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CITY OF TIGARD
COMMJN:TY DEVELOPMENT DEPARTMENT
13125 S., n.11 Blvd.Tigard,Oregon 97223.8199 (503)839-4171
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City of Tigard PLUMBING PERMIT APPLIICATION Planck/Rec. # _
13125 SW Hall Blvd, Permit # •`_'i � ��� 3
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N•'"•of°e 100'""" New Single Familv Residences Only
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Job A OM ;� ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
CI 3 BATH HOUSE$225.00
Address cn la. Fee includes all plumbing fixtures in the dwelling and ;he first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
"•"•'°'"• °'�""'•" FIXTURES CITY PRICE AMT
Sink 9.00
w.r",''d&— P1 Lavatory 9.00
Owner I S }L' C Tcb or Tub/Shower Comb. 9.00
�'^'$'•'• r'0 Shower Only 9.00
Water Closet 9.00
"•^• °' • 10iMn••'� p Dishwasher 9.00
Occupant Garbage Disposal 9.00
p Mia""M. °""'• Washing Machine 9.00
,,,D, U) Floor Drain 9.00
Q1j"310• Water Heater 9.00
7 (t-4) (J QZ �� Z'L J Laundry Room Tray 9.00
N•1"• Urinal 9.00
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Other Fixtures (Specify) 9.00
ma"n""" 00
Contractor
-S �2Si� C ,00
9.00
Sewer 1st 100' 30.00
SIM.A.P.Wato N° CAv B.• I.N. sewer -ea. Addit. 100' 25.00
Water Service 1st 100' 30,i
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 2W' 25.00
information 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 Ist 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.0x`
number given is correct. (If exempt from State registration, please
give reason below) Moble Home Space 25.00
—� Back Flow Prevention
Device or Anti-Pollution Device 9.00
�•N•""^ •9r.11 •'• Any Trap or Wase Not
Connected to a Fixture 900
Describe work ' few addition 0 alteration 0 repair 0 Catch Basin 9.00
to he j,c residential 0 non-residential 0 Insp of Exist. Plumbing 4C 00/hr
Specially Requested Inspections 40 00/hi
Existing use of
Rain Dram, single family dwelling 30.00
building c property _—
Residential backflow prevention
C devices I 1500 ���•
Proposed use of
n building or property --- --
r '(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL ) L
Uj PERMITS BECOME VOID IF WORK OR CONSTRUCTION �^
—j AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5% SURCHARGE r o
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -- ---- ---
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 7.5 OF SUI-,TOTAL
Special Conditions TOTAL
Date issued _ —by __
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FULLER DESIGN & EHGR.. 503 245 5977 P. 02
oFuller
Design & Engineering
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FULLER DESICtl & ENGR- 503 245 5977 P. 01
WLILER Project: SHEARWALL SCHEDULE, By: RF Sheet No.
Design & 1 ngineeiing Location: Portland, Oregon Date: 1994
1 N C. Client: Fuller Design& Engr. Job No. 9400
SHEARWALL SCHEDULE ALL PANEL EDGES
MUST BE 5LOCKE5
MARK WALL COVER FASTENERS ,o PA:vEL INTERM.
EDGES STUDS REMARKS
5d WALLBG. NAILING APPLIES TO
NAIL OR 1114" 4" G.C. 4" O.C.
"W" •6 SORE EACH SIDE OF WALL
Via.. 1/2" A.P.A.- 165A STAPLE 3" O.C. 6_O.C. Ili;" LONG x l/16" WIDE
• RATED HT , D.I'18 ,1 x 2'4" 6" O.C. 12" O.G. 91APLES W/ CROU.NS
F. H, Af PA?_'%LLEL W/ FRAM'G
1/2" A.P.A.- 0.148"# x 21/4" I0d COMMON NAIL MA
RATED SHT'G FULL ROUND- 4" O.=, 12" O.C. SUBSTITUTE FOR ANY
EAD P-NAI D.148"0 (g GA.) P-NAIL
.C. DBL. STUDS t fEs AT
RATED SHT'G FULL ROUND- 8" O,C. PANEL EDGES - NAIL
EAD P-NAI ST 4GRD. TOGETHER W/ 12d 9 6"
E 1/2" A.PA,- 0.148"e x 21k,^ 4X EA. END OF WALL-
RATED SHT'G FULL ROUND- A" O.C, ,
EACs-1 SIDE EAD P-NAI 5TAGRD. 8' O.C. OFFSET PLYWD. JOINTS
EACH SIDE OF WALL
F 1/2" A.P.A.- 0.148"e x L-
WAL
21p" 6r.6 EA. END OF
, RATED SHT'G FULL ROUND- 2 O.C. b" O.C. 3x6 STUDS m OF WAL
EACI-I SIDE $AD P-NAI STAGRD• ES-
4x6 MUDSILL PLATE.
HOLDOLJN SCHEDULE NOTES
DESIGNATES SIMPSON PRODUCT
MARC uOLDDUAV FASTENERS 1. "F. RH, P-NAIL" - DESIGNATE5 A
_ FULL ROLND-HEAD POWEP NAIL.
NO I 2. ALL EXTERIOR WALLS MUL , HAVE
0 HOLDOWN ! 1i1" APA-RATED SHEATHING AND
REQUIRED 0.148"# x 214" F. Ry. POWER NAIL
SIMP. 'TISTI" OF ^, (OR E=114 FASTNER) AT MINIMUM
EQUAL 1-ENGTN �, "GMSTi2"x (�) I6d COM`iGti 6" O.C. EDGE NAIL'G SET FLUSu UJ/
MAY S'/BSTITUTE 36" LONG NAILS AT EACH END TF,E SURFACE OF T64E SHEATHING
FOR "ZMSTI2" 0 134" O.C. STAG';-'C. 3• ANY FASTENER EXPOSED TO
' "GI"5Tt1"x C11) 16d GOM"ON WEATP;ER 51-+ALL BE GALVANIZED.
� 48" LONG NAILS AT E4.CH END 4• HOLDOWNS OCCUR a EA. END OF
�,/ 0 134" C.C. STAGRD. EA. S"'WALL 4 FASTEN TO (2) LAM,
"CMST12"x (15) '16d COMMON SUDS. WALL SHT'G $HALL BE
60" LONG NAILS AT EAGI-I END ECG= NAILED TO HOLD'N 9TUG5.
I`%" o.C. STAGRD, 5• EDGE NAIL. ROOF t FI-R• SWT G TO
RIM JOISTS/SLKG. AND FASTEN TO
"FTA-5" (4) "♦ A301 BOLTS WALL P W/ SIMP. "A35P, OR "1850"
' �a
4 X48'oc. REDUCE 5F'AG1NG T032 '
^ OR TYPE "C" SWEARWALLS AND Ii
NOR TYPE "D, E 'r" SHEARWALLS.
y "FTA-1" !6) It"e A30'I BOLTS @b. LAP WALL PSATES MINIMUM A'.0
51MP. " DSA" OR \% ®TWN. SPLICEW/ (8) 16d EA. 8(pE
"FTM55" MUST BE CA) ISd COMMON CONNECT SHEARWALL BOT, PETOUSED W/ JOIST —► "HPAND22" NAILS IN EVER;' FRAME BELOW W/ 16d + 4" O.G.
FLCCR SYS"'M V SHEARWALL SHT'G MUS
OTHER NAIL HOLE T E-'END
'~ FROM BOTTOM TO TOP PL,1ITES.
►-
(32) 16d SINKERS' 1. FASTEN MUD5ILL 2e W/ 1/2"s x IE"
V1 "HTT22-1 41 SIMPSON "65715120" 489 W/ 2"e WASuERS or "MAV" *A8"
> OR sti"e x 15" J-BOL REDUCE SPAC'G TO 24" FOR TYPE
~ (3) 11"e A301 COLTS C SH'WALL, 12" FOR TYPE "D, E s F'
--� \a "HDBA" 1 SIMPSCN "SSTB28" S. SWEATHING CN SWEARWALLS 5H41_
OR "ti"e x 18" J-BOL7� NOT BE INTE4'UP7ED BY ANY WALL
^ UTTININTO SNCARW'A
"HG22A" (4) 1"• A301 BOLTS IN SHADED AREAS, PROVIDE
24" J-BOLT PLYWD. FLOCR SHEATHING W/
^ 10d COMMCNS 4 A" OC o ALL
• "1-IDIS" /5) I"e A30' BCLTS PANEL EDGES 4 PERIMETER,
10 A 1144"• x 2A" J-BOLT 12" CC IN FIELD. BLOCK ALL
PANEL EDGES W/ 2 X A FLAT.
ggr--_DESIGNATES • "CMST12'' x 48" IN CR05S-HATCHED AREAS
al LONG' CPROVIDE 2 X 4 FLA'
WM
/ Ircd COMMON NAILS * PAgTEN CEIL'G W/ Sd COOLER
. AAI
eLK!s HETU:E=N STUD5/JOISTS NA'L 0 A' OC EA. J015-, BL<ni
FCR STRAP NAILING. (TYPICAL PcRll CT R 2 X 6 BLOCKIN,55
UNLESSNOTE— OTHEeWISE) 'IN67ALLED FLAT OVER TOPS_
D=S;GN4-E5 -41LOCATION W/ 16d +e 6" OC. BLOCK ALS
PANE . AT
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__ --n-<
Footing Susp. Coiling Sprink. Rough-in 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 ech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 2 z (� S! �LTime: AM PM
Address: r!� ! S r A ;
Builder: S 7 ?–� �7 y� Permit #;1 .�� �jL1-� �;j
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:
^AP_PROVEb DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE C",
City of Tigard Building Dep&-gent
19125 SN Ball Olvd. Tigard, Oregon 97123
Inspection Lipp (Rec-0--Phone): 639-4175 BusineWPhone: 634-4171
Inspection: -t/�L_2 -. "U\j I-IJ- (� I/ _
Footing Plbg. Underelab Mech. Hough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Ltne FINALS
Poet/Beam Struct. San, Sewer Framing -Bldg.
Poet/Beam Fisch. Rain Drain Insulation -Plumb.
P1.bq. Underfloor Nater Lima ,Q �]Gyp. Bd. -Hoch.
Date Requested: y -1 Timet AM PM
Address: 1 ` D 1 > Permit #e "1"
Builder:
TAE FOLLOWING CORRECTIONS ARE REQUIRED%
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Inepectort \/ �r �..�..��.� Datee
APPROVED OISAPPRoVED /APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSU TIA NOTICE
City of T3gatd Bulldjnq Department
13125 SN Lull Blvd. Tigard, Oren 97223
Inspection Lin (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. UnAarslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer reining 7 --Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line{— ` Gyp. Bd. -Mech.
Date Requested: �J Q�L��,, �_ Tlme: ,__—AM>
Address: HJ'1 2 '` v� Permit 1:ClJ
Builder•
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ l�� Dater' V—
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_,APPROVED V DISAPPROYBD APPROVED SUR7ErT TO ARcWE
Call For Reinsp.
' INS 1*Ltirrix)9'NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
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Inspection: 1Z�� L-�• �_�_�
Footing Pibg. Underalab Mach. Rough-in P.ppr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL-
Post/Beam Struct. San. Sewer ��, -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lines if Gyp. Bd. -Nech.
Date Requested: ` / _Times AM PM
Address: uSfd Z I Zs '� Permit #: C.`,�
suilders 9-Y
TU FOLLOWING OORRSCTIOWS AM REQUIRlDs
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Inspectors `/ _ nate: 1'
APPNO"DDI3APPROVID APPROVED SU9.TECT TO ABOVE
\ `> ✓o-�Call For Relnap.
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INSPF.CTIOa 40TICE
City of Tigard Building Department
13125 SN Hall Blvd_ Tigard, Oregon 97223
Inspection L ne^(Rec-O-?1hone): 639-41175 Busi ee Phonet 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr"/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San" sewer Fraraing -Bldg.
Post/Beam Mech. Rain Lain Insu.ation -Plumb.
Plbg. Underfloor Water Lina Cyp. Bd. -Mech.
Date Requested: ^� -` _Time: (� 11M PM
Address 1 , O Z Permit /:
Builder:
THE FOLLOWING CORRzcTIONS ARE REQUIRED: �� l r-1
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Inapectdrs
APPRMI) --V?B)Ppwm APPROVED SUBJECT To ABOVE
r - ^ i '_G11 Ior 11oinnp.
a IMA NOTICE \
City of Tlq Bui ding Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection L ne (Rec--O-Phone): 639-4175 Buei ae Phone(: 639-4171
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Inspections.--
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line yp. Bd. -Mech.
Date Requested: Time: AM
PM
Addreaa: 1 rt(U G(�+2 T Permit /: /y-� ,?-�
Builder:
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THF. FOLLOWING CORRECTIONS ARE REQUIRED!,
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inepectora Dare: `•v7 '
APPROV'RD --151SAPPROVBD APPROVED SUMT;;f:f TO ABOVE
1?„ h _Call For Reinap.
INSPECTIA NOTICE
City of Tigard Building Department
13125 SB Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab 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 water Line Gyp. Rd. -Meeh.
Date Requested: Times AN
Addresa: Permit �t� 6 r
Builder:
THE FOLLOWING CORRECTIONS ARa REQUIRED:
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Inspectors__ `�/�11✓ Dates
APPROVED ___L'--173SAPPROVSD APPROVED ZVWNCT To MME
'�ICall For Reinsp.
INSPxcT7bN NOTICE C
city of Tigard Building Department
13115 SN Hall Blvd. Tigard, Oregon 97223
Inspce:tion Line (Rec-O-Phone): 639-4175 Buninesa Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested-_ Time: _ AM _PH
Addresn:v Permit #:94 ��-. _
Builder:
TBB FOLLOWING CORRECTIONS ARE REQUIPED:
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Inspector: Dates.-,_
APPROV=D ,( �_--DISAPPROVED APPROVED SUBJECT TO ABOVE
-call For ReLnep.
-I��y ,�E-AqW(C._NOTICE
City of Titjatd Building Department `✓
13125 Sid Hall 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 Line FINAL:
Poet/Beam Struct./; San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line% 7 Gyp. Bd. -Nech.
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Date Requested: l ,/��-Ll Time: �_AM PN
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Address: ' G- l�S � Com' Permit #:___,L
Builderl 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ��/l/ —" Date:_-.__/_
APPAOM 161SAPPROVED APPROVED SUBJECT TO ABOVE
/ \ v� Call For Rainsp.
INSPECTIOR NPTICE
City of T4gatd Building Department
13125 SW Hall 81rd. Tigard, Oregon 97223
tnepectina Line (Rec-O-Phon,)s 639-41.75 Business Phone: 639-4171
Inspec'.:ion:
Footing r2bg. Underalab Nech. Rough-in Appr/Sdwlk
Foul 0. Plbg. Top Out Gas Line FINAL:
.'em Struct. San. Sewer inc -Bldg.
Postjlfeam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lint! Gyp. Bd. -NO
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Date Stequeetedt Time: :_ !! PH
Addrons: �
L( las C�� Permit f: ._
Builc er: —2
THE FOLLOWING; CORRECTIONS ARE REQUIRED:
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Inspector: nate. t 3_ 1
APPROVED bISAPPROVBI _ APPROVED SUBJECT TO ABOVE
c2\ ,tj�'—z ___C�.11 For Reinsp.
NOTICE
City of Tigard Building Departeent
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:. _ ---- -----
Footing Plbg. Underelab H�chrRot'021n ��ppr/Sdwlk
Found. Plbg. Top Out a L1 ' �.•�" FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Mech. Rain Drain Ineulatlon -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Hoch.
Date Requested: 1 ��/ Times _AM "PSN
Address:
. � r Permit4f: vy _�
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Builder:
THE FOLLOWING CORRECTIONS ARE�REQUIR.?D:
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Inspectors-
APPROVED .r DISAPPROVED APPROVED SURJECT TO ABOVE
r` .Call For Reinap.
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INSPSCTION NOTICE
' City of Tigard Building Departaent
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection 11 Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Plbg. Underslab Rough-in , r/Sdwlk
Found. Plbg. Top Out FINAL:
Line J� FINAL:
Poet/Beam struct 0 . Ran. Sewer Fam
ring ) � -Bldg.
(77
Post/Beam Mach. 11fr Rain Drain Insulation -Plumb-
Plbq. Underfloor Water Lint Gyp. Bd. -Mach.
Date Requestedr Z —PisM= QQ AM PM
1 '7 ���Permit to "T_
Address:
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Builder: �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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InspBctor: �-� Oatm: r � �� r
APPROVRD DlSAPPROVLD __ APPROVRD SUBJECT TO ABOVE
. INSPE _IOH NryTICE \�,
City of Tigatd Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Sa:.. Sewer Framing -Bldg.
Poet/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested•__ Time: AM —PH
Address _ _— Permit #9-/1
Builders
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors ' V "� _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TD ABOVE
n _ Call For Reinsp.
NSPECTIO_N
city of Ttgar3 Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab R=uql � Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct'�l San. Sewer am ng �/ -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:-��� Time: AH PH
ex t44-
Addrese:I/ IY-11'72�^�/ �C�� J _yam( Permit �:----�._ 71f
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
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Inspectors!_ `��`� _ _ -�Date:
APPROVED ntSAPPROVED APPROVED 3URJF.m TO AROVF.
��J ��Cal l For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Dusinens Phone: 639-4171
Inspection% —
ppt;ng Plbg. Undorelab Mech. Rough-in Appr/adwlk
,9` Plbg. Top Out Gas Line PINRLt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linea Gyp. Bd. -Koch. ,� dA
Date Requested% 1 q Tim s- / L •C^M—IL-6 I6
Ac7drese:_ 11 � I �Lo, �� _` Perm1itl it q `l�' 2O♦�vl
Builder: Y\ ccJ Y I 1 l 1 - G 2 13
TBE FOLLOWING CORRECTIONS ARE REQUIREDi
49
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Inspec — --_- Data eie 4 _
APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVE
Call For Roinap.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: + /4-'a
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:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: b > ' > ' "1 _Time: AM PM
Address:
Builder:_ Permit #: j - o2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a.
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Inspector: " e I'vLIC-5 Date: --1.3 -
-APPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businesu Phone: 639-4171
Inspection:
Tooling > Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. S,, Saver Framing -Bldg.
Pout/Beam Mech. Rain Drain Insulation -Plumb.
P1b9• Underfloor Water Line Gyp. ed. -Mach. "
1
Date
Requested: -� ' 1 L� Timet _AN' _ Z1- PM
Address: `
&_ a 5CAJ
Builders - 1'.P y� 3 1 L'-
THE FOLLOWING CORRECTIONS ARF REQUIRED:
i
Cl
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F-
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C0
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J
Inspectors I` Dater � 9"el -
"PROVtDy DTSAPPROVED APPROVED SUBJECT TO ABOVIS
_Call For Reinep.
INSPECTION NOTICE ��--
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections—_____
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
".�
Found. Plbg. Top O Can Line FINAL:
�1
Post/Beam struct. San. Sewer Framing -Bldg.
Poat/Beam Mech. Rain Drain Insulation -plumb.
Pl.bq. Underfloor Water Line ) Gyp. Bd. -Mech.
Date Requested: / / Time: AM .-J?C--PM
Permit 1: _C v�
Builder:
THE FOLLOWING ODRRECTIONS ARE REQUIRED:
17
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Inspector: /��/ r ------- _
Iw'cto F0- --- — — —_ Date-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
----Call For Reinnp.
INSPECTION NOTICE
City of Tigard Building Departecast
13125 SW Ball Plvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_----- --� L�
Footing Plbq. Underslab Rough- Aopr/Sdwlk
Found. P1bg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing --Bldg.
oat/Beam !loch j Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Hoch.
___-- �-Ito _qcl
Date Requesteds Time: _ .. _AM PN
Address: I $0 2J+ �/' ^ P'..-Mit 1:c/{9 t' 6-7-77
Builder: e ll�l l� C Ark k rz:J 1 15 /��
THE FOLLOWING CORRECTIONS ARE REQUIRED: �—
CL
V-
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fel
1'"My
V
inspectors
FSC
APPROVED -- DISAPPROVED APPROVED SUBJECT TO ABOVE
_-_Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Departswent
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
.Inspections ___--
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. I. Sewer Framing -Bldg.
Post/Beam Mech. Insulation -Plumb.
Plbg. Underfloor ater L Gyp. Bd. -Koch.
Date Requested:_ / Times �C) 30 AM PK
s
Address: J w o a ' /L —_ Permit is cLY- ��
nu i lder
TIM FOLLOWING COR"CTIONS ARE REQUIRED:
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Ln
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Inso z — - - Dates�� '/_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp-
INSPECTION NOTICE
City of Tigard Building Department
13125 Sly Hall Blvd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.•4171
Inspection:____
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found.7 Plbg. Top Out Gas Line FINAL:
Post/Beam Struct, San. Sewer Framing -.Bldg.
Poet/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh. q
Date Roqueated: '12S 1 9/ 1 —Time: AM
f
Address: rn�77Q � Permit f e
."�
Builder: 12 - � a I
THE :#'OLLOWINU CORRECTIONS ARE REQUIRED:
tc
CL
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Inspectors X-IData:
--APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
�\ � Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department l�
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line INAL:i
Poet/Beam Struct. Sart. Sewer Framing -Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water/Line / Gyp. Bd.
:z �/ '�
Date Requested: ( � 11 ITime: AN ✓ PH
11 C '' C
Address: 11 .1�1 S �b1 'Z Permit f:
Builder: 1
THE FOLLOWING CORRECTIONS ARS R/E�QUIRED: �
I I % —�=7--) (-I
LL
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V) -
J
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LLI — -
J
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Inspector: Date: // / �`! 4
APPROVED _ DISAPPROVED APPROVED SUB.TECT TO ABOVE
Call For Reinap.
�N C_ z
INSPECTION NOTICE
City of Tigard Building Departasent
13125 Be Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Hech. Rough-in Ap�pr/Sdwlk
Found. Plbg. Top Out Cas Line PL fNALi
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation P� 12—c-,
Plbg. Underfloor Water Liner ( ( Gyp. Bd. -Hoch. "�a"L—
DAt o Regsseated: I I (j T Times AM PM
L .)
Addresss_� yYy Z ' ; Permit Is J `j
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
d
rr
H
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F—
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C7
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Inspectors` ` _ Date: _
—_APPROVED OTSAPPROV90 APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE 1
City of Tigard Building Depert—t �!
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plug. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.•- __�
Poet/Beam Hoch. Rain Drain Insulation wl_�
Plbg. Underfloor Nater Lienee Gyp. Bd.
Date Requestedds � K 6.6fTom= !/
Address:1 MPC-Z SI�/V 145- Permit #1
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Builderk CL L-L-/ww2As {�z -- qJr / `1
THZ FOLLOWING CORRECTIONS ARF. REQUIRED: {
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Oti G..- L U
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r SyVA-, �j 1 �.
Inspectors _. j
- -- Oates / �- /•�D �1 4
APPROVED ✓ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
k c:L
�NSPECTIOW NOTICE �` 1
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businaos Phone: 639-4171
Inspection+
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cao Line FINAL-
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfl,)or Water Line Gyp. Bd. -Hach.
Date Requested: Time: _AH _PH
Addre"s: _ Permit #: IJ..C_ 4
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
VA
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Inspectors bat": , -1
APPROM --ISAPPROVEU APPROVED SUBJErT TO ABOVE
• 'Cell For Reinsp.
INSPECTION NOTICE I
City of Tigard Building Departimnnt
13125 SR 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 Line FIN
Poet/Beam Struct. San. Sewer Framing -.Bldg.
Poat/Beam Mech. Rain Drain Insulation ' )
Plbq. Underfloor Nater `Line Gyp. Bd. -Mach.
Date Requested: 1 I� ` Time: AM PM
Address: �1
Stn. �Z _ ( _ Permit #: 0 Z�
Builder!_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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a
ti
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LLJ
4F ell,
Inspector:. ✓ _ Date- (/
APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
/ Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line PINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line I I yp. Bd.I —' -Hoch.
Date Requested: L /��1L �9 `1 j, Time: /V AM --PM
Address: /U icy�7 Permit t:�C_—L� �' �L1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ---�
� rk "l^� �-A �__`'\/\ Z��
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Inspector: nate: !
- APPROVED _ DTSAPPROVRn '---APPROVED SU&TRCT TO ABOVE
C� \ __Call For Reinsp.
INSPECTION'NOTICE 1\ V
City of Tigard Bullding Depart.ennt \ j
13115 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-i-ione): 639-4175 Business Phone: 639-4171
Inspection:_ ___
Footing Plbg. Underslab rlleciT"1 ug:- � Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Stiuct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain at o 1 -Plumb.
Plbg. Underfloor Water Line /G Gyp. Bd. -Mach.
Date Requested:/_ L V 1 7 .2 _Times G AM PN
Address: (' 7 S ✓✓ Permit �: %�. ��
Builders �^ _
THR POLLOWING OORRECTIONS ARE REQUIRED:
a
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C7
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Inspector: _ _� pate• �y�
_ ,"OPROVED DISAPPROVED APPROVED SUBJECT TO ABOVp
Call For Reinsp.
fk �%/
INSPFr'TION 'NOTICE W
City of Tigard 8uildtuq Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-4-Phone): 639-4175 Business Phone: 639-4171
lnsE,c:ction:__
Footing Plbg. Underslab Ch. Rough-in' Y,Appr/,Sdwlk
Found. Plbg. Top Out Lias Line FINALS
Moet/Beam Struct. San. Sewer Framing -Bldg.
[*-et/Beam Koch. Rain DrainInd su)eti V ' -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested- Times (� AN PM
7 `]
Address: 1 ` ' 7�� L� — Permit s"I V L- I ,(
Guilders
THE INO CORRECTIONS ARE REQUIRED:
es , s
2 +
- - ----4 A) ±AAlt
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aU L4,
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Inspectors Dates
1/1
_APPROVED DISAPPROYP, APPROVED SUBJECT TO ABOVE
4.11 For Reinsp.
INSPE�'TION TIOTICE \i
City of Tigard Building Deoart3nant --
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Businees Phone: 639-4171
Inspection: i
Footing Plbg. Underelab " 6 Appr/Sdwlk
Found. Plbg. Top Out Gas Line / FINAL:
Post/Beam Struct �t San. Sewer �r—_am-n— 4
j
./R F 1 o IL.' -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line/ Gyp. Rd. -Meeh.
Date Reque/st�ejdt 1�``% Time: X__AM /PPM
Addrese: �/ (� J L/`� Permit is
Builder:- q
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
X: IM , -5
CLccH
H � • V
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L:J
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11111�N'.•}nr� _.. _. Mite:
APrROVED __'D_rSAPPROVED _ _ APPROVED SUBJECT TO ABOVE
r� all For Reinsp.
INSPECTION"N
City of. Tigard ituilding nepartrscnt
13125 SR Ball Blvd.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 539-4171
Inspection:Footing Plbg.Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line lI1fALt
Poet/Beam Struct. San. Sewer Framing -B
Post/Beam Mech. Rain Drain InsulLtion -Plumb.
Plbg. underfloor Water Line G Gyp. Bd. =Neoh.
Da..a Requested:_ _ V `� Time: AM PH
Address: D Z "V ` Z� Permit 1: "1 L�
Builder: �..�� 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Dater
APPROVRD DTSAPPROVRD APPROVED SUBJECT TO ABOVE
Carl For Reinap.
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CF RT I F I CATC OF
13125 SW Hall Blvd.Tlgard,Orapon 87223*8100 (503)838-4171 OCCUPANCY
;(x x>< PERMIT #. . . . . . . . MST94-- 0;..,
639- 4171 DATE ISSUED: 11/21/94
PARCEL- 1 S 133DD--10:00
G I TE ADDRESS. . . : 11802 SW 125TH CT
SUBDIVISION. . . . : VILLAGE AT' SUMMER LAKE PARK 4 ZONING:R 4. 5
BLOCK. . . . . . . . . . . L.01 . . . . . . . . . . . . . . 139
----------------
CI-14 S OF :NEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. : R3
OCCUPANCY LOAD:R27 4
TENANT NAME.. . .
Remarks : DOTH I
Owner^.
NEWCASTLE HOMES
F 0 BOX c3291
T I GARI) OR 97281
Phone #: 639-•3601..),JAY MILLER
PO BOX 23291
TIGARD OR 97281
Phone #: 684•-7543
R p rI 0. . 2 ;301 09
Ocr.upanr_y of the aho%ivv r•eferencred building is hereby given, and cer^tifie
the compliance with the twatp Of Oregon Specialty Codes for the group,
or_ctipanc.y, anri use under which the referenced permit was issued.
BUI NG IN ECTOR
BUILDING IAL
POST IN CONSPICUOUi PLACE
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fU
C I 1 Y tJf' T I[BARD REC:E I F'T Of- PAYMLN I RF t::FA P I Nil. 194-25, 7459
CMELK (AMUCJN V 15. 00
X0C"Hti ELL Mir'N' INt3, INC . AMOUNTa W. 4�t�
j555 d:If: IAl..7A AVf, F'AYMENI WITF 10/04/94
SLISD I V I M I ON a
�f CL-I"k KAMAN, ORr-"3(-)N (a 7015-
i
PlIF1POSE OF PAYMENT AMOUNI r''AIU PURPICISE OF PAYMENT AMIJUNI' PAI'U
"- mi �,� I I._{'INEDUS 15). 00
f-
J
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C.7
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RF:_ I:NSPU--1;'r I ON F f`J—,. 1 1 HNi? csw 1 i: T FI t:-r
If' . I'44--0274
ko
i i I miq (4Mt1LUN I PAID - - - - > 1:5. (a0 \
CITY CIF, I 1(3"Hl) — RUMV14 (11 t.-lOymitif Rf',.C�'EJPI NO. s 94-4.`57 14LA
tME6-CK f-MIAM 1 15. 160
A TLE HOMES, .CNC;. GAM flIMIAUN f 4 Ill. 01A
-
3P91 PAYMENT 0144 L 2 09 /9
I.iL)BD 1 V I t4 I UN i
• T'I OAR D OREHUN 4 7;M3.-
t4-)YMl:,N I AM(1LIN't PAID PLIHI-10,1+ III- ITAYrIlk-NI AMLAINI PH)D
111N1 r rr
i V m Ej 19 4 oi*'/44
(ImIlLffilt PAID 00
r
C:J'T Y OF* 'T T BARD — RK-CF I F ?' OF PAY NT RECk'J P f NO. a 94 —r'RS�F4r:i'
CNErK AMOUNT 150. 00
NOME_ : NF_WCAS'TLE HOMES INC CASH AMOUNT' VJ, 00
ADDRE=SS : BYO SOX 8 291 PAYMENT DATE: : 01/ 1,,,/94
T I GARD, ORROON SU404Wo
19W :
972P3— 0�� �'
I-,'(RPOL3E OF PAYME"N T' ANOUNI' PA1In b 0f' *AYMF=N'T AMOUN T PA 11)
1'1 111V �'1IF=f,F< F E 7- ;33R �CVI. 00
tri c, ��1! t',I :�:..(,►t,,.
r-
413fir
` 2, (
U3C
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J
LOT' 1.39
1 �+ �w 1 TF i c 1/VTI I.EIDE Al HUMMi HLf-WE PARK
TO"TE C:" AMCJUNT PAID _ ._. ._ _r 50. 00
C 11'Y OF T I EIARD - RF LIF=I A`I OF PAYMENT RF'(;F I P"(' NO. a 94-.. b4
CHECK AMUUN f e 552Q.l. 44
NAME t NFMCAE T'LN HOMER INC CASH WOUNT t 0. 016
AI)I)F?F'88 t AL) PDX 23291 PAYMF_NT DATE 07/L5/94
T I GARD, (;)RF.I3C)N SUBD I V 113 I UN e
9'?-.,iP-.y--
1llIWF (74 F_ OF PAYMENT AMOUNI PAI I) WORPUBF::. OF F:'AYMk.N I AhIU1JN 1 1'1411)
R(III 1)INo PIERM MS194--W..''74 _ - 530. 050 F=111IMPINO PERM iie"i. NN
0- h11:C:NANICAL PE 43. ;.0 ST. BUILD PER
�Of- I ON CHECK FF. 10. Fab Sl:.WF-R USA SWR94--O258 22I10. NN
i.WF_R IWPF.CT :35. 00 PARKS 9UC: 500. IAW
ti - l WM DRAIN SSU r'891. 00 Rk E3 I DENT I AL T RAFT I C FT F S t 4:34 . 00
Mia tRAN81 T TIF F F'E9 120. 00 E N09I ON CON T HOL Pf-R- I i FF.E 64. IAW
s LR(.-l: ION CONTROL PLAN CK 20. 80 FROSIC]N CONTROL. po. 80
w
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11030c--! HW 1P5TH CT
V71. 1 APF AT SUMMFR LAKF PARK F-OLIR/I 01 1 .-'-9
TOTAL. AMOUNT PAID — _ -) 5524 . 44
PLUMBING PERMIT ST9(t-0--`7/1
PERMIT 4#. . . . . . . MST94-0;-�:'.7/i
CITY OF TIGAR® DATE ISSUED: 07/2�55/947
COMMUNITY DEVELOPMENT DEPARTMENT
1131:15 SW Hall Blvd.Tigard,Oregon 97223*81199 (503)639-4171 PARCEL: ISI-73DD-10200
,DITE ADDRESS. . . : 1100c':! SW 125TH CT'
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING. R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 139
CLASS OF WORI/,. . :NEW GARBAGE DISPOSALS— : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. R3 FLOOR DRAINS. . . . . . . :10 T'RAP'S. . . . . . . . . . . . . . :17i
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS— . . . . . :0
FIXTURES------ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
F)I NKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . : 4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . .,3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remar-ks : PATH I
E)wl\JLR. -- -------.--_----_.
NEWCASTLE: HOMES T I I- + 1530. 00 JG 07/25/94 -
P 0 BOX 23291 BPRT $ 530. 50 JG 07/25/94 -
BPLC $ 50. 00 JF- 07/13/94 94--25442V
' IGARD OR 97281 85PC $ 26. 53 JG 0*7/25/94
Phone #a 6.39-3608 SSDC $ 280. 00 JG 07/2I5/94
PTIRK $ 500. 00 JG 07/25/94
Plumbing Contractor:----------------- MPRT $ 43. 50 JG 07/2'5/94
Mr-"LC $ 10. 88 JG 07/25/94
Namek&-kajM UY-Yj--))fa - TYJ�, M5PC 2. 18 JG 07/25/94
Address: T P5PC i 11. 25 JG 07/25/94
City: State : 3BTV4 4 225. 00 JG 07/23/94
Zip- Phone#: EROS 4 64. 00 JG 07/25/94
Reg #: Additional. fees not shown here. . . . . . . .
REQU I RED INSPECTIONS
' l):. s per-mit is issued subjFrt to the reg -
ulations rontaineu in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, Stat *- of Ore. Specialty Codes And all Post/Berm Stv,uct Water- Line Insp
other- applicable laws. All work will be done Post/Beam Mechan Appv-/Sdwli< Insp
in accordance with approved plans. phis Fllm/undslab Insp Mechanical Final
pet-mit will expire if work is not started PLM/Underfloor Plumb Final
within 1.A0 drys o f i S 13 I-taTIC P, Or if VJC)V-I.< is Mechanical Insp Building Final
suspended for, more than 180 days. Plumb Top Out Erosion Control
Fr-aminy Insp Cr-awl Drain
Fireplace Insp
LL Gas Line insp
Ln Insulation Insp
Gyp Board InsF
nuthor A�..'7'd Plumbiriq Cmitr-vactor- SignLiture
Call for inspection 639-4175-
Contractor Notes :
CITY' OF TIGARDFERI�IIASTTE.R. PERMITI1ST94-OL71i
COMMUNITY DEVELOPMENT DEPARTMFENT DATE ISSUED: 07/25/94
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171
PARCEL: 1S133DD--10200
S 1 TE ADDRLSS. 1180.x' SW 112-1-111 U T
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . . 1-0 T.. . . . . . . . . . . . . : 13,9
------------------------------- BUILDING
REISSIJE:MGT93-9558 DWELLING lJNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF" WORK. :NEW BEDRMS:3 BATHS:3 GARAGE.. . . . . . . . . . :440 s
TYPE OF USE. . . :SF FLOOR REUUIRED
TYPE OF CONST. :5N FIRST. . . . , 1051, s LEF'T. . -7 ft RIGHT. : 11 ft
occup,ni,Acy GrRr--.,. .R'_3 SECOND. . . :I)Bla s f FRONT. :20 ft REAR. . :46 ft
STORIES. . . . . . . :2 TH I RD. . . . :0 s f REOU I
HE IGHT. . . . . . . . :27 ft I'O'T*AL----------2036 Sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 138807 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . ., : 1 FLOOR DRAINS.. . . . :la BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :4 WqTER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
I UB/SHOWERS. . . . . -"
LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :16
WATER CLOSETS. . :3 'SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERG. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL FEES
FUEL UNIT HTRS. . :0 type amok.tnt by date r e p
/GAS/ VENTS TIP $ 1550. 00 JG 07/25/94 -
MAX INF-UT :0 BTU VENT FANS. . :4 13 PR T $ 530. 50 JG 07/25/94 -
FURN ( 100K . . . I HOODS. . . . . . : 1 BPLC 1 50. 00 JF" 07/13/94 9 4-2 5 4 4L,
FU13N ) =100K . . :0 WOUDSTOVES. :0 B5PC $ 26. 53 JG 07/25/9,4 ---
FLOOR F.-URN. . . . :0 CLO DRYERS. : I SSDC $ 280. ('0 JG 07/25/94
Dnii.-/cmp OTHER UNITS- I PARK $ 500. 00 JG 07/25/94
GAS OUTLETS: 1 MPRT $ 43. 50 JG 07/25/94
Owner-: 11 10. B8 JG 07/25/94
NEWCASTLE HOMES M5PC s 2. 18 JG 07/25/94
P 0 130X 232-,91 P5PC 1i 11. 25 JG 07/25/94
3BTH $ 225. 00 JG 0'7/25/94
TlEiARD OR 97281 EROS $ 64. 00 JG 07/25/94
Phone #: 639-3608 ERPC 20. 80 JG 07/25/94
Contractor: ---- 20. 00 JG 07/`5/94
JAY MILLER
r'.0 Box 2:,3291.
rIGARD OR 97281
["hune 684 --7543
rc Reg 1*. 30109 ---__-------•------------------------------
t 3335. 44
-----------------------------------------3335. 44 TOTAL
>- This peroit is issued subject to the regulations contained in the REQUIRED INSPECTIONS --------
J
------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol-trid Insp Fireplace Insp
applicable laws. All work will be done in accordance with approked Post/Beam Stri.tct Gas Line Insp
plans. This peroit will expire if Pork is not started within 180 Post/Beam Mechan Ins'.1lat ion Insp
Lij days of issuance, or if work is suspended for sore than 189 days. Pllm/�_indslab Insp Gyp Board Insp
PLM/Underfloor Pain drain Insp
rlet-mittee SjAT)at1-q-e :- ianical Insp Water Line Insp
Pll.imb Top Ot-tt nppr/r)dwlk Insp
13 s 1-t e d By F ram Ing TTISP Mechanical Final
(,'all for inspection 639-4175
CITY OF TIGARD — SEWER PERM
CONNECTION c —L
PERM I T
PERMI ; #. . . . . . . : SWR 4 11rc5L1
COMMUNITY DEVELOPMENT MPARTME19T DATE: I SSUEG: 0'7/C:_5/94
13125 SW.cell Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 1S133DD--10200
SITE ADDRESS. . . : 1180-- SW 125TH CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
VLOCt.. . . . . . . . . . L07. . . . . . . . . . . . . : 13,9
I LNAl\il- NAME. . . . . :
USA NO. . . . . . . . . . . F- I X TURE UNITS. . . .
CLASS" OF WORE:. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF IVU. OF BU I LD I NGS: 1
INSTALL TYPE. . . . :DL.JL;Wk IMPERV c,URFACE. . : : S
Remav-ks : PATH I
OUiner: -_________._..____.__.._____._._____-- ---._._..___________._.._.__ ____.__ FEES
N! :WCASTLE HOMES type amount by date recpt
F' 0 BOX 23291 PRMT $ 2200. 00 JG 07/25/94 —
INSP '$ 35. 00 JG 1217/::5/94
l-IGARD OR 97, 11
F11-ione #: 6:39---:608
C ON TRACTOIR NOT ON FILE
--------------
2235. 00 TOTAL
- -----
REQUIRED INSPECTIONS
This Appiicant 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 b? forfeited if the
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 not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
PermittPv ai.grtatUI
Call for~ 1n5pectiafl 639-4175
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: 1/ �oa 5 �v /C-),SJ-r) C-+
Subdivision: VI laat Summar Lot #„13-1 V Office Use Only
L.wkL /k 14 Planck/Rec #
Valuation:
Permit 2'.-)
Owner: Reissue of �`Y► S
Address: Map & TL # �."� rr "�`� (J�a��..” ji ��
Approvals Required
Phone:
Plann
Contractor: -
Engineering.
Address: ?o _ Other
i-
Phone: Items Required
_ I D (li 0
Subcontractors.i->)0-yy"� 1 i
Contractor's License #
(attach copy of current Oregon license) Truss Details
Contact name & phone: Other _
G
Subcontractors: V I
i' i
1� Plumbing:
V1 Mechanicai. -'� h� �
(attach copy of curr t OR Contractor's License)
o.
Archltect/Engineer:_
Address:
J
Phone:
�j
JOB DESCRIPTION: - <
Applicant Signature & Phone number
Received by:_ Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
i
015 fid- 0-2 ?er Bldg. Permit (BUILD) 53
Plumb. Permit (PLUPAB) 2
Mech. Permit (MECH) _ 1 ', '-���'✓ i%,_� n
State Tax (TAX)
Bldg: S J
Plumb: /. 7 J✓
Mech: Orr
r� , 12 •�
Plan Check /
(PLANCK) G C) . `s; ✓ �J, (,i � lQ�, •�^
Bldg:
Plumb:
Mech:
��c✓R y v v?�Y Sewer Connection (SWUSA) 2 Zy ,/� 2 2 u v
Sewer Inspection (SWINSP) 3 j t/ ?
Parks Dev Charge (PKSDC) So-v �v
Storm Drainage Chg (SDSDC)
Residential TIF (TIF•R) U / /I/ TO
i
Mass Transit TIF (TIF-MT) / U
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Oft ice TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
V)
Fire District (FIRE)
L Erosion Cntri Permit (ERPRMT) ��✓ G �/
LU Erosion Planck/USA (ERPLAN) lot'
Erosion Planck/COT (EROSN) S-v
TOTALS: SS S 7
.'�.�