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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENr ij%
13125 SW Hall Blvd.Tigard,Orogon 9722398109 (503)630-41
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CERTIFICATE OF'
CITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST93021E
13125 SW Hall Blvd,Tigard,Oregon 97223.8199 '(503)639-4171 DATL ISSUED: 08/10/93
PARCEL: 2GI12BD—RM024
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I'';. A D 1)R E.S S. . . : 1,4814 GW 80TH AVE
SUBE)IVISION. . . . : PAZE MEADOWS NO. 2 ZONING:R-4. 5
BLOCI... . . . . . . . . . 3 LOT. . . . . . . . . . . . . ..024
:LASS OFr WORK. ;WWI
� YPE OF USE. . . i .)F
JCCUPANCY GRP. :R3
liCCUPANCY LOAD P124 4
1 ENANT NAME. . .
.remarkst PATH
Owners
L)W,',' CON,5T. INC
P 0 BOX C'-'3454
.['IGASRD OR 472i�'2
Phonc #: 639-668.1
DWD CONTRACTORS1, INC
P 0 BOX 23454
; 1unpp OR 97281
Phone *- 639--(1881
Peq #. . 2 41203
Occupanvy of thin above referenred building is hereby given, and certifies
ilie cnmplianc,� with H-ie St4cite Of Orceqor) Specialty Codes for the group,
occ,upAncy, and use cinder which the referenced per-Pitt was issued.
E. ARTMCNT: 1)1 N(3 PELTOR
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POST IN CONSPICUOWi PLACF
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INSPECTION NOTICE
City of Tigard Building Departsant
1_3125 SW Hall Blvd. Tigard, Oregon 97123
Inspection Line (Rec-O-Phone)t 639-4175 Bus ineus Phone: 639-4171
Inspections
Footing Plbg. UnCerslab hech. Rough-in Aper/adwlk
Pound. Plbg. Top Out Gas Line IV
Post/Beam Structs, San. Sewer Framing
Post/Beam he,.:h. Rain Drax Insulation -Plumb.
Plbg. Underfloor Water Line
� Gyp. Bd. -Koch.
QtJ
Date Requaateds ((3 I Times _ Ah PM
Address:!TI1'Dt1Permit Is 17"
Builders C✓.W ��l �
THE FOLLOWING OORRECTIONS ARE RECUIREDs
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Inspectors Date:
`APPROVED _-` DISAPPROVED APPROVED SUBJECT TO AA"OVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departawwt
13125 6!1 Hall Blvd. Tigard, Oregon 9122
Inspection Line (Rec-O-Phone): 639-4175 Business 9-4171
nspection:__
Footing Plbg. (nCarslab ^Mech. Rough-in App=/Bdwlk
Found. Plbg. Top Out (las Atna lllptL!
Poet/Ream Struct. San. Sewer Framing -13l
Post/Ream Mech. Rain Drain insulation
Plbg. Underfloor water//--Line Gyp. Bd.
Date Requested: L/� Tiv-�t AM PM
Addreas s � T6 t l(1 �-1J1
Permit #s
�
guilders C _1 1 0
THR FOLLOWIMG OORRRCfIONB ARE RRQUIREDs
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Dates_ /J
APPRSwn DIRAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
,L"fg7--:CTTgN NOTICE (7�
Citi of Tigard Building Dcpartmmt
13125 Btu Hall blvd. Tigard, orrvon 97223
Inspection Line (Rec-O--Phone)t 639-4175 Business Phone: 639-•4171
Inkoection•_
footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Found. Plbq, Top Out Cas Line FINAL:
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Po t/Beam Mech. Rain Drain Insulation -Pltunb.
Pibg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requeste/dt _/^ Ll Timm; y M{ pX
Addroan: Iq (/J� PFermit #t
Builder:._,i7 W '�
The POL.T.OWING CORRECTIONS ARE REQUIREM
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Inspeatort_ _ Dates
APP'tOVED DISAPPROVED APPROVED SUBJECT i'O ABOVt
Call For Reinap.
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t1SPECTIO1q NCTTC6
City of Tigard Building Departaent�
1.31;- SW Hall Blvd. Tigard, Oregon 9723
Inspection Line l.tec-O-Phone); 639-4175 Business Phones 639-4171
Inspections,_
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbp. Top Out Gas fine FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. ;lain Drain Insuiation -Plumb.
Plbg. Underfloor Water Linooj yp,d. _Koch.
Date Reques(tjodds_ (�' I 13 I �,TA�s AN PM
Addresss i-I Dq L�U� -- Permit 1r
Builder.:
THE FOLLOWING ODRRECTIONS AAE REQUIRED:
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1 Ins tt r _ Date:
APPROVED nISAPPRoVBn APPROVED SUBJECT TO ADOV=
—call For Relnsp.
NSS ECTION NOTICE , I
C1ty of Tigard Building Depart—i-
13125 SN Ball Bled. Tigard, Oregon 97223 F
Inspection Line Rec-O-Phone; a 639-4175 Business Phone: 6 - 71
I nspec::ions
pootinS Plbg-
lnderslab Mech. Rough-in Appr/Sdwlk
Found. Ylbg. Top a'i:
C.as Line FINAL:
post/Beam BtrnCt. San. Sewer
Framing -Bldg.
Insulation -Plumb.
1Poet/Beam Mph, Rain Drain \
C Gyp. Bd. .. 1 -Meeh.
Pibq. Underfloor Nater Lina
Date Rocs,esteds
Permit t►
Address:_; '7 O
I
Builder: --
THE FOILOW14G CORRECT IONS ARS REQUIRED:
I nr,prctor s
— Dates
\ Apl aov D -- DISAPPROVED __ AYPROVSD SUB.IE TO AD("'f
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rnc-o-Phone)- 'S39-4175 Business Phone: 639-4171
Inepection: (_ ,L)V C.ry
Footing Plbq. Underelab Mach. Rough-in Appr/Sdtrlk
Pound. Plbg. Top Out Gas Line FINAL-
Post/ttexm Struct. Sen. Sewer Framing -Bldg.
Post/&•-jam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Hd. -Koch.
bate Requested: [ Timet QQ AM pM
Address: permit s
THE rOLLOWING COMMONS ARE REQUIRED:
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LDH
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Inspectorf1
1
AFPROVED DIpApp110M1►lD "r ROVED SUBJECT To ABOVE
__call For lleinap.
INSPECTION NOTICE
City of Tigarvi Building rmq actupent /
13125 SW Ball Blvd. Tigard, Oregon 97223 `
Inspection Line (Rec-U-Phone): 639-4175 BusineaN P 39-4171
Inspection:
Footing Plbg. Underelab Rech. Rough-in Appr/Sdwlk
Found. Plbg. Top :iut Cas Line FINAL:
Post/BStruct. San. Sewer Framing -Bldg.
et/Bwam
Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Plater Line Gyp. Bd.
Date Requested: J 3 Time: 7�
Address: ��1 J� 'L/ z 4 - Permit #I
Pullder: r�l.f•.�_f `-
THE FOLLOWING CORRECTIONS ARE RBQU-,RCD:
/�,A-/
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Inepecter __ Dacey
_"PROVE) DISAPPROVED APPROVED SUBJECT TO ABDVE `
Call For Reinep.
INSPECTION !!QT CE
City of Tigard Building Department
13125 Slf S4L21 Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phones 639-4175 Duninesa Phones 639-4171
Inspections
Footing Plbg. Underslab �VAch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Lo�s__Line FINALS
Post/Beam Struct. San. Swwer l -Bldg.
Post/De" Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Mach.
Date Requeatedt )�I I �� ___Times AN PM
Addresst 'A c[D 4 fCY 1Permit is
Builders14_
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Dates �
_APPROVED DLSAPPROVRD APPRO"D SUS.LECT TO ABOVE
--Call For Reinap.
INSPECTION NOTICE
City of Tigard Building DepartzKmt / ✓�
13125 SW Ball Blvd. Tigard, orogon 97223(
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_— —
Footing Plbq. Onderslab Mach. Rough-in Appr/Sdwl.k
FINALt
Found. ` .,-Plbg. Top Out ) Oa[ Line
Poet/Beam Struct. San. Sewer Framing -Bldg.
poet/Beam Meeh• Rain Drain
Insulation -Plumb.
Plbq. Underfloor Water Llne aYP• Pd.
-Koch.
�? - AM �P11
Dais Reque[teds •_ __Time: -,
Permit
Address%--,
Builder:-1 - ---"—
THE FOLLOWING CORFtECTION,.j AIRF REQUIRED(
—_— —_- �-._.ate--•
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LL __.-. ._ ��► - --_._._..
Irepector: _ ---- -
Pate
AY Roan I)ISAPRROVI9 APPRUVAD BU TO As t
7&11 For Reins.. +•�t
INSPECTI(2M 1!OTP�-79 �l
City of Tigard Building Department.
13125 BW Ball Blvd. Tigard, Oregon 97223/
Inspection Line (Rec-O-Phona): 639-4175 Business Phone: 639-4171
Inspection:___,
Footing PU q. Underelab Hoch. Rough-in Appr/Sdwlk
Found• QM9. Top Out cies Line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
i'Lbg. Underfloor slater Line Gyp. Bd. -•Nech.
Date Requested:i_ Time= AM PH
Address t-^� J Permit f I�L—
TH6 YOLLONINO CORRECTIONS ARE REQUIRED:
—_ Evict'7l'- �i'C ,�) C./ � /> /, l
J
Date: 4
APPROVED bTSAP, ROVED APPPOVED BUIi.TECT 40 PBOVE
_Call For Reinsp.
aae�allalYYarM—ate
INSPECTION NOTICE
City of Tigard Building Department
13125 Aft Ball Blvd. Tigare, Oregon 97223
Inspection Line (Roc--O-Phone): 639-4175 Business Phone: 639-4171
Inspection:— _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL-
Post/Ream Struct. Ban. Sewer Framing -B1:ig.
Poet/Beam Mech. in Drain Insulation -Plumb.
------------^1
Plbg. Underfloor Line Gyp. Bd. -Mesh.
Date Requested: Times AM PM
QJ
77`4 4 c �7
Address: «� Permit #t_>,�
Builder: `/lzll /i`
f
THR FOLLOWCNG CORIECTIONS ARE RRQUIRED:
RR
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Inspecto : Dates` �)
P O P
AP R VED DJ3APPROVED _ A PROVED &UBJRCT TO ABOVE.
cell For Reinsp.
NSPEGTION JLCMICE
City of Tigard Buildiarg Department
13125 SM Ball Blvd. Tigard, Oregon 97223 Y'
Insrection Line (Rec-O--Phone)t 639-4175 Business Phone: 639-4171
Inspection:
Footing P1bg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Meeh.
i7
Dete Requestedt _-!14 `Time AN PM
Address t tL4"' G//Z7 , [3 Le l _ _ PerrAit +! 4S
Buildert
THE FOLLOWING OORRFCTIONS ARE REQUIRED!
7
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m
Innp"cto[!
APPROV3D -� DISAPPROVED APPROVED StrR.IECT To A.'_091!
—Call For Reinsp.
INSPECTION NOTICE T
City of Tigard Building Departasnt
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phones 639-4175 Business Phone: 639-4171
Inspection:
\K-f--Oting Plbg. Underelab Mach. Rough-in " Appr/Sdwlk '
Found. Plbg. Top Out Gas tine FINALS
Pout/Beam 8truct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Natter !ine Gyp. Bd. -Hoch.
Date Requsstedt_ J t)—'�--j Ti b�/� 7►! PM
Addresst_f
Builder:,_
TBE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspector)
' 11PPAOVEd i DISAPPROVED APPROVED SUBJECT 7b ABOVE
Call For Reinsp.
CITY OF T I GARS
-COMMUNITY DEVELOPMENT DEPARTMENT p[I Ril 1-1, -41. 1)
13126 SW Hall Blvd.Tigard,Orogon 9722398199 (503)839-4171
DATE I SEAJF':'j} k6 4 "','7 9,1
14 1)D R L5'�:i 148 14 .i 8 k,t'l 1-1 'A Q L F-1 il i C'L L LII I b D
IV ISION. Ri:4LE MEADOWS NO. 12' ZONINGS R-4. 5
LOT. . . . . . . . . . . . . .
BU I L D I NG
3 U.- I)WELLING UNITS: 1 BASLMENJ. f
L:Li-r:;S OF WOF0:.. .NEW VILDRMS r.2, BATHSgE GARAGE.. . . . . . . . . . c 529
'ri' Uf,' LJSL . . :. .6C ("LGIM HRE4G _ fir-OW RED
OF GONS-f. 5N FI R6 1'. 1889 sf LE"FT. 15 ft RIGHT. :t5 f.L
UCCUV441*40Y GRP R-2 LSECUIND. . ..0 s 1: FR u kn'. w f h I t E A:t. C,VI I'I
STO R I E.G. . . . . . . .. 1
TH I RD. . 0 f RE0U1RLD------
I't 10 1 AL —: 16C.9 sf 113)M 0 K E D E r E0110145. :Y
F'LiJUR LOAD. . . . .40 psf VALUL $ . 9b416 PIA Rk ING ,,PACES. . I
. . . . . . . . . j FLOOk Ui(AINS. 0 bACA-IFLOW l1RU-.VNTRS. 0
WOTER HE"A T'ERS. t 1 . . . . . .
JiUWLR . . . . Z' LOUNDRY 11 41YG. . I bASINS 0
0, UCLOSEIS. ., 5EWL'R LINE tft) . :0 GREASE TRAP'S. . . . . . . a 0
WOTER l..Il`4L ( i`t ) . : 100 OTHER' (; 1XTIJr4ES. . . . . :0
DIbP. I RAIN DRAIN (f`t) . ;VA
,;F RAIN DDA I;,418. . I
Mt: ...... FEEL,
0411 HTRS. . :0 type a m a un L by d a t,e r-ecpt
b fA IS V LN I . . . . . .0 'TIF $ 1461+.I. 00 JH 04/�7/r.,S
i u-I JYI LJ VL'N'l F� WUY. . .:3 B P"R I t 4":
Siz-WLR C"UNNECTION
CITY OF TIG�A►RD �.[JZMI'T'
-COMMUNITY DEVELOPMENT DEPARTMENT #. . . . . . . .
13125 SW Hall Blvd,Tigard,Orogon 9722398199 (503)639-4171
o, ':r 4 1"1(4 7 E 1 0 4
-Er ADDRESE. . . 14614 SW 80141 AVE: Pr4RCEL ca I c:Bl)-Rlvor
L Jx: D I V I SI QN. . . . c RALULE PlEtWUWS NO. kp:; 1P
. . . . . . . . . . . . . . . . . . .OL4
4NT NAML. . . . .
... . . . . . . . . . . F I X TURE LIN I fb. . .
I..illblb OF WORK, . . NEW DWL:I_LINE; jjj'I 11,
YPIE OF� USE. . . . . :SF NO. OF DO I LD I NGS- 1
M3114;LL, Tot-:. i3uswr� iyli.:,LRV SURi'PC;L-1. . f
PATH I
FEES
INC t Ypie Anloitnt by date p
`4
BuX iL:3 4 j 2100. 00 JH 04/;:'7/93
If P1 S 14 D 00 7 .";2
TRACTON 11407 ON iLE
44:
REOUIREL) INSPLQ11ONLI
is APpilcant agrees "o rasp)) voith all the rules and regulations 'iEdwWr" In prpr_f acre
the Unified Seoafe Agency. The pet sit inpirF5 180 days frta
date itsueQ. The tot&, amount paid wil bF forfeited it the
mit expires. The Agency does not guarantee the accuracy of the ----------
-A sewer iaterals, if the sewer is not locatec at the aeaju),pmf:%*,
tie installer shall prosperi 5 ;W in all direczioits frog
r distance giver. If not so .'ocatedt the instailti shall pulnRse
Jap arr, bide Soar` Permit and t 1 111stall a lateral.
!.jriat .n
cr
At-al I f Qt' 1nSI)frC%t i On 63' -41 /5
ca
CITY OF TIGARD RECEIPT OF PAYMENT RECf_IPT NO. s 93 39436
CNF CK AMOUNT r 15037. 59
NAME : DWD CONTRACTORS CASH AMOUNT s 0 o
ADDRESS t PAYMENT DATE a 04/,:-'7/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
424. MO PLUMBING PERM 50
MECHANICAL Plf: 40. 50 ST. BUILD PER 29. 8(1
PLAN CHECK FE 35. 73 SEWER ULSA P-100. 00
cc SEWER INSPECT 35. 00 PARI".-" SDC 500. 00
CD STORM DRAIN 8DC 280. 00 RE61DENT IAL TRAFFIC FEES 1350. 00
Lu
MAtiS TPANSTT TIF FEE-"S 110. oel
I-OT oAL,4 Qn7E MFADOW(-3 I [
10414 SW 80-11-1 AVE
TOTAL AMOUNT PAID 5037. 59
CITY C)F TICARD RECEIPT OF V'AYMFNT RECEIPT Nn,
1,HECK AMOIJN,r , 00
N F:111 E- a JDWD CON"rRAt.,,i-ope CAS!l AtIOUN't c 0. 00
A pl)I)R
D D R(-SS a PAYMrNT DATE : 04/12/9"1
t"IJBD I V 101 ON
I PURPOSE OF !')IYIC)LJIqT PAID PURPOSE OF PIPYMENT AMOUNT PAND
F* 50. 01A PLAN CIAF.CK r-r- 00
cn
4
JI
')ND RAZE, IIF-Pljuws It
lu'I'vil_ AMOUNT 0AID 500. 00
CITY OF TI GARD 13125 SWHall 111v& PLNCK/RECT #
COMM UNITY'DEVELOPMENTDEPARTMENT TprckOmson9813 PERMIT # �&5f�,3_04,
(503)63"171 DATE ISSUED
JOB ADDRESS: 141&1`1-5W. Fe)� Cut. � TAX MAP/LOT �%S l�2_ F3_ --RM_Q Z
SUB: _11o"c /l7,Q LOT: "*9L Ll LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: — l�GucgCxz. REISSUE OF:
ADDRESS: f_o- -e-5 - LAST REISSUE:
57,7Z2 3 FLOOD PLAIN/ --
PHONE: 5'(1 SENSITIVE LAND: `
CONTRACTOR APPROVALS REQUIRED nUg c7/.
NAME: - L�� -- —� PLANNING: w.ld- oe- lNl--
ADDRESS: 'Ad 3ys-y-- ENGINEERING:
, �fJ 97Zz 3 — FIRE DEPT: _
PHONE: OTHER: 'r/r
CONTR. BOARD EXP DATE:
ITEMS REOUIRED
SUBCONTRACTORS: PLUMB: / � / J�.rc _ LIST/SUBCONTRACTORS:
MECH: ec & _ BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: — TRUSS DETAILS:
ADDRESS: OTHER.
PHONE:
PROPOSED BLDG. USE:
- COMMENTS:
Qe�_
APPI-ICANT SIGNATURE
Received By: -` Date Received:
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees 2,1, r
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees �� _ (� Sti
10-230 01 State Building Tax (5%) 91 rY6 '/ _ ��• �'�
Building
Plumbing /.
Mechanical _V, o3 %
10-433 00 Plans Check Fee o��) • �3
Building
Plumbing
Mechanical
10-230 06 Fire
i
0S 30-202 00 Sewer Connection
30-444 00 Sewer Inzpection 3� I
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 / ' =" /.SSU
2.5-448-05 Mass Transit TIF Fees lio ` 0
52-449 00 Parks System Oev Charge (PDC)
31-450 00 Storm Orainage Syst Oev Chrg /
(SSOC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
J
n ``�
TOTAL
��:1 £f�• s � JAZ s�j
nm/3587P.WPF