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12758 SW 114TH TERRACE ` I I r N V Ln W w r �V i I I I I 12758 SW 114TH•TQrrac;e N7 SI,itmm NOTICE City of Tigard Building Depsrtoe"t 13125 SW Hall Blvd. Tigard, Oregon 47223 Inspection Line (Rec-o-Phone): 639-4175 Busi-ness -7) Phone: 639-4171 Inspectir.ii Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk Fount Plbg. Top Out Gas Line FINAL: Post/Beam st.uet. Sen. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insula,,on -Plumb. Plby. Underfloor Water Line Gyp. Bd. -Mach. Date Requaeted: a J .—.-_Times _ AM Permit is =�SQ TFIE FOLLOWING CORRr.?CTIr)NS ARE REy"..6D: Inspector%— Date$ f —APPRt)VED ,_ DISAPPROVED APPM1VisD /IIdJu'T TOMM Call For Reinsp. CidG�4RIDOF TITAA��_� cmc 1101 01 COMMUNMY DEVELOPMENT DEPARTMENT 001400N 13125 SW Holl 8W. P.O.Box 23397,T4&rd,Oregon 97223(b W)&jg4175 111 T . . . . . . . PILM92-020,+ 639-4171 DATE ISSUED: 12/30,192 SITE. ADDRESS. . , 12758 SW 114TH TERR PARCEL: 2SI03AL-04300 SUBDIVISION. . . . WALNUT GROVE SUBD ZONING: R-4. L BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 912 ------------------------------------------------------------------------------------------ LLASS OF WORK. . %ADD GARBAGE DISPOSALS. . a MOBILE HUME SPACES. : TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVN, RS, . : I. OCCUPANCY GRP. . tR3 FLOOR DRAINS. . . . . . . I TRAPS. . . . . . . . . . . . . . STORIES. . . . . . . . c i WATER HEATERS. . . . . . : LATCH BAS Z 14S., . . . . . . FIXTURES-----------•-•— LAUNDRY TR,1YS. . . . . . : SF RAIN DRAINS. . . . . SINKS. . . . . . . . , . . URINALS. . . . . . . . . , . . . GREASE TRAPS. . . , - . . a LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . : WATER CLOSETS. . : WATER LINE (ft) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Rema;lis: SPRINKLER SYSTEM Owner: FEES GOETZ type amuLtnt by carate reept 12758 SW 114TH PR MT $ 15, 60 JF 12/3kb/". 5PCT $ 11A. 75 JF 12/30/9e. riaprID OR 97223 Phone #: Contractor: BK SPRINKLERS 10950 SE GREEN VALLEY DR SANDY OR 97055 Phone #: 663-0713 $ 15. 75 ro'rAL Reg #. . .* 6021 ------- REUUIRED INSF-IEC71ONS This pernit i,, issued subject to the regulations contained in the Top—omt Insp Tigard Municipal Lout, State of Ore. Specialty Codes and all other, Final Inspection appicable laws. 011 work will be done in accordance with vmv-lyod plans. This peroit will expire if work is not started within 180 dav5 of issuance, or if work is suspended fai- sore than 188 days. Permittee Si gnat i-ire L4 VT 1 s 15%.ted By Lall for-, inspection 639-4175 CITY OV TIGORD — RECEIPT OF PAYMENT RECEIPT NO. 92--i?35145 CHECK AMOUNT s 1:'.x. 75 NAME. a BK SPRINKLERS & LANDSCAPE CASH AMOUNT a 0. 00 ADDPESS a FlOYMENT DATE 12/30/9j: SUSD.*, VISION PURPOSE OF t-rtyro-wr AMOUNT PAID PURPOSE OF P(-)'eMFNT AMOUNT PA I E) P'J.lMJAtNG PF.-RM _._-_•-15. 00 ST. AUIL.0 PER 0. 75 12750 S14 114TH TE RR 707AI. AMOUNT PAID 15. 7 T; ITIS TI��4RD CrIYOFTWO, COMMUN" DEVELOPMENT DEPARTMENT osnooN CERTIFICATE Or- 13125 SW HWI BW, P.O.Sm 23M,TlpM,Ompon 97 (603)63041.15 OCCUPANCY X),X x PERMIT #. . . . . . . i 71 DATE ISSUEDi SITE ADDRESS. . . 1 12758 SW 1 14T DR PARCEL 2SI03AC-04301,21 SUBDIVYSIC,N. . . . c W(4LNJl GROVE SURD ZONINGS R-4. 5 BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . e12 CLASS OF WORK. oNEW TYPE OF USE. . . #SF OCCUPANCY GRP. iR3 OCCUPANCY LOAD il2l 4 TrNnNT NAME. . . i PP.'I,tq I Owner: FOUR D CONSTRUCTION P. 0. BUIX 1577 BEAVERTON UR 97ID75 Phone 41 641 -0935 Cant ractorl FOUR D CONSTRUCTION PO BOX 157*7 BEAVERTON OR 97075 Phcne #x 6/51 -0935p Reg #. . : - 1037 Occupancy of the abc; 9 ref orenved buildJrig is hereby given. and cert jfis.*� the compliance with ip qtate Of Oregon Spacialty Codes fat' the rjroupq CCCUPAIICY, aTid 1AZO a iei- which the refer-onced permit was ibiluf-.0. r'l RE DEPARTMENT A0.11-DINE'l lW,1+'('T0R BtJ 11.1 ING OFF IL1141. POST t C,:llNGPI(,LJ(JUG PLACE INSUCTION NOPICE t City Of Tigard Building Depar'taaen 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-41"I"l Inspect ion: �— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out. Gas Line FINAL: Poet/Ifeam Struct. San. Sewer Frar:ing Poet/Beam Mech. Rain Drain Insulation -Plumb. Water Line Gyp. Bd. /-Hech. Plbg. Underfloor ` 1 Time: V PN Date Requested:_ Addrese: Buildec:��--- — T1{A FOLLOWING CORRECTIONS ARE REQUIRED: o APPROVRD DISAPPROVRD ^� APPROVED SUB•TRCT TO ABOVE call For ReineP. .UN NgTIc4 City ,-if Tigard Building Department 13125 BY, Hall Blvd. Tigard, Oregon 97223 Inspection Line (Re,_--o-Phones 639-4175 Busineoe Phone: G39-4171 inspection:_ /J 1_ Footing Plbg. Underslab Mech. Rough-in71�M1k Found. Plbq. Top Out Gas Line lIN71Lt Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Meeh. Rain Dr+tln In il.ation -plumb. "'_be. Underfloor Water Lino Gyp. Bd. -Mech. Date Requested: Z �1 L ,_ Time: c Ah PH Address:_1,j� 7 (' ( �� Permit #t 1 Z Bu i.ldsr t P:5AANgc THE FOLLOWING CORRECTIONS ARE REQOIRDDtj Inrapratoet ;ETNA 1 f-ib/y71'�}S Date: � ! � �_ APPwOVDD DIAAF?IIOVSD `i APPROVED SUBJECT TO ADr,krF ��"" Call For Reinep. LNSPECTION foTICE City of Tigard Buildlnq Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-C-Phone): 639-4175 Business Phone: 639-4171 inepoctio I: Footing Pibq. Underelab Mech. Rough-in Appr/adwlk Found. Plbg. Top Out Gas Line ` YIN111.: Post/Beam Struct. San. Sewer Framing eldq. �J Post/Beam Mach. Rain Drain Insulation Plumb. Plbg. Undei:loor Water Line Gyp. Bd. << � Date Requestedt _ 14 l �L� L Timet PH Address: -, `� 11 Q ( .N (1� Permit f1 7—A;.aer: 1 .CL)` f tC�J��Cpo 1 0�� 5 T IE FOLLOWING CORREC^IONS #.73 REQUIRED: _ao�dr � _ r loor Inspector: if -_ Date: —PROVED D1�VRD AP7ROVFt) SUMIRCT TO ABOVE i�Call For Rslnep. 1 INSPECTION NOTICE / +� City of Tigard Building DePertrent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:,_—_ -- - Touting plbg. Underslab Mech. Rough-in Appr./Sdwlk Found. Pl,bg. Top Out Cas Lire FINAL: Post/Beam Struct. San. Sewer Framinli -Bldg. � b u.+ Post/BeaMeeh. :talo Dc a1.r: Insulation -�� Plbg. Underfloor Water Li..» Gyp. Bd. ` -Mach. nate Requested:L - "-_'= f _ - Time: ly//—,'+-1�M Addres.--_ ��_.1� !L -. Permit �_s; f Builder:--. _ -_v- - t THE FOLLOWING MRRECTIONS ARE REQUIRED: }f Inspectors Datot/0 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainsp. iHlMMIOM NOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 47223 Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Tiderslab Mach. Rough-in 1ppr/Sdwlk Found. Plbg. Top O:•t Bas Line FINAL: Post/Beam Struct. San. Bower Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lina Gyp, -Noah. Date Requested: -�,--- Timet AM PM Address: /�� %fi-permit is �� Builders_ yv THS FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: ? p Dates �a 'T 7� APPROVED DISAPPROVSO APPRWSD 8US03CT TO AIM Call Foe Malasp. i a INSPh �zoN_��ICE City of Tigard Building Departeent I ,� 13125 SM Hall Blvd_ Tigard, Oregon 97223 Inspection. Line (Rec-o-Phone): 639-41"5 Business Phone: 639-4171 inspoctions Footing Plbg. Onderelab Mech. Rough-in s- agr,r/S:�lk Found. Mg. Top Out Gas Sine IINAL-. Poet/Beam Stn'ct. Ban. Bawer Framing -Bldg. Post/Beam Mach. Rain Drain insulation -Plumb. Plbg. 71nderfluor Mater Line Gyp. Bd. -Meth. Date Requesteds 1-0,�—c�19 — / Z Z ime: yC _—AH Address:-�� "� o 544/ II � _ Permit #: THR FOLLOWING CORK MONS ARE REQUIRED' IS /;1&Q L)1 PSD CA.) Inspectors_T,q} PO4JA-S Oates IV—M "PROVED DISAPPQOVBD _%C:: 'APPROVtiO SOBJRCP TO ADM Call Por 1leinep. INSPECTION NOTICE City of Tigard Building Department 1.3125 SN Ball Blind. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-�411e75 Business Phone: 639-4171 Inspections -- rooting Plbg. Underslab Nech. Rough-in Appr/Sdwlk ,found. Plbg. Top Out Gas Line FINAL: abet/Beam Struct. Ban. Sewer Framing -Blelg. Post/Bean: Hoch. Rein Drain Insulation Plumb. Plbg. Underfloor Water Li Gyp. Bd. -Nech. Date Requested G g l Cl? — _Timet Ax PM Addresss U-75 Permit ii TM FOLL0VING OORRECTT,MS ARE REQUIRED: Inspector: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVt Call For Rsinsp. INSYRCTION NOTICE City of Tigard Building Department 13125 Sit Nall Blvd, Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171 Inspection: — Footing Plbq. Underslab l.^3'"• Rough °,n Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer C Framing -Bldg. Past/Beam Mech. Rain Drain Insulation -Plumb. P1Ao., Underfloor Water Line Gyp. Bd. -Mach. Date Requested:^ /v '2_.. Time. 2L—AM PM Addreae: / Perm it<is / Builder: THE FOLLOWING CORPL:CTIONS ARE REQUIF,ED: l Inspectors__- -- Date: S� r.PPRt:VED D7SAPPROVED Imo' APPROVED Bt)BJECT TO ABOVF. Call For Refnsp. CIS OFTIFARD CffyT*Alm E COMMUNITY DEVELOPMENT DEPARTMENT FCR MENT 00100N OTIFICATS OvCCUPANCY 13126 SW HWI 6"P.O.P4=23397,T*W,Oream 97223(5W)6304175 ri IL P141 T a- - - - - - - * mc-a'I L)14'T(---. ISSUEDs 09/28/92 t-31TE ODDREGS. . . g 12578 SW 114TH DR PARCEL 28103AC-03900 SUBDIVISION. . . . t WALNUT GROVE SUBD ZONIN'Gi R--4. 5 BLOCK. . . . . . . . . . i LOTo . . . . . # * 18 CLASS OF WORK. vNEW TYPE OF USE. . . iSF OCCUDANCY GPP. sR3 OCLOPANCY LOAD PR20 TENANT NAME— : Remarkos UNFINISHED BASE"MENT ADDED TO EXISTING PERMIT ON 1-.-J5--9p- Owners PINNACLE HOMES 12735 SW GLACIER 1-11-Y CIRCLE lIGARD IR 97223 Phone #o 644-4017 Gontractori PINNACLE HOMES li?735 SW GLACIER LILY CIRCLE I'IGARD OR 97e23 Phone #% 644-4017 Reg #. . x 16177 Occupancy of the above referenced building is heroby givert, and vert ifies the rompliance with the State Of Oragoii Specialty Codevi for the group, or,cuponry, and mese %Alldwr which the roferenved permit was issmed. FIRF VEPARTMEN7 n 1-D1146 INPI)F17,11 , BUILDiK nFF-ICIIAI� PnST IN CONSPICUOUS PLACE SPECTION 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. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: f Poet/Beam Struct. S.,n. Sewer Framing �-Bldg_ t Post/Bea: Mech. Rain Drain Insulation -Plumb Plbg. Underfloor Nater Line/ Gyp. Bd. -Mach. Date Requested: Gl �_�?i' _Time: AM —___QPM/ Addressty /-A-5 Permit f:e ��J Builder:_ y�//o �O� L 7 -T THE FOLLCNING CORRECTIONS ARE REQUIRED: '7`z7 '1 �l Inspector: J`/ Data: I APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPXgjI0N NOTICE City of Tigard building DepartNent 13115 SK Hall Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 b:^+ness Phone: 639-•i171 Inspection: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plby. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. i � �--- Time: AM PM Date Requested: — f: ~Q Builder: — THB FOLLOWING aRRECTIONS ARE REQUIRED: Inspectors ,.� Date:_ '/ ? APPROVED DISAPPROVED DISAPPROVED APPROVED SUBJECT TO A90VE Call For Reinsp. �y INSP`CTION NOTICE V" City of Tigard Building Lepartsraat 13125 SA Ball. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phoue)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in AI)pr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain i Insulation -Plumb. Plbg. Underfloor Nat Gyp. Rd. /,-Hoch. Date Requested: TimeC,; _AM PM Address: � Psrmit f e/r Builder:_ �//�1 TB= FOLLOWING 0b(RSCTIONS ARE REQUIRED: Inspect Date:—&— APPROiL DISAPPROVED APPROVED SUBJECT TO ADS C41.1 F r Reinop. �SPECTIOB NO�"ICE � city of Tigard Building Depart"Ont 13125 SW Ball Blvd. Tigard, Orego:s 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections_ Plbg. Underelab Mech. Rough-in Appr/Sdwlk Plbg. Top Out Can Line FINAL: Post/Beam Strvct. San. Sewer :'raining -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd• `xC' ech• Data Requested: Time: f\ AN PM Address:—��" 7SG /`� Permit Builder: — THE FOLLOWING CORRECTIONS ARE REQUIRED: Datef Ck� L- Inspector: -- — ---- f APPROVED DISAPPROVED APPROVED SU6.INCT To Alk,WE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 1 13125 on Hall Blvd. T--..Vard, Oregon 97223 Inspection Line (Rec-O-Phone): �-;9-4175 Business Phone: 639-4171 Inspection:! _ 400tinq^` Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Watery Line Gyp. Bd. -Hoch. Date Requested: (! L''-,_� Time: _AH�ktle Address: Builder: THi FOLLOWING CORRECTIONS ARM REQUIRED: I 1 I� f 1 Inepeotorl ____APPROVRD DISAPPROVED "PROVED SUBJECT To ABOVE ___Call For Reinsp. CITTOFTIFARD cnYOF MASTER PERMIT 0 .COMMUNITY DEVELOPMENT DEPARTMENT olhoosl "EPM11 #. . . . . . . : MST92-0161 13126 SW Hall 6W. P.O.6cot 23397,T4wd.Oregon 97 (603)6394175 - OTP TC;R11W1)- iAAZLA4/q::, 31IL- PDDREI:j6. . . 1.2758 SW 114TH fsp e r--'P R C E L : 2(3S --13 A C--W 1-7 3 U B D I V I S)10 N. . . . WALNUT GROVE SUbb ZONING: R-4. 5 LALOCIJ. . . . . . . . . . LOT.. . . . . . . . . . BUILDING - ------------ RFISSUE: DWELLING Uta T,'rs: j. BASEMENT. . . . . . . . :0 s CILASS OF WORK. :NEW SEDRMS:3 BATHS:2 GARAGF. . . . . . . . . . :44LA Sf 'rYPE OF USE. . . :5F 3 F PLOOR REQUIRED SETBr4(--KS- --------------- VYPE OF CONST. :5N FIRST. . . . : 1687 s LEFT. . :6 ft RTGHT. -6 ft T-)0'CUPANCY GRP. :R3 SECOND. . . -.0 s FRONT. -.t-O ft REAR. . :40 ft srORIES. . . . . . . : 1 THIRD. . . . :0 s ;AEIGH1.. . . . . . . . :21 ft Tr-JTAL - 1687 s SMOKE DETEC*TORS. :Y i't-01IR LOAD. . . . : 40 ps- f VALUE. . . . . 65522 PARK ING SPACES. . : I r, emarks . PATH I PLUMBING ;INKS. . . . . . . . . . : 1 FLOOR OOR DPPINIS. . . . :0 BACKFLOW PREVNTRS. . -O LAVATORIES. . . . . .3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 -(-JB/5HOWFR!3. . . . :3 LAUNDRY TRAYS. . . -0 CATCH BASINS. . . . . . . ,V-1 vjp"rER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE *r RAPS. . . . . . . :0 01SHWASHERS. . . . . 1 WATEP LINE (ft ) . : 100 LATHER FI XTURES. . :0 GARBAGE DISP. . . I RAIN DRAIN (ft) . :0 t-;ASHING MACH. . . : 1. SF RAIN DRAINS. . - 1 --------------- MECHANICAL FE--Fri FUEL TYPES----- UNIT HTPS. :0 tvpe amount by date r ecr.-)t VENTS -T*IF $ 1460. 00 PLL 08/04/92 ly'(-A X INPUT BTU Vf7-*N1 FANS. :3 SPRT $ ?91. 00 P'LL 08/04/9 < 100K . . sl HOODS. , . . . : 1 BPI-(,., $ P54. 15 JLH 07/20/92 D2968" I URN > =100K . . 10 WOOD STOVES. 0 B!5 P C 41 1'). 95 P'L L 08/04/92 r'LUOR TURN. . . . 10 CLO DRYERS. I MPRT s 40. 50 P L L 08/04/92 VOIL/CMP ( 3HP:0 OTHER UNITS: J MPIX 1 10. 13 PLA- i'2)8/04/1iP GAS OUTLETSil M5PC $ 2. 03 "LL 08/04/92 OWTIPF--' P P 1-3 T I 'L 3,--'. 5 0 PLL 0A/04/9r=' POUR 1) CONSTRUCTION P15PG 6. 63 PLL 08/04/92 f-'. 0. 13OX 1577 cISDC I -60. 00 P11-L 06/0/-/9 PARK t 500. 00 PLL 08/04/92 kEAVFPTON OR 970 75 11tione #1 641-0935 FOUR D CONSTRUCTION 1-10 13OX 1577 BEOVERTON OR 97075 I-'hone #- X41-0935 Rpri A. . : 71037 $ 3096. 49 TOTAL This ptrait is issued subject to Vi regulations containea in the ---- REQUIRED INSPECTIONS Tigard Municipal Code. State of Ore, Specialty Codes and all othf,, Foot/found Insp Fireplace It, applicable laws. All werk will be dome in Accordance with approved P0St/SP,'M Str'uct Cas Lirle Insp plans. This Dervit will qxoire J work is not started within 180 pos-t/seam Mechan Insu2a� ion Insp ,14v- of jisi;rce, or if work is suspended fnr vivs- fa '180 davi.. PIm/undslab Insp Gyp Board Insp PLM/Underfloor Rain d-ain ly-,,p mitt P e 5 i q n A t u r P a Me�.'Flnical Insp Water Line Insp Plumb Top Out Appr/Sr.1wIk Insp Sv Framintl In-,p ri , Call for inspectirin 639-4175 SEWER GONNEC-1 I(IN PE. . .RM I T CI1YOFIGARD . . . . : C ff Y 0 AFT nWMN4 IRVID COMMUNITY DEVELOPMENT DEPARTMENT 01110M .+fl'E ISSUEDc 08/04/9i:� 13126 OW HWI Blvd P.O.Bao 23397,Tt",OMW 91 (503)630.4175 r� f!"DRE455. . . I Z r-j Ej 00 ! 1 lf� I*M TOP-t X!,'1'7 e.ti1104AL—WEj1 SUSDI V ISION. . . . WALNUT GROVE SUBD ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS— : (-LASS OF WORK. . . :NEW DWELL I NG UN I TS. I YVIE OF USE. . . . . t SF NO. OF' BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. f Hemarks: PP-1H I Owner: ----------------------------------- ----------------- FE S FOUR D CONSTRUCTION t kl )Pe amoLtnt by date recpt P. 0. BOX 1577 PRMT $ 2,100. 00 PLL 08/04/92 INSP 4 ---5. 00 P1-.1- 08.104/012, BEAVERTON OR 97075 Pione #: 641-0935 Contractor: ---------------------_-_--.___-_ CONTRALTOR NOT ON FILE -------------------------------------- )7,1ione Rl 35. 00 'TOTAL Req #. ------- REQUIRED INSPECTIONS -!is Applicant agrees to comply with all the rules and regulations Sewer Tnsriertion ,f the Unified Sewage Agency. The permit expires 164 days from ........... ,he date issued. The total amount paid will be forfeited if the -erect expires. The Agency does not guarantee the accuracy of the id. sewer iaterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from tho distance given. If not so located, the installer shall purchase a 'Tap and Side Sewer" Permit and the Agency .1111Anstall a lateral, P('%rmittee Signature : d D y Call for inspection 6._,9-41 75 4=i— c': T16ARDPL IMBI NG: PE RM 1-1 My PEF"IT #6 . . . . . . : M5T92-0161 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW 10 BNd P.O.So 23307.Tlgwd.Orqpn 9=3(603)&04176 DATE ISSUED: 08/04/92 i t i I E ADDRESS. . . : 12758 SW I 14TH aW EJARCEL: 2SI03AC-WG12 SURD I V I S I ON. #ALNLJT ORE. SUPS ZONINGs R--4. 5) BLOCK. . . . . . . . . . . . . . . . . . . 112 CLASS OF WORK. . tNEW GAR6AGF DISPOSALS. . I TYPE OF USE. . . . cSF VWASHING MACH. . . . . . . : 1 r4ACKFLOW PREVNTRS. . 10 OCCUPANCY GRP. . :R3 / FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 10 STORIES. . . . . . . . 11 Z' WATER HE'AT'ERS. . . . . . : 1 CATCH BASINS. . . . » . . 10 FJ XTURES------------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . It SINKS. . . . . . . . . . 11 GREASE TRAP=+. . . . . . . :0 LAVATORIE-S. . . . . :3 OTHER FIXIURES. . . . . 90 TUD/SHOWERS. — i SEWER LANE (irt ) . . . . via WATER CLOSETS. . s2 WATER LINE ( ft ) . . 1100 r,I q-HWASHE RS 11 RAIN DRAIN (i t): : - . 10 l(P mark 4 1 PATH' OWNER, FOUR D CONSTRUCTION TIF* t 1460. 00 PILL 08/04/92 - P. O. PDX P. O. BOX 1577 BORT $ 391. 00 PLL_ Q18/04/92 - BPL.0 $ 254. 15 JLH 07/217J/92. D29689 BEAVERTON OR 97075 B5PC $ 19. 55 PLL 08/04/92 - Phone #1 641--0935 MPRT $ 40. 50 FAL l.. 08/04/92 - MPLC $ 10. 13 PLL 08/04/92 - ;-,Iumbing Con t rart a r c M5PC $ 2. 03 PLL 013/04/92 - PPRT $ 132. 50 FILL 08/04/92 - Name; NameI P5PC $ 6. 63 FILL 08/04/92 - Address J SSDC $ 260. 00 PLL 08/04/98 Cityl a t e I PARK $ 51710. 00 PLL 08/04/92 -ipp Ph on e('i. RECOUIRED INSPFCTIONS loig p''tmit is issued subject to the req- ,,Hations contained in thfI Tigard Municipal Foot/found Insp Rain dre,in Insp (",ode, State of Oro. Goecialty Codes and all Post/lAeAm Strurt Water Line Insp other epplivabl* laws. H11 work will be clone Post/Ream M-r�hqn Appr/Sdwlk Insp In ai-r--ov i w1th rovedIan?. Thi? pjp1gjq I�yIfisp- qchn�pal Finalpwark , i10 stared Ln r, ,)or uptina wit�lin �1l�0 days of u a n c-a, at, if wovk is Mer!hanical Insp Building Final i-moi for more than 180 clays. Plumb Top Out Frosion Control Framing Insp Crawl Drain • Fireplace Insp Gas Line 111sr) Insulation Tri61, Gyp Poord Inip .lmhing (:ontraar.tar Signatuirs, Call for inspection - 639- 4175 ,, ontractor Notes t CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT No. t9P—P30170 CHECK AMOUNT 4981. 49 4 Nf-iME a FOUR 0 CONqTRUCTION CASH AMOUNT 0. 00 PDDRESS, PAYMENT DATE a 08/04/92 SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT V4.411) 1 BUILDING PERM Mia T92-161 391. 00 PLUMBING PERM 1�2. 50 MECHAN I CAL PE 40. 50 ST. BUILD PFR 21.1. : 1 Pl..PN CHECK FF 14,. 2.8 SEWER USA SWR12--859 F.,I%bib. lbo SEWER INSPECT 35. oel RESIDENTIAL TRAFFIC FFFS 1350. 00 MASS TRANSIT TIF FEES 110, 00 PARKS SOC 500. 00 GIORM DRAIN SDC E'JA 0. 0 0 1 ftook TOTAL AMOUNT PAID 4961. 49 IlLmll jff)l�ff XjjjLjjqLfiLmj-tmLm CITY OF TIPARI? RECEIPT OF PAYMENT RECEIPT NO. %92--229689 CHECK AMOUNT a P50. 00 NAME a FOUR D CONSTRUCTION CASH AMOUNT 0. 00 0- DI)RESS e PAYMENT DATE a 07/2-0/92 SUBDIVISION -,I.JRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PLAN CHECK FE I-OT 12 WALNUT GROVE 1-1758 SW 114TH TERR (11 nMOIJI\IT PAID 00