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r CERTIFICATE OF
I GiARD
OCCiJF�ANCY
CITY OF To, PERMIT :' #. . . . . . . MST9.`"►-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/07/96
13125 9W Hall Blvd.TI9r►d,Oro9on 97223.8199 (503)639.4171
PARCEL : 15135AD--REE'D3
SITE ADDRESS. . . : 10829 SW HALL BLVD #1&, 4
SUBDIVISION. . . . : ZONINGS �
BLOCK. . . . . . . » . . . I.OT. . . . . . . . . . . . . s
......------------------------------- -------------------
CLASS OF WORK. :NEW
t TYPE OF URE. . . :DUP
1 OCCUPANCY GRP. -SM 9-6
OCCUPANCY LOAD s 2
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Remak-14%t PATH I DUPLEX
Grading to be done, weather, pet-mittirin. �
Owners -------------------------------------
COVEST PROPERTY CORP
1 1 1 MAIN :,T
VANCOV17R WA 98660
Phone lis 1-503---223-730
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Cont ral,t or s -------------------------------- {
R X R INERGY RESOURCES l
10355 W PORTER f
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PORTLAND OR 97225 {
Phone k: 292-5051 f
Rpy #. s 71865 i
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This Cortific:ete grants occupancy of the above referenced building or portion `
thereof and confirms that the building has been inspected fer^ compliance with
the State of Oregon Specialty Codes for the group, ocCIApancy'l and nese � nder
which ti-io ref erpnczed permit warts isslied.
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I UILBIN1 `INSPECTOR BUILDING QI"FlCliW/
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a POST IN CONSPICUOUS PLACE f
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CITY OF TIGARD BUILDING INSPECTION NOTICE ;r
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
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F^_undation Water Line Ceiling -Plumb. ;,+
Post/Beam Mech. Shear/Sheath Framing
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.
fQ,
Other:
Date: -3 A.M. P.M. Entry.
Address:
Tenant: Ste:__— MST:
Con/Own: �_ BEC :
PLM
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ � �a, �•: 'w ,'h�
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'Inspector: Date:
`APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE 0 J--
Inspection
,
Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in q
9 pprlSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Rough-in FINAL-
Post/Beam Mech. San, Sewer Gas Li,ie
-Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insu,ation
-Mech. �
Underflr. Insul, Shear Wall
j GYP• Bd. -Elect.
Date Requested: J `j
l Time: gM PM
Addrecs; :2 �
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Builder: _Permit #: / - C c� ✓� ;
THE FOLLOWING CORRECTION ERAS REO UIRED:
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Inspector:
Date
„APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
____Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
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}�h} l kg*lll Footing Susp.Liling S rink. Rough-in APPr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
f Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear W II Gyp. Bd.
Date Requested: Ti;na: AM PM
Address: G�
R�- (Z 2k
: Z 62 P
Builderermit #:
1 " THE FOLLOWING COR IONS AREQjJLBE
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Inspector: Date:-
APPROVED ^DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
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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 Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall I Gyp. Bd. -Elect.
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Date Requested: ^2- '�1 (,., Time: , AM PM
,Address:_ '` --� 1 ok -k
Builder: Permit #:
THE FO LOWING CORRECTIONS ARE REQUIRED:
aY 5t r s BC r'Y v �/, v may/ J ,Alf -
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Inspector: Date:
—Apr- ROVED _DISAPPROVE D`—�APPROVED SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 C j
Inspection-
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foun&rion 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 <Gy . / -Elect.
Date Requested:AOJW ` Time: AM PM
Address: /C)Pei-�-(7 S�y
Builder:,__ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date: 6
OVED _DISAPPROVED `APPROVED SUBJ CT TO ABOVE
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-Call For Reinsp.
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CITY OF TIGARD BUDDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 619-41i5 Business Phone: 639-4171
Inspection: �) w
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/Bearn Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation �: -Mech.
Underflr. Insul, Shear Wall Gyp. B_d,� -Elect.
Date Requested: I Time:"M PM
Address:
Builder: ,S _ �f
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
P
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IrR Y 5if i #Q i tyy9�T.b 1.,
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Inspector: Date: 1
APPROVED DISAPPROVED _APPROVED SUBJ CT TO ABOVE
+ _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTIC15"�
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 Strict. Plbg. Top Out Eloc. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg,
Plbg. Underfloor rn raip_ Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ,
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Date Requested: Time:,4AM PM
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Address: I 0 9 42- l=
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Builder: Permit #:)'Y(
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t IY 4:
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I I ecto Date:
PP VED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Hoc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: y �� r
r
Fooling Susp. Ce ing 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.
Alai n Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ Time: AM PM
1 / �
Address:
Builder: Permit #:ZLK_4; .�,�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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I1ns/pecto,2§— Date:___
Y APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
` Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,
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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 -Piumb.
Alarm Water Line urw�, -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 1� �-2 I Time:)(AM PM
Address:
Builder: Permit #:(Y)JTgS-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ct
Inspector: Date: \V
PPROVED _DISAPPROVED +APPROVED SUBJECT TO ABOVE AA Jr'
to eke-',is
_Call For Reinsp.
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CITY OF TIGARD BUILDING INS)ECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection. t4,=zt6 0`e41.�e i'YVL2C
Footing Susp" Ceiling Sprink. Rough-in �ppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough- Fireplace
v
Post/Beam Struct. plbg. Top Out tLh'v Elec. Rough-in �ti FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain rami -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect. '�'�
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Date Requested:� Time:4AM PM
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Address:
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Builder: PeFmi�#: GHQ
THE FOLLOWING CORRECTIONS ARE REQUIRED: C }
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Inspector: Date: 2i (v
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE I ,,
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
j Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639 4171
Inspection: iLyl _l4/1 J t.C��_.�- _LI`-�'1—J •
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pibg. Top Out Elec. Rough-in FINAL:
Posf,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: ( ? Z C0 Time: AM r'vi �
Address: It a .
Builder:_`�" �. �� �; 7 akfL� ,Permit #:EL(f C, <-- U 3��
THE FULL0ININGCORNS ARE REQUIRED:
Inspector: =-7- , D �� �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BJILDING INSPECTION NOTICE A
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ._
Footing Susp. Ceiling S rink. ROUqh-in APPr/, ik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
y4.
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 Water Lii_g.� Insulation -Mech. 41
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �s ' I c S ,
Time: AM PM
Address:
Builder: Permit #.: 5 r
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-i HE FnLLOWING CORRECTIONS ARE REQUIRED:
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I�nsp�ector: Date:
•' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE •
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 (�\
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Inspection:.
Footing Sus 0
P• Ceiling oprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rouqh-in Fi,eplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water L rie Insulation Mach. aw
Underflr. Insul. 75
Shear Wall yp. Bd. / Elect.
Date Requested: C
Time:--XAM PM
Address:_
Builder: - Permit #:
T-�-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
Date: /
PPROVED _DISAPPROVED ROVED SUBJECT TO ABOVE
-�-� _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE e
Inspection Line (Rec-O-Phone): 639-4175 Lousiness Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Slruct. Plbg. Top Out Elec. Rouqh-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Und�erfl;Tsul. Shear Wall Gyp. Bd -Elect.
Date Requested: Time:_ _AM PM
Address:_A — - c_ w
Builder. /may_) O [ D' 7 ��Permit #:
THE FOLLOWING CORRECTIONS ARE REOU!RED:
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Inspector: Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp �' �' ��'
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 J� w
W
Inspection:
Footing t
n Sprink. Rough-in AppriSdwlk
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.
Under .lr. Insul. Shear W II /Gy^ i
p__-Bd. -Elect. MW
Date Requested:_ / r C
Time: AM _ PM
Builder: �i Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-�_
Inspector: 1 l <
Date: 7
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_
Call 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:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Ibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Unded1r. Insul. Shear Wall •
� Gyp. Bd. / -Elect.
Date Requested: 161 L� 5— Time:t AM PM
Address:_ 61 �jelf,
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:--�s���
_ Date:
�PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line (Rec-O-Phone): 639-4175 Bu^'ness hone:
639-4171
Inspection: '
Footing Susp. Ceiling 4prink. 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 G s Line B.II
Plbg. Underfloor Rain Drain /•!—/-6ami 9 (�.L�r= Plyrf '�
Alarm Water Lineesu ation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: /,�,', °- c: —
_ � Time: AM PM
Address: GEL
Builder. _ %J Permit #: � 0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: = / ��—
�,. Date:
�PPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Oil"400
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
�I
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslabech. Rough-in Fireplace
_0 Post/Beam Struct. Plbg, Top Out ec
. ough in FINAL:
_ San. Sower Gas Line -Bldg.
g. Underfloor Rain Drain Framing � Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Inst:l. Shear Wall Gyp. Bd. -Elect.
Date Requested: �( "1 (C Tim., __AM \KPM
Address: ZL'
77
Builder- ZY) Permit #:ol
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins /(---3pector_ _ a__ Date: /c �
!/APPROVED DISAPPROVED `APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE J
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection: f
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. RouCh-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain FTmin -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear/Wall Gyp. Bd. -Elect.
Date Requested: / U / (C Time: AM X.PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A, `"�,•l
t
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Inspector:wL -- _ Date: t ( L
_APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
Call 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. klnderslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out '�' o'ug h-ir�) FINAL.:
Post/Beam Mech. San. S,4wer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water L ne Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: PM
Address
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Builder: y 4 Z U Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inser,or.��—
,1 APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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Community Development ELECTRICAL PERMIT APPLICATION #
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # SLC. 115-1L4 Cc r
Phone (503) 639-4171
Date Issued 10 -
FAX (503) 684-7297 Issued by --------
CITY OF TIGARD TDD No. (503) 684-2772
I _
Inspection (503) 639-4175
1)Job Address: 4. Complete Fee Schedule below:
Name Of Development Number of Inspections per permit allowed
rr / Service included: Items Cost(ea) Sum '
Address IDSr�`f fQ ___3 _S ►^/ ,y�L C s
Ci�I/Stat@%ZI T�7,�y� �' 'n^� 4a. Residential-per unit 1 s-/ 4
`7 p 1000 aq It or lose E 1000 �7 0
Each additional 500 sq II or
Name (or name of business) ' ' L ow portion thereol $2500 ' c
Limited Energy $2600 2 M
Commercial❑ Residential❑ Each Manuf'd Home or Modular
Dwelling Service or Feeder $41800 '
n
2a1 Contractor Installatlon only: 4b.Services or Feeders
2
Installation,alteration,or relocation I
Electrical Contractor Z. R 200 amps or leas $6000 2
201 amps to 400 amps $8000 2 '
I Address D• P&-1C !2`—�� -- — 401 amps to 8 ^amps $12000
ty State Q Zip 2
Ci _�_ ��_ 801 amps to 1L`0 a,nfla $18000
Over 1000 amps it volts $34000 __ 2
Phone N0. _ .S�'� an�- rlG7 q�orn• f only $5000
Contractor's License No_ _ —
Contractor's Board Reg. No. !o _r 4c.Temporary Services or Feeders
Installation.alteration,or relocation 2 G
f 20n amps or less $5000 —_ 2
Signature of Supr. Elec n 201 amps to 400 amps $7500 2
License No.2 _ Phone No. - 401 amps to 800 amps $10000
Over 800 wnpe to 1000 volts
2b. For owner Installations: ree W;,hove
4d. Branch Circuits
Print Owner's Name_ New,alteration or extension per panel
t Address n)The fee for brach cirmits w/fh 2
purcha"of aervlce or boder W.
CityState ZIP—_—, Each hrarrh ciraid $5 00
Phone N0. b)The lee for branch circuits wffhouf
purchaw of eervke or beder Are. 2
The installation is being made on property I own which is First brawh circuit $3500 2
not intended for sale, lease or rent. Each additional branch circuit $5 00 _
Owner's Signature 4e. Miscellaneous 2
(Service or feeder not included)
3. Plan Review section (if required: Each pump or on circle $40 00 — 2 j
Each sign or oulunehne lighting $40 00 tt
Signal cimuil(sl or a limited eriergy 2
a Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000
_4 or more residenflal units in one structure Minor Labels(10) $100 00
Service and feeder 225 amps or more 4f. Each additional inspection over
�—System over 600 volts nominal
Iho allowable in any of the above
Classified area or structure ccntaining special occupancy
as described in N E.0 Chapter 5 Per hournrpon $3500
1 Per hour $5500
In Plant $55 n0 —
Submit 2 rets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees;
f ut-d
NOTICE 5a. Enter total of above fees $
i 5%Surcharge(.05 X total fees) $ -
Y PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _—
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter eline A for
1 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review
if required(Sec 3) $
Subtotal
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ��l1 $
COMMENCED LJ Trust Account N $
Balance Due $
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Cl ( Y OF TI GAPD kl Ct I P I l if, t-kylvlk N t till 1- L l1 W.J.
t.,i It:a.;t HMUUN I
NV011 R I:;UMI-'(1MY iml"'3t4 HMI k,)N i
Flt:►1.�1,! ' , t �'��.;+; ];" �ft+t I'H'7tilk- t lUll1W.r a 14�t; J
i ►•1141) 01+
POW 1(h,t• 1 It I'tt r 1.4 IV I f al;lI 11,41 N4 i 1 J. F l.iFil!t_c-;t. CiF 1-1f 1Yl~il-14 1 r APILu)i I I 1
El t:f':1Nll (,I I�'t Irt'+1l I t+tk'►« VI►I► y,I . t �itL �� 1 �
t
1.11 AI. AMOUNT PAID (710
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I a"iii"J F1�
lnspection:— r�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elac. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Undertloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. -
Underflr. Insul. Shear Wall ,.(;Zyp. Bd. -Elect.
Date FR q6A d: �/ Z-LF/C-t� Time: AM PM
Address: ` Z� e
Builder:C, -.RQ j —C��i+� Perm-?T:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
i
Afb CAN 4--
Inspector Dater
___APPROVED PCPISAPPROVED ^APPROVED SUBJECT TO ABOVE
�� 0-�,Call For Reinsp.
' +"���'"M�r 4 ; ' - r uhjw;N, '11�:�7+!J�}� aasVtt�!=e'ofbM;, s. -..n.,a...,a•...�
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CITY OF TIO'ARD
FSTOW WORK ORDER �
BUILDU T DIVISION
13125 SW IIA► .BLV!).,TIGARD, OR 97223
539-4171
�
JOB ADDRESS: PERMIT #'
r l c� ��-- � GJ
OWNER: y CONTRACTOR:
YOU ARE IN VIOLATION OF THE FOLLOWING:
b
AND HEREBY NOTIFIED THIS _ _"L �
DAY OF _ ( ___, 19 � AT i M,
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISgS UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS N01ICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-.DO NOT REMOVE THIS NOTICE-
- • ;._.�..�,.- ------__--__
BUILDING INSPECTOR
... .'....sw.•'M.l�..++n.u.�'w..nR.1f vnfl-1�.'M1HVIlr��.
CITY OF TIGARD
4
I
STOP WORK ORDS
BUILDPNG DIVISION
13125 SW HALL BIND.,TIGAR1), OR 97223
i 639-4171
--RMIT#: / ,�
J013 ADD -SS: —
i OWNER: Ntl'RA ,fOR:
U ARS IDi �t'O!„AT ON OF THE FOLLOWING: e
AND HEREBY NOTIFIED THIS _ �` DAY OF r
19 :�__, AT M,
THAT NO MORE WORK SHALL BE DONE ON THESE PREM�S HALL BE MADE WITHVE IN TION HAS
NTIL THE 41BO
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS
DAYS OF THE ABOVE DATE. FAILURF TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REMOVE THIS NOTICE-
.
BUILDING INSPE(-TOR
i
i
�I
I AU-,M- 16-195 TUE 6 : 45 JAMES a . P I ERSON , INC _ P - 01
I I
August 15. 1995 I
�,cPucru,�
I
James G. Plicirson, Inc. .
i City of'Tigard, Oregon
llureau of BuildingsQ1�y_ t►�,
N4�
I
DUPLEX AT
10829 & 10843 SW HALL BLVD.
FOUNDATION OBSERVATION REPORT
s
I
To Whom it Nfay Coacerm
Thia morning I observed the: excavation, lurm work and rebar placement for the proicct.
The lbotings Dear on firm native soil which will adecluatcly support the structures.
(ormRs and wee..ds which have. grown since th-' exc,rvatiun will be remuvecl. i
" 'l'he Cooting thickness will be 11" or greater which exceeds the specilled depth. '
The reinforcing steel is prolxrly positioned and tied.
r
The (istinly*s and foundation walls acre li►rmed with 2 11's which will subsrfluernly Ix used in
( the frtn►ing. The top of the listing is anchored by transverse• rebar which will ne►t rllect the
nruetural integrity of the 1'0undation. The concreu. will splay out each side of the Y x 11 li►oung
rermK at the south end where grade falls off. This proc•cclurc saves additional formwork and will
not impact the load-twaring capacity of the footings.
r,
I.
1-ill will be installed around the buildings iwinging hradr up w 1'- :3' tl►ovt• the bottorn of the
footings, insur-n6 adequate frmt prowction.
I takr no exception to the l6nndation installations whirl► will more than adc•cluaiely ,cu1port the
proposed structures.
5inc.c 1 Eu neo'tt
4
,OREG0 '
0
1�
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Job Truss Trams TYpa Qty Ply —
4575
S1 HOWE 19 1 BILI.F._En U238751
3.200slil•r h►c�10:42:14 1 O'3 rrp•1 • •
11:46-1.12 112:" 2-kl2Is-" 1 2&10.4 26,40 0-1-10-1 3w—
14W
t
1.6-0 6-1-12 5.Vt0Afit'2 6.104 6-104 0-1-12 06104 6.1-12 1.6-0
i "� � 5x0= •
8
4x6:;; 4x8
l 4x8 s 4x6 w
4 5/ ` 7 8 w„
f 40� 4x4
3 �t g
4x10' 15 4 -- 13 4x10�
2
0 •
1 16 5x8- 4x8= 8x8 12
1 4x1 = 4x18 11 r s
30 11 3x4 11
4.000—f2l&—r+
J 6.1.12 61Gt 7-06 1," 5,104 6.1.12
Plm(e Olhets(X,Y). j2:0-2-12,0:-0).(:1 r�i-8,a2.Oj,(9.v 1-810-2-oJ,(10:0-2-1$a2.0�(12.fl-5 410-1-8),f13.a3 8.0-3 8J,(15:0-3 fJ.0.3 8),(16:aS8,a1•aJ
LOADING(pso SPACING 240 CSI DER on) (loo) M# PLATES GRIP
TCLL 25,0 Plates Increase 0.92 TC 0.48 Yed(u) 0.5.1 14113 861 M20(20gs) I M148
TCDL 7.0 Lumber Increase 1.15 8C 0.78 Vart(7L) 0.7914113 575
BCU. 0.0Rep$tress Incr YES W8 0.92 Horz(TL) O.W 11 rah
8CDL 5,0 ( Code USC-94 Mfn Length/LL de11-240 Weight 229(lbs)
LUMBER BRACING
TOP CHORD 2 X 6 OF No,2 TOP CHORD 2-0-0 on oentar puMn spacing,
BOT CHORD 2 X 4 pP No.1 exempt and vordcals.
WEAS 2 X 4 OF Std'Exempt' ROT CHORD Rigid ooft filrectly opptlect or 10.00-00 on center bracing. j
16.2.2 X 4 OF Aro 1, 10-12 2 X 4 DF No.1 WF8 S 1 Raw*(ffVdpI S14, 14.7 `
}
REACRONS (lb&Wze) 1=I49U0-SQ 110149110.58
FORCES
TOPCHURD 1-7-1461.2-3-4454.3-4-4519,4-5-4519.&6--2343.0-7-2343. 7-8519,8-or-4519,9-10-4454, 10-11--1461
BoTCHORD 11-12-0, 12.13.4198, 13.144022, 14-15+4022, 18.14■4198, 1-104
WEBS 2-16-4087,3-18-•447,3-15'•38,5.1501393,5.14 -2068,6-14-1612, 7-14.2068, 7-13=1393,9.13a38,9-12--447 10-12■40157
LOAD CASE(S) Standard VAUi
Alk
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ORSGON
OwARN+Mo vni/y reed"pamawtore end RZAp McITa ON THIN AND PaVZWW ams arran us:.
ONyn veee IM u.e W*wlln W"e0nnee14Wr.110 60O19"h baeem Ont upon PalsmeNw lhowf%and b Id on hd1YMrel buedti9 component to be
rxlogd and lI I Aell""WOW ApploabMr M dedp PO"W'elom and props ImM0090104 W aal"PorwM 4 relP*nwwy d bukW4 dowpie,-not"use
dM.,>.er eracW9 Iherrn 11 for kfNlal VAMOd of ffldk%RW ureb r"embon Mb.Addelenal Nf"parary broelrl9 b tome AmbEy du"cenmweNw►MeNK
f"Oonwrlr of 1"e ereetar.Ad"""Pnrnane"I Yldefne of 110--W 0-ka*M Nle somo leV of Me butlh9 4Mftrel.for 9enerdMance
'o� o w6-femll.n quest e.nndl rere9e,mefwry.«�Mbn 0-M wseti9 monwe mei 0-e oaf.ler Mwltare o►,•M uMb+6 �0-r a MITeR IMwhMe,Int.
"aneMle r+rraarlll min Ifinehle e.•M►1"«d.n."a abeble f1e1"twr hey InmeMe.etas o onsets 0-e.,Medben.wl ee>».
Abl-
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone f1�71
Inspection: /
Foo?i Susp. Ceiling Sprink. RV-inFINAL:
ppr/Sdwlk
oundat' Plbg. Underslab Mech. Roreplace
Post/Beam Struct. Plbg, Top Out Elec. Rou
Post/Beam Mech. San. Sewer Gas Line -91dg.
Plbg. Underfloor Rain Drain Framing -Plumb.
�
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Rd. -Elect.
Date Requested: /`�S^ Time:�AM PM w
Address: /092-2 AW1
Builder: Permit #: ��2 _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Ts i 7
1
- I
S�2 c7�-tea y
'o,
Inspector Date:-v
_APPROVED DI5APPROVED _APPROVED SUBJECT TO ABOVE
i,�,,�IlFor Heinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business`}`- 639(4171
Inspection:__
oti� Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Fv
�(o ndati Plbg. Underslab Mech. Rough-in Fireplace
Fist/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. r
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: c���s � Time:__ZAM PM
Address-
Builder:
ddress Builder: _Permit #: '�JZ C�/Q
u P
THE FOLLOWING CORRECTIONS ARE REQUIRED:
20
1
Inspector: _ Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp.
,Y
1
NO Mi11111111i
i
J1fE WORK
P.,CRMI'r
CITY OF TIGARD PERMIT #. . . . . . . .. 5IT95 00 :8
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0B/14/ )!-`
13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)838-4171
TDARCEL: 151335AL-REED;..'
j
.,11"E ADDRESS. . . 108.20 SW HPALL SLV D #1&2A
1 SUBDIVISION. . . . : ZONING: •
NLOCf,. . . . . . . . . . . L 0 T. . . . . . . . . . . . . .
TYI?C OF WOFiK O)IEb PAV I N13?. :N RE130. INIO. : .
EXCV VOLUME. : c::y GRADING?. . . . . . . . :Y VALUE— $. 0
FILL VLLUMC. :200 Cy L_AND5CAP'ING7. . . . :N
ENG FILL?. . . . . . :N SITE PREP?. . . . . . ..Y d
SOILS RP''r REOD'1 :N STORM DRAINS?. : y
IMF'ERV SURFACE. . : sf �
Remarks : Addition of approximately 2410 cubic yards of fill.
Owner: __.___. _.,.___._______._.._._._____._.._.....__ _.._._ ___._.._..._w___.__.___._.__ FEES
CO° ESI' PROPERTY CORP' type amount by elate recpt
11 ', : !AWN ST P'RMT' t 33. 00 CTR 08/14/95 -
5PCI, $ 1. 65 CTR 013/14/95 _
VAf`JCOVER WA '".1f3C,G0
1-503-223•-7:30
Contract or:
R & R ENGRGY RES.
1035"J" 5W f='OI<'rC:fi
PORTLAND OR 9722;
$ 34. 63 TOTAL.
Reg #. . : 71.8.:5
REQUIRED I NSP,ECT I ONS - -�- - -
This permit is issued subject to the regulations contained in the Erosion Cuntral `_^ ___ _•
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with Fill Inspection
approved plans. This permit ,rill expire if work is not started UradinW Insp
within IN days of issuance, or if work is suspended for sore St.rm Drain Insp
than 16C days. Final. Inspec_tian
, e r-m i t t e e Signature .
_ .___.. �---•-_�._ ��.�M _,.._.._...__..._.._r..___.
Y
i' S5UerJ By :
Gall f'Or i n S Erection 639--4175
i
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i
•
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /(' , S CC ifLL ✓_.
Office Use Only
Subdivision: _• Lot#
j Contact Date I I Initials
!
Valuation: Result
I New Construction Only: (Square Footage) Planck/Rec # _
Permit#
House: Garage: Reissue of
Map & TL#
Comer Lot? Y j N .' Flag Lot? Y N Zone
l Plat#
Owner:
Address:
�� Approvals Required
/03� �~ S � ��'�
Planning Setbacks Solar
nZ'T.r t lj� . L,41 - y727 Engineering _
Other
Phone: t ���;`, 1 .,1`�,,Z-.io.57/ `—
4 Items Required
Contractor. /C /c. E�C�6 f _
Address: �c�,�C_1,2�ZcX Subcontractors
Truss Details
Other
Phone: Notes _
Contractor's License #
l (attach cii�py of current Oregon license) M _
Contact Name: C4,JLZ'
Contact. Phone:
Subcontractors: Architect/Engineer.
Plumbing Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION:
r
Applicant Si nature Applicant Phone number
Received by: _ Date Received: ( 7
Permit At Account Description Amount Amt. Pd. Bal.Due 1�
Bldg. Permit (BUILD) --,-
•
Plumb. Permit (PLUMB)
Meth. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech: _ {
Plan Check (PLANCK)
i
Bldg:
i
Plumb:
Mech: -�
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dew Charge (PKSOC)
Residential TIF MF-R)
r,
Mass Transit TIF (T1F4VM
Commercial TIF MIF-C)
Industrial TIF (TIF-I) —
Institutional TIF (TIF-IS) -
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) _
Erosion Cntrf Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
L.__ j
i
{
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i
i
CITY OF TIGARD — RECE'IP='T OF' PAYMF,*Ni' RECEIPT NO. {.C.00
(NAME: s W. C. R. COMPANY CHECK AMOUNT t ;3,4, 65 �
oDDRE SS t PO BOC 12564 CASH AMOUNT s 0. 00
PAYMENT DATE
PORTLAND, OR 97ir2 1 r? SUBDIVISION a
C-tiURPl]ti fJF PAYMENT AMOUNT P I D PURPOSE OF PAYMENT AMOUNT PAID
AllI L D I Nr P=FRM ..._..._._�...._..___.... ....�....._....._.._.......,..
33« 00 5T. HUII..1.) PFR 1. h!;
I
1 S I T95--0028 s
1
1
i
TOTAL AMOUNT PAID — .- _) 34. 65
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4
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639r 71
Inspection: _
."� Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
oundatio Plbg. Underslab Mech. Rough-in Fireplace
Post/Ream 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. -Elect.
Date Requested: �f/i Time: AM PM
Address:�0
Builder: T l ` 7 3 Permit #: 1 5
TH fOLLOWlr,G COFffGTIONS ARE REQUIRED:
�.---- ,mor' c�•c-c���r' �,c« s
I torr _ Dater
PROVED APPf�O/all
APPROVED SUBJECT TO ABOVE
or Reinsp.
II
l
F
...
CITY OF TIGARD
MASTER PERMIT
P°r'RMTT kl. . . . . . . z MST'35
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED; 0F3/1 1/Sc1 e
13125 SW Hall Blvd.Tigard,Or*gon 97223.8100 (503)639-4171
PARCEL; 1 1.321:35AD-RC:E:D,.:,
t~' S T'; I: ADDRESS,. . . : 10629 CW r-!ALi_. OLVLi #I&c:A
ZONING:
LOT. . . . �
. . . » ., . . . . . RAJ
II D NG
DWELLING~iY' BASEMENT. » . . . . . . :0 sf
C5ss OF' WORK. NEW BEWDRMS:8 BATF-15:8
GARAGE. . . . . . . . . . . 10811 S
Z - ❑� U f-, L. 1 oR REAS _........,. RC.[,UI RCD "'ETDACh.S..... ._. . ._-. .. . .._
?-0 IR:; . , . . : 160 1 S LEFT. . :20 ft RIGHT. ; 10 ft
OCCUPANCY GRP. R,3 SECOND. . . : 1600 tf FRONT- -' 15 ft REAR. » : 15 ft
STORIES. . . . . . . :2 F-I NBSMENT a r20 5f
HEIGHT. . . . . . . . .33 ft TOTPL-- _.._.__ ..._:.372 0 if SMOKE DETECTORS. :Y
FLOOR LOAD. . . . „44 psf VALUE. . . . . 2581+2+7 PARKING SPACES. . :2
Rem t,li< 3 : PATH I DUPLEX
PLUMBING
1INIi a. . . . . . . . . . :O FLOOR DRAIN"73. . . . .0 sACKr•LO14 PREVNTR . . -8 }
ff
LAVATORIES. . . . . :0 WATER HEATERS. . . :w TRAP': . . . . . . . . . . . . . . :0 4
TUL�/al(OWDR:I. . . . :(3 LAUNDRY TRAYS. . . :0 CA7CLi BGiS1:PJ I, . . . . . . :0
WATER CLOSETS. . :£3 SEWER LINE (ft ) . ::0 GREASE TRAPS. . . . . . . :0
-> WA o CR LINE (ft ) . .200 OTHrR r-I XTl_IRE . . . . . .0
GARDrIGE DISP. , . :,`' RAIN DRAIN (ft ) . :0
WASHING MACH. SF RA I PI DRAINS. .
MECHANICAL FEES
r'UEmI_. TYPES - — UNIT HTRS. . :0 type amo%knt Lay gate rer_pt
d /ELE/ / 1 VENTS . . . . . :0 TIF 3100, 00 B 08/11/95 95-269L5'i
MAX INPUT:V UTU VENT FANS. . : 10 1Wh1 i; 360, 00 11 00/11/95 95--269S,59
TURN ( 100K . . :0 HOODS. . . . . . ..2 SWM $ 200. 00 B 08/1 1/95 95-269259
I TURN ) =-100K . . :+2+ WOODST0'dES. :0 0PRT $ 830. 50 D 06/11/950 75--2f 9231 I
FLOOK FURN. . . . :0 CLO DRY.RS. a )q�F'LC F 5r9. y lG88/1,y.'�,1,
BOIL/CMP ( 314P:0 OTI4ER UNITS:: E'Jr'C t i•1. J i L Y. ..4
s GAS OUTLETS:2 PARK $ 1000- 00 B 08/ 11195 95-269859
__... __ .I1E'RT 71. 12+s� C, 08.111/95 9a 26'32 59
Own . -
'�? COVEfi-r P'ROP'E=RTY CORP MPLC .I 17. 75 B 08/11/95 95—cn9�'�i9
1 1 1 MAIN 5T 1 ,P'S, 4 " 5 1) 013/11/05 95'-269-39
PP'RT 450. 00 D 08/11/95 95•-269259
VANCOVLP WA 96660 P'Sr-C 3, 0 D +DC; 11/95 95 Ef�9G 'a
Phone #: 1•-503-223-730 EROS $ 176. 00 B 08/11/95 95--269259
Contra-,tor : _...__..___._-_.__._._____._____...�__-__.... ___._._.._ lifC $ 57. 20 I3 08/11/95 15-2--1,9259
R & P, ENGRGY RES. ERP'C $ 57. ,:.k B 08/1 1/95 95- 2692:,'3
10355 �iW PORTER 1
POR.TLPND OR 97225
PLlorie 4-- _'92- 511+51
Reg #. . . 71865
$ 6r127. 0C, TOTAL_ I
This persit is issued subject to the regulations containeu in the --- - -- REQUIRED INSr'CCTIONS — --
'igard Minicipal Code, State of (h-e. Specialty Codes and all other footing Insp Insp
;pplicable laws. All work will be done in accordance with approved Foundation Insp P'LM/Unclerfloor-
;aans. This pewit will expire if work is not started within 180 Wti- Proofing Dsm r'LM/Urider-fIoor
Sys of issuance, or if work is suspended far a re tPan 18 Sys. Post/Beam Struc:t Ftng Dr-lain Bsm' t
Post/Beam Meehan Mechanical Insp
er,m i Ltee Si at .it a _._ ost/Beim Meehan Plumb 'Tugs Out
l Underfloor in5�.t1 Plumb Top Out
a+_ta<d Sye , ��'y'f w Crawl Dr-airs Fr,4amint InsFl
Call for inspection 639--4175
FN I
! SEWER CONNECTION •
CITY OF TIGARD . IT
�'IWRMI"f #. . . . . . . : SWR95--121,�`50
R COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/11/95
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)930-4171
PARCEL: iS135nD-•RCED3 ,
SITE ADDRESa. . . : 10829 5W HALL BLVD #1&2,A
} SUBDIVISION. . . . : ZOl,4ING: �
pBLOCK. . . . . . . . . . . LOT. . . . . . . . . . . .
TENANT NAME. . . . . : A1''
r
q USA NCI. . . . . . . . . . : FIXTURE UNITS. . . :
' CI—ASS OF WORT ANEW DWELLING UNITS). .
TYPL. OF USE. . . . . :DUP NO. OF BU I LD I NGS i 1
IN5Tf11_L TYPE. . . . :BUSWR IMPERV SURFACE. . ; : 5f
Remarks ; PATH I DUr'L.EX k.
Owner,: F LESZI
? C0VEST PROPERTY CORP type amo;.Ant by date v c:pt
Js 1111 MAIN ST PRMT $ 4400. 00 B 08/11/95 95--269259
w INSP $ 70. IO 0 08111/95 95---269 ";9
VANCOVER WA 96660
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CoyltV-aCtor^: _.
h CONTRACTOR NOT ON FIL-E
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4 Phone #: $ 4470. 00 TOTAL
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_ - —-- - RE OU r RCD 1 NGPE=CT I ONC;
This Applicant agrees to comply with ail the rules and regulations Sewer- Inspection;
of the Unified Sewage Agency. The permit expi•es 119 days from
the date iss:eo. Trie total amount paid Nil; are forfeited if the
permit expires. The Agency does not griarartee the accaracy of the
side sewer lateral,. If the sewer is not located at the measurement
given, the instal;er shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a `Tap and Side Sewer" permit and the Agency w;'' ,tall a lateral.
Per~mi•t tee S.iy 1 o_ir,e :
Call for• inspection - 639 4175
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Residential Building Permit Application—action
"City of Tigard I i .� 1 ( �, I '
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 0 1 A
/v Y2- �� 3
Jobsite Address:
Office Use Only
Subdivision' ri�-UG/ Lot#
,^.► Planck/Rec #
Valuation:
Permit # ,I?5 ) 61 a �
Corner Lot? Y N
Reissue of M 5�gi>'-~G y 7
Flag Lot? /j Y J N
`-'•-'` Map & TL#
n C�
Owner: _�� Approvals Required
Address: /�( �` .� — Planning �tf lW -001
�V 0k Engineering
Phone: 0, —Z Z 3_. '�.j�'�' Other
Contractor: %1 � ��f 14 Items Required
fn :
Address: �' 310, � � C� Subcontractors
// y, v `�' / �l l ? Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone: j�l,i` t` �'( '4< / •�1 4-
Subcontractors: Arch ltect/Engineer:
Plumbing: ;f�u `` %� qF'� Address: dv Z S 1Y
Mechanical: >r l 4, r (s r fi .(.� / J L 1
(attach copy of current Contractor's License) Phone: � / LL /(Y2` y/y(
JOB DESCRIPTION: A>_,( ✓ ��C'&/P/1`_
Applicant Signature & Phone number
Received by: _ Date Received.
NiWORDTOMDBARESAPP
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Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 711 _ 7�.
State Tax (TAX) 7.S Y 7•S�f
Bldg: f j
1
Plumb: Z•Sv
Mech: 3•.),J
i
Plan Check (PLANCK) cY `� U 3U 7•��
Bldg: 3 FI 3
i
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 70
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) —S
— I
Residential TIF (TIF-R) ��i,v _ ��r�o
Mass Transit TIF (.IF-MT) y U
Commercial TIF (TIF-C)
Industrial TIF (TIF-i) _
Institutional TIF (TIF-IS) _
Office TIF (TIF-O)
Water Quality (WQUAL) C i
Water Quantity (WQUANT) _ 2o0
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) _f]�_ 174,
Erosion Planck/USA (ERPLAN) S 7.Lv ��26
Erosion Planck/COT (EROSN) J7 •y� _ _ S'J. 20
llI141 , No q�
TOTALS: .SSD _
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CITY OF T I OARD '- PF'CE=I PT OF PAYMENT $?E"C('.IVT NO. i 9l'1--269
CHECK AMOUNT 11047.l/-
NAME
1047. I'Y,,NAME a W. C. R. COMPANY CASH AMOUNT 0. �'Il,Y
y ADDRESS PO BOX 12 564 PAYMENT GATE s 08/11/95
PORTLAND, OR SUBDIVISION
97218--
PURPOSE
7c1c..•—PURPOSEa OF PAYME'N'F AMOUNT r-4.)I D PURr-`OSE OF PAYMENT AMOUN F VIA I i1
EILI I t_1)I Nth FYE RM
CIA 30. n50 PLUMB!NG PERM 450. 00
MECHANICAL PE 711— INA ST. DU I L_D PER 67. 58
PLAN CHECK FE 207. 58 58 riE"WER USA 41.00. 00
SEWER INSPEWC'T '701. 00 PARK, SDC 1000. 001
RLS I DENT I AL. T•RAF r I C F"E:FS 28601. 00 MASS TRANSIT TIF" FEES r'40. 00
HPC] QUALITY F AC I L I TY FEE 36-0. 00 HPO QUANT I TY FACILITY FEE 200. lao
EROSION CONTROL t FRMITF'ur 176. 00 EROSION CONTROL FLAN CK 57. 20
EROSION CONTROL. 57. 20
ALLl
1.01A29 & t0831 SW !-TALI_ 0i._.VD. — MST 95-0247
TOTAL. AMC'UNT PAID — — > 1 t047. 06
,._.1'+Yv '......,..rw...,w...nr..........-...i, ,M.LJ..:+:K.': "4:.. _......::L.�w ....:.,::::.<i+�".•++�'+w.............wM.r. ..-r,..-...
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CITY OF TIGARD
WV RIS ORDER /'
STOP O
BUILDING DIVISION `
13125 SW HALL BLVD., TIGARD, OR 97223
639-4171 C q ) !� L� lAI --e'
JOB ADDRESS: - t 11 _ PERMIT
OWNER: CONTRA("I'OR: ~
YOU ARE IN VIOLATION OF THE FOLLOWING:
AND HEREBY NOTIFIED THIS `'1_ DAY OF AT
PRE
THAT NO MORE WORK SHALL BE DONE ON THESEIMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHiN
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL. RESULT IN THE
ISSUANCE OF A :,IVIL INFRACTIONS SUMMONS.
-DO NOT REMOVE THIS NOTICE-
, , _;�• ��_.� :"';�::„"�-�_._ _�
BUILDING INSPECTOR
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O Frc�,t FINANCE/COUNTER, 8 Aug 95 15 : 54 aaa aaaa aaa as a aaaaaa as a 3 of 3 6�
°From: FINANCE/COUNTER ° 7
C .
°Subject :
0
°To: RICK '"
0
°X-To: rick, ken, tom,george
°Date : 8 Aug 95 15 : 54 :42 0
0
0X-pmrqc : 1
0
0
°RECENTLY I REQUESTED AN INSPECTOR TO GO BY AND CHECK ON AN ACCESSORY 0
°STRUCTURE BEING BUILT WITH NO PERMIT. I DON'T KNOW WHO WENT OUT, OR IF, 0 ,
°SOMEONE WENT OUT, BUT THE CI'T'IZEN THAT COMPLAINED WAS IN AGAIN TODAY. 0
r °PLEASE LET ME KNOW WHICH INSPECTOR WILL BE CHECKING ON THIS AND LET ME KNOW 0
°WHAT ACTION IS BEING TAKEN. I TOLD CITIZEN I WOULD RESPOND TO HIM BY WED. 0
°AFTERNOON.
0
°LOCATION: 10855 HALL
0
0
°THANKS, JEANNE 0
0 0
°STRUCTURE IS IN BACK OF THE HOUSE. °
0 0
0
0
o 0
<F5> <Del> Archive Copy Forward Headers Move Print Reply eXtract 69661
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