14849 SW 116TH PLACE . 14,R49 sw 1146111IP4ACE
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CERTIF'ICNTE OF
CITY OF TIGARD PERMIT #. . . IJGfiiV.OCCCFMST94.-_01.714
COMMUNITY DEVELOPMENT DEPARTMENT ► DATE: ISSUED: Iz9/06/95
1:125 SW Hall Blvd.Tigard,Orapon 07223.81 J9 (503)839-4171
PARCEL-
:ITL
ARCEL:ITES ADDRESS. . . : 14 349 aW 1 1 E.TH PI_
,UBDIVIS"uN. . . . : HELM HEIGHTS 70NINC,: R-4. 5
+COCl!. . . . . . . . . . . LOT. . . . . . . . . . . . . ..6
CLASS OF WORK. :IVC-:W
TYPE'- OF USE. . . :SF
OCCIJPPNCY GRP. .-R3
OCC;UPr'WCY LOAD:230 4
T'LNANT NAME. . . :
Remaarks t PATH I
Ownr...
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GE
GE WALL
8555 SW TURQUO T SE LP
DEAVLt.RTON OR 1007
Phanf #: 524--7384
Contractor: - ._ ___......_...�._.�__ _._.._.....__.____�._.._....._.._..._._. _.
GEORCL. WALL
8555 EW TURQUOISE LFA
BE:AVEUTON OR 97007 -0000
Phone #t 524- 7384
Reg 0. . t 7J;239r::
his Certificate r^ertifies that the above referenced building or-, portin_
hereof has been insf,iect,. d for compliance with the Tigard Building
Coda-
ar the Igr`eLip and division of occupancy and Lisp for whir_hr the above
eferpnepiJ 1:7ernlit was i�si_red, ,and occ upAncy i s heret:v grantwd.
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BUILDING INSPECTOR Fll LDINC OFFICIAL
POST IN rONSPIC:UOIJ5 4DLAC:E
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CVTY OF TIGARD — RfICr-,'IPT OF' PsWMENT RECEIPT NO. :9'5—.1'66964
CHRCK AMOUNT s 211, ow
NAME WALL, GW,*
EO - CAS)H AI%InIJNT 00
NAME
('IDDHFSS I PAYMVNT DATE n 'T8/A 7
SUBD I V I E,I ON
PUPPOSE IF f-',0YIvIFNT AMOUNT PAID PURI 093E OF PAYMENT AMOUNT PAID
H, I-C-3-
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NSPIZUTION FU'
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14134` qW I I(,I H MR Pl I IMB I NG VI I,IFaI.
TOrAL AMOUNT PAID 00
CITY OF T!GARD BUILDING INSPECTION NOTICE C
Inspection Line (Rec-O-P.hone):t39-4175 Businoss Pho,,e: 639-4171
Inspection-
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw:k
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. P- lbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line Ids
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation lecty� /
Underflr. Insul. Shear Wall Gyp. 8d. Elect.
Date Requested: Time: � AM PM
11/Tl
Address: zi�
Builder: _ 7�3d Permit #:
1 HE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:` " `�8ate:
APPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
inspecticn Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
!nsFection:
I:o-.)ting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbq. Underslab Mech. Rough-in Fireplace
frost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer S.as Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. lect
Cate Requested: c �,��/ Time: AM PM
�ddress:_�4 S-1 q
Builder: �6) - !5 7 e 3 Permit #: C.) -C)
THE FOLLOWING COFfRECTIONS ARE REQUIRED:
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Inspector: e _--� Date:� (.Z��j
_APPROVED _,OISAP(101ED 4APPROVED SUBJECT TO ABOVE
I_Call For Reinsp. �^`j
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Dine (diol'-O-Phone): 639-417.1. Business Phone: 639-4171
r
Inspection:
Footing Susp. Meiling I Sprink. Ro gh-in Appr/Sdwlk
Foundation Plbg. Undersiab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas LineIdg
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation <'Tvlet
Underilr. nsul. Shear Wall Gyp. Bd. Elect. 410
Date Requested: �? � AM PM
Adaress:
Builder. L
S> __ Permit p:THE FOLLOWING FOLLOWING CORRECTIONS ARE REQUIRED: / . ) Z
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Inspector:_
`APPROVED 49(Q-1APPROVED ____APPROVED SUBJECT TO ABOVE
ILCall For Reinsp.
CITY OF TIGARt3 BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6.19.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
'ost/Beam Mech. Sart. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:_
Builder: Permit Al:
t THE FOLLOWING CORRECTIONS ARE REQUIRED: !�
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Inspector: `- -- Dale:
APPROVED XkSAPPROVED —APPROVED SUBJECT TO ABOVE
/� Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE \
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-417
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Inspection:, — _ r•
P
Footing SUsp. Ceiling prink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
"est/Beam Struci. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lina -Bldg.
'vtl
Plbg. Underfloor Rain Drain FramingiP m`� '+
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp, Bd, Elect.
Date Requeslpd:� � Jj Time&ARM PM ~
Addre,s: 1' _
Builrier. Permit u:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ --- Date: (."W) /
JAEPR6'VED ,niISAPPROVED —_APPROVED SUBJECT TO ABOVE
_Call For Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE7�J
Inspe--tion Line (Rec-O-Phone): 639-4175 Business Phone. 639-4171 V
Inspection:__
Footing Susp Ceiling Sprink. Rough-in ` Appr S/d I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Balm 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. Insui, Shear Wall Gyp Bd. -Elect.
Date Requested: Time: AM PM
Address: ,
Builder: Permit #: 2-q-
7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.__' .. S _ Date: �2,�Q
APPROVED DISAPPROVE < PROVED SUBJECT TO AB
Call For Reinsp.
iG �►�c /�c�vie of -fa �'lvt�e -�, .2�5
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Spnnk. Rough-inppr/Sdwlk)
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewei Gas Line -Zldg.
Plbg. Underfloor Rain Orain Framing -Plumb.
Alarm Watet Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested:__ L3 Time: Af PM
Address: /1� q
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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—' � � ►U Q_r� -vim'cl/'�- Drl ! i� ��dfC'61
Inspector: .�'�,jl 'S pata:�
—APPROVED ekDISAPPROVED __APPROVED SUBJECT TO ABOVE
/ all For Reinsp.
S I hs a it �o01,.5 -�, W/&I S
CITY OF NGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6��39-4175 Business Phone: 639-4171
Inspection: Z '1 — J3 e/
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbg. Underslab Mech. Rough-in eLF7NA
ge
Post/Beam StrUCt. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line Bid
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested.._ 7— c1,j Tirne: AM ^_PM
Address: �__1_�
Builder:-Qf_ G,,)a— Permit #: N--) -
THE FOLLOWING CORRECTIONS ARE REOUiRED:
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Inspector:_y Date:_ 7"Z�7
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Ptione): 639-4175 Business Phone: 639-4171
Inspection:_-_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Urderslao Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rouyn-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
)nderflr. Insul. Shear 'Wall Gyp. Bd. -Elect.
Date Requested:/ ! Time:�_AM FM
Address: r/ �/1
� rrjj
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector .,! _ Date:
_APPROVED APPROVED _APPROVED SUBJECT TO ABOVE'
y 1 Call For Reinsp.
INSPECTION NOTICE I \
City of Tigard Building Departoent
13125 Sit ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 RusineeB Phone: 639-4171
Inspections
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
1�6st/Be� . San. Sewer Framing -Bldg.
--4c�s N Qi
�4oet/Beam Meoh. _ Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: !3� Times AMM PM
:
AddressA /,/ ' Permit #0_5 1 r7 / en- ( /T
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CL
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Inspector:_ � betas
_APPROVE) VDISAPPROVED APPROVED SUBJECT TO ABOVR
1�1'1
L Call For Rsinep.
XSEECTION NOTICE
City of Tiger: Building Department
13125 SA Hail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phon . E9-4171 /
t
Inspection:
Footing P bg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer �ng _ � -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lf.n�/ -Mach.
Date RequestLeldpt �} L/I / ! �i / Time: AM PH
Address: Permit is =�1
Builders 42
THE POLLOW1140 CORRECTIONS ARE REQUIRRD:
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ve de
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Inspectors � DatesIry
APFROVSD DISAPP D APPROVED SuBJE'CT TO ABOVE
Call For Riinep.
I INSPECTION NOTICE
City of Tigard Building Department
13125 nW Ball Blvd. Tigard,, Oregon 97223
Inspection Line (RecA-Phoneys 639-4175 Business Phone: 639-4171
Inspection:
Footing 1� Plbg. Unders.lab Mech. Rough-in Appr/Sdwlk
^gun. d. �y P*6g. Top Out Gas Line FINAL:
Poet/Beam Struct San._ Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line( Gyp. Bd. -Mech.
Date Requesteds __—CJ--_ k.() Time: AM PM
Address: 4,�r v _ Pe-wit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
k CA
W ..�
Inspector: ` 5�_— — --�-- Datal
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�_APPROVED DISAPPROVED ✓APPROVRD SUB.JECr TO RWVr
"\J \ C- ____—Call For Reinsp.
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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. Underalab Mech. Rough-in Appr/Sdw1k
Found. fll P]bg. Top Out Gas Line FINAL-
Post/Seam Struct. /San. Sewer Framing Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lino
d� Gyp. Bd. -Meru.
Irate Requested: - , V - '�` Time: AM — PM
Address: � �� � � � � Permit tta-4l' •
clt
THE :'OLLOWING OORRECTIONS ARE REQUIRED:
4
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Inspector: `� t./�/ �.. _ DAt9: V ' V 1
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APPROWD DISAPPROVEo ✓.KPPROVIKD SUBJECT TO ABOVE
--Call For Reinsp.
INSPECTION NDTICE
City of Tigard Building Department
13125 BM Ball Blvd. Tigard, Oregon 97223
Inspection LineA�Rec-O-?honn)s 639-4175 Bus es Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
cost/Beam Nech. ` Rain Drain Insulation -Plumb.
Plbg. Underfloor water LineGyp. Bd. -Hoch.
Date RequestedQ
((: U I/ .5 `(/I � _Times AH _—PQM
/ /
Address: t 1, L.� ! / & I t, , —_ Permit
Builders L�r. 4i1 1
THE FOLLOWING CORRECTIONS ARE !REQUIRED:
4 J� -
CA: ---
ton
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Inspectors _-_ -- _ Dates
APPROVLD SAPPROVED APPROVED SUBJECT To ABOVE
_ Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department VL__
13125 SW Ball Blvd. Tigard. oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: A39-4171
Inspection•
Footing
Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found.
Flbg. Top Out Cas Line FINAL-
post/Beam Struct. San. Sewer Framing g•
Post/Beam Hoch. Rain Drain
Insulation -Plumb.
Flbg. underfloor Water Li Q �J Gyp. ed.
-Meth.
��/ 1 f � T Time: AM PM
Date Requested: /
Address: Ci (' �L � r� Permit
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CL -
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Inspector: bates
-
PROVtD ISAPPROVED �! APPROVED $OBJECT TO ABOVE
Call For Reinsp.
n
ffSgF:TION NOTICE
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)t 639-4175 Business Phone: 639-4171
Inspections —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam 3truct. San. Sewer Framing -Bldg.
Poet/Beam MsFJ3. Rain Drain Insulation -Plumb.
Plbg. Dnderfloor� Hater Lin -� Gyp.-Bd. -Mach.
Date Requested: Times —4,—AM PM
74 Address: l L //� 1 _ Permit Is
Builder: L._-g0 -S 170 .&T �7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors _ _--_-_-._._ ._. ')ate:
/�11PPAOVSD DISAPPROVED _ APPROVED SU9.TMCT TO AnT)VP
Call For Reinsp.
INSPECTION NOTICE
Lity of Tigard Building Departoeat
13125 Sir Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Re�c7-O-Phone): 639-4175 Business Phon • 3 -4171
Inspection-
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line/ FINAL:
post/Beam Struct. San. Sewer --Bldg.
Post/Beam Mech. Rain Drain �..I.tion'
-Plumb.
Plbg. Underfloor Water Line / Gyp.
Bd. -Mech.
Date Requested: / ! L, / Time: &_AM PM
Addroes:� �_ Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector _ _ Dato/%
ROVED DISAPPROVED
APPROVED SUR.IECT TO AWV6
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart—t
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ------
i
Footing Plbg. Underelab _ ou in Appr/Sdwlk
Found. Plbg. Top Out as Lin FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
oat/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water Line Gyp. Bd. -mach.
Date Requested• "l / __._Time: AM PM
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- i _(-A CAdl�- 1��e
0- N Q4.-f �0 1 �11L Alm
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Inspector)
APPROVED Y DISAPPROVED APPROVED SURJECP TO ABOVE
Vocal) For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Dr.partment
13125 STI Rall Blvd. Tigard, oregon 97223
Inspdction Line (Rec-O-Phone): 639-4115 Business Phone: 639-4171
Inspection: _.._ ��/ i�—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post--/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Pibg. Underfloor water Line Gyp. Bd. -Hach.
i
Date Request
(e
,�d: [� /0 /`� � Time: _�AM PM
Addrene: (/ [ ��l�_ `` =`cArmit 1 s 1 D(
Builder:
�THE�FOLLOWING OORRECTIONS ARE REQUIRED:
6
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Inspector• Dates
__AP^ROVED DISAPPP40VED APPROVID BOWNCT TO ABOVR
( Call For RBLnOp.
INSPECTIGN NOTICE
City of. Tigard Ru3_Lding Department
13 125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectic.n:_— __— -- ------
Footing P"'bg. Underslah Mech. Rough-in Appr/Sdwlk
Found. Z"__5C_ _TSS
Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mbch.
Date Requested:Q Time: 9 1W _,-P
Address: �O / ! ZZ& P, Permit it / ��Q t 7
Builder: 1j?4 �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspellctoor:_ Date
\l APPROVED _ DISAPPROVED _ APPROVED SUB.IErT To ABOVE
1`�JC� _Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Aft Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-
Inspection: —
Footing Plbg. Underslab Mech. Rough-in Appr/SZt!lk
Found. Plbg. Top Out Gas Line RINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
1
tlbg. Underfloor. Water ine Gyp. Bd. -Mech.
Date Requested:_ Time: AM PM
/�
7
Addres..sC1 / ��
� ]�7� Pe7rmZi.t 1: )�
Builder.:
TfiE FOLL(Rr1ING CORRECTIONS ARE REQUIRED:
LV
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Inspector--_ Date:
AFPROVED DISA ROVED APPROVED SUR.TECf TO ABOVP.
all For Reinsp.
INSPECTION NOTICE
City of Tigard Building DepatAment
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phone: G39-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
(Found, Pl_,g. Top Out Gas Lino FINAL:
\\Pont/Seam Struct. San. Sewer Framing -Bldg.
P"At/Beam Mech. Rain Drain Insulation -Plumb.
111NI Underfloor Water Line Gyp. Bd. \(rHoch.
Date Rnquestsdt J!� C4 Times\� AM PH
Address: 1 (-}�f y c1 �� ` Permit#t 9�I D 17y
Builders L- ��GiC L� t' �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins ctor: Dtetet 2 L
APPROVED —_ DISkPPROVED APPROVED SUBJECT TO ABOVE
Call For Rein.p.
I S_PECTIO i NOTICE r 1.
City of Tigard Building Department
131,15 BW Ball Blvd. Tigard. Oregon 97223
Inspe^.tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections _ —A
ootinq� Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. �4ech.
33�Date Requeetedt_ f- f f 1rT,iim`es �_AN f�_ PN
Adaresss � tt PBrmLt//,1s��r�" lJ
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
L f 4
CL j17
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InspectorE-,_-�="/
APPROVZD DISAPPROVED APPROVED SUBJECT TO ASOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tiyard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bua.:,�ss Phone: 639-4171
Inspection: _ __���►AAA((((((���(((/// ___
FLoting Plbg. Underslab<'Mech. Rough-Sn ., Appr/Sdwlk
Pound. Plbg. Top Out Gas Line \ / FINAL:
Poet/Roam Struct. San. fewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line (� Gyp. Bd. -Mach.
Date Requested: I LI 1 Time: µ _AM PM
Address: �� ' � � ( I � \ Permit #s
Builder: �� �`\�- �( � 09
THE FOLLOWING CORRECTIONS ARE REQUIRED:
((/-v
nprrtnr "
------- Date: / (�
i
_"PROM v— 61!SAPPROVED _ APPROVED S(JBJECT TO ABOVE
Call For Reinap.
C
INSPECTION NOTICE
�l
City of Tigard Building Department j
13125 SW Ball Blvd. Tigard, Oregon 97223 _
Inspection L1 (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cee Line FINALS
Poet/Beam Ftruct. San. Sewer framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requenteds /�(, ) 0- -) - 9 C J Time: �( AM _PH
Address= 14 O -``, 1 k CP �C Permit
Builders (:;,'2-`Y �! 7-2 '�--A
THE FOLLOWING CORRECTIONS ARE REQUIREDs
CAou
ti
V S r _.�e n!'
Inspectors ~` V— Data:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
rCall For Reinsp.
INSPECTION NUIICE
City of Tigard Building Department
13125 STI Hall Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone): 639-4175 Hueiness Phone i
T.iapection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer rami- �F Hl.dq.
Post/Beam Mach. Rain Drain neulation -Plumb.
Plbg. Underfloor Water Line Gyp. Hd. -Mech.
Data Requested://// l 4//4z/l� `Time: _`AM �PM
Addrens:�"1-Cl (�% ' '` Permit #..-c7 IV -
RukIder:
THE MLI.OWING CORRECTIONS ARE REQUIRED:
w
Inapector: DAte:
Of
�- PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE -
—Call For Reinap.
INSPECTION NOTICE ))
City of Tigard Building Depart-sent
13125 SW Hall 81•d. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. UnderelabNach. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Gas Line INALs
Pont/Beam Struct. San. Sewer raining i -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Nech.
mate Requeetedt_ Times _ AAM PH
Aaareses
I //� it ���L.C�i Permit I-_ --- _L `1
Builders5aLl'
TBE POLIAAtIIKi CORRlCTION3 ARE REQUIREDs
^► Q_ : •/ '. cwt C�I� I I '� Vf
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Inspectors �- /�/ 1-!'"�— Data
^APPRMD _V-"DISAPPROVED APPROVED SUBJECT TO ABOVE
'0 Ctll for Reinsp.
INSPECTION NOTICE
city of Tigard Building Department �\
13125 SO BA11 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=
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: __Time: _AM PM
Addreee: — Permit
Builder:---
THE
uilder: -_THE FOLLOWING CORRECTIONS ARE REQUIRED:
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� 1� ��'� �i�l�� �u--� �-tom= �J�/ �'✓�4 �'�i` �
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Inspectors i 1.i1/ �— Date:_-Z
APPROVFD 'DISAPPROVED APPROVED SUBJACT TO 11ROVE
�� Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gee Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: —_ Times AH ___PH
Address: Permit 1: 1 1 r
Builder: _
THE FOLLOWING COARECTION3 ARE REQUIRED:
71 • :-- -
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Inspectors ` Dates
APPROI 1) DISAPPROVED APPROVED SUB.TECT TO AROVS
�' 1 C � Call For Rsinap.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 MASTER PERMIT
PERMIT #. . . . . . . : MST94--0174
6:39--4171 DATE ISSUED: 08/26/94
PARCF L.: '2'S110BD--0 :900
SITE ADDRESS. . . : :14849 SW 116TH PL
SUBDIVISION. . „ . : HELM HEIGHTS ZONING: R-4. 5
BL.00K. . . . . ,. . . . . LOT. . . . . . . . . El
.........----..-_-_..--_.-_...__-_----- BUILDING
REISSUE: DWELLING UNITS. 1 BASEMENI.. . . . . . . . :0 sf
CLASS OF WORK. :NEW AE:DRMS:4 BATHS:3 GARAGE. . . . . . . . . . :774 sf
T'YP'E OF US E. . . :SF FLOOR AREAS-------------- REQUIRED SETBACKS----------
TYPE
---------__--
TYPE: OF CONST. :5N FIRST. . . . : 1500 sf LEFT. . : 14 ft R I GHT. :20 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1432 sf FRONT. :20 ft RE AR. . :38 ft
STORIES. . . . . . . :2 F INBSMENT:O sf REOU:CRED--- --_,__.___.___.____.__._
HE I IGHT. ,. . . ,. . . . :30 ft TOTAL - - ----:�='932 sf SMOKE DET•ECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 148804 PARKING SPACES. . -1
Remarks : PATH I CAL(_ U S A FOR EROSION CONTROL INSPECTION BEFORE CALLING F Ul,
--------------------------------- PLUMBING
'31NKS. . . . . . . . . . : 1 FLUOR DRAINS. . ., . :0 BACKI:LOW �'REVNTRS. . :0
I._AVAT'ORIE::S. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWE:.RS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATE: R CLOSETS. . : SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE: (ft ) . : 100 OTHE=R FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 PATN DRATN (ft ) . :0
WOSC I I NG MACH. . . : 1 9FRAIN DRAINS. . : 1.
MECHANICALFE=ES
I UEL_ TYPES----------- UNIT HTRS. . :O type Amount by date recpt
/GAS/ / / VENTS . . . . . :0 T Ir"- $ 1520- 00 SW 07/07/94 -
MAX INf'UT:O 1-3 TU VENT" FANS. . :4 BPR( $ 555. 50 5W 07/07/94 -
FURN ( 100K . . :0 MOODS. . . . . . : :i BPLC $ 361. 07 SW 05/02/94 94-251894
(-URN ) :2100K . . : I WUODSTOVES. :0 B5PC $ i '7. 77 SW 07/0'7/94 --
I-LOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 SW 07/07/94 -
OGIL/CMF' ( 3HP:0 OTHER UNI.TS: I PARE; $ 500. 00 SW 07/07/94
GAS OUTL.ETS: 1 MPRT $ 45. 00 SW 07/07/94 -
Owner.: ----,_...__._____ --.-----__.__.__.-___.-... - -..-___.__.MPLC $ 11. 25 SW 07/07/94 -
GEORGE WALT_ M5PC $ 2. 25 SW 07/07/94
13555 SW TURQUOISiE LF-'' f=,PRT $ 1.6=:. 50 SW 07/07/94 .._.
P5PC $ 8. 13 SW 07/07/94 -
DE`.AVE:RTON OI. 9700'7
i-'hone #: 524--7384
Contractor:
3EORG!. WALT_
uW T URUUO l SE LP
a
U C+LAVE=RTON OR 97007-0000
~ !-tune #: 524-7384
5239E ___.-.---_-.__---_•.---__--_-- -_._._.-__._.__.
~ $ 34-73. 47 TOTAL
This perait is issued subject to the regulations contained in the -------- RE_QUIRED INSPECTIONS ------
igard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp F=tng Crain Bsm' t
UJ applicable laws. All work will be done in accordance with approved Foot/found Insp Mechanical Insp
-' r_lars. phis permit will expire if work is not started within 180 Post/Beam Struct Plumb Top Out
IL
of issuance, or if work is suspended for more than 180 days. Post/Beam Strr_1ct Framing Insp
� Post/Beam Mec_han Fireplace Insp
mittep signature : T _..Lr1C.Rc"_ " Plm/r_lndslab Insp Gas Line Insp
t PLM/Underfloor Insulation Insp
,_ced key a/ _ _.. _ PLM/Underfloor Gyp Board lnsp
Call for inspection - 6,39--417,
d 1.1 1 I I I I I Ptl 1,
I it IfA I
Oo i
I A 1 f 1 1 1
11 Oil IVI, 1 -1 01 -1
PLAN CHECK FEES LIST
PLAN CHECK # S -I GC PERMIT DATE ,5 / .5
JOBADDRESS l "y 9 Sw� //(r ,1u' TAX/MAP/LOT,-S/iy-C3 D-02 2
SUBDIVISION jft ,,, /', ti/ LOT # / LAND USE
VALUALATION I q4 0_� __SETBACKFRONT -)d REAR__` LEFT/ ,/ RIGHT
WORK CLASS !��✓ HEIGHT TOTAL AREA .2�
USE TYPE S F FLOOR LOAD IST !.
CONST '.rYPE SQL HEAT TYPE G�� 4 _ 2ND
OCCUP GROUP f.' �� DWELL/UNITS 3RD
OC'CUP/LOAD # BED ROOMS `?__ EASEMENT
# STORIES ;! # BATHS J GARAGE
PERMIT # DESCRIPTION AMOUNT AMOUNT PD/ BAL DUE
BUILD PERMIT FEES SSI- -5c 5 3�f
PLUMB PERMIT FEES /
MECH PERMIT FEES f _ ✓ ✓
STATE BUILD. TAX(5%)� 33'
BUILDING •;L ' T
PLUMBING_' I j �—
MECHIANICAL L
PLAN CHECK FEES 37Z.4 1- ✓ � 3��
EUITOING '
PLUMBING
MECHIN'ICAL t f
1,0 SEWER CONNECTION z f :� Z c'c ✓ -
SEWER INSPECTION 3� 21 ✓
STREET SYSTEM DEV
STORM DRAINAGE SYS .2 Tv
PARKS SYSTEM DEV
EROSION PERMIT _
' EROSION PLAN USA _
s ERSOION PLAN COT
TOTAL � Q ✓ '�(v If. 5 �� 3 j.
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PLUMPERMIT
CITY OF TIG R® PERMIBTING#. . . " . . . : MST94 -01'7,+
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/07/94
13125 SW F:,%Il Blvd.Tigard,Oregon 9722398199 (503)039-4171 PARCEL: 2511LADD-02900
SITE ADDRESS. . . : 14849 SW 116TH FIL
SUBDIVISION. . . . : HELM HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
CLAS)S OF WORi'. NLW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BA:KFLOW PREVNTRS. . :0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :i? WC)TER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES- _____.__...._...._.__ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAING. . . . . : 1
SINK5. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIE5. . . . . :5 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :O
WATER CLO SETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . .. . :12)
Remarks - PATH I CALL U S A FOR EROSION CONTROL INSPECTION BEFORE CALLING FOR
OWNER.- ------
..�EORGE WALL T i F $ 1`520. 00 SW 1117/07/94 -
835w SW TURDUOISE LP BPRT $ 535. 50 SW 07/07/94 -
BPLC $ 348. 08 SW 05/02/94 94--251894
BEAVERTON 01--Z 97007 B5-Pc $ 26. 78 SW 07/07/94
Phone #: 324--7384 SSDC $ 280. 00 SW 07/07/94
PARK $ '500. 00 SW 07/07/94
Plumbinq MPRT $ 45. 00 SW 0*7/0'7/94
MPLC $ 11. 25 SW 07/07/94
Na m e 6 M5PC $ 2. 25 SW 07/07/94
Address .- 1'1k&1- Z P P R T s 162. 50 SW 07/07/94
C i t y 2 ,L(06nmt- ---State . P5PC $ 8. 13 SW 07/07!94
Zip: Cl :z I-)- 3 Ph a n e -,gL3// ----
Peg FLY
REQUIRED INSPECTIONS
This per-mit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found insp Rain drain Insp
Code, State of 0;-,e. Specialty Codes and all Post/Deam Struct Wate'.- Line Insp
other applicable 1p ,. All work will be done Post./Beam Meehan Appr-/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final.
pet-r it will expire if work is not star-fed PLM/Underfloor Plumb Final
withir. 180 days of issuance, or if work is Mechanical ITISP Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fit-eplace Insp
Gas Line Insp
Insulation Insp
x -7/1 , Gyp Board Insp
Authorized Plumbing Contractor Signature
Call for inspection -- 639-4175
W Contractor Notes :
CITY OF T I GARDMASTERF'ERM PERMIT
E:RMI (
IhST94 -01 7,1
COMMUNITY DEVELOPMEhf DVARTIlffiff DATE ISSUED: 07/07/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 251 1 OBD--02901ZI
SITE ADDRESS. . . : 14849 SW 116TH PL
CURD I V 15 I ON. . . . : HELM HEIGHTS ZONING: R-4. 5
L;;._.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .6
._--------I---------------- __-_--_-- 13L1 I LD I NG ---- -------_---__.------_----_
[REISSUE: DWELLING UNITS: 1 BASEMENI.. . . . . . . . :0 sf
CLASS OF WORK. -NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :774 sf
TYPE OF USE. . . :5F" FLOOR AREAS -- --_ _- _ [REQUIRED SETBACKS-----------
"TYPE OF CONST. :5N FIRST. . . . : 1L'27 5f LEFT. . : 14 ft RIGHT. :20 ft
OCCUPANCY GRF'. :R3 SECOND. . . : 1432 s FRONT. :20 Pt REAR. . :38 ft
STORIES. . . . . . . :2- THIRD. . . . :0 S REQUIRED-------
I I L
ED----_-_II[_:I G1i T. . . . . . . . :30 f t TOTO L.._..___.___:2759 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps F VALUE. . . . . $ : 140846 PARKING SPACES. . : 1
Remarks : PATH I CALL U S A FOR EROSION CONTROL INSPECTION BEFORE CALLING FOR
_.______._.____ ____-•--_____.__._._._.._...___._____.___ PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :12, BACKFLOW F'REVNTRS. . :0
LAVAT'ORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :r11
TUB/SHOWE_R5. . . . :3 LAUNDRY TRAYS. . . : [ CATCH BASING. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE T?APS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIX•TURES. . . . . :1Z1
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WnSH I NG MACH. . . : 1 SF RAIN DRAINS. . : 1
MEC:HANICAL _____..______._.___.__._..___.._.___.__.---.__________. FEES
FULL TYPES _.___.__.____._.____ UNIT HTRS. ,. :0 type amol-crit by date recpt
/GAS; / / VEh1TS . . . . . :0 TIF $ 1520. 00 SW 1217/07/94 -
MAX INPUT:O BTU VENT FANG. . :4 BPRT 4 535. 50 GW 07/07/94
FURN < 10011 . , -0 HOODS. . . . . . : 1 BPLC $ 348. 08 SW 05/02:/94 94 .:51894
FURN ) r=100K . , : .1 WOODSTOVE:S. :0 B5PC $ . 6. *78 SW 07/07/94 --
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 2'80. 00 SW 07/0.7/94
BOIL_/CMF' < L'HP:O OTHER UNITS: I PARK $ 500. 00 SW 07/07/94•
GAS OUTLETS: [ MPRT $ 45. 00 SW 07/07/94 -
Owner. : --.___.__._ __.____---.._-_ ____.__._. _.-.___..___._-MF'LC $ 11.. 25 SW 07/07/94
GEORGE WALL M5PC $ 2. 25 SW 07/07/94
8555 SW TURQUOISE L.P PF'RT $ 162:. 50 SW 07/07/94 -
P5PC $ 8. 13 SW 07:'07/94 -
BI'--AVEFITON OR 97007
F11-ione #: 524-7384
Contractor:
GEORGE WALL
B555 SW TURQUOISE LP
BEAVERTON OR 97007-001110
['hone #: 524--7384
52 3' ._,
f 3439. 43 TOTAL
This permit is issued subicct +,, the regulations contained in the ------- REQUIRED INSPECTIONS -- ------
Tigard Municipal Code, State of Or-e. Specialty Codes and all other Foot/foLlnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Stri_rct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Meehan Ins'_rlation Insp
days of issuance, or if work is suspended for more than 180 days. Plm/1_rndslah Insp Gyp Board Insp
PLI+I/Underfloor Rain drain Insp
Per-mittee SigrT8t1_rre : %7� . Mechanical Insp Water Line Insp
P11_rmb Top O!it Appr/Sdwlk Insp
I [—ted By . Framing Insp Mechanical Final
Call for inspection - 639--4175
CITY OF TIGARD SEWER CONNECTION
PERMIT
PERMIT #. . . . . . . : SWR94--0174
COMMUNITY DEVELOPMENT DTM��r DATE ISSUED: 07/07/04
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: -:---'S110BD--02900
'.-.';ITE ADDRESS— : 14849 SW 11.6TH P'L
SUBDIVISION. . . . : HELM HEIGHTS ZONING: R-4. 5
PLOC1111. . . . . . . . . . : LOT. . . . . . . . . . . . . :6
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORT;. . . :NEW DWELL-ING UNITS. . : 1
TYPE OF' USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BU5WR IMF'ERV SURFACE. . : - s f
1?emar-ks . PATH I CALL U 5 A FOR EROSION CONTROL INSPECTION BEFORE CALLING FOR
FOOTING INSPECTION
Owner.: FEES
(J-1:--ORGE WALL type amoi-int by date r-e(--pt
"'555 SW TURQUOISE LP PRMT $ 2200. 00 SW 07/07/94
-
IN SP $ 35. 00 SW 07/07/94
BEAVERTON OR 9701217
i:-i-)(-Tle #: 524--7384
Contr-actnr-:
JNTROCTOR NOT ON FILE
----------------------------
�f-)one # $ 2235. 00 TOTAL
f?eg
REOUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer. Inspection
of the Unified Sewage Agency. The permit expires 180 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 lbterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in ail d-,rections from
the distance given. If not so located, the in5taller shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Signet -(ce
I le�-mittee
e d By
- ----------
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Residential Building Permit Application _,L�`
City of Tigard
1315 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
' — Office Use PE11
Subdivision: E ' ' S Lot #
PtancWRec#
Valuation:�y
/ Y Perrprt # >j - t9- 17Y
Owner: �1>°�J /[JCLp�1 _ Reissue of
Address: /S Nap&TL #
700 T
/ -7 Appprr,vals Requlred
Contractor: Engineering
Address: Other
Items Required
Phone:
Subcontractors
Contractor's License #
4—(attach copy of current Oregon license) Truss Details
Subcontractors: Other
� o
Plumbing:
Mechanical: '� .�
(attach copy of current OContractor's cense)
ArchitectfEngineer:
_��Address: �`�� cJ7-te"147 00-1
,'- zo
Phone:
,c r
COMMENTS:Ui
��( _� � STm'J'!1 �/s /�,�, - 1�,//�°�� ��'Z/Y)�-r�T�► rr1 e -
_I
Applicanm Sig6ature & Phone number
Received by:_ Date Received:
a �
Permit # Account Description Amount Amt. Pd. Bal. Due
/?13tki�ll�� Bldg. Permit (BUILD) '53S - 50 ✓ 533• S13 ✓
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) -3Z/ L 371 G
Bldg:
Plumb:
Mech: 2•Z ✓
Plan Check (PLANCK) 35�i, j� )–t �T,
Bldg: 3 >, U� V
Plumb:
Mech:
stn�iy-y! Sewer Connection (SWUSA) u
Sewer Inspection (SWINSP)
Parks Oev Charge (PKSDC) S v U .50V
Storm Drainage Chg (SDSDC) c;2 rJ �7) r'
Vesidential TIF (TIF-R) U 1 v
Mass Transit TIF (TIF-MT) / U /1 y
Commerck'A TIF (TIF-C)
Industrial.TIF (TIF-I)
Institutional TIF (TIF-IS) —
Office TIF (TIF-0)
ccc
Water Quality (WQUAL)
-_� Water Quantity (WQUANT) _
A
C-0 Fire District (FIRE.)
TOTALS,-
K====)4 K—" $1— 1! 1O11��11C�11�?I IG�t��� tC
STATE OF OREGON CONSTRUCTION CONTRACTORS BOARD
REGISTRATION CERTIFICATE
This ce-tifies that the person narned hereon
is registered as provided by law as a
[ GEN CONTR/PESIDENTIAL Registration
[ EXEMPT Number: [ 52392
[ INDIVIDUAL
Expires: [ 10/09/9
GEORGE WALL
8555 SW TURQUOISE LOOP
LE�AIEITON OR 97007-0000
S NATURE OF REGISTRANT
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