11009 SW 110TH PLACE i
ADDRESS:
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CITY OF TIGARDMASTER PERMIT
':-ERMIT #. . . . . . . : MSr�.. j4 •02:78
COMMUNITY DEVELOPMENT DEPAIR" NrzI9T DATE 1 SSUED: 08/11/94
13125 SW Hall Blvd.Tigard,Oregon 972239099 (503)639-4171
PARCEL: 15134DP-05900
L:l I E ADDRESS. . . 11 0'V) SW 1 10-1 I-1 PL
SUBDIVISION. . . . : JF FF KEY ESTATES ZONING: R-4. b PD
BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . :018
--__..______--•---•_____.._-__.-----___-.-- BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 5f
CLASS OF WORK,. NEW HEDRIrIS:4 BATHS:3 GARAGE. . . . . . . . . . :484 S
TYPE. OF USE. . . SF FLOOR AREAS-___.__.__.___. REOUIRED SETBACKS---___.__--_
TYPE OF CONST. :5N FIRST. . . . : 1013 5f LEFT. . :6 ft RIGHT. .6 ft
OCCUPANCY GRP. :R3 SECOND. . . .- 1086 s f FRONT. :20 ft REAR. . :28 ft
STORIES. . . . . . . :2 F I NBSMENT:0 s f REUU I
HEIGHT. . . . . . . . . .3_r ft TOTAL.-•__..___._;;099 sf SMnKE DETECTORS. :Y
FLOOR LOAD. . . . :4O psf VALUE. . . . . $ : 143596 PARKING SPACES. . : 1
Remarks : PATH 1:
PLUMBING
SINK'S. . . . . . . . . . : I FLOOR D13AINS. . . . :0 BACKFLOW PREVNTRS. . : 1 -
LAVATORIES. . . . . :5 WATER HEATERS. . . . 1 TRAr:.S. . . . . . . . . . . . . . :0
TUD/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BPSINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . ...0
DISHWASHERS. . . . - 1 1•IATER LINE (ft ) . : i0lZl OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF Rti T N DRAINS. . : 1
MECHANICAL --- ._________.....---__._-----___________ ._ F:EES
FUEL TYF!CS----- -- -- UNI T HTRS. . :0 type amor.rnt by date reept
/GAS/ / / VENTS . . . . . :k1 TI F: $ 1550. 00 SW 08/11/Q4 -
MAX INPUT:0 BTU VENT FANS. . :4 BPRT $ 543. 00 SW 06/11/94 -
FURN ( 100K . . :0 HOODS. . . . . . . 1 BP'-C $ 352. 95 JF 07/18/94 94-
FUI3N ) -1.00K . . : I. W00DSTOVES. :0 B5PC $ 27. 15 SW 08/ 11/94 --
FLUCIR FURN. . . . :0 CL DRYERS. : 1 SSDC $ _80. 00 SW 08/11/94 -
1_;OIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 SW 08/11/9.4 -
GAS OUTLETS: 1 MPRT $ 45. 00 SW 08/11/94 -
Owner: ____._____.__..___.___ ..____._____.____._.__.__ -MPLC $ 1 1. _` SW 08/11/94
WES'TDALE CONST. M51--'C $ 2. 2•'5 SW 08/11/94 -
16795 N. W. TORNEY 1''INES CT 313TH $ 225. 00 SW 08/11/Q4 -
P5PC $ 11. 25 SW 08/11/94 -
BEAVERTON OR 97006 EROS $ 64. 00 SW 08/11/94
Phone #: i5b5--7t95 ERF'C $ 20. 80 SW 08/11/94 -
Luntractor: - - -----_._..____-_._________.___-__ERF'G $ 20. 80 SW 08/11/94 -
DALE PFLEUGER
WEST DALE: CONSTRUCTION
688'6 SW ALDEN ST.
PORTLAND OR 97223-0000
Phone #. 503-246-237Q.,
Req #. . : 21345
r- -
$ 3653. 45 TOTAL
This perait is issued subject to the regulations contained in the - ---- REQUIRED INSPECTIONS -------
Tigard Muni-ipal Code, State of Ore. Specialtv Codes and all other Fuot/fol.rnd Insp Fireplace Insp
applicable laws. All Mork will be done in accordance with approved Post/Beem Str-oct G,is Line Insp
- plars. This perait will expire if work is n with 188 Post/Beam Meehan Ir st.tlation Insp
days of issuance, or if Mork 'S susp for ore than ay . Plm/undslab Insp G/p Board Insp
_E,1_J4/Underfloor- Rain drain Insp
Permittee .Eignat 10r e : _ � Mechanical Insp boater Line Insp
ujli.rmb Top Out Appr/Sdwlk Insp
is; ,_ted By : _�„__�• Fl-ami; q IT.sp Mechanical Final
Call for, inspection - 639 -4175
CITY OF T I GAR® SEWER CONNECTION
FDERMIT
COMMUNITY DEVELOPMENT D,%P,�fjT PERMIT #. . . . . . . : SWR94-026,iE�
DATE !SSU, .18/11/94
13125 SW Hall 131vd.Tigard,Oregon 97223*819 (503)6 9-4171
PARCEL: 1SI34DB--05900
SI'11' ADDRE=SS. . . : 11009 S14 110TH PL
SUBDIVISION. . . . : JEFFREY ESTATES ZONING. R--4. 5 PD
BLOCK. . . . . . . . . . - LOT,, . . . . . . . . . . . . :018
TENANT NAME- - :
USA NO. . . . . . . . . . : FIXTURE UNIT::;. . .
ii. . .
i_i
L :�SS OF WORK. . . :NLW DWELL ING UN I I'S. . : I
TYPE OF USE. . . . . :SF- NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : S f
Remarks : PATH I
!")wnet,.- ---------------------------------------------------- -- FEES
WESTDALE CONST. type amoi.ti-il, by date v-ecpt
16795 N. W. IORNEY PINES CT PRMI $ ;:2200- 00 SW 08/11/94
—
INSP $ 35. 00 SW 08/11/94
BEkVERi"ON OR 97006
Phc.ne #: 645-7195
Contractor: ---------------------- -------
CONTRACTOR NOT ON FILE
-------------------------------------
PI-ione #.- Y 2235. 00 TOTAL
Reg
-------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days froit
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency dons not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall from
3 feet in all directions fro
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer' Permit is the Age W01 'lateral.
V--,e r ni i t t e e S i 9 na t;�_t P
I s s-.t e d By :
Call f o inspection 639—.4175
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Residential Building Permit Application
City of Tigard _
13125 SW Hall Blvd.
Tigard, OR 97 223
(503) 639-4171
Is1._ 3�{- +�a - syr
Jobsite Address: �9 � U �Q�' ��
—�.
""T-- ( Office Use Only
Subdivision: Lot #
Valuation: t I
Permit # ;!115f lq — 6 2 '?F.
Owner:
— — — Reissue of
Address:
--..-- —. ,Nap& TI. # 1:51 D L3 . C- C1�17
Phone: Appi ovals Required
Planning _
Contractor: Engineering—�
Address: Other
T ^ 14 ! Items Rewired
Phone: '` `'�' f l
Contractor's License # vis Subcontractors
(attach copy of current Oregon license) Tniss Details
Contact name & phone: Other
Subcontractors:
Plumbing: �
Me�hal:
(attach copy of r:urrent OR Contractor's Li se)
ArchltecUEnglneer:—"u� —
Address: _
Cc77 c;`o�-
Phone Z2—S — qt 6 f —
JOB DESCRIPTION:
T, I
Applicant Signature & Phone number
Received by: 4Y1�3 — Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
c ;l Bldg. Permit (BUILD) J ; ' u
Plumb. Permit (PLUMB)
Mech. Permit (MECH) •o ✓ tJ r.
State Tax (I AX)
Bldg:
Plumb:
Mech: 1• L��
Plan Check (PLA(VCK)
Bldg: S J
w
Plumb:
Mech: / L
i
R ILA._G ? Sewer Connection (SWUSA) 0 0 2 vto
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC; S&P
Storm Drainage Chg (SDSDC) .2-
Residential TIF (TIF-R;
Mass Transit TIF (TIF-MT) '' �—
Commercial TIF (TIF-C) _
IrOustrial TIF (TIF-I) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Owility (WOUAL) _
Water Quantity (WOUANT)
Fire District (FIRE) _
Erosion ':ntri Permit (ERPRMT) r
Eroskc-. Ftartck/USA (ERPLAN) 20
Erosion Planck/COT (ER(-,SN) fit' Jy v
TOTALS: 5 4
INSPECTION NOTICE /
.%.ty of Tiga•d & .141.Dq DepartRMMt
131.25 SW Hall /I Tigard, Oregon 97223
Inspection Line (Rees e): 639-4175 Business Phone: 639-4171
Inspection: —- —
Footing plbg. U ralab tech. Rough-in Appr/Sdwlk
Found. Plbg. Top Cut Gas Line P1`NALt
Post/Beam Struct. San. Sewer Framing Bld
Post/'eeam Mach. Rain Drain Insulation
Plbg. underfloor Hater Gyp. Bd.
Line
//V
Date Requested: ! /z o1� Time:
Address: U00 U� -�
Builder: 6;
THE FOLLOWING CORRECTIONS ARE REQUIRED: --� -
1
JIL
Inspectors -----7 y r Date:
A PR0VzD DISAPPROVED APPROV=D SUBJECT To ABOVE
_ Call !or Aeinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SII Hall Blvd. TigaLrd, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection%
Footing Plbg. Underslab Mech. Rough-in Appr/1,dv1k
Fo4snd. Plbq. Top Out Can Line FINAL;—)
Poet/Beam Struct. ran. Sewer Framing -Bldg.
Poet/Bean Rech. Rain Drain Insulation -P' r
. (]AIL& 'p
Plbg. Underfloor water Line Gyp. ed. -Hoch.
Date Requeeteds 17 1 �T Time: 11M PH
Address: �Tq -'%7/!1 Permit #: ! L `4a 7U
Builder: � S !1 _,
THE FOLLOWINn CORRECTIONS ARE REQUIRUD:
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Inspectors 4 Datesez
APPROVED `_ DISAPPROVED APPROVED SURJIlrrr 1'O ABOVI!
--call For Prinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone : 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in C r dv�ik
Foundation Plbg. Undersiab 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 -Meth.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
i
Date Requestod: �� ;,�y �, Time: AM PM
Address:
Builder: Permit -7,
THE FOLLOWING CORRECTIONS ARE REQUIRED.
r --
Inspector. _"Iy7� Date:� 'b —
_APPROVED _DISAPPROVED /CA�IPROVED SUBJECT TO ABOVE
,Call For Reinsp.
l�
INSPECTION NOTICI 1..�
City of Tigard duitding Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Su,inesa Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
Post/Beam Struct. San. Sewer Framing -dldg.
Poet/Beam Mech. Rain Drain Insulation CP?.umb� i
11tg. Underfloor Prater Line Gyp. Bd. -Koch.
r
Date Requested. Z.-)
Time: AM )._PM
Address: Z& Y-4, ��- Permit 1:
Budder: ( •S Z.L17
THE FOLLOWING CORRECTIONS ARE RF.QUIPID:
1.
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CM - _ -
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Inspectort _ Datea�/? `/�
"PROM �J DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Nall Blvd. Tigard, Orregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business phone: 639-4171
Inspection:- -
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out las Line FINAT.:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line -Hoch.
nate R*queeted:_ - /L-, / __Timet AM PH
Address i i 'O 2 -._ Ile) - Permit t DI 0
Builders
THE F+OLLOWINO OORRECTIONB ARE RNWZRRDs
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Inepectors
�APPROYED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Relnep.
INSPECTION NOTICE l/
City of Tigard Building Department
131.25 Sit Ball Blvd_ Tigard, Oregon 9722.3
Inspection Line (Rec-O-Phone): 1,39-4175 Business Phone: 639--4171
Inspection:_____
Footing Pllg. unclerslabMach. Rough-ia ` Appr/Sdwlk
Found. Ptbg. Top Out Can Line FINALS
Poet/Beam Struct. San. Sewer F`ramin / -Bldg.
Post/Beam Mech, Rain Drain Insulation -Plumb.
Plbq. Underfloor Hater Line > Gyp. Bd. -Hoch.
Date Requested:_ Time: AH PM
Address:-/-/Ll) . Permit �: /U
Builder:
THE F'O'LLOWING OORRECTIONS ARE REQUIRED:
LINr r C1
Aril
r,, l s, G
Ar r
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Com-- � � r t V,�-�cx ,,,^
s v -
AD
CO
Lu
kc.z-t_P std-�•s Yvw,-X .
Inspector: _ Data: /
APPAOVRD __�/D19APPROVED APPROVED SUBJECT TO ABLVR
1/ Call For Reinep.
2. Ez
INSPECTIOIT NOTICE
City of Tigard Building DepartMent
13125 SW Hall Blvd. Tigard, Oregon 9223
Inspection Line (rec-O-Phone)c 639-4175 Busin:aa Phone: 639-4171
Inspection: _—
Footing Plbg. Underslsb Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line i FINAL:
Post/Beam Struct. San. Sewer aurin pZQ. -Bldg.
Poet/Beam Mech. Rain Drain -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. T -Mach.
Date Requestee/d: pi�(. I S// Time: ___AM PH
Y-11—
Address: G O / r11— Permit !:
Bullder: s ( ell 7 _
THE POLLOWING CORRECTIONS ARE REQUIRED:
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C.7
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Date:_���-.5
APPROVED DTSRPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
s
NS'eECTTON NOTICE
city of TigarY Building Del-srt0ant
1.3125 SA ilall. Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--4171
Footing p1b3. Undernlab Hoch. Rough-in Appr/Sdwlk
Found. Top Qu,: Gas Line FINAL:
post/Beam Strict. San. Sewer Framing -Bldg.
Post/seam Hoch. Rain Drain insulation -plumb.
P:bg. UnCArfloor Aater Line Gyp. Rd- -Mach
Date Reque stedt_. Time: _ PN
I ) ")( Q /��. .CI-1' Permit #s
ress _� C 78
Add :t^� - {-TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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03 _ —
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Inerecto — Date: /1
APPROVED _ DISAPPROVED APPROVEI/ SUBJECT T1,11ABOVE
Call For Reinsp.
INSPdCTION 'dOTICE J
City of Tigard Building Department J
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out as G ne FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Fater Line Gyp. Bd. -Meeh.
Date F-:juested:_ _��P�`c_ _Time: /( AN PN
Address://✓(� t / �/ y , N Parmlt f s�` i�
Builders
THE FOLLOWINo CORRECTIONS ARE REQUIRED: --
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J
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Inspectors I -� l
Date:
_�APPR�`4ED DISAPPROVED APPROVED SUBJECT TO ABOVE
_QC� __Call For Reinsp.
INSPECTION NOTICE
Cit? of Tigard Building Department
13125 611 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections_,
Footing Plbg. UnderslAb Hoch. Rough-in Appr/. iwlk
Found. :bg. Top Out sae Line FINALS
Po Beam Stru Bn. Sewer Framing -Bldg.
P Beam lte'Zfij - Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Oyp. Bd. -Hoch.
Date Requesteds _-Time: _AM PH
Address: ITU L! U Pemit CT 7?
Builder:
FOLLOWING OORRECTIONS ARE REQUIRED: c
N11.S_
R
Inspector: Dater
APPROVED DISAPPROVED L/**APPROVED SUBJECT TO ABOVE
�1 \'C)� ___Call For Aeinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 BO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone= 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Post/Beam Stn:ct. San. Sewer Framing -Bldg.
Post/Ream Rech. Rain Drain Insulation -Plumb.
I I Under-
Tyboi N, Water Y.ine' Gyp. Bd. -Mach.
Date Requested:_ (�T Time: ^-AM --PM
Address: f) 7 -�LJ � Permit i�.S 1 r� /1,"1
Builders6) e- / 7 el _����
THE FOLLOWING OORRECTIONS ARE REQUIREDs
Inspectors !�/ _�-_- Dates
APPROVED DISAPPROVED APPROVED SURjArT TO ABOVR
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ba11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: A
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
and. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
(!�bg. Underfloor water LL a 22 Gyp. Bd. -Meth.
Date Requested: .7 G Time: __X_AH P1'
Address: 1 �� [ / L� /` Permit l: _ n� -7
qullder:_,� _ 5 7- 0
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
d
I—
J
:7
11
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Inspector/ _ --__— Date:_ 71—/: 7
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639
Inspection: —�
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.
Plbg. Underfloor Water L3:;;, Gyp. Bd. -Hoch.
C
Date Requested:___ !? Time: 3�AM PM
Addrese:�1QQ _�r`l� Permit I:
Builder:
TIfE FOLLOWING CORRECTIONS ARE REQUIRED:
ci
N
1--ti
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J
Inspecto _— ----� — y Date:
APPROVED �-� DISAPPROVED �— APPROVED SUBJECT TO ABOVE/
For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•_—�
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Post/Beam struct. iBafS`T6lweY Framing -Bldg.
Pont/Beam Mech. Rtfn Dr41n Insulation -plumb.
Plbg. Underfloor Gyp. Bd. -Hoch.
AmDat" Requested:_,_ •Cl, Time: AN k�
Permit 1:�J1�f._L�I.-76:l-
FluIIder:
TIJE FOLLOWING CORRECTIONS ARE REQUIRED:
y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
�ootin nM1 Plbg. Underslab Mach. Rough-in Appr/Sdwlk
'Foun Plbq. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Past/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor W to Line Gyp. Bd. -Hech. 0� ^0
Date Requested: V 2- h � Tlma: All ! 2 PM
c_
Address: `1 o 1 Y Ili) -- Permit
Builder:-:) '? 3 l/7!C? � —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4�2 122
09!4
--� � _ Ck/'
---
LL)
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Inspectors_�
APPROVED DISAPPROVED APPROVED SURJRr-r TO ABOVE
1 Call For Rainep.
CITY OF TIGARD PLUMPING
F'E•W,I�IIT #. .. .. .. .. .. ..
MS1"94-0E7
COMMUNITY DEVELOPMENT DEPARTMENT DA FE 1 SSUED: 08/11/94
13125 SW Hell Blvd.Tigard,Oregon 9723.8189 (503)639-4171 PARCEL: 14 134DB-05900
SITE ADDRESS. . . : 11009 SW 1 10TH PL
SUBDIVISION. . . . : JEFFREY ESTA"I•ES ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :018
---------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . : R3 FLUOR DRAINS. . . . . . . :0 TRAI-'S. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :f_ WATER HEATERS. . . . . . : i LATCH BASINa. . . . . . . :0
F'lXTURLS-_-- ------ --- LAUNDRY TRAYS. . . . . . : I SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :V1
L.nVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
IUB/SHOWERS. . . . : SEWER LINE: (ft ) . . . . :0
WATER CLOSE VS. . WATER LINE (ft ) . . . . : 10111
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
,remarks : PATH 1
LiWNER; -.FEES___.-------------
WESTDALE CONST. TIF' $ 15510. 00 SW OB/11/94 -•
16795 N. W. TORNEY PINES CT BPRT $ 543. 00 E'W 00/11/94 -
BPLC $ 351_. 95 JF 0'7/18/94 94
BEAVERTON OR 97006 B5PC $ 27. 15 SW 08/11/94 --
Phone #: 645-7195 SSDI_: $ 280. 00 SW 08/11/94 -
PARK $ 500. 00 SW OB/11/94 -
Plumbing Contractor: ------ ---_--_- MPRT 45. 00 SW 06/ 11/44 -
MPLC $ 1 .l. c5 SW 08/11/94 -
Name : ('7:_ + "1'7 L�1 lV15PC 4 c. _'5 SW 08/11/94 -
Address •_ i�- i��-�{ -�- 3BTH '6 225. 00 5W 08/11/94 -
City : a. e : �•%�Cp �-� P5PC $ 11. 25 SW 1110/ 1. 1/94 -
Zip: J/2�8 __Phone#: � EROS $ 64. 00 SW 08/11/94
F?tla #: 0 ' Additional fees not shown here. . . . . .
REUU 1 RE:D I NGFIECT I ONCE
this pt-rmit is issued subject to the reg-
illations contained in the Tigard Municipal Foot/foUr1d Insp Rain drain Insp
Code, State of Ore. Specialty Cudes and all Post /Beam ' tt-W.-t Water, Line Insp
other applicable laws. All work will be done Post/Beam Ihechan Appy^/fidwlk Insp
In accor-dance with approved plans. This Plm/undsl.ab Insp Mechanical Final
permit will expire if work is riot started PLM/Underfloor Pl Umb Final
within 180 days of issuance, or, if work is Mechanical Insp Building Final
,uspended for more than 180 days. F'l �_1mb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp _
InsUlation Insp
G p Board Insp _.__.___
Authorized Plumbing Contractor Signatut-e
Call for, inspection - 6:39-4175
Contractor Notes :_
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CE:Fi F IF= ICAT E OF
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 OCCUPANCY
xxxx PERMIT #. . . . . . . . MST94- 0l'?78
6,39-4171 DATE ISSUED: 12/20/94
5I TG ADDRESS. . . : 111211219 SW 110TH FAL 1=rARCLL: 1 S 134DP--05900
SUBDIVISION. . . . s JEFFREY ESTATES ZONING:R.-.4. 5 PD
BI...00K. . . . . . . . . .. : LOT. . . . . . . . . . . . . :013
CLASS OF WORK. :NEW
TYPE OF USE. . . :EF
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:230 4
TENANT NAME. . . :
Remarks : PATH I
Owner
Wt Sl 1:41-E CONST.
1679°' N. W. TORNEY PINES CT
BEAVERTON OR 97006
Phoney #: 645-719
C contract or-:
WE:STDALE CONSTRUCTION
3447 SW 68TH PLACE
PORTLAND OR 97.223
Phone ##: 645--•7197
Reg #. . : 21 345
occupancy of the atiave v,cferenced bui lding is hereby given, tend cer^tifies
the compliance with the !:+tate Of Orelloo Gpeci ally Codes For, the grooip,
occupancy, And us& under which the rpfev enced per, t was ss-.oed.
t � �
BUILDINp INSPECTOR LD NG OF' J AL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 3W Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 OCCUPANCY
x XX x PERMIT #. . . . . . . : Ms r94-0278
639--4171 DATE IssuE-.r,, 12/20/"94
Pi;RCCI._: I S 134DS-05900
S I l'E ADDRESS. 11009 SW 1. 10TH PL
SUBDIVISION.....- JEFFREY ES'rATES ZONING.R-4. 5 PT)
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . .018
CLASS OF WORK. :NEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. :R3
f'('.(-1JPANCY LOAD s x'30 4
I L N(ANTNAME. . ,
I-temar k : PATH I
WC:£")TDALE CONST.
16795 N. W. TORNEY PINES CT
!3EAVLRTON OR 97006
Phone #: 645--7195
Contract or¢
WE:'STDALE CON 5TRUCTION -
8447 SW 68TH PLACE
i-:1oRTLAND OR 97223 �
I`hunp #: 645-•7197
Reg #. . : -21345
[]ccupanty of the eibove refer-enced building is hereby givrm, and certifies
L e compliance With the State Of Ovr egon Specialty Cods for the group,
oecupacncy, and use under which the referenced per it wc+s issued.
r
BUILDING INSPE=CTOR �J,- 8L ILD NCS UFF'ICIAL
POST IN CONSPICUOUS PLACE