13686 SW 130TH PLACE I
ADDRESS:
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q C CITY OF TIGARD BUILDING INSPECTION DIVISION
24-flour Inspection Line: 6394175 Business Phone: 6394171
Date Requester': �� __
71n A.M. P.M. MST:
Location !' .(,� 30 —- BIJP:--
Tenant: Suite:_ p_B/ldR. _ NEC:
Contractor:
m _Phone: ,5�9— a f0 ^— T PLM: L L_�1S1SZJ
Ov er: 6
_ _ Phone: -- `_— GLC: -
--- ----— -- —
MLR: .
bUILDINC BLDG(coni) MBM- MECHANICAL ELECTRICAL SITE
Sit, Post/Beam 11mytten_frt Post/licam Cover/Servir; Sewer/Storm
Footing Roof tJndll/Slab Rough-In Cciwtg WntcrLine
Slab Framing Top Out Gas line Rough-In UQ Sprinkler
Foundation Insulation Sewer IlcxxUlhtct Reconnect Vault
Bsmt Dtunp Drywall Storm Fttrnacc Temp Service MISC.
h1asonry Ceiling Rain Drain WC IJG Slab
Shear/Sheath Fire Spktr/Alm Crawl/l ound Ilem Pump Low Volt
Approved mrovc Apl.roved ,Approved Approved
Appr/Sdwlk Not Approved Nut iproved Not Approved Not Approval Not Approved
FINAL FINAL FINAL FINAL
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Inspector:_ --.--� __ Date: �__ _ _— Page of _
CITY OF TIGARD BUILDING INSPECTION DIVISION
(/24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: 22 __ ,^J� Z A.M. P.M. _ MST.
Location:_l.—)�[) ([J (�J l CJ ft- ` i l3 IP:
Tenant- _ Suite: Bldg: MEC:
Contractor: [ QJ�., Phone: 7 if
PLM. '77
7
(honer: Phone: ELC.
ELR:
BUILDING BLDG(con't) LUNIBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post%I3eam Post/Beam Cover/Service Sewer/Storm
Footing Roof Undl'1/Slab Rough-In Ceilin'• Water Line
Slab Framing Top Out mesas Line Rougl.. UG Spnnkler
Foundation Insulation Sewer Hoe,+/I`uct Reconnect Vault
Bsmt Damp Drywall Storm Furnace rcmp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Ahn Crawl/Found It- Ileat Pimrp Low Volt
Approved A vv Approved Approved Approved
Appr/Sdwik Not Approved NM�jzctvc�cf> Not Approved Not Approved Not Approved
FINAL I INF AL_, FINAL FINAL FINAL
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Inspector:_ -- -- --- Date o
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CITY GF TIGARD
DEVELOPMENT SERVICES PLAIMBTNG PEFMTT•
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT
DATE. ISSUED: 03/26/'97
PARCEL.: P51.04DD-•0.1, 1110
C ADDRESc' .. . 1368C, Sl' 1 ..ai1 I"� I"'►.
�.,RPIVTSION. „ , . : MOUNTATI\I HTGHI_.ANDS ZCIN ING— R-4. 5 FD
OCE;. . . . . . . . . . . I_OT. . . . . . . . . . . . . :01. 1 .TURTSDICTION: TIC
-------------------------
ASS OP WORT:. . :AL.T GARBACF D T SPO5AL.S. : 0 MOB T I..E HnMF sr-,ACOS. : o
YPF OF LISE. . . . :_RF WASFITNG3 MACH. . . . . . : 0 BACK 'I-OW PRFVNTRS. . : 0
,(7CUPANCY (;Pr,. . :R3 FL..001? DRAINS. . . . . . V1 TRAP'S. . . . . . . . . . . . . . . Vi
TORMS. . . . . . . . .. 0 WATER HEATER;. . . . . . 0 CATCH AASTNS. . . . . . . . 0
LAUNDRY TRAYS. . . . . . 0 SF RA.T.N DRATNS. . . . 01
71NK,S. — . . . . . . . 1 URTNAI_S„ . ♦ . . . .. , . . . . 0 GRE()ISE TRAPS. . . . . . . . 0
AVATORIFS. . . . : 1 OTHER FDTLM79. . . . : 0
I.-IS/SHOWERS. . . - 0 SEWER LA :: (ft ) . . . : 0
ITER CL.OSF'TS-. : 1. WATER I._TNF (f L ) . . . :
t r;HWAF HFRS. . . . : 1271 RA T N O RA T N (ft ) . . . 91
FrS
:rrAPTY type amc)un't by da4-,p
'r
3E,86 SW 130TH 0L PRMT $ x:7. 00 JSD @3/20/T-' c:9cOt;4
MARD OR 97223 5PCT $ 1 . .7r1 JSD C: 71 15
rt)rlP t�:
IRTSTTAN P1,IIMRJI\1P
�W r,,AFFnRr., RT).
'_10LATTN OR P7t7l(„? __._. __. ...._..____.._____.__....._.----......._..._._._.__...____._.._.
li o i p ;='r� . :,5 TOTAL.
-q rt. . . , N`,-
REOUTRE:D TNc;PF'CTT0Nr
35 permit is Issued sub�ert to the regulations contained in the Rokir_lh—an Tnsp .......
fiord Municipal Code, ;tate of Ore. Sperialty Codes and all other PI.M/I.Irlript-fI r)r.)
1pi icabl a laws. All work will be dnne i,, accordance with Trip--n i.lt Ins p
toyed pian. This permit will expire if work i• rat stvted Filial, Tncirpct i r)n _.....__... ..._.__...______�
thin 189 days of issuance, or^ if woo is su5pen0,L1 for more
,an 188 days.
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CITY OF TIGARD Rumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Dare Recd —5
TIGARD,r,�vR 9723 Cate:o P
(503) .639-•1171 Cite o DST
ermd s Pc:nom :7.{1
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called c l c
Name tf CeveloomentiProlect FIXTURES (individual) QTY PRICE AMT
I Jobb Sink 9004777,
Address �,:eel.addr s Sude
lavatory
L 1 }{')
rubor ruwShoww ,,.jmo i 900
dl.g s ;,lyrSta a yip —9,00
Water Closet 9,U0
tame
Crsnwasner I 9 00
Garbage C sposal —
Owner 'lolling Address Suite 9 UO
Wasrnng Macn ne 900
:twStare Zip Phone floor Cram 2' "r 900
-
Name — 3' 9 30
4' 900
Occupant &failing Address Suite Water Neater 900
Laundry Room Tray 9.00
C,tyState Zip Phone Unnal 900
Name
Other Fixtures isoecify) 9.00
c I , ) '/1'1 9.00
Contrartor Mailing Address Suite 900
"( , Zip _
)Pnor to issuance I` � 9.00
C tyr tate Zip // F,'hone
applicant must Ta, L� 6 7U U F;,31 9.00
provide all Oregon Const.Cont.Board Lic s Exp Date 9.00
contractor; L ! _ 9.00
license Plumbing Lic.s p.Date Sewer- 1 st 100- 3000
information i3Vl 7,r Sewer-each additional 100' 25,00
Cy
for COT T Business Tax br Ms etro Exp Cate
dat 7ase1rn
Water Sece- 1st 100' I 3000
-�
. ,
Name 'water Service•earn additionai 200' 25 J0
Architect Storm S Rain Cram- 1st 100' 3000
or Nadmg AddressI Su to Storm 6 Rain Crain• Iach additional 100' 25.00 I
Alt bile Nome Space 25 00 i
Enginee C N,Slate zip I Phone Commercial Baca Flow Prevention Device or Anti- 25.10
Pollution Device
'escr be.vork New _ Admtion Alteration Repau Resi'ennal Back"ow civ?npgn.ewce' S 00
e acne Res dentiaO Non•res dentia( O _` Any Trap or.Vas•r. `tct:onnec-.ed to a Fixture I � 3 00
d conal descuictidn of wcrx CaI:.'1 3asm I 300
insp or Existing=umo ng I 40.00
_ penhr
cnstirg use it
30eciady ReRequested Inspections 40 00
oer,hr _
:.doing or property Rain-_rp s ngle'amdy a vellirg I 30 '0
"'occsed use of Grease Traps I I g u0 I
:_udrrg cr proberty_ _ _
QUANTITY TOTAL I j
J
-%,,e ,Ou :300mg mcvtrg Or replaGng any fttUresl Yes,— -40 � Isan•errc x^.e+^a;rar•� f r!:uveC t Cuanrty'^tars >
:(yes see back of form( _ 'SUBTOTAL
'4ren} 3cknowredge that 'lave read this lop,cation that I.he mformauon
w ,ven-s correct that I am*he owner or authonzed agent of the owner and 5'.e SURCHARGE
—' rat plans submitted are - :omoliance wdh Cregon State Laws. I �
Signpturs of UwnenA ent Date PLAN REVIEW 25;'. OF SUBTOTAL
aecurea only r 5Mre-: z•ar s
TOTAL I t/
Zantac Person N I Phone
'Minimum permit fees 525 - 511,surcharge except Residential Ba ow
Prevention Device .vnicn is 515-514 surcharge
i'asts olmapo Jac V96
L, u
l_E��E COMPLETE AS APPROPR(AT�T_Q P$� 'ECT:
j Fixtures to be capped, rinv-ador replaced I Qty
,. Sink ~� '
'
Lavatory
Tub or Tub/Shower Combination j
Shower Only
Water Closet
Dishwasher _
(Garbage Disposal
Washing Machine �—
Floor Drain 2"
3"
4"
Nater Heater
Laundry_Room Tray
Urinal
Other Fixtures (Specify)
OMMENTS REGARDING ABOVE:
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CITY OF TICARD CEPTIFICA11* OF
OCCUPANCY
PERMIT # MST91!`,-04Z5
COMMUNITY DEVELOPMENT DEPARTMENT DATE
13125 SW Hall Blvd.Tigard,Oregon 972234199 (503)639-4171
SITE AuDRESS. . . 1.3636 SW 130TH PL
SUBI)I V I G I ON. . . . : MOUNTAIN HIGHLANDS ZONTNr—R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011
(.-,LASS OF" WORK--t ,a'W
TYPE OF-- USE. . . :SF
OCCUPANCY GRP.1-5i+93
nf".'UUPANCY LOAD&2
omarks : PATH 1
RUCE T ILLE Y
,I-ajo SW talST AVL
TIGARD OR 97224
Phone #: 579-9332
hPULE" Tiu-.Ei:y wWs
,-149J f3W OLD SCI OLL.5 FERRY RD
oRT1.04ND OR 97L
'2
fione #t .290--44.35
1h:js Certif JCpte gr afltS OUCLIF)811CY of the above ref ev enced bu-i Wing Or port "it
(.11er-eof and corif it-ms f hat the building has been inspected for- comps lance wi
he 5-tate of Ot-eljon lo"peciaxltv Codes for the gir-OLfp OCC4An
- cand-y, and L1%e Unde,
'An
k1hich the v-esfe rencyd pert way. isslied.
I 'll TONE IN!:iPELT0P BUILDING OFFICIAL
r'cj,s'r IN CONSPICUOUS PLACE
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GRIZZLY ELECTRIC
4114 BE 3,64TH AVE
VANCOUVER WA 96684
Electrical Signature Fo w
Permit #• . . • : MST95-0421.
Date Issued. : 08/23/96
Parcel. . . . . . : ;eS104I1D-01200
Site Address: 13686 SW 130TH PL
Subdivision. : MOUNTAIN HIGHLANDS
Block. . . . . . . . Lot: 011
Zoning. . . . . . . R-4.5 PD
Remarks:
PATH I
Your company has been indicated as the electrical contractor for the permit indi
order for the electrical permit to be valid, the signature of the supervising el
is required.
Please have the appropriate individual from your company sign below and return t
Signature Form prior to the start of work. No electrical inspections will be au
this completed form is received.
AN INR SIGNATURE IS REQUIRED ON THIS FORM
OWNER:
ELECTRICAL CONTRACTOR:
BRUCE TILLEY GRIZZLY ELECTRIC
14210 SW 121ST AVE 4114 BE 164TH AVE
TIGARD OR 97224 VANCOUVER WA 98684
Phone #: 579-9332 Phone #:
Reg #. • : 56129
X -�
Signature of Supetvising Electrician
c�
W Please return this com •m to the address above.
ATTN: Building Dept. � t_- -c^�-},Q-�'e_
1f you have any quest.ionB, please call 639-4171 , ext. #310
PIERMIT It. . . . . . . : tvIST95-042,5
CITY OF TIGARD DATE ISSUED: 12/15/95
.COMMUNITY DEVELOPMENT DEPARTMENT FIARCEL.
2AJt"!!t91vd.,Tf ard,Orocon 9722P.!81P0.,(500)OPO-4171
13(JBI)I V I S I 0N. N1(jLJr\(TA I N H I CjHLc4NI_)& Z0;TNG: R-4. 5 PID
;aL_Ocl/\. . . . . . . . . . . L.0 I.. . . . . . . . . . . . . 01 1
Remarks: PAT:,4 I
---------------------------•----------------------------------- BUILDING ------------ ------
REISSUE: STORIES.......; ? FLOOR AREAS----------- BASEMENT...: 620 sf REQUIRED SETBACKS---- REQUIRED-----------
CLASS OF WORK.:NEW HEIGHT........: 31 FIRST....: 1317 sf GARAGE.....: 720 sf LEFT..........: 12 SMOKE DETECTRS: Y
TYPE OF USE. :9F FLOOR LOAD-- 40 SECOND...: 1146 sf FRONT......,..: 20 PARKING SPACES: i
I YPE OF CON31. :5N DWELLING UNITS: I FINBSKENT: 0 sf RTC-AT......... If'
OCCUPANCY GRP.:R3 ;DRM: 4 BATH: 3 TOTAL-------,. 0 sf YALUE.A: 178288 REAR..........: 40
--------------------------------------------------------------- PLUMB I NG -------------------—------------------------------------------
SINKS......... I WATER CLOSETS.: 3 WASHING MACH.. LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....; 5 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft, 0 SF RAIN DRAINS: I CATCH BASINS— 0
TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS.. 0
OTHER FIXTURES: @
---------------------------------------------------------------- MECHANICAL ---------------------- --------------
FUEL TYPES--------- FURN ( 100K @ FOIL/CMP ( 6HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
/GAS/ / / FURN )=106K I UNIT HEATERS..: 0 HOODS.........: I OTHER UNIT13... 1
MAX INP.: 0 BTU FIDOR FURNACES: 0 VENTS.........: 0 WOODSTOVES..... 0 GAS OUTLETS...: I
------------------------------------------------------------------ ELECTRICAL -----------------------------——--------------------------------
-RESIDENTIAL UNIT--- -SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS----- --ADD,L INSPECTIONS-
1000 SV OR LESS: 1 200 ago..: 0 0 200 0 W/W OR FDR.,: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD I L SMSF.: 3 201 400 asp..: 0 201 400 amp,.: 0 ist 1/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : I
LIMITED ENERGY.: 0 401 600 amp.,,. 0 401 600 amo..: 0 CA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT..,...: I
MANF HMISVC/FDR: 0 601 1000 ago.: 0 601+8105-10" v: 0 MINOR LABEL -10: 0
1000+ ;bp/volt.; 0 ----------------------------------- PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..., SVC/FDR)=225 A.; ) 601, V NOMINAL, CLS AREA/SPC OCC:
-------------------------------------------•-------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------------------------------
4UDIO I STEREO.: VACUUM SYS Tol..- AUDIO & STEREO.; FIRE ALAPM..... INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: K BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL.....,..; OTHR:
........... DATA/TILE COMM.: NURSE CALLS....: TOTAL I SYSTFMr:
I'-wrier: -----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 4071.46
BRUCE TILLEY BRUCE TILLEY HOMES
'4-10 SW 121ST AVE 1497 SW OLD SCHOLLS FDRY RD
'IGARP OR 97224 PORTLAND JR 972E3
"hone #: 579-9332
Phone #: 212-4435
Reg #..: 81924
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This pet-sit will exoire if work is not started within 180
V) laysof issuance, or if work Is suspended for more than 180 days.
---—----—----—-----------—----- REQUIRED INSPECTIONS --—---------
700ting Insp P121undslab Insp Electrical Rough Insulation Insp Apor/Sdwlk Insp Erosion Control
"oundation Insij PLM/Underfloor Fra4inq Insp Gyp Board Insp Electrical Final
-C �ost/Bpav sl!-dct Mechanical Insp Low Voltage Rain drain Insp Mechanical rival
LO Mechan Plumb Too Out Fireplace Insp Water Line Insp Plumb Final
1AJ
trawl Drain Electrical Servi Gas Lint Insp Water Service In Building Final
M i t t.e fi gnat a
Call for inspection 639--41755
PERMIT
CITY OF TIGARD PERMIT #. , D: 1J' 5/1j5 rZ+4E�4
DATE ISSUED: 1�:/1�/9w
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: IRS 104DD-01400
5ITG (1i UIZI_': a. . . I,L,8 ';W 13-OTH PL
SUBDIVISION. . . . : MOUNTA'.N HIGHLANDS L-ONING: R-a. r
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :01. 1
'TENANT NAME. , . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS 01= WORK. . . :NEW DWELLING UNITS. . : 1
TYRE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : PATH I
ownev— FEES
BRUCE TILLEY type amol.tnt ray date recpt
' 4210 SW 121ST AVE PRMT 22'0 0. 00 B 12/15/9S 90-273989
INSR $ 35. 011 B 12/13/95 95-273909
1 iGARD OR 197224
1-'1.1one #: 579--933 :
Contractor:
CONTRACTOR NOT Ohi FILE
2239. 00 TOTAL
Req #t. . .
- - - REQUIRED I NSPECT•I ONS ------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 18@ days from _ ��_ ___._._ __Y_ _ ,_._�_,_•_._____.___ .._
the date issued. The total alount paid will be forfeited if the
nermit expires. The Agency dtis not guarantee the accuracy of the p_ �•__ __ ___,�._
side sewer laterals. If the st ter is not located at the measurement �- ___•_._._J_ _-•__ ____...___�__._�. _ __ .
given. the installer shall -:ospect 3 feet in all directions from
the distance oiven. If not so located, the installer shall purchase
a "lap and Side Sewer" Permit and the Agency will install a lateral.
'ermihtee Sitanctt _tr-to %''��
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I S S 1.1 e ri BV /�7n-
Ci-.11 for inspection - 639-4175
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business
Phone:
�6399--,41711
Footing Rain Drain Cover/Servic /_
FINAL:V
Foundation Water Line -Plumb.
Post/Beam Mach. Shear/Sheath am n .0Wd_A-f3CMech.
Plbg.Und/Flr/Slab Plbg. Top Out sulation -Elect.
Post/Beam Strutt, ech. gh ( Gyp. Bd. Bldg.
San. Sewer s Line Appr/Sdwlk Reins.
Other
Date: _ A.M. . Entry:
Address: l �CpL3
Tenant: Ste: _ MST ���
�[/p ,� _ � " BUP:
Con/Own:- �o Z GJ - 71 / (c -9L— MEC:PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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L.e'h�1
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LOW
Inspector: `` Date:
—APPROVE) 'DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service ,FINAL. ,
Foundation Water Line Ceiling mb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-In Gyp. Bd. �
San. Sewer Gas Line Appr/Sdwlk
Other: _
Date: � � _ A,M. P.M.—_ Entry:
Address: /3 60KO /' D
Tenant: . __. Ste:_ MST: f =0`/L1
BUP:
Con/Own: _ MEC:
PLM:
ELC:
rHE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: �r Date:
' 'A
` PPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL-
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Pibg,Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-Ir Gyp. Bd. % 81d .
San. Sewcr Gas Line Appr/Sdwik rWeins.
Other:
Date: _ _7 Z -'740 A.M. �E�
Address: L �o co
Tenant:_ Ste: MST: "aYZ
Con/Own: y 1 ��_ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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V1
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Inspector: „�� �_ __. Date: �”
—APPROVED f4-TrSAPPROVED/CALL FOR REINSP, CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE ~
Inspection Line: 639-4175 Business Phone:639-4171 I
Footing Rain Drain Cover/Service
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing
Plbg.Und/Fir/Slab Plbg.Top Out Insulation Xlect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bld_�-
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: - -�
Date: 7— //— 9
A.M. .M. ry:
Address: _ � SL+= L fS�Oy2$�
Tenant: Ste: MST:
--- r BUP:
Con/Own: L..c1_ (.L�.Qtti MEC:
q1 ESC- ^ —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
xv— _, 'i/�s"s
.--
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C�
Jt tE'_ - lOY�_e�t'4�..� y�ov"���r/lr/t-L�-�lr•Lr[1c.
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��cr f2[,✓�l.L �4tttow�.��__tt%��.� 4lHtei"�
Inspector: -�� _ Date.
APPROVED '0157iISPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSVCTION NOTICE
inspection Line: 639-4175 Business Phone: 639-4171
Footing I',ain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Mech.
Pib;a.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
PoF.t/Beam Stru._' Mech. Rough-in Gyp. tad. -Bldg.
Gan. ',3wer Gas Line ^.ppr/Sdwlk Reins.
Gthec _
_ - ,-
Date: __� Lv A.M. P.M."�j�1 ,2�y1`f S
I
Address: . �6 C��o �W � _r L
Tenant: Ste: MST:
BUP:
Con/Own:&�GQT T� MEC:
PLM:
l ELC II
THE FOLLOWING CORRECTIONS ARE RE01jIRED: ELR:
W --- -
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Inspectgy ✓' — _ Date: / g'
�PPROVED —VISAPPROVED/CALL FOR REINSP. CF Cc
CITY OF TIGARD DUILDING INSPECTION NOTICE
Inspection Line. 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
Post/Beam Mach. Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg. lop Out Insulation -Elect.
Post/Beam Struct Me, i. Rough-in Gyp. Bd. -Bldg,
San. Sewer Gas Line Appr/Sdwlk Reins.ISf
Other:
Date: M. P.M. Ent I I~r
Address: 3�_. � S W 5()ty 4- (�
Tenant _ _ Ste:—^ MST: jam_'Gy Z.
Con/Own: l-C Q. �-�-Qu �te Le BLIP: _
MEC:
^_U c�t• 9 �_. - PLM: _
ELC:
i HE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —
1
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Inspector: _�/ _ Date.
—APPROVED DISAPPROVED/CA F_1E_'IN-M CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plum .
Post/Eeam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Fir/Slab Pibg. Top Out Insula'.�on -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
Sar,. Sewer Gas Line Appr/Sdwlk C ein�
Other: _: ��$(1-� V< �L, �e���xyLsc<v-Q C� c�L c'►�
Date: 4_ IM. Entry: ----
Address:
Tenant: _ Ste: MST:
Con/Own: SUP:
MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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I-
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C7
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Inspector: �` %V — Date:7 ;2 _
1770PROVED _ DISAPPROVED/CACI FOR REINSP CF CO
CITY GF TIGARD BUILDING INSPECTION NOTICE
Inspecti n Line: 639-4175 Business Phone: 639-4171 ,
Footing Rain D,'ain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line CA p SIM—) Reins.
Other:
Date: J� A.M P.M. - Entry: _
Address: , �Q ��_ �i&
Tenant: Ste: MST:
BUP:
Con/Own:-----.--- — MEC:-- ---
PLM.
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
yen I
;j
Inspector: '�' Date:.^
PROVED ,DISAPPROVED/CALL.FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Founitation Water Line Ceiling (:-Plum .
Post/Beam Mech. Shear/Sheath Framing -Meeh.
Plbg.Und/F Ir/Slab Plbg,Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gaq Line Appr/Sdwlk Reins.
Other: — ---
Date: Cl(,— A.M. . ntry:- _----
Address �V ------
Tenant: —
Ste: MST: q�-UyZj
__ -- -�
BUP: — --
Con/Own:_ —_ _. --- MEC: --
(a LC L4 l q PLM:
FI_C: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
i
Inspector�7 Date:
_APPROVED Z DISAP?ROVED/CALL FOR REINSP, CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
Plbg.Und/Flr/Slab Plbg. Top Out ns latio�� -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk s
Other: _ --- — — - -- --
Date: ` A.M. _ ,P.M. Ent : -
Address:
Tenant: Ste: MST: !.
Con/Own: 1, Q. (a Z MECBLIPU 9 — _
�./�_.� -_— MEC: -----
PLM:
ELC --THE FOLLOWING CORRECTIONS ARE REQUIRED. I ELR
Ce
OP
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to
40
Inspector: .---_k_ Date:- I y
APPROVED - —DISAPPROVED/CALL FOR REWSP CF CO
06
.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drab. Cover/Service FINAL:
Foundation Water Line Ceiling -P;umb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam StrUCt. Mech. Rough-in Gyp. Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: -- _-- ------._�__
Date: _ A.M P.M. Entry:
Address: --__
Tenant: _ Ste: MST:
j_ BLIP:
Con/Own: —�—__— MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
LAJ
CL
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C7
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Inspector: Date: "A
—APPROVED –_DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE J
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing / -Mech.
Plbg.Und/Fh/Slab Plbg.Top Outn ulatio� ✓ -Elect.
Post/Beam Struct. Mech. Rough-In Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk V
Other:
Date: �" _ A.M. i P,M Entry:
Address:
Tenant:_ Ste: MST. a
BLIP:
Con/Own: MEC:
PLM: _
ELC:
Tyf FOLLOWING C� E TIONS ARE EQIJIREP ELR: -_
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- - —-- r—`_�L`,a
Inspector _ _ DateAt i L,
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Piumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Pibg.Top Cut nsulati -Elect.
Post/Beam Struct, Mech. Rough-;n Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: _— I� A.M. `P.M. Entry: _
Address:
Tenant:_ Ste: MST: �J
/- Q BUP:
Con/Own: C� U I�P MEC:
PLM:
ELC:
THE FOLLOWING ORRECTIO S AR REQUIRED: ELR:
(� C.n 5sd Cw z�J� s
CLAa A 1�r - ..
LO
Inspector: Date: t�C►
_APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone- 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb,
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M. —P.M.—_ Entry: _
Address:
Tenant: _ Ste:_,.. MST �aZ
Con/Own: Z _ MECBUB::
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:LL
_
Lori
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J
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Inspector: d Date: 4 ( 9
_APPROVED _�SAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Businesc Phone: 639-4171
Fn Ming Rain Drain CC'_57,r,7,' e,vi FINAL:
Fo indation Water line -PlUmb.
_Post/Beare ec Shear/Sheath ramie Mach.
Plbg Unclll=lr/Slab Plbg. Top Out insulation -Elect.
--Post/Beam Struech. R=ua!vd Gyp. Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk
Other: —
Date: A.M. =P. _..__ Entry:
Address:
Tenant: _. SteMST: -f-�`-
BUP:
Con/Own �_��y i q __- MEC: -
PLM:
ELC:THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
Inspector: � Date: —
_APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4178 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb
Post/Beam Mech. <52flar)Sheath Framing -Meth.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Aopr/Sdwlk
Other:
Date: , A.M. P.M. Entry: _
Address:
6P_ (p /3
Tenant: _ 5te: MST: �__�
�--�2 BUP --- -—
Con/Own: G -� Z—_ MEC:
PLM:
ELS: --- ---
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELK
a
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J
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Inspector: �(� Date: -S
PPAOVED __DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
a.Post/Beam Mech. he )Sheath Framing -Meth.
Plbg.Und/Flr/Slab v.Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.MP.M. Entry:
Address: q
I Tenant: --- -_-�_ Ste:_---- MST: <- 6
BUP:
Con/Own: _ -- —_..- -- _ MEC:_
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELC:ELR:
0 --
In
J — _
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1 AJ
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Inspector: Dater
__APPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING IN. .JN NOTICE y
Inspection Line: 839-4175 Businesc 'hone: 639-4171
Fouti,ig Rain Drain Cover/Service FINAL:
Foundation Water Line ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Uiid/FIr/Slab 4 op Ou Insulation -Elect.
PosUdeam Struct. �Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlke-( .
Other:
Date: �� A.M. . -P.M. Entry: '
n7 ,
Address. —1.36 k'6-- 7� -- w
Tenant: - -- _- _ Ste:__._ MST:
-
BDP:
;an/Own:. —
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE RE(dUIRED: ELR:
rt
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41
Inspector _ Date
-APPROVED —DISAPPROVED/CALL FOR REINSP CF CO
CITY OE TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: b39-4171
Footing Rain Drain Cover/0crvice nINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meeh.
Plbg.tJnd/Flr/Slabg. Ti�op't�ni Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Arpr/Sdwlk Reins.
Other:
Date: _ 3 f"�41 L �_ A M. P.M. Entry:
Address: _(�� d _
Tenant: _ Ste: MST: _!�e, _d ��5
BUP:
Con/Own: _ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
o.
cc
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Inspector: _ Date
5Yk
—APPROVED _ DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundationate L rirate� Ceiling -Plumb.
Post/Beam Mech. Shear/Shaath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
ren.Se e Gas Line Appr/Sdwlk Reins.
Other: _ C2'V►�_�
Date: A.M. P.M. Entry:
Address: _ _--),3 c, �
Tenant: _ Ste: MST: U
BLIP:
Con/Own:— _ MEC:
PLM: _
ELC:
THE FOLLOWING; CORRECTIONS ARE REQUIRED EI_R:
oe
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J
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Inspector: Date:_ Date:
APPROVED __DISAPPROVED/CALL.FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
ti inspectior,Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
r—• Inspection
(\/ ootin 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.
A!arm Water Line Insulation -Meth.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
:
Date RequestedTime j }AM PM
Address:
Builder:� �,�(�� T _ y` z�
THE +FOLLOWING CORRECTIONS ARE REQUIRED:
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J
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C7 -
LU
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Inspector. Date: 7- Z v -/ �7
_APPROVED DISAPPROVED kAPPROVED SUBJECT TO ABOVE
_Call For Reinsp.
Z C)�
CITY OF TIGARD BUILDING rNSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phona: 639-4171
Inspection: 'LIQ
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Firepia;e
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. OF.9w 1Gas Line -Bldg.
Plbg. Underfloor ain D Framing -Plumb.
Alarm Insulation -Mech.
IJnderflr. Insul, Shear Wal! Gyp. Bd. 0. -Elect.
Date Requested: / f-S Time: AM
Address: j _ ) Y-k L-2-0
Builder: P irmit tt:
THE FOLLOWING CORRECTIONS ARE REQUIRED.
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In,p rDate: 21- 7,S1--APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE4���
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. g _ Elec. Rough-in FINAL:
Post/BeamMech. 5 0 w e Gas Line -Bldg.
` tide Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Unoertlr. Insul. Shear Wall G,p. Bd. lect.
q
Date Requested: I l ( x I \ Tim PM
Address. j r1J �W
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Of —
F-
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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
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Aopr/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.
Ibg. Underfloor _� Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested.---II c Time: AM _y�_PM
Address:/„3_ (zR�_ 3
Builder: (1 -Z c-' y <, / r
�►2,U c Permit #:T91� U 5
( z,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
L (APPROVED _DISAPPROVED _APPROVED SUBJECT TO A. OVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 �J
Inspection:_
Footing Susp. Ceiling Sprink, trough-in Appr/Sdwlk
\•oundati Plbg. Understab Mech. Rough-in Fireplaco
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.
Date Requested: ���Z (�, Cj 5� Time: K AM PM
Address: 1 _3
Permit #: 75—� ��t4-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
F-y
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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 Rusiness Phone: 639-4171
-1
Inspection: iy
Foo�li gi 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.
Plhg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp Bd. l -Elect.
D,,te Requestad: /-2,
= �Time:�AM� PM
Address: % c�4 �> T 1� j_Lr, ,
Ruilde 4, 0. :4Q 5 7 2 -'_j > L _Permit #: � -
1 HE FOLLOWING CORRECTIONS ARE REQUIRED:
—7 COO-- zy Z.i.
e?��.�. % ',terra r-�u Es c,x.Z /=,, Z--
_ /fOJI� ✓�i�Gsr r 1 ITcL� C�/% C s�/ 7 -71- M 7-
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Inspector: Date: 2 -�yll,; "
__APPROVED G SAPPROVED _APPROVED SUBJECT TO ABOVE
___ _Zrall For Reinsp.
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(,ocation: t'ortland, Oregon
Date 1/96
FULLER
Design & Engineering Client Fuller Design & Engr Job No. 96000
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OLDOUIN PONYWALL
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City of Tigard Rt-,idential Building Permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(J03) 639-4171
Jobsite Address: 13C46 6,(c) . 130 �Lg�
4422 7 Lot# / ! Office Use Only
Subdivision: � i
Valuation: � s-. f ' Contact Date / I Initials
--1 Result
New Construction Only: �l}(1Square F ota8 p -'- '
Irl l►1�5 he cl s lancic/Rec #
_)o Permit # Al s f 4S - U yZS
-7
Nouse: Garage. _ Reissue of
Corner Lot? Y Flag Lot? Y �N Map & TL# ;k S1 e) iJ7 a/Zo D
Zone K - y-s- U
Owner: _ ' Plat #
Approvals Required
Address:
y „f oe. 17� 7 L' Planning Setbacks Solar _
ra Engineering
Phone. 2113 3 Z � Other_
—7� , r Items Required
Contractor: L 1y1_ ..L v't L-- � � �L'�l.�u.f.. �;
Z (C? ,SCJ �` �1 .P Subcontractors _
Address ,f /-�/ —.. Truss Details _
Other --
Phone. f 3 ) ;'�cj j � Notes
Contractor's License # An-Y —
(attach cop of current Oregon license)
Contact Name: ,/�,i /-L,tie A
Contact Phone: (3-) 1 �C1
Subcontractors: i jti1,t'I. ArchltectlEnglneer: A _171LP
S
Pluming: Address: 23 Z3 T& G�
Mechanical: 1 � 16(4 eo
(✓1�•
(attach/copy of current OR Con ctor's License)
-I�1 (,36z ( I Phone: �2-3 1 ZL{ S_V?
JOB DESCRIPTION:
Applicant Sighaturd ' Applicant Phone number
Received by: _^� L'' Date Received.
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Permit# Account Description Amount Amt Pd. Bal. Due '
rjli f _A-2 Bldg. Permit (BUILD) 3 . SU 30 5 U '
S'"EePlumb. Permit (PLUMB) :;2 25-
Mach.
ch. Permit (MECH) a.c•i,
Bldg: 1.53
Plumb: 1L L
Mach:
Plan Check (PLANCK) u ,$3
Bldg: ',
Plumb:
Mach: //, z?
//• Zi
Sw�4S�'D Sewer Connection (SWUSA) _22, (/U z�vU
Sewer inspection (SWINSP) 3 �'
Parks Dev Charge (PKSDC) 5 G,
Residential TIF (TIF-R) / ?c) )-Y-70
Mass Transit TIF (TIF-MT) / z1y
Commercial TIF (TIF-C)
Industrial TIF (TiF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
ll
vii Fire Life Safety (FLS)
T
~ Erosion Cntr! Parmit (ERPRMT)
Erosion Planck/USA (ERPLAN)
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-' Erosion Planck/COT (EROSN)
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CITY QF TIGARD P'CRMRTN#. PERMIT. . . . . . .
ERMIT P M'j + 4 5
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/15/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-1171
PARCEL: 2G 104DD--01 2.00
SITE ADDRESS. . . : 1368(, SW 130TH PL
SUBDIVISION. . . . . MOUNTAIN HIGHLANDS ZONING: R-4. 5 PID
BI-OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :011
CLASS OF WORK. . GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :NEW WASHING MACH. . . . . . . s 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP'. . :SF FLOOR DRAINS. . . . . . . . its TRAP'S. . . . . . . . . . . . . . . 11)
STORIES. . . . . . . . :2 WATER HE:ATERS. . . . . . 1 CATCH BASINS. . . . . . . : 0
FIXTURES---- __.___._.__.... LAUNDRY TRAYS. . . . . . : 1 SF PAIN DRAINS. . . . . ; 1
SINKS. . . . . . . . . . : 1 GREASE TRAP'S. . . . . . . :0
LAVATORIES. . . . . : 5 OTHER FIXT+_1RE5. . . . . : 0
TUB/SHOWERS. . . . : 3 SEWER LINE (ft ) . . : 0
WPTER CI-OSET.:3. . : 7, WATER LINE: (ft ) . . - 100
DISHWASHERS. . . . : i RAIN DRAIN (f`: ) . . : 0
Remarks : PAT'-i I
OWNER:
BRUCE TILLEY TIF $ 1590. 00 B 12/15/95 95--27398
142:10 SW 121ST AVE SSM $ 180. 00 B 12/15/95 95-••2739A9
SWM i 11710. 00 B 12/15/95 95••-273989
TIGARD OR 972 :4 ELCF $ 185. 00 B 12/15/95 95-•273989
Phone #: 37»'--9332' EL.C5 $ 9. 23 13 12/15/95 95--:::73989
EL.7P' $ 40. 00 B 12/15/95 95•-273989
Plumbing Contractor:-_-__._____.______ ELR5 1, 1:'. 00 0 12/15/95 95-273909
+� n �Ql� � BP'RT $ 630. 50 B 12/15/95 95-273989
Name: Cl P _ i.4�__..._. RPI_.0 $ 409. 83 SON 11/28/95 95 . 732-171
Addres
� d_ /4"'/..' �.y.....____ _.._ _. P5P'C $ 31. 53 P 12/15/95 95-x'73989
.�.
CitY : _ __ . __ 5t ate °tJJ.�-'� FLARE: � SO�Ii. 00 B 1^/I.Gi/95 9c;--c:7?,989
zips. J� ____--- ._,Phone#:. (� �� 4_ MPRT 45. 00 B 12/15/95 95--273989
R e q # Ad d i t i o n r�l fees n o t shown here. . . . . . . . .
REQUIRED INSPECTIONS
----_This permit is issued =subiect to the reg-
ulations contained in the Tigard Municipal Fc. oting Insp Low Voltage
Crrdp. ritatp of Ore. Specialty Codes and all, Foundation Insp Fireplace Insp
other applicable laws. All work will be done Post/Ream Struct Gas Line Inso
in accordance with approved plans. This Post/Beam Mechan Insulation tnsr)
permit will expire if work is not started Crawl Drain Gyp Board Insp
within 100 days of issuance, or if work is Plm/undslab Insp Rain drain Insu
susoended for mnre than 180 days. P'LM/Underfloor Water Line Insp
n Mechaoir_al Insp Water Service Irr
PlUmb Top Out Apar-/Sdwlk Insp
Electrical Servi. Electrical. Final
y Electricol Rough Mechaanicai Final
~
X. .. X.��-- , ��,�/�(p Fr ming 11.. Plumb Final
A1.1 horiz:ed Plumbing Contractor Signature
Call for inspection -- 639-4175
`� Contractor Notes :
E Joe.40
Carlson Testing, Inc. 17 - zo- 9s
P.O.Box 23814 Tigard,Oregon 97281 P ECT
Phone(503)684-3460 FAX#684-0954 e ,( 1A t h jl/
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TO ' � CONTRACTOR OWNER a s
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PRESENT Al SM
THE FOLLOWING WAS NOTED:
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COPIES TO
SIGNED
Information contained herein is not to be reproduced,except in full, without p ' r authorizatio I from this 0
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