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CERTIFIC.ATE OF
OCCUPANCY
CITY OF TI ,ARD i..,ERMIT #. . . . . . . 4
COMMUNITY rEVELOPMENT DEPARTMENT DATE IS)SUED.- 01/31/96
13125 SW Hall Blvd.Tigard,Or*gon 97223*811W (503)639-4171 PARCEL: 2S114AD--03600
3IT'E ADDRESS. . . : 1 66 34 SW 90TH Pl-
5
SUB '[VISION. . . . » WA',Jf7P1 Y Fc;TqTFs Z ON 1616 R I E,
. . . . . . . . . . ..
0.55
CLI'43S OF WORK. -INIE0
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OCCUPP11C�r, GRP. :5N
,XCUPANCY LOAD:
Ronarkso PATH J
("Ninerl
J ROTH CONST. I INC.
L25412' SW 66144
fIGARD OR 97224
Ohmic, #r 6.39-2639
ROTH CON13TRUCT.MN INC
101540 SW 68TH PARKWAY
f'TGARD OR ')72'23
::'howiu tia 639 -2639
"7efj #. 31.700
hila Certificate vants OCVLtpancy uf the OhOVe t"OferPticed bui Idinp ov, port ii
hereof and confirms that the bui Iding hAs been inspected ,filer (--()inpl Mance w0
he F3Latf� of 0t,epon Sr,:,erl
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des fov- the groupw-% occil'-folt-'y'
at'-d
1^--eferenced permit wAq issu�eji. fj
�ro f"' Or
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vm'r N ',-ONISP I CUOUSk PLACE
CITY OF TIGARD
COMMUkITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 07123.8199 (503)839-4171
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CITY OF TIGARD . . . . . . .
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COMMUNITY DEVELOPMENT DEPARTMENT 3 t rl'_
93125 SW Hell Blvd.Tigard,Oregon 9722398199 (503)639-4171
WANT tit ME. URE Lj,4TTS.--
FIXT.
EWELLIMG UNIT"-
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
(503) 639-4171
Jobsite Address: V,
Subdivision:
�'��.ot# Office Use Oni
!
Valuation 4 �: � _ PlanCk/Rec
io
Permit# 1f' 1 Z
Corner Lot? Y t� --
�u
Flag Lot? Y Reissue ofll
Map & TL#
Owner: J 1� � � �y� Approvals Reauired
Address: �.z�%(� �/� d _ Planning ^� _
- `y ewn! Engineering _
Phone:
Other
1
Ctntractor: Items Reg_w(red
Address: Subcontractors _
Truss Details
Phone: �.}� �, — Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors.: � Architect/Enginecr:
r�
~" Plumbing: o� � . . Address: _ ✓ 'i
Mechanical: 9L Gx,��r l l� rl�?� %'�.6�� rDrjrl �+�'
�;, (attach copy of current OR Contractor's License)
Ph-ne: /d
LL;
JOB DESCRIPTION: //—rT 1
App'icant Signatuot Phone nu ber
Received6by: , � It Date ReceNdd:
N 1WOR01 OMOCIME SAPP
'Permit# Account Description Amount Amt. Pd. Baal. Due
n15 KZ 32Bldg. Permit (BUILD)
Plumb. Permit (PLUMP)
Mach. Permit (MECH)
State Tax (TAX)
Bldg: Jv. C)
Plumb:
Mech: �7
Flan Check (PLANCK) Z71U(2• ys Z L�
Bldg: ' � ^�O
Plumb:
Mech: _ r Z _
�w2GZ 3 Sewer Connection (0,WUSA) 6f _ U
Sewer Inspection (SWI I;SP) 3
Parks Dev Charge (PKSDC) soc) Scl U
Storm Drainage Chg (SOSDC) _
Residential TIF (TIF-R) � - -/ Aj
Mass Transit TIF (TIF-MT) �
Commercial TIF (TIF-C)
Industrial TIF TIF-I)
Institutional TIF (TIF-IS)
d Office TIF (TIF-O)
N t Water Quality ONQUAL) _L�y _14-y_
Water Quantity (WQUANT,
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Plar.ck/COT (EROSN)
TOTALS: �j �/y `�� ( S -7 ; J
,int U/ Ud 45:34 NAIM35 WE Alan Moscoid Dvs,p l5U31 225ylliT
2258A
8Y
15' WIDE J.T. 'LOTH CONST.
SDE 141.0'
1"•3.0' —� CITY OF TIGARD
N 87'15'42" E WAVERLY ESTATES
z 5_4.17'�— LOT 35
_ _ 3
5121 F ,+/L'.E 8,3J4 SO. FT
LEGEND
PROPOSED
------ —�-
— � y' TRff TO KEEP
150.
` `` .• ,-� _ f ' 1. PROPOSED
;L 1 TREE TO REMOVE
EXIS17NG GRADE
P X52' 1 N — (2'INTERVALS)
152' --t-,150'
153N
o o _•_ RECRAri'
sr. (2'INIERVAIS)
LOWER.FLOOR P` cp £XISANG GRADE
1 EL.:153 0 • . Irm o -----
1 (10'INTERVALS)
ih MAIN FLOOR I RECRADE
�+ EL.:162.0'
(I D' WTERVu s)
cylO�� .
(n 1 ,��'` EXISTING GRADE'
\ , '(REGPIIXD PoRMN)
15
I GARAGE N
EL :161.0'
I 161,
lbV 9 p
;17`•10" 160'
4" CCNC
�\ DRIVEWAY ............
13500 PSI)
w
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N ............................................... ...........
N 89'58'41" F
__j 182.0' — � �_.. ... 18.00' .. ...._.... .. — ., 162.0'
4
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(/0)8/08/95 MRR
AtAN MA5^,0D DESiON ASSOCIATIS,NC \/
d NDr tMeTE FOn rHE ACCu+Acr OF OPOGRttiE �
TAPHY OOCAMAT" �T re TSE ME
NESPON394ltT OF THE OMDER TO VIAFY ORIGIN
• plE CONOITgMf,pC1U0N0 ANv Ell (_,�
,ACED ON THE Sit E AND KORM OWNERS
OF AV PONNTut MD MOWCAOM
A L A n /1AICORD DFf10n AIJOCIAIL ! InC C
1305 N.W 18TH AVENUE, PORTLAND, OREGON 97209 15031 225.9161 S C A L E 1 ' 2 0 ' 0
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
lospection:_
Footing Susp. Oeiling Sprink. Rough-in Appr/Sdwlk
Foundation Plby. Urderslab Mech. Rough-in Fireplace
st/_Bea— m Struct Pltg. 'top Out Elec. Rough-in FINAL:
st/Beam Mech. San. Sewer Gas Line Idyl
Ibg. Underfl Rain Drain Framing Aum'
Alarm Water Line Insulation
Underfir. Insul. Shear Wall Gyp. Bd.
Date Requested:._- _ S ' __Time: AM _�(,PM
Address.- " -
�f C� �l414
Builder: p
��_' G ��< Permit q:
� � �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insp ctor._ Date. J
APPROVED _DISAPPROVED APPROVED SUBJE T TO ABOVE
J
_Cali For Reinsp. >L'�E✓W2/ !/ 9
C:TY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec•O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp, Ci,iling Sprink. Rough-in Appr;Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drair, Framing -Plumb.
Alarm Water Line Irsulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. r—E e-CC -)
Date Requested: f' / Time: AM-- PM
Address:—
Builder:.TR,-- k Permit ft: E
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:` (C �r�_—t 'c Date:
__APPROVED :DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp. �)��
CITY OF TIGARD BUILDING INSPECTION NOTIC
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
OV 1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A r wl
Foundation Plbg. Underslab Mech. Rough-in Fire e
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bld(,.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: _ Time: AM / �' -�
Address: _
Builder. a 2 t.bt7L_ _._----Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ice
Ct/7`/rrS /ai
Inspector:, — Data:
_APPROVED VED APPROVED SUBJECT )O ABOVE
For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (pec-O-Phone): 639-4175 Rumness Phone: 639-4171
Inspection:_
Footing Susp. Ceiling SFrink. R-)ugh-in AppriSdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Lnderflr, Insul. Shear Wall Gyp. Bd. f��Lv lect.
Dave Requested: _ �° Time: /LpA _ PM
Address:'_ �^ y��� y � i�
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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H
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Inspector:_ ~��-� _ Date:_ '
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD SUltDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 639-417
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Unders!ab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainraminq \ Plumb.
Alarm Water Line a ion J -Mech.
Underllr. Insul. Shea-Wall Gyp. Bd. -Eled.
Date Requested— Time: AM PM
Address:
—7
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,tea;
��rn 7-0 �y W,
Inspector Date:
_APPROVED DISAPPROVED C-APR-ROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY Or TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Fooling Susp. Coifing Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Mach. Rough-in Firep,ace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain4Framin Plumb.
Alarm Water Line nsulation -Mach.
Underflr. Insul. �Shear Wali Gyp. Bd. -Elect
Date Requested: G Time: AM ;KPM
Address: L C;``
Bt7ilde�r c/— Z _Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
2,C X 2d ar/d
-7 ell
/�C (�L✓�r'cll?3;a /i Y /V</ CL:
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Inspector:_ _ Date.� ' 1�
`APPROVED -_QISAPPROVEC —APPROVED SUBJECT TO ABObE
For Reinsp.
CITY OF TIGARD BUILOINGINSPECTION NOTICE
Inspection Line (Rec-C-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Flee. Rough-in FINAL:
Post/Beam Mach. San. Sewer > 18'ti� Bldg.
Plbg. Underfloor Rain Drain ramin -�-�� -Plumb. i•
b.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. ••EIxt.
Date Requested:�1 Q/_,1"ince: AMPM
Address:
Builder: G/Ay,��!Lr-��'/� Permit #:
FOLLOWING.CORRECTIONS ARE FjEO IRE9.
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Inspector:! _ Date:
rAPPROVED � 'b"I'SAPPRROOVED _APPROVED SUBJECT TO ABOVE
'6aU For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4115 Business Phone: 639-4171
nW_p.,ction: _
t=ooting Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line tL -Bldg.
Plbg '',-derfloor Rain Drain Q__ r�amlr4 -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I ��C J Time: AM PM
Address: 6• -3 Ir ''1 4 r
Builder: i, i � Permit #: C-7 S_ C',3 0
1
FOLL NG CORRECTIONS ARE REQUIRED:
J72 I ZZA4 TLS i'-f
a5� (., UNS
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Jo Ile-k-" 50 i2y s.,,v.
.1AP3
LL1
-'!'/�'/217,�5�i't32irs�eiJ S,/'fz-'Z� T2c � lti
Inspector: Date:
_APPROVED _ ISAPPROVED _APPROVE,_ SUBJECT TO ABOVE_
SII For Reinsp.
/ �'Aw /+ 2_1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Plione): 639-4175 Business Phone: 639-4171
Inspection: M
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post'Beam k ech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: a,�e J JTime: AM PM
Address:_�(o(iG—
Builder: - ( u Permit #:
UE--FOLL01h"ING CORRECTIONS ARE REQUIRED:
�: C',�z/�c.✓� �i 5c>�,'�02� vn/i�-✓t /<</�. V/11l�YS
2
7 i vs�� S'C' wi�..� moo.,..T- i-x �jlc�.� A-V rt-�
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Inspector: _ Date:_ —
APPROVED ` �PPROVED APPROVED SUBJECT TO ABOVE
"�C�II For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE '~
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eloc. Rough-in FINAL:
Post/Beare Mech. San. SewerGas Lin -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Data Requested: /1 ,l Time: —AM PM
Address:��(a
Builder: ��.T. is��—u Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 �'J L7 S laC ht t— T— —
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Inspector: /', l — Date:
APPROVED DISAPPR:`VED ""-'7SPF'}7tWED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ShLar Wall Gyp. Bd. -Elect.
Date Requested:,_ 1 L — ��J ?5 Time:_ AM PM
Address:�j
Builder: 7.
2CO`J>q_Permit #: W2T IS _n3�
THE FOLLOWING CORRECTIONS ARE REQUIRED.
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Inspector:_ L�--- — Date:
__APPROVED _�UISAPPROVED G A� PPROVED SUBJECT TO ABOVE
`_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
1
Inspection Line (Hec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare Struct Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfioor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Ut nde-fIr. Insul. Shear Wall p. Bd .Elect.
Date Request d:_ // C Time: AM PM
Address:
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t--z <yy r- Co
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Inspector: " _ Date:
APPROVED DISAPPROVED ---APPROVED SUBJECT TO ABOVE
_Cali For Relnsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6399.1,
Inspection.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. ear �1f1 Gyp. Bd. -Elect.
Date Requested:_ I Z�,, ��� Time: A(Vi PM
Address:
Builder: Permit #: aq
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C/
cam. o ,dr._L7�1r�
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Inspector: --- Date: '/z
—APPROVED :APPROVED SUBJECT TO ABOVE
A./all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 41
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out �—Efec.Rough > FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall / Gyp. Bd. -Elect.
Date Requested: [1 ! -3, ( jam Time: AM I'M
Address:
Eluilder. Permit # C
IHE FOLLOWING CORRECTIONS ARE REQUIRED:
r?.
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Inspect Date
ROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Remsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171"
Inspection: J
Footing Susp. Ceiling Sprink. ugh-in Ap' Sdwlk
Foundatior Phg. Underslab Fireplaca
Post/Beam Struct. Oyu} ,) FINAL:
Post/Beam Mech. San Sewer Gas Line -BldJ•
Plbg. Underfloor Rair, Drain -Plumb.
Alarmater _ � Insulatior. -Mech.
Underflr. Insul. Shear Wall Gyp. Bd -Elect.
Date Requested:___jA,__Ld Time: AM PM
Address•
s
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1'
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Inspector. Date:1
PROVED DISAPPROVED _`APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:,
Footing Susp. Cei ing Sprink. Rough-in Appr/Sdw k
Foundation Plbg. Underslab Mecn. Rough-in Fireplace
Post/Beam Struct. I op Ou Elec. Rough-in FINAL:
Post/Ream Mech. an. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Lane Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 111 4, �� Time: AM PM
Address:��(t'
Builder: _ _Permit #:
THE FOLLOWING CORRECTIONS ARE REOUiRED: 1
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Inspector: -- Date//
APPROVED L—DISAPPROVED APPROVED SUBJECT TO ABOVE
_ Call For Rbinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
46 Inspectiun Line (Rec-nO•-Ph-one)/6�4175 Business Phone: 639-C4_Q�Q
Inspection• _
Footing Susp. Cei ing Sprink. r,uugh-in Appr/Sdwlk
Foundationlog. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
aJ erilo Rain Drain Framing -Plumb.
Alarm Water Line Insulation ch.
Underfir. Insul. Shear Wall Gyp. Bd. �'IFct.
Date Requested: � � Time: PM
Address:— / _3!V �' --�
Builder: Permit #: / U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
APPROVED _ PPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175/Business Phone: 63 1
Inspection:—
Footing Sus iling Sprink. Rough-in Appr/ Ik
Foundation Elbg. Underslap Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _1 ( Time: AM PM
n
Address: L ) t Builder: Permit Permit #: 2 fT-L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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J
Ins ctor: _ Date:1/2 A
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
4ate _Call For Reinsp.
CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6339-4175 Busiress Phone: 639-4171
CJ J �Cf
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslah Merh. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beare Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
(late Requested: 2�— Time:�AM PM
Address:-� �'�-'^1�1 Lj T
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
12 yo cl
,LO - - --
Inspector: Date;
_APPROVED _DISAPP OVED `APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
NOW
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O P one : 639,4Ph Business Phone: 639
Insppction:
Footint Susp. Ceiling paf ink. Rough-in Appr/Sdwlk
Foundation Underslab Mech. Rough-in Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam h an. ewer Gas Line -Bldg.
Alarm ,—va'terLin'e-
r am rai C Framing -Plumb.Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: ` --,) ! � Time: PM
Address: �L
Builder: C RC1— c�- Ce Permit #:
1-HE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. Dater: �, 4Z 51
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41-.
Inspection: /�—�-�I\ • U c)
Cf oo' SusF. Ceiling Sprink. Rough-in Appr;Sdwlk
t__tLv� Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: C �( 5 Time: AM PM
Address: (� ,CJ (?�Cti
Builder: co I Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_— —_ Date:
/1"APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECT!ON NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:`
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
undatigp Plbg. Jnderslab Mech. Rough-in Fireplace
Pcst/Beam Struct. Plbg. Top Out Elec. Rough-in FINAI-:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. I.3d. -Elect. .
Date Requested: r( /�/S Time• AM PM
Address: yZi
Builder: Permit 3•.
THE FOLLOWING CORRECTIONS ARE REQUIRED.
a
ti
V
LI
Insper:tor: _ Date:
—%PPRCri'ED `DISAPPROVED _APPROVED SUBJECT TC ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639.41175, Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab 0MecT,- Rou; i-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-ii FINAL:
Post/Beam NIRch. San. Sewer -Bldq.
Plbg. Underfloor Rain Drainam nc��(f L -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:: Time:_ AM PM
Address: /t, �.?� A1C 2 ...�' -
Builder.,_j(,j .3 - -3 �' Permit `/
>TJAF FOLLOWING CORRECTIONS ARE REOUIRED: j ,
or I: r
vP/Z2 T rte/Z.�r/i Ck= /7�t ^i a La-L -1rZ
H `
L
Inspector: r Date: 2 Y, -
APPROVED PROVED APPROVED SUBJECT TO ABOVE
=ICall For MaIM1 p.
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OF TIGARD 09/13/05
COMMUNITY DEVELOPMENT DEPARTMENT
131,^5 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 T-I q R C C L0 IG IZJ0
TE 16 ?,11 "'�W WITH r':r-.
Wc)VEPLY r.STi"V'OEZ ZONING: R--12
L 9T.
rAPPAGE DTsr0SALS. , J'
Jc-'E. GF WA _+t-ITNO MACH. . . . , . , 1 BACKFLOW PREVN
'.cUP(.d'4'"y C-"pp. 173 ')fRAII\n. . . . :@ TRPPO.. . . . .. . . . . . 141
n R I F-7s. . . . . . . . . WPTf-P HEATERS. . . . . . .. I CATCH nASINS. . . . . . . .0
- 1, 3F RATN DRAINS. . . .� . ; I
Y TURES-- LA!J1'.IDrkY TRAYS. . . . . . . C-3REASC TRAPS. . . . . . . .0
i\1v
r TI'r R FI'
1:]"31,10WERS. % SEWER LINE (ft)
i'iTER C'LarETS. . 7- WA`7,11 LINT f 1: :� . . . . It"
RAIN DRAIN d ft )
T P01"Il (70FMT. 114c TIF $ 00 jr"'",j 0,9 J 1 0'!, _.177,11+/i"
1 . oqi JT
T.40 SIA 681'H .3w) $ So )1) 09/1?/9:'
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40 JSn i?� 13/9S C)!-:--E70,'01
P(IRK 1 50?,,1b, 1210 �d!1) 1:7,/071 c)! -,-.'70
I1PRT $ 44. 00 J S,tj 09/13/97, 95-.0-7011
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95 -7'7044`
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CiTY OF TELECT TICAL PERMITIGARD PERMIT #: ELC95-0582
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/27/95
13125 SW Hell Blvd.Tlgard,Oregon 97223*8199 (503)839-4171 PARCEL: 29114AD--03600
ITE ADDRESS. . . : 16634 SW 90TH
.:)UBDIVISION. . . . : WAVERLY ESTATES ZONING: R--12
R!-rICK. . . . . . . . . . : LOT. . . . . . . . . . . . . :035
Pr-oj,?ct Description: PATH I
UNIT--- --- --- --TEMP- SRVC/FEEDER.S----- -----MISCELLANEOUS--- —-
101110
----MISCELLANEOUS——-
101110 SF OR LESS. . . . : 1 0 2,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . ' 4 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
------SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTI '_1
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. -.
Owner: ------------------------------ ---- --------------------- FEES
J T FROTH CONST. INC type amount by date rec,pt
J 25410 SW 6BTI-A PRMT $ 210. 00 JSD 11/27/95 95-2,73229
5FICT $ 10. 50 JSD 11/27/95 95-273229
TIGARD OR 97224
Phone #: 639-2639
Contractor-
TOPE ELECTRIC $ 1220. 50 TOTAL
PO BOX 840
REQUIRED INSPECTIONS
WOODPURN OR 970f'1 Ceiling Cover Elect' l Set-vice
Phone #: Wall covp�- Elect' l Final
R(.1.3 #. . : CL-1- '0'-2'
This permit is issued suhjeA to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialtv Codes and all other 1:1 e r m i i t '?P Si rgn at
applicable laws. All work will bi done in accordance with
aporoved plans. This permit will expire if work is not started
within 180 days of issuance, or if riork is suspended for more
thar 180 days. Is 'led y
OWNER INSTALLATION ONL1
The installation is being made on property I own which is not intended for
sale, lease. or- rent.
OWNER' S SIGNATURE- DATE:
V)
____.___----00K1TRACTOR INSTALLATION ONLY------------------------------
SIGNATURE OF SUPP. ELECIN: DATE:
LACEN SE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # ;L-r
Phone (503) 639-4171 Date Issued
T
CITY OF TIGARD FAX (503) 684-7297 Issued by
DD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address, 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed -
Address Service included: Items Cost(ea) Sum
City/State/Zip _ 4a. Residential•per unit 1 4
$ll000
r 1 1000 sq It or lose 110
Name (or name of business) T �oT iti Each additional 500 sq It or "
porion thereof $2600 4) 1
Limded Ens $25 00
Commercial❑ Residential(�-' `g'' - 2
each ManuTd Home or Modular
Dwelling `-
Service or Fender $B8 00
2a. Contractor installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
E lectricawaQ ntr actor (o pe— r �_ 200 amps or less $so 00 2
201 am
Address r O. —�4U rM to 400 em pa - $8000 �,. 2
401 amps to 800 amps $120 00 2
City T StateQQZip q�'j ! 601 amps to 1000 amps $18000 2
Phone No. Z.—� Over 1000 amps or Vohs $94000 2
Contract,)r's License No. Reconnect only $5000
Contractor's Board Reg. N0. _ 4c.Temporary Services or Feeders
Installation,allaration.or relocation 2
Signature of�`upr. Elec'n_ 200 amps or less $5000 2
License No. T00/-5 Phone N 201 amps to 400 amps $7500 2
401 amps to 800 amps $100 00
Over 800 ampa to 1000 volts
2b. For owner insta(lations: see•b'atxrve
4d. Branch Circuit"
Print Owner's Name F New,at a,ali--extension per panel
Address a)The lee for branch circuits with
City sate Zip
c — purchs"of service or Meder fee. 2
,
Phone N0. Fach branch arcus $500
b)The fee for branch circuits without
The installation is boing made on property I own which is purchase of service or Moder Me. 2
First branch circuit _ $3500 2
not intended for sale, lease or rent' Each additional branch circuit —` $500 I
Clwner's Signature u_ 4e. Miscellaneous
(Service or leader not included) 2
3. Plan Review. section (if required): Fnch Pump or Irrigation circle $4000 2
F.ach sign or outline I ghtmg $4000
Signal c,rcwt(s)or n limited energy 2
Please check appropriate item and enter . in section 5B. panel.alteration or extpnmon S4000
4 or more residanhal units in one structure Minor Labels(10) $100 00
r.,
Service and feeder 225 amps or more action oust
4t. Ear:h additional inspection 1-- —System ovar 600 volts nominal P
V) Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Peer inspection $3500
$5500
~'
�- Submit 2 sets of plans with application in Plant E55 00 whole any of the above '—
apply. Not required for temporary construction services. S. Fees: F/U
L17 NOTICE 5a. Enter total of above fees 7)d'
5%Surcharge(05 X total teen) I(��� e
PEnMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for C,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it requited(Sec 3) $ A-
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS t�S--u--++btotal $
E — _
COMMENCED Trust Account M
�G! ync
Balance. Due
$C.
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ELECTRICAL PERMIT
CITY OF TIGARD DPTEIISSUED: 11/27;95
COMMUNIIY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. 'ipard,Oregon 97223.6100 (503)630-4171 F'ARC.;EL_: r'S 114 AD-i�1;,E�0u�
3Il"E ADDRI_S S. . . 1f,63,4 SW 901 IA PL.
SUADIVI91ON. . . . . WAVERLY ESTATES ZONINC:: R-12
BLOCK. . . . . . . . . . . LOT. . . . :035
. . . . . . . . .
Project Description : Residential 3, 500 sq. Ft.
---RESIDENTIAL UNIT-.----. SRVC/FEEDERS----- ------MISCELLANEOUS---
1.000 SF OR LESS. . . . : 1 0 - 2Q)0 amp. . . . . . . : 12+ PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 5 201 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0
LIMITED ENERGY. . . . . : 1 401 - 600 amP. . . . . . . : 0 SIC3NAL_:PAN1=L.. . . . . . . : 0
IhANF. HM/ SVC/FDR. . : 0 601+amps--10010 volts. : 0 MINOR LABEL ( 10) . . . : 0
CC/F7EEDFR--- CIRCUITS._-__--_ __._.._AD1)' L INSPECTIONS-——
0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PE'R INSPEC'TION. . . . . : yr
Z:01 - 400 amp. . . . . . k"1 I. st W/O SRVC OR FDR. : 0 PI`R HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA AL D' L BRNCH CIRC- 0 1 N PLANT. . . . . . . . . . . : u7
G'vt 1000 amp. . . . . 0 _._._._.__.___.._.__.__.-___._.._pLAIV RF.JIE:W SI C-PION - -_.._._____.______. ._.__
1000+ amp/volt. . . . . . 0 ) =4 RES (.(NITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . 0 SVC/FPR > 2. '~ AMPS— : CLASS AREA/ 7f'EC OCC. :
Owner,: FEES
BL_AR ELECTRIC, type 'Amo+.tnt by date recpt
PO BOX 389 F'RMT It c?60. 00 CJS 11/27/95 951-273191
5PCT $ 1.:�. 00 CJS ll/C.7/95 95,--C-7;3191
DONALD OR 970L,0
0"'hone #: 503-670-1355
Contractor,.
BEAD ELECTRIC f 213. 00 TOTAL.
p'O E.a1X 389
REQ.0 I RED INSPECTIONS
DONALD OR 97020 Ceiling Cover- Elect' 1 Set-vice
Phone #: Wall Cover Elect' l Final
Reg #. . :
This permit is issued subject to the regulations contained in the _,__•__�__._�._ ____ _..______Y.__
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t ee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 190 days of issuance. or if wank is suspended f r morethan 180 180 days. I s s r_i e d By
INSTALLATION
The installation is being made on property I own which is riot intended for
sale, lease, or rent .
OWNER' S SIGNATURE:
DATE
_- --CONTRfa(.TOR INSTALI_•ATION ONL-Y---------_.____---____.___._.__.____
S I GNAT URF OF SUPR. ELEG' N: DATE e -a;7-9s
LICENSE 1140:
Call fore inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # c7.1
Phone (503) 639-4171 Date Issued ir- ys-
FAX (503) 684-7297 Issued by c",/�c. /r� S �•�,.�i
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 1./o6 3 y SW 9D PL tc" Service included Items Cost(ea) Sum
City/State/Zip /ls�20r 02ElroN F722-1-e 4s. Residential-per unit 4
Ao> 1000 sq It or lees $11000 /,9r 0 b
Name (or name of business) �. r 9 �f (dn1S R✓r ra^f Eachsddtierelf sq It or C
portion thereof �- $2500 /�
Commercial El Residential IRLimdod Energy �_ $2500 1g, o0
Each Manul'd Home or Modular 2
Dwelling Service or Feeder W8 00
2a. Contractor installation only:
4b.Services or Feeders
Installation,alleratiun or relocation 2
Electrical Contractor (otz 6LCL'-►z1( ItyL. 200 amps or less $6000 2
Aadress_ /',�, BoX 3 89 201 amps to 400 amps $8000 2
401 amps to 600 amps $12000 2
City Danw,s0 _ State ort _ Zip 9 70 av I 601 amps to 1000 amps $180 00 2
Phone No. 6 70 /Y S5' Over 1000 amps or volts $340 00 2
Cor,tractor's License No. go 24 -/07-.-7 Reconnect only $5000
Contractor's Board Reg. No•�Iio
2r24c.Temporary Services or Feeders
Installation,alteration,or rokwation 2
Signature of Supr. Elec' 200 amps or Iese $5000 2
License No. 2-7 3N 201 amps to 400 amps _, $%5 00
401 an.ps to 800 amps $10000
Over 600 amps to 1000 voile
2b. For owner Installations: :ret•b•above
4d. Branch Circuits
Pri- 'owner's Name_ _ _ New,alteration or extension per panel
Address a)The Ise for branch circuits wifh
City State Zip purchase of service or Areder W. 2
- Each branch circuit $500
I Phone No. _ b)The fee for branch circuits wllhouf
The installation is being made on property I own which Is purchase of service or Ander Ise. 2
First branch circuit $3500 2
riot intended for sale, lease or rent. Each additional branch circuit $500
Owner's Signat-ire _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle :4000 2
Each sign or outline lighting $40 00
Signal cimud(s)ur it hmded energy 2
Please check appropriate item and antler fee in section 5B. panat,alteration or PxIonsion $4000
4 or more residential units in one structure Minor I shale(10) $10000
_ Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 per'nsl""I'n" $3500
Per holo __ $5500
In Plnrn $55 00
Submit 2 sets of plaiis with application where any of the above
apply. Not required for temporary construction services. S. Fees:
NOTIC,: Sa. Enter total of above foes $ 76 b, Ov
5%Surcharge(05 X total fees) $ 737-7,
,
PERMITS BECOME" VOID IF WORK OR CONSTRUCTION Subtotal $ 77T. 00
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF Sh. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ x
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ W
COMMENCED ❑ Tn.1st Account k $
Balance Due $
r°rfvned�M�Mcym Af+
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone):639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. f
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. (--ErO- .
Date Requested: `-, Time: AM PM
Address: /(� i! ''� 7 L �` J�
Builder: I� �- `/, Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: `
Ic
— ;2, Lj
A =+l1
Ok
J Inspector: (C - C Date:
w
LL _APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
J
_Call For Reinsp. ��