14755 SW 80TH AVENUE �k
ADDRESS:
, 1475.5 SW 3,o-rf.4AV&4ya
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SVV Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
PLUMBING PERMIT
PEIRI11T #. . . . . . . : PLM93-0171-1
,L,39--417.1 DATE ISSUED: 09/03/93
PARCLL: 2'S112BC---09000
CITE ADDRESS. . . : 1.4755 SW BOTH AVE
:-)UBD I V I S 10111. . . . : RAZE MEADOWS ZONING: R-4. 5
0 L 0 C 1-11. . . . . . . . . . . .. . . . . . .. . . . . . . : 13
(-:LASS OF' WORK. . :ADD GARBAGE D I SPOSALS. MOBILE 1ADME. 91--'ACES.
'"YPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . I . . . . . . :
��TORIES. . . . . . . . : 1 WATER 14LA—IERS. . . . . . .. CATCH UASINS. . . . . . . :
17-1 x*rUREr3----------------------- L(IUNDRY TRAYS. . . . . . SF RAIN DRAINS. . . . . :
?INKS, : TRAPS. . . . . . . :
J URINALS. . . . . . . . . . . . .1 G REASE
—AVATORIES. . . . . : uuivR 1=T X TURES. . . . . ..
`UN/SHOWERS. . . . : SEWER LINE ( Ft ) . . . . -
!in-, -R I'LOSE..-Ts. . -. MITER LINE (ft ) . . . . .1
DISHWASHERS. . . . : Rf--)IN TRAIN (ft ) . . . .
backflow dovi(--,e
Owner—
CLIFTOPI) 1AA1-(ER type aillos.trit by date t-eept
1.4735 SW (34"hTI-4 AVE P R M T 1. 15. 00 JH 0()/(1.13/93
` PCT q 0. 75 JH 09/03/93
TIGARD OR 97224
1,hone
I.',untir-actor-.-
110ne it: $ 15. 7' TOTAL
ew 00000
REOUIRED INSPECTIONS
-his permit is issued subject to the regulations contained in the RFI/Backflow Pt-ev
1.igard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
�opliceble laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
ithin 180 days of issuance, or if work is suspended for more
rn 1han 18e days.
e r-m i t t e e S i q n a t u e
Call fot• inspection 639-4175
CITY OF TIGARD -- RECEIPT OF PAYMENT RECEIPT NO. 03-244020
CHECK AMOUNT a 15. 75
SWER, CLIFF CASH AMOUNT a 0. 00
WDRFSS, 14755 SW BOTH AVE PAYMENT DATE a 09/08/93
SUBDIVISION
TIOARD, OR 97224—
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT qMOUNT PAID
LA LUMBING PFI 15. 00 ST. BUILD PER 0. 7`°i
SPRINKLER PERMIT
TOTAL AMOUNT PAID 15. 75
CITY CSF TIGARD i-[J<I U lLi-)TU OF
OCCIJPRI\I(-"Y
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . MS1"93---002L2
13125 SW Hall Blvd.Tigard,iregon 97223o8199-5'tt-M. 630-4171 DATES ISSUED: 08/10/93
"I TE ADDRESS. 14753 SW 80T11 AVE PAPICELP 23112BC--09000
(:)UBDIVISION. . . . : RAZE MEADOWS Z ON I NO. R- 4. 5
�'kLOCK. . . . . . . . . . :
LOT. . . . . . . . . . . . . : 13
CLASS OF WORD. :NEW
FYPE OF USE. . . :(jF
OCCUPANCY GAP. %R3
,'-l(-(Xlr"ANCY LOAD: 123 4
LNi-1NT NAME—
Remarks : PATH I
Owners
5UNBEAM CONSTRUCTION CO
'_;630 SW WINDSOR
-TIGARV, OR 97224
Phone Ov 297-.6930
('ontract orl
'."UNBEAM GONSTRUC.TION
.5630 SW WINDSOR
POPTLOND or? 972211
;-'horle #9 -297- 5930
r'loy #. , s 37762
lr-'cupancy of the above referenced building is hereby given, arid certifles
! he compliance with the State Of Oregon Specialty Codes for the g r o 1.,
occupancy, and 1ASe under which the reFerenced permit was issued.
117
--F-1-14E JTE1aM T I LATtls- "ECTOR
POST IN (.',ONS1w1ILUOUG 1-11-ACE
CITY0FAGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT DERMIT #. . . . . . . .. MST93-0022
13125 SW Hall Blvd. P.O.Box M. 97,Tigard,Oregon 97223 (SM)63"175 DATE ISSUED: 01/15/93
a"f'E ADDHL5S. . . : 14755 5W i.Ak,.,VH AVE PARCEL: 2SI12BC-09000
SUBDIVISION. . . . : RAZE MEADUAS ZONING: R-4. 5
BLOCK.. . . . . . . . . . . LCJ V. . . . . . . . . . . . . : 13
-----------------------------------------------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MOLH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRr-4114b. . . . . . . :0 TRAPS. . . . . . . . . . . . . a -0
STORIES. . . . . . . . : I WATER HE' ATF RS. . . . . . .. I CATCH BASINS. . . . . . , .12,
FIXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . Cl
S I NKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . 20
LAVATORIES. . . . . :3 OTHER "IXTURES. . . . . .0
TUN/SHOWERS. . . . : SEWEF LINE (ft) . . . . :0
WATER CLOSETS. . -2 WATE4 LINE (ft) . . . . : 100
DISHWASHERS. . . . o RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
OWNER: ----------------------------- ---------------- --
SUNBEAM CONSTRUCTION CO TIF $ l,-tL-'Z. Oil PLL 0l/i5/93 —
56,30 SW WINDSOR BPRT $ 421. 00 P'-L 01/15/93 -
BPLC $ 273. 65 JLH 12/30/91.1 92-235156
TIGARD OR 97224 B5PC $ 21. 05 PLL 01/15/9 i
Phone #: 297-5930 SSDL $ 280. 00 PLL 01/15/'+3
PARK $ 500. 00 PLL 01/15/93
P 1 u m b i n g Contractors MPRT $ 40o50 PLL 01/15/93
MPLC $ 10. 13 PLL 01/15/93
Name : 015PC $ 2. 03 PLL 01/15/93
qddress - 2-h130 vviPPRT $ 132. 50 PLL 01/15/93
City : I State : P5PC $ 6. 63 PLL 01/1S/93
Z i p I__jC -
Phone#s_
Reg #:
------- REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ure. Specialty Codes and all ('est/Beam Struct Water- Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/bdwlk Insp
in auc.,ordance with Approved plans. 'This Plm/uvidslab Insp Mechanical Final
permit will expire if work is not star-ted PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
Suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
�_ Gyp Board Insp
Huthor-ized ContrasUmbinqr-r Signature
Cal for inspection - 639-4175
Lontractor Notes:
INSPECTION NO710E
City of Tigard Building Depart
13125 Sq Ball Blvd. Tigard, Oregon 97'
Inspection Line (Rec-O-•Phone): 639-4175 Business Phones 639-4171
I nnpectlon s
Footing Plbg. Underelab Hoch. Rough-in Apgr/Sdwlk
Pound. Plbg. Top out Can Line DINAT.t
Post/Beam S :ruct. San. Sewer Framing - lldq
Post/Beam Hoch. Rain Drain Insulati. -Plumb
Plbq. Underfloor Nater Line Gyp. Br. -Meth.
Data Requested: c ��/r�to Timet A!( PX
Address: 11 I )�(�J�� lY{ � J Permit #t2-3-w2_2_
Builders_. VN- Qka.-�/V� l()YI`J` "�' �p 1 Z-(0
TU .OLIMIKO 0ORREMIOK3 AM RNMIRROs
Inspectors Dates
APPROVED DISAPPROVED APPROVP.D SUBJECT TO ABGVE
_--Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
131.25 SW Ball Blvd. Tigard, ocogon 97.223
Inspection Line (Rec-n-Phone): 639-4175 Buninese Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in 11ppr/edw1k
Found. Plbg. Top Out Cas Lina 1IltlILe
Post/Beam Struct. San. Gower Framing -Bldg.
Post:/Beam Mach. Rain Drain Insulat!on .-Plumb.
Plbg. Underfloor Water Liiinna Gyp. Bd. '6vjHoch.
Date Requested: --/ �AM PM
Address[ S v 'erml.t f 3
Builder[
TBE FOLLGNINC CORRECTIONS ARE REQUIRED:
iL
r
CIO
Y
J
.-r
Il!
J
.E� 7" '1 f s _
InspBctor[ CDate:
A' [1bOV<b DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSIECTION NOTICE /
City of. Tigard Building DeparLmnt
� 13125 SW Ball Bled. Tigard, Oregon 97223
' Inspection Line (Rec-O-Phone): 639-4175 Business Phoner 639-4171
Inspectton: _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Tip Out Gas Line FINAL:
Postf9 am Struct. San. Sewer Framing -Bldg.
Post/Seam Mech. Rain Drain �inssu-Dation -Plumb.
Plbg. Underfloor Water Lire oyp. B11 -Mach.
Date RecA-uestedt L --Time: AM PM
Address: ] [] L Permit f: ` `GJUC;L Z),
THE FOLLOWING CORRPCTIONS ARE REQUIRED:
1
Inspector: Date:
APPROVED DISAPPROVBD APPROVED SUBJECT TO ABOVB
Call For Reinap.
INSPECTION NOTICE
City of Tigard duildi.ng Department
13125 SM Ball Blvd. Tigard, Oregon 9722
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:^ _
vooting Plbg. Underelab // 'Appr/Sdwlk
Pound. Plbg. Top Out ( s:aa Line FINAL.:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
L
Date Requested: l a Z2 Times AM PM
r_
Address: � QPermit #s2 3`/Q C Z- Z--.
Builders ' Id
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J
1:
2nspe.-to s nater
APPROVED DISAPPROVED APPROVED SUHJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd_ -.Tigard, Oregon 97223
Inspection Une (Rec-O-Phone): 639-4.175 Buainena Phono: 63 -
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drains elation -Plumb.
Plbg. Underfloor Water ine Gyp. Bd. -Mech.
Date Requested:— cl Times --AM x _PH
Address: — PeCrmmit fsE�
THE FOLLOWING CORRECTIONS ARE REQUIRM
v'.
LO
C7
Il.'
_J
Inspectors _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
r
INSPECTION NOTICE
City of. Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 9-
Inspections r _
Footing Plbg. Undetalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer ami.n -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water L ne Gyp. Bd. -Hoch.
Date Requestedt_ r� C TLmes _AH --)(—PH
74 Address: .l I/J�] v Permit z� 'C'<'dbw
Builder-
THE
u de THE FOLLOWING CORRECTIONS ARE REQUIRED:
J �
�•� C'4Al CI PC/L e77 *y_5L1-1 60 W
C'p.0 C✓
7 —
Inspector: Dates `
"PROVID DISAPPROVED Z ,_'APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departasertt
13125 SA Ball Blvd. Tigard, Ordgon 9 2
Inspection line (Rec- ,Pone): 639-4175 Business PtKn 639-4171
Inspection:_ ��-
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain Insulation -Plumb.
Plbg. Underfloor slater Line Gyp. Bd. -Mech.
Date Requested: Time: AH �pM
Address: / 7�� �G� e'`
/ Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
O.
CX
1—
N
F--
J
c7 _.-
M-.
J
1 nepecto : Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_^Call For Reinap.
INSPECTION NOTICE (�7
City of Tigard Building Depart—t
1.31.25 SW Ball Blvd. Tigard, Oregon 9722.3
Inspection Lire` (AecXmk)
)t 639-4175 Business Phone: 639--4171
Inspections 1�1� "�_-�7 U((-L _—
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ,Water Line Gyp. Rd. -Hoch.
Date Requested-7 s "/ l� G� T1Mt l AN PM
Address: ( � / > > ([� / Peefit ft 1
Builder: [�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v 0
i
n
L
r
n -
J
L!
J
Ineplectost
Dates_10L6
APPROVED DISAPPROVED APPROVED SUB.ntCr TO ABOVR
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departme
13125 SN Hall Blvd. Tigard, Oregon g7 3
Inspection Lina (Rer_-O-Phone): 63( '
9,-,4175 Buninees Phone: 6;9-4171
Inspection• ��_1VV\IG . !,
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewe: Frnming -Bldq.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underiloc- Water Line Gyp. Bd. -Mech.
Date Requested: 2-2- _>2 Times _ AM PM
Address: .? Permit
Builder:5L&V'�AAM efod,
THE FOLLOWING rORRE'.`TIONS ARE REQUIRED,
:l
f.Y --
N
F-
J
C9
111
J
L
Inspector: _ Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Ce11_ For Reinsp.
r /)
INSPEC^ION NOTICE
6 city of Tigard Building Depart ant
13125 SW Hall Blvd. Tigard, Oregon 97223
Insp-ction Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Topp Out Gas Line FINAL:
Poet/Beam St.ruct San. Sewe \ Framing -Bldg.
Post/Beam Hoch. \� Rain Drat InnulatJon -Plumb.
Plbg. Underfloor Seter Line Gyp. Bd. -Nech.
Datr Requested: T��s /lr ^RH PH
Vil-
Address: /L/ -� Permit
Builder.:
TNF. INJI.T OWING CORRECTIONS ARE REQUIRED:
41
Inspector:. / Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspections
i
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
ost/Beam Struc� San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Un-M-Irfloor Water Line Gyp. Bd. -Mach.
JAPPM
Date Rnquesteds � _,-S -CITlmat AM
Addrenn: 6 J`'` �`', � Permit Isy_- 2-
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
N
F--
W
Inspector: Datat
APPROVED DISAPPROVED i APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
�___
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Btruet. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. Mech.
Date Requested: l ,Time AM "_PM
� mac^- �-
Addrese: 7 J/ --� / Permit
Builder: -, l�//�1�G^ �� -/�T ,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
LD
w
Inspector: Date:_
APPROVED DISAPPROVED *I./APPROVED BUBJECT TO ABOVE
Call For- Rainsp.
INSPECTION NOTICE C_7_ �
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbo. Top Out Gas Line FINAL:
Poet/Beam Struct. S,.n. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
(Cbq. Underfloor\\' Water Line Gyp. Bd. -Mech.
\Date Roquested:-7_/ ,�- �� Time: \X-leje!( pM
Address: 7.i 5 Permit �s�7 60 2—
Bu i lder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
M
M
t/1
Ci]
L -----v---
W
J
APPROVED DISAPPROVED —_ APPROVED SUBJECT TO ABOVE
Call For Reinnp.
MASTER PERMIT
CITY OF T'GARD PERMIT #. . . . . . . .. MST93-0022
COMMUNITY DEVELOPMENT DEPARTMENT OR""
13125 SW Hall Blvd. P.O.Box 23397,TigsId.Oregon 9791KL'Al W)"41?5 DATE ISSUED: 01/15/93
SITE ADDRESS. . . : 14755 SW BOTH AVE PARCEL: 2S112BC-0900w
SUBDIVISION. . . . : RAZE MEADOWS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 13
--------------------------------- BUILDING _____.___------__-----------_---___—_-._.__
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :V1 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :450 sf
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------
TYDE OF CONST. :5N FIRST. . . . : 1900 sf LEFT. . :8 ft RIGHT. :6 Ft
OCCUPANCY GRP. : R3 SECOND. . . :0 sf FRONT. :24 ft REAR. . :22 ft
STORIES. . . . . . . : I THIRD. . . . .O sf REUUI
HE IGHT, , * . . . . . :2 ft TOTAL-------- --300 5f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 �15f VALUE. . . . . $ : 95500 PARKING SPACES. . : 1
Remarks: PATH I
PLUMBING ------------------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR5. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. , . . . . . .O
WATER CLOSETS. . :2 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :V1
DISHWASHERS. . . . il, WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . -0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . -. 1 SF RAIN DRAINS. . : l
---------------- MECHANICAL ----------------------------------- FEES --------
FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 VILL 01/15/93 —
MAX INPUT-0 BTU VENT FANS. . :3 BPRT $ 421. 00 PILL 01/15/93 —
FURN ( 100K . . : I HOODS. . . . . . il BPLC $ 273. 65 JLH 12/30/92 92-235156
FURN ) =100K . . :0 WOODSTOVES. :O B5PC $ 21. 05 FILL 01/15/93 —
FLOOR FURN. . . . sO CLO DRYERS. : I SSDC $ 280. 00 PILL 01/15/93 —
BOIL/GIMP ( 3HPi0 OTHER UNITS, 1 PARK $ 500. 00 PILL 01/15/93 —
GAS OUTLETS: 1 MPRT $ 40. 50 PILL 01/15/93
Owner: -----------------------------------------IYIPLC $ 10. 13 PILL 01/15/93
SUNBEAM CONSTRUCTION CO M5PIC $ 2. 03 PILL 01/15/93
5630 SW WINDSOR PPRT $ 132. 50 PILL 01/15/93
P5PC $ 6. 63 PILL 01/15/93
TIGARD OR 97224
Phone #v 297-5930
Contractor:
ROBERT HERNDON
5630 SW WINDSOR
PORTLAND OR 97221
Phone #c 297-5930
Reg #. . - 37762 -----------------------------------------
$ 314*7. 49 TOTAL
This permit is issued subject to the regulations contained in the ------- REUUI RED INSPECTIONS
Tigard Municipal Code, State of Are. Specialty Codes and 411 other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Seam Struct Gas Line Insp
plans. This permit will expire if work is not started within 189 Post/Beam Mechan Insulation Insp
nays of issuance, or if work is suspended for more than 180 days. PIlm/and slab Insp Gyp Board Ins
PLM/Underfloor Rain drain Insp
Permittee Signature: vlechanical Insp Water Line Insp
Plumb TOP Out Appr/Sdwlk Insp
Tisued By : A
Framing Insp Mechanical Final
Call for inspection -- 639-4175
CITYOFTIGARD SE'.4*L-.R CONNECTION
CnYOFL IM PIE[Rill I T'
COMMUNITY DEVELOPMENT DEPARTMENT aneft P,E'R M I T #. . . . . . . : SWR93-001I`0
13126 SW Hell Blvd P.O.Box 23397,Tip W.Oregon 97223(6031839.4176
BITE ADDRESS. . 14755 SW 60-I'Vil (-:)VL-. F,ARCEL: 2S1 128C-09000
�:')(JBDIVISION. . . RAZE MEADOWS ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . : 13
___.__------_-_.___________.___________.._...
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL 1 NU U!,:I TS. . : I
TYPE OF USE=. . . . . :S1= NO. OF BUILDINGS. 1
I 1\1 S'T A L L T Y P'E. . . . :BUSWR IIAPERV SURFALE. : Sf
Remarks : FIATIA I
Owner: FEES
5UNBF-
-(-)I'll CONSTRUCTION CO type Amol.tnt by date t-ec-,pL
bE,.'t"'O SW WINDSOR PRMJ $ 2100. 00 PLL 01/15/93
INSPI $ 00 PILL 01/15/93
7'1GARD OR 97224
PItione #- 297-5930
(.,(JNIRAC r'OR NOT ON FILE
Phone #.- $ 21.35. 00 TOTAL
Reg it. .
REOUIRED INSPECT!01146
This Applicant agrees to comply with all the rules and regulations Sewer, Inspection
of the Unified Sewage Agency. The permit expires 18@ days from
the date issued. The total amount paid will be forfeited if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect J feet in all directions from . ....
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
11I,!i,niittee
1�1 P d IA y
L'all for inspec.i; ion 639--4175
C T T Y OF- TIC-4-IRD PECEIPT OF:' PAYMENT PECElf-17 No.
CIAECK AMOUNT a 5032. 41)
N1 Atli:_ t UNMEAM CONGTRUCTION CO. CA131-4 AMOUN F' im. 00
F'�i S; r 5630 SW WJNDSOR LClUr?T PAYMNT DATE. s 01/13
SUBDIVISION
PORTLAND, ON I--
t,IWPOSE Of- F7,0YMr-.,NT AMOUNT Pillf) P(JRPf.')GE OF PnYMENT 0:1MOUNT PAID
)LI"PINU PERM 4c'A. 00 Pl UMBING PERM 1:.32. 50
4-J-14ANICAL Pr. 40. 50 -3)1. BUILD PER 29. 7 t
i ON LJALCV. Pl. "4;3;. 7A SEWER USA 2t00. 00
(:WE-R INSPECT 35. 00 RE31DENTIOL TRAFFIC FF Era 13550. VKA
!flrq TRANSI-1 TIF- FFE:.',,' 110. ele PARK Eit)U
10P14 DRAIN GDC ;?80. 00
l f E t 14755 SW 80TH 0Vt-J41j,-:- M,.TL SWR9'13 --otj.o.'!o
TITAL AMOUNT POID tbkM2. 49
CVfY OF -rlcjARI.,) PECF'.APJ OF PnYPv1r.-.N"r REC-5 (PIT NO. a 92--'9:35156
(.1 lE.CK ApinUNT z 8.1,50. 00
NAME t SUNBEAM CON STRLICTION CASH AMOUNT A. 00
FSC D R r--5 S3 a 6JO9 SW NEVODA CT V-1i)'/MFh)T DATE z 11 30 9i'
G)U P 1)1 V T S I ON
PIC)PTLAND, OR 97i:7.119--
PURPOS ' Or CIPYMENT ANCUNT PAID PURPOSE CIF PPYMFNT AMOUNT PA I D
.4f-'R FF 00
co
uj
i..o,r 13 RAU-". MEAWWS
14155 �iW AO TM
TOTAL W)UNT P�Af) 010
1' PLNCK/RECT # _
CITY OF T I GARD Ii0125 ar4 Oregon 9322. —
COMMUNITY DEVELOPMENT DEPARTMENT g )639-4 97223 PERMIT # ��� �f,3 -
71
(503)639-4171DATE ISSUED
�- .2 S/� Z FC
JOB ADDRESS: � y �S'S �� -- TAX MAP/LOT
SUB: /F',:f 7�-, /I[eGtd�tvS LOT: / -3 LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: G C' e � r70-11, 0>-tREISSUE OF: —.—
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
C RACTOR APPROVALS RE U I RED
NAME: o-, S ylr`tte�4�'Le C= PLANNING:
ADDRESS: O S Cti ENGINEERING:
_ FIRE DEPT: _
PHONE: .z 9' 7_..x.93 6 /z fo OTHER: `fY
CONTR. BOARD #: 7 i EXP DATE: 1-3-- 93
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: /'�'C r ` Ir LIST/SUBCONTRACTORS:
MECH• t�,,-�S TAX: _ —
ARCH ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS: --- —
ADDRESS: __ OTHER: —
PHONE:
- PROPOSED BLDG. USE: — — — -
COMMENTS: — —
LD APPL CANT SIGNATURE
Date Received:
Received By: /� ��c�__L_
i
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
ru�710-432 00 Building Permit Fees 21 ,J f y
10-431 00 Plumbing Permit Fees 1,31•
10-431 01 Mechanical Permit Fees qo.
10-230 01 State Building Tax (5q)
Building
Plumbing
Mechanical . V3
10-433 00 Plans Check Fee v��3. 7K / z ^7
Building
Plumbing
Mechanical v► 1
10-230 06 Fire
30-202 00 Sewer Connection
0-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) +�rU
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF