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CITY OF TI^t.,7ARDMASTER P ._E_.RMIT
CQMMUNITY DEVE'_OPMtNT DEPARTMENT PERMIT it. . . . . . . : MST94 -O305
13125 SW Hall Blvd.Tigard,Oregon 97223.8'9P, Bpa),� e 471 DATE ISSUED: 08/Ic'/94
PARCEL: I S 1.34D1_a-0604!10
SITE ADDRESS. . . : 110`7 GW 110Thi PL
SUBDIVISION. . . . : JEFF=REY ESTATES ZONING: R-4. 5 PID
Df-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :019
BUILDING
REISSUE: DWELLING UNITS: 1. BPSEMEN I.. . . . . . . . :0 f
CLASS OF WORK. :NEW BEDRhIS:3 BATHs:3 GARAGE. . . . . . . . . . :660 sf
TYPE OF USE. . . :SF FLOOR ACTEAS--- --- _-- :EOUIRED SETBACKS----_-_______._
I TYPE OF CONST. :5N FIRST. . . . : 1O4)9 Sf LE1=T. . :8 ft RIGHT. :6 ft
OC;CUF'ANCY GRP. :R3- SECOND. . . : 1049 sf FRONT. :20 ft REAR. . :60 ft
SI OR I ES. . . . . . . :c F I NBSMENT :0 S f REQUIRED---
HEIGHT. . . . . . . . 'S ft TOTAL•_.. f SMOI,L" DETECT'ORS. :Y
FLOOR LOAD. . . . -.40 psf VALUE. . . . . f : 176138 PARKING SPACES— : 1
Remarks : PATH I
PLUMBING
5IIJ U-3. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERG. . . . -3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ..@
WATER CLOSETS. . .-3 SEWER LINE (f t ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1. WATER LINT_ (ft ) : 100 OTHER FIX 1URE5. . . . . ..0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASI1II16 MACH. . . : 1. SF RAIN DRAINS. . : 1
----------------- MECHANICAL - - __.._________________.___...._..-_---_._._- FEES -_--_.-_-
!=UE:.1_ TYPES_____.__.______.-- UNIT HTRS. . :14 type amount by date recpt
/GAS/ / / VENTS . . . . :0 TIF• f 1J50. 00 JG 08/12/94 -
MAX II14PUI-:0 BTU VENT FANS. . -4 BP'RT f 623. 50 JG O8/12/94 -
f URN ( 10OK . . :0 HOODS. . . . . . : 1 BPLC $ 406. 58 JF 07/18/94 94-254610
FURN ) =1O0K . . : i WOODSTOVES. :0 B5PC f 31. 28 JG 08/12/94 -
F=LOOR TURN. . . . :0 CLU DRYERS. : 1 SSDC $ 280. 00 JG 08/12/94 -
1a0IL/CMP' ( 3HP:0 OTHER UNITS: 1 PARK f 500. 00 JG 0[1/12/94 -
GAS OUTLETS: I MP'RT $ 45. 00 JG 08/12/94 -
Owner,: --- --______._.._._.____.__.__...____________-- MF'LC f 11- 25 JG 08/12/94 -
WESTDALE CONST M5PC t 2. 25 JG 08/12/94 -
16795 NW TORREY PIKES CT .3BTH $ 225. 00 JG 08/112:1/94
P5P'C f i I. JG 08/12/94 -
BE:AVERTON OR 97006 EROS A 64. 00 JG 08/12/94 -
[-"hone #: 645-7197 ERPC. f 20- 80 .JG 08/12/94 -
1: orltractor: s 20. 80 JG 08 94 -
WESTDALE CONSTRUCTION
7L 1447 SW 68 ftl PLACE:
,ORTLPND OR 97223
' hone # : 645-7197
Rep #. . : 21 345 -------------------- ------------------------
$
_.----------------- ____-__-__,----_--_-.__f 3793. 71 TO'i f)L
4T nis permit is issued subject to the regulations contained in the -- ----- REQUIRED I115r'EC'TIONS
-� lgard MInicipal Code, State of Ore. Specialty Lodes and all other Foot/foi.lnd Insp F ireplac_e Insp
f _ pplicable taws. All Mork wi11 be done in accordance wi0 approved Post/beam Str'.Tct Cias Line Insp
plans. This permit will expireZided
f stat n 1 , P'ost/Beam Mer_han Ins�_ilation Insp
days of issuance, or if work is of an 150 PIM/Undi ,lab Insp Gyp La,lar•d Insp
PLM/Underfloor- Qain Cil ain Insp
ermittee Signati.tr _ hanical Insp WaT,er Line insp
f� i r-:'l�_:mb Top Out Oppr/SdwIk Inset
Issued By .,Al ___.. ___-_--- Fr"Iminq Insp Mechanical Final
Call for- inspection - 639-4175
Residential Building Permit Appligption
City of Tigard
11125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 t`
Jobsite Address: I C
Office Use Only
Subdivislor( ..QS Lot #
Ptanck/Rec #
Valuation:
Permit
Owner:
- F'.ei,.sue of
Address: ;
---- — \+lap & TL #
Phone: ovals Required
-Approvals ,
Planning'
Co itractor: .� Engineering_ / Fav
Address: C� '`
2 y IJL''� Z 4Utfior- -
vw � Z7(
Phone: x�—
��_ ' '7� q C, Items Required
_ --71 -
Contractor's Licen� # Subcontractors ►S LR C4�Y T LY<
ttach copy of current Oregon license),- _ Truss Details
Contact name & phone:
Other
Subcontractors:
/Plurnbing: - l.(il Yl
/Mechanical:_ ���CV IL--
(attach copy of current OR Cont o.rs License) ,_��� r
Archltect/Englneer. C (.�C i• --� �'1 ri��, ) �� 'P7
Address:r- 141
m
L)a (7�7Q 1
J
Phone:
JOB DESCRIPTION:
ApplMh SignatU re & P ne n r
Received by:_ t,� Date Received: 1 _�
r
Permit # Account Description Amount Amt. Pd. Bal. Due
U 3d�o Bldg. Permit (BUILD) )-V V
Plumb. Permit (PLUMB) Z),
Mech. Permit (MECH)
^� State Tax i'AX)
Bldg:
Plumb.
Mech: 2
Plan Check (PLANCK) (L I i, VY
Bldg:
Plumb:
Mech:
��W12 D Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Stone Drainage Chg (SDSDC)
Residential TIF (TIF-R) � c' J
Mass Transit TIF (TIF-MT) rid `_ a ✓
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Oft ice TIF (TIF-0)
Mater Quality (WOUAL) _
Water(au:nt4 (WOUANT)
Fire District (FIRE) —
Erosion Crttrt Permit (ERPRMT)
Erosion PlandkfUSA (ERPLAN) -;)-v' r�
Erosion PlancMOT (EROSN) °.� �Z' ✓
TOTALS: (OGS S F 7
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
Uwe, the undersigned, as legal owners of record of the property described as:
Lot # ofJf YP Subdivision
Tigard Address 1 (j _ (,t,IW, �-
Tax Map and Lot Number / S 1 341 U 5 yUU
i
do hereby release the property owners of adjacent Lot #- _
of 4� Subdivision, also known as Tigard address s L<)
_ and as Tax Map and Lot Number A/,1213 - )00 , from complying with
Community Development Code Section 18.88.050.E (Maximvm Shade Point Height Standard);
and agree that the structure may have a shade point height o: 2$Teet, thereby allowing shade
on an area otherwise protected by Code Section 18.88.050.D.
In addition, Uwe also release the City of Tigard from liability for damages resulting from this
adjustment.
Signature
Signature
State of Oregon )
ss.
County of�`I1 f4 L1 R d )
This instrument was signed or attested to before me by Digi E 11 1 6 EK and
f
on ` c1. , 1994.
_ .JLC_
.J
OFFIC
-�
ELIZABETH N.WRIGHT
11 ��
ivU GARY PUBLIC-OIiEGON —��
COMMISSION NO.a92710 Signa ire of Notarial Officer
b1%11SSION EXPIRES MAR 14,19M(Notary Seal) — My Commission Expires:
jIPlExe-mpt.M at
L �}�.
L,OT I+ �
TER f-tv
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CITY OF TIGARD
SEWER CONNECTION
00MMUNITY DEVELOPMENT DEPARTMENT PERMIT#PERM . . . ; SWR94-0c 77
13125 SW Hail Blvd.Tigard,Oregon 97k?3.819 f�fiQ31!Id 171 DATE ISSUED: 08/12/94
PARCEL: 1 S 134DF--06000
71 TE ADC RE 3.;. . . : 11012'7 SW S. 10TH PL
SUBDIVISION. . . . : JEFFREV ESTATES ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :X19
TENANT NAME:. . . . .
USA NO. . . . . . . . . ., : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL I NG UN ITS. . : 1
I TYPE OF USE. . . . . :SF NO. OF BUILDINGS: ,'
INSTALL 'TYPE. . . . :BUC,WR IMPERV SURFACE. . : : sf
i
Remarks: r-'nT1-: 1
Owner': —_.____.-______- -------.__..______.__ __ ___________---._.__ F-EE%
WESTDALE CONST type amol-int by r;aP a recpt
1679S NW TORREY i--.i RES CT PRMT $ 221?0. 00 JG 08/12/94 —
INSP $ ;335. 00 JG 08/12/94 —
131rAVk�RTON f:1R 9700(_
'-,one #: 645-719 7
CONTRACTOR NOT ON FILE
i
Phone #: $ 2235. 00 TOTAL
Reg #. . :
REQUIRED INSPECTIONS — —_--
'his Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit e�:pires 180 days from
the date issued. The total amount paid will he forfeited if the
permit expires. The Agency dopy -Put guarantee the accuracy of th
side Sewer laterals. If the sewer is nct located at tha measurement
given, the installer shall t 3 feet in all directions from
the distance given. If riot o located installer sha urchase - —�
a "Tap and Side Sewer" Permtt' d the Agencyaffl Lt�,l la'ev,inittee 8i gnati.lr^e, .a
SSI
_(e d By "�K� a
Call for- ins:l:rect: ..on - 639-4 175
• INSPECTION NOTICE
City of Tigard Building Department
13125 .M Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 634-4175 Business Phone: 639-4171
Inspection: —_ --
Fcoting Plbo. Underalah Mech. Rough- Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALs
Poet/Beam Struct. San. Sewer Framing ]d .
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ech.
Date Requ^fstods //.. Time:Mdreas: AM PN
✓" (J Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
71 VNA_IA
r�� �-✓� 1-� ".�- �c-�' w`„_:.�— � � to `�
410G.-..r '�-'li. C_' ex-1k ex-1k
L,.
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C Yv\ 1 c
Inspector:_ _ _L!`!I
-`APPROVED %,/DISA PROVED APPROVED SUBJECT .m ABOVE
�1 Call For Reinnp.
�� . r_ LL.�
INSPECTION NOTICR
Cit of Tigard Building Department
13125 :.N Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FINAL:
Post/Beam Srruct. San. Sewer Framing -Bldy.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requented: _Times AM ^ PH
Address: Permit f:
Builders— 1
"HS FOLLOWING CORRECTIONS ARE REQUIRED:
V T1:1
kj
Inspectors Date:
__APPROVEDDIBAPPROVSD APPROVItD SUBJECT TO Anon
�� CCaall For ReLnep.
INSPECTION NOTICE
City of Tigard Bul3.d Aq Department
13125 SW !fall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 6 9-4171
Inspect.ion:_
Footing Plbq. Cnderslab Mech. Rough-in Appr/Sdwlk
Found. Plb9. Top out Gas Line FINAL:
Post/Beam Struct. Framing -.Bldg.
Pwt/Beam Mech. R4*IrVF" Insulatio^ -Plumb.
Plhg. Underfloor 7111
Gyp. Bd. 4�JC7Hech.
Date Requested: C, U TLse AN '
Address: �� Z') r t:
Permif: ! �`�✓ Q
Bi:llder: (J i7 / — �` r
THE FOLLOWINF CORRECTIONS ARE REQUIRED:
f"
V)
J
L7
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rnspector: -__ -- bate•
APPROVED DISAPPROVED APPROVED 4UBJRcT To AAoVE�
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
Li125 SW hall Blvd.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 679-4175 Susineen Phone: 639-4171
Inspection:__
Footing Plbg. Undorslab Mech. Rough-in r;Sdwl
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plug. Underfloor Water Line Gyp. ad. -Mach.
Date Requentedt / ( Time: __AM PM
Address: ! /L Permit f: { L
Builder:
THE FOLLOWING CORRECTIONS ARE RtQUIREDs
« -
Un
J
111
Inopectort Date:
APPROV DISAPPROVED APPROVED SUBJECT TO ABOVt
Call For Reinnp.
1/
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Linc (Rec-o-Phone): 539-4175 Business Phone: 639-4171
Inspection:_ —. --.----- —^---
Poo'inq Plbg. Unde•.slab Mech. Rough-in Appr/Sdwlk
oun P.bg. Top Out Gas Lino FINAL:
Post/Beam StLuct. San. Sewer Framing -Bldg.
Poet/Beam Mach. P.Ai:: Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
/ C/
Data Aequented: ! / / / Time: AN
Address:_ P
110 2. J fl 42 Pl P—it is
-
Builder: �� ✓ ... /L� ' J� 1_4_
THE FOLI.OWINO CORRECTIONS ARE REQUIRED:
at—
6'U4 -
-- --u- ,- --- --- ----
Inspec rs / — ------ - - ----- -- Date:
APPROVED DISAPPROVED APPROVED SUBJEC'r TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
Ci.tp of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 91223
inspection Line (Rec-O-Phone)s 639-4175 Busiraos Phone: 639-4171
Inspections
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gan Line FINAL:
Post/Beam Struc.t. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Okbg Undorfl?qj ) Water Line I Gyp. Bd. -Hoch.
Date Requested: Time: __?�_AH PH
Address: �T i�� d Y v`�_ Parml.+c 1:,. � T � ,
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G.�
,r
tnspecto _� � Date i��
APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVN
Call For Reinsp.
LILS^ECTION NOTICR �.
City or Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O Phone): 639-4175 Bueinees Phone: 639-4171
Inspection:
Footing P1Dg. Underal&b Hoch. Rough-in Appr/Sdwlk
Pound. e1�1 bg. Top Out Gas Line FINAL:
P Beam St'u �"�$an, Sewer Framing -Bldg.
Po t/Beam Heck% / Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
Date Rega•ested: Times / AH PM
Address: !, [(��� ZIL /t Ca( .Permit �: 2/ �_-Q3t�.
Builder: CJ
CJ
1715 FOLLOWING CORRECTIONS ARE REQUIRED:
�nS
G]
�1
J
Inspectors— J �"r --�_—Date: -
APPROVED DISAPPROVED ✓ 1\PPROVED SUBJECT TO Aha:.'?
, ' (� Call For Reinsp.
INSPECTION NOTICE
City of Tigard. Buildinv Department
13125 ON Ball Blvd. Tiga d, Oregon 97223
Inspect.on Line (Roc-O-Phone)s 639-4175 Business Phono: 63 -4171
Inspection=_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pant/Beam Hoch. Rain Drain Insulation -plumb.
Plbg.
Un
do r hater cLi n Gyp. Bd. -Hoch.
Date Requested: _ U �� Tirmt: ' V' PH
Address: 'I C c�:7 I I C ! Permit =Ll1�]L_LZ Q G
Builder:_& �C' --57 /�
THS FOLLOWING CORRECTIONS ARE REQUIRED:
R.'
1--
N
T
J
OJ
N.
LL!
J
Insperto Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
23125 8w Ball Blvd. Tigard, Oregon 97223 -
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underslab M tos/ r/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer ramin ` //� .-Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested:_ —z L `'� -Times AM PK
Addrese s i s�� ��L) �"1 Permit
Builders �T �C(+ '7K1G�
FOLLOWING CORRECTIONS ARE REQUIRED: �j-
f CLlr-�
C� j ") A-2
1
VI l=�
IJ
LLI
d
u �. �.p VVI Is S �1.\
Inspector: lJ �!" Dace: /6 — X - 4
Approm ✓DISAPPROVED APPROVED SUBJECT TO ABOVE
/`) Call For Reiaep.
INSPE(.'rlON NOTICE t�-
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buoinese Phono: 639-4171
Inspections
Footing Plbg. Dnderolab Mech. Rough-in Appr/Sdwlk
Found. Ou!/) Cao Line FINAL:
Post/Beam Struct. San. Sewer � Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Onderiloor. Water Line Gyp. Bd. -Mach.
Date RAyuested: /I / Tides AM _�PM
Addreen:_j_LC r rt Permit Is
Builder:,' L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
m
`7
LL) -__--
J
Inspector _ Dates
APPROVED DISAPPROVED APPROVEk: atlBJECT TO
✓�C Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13175 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BuEiness Phone: 639-4171
Inspection:
Footlnq Plbg. Underelab Mech. Rough-in Appr/;dwlk
Found. Plbg. Top Out ams Lin FINAL:
Poet/Beam Struct. Sa ewer Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
c'
Date Requeatedtz E' .1� � Titoes _ AM pM
Address: U60 c !/ i% r /' Permit Qs c�`fr6305
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
1—
J
-r
G]
L'J
Inspector:L Dates
APPROVED DISAPPROVED APPROVtO gUSj C'1' To ABM
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 BO Ball Blvd. Tigard, Oregrm 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectiont ——
Fuoting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line PINA�Lt
Poet/Bean Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation :
Plbg. Und rfloor Nater//Line (� Gyp. Rd. -Neth.
Date Requestedt_ � f/�� 7 Times AM PN
Address:Pe ( �Permit #:
BuIIdort �-/ _,7
Ti{E FOLLOWING CORRECTTONS ARE REQUIRED:
C.Y
Y
O]
LO --- -'
W
J
Date:
/ <7
"PROM DISAPPROVEV APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Balldiog Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_.
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation// -Plumb.
Plbg. Underfloor Water/ Line nyp, /i'; - -mech.
Date Request/e`id: f `'/'may Time: AM pM
Address: ;?- �p�G'
F! v Permit 1: - d3
Builder:.�Q - U 910 c)
THE FOrAA)WING CORRECTIONS ARE REQUIRED:
,) :'r?n v,nom.- C'•1,L�a�� �? -�- v�>�.�._
---�
r-.
Ln
C7
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J _
Inspector: nate:
W APP11OM DISAPPROVED L APPROVED 9UBJRrT 1`O ABOVE
_Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Departaeat
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:___
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Gas bine PINALs
Post/Beam Struct. San. Sewer nn -Bldg.
Post/Beam Mech. Rain Drain ton aA_4 -Plumb.
Plbg. Underfloor WaterLine
�/ � ' Gyp. Bd. -Mech.
Date Requesteds (/ Cl // 7�/ Time: AM PM
Address: C �r-+1- 7 /Z� T'�f Permit 1:_��3 O�
Builders Cbz 1 -_ - 21
Si 2
THE FOLLOWING comscTIoNs ARE REQUIRED:
�� f�Fc'O V�L7c �GS'i 1%�/c' 7.�i'.�t� "=f.�i�c�/✓ /`�L"�[.�/v-
C i_�!ll 1s�i/Z Y• �Z. L�y�i.t'�S'cv
Inspectors r Dates
__APPROVED _ _ DISAPPROVED f/ APPROVED SUBJECT TO ABOVE
call For Reinsp.
Y ;21SPECTION-NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Orrgon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
1nnpection:_ — — �—
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINA'..t;
pont./Beam Struct. San. Sewer Framing
post:/Beam Rech. Rain Drain Insulation _PIumb.
Plbq. Underfloor Water Line Gyp. Bd. �-N �✓
Data Requested: I / L'\ �Timc+: AM _PN
Address: 1 l C� Permit is
Minder:
T1tF. FOLLOWING ODRRECI`IONS ARS REQUIRED:
6/41--- — �_
r
Inspector:` �-'�/ __ Date:_-
1\PPP4MD DISAPPROVRD APPROVED SUBJECT TO ABOVE
I` Call For Reinsp.
;N%PBC'PION NOTICE t(
City of Tigard building Department
13125 SW Hall Blvd. Tigard, Oregon 97223 \\\�
inspection :.ine (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS ,
Post/Beam Struct. San. Sewer Framing
Poet/Beam Hoch. Rain D, in Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd./ -�
Date Requested: —7 /( ( �-/ � Times _�<_AM __ PN
Addreess ,� / ���\ Permit is�y=��-3 �
Builder:
TRE FOLLOWING /CORRECTIONS ARE REgUIREM
_�1� 1.1 G.• ._ C CJl "�'� � "yt--"..ice �- ''�'_
Inspector. _
APPOOM DISAPPROVED V APPROVED SUBJECT To ABOVE
Call For Reinsp.
�.� C- z
- _ a
DICK TRUHN
1917 --
equ�
rrou ,inc.
11 I_ A I T p —
uute• 9790 S.W. NIMBUS AVE.
HUMP BEAVER?ON,OREGON 97005
'-n:es a m.,kel,np rn,rll OFFICE(503)626-4600 RES 150316973956
C•.ri.e.+Nea H-,;gw..oel FAX:15031626 8994
CYTY OF '1114AND RE-CFAPT M F."AYMENT RI-4+11-11 NO.
1,11IL-CK s4MOUNI 1 00
lllv, l IOWA ION C.'Obii 1 F11411*)UN U 00
I l I F'1.. E
F-IflYMN 1 D14 If F: a 0 7 i 111;,
I HAI), IW 1101311, 9 19 ION
CIM1.11111,41 PAID PLIRP(lbl. OIF PHYWAMI 14MOUN I 1'1.4 J 11
P1 HN ( .1-II:(. I-F ,I if B k IM"
I 10 111, 1 1 IA.>O i ( t V I I
101AL AMOLIN"I P".11)
I AV I
•
CITY Of- TIBARD RFf--'F'IPT (IF PAYMENT RL GF.I PT NO. a 94,—F,555i?-g
Gfil'"CK AMOUNT' s 5778. 71
wF,s,rDAt.E CONS-rRUCTTON CASH flMOUN-r 0. 00
ADDRESS s 16795 NW TORREY PINE CT PAYMENT- DATE a 08/12/94
SUBDIVISION
BEAVERTON, ORFrAON 97006—
�,LlRi-lnSE OF' PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
vi ESU II .DING PERM MST94-0305 625. 1130 PLUMB INO PERM 2P-5. 00
r
IF,(AJ WNWAL PE 45. 00 ST. BUILD PER 44. 78
f..-LAN CHECK FE 167. 63 SEWI 1 USA SWR94--087'7 2200. 00
!iFWER XNS1'-lECT 35. 00 PARKS SDC 1-5140. 00
�,tORM DRAIN SDC 280. ON RESIDFN'TIAL TRAFFIC 14.-30. 00
MASS TRANSIT TIF FEES I 21A. OVA EROSION CUNTRUL PERMI'll-KE. 64. 00
00
110P7 SW liOPLPCE
JEFFLRY ESTATES LOT 19
TOTAL AMOUNT PAID — — — —> 5778. 71
CITY OF T I CARD PLUMBING PERMIT #. PERMIT. . . . . . : MST94-03'01-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/12/94
13125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)639-4171
PARCEL: ISII:;41311306000
(31TE ADDRLS15. 11027 SW 110TH FIL
JUBDIVISION. . . . : JEFFREY ESTATES ZONIN3: R-4. 5 PID
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :019
CLASS OF WORK. . :NEW GAPRAGE DISPOSALS. . I
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . ... 1 CATCH BASINS. . . . . . . :0
1*71 X4 LAUNDRY 'FRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 ORLASL. TRAPS. . . . . . . .0
LAVATORIES. . . . . :55 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . .- SEWER LINE (ft ) . . . . :0
W(-')TER CLOISETS. . .3 WATER LINE (ft ) . . . . .. 100
T)I SHWASHE RS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
1qcmai--k5 : PIAIH I
JWNER: ---------- --
WESTDALE CONST IIF $ 1550. 00 JG 06/12/94
16795 NW TORREY FIRES CT BPRT $ 625. 50 JG 08/12/94 -
13 P L-L $ 406. 58 JF 07/18194 94 --254t,113
BEAVERTON OR 97006 B5PC $ 31. 28 JG 08/1E/94 -
Phone #: 645-7197 SSDC $ 280. 00 JG 08/12/94 -
PARK $ 500. 00 JG 08/12/94 -
Plumbinq 11PRT $ 45. 00 JG 08/12/94 -
MPLC $ 11. 25 JG 08/12/94 -
1\1 a M e
M5PC $ 2. 25 JG 08/ 12/94 -
Addes 3BTH $ 225. 00 JG 06/12/94 --
City : O
City cit i-A t P P51:.c $ 11. 25 Jb 08/1e/94 -
Zip: EROS $ 64. 00 JG 18/12!94 -
Prig Additional fees not shown her-e. . . . . .
REQUIRED INSPECTIONS
[h:is per-mit is issued subject to the reg-
ulations contained in the Tigard Mi.tnicipal Foot /found Insp Rain drain Insp
Code, State of Uir,e. Specialty Codes and all Cost/Beam Stir,uct Water^ Line I ri s p
other- applicable laws. All wog-k will be done Post/beam Mechan flppr,/Sdw I k I n s V)
in accordance with rAppi,oved plans. This Pllm/undslah Insp Mechanical Final
per-mit will expit,e if wor-k is not started PLM/Underfloor Plumb Final
Lqithin 180 days of issuance, or- if wav-14. is Mechanical Insp Building Final
.,tspended for more than 180 days. Plumb Top Out Er-,o!-,ion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas LiTle 1111SP
Insulation Insp
X
Gyp Boa-r-d Insp
Outhot-i zed Plumbing Contractor- Si gnat ui,e
Call for, inspection - 639-4175
.,ntractot- Notes :
CITY
O
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF'
13125 SW Hall Blvd.Tigard,Oregon 07223.8108 (503)830-4171 OCCUPANCY
XX 11(X 4'-,CRMIT ##. . . . . . . . MST94-030'
639--4171 DATE ISSUED: 11/23/94
PARCEL.: 15134DP-•061711/10
i�Dl.,RESa. . . : 11027 SW 110TH PL
SUBPI V I5ION. . . . : JEFFPEN ESTATES ZONING:R-4. 5 PD
SLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0V)
CLASS OF WORK. :017W
TYPE Cir USE. . . :.SF"
OCCUPANCY GRP. :113
OCCUPANCY L..OAD:225 4
1"F-:NANT
em._trlks : PATH I
WESTOAI_C CONST
16795 NW TORREY PI RES CT
BEAVERTON OR 97006
1hone ##a 645--7197
C;ontraar_tur:
t
WESTIyAI._E, CONSTRUCTION
A447 SW 68TH PLACE
POR I l.._AND OR 97223
Phone 04 640--7197
Peg ##. . : x'_:1.345
Occupancy of the above refer-enced building is hereby given, and certifies I
Lhe c.ompli.anr-e with the State Of Oregor, Specialty Cories for the group,
occupency, and use under which the ref'erenued permit was iGsupd.
1 I
BUILDING, I NSPEC'rOp
CW.Ml— . __....._..._. ......_._...._..
BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
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