13612 SW 130TH PLACE i
ADDRESS:
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CERTIFICATE OF
CITY OF TIGARD . . . . ..
PEE?IY�IT #. . . . . . . M5T95--•006t,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/08/95
13125 SW Hall Blvd.Tlpard,Oregon 07223.8100 (503)638-4171 VIARCE<1_ : 25104DD -01400
SITE ADDRESS. . . : 13612 1o'W l,30TIl F11_
SURD I V I :,ION. . . . : MOUNTAIN N 141 C HLANDS Z ON T.NG:R---4. `, RD
BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . >I td 13
CLASS OF WORK. :NEW
TYPE OF USES. . . :SF
OCCUPANCY GRP. ,5N
OCCUPANCY LOAD:
Remarks, PA'11-1 1
Owner,:
L+RE T SORG
13562 SW FE:IRING LN
TIGARD OR 97224
Phone #: 5E4•-4213
Contractor : _._.__ _...___.._. .. _.._....._._..__. _._._..__...__ _...
U RET ;.IORG
13612' 132 PLACE
T..GARD OR 91223
Phone #:
17eg #. .
This C:ertificate grants occupancy of the above referenced touilding or portion
thereof and confirms that the building has been inspecteI for compliance with
the State of Oregon Specialty Codes for the group, col. pa , and use under
Which the referenced permit was issued.
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11.1JILOINr LISPE~CTOR BUILD OFFICIAL
' FROST IN CONSPICUOUS t-LACE=
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r;I TY nF T IGARD - P1•:7CE: IP'T OF PAYPWA T RE'(YI GI' No.' s 9r, 6E+! i
CHECK AMOUNT
hJsli'r!!M• FRAVII-ER ELECTRIC; COMP M'',' CW144 AMQUNI r 0. 00
NIaDE4E'w'; s 1186 c,�i [)RFP.NA )Rr4 FZGAV PONIMENT DATE s Of% 1;3/�.E':
SUSDIVISION
T 1 GARD, (IR
PlJRF,(19F: or r OYMEmT I)MC I RAT PAIL) PUR.."OSEr CIF PANIMF:NT AMCIUNT P arra
EI..E CEI iC:tll.. Ff'TaMIT c'10. C'.41 ST. 8E.11L1) PFR 10. ' 0
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5I TE:s t.36 1 P :?IJ 1.30TH V11,ACE
OTAL A14OLINT PAID 50
CITY OF TIGAI0
Department
epaElectrt al ins tett d Section Transportation ELECTRICAL PERMIT
p AP P LI PATI O N
155 North First Avenue,#350-12
Hillsboro,Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412
PLEASE-PRINT Permit _
Please • • sections, . rMirtiber "�-C�� � .�'�' ��'__ Date Z 1. Location Location of installation 4. Complete Fee Schedule below
Address 13612 S . W . 130th N L A C_E Number of inspections per permit allowed
Building Service included: Items Cost ea. Sum
City- _ T I G A R D Suite o. Cost(ea.)
Tenant Name A. Residential-per unit
(if commercial) 1000 sq.ft or less 1 _ $110.00 _1 1 0 . 0.(l_ 4
No. S U t U 0 0 Each additional 500 sq.it
Map �_ `1 � Tax Lot or portion thereof 4— $25.00
Thomas Map Book: Page:__ Section:--- Limited Energy _-- $25.00
Each Manuf'd Home or Modular
Directions Dwelling Service or Feeder $66.00 _-
B. Services or Feeders
Commercial❑ Residential�X Installation,alterations or relocatian
200 amps or less $60.00 2
2a. Contractor installation only: 201 amps 400 amps $60.00 -- 2
Electrical Contractor_.I It A H L E R ELECTRIC CO . 401 amps to 600 amps $12. r 2601 amps to 1000 amps _- $1. , .- __ 2
Address 11860 S W G R E E N B U R G ROAD Over 1000 amps or volts $3 2
City T I G A R D —_ State_0_ ZIP_ 97223 Reconnect only
Datefi_ /9/9/q 5 Job Number _ 54914
Property Owner C. Temporary Services or Feeders
Contractor's License No. - _ Installation,alteration or relocation
Contractor's Board Reg. No. 37410 200 amps or less $50.00 _ 2
2.01 amps to 400 amps $75.00 ?
Signature of Supr. Elec'n ! �► - 401 amps to 600 amps – $100.00 —___ 2
License Nc L 1 G_ _ Phone No. 6-,j9_4627 Over 600 amps to 1000 colts ape"e"above
D. Branch Circuits
2b. For owner installat►ons: New,alteration or extension per panel
a) The fee for branch circuits with
Pi Int Owner's Name ��� purchase of service or feeder fee.
Ap _
_ 00 Each branch circait __ $5.00 _ 2
r b) The,fee for branch dr0005 without
purchase of service or feeder fee.
zip Fi.st branch circuit $35.00 ___ 2
Each add'nl branch circuit-- $5.00 _ 2
The installation is being made on property I own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease of rent. Each pump ur irrigation cycle $40.00
Each sign or outilne lighting _ $40M _ 2
Ownr r su�nriture _ ---- -- Signal circuit(s)or a limited
energy panel,alteration
3„ Plan Review section (if required) or extension $40 nn
Please check appropriate Item and enter fee In section 58 F. Each additional Inspection over the allowable
_4 or more residential units in one structure in any of the above
CL: _Service and feeder, 800 amps or mole Perhourectlon — $Per n0
_System over 600 volts nominal In Plant $55.00
$55.00
r _ Classified area or structure containing special
occupancy as described In N.E.C. Chapter 5 5. Fees
r Submit 2 sets of plans with application where any of thr, A. Enter total of above fees $ 210 . 00
above apply. Not required for temporary construction 504. Surcharge (.05 X total fees) $ 10 , 5Q_
services. Subtotal $
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This permit becomes null and vold If the work authorized by the permit Is B. FW(,i 25% of line A for
not commenced within 180 days from date of Issuance of such permit or Plan Review if required (Section 3) $ ---If the work authorized Is suspended or abandoned at any time after work Subtotal $
Is commenced for a period of 180 days. Electrical Permits are non- $ --
refundable and non-transterablo. I I Trust Account
For Inspections call Bala,-ice Due .j 220. 50
681-3699 or 381-3698
24-hour recorder, one working day in advance of need
8L.28 • 3195
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CITY OF TIGARD PERMIT ASTER#. . . . . . . :PERMIT ly;6T95-0065
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/27/95
13125 SW Hall Blvd.T!gard,Oregon 97223*8199 (503)639.4171
PARCEL: LS104DD-01400
-
.;IIL ODDREI:)ED. . . : 13L: 12 15W 1_4`1411-1 PL
..UBDIVISION. . . . : MOUNTAIN HIGHLANDS ZONING: R-4. 5 PI)
•i_CJCK. . . . . . . . . . . LOT. . . . . . . . . :013
BUILDING
ISSUE: DWELLI.NG UNITS: J. BASEMENT". . . . . . . . :0 1i f
_Lkb!:, UF- WORK. :NEW BEDRMS:4 14ATHS:3 GARAGE. . . . . . . . . . :699 Sf
' YPE OF USE. . . :c'wF FLOOR REGIUIRED
YWE OF LONST. :51q F1RsT. . . . : 1489 sf LEFT. . :-7 ft RIGHT. : 10 ft
OCCUPANCY GRE'. :R3 Sr-"C0 N D. . , - 140E S f FRONT. -20 ft READ. . :c:0 ft
STORIES. . . . . . . :2 FINBSMENT ,0 5f
HE 161-4 1 . . . . . . . . .31 ft TO FAL---- 21395 Sf SMOKE DETE'CTORS. Y
F LOOR LOAD. . . . :40 psf VALUE. . . . . $ -. 201816 PARK ING SPACES. 1
11emar-ks : PIAIH I
------------ PILUMBINU
t;iINW.:i. FLOOR DRAINS. . . . :0 DACKFLOW PREVNI'RG. I
LAVAIORIES. . -4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
IUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . % 1 CATCH BASINS. . . . . •. . :0
WAILR CLOSE F5. . SEWER LINE (ft ) . :O GREASE TRAVIS. . . . . . . :0
DISHWASHERS. . . . : 1 WAIER LINE (ft ) . : 100 o'rHER FIXTURES. . . . . ..0
L.,iAH104bE DISP. . . I RAIN DRAIN (ft) . :O
WAS! l)'N6 MACH. . . Ll Sr- RA I INI L)R. I NS. . : I
MLLHHNIGAL --- FEES
FUEL TYPES—- UNIT HT'RS. 0 type amal-tnt lay date r,ecpt
/GAS/ VLPI"T S . . . . . :0 TIF $ 1550. 00 SW 02/27/95
MAX INPUT:lb U]U VENT FAN(3. . Ai SW11 $ 1 alzi. 00 SW 0121/27/9 5
FURN ( 100K . . :0 HOODS. . . . . . .. I SWM $ 100. 00 SW 02/27/95
1---URN ) -100K . . . I WOODSTOVES. :0 FAPRI $ 688. 00 5W 02/27/95
i-LUUR FURN. . . . :0 CLU DRYERS. : I BPLL $ 447. 20 SW 02/07/95 95--281472
4 G W 0
...kJ1L/CMP ' 311P:0 OTHER UNITS: 1 135FIC $ 34. 0 . Q*7/9 b
GAS ouTLETSsl PARK $ 500. 00 SW 02/27/95
lwnei,: $ 45. 00 SW 02/2*7/95
;'RET SDRC; MPLE $ 11. 25 SW 02/27/95
1366(;_, 1.1W FEIRING LN 11:5PC $ 2. 25 SW 02/27/'):`1
38TH $ 225. 00 SW 02/27/95 -
I GARD OR 1)7224 P5t*_'(.1 $ 11. 25 SW 02/27/9b -
'hone #. 524--4L'13 EROS $ 88. 00 SW 02/27/95
1_onti,artor: $ lia. 60 SW 02/27/95
L)WNER ERPC $ 28. 60 SW OLE./27/95
CL
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V) AL
>_ nis persit is issued subject to the regulations contained in the REUUIREL) 1N'jPLL'r1UNt:,
igard Municipal Code, State of D,,,e. Specialty Cedes and all other Footing Insp Pli.tmb Top DLit
applicable laws. All work will op done in accordance with approved Foundation Insp Framing Insp
P-lans. This permit will expire if work is nut startic within 180 post/Beam cjtv,Ltct Fii,,eplace Insp
W gay% of issuance, or if work is suspended for sore thin IQ-days. Post/Beam Meehan Gas Line Insp
1�_ I Crawl Drain Ins-.Alation Insp
Pim/l..,,ndslab Insp Gyp Board Insp
FILM/Underfloor Rain drain Ins-p
d 6y . Mt-chanical ITISP Water Line Insp
I'All for inspection - 639-4175
Mai
SEWER CONNECTION
CITY Of T1 GARD F'I�. . . .
F'E:RMIT #. . . . . . . : 5WR95006%
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/27/95
13125 SW Hall Blvd.Tigard,Oregor, 07223.8100 (603)630-4171
PARCEL: 25104DD-0 1 400
S ITE ADDRESS. . . : 1361` 3W 130T I I PL
SUBDIVISION. . . . : MOUNTAIN HIGHLANDS ZONING: R-4. 5 PD
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :013
TENANT NAME. . . . .
USA NO. . . . . . . . . . : FIXTURE: UNITS. . .
CLA'3S OF WORD. . . :NEW DWELLING UNITS. . : 1
T'YP'E OF" USE. . . . . :SF NO. OF RU I LD I NGS: 1
IN'STALI_ TYF'E. . . . :BUSWR IMI ERV SURFACE. .
,�err.arksy s PATH I
Uwner : ------------------------------------------------- ------ F LEST
BRE:T 5ORG tylae amor.mt by date r^ecpt
i.t,L�6d SW FEIRING LN PRMT f 2200. 00 SW 0-2/27/95 —
INSP $ 35. 00 SW 0,::/27/95 -
1IGARD OR y7n=:c:4
Phone #: 524-421.3
[:ontrac:t oi-: --_--_—__._---------------.--.---_
_:UNTROCTOR NOT ON FILL
Ph ;n e #: s j=2,35. 00 TOTAL
_....._.___ REUU I RE D INSPECTIONS
This Applicant aqrees to cosply with all the rules and regulations Sewer- l ntipect i on
of the Unified Sewage Agency. The persit expir?s 180 days from
the date issued. The total amount paid will be forfeited if the ___..._.
persit expires, The Agency does not guarantee the accuracy of the
side sewer lateral;. If the sewer- is not locatee et the reasureeent --
given, the installer shall prospect 3 feet it all uirect,ons fr•oe
the distance given. If not so located, the installer shall purrhese
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
F ei-mittee Signat'.1r~e ;
1 5 r.,�_I e d Irk y '
Call for inspection - 639-417"n
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Residential Building Permit Application
,City of Tigard , /
13125 SW Hall Blvd. M ;
Tigard, OR 97223
(503) 639-4171
Jobsite Address: t
Subdivision: wiLpL •'o t �� Lot ;� Office Use Jnly
Valuation:_, ZUl� ?�l 7. ' - J PlancWRec#� ,
1 Permit#. 6—S
Corner Lot? Y N
Flag Lot? Y H� Reissue of `
Map & TL #
Owner: Approvals Required
Address: T NC Planning
oo C of
/' Engineering
Phone: s-_ 703/ 3
Other
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Contractor: S Items Required
a
Address: ) S t1 t P'i L ry ' Subcontractors
\� r — Truss Details
Phone: — Other
Contractor's License #
attach copy o/current Orsgon license)
Contact Name & Phone: -SOIY 5- y,.� 1 3
Subcontractors: ,thaL4 3 y _ LL-0 Architect/Engineer:dLard [O(aS C01-4
�t Plumoing: i.ue SLA[0r1- u 3V 2"ti t 1`.� Address:25 /U.w. )s"h /4UZ
Mechanical: Ix AVC SV S. c.•xs iffidl dd CA. 97dO9
y (attach copy of current O Contractor's License)
~ Phone:_ "
,•,; JOB DESCRIPTION: _./��e !J r l C1 N�
_5��-�a13
Appilcant SignatureP�n, number
Received by: �) ��� Date Received: > _�
NWOROICOMOEWESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due
` JZ
`JJSfgj Gyr'i Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) j S• ;L2r=
Mech. Permit (MECH) J 5 .7 .ov
State Tax (TAX) le,v 7 y U
Bldg: c�
Plumb: 7
Me^h:
Plan :;heck (PLANCK) �. _ JrV• � � )
Bldg:
Plumb:
Mech: J G 5
,cJ ? •dUG7 Sewer Connection (SWUSA) a�J �Q
Sewer Inspection (SWINSP) i
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) J / 3.9 q 3L,
Mass Transit TIF (TIF-MT) 1 Z'l/
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutinnal TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) b
Water Quantity (WQUANT) BUJ /yy
Fire Life Safety (FLS)
Erasion Cntrl Permit (ERPRMT) J
L Erosion Planck/USA (ERPLAN) ''L' �" ✓�• G v
w Erosion Planck/C:: i =ROSN)
J
TOTALS:
STATE OF
OREGON l
-• County of Washington J
SS
!,Jerry R. Hanson
ment and Taxation and DirecOf tor
Assess_
Clerk for said county,do he h,
the within instrcou n y, Coun
and reco►rled in b writing w certify that
county, book of received
records of said
Jerry R, Hannon Director of
Officlooeun and f�tion,Ex-
Doc
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Doc : 95U09erk
463
Rett: 138217
02/13/1995 12: 38: 40PM 13. 00
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EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
l
I/we, the undersigned, as legal owners of record of the property described as:
I.t# .9 of ,'r( a �✓• 4�/✓�d S Subdivision
Tigard Address A/:,
Tax Map and Lot Number -D U — 4
do hereby release the property owners of adjacent Lot #—/-.17-1
��• CC , oDrr ,
ofMUu-61N N4//otiV1I Subdivision, also known as Tigard address -136.12 c <
w /30t,-A /�l
1 "n�z/c� _ and as Tax Map and Lot Number 2 S/- D u - / 4 u 0 , from Complying with
Community Development Code Section 18.88.050.G (Maximum Shade Point Height Standard);
and agree that the structure may have a shade point height oQL feet, thereby allowing shade
on an area otherwise protected by Code Section 18.88.050.D.
In addition, I/we also release the City of Tigard from liability for damages resulting from this
adjustment.
Signature A
Signature
State of Oregon )
A' ++��,, ) ss.
County of 44.4 Oxik ,. )
This instrument was signed or attested to before me bya��l (,�j, 1. and
on_t:� I b , 199E-
`•�. ' 'ado".•u. iso •; ,�-�..,•� 1
`S2 Signature of Notarial U cer
(Notary Seal) ' +� My Commission Expires: 3 i ZZ
RCb11pF:�crplAl�t L1M fJ �-•
STATE OF OREGON
SS
County of Washington
I,Jerry R.Hanson, Director of Assess-
Ment and Taxation and Ex Officio County
Clerk fir said county,do hereby certify that
the within instrument of writing was received
and re%orded ,n book of records of said
county,_
J } C\
,Jerry P. Hanson, Director of
I .Asisessment anc'Taxation,Ex-
Officio County Cleric
Doc 94096432
Rect: 1321.90 91 . 00
10/21/1994 02: 18: 58PM
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WARRANTY DEED - STATUTORY FORM
L�
5� (INDIVIDUAL or CORPORATION)
CASCADE COMMUNITIES, INC., an Oregon corporation m
Grantor, conveys and warrants to PFX77 K. SORG AND PEGGY ANN SORG, husband and wife
BRET
Grantee, the following described real property free of encumbrances except as specifically
set forth herein:
Lot 13, MOUNTAIN HIGHLANDS, in the City of Tigaru, Washington County, Oregon.
This instrument will not allow use of the property described in this instrument in violation
of applicable land use laws and regulations. Before signing or accepting this instrument,
the person acquiring fee title to the property should check with the appropriate city or
county planning department to verify approved uses and to determine any limits on lawsuits
\ against farming or forest practices as defined in ORS 30.930.
(RN CUMBRANCES:
easements, covenants, conditions and restrictions as shown on the recorded plat
and those as recorded Aug. S. 1994; rower of assessment of Unified Sewerage
0 Agency; and amendment to covenants, conditions restrictions and easements recorded
QAug. 24, 1994, Fee No. 94077999.
WASHINSTON COUNTY
REAt A9GPE•77Y TRAMSffR TAX
00
Vrhe true consideration for this conveyance is
$57,610.00 ��
FEE PAID DATE
DatedCr / 6K /9119
/
; if a corporate grantor, it has caused its name to be signed by
order of its board of directors.
Cascade Communities, Inc
STATE OF OREGON, County of )93.
n This instrument was acknowledged before me on
N 0-41)L&1 18 19jq _,
by_
This instrt�nent was acknowledged before me on
Q , 199Y_,
by —as
of
Nc ry for Public f Oregon OFFICIAL SEAL
M .mmission expir s JANET M.JOHN30�ON
COMMISSION NO 017971
After recording return to: MY COMMIESION EXPIRES AUG 16 1996
Bret K. Sora
Peggy Ann Sorg
13662 SW Feiring Lane
w Tigard, OR 97223
J
Until a change is requested all rax
statements shall be sent to the following
address:
CAMF Ac ARnvF
Escrow No. 3200-13055-NL
Order No. 133153
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phan): 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 Boa.
Plbg. Underfloor Rain Drain Framing -Plum
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: q_5 _Time:.XAM PM
Address:
; c{' / �1 �,t 'p-`k _
Builder: -� /(� � ,�' !d?j" Permit #:
THE FOLLOV!!NG CORRECTIONS ARE REQUIRED:
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Inspector: A�" , Date: \ \ \Qt Q S
D�AVTROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
,� Call For Reinsp.
CITY OF TIGARU BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in 5;73
Foundation Plbg. Underslib Mech. Rough-in F-eplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Roam Mech. San. Sewer Gas Line -Bldg.
Plbg, Underfloor Rain Drain Framing -Plumb.
Aiarm Water Line Insulation -Mech.
Underflr. In,ul. Shear Wall Gyp. Bd. -Elect.
Date Requesied: 1 � (C(� Time: AM PM
Address: �3 �.�— �qr�fk
4,2
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIPED:
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Inspector: l_Jr
APPROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Busine,s Phone: 639-4171
Inspection:
Forting Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Firf dface
-ist/Beam Struct. Plbg. Top O-A Elec. Rough-in FINAL:
Post/Beam Mech. San, SP,,er Gas Line -Bldg.
Plbg. Underfloor 'fain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
UnderfIr. Instil. Shear Wall Gyp. Bd. -Elect.
Date Requested: C _Time: AM PM
Address:` _ y4A
Builder: _ Permit #t7,
THE FOLLOWING CORRECTIONS ARE R' 'IRED:
F
Inspector: _41 Da!e: ` ` ��
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
____Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417"1
Inspection: o/C�(�7TU�1 CS�`� 1�j-- Yc_:57.!7' �1
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab I'vlech. Rougn-in Fireplace
Post/Beam Stru Plbg. Top Out Elec. Rough-in FINAL:
eT'•j San. Sa ver Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wa;i Gyp. 0d. -Elect.
Date Requested: G' (J 5 Time: AM , PM
Address:�l
Builder.,� 1 G 2 �? , j —Permit #:
THE FOLLOWINr, CORRECTIONS ARE REQUIRED:
Ln
i' ��-��_1� ""��'S ,�Tv.•-a /S USS�
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Inspector: DaIP:
_APPROVED _DISAPP9OVED 4—A QVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businass Phone: 639-4171
Inspection.-
Footing
nspection: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 ban. Sewer Gas Line Bldg. -
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation - ec j'
Underflr. Insui. Shear V/all Gyp. Bd. -Elect. ►_/
I.,,,,e Requ,sted: �� Time: AM PM
Address: 3 �— / J E�
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C C. �'��Q Je S' L C?,iS L,v !S
Inspector: L—S.�, t/ _ Date:
_f PPROVED DISAPPROVED _APPROVED SUBJECT TO Ar.1VE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection 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 FINAL:
Past/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: Time: AM PM
Address:
Ruilder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: �–
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Inspector:_ n Date: f S
—APPROVED _4DISAPPRXOVED 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 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 Reojested:_ Time:--AM PM
Address:
Builder: _ Permit 11:
TI-iE FOLLOWIN,3 CORRECTIONS ARE REQUIRED:
LLJ
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Inspector: `.'~ Z Date:
_=APPROVED &DISAPPROOVED _APPROVED SUBJECT TO ABOVE
�1 _ <Gall For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspecton Line (Ret.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Slisp. 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: Time: AM PM
Address:
Builder:` Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CIA
CL
W
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Inspector: Date:
C" P7
—APPROVED )[DISAPPROVED APPROVED SUBJECT TO ABOVE
TKcall For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection L',ie (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
Past/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Past/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framinglu
Alarm 01 ',ter Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -E!ect.
Date Requested-2: U/3/ `� Time: AM PM
Address:�L l . 3 C-' r`L _ ✓'�7
Builder: Permit
1HE FOLLOWING CORRECTIONS—ARE REQUIRED:
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Ins(�ector��
_APPROVED DISAPPRLVED `APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTI
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 417�—
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AFpr/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 �-MF—_,
Alarm Water Line Insulation -MEch.
Underflr. Insul, Shear Wall / Gyp. B(. -Elect.
Date Requested: C �T s Tim�AM _PM
Address:_ ./. 5 C- 4 s� L . ) " ' f ,
Builder: Permit #:—'7,5 JS`
THE FOLLOWING CORRECTIONS .ARE REQUIRED:
CL:
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L7
41
insp tor:— -- Date: L
PPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
,Call For Reinsp. /
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639- 1
Inspection:
L C
'
Footing Susp. Ceiling V (y4 Sprink. Rough-in Appr/ wlk
Foundation rlbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing -Plu,.mb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -L�ect'
Gate Requested: �` _> �1 Time: AM PM
Address:i�
Builder. ZCt t '-L Permit #: C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ Da1w
APPROVEDAPPROVED OVED SUBJECT TO ABOVE
I For Reinsp.
CITY OF TfGARO BUILDING INSPECTION NOTICE ? ,
Inspection Line (R-c-O-F'hona): 639-4175 Business Phone: 6T9_41,5717
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 L ne -Bldg.
Plbg Underfloor Rain Drain Framing -Plurnb. )
Alarm Water Line Insulation -Mech. /
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: l j (C' Time:_XAM PM
Address: �--
Builder:. ��- 'i �� �j f�_ 4r Permit #: -� C C)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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W
Inspector: Date:
APPROVED DISAPPROV D APPROVED SUBJEC TOA OVE
Call For Reinsp.
CITY OF TIGAMu uviL0ING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Busines-< Phone: 6394171
Inspection: t
Footing Susp. Ceiling Sprink. Rougn-inpr/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 -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. u -Elect.
Date Requested: �/; ( 7 / �l Time; / \AM _ PM
Address: / 3 e- 2 -12 4-Z/jam —
Builder: Permit #: �J ; C7 G'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. - �� Date:(4
_APPROVED —DISAPPROVE - PPROVE�SBJ�10�MV�E
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 9usiness Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Mech. Hough-in Fireplace
Post/Beam Struct. Plbg. Top Out —1-1—ecRouggh in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbq. Underfloor Rain Drain Framing -Plumb.
;,arm Water Line Insulation -Mech.
Undprflr ;nsul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: -- r166" 7 Time: AM PM
Address:
Builder: Permit
THE FOLLGWING CORRECTIONS ARE REQUIRED:
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Inspector: r ���r' Date: :z z T
,Z_\AI'PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection 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 FINAL:
Post/Beam Moch. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ahear Wal! �G'�pJ$d�` �' -Elect.
Date Requested: Z_� l time:_ AM __PM
Address: f?W,.�_
Builder: !2�/e 2 Z ZPermit #:
THE FOLLOWING CORRECTIONS ARE REOUINED:
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Inspector: to_ L
—APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
,, For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I Inspection:
Footing Susp. Ceiling Sprink_ Rough-in /Appr/Sdwlk
Foundation Plbg. Underslab �ech. R ugh ' / Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Sari. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing u` Plumb.
Alarm Water Line Insulation Mech.
Underflr. Insul Shear Wall -_;;�+ -Elect.
Date Requested: 1 1 "�� y 1irne: AM PM
Address:
Builder: Permit #: S.�066
�
THE FOLLOWING CORRECTIONS ARE REQUIRED: �1 ci,' t " 0 !/
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Inspector:__ �-'� 1�– Date: l — C
_APPROVED ><ISAPPROVED _APPROVED SUBJECT TO A90VE
/Call For Reinsp.
CITY OF TIGARD BUII.[)!NG INSPECTION NOTICE
Inspection Line (Rec-O-Phone): F,39-4 1'75 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foun,!ation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Strutt. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Frarring -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Rejuested:_ _ _ Time: AM __PM
A idress:
Builder: `i Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: >`) ; 2='� Z
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Inspector: �- _ ^——"—" Date:
—APPROVED O�CQISAPPROVE L) _APPROVED SU3JECT TO ABOVE
/Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE f 1
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppriSdwik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pihq. Top Out Elec. Rough-in FINAL:
Post/Bearn Mech. S^n. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation
/ -Mech.
Underflr. Insul. Shear Wall yp. / Elect
Gate Requested: I Time: AM PM
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Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
_APPROVED 2�$1SAPPROVED _APP'rOVED SUP '-CT TO ABOVE
Gall For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone)• 639.4175 Business Phone: 639-4171
Inspection:_ -�Q L �
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Understab Mech. Rough-in Frteplace
Post/Beam Struet. Plbq. Top Out Die . 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: �1 r�'f Time: AM PM
Address:_ ( �4 .311
Buil6,.r. U S 7 Permit #: O 78'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Insp5ction Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 �)
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in , Appy/Sdwlk
Foundation Plbg, Underslab QNech. Ro -in, . Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough^in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain F min' -Plumb.
Alarm Water Line `Insulation,, -Mech.
Undertlr. Insul. Shear Wall Gyp Bd. -Elect.
Date Requested: �' �� S > Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: OY
LL
Ln
CIJ
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Inspector: Date:
_APPROVED _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 W
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. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. rad. -Elect.
Date Requested: Time: AM PM
Address:
Builder:_ Permit #: (��" C)6
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J ` , CGJ LJ Si �crl.�t/•�i
CI
LLJ
Inspector: Date: �
APPROVED DISAPPROVED KAPPROVED SUBJECT TO ABOVE
�> _Call For Reinsp.
CITY OF TIGARD BUILDIVG INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 63�-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. Underfloor Rain Drain Framing -Plumb.
Alarm Watf1 Lind Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ Time: AM PM
Address:_
C Jll —
Ruil�er: Permit #: `
THE FOLLOWIIJG CCORRFCTIONS ARE REQUIRED:
I,J
Inspector: - Date.
APPROVED DISAPPROVED r/ 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 Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out,: Elec. Rough in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Wate Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect..
Date Requested: ' �' Time: AMPM
Address:__
Builder:_ Permit #: X1'.5 f 6-,S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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W
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Inspectpr: .z u Date:
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Cal! For Reinsp.
I� CITY OF TIGARD BI LDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 /
p � ,/1
Ins ection:
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.
(inderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Tine: AM PM
Address:
Builder: 7 T
� Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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114 J
Ins Ior: Dater— — yS�
_DISAPPROVED ,APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE l 9
Inspection Line (Rei:-O-Phone): 639-4175 Business Phone: 639-4171 /
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sd4vlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. 13Ibg. Top Out Elec. Rough-in FINAL:
Pdstluearn mech� San. Seweras t-irtt�, -Bldg.
P g. nderfloor Pain Drain ming Plumb.
Alarm Water Line Insulation Ivisch.
Underflr. Insul. Shear Wall Gyp. Bd. -EI6ct.
Date Requested:_ - -� `j 1 Time: _AM PM
Address: I' y
Builder. >>� �%�' s''��j Pe mit �-
THE FOLLOWING CORRECTIONS ARE REOUIRED:
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Inspector:' Date: S-- S�SJ
APPROVED 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 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 Lin&,, 1 Insulation -Mech.
Underflr. Insul. ar W ) / Gyp. B / -Elect,
Date Requested: Time:(� AM PM
c //17
Address: z �j(o Z 7� C) 7`"�- (/`'� —q—�,
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REOUIRED:
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Inspector: Date:
Z-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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t
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
4"
If
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. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line insulation -Mech.
Underf1r. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: .S `�- `� �- Time: -AM PM
Address: 3c> =�-
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�n
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W
Inspector: _ ���_ Date: S `/-
APPROVED 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 Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
stiBearnStru 1 Plbg. Top Out Elec. Rough in FINAL:
Pas'/Beam Mech. San. SAWer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ �i Time: AM PM
Address: ��L 13L
Build r�`�' �' �G� -� ?-2-3 13'Permit #:
THE FOLLOWING CORRECITIONS ARE REQUIRED: �
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inspector: LA— ate: 1
_APPROVED _N4SAPPROVED _APPROVED SUBJECT To ABOVE
Zall For Reinsp.
Lk
' CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 LIJ
InspPction:
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: Time: NM PM
Address:
Builder: Pe mit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-f4
�
Inspector: Aj��-, � Daie:��1�/
`APPROVED ISAPPROVVE�ED _APPROVED SUBJECT TO ABOVE 1
✓C:all For Reinsp. (
� (
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line ;9ec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-ir Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. �San_Sawer-� Gas Line -Bldg.
Plbg. Underfloor Rai —Dr ai Framing -Plumb.
Alarm d aff_L.►nd Insulation M,,..ech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: Time: M PM
Address: —
Builder: Permit p:
THE FOLLOWING CORRECTIONS ARE REQUIRED: / 5-
13 13
LJ
Inspector./`' / ( -// Date: 411-2
APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
,X,�_
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing ;7bg,
Bilin Sprink. Rough-in Appr/Sdwlk
Foundation Underslab Mach. Rough-in Fireplace
a Plbg. Top Out Elec. Rough-In FINAL:
Post/Beam Kfe7c an. Sewer Gas Lir.e -Bldg.
Plbg. Underfloor (�_Iin Drain Framing -Plumb.
Alarm �ater Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
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Date Requested:_ /r `� y 5 Time: 'AM PM
Address:
2-, --3 -Lv�prmit 1#: 2 -G� U (e 5
THE FOLLOWING CORRECTIONS ARE REOUIR&'L)
rc
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L3 4 �,
Inspector: �_✓!/ Date:
_APPROVED /'/�SAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp. �� it' o
� .�,�
CITY OF TIGARD BUILDING INSPECTION NOTICE ( -
Inspection 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. Flbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
<f'1566 i�gdkxr� Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undeiflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:__ ` /�T f Time: AM PM
A
Address: -..J ter` / -3 C
Builder: _Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
do
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Inspector Date: ` `/ t
—APPROVEC __Dl3APPRC'/ED PPROVED SUBJE T TO ABOVE
—Gall For Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rap-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
l- ad.a�i*6,®r� 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: �1 S ��j S/ Time: AM ��PM`'
Address:-13(o fl 3 �, `�.
Builder: 1, � 7,� Permit #: 5 ' C`' O �pS
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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'nspector: Dater A ]
_APPROVED DISAPPROVED _)L-APPROVED SUBJECT TO ABOVE
c' l' _,✓,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE R
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/SdH Ik
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: Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: _ Z
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Inspector: _ Date: Z Vc_i
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APPROVED DISAPPROVED Y APPROVED SUBJECT TO ABOVE
l � _Call For Reinsp.
CITY OF TICARD RECEIPT OF PAYMENT RECEIPT NO. 0 95-26 1 47P
CHECK AMOUNT s 0.150. 00
NAI'11:- SOPG, i3RFT K. CAr3H AMOUNT s 0. 00
A L)I-.-P E,S,b, s 13662 SW FEIRINO LINE PAYMENT DATE s 0'-'/07/13ro
T IGARD, OR SUnDl V IS ION
97i*-.;?3--
PURPOSE OF PAYMENT AMLIYNT PAID PURPOSE OF r.,AyMF7.t4T AMOUNT PAID
PLAN CHECK FE P--1 SR P50. 00
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13612 SW 130TH PLAI
TOTAL AtdnL)NT PAID
C,ITY [IF TfGARP PE(.'Elr:,T nF r-'1AYMFNT RFC!Fiv-,1' r4o. 9!-)—262 il 6 9
M41--i.-CK nM(.ILJN't' s 59P4. '5t5-
NAMI- qnPG, EGRET K. I'AGH AMOUNT o 0. 00
ADDR1 rss SORG, PEGGY ONN PAYME'N'T DATE 00/ `7/95
13662� S'A FETRING LANE SUBD I V 15 1 ON
TMARD, OR 4 7;:�c!21,--
PURFIVISE Or PAYMENT AMOUNT PAYD PURPOSE OF PAYMENT MOUNT PAID
mrr'HANICA1. PE 45. 00 ST. BUILD PFR 47. 90
c- ol-M UMECK FF POP,. 45 SEW1714 USA rW1495-0067 P00.. 00
.I WER INSPE.Cl' 315. 00 PARRc; SIX 500. 00
V) OUAL IT Y F AC'I L I TY F7 F7 F. 1110. 00 RE!. TD17NTIAL. TRAFFIC, FEEq 1430. 0G1
>- is TRANSIT TIF FEES 120. 00 H2O nUANTITY FACILITY FEE 14]N. (A 0
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i-IWGION CONTROL PFRMI'rFFF 88. 00 ERORION CONTROL PLAN UK Pik. (191
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13612 SEW 130DA PI.-
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Permit#:
.� Address:
jIssued by: Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
orchitect and engineer applicants. exempt from registration under ORS 701.010(7),
need not submit this statement. '1 i,is statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
1. I own, reside in, or will reside in the completed structure.
r" 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
n 3A. My general contractor is
�1 (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If 1 change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB ane will immediately notify the office issuing this building permit of the
name of the contractor.
�n
I hereby certify that the above information is correct rnd that I have read and do understand the Information
=, Notice to.�P-property Owners about Coostruction Responsibilities on the reverse side of this form.
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at e of permit applicant) (Date
(White copy to issuing agency permit file,
pink copy to applicant)
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City OF, 1,16AHD P1 f..F I P1 III [-'1-IYMI I"I I Pt- 1.4 It.,I NO. . 9 5--V,6 4 6 Wi
C III:-.I.;K AMOUNT 0o
MIMF% n IGURU, BREI tAMOIJINT a 0. 00
ADORLSH a 111.663 SkW TEAL. FALVD 1,A-0G. R71. 11AYM.N1 D 1IV c 0 8
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION✓
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# C L/'. yam_ on
Phone(503) 639-4171
FAX(503) 684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLE4SE COMPLETE ALL SECTION'S
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00
(.=OR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK 13 Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCF OR IF WORK IS SUSPENDED FOR �,� y
180 DAYS. LT tlurglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
Contractor 8(j6� ,kS TYPc _�lR.A1 ❑ Vacuum Systems*
Address �Q�� (�_ /GrC.LI,p _ _ ❑ Other_________
Date.
ther _—
Date?! S _ _ COMMERCIAL—Fee for each system . . . . . . . 14UQ
(SEE OAR 918-260-260)
Properly Owner d Check Type of Work Involved
Contractor's Board Reg. No. ❑ Audio and Stereo Systems*
1:1 Boller Controls
Phone# ��— (n/S�� _._. ❑ Clcck Systems
3. OWNFR APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
r ❑ HVhC
Prins ()wner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip El Medical
This permit Is Issued un
tinder OAR 91 B-320-370 This applicant agrees to rr
tke only EJ Nurse Calls
restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling
residential and oth?r transactions arc exempt from licensing. these have ❑ Other
asterisks(*).All oll-ers need licensing). --
2 Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175.
❑ Number of Systems
3. Purchase separate permits for all installations that are not ready tot Inspection —
rt when the inspector is out to inspect under this permit.
*No licenses are required. Licenses are required for all other installations.
4 Assumeresponsibility for assuring that all corrections required by the Inapeclor
> are done,and —!
~ 5. Assume responsibility for calling for a final inspection when all of the corrections S. FEES
_J am completed.
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I he person signing for this permit must he he applicant or a person a. Enter Fees $_ _
t� authorized to hint.'the applicant.
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b. 5% Surcharge(.05 x total above) $ c� '
Signature
TOTALAft
$ ' '
Au ority if other than applicant
ENERGAP.CHP