11864 SW 126TH PLACE-1 Utiu
aL1864
SW •
r
'1
t'
W W
CRYOFTIGARD CF RT I F I CATS OF
WYOF TMRD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT �� PE_.RM z T 4. . . . . . . a M T91--Q.04r
13126 BW FWI Blvd P.O.Ba 23397,TOM,OMW fS603�r6t r 76
GATE ISSUED% 07/25/41
SITE ADDRESS. . . c 11864 SW 1. -:6TH LCL.. PARCEL_: 1 .3133f)(5-11900
59. BD I V I S I ON. . . . i VILLAGE AT SUMMER LAKE_ PARK 4 ZONING: R--4. 5
F'A-OC:K. . . . . . . . . . e LOT. . . . . . . . . . . . . 1156
CLASS OF WORK. :NEW
FYPE+ OF USE. . . :SF
0 .0 UPANC'Y GRP. :R3
OCCUPANCY LOAD: 12034
''UNANT NAME. . .
Nei mr^ks :
(:)wr►era _____,__._.�_._._.._.__.._...____._____.___.. ....__..._
J.) D. BEST CONST. t NC.
y
4231 NE 68TH
PORTLAND OR 97218
l"hone tl: 841-9471
J. D. BEST CONST. INC.
4231 NE 68TH
PORTLAND OR 97218
Phone *: 281-9471
Reg *. . : 6472c
Occupancy of the mbove refereroced building is hereby giveri, ranf, cYert. r.fyes
the compla.anc:e with the State Of Ge'egOn OpeCiAl.ty COdes for the group,
of,t tglanr_y. and use under wrrir:h the rHfer eiiced permit war, issued.
,r
rI RE DEPARTMENT xU I L .3 NSr'r-.r T(lP
L�UIL.D N OFVICIAL.
POST IN CONSPICUOUS PLACE
INSPECTION NOTE
City of Tigard Building Der---tment
13125 Sit Ball Blvd. Tigard, drmjon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 639-4171
Inspections - --
Footiny Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL$
Post/Beam Struct. San. Sewer Framing -Bld4•
Poet/beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. �N/ eoh.�/
Date Requested: / Times
_
Address: // �L /,22/ eo�'✓"' Permit �s
7
Builder-:--_t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspectors.
/ --____--- a Date1�-2
APPROVED ,— DISAPPROVED _ APPROVED SUBJECT To AW)VF.
Call For Rs•insp.
INSPECTION NOTICE
City of Tigard Building Department
13125 IM Hall B1 . Tigard. Oregon 97223
Inspection Line (Rec-O-Phon t 639-4175 Business Phone: 639-4171
Inspection:
_ s
Footing Plbg. derslab Mech. R�3ugh-in 11ppr/Bdwlk
Found. Plbg. Top Out Cas Line l►IM71Lt
Poet/Beam Struct. San. Sewer Framing -Bldg.
r
poet/Beam Mech. Fair. Drain Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Bd. -Mech•
Date Requested: Ci Time: AM
Addrees:__1 `' / - - ' Permit #t /_zr'�
Builder-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
..mac. Dates
Inspect --0�6PROVZD DIBAPPROVEb APPROVED S11B.IRC9' TO AROVF.
Call ►or Reinsp.
W W
INSPECTION NOTICE
City of Tigard Building Deparl:tuent 1�
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buoiness Phone: 639-4171
Inspe--tiona�
Footing Plbg. Underel.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/tleam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Date Requested: / Timet 11M PN
Address:_u, (� Permit I t
Buil dert�
THE FOLI.ONINO CORRECTIONS ARE REpUIREDt
Inspector: Date -fir
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
UMUMAIR
INSPECTION NOTICE -
City of Tigard Building Department
13125 Sit Ball Blyd. Tinard, Oregon 97223
j .spection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in App./8dwlk
Found. Plbq. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Vater Line Gyp. Bd. -Meeh.
�� c% Titoet� AM PM
Date Requested:
,. � �11' �� �-�.•�" /` i ; C.Addreee:�/�L/G� _ Peoit ft
Builders_„
THE FOLLOWING CORRBCTIONS ARE REQDIREDs
t
t
Inapwtort ' Dates -
APPROVED DIDAPP PPROVE0 81JBJBCT TO ADO",
Call Por Reinsp.
www w iw w we IN
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Ban. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requestod: Timet AH PH
Address:�/�O G L! Permit #t`�/
u.�
Builders
THE FOLLDI Y0 CORRECTIOEB ARE PJWI=t
I
it
" V
.0
3
i [j L,J 1)t
Inspectors Date: '
APPROVED nISAPPROQI�LPROVRD SUBJECT TO ABOVE
_-Call For Reinrp.
v � w t a s er
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SA Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 siness Phone: 639-4171
Inspection:_
Footingunderslab 44ach. Rough-tn Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg. y
f
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line r,yp, Bd. -Mech.
Date Reques�eds � - -3 el/ Times -„-�AM PM
A dre et
i �J
1 y. /� 7G ��� P.fmitsi� �/ -CrL' yi
Builders-
TNM FOLLOWING CORRECTIONS ARE REQUIRED:
Z-
-}
In.p.otort -,� ._,-_ Date:
APPROVED DISAPPROVED ApYROVRb suniFeT To ABOVE
Call for Reinep.
I11SPECfION NOTICE
City of Tigard Building Department 3�+
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Spam Struct. Ban. Sewer Framing -Bldg.
Poet/Boom Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: _,Time: AM _�PM
Address: , �� ���/ e � Perisift 1• �� �L� ��
Builder:
THE FOLLOWING coRRECTIONB ARE RnUIREDs
Inspectors _ Dates___
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
110
INSPECTION NOS CE
City of Tigard Building Mpartmsent
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ ----
Foot ing
-Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out o� a Lin FINALt
Poet./Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Moch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requesteds �..�j �f� L —��TijjmessTT AN PN
Address:.
Builder:
THS FOLLOWING CORRECTIONS ARE REQUIRED:
44S
�'� � �caC�o�✓ � ty/J rZ It l,/r
,fir c4 't
Inspector: _ Date:
APPROVED' DISAPPROVED �-- rW 1ED SUR.IRCT TO AROVE
Call For Reinsp.
t1.
INSPECTION NOTIC8
city of Tigard Building Departaant /
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Koch. Rough-in Appr/8dwlk
Found.
Plbg. Top Out Gas Line FINAL=
Post/Beam Strutt. Ban. Sewer
Framing -Bldg.
Post/Beam Insulation -Plumb.
Mach. Rain Drain _
Plbq. Underfloor Nater Line Cp• ad
-Mach.
-7 Times AN PN
Date Requested: Jr �/ _
Address.�� Permit !: �
Builder:
TBE FOLLONING CORRECTION8 ARE REQUIRED:
Inspector 1 - Data: —
APPROVED OIBAPPROVED SUBJECT TO ABOVE
Call For ReinsP.
INSPECTION NOTICE
City of Tigard Building Departinant
13125 SW Hall Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer < ,Kram -Bldg.
Poet./Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor �Waater Line Gyp. 8d. -Koch. �/
Date Requested: / - e ?/ v / Time: AM �/' PM
Address: �I/(. 7� L'e � � r� ��-✓ Per�mqi=Builder:
THE
.L �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-
� 7E. SAC�2'r �
Inspeators Date:
APPROV/D DIBAPPROM APPROVED SUBJECT To ADM
`_Call Por Rsinsp.
INSPECTION NOTICE
city of Tigard Building Departstaat
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-41
Inspections_ —
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Fcntnd. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer r=g,
-Bldg.
Port/Guam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Hoch. X/
Date Requestedt %I —Timet
/ AM �'`PM
Address: �l�L'`7' A-1 1 _ Permit #i 'll-ey 4f� _
Builder: Azae
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7_,( �l /Jf'T' C �i���'s d:
i
Inspector �_^ _ Date: 4
APPROVED DISAPPROVED APPROVED SURJCCT TO ABOVE
Call For Reinap.
KRUMM
INSPECTION NOTICE
City of Tigard Building Department
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
Footing / Plbg. Underslab "Mach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Fator LL • Gyp. Bd. - h.
Date Requestedt C Tim•t AM PH
\ /
Address it �t
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inep•ctor! _ Datat
APPROVED DISAPPROVED APPROVED SUBJECT TD ABOVE
Call For tleinsp.
J
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0•-Phone)s 639-4175 Business Phone: 639-4171
Inspections_ —. —
Footing Plbg. Underelab Hoch. Rough in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL-
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: _7;�> Times ----AN PH-
Address Permit t s1
Builders
TAS FOLI.ONING CORRECTIONS ARE REQUIRED:
T
Inspectors _ Dates��
�APPROVND
DISAPPP..VED _—_ APPROVED SUBJECT TO ABOV=
:all For Reinep.
11 w
INSPECTION NOTICE '
City of Tigard Building Depart—nt
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Re Phone): 639-4175 Business Phone: 639-417
Inspection: —
Footing Plbg. Understlab Mech. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Vnderfloor Water LiineG Gyp. Bd. -Nech.
Date Roquested: �CJ �! / --Tkm=
Address �����1 �r�l!�L �p__' "vt7tilt
Builder: _
THE FOLK",4ING CORRECTIONS ARE RKUIRED:
�� dC --Tc -777V ,077
IBspastOCs Date$
AP Vow DISAPPROVED _V APPROVED SUHJECT TV AROVF
Call For Reinmp.
k
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
/Fund. 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. Bd. -Mech.
Date Re ested:
vu Time: C k� LAMMy — PM
Address:.t.��l QI \ _ Permit
Builder:y�� Ix SE �7` l - Lp[1
THE FOLLOWING CORRECTIONS ARE REQUIRED: f
r rr:�/iL �.� /�,: �! v ✓c::t.'TS�/ �C�dO
— - -----
Inspector l ---___-- Data:
"FROM DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Cal. For Reinup.
I� M WN N M
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
i
Inspection:
.........,
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
-1 Date Requested:- �.� l Ty�i�myefPM
�c�� AM
Address: PermLc •t
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C1� o4 n.. ♦fin. .I— %,r2. 1 .Ai.
Inspectors/ -- 1)at_a:
�7[FPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF.
Call For Reinap.
11 O
CIT- YOFTIFARDSEwE(�PERMIT T
NCRMIr
COMMUNITY DEVELOPMENT DEPARTMENT ccm�V44TWMFS
n PERMIT #. . . . . . . . 5WR9I
13126 SW FWI Blvd P.O.Baez 23307,Tipped,Orep n 07223(r�03)83W 17E
7
;1 TE ADDRESS. . . : 11864 SW 1 E6 TH FIL PARCEL: 1 S 133DD-1 1901",
.-UBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LO'f. . . . . ... . . . . . . a 156
1 L:.NANT NAME. . . . . t
USA NO. . . . . . . . . . ..43194 FIXTURE UNITS. . .
I'L.ASS; OF WORK. . . :NEW DWELLING UNITS. . : 1
1YPE OF USE. . . . . :SF NO. OF' BUILDINGS: )
I NSTF LL TYPE. . . . :BUSWR I MPER V 93URFACE. . : : s f
'?emar^ks: need se_1b contractor, names inserted
Owner.: ._______________.___..-------__._—__._—_ _ _—.--.----____-- FEi
J. D. BEST CONST. INC. type amount by date recpt
,4i--_'31 NE. 68TH PRMT $ 150171. 00
1 NSG $ 35. 00
PORTLOND OR 972:18 G',AYM $ 15,;35. 00 PLL 03/12/91
'hone #: 281-9471
;ontractors —__-__—__—__---___..__________—
t. D. BEST CONST. INC.
4231 NE 68TH
F'ORILAND OR 97218
I11)one #: 281 -9471 $ In35. 00 TnrAL,
Req #. . t 64722
------- REQUIRED INSPECTIONS ------
'his Applicant agrees to comply with all the rules and regulations Sewer, Inspection
cf the Unified Sewage Agency, The permit expires 128 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 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 "Tae and Side Sewer" permit and the Agency will install a lateral.
l
is 1j e d P Y
Call for inspection — 639-4175
✓ r'
CITYOFTIFARD .�
WYOFTWOpD MASTER FERMI
COMMUNITY DEVELOPMENT DEPARTMENT 0"00N PERMIT #. . . . . . .
13126 SW FW I Blvd. P.O.Boot 23397,TOW,Orpon 97223(603)639.4176
L as
fl-E- ADDRE:SS. . . : 11864 SW 126TH GI_ PARCEL: 1 S 133DD--1 19 10
,:,UBD I V I S I ON. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1'56
BUILDING
1?E I SSUE: DWELL I NG LIN I TS: 1 BASEMENT. . . . . . . . :0 s 1-
CLHSS OF WORK. :NEW SEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :485 sf
TYPE OF USE. . . -SF FLOOR AREAS------ ..._.... _ RF..(_?UIRFD SFTBACKa•------------
TYPE OF' CONST. :SN FIRST. . . . .- 1865 s f LEF'T. . :5 ft RI GHT. :5 ft
OCCUPANCY GRP. : R3 SECOND. . . :O sf FRONT. .-20 ft REAR. . :25 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 S f
HEIGHT. . . . . . . . .220 ft TOI^AL-..-.- --- : 1885 s f SMOKE DETECTORS. :Y
t-LOOR LOAD. . . . :340us f VALUE. . . . . $ : 95440 PARK 1 NG SPACES. . -0
Remarks :
____._______.____---__._______._..____-•- PLUMBING
`.LINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . : + BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . .3 WATEP HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . ' I CATCH BASINS. . . . . . . :O
RATER CLOSETS. . -2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . ..0
DISHWASHERS. : . . : 1 WATI_'R LINE: (ft ) . : 1012) OTHER FIXTURES. . . . . :1b
I ARBAGE: DISP. . . : 1 RAIN DRAIN ( ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 'i
MECHANICAL. - ------__..____ _.----____--__---_- --- FEES
FUEL. TYPES-•_--_-__-.-_.. UNIT HTRS. . -10 type amol.lnt by dVate r,ec:pt
/GAS/ / / VENTS . . . . . :0 F'AYM $ 100. 00 JLH 03/08/91 210454
MAX INPUT:O BTU VENT FANS. . :3 BPRT 1, 421. 00
1-UHN ( 1LALAK . . : 1 HOODS. . . . . . : i BPl_C $ 273. 65
'=URN ) -100K . . :Q1 WOOi)5T OV1':a. :0 EaSF'(: 1 17-1. 05
A_OOR TURN. . . . :0 CLO DRYERS. : 1 SSDC $ 375. 00
(30IL/GMP ( 3HP:0 OTHER UNITS:0 PARK $ 500. 00
GAS OU"fLETS: 1 MPRT $ 36. 10
f7wner•s ---__.__________.._.____._._.___.____._ _._____ MPI_C $ 1). O0
J. i). BEST CONST. INC. MF 0C 1� 1. 80
NE 661H PPR I $ 1.40. 00
P'.5 PL $ J. ON
ORTLAND OR 97.218 T 1 F $ 00
-,hone #: 281-9471 PAYM t 3034. 50 PLL O3/12/91
. D. NEST CONST. INC.
4231 NE 68TH
'ORI"LAND OR 97218
,hone 11: .2-81 -9471
64722 _—___—_,-.—_-.-..--------.---------------
$ AL
This permit is issued sub iect to the regulations contained r,n the -- - -- -- RE::OUI RED INSPECTIONS
------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foLind Insp Fireplace Insp
30plicable laws. All work will be done in accordance with approved Post /Beam ,r,trilct Gas Line Insp
clans. This perait will expire if work is not started within 161 Post /beam Machan Insulation Inn[r
'ays of issuance, or if work is suspended for more than 181 days. P1111/Unds1iih Insp Gyp Board Insp
PLM/Under,flant- Rain drain Insip
� 'er•mittee In'Lyn.St1_lre : xl�,f� Mechanical Tr15p Water Line Insp
Pltonb Top Or.tt Appr/Sdw.lk Insv
s 1e1J B1; �. Fr•,aminy Insp
_..__.__. _. MecP1r-rnical F=incl
nr I 11!tpec E i an 549-2; 7,7)
PLUMBING PERMIT
CITYOFTIGARD PERMIT #. . . . . . . : MST91-004:
CRYOF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 00100" DATE ISSUED: 0.x/12/91
13126 SW HWI Blvd. P.O.Bax 23307,Tipart1,Oregon 07?23(603)6344176
I
ITE ADURE:;E,. . . : 11864 SW 126TH FIL F,(-*�RCFL: 1S133DD-1 .1900
SUBDIVISION. . . . : VILLAGE. AT SUMMER LAKE, PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . .. . . : 1'5j6
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE: OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY URP. . :R3 FLOOR DRAINS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . :0
STOP IES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :"
FIY..TUREG--- -- -------- LAUNDRY TRAYS. . . . . . .. 1 5F RAIN DRAINa. . . . . : t
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVAT0RIE5 . . :3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE
WATER CLOSl=TS. . :2 WATER LINE
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
I-IIIa)^ks :
UW14LR:
J. D. DE:ST CONST. INC. PAYM s 100. 00 JLH 03/08/91 .210454
4:31 NE 68TH BFIRT $ 421. 00
SPLC $ '73. 65
PORTLAND OR 97210 B5PC $ 21. 05
"hone #- 281--9471 SSDC: t 375. 00
PARK $ 500. 00
Plumbing Contractor: - --- --...._.___....._--- MPRT f 36. 00 ! /
MPLC $ 9. 00
M5PC $ 1. 80
Address - :55 rV,J__j-LS,_._J_ F F RT E 140. 00
Lityr 6Avtr4Tt ,t _ 5taI O"e- PSPC $ 7. (DO
Zip: -ILC)U ne#:._._b2`1-_�I c_ c(01 ._..._, TIF $ 1:300. 00
fiecl # 3.1 -3(-I - 1L.___. V,AYM f 3034. 50 PLL 03/ 12/91
- _----- REOUIRED INSPECTIONS
This permit is issued subject to the r �c -
gations contained in the Tigard Municipal Foot/found Ines Rain dr-airi Insp
.ode, State of Ore. lapec:ialty Codes and all Post/13earn 9tru0- Water Line Ines
other applicable laws. All work will be crone Flost/Bram Mechan Appr/Sdwlk Insp
In accordance with approved plans. This Plm/undslab Insp Mecharilr_al. Final
permit will ext7ire if work is rot started PLM/UndprfIoOr Plumb Final
4ithin 1130 days of issuance, ov if woti-k is Mechanical Insp Building Final
usoended for more than IBB days. Plumb Top 0vt Erosion Control
Framing Insp
Fireplace Insp
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Call for inspection - 639--4175
ntrar.tor Notes -
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CITY OF TICARD RECEIPT OF PAYMENT RECEIPT NO. 91. 05 7,�
CHECV, AMOUNT 4569. 50
N A M I'--- c J. D. BEST' CONST. , INC. CASH AMOUNT 0. 00
ADDRESS 4231 N. E. 68TH VlAYMENT DATE a 03/12/91
SUBDIVISION
PORTL.MND, OR 97216— 1. 1864 SW 126TH PLACE
PURPOSE OF* P'AYME'NT AMOUNT PA I D PURPOSE OF PAYMENT AMOUl',,lT PAID
BUILDING PERM MST91-004c. 421. 00 PLUMBING PERM 140. 00
MECHANICAL PE 36. 00 ST. BUILD PER 21. 85
PLAN CHECK FE 182. 65 SEWER USA CWR91-0047 1300. 00
SEWER INSPECT "35. 00 PARKS SDC 500. 011
STORM DRAIN SDC :,75;. 00 RESIDENTIAL TRAFFIC FEES 1.2,50. 00
MASS TRANSIT TIF FEES 100. 1210
TOTAC�Mbl.)Nl' PAID 4569. 50
.................... ..... ......
CITY OF 'HGARr� RECEIPT OF PAYMENT RECLIFST NO. t91--210454
C[C:CK AMOUNT 100. 00
NAME a JD BEST CONSTRUCTION CASH AMOUNT a 0. 00
VIDDRESS a 4,231 Nr:. 68TH VAYMENT DATE 03/08/91
SOW)I V I S I ON
-,Xo-r' us
PURPnSE OF PAYME'N'T (AMOUNT PAID PURPOSE OF PAYMEN'T AMOUNT PAID
f-"LAN CHECK FE s--FSR 100. 00
VOTAL. AMOUNT 100. 00