11989 SW 129TH PLACE V-1
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CITY-OF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPART F.NT #OCCUPANCY
r'Ai 26 SW Hall Blvd.Tigard,Oregon 87223.81 . (50171 c.
�t)D3gr� na-rE z._SS_.uEn: 01/27/95s-�iq,:,
PARCEL.: 131.33-DD--16400
SITE ADDRESS. . . c 11989 SW 129TH PL
SUBDIVISION. . . . VILLAGE AT SUMME P LAKE f,riRK 5 Z ON I NG:R-- 5
BLUC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . :214)0
CLAGG Of- WORK. :NEW
TYPE OF USE. . . :aF
OCCUPANCY GRP. :N3
OCCLJF:`NOY '.OA1):c:•!4 .{
TENANT NAME. . . .-
Owner:
AME. . . :Owner,:
JP.'i i-'ILLER
f' O BOX wc91
TIGARD OR '+7r
Contractor:
JAY MILLER
PO BOX '::3291
1 I CARD OR 97281
Phone 01 68/4--754-.'
ret; #. . : 30109 +
Occupancy of the al:+r.ve refevenr.ed tauildinp is het—et/ given, and r. ertifiec
the compl i,-ince with thv States Of Oregon Specialty Codes for the group,
occupancy, and ur~e under which the refprenu: d permit was issued.
_ EtIJI►_.nI NS �El"."fOR _._._.____.. PUILIi�._ ry,J0. ... _...__._.._.._...___._...___..
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POS : IN CONST='I CUOUS PL.ACC
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DEC-22-194 THU 18:13 ID:FIRE$IDE DIST OF OR TEL NO:503 6 6`_699 4062 P02
T� LING AND OPEIIATING
���'L _B�JRNING
ypul� MARCO WOOD
FIREPLACE
mopco
BUILD
ER-S 36 'r FIREPLACES
MODEL DFSCPJYnON
STOCK 0 REk-ERENCF.
� 792774D
B36CF BUILDER'S 36" CLEAN FACIE
792775DB36IIC BUILD>ER'S 36' BEAT CIRCULATIRVG
BUILDER'S36"gEATCIRCL3-AT NGINSULATED
79277.5D B36HCI
CHEC1i LOCAL CODES p?JOR TO-INSTALLATJO N
OPTIOLSAT-TAES:
GLASS DOORS
OUTSIDE AIR KIT
FAN KIT (Hent Citculetin&Models Only)
TIJIS MANUAL PROVTDF'j ALL THE INSTRUCTIONS
3h MARCO
FIREPLACES
CL. SAFELY
AN HOMEUWA.ERTITIALSO PROVIDES INFORMATION ON HOW TO
SAFELY AND EFFICIrN'I'LY
V) ORDER REPAIR PARTS WHEN NEEDED.
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Ras svmeae c"n+E►n°°`x-r
� W FM"OCK'NEAQk��NCO
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MARGO NIF(. . SNC., 2520 lntluctry WRY, Lyn,�ofwJ, CA 9()262 (210664-3201
DEC-22-'94 THU 18:14 ID.:TIRESIDE. DIST OF OR TEL 110:503 620-5699 #062 FM
Do n- -xLce the fireplace m soft-surfaced floor coverings
SELECTING YOUR auchas Carpeting. The mountingstaface must be flat and
FIREPLACE LOCATION
had(such uplywood,woodflooftg.particle bond ofany �
Other ha-d-surfaced material),and eveWy support the total
base of the fireplace. A raised platform my he used to
To determine the safest and most efficient location for your
support the fireplace.
fireplace,consider such factors as roam traffic,location of When a fireplace is installeA on a combustible floor,a nou-
doom and windows,and construction above and below the combustible hearth extemiOn must be provided to protect
installation area. The fireplace may be installed 'Ira Cary the floorinfrontoftht opening. (Refer to Hearth Extension.
location that is free of air conditioning ducts, electrical pages 16and 17).
wiring,and pi,mnbing.This location must also allow for the
necesW''`l`Aran`es. CLEARANCES
LOCATION
C:ornens shouid be considered when.-space is limited or Atli A fireplace may not be installed closer than 12 1 J2 inches to
premium. A corner-installed fireplace can make use of anyunprotadedcombustible wall perpendicular tothedoor
space that may not xLormAlly be used(see Figure 5). operning(Figtae 4)-
PARTIAL When a 24" w r 3o" H '::.11 shield made from a non-
F"WICraoN eombuctiblr inorganic material with thermal conductivity
K of.54 or lis is used.cle&mnc' xray be reduced to 7 incites.
See table(Figurr.37,Page 7 mmon materials which
can be Ii-sed as-all shield.
When'itistailed in ac cordancr,with the into c tions given in
Cowan this manna),the fireplace system may touch cvmbuitible
materials at the bottom. 1"clearance is requ irrd on aides and
back of the fireplac!,except At the nailing flange,where
clearancee+�3) -- - _
\ IN:saor The chimney syctrm requires I"minimum air space•
1
FL.Ual1 -DIVIOEaa
FULL
PRo.tacrtoN Camnbustible mstenal�'ahould not be in contact with mount-
ung Hinge of the upper frame.
WARNING: DO NOT PACK R-EQUUM) AIR
6PAUF-q WrMINSULATION OR OTHERMATERI-
FIGI IRE 2 ALF(except as shown in Figwe 29,page 13).
LOCATION AW INSTALLATION
— � ,•Mllt.
A fireplace may be installed flush with the finished wall or 1"MIN.
projecting any distance into t'c room. Flush installation is
recontrncndrd for smooth or fl,in wall-facing materials. By ;,LV
.t
installing the fireplace to prof act into the room,a shallower •�
cavity is required to cont-'.o thr fireplace;thicker natural
CL materials, such as field stb'ae, cAn then he used for face
nwtenAl(giRure
A location that requires cutting the least number of,joists, In
> roof raftrrv, and floor joists will reduce costs and make
tnstallation easirr This may mean moving only one or two
'r inches from the selected ideal location Any location - NAILING FLANGE
selected must allow adequate roon, to accommod7te the V[RMAL MAMND M5011111N l�Ie
fireplace and framing dimeruiom shown in Figura 4,S,6
and 7. FIGURE 3
2
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hill Blvd.Tigard,Oregon 97223.8199 (503)639-4171 F'F_F'M I T . . . . . . . M:-.;1'94-
639-4171.
:iih94-639••-4171. DAT,_ ISSUED: 10/12/9/+
PnRCEL: 1 S 1:33DD 16401
SITE ADDRESS— . . 119(39 SW 12:.19TH PL
SUBDIVISION. . . . : VILLAGE AT* SUMMER LAKE= FARE'. 5 ZON a.JG: R--4. C
BLOCK. . . . . . . . . . . LOT. . . . „ . . . . ,, . . . :2+71111
BUILDING
REQ.I SSUE:MST93-•9595 DWELLING UNITS: 1 BASEMENT. . . . .. . . . :Ill S f
CLASS OF WORK. :NEW BEDRMS.4 BATHS:3 GARAGE. . , . . . . . , . ;63E) Sf
TYPE OF USE. . . SF FLOOR (4Rr::AS _____..__.._---_.__. REQUIRED SLTBACK�
TYKE. OF CUNST. :5N FIRST. . . . : 1110 Sf LE::"T. . :B ft RIGHT. :5 f-t
OCCUPANCY GRP. :R3 SECOND. . . : 1�2'60 Sf FRONT. :21 ft REAR. . :42 ft.
STORIES. . . . . . . :2 FINBSMENT :O Sf
AE I L=H T. . . . . . . . :24 f t TOTAL-------:ii:3 70 S f SMOKE Dr_TECTORS. :Y
F t_OOR LOAD. . . . :41ZI psf VALUE. . . . . `<: 16364'4 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKF-LOW PRE.VIVfRS. . : I
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER EINE (ft ) . :O GRLASE= TRAPS. . . . . . . :0
D131IWASHE_Ra. . . . : 1 WATL::R LINE (ft ) . : 100 OTHER FIXTURES. . „ . . ;0
GARBAGE LISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1. SF RAIN DRAINS. . ; 1.
MECHANICAL _.______._...._.___ ._._______-____-- DEEB
F=UEL TY1='IVS__.__.-__._..___-____. UNCT HTRS. . :171 type amal_(nt by date v�ecpt
/GAS/ / / VF-NTS . . . . . :0 TIF $ 1550. 00 JF 10/12/94 -
MOX INPUT:IT_ BTU VENT FANS. . : 4 PPRT s `593. 00 JF 10/1;-:!9,+
FURN ( 1005; . . :0 HOODS. . . . . . : 1 HPLC $ 50. 00 JF09/eB/94 94•-257306
TURN ) =100K% . . : 1 WOODSTOVES. :0 B5r'C $ 29. 65 JF 10/12/94 -
F-UUR TURN. . . . :0 CLU DRYERS. : 1 SSDC $ 280. 00 JF 10/12/94 -
bOiL/CMI' ( 3HP:111 OTHER UNITS: 1 PARE'. $ 250. 00 JF 10/12/94 -
GAS OUTLEWTS: I MPRT f 45. 00 JF 10/12/94 -
Owner„: _.._._..___.__..___._________.__._...._. ___-_.._.__..___MF'L_L: 4 11. 25 JF 10/12/94 -
JAY MILLER M5PC $ 2. G5 JF 10/12/94 -
f' 0 BOX f'2 3291 PPRT $ 225. 00 JF 10/1'2/94 -
P5PC $ 11. 25 JF 10/12/94 -
T IUARD OR 97.21131. EROS 1 64„ 00 JF 1171/12'/94 -
Phone #: 684--7543 ERRC $ 20. 80 JF- 10/12/94 -
Cont Tact at-.* - ________.______..____....__...--ERPC: t 2171. 80 JF• 10/ 12/9-+ _
JAY MILLER
PU BOX ;232191
TIGARD OR 97281
Phone #; h84-7543
V)
Reg #. . . 30109
�- $ 3153. 00 TOTAL
-1 This per•tit is isseed subject to the regulations contained in theREOUIRED ING,PE:CTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol-uid Insp F- ir,eplace Insp
applicable laws. Nil work will be done in accordance with approved Post/beam Strt.lct Gas Line Insp
_J pans. This pertit will expire if work is not started within 10E1 Post/beam Meehan Insl.ilation Insp
days of issua.lce, or if work is suspended for tore than 180 days. PIm/1inds1ab Insp Gyp Board Insp
1/ /`, r - I-'LM/UnderfIoat, Rain drain Insp
ulitte4? :yirr /]�1.�_ �f� _ Mechanic-a]. Insp Water, Line Insp
Pll.1mb Tc n 01st Appr-/5r.;w1k Insp
It;sl_ted Sy : zlzz't� _ .._..!_.._._. Pt-aminq Insp Mec:hanicall Final
_ f•e39 41;zS
C11)" OF T I GARD SEWER CONNECTION
CC)MMUNITY DEVELOPMENT DEPARTMENT PERM I T
13126 RW Hall blvd.Tigard,Cr*gon 97223*8199 (503)639-4171 FIERMI1 #. . . . . . . : SWR94-0335
DATE ISSUED: 10/12/94
PIARCLL: IS133DD-16400
0 ITE ODDRESS. 11989 SW 129TH FIL
SUBDIVISION. . . . : •)ILLAGE AT SUMMER LAKE F-ARK 5 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . ,• . . . . . . :200
'TENANT NAME. . . . .
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORE. . . :NE=W DWELL ING UN ITS. . -. 1.
T'Yr-'E OF JSL. . . . . :SF NO. OF BUILDING5: 1
INSTALL TYr'E. . . . :DUSWR IMP'ERV SURFOCE. . f
Remarks : P"ATH I
Uwyiet,: FEES
JAY MILLER type amoUnt by date t-eept
U BOX 23291 VIRMI $ 2200. 00 JF 10/12/94 —
INSP, 3:5. 00 JF 10/12/94 —
I L)ORD ON 97281.
Phone #: 664-7543
Ccintr,actor-:
CONTROCTOR NOT ON FILE
i-1hane $ 2235. 00 TOTAL
Reg
RLUUIRED INSPECTIONS
This ApplicAnt -jreet to comply -ith all the rules and regulations Sew it Inspection
of the Unif-ee Sewage agency. The permit expires 180 days from
the date is ,ed. The total amount pard will be forfeited if the
permit expires. The Agency does net guarantee the accuracy of the
side sewer laterals. If thp sewer is not located at the meas—ement
given, the installer shall prospect 3 feet in all directions from
the distance aiven. If not su located, the installer shall purchase
& "Tap and Side Sewer" Permit and the Agency will install a lateral.
V e r,in i t t e e S i r
q r)a t u i-E,
I s1rtied fly
Ca I I for inspection 639-4175
CA
CITY OF TIGARD BUILDING INSPECTION NOTICE
Insptlbtion Line (Rec-O-Phone): 639-4175 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 FIN/
Post/Beam Mech. San. Sewer Gas Line88 g
Plbg. Underfloor Rain Drain Framing umb.
Alarm Water Line Insulation (#e—ch-`
Underfh. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I kD--I I Cl Time: AM
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Address: ILL �2 rh � LA.•C•�� (/
Builder: - �S`'�(� ' Is Pormit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: � 1— _ Date: S
<APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call :or Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE 1-
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Irspection:
Footing Susp. Ceiling Sprink. Rough-inp r/Sdw—R ,
Foundation Plbg. Under lab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Flat. Rough-in FINAL:
Post/Beam Mech. San. Sewer C as I-ine -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
Unded!r. Insul. Shear Wail Gyp. Bd. -Elect,
Date Requested: r 1 (;s Time: AM PM
Address: J �/ t �' :� % /` << C
Builder:_�,� �— j�7 c� Perm!t #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE /(
Inspection Line (Rec-O-Phone;: 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in `-A pNS"dw
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct Plbg. Top Out Eloc. Ruugh-in FINAL:
Post/Beath 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 Reque
sted: Time: AM PM
Address:
Builder:_ _Permit
1
THE FOLLOWING CORRECTIONS ARE RE DUIRED:
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Inspector
/ T� ��� _ Dater_-
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection L1ne (Rec-O-Phone): 639-4175 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:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloc, Rain Drain Framing lumb.'
Aiarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. I O)k- -Elect.
mate Requested:_G t L(f �' Time. AM PM
Address:^� D of �! _
Builder: 1 1 a Permit #:
THE FOLLOWING CORRECT IONS ARE Rr_QUIRE�u:
_yr<e���d:•�.r/,r��'-r- /' _ moi' .�-`t;
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Inspector_�, - Date:
APPROVED 4--iNSAPPROOVED _APPROVED SUBJECT O ABOVE
T Call For Reinsp.
INSPECTION N(YrXCE t
city of Tigard Building Departaen 13125 57i Ball Blvd_ Tigard, Oregon 1223
Inspection Line (Rec-O-phone): 639-4175 Business Phonat 39-4171
1 (,� = --
Inspection:_��„� .
Footing plbg.
Underelab Me 's• Rough-in Appr/Sdwlk
Pound. plbg- Top Out
Cas Line FINAL:
post/Beam Struct. San. Sewer
Framing -eldr.
post/Beam Mech. Rain Drain
Insulations -Plumb.
plbg. Underfloor Water L e
Gyp. Bd. -Mach.
Time: AM PN
Date Requeate/ds)
1
Permit
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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elf
N/1 S ____-- -------
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APPROJED DISAPPROVED I1-k—opROVED SUBJECT TO ASM
Cali For Reinnp.
RNSPECTION NOTICE
City of Tigard Building Departaent
13125 BN HaU Blvd. Tigard, Oregon 97223
Tnepection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-417
Inspect ion s
67
Footing Mg. VVdarslab Hoch. Rough-in Appr/Sdwlk
Pound. Pl:sg. Top Out Gas Lino FINAL-
Post/Beam Strict. San. Sewer Framing -Bldg.
Poat/Beam mw-h. Rain Drain Insulation -Plumb.
Plbq. Underfloor water Line` yp�dl; -Mach.
^,ite Requested: l c� J Times AN PK
Addresas L � �L rmit 11
Builders
TH/I FOUR WINO CORRECTIONS ARE REQUTRF.D:
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inspectors - _ Dat":
APPAOVEb DISAPPROVED APPROVRD SUBJLCT TO ABOVE
"Call For Reinap.
INSPECTION NOTICE !C'�
City of Tigard Building Departmnt. )
13125 MW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)z 639-%175 Business Phone: 639-4171
Inspection:_ _
Footing Plbg. Underslab Mech. Rough-in CApFrr/S lk
Found. Plbq. Top Oat Cac Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulatior -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
Date Requested: 30 Tine: AM PM
Address-
112 1 q R l� -�'' Permit ,� �— _3J ,
Bui.ler.
TUE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: I i rjv S Date: �f7
APPROVED DISAPPROVED APPROVED SUHJECT TO ABOVE
Gll For Reinep.
INSPECTION NOTICE
• City of Tigard Building Deparb%ent V
13125 SR Ball Blvd. Tigard, Orego: 91223
Inspection Line (Rec-O-Phone): 639-4175 Busimiss Phone: 639-4171
Inspect ton:
Footing -Ibg. Unierslab ech. Rough-i Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/bp4m Struck. San. Sewer mainBldg.
Poet/Beam Mach. Rain Drain nsular tion -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:
ry C� _ �/� _ � Timet AM —PM
Address.-_// l (��'7 ti �CI�CQ. Parmlt Y:� '13
Builders �„L1� -2.S- / 4
"M IOLI"ING CORRECTIONS ARE REQUIRED: �L
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Inspector:_ Data: 2 3
APPROVED DISAPPROVRD y APPROVID SUBJECT TO ABOVE
Call eor Rainap.
C)�
INSPECTION NOTICE \
city ut Tigard Banding Department (}
I 131.25 SW Ball Blvd. Tigard, Oregon 97223 "Y
■ Inspection Line (Rec--O-Phone): 639-4175 Bup4aess Phone: 639-4171
'•,spect ion:
Footing Plbg. Underslab L e Roug-:-in Appr/Sdwlk
Found. -lbg. Top Out afi, Lin.. FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
PIN. UnAurfloor Water Line Gyp. Bd. -Hoch.
Date Re4xc3ted: l� i i rl•me: AM PH
he,dreet: // v + Permit is
Builder:
THE FOi.I.OWING CORRECTIONS ARE REQUIRED:
•.�_.__�i�_�•�� - .o .tom �acs cam_—.
Ai 'v A �l crow
� .P�_ c.� -•-- �, ,`tel„�-,.,_ �.���2� .:.�t. C--t �J
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em/- ,(
Inspector: Date•
AF PROVED _ IV/DISAPPROVED APPROVED SUBJECT 7,c ABO'V,E
��� V call For Rel.nap, d v
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Ling (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inepecl.lnn:
v.,ptlrig Plbg. Underslab Mech. Rough-in Appr/Sdwlk
*ound. Plbg. Top Out Gas Line FINAL:
Poet/Be:un Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain main Insulation -Plumb.
Plbg. Underfloor Water LineGyp. Bd. -Mesh.
Date Requested: I Timesj__AM _ M
Addrees: �• Yn ■—` Pwrmit
Builder:
TEp FOLLOWING CORRECTIONS ARE RCQUIRED:
62 Co ;,Y, C-,LA_ P
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Inspector Dates
APPROVED DISAPPROVED APPROVED SUBJECv IM ABOVE
� 1y Call For Reinep.
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• INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9:27!
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 634-4171
Inspection:_, —
Footing Plbg. Underslah (�F.lec/h. Roughl .� Appr/Sdwlk
Found. Plbg. Top Out Gds Line FINAL:
Post/Beam Struct. San. Sewer reming��
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Koch.
Date Requested: /,'���" • Time: AM FK
t ✓ , �
Address: , `��p 1A �
Permit f: 1 a
Builder:
THE FOLLOWING CORRECTIONS ARE RE(11IIRSDs `
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Inspectors �" ��_ Date:
_—APPROVED DISAPPROVRD APPROVED SUBJECT TO ABCWR
L /Call Por Reinsp.
�� ` : --
INOPECTION NOTICE
City of Tigard Building Department
23125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
Inspection:
Footing Plbg. Underslab 41* Rough-ink Appr/Sdwlk
Pound. Plbg. Top Out Ono Line FINAIs
Post/seem struct. San. sewer raming) -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wecer. Line Qyp. Rd. -Mech.
n
Dare Reques fteds r��1`Z b C/ _Time: AH _ PK
Address:, permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
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Inspectors Dater
APPROVED DISAPPROVED APPROVED -rUB.IErT To ABOVE
\ ✓ Call For Reinsp.
• 1NSPECfI(.. NOTICE U
City of Tigard Building Department
13125 SR Hall Blvd. Tigard, Oregon 97223
innpbction Line (Roe-O-Phones 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Much. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underflocc Water Line Gyp. Rd. -Hoch.
Date Requested:_ --Time: AM PH
Addreees — ^__--- Permit
Builder-
THE FOLLOWING CORRECTIONS ARE REQOI`RED�:
1U L -vv
i _
5L
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J
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CJ
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Inspectors _ _�� pate: /
APPROVED �APPROVRD APPROVRD BbBJECT TO ABOVE
/Ca11 For r�einsp.
` '� U r
mum
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Meoh Rough4dn Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer tramin / -Bldg.
Pc.st/Beam Mech. Pain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. �7AM
h.
Date Requesteds � Tiase: PN
s
Sui hier:_,)
TNF FOLLOWING CORRECTIONS ARE REQUIRM
�l
x_111'1T v'� S
_ _
w
Inspector: `_ Dates
APPROVED DISAPPROVED APIROVJSn SUBJECT TO AROVE
�� �`` /I1 For Reinsp.
INSPECTION NOTl<:E Z41-
City
of Tigard Building Departsent `
13125 SW Hall Blvd. Tigard, Oregon 9722311V4
Inspection
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.
Poet/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech..//
Date Requested: f A- Tim: cJ�'/J' AN PN
Addreest /.3� 7�1c G�G�� Permit
Builder:_�7s_q_ � Z ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a ' J
CL
1—
L
J
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W
J
AjInmpectors j
APYROVlD DISAPPROVED MP1lOVlD ageism TO hem
Irl Call for Rrinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Busl.neas Phone: 39-4171
Inspection: Aj-
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam M.sch. Rain Drain Insulation -Plumb.
Plbg. Underiloor Water
/Line �f Gyp. Bd. -Meeh.
Date Requested:Q �f _Time: �11!! 7 PM
Address r] I I r1 - Permit
Builder:_ C( - % S 7v 'Y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r) � I
)� 4 ter•
I G
Ax
_
0C
Lnapectort Dnte: . ' 16^
APPROIIRD DISAPPROVRD _ APPROVED SUBJECT TO ABOVE
o.-'Call For Reinsp.
1
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 139-4175 Business Phone: 639-4171
Inspection% --
Footing Plbg. Underslab Rech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL%
C pest/BeJgtj�� San. Sewer Framing -Bldg.
poet/Beam Nech`. Rain Drain Insulation -Plumb.
(�j(Qett}bor'" Water Line Gyp. Bd. -Mulch.
Date Requested: �/ �� -T �� --PN
7
Address-_ � 5.}_
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
F-
CJ
W
J
Inspectors.---- Date: �- -
/--/"PROV[D DISAPPROVED APPROVED SUBJECT TO Anovr
Call For Reinsp.
-e INSPECTION NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rer.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Undersl.ab Mech. Rough-in Appr/Sdwlk
Found. �an.
- Top Out Gas Line FINAL:
�ost/Beam S truci; Sewer Framing -Bldg.
�4ost/Beam Mech')' Rain Drain Insulation -Plumb.
Plbg. Underfloor ` Nater Line Gyp. Bd. -Mech.
Date Roquusted: y , Times AN
Address: 1.t A CA ' Permit #:(',4
Builder:`�� t-
TAR foLL40WING CORRECTIONS ARL' MUIRBDs
Le IK
LL
�✓�/\ tom/ C./`J��/ �- �_:S��C_`'-^
f`
C
W
Inspector:
APPROV=D V DISAPPROVED APPROVED SURJE T TO ABOVE
') /� __1_`C`.11 For Reinup.
� . ,
Ol`�°1 � Z�l�'�` �`�� �'�
l I � ��-t���.
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L
L
J
7
J
J
' INSPECTION NOTICE ��
City of Tigard Building Department \
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — !_ ---
Footing Plbg. Underrlab Mach. Rough-in Appr/Sdwi!-
Found. P1,0W. Top Out Gas Line FINAL,
�ost/Beam—S s try San,-Sewer Framing --Bldg.
ost/Beam Mech. ),--" Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water Line Gyp. Bd. -Hoch.
Date Requested: _ �ei Time: - AM -PM
Address: �� �� � J
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
KIN
J
J
Inspector:--- ._ _ nate:
APPROVED _ APPROVED _- APPROVED SUR.7ECT TO ABOVE
/all For Reinep.
1� c-��t ---
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:___ ---
Footing Plbg. Underslab Mw-,h. 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.
dlbg. Underfloor Water Line Gyp. Bd. -c/_Mach.
Date Recpiestedt Times �\_AM PM
Address: -/ (14 Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
y -- — -- - — —__
Y
n
.y
-J
.7
Inspector _ -. Datet
It
APPROVED DISAPPROVED APPROVED SUBJECT Vu ABOVE
Call For Reinap.
INSPECTION NOTICE \ �)
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ,_ _ �
Footing/ Plbg. Underslab Mech. Rough-in Rppr/Sdwlk
CYound.x Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
/
Date Requested:, f-L`' // � � 7`/u`o Tisoe: AM {
AddreassLlIL_ j- -�n 1 V.GSC Permit f:L�C.��_ -11.-_!
Builders,
%THE
�FOLLOWING CORR.BCTIONS ARE REQUIRED:
LIQ I�L c.,+-
�.,�__�__Q.�� ��11 c=e��' ►-�--�� lam! ��4�1,.,-.,_
V7
C7
W -- ---
APPROVFD _- DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinep.
INSRMCTIJN NOTICE \�1
City of Tigard Building Depart-mient
13125 SW Ball Blvd. Tigard, Ornigor 57223
Ins on Lina (Rec-O-Phone)t 6_9-4175 Busineas Phone: 639-4171
Inspection•
Doti Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL:
Poet/Ream St r,-,:t. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Pl.bg. Underflfor Nater Line Gyp. Bd. -Meeh, o
Uate Reques.edt Zc hv Time: AM
1 t c,-� ^7
Addresst��_ y� � t-Q� Permit I:-� ! y-6� / j
Builder:--.5�
TRE FOi.LOWING CORRRCTIONS ARE iEQUIRED:
o, l _-. D !1_____ _— __---
c�
I�
Inejx-ctor:
-- —�_-- -- �.�— Date t
_--APPROVED ED APPROV —� DISAPPROVED _V/APPROVED SUBJECT TO ABOVE
2 Call For Reinsp.
. L
IINSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-G-Phone: 639-4175 Business Phone: 6.39-4171
T.,epection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pcst/beam Struct. an. Sews Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
P11N3. Underfloor 11atssr_Uns Gyp. Rd. -Mech.
oerR Roque-ted:_- C� y l�7�j"�7 Time: 1'3UAM i
Addy :nn: l I X 89 Z,2 / YA P� "/`E.- Permit #: q -63 73
Builders
THR FOLLOWING CORRECTIONS ARE REQUTRED: i
L
i
W
_j
I:18pectors / �� Dates
A11F110V=b D T SAPPROVED APPROVED SU9.TE'CT TO ABOVE
__Call For Reinap.
INSPECTION NOTICE_
city of Tigard Building Department
13125 SR Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Roc-0-Phone), 639-4175 Business Phone. 639-4171
Feting Plbg- Underelab Mech. Rough-in Appr/Sdwlk
Found. P1 Top Ou Gaa Line FINAL:
i
Poet/"-am Struct. Framing -Bldg.
Post/Beam Mech. EL
n Insulation -Plumb.
Plbg. Underfloor Gyp. Bd. -Mech.
Date Requesteds " Z 0'/j Time: AM _k7_P'7M
Addreeer_Z/� 8 —<< _ �� Permit /: ` .U3 / 7
Builders — ,-- —_---
THE FOLLOWING UORRECTIONS ARE RFQUIRED:
J
W
J
Inspector•^ i' Dater
1ILAPPROVED DISAPPROVED APPROVED SusisCP TO
Call For rieinsq.
kNSPECTION NOTICE
City of Tigard Building Departsient
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o--Phone): 639-4175 Business Phone: 639-4171
In3pection: -
Foating Plbg. Underalab Mach. Rough-in Anpr/Sdwlk
round. lbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Dean Hoch. Rain Drain Ineulat!.un -Plumb.
Plbg. Underfloor Water Line/ f/ gyp. Bd. -Hoch.
Date Requested: / / V /f� Tia:ei _-AM PH
n,idrese: Permit
nutlder:
TILE FOLLOWING CORRECTIONS ARE REQUIRED:
Z
i
n
C
D -
tJ
J
7
Inspso ora _ Date: [1 C
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinap.
LIJIY OF TYCKIRD - WC.1. I I.,I I It VIA y tiff III 1 16.I .t 1 P I NII,
tqmljljl.,Il *M. rilGh
AF. ¢ NEWCAS-11 E,,' I 11)M E S
Im
]IF PC)Y M 1::N I IM(II Ir'I IL J�A 11) PL)HIA-16k Ut PMMt H I
CL 51A. IAO
Ul) k.c
2AL
LLJ
PMI)IJNr b 1A. N111
G I 1 Y OF T I( ARD -•- R UR I RT C:fF' t HYMEN T FTf''(:f::T P l NO. a 94,- e.b l 7N3'
17W.--CK AMOUNT 5338. 00
;JANE. a .TAY M:LL.LFJ BUILDF.A GASH AMOUNT a 0. OCA
A171.)flf C Gi t PAYMENT DALE x 1K'/1rl94
SUBDIVISION
PURPOSE. OF' PAYMI-NT 14111)[IN f P i D PIAHf-,,USl: Of= PtWW r,11 HOILII.IN I 14114
a HU I LA I N,B PERM 0010 PL.IJ111B 1 N13 F'f=.HM r'c"i. 00
MF I:HAN It fIL, WF: 45. 1010 91 . BUILD 1-11I.-Ji 43. 1 b
H j 1Ai.IN CHECK FR 1 H UtiA 00
W WEH INSPECT 135. ola i'i-Uhb (ID1.: 00
_H
F(:lkM uftA C N UDI., awn H1:.:)1 uk.N f 1 Fal.. 1 kr 11 1- I.1, I 1-.I 3121. 013
_1 `Mh1',-.s f RHN.i T l TIF' F=F F••1-i 1 e10. 101/ f-HIP:;l(IN CTIN I PIt Pl-NPI I I I I F (14. 00
lnRO61AN I. UNTRUL F!(_.GIN GK K:41. Fi10 k,H(jli((JN (,A)N f HI11 20. go
WI
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111469 6W IP-1-1H PLACE
V I l-.L.Af3F 7(+l1MMF::R1
0KV S, I..()T x:00
TOTAI.. AMOUNT PAID _ > 5338. 00
City of Tigard Residential Building Permit Application '
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-7171
Jobsite Address:
n �) ^r / p f""'Lot/ Office Use Only
Subdivislo
Planck/Rec #
Valuation:'�/
Permit # In jS f�-UJ 7-7
Owner: — Reissue of !- 5 H 4-(J// U
Address: Map& TL # /5 1 .3> n
Approvals Required
Phone:
M
Planning
Contractor: t�lc uef Engineering
Address: 1U .U<<� Other
(
Phone: ( ����� Items Rgqu!red
Contractor's License # Subcontractors
(attach copy of current Oregon license) Truss Details
Contact name & phone: II W TW
_ _ Other_
Subcontractors: t� f c/v_-
Plumbing: -bYla� i i (, W))(
'i
Mechanical: f)ru
(attach copy of carrnt O Cortradors License)
Architect/Engineer:
n.
NAddress:
Phone:
J --�'
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: Date Received: Z
Permit # Account Description Amount Amt. Pd. Bal. Due
/n.?td 3 73 Bldg. Permit (BUILD) rU 00 Ste_
Plumb. Permit (PLUMB) Z 2 5 ,(,u a1s
Mech. Permit (MECH)
State Tax (TAX)
Bldg: a S-'
Plumb: Z
Mech: 2 >�
Plan Check (PLANCK) 2
Bldg: S c�
Plumb:
Mech: /I Z
�erJ u 3,35. Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) C)sy
Storm Drainage Chg (SDSDC) .2If—D a�Y
Residential TIF (TIF-R) _f� C� 3 0
Mass Transit TIF (TIF-MT) ���{� 1 20
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-!S)
Office TIF (T,F-O)
Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
`rosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) •b Z' �r •�L
Erosion Planck/COT (EROSN) �p S'✓ ;y,�-v
TOT?,.LS: ( � 3 �� � S 3 3�,
5100 N
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cs
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