12523 SW 114TH TERRACE �t
ADDRESS:
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CITYTIGARD ./
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COMMUNITY DEVELOPMENT DEPARTMENT + uiYlkilivLs 1'iwl�{ri:l1
13126 3W Hall Blvd.Tigard,Oregon 97223.9199 (603)639.4171 Flip RM ►•
1:.,;;;.x,..4171 DATE ISSUED: 04/�2'8/`•3
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11r3I VISION. . . . : WALNUT' GROVE SUl'L u ZONING. R-4. 5
1...4J1..'''.. « . , . M an „ w •
. . . . . . . . . . . • . :
i-PSG UF WORK. . :PDD L,AR13AU 'L:. sF' ISAL.J, . • l OLAILE HUM
K L' UF' LI:lL-r . » • : t:, WASHING VIPC.H. . . . . . . . BACKFLOW PRE/JiYf rr.S. . : I.
"USF k4CY ( RP. . :0,- r-11.e10R D1411v16. . . . . . . . TRAMS. . . . . . . , . . . . . . .
t UR I ES. . . . . . . . : .i WFi'T*V R HEP i ERS. . . . . . CA1''C;H BASIN-,). . . . , . . .
1 X l'U►'t1:a _ I..AUNDR2 I id(=tY::i. . . . . . :{' RAIN ORA INV,.
INKS. , . . . . . . . . . t1 iINALS. . . . . . . . . . . . . -1-ROPS. , . . . ,.
r iX-iUr't'C3. . . . .
UB/SHOWERS. , . , c SE-M LR LING. t f't ) . . . ,
WO I t`R WAVER LIN1 t f't i . . . . c
?JASIJER. S. . „ . : RAIN DkAIN i f t) . . . .
jdL,mY-A ns » SratiIPi&U,EFi
`if4mr.. 1'1r}fip t:yp'l amount by c'af;& t•r c_P
JW 11411-4 T'LRR f"'i 111' 15. 00 JN 04/26/93 ._.
5PUT >r 0. "7::i JH 'a4G:-S/1)L
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-`I"I G'S t< Y u • 15. 75" VU
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_..__. .._._._. File QUIRE D INSPEC:"i IONEi
'ties ptr'ast issues subject to Ue repulatiens rontairec in the 1"ow ut.tt I.nrai:)
Til"hunir.ipa, Cane, Mate of Ove. Spetialty Ccdes and e;l ather Final Ins per..t i un
appliciiblie laws. pill wori will be done in Acrordanci with
approved plans. This porsit will expire if work is not stavted
within i6a days of sssuAnce, ar if wort, is susperdeu for rant
;ala days, . ...._._..___.._.._._.__ .._...__. ___._._..._........_._
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C TTY ()r.7 -VICARD RECEIPT OF PAYMFNT RFCEIPT NO. a 93- c'3' 4G4.
n,
CHECK AMOUNT a 11J. 75
NAME, MOOR, JAMES CASIA AMOUNT a 0. 00
ADDPPSS d 1F,523 SW li4TH TERR PAYMENT DATE a 04/;`18 9
SUBDIVIia ION
TIGARD, OR 97P23—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMCKINT FSA TD
ICL 15L75M—Bl N G- 15. 00 Swl � BUTI-D PER 0. 7!)
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St-'lRINKLEP PERMIT'
T OTAL AMC ONT PA I D 15. 75
INSPECTION NOTICE
City of Tigard Building Departaent
13125 T,w Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Buniness Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. / Plbq. Top Out Gas Line FINAL:
post/Beam Struct. San. Sewer Framing -Bldo.
Poet/Beam Hoch. Rain Drain Inaulatio, -Plumb.
Plbg. Underfloor /Water Line/1 Gyp. Bd, -Hoch.
Dace Requested: Ll T t! Tim*44 �'_ AH _PM
Addreee:� _ A �A4-19'rmit fr/��
Builder: �
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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InepootoJrs Dates
AlPwOY1D nlSAPPROVRD APPROVED SU&7ECT TO ABOVE
ct For Reinep.
INSPECTION NOTICE
city of Tigard Building nepartnent
13125 SN Hall Blvd. Tigard, Oregon 87223
Inspection Line (Rec-o-Phone): 6:19-4175 Business Phone: 639-4171
Inspection• _
Footing Plbq. Undera):,h Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line ^INAL:
-Dld
P..st/Beam Strur_t. an. Sewer Framing 9•
post/Beam Mach. Rain Drain Insulation -Plumb.
plhq. Underfloor Nater Line GYP• Bd. -Hoch.
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i)At.- Requested:
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Ad hese: Permit it C/� �!Y
Builder:
THE FOLLOWING. CO CTIONS ARE RkfJUIREDt I
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Inspector: - _ _ — Date �� _
APPROVED i_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
JNSPRCTION NOTICE
City of Tigard Building Department
13125 Seri Ba!1 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Ptenw) 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINALS
Post/Besim Struct. San. Sewer Framing -Bldg.
Poosstt/bermMach. Rain Drain Insulation -Plumb.
iFlbq. Ondorl7.00r Sister Oyp. Bd. - sch.
bate ltequesteds �'- Times s
AM
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PM
AddresPermit #s / C/
Builders
THE FOLLOWING CO (.TIONS ARE PSQUIREDs
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tnepeatore Dates
AlFNOVtD 02lIAPFROVtO AMMM dusts i' TO ADM
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INSPEC-TION NOTICE
city of Tigard Building Department
1312E Sq Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Much. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINALS
st/Roa^s struc San. Sewer Framing -Bldg.
ost Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Water Line Gyp. Bd. -Mach.
Date RecP:ested: �/ �7� Time: AM PM
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Addre®s: _ emit 1:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / _ Dates
APPROVED _ DISAPPROV20 APPROV=D Suej CT TO ABOVE
Call For Minap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phor.e 639-4175 Business Phone: 639-4171
Insrac:c:on:—�� —� - —
Fcoting Plbg. Un slab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drainnsulation -Plumb.
Plbg. Underfloor Watei Linv ^Gyp. Bd. -H chh.
Date Requested: Z Time: _ �+ PM
Address: U
Builder: /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector _- � Date:'
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
V:*Lty of Tigard Building Depnrtaent
131.i:i Sit Ball Blvd. Tigard, Ore-POn 97223
Inspection Lin;_ (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inaprection:_,
Footing Plbg. Undecalab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINA1:
Poet/Beam struct. San7ewar Framing -Bld.l.
Past/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wa r Gyp. Bd. --Hach.
Data Req,,etedlt^ !-ll
Tlme: _ /y A(M� PM
Address: '! J `�-�/ / Permit 1:/ 7 0 2
Builder:
THE FOLLOWING )ORREC:^IONS ARE REQUIRED:
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Inspecto _--------- -- Date:
r' APPROVED _ DISAPPROVED - _ APPROVED SUB.tECT TO ABOVE
_
--Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department �/
13125 Sit Ball Blvd. Tigard,. Oregon 97
Inspection Line (Rec-O-Phone: 031-4175 Business Phone: b39-4171
Inspection:
Footing Plby. Underalab Mech. Rough-in Anpr/Sdwlk
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Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer raining -Bldg.
Poet/Beam Mach. Rain Drair Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Mach.
_ 1
Date Requested: Time: AM PN
L.1Ider:`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Data:. T
APPRDVLD DISAPPROVRD APPROVED SUWRCT To ASOVE
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Rall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phonet 639-4171
Inspection:
Footing Plbg. Underslab Mach R uo. gh-in Appr/8dwlk
Found. Plbg. Top out =1Fr"amLng
FINALS
Post/Beam Btruct. San. Sewer -Bldg.
Post/Beam Mech. Rain Drain Insulation �tsab.
Plbg. Underfloor Water Line gyp. Bd.
Date Requestedt _ -!G lme: AM
Address:` �//-- .. ! rmit !t Z -02-7 GO
Builder: �z
TRE FOLLOWIN11 CnPMCTIONS ARE REQUIREDs
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Inspectors
"room ` DISAPPROVED APPROVED SUBJECT TO ABOVF.
call fbr "in".
IMSMY kiN NOTICE 1"1ZL/
City of Tigax Bu.%ldinq Department
13125 SM Ball M-wo. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639 4175 Business Phones 639-4171
Inspections _.
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. lbg. Top Out='-) Gas Line FINALS
Post/Beam Struct. San. Sewe Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: Z Times AM _i__PM
Address:
Builder: `
THE FOLLOWING OORREC'a'ONS ARE REQUIRED:
Date:
�APPROv'.[)tel D 1:APFR(,VFP - APPROVED SUBJECT TO ABOVE
// Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depax-ttet
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-•O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out nas Lino FINAL:
Post/Beam Struct. San. Sewer Framing` Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Unddrfloor Water Line Gyp. Bd. -Mech.
Date Requested: )` 3C/ `% ^ Time: ^ ANS. PM
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Addrese: �/�/tT�-� �� �. '`� Pdrmit /: C/�/[,a
Builder:
THE FOLIAWING CORRECTIONS ARE REQUIRED:
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Inspector:_ _
APPROVED D I SAPPROVHD AFFMM lowwr To ASOVi
Call For Reinsp.
INSPECTION_iVOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-41'5 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in `APpr/Sdwlk
Found. Plbg. Top Out :;as Lina —'
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
Poet/Beam Hech. Rain Drain Insulation -Plumb.
P1bg. Underfloor Watery Line Gyp. Bd. -Hoch.
Date Requested: --Time. AH _,Z PH
Address:
Builders,/
71M FOLI.ONIIIO CORRECTIONS ARE R3QUIREDt
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inrpectort f �� L�E' Dates__
______APPROVED _ nfSAPPROV �PROVBD SUBJECT TO ABOVE
Call For R�
e�_iinssp.
INSPECTION NOTICE -
City of Tigard Building Department
13125 W Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639- 5 Hus�1#ness Phone-&,,639-4171
Inspections /�L'1`'�
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Fraaing -Bldg
Post/Beam Mach. Rain Drain Insulation r-Plumb)
Plbq. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requestedt ? T
Address �✓ ` Sw
Builders N
J*AL
TRE FO ODRAECTIONS ARE REQUIRED:
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Inspector:_ _ Dates
Y.APPROVED DISAPPROVED IPPROVSD SUBJsm TO ABOVX
Cali For Reinrp.
INSPECTION NOTICE
city of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineee Phone: 639-4171
Inspection:_ --- —---
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pest/9eam Struct. San. Sow" Framing �-Bldg_
Poet/Beam Mech. Rain Drain iculation --Plumb.
Plbq. Underfloor Wnt`er. Line Gyp. Bd.
Date Requested: /!/ y/ L "Z Time: AM / PM
A�Idrees•— — sermit
Builder:—
-- —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In•-)ectbrt_ nate: j U �`L z/
APPr4v2D DISAPPROVED APPROVED SUBJACT TO ABOVE
Call For Reinsp.
INSPECTION l70TICE
City of Tigard Building Department
/ 13125 BWHal AI - Tigard, Oregon 97223
(J� epectior. Line (Rec-O-P nets 639-4175 Business Phone: 639-4171
Inspect n•
i
sdwlk
Footing P1 underalab Mech. Rough-in Appr/
Found. P1 g. Top Out Gas Lino FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underflonr / Water Line Gyp. Bd. -Nech.
Date Requested: --(]]� Time: _ AM --PH
AAdrena:.� llt7 ! ' A` +rmit r: 91 z
nuilder.: (y /
TNF. FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapectort trf T�pflZ -- --- -- Dates_ LC__>
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE -
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--47 '.
Inepuction:`_ _�--
Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL%
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/9= Hoch. Rain Drain Insulations Plumb. )
Plbg. Underfloor Water Line Gyp. Bd. �"- --Hech.-f
Date Requested:_ J—Z Time: AM _ PM
Address: Permit /: !/�
Builder—
THE FOLLOWING; OORRECPIONS ARE REQUIRED:
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APPROVED orSAPPROVFD _-_ APPROVED SUBJECT TO ABOVE
—call For Reinsp.
CITY OF TIGA RD CITY TMRD C,ER'1*I1`ICAlE OF
COMMUNITY DEVELOPMENT DEPARTMENT mom ml
13126 SW Hall Blvd. P.O.ft 23397,TjpM,O"pgon 97(603)63g-4176 OCCUPANCY
171
DATE ISSUED, 10/01/92
I TE ADDR1;-:.*Sl3. 12523 SW 1147H DR PARCEL i2GI03AC"--04&01,`
:-jUBDIVISIU1q, . . . j WHLNU'l DROVE SURD ZUNINGi R--4. b
IJLOCK. . . . . . . . . . v LOTo . . . . . . . . 4 . . .
LLASS UF WORK. .01(M
I v PL Ul. USE. . . ;SF-
oCClJPANCY URP. %R3
OULIXIANCY 1-04Do 100 4
1 F.NHN T Nfilvi1=.. . .
i�:e of).a)-k s i
uwf)e). ;
FOUR D CONSTRUCTION
P11 SOX 1517
iA.;-jVURTUN UH 97075
Vllorle #1 641-0935
FOUR D CONSTRUCTION
" f 1-10.k. 157i
OLIAVE14H.-Ill lJR
Whone 01 E,41--09,35
Neq 4#. . l 11037
0f ( k_lj:IAnLV Of the P%bove rptereticed bl,.tilding is hereby given, and cot,tifies
the complIance the !4tate I:If
If fir-eqcm ;ipecimlty Lodes for, the Uvoup,
c-CICIAPSTIC•?, and U%f.A Under Which the )•-efei,enced pet,mit war, isr-med.
lop is 4
ibk. DINO INGPIXl
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blill IA Nr3 I C'1(41
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POSI IN CONSPIMOUS VLACE
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4PLUMPING PE RM I T
ITYOF TIGARD
CIfl(OFTMAIM PERMIT #. . . . . . . : MST91-0276
COMMUNITY DEVELOPMENT DEPARTMENT oe.oON
1312bSWHoll Blvd P.O.Box 23397,Towd,OrWW 97223(SM)6304175 DATE ISSUED: 06/08/92
£�): TF ADDRESS. . . : 125::3 SW 1.14TH -P:6 Tzr ,r, ;r Pf: iCEL: 2S103AC--WG15
L.(113DiVISION. . . . : WALNUT GROVE SURD ZONING: R-4. 5
E+l..()CK. . . . . . . . . . . LOT. . . . . . . . . . . . . 115
---------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . eSF WASHING MACH. . . . . . . 11 SACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 10 , TRAPS. . . . .. . . . . . . . . :(
STORIES. . . . . . . . .. 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-•---•-•--•- ----- LAUNDRY TRAYS. . . . . . C0 SF RAIN DRAINS. . . . . 21
SINKS. . . . . . . . . . : i GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . 10
WATER CLOSETS. . :2 WATER LINE (ft) . . . . : 100
L)TSHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . 00
Remarks:
OWNER: -____. ___...____.,__._.__.____._.____ ____..-_ _.___.___.._-FEE:S__-_- ____.___.__.._._._
FOUR D CONSTRUCTION TIF $ 1380. 00 PLL 06/00/92 2P8
PO BOX 1577 DPRT s 415. 00 PLL 06/08/98 228
BPL.0 t 40. 00 .JLH 12/30/91 221E94
BEAVERTON OF, 97075 B5PC $ . 20. 75 RLL 06/08/-9,21 228
f'I i r)rip ff: Ii l -0935 BPLC $ 15. 00 PLL 06/08/92 226
PARK • 500. 00 PLL 06/08/92 228
Plumbing Contractor:•-----•-----_-._-- SSDC f 280. 00 PLL 06/08/g2 2R8
MPRT t ?6, 00 PLL 06/08/92 2iR6
Names _ _ �::�. _ �_._k ( -�---- _ MPL.0 f 1. 00 RLL 06/08/92 228
Address : -^ _ S;Z._._. _ _ M5PC E i. 80 FILL 06/08/92 228
City: _ St at R: PPR•T $ 13'_. 50 PLL. 06/08/92 228
k5p'C f 6. 63 PLL 06/08/92 228
Rog
---- -- REQUIRED I NS)PECT I ONr �__._.__......_.
This permit it issued subject to the reg-
ulations contained in the Tigard Municipal Foot /found Insp Rain drain Insp
Code, State of Ore. 9)pecialty Codes and all. Pont/Beam Struct Water Line Insp
other applicable laws. All war4< will be done Post/Spam Mechan Appr !Sdwlk Insp
�..� r. 3n,h - Meett&micAl F l.!na+l
Permit will expire if' work is not started Pl_M/Unclerflanr plumb Final
within 180 days of issuance, or if wnr•k is Mechanical Insp Building Final
o suspended for more than 180 days. Plumb Top out Erosion Contra ,
NFraming Insp Crawl Drain
Firepltir_e Insp
Gan Line Insp
_) I n s u l apt i o n Insp
"_ �F,��= !� `� - -__ ____i4?�- �1_ ►_- Gyp Poand Insp _..-.�.
�• Nu horized plumbing Contractor Sinnature -- --- ----.-----_._.
Call for inspection - 639-4175
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Contrart or Notese__
GITYOFTIGARD 01 A�� RD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT gem . . . . . . . .. M S T 91 7
13125 SW FWl Blvd P.O.Box 23307,Tig",Oregon 97223(503)6394175
DATE ISSUED: 06/17/92
'SW 1141
,USD 1 V I S I ON. . . . WALNUT GROVE boot) ZONING: R-4. 5
BLOCK. . . . . . . . . LtIT. 15
------ BU I LD I I Iri -------------------------------------
IRE I SGUE:MST91-0182 DWELLING UNITS: 1 l3A,53E1y1VNT. . . . . . . . :0 5 f
LLASS OF WORK. .-NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :440 sf
I'YPE OF USE. . - -;�F FLOOR RE--(-,!LIIRED
TYPE OF CONST. :SN FIRsT. . . . - .1687 s LEFT. . :5 ft R1GHT. :6 ft
OCCUPANCY GRP. : R3 SECOND. . . :0 s f FRONT. :2-0 1"t REAR. . :2-6 f L
STORIES. . . . . . . : I TH I RD. . . . 0 s f
I iE I GHT. . . . . . . . .21-21 ft 'T'OTI'AL--------- 16S7 Fs f SMOKL DETECTORS. .-Y
r=LUUR LOAD. . . . 1.40 pst VALUE. . . . . 85b;:12 PARKING 5PIACES. . -.0
R cb m ar,k s -.
------------------------------------ PLUMBING3
S I NKS. . . . . . . . . . : 1 FLOOR DR(74ING. I. . . -0 BACKFLOW PREVNTPS. . :0
i-OVATORIES. . . . . -.3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :2 617WER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISIAWASHE-RS. . . . . 1 t4ATt-*.R LINE (ft ) . : 100 OTHER ISI XTURL .7. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . .-0
WASHING MACH. . . : l. SF RAIN DPAIN5. . : 1
MECHANICAL
FUEL TYPES------ UN 11' HT RS. . :0 type i'AMOIATIt by daLe Y^ecpt
/GAS/ VENTS . . . . . ..0 TIF $ 1380. 00 PILL 06/08/92 2213
MAX INP1JTr0 BTU VENT 1=ANS. . -.3 LAPRT $ 415. 00 BCR 06/ 17/92' 22B
FURN < 100K . . sl HOODS. . . . . . sl SPI-C $ 40. 00 JLH lj'/30/91 221254
FU14N ) =1.0171K . . :0 WOODGTOVES. :171 B'15 P C $ 20, 75 PCR 06/17/92 21 21 a
PLOUR FURN. . . :0 CLO DRYERS. 3 1 BPLC $ 15. 00 PILL 06/08/92 228
,Hr-",:0 OTHER UNITSiO PARK $ 5O111. 00 PLL. 06/08/1 2 eaA
GAS OUTLETS: 1 SSDC $ '71. O0 PLL. 06/08/92 228
IYIPRT $ 3, - 00 P1-1- 06/08112 28:'8
F'(-')LJR D CONSTRUCTION MPLC $ 5 1 0 PILL 06/08/9i2 228
BOX 157/ M.5PC $ 1. , 0 P1--L 06/08/92 228
PPRT $ 132. 50 PLL 06/08/92 226
BEAVERTON OR 1712175 P5PC $ 6. 63 PLL 06/08/92 2-28
Phone #: 641-09.35
FOUR D CONSTRUCTION
i "I PDX 1577
Lo—HvERTON OR 9 /075
a'hrrne #s 641-0935
Cz
#. . s 71037
V)
$ 68 TOTAL
his pervit is issued subject to the reg-Rations contained in the REDUIRED INSPECTIONS
rigird Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fir,eplace Insp
applicable laws. Ali work will be done in accordance with approved Past/Ream SItt-Lict Gas Line Insp
plans, This permit oill expire if work it not started within 180 Post:/Beam Mechan Insi.ilation Inst,
Jays of issuance, or if work is suspended for ror than 180 days. F-Ilm/tindslab Insp Gyp Boav-d Inst,
PILM/Uri d e-f 1.a a v- Rairi di-,atn TiisC)
M901atli.C4Al T11SP Watpr Line Iiisp
Plumb Top out Appr/Sdwlk Insp
F-v"Amint' 111sp ifla.1
inspection 639-4175
ri'ry OF TIGARD - RFCFIPT OF PAYMENT RE(-t:-ip-r NO. 92--228 169
t u/?", CHECK AMOUNT r 4706. 4B
NAME e FO%JR D. CONSTRUCTION CQ* -7-e
CASH AMOUNT a 0. 00
PDDRESS 1 P. O. BOX 1577 PAYMENT DATE A 06/08/9i?
SUBDIVISION
SEAVrRION, OR 9-7075- LOT 15/WALNUT 13ROVE
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
�Ui7t--Ff �Ei--M ci T 9 1-2 7 6 —3-9-1. 0-0 PLUMBING-PERM 132- 50
MECHANICAL P'7 36. 00 ST. BUILD PER ?7. 96
PLAN CHECK F ;": 22"1-. 00 SEWER INSPECT SWR92-53 1900. oel
SEWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 12E.10. 00
mAss TRANSIT TIF FEES AOO. 00 PnRKS SDC 500, rom
STORM DRAIN SDC c,80. 00
12583 SW 114TH DRIVP
TOTAL AMOUNT PAID 4706. 48
CITY OF 'CI(3ppD FtC:.f"�.IF''1' OF PAYMENT W.CE.IPT NO. 191
CHECK AMOUNT : ('00. 00
NOME t FOUR D CONS fRUCT I ON CASH (IMOUNT 0. 00
ADDRESS I PFaYME;:N'f UATF i 1.:='/ :sPa/51
GIJBD I V PSI ON I
IJPPOSF OF PAYME.:N V (>IMOUNT FAIL) FSI MPOSE OF PAYMENT Alvinl.)N'I PAID
I`l AN C;HH CK F r' 6�V1. iT�
2
n
J
C
aJ
J
PILANCHEC KS WALNUT GIROV
LOT # -1— 91 16, 13, 1.9, 141 1!5
TOI'AI_ nMOLINT F'AICJ - - ` 660. 00
CITY OF TIGARD RECEIPT OF Pn'eMFNl' REC�IFST NO. i 92,—c_',_'8595
CHCCK AMOUNT a L5. 20
NAME a FOUR D CONSTRUCTION CO CASH AMOUNT a 01- 00
ADDRESS 1-",Cl BOX 1577 PAYMENT DATE a 06/17/92
BEAVERTON, OR SUBDIVISION
97075--
PURPOSE OF PAYMENT PMOLINT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDINC3 PERM 24. 00 ST. BUILD PER
pf
V)
TWAL AMOUNT PAID 25. 20
CITY®F' TIGA RD HASTEN, PERNI-1
.�
COMMUNITY DEVELOPMENT DEPARTMENT #. . . . . . . . MST91-0276
13126 SW Hell Blvd. P.O.Box 23397,TigW,Oregon 97223(SM)639-4175 7F
639-4171 on-1h lbbuhu: 06/08/92—
SITE ADDRESS. . . 12523 SW 114TH wrierr, P-nRCEL.:. 2SI03AC---WGI5
SUBDIVISION. . . . : WALNUT* GROVE SUBD ZONING: R-4. 5
Ni_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. I S
----- BUILDING
REISSUE:MST91-01.62 DWELL I NG UN I TS: I BASEMENT. . . . . . . . :IZI F
CLASS OF WORK. :NEW BEDRMS:3 awrHS:2 GARAGE. . . . . . . . . . :440 s
TYPIE OF USE. . . :SF FLOOR REQUTRED SETBACKS-----
TYPE OF CONST. .5N FIRST. . . . : 1687 Sf LEFT. . : 10 ft RIGHT. : 15 ft
OCCUPANCY GRP. P.3 5ECOND. . . :it) Sf FRONT. :t2,0 -Ft REAR. . :27 F 1;
STORIES. ., . . . . . : I TH I RD. . . . :0 sf REQLJ I RED-----------
HEIGHT. . . . . . . . aE0 f-t 7'UTAL.-----: 1687 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . A-0 psf VALUE. . 85522 PARKING SPACES. . 0
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . , . :0 1AACKFLOW PIREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : 3 LAUND13Y TRAY,5. . . :0 CATCH BASINS. . . . . . . ..0
WATER CLOSETS. . :2 F3EWER LINE (ft ) . :0 GREASE TRAPIS. . . . . . . :0
DISHWASHERS. . . . - I WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0
UARBALL DISV'. : 1 RAIN DRAIN (ft) . :0
WASHING MACH. : 1 (,1-: Rai IN URA INS. . . 1
MECHANICAL FEES
FUEL TYPES----------------- UNIT HTRS. . -.0 type amcil.tnt by date t-ecp
/GAS/ VENTS . . . . . :0 TIF 4 1380. 00 PILL 06/08/92 228
MAX INPUT:0 Ek I U VENT FANS. . : 3 B P R T b 39 3 . 410 PILL Q)6/17,8/9 2, &R.8
FURN ( 100K . . : 1 HOODS. . . . . . : I HPLC $ 40. 00 JL.H 12/30/91 221294
TURN > =100K . . .0 WOODGIOVES. :0 B5PC $ 11). .`i5 PLL. 06/08/92 228
FLOUR. FURN. . . . :0 CLU DRYERS. : I BPLC $ 15. 0121 PILL 06/08/92 228
B(1IL/C_MP ( 3HP:0 nTHER UNIT73:0 I-I! "R $ `_500. 00 PILL 0C,/08/'3c 228
GAS OUTLETSil SSDC $ 0,80. 00 PILL 06/08/92 22E,
owner-: MPRT 't 36. 00 PIl_L 06/06/92 22A
FOUR D CONSTRUCTION MPLC 4 9. 00 PILL 06/08/92 228
P") BOX 1577 1151-1c i 1. 81t' PLL 0iz,/06/%2 2 ,8
PPRT $ 132. 50 FILL 06/06/92 226
BEAVERTON OR 910715 6. 63 PL.L. 06/08/9c 2c:&
Pt-ionp #: 641-0935
FOUR D CONSTRUCTION
PO BOX 1577
DEAVER i ON OR 9 ,1V)7!5
iDlione #: 641 -0935
0. . : 71037 _---------____--._--------.__-_____._____
$ E611. 48 TOTAL
This pereit is issued subject to the regulations contained in the RUUUIRLL, INSPE-LTIONS
,igard Nupic;';)al Code, State of Ore. Specialty Loops ana #)I other Foot/found Insp Fir-eplac.,e Inst?
acoilicable ;aws. All work will be done in accordance with approved Post/Beam Stt,1.ic,t; Gas L i D e Insp
plans. This Detvit will exvire if work is not started within IN Oost /Deam Merhan Insi.t1ation Insp
4;pVS Of issuance, or if work is susoprded fci- tore that, 180 eav%. Pllm/tindslab Insp Uyp Boar-d Insp
PL.M/Und a t,f I o u v, Pain dr-ain Insp
Mer-Jianici-Al Insp Water, Line Insp
Plumb Too Out Appt-/Sdwlk Insp
rt-Amirill Insp Mec.Jianit.-.al Fina
Call fol- inspect: ion 639-4175
SEWER CONNE=CTION
F�ERM I T
�I o� �I��� FDERMIT #. . SWR92-0053
COMMUNITY DEVELOPMENT DEPARTMENT LC�jWAIRD
13126 SW Hml l Blvd P.O.Boot 23347,Tipad,Orpon 07223(603)83x4176 DATE ISSUED: 06/08/92
ADDRESS. . . : 1252.3 SW 114TH -DR PARCEL: 2S103AC--WG15
901 V I S I ON. . . . . WALNUT GROVE. SULK ZONING;: R-4. 5
DI._OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . 1�,
--------------
..NANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . -
CLASS
NITS. . .CLASS OF WORK. . . :NEW DWELLING UNII-S. . : I
TYPE OF' USE=. . . . . :SF NO. OF BU I LD I NGS: 1
INSTAL.L TYPE. . . . :BUSWR IMPERV SURFACE— : : s f
Remarks:
Owner. —___._-----•__________________—__—_____. _-__—__---__------ FEES
FOUR D CONSTRUCTION type amount by date r ecpl,
I:.,O AOX 1577 F'RMT fs 1900. 00 PILL 06/08/92 228
INSP' PLL 06/0f3/92 208
BEAVERTON OR 97075
i=hone #: 641--0935
CONTRACTOR NOT ON FILE
Phone #: 6 1935. 00 TOTAL
Reg #. . .
---- -- RF_.QU I RE=D INSPECTIONS
-----
This Applicant agrees to comply with all the rules and regulations Sewer, Inspect ion
of the Unified Sewage Agency. The permit expires 150 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not lo:ated 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 ;'1d the Agency wil install a lateral.
rl e r m i t t e e
issued By•
Call for inspection — 639-4175
I
,7