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12512 SW 114TH TERRACE ,tt ADDRESS: cz CIC :c I:Vecords\mlcroflmltargetsV)ullding.doc c' w J Fi17YOFTIFARD PLUMBING PERMIT c 4 FTWARD) PERMIT #. . . . . : MST91-02`04 nyo COMMUNITY DEVELOPMENT DEPARTMENT offoom 13126 SW Hodl Blvd. P.O.Box 23397,ligmM,(kPgon 97223 (603)639-4175 Df)-fE IG)SUED- 03/04/92 5 1 TE ADDRESS. I d-15 1 E SW 1. 1.41 Ii i*T-el-r, PARCEL. 2G10---AC--WG5 SUBDIVISION. WALNUT GROVE SULAD vZONING. R-4.7-5 BLOCK. . . . . . . . . . . LO-1.. . . . . . . . . . . . :5 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : l TYPE OF USE. . . . .5F WASHING MACH. . . . . . . : I BACKFLnW PREVNTRS. . :0 OCCUPANCY GRP. R3 F-1-OOP DRAIN53. . . . . . . :0 TRAPS. . . . . . . . . . . . . . c 0 STORIES. . . . . . . . . WATER HE(-)TERS. . . . . . . I CATCH BASINS. . . . . . . ..0 LAUNDRY TRAYS. . . . . . :0 9F RAIN DRAINS. . . . . : 1 EJINKS. . . . . . . . . . : 1 GREn;rE mv-s. . . . . . . :0 LAVATORIE.S. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : --EWER LINE (ft ) . -.0 WATER CLOGETS. . :3 WATFR LINE D I SHWASHERS. . . . : 1 FRAIN DRAIN (ft ) . 10 Remarks: OWNE.R: ---------- PINNACLE 140MES TIF t38O. 00 JLH 03/04/92 12735 SW GLACIER LILY CIRCLE BPRT $ 400. 00 JLF1 03/04/92 Br-i.-OM -,60. 00 JLH 12/31/91 . 00 JLH 03/04/92 TIGARD OR 97223 1.- -:-0 �,hone #: 644--4017 SSDC t 280. 00 JLH 03,104/92 PARK $ 500. Q,It' JL.11 03/04/92 Plumbing Contractor- MPRT * 39. 00 JI-H 03/04/92 MPI-C 9. 75 JLH 03/04,192 N ni e . b� -1 0 a k-A) M5P( $ 1. 95 JL-FI .3/04/92 X5 U4 0 PPIRT $ 140. 00 JLH 03/04/92 I-,- -n v/1- , City -._ .(.- _q ---' s PState: L .C 7. 00 JI-H 03/04/92 zip"- 70- Ph n n e#i R e q #:..,6 REWIRED INSPECTIONS This permit is i99ued sl.tbject to the reg- ulatirrns containpd in the Tigard MUT)iVipal Foot/found T Rain dr-Ain Insp Code, State of Ore. Specialty Codes .And all Post/,Beam Struct Water Line Insp other applicable 14:4ws. Alb Wu--k will 'tie clone Poc;t /PPAri Mer-han Pppr/Sdwll; Insp 3.n ac::-ardance with approvF�d plans. Thig Plm/undslab Insp Mechanical Finial pormit will expire if work if, not StW`ted PLM/Underfloor- Plumb Final wrthin 1(30 days of isrij,-Ince, or if work is Mechanical Fina ni l In;p Building . 1 lumb Top Out - ion Controi -1spericlecj for more than 180 days- V Eros Framing Insp Crawl Drain CL: FireplAt.,P Inp s G,vi L-ine Insp In,,ulatinn Insp cyp BoArd ITIC;p v Ayt iC)orized Pllk.tmbing Contractor Signature Call for inspei::tion 639-4175 w retractor t r a rector CITYOFTIFARD crryo r� r TK-A RD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST9 1-02'84 13125 SW Hall Rfvd, P.O.Box 23397,Tigard,Oregon 97223 (503)839-4175 1:,S11D75AC-WG3 :31 TE ADDRESS. I c':-'51 2 SW 1. 14TIl ZIRT PARCEL. SUBDIVISION. . . . .' WALNUT GROVE SULAD ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . BUILDING REISSUE: DWEL.A.-I NG UN I TS: I BASFMENT. . . . . . . . r 0 S-f CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . ..418 sf TYPE OF USE. . . :SF FLOOR AREA7i------------- REQUIRED TYPE OF CONST. :5N FT R c;T. . . . :89 5 sf LEFT. . : 15 ft RIGHT. : 16 ft OCCUPANCY UPP. :R3 SECOND. . . :871 sf FRONT. :20 -Ft REAR. . :52 ft 'STORIES. . . . . . . :` THIRD. . . . :0 sf REQUIRED------------------- HE I GHT. . . . . . . . :22 ft TC)TAL 17(,(, sf SMOKE r,FT1---CTOR5. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 88760 PARKING SPACES— :0 Remarks : --------------._._______-__-__--__-_ emar,ks .- ------------------------------------ PLUMBING SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . -.0 BACKFLOW PREVNITRS. . :111 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 T-RAP 6. . . . . . . . . . . . . . .0 TUI.;/SHOWERS. . . . :` LAUNDRY TRAYS. . . .0 CATCH P'ASINS. . . . . . . .�0 WA CER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WAIER LINE ('It ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . - I SF RAIN' DRAINS. . - 1 --------------- MECHANICAl --------------- FEES FUEL UNTT HTRS. . :0 type amount by date v-ec--pt /GAS/ VENTS) . . . . . :0 T I F $ .1380. 00 JLH 03/04/92 MAX 1NP1.1T:0 BT 1-1 VENT FANG. . :4 BPRT $ 4041. 00 JLH 03/04/90. FURN ( iOOK . . : I HOODS. . . . . . : I 1APLC $ 260. 00 JLH 12/31/91 FURN ) =1GOK . . .0 WOODSTOVES. :0 B5DC 20. 00 JLH 03/04/92 F-LUOR FURN. . . -.0 CLO DRYERS. : I SSDr1 $ P80. 00 JLH 03/O4/9E' BOIL/CMP ( 31-1P:0 OTHER UN1TS:0 PARK $ 1.500. 00 JLJA 03/04/92 GAS OUTLETS: 1 MPRT $ 39. 00 JLH 03/04/92 Owner,: MPLC $ 9. 75 JL_L1 03/04/9,2 PINNACLE HOMES M5PC $ 1. 95 JLH 03/04/92 1.2735 SW GLACIER LILY CIRCLE PP R T $ 141a. 00 JLH 03/04/92 P5PC $ 7. 00 JLH 03/04/92 TIGARD OR '3721n-�'3 Pt-tone #- 644-4017 Contr-actor,: PINNACLE HOMES 12735 C;W GLACIER 1...TLY CIRCLE TIGARD OR 97223 CL Phone 4 : 644-4017 0-4 Req 16177 Ln $ 3037. 70 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS -J Tioard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be Bone in accordance with approved Post/Beam str-I.tet Gas Line Insp plans. This permit will expire if work is not started within 180 rest/Ream Mechan Insulaticn Insp W days of issuance, or if stork is susunded for more than 180 days. Plm/Lind slate Inst) Gyp Hoard Insp /1' PI-11,1/U.f d e V-f 1 o 0 r- Pain drain Insp Pet-mitLee SiqT1At1.tr,e :- Meclian i ca I Insp Water Line Insp 6J 04,� Pll.imb Tot) Out Appt,/t3dw." k Insp Iysl.tefj By : _ Framing Tnsp 11;'!ChaniCal. Final Call- -f­n't- 'inspection 639-4175 SEWER CONNECTION PERMII RDCITYOFTIGAPERmiT #. . . . . . . :* 5WR92--0066 COMMUNITY DEVELOPMENT DEPAWMENT DATE IS-46'171): 03/04/92 13'126 SW HWI BW. P.O.Box 23397,T4;ojd,Onion IP 223(503)8,'1D4176 1 1 L H D DT7171 b. . . -,:)W 11141H PARCEL: 26103AC--WG5 (-UBri I V I S I ON. . . . . WALNUT GROVE SUBD ZONING: R-4. 1-j BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5 TPNANT NAME. . . . . USA NO. . . . . . . . . . . FIXTURE.' UNITS. . . ''LASS OF WORK. . . :NEW DWI__1_L I NU UNIT a. . IYPE OF USE. . . . . :SF NO. OF PUILDING5: 1 I NS1 ALL TYPE. 'BUSWR 11Y)PERV SURFACE. . ' S f 1- emar-ks: Uwner,: FEES ---------------- PINNACLE HOMES type aMOIAnt t)y date r"ecnt 1.2735 SW GLACIER LILY CIRCLE PRMT $ 1900. 0-rA JLH 03/0-4/92 INSP $ 35. 00 JLH 03/04/92 TIGARD OR 97c-:. 644--4017 ..ontr,actor-.- CONTRACTOR NOT ON FILE Phone #-. 1935. 00 TOTOL Req REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations C-ewer Insper.:tion of the Unified Sewage Agency. The permit expires )80 days from the date issued. The total amount paid will be forfeited if the vermit expires. The Agency does not guarantee the accuracy of the side setter laterals. If the sewer is not located at the measurement oiYen, the i-staler shall prm;ofrt 3 feet in all directions from the distance given. I` not so located, the installer shall purchase ;; "Tan and Side Sewer" Permit and 7qncy will insta 1 a lateral. I "jer-mittee Signatijr-e : tj,V.) 0&& 4to5l d B y Call fot­ inspection 639-4175 V� _j INSP3GTICIN NOTICE City of Ticard Building DepartMM t 13125 SA Ball. lVd. Tigard, OJC u 97223 Inspection Line (Rec-O-Pte): 639-4175 Business Phone: 639-4171 / A Inspection: C__ I�Q Footing Plb /Underelab Mach. Rough-in �_Appr/Sdwlk~ Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sews.: Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -P11%Ub. Plbg. Underfloor Water Line Gyp. PcI. -Hoch. Date Requested t Time: 111t PM Addres". Z14/�-� Permit 1e `X/ C Builders _'" tz�[ TBS FOLLOWING CORRECTIONS ARE RSQUIRSUs o. o: I— N F-- J m C7 W J Inspectors Date' ..i PROVED DISAPPROVED APpROVRD SUww? to AM M Call Por Reinap. INSPECTION NOTICE City o; Tigard Building Departmant 23125 SW Hall Blvd. Tigard, Oregon 97223 ins,pection Ll,,. (Rx--O-Phone): 639-1175 Business ?hone: 639-4171 Inspections_ _ -- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing ( B13-.,. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor L Water Lina Gyp. Bd. =M*ch. - / AM Date Requested:_ Timet --PH Address: Builder: _ 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: — a CL J Ll W J Inspector: Date 11PPAOVtD DIBtPP APPROVED To ABOVE _._Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SK Hall Blvd. Tigard, Oregon 97223 Inepectlon Line (Reu-O-Phone): 639-4175 DuBineos Phon 539-4171 Inspection:` Footing Plbg. Underelub Mach. Rough-in dppr/Sdwlk Found. Plbg. '_'np lut Gas Line FINAL: Poet/Beam Struct. San. Sewer Frar.ing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requestedc - �',i' Time: AM ______PK Permit it C9.+ZSI^Sr� Bui_der: TBE FOLLOWING CORRECTIONS :IRE REQUIRED: aaz a V) F— %fl W J Inspec ors APPRO'7ED DISAPPROVED APPROVED SUBJECT To ABOVE _Call For Reinap. INS'ECTION NOTICE City of Tigard Building Department ! f 13125 SW Hall Blvd. Tigard, Oregon 97723 Inspection Line (Rec•-O-Phone): 639-4175 Business Phone: 639-417.1 Inspect ion: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k round. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Mech. Rain Drai:, In&ulati.on —�umb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: / �7 7 ova �Time: _ AM PM Address:_ f rmit 1: Builder: THE FOLLOWING CORRECTIONS ARE MUIREb3 F- v` H J L7 W Inepecto -----... Det p: c APPROVED DMAPf.YOVBD APPROVFD '4VHJRCT TO ABLWE l / Call For Rei.nsp. INSPECTIJN NOTICE 1 , City of Tigard Building Departnont 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspe•'Iion Line (Roc--O-Phoc.o): 639-4175 Business Phone: 639-4171 Inspection- Footing Plbg. Underslab !loch. Roug'n•-in Appr/Sdw1.k l Found. Plbg. Top out Gas Lino FINALs Post/Bel:n , ruct. San. Sewer Framing -Bldg. Poet/Beam Hach. Rain Drain Insulation --Plumb. Plbq. Underfloor Mater mine Gyp. Bd. -Hach. Date Requesteds 1 _12� Times AM ._Y�:,_PH i ddresss /y V o _ Permit Builder: Z2��L1 lL TBE FOUWWINGo0RRPCPIONB ARE REQUIRED: C-ri' -S�--��t� D ya i l�l -4 0_T_�►LSr�I f rI&GCy�t t0L--LAj11'UAS'1 ^La 9a 11� N l n J J J inspectors Dare: APPROVED DISAPp VED PPROVVD SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 rW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-rhonP): 639-4175 Business Phone: 639-4171 Inspection: --- Footing —Footing Plbg. Underslab Mech. Rough-In Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Past/Baam Hoch. ilain Drain Insulation -Plumb. Plbg. Underfloor Water Line +-� Ovp. Bd. -Hach. Date Regp:eatedt :2_� � • —Timet _ AH PH yam- Address: /: � rmit �t Builder: THE FOLLOWING CORRECTIONS ARE REQUIRM 2 H r H-- J U W J � Inspector:___ APPROVED DISAPPROVED APPROVED SURJArT TO AROVE Call For Reir.sp. INiPECTION NOTICE City of Tigard Buil3ing Department 13125 SW Hall, Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bunineue Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Fzaming -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hech. Date Requested: C!/ '�^ 7 _ Times / AN Addreee: y � Permit /sC Bu i l der s THE/FOL:,OWING CORRECTIIONS- ARE REQUIRED: /� r CL F- N r F- J ic M w Inspectors Dates__ '4� A*lIIOVtD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinmp. IKSPECTION NOTICE l� City of ztgnrd Buildimg Department 13125 SW Hall ;Tvd. Tigard, Oregon 97223 Inspection Line Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbq. Underslab -N�asLine hRough-in Appr/Sdwlk Found. Plbq. Top Out FINAL: Past/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: r�f — Times MR PH Address: 15/.A Permit t:�� Builder• THE FOLLOWING It ARE REQUIRED: Inspector: _ Dates APPROVED DISAPPROVED APPROVED SUBJEtTf TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building bepartor*.nt 13125 SR Rall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab rMech. Rough-in Appr/Sjwlk °ound. Plbg. Top Out Gas Line FINAL: Poet./Beam Struct. San. Sewer. Framing -Bldg. Post/Bea:m Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. 8d. -Meth. Date Requested:----� �`' Tim9s AM PM Address:_ � /L �~ throat Builder: THE FVLLOWING 00RRECTION8 ARE REQUIRED: Inspectors — Dates L-z y APPROVED �DIRAPPROVED APPROVED SUBJECT TO ABOVF 10 /Call For Relnep. INSPCCTION NOTICE City of Tigard Building Depart hent 13125 SN Hall Blvcl. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639•-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Unde1'slab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out .as Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Innulation -Plumb., Plbq. Underfloor Water Line h Gyp. ed. -Koch. Date Requested / —��C _,Times AM PN Address: Permit i•� Builder: _ THE FOLLOWING CORRECTIONS ARE REQUIREDs 7 vi v7 ti c7 LU Inspectors APPROVED DISAPPRO'.SD _ APPROVED SURJECT TO AROVW „Call For Reinap. INSPECTION NOTICE City of Tigard Building Dopartaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Lin, (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inepectf ins Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Pont/Beam Struct. San. Sewer/ Framing -bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Dal e Requested:---- � T1�-�tN Addr goo: 4 �/ � _ Permit f i�_--�%�/,- THP FOL.".OWINC CORRECTIONS ARE REQUIRED: F— un F— J G W Inspectors _ _ r".I.t APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-P : 639-4175 Business Phone: 639-4171 hone Inspection:_ �` �]Lt' 421-/ _ Footing Plbg. Und slab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Hlda. Poet/Beam Mech. Rain DrainInsulation -Plumb. Plbg. Underfloor Nater Line cyp. Hd. -Noch. Date Requented: l� Times ltlL.. �Q�N Address: Permit 1: euildor• �l''��J J .�y� ���� THE FOLLOWING CORRECTIONS ARE REQUIRED: CL -- O: N J rr -- w J Inspector:__ �_ _� APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 8W Hall Blvd. Tigard, Oregon 97223 Inspection Line tRec-O-Phone)t 639-4175 Business Phone: 639-41'71 I nepect ion t f•G� / /' �C- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: et/Beam Btruct. ) San. Sewer Framing -Bldg. est Beam Necfi> Rain Drain Insulation -Plumb. Plbg. Underfloor /Water Line �t Gyp. Rd. -Mech. Date Requentedt._ `y r^7� �C� Times _ AN PH Address: /• J I rrs" _ Permit 4: 5zz �� Builder: "�[.��� LZ_ �Zzw THE FOLLOWING CORRECTIONS ARE REQUIRED: a CL: 1— tr) J L ca W Inspector:` '14141 _ --- _ Data: Y �— APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Departsaent 13125 SN Hall Blvd. Tigard, Oregon 97"'3 Inspection Line (Rec-O-Phone): E39-4175 Business Phone: 639-4171 Inspection: _ looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk round( Plbg. Top Out Gas Line FINAL: Post/Seam 4truct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line \ Gyp. Bd. -Meeh. Date Requestedt ~/ cY-� _11Lme: —4—AH PH Address:^ ��J '�� I_V Permit �t/f o Builders J7G�-G-LSC✓ `�' Cl 711 THE FOLLOWING. CORRECTIONS ARE REQUIRED? nr F- N Y J CD t.tJ In A J InspectorsK �rn5� '- DatesZ,- ' APPROVED DISAPPROVED y APPROVED BUBJECT TO ABOVE __Call For flv,_nap. INSPECTION NOTICE City of Tigard Building Departaent. 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 inspsotions ■Doting Plbg. Underelab Hoch. Rough-in Appr./Sdwlk Plbg. Top Oat Can Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Pont/Ream Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Line Gyp. Bd. Hach. 1� Date Requested: _ `/ -Time:L-J�� PH Address: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: zz d — N J f� H W J inspectors. Date:_ L APPROVED DISAPPROVED APPROVED SJRJECT TO ABOVE Call Fur Reinsp. INSPECTION NOTICE City of Tigard Building Departaemt 1312S SW Hall Iiled. Tigard, Orngon 97223 Inspection Tine (Rec-O-Phone): 639-4175 Business Phone: 639•-4171 Inspection:_ _ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plb9. Top Out Gas Line FINAL: t/Beam 8—tr—u t 1 San. Sewer Framing -Bldg. P6st/Beamm Hoch. RainJ_ Drain~ Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Koch. Date Requested: .� ' _ ,Times AM +� c PM Address: 51 r;.z� /�L� Permit/i t ^+ C>'Q Builders r 5��1_ 4// z ME FOLLOWING CORRECTIONS ARE REQUIREDS tLJ y � a U9 J ur � C.D - — U.1 Inapector:�44��__ Dates 2 / Z— APPROVED DISAPPROVED APPROVED SUBJTCT To ABOVE ! Call For Reinap. INSPECTION NOTICE ,r City of 'ligand Building Department 13125 SW Ball 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 Hoch. Rain Drain Insulation -Plumb. lbg. Underfloor Water Line Gyp. Bd. - _ech. - Date Request di- 1�_ __ `Ti AH PM Address:_ ��� 1�� ~ Permit 1: Bailder: THS FOLLOWING CORRECTIONS ARE REQUIRED: CC F-- T J t7 Ui J Inspectors V' Dates �r-1 f 45'L `� IIPPAOVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 1312S BW Hall Blvd Tigard, Oregon 97223 Inspection Line (Rec-O-Phone) 639-417755 Business Phone: 639- 171 Inspertiont Foot Ing Plbg. U relab Mech. Rough-in Appr/Sdwlk Fn1ind. Plbg. op Out Cas Line FINAL: Pont./ream Struct. San. Sewer Framing -Bldg. Pnot/neam Mech. Rain Drain insulation -Plumb. 1111,q. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: -�T Time: —AH PM ti - J -D� Address: i s_Permit A:� Builders THE FOLLOWING OORRRUTIONS ARE REQUIRED: d LC H i J LO W -- - -- --- -- ----- --- J Inspeotort PROWDDISAP APPROVED SUBJECTTn ABOVE Call For Reinsp. CI'fY OF' TIGARD - RLCEIPT OF PAYMENT RECEIPT NO. 02-eE4097 CHECK AMOUNT a 4712. 70 NOME a PINNACLE- HOMES CASH AMOUNT a 0. ele 1.)1)R E c-)r-) a PAYMENT DATE r 03/04/9i='. SUBDIVISION PURPOSE OF PAYMENT AMOUNT PA I D PURP()SE OF' PAYMENT AMOUNT PAID �i I J I-L—.D I-N—GP,—E RM 400. 00 PLUMBINO PERM 140. 0q, iLLHANICAL PE 19. 00 ST. BUILD PER Pa. 95 PI-AN CHECK FF 9. 75 SEWER USA 190o. 00 'J-WER INSPECT 35. 00 RESIDENTIAL TRAFFIC FFFS I p-(A 0. 0 V1, i-',(-)RKG SOC 400. 00 STORM DRAIN SDC 280. 00 mol.39 TRANSIT T117 FEES too. 01 LO 5 WALNUT URO VF: 1251P c-,W 114TH OR va-rAL AMOUNT PAID 471e. 70 13115 sw lieu ntie. PLNCK/RECT �� - `/ ZC CITY' OF TIGARD P013ox23397 PERMIT a .n1,sf!// COMMUNITY DI:Vh.LIMEN"DE['ARTMENT liprc,Orcgon97M —' (503)63"171 DATE ISSUED JOB ADDRESS: Ls/Z ,Sc� //� � ( k�i l' TAX MAP/LOT 2-5/g2 SUB LOT:LOT: S� LAND USE: VALUATION: — O0 1e—irj( OWNER SrECIAL_NOTES NAME: �� h �X �� --�Z� C REISSUE OF: ADDRESS: �- `� S`_L� G a C + �` LAST REISSUE: 7-,--j-, d C) FLOOD PLAIN/ , PHONE: '5 2�L 7 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: 1 7Y ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: OTHER: 7if L'Y _ CONTR. BOARD Q: / 7 / EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB:`-_I -41, ��'���/ �—`� LIST/SUBCONTRACTORS: MECH: / �'� __ BUS TAX: _ ARCH/ENGINEER CALCULATIONS: NAME: ��- g c a v^ TRUSS DETAILS: ADDRESS: _ OTHER: PHONE: G' I-- N > PROPOSED BLDG. USE: — _ —_`-- — --- COMMENTS: _ _— r_ I APPLICANT SIGNATURE Received By: Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. VJf- j� 10-432 00 Building Permit Fees yon c.-' 10-431 00 Plumbing Permit Fees o, j /y�' ^_ 10-431 01 Mechanical Permit Fees —2y, _ 3 10-2.30 01 State Building Tax (5%) Building Plumbing Mechanical 10-433 00 Plans Check Fee Building 1'2(,o Plumbing Mechanical 9 77 10-230 06 Fire _ 5khyl-��'�Y 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _=33 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees JI,�1L�U 25-448-05 Mass Transit TIF Fees i 00 52-449 00 Parks System Dev Charge (?DC) 31--450 00 Storm Drainage Syst Dev Chrg 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL `�f 11. 70_ � - ?Z 7u nm/3587P.WPF