11324 SW 91ST COURT .r. ..�,..>..,... . ,w>.�....
I
1
11324 SW 91ST COURT _ j
CITY OF TWA RCEPTIFICA7E OF'
c.OMMUNrTY DEVELOPMENT DEPARTMENT �oN � OCCUPANCY
43125sw;Wie.rd. P.O.43aocr.43m.tiyn:d,Or@W,9=(603)80&4475 PERMIT 4#. . . . . . . : MST91
DATE ISSUED: 06/02/92
51 TE ADDRESS. . . t 11'3,:.4 `31J 91ST CT PARCEL : I G 135Dii -(37i:
EUPDIVISION. . . . : DAKOTA L;RCIVES ZONING R-4. 5
CLASS OF WORK. :NEW
TYPE OF U3E. , . -93V
GCCLJPANrY GRP. :R:3
CCUPANCY LOAD: 1 16 4
rEhIANT NAME. . . :
iiemairkS : admit. meter c:dl a t a M V limit `i or• less pper vir:ary Staff
llwnev-
ICNL.Y -ROPIERTIF:r;
i,O BOX 414 I
1 I I L.L,BORO OR 97123-0000
clhone 0. 503-640--1645
TENI_Y PROPERTIES
PO BOX 414
14Il,l-SAOR0 OR 97123-0000
01con4e N: f,93--0185)i
Reg *. . : 5j.'51 1
Occupayic:y of the above refet-enCed hUildi.sig it hereby ijiveny and cep^tifies
the compliance wil:h the ':tate Of Oregon Spe+.ialty Code% for the
+��Cc^upanc..y, and c. SP under which the referenced permit wAs is4uNd.
F T RE DEPART,Mr--NT �/�" y 11-DING 1 Nib)FCTr'jt r
-_. -....__..-- RLJlL_DIN OFFICIAL- ~_
POST IN CONSP I CI.!C dq PL-ACE
s, �•
INSPE(10 NOTICE
City of Tigard BuildL)g Depart--L
13125 SW Hall Blvd. Tigard, Oregon 9727.3
Inspection Lina (Rec-o-Phoue): 635-4175 Busineas Phone: 639-4171
Inspection:_ —— - —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Ont Gas Line F�IIII.I,_
Poet/Beam Struct. Sar.. Sewer Framing
host/Beam Mech. Rain Drain Insulatl.on -Plumb
Plbg. Underfloor Nater tine Gyp. Bd. -Hoch.
Date Requested: �� ^��.� _Times -7 PH
Address: �1�L �� Permit
Builder?—.--
THE
uilder?—._THF FOL1C41T4G OORRECTIONS . REQUIRED:
a --
Date
` APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Relcap.
II7¢PECI'ION NOTI<<y
City of Tigard Beildiag nal.artsent
13125 B1$ Bell Blvd. Yi..;erd, O.•agon 07...23
Inspection Line (Rec-O-=hones 639-4175 Huni-nese Phone: 639-4171,
Inapections '-
Footing Plbg. Und,arslab Aech. Rough-in Appr/Sdwlk
Found. Plbg. Tor Out Gas Line FINAL$
Post/Beam Struct, dan. Srw$ar Framing -Bldg.
Poet/6hdm Mach. Rain Drain Insulatlo,8/Z� . ,--Plumb.
Plbg. Underfloor Water
Une Gyp. Bd. -Koch.
Date Requested:_ C� / Z� _, Times A / PM
Asldrevn � - l} L / Permit #sL!
Builder:
THE FOLLOWING OORRBcfIONfi ARE R]WlydtDs
Inspector$�A Dates_' / 2--- —
APPROVBD _v DISAPPROVED APPROVED SUBJECT TO ABOVC
__Call For Reinsp.
IN MR
J.pSPECTION JiC`TICE
City of Tignr•d ®uild}asq Department
131:25 Sit Bali Blvd. Tigard, orogon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 5?J-4`.71
Inspections-_-,_ ----_— _- - —
Footing Plbq. Underelab Hoch. Rough-in Appr/Sdwlk
Found. PlbS. Top (Nut Gas Lire FINAL:
Pout/Beam Strx-r+ . San. Sewer Framing �Bl.dq. -
Poet/Beam Hoc Rain Drain Insulation (`�, PPllumumb•
Plbg. Underilc Water Line Gyp. Bd. -Mach.
J �� 'CLQ-_--Time:�� N
Date Requested. /
Perm --- 7
it e-,f T
Builder:
THE FOLLOWING CORRECT'ONS ARE REQUIRED: Q
if
r
Y e
r
7
Inspectors _ Date: 1 -
APPROVED DISAPPROVED h7PROVRO Sr)BJECT TO ABOVE
�� Call for Reinap.
INSPECPION N . ICE
City of Tigard Building Depa.rts=ent \\\S
13125 Sq 4all Bird_ Tigard, Oregon 97223
( Ioe on Line (rx,
Phone): 639
Business Phone: 639-4171 —
-pact
Footing bg. Underslab Mech. Rough-in Apl�/Sdwlk
Found. Plbq. Top Out Gas Line FINAL=
d
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Pearn Mech. Rain Drain
insulation -Plumb.
Flbg. Underfloor
Water Line Gyp. Bd. -Mech.
AM
Date Requeeted:•� Time= PH
� - _
Address:
��� L �7 P.rmit t= tea
,
Builder:__. - —
THE FOLLOWING COR9SCTIONS ARE REQUIRED:
Date: / ' /
inspector:
�--
11PP':nVit DISwP U APPROVED SUBJECT 7O A':.'•
Call For Reinep.
1-77
I f4 sPnc'rxola no'i're
<-�
City o2 Tigard Building ne+..+M10Mt
13125 64 Ball Bled. Tigard, Oregon 97223
:,.r+ection Line (Rsc-O-PhonR): 639-417t) Bueineea Phone: 639-417i
Inspection:_-_ — --
Footing Plbg. Underslab Mech. Rough-in Appr Sdwlk
Found. Plbg. Top Out Can Line FINAL:
/ - .
Poet_/peam Stract. San. Sewer Fr ening Bld
Poet./Beam Mech. Rain Drrin
Inaulation -Plumb•
pxbg. Undarfloo:' Water Lilyna Gyp. :ld.
-Mach.
r1e,_ Zr AM PM
Di:'.e Requee�_ed: —
T isle tAddreser J, .� --
f/ Permit i
Buil ier-
THS FOLLOW'iMG ODRRE • ARt RiQItIP.6Dt
Inspector: - ,_ batet�
APPAOVRD DISAPPROVED J_ APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTIo"- NOTICE a
City of Tigard (Building Depart:sect
13125 5N Hall Blvd. Tigard, Oregon 17223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_--� --
Footing Plbg. Vnderalab Mech. Rough-'n Appr/Sdwlk
Found. Plbg. Top Cut Gas Line FINALS
Poet/Peam Struct. San. Sewer Framing -Bldg.
Post/Beam Mecl- Rain Drain InsuLation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Neth.
Date Requested: 4,/r'O � -� Time: -X- AM PH
Address:�1 L C f Permit A: O
Builder: �-
THE FOLUMING CCRRECTIONB REQUIRED:
_— -- — -
in-spwctor:/ _ �^ Date:
/ APPROVED DISAPPROVED APPROVED SUBJECT TO PBONE
Call For Reinsp.
INSPECTION NOTICE }
City of Tigard Building Department 1
13125 BW Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Unders!%b Mech. Rough-in CAppr/jJ"d�-Ik 1
Found. 'Olbg. Top Out Can Line FINAL=
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mesh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: a / _Times
1�
Aadr.sa= t! �7/� 7' permit 4/� �r� .� L
Builder: ---f'
ThM FOLLOWING CORRNCTIONS(k4a CORRECTIONS( REQUIREDs
C
AIA
h1t Y1 t
Inspector: Gi �� C�-Le nate: G_
�APPROVlD IRAPP D APPNOVlD SU6'aCT TO ABOVE
'���Y all Fsr Mainep.
IMLAVIRAUTJ
INSPECTION NOTICF.
City of Tiq rd Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phans): 619-4175 Business Phone: 679-4171
Inspection: --
Footing Plbg. Underelab Mesh. Rough-in Appr/Sdwlk
Found. Plbg.. Top Out Gas Lind FINAL:
Post/Beam Struct. San. Sewer 7rami.ny -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Oypp -Meeh•
Date Requested: "T - � 1 -� � Times
A.:dreas: 1 72- ^i Permit is 1 S
Bu 1ldor:IQ o -Z_
TI4F FOLLOWING CORRECPIONS ARE REQUIREDs
Inspectors---
AP} (► DISAPPROVED APPROVED S:IBJRCT TO ABOVE
Caa1 For Ralnap.
I
INSPECTION NOTICE
City of Tigard Building Department
13125 SN hall Blvd. Tigard, Oregon 97223
Inarection Line (Ree-O-Phone): 539-4175 Business Phone: 639-4171
Inspection -—
Footing Plbg. Underslab Mooch-.. Rough-in Appr/Sdwlk
Plbg. Tc p Out Oaf I�in� FINAL%
Found. _
Post/Beam Struct. San. Sewer eramin -Bldg.
Post/Beam Meeh. Rain Drain neulatLgn -plumb.
Plbg. Underfloor Water Linc ) Oyp. Rd. -Koch.
D,ir.e Requested:_ ��^— -.X,—AM —��PM
Permit #s
Builder: ?t
THE FOLLOWING (MRRECPIONS REQUIREDs
G �
_
Inspector:_ J Date: ! I,_
APPROVED DIS1A7C.11ror
VED APPROVED SUBJECT TO ABOVE
Reinsp.
I
:awrearaz+awumxw..+u�:.,�au,
INSPECTION NOTICE 463,9,. .4'1'7,1 City of Tigard building Department
13125 SM Hall Blvd. Tigaicd, Oregon 97223Inspection Line (Rec-O-Phone): 6.39-4175 Busineee Phone
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Moet/deem Struct. San. Sewer / Framing -Bldg.
1
Poet/Beam Mec^ Rain Drain Insulation -Plumb.
Plbg. Undr,rfloor Wator /Line Gyp. Bd. -Hoch..
Date Requontedz /_ Time: AM/ __PH
Addreee:_ y `Z� Permit
4 /Builder: 7`- t `✓`//
THE FOLLOWING CORRECTIONS AR /7
RQ
f�7 �UT/ C �ii✓y/ ✓G'[,) /t
i
14
1
Inspect o Date: / — `3 Z
"PROVED DIS"PROVED APPROVED @DEJECT TO ABOVE
Call !or Reinsp.
i
i
I
INSPf'TION NPTICE
City of Tigard Building rv4wrtserrt
13125 Sit Ball Blvd. Tigard, Oregon 977.23
Inspection Line (Roc-O-Phone): 639-4175 Business 'hone: 639-4171
Inspectiont_
Footing Plbg. Underelab Mach. Rough-irt Appr/Sdwlk
Found. albg. Top Out GaA Lina FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/beam Mega. Rain Drain Insulation --Plumb.
Plbg. Underfloor Water )Li-n-e7 Gyp. Bd. -Meth.
Date Requestedt 'rte / % Time: Am PN
Address: Perml.t #t�/-L/��
r
Bulkier:
c
TH2 FOLLOWING OORRECTI 11RE REQUIRED:
z.
Instpectort_� Datet l �_Y
J-APPROVED DISAPPROVED APPP("D SU BC'T TO ABOVE
_Call For Painap.
IN..PECTION NOTICE
City of Tigard Building Depaxtme-nt
13125 SM Ball Blvd. Tigari, Oregon 97223
inspection Line (Rec-o-Phone): 639-4175 BuainesB Phone: 639-4171
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Cas Line FINAL:
at/Beamam 8truat. San. Sewer Framing -Bldg.
cP�oet/Beam loch. Rain Drain Insulation -Plumb.
Plbq. Underfloor WaterLineGyp. Bd. �[ -Hoch.
Date Requestedi =P .�O ^C Time: ✓__'_JW _PH
<~
Address:
i
Builder:_
THE FOLLOWING 0GRAECTa8 AM RLQUIRSD: Y
1,e '--
V
Inspector:___ Date: 2 L S- 9 -Z,
APPROVED fF!.^.APPA:7VF.t> I APPROVED SUBJECT TO ABOVE
call For Reinsp.
............—wryr.M.y�M.ry.lywal.a..0.r.rw.:...r�.......... ....-.:.� ......ir.,MYW4MW..wWY'1YIYM1,YdfLah Nl ariMk.M11NIkMrin�4YrbYVL#M luvHar...r uu+:Iiurvka.^.:...4Wr1'�Mti+a�`suuiYlYwrldIGJ.sY�9My1.lY�YIEsMJaLn4/iIMIJe�F..I�NMWI�YrI
INSPECTION NOTICE
City of Tigard Baildiug Depertaent
1312S 9;W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Hec�. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Onderfloor Hater Line Gyp. Bd. -Hoch. - 1
Date Regueoted:___,.=;_) ��/ 7 '— Times _ AH __PM
Adlreee:-_��� ,.7_ l� s• Permit i7. �
Builder: ✓2-� �L 2y
Ma FOLLOWING OORRECT S ARE REQUIRED:
i
Inrpector:�L�G� � _ _ Dates�
r _APPROVED DISAPPROVED APPROVED SUBJRCT 'PO ABOVE
Call For Reinep.
..........,..,..,. ,wy.r..J..._.�..,yy.,,>y�,,,.,.,....,.,.,�__M _...__�_....�..•�IIMO4�YIM�.r�AUR�IM.tJWA1 '..
INSPECTION NOTICE
City of Tigard Building Department
13125 M Pall Blvd_ Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Pi.bg. Top Out Gas Line F1NALs
Post/Beam Struct. an.. gaw®r Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Hoch.
Date Requested: ✓''` -�.�C�` //— Ti's
Permit
Builder
- q
THE FOILOWING CORRECI NS ARE REQUIRED:
— i
Inapoctors ✓ Dates 1 �
XP1kOV60 DISAPPROVED __ APPROVED SUBJECT TO ABOVE
Cell For Rainap.
INSPECTION No'SI99
1
City of Tigard Building Department
1312S SM Hall Blvd. Tigard. Oregon 97223
Inspection Line (R--O-Phone)-. 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab mech. Rough-in APP[/SMi1k
I•p�nd, ) Plbg. Top Out
Gas Line FINALt
1
Post/Seam Str+Nct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. lMoh.
Date Requested, / _ / �_Times�'Sdi� "` PN
Addresst� ,sem / ��' Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: $
Inspector: r Date-
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVt
Call For Reinsp.
1
CITYOFTIFAIRDOMASTER FEF MIT
CIT
COMMUNITY DEVELOPMENT DEPARTMENT ;ooe�i F-F-RM l T #. . . . . . : MST91-0254
13126 SW FWI Blvd. P.O.Bac 23397,Tignd,Orrpon 07223(603)639.4176
" r
SITE ADDRESS. . . : 1 1.3.=:4 SW 91ST CT PARCEL: 1 S 135DS ••(,RE, 1
SUBDIVISION. . . . : DAKOTA GROVES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 SF
CLASS OF WORK. :NEW BEDRMS:7 BATHS:6 5 GARAGE. . . . . . . . . . ..200 sf
TYPE: OF USE. . . :SF FL.00P. AREAS-----_ - - REQUIRED SETBACKS-•---...--_...._-
TYP,E OF CONST. :5N FIRST. . . . :2509 sf LEFT. . :5 ft RIGHT. .-7 ft
OCCUPANCY GRP,. tP 3 SECOND. . . :0 sf FRONT. -20 ft RE"AR. . -33 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REUUIRED--._--___-_....----____
HEIGHT. . . . . . . . : 16 ft TOTAL--------.2509 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 119014 PARKING SP'ACES. . :0
Ramarks : adult foster care home limit 5 or less plus supervisary staff
____-____.______--••------.---._.__-__-- P'LIJM} IN(a ----------------
---------------
SINKS. . . . . . . . . . : 1
----- ----------------_--_---.SINKS. . . . . . . . . . : 1 FLOOR DROINr. . . . :0 BACKFLOW F'r-EVNTRS. . : 1
LAVATORIES. . . . . :7 WATER HEPTERS. . . : 1 TRAP'S. . . . . . . . . . . . . :0
TUN/SIAOWERS. . . . :3 LAUNDRY TRAYS. . . . 1 CATCH EnFINS. . . . . . . :0
WATER CLOSETS. . :6 SEWER LINE (ft ) . :0 GREASE TRPF'S. . . . . . . :0
l:)ISF•iWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF= RAIN DRAINS. . : 1
---------------- MECHANICAL. --___.___.____.__ ____.__ .___._____._- FEES
FUEL TYPES- ---- _____.._-- UN T T HTR S, . :0 type Amount by dat e recpt
/GAS/ ! / VENTS . . . . . :0 TIF : 1380. 00 JLH 02/10/92 -
MAX INF'U1':0 BTU VENT FANS. . :6 BPRT 1, 483. 00 .T(..H 02/10/9c' _.
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPL_C f 313. 95 JLH 12/4:.3/91 221108
F-URN ) =100K . . : I WOODSTOVF_S. :0 85F'C ! c'4. 15 JLH 0.- /10/92
FLOOR FURN. . . . :N CLO DRYERS. : 1 SSDC $ 260. 00 .'LH 02/10/92 -
BOIL/CMP ( 3HP:0 OCHER UNIT :O PARK E 500. 00 JLH 02/10/9.=
GAS OUTLETS: 1 MF'RT $ 46. 50 JLH 02/10/92 -
1wi�pr .---.._ MF'LC E 11. 63 JLH 02/10/92
11 r,l Y PROPERTIES M5PC f 2. 32, JLH 02/10/92 -
PPRT $ 207. 50 JI-1A 02/10/92
F10 BOX 41.4 F'5F'C t 10. 38 JLH 1712,/10/92
HILLSBORO OR 97123-0000
Phone #: 503-6413.-1645
Contractor:
TF=NLY PROPERTIES
DO BOX 414
H I L_LSBORO OR 97123-"•0000
Phone #: 693-0185
52511 _____-..,---------------_._-.----.------__
f 3259. 44 TOTAL
?his permit is issued subiect to the regulations contained in the ------- REQUIRED INSPECTIONS ----
.icard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
olans. This permit wili exp+;•e if w,irk 1s not sttrted withir IN Post/Beam Mechan Insulation lnsp
iays of issuance, or if work is susp:nd for mare than EFltlays. P'lm/undslalb Insp Gyp Boeird Insp
PLM/Underfloor Rain drain Insp
I`Prmittee Sirin.zture: �t y Mechanical Insp Writer Line Insp
Plumb Top Out Appt-/Sdwlk Insp
T !--sued By: _ F-'raminq Insp Mechanical Final
Call for inspection - 639--4175
r
7'TYOF
TIOARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT CM0FTM1tD I-`FP M I T PERMIT
13125SW Hell Blvd p.0.BGx233q7,T0ud,oNq0n nioMowr"M 0 #. . . . . . . .. .SW R 9 2
9rW 3"175
C
.')ITE ADDRESS. . . : c'4 I i 3bW 9.ST CT L ISEUED:
'-)USDIVISION. . . . DAKOTA GROVES PARCEL: IS135DB-GRE.,
BLOCK. . . . , LOT. . . . . . . . . . . . . .6 ZONING: R-4. 5
__---- _--------
ENANT NAME. . . . .
USA IVO. . . . . . , . , .
C K'. N17W FIXTURE UNITS— :
TYFE`.F'USE. . . . . :
WORUSE. . . . . :SF DWEL.LJNG IJNITF3. .
INSTALL TYPE. . . . -BUWR NO. OF BUILDINGS: 1
IMPERV SURFACE. . : - S f
Remarks : adult foster care home ' "'t 5 or lesS PIUS si-tpervisary staff
Owner.
TENLY PROPERTIESFEES
=.____.________-__-
ype amoLtrt by date reept
PO DOX 41.4 RMT $ 1`130171. 11710 JL.H 02/1@/o2
$
HIL-LSBORO OR 97123-0000 I NSP 73r). 00 ji-H
Phone #: 503-648-1643
Contractor: -----------------------------------
(�;ONTRACTOR NOT ON FILE
171hone #a
Req #. 1935. 00 'TOTAL
This Applicant
oplicant 317"Pes to comply with all the rules and reqr uia�jcrs REQUIRED I NLPEc-r IONS ------
of the lJnifed Sewage Agency. The permit expires 180 days from Gl?weJnspection
the date issued. The total amount rLAd 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 in all directions from
the distance given. If not so located, the installer shall Purchase
a 'Tap and Side Sewer' Permit and the "Y will iPIW I &.Jateral.
[-'hrmittge c3iq11atLkre -
CaIl for inspect ion 639.-41 75
PLUMBING PERMIT
C'7Y0F71FARD CO MrOMT. T MST9
WYOFt AD
COMMUNITY DEVELOPMENT DEPARTMENT onto"
13126 SW HWI Blvd. P.O.Sm 23397,TIWM,Onegon 07223(SM)630-4175 DO I E ISSUED: QV-.1/10/qJ!
,731 TE ADDRESS. . . : 11=,24 SW ')1ST CT PARCEL.; 1Sl_'*'5Dr3- 64(,
"'UBDIVISION. . . . : DAKnTArGROVES r ZONING: R-4. 5
)3LOCK. . . . . . . . . . .. LOT. . . . . . . . , . . . :6
CLASS OF WORK. . :NEW GARBAGE DISPOSALS— : 1
fYPE OF WASHING MACH. . . . . . . : 1 SACKFLOW PRS VNTRS. . '. I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TPAPS. . . . . . . . . . . . . . .0
SIORIES. , . . . . . . : 1 WATER HEATERS. . . . . . il CATCH BASINS. . . . . . . :0
1XTLJRES----------------- LAUNDPY TRAYS. . . . I GF RAIN DRPINS. . . . . : 1
I NKS
), . . . . a * . . . : 1 GREASE I RAPS. . . . . . . :0
i-AVATORIES. . . . . :7 OTHER FIXTURES. . . . . :0
TUS/SHOWERS. . . . - SEWER LINE (ft ) . . . . %0
WATER CLOSETS. . :6 .JIATER LINE ( ft ) . . . . .. 100
DISHWAS14ERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
1tpmavkd. adult foster d4t'# home liMit 5 or, lesa pil-17-1 perylsary staff
U14NER.,
"l-ENLY PROPERTIES T I F-*' $ 1360. OvA Jj_.H 0(?/10/9r~
SPRT $ 463. 00 JLH 02/10192 --
00 BOX 414 BpLC $ 313. 95 JLH 12/23/91 2'211@8
HILLSBORO OR 9712:3-0000 B5pC $ E4. 15 JLH 02/10/92' -
Phone #: 503648--IE�44, 3PC -? . 00 JLH 0 10/92
GS' , $ -
B0
t:.ARK $ 500. 00 JU-4 02,/10/92
Iumbiny Con t ract or: MPRT $ 46. 50 IJIJI 02/10/92
MPL.0 11. 6 3 KH @C'-.►"/10/9,-'
-
Name MbpC 33 JLH 02/ 10/92
Add r e 9 sPPRT $ 207. 50 JLH 0;=/11x/92:
C'I t y P13pc $ 11D. 38 JLH 02/ t0/9:
_F h 0 Tl 0
RE001RED lhl':-PECTIONS
1his iss-Aed sulijer-A to the req-
.itibns contained In the Tigard Municipal Foot/fot.ind Insp R.-Ain. dr-ain Insp
(_'ode, State of Dre, SPeci-elty Codes And all host/beam Struct Water Line In-ip
other- applicant le laws. All work will bp done Past/beam Meehan App,-/Sdwlk Insp
J.n accordance with approved plans. This Plm/urtd%lAb Insp Mechanical Filial
Itelmit will expire if work is not started PLM/Underfloor P14,mb FinAl
180 days of Issuance, or if work is IlechaviciAl In,.p Building Final
;uspended few- more than 180 days plumb Top Out Erocnion Cont roi
Praminq Insp Cr Awl Drain
Fireplace Insp
Gas Line Insp
l,e Insulation Insp
Gyp Board Insp
A ut h o i 2 IAPA•A n Loi-J --at-tor Siynature
Call for inspeef- ion 639-4179
Contractor Note
CITY OF TIGARD RECEIPT OV PAYMENT RECEIPT No.
TENLY PROPERTIES CHECV, Aolot.jt\l,r 4944. 44
"?E S,�; t PO BOX 414 CASH AMOUNT 0. 00
PAYPIEN7 DATE o 9,:,
HILLSBORO, OR '47123.- SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PA i r) PURPOSE OF PAYMENT AMOUNT Pn I D
483. 00 PLUMBING PEf4m
MECHANICAL PE46. 50 ST. BUILD PER P07. 50
PLAN ("HECI-t, FE 75. 56 SEWER USA 36. 86
,-;EWER INSPECT '15. L40 RESIDENTIAL TRAFFIC FEES I goo, 00
PORKS qDC 1280. 00
590. 00 STORM DRAIN SDC MASE Elso. 00
TRANS I T TIF FET.-S 1160. 00
11324 SW 91ST CT
10TAL AMOIJNT PAIL 1 4944. 44