12636 SW 114TH TERRACE OrAJ
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Scott Libert
12838 SW 114"Terrace
Tigard,OR 97223
February 13, 1996
Building Division
13125 SW Hall Blvd.,
Tigard, OR 97223
To whom it may concern:
This is in regard permit#Pl M94-0168, a Normit for installation of a sprinkling system. The installation
is complete, and I have not yet scheduled the iricpection. Since the permit has expired, and more
than 189 days have pass�,d, I will come down and sutirnit a new ap:Atiorrfees. Immediately
thereafter, I will schedule an inspection.
If there are any questions or c�incerns,nbe reached during the day at either work (627_5648) or
home(590-9888).
Sincerely,
Scott Libert
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CITY OF TIGARD BU1C ING IN ECTUDR fTOTICE
Inspection Line (Rec-O-Phone): 659-41%5 Business Phone: 639-4171 11
Inspection:
i
n-4-1A 49, E:ns—
Footing Susp. Ceiling Sprink. Rough-i Appr/Sdwlk
Foundation Plbg, Underslab 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 -Mech.
Underflr. Insul. Shear WallGyp. Bd. -Elect.
Date Requested: _2_ ` Time: AM PM
F �T'
Address: � �_ �• � �, � ,� `f"� �-�-�L--� p
Btod-6 �' f `� �r.^ C` <c 1 Permit #19
,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
)bPPROVED _DISAPPROVED _APPROVED SUBJECT TO AI3LVE
Cali For Reinsp.
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PLUMBING PERMIT
PERMIT t1. . . . . . . : PL_.1194-016:
639-4171 DATE ISSUED: 08/05/94
F•A9GEL: _S 103AC 04�0�1i
SITE ADDRESS. . . : 1 -'636 SW 114TH TERR
SUBDIVISION. . . . : WALNUT GROVE SUBD ZONING: R-4. 5
BLOCK.. . . . . . . . . . . LOT. . . . ,, . . . . . . . . : 1 1
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. MOBILE_ 110111"' SPACES. :
TYPE: OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . : RS FLOOR DRAINS. . . . . . . . 'TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . :3 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
1:1.X'TU RES—----- — ---- -- LAUNDRY 'TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
51NKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTI•IER FIXTURES. . . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . .
WATER CLOSET`. . : WA TEN LINE (ft ) . , . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remar,lcs : SPRINKLER PERMIT
Owner-: - _._._.____.__._._.___._________-----------_._.-------______----- FEES
SCOTT L.IBERT type amol.lnt by date recpt
PRMT $ 15. 00 JCS 08/05/Y4 —
5PCT $ 0. 75 JG 06/05/94 _
TIGARD OR 97223
Phone #:
Lunt r-actor-:
OWNER
Phone t#: $ 15. 75 TOTAL
------ REUUIRED INSPECTIONS
This permit is issued subject ti the regulations contained in the RP/Packfluw Prev
Tigard Municipa' Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with _�__.__•_•� _ ��.
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
H
I er-nfittee Signat o.tr^e :
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IJc1Ued By:• .
UJ Call for^ inspection — 639-4175
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'CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard Oregon 97223.8199 (503)830.4171
PLUMBING PE.'RO I T
PERMIT t#. . . , . . . : PLM94-0-6t,
639-41 11 DATE ISSLIE"D: 17.18/05/94
PARCEL: 2S 1 Ql 3FiC._04;01.6
BYTE: ADDRESS. ,`,{ : 1'2636 SW 1111TH TLRR
l.-,'tD!Y TR 1 ON. . . . : WALNUT GPOYE SIJBI) LONINC: R-4. 5
BLOCK. . - . . . . . . . . UOT. . . . . . . . . . . . . r 1 1
ti
CI_i�5c�`OF= WORK. . :11ADD__ __.__.GARBAGE DI'SPOSALS. . : MOBILE HOME SPACES. I
TYPE OF' USE. . . . -sr' WASHING MACH. . . . . . . I BACKFLOW E',REVr4l RS. . : 1
OCta(.IP(-)NCY GRA'. . -. R.`. F"I._L OR DRAINS. . . . . . . : TRAP'S. . . . . . . . . . . . . . I
ST C1R1FiS. . . . . . . . :::, WATER HEATE-RB. . . . . . : CATCH BASINS. . . . , . . :
F Y;TURF'S._-_.._-..__._.._______.-_ LAUNDRY TRAYS. . . . .. . : SF RAIN DRAINS. . . . . :
91NK!S. . . . . . . . . . I URINALS. . . . . . . . . .. . . . GREASE: TRAPS). . . . . . . .
I_AVATGRIES. . . . . : OTHER FIXTURES.
TUB/:3HOWE:RS. . . . : SEWER LINE (ft; )
WATER CLOGETS. . : WArEF. 1..-INE (ft ) - - - -
D 1 91—AWASHE'RS. . , . e Pp T i,4 DRAIN (ft ) , . . ,
Remav-l•rs : SPRINKLER PERMIT
SCUTT LIBF_R'T tyl.)e arnui-int by date V'ecpt
PRMT 1.5. 00 JG 08/05/94
T T GORD OR 97223
fJWhl''R
175. 75 TOTP!_
RE WIRLD I Ni3f'l.I:, f iONS
- ..._.._
This permit is issued subject to the ve'r,ilations contained in the RP/Ba►ckf'lcrw Prey
Tigard Municipal Code, Etats of Ura. Specialty Codes and all other Final Inspecti,7ti
applicable Imes. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is ,topended for more
than 190 days.
•' t'�',rr�mitt:ew F.3i.gnxtui--e :
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J Call far inspectinri 639--417`
"CITY OF TIGARD
UOMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.0199 (503)639-4171
PLUMBING PERM I i'
PERMIT #. . . . . . . : PLM94--0168
639---4171 DATE ISSUED a 08.105/94
PARCEL: �`a103AC- 04c:00
OTTE ADDRESS. . . : 12636 SW 114TH TERR
SUBDIVISION. . . . e WfaLNUT GROVE SUBD 7 ON I NG: R-4- 5
BLOCl%. . . . . . . . . . : LOT. . . . . . . . . . . . . : I t
CLASS OF WORK. . :PDD GARBAUE D I E3POSALS. . : MOBILE HOME SPACES. 1
Tr,PC OF, Usc_ . . e5F' WASHING MAC1. . . . . . . a Prr; ` OW P RFVNTRS. .
e 1
OCCUPANCY GRP. . :R.3 FLOOR DRAINS. . . . . . . e TRAPS. . . . . . . . . . . . . . :
w T OR I E;� . . . . . . . . o3 WATER HEATERS. . . . . . : CAT UH BASINS. . . . . . . s
FIXTURES—------ _..... LAUNVY TRAYS. . . . . . : SF 14AIN DRAINS. . . . . e
SINKO. . . . . . . . . . a URINPL.S. . . . . . . . . . . . . BREASE TRAP;. . . . . . . .
LAVATORIES. . . . . : OTPLR FIXTURES. . . . .
TUB/SHOWERS. . . _ e SFV;E:R LINE (ft ) . . . . e
WATEP CLOSETS. . ; WATER L I14E (ft ) . . . . :
D I GHWASHE REP. . . . : RAIN DRAIN (ft) . . . . a
Romarkis : SPRIMI,LE:•R Pr-.,RMII"
Owner: — •_..__.._......__. ...-..-._...__ ...__.__._____..._...._._... ... __...._._.,__..__......._.....___.._ _..._.__...... FEES -_...__.._........ _.._.._.
SCOTT t_IDERT tyf3e amoLrnt by cute r^ear. pl,
PRM.F $ 15. 00 ,TCS 08/05/114 -
5PCT $ 0. 75 O 08/05/94 -
110ARD ()R 9732:
Phone #s
conty-actov-1
Phony
Reg #. . t _
REQUIRED INSPECTIONS ._.__.....__..__.
This permit is issued subject to ►he regulations contained in the RP/Backflow Prev
Tigard Municipal rode, State of &-e. Specialty Codes and all other Final Inspection
applicmble laws. All work will be done in accorda-ce with
approved plans. This permit will expire if cork is not started
within IBB days of issaance, or it work is suspended for more
than 189 days.
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—' Ca1 :l for insp�yrtic�n f;Z4.-4175
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City of Tigard PLUMBING PERMIT APPLICATION Plarick/hec. # �
13125 SW Hall E;!,fd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Nimio10n(�°""" New Single Family Residences Only
(N cc rte U V-
'°'&" ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job /,, "o Tip ❑ 3 BATH HOUSE$225.00
Address c"Yist.0- f nn Fee includes all plumbing fixtures in the dwelling and the first 100 feet
9 7 ZZ 3 of water service, sanitary sewer and storm sewer. See bees below.
N.m.;a..iM elswvur FIXTURES QTY PRICE AMT
�-a{ii- Sink 9.00
"'•'^a P4"^• P''°"• La 4atory 9.00
Owner a ("I Lr-, 'ub or Tub/Showa' Comb. 9.00
""'""•
zip Shower Only 9.00
Water Closet 9.00
-- N•m.,x^.m.°'-..'r Dishwasher 9.00
• I`c t" '� Garbage Disposal 9.00
Occupant M.r., ,d•U Phm. Washing Machine 9.00
Floor Drain 9.00
01^"s`"'" zip Water Heater 9A0
Laundr Room Tray S.00
NN"m"- - Urinal ~� 9.00
Other Fixtures (Specify) 9.00
M.a o u•... Ph- 9.00
Contractor _ •
�- 9.00 1
cxpsi a- DP
9.00
Sewer 1st 100' - 30.00
sam cxy eu. T..N. Sewer-ea. Addit. 100' 25.00
Water Service 'st 100' 30.00
I hereby a(,knowledge that I have iead this application, that the Water Service c:a. Addit. 200' _ 25.00
rformaticn given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am re.istered with the Constru0ion Contractor's Board, that the Storm &Pain Drain Add't. 100' 25.00
number g ,eu is correct. (if exempt from State registration, please
give reason ;elovj.) Moble Home Space 25.00
� Back Flow Frevention
rr Y Device or Anti-Pollution Device 9.00
"�"""•�°" '°"�""r "•'• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition 46 alteration Q reoair Q Catch Basin 9.00
lu be done residential non-residential Q Insp. of Exist. Plumbing 40.00/hr
r _ _
Specially Requested Inspectionr 40 00/hr
E;fisting use of -
bui',!..g or property (`�PSICXQ r�t tc.K J Rain Drain, si'tgle family dwelling 30,00
Residential backflow prevention
devices 15.00
Proposcd use of '1 S' ( y` (1
bunding or property (e ftp �'`-'
residential tHaclrffow
prevenifon devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL I/�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE j7 ,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIMF AFTER WORK IS
COMMENCED. !II-AN REVIEW 2.5% OF SUBTOTAL
TOTAL
Special Conditions _
-^ __ Date issued `by, --- -
C1IN OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 WV Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
CC:RTIFIGATL OF
UCCUPANCY
Xx x X PERMIT #. . . . . . .
4171
DATE ISSUEDI 04/23/9,..'
siTE: AC)mLb,�. . . z 12636 SW 114TH TEFIR PARCEL: Pt-;103AC-04,100
SUBDIVISION. . . . r. WALNUT GROVE SUI)D ZONINGc R--4. 5
BLOCCK. . . . . . . . . . c LOT. . . . . . . ✓ . . . . a 11
ASG Or- WOW. :Nl:-!W
IYPE Of' USE. . . :GF
OCCUPANCY
OCCUPANCY LAIAD43;29 A
TENANT NAM—. . . :
Remiarksi PATH I
Owner-s
POUR 0 CONSTRUCTION
PO 80Y 15571
bL1-)VLR'F(Jl'4, OR
Phone *v
FU(,)I*( D GONIGiRUCI*I(IN
PIO 4ax t577
M'OVEPTON Oil 97075
Phone #t Wil- 0935
Qicc�ipancy of the above refer need bouildinA is heraby given, ami Ler-Aitiea.
the i--umpliaric-e w3fh 'ch" State Of Ot,erjon Gpecialty rollers For the groups
Alld LISe t.mder which the Yeferont-ed permit was
Int. I)EPARTMENT
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PUS'J IN l"ON I CU01 I
IMS. o NOTICE , 7
City or Tigar*tuilding Deparbowit
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Peons)i 639-4175 Bnainoea Phones 639-4171
Inspection: _
Footing Plbg. Undo-:-slab Hoch. Rough-in Appr/Sdwlt
Found. Plbg. Top ..hut Gas Line FINALS
Post/3eam St.ruct. San. Sower Framing 191�dg� -
Post/Seam Hec:h. Rain Drain Insulation -Plumb.
'lbg. Underfloor Nater :tne Opo. Bd. -Hoch.
late Requested: /� 2�IV-3 Times —4—AN PH
Addrese: ' YA
Bu+.lder t
THE FOLLOWING CORRECTIONS ArX REQUIRED:
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Inspectors I °" — nRts:
APP110V1tD DISAPPROVSU APPROVEr aflainf^r 1" Awrm
—Call For Rei.nsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Bueineee Phone* 639-4171
Inspection:__
Footing Plbg. Underslah Mech. Rough-+.n APpr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Rldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underflo-jr l Water Line Gyp. Bd. y/��X,
-He Al,
Date Requested: J /� TimeT /�_ '/PH
Addreea:� �/3� //`/ y �� �'ermit I �-G'
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THE FOLLOWING CORRECTIONS ARS REQUIFED:
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Inspectors
APPROVED D1rAPPROVED APPPOVFD SUBJECT TO ABOVE
call For Reinsp.
'igard Building
NOTICE
City of ;'igard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inep._-tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in ApFc/Sdwlk
Found. Pl.bg. Top Out Gas Line FINAL:
Po, ,Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Ii,sul.ation -Plumb.
Plbg. Underfloor Water
7LinrA Gyp. Rd. -Mech.
Date Aequestedt/ ��_3 Timet —SUS __PM
Address: i�' t� Il[% Permit 1:_!�?.2
Builders- --
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors �� 7lTf',h''_ Date,
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Ra inep.
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 Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas-lAnq — FINAL:
Post/Beam Struct. San. Sewer gaming -eldg.
Post/Beam Hach. Rain Drain Insulation .-Plumb.
Plbg. Underfloor Tater Line Gyp. Rd. -Moth.
Date Requested- 'S _ —Times 11M PH
Address:� 41 C[" t% Permit it a.-
TIM
THE FOLLOWING CORRECTIONS ARE REQUIRED:
��''1..� ��r� •'✓"�'^'�/L'lirti-l•/� ,�.IGZ/ [1.�ti=L�Gh /11(/riflte 1.:1-frC�'i��+^�
/� 1�YA�✓ Amit�l�-L/`^'4 /�./l.I� _
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Inspectort Dates_
APPROVED DISAPPROVED APPRO V-D SUBJECT TO AROVv.
—_Call For Rninnp.
NSPECTION NOT
ICL
City of Tigard Building Depaxtmont
13125 S# Bull blvd. Tigard, Oregon. 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 633-4171
Inspectionx
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas LinoIC1L1
Post/beam Struct. San. Sewer Framing
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Bd. -Meoh.
'late Requested, `
Addrese: ( T_f �' "' T t Permit ♦s
Bui.ders C, 77 7-5__
TIME POLLOWrNC COMCTTONS ARE RESIUIRRO:
,_�-sM�'4l'V-t'.�/1.�.'�.GC_.f.II�y.1��• .Y'�� 1
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Inspectors ` Date:
___APPROVFD ` DISAPPROM 1PPROVND SUPTNCT TD Anon
Call For Rainsp.
INSPECTION NOTICE
City of Tigard BuiMinq Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Busineen Phones 639-4171
Inspection: _
Looting Plbq. Underela5 Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requestedr__3 ��5 ; Time: AM _s'M
Rddt ecces 4,a_1 - Permit t �
Builders_ LZ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:� --- -_> >- Oats--
APPROVED
ratet_,APPROVED DISAFI-.WVED APPRO11ED SUBJECT TO ABOVE
�'� Call For Rel.nap.
INSPECTION NOTICE �I
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. Underalab Mach. Rough-in Appr/.Sdwlk
Found. lbg. Top Out Rae Line FINAL:
Dost/Beam Struct , San. Sewer Framing --Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requeateds /O` -30 7 Z Times AM PN
/1 1 •� Permit #
TNF. PULLOWIN4' RRRCTCZONS ARE REQUIRED:
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Inspectors— — _--- _ Date:__'
APPROVRD DISAPPROVED APPROVED SUBJECT TU ABOVE
Call For Reinsp.
INSPECTION NOTICE L
City of Tigard Building Department
13125 SK Ball Blvd. Tigard, ore7un 97523
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Qooting Plbg. Underelab Mach. Rough--in Appr/sdwlk
Found. Plbg. Top Out ,as Line FINAL:
Post/Ream Struct. San. Bower ) Framing -Bldg.
Pont/Beam Mech. Rain ra Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Bd. -Koch.
Date Request-'e/di_ I'i 7 -" 12. Time! �AK �iiQ��II/T�pl�
hddresee_�G�-J'� �+� All�VVQ.C�" Permit #! _�71 '
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / Data,
APPROVED UISAPPROVSU APPROVED SUBJECT TO ABOVE
Call For Reinep.
N� SPECTION NOTICE �-
City of Tigard Building Department CC
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Basli.ess Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation [-P uDf
Plbg. Underfloor Water Line / Gyp. Bd. -Hoch.
Dote Req%eeteds Tient s — 1114 �PH
Address: Permit s t 7
Builder: i'"/ .1�THE FOLLOWING CORREG'TIONS ARE REQUIRED%
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Inspectors__� Date:
_.APPROVED -` DISAPPROVED _ APPROVED SUBJECT TO ABOVE
(/ Call Fo. einap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone); 639-4175 Business Phone: 639-4171
inspection:_.
Footing Plbg. Underslub Mec!?. Rough-in Appr/Sdwlk
r
Found. Plbg. Top Out Gau Line FINAL:
Post/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lina Gyp. Bd./� -Rech.
--77
Date RequAsteds__�,2 1 I 3 _Times AM __4 _PM
Address: ( 2 l(7 ' q+-- PermittQ1/, Permit 1: � -1� z- 1
Builders (—OIL V Zy4 -L7S0Z-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Innpnotorr �1 Date:
'� APPROVED D28APPAOVED APPROVED BUBJECT To ABOVE
'/ Call ror Rrinnp.
INSPECTION NOTICE
City of Tigard Baildiag Departmout
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phoae): 639-4175 Business Phone: 639-4171
Insper_tiont_
Footing Plbq. Underel Mech. Rough-in Appr/Sdwlk
Found. `Frbq.36p Out Gas Line FINAL:
Pont/Beam Struct. Ban. Sewer Framing -Bldg.
Peet/Beam Hoch. Rain Drain Iaouiation -Plumb.
I'M9. Underfloorf Nater Line Gyp. Bd. -Koch.
Dnte Requestede ' _Timet AM PK
A40reset �i_ ,.'aLGle Yermit -z
Bui Ider i
T119 FOLLOWING CORRECTIONS ARE REQUIRED:
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41
Date iez— �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Cell For Reinsp.
INS:'ECTION NOTICE
City of Tigard nuilding Departsaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:,
Footing Pl.bg. Underalab Mach. Rough-in Appr/Sdwik
Found, Plhq. Top Out Gas Line FINAL:
Poen./Beam Struct. San. Sewer Framing -Bldg.
Poet/:fnam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line )) Gyp. Bd. -Mach.
Date R:aquestad _ / -ell Times AM PM
Addreras� LP %/ y Permit f: 6?,
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED: y; D
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Inspectors --�rG+� Date:�r�z' /
"FROM OIe':.";POVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, oregor 97223
Inspection Line (Rec-O--Phone): 639-43.75 Business Phone: 639-4171
Lnspectione_
Footing Plbg. Underslab Mech. rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -B1dq.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watbr Line Gyp. Bd. -Mech.
Date Requested:1�Z Time: ,AM PM
Addreaa: ermit � ) 2
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspectors
.� Date s
APPROVMD DISAPPRWED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
--
CITYOF
T11FARD PLUMBING PERMIT -
CITY TIMIM
COMMUNITY DEVELOPMENT DEPARTMENT \ 06100M �'ERMT7 #1111 . . . : IMS r'3 -021.4
13126 SW Hrl Bk-d. P.O.Bax 23307,Tlpwd,Organ 07223(603)a3D-4176
S I TE,,FI6GDRESS. . . : 12LY46 �"al• rl 1 14 f H' T'EkR 4r I PARCEL: 2S 103RC-041 00
SL49EPIVISION. . . . : WALNUT GROVE. SUBD Z014ING: R-•4. 5
. . . . . . . . .
LUT. . . . : 1,1
'"J-ASS +1F WORK. . -.NEW GARBAUE DISE-1011 1LS. . : 1
! ,IPE OF USE. . .-. :SF WASH 111,16 MHC:H. . . . . . . : i BkL:KFLUW PHE.VNT'HS. . :0
UCCUPANC:Y GRP. . :H3 FLOUR ORA I NS. . . . . . . :0 T HAM'S. . . . . . . . . . . . . . .. 0
STOR I H S. . . . . . . . :3 WkTLR Hk_ATERS. . . . . . : 1 LATLH BASINS. . . . . . . 10
r I X'TUFit-Sr- _- LAUNDRY 'mAYS. . . . . . :0 aF RAIN DRAINS. . . . . : 1
S I 1,JK�1. . . „ . . . . . . : i GREASE: TRnV,q. . . . . . . :0
LAVOTOR I1.:S. . . . . e 4 0THE`R F I x,r(JRES. . . . . :0
7UJI/SHOWE'RS. . . . SEWER LINE=
W►'aT' .R trLUSf=TS. . . # WHTE'R LINE :ft ) . . . . .. 104.1
I)1SHWHSHERS. . . . ; 1 RAIN DRAIN (ft . . „ . .00 ......:w._.
remarks: PATH I
OWNER:
POUR D CONSTRUCTTOA TIF $ 0. 00 JH 10/05/92 -
P0 BOX 1137' BPRT $ 440. 50 J11 10.1'05/92 --
BPLC $ 266. 33 JLH 09/23/9; 23195 +
BEAVERTON, OH 97075 B51)c $ 22. 103 JH 10/05/92 --
Ptione #; SSDLI $ 0. 010 JH 10/05/92 -
PARK $ 0. 00 JH t0/1715/92 -
1- Iumbj.r.a (:ontractor:-- - - ---- - - - -- MPRr $ 45. 00 JH 10!05/92 -
' MPI_[; >s 11. P5 JH 10/05/92
-npc 1 2. 25 JH 1121/05/92 -
Acidres1s: ___ _.. ___ ._.._ PPRT 147. 50 JH 10/05/92 -
(: itY:.�_ � _ --__ht ate : PLiPC t 7. 38 JN 10/05/92 _
L 1.P I
Hog
REQUIRED I NSPLC•T I ONS .
rh►i.* permit i,,, issued srlb.ject to the r.Pg.••..
1alations contained in the T•igarri Munic:Apa:l Foot/found Insp Rain drain InFp
(;ode, State oflUr-e. Specialty Codes and all Po%t/Ream StrI.rct (dater Line l—ar I
other appl irabl a laws. All work will be done post/Beam Mer-han Appr/Sriwll< T nsp
in accordarire with approve(! plans. 'This Plm!undslab Insp Mechanical Fine
e,pe0nit will r)<pire if work is not star'tacl PLM/underfloor Plumb Final
within 180 clays OF issuance, Or if wor,N is Mechanical Insp Building Fi ial
:;usperidpri For more- than t80 days. P) umb Top Out Erosion Control
Fr•awing Insp Crawl Drain
yr
Fireplace Insp
Gas Line Insp
J n- Insulation Insp
GYP Board Insp
1Iut ori :ed PIL1mt�ing�Contractor ipnatmre
W Call for, inspect ion - 639--4175
Contractor
MASTER PERMIT
CITYOFT167ARD CITYOFTMRD PERMIT #. . . . . . . : MST92-0214
'COMMUNITY DEVELOPMENT DEPARTMENT 0116m
13'126 SW Hell FiNd P.O.Box 23397,TOW,Oregon 979�j�(JDnS3"l 16 7�77 DATE ISSUED: 10/05/92
SITE ADDRESS. . . : 126t6 SW 114TH TERR PARCEL: 2SI03AC-04200
!SUBDIVISION. . . . : WALNUT GROVE SURD ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 11
BUILDING
REISSUE: DWELLING uNi,rs: :l BASEMENI . . . . . . . . :0 Sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :440 Sf
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------
TYPE OF CONST. :5N FIRST. . . . :810 s LEFT. . : 13 ft RIGHT. :6 ft
OCCUPANCY GRP'. :R.3 SECOND. . . :856 5 f FRONT. :20 ft REAR. . -.65 ft
STORIES. . . . . . . :3 THIRD. . . . :394 s REQUIRED----------------------
HEIGHT. . . . . . . . :29 ft TOTAL—-:2060 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . -40 psf VALUE. . . . . $ : IIZI�680 PARKING SPACES. . : 1
Remarks: PIATH I
------------------------------------ PILUMBJ1\16 -----------
`311NJKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :IZI BACKFLOW P,REV1\1T[R5. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
FUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :V,
DISHWASHERS. . . . : 1 WATER LINE (ft- ) . .- 100 OTHER FIXTURES. . . . . :O
6ARBAGE DISP,. . . : I RA11\1 DRAIN (ft ) . -.0
WASHING MACH. . . : 1 SF RAIN DHAINS. . : 1
----------------- MECHANICAL ------------------ FEES
FUEL TYPES------------ UNIT HTRS. . :0 Lype amount by date reupt
/GAS/ VENTS . . . . . ..0 TIF $ 0. 00 JH 10/05/92 -
MAX INP,UT:O BTU VENT FANS. . :4 BPRT $ 440. 50 JH 10/05/92 —
FURN ( 100K . . -0 HOODS. . . . . . : 1 BP,LC $ 286. 33 JLH 09/23/92 i?3.1
FURN ) "100K . . : I WOODSTOVES. :O B5P,C $ 22. 03 JH 10/05/92
-
FLOOR FURN. . . . :0 CLO DRYERS. ; I SSDC $ 0. 00 JH 10/05/92
BOIL/CMP, ( 3HP:0 OTHER UNITSil PARK $ 0. 00 JH 10/05/92
GAS OUTLETS: 1 MPIRT $ 45. 00 JH 10/05/92
Owners ---------------------------------------- MPLC $ 1. 1. 25 JH 10/05/92
FOUR D CONSTRUCTION 115PIC $ 17-15 JH 10/05/92
PO BOX 1577 PPRT $ 147. 50 JI-A 10/05/92
P,5PC $ 7. 38 JH 10/05/92
BEAVERTON, OR 97075
Phone #:
Contractor: ---------------------------------
FOUR D CONSTRUCJ1014
PO BOX 1577
BEOVERTON OR 97075
Pficine #: 641-0935
Reg ft. . : 71037
$ 962. 24 TOTAL
This perait is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Jre. Specialty (,ndes and all other Foot/found Insp Fireplace Insp
applicable law5. Ail work rill be done in ar(.wdance m.th approved Post/Beam Stl-Uct Gas Line Insp
plans. This pernit will expire if work is not started within 180 Post/Beam Mechan Insi,tlation Insp
days of issuance, or if work is suspended for moreohan 180 days. P11,,-./linds1ab Insp Gyp Board Insp
PILM/Underf loot-, Rain drain Insp
Permittee 5 i gnat ure %
Mechanical Insp Water Line Insp
r4tw_161
I P'lUmb Top Out Appr/Sdw1k Insp
Issued By : &�(_ .. _ — Framing Insp Mechanical Final
Call for inspection 639-4175
® SEWER CONNECTION
C17YOFTIFARD f-ERMIT
CffYOFiIQIAD PER111-T #. . . . . . . : SWR9L-0299
COMMUNITY DEVELOPMENT DEPARTMENT 0K
13126 SW FWI Blvd. P.O.Boer 23307,TOW.orepon 97WVGAg3"16 I"'7 DATE ISSUED: 10/05/92
SITE ADDRESS. . . : 1246 SW 114TH TERR PARCEL-: 2S103AC-042,00
5UBD I V I5 T ON. . . . : WOLNUT GROVE SUBD ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UIVI"rS. . . .
CLASS OF WORK. . . NEW DWELLTNG UN1TS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS- 1
Ir1STALL 'TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
keivarks : PATH I
Uwner: ------•--------------------•-----•--- -
VHUR D CONSTRUCTION type amol_rnt by date recpt
V-10 DOX 1517 PRINT $ 2100. 00 JH 10.'05/92 —
INSP $ 35. 00 JH 10/05/92 —
BEAVERT.ON, OR 97075
Pyrone #:
L o n t Tact u r: --------------------------------
CONTRACTOR NOT OIV FILE
1--rione #: $ 2135. 00 TOTAL
Rey #. . .
--------- REQUIRED I INSPECT I ONS ---This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 198 days frog
the date issued. The total mount paid will be forfeited 1f :ie
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If cat so located, the installer shall purchase
a "Tap and Side Sewer" Fpryrt and the ency will install a lateral.
Permittee Signati-rre •
IssLied By:
/ Call for inspection — 639-4175
i
i
13M SW Hall Bwa. PLNCK/RECT # �- , —
/Z
CITY ` T 1 T 1 \J ARD PO Box:3397 PERMIT # �CL /
COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon 97M
(503)639-4171 DATE ISSUED —
JOB ADDRESS: TAX MAP/LOT -2,51Q3,, C -D q Z6'Y
SUB: 4 AZ,�I_Gtr 6;Rdv�_ LOT: /i _ LAND USE:
VALUATION:
OWNER SPECIAL NO1-ES
NAME: .<i� L a6/.- � UcT- 0&J REISSUE OF:
ADDRESS: LAST REISSUE:
-20 07 _ FLOOD PLAIN/
PHONE: - r _ SENSITIVE LAND:
CONTRACTOR APPROVALS RFOUIRED
NAME: lJ�vt A� �4�ay r. __ PLANNING:
ADDRESS: _ — ENGINEERING: _
_ FIRE DEPT:
PHONE: _ — _ -- OTHER: 7iF 0,V /.3uo4e'2/-01.7 --
CONTR. BOARD #: 0 __ EXP DATE: 7-73 _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: FL' ur-Ab rJ '.IST/SUBCONTRACTORS:
MECH: `:t-L-clBUS TAX:
ARC, ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: LJ , (,lJ• Z :> 9 _ ,__ OTHER:
T L AWP
PHONE: �-' 2 c- `�1( 1
a —
_ �
r PROFUSED BLDG. USE: ._��GL E � sa�.i/fir' ,�� t�,s/O ENc
COMMENTS:
J
APPLICANTS ATURE i
Received By: o. Date Received: fL '_
PERMIT # ACCT # DESCRIPTION AMOUNT- AMOUNT PD. BAT. DUE
5�i -o;ly 10-432 00 Building Permit Fees yvu,SZ '� _ d U,s U
10-431 00 Plumbing Permit Fees ly7.i2! 147' su,
10-431 01 Mechanical Permit Fees _ / _ y), .,)
10-230 01 State Building Tax (5%) 31,(G
Building 3 /
Plumbing _ 7. 3 ii'_
Mechanical d-,
10-433 00 Plans Check Fee 9 7, sa q-7,
Building A6,6. 33
Plumbing
Mechanical
10-230 06 Fire
S�.K�i1-a�q 30-202 00 Sewer Connection
LU
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-438-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees '
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL ajQ 5�1 _z
P, ,-q z �
nm/3587P.WPF
Cl-lY OF: TICFS RI) — RECEIPT OF PAYMENT REM.I PT NO. s92-23C".563
CHECK AMOUNT 1 2847. 24
NAME s FOUR D CONSTRl-Jrl*lON CASH AMOUNT v 0. 00
ADDRESS s PO BOX 1577 PAYMENT DATE s 10/09,192
BEAVERTON, OR SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM 440. 50 PLUMBING PERM 147. 50
MECHANICAL PE 45. 013 ST. BUILD PER
PLAN CHECK FE 47. 56 SEWER USA p100. 00
vi SEWER INSPECt 35. 00
u.j
-j
1OTAL AMOUNT' PAID :'4347. 24
Y
CITY OF T I GARD — RECEIPT OF PAYMENT RF'CE I FST 1140. s 92—x:31454
CHECK (MOUNT o 250. 00
NAME a FOUR D CONSTRUCTION CAyH AMOUNT a 0. 00
ADDRESS t PAYMENT DATE c 09!1-'3/92
SUBDIVISION e
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUN— PAID
a 1-11-AN CHECK FE 250. 00
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TOTAL AMOUNT PAID — - —> 250. rAm
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r
GRA LAR FILL �2,
+4 �'O,G BOTH ware P R 01
ALT DAP'MOOPINra �'/�� 17
v
!2 24 ✓. DEN P� _
DOUJELe 04 •x. or—
L l I
1°Va . DRAIN TILE
Is.
SUFFORTED
FDTN. WALLS Tom
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