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14755 SW 84TH COURT s� I„ • A p /Wc 14 735 SW SA/ ovoi;!7, eD. I:Vecords\microflnl%targe(3\1)uifdirig.doc I� CITY Cr:TIGARD BUILDING INSPECTION NOTICE Inspection Line�(R-ec-O-Phone) 639-4175 Business Phone: 639-4171 / l Inspection: iw — Footing .usp. Ceiling Sprink. Rough in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elac. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Dr-.;,i Framing -Plumb. Alarm W,.ter Line Insulation -Mech. Underflr. Insul. Shear W:.;; Gyp. Bd. -Elect. Date Requested ^ Time: AM PM Address: S� � Builder: — Permit #�� ` THE FOLLOWING CORRECTIONS ARE REQUIRED: J O� M nspector:� Date: _ APPROVED _,_DISAPPROVED APPROVED SUBJECT TO A3OVE Call For Reinsp. INSPECTION NOTICE city of Tigard Build--ng Department - 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-417'i Buoineon Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Apprr/Sdwlk Pound. Plbg. Top Out Gas Line (r NAI.: Poet/Beam Struct. San. Sewer Rrami.ny -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. A& Date Requestedt1r/ 3 /�j` /�-�- Timet .. ..AM(� ^QPM Address: / J7ys_�� C] l_iCi Perm(i'�t� /3() ? 2-o- I 2C 3 THE FOLLOWING M:IRECTIONS ARE REQUIREDt AF Inspector: _ - -_— Date: r_ _le V7, A PPROVID — DiS'tPPROVEn APPROVED SUBJEC" TO ABOVE Call For Reinsp. .r 01Y CSF TIGARD � COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orogon 97223.8188 (503)839.4171 PLUMBING PERMIT F'F_'RMIT #. . . . . . . : PLir194--0-230 639--41.71 DATcr ISSUED: 10/10/9/1 PARCEL: 2S 1 11:PC-••01700 SITE PDDRES S. . . : 1,(4753 53W 84TH CT SUBDIVISION. . . . : HAMEiACH PARK ZONING. R--14. 5 BLOCK. . . . . . . . . . . . . . . . . . . . . . , : 1 CLASS Or WORD.. . :NE-W C ARPAGE= D i:.TPOSAL..S. : MOBILE HOME SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 1:.-I..00R DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . I ST'ORIES. . . . . . . . : WATER NEATERS. . . . . . . CATCH BASINS-- - LAUNDRY ASINS. . .L_AUNDRY TRAYS. . . . . . e SF RAIN DRAINS. SINKS. . . . „ . . . : URINALS. . . . . . . . . : GREASES Tf :SPS. . . . . . . . L_AVATORIES. . . . . 0T1-4EmR F IXTURES,. . . . . TUB/SHOWERS. . . ., SEWER LINE.' (ft ) . . . . : Wn'7ER CLOSETS— WATE=R LINE (ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . Reinar^ks : INSTALLING BACKFLOW PREVENTION DEVICE=S Owner: IhflUD MiUDERE=:MAN type Amol.rnt by clan: recpt , 1475b SW 84TH CT PRMT $ 15. 00 BLT 10/10/94 5PL;T $ 0. 75 BL.T 10/10/94 TIt�ARD UR 9722-4 Phl.rne #: 639-6715 Conti-actor: C'ON T UUR L_ANDCCAP I NG INC 12485 SW TOOZE RU SHE::RWU0L) OR 9'7140 __.-----_-----___--.___.___._–_....__---_-__— Ph on e #: 682-1302 $ 15. 75 TOTAL Reg #. . : 5698 REQUIRED INSPECTIONS – -------- This permit is issued sub)ect to the regulations contained in the T'op–oi_rt Insp Tigard Munlripal Code, State of pre. 5oer.ialty Codes and all other F :.nal inspection Applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more r than 180 days. r.'e r in i t t r e S i q at tl r e Call tot- inspection – 639-4175 r� CITY OF T I GARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tlqard,Oregon 9722398199 (503)639-4171 1-,L.L1MB114G PERMIT PERMIT 4. . . . . . . : PLM94-0231/il 639-4171 DATE- I6qLJED: 11211/ 10/94 S I G--0' 7 0 QA PARCEL. *1-2 S I TE ADDRF SG. 1.4 ,55 SW 84TH CT SUBDIVISION. . . . : HAMBACH PARK Z(1NT1,:Li- R--4. 5 BIXICK. . . . . . . . . . : LOT. . . . . . . . . . : 1 CLASS OF= -WORK, :NEW Nrt GARBAGE DISPOSALS. MOBILE HOME SPACES. TYPE OF USE. . . . :13F WASHING MACH. . . . . " . 4 BACKFLOW PREVNTRS. . 11 OCCUPANCY GRI--,. . l:R3 FLOOR Dr!AiNS. . . . . . . : TRAPS. . . , . . .. . . . . . ! STORI,17.S. . . . . . . . .. Wi;'TEFR HEATERS. . . . . . .I CATCH BPSINS. . . . . . . : F I X!-(2RES-----"- LAUNDRY TRAY,. . . . . . : SF RAIN DRAINS. . . — ' SINKS. . . . . . . URINALS. . . .. . . . . . . . . a GREASE TRAPS. . . . . . . L()VnTORIES. . . . . OTHER FIXTURES. . . . . TUB/SHOWERS. . . . : SP WE LINE (-Ft ) . . . . WATER CLOSETS..: WATER LINE (ft ) „ . . . DISHWASHERS. . . . : RWN DRAIN ( ft) . . . . : Rema—ks : INSTALLING BACKFL-OW PRF-VENT10114 DEVICES Owilel-: FEES MAUD MODDEREMAN type amot.mt by LIAte I-ecpl 14755 SW 44TH CT PRMT t 15. 00 BLT 10/10./94 5PG"i $ 0. 77 ni-T 10/10/94 TI(-JARD OR 97224 Phone 4: 639--6715 Cont;rLm-^tc)r,: CONTnUR L.11NDSCAVING INC 12'485 SW TOOZF RD SHERWOOD OR 9714LA Pht.11-1s, 4: 68d-- 1302 15. 75 TOTOL Peg #. . - 5698 REQUIRUE) INSPECTIONS Thit peroit is issued subject to the reg,flations contained in the Top--cli.tt Tnsp Tigard M_�iicipal Code, State of Ore. Specialty Codes and all other Finml Inspection appli,able laws. All work sill be done in accordance with approved plans. This pewit will expire if work ji not started within 180 days of imance. �r if 4ork is sljgprnded for #are than 180 days, I=-lei-mittet- 'S i a t tr,e " Gall fov- inspection 639-4175 .:, 4- . w. C411Y OF TIOARD - RkCFAP't OF* PAYMENT Rf-1'"EIP*l NO. r 94- 61-1544 CHECK AMOUNT r .5. lb NAME i COW."OUR Ls)WiCAPING GASH Aftl(AINt r 0. 00 H 1)D R ES S a 12465 SW 10WE RD PIA'('MF'N'l I 1E4 I E. s 10/ 1O/94 !JLJIAD I V I h 1.UN SHF RWI..)01), DRUA-IN 97140-- 'URPOIBE OF PAYMENI AMLA-JN T 4'141 1) 1II-IRPOSI-1. OF 1:,,AYr4.--Nl AMOUNT PAI 1) r. 11-4 T 70114. AMOUN"l PAID 15. 75 City of Tigard PLUMBING Pli.�MI`i' ArPLICATICN Planck/Rec. # 13125 SW Hall Blvd. Permit # i jJ Tigard, OR 97223 (503) 639-4171 MINIMUM $25.10 PERMIT FEE + ST. SURCHARGE New Single Famlh/ Residences Only """' >► 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$19b. Job �� S �, ; �� _ , 0 3 BATH HOUSE$225.00 Address saran. a. ree includes .11 plumbin^ f tares in the dwelllnn and the first ?00 feet I ' r' of water service, sanitary sewer and storm sewer. See fees below. '«"'""'��""'«" r-;,'"1RES QTY PRICE AMT ✓" r Sink 9.00 Lavatory 9.00 Owner .4�>1 Tub or Tub/Shower Comb. 9.00 a Shower Only 9,00 Water Closet 9,00 Dishwasher 9.00 NIM"Ad*- Disposal 9.00 Occupant Garbage Washing Machine 9,00 Floor Drain 9,00 Water Heater 9,00 Laundry Room Tray 9.00 Urinal 9,00 i ,2 /_✓!�� J;„_ i, L ,I Other Fbrtures (Specify) 9.00 ,ontractor 6 t 9.00 1 y E S�c. o c? ,= ►� .3„ ,. 9.00 9.00 Sewer l sl .00' 30.00 go""'a"'d""` Ca+'a"`•T.N. Sewer-efl Addit. 100' 25.00 ` f . Water Service let 100' 34.00 i hereby acknowledge that I have read this applkat cn, that the Water Service ea. Addit 200' 25.00 1 0 'nro-nadon given is correct, that I am the owner or authorized agent of _ the owner, that plans submitted are in compliance with State laws, that Storm b Rain Drain 1st 100' 30.00 I am registered with the Constniction Contractor's Board, flat the Storm &Rain Drain Addit 100' 25.00 number given is correct. (I!exempt from State registration, please give reason below.) Mobile Home Space 25.00 / Baca Flow Prevention Device or Anti-Pollution Device 9.00 Any Trap or Waste Not _ Connected to a Fixture 9.00 Describe work new addition Q alteration Q repair U Catch Basin 9.00 to be done residential Q non-residential Q Insp. of Exist Plumbing 40.00/hr Specially Requested Inspectlons 40.00/hr N Existing use of building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention I davices 15.00 Proposed Use of building or property '(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL j 1. PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PIAN REVIEW 2541e OF SUBTOTAL TOTAL Special Conditions _ Date issued by j CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 11125 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)839-4171 F'L.UINBING PERMIT PERMIT f#. . . . . , . : PLM94-0180 DATE ISSUED: 08/29/94 PARCEL: 2S 1 12BC--01700!' SITE PDDRESS. . . : 14755 SW 84TH CT SUBDIVISION. . . . , HAMBACH F'ARN ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 CLOSS OF�WORK. . :NEW T GARBAGE DISPOSALS. . : MOBILE 110ME SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : t 9C"CUPANCY GRP. . : R3 I-LOOK DRAINS. . . . . . . ;; TRAPS. . . . . . . . . . . . . . : -ITORIES. . . . . . . . : WATER HE CATCH BASIIJS. . . . . . . : LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE 'TRAPS. . ,, . , . ., LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUE;/SHOWE:RS. . . . . SEWER LINE (ft ) . . . . : WATE=R CLOSETS. . : WATER L_I NI. (ft ) . . . . : DI.SHWASH,'. <S. . . . : RAIN DRAIN (ft ) . . . . : Remark's : INS'T'ALLING BACKFLOW PREVENTION DEVICES Owner, __.__---____.__._._.___.___._._...____...---..----...__...___.......___.___..._---.__..-- FEES •____w___._._.__.__ MAUD MODDEREMAN tYpe 'amol.lnt by elate recpt 14755 LAW 84TH CT PRMT $ 15. 00 BLT VAS/29/94 5PC1 $ 0. 75 BLT 08/="3/94 T I CARD OR 97224 (-'hone #: 839--6715 Contractor: AL SII-VLRS "'209121 5 HWY 213 OREGON CITY OR 97045 PI-ione it : 17:3 --65{35 $ 15. 75 TOTAL Reg #. » : 5197 _..__.....______. REOUIPED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection -igard Municipal Code, State of Ore. Specialty Codes and all other applicaole 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 _ ____J___��• __.__ �- than 180 days. V) a i m J. L t e e S i. n a I_1 r e f ..-...._._.«�_._ .._.__._.._ _._.__._...._._......-..� Call for inspection - 639-•4175 -M CY1Y OF TICORD -- RECE.IVI Of" PAYMENT RECE I P7 NO. 94-,x.156101 CHECK AMMNT 15. 75 NAME a SIEVERS, AL CASH AMOUNr a Ia. 00 'ADDRESS 82090 SW HWY PAYMENT MI I k a 08/P9/94 SUBD I V 18I ON URI'UUN CI UY OREBUN 97045— 08E 7045- 08E OF PAYMENT �IMUUW PAIL) PURPUFit: 1W PAYMEN I AMOUN I P1411) r. UMPINO PERM 1 115. 00 si . Bull.-D P1___R 0. 7.5 Ln Lo TITIM.. AMOUNT PAID t°j. 75 ,City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEC + r r. SURCHARGE New Single Family Residences Only 7 Job �j j��' IL C31 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.OG ❑ 3 BATH HOUSE $225.00 Address / nr Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water serv:,;e, sanitary sewer and storm sewer. See fees below "•""'°`"•m'°'°Mni°" FIXTURES QTY PRICE AMT N Sink 9.00 """"�"�10i'• __.°"a'• I_avatory 9.00 Owner [� An E_ Tub or Tub/Shower Comb. 9.00 Shower Only 9.00 7 A iN11C Water Closet 9.00 Dishwasher 9.00 Garbage Disposal 9.00 Occupant M.Ny Ad&- Rnaw Washing Machine 9.00 Floor Drain 9.00 aw""' alp Water Heater 9.00 Laundry Room Tray 9.00 Urinal 9.00 f T �6 V EW (0 3 `�d Other Fixtures (Specify) 9.00 M.rq Aea«• Phan° 9.00 Contractor /!rj L-)I 9.00 9.00 Sewer 1st tOC' � 30.00 S'•'•Ripf4itlonNo. Sewer-ea. Addit. 100' 25.00 Water Service 1st 100'_ 30.00 1 hereby a&nowledge that I have read this application, tnat the Water Service ea. i�ddit. 200' 25.00 information given ;- rrect, that I am the owner or authorized agent of the owner, that plats submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 1 am registered with the Construction Contract)r's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Bay Flow Prevention Device or Anti-Pollution Device 9.00 °"•° °•"�'°�'"" °Ni Any Trao or Waste Not Connected to a Fixture 9.00 r _ Desci be work new (Rr' addition �alteratlon Q repair 0 Catch Basin 9.00 to be done residential O non-residential Q Insp. of Exist. Plumbing 40.G..,hr Specialty Requested Inspections 40.00/hr Existing use of - - building or property _.0 '4-1 �` ��-� Rain Drain, single family dwelling 30.00 Residential backflow prevention oev;ces I 15.00 Proposed use of building or property *(Except residential backflow praventlon devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZFn IS NO'l COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED FLAN REVIEvv 25% OF SUSTOTAL TOTAL Special Conditions Date Issued - by