA 7.50
Device or An04100trtion Dew-A
f1OMEOVYNERS-1 hereby certify OW I am Cle 7wrw of Itre property de —.._.------
acnbod above.at which Watson I propose to rnakn a pkrrtrbka0 kte>a WiOn far Any Trap or Waste No!
my own use and tuts pror4rty b not being cnnstnxled for eRb,lease rx rent Corr►eded to a Fixture — -^ 7-50
Ca"i naskt 7.50
_-.__—�-_-- .--- - 10.00 Per Hr.
kW-d E._xIM.Plumbing _
-- ------ _ - -- -
Specialty Requested Inspections '10.00 Per Hr.
Alter.01 1'krrMbltq wffhln
--- ---------- an fxletlng MdO 15.00 rMkt.
W.w Bldg.or Build.Addtdw 25.00 min.
AUTHORIZED SIGNATURE
Lram sh-gle fancily
Describe work now[_] addition() edteretion L7 rolwlr L] )c .elling P- --- 15.00 be done residential I] ran reskler tial j1_
Existing trot o1 ,
X25.00
buUd vorc rolxutY— minimum SUB-TOTAL
F U"of 5% SURCHARGE Z '.
��I w- - --------- -- -- 25% PLAN REVIEW —
1401110E -- _._..._--. TOTAL
J*P-n*b000nnea null and void M work or um ttruc,'l xa auCmrUod r rwA corn
menoad wlCtkt 1 flo dxr%Aw K exsnstnre'*m or work r stn•pw dad or abrndoneA toe
a perbd of hart do"of wry ertw Biber work is rr�mrw%"ad.
tt"CUL a of"T10H3. ------- ------
Date ktstnecl -_` by
CITY OF TIGARD nVCEIFST OF POYMENT RECEIr"T NO. :91-2t3flft
NPME DALTON REALTY GO. CHECK nlyfOUNT :'6. 25
ADDRI-.*SS PO BOX 389 CASH AMOUNT 0. 00
PAYMENT DOTE r 05/30/9j
SUBD I V I S I ON
r,AL.0 01.10, CA
PURPOSE OF PAYMENT AMOUNT V-"AID PLORPOSE Or, r'A'v'Mi-*Nl' AMOUNT PAID
FL—C;RiTNFC, —0079'
BUILD PFR 1. pro
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INSPECTION NOTIC`:
City of Tigard Building Department
11,420 SA. Main St.
Tig-jrd, Oregon 97223
Phone 639-4171
___—i Permit # —
Type of Inspection ... - --- — --
The following Building Code deficiencies are required to be corrected: ___ -- -- -- --- -- ------- ---
Presented :o_ -- — Insj�ector ___----_-_ —_-- __ -_- ------ ----
Date — -- ---.,..---
CALL FOR REIAVEC.TION
[] YES ❑ NO
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sections) of the Uniform Building Code, the
following item(s) require correcting:
Ar
Le
le
Date:__;_ z!- F _ Permit No.
Inspector r' '
CALL FOR REINSPECTION
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT Nn I
P��l '' holder of a valid plumbing contractors license Is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Job
Address- — Date _
NUMBI-R OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Single Family-1 hath--eoch�-- t _ Y5.00 A
Du lex-Exch t beth unit _ 25.00
Additional bathrooms-each _ 10.00
_Mobile Home Space-each _ _ 15,00
INDIVIDUAL-FIXTUREE1_CC0,hj IERCIA
1 to 50 Fixtures in 1 building-each - 3.00
-51 to 100 Fixtures in 1 b 2.50
_101 to 200 Fixtures in 1 building each _ _ _ 2.00 y
201 or more Fixtures in 1 building-each 1,30 T -
MISCELLANEOUS
Sewer-each additional 100 ft.
— - - -------- 10.00
Water Service to building 5.00
Other (Specify):
PERMIT ?' For Plttinhinq lo.vpoctivrr Phone 639-4171 + ^-
4%Stat — __LPluribing Contractor gy
TOTAL RECEIPT NQ.�" /�� Issued By
BUILDING DEPAR I'MI~NT, TIGARD
o
PLUMBING PERMIT
61 C. 1 �I ��'�c l. CT• ��!, holder of a valid plumbing contrac ors License is hereby
authorized to cause plumbiQ work as herein noted to be installed in accordance with the olurnbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than -,)ur
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required 1
i for all contractors and sub-contractors. ob
I
j Owner_LA .V C.o c�S`f�+ �' ��� Add ess____72�L_f?f"R ��� - . Date
NUMBER OF i TOTAL
TYPE OF PERMIT ITEMS rce ON EACH AMOUNT
RESIDENTIAL
Single Family—I tz:th—each
pu f4r—Each 1 bath unit r 25.00 $4�
A•lditional bathrooms--each 10.00
Monile Home Space-each 15.00 _ ^�
INDIVIDUAL FIXTURES COMMERCIA M a.
1 to 50 Fixtures in 1 building—each 3.00
51 to 100 Fixtures In 1 building—each 2.50
101 to 20U Fixtures in 1 building—each _ 2.00
201 or more fixtures in 1 building—each 11.50 ....,
h1ISCELLANE0US I
Sewer—each additional 100 ft. _ 10.00
'Plater Service to building 5.00 '
Other (Specify):
PERMIT 3 3 for Plumbing Inspection Phone 639.4171
4 o State Plumbing Contractor By
coral r +o Rr-rripT nirl ,?� I« �o,� R„
i
BUILDING PERMIT APPLICATION c0F TlGAR® DATE
THE UNDERSIGNED HERFCY APPLIES FOR APERMITFOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO. -
OWNER �' JOB AODRES`- HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER —
STRUCTURE ❑NEW ❑Fit"MODEL ❑ADDITION OREPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAI.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE__ —BLr)G.TYPE FIRE ZONE— PLAN CHECK BY HEAT
.Jcirl L 1'1� I, I :i, �_ rnaJ. r w�. I.I.
int.; ! z:JUm
NQ�T4511=5_------AREA..._C tv0•BE<pRQOM$—_.—YAL.41E-�" °
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
--"" ------ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
APPLICANT OR AGF N1
Approved Receipt No (li0��
r ��----
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor G a&e t+R (Lqa J
Y . Permit No. TO
a
Rough-in
Fixture
Final
'`.t ✓ •ni HEATING
— C Contractor
y V� 4 �g G k - Permit No.
/t"-4o gyww(r 0 k. Gas or 011 ---
Rough-in —
IJ Final
SEWER
Final
— _ DRIVEWAY
Final
Storm Drainage
I —
j _ J (Rein Drain)Final
Sidewalk
Curb&Street Final
Y Approach
BLDG. DEPT.FINAL TLMPORARY CERTIFICATE OCCUP NCY Final
CERTIFICATE OCCUPANCY --
Landscaping
Zoning Final
- �, APPLICATION "y TIGARD OArE -. 0• 24-_ __, ,9 7 .1 9 zg37
BUILDING PERMIT AP C OF "7-18 7y,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICAIFD BUILOr_R PHONE- . y
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICA1ION; OWNER r'HG 1F—Co�/' /a 71/
1' omIr—stp ' .,•r NO /Atjlltt IS I W
A
WR OAORE53 1S +t— nC'I1) �J9� "MOWN. 8A9- N04„SRC�
aun_ncR� 780_
1 qm;-iwm
STRUCTURE_ KNEW ❑FFlFmnc)EL ADDITION CIREPAIR ❑RENEWAL OF II+;
;(RESILIENCE_❑COMM ❑EDUCATIONAL` CjGOV'T DRELIGIOU5LIPAT10 (SCAR PORT ❑GARAGE- 0 STOF,AGE❑S SP ( a' ' '� '
'`
OCCU?AtJCy ,3_LAND USS 7!?�:: /�' '2' 91.OG TYPE f y {V ~_FIRE 20M= 3�-PL.AN CHECK
_-_..___ n'cMs�►-*.�.�- ���•., � (yam- °�R�,._a�'oP;,�%o-*�I d-� 9 ale F�°tKI
l� .
( RA
C?�p_LOP�2__._.__... F4Q )r FIEI�iFIT NSr. STUR.IE_� __� AI � l.�r pC)l7
BUILOING DEPARTMENT BACKS FRONT # REAR
Permit — Al I�•
-- PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDING '.GUE. 'ON
Plan CheckT 500 ';ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEP.rBY GGh::;C THAT '
iK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND f,PEC•IFICATIONS ANO IN COti'vLI4h, r
Su7•total r� QJ�dp APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GG'.S NOT
------- �1 14TRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT f Y RL
State Tax �T� LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING
Total DC
L Cason
BYt h
..__y-. ._. APPLICANT SJR AGENT
�Appruvpcl IIS " _eint No
-- ----'--- A66—p 55-
SDC - $
PDC - $
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $
Comments : I:.NaL4'low.c4soK � .�C7�_nAl+e�� _ ..________._.._. Red 9-13-77
Esq`, li#;000`
MISCELLANEOUS REPORT DATE } `> VO;
r
�► Name-DoWiLL , L4zi^ltul COY, _Addi.ess- �fJ� Sri! f.' _ _ Phones --
/1HN/1(e eV
❑AIr Pollution ❑ Demolition ❑ Insurance ❑ Ord violation ❑ Sidewalks
O Alleys t7 Egress ❑ Insp. (special) ❑ Permit violation ❑ Trash
❑Animals ❑ Fence ❑ Junk ❑ Property lines ❑ Trailers
❑Air Conditioner ❑ Fire Damage ❑ Matcrial Storage 0 Public Property ❑ Termites
❑Bldg. violation ❑ Fire Hazard 0 Mach..nery ❑ Public Liability ❑ lysed Mater.
❑Bldg. Hazard Q Fledges ❑ Obstructions 0 Signs ❑ Water
❑Business (home) ❑ House Trailer ❑ 0..p'y change ❑ Smoke ❑ Zoning
❑Barricades ❑ House Moving ❑ Ocp'y violation Q Set Back `p'Other �..
1//OLM�!!h
IIL�
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