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isvecords\microflm\targe(s4)uilding.doc
FPLUMBING PERMIT
PERMIT #. . . . . . . : MSTI),(4 9 00
I TY 0 F T 1 GADATE ISSUED: 01/16/94
COMMUNiTY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (509)639-4171 PARCEL: 2SI12OD-RM026
SITE ADD13L'3S-,, . . : 14659 SW 797H AVE
SURD IVISIOt '. . , . : RAZE MEADOWS NO. 2 ZONING: R-4. 5
1-.'LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . 0'7--'6
CLASS OF WORK. . :NEW GARBAGE DISPOSAL5. . : 1
TYPE OF' USE. . . . :3F WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRF-. . : P. FLOOR DRAINS. . . . . . „ :0 TRAPS. . . . . . . . . . . . . . :0
STORiES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :121
FIXTURES--------------- LAU -1DRY TRAYS . . . . . : 1 SF RfAIN DRAINS. . . . . : 1
S I K.,Lj. . . . . . . . . . : 1 GREPSE TRAPS. . . . . . . :0
LAVAT'IRIES. . . . . :5 ()-HER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :?, WATER LINE (ft ) . . . . z LOO
DISHWASHERS. . . . . 1 RAIN DRAIN (ft ) . . . . :0
Remark_ : PATH I
OWNER:
JIM RAZE TIF $ 15r-_la. 00 JH 01/18/(j4
16725 NE PACIFIC DR BPRT $ 458. 00 JH 01/18/94
BPLC $ 297. 70 JLH 12/x_''/93 93-246977
PORTLAND OR 97 DSPC $ 2. 90 JH 01 /1,3/94 -
Phone #: bt-1-5465 5SDC $ 280. 00 JH 01 /16/94 -
PARK $ 500. 00 JH 01/18/94
P I u m b i n g Contractors-----._-__--_.---_ MPRT $ 45. 00 Jh 01/16/134
MPLC $ 11. 25 JH 01/18/94
Name % M5PC $ 2. 25 JH 01/18/94
Add r es s s PPRT $ 162. 50 JH 01/18/94
1;1 t y C-.13,ao- State: P3PC $ 8. 13 JH 01/18/9,41
Z i p Ph one#.__&fj.:jjj- _
Reg
REQUIRED INSPECTIONS
This permit is issued sub-jei-.�t to the req--
UlatiOTIS contained in the Tigard Ml,(nicipal Foot/found Insp Rain drain Insp
Code, State of Orr:. Specialty Codes and All Post /Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appv-/Sdwlk Insp
in accordance with approved plans. This PIm/undsleb Insp Mechanical Final
permit wj. 11 expire if work is riot started PLM/Underfloor Plumb Fio. 1
voithin 180 uiys of issuance, a - if work is Mechanical Insp Building Finml
L,,:spended fat, more than 1130 days. Plumb Top Out Frosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
-j
X Gyp Board Insp
Authorized Plumbing Contractor S. griature
Call for inspection - 639-4175
Contractor Notes:
C;I I Y OF 1 JOARD - RECE I V,I Pr- I Is-h 1,11 N 1 1,%,[ 1 f-. 1.V,T, NCI,. u 14 14 4 7 74 I
IA*S'K (AMOMIf r /,.!j
PA 41-, .I(411::3 1 tvdi AM.111NI V.1„ I%1111
P)iYMl--N1 J.)Hll-. s 01/18/144
HUM)f V T S ION
IMPOfit' fIl:' 110YMEW MOON I Jpit) VILIRPIAS-- 1)F PPYW-.1141 W1.011\11 14)(1)
UKAING PERM 4,511. 00 PLAIMBIN1.1 P .:HM 0
li IN I ('.'f 41, VIL, 14 L1, 00 IST. Bull D Pnk
("M (A FFF. 58. 1-5 GRWER (.1svi ;.'r0to 00
141111,
500. o"A
M DRA IN SIX-, P60. 00 [*--H I Dl..N1 1141 , 1 M 11 1 1 1.1- 14 1 00
'I RANS,I I 'I I F I"V t.14 IJVt. 00
111 P6 RAZE MEPIDOWS,
0199 SW 79TIl
1 : 101- AM01.114T PAID '73
111 1 K f Ilyll 11 IN I- n �-$O. Ido
4(it'll kil/A ., -I f)011 P 111111 0 IAO
41)l)PI (,-A-i E lbfi1-4 NI Pio IF I( OP1W. I (-I YMI IA I I wo I 1- e 1
UAD I V I.�-)D.j14
IN
1 11 lytyll'N I iftilIN't PA l) PURI 1)1,it I It 1It IYMI. N I 144illml
'11-14N CHI I 11 1 1. 00
41359 14314 All-I AVE,/144/t• I'll 1)I1I)W',- 1.01' #P6
POW. 00
C
ITY O TIGARD p'E.RM I TMASTER. . . . ... . :PERMIT MST94--900:::;
COMMUNITY DEVELOPMENT DEPARTMENT ENT DATE ISSUED: 01/J8/94
13125 SW Hali Blvd.Tigard,Oregon 97223.8199 (5013)839-4171
PARCEL: CS 1 1 i2BD-'-RM026
SITE ADDRE:SS. . . . 14859 SW ") ?-[A AVE
SUBDIVISION. . . . : RAZE MEADOWS NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :026
BUILDING -------------------------------------------
REISSUE-, DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :Nr"W BEDRM9:4 BATHS:3 GARAGE. . . . . . . . . . 1484 sf
TYPE OF USE. . . :SF FLOOR AREAS---------__-.- - REOUI RED SF BACKS---_.---__
TYPE OF ClNFT. :5N FIRST. . . . : 11'72' sf LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRr,. :R3 SECOND. . . : 1027 sf FRONT. :30 ft REAR. . :5 7 ft
STORIES. . . . . . . :E ''H I RD. . . . :0 s f REG1U I RED--_.-_---_------__---
IIEIGIAT. . . . . . E1 ft TOTAL_--•-•------- :Ec_'1O sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . :40 psf VALUE. . . . . $ : 109912 PARKING SPACES. . : 1
Remar-ks : PF,TH I
PLUMBING
SINI'.S. . , . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR3. . :O
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPE. . . . . . . . . . . . . . :O
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :O
DISHWASHERS. . . . : 1 WATER LINE :f t i . : 100 OTHER F I XTLIRES. , . . . :0
GARBAGE DISP. . . : 1 RAJN DRAIN (ft ) . :0
WASH I 14G MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL -- _____.__.____._.____-_-.--_._....--.---_____._..__ FEES
I_UEL TYPES--- -----•---- UNIT HT13S. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JH 01/18/94 -
MAX INPUT :0 BTU VE=NT FANS. . :4 BPRT $ 438. 00 JH 01/18/94 -
1•URN ( 1O0K . . :0 HOODS. . . . . . : 1 BPLC 4- 297. 70 JLH 12/27/93 93-•24697
FURN ) =100K . . : I WOODSTOVES. .0 B3PC $ 22'. 90 .JH 01/ 18/94 -
FF'LOOR FURN. . . . :0 CLO DRYERS. : 1 6SDC $ 280. 00 JH 01/18/94
ROIL/CMP ( 31.AP:0 OT14ER UNITS: I PARE: f 5OO. 00 , A 01/18/94
GAS OUTLETS: 1 MPRI, $ 45. 00 .'H 01/18/94 -
Ownter: __._______._.___.____._______________.___MRLC: $ 11. 25 JH 01 /18/94 -
JIM RAZE M5P(. $ 2. 225 JH 01/ 18/94 _
16725 NE PACIFIC DR PPP,r 4 16E. 5O JH 01/18/94 -
F115FI:: 4 8. 13 .JH 01 18/94 -
PORTLAND OR 97
Phone #: 661-5485
Contr•actor-:
CHUCK OLSON&OW
STRUCT I ON, INC. �i j- f'ril U 1 r'�1� ND 0-
`;80 N. D__ . J
FORT OR 97203
Ph a M: ,
� 56;'s�
A
R #. . 1`-1 7 ---------__.._.. ---- -----•----------------•----
$ 3307. 73 TOTAL
This pereit is issued subject to the regulations contained in the ------•--- REQUIRED INSPECTIONS
r� Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foLtnd Insp Fi-eplace Insp
applicable laws. All work will be done in accordance with approved rust/Beam Str_ict; Gas Line Insp
plans. This pewit will exiire if work is not started within IN Post/Beam Mechan Insl_tlation Insp
days of issuance, or if work is suspended r aor than IAB da 6 Plm/i.indslab Insp Gyp Board Insp
PL.-M/Underfloor Rain drain Insp
Permittee Sigllatur•e : �r�,. Mechanical Insp WaLnt, Line Insp
I __. F'l.umb 'Top Uut Appr/Sdwik Insp
I ;st.led By : ✓ _ Framing Insp hlec•hanicaI Final
Cal for- inspection - 639-4175
I ON NOTICE
city of Ti4m Building pepartr+ent
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)e 63'J-4175 Business Phone: 639-4171
Inspection= -
F•�oting plug. Underelab Mach. Rough-ir Appr/Sdwllc
Found.
Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. r San. Sews[1
Framing -Bldg.
Post/Beam Mech. (_Rain Drain
Insulation -Plumb.
Plbq. Undecfloor
Gyp. ad. -Hoch.
Datil Request.edt
Time: _ AMPM
Permit
Address:
But lder:_ _— I
T119 FOLLOWING CORRECTIONS ARE i.EQUIRED* _—
Date.i �
Inspector. ----
ArPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
�f�' Call For Relnep.
INSPZCfION NOTICE
City of Tigard Building Department
13125 Ski hall Blvd- Tigard, Oreqon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buaineaa Phone: 639-4171
Inspection ---_—
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ne ^ FINAL:
Poet/Beam Struet. San. Sewer Frtming -Bldg.
Pont/Beam Mech. Rain Drain Inewlation `� -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Nech. �[
Date Regiieetedt_ �-a 7- 9 e1 Tims: AMr1Y" PM
Addre e: � ;� P!'? 'it �// vU
guilder t C)V
_ eetj, ✓r e(.l./
THE FOLLOWING CORRECTIONS ARE REQUIRED:
n�
J
C,
W
v
InspectorDats:
DISAPPROVED 11-1" APPROVRD SUBJECT TO AWWR
_CAII For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Nall Blvd. Tigard, Oregon 97223
Insr,ection Line (Rec-O-Phone): 639-4175 Business Phune: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Pound. Plbg. Top vuc Gac Lin- FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Mech. Rain Drain Insulatt.on -Plumb.
Plbq Underfloor water Line Oyp. Rd. ) -Mech.
Date Requested:/ l A),L�[ --Time: __I �] —AM[�, PM
perm ttft /
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.--/
APPROVED DISAPPROVED Y APPROVED SU&MCT TO ABOVR
,__-Call For Reinsp.
NSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd_ Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Buei.::eon Phone F39-4171
Inspection:_
Footing Mg. Underslab Mach. Rough-in Appr/sdwlk
Found. Plbq. Top Out Gaa Line FINAL:
Poet/Baan struct. San. Sewer Framing --Bldg
Poet/beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. --Mech.
Date Requested: (� -15-- 2O ` 54 Time [�, AM�j PM
Address: / 0 / '712'/ /7✓E PS 1
Builder: < CCSCrY7�`J �1e/91//"I',7C1 7Z 5- 57(%�1-!Z
TML FOLLOWING CORRECTIONS ARE RFQUIRF.D:
CL
fi
h-
N
M
CM
W
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Inspector: / _---t—
i/1lPPR011Rb nisArpROYEn APPROVEn SURJRCT To ASOVG
_Call For Aeinsp.
INSPP C TON VrYrTCE
City of Tigard Building Departmwt.
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639--4171
I nspec'•ion:
Footing Plbg. Underslab Mech. Rough-in Appr/Sewlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beast Nt San. Sewer Fr in -Bldg.
Prit/13616 Meeh. Rain Drain Insu tion -Plu:w.
P Onder! Nater Line Gyp. Od. -Hoch.
Date Raquestedt Times AM PM
-7� _ ^ p
Address: S`9 s �� /
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: / _ _�^ Date:�i
G APPROVED M aAPPROvin APPROVED SUBJECT TO AfKy"
Call For Reinsp.
j!SP9CT LOPL NOTICE
�- City of Tigard Buitdinq Department
13125 SW Ball Blvd. Tigard, Oregon 91223 '
Inspection Line (Rec-O-Phoney: 639-4175 Businesn Phone: 639-4171
Inspection:
Footing Plbg. Undevelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line VIEW
Post/Beam Struct. San. Sewer Framing *1d
Poet/Beam Mech. Rain Drain Insulation
P1hq. Underfloor Water Line Gyp. Bd.
Date Requested: /1 �l 7 f p�_��___ _Time= AM PM
Address t 1.��� 71 f � Perm It t�j��-��
Buildere
TIM FOLLOWING CORRECTIONS ARE REQtIIRED:
=475 C
R:
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Inspector: Data
APPROVED y DISAPPROVED APPROVED SUBJECT TO A
—__Call Por Reinsp.
INSPECTION NOME
City of Tigard Building DeparrMnt
13125 SW Nall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-41;1
Inspection:--_ _-,- ----_ --
Footing Plbg. Undgrslab IQMech. Rough.-ig) ` Appr/Sdwlk
i
Found. Plbg. Top out Cas L.inq FINAL:
Post/Beam Struct. San. Sewer Framing > -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line / Gyp. Bd. -Mech.
Date Requested: IY- v-)� �C/ Times AM �0x PH
Address:. ,/ 4! 1 k l / �i l - _ Perm^i�t tr I'/ 9003
Builders
THE FO�LL,OW,IING CORRECTIONS ARE REQUIRED:
L
5 ti-j C o �-�.y s AAS n- CJ�L
1,44 R o -� L�►^ AA-,VL tom— AAA
r+ i <<QS S �sr 1
Inspector: Dates 4 -12 -'ly
APPROVED/_YISAP E
/PROVED _ APPROVED SU9JECT To ABOVw� CallPor Rsinap.
D
/�® I�o - q�C-A:
Ov e� g ZL.r tt oy2, .
INSPECTION NOTICE /
City of Tigard Building Department
13125 Sig Hall Blvd. Tigard, Oregon 97223
Inspet-tion Line (Rec-O-Phone): 639-4175 Business Phone:f3 -4171
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
G--
Post/Beam
-Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. 8d. -Mech. .M+
Date Request
ed
:
Adc!rese: �7 Cl •.J / Pet ,
nuIIder: �Iltrx f1 V/ 'Lt..) 1:3-62
THF. FOLLOWING CORRECTIONS ARE REQUIRED: �] /
Inspector: _ Datae"�/�Y--"-�'-
__APPROVED GIS 0PROOV/80 OVE
APPROVED SUBJECT TO AB
_�11 For Rei.:sp.
LNSPECTIO1. NOTICE
City of Tigard Buildino t.,partsent
13125 SW Ball Blvd. TE•vnrd, Or&jon 97223
Inspection Line (Rei--O-Phone): 63n- 4175 Dusineae Phon . 639- 171
Inspection:_
Footing Plbq. Underslab Hech. Rough-in Appr/Sdwlk
Found. Pl:LT
Ou`I Gas Line FINAL:
Pont/Beare Struct. San. Sewer Framing -dldg.
Post/Beam Hach. Rain Drain In"ulation -Plumb.
Plbg Underfloor Water Linnpe Cy s/ Gyp. Bd. --Much.
Date Requested: f) / 7 Q Times
AM 7 PH
�z/C7 // VC,� Permit fl / y kxIQ
Bulkier: ]�zLa7/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G�
Il'
Inspectors _ Date: �J
_�APPROVED i D 1 SAFPRclV1SD v` APPR(iVRD 'E- TO ABOVISOV9
_____Call For Reinsp.
T7INSPECTION NOTICE
City of Tigard Buil4ing V epartxent
13125 BW Hall Blvd. Tigard, Oregon 91223 �
Inspection Lino (Rec-O-Phone)t 639-/175 Business Phon :Y 4171
Inspection:
Pouting Plbg. Underslab Hoch. Rougn-in Appr/Sdwlk
Round. Plbg. Top Out (Sas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg
Poet/Ream Hoch. Rain Drain Insulatlon -Plumb.
Ploy. Underfloor Nater Line Gyp. Bd. -Hoch.
Pete Requaetedt d -q t' } Timet C� AM PH
Addreev: �7 1 C)_�—\_ '.` permit�f•�
Builders C�C t t' o"d t- ��7 �(h`•-(-��
—7
TNR FOLIAMING CORRECTIONS ARE REQUIRED:
i� GTS' ,' T/i /3 2 "�-ze
__ �1s111 AU --tet v e'Ae
C'` /
Aye-
V)
F�
CLI
L11
InsEctor:_ �^ —A— Drte:-��
APPROVED DI APPROVED APPrOVED SUBJECT TO ABOVE
_Call For Reinsp.
ww■
INSPECTION NOTICF, �r
City of Tigard Building Dep:meant
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-O-Phone)s 639-4175( elnass Phones S39-4171
Inspection.e —
Rooting Plbg. Underslab Mech. Roy .'-in Appr/Sdwlk
Found. Pibg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mesh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd� -Mach.
Pate Request+ed t '7) � �1� --Times AMPK
Address: /�_ l+ (`?r� l ( �t 1r Permit #s�` ':A `1`/
'/ G�- Ia03
Builder: �(�� qA_7- 12 7-7
THE FOLLOWING CORRECTIONS ARE REQUIRED,
1 44-1
d
Ci
F-
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J
C
C.7
W
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Inepsctor
APPROVED —_ DISAPPROVED APPROVTD SUBJECT TO ABOVE
Call For Reinep.
INSPRCTION NOT_1_cR
City of Tigard Buildiog Departaaa t
13125 811 Ball Blvd. Tigard, Oregon 97
Inspection Line (Rec-Q-Phone): 639-4175 Business 4Phos63:9-4171
Inspections
f/t/o_ot�lpgr� Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FIMAL:
Post/Beam Shutt. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor )Nater Line Gyp. Bd. -Koch.
Date Requested: 1 TfM! I, AM PM
Address:
Builder:
TUR FOLLOWING CORRECTIONS ARE REQUIRED,
O.
CY
1--
1;
1-'
J
LLJ _
J
Inspector: _----- — Da'at Z'
_PROVED DISAPPROVED P.PFROVED SUBJECT TO ABOVE
_,Call For Reinsp.
SEWER CONNECTION
CITY OF TIGARD PE-MIT #
PERMIT. - SWR94-0003
COMMUNITY DEVELOPMENT DEPARTMENT DATr_ ISSUED: 01/18/94
13125 SW Hall Blvd.Tigard,Orapon 97223.9199 (503)639-4171
F'f?RCEL: c 51 1 c:PD-RM0E6
SITE ADDRESS. . . ' 14659 SW 79TH AVE
SUBDIVISION. . . . : Rrl7E MEADOWS NO. ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :026 1
TENANT NAME. . . . . ;
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORT'.. . . :NEW DWELL-I NG UN I TS. . : 1
TYPE !7F USE:. . . . . :SF NO. OF BI J I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
OHlner: _-----------_-------_--------_--_--------__-----_------_-- FEES
JIM RAZE type amoi.lnt by date recpt
16725 NE PACIFIC DR PRMT t `200. 00 JH 01/16/94 -
INSP $ 35. 0O JI-I 01/1121/94 -
PORTLAND OR 97
171f,one #: 661-54135
Contr'actor^: -- --------------._-------_.—_--_
CONTRACTOR NOT ON FILE
'Ilene 2235. 00 7,'OTAL
---- - -
REQUIRED INSPECTIONS -------
This Applicant agrees to coaply with all the rules and regulations Sewer- Inspection
J the :)nified Sewage Agency. The perait expires 180 days frog
the date isFlred. The total aaount paid will be forfeited if the
perait expires. The Agency does not guarantee the accuracy of the
side sewer laterals. if the sewer is not located at the seasurement
given, the installer shall prospect 3 feet in all directions frog - -i
the distance liven, if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Qgenoy will ins 311 a feral.
P e r,m i t t r e Si g n a t
Call for- inspection - 639-4175
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Residential Building Permit Application
City'of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Only
Sijbdivislon: 2 t✓ fr1''lcyl0 41� Lot # 4
Valuatio /d�_ 91z, Pfandc/Rec#
n:
Permit # <1. U
Owner. _ v" !�- Reissue of
Address: Al �!/L `��Z� J v `.5 F,:h.
provals Required
Phone: t'tanning
Contractor: / r
Address
� Items Required
< / Subcontractors
Phone: S S L --
Contractor's license #_ ��7 STriss Details _
(attach copy of current Oregon license) Other
SOON
Subcontractors:
Plumbing-
Mechanical:
lumbing:Mechanical
(attach copy of current OR Contractor's License)
Architect/Engineer. ne, �/ F k �y
/I
rt F
Address: -�i i r lel GL D
J
CID
Phone:
COMMENTS: I?P_
Appiicant Signature & Mone number
Aq
Received by: l Date Received:
�I
Permit # Account Description Arvount Amt. Pd. Bal. Due
M5f j-j0dj Bldg. Permit (BUILD) 4/yr,
Plumb. Permii (PLUMB) ti
Mech. Permit (MECH)
State Tax (TAX) 13 0 — 3J•�,3'
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) ..?O� 1`S j� Jk, Yj
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) -3d
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) -IPV �dy
Resi('ential TIF (TIF-R)
Mass Transit TIF (TIF-MT) Ile) �d
Commercial TIF ;TIF-C)
Industrial TIF (TIF-1)
Institutionai TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUAN7
Fire District (Fi9E) _
04-2
TOTALS: ' S� y� UI ,S�73
CERTIFICATE OF
OCCUPACY
CITY OF T I GAR® PERMIT #. . . . . . .:
. . . . . . .N: MST94900"
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISGUEDa 08/17/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PARCEL-[ 2S112130-RM026
ITE ADDRESS. . . : 148513 SW 7911-1 AVE
bUBD I V I S I ON. . . . it RAZE MEADOWS NO. 2 ZONING:R--4. 5
BI-OCK. . . . . . . . . . I LOT. . . . . . . .
----------------------------
CLASS OF WORK. :NEW
TYPE OF USE. . . iSF
OCCUPANCY GRP. :03
OCCUPANCY LOADil221 4
TENANT NAME. . .
Remarks : PATH I
Uwnery
,JIM RAZE
1f,725 NE PACIFIC DR
l-,CjRTLAND OR 97
Phone #1 661-5485
Contractort
GREENVIEW HOMES
5805 N. DEPAUW ST
PORTLAND OR 97203
Phone #t 285-5632
Reg 0. . - 96075
Occl..ipancy of the above referenced building is hereby given, and ce,A :( f
ttip complianre with the State Of Oregon Specialty Cordes for the gr01-API
occupanry, and use under which thw referent: , ermit was issued.
SU11_D.(N(63 0
L D I;(,;41C A
FF I C I A
POST IN CONSPICUOUS ' .ACE