16622 SW 88TH PLACE i
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-CITY OF TIGARD
COMMUNITY DEVEL,)PPPENT DEPARTMENT CERTIFICATE OF
13125 SW Hall Blvd.Tigard,Oregon 87223.8199 (503)830-4171 OCCUPANCY
PEPMIT #. . . . . . . s M sT94I1.►320
b 9_jt17.t DATE ISSUED: 12/01/94
PARCEL: 2S 1 14A0--14Etc1.t Q
ITE ADDREISG. . . : 16622 SW 38TIl PL.
.UBUIVISION. . . . : WOVERLY E';TATE`S 10NING:R- 12
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s016
CLASS OF WORD. :NC-.W
TYPE OF USE. . . :SF
OCCUPANCY GRP. :R3
OCCUPANCY 4
FENANT NAME-'. . . s
Rr.±mark;":
Owners
DAVE INMAN
139c1 SW SIST i;T
TIGARD OR 97a24
Phone #s 6£14-5947
C.;ontrartori; __ ........_._.... -__._.___.._._ ._. .._...._._ _._..._ .-_..___
MELVIN WAYMIRE
I"U BOX 231 164
TIGARD Clot 97281
Phone #: 639-6742
Reg #- . a 35976
Ol CkAp;alicy of the above referenced building is hereby given, and rer,tifies
he compliance with the State Of Oregon apec:ialty Irociws for the gr-o�_tp,
-cupancy, and use �.%nclrr whi-h the referenced permit wag iSSQeCl.
F.UILDING INSPECTOR BUILDING OFFICIAL
POST IN CONSP I rUOU S PLACE
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City of Tigard 3?el.leang Dq�paLrtaspt
13115 XU stall sled. Tigard. 97223.
Inspection Lina (Roc-O-Phone); 631-4175 usinsss Phgfses 639-4171
Inspections
Footing Plbg. Underslab Koch, Rough-in A r Sdwlk
p'p / ,
pound. Plbq. Top Out Etas Line
Post/Bea® Struct. Shn. 8swer +raming -Bl�
Post/Beam Kech• Rain Drain Inaulation
-Plunsb.
Plbq, Underfloor Hater Line Gyp, Bd,
Date Requesteds—
Times PK
Addreass l� Z 2 y ci /
h —. "spit
8ullders
"'Rt FOLLOWING 00"RCTIONS ARE RBQUIREDs
Inspectors
Dates /
ROY �%
. APROVtD MUBJRC! TO AmsPPOtD
Call For Rsl.nsp,
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at/l1gaA1 Stryct. r .ass LLing
San. Batir A1btAI,s C
•Io�t/ilaam Koch. YrAming
Rain Drain "D1d��,
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INSPECTION NOTICE
City of Tigard Building Depar,ment
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__,
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Past/Beam struat. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Iueulation -Plumb.
bg. Underfl Water Line gyp. Bd. -Kech.
Date Roquesteds— Time: AM PM
-Tal
od
Address: Permit 1: � _
Builder:— O—
THE FOLLOWING CORRE('TIONS ARE REQUIRF.J:
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Inspect rT Z_ nate t.
APPROVLD DISAPPROVED APPROVED SUBJECT To ABOVt
_Call For Peinnp.
INSPECTION NOTICE r
City of Tigard Building Departaent
13125 Sid Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639- "
Inspection: --
Footing Plbg. Undorslab Mech. Rougs-in Appr!Sdvrlk
Found„ Plbg. Top Out Gas Line
Post/Beam Struct. ,,an. Sewer Framing Bldq.
Poet/Beam Mach. Rain Drain Inst,.lation -Plumt..
Plbg. Underfloor Nater Line `=yp• n1• <-Moc
met — PM
Detre Req(seetads _TSMs�:1� � z� _--
Address: �k . G1� "^f'L hermit f s� -03
Builders _
TAE FOLLOWING CORRECTIONS ARE REaUIREDs
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Inspectors / c� ------- Date, /
APPROVED DTSAPPRCV7.D APPR(ri/ED SUBJECT TO ABOVE
Call !or Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Orerj:)n 97223
Inspection Line (Rec-o-Phone): 639-4175 I, eineee Phone: 639-4171
Inspection: d `- --—
rooting Plbg. Underelab Mech. Rough-in App,/Sdwl�
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Meeh. Rain Drain Insulation -Plumb.
MMA� Water Line �( Gyp. Bd. -Mach.
Date fwVnated:��, a S % / Timet A!! PM
Address.1SY1Q . 2, , ` Permit
Hullder•
TEE lOI.LOWIKG OORREC.TIONS ARE RAQUIRED:
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Inspector: L /7 l� �, __� — :late:1�__ _
APPROVED DISAPPROVED '09"OVRD SUBJECT TO ABOVE
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-13-Phone): 639-417: Buninean Phone: 634-4171
inspection:
Doting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
o`undy� P:bq. Top Out Gr,s Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor hater Line / Gyp. Bd. -Hoch.
Date Requested: '7// �f(i Time: AN 1 ;34,4
Ad�reses �D` ? _-_, ��CJ��-sG..�Fermit #em5rqy G03,2-c
Builders lU (v
THE FOLLOWING CORRECTIONS ARE REQUIRED%
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Inspect Dates'
APPRO\►ED DISAPPROV-tD y APPROVED SUBJECT TO ADOVF.
—Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inopection Line (Rec-o-Phone): 639-4175 Duainenn Phone: 6j9-4171
Inspection•____
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. 91n. . Framing -Bldg.
Pont/Beam Mech. ain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Reque/,ted: /� Tunes U;4ZAM PM
�7
Addrene / �& 7Zr ) / Permit EsQ & G t( '1
Builders
3 - -7-VZ_ -Z5_ -0
TBE FOLDMING CORRECTIONS ARE REQUIRED:
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Inspector:_ e -- —.-- Dates_
APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
1 Call For Reinsp.
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INSPECTION NOTICE
C;.tp of Tigard Building Departarnt
13125 s'w Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171
Inspect'on•__------ — ---_—_--
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain. Insulation -Plumb.
�bg. dnd-- erg fl or, i e� i�^/�/? / Gy-p, Bd. -Mech.
Date Requested: 1�! F' / Time: AM PM
Address:�(/ Z L- i"�('� r — Permit 1:
Builder:- 9�
THE FOLLOWING CORRECTIONS ARE REQL.KED:
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APPROVED _ _ DISAP"0v%D APPROVED SUBJECT TO ABOVE
C/Call For Reinsp.
INSPECTION NOTICE
City of Tigard BuildiAg Department
13125 SU Hall Blvd. Tigard, Oregon 97223
Insl.ection Line (/Rec--o-Phonh): 639-4175 Buoiness Phone: 639-4171
Inspection:w_
v
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Goo Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Underfloor`� water Line Gyp. Bd. -Hoch.
Date Requested: �( Time: ____AM (J_ 9 .� P11
Addrees:Y 7- (J �� ' Permit 1:_05TT 7f
Builder:_ �� 1 A (p
"WE FOLLOWING CORRECTIONS ARE REQUIREDt
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inspectort__ __�„l� �-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of 'Agard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspoction Line (Rec--O-Phone): 639-4175 Businene Phone: 639-4171
Inspection:___—__
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
PoeSan. Sewer Framing -Bldg.
Cog eam rtech_ Rain Drain Inealation -Plumb.
Plbg. Undorfloor Nat-er Line Gyp. Bd. -Koch.
2-1E
Date Requested: —Time: _ AM PH
7 L1 ,�//
Address: Z[ Y'k- �ermit !: 1. L.._�-3�U
Bu.lder: 6_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector: �✓` Date:! 7 V_
PROVED DISAPPROVED APPROV110 SUBJECT To ABOVZ
�1 __Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
131-2s SF Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Ph 9 171
Inspection:___��
Footing Plbg. Underelab Mech. Rough-in Appr/sdwlk
Found. bg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -•91dg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp.
//, ( Gyp. Bd. -Hoch. ,//J,��`'
Date Requested,
�C
_ ) / / ! 7 7 Timer _AM t1=--PM
Addreas:l� +
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t
_APPROVED DISAPPROVED APPROVED SvWxCr TO ABOVE
--Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone:VY-4171
Inepection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer rami'�� -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requea':ed.. �y� 17 Times AN ,�PN
/�/ �C��
Address: �!c't� ��- L_ SLL_1 `'f U IPI Permit
Builders ��� Y
TNF FOI.i.OWING CORRECTIONS ARF, REQUTRED:
Inspector: _ Dates' //`_" �V
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusineea Phone: 63(-4 1
Inapection:
F'.). ting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. P1 .
bg Top Out �\ Oea Line, FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Draln r i a Ton -Plumb.
Plbq. Underfloor Wdter Line (� Gyp. 8d. -Mech.
ba. (equested., Time: C� AM PM
Address:
/Fp9 2 P� fe�`Permit I, / T 63,1
Builder:—_ `_
THE FOLLOWING CORRECTIohS ARI.' REQUIRED:
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Inspectors _ bate:_— Y
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`call For Reinsp.
INSPECTION NOTICE
City of Tigard Building DepartsAnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639-4175 Busineee Phone: 639-4171
Inspection: _
Footing Mg. Underslab Mach. Rough-in � Appr73-cTwTTc
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
?ost/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested:_ 1��� T1ANt AM
Address: l/ r� �) C $ /fit- -�'pKi111k #t��`"-
Builder: _
TTIF. FOIJA:)WING CORRhCTIONS ARE RRQUIRED:
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Inspectors
APPROVlO DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE 1
City of Tigard Building Department
13125 611 Hall Blvd. Tigard, Oregon 97223 /
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underolab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet./Beam Struct. San. Sewer Framing -Bldg.
Poet/Seam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor waters Line / -Nech.
Date Requested: �C% Z U l �� Times AM _PH
Q �
Lddreast%11(4 2 !] l 11'r&4� Permit 1:
Builder:
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
---�C�T� S/yE�'U+_ KG.)Cr�< /�c.✓C1 �/ T/c'G M
CA-1
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Inspector: _ _ Dates��_���/�'./ '
1PPROVED DISAPPROVRD _ APPROVP.D SURJRt'1 7o ABOVE� /q
Call For Reinsp.
unified
.i sewerage
agency
155 N. First Ave.. Suite 270 EROSION CONTROL INSPECTION REPORT
Hillsboro, OR 97124 —
(S43) 6.48.6621 or (5031 640.3558 Permit # : -I Q
� '����___
ns ector': )1 \ ►,)c Phone # :�9'�
aI
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Inspection D
te : -� P
Site Address :-
-� (ij�rl.'l_ JW__
i Lot # :_ I '� _
Subdivision:�40a -A ��T-1"I 42 _ ,L
owner/Builder : MI WA� r" rL-Y' Phone # : 7
EROSION CONTROL DEFICIENCIES
�1NF) �—���'---'�' '� LL�N � '�1'3(���►� �('F'2CTi�'�
L
_a ►���T ��2ce �N r'�r_r e)QQSE9 0011 Lar ►s
- V t✓[��'Crlx� cv 2 ►a►'15 ��rz�ov n �'c�•� --
-A>✓;-s Pf> c a�„� 2 - ,-�- ,ate- of
( ) PRELIMINARY NOTICE. Please comply with above recommendations within the
specified time and call 648-8621 or 640-3558 for re-inspection .
( ) ;'HIS IS A NOTICE OF VIOLATION OF USA EROSION CONTROL .RESOLUTION AND
a ORDER 91-47 . Please make all necessary corrections within the specified
time frame and call for a reinspection. Continued failure to comply with
v, the terms of this inspection report will result in the issuance of a Civi '
citation, stop work order , or termination/suspension of permits , as
~ described in USA Resolution and Order 90-63 .
J '
proved : _ _ — Date : Time :
LL!
( ) i sapprover� Date : Time : _
-� ( FINAL INSPECTION: � Date : Time :
Note : Upon completio of construction, the owner/builder shall be responsihlr
for requesting a final erosion control inspection to determine compliance w, `
Appendix 1 of USA Resolution/Order 91-47 .
White : ( Prelim) Owner/Bldr Pink : Inspector Yellow: ( Final ) Owner 'Rld ,
F CITY nF TIGARD PLUMBING PIERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PiERMIT #. . . . . . . :
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 DATE ISSUED: L19/02/94
FIA17CEL: ES1140A-WE.018
`31TE ADDRESS. . . : 16622 SW 88TH PL
'-;UBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 18
CLASS OF WORK. . :NEW GARBAGE DISPIOSALS. . : l
l'YP,E OF USE. . ,, . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F-1REVNTRS. . : 1
OCCLJP,ANCY GRP'. . :R3 FLOOR DRAINS. . . . . . . .ID TRAPS. . . . . . . . . . . . . ..IZI
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASfNG. . . . . . . :0
I':-f X TURES--------------- LAUNDRY TRAYS. . . . . . : I SF RAIN DRAINS. . . . . : 1
13INKS. . . . . . . . . . : 1 GPEASE TRAF'S. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 10QI
T 7)1--IWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
i-tniarks: PATH I
OWNER: ----------------------------------
DAVE INMAN TIF $ 1550. 00 JF 09/02/94
15921 SW 81ST C7 BPRT $ 520. 50 JF 09/02/94
BP'LC $ 338. 33 JF 08/12/9b- 94--255530
TIGARD OR 97224 B5P,C $ 26. 03 JF 09/02/134 -
Flhone #: 684-5947 SEDC $ 280. 00 JF 09/02/94 -
PIARK $ 500. 00 JF 09/02/94
FIlUmb1C fit rart or: MPIRT $ 43. 50 JF 09/02/94
MPLC $ 10. 88 JF 09/02/94
Name
h rV7,o,).-7j J M5P,C $ 18 JF 09/02/94
1A JLf --
Address : rld-- 3BTH $ 225. 00 JF 09/02/94
(:j.t y - 5 t a L P5F,C $ 11. 25 JF 09/0;2/94
Zip-. —Plhone#: EROS $ 64. 00 JF 09/02/94
Peg Additional fees not shown here. . . . . . . . .
--kiations contained in the Tigard Munl.cipal Foot/fol..tnd Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Incl:.)
other applicable laws. All work will be dont! Post/Beam Meehan Appr/Sdwlk Insp
in �-:icuordanCe with approved plans. 'This Plm/undslab Insp Mechanical Pinal
permit will expire if work is not started PLM/Underfloor Plumb Final
within 1.80 days of issuanceg or if work is Mechanical Insp BUildiny Final.
suspendeJ for more than 180 days. P'lUmb Top Out Erosion Control
Framing Insp
Fireplace Insp
Gas Line Insp
Insulation Insp
LLIGyp Board Insp
-j
tthorizea P'Tu '
mbing Contractor Siqnatl.-tre
Call for inspection - 639--4175
Lur,Lractor Notes :
CITY OF TICARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)539-4171 MASTER PERMIT
PERMIT #. , . . . . . . M 3 T 9 40,3,2 0
I DATE ISSUED: 09/02/94
1 1
41RCEL: 2S114O(:)---WElZ118
SITE ADDRESS. . .. . 16622 SW 88TI-1 PL
SUBDIVISION. . . . : WAVERLY ESTATES ZONING: R-12
BLOCK,. . . . . . . . LOT. . . . . . . . . . . . . 113
BUILDING
REISSUE: DWELLING UNITS: I BASEMENT. . . . . . . . :0 s
CLASS OF WORK. :NEW BEDRMS:3 BATHS-3 GARAGE. . . . . . . . . . :470 sf
TYPE* OF USE. . . SF FLOOR AREAS------ ---- REQUIRED SETBACKS-____._.._---.
TYPE
ETBACKS------------
TYPE OF CONST. :5N FIRST. . . . : 101 1 s LEFT. . :-j ft RIGHT. :5 fk.
OCCUF'(.)NCY GRP. : R3 SEC'OND. . . :95 4 Sf FRONT. .c'O ft REAR. 40 ft
STORIE.S. . . . . . . :2 FINBSMENT:O s f REUU I RED-------
HF*IGIAT. . . . . . . . :24 ft TOTAL--.-__-_: 1965 Sf SMOKE DETECTOR',3. ,-,Y
FLOOR LOAD. . . . .'40 psf VALUE. . . . . $: 134704 PARKING SPACES— : 1
PATH I
PLUMBING
SINKS. . . . . . . . . . . 1 FLOOR DRAINS. . . . :111 BACKFLOW PRT_*VN T RS. I
i-AvATORIES. . . . , :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SH6WE.1S. . . . 'L-" LAUNDRY TRAY15. . . : I CATCH BASINS. . . . . . . .0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . ..0
DISHWASHENS. . . . : 1. WATER LINE (I:t ) . : 100 OTHER FIXTURES. . . . , :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
wnsi-ZING MAC11. . . . 1 3F RAIN DRAINS. . : I
MECHANICAL FEES
I UEL TYPES—- UNIT HTRS. . :0 type amol-tylt by date r,ecpt
/GAS/ VENTS :A TIF $ 1550. 00 JF 09/02/94
MAX 1NPUJ',O BTU VENT FAN',". . -4 1.3 r_`R T $ ;20. 50 JF 09/0_/94
FURN ( 100K . . : I HOODS. . . . . . : .1 BVILC $ S138. 33 JF 08/12/94 94-2555,30
FURN ) =100K . . :0 WOODSTOVES. :0 B5P'C $ 26. 0:1, JF 09/02/94 --
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JF 09/02/94
BOIL/(--MP < 3HP:O 01-IIE13 UNTT5: 1 PARK $ 500. 00 JF 09/02/94
GAS OUTLETG: 1 MF::'RT $ 43. 50 JF 09/02/94
Ownev- : $ 10. 88 JF 09/02/94
DAVE INMAN M5PC $ 2. 18 JT7 09/02/94
1759�_.'l SW 81ST CT 30TH $ 225. 00 JF 0 9/0 C*:-'/94
P5PC $ JF 09/02/94
f bo RD OR 97224 EROS $ 64. 00 JF 09/02/94
Phone #: 684-5947 ERPC $ 20. 80 JF 09/02/94
C0T1t)-aCt0t-: $ 20. 80 JF 09/0r.-.1/94
MELVIN WAYMIRE
PO BUX 2 11.64
TIGARD OR 97281
Phone #: 6,39--6742
J
Reg #_ : 35976
3613. 27 TOTAL
AJ This persit is issued subject tc the regulations contained in the REQUIRED INSPECTIONS
.J Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foi.ind Insp Fireplace Insp
applicable laws. All work will be d-ne in accordance with approved Post/Beam Gas; Line Insp
plans. This peroit will eynire if work is not started within 180 Post/Beam Mechan Ins,-ilation Insp
days Of iSSUAFICO, or if von is suspended for sore than 18 days. [.'Ir/igcJslaYInsp Gyp Boar-d Insp
,
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171
SEWER CONNECT'ION
PERMIT
FDERMIT #. . . . . . . : SWR94-0290
639-4171 DATE IS:3UEI.). 'V�1/02/94
P,ARCEL: "�S11-40A-WE018
SITE ADDRESS. . . : 166"R-2 SW 88TH PIL
SUBDIVISION. . . . . WAVEtl%LY ESTATES ZONING: R-lc*-*'
BLOCK. . . . . . , . . . , LOT. . . . . . . . . . . . . t18
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . .
CLf)SS OF WORK. . . :NEW DWELLING UNITS— : 1
'rYF-,E OF USE. . . . . :9F NO. OF BLJILDIN63: 1
INSTALL TYPE:. . . . :BUSWR 1:MP'ERY SURFACE. f
Remarks : PATH I
Owner :- FEES
DAVE INMAN type A m o,,t n t; by diat e t-er-pt
15921 SW BIST CT PIRMT C-200. 00 JF 09/02/94
IN.�P, 33. 00 JF 09/02/94
T1(-3ARD OR 9722,.4
Phone ff: 684-5947
Contr-actor:
CONTRACTOR NOT ON FILE
------------------
r1hone tt a 22'35. 0121 TOTAL
Reg
-------- REUUIRED INGFILCTIONS
This Applicant agrees to comply with all the rules and regulations Sewev- Inspection
of the Unified Sewaae Agency. The permit expires 180 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 3 feet ii, all directions from
the distance given. If not so located, the instalit, shall purchase
a -ap and Side Sewer" Permit and the Agency will install a lateral.
LD
Call for inspection 639-4175
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CITY OF T I GARD RECF:'I F'T OFF PAYMENT Fth.A. :F I P I' NO. 19 4--2 555-- ►h
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WAIVE RLY F t3'F'Ai-F'S LOT' 16
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Residential Building Permit Application < <�Y C)
City of Tigard
13115 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171 �Y
!� 1 2-
Jobsite Address:
Subdivision: Waverly Estates Lot# 18 Office Use Only
Planck/Rec
Valuation• H30 c,
r- Permit# L)7 ff l e 5z-e/
Corner Lot? Y -
i Reissue of
Flag Lot? Y (may
Map & TL#
Owner: _naye & Cheryl Tnman Approvals Required
Address: 15921 S.W. 81st Ct. y
Planning Lf f,
Tigard, OR 97224 Engineering
Phone: 684-5947 _ Other
Contractor: Melvin . Waymige, Jr. Items Required
Address: P-0- Box 231164 Subcontractors
Tiggirri, OR 97281 Truss Details
Phone: 639-6742 Other
Contractor's license # 35976
r
(attach copy of current Oregon license)
Contact Name & Phone: Met Wa ai (639-6742)
Subcontractors: Architect/Engineer: Alan Mascord Desian Assoc.
Address: 1
Plumbing: Harmon P.iumbin ,3Q5 N.W. lQth Ave. , Portland 97209
Mechanical: General Furnace _�W
L
(attach copy of current OR Contractor's License)
Phone: 225-Y i
J
cc
JOB DESCRIPTION: construct single-family home - Pi-'IH 1 _
w nJ i
i
Applicant Signatur Phon umber
Received hy, _ Date Received:
N 1WORMCOMOEV MAPP
r + At;(.vuiiL � ,--L,U61 Amount Amt. Pd. Bal. Due
/I15ty Ute ` Bldg. Permit (BUILD) 5*2,v )7)
Plumb. Permit (PLUMB) �� - a Z - C�
Mech. Permit (MECH)
State Tax (TAX)
Bldg:. c!
Plumb: !/• 2.i�
Meech:
Plan Check (PLANCK) :2t3l
Bldg: 33 33
Plumb:
Mech:
—`4 RL--u 'l Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) C2 If-V e2b-t�
Residential TiF (TIF-R) i(/—;u 3��
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
N Water Quantity (WQUANT)
�- Fire District (FIRE)
J
m Erosion Cntrl Permit (ERPRMT)
co
Erosion Planck/USA (EPPLAN)
Erosion Planck/COT (EROSN) 4.0
�,
TOTALS: �vN Z7 v �; ?