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CITY OF TIGARD
DEVELOPMENT SERVICES - -UMBlNG PERMIT
PERMIT #. . . . . . . : PILM98--0094
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/14/98
PARCEL: 2SIOIDB-00614
SITE ADDRESS. . . : 13275 SW 76TH AVE
SUBDIVISION. . . . : ROLLING HILLS ZONING: R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O19 JURISDICTION: TIG
---------------------_-----------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . Vi TRAPS. . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES---------_.--- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 100
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . ,, : 0
Remarks : Frezza
Owner: ------------------------------------------------- FEES --------------
C N FREZZA type amount by date recpt
13275 SW 76TH AVE PRMT $ 30. 00 JSD 04/14/98 98-304918
TIGARD OR 97224 5PCT $ 1. 50 JSD 04/14/98 98-304918
Phone #: 620-5629
Contractor---------------------------------
NORTH' S
ontractor--------------------------------
NORTHIS PLUMBING
17120 SW SHAW
BEAVERTON OR 97007
Phone #.- 649-5544 $ 3.1. 50 TOTAL,
Reg #. . : 000003
------- REQUIRED INSPECTIONS ------- -
This permit is issued subject to the regulations contained in the Water Set-vice In
Figerd Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-008I-0010 through BAR W-MI-OW. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-1987.
Issued By : Permittee Signa ire
+++++++++++++++#+++++++++++++ +++++++++++++++++++++++++++++++++a•++++++ ........
Call 639-4175 by 7:00 p. m. "or an inspection needed the next business day
.............................4...............................................
City ..Tigard PLUMBING PERMIT APPLICATION Pl,-nck/Rec. # -
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 6394171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
I— Home n,oevelopmen( r New Single Family Residences Only
Add.... ❑ 'i BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job " 'j/ 7& �/t ❑ 3 BATH HOUSE$225.00
Address cnYIs1.!. zn Fee i,icludes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
�I \
N.m ! FIXTURES QTY PRICE AMT
Sink 9.00
Me"AdAnu ph-. Lavatory 9.00
Owner f Tub or Tub/Shower Comb. 9.00
1-4yisi.!. Zp Shower Only 9.00
1,16ard Water Closet — 9.007
Nome fin•mme„!Gueneeq Dishwasher 9'00
Garbage Disposal _ 9.00
n r.uoantq wer, !Alashing Machine 9.00
l� 1 Floor Drain — 9.00
zip Water Heater 9.00
�/ Laundry Room Tray 9.00
eme
N --. -�1-s« / Urinal 900
L �/ Other Fixtures (Specify) 900
r.!...g Addie.,
one 9.00
Contractor -
y - 900
• ((J II
aryrs!.�,
zip
Sewer 1st 100' 30.00
5100 11.0140.11-An CAY a.. Tel Nn Sewer-ea. Addit, 100' 25.00
0# —16 /T CI Water Service 1st 100'_ 30.00 j 77j —`
I hEreby acknowledge that I have read this appticaticn, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of Storm b Rain Drain 1st 100' 30.00
th ulvner, that pia subm! com�ti ce with State laws, that
am r gistered w'h the Const otion Contr or's Board, that the Storm &Rain Drain Addit. 100' 25.00
numbe! given is crrect. (If e m t f 1 State registration, please 2500
m
give re son Belo ) Mobile Hoe Space
Bark Flow Prevention
Device or Anti-Pollution Device 900
hav Tr:p or Waste Not
Connected to a Fixture 9.00
IC_ Z r Catch Basin 9.00
Describe work new U addition U aReraUon j$,repair �
o be dona r991,I0n#ipI n, n-rpgident1PI (7 1� nr Frcc! Phrmbrnq _ 40.001hr
�� //// � ,I pp Specially Requested Inspections 40.00/hr
Existing use of t%1 LL Rain Drain, single family dwelling 30.00
building or pioper?y
Residential backflow prevention
devices 15.00
_ Proposed use of n
I— building or property l>1`� � .(Except residential backflow
J
prevention devices) _
c� NOTICE 'hlinimum Fee $25.00 SUBTOTAL /
LSI
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN RM- EW 25% OF SUBTOTAL
COMMENCED.
TOTAL
Special Conditions
Date issued by_
t/
1J2y
CITY OF TIGARD BUILDING INSPECTION DIVISION
2/4-/Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: _ '7 - �S— ��;(> A.M. P.M. _ MST:
Location: r'7i 76 "l'-( l'{�, — BUP:
Tenant: Suite: __Bldg: _ MEC:q p
Contractor:
Phone: ���':� PLM: L c
Owroer:. Phone: _ _ ELC:
ELR:--
__ _ SIT: _
BUILDING BLDG(con't) MECHANICAL ELECTRICAL SITE
Site Post/Beam os earn Post/Beam Cover/Service Sewer/Stonn
Footing Roof UndFl/Slab Rough-In Ceiling atcr Lire
Slab Framing Top Out Gas bine Rough-In i JC Sprinkler
Foundation Insulation Sewer Ilrxxl/Duct Reconnect Vault
Bsml Damp Drywall Storm Furnace `I'e•rnp Service MISC.
Masonry Ceiling Rain train AJC IM Slab
Shem/Sheath Fire Sphlr/Alm Craw , rd Dr I Icat Pump Low Volt _
Approved Ap rr Approved Approved �provcd
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved No , proved
FINAL FINAL FINAL FINAL
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0 Call for reinsReinspection fee of S__ r luirr: nest inspection O Unable to inspect
Inspector: Date C j
Pae of
INSPECTION NOTICE
City of Tigard Building Department
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _____ - )R,hc.C-1
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALe
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line � Gyp. Bd. -Hoch.
'')
Date Requested: y,3-C/q me
Q ,Tiit61 j P AM PH
113 -)� �� - !y�- Paabt E t
Builder: Fre Z zQ D33-- 35 7/
THE FOLLOWING CORRECTIONS ARFREQUIREDD:
I .
Inspector:__ ---- --- nate:
APPROVP.D DISAPPROVED APPROVED SUBJA^T TO ABOVE
_Cal 1 For Reinnp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Si0 Ball Blvd. Tigard. Oregon 97223
Inspection Lite (Rec-O-Phone): 639-4175 Busineus Phone: 639-417.1
i
Inspection:__- -- — -- { I" )(' C_'. --------------
CFooting Plbg. Underslab Mech. Rough-in Appr/Sdwlc
Found Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -
Mech.
Date Requested: l0 s�// ' �{l� i✓!me: Y�/.AM ¢' PM
y
Address• �� 2, / (e t` / / Permit ! III V
Builder: �i c_
THE FOLLOWING WRRECTTONS ARE MQUIREDs
.fes. _-Z 9Z/
APPROVED DISAPPROVRD APPROVED SURJXrT To AROVE
Call For Relnsp.
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BUILDING PERMIT
CITY" OF TIGARD PERMIT #. .,
. . , . . . . .B
COMMUNITY DEVELOPMENT DEPARTMENT. DATE ISSUED: 05/13/94
1.1125 SW Hall Blvd.Tigard,Oregon 97223118199 (503)639-4171 PARCEL: 2-'51101D13-00614
31TE ADDRESS. . . : 13275 SW 76TH AVE
SUBDIVISIUN. . . . 4 ROLLING HILLS ZONING. R-3. 3
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 19
REISSUE: FLOOR EXTERIOR WALL CONSTRuc,r (ON-
CLASS OF WORK. :NEW FIRST. . . . : sf N: S: E.- W:
TYPE OF USE. . . : ---Lj 71< SECOND. . . : Sf PROTECT
TYPE OF CONST. :5N THIRD. . . . : s N: S: E: W:
OCCUPANCY f3Rr--,. : R"3, TOTAL—--------: 0 s ROOF CONST: FIRE RETI -.
UCCUPANCY LOAD: BASEMENT. : 9f AREA SEP. RATED:
TOfl. : HT. :8 f is GORHUL. . . : sif OCCU SEP. RATED:
t3SMT?-. MEZZ ) - READ SETBACKS---------- REQUIRED-----------------------
FLOOR LOAD— . : P'Lf LEFT: ft RGHT: i-t F I R SPKL- SMOK DET. . -
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICFI ACC:
BEDRMS- BATHS: IMP SURFACE: PIRO CORR: PARKING:
VHLUF— $ . 1100
Tie marks : INSTALLING 116 F OF 8 F OJ F-ENCE. AT DOCK% FDROPERTY LINE
Owner:
NICK FREZZA type amoi-int by date t-ecpt
13275 SW 761-H AVE P R 11 T $ 25. 00 SWB 05/11/94 94-2252246
PILCK $ 16. 25 SWB 05/11/94 94-252246
T*IG(-)RD OR 97GE4 ;PLT $ 1. 25 SWB 05/ 11/94 94-25rw246
' 'hone #" 6'-VA j 6*1!.'1)
contr,actur—
OWNER
Ptione #: $ 42. 50 'TOTAL
ri
REQUIRED INSPECTIONS
permit is issued sub'ject to the regulations contained in the Foot/fol-md Inoip
igard Punicipal Code, State of Ore. Specialty Codes and all other Ft-Aming Insp
applicable laws. All wn)-k will be done in ac:ordance with Final Insri*ction
approved plans. This persit will expire if work is not s.arted
hithir 180 days of issuance, or if work is empended for ware
thar 180 days.
Un I:let m i L-I e e S i gnat 1.kr-v -
I s s t_t e d LA y
Call f a t- inspection 639-4175
t
'n rmit A lication
Residential Buil _PHe
City of Tigard d.!q
13125 SSV Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: �1
1 1 1 C Office Use Only
Subdlvision: 1 t `nC IA\ I\ S Lot #
Valuation: 1 V _
1 u'Permft #
Owner: �`\f �r ;U �'�� Reissue of_
Address:TS •�� _ Map & TL #
Approvals Re uired
Phone:
Planning_
Contractor: �(' `1 Engineering
Address: —_ Other
Items Required
Phone:
Subcontractors
Contractor's License # _
(attach copy of current Oregon license) Truss Details
Subcontractors: - Other
Plumbing: `jy\
Mechanical:
(attach cc•oy of current OR Contractor's License)
Architect/Englneer:
Address: _
Phone:
COMMENTS:
j
Applicant SignaJU4 & Ptx+ne number
Received by: Date Received:._
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) _-
Mech. Permit (MECH)
State Tax (TAX) 1, 23
Bldg: _
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Quality (WQUAL)
Water Quantity (WOUANT)
Fire tistrict (FIRE)
TOTALS-
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LIABILITY: The City of Tigard, Oregon, or it's
Employees, shall not be responsible for
discrepancys which may appear hereon.
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
F'-RAilT I\O-F!! i-a#� SITE ADDRESSEL2-7 Sw 10 '4
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LIABluTY: The City of Tigard, Oregon, or it's
P
mployees, shall not be responsible for
discrepancys which may appear hereon.
I1:
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMIT NO.F.ffj-.aLjY SITE ADDRESS.L a7
DATE S'1-1"f
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