12443 SW 114TH DRIVE I
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CITYOFTIGARDCERTIFICATEo�
OtYYOF T16ARD C1rCl IF�AtVr�Y
COMMUNITY DEVELOPME�'T DEPARTMENT oRe®a+
13126 SW Hall BW. P.O.Box 23397,Tips, C►epon:17223(603)839.4176 PERMIT #. . . . . . . : M ST9 1---Oc..73
DATE ISGUED: 06/ 30/92
3I11"z ADDRESS. . . : 12443 5W 114TH DR PARC( L: 2S103AC-'WG19
SI+HPIVISION. . . . a WALNUT GROVE �',YFD ZONING: R--4. 5
BLOCK. . . ... . . . . . . . LOT. . . . . . . . . . . . . : 19
CLASS OF WORK. :NEW
TYNE: OF USE. . . :SF
OCCUPANCY OPT. a R3
I)C(A)P INCY LOAD: 12*0 4
TENANT NAME. . . a
Remarks :
Owners
r'OUR 0 CON�,TRUC-T I ON
F,O BOX 1577
WAVERTON OR 9707'3
flhorle 41 641-09:35
17OUR D CONSTRUCTION
Qn BOX 1577
i4--AVERTON OR 97075
Phone Ma 641-0935
Reg M. . a 71037
Oct-upatncy of the above referenced building i ; hereby giver), and certifier.
,t:h,.s compliance with the St.;tte Of Oregun Spectalt y C;odo s Fov thq group,
+ter. Iapanr.. }y, a<ncl ure undo r which the referenced permit wav) i. _sued.
FIRE DEPARTMENT f R LIVING IiN5RECTOR
- Flu I I..i)I N(; 'R►T'F l C IALk
i
POG)T IN CONSPICUOUS PLACE
I
UNWA-M
INSPECTION NOTICE
City of Tigard Building Department
13125 SII Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phon 639-4175 Business Phone: 639-4171
i
Inspecti.on: ---�-����
Footing Plbg. derslab Mech. Rough-in
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain InsulatLon -Plumb.
Plbg. Underfloor ./Water Line/ Gyp. Bd. -Mech.
Date Requested: `� �l� -�/ Time: _AM -- PM
Address:
__/` /M/ — R:
Builder: `� ��•
THE FOLLOWING CORRECTIONS ARE REQUIRED:
21
Inspectors l / L1j1.�tC� --- -- - Date:_U%', .ls�
PROVED DISAPPRO APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTI.,F
City of Tigard Building Department
13125 SK Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect i.on s___
F� ^_ Plbg. Underelab Meeh. Rough-in Apl,r/Sdwlk
Found. Plbg. Top Osst Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Dots Requeeten:_ -� Timor AM PH
i
Addreee:—_-a� �/�y ��tOit #s
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors _ �f _^ Date: [ ,�fS / Z•�
r
/APPROVED DIAAPPROVED APPROVED SUBJECT TD ABOVE
__Call Rot Reinsp.
INSPECTION NOPICE �`l � 1/
City of Tigard BuildiAg Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Irepection Line (Rec-O-Phone): 639-42.75 Business Phone: 639-"d173
i
Inapdction:___ ---_
Footing Plbg. Underolab Mech. Rough-in Appr;Sdwlk
1
Found. Plbg. Top Out Cas Lima FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation �C Plumb.
--mac-_
Plbg. Underfloor Nater Line Gyp. Ed.
Date Requented• ll��� Time: _2�__AM PM
Address:--- �ZA7 Permit / �
Tmz FOLLoviNo CORRECTIONS ARS REQUIRED: i
J
Inspector:_ / ----- - -- - -------- Bata:
_APPROVED DISAPPROVRV _X_ APPROVED SUBJECT TO ABOVE
-Call For Reinsp.
�MSgECTION NOTICE
city or Tigard Building Depaxtaent
13125 fM Hall Bivd. Tigard, Oregon 97223
Inspection Line (Ret:-O-Phone): 639-4175 Busineas Phan ,
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALt
Poet/Beam Struct, San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Inenlat'on -Plumb.
Plbg. t•nderfloor Water Liner Bd. -Mech.
Date Requestedr- c-% ,�/- if Time: ___AM PM g
Addrene: t y3 J "-� rermit �s �3 Yr
i
THE FOLLOWING CORRRCPLONS ARE REQUIRED:
lnspertu• t
��.� Date:
_____APPROVRD _— DISAPPROVRn __ _ APPROVED SUBJRCf TO AROVR
For Rwlnep.
INSPECTION NCTICE �.
City of Tigard Building Department
13125 SW Ball Blvd. Tigs.1d, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business P one: 639-4171
Inspections ) I ------ --
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Me-ti. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Is-
Gyp. Bd. -?loch.
Date Requested:_ ��) (`i1 —,_Time: �_AH PM
i
Address: �041r""'T-rotlt f:_ 9ra97 5
guilder:—_— ( --$, �' ,) /
IK"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ' h tLQ
APPROVED DISAPPRO APPROVED SUBJECT TO ABOVE
call For Reinsp.
I
AE PION NOTICE
City of Tired St:ildi.ng n_partsent
13125 SW Nall Blvd. Tio-id, Oregon 97223
Inepactlon Lina (Rec,-O-Phone): 6? --4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mach. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Frami.ig �� -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. rd. -Mach.
Date Requested: Z` Tim1e AM _PM
Address: It L 1 A //L1 _, Permit
Bullder:Y_ J-)
TBE !'OLLDWING CORRECTIONS ARE RSWIREDt
1
3
Inspector
APPROVED DISAPPROVED _- hPPROVEn SUBJK'T To ABOVE
_,Call Fnr Reinap.
i
NSPECTION NOTICE
City of T._gard Buildiaq Dspartsr_nt
13125 BM Hall 131vd. Tigard, Orcron 97223
Inspection ane (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inepec:tion ---
Footing Plbq. Underelab Hach. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL:
Peet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain DrainIrt ua +tion 1 -Plumb.
Plbq. Underfloor /Walter 7Line Gyp. Bd. �7�/-Mech.
Date Requested:_/_ �7 cJ�d� /�'f� Time ✓ � AM _PM
: , /
Builder: _— S--
THA FOL:AOWING CORRECTIONS ARE REQUIRED:
i
vt�
Inupoctort_,T � -- —__ -- --4
Dates:
Fb bISAPPRCVS APPROVRC SUBJR,.'T TO ADOVE
Call For Rainap.
1 ill ECTIOM NOTI(;'F I
Cltp of figard ilding
1.3125 Ball E1 ., Tigard, 97223
Inspection Lina "one) 9-417 u aaa Phones 639-4171
Inapertiont
Footing Plbq. Underelab Mech. Rough-ins Appr/Sdwlk
z i
Found. Plbg. Top Oit Gas Lino FINALE
Poet/Beam S4ruCt. San. Sewer (-, Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor water Line Gyp. Rd. -Mach.
Data Regveatedl t: � �_�_ Time: _41.
\ AM __PM
Addreea7—�L�L el ;z / DP6rmi-- #(XZ
guilder::--+—t^r�-
THE FOULUWING CORRECTIONS ARS REQUIRMS 4
/ivSi
Inspector: — Dates i
IJ APPROVED DISAPPROVED APPROVEr SUBJECT TO
.—Call For Reinep. p
INSPBCfION NOTICS
City of Tigard Building ..cia,ti.`ut
11125 SW Hall Blvd. Tigard, Oregon .7223
Inspection Line (Ree-O-Phone): 639-4175 Bus.ineas Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. l�lbg. Top Out. Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Jrain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: f� /`i /- _ Time: G�� AN PH
Addrooni_f G/L � /�L! Permit f: / �7�
Builder:_ -65-1if
THE FOLLOW.. I OORRECTIONS AU R1QUIREDs
Inspector:_/ � Date:_
APPROVED DISAPPROVED _ APPROVED SUBJRCT To ABOVE
Call For BeinsP.
INSe'RCTION NO1,10E
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Tnepection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
booting Plbg. Underalab Mech. hough-in Appr/Sdwlk
Found. Plbq. Top Out. Gas Line FINALt
Pcs mwxBtrUct San. Sewer Framing -Bldg.
��--�
ot*t/F Beam Mac Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Lino Gyp. Bd. -Meeh. //
Date Requested: 1-' ~� z ��\
" -Time: AM / Plk
Addr<+sts t24 Permit #,-'1(-402-73
Buildert__l l•�-
THR }OLLOWING CORRECTIONS ARE REQUIRRD:
I
Inspectors _- j J Dato:��
`_APPROV20 -� DISAPPROVRD APPRMED SUBJECT TO AROVF.
Call For Reinsp.
INSPECTIONNOTICE
City of Tigard Building Dopartxmnt
131L�S SW Ball Blvd. Tigard, Oregon 97223
Inspoction Line (Rec-o-Phones 639-4175 Buuineae Phone: 639-4:71 J
Inspect ion:
_.
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/seam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
1bg. QndeSllooc) Mater Line Gyp. Bd. -Hoch.
Date Requested: ✓_ �il 7 Tr+fle: -2— PN
Add.reea• = 6Z -L /% �.�y.. It i t-d,�/
flifidert—
i
T.49 FOLLGWING CORRECTIONS ARS REQUIRED:
17 i,
i�
Inspector: / � Dates
APPROVED f_ DISAPPROVRD APPROVED SUBJTCT TO ABOVE
Call For Reinsp.
INS, -SON NOTICE
City of Tigard Building Departavent
13115 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (ReC-O-Phone): 539-4175 Busineus Phone: 639-:171
Inspection:, ------—
Footing Plbg. Under.ulab mech. Rough-in Appr/Sdw1k
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam st.ruct. Ban. 8ewe� Framing -Bldg.
Post/Beam Hoch. in Drain , Insulation -Plumb.
Ra
Plbg. Underfloor Nater L nyp• Bd. -Koch.
Date Requestedt 3 / L '-'x_ Time.(-rA&11Mi PN
Address: ..� v" Permit 9=J
Builders
i
THE FOLLOWING RRSCTIONS ARE REQUIRED:
Inepectcri^ - Date t �7
APrR0Vrn DISAPPROWD APPROVIM 'BJRCT TO ABOVR
Call For Reinep.
INSPBLTLog pOTICE
City of Tigard Building Department
13125 SM 9x11 Blvd. Tigard. oragau 97123
inepeY-tior Line (Rec-O-Phone)t 639-4175 Business Poorer 639-4171
Inapectiont
lootingPlbg. Underslab Hoch. Rough-in Appr/Sdwlk
bund` ' Plbg. Top Out Gas Line FINALt
Poet/Berm Struct. San. Sewer Framing -Bldg.
Post/Ream Mec:1. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lime Gyp. Bd. -Hoch.
Date Requestedt I 1 -� t� Tislat AM !M
Aadrees: 12'4 3 1 1 t(l {. tY r�y��_, ,Permmi�t,�It-��
Builder: 1 1 �`I U ki�, 1C�F�fW► J
THE *43LLOWING (`nRRECTIONS ARE REQUIRED:
Ina rf nr: Datet�__ � `
APPROVED DISAPPROV:n APPROVED SUBJnt TO UM
yli M! MMr�.
CITYOF TIVARD
CFTYOFTM MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 01110011 PERMIT #. . . . . . . : MST91-01'._-'71.`
13125 SW Hall Blvd. P.O.Bak 23397,Tigmml,Oregon grM(503)630-4175
DATE ISSUED: 03/1214/92
5. . . : 1 `443 SW 114TIA DR ")7
J'! PARCEL: :'Slv AC--WG19
`.SUBDIVISION. . . . : WALNUT GROVE SURD ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19
BUILDING
REISSUE: DWELLING UNITS. I. BASEMENT. . . . . . . . :0 s
CLASS OF WORK. :NEW BEDRMS:3 SATHS:2 GARAGE. . . . . . . . . . :440 sf
TYPE_ OF USE. . . :SF FLOOR REQUIRED ''SETBACKS-----------
[YPE OF' CONST. :5N FIRST. . . . : 1367 s LEFT. . :5 ft R I GFIT. :32 ft
1)C,CU PA N C Y 6 R P. :R3 SECOND. . . "0 <; f F PONT. -2-'0 ft REAR. 17 ft
:*iJURIES. . . . . . . : 1 THIRD. . . . :0 s REOU I RED-
HEIGHT. .. . . . . . . :20 f t TOTAL----------' 17,67 S f SMOKE DETECTORS. :Y
;.LOOR LOAD. . . . :40 p:f VALUE. . . . . 70803 P A R KING SPACES. . -0
R k-m a r,k S :
--------------------- -------- PLUMBING
I N K,S. . . . . . . . . . .. I FLO'CR DRAINS. . . . -0 BACKFLOW PREVNTRS. . -O
_AVATORIES. . . . . :3 WATER :JFATERS. . I TRAPS. . . . .
TUB/SHOWERS. . . . :2 LAUNDRY T :0 CATCH BASINS. . . . . . . :O
WATER CLOSETS. . :2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :4.
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER r-TXI'LJRE!-:]. . . . . .�O
GARBAGE DISP. . . -. 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1. SF [RAIN DRAINS. . : 1
MLCIAANICAL FEES
FUEL TYPES- UNIT HTRS. . :0 type amount by date r-ecpt
/bAs/ VENTS . . . . . :0 TIF $ 1380. 00 JLH 02/04/92
MAX INPUT LA TU VENT FANS. . :4 BPR T $ 346. 00 JLH 00/04/92
�-URN ( aOOK . . : I HOODS. . . . . . : 1 FPLC $ ='24. 90 JLH K'/1214/92
iURN � =100K :0 WOODSTOVES. -0 B5PG 1; 17. 30 JLH 02/04/92
FLOOR FURN. . . . :0 CLO DRYERS. : 1 113SDC $ 280. 00 JLH 02/04/92
BOIL/CMP < 3HP:0 OTHER UNITS-0 PARK 1, 5012). 00 JI-H 0,1/04/92"
GAS OUTLETS: 1 MPRT $ 39. 00 JLH 02/04/92
Ov)nev-,-, ------------------------------------ MPLC $ 9. 75 JLH 02/04/92
1:-OUR D CONSTRUCTION M5PC $ 1. 95 JLH 02/04/92
1-D0 BOX 1377 PART $ 125. 00 JLH 02/04/92
r5pc $ 6. 25 JLH 02/04/92
BEAVERTON OR 97075
11none #: 641-0935
f`ontr-a
FOUR D CONSTRUCTION
1=10 Box 1577
BEAVERTON OR 97075
"hone 0: 641--0935
71037 --------------------------------------
$ 2930. 15 TOTAL
This perait is issued subject to the regulations contained in the --------- REQUIRED INSPECTIONS
-----
Tigard 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 Plast/spam Stt-uct bas Line Insp
plans. This otroit will expire if work is not started within IN Frost /Beam Mpchan Insulation Insp
days J issuance, or if work is susp@ndpe, fn, onrp fhAn IN days. Pllm/undslab Tnsp Gyp Boar-d Insp
PLM/Underfloor Rain dr-ain Insp
-it ut-p - Water Line Insp
Sign, Mer-hanical. Insp 4"IAr*� Plumb Top Out Appr/Sdw1k Insp
issued By : F-1-aminq Insp Mechanical I incl
Call for inspection -- 639-4175
SEWER CONNEL7ION
PERMIT
CITYOFT11FARDrCaffTyA0F7%ARD
PERMIT #. . . . . . . . SWR92--0049
�
COMMUNITY DEVELOPMENT DEPARTMENT oRmoon DATE ISSUED: 03/04/92
13125 SW FWI BMW. P.O.Bar MC17,TOW,Oregon ta7M3(60311!;16-41 Tb
E,I'1E ADllRES:�. . . : 12443 SW 114TH DR --- A- _ PARCEL: �S103AC-WG19
SURD I V I S 1 ON. . . . : WALNUT GROVE SUPT} ZONING. 1:---4. 5
SLG;;K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19
1ENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS). . . .
CLASS OF WORK. . . ::NEW DWELLING UN I Ta. . : l
FYPE OF USE. . . . . :CF NO. OF RUILDINGS: 1
i.NSTALL TYPE. . . . :131j WR I M"ERV SURF"ACN. . .
Remarks:
Uwrler: -_______.______._.__..------•--________._ .___ _.__----------__-- FEES
F`QI.JR D CONSTRIJ-;7ION type amn1ant by date rep1
[; BOX 1577 PRMT $ 190@. 00 jr H 02/04/92 -
INSP $ :i5. 00 .IL_H 02/04/92 _
BEAVERTON OR 9707
t-Thune #: 641--0935
Contrartor:CONTRACTOR NOT ON FILE
f-hone #: s 11335. 00 TUIHL
Reg #. .
REQUIRED INSPECTIONS
- -_-_-
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the unified Sewage Agency. The permit expires 1891 days from
the date issuad. The total amount paid wili be forfeited if the
permit expires. The Aorn^.y does not guarantee the accuracy of the _�•._,__ ___� _-_
side sewer laterals. If the sewer is not located at the measurement
given, Fhe installer shall prospect 3 feet in all directions from
the distante given. If not so located, the install►r shall purchase
a "iao and Side Sewer" Permit and the Agency will stall a lateral.
i r'rmi Fte, igT1at;Ltre :
9Lled key:
f'al l f•nr insper..tion 639-4175
I
tirirOF I'��RD P�,I.L)MB7NG PERMIT
Cffy()FTWID PERMIT #. , . . . . . : MST91-00�73
COMMUNITY DEVELOPMENT OEPAWMENT aglow
i * IV
13126 BIN HWI Blvd. P.O.Bolt 23397,TlPM,Or@90n 97M(603)6*4175 DATE ISSUED: 03/04/92
1. ft':- ADDRESS. . . 12443 SW 1114TH DR PARCEL: SIS103AC-WG19
ULADIVI'310N. . . . WALNUT GROVC SUED ZONINGS R-4. 5
til. (-ICK. . . . . . . . . . .. LOT. . . . . . . . . .. . . . 3 19
----------
GLASS OF WORK. —NEW GARBAGE DISPOSALS. . ; l
TYPE OF USE. . . . -GF WAS4ilmb "MACH. . . . : . . : I BACKrbw PREVNTR9. . :0
OCCUPONCY GRP. . :R3 FLUOR DRAINS. . . . . . . :0 TRAPS. . . :0
STORIES. , . . . . . . '- i WATER HEATERS. . . . . . : 1 c,,ATCH BA;* , * '
BASINS. . . . . . . :0
0
F I LAUNDRY TRAYS. . . . . . .0 GF RAIN DRAINS. . . . . : I
S I MKS. . . . . v . . . 11 ASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURrS. . . . . :0
TUS/SHOWE RS. . - . : SEWER LINE' (ft ) . . . . :0
WATER Cl-OSETS. . -L-:, WATER LINE (ft ) . . . . ... 100
r)I SHWASHE RS. . . . RAIN DRAIN (ft ) . . . . :0
Remarks i
OWNER:
FOUR D CONSTRUCTIM TIF 1360.00 JLH OE/04/92
PO BOX 1577 BPRT --0 346. 00 JLH 02/04/92
SPI-C t 2. 4. S0 JLH 02/04/9;:-'
BEAVERTON OR 97075 85PC $ 1 ". 30 JLH fbi.7104/92
Phone #: 641-0935 SSD(' $ 200. 00 JLH 02/04/92
PARK 1 500. 00 JL-14 02/04/92
Plumbing Cant ract at-I MPRT $ 39. 00 JI.-H 02/04/92
01PLC * 9. 75 JL-H 02,'04/92
Name : G .& B.-.PLBG, INC . M5PC $ 1. 95 JLH 02/04/92
Addres:;v--,J_,5-q2., .SF 51st. PPRT * 1&5. 00 -JLH 02/04/92
C,1 t y I ate P 5 P C $ 6. 25 JLH Oe/04/92
z i p i Phone#c—6AQ--..5770
Reg
19907
REPUIRED INSPECTIONS
This permit is issi-led subject to the Y,etl--
ulations rontAined iii the Tigard MLMiCipal Foot/fCLind Insp Rain drain Insp
(,ocie, State of n -9. �;pec ia i t V Codes and all Post /TAOAM Gtrt_%ct WE.ter Line Insp
c1the?_ applicable laws. All wnv%k wi-11 be done Post Spam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This PIM/lAndslab Insp M P cha n i c a 1 Final
permit will expire if work, iq riot Started PLM/Underf I oor Plumb Firial
within 180 days of Issuance, 01" if work is Mechanical Insp BtAilding Final
Suspended for more than t80 clays. Pli.imb Top Out L.t-osion control
Framinq Insp Crawl Drain
FirejjlAt.e Insp
Gas Line Insp
Insulation Insi-.i
Gyp Board Insp
it iorizea--G,iumbing Contractor SignatUl
Call for inspection 639 -4175
Contractor
rTTY OF' TIGARD PFCFIPT OF PAYMENT Rr-CEIPT NO. a 92—i?.24090
Cl-lF-..CK AM131JNT a 4614. ')'a
f-(ILJP 0 CONSTRUCTION CASH AMOUNT a 0. 00
-NT 1}A,rE r 03/04/92
SUBDIVISION
PURPOSE OP PAYMENT AMOUNT PA 11) PURPOSE OF r:)AYI'4F-NT AMOUNT PAID
14CT-w_i i-tv 346.00 PLUMBING PERM I a5. Oil)
MECHANICAL PE 39. 110 ST. EAU 11.0 PFR 21-5. es
PLAN CHECK FE —15. 35 SEWER US)() 1900.00
SEWeR INSPECT 35. 00 RESIDENTIAL 7RAF FIC FEES 1 280. 00
PARAS snc 500.00 STORM DRAIN GDG
MC498 TRANSIT TIF FF FES 100. 041
LOT 19 WALNUT GROVE
IE443 9W 114TH OR
TC,)TAL. AMOUNT PAID 46 1.4. yob