15595 SW 123RD AVENUE SM 123rd 1m.
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INSPECTION l0ICE
City of Tigard Building Department
13125 1111 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone!t 639--4175 Businege Phone: 639-4171
Inspection: _—
looting Plbg. Und relab Mech. Rough-in Appr/edallt
I
Found. Plbg. Top Out Gas Line PIriALt �
s
Post/Beam StrucL. San. Sewer Framing / -Bldg.
l(�
Poet/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. U:,Uerfloor Water Line Gyp. Bd. -loch.
Date Requestedt Timet AN Ph
Addrese2 /1 -...+• P�Ssm t f t� i
Builders
sae sol.T.oNIN- MMMU ICKS ons PSQUIRED:
tnepectort_ (� _-- —_---- _-_- Datet�/
OWp DTSAPPROVED APPROVEn SUBJECT TO ABOVE
Call For Reinsp.
MUM=
!o i
IN3PL*CM NOTICE
city of Tigan lhsl-lding Dei rtme+nt
13125 SR Ball Blvd. Tlgard, Oregon 97223
Inspection Line (Rec•-O-Phone): 639-4175 Business Phone: 639-41.7
Inspect ion t
i
paotinq Plbg. Un�ieralab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. Gas Line FINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Raln gain insulation -Plumb.
Plbq. Underfloor water Lino Gyp. Bd. 1 -Mach.
Dates Requenteds 1'/15 / I _Timet _yAM ,_—.`PM .
Addresst Permit
Hu i lder
.1.1K FOLLOWING CORREC rIONS ARE REQUIRED.
J
ANGL
Ineper_tcrs
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTYON NOTIfi6
city of Tigard Building nor-rtraent
13125 SW Ball Blvd. Ti.ga--d, Orogen 97223
Inspection -O-Phone?s63 Buei.noee Phone: 639-4171
Inspect,ons --
Footing Plbg. Underslab Mech. 'Lough-in Appr/Sdwlk
�
Found. P1 . Tole Out Gas Lina FINAL:
Poet/Beam St rytct, Ban. Sewer traslnq
-Bldg.
?net/Beam Math. Rain Drain
Insulation -ply
piM. Underfloor Nater Lina 0Yp•
-d, -Mach.
Date Requesteds
/ 1M
��D � Time: _.___ ----
Address: ` pal
Builder
THE FOLLOVING CORRECTIONS ARE REQUIREns —
Inspector:
�'! APPRdVED DfSAPPPOVED APPROVED SUBJECT TO ABO"
cal: For Painsp. ''
INSPECTION NOTICE
City of Tigard Building Department
13125 SN gall Blvd. Tignrd, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phoue: 539-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plisfz!b,
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requesteds _- Time: A�/ _AN PM
Address �
_ I J�.S J �� .3YPermIt�%� /� q
Builder:_ � 5 3 3 -
THS FOLLOWING CORRECTIONS ARE REQUIREDs �--=
xzncA
Inspeptors Dates
-APPRMD DI9RPPROVED APPROVED SUBJECT TO AnovE
Z' Ca11 For Re1•:sp.
IINSPE4:IOPf NOTICE
City of Tigard Bullding Department Jff 9
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Dustiness Phone: 639 1
Inspection: ' I
Footing Plbg. Underalab Mech. Rough-in Appr/adwlk
LFound• Plbg. Top out Cas Line
FINALt
Post/Benin Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation
.-Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. _Mach.
Date Requested t
T icne s _ AM PM
Addreeat__Z /,��r d �
Permit f _ 'S-1
Ruildert
THE FOLLOWING OORRRCTIONS ARE REQUIRED:
A►�inti
Inspectors_ oe C�1
------�____------..— Dates/
APPROVED _-- DTSAPPROVRD ROVED SUBJECT TD ABOVE
Call For Relnap.
at�i
CIWOFTIGrARDMAGI*ER PER11.11' ver
ny N
LCrrYOFTM
COMMUNITY DEVELOPMENT DEPARTMENT OREGON Rr
13125 SW HWJ Blvd p.0.B_23397.TOW,orepDn 97223(603)"9_4175
DATE: '.I:SSLJED,-, 12/05/90
kDDRE +1*7a,�*M SW 123RD AVE 2,-.S1-t0Cn 1001,J
SUBDIVIS,1011.
BLOCK. . . . .. . . . LOT „ . . . . . . . . . . . .. . 4P ZONING..
BUILDING
REISSUE: DWE -1-INU UNJJS�-o DASEMENI . . .— Sf
CLASS OF WORK. -NEW B ED t"N3:0 BATHS.0 GARAGE -0 Sf
TYPE or usr.-":. .
TYPE:': OF* CONS,r. -5N F*IRST. . . . :230 sf LE F'T. . 0 ft RIGHT. :0 ft
OCCUr-'ANCY GRP. -R3 SLCC)ND. . . -0 S.-f F.-R ONI . :0 ft KFAR. 0 ft
STORIES. . . . . . . _j THIRD. . . . ...0 of REQUYRED------
HE I GHT. . . . . . . .. : 1.0 ft sf 131TIOKE. DETU.-CTOR5.
F:'I--0 0 R LOAD. . . . *40 psf VAI-UE. . . . ,. 1.6000 PARKING SPACES— :0
fAnlily roam
PL U M L-1 I N G ......
0 L 0 0 R D K A T 1-1 IS. B A C K F'L 0 W PRE V N'T R!S).,
I AVATORIES. -0 WATER HEATERS. . . :(4 TRAP'S. . . . . . . . . . . . . .0
U)B/SHOWERS. . . . LAUNDRY TRAYS. CATCH POSI1,1S. ..
WATEF” CLOG[:7S. .. -0 SEWER LINE (ft) ., :o GREASE 'T'RAPS. . . . . . » :0
DISHWASHERS. :0 WATER L I Iq r-*: (ft) 0 F H ER F-I X T'1J R F--G. .
C`jARBAGE DISFI. . . 0 RAIhl DRAIN (ft) -a :0
WASHING IIACH« 0 !-3F RAIN DRAI'NS. ..
MECHANICAL F'EES
FUEL UN I:
I* H I'R .0 type A n)c)(.t 11 t by d at P
/GAS/ VEN7'6 . . . . . :2 BPRT $ 116. 50
1110X TNPuTro BI U VENT F'ANS. . :0 B P L C 4, 75. 73
11.)P N ( 10 0 K -0 HOODS. . . . . .. ..0 B5PC $ 5. 83
f"URN . .. -0 WOODSTOVE.'s. -.0 11PRT Irl 1(:;. 00
FLOOR FURN. . . . :0 CLO DRYE=RS. : 0 MVIL.0 9 4. 00
POTI.../CMP < iIIG r0 OVHE:.R LINITSco 1111-3pC (3. 80
GAS OUTLETS rO PAYM $ X218- 86 JLH 12/05/90
Owiier:
PAUL AND MARY TOWN
15545 SW 123RD. AVE
KING CITY (*.)R
llhooe #.- 620-4364
(.oritrActor:
1ANDFA-1 S R EM 0 D F 1-1N(:)
SW P L A NTO 14
!11-01-10 OR 97007
1:1 h o ri e #0 642-3333
24489
218 86 TOTAL
!his permit is issued subject to the regulations contained in the REOUIRED INSPECI .IoNS
Tigard Municipal Coo. State of Ore. SPecialtY Codes and all other F'oot/fot-tiid Jiitsp BLIJ.Idinp Final
appli^ablv laws. All work will be done in accordance with approved
P'"t/BeAm NeCJ'all Froision' ControlControlplans.
ThiF permit will vinirp if wo0 is not started within lee Ilec,haviic!.-Al
days of i1JUAnC99 C!T if work is suspended for more than The JaYs. ,F'-r aniiiig Tl-isp
Piarmi t t e p 1.53i.gnatortav Gyr) Board Trisp
RAj.ri drain Iiie,p
......
Ile(--lJAJ-1JC.-al r7inal
Uall for il'SP&Ctioll 639--4175
V
I TY Or T I(BARD -- RECEIPT CE.I F'T f.1F' PAYMENT RECEIPT I F T I'JL7. . �i'�, .0 74p'
ViMC CHECK AMOUNT : 218.86
. LEL. �
CASH AMOUNT : 0.(7)k) �
AVDRESS . PAYMENT DOTE 12/05/17v
31JBDIVISIUN e
155915 SW 12:3RD II
URPOSE: Or PAYMENT AMOUNT PAID PIIF;F='OSr- Of= PAYMki.Nl- kl)mcjhl1' F'AIU 1
RU I L.I)T NC F-'ERM MST90-038 4 _ .._ l t 6.50 MECHANICAL PE: � 16.00
3'f. WILD PEP 6,. b;S PI....AN C,HC. C:k: F''E.; 79. 7*
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1 ING CITY
rU T AL AMOUNT" r'A I f.', _ ._ 16.86 �
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CATIL'
1Ti /� IJ�25SWIfallBly&
Or GNRD 10Box 23397 PLNCK RECT #
COMMUNITY D( VF,LOI'�11',N"I'1)I?PAR'(Mf',NT 'Iigard,Oregon 97223 / � �• _
(503)639,4171 PERMIT # M,5f /ru -o_3f
DATE ISSUED
JOB ADDRESS: �S5 , /z ;AP,,4U �
t, /�yG� � TAX MAP/LOT e1S/—/0eQ love
SUB. LIli c;�, # 9 LOT: Z LAND JSE:
VALUATION: 1(94 " _
OWNER _/ SPECIAL NOTES
NAME: j'�''aU�. 'M����� Tl�/Z,, / _ REISSUE OF: _
ADDRESS: ,rte 3 ;►�� T LAST REISSUE:
Zl 1_/,'6 L r )� FLOOD PLAIN/
PHONE: _ ;;,!�— SENSITIVE: LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ -`, � G PLANNING:
ADDRESS: Ie7 s/i� ZRXIZZ"Af��-- ENGINEERING:
X —,*- n7/-h 7 --- FIRE DEPT:ONE: ,u2 OTHER:
CONTR. BOARD#: -1;79 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ _— LIST/SUBCONTRACTORS: _
MFCH: _ BUS TAX:
ARCH ENGINEER �, _ �� �� CALCULATIONS: —
NAME: �
_� ,N _ TRUSS DETAILS: --_
ADDRESS: �, ���.?-, OTHER:
PHONE:
PROPOSED BLDG. USE: �—Al/z K
COMMENTS:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees , 0 Ilk, SZ,
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees vo
10-230 01 State Building Tax (5%) x.63 G 7C3
Bldg `._L�_ Plumb _ Mech —L)-,YL)
10--431, 00 Plans Check Fee _1x•13
Bldg 7s. 2 3 Plumb _ _ Mech 4/110 u
10-230 06 Fire _
30-202 00 SewEr Connection _
30-444 00 Sewer Inspection _
25-448-01 Traffic Impact (TIF) --
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) -
24-445-01 Water Quality (Fee in lieu of)
2.4. 445-02 Water Quantity (Fee in lieu of)
FOTAI- ale. Y � 4
APPLICANT SIGNATURE
rieceived By: _`. ,Q�'� ------ _ Date Received: �� jr�,
IF
nm/3587P.WPF