13350 SW HILLSHIRE DRIVE-1 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
:I Inspe,tion Line: 639-4175 Business Phonj: 639-4171
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Fnoting -3ain Drain Cover/Service FINAL: d j
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Foundation Water Line Ceiling
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PosfJBeam Mech. Shear/Sheath Framing ac
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San. Sewer Gas Line Appr/;dwlk Reins.
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Date: �(�._ A.M. P.M. nt r
7a1 Address: IT,
9 + Tenant: Ste:._ _ MST: ��l� rr
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Con/Own: y— O M, C.
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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4fAPPROVED DISAPPROVED/CALL FOR REINSP. CF
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CITY OF TIGARD BUILDING INSPECTION NOTICE '
Inspection Line (Rec-O-Phone): 639-4175 mousiness Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech Rjugh-in Fireplace
Post/Beam £t UL Mg. Top Out Elec. R)ugh-in FINAL.
Post/Beam Mech. San, Sewer Gas Li le
Plbg. Underfloor Rain Drain Frarr,ing -Plumb.
Alarm Water Line Insulation - ech.'
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ` :113 A 'S7 Timer AM �_PM
Address: t S3'; d --���C� -�r�_�-�.
Builder:=_ d� -_Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:, Dite:_�
APPROVED L feP F3QVED ",PPPUvtD `l-,B.ECT TO ABOVE
Reinsp.
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CITY OF TIGARD BUILDING INSPECTION MO-ICE Y / ""
Inspection Line (Rec-O-Phone): 639-4175 BusinAss Phone: 639-4171
Inspection: 0
Foot ng S rsp. Ceiling pink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Meth. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Po-t/Beam Mech. San. Sewei Gas Line
Plbg. Underfloor Rain Drain Framing lumb,`
Alarm Water Line Insulation
Unde,flr. Insul. Shear Wall Gyp. Bd. -Elect. I
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Date Requested: Time: AM PM
Address:
Builder:_ c, '? L f _Permit q:— G'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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el vInspector Date F
—APPROVED DISAPPROVED `APPROVED SUBJEC TO
ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639--4�4jj175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Boam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Meu 1. San. Sewer Gas Line -Bldg.
P bg. Underfloor Rain Drain Framing -Plumb.
Al irm Water Line Insulation -Meth.
Underflr. Instil. Shear Wall Gyp. Bd. ect.
Gate Reque d:__��� Time: AM PIM
Address: ( .N5,
Builder: �� -S Permit ci
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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.APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
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_Call For Rein-p.
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CITY OF TIGARD BUILDING INSPECTION NOTICE !
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
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Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
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Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
j Alarm Water Lino Insulation/ Mach.
Underflr. Insul. Shear Wal _ . -EI►ct.
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Date Requested: 2. 5' Time: AM PM
Address:
Builder: Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_Call For Reinsp.
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r �tw CITY OF TIGARD BUILDING INSPECTION NOTICE
Ins ection Line Rec-O-Phone 639-4175 Business Phone: 639 4171
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Inspection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
ti• r*� ;; s.. Foundation Plbg. Underslab Mech. Rough-in Fireplace
r 5 Post/Beam Struct. Plbg. Top OutElec. Rough-in FINAL:
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Post/Beam Mech. San. Sewer Gas Line -Bldg. ,
Plbg. Underfloor Rain Drain Framin Plumb.
Alarm Water Linensula'o/ -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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f Date Requested••_ �Z2 "C1 _Time: AM XM
Address.
BuiIder '1 ��.� E,�, L Permit #:
THE FOLLO'WI'NG CORRECTIONS ARE REQUIRED:
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Inspector:_ L,/L� -- Date.
1WROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE 1 ,
Inspection Line (P,ec-O-Phone): 639-4175 Business Phoie: 639-4171 VV'
Inspection:
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Foo,ng Susp. Coiling Sprink. Rough in Appr/Sdwlk j f
Foundation Plbg. Underslab Mach. Rough-in Fireplace "if ■
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 nsulatio��� -Mach. ' I
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Underflr. Insul. Shear Wall Gyp. M. -Ele
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Date Roquested: I L Z Time.
Address:_ l 3
Builder: e-)
'A,tit iPermit#:
THE FOLLOWING CORRECTION'. ARE REr�UIRED:
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Inspector: Date:
_APPROVED Z�ISAPPROVEDAPPROVED SUBJECT TO ABOVE
Call For Reinsu. I N
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CITY OF TIGARD BUILDING INSPECTIGN NOTICE '
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Ins action:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in F!NAL
Post/Beam Mech. San. Sewer Gas Line -Bldg. ,
P"bg. Underfloor Rain Drain Framing j Plumb.
Alarm Water Lineso1-a7io—') •/ -Mech.
Underflr. Insul. Shear Wall Gyp. Bd, Elect.
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Date Requested: ! Time: AM PM
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Address: 13 ?JJrU 1�-- J.-,-A SL
Builder: N LlJ � k,01^V10 Permit >f: 7 tj — Q 9�
THE FOLLOWING ECTIO
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Inspector: Date:_
_APPROVED -&ISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
l I Inspection: ,
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Footing Susp. Ceiling Sprink. Rough in /Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rou_ g—�� Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in 1/1') FINAL:
Fost/Beam Mech. San. Sewer Gas Line Bldg.
(-_Plbg. Underfloor Rain Drainraming / -Plumb,
Alarm Water LineMu ation -Mech.
Ir. Insul. Shear Wall Gyp.YP. Bd. -Elect.
Date Requested:__ Time: AM PM i
Address:
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Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
APPROVED _DISAPPROVED , '� 3GVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
�nspecti nil ine (Rec-O-Phone): 639-4175 Business Phone: 639--4171
Inspection: Wl t�
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Footing Susp. CeTtifig Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mich. Rough-ire Fireplace
Post/Beam Struc'. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Merh. San. Sewer Gas Line -Bldg.
Plbg, Underfloor Rain Drain raming Plumb.
Alarm Water Lire Insulation -Mach.
Underflr. Insul, Shwar Wall Gyp. Bd. -Elect.
Date Requested:__' Time: AM PM
Address: —
Builder:
' - Permit
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THE FOLLQWI,G CORRECTION ARE REQUIRED-
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Inspector:
Date: "
APPROVED ISAPPROVED ,'' cwt k
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``Call For Reinsp.
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CITY OF TIGARD BUILD114G INSPECTION NOTICE
a ! Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
Inspection: Com' yylQ•,� �� > � t r
r x i Footing SusP• Ceiling S rink. Rough-in APPr,'Sdwlk '
Foundation Plbg. Underslab Mech. Rough-in Fireplace r' ,+,or +' : 1
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. !' ,f
Underflr. Insul. Shear Wall Gyp, Bd. Elect.
Date Requested: 7/j Time:_&*� PM
Address:
Builder: �42 ?,e; Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:, �./_' _ Date:
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PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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Community Development ELECTRICAL PERMIT APPLICATION /
13,25 SW Hall Blvd. t
Tigard, OR 97223 Planck/Rec. #
Permit # F L C- SIS p t�'� 9
Phone (503) 639-4171 Date Issued 1- I I- 1;
CIT' caF TIGARD FAX (503) 684-7297 Issued by ,, j_ti,.\
TDD No. (503) 684-2772
Inspection (503) 639-4175 4
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development f//LL5 ,iE-EES f Number of Inspections per permit allowed
Address SN//Z IE D2 . Service included: Items Cc:A(ea) Sum I
City/State/Zip //��Q'�Ol� 7 .Z23 _ 4s. Residential•per unit a
'` 1000 sq it or lose $110.00 1
Name (or name of business) I� QklE� /'d/�EJ Each additional 500 nq It or 1
portion thereof $25.00
Commercial❑ Residential®- W r/1yN(y 6,0ctm Limited Energy $2600
Via/(. Each Manurd Homo or Modular 2
let r0 EN/ Dwelling Service or Feeder $158 00
2a. Contractor installation only:
4b.Services or Feeders
Installation alteration,or relocation 2
Electrical Contracto6;fg E r_-r4, Cw,_L" �- 200 amps or less �/ $6000 60. 00 2
Address P,o &X 3 99 201 amps to 400 amps SPO o0 2
Ctty_�oN��D _ ;_.tate Zi910 401 amps to 600 amps $12000 2
Sp Zo 801 amps l0 1000 amps $100.00 2
I Phone No. G '8 —13 � _ Over 1000 amps or volts $340.00 2
Contractor's License Nc. - /0 7C Reconnect only $5000
Contracior'S Board Reg. No. 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Stlpr. EIec'Ql` 200 amps or less $5000 2 I
Lice.lse No. hong o. amps to 400 amps $7500 2
401 amps 10 000 amps $10000
Over 600 amps to 1000 volts
2b. For owner installations. see'b'atrwe
4d Branch Circuits
Print Owner's Nagle New,alteration or extension per panel
Address a)The tee for branch circuits with
City State Zip purcho,o or serr/cs°•Isedsr too. 2
Gard branch circuit 550000
Phone No. b)The fee Inr brnnch cr.:uds wdthow
The installation is being made un property I own which is purchase of service or 1"cilor be 2
not intended for sale, lease or rent. Fust branch circuit _! $3500 _ 2
Each additional branch circuit $5 00
Owner's Signature4e. Miscellaneous
(Service or feed.:,not included) 2 !
.7. Plan review section (ii required): Each pump m irrigation c ru+e _ $4000 2
Each sign or outline lighting $40)0
Signal circuit(s)or a limited energy 2
Please check appropriate item and enter fee'n section 58. panel.asaralion or extension $40 Jo
4 or more residential units in one structure Minor Labels(IO) $10000 _�--
Servicc and leader 225 amps or more
Systein over 600 volts nominal 4f. Each additional inspection over
Class tied area or structure containing special occupancy the allowable in any of the above
as described in N.E C. Chapter 5 Par Insperaron $3500
Per hour $5500 _ .
In Plant $5500
Slrbmit 2 sets of plans with application where any of the above -- 1
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 9n• 0 0
51%Surcharge(05 X total fees) $ �,� -�-
PFRMITS RFr:OI,AF vein IF WORK OR CnNRTR1ICTION Subtotal $ -LD
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan view if required(Sec 3) $ X
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS suhroral $
COMMENCED ❑ Trust Account N $ X
! Balance Due
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CITY W r I GARP RECEIPT RT O P'AYME'NT RF'CE:I AT Nt1.
CHECK AMOUNT a 94. 50
NAME PSNR ELECTRIC, INC. CASH AMOUNT a 0. 00
At1*�FtEBS 1 20985 BUTTF:':V Il_l..l': RD. NE PAYMENT, DATE a 07/11/9
#
DONALD, OR SUBDIVISION a �
97W-'0--
PURPOSE OF F'AYME�.N'f AMCILINI PAID PURPOSE OF t''AYMEN'T AMOUNT PAID I
FEC,T'Ft16A N.E:RMTT 1�. 00 C3T. RI.II_D PER I
t
13.:350 SW Hil_.1...SHT.RC DR.
TOTAL. AMOUNT PAID — > 94. 50
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CITY OF TIGARD BUILDING INSPECTION NOTICE
I Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1
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 Requested: IZ& & Time: AM
Address: .�,Ae
Permit #: 7 r'/ _Uo 4_14
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THE FOLLOWING CORRECTIONS ARE REQUIRED: t
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Inspector. f c cr 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: ( � ( CTC C
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Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Outlec.-Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. M
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:�� 1 I i _�_ Time: AM __PM
Address: _�� �C:_� -.�� i C•\��
Permit #: ,�
THE FOLLOWING CORRE TONS ARE REQUIRED:
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Inspector: Date:
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICAT ON
13125 SW Hall Blvd, C
Tigard, OR 97223 PERMIT#— - �-
Phone (503) 639-4171 DAfE ISSUED --CTS _
FAX (503)684-7297 _-. _ --
TDD No. (503) 684-2772 � _J
CITY OF TIOARD Inspection (503)639-4175 ISSUED
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PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
3 3� S w 1-4, Usti erre- � r-
Address RESIDENT IAL—Restricted Energy Fee . . . . . . . . . $40.00
q-7 (FOR ALL SYSTEMS) I
City Slate Zip Check Tyne of Work Ind la ved:
PERMITS ARE NON-TkANSFERABLF.AND NON-REFUNDABLE AND EXPIRE IF WORK *
IS NOT STARTED WITHIN 180 DAYI OF ISSUANCE OR IF WORK IS SUSPENDED FOR —Audio and Stereo Systems
180 DAYS. ❑ Burglar Alarm tit
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2. CONTRACTOR APPLICATIONEl Garage Door Opener*
L /S ❑ Heating,Ventilation and Air Conditioning System* tit
Contractor C(� /J�V r-1, -1 _
G ❑ Vacuum Systems*
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Address J 3 V T Love tt �.-� El Other- ------------ -
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Date — COMMERCIAL—Fee for each system . . . . . . . $40.00 i
T --- -- �� _ (SEE OAR 918-260-260)
Property Owner A l L,?N - ! t?r Y Check Tyne of Work Involved:
Contractor's Board Reg. No. ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# S03 306 ❑ Clock Systems
3. OWNER APPLICATION CI Data Te"lecommunicalion Installations
[J Fire Alarm Inslallation
0 HVAC
j Print Owner's Name Phone
l� j Sib S Com_ / ❑ Instrumentation
Address ❑ Intercom and Paging Systems
2 �? Z.3
� ❑ Landscape Irrigation Control* +'
City State Zip ❑ Medical +
' This permit is Issued under OAR 918.320.370.Th's appli(ant agrees to make only ❑ 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 other transactions are exempt from licensing,These have ❑ Other
asterisks(*).All others need lirensinp). - y ——
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 for inspection
when the inspector is out to inspect under this permit. 'No licenses Are required. Licenses are required for all other Installations.
4. Assume responsibility for Assuring that all corrections required by the inspector
are done,and
5. Assume respnnsihility for calling for a final inspection when all of the corrections 5. FEES
are rompleted.
The person signing for this permit must he the applicant or a person a. Enter Fees $
aulhorized to hind the applicant.
1 L j b. 5% Surcharge(.05 x total above) $
Signature ✓J�(�a
TOTAL $
Authority if other than appli(ant
ENERGAP.CHP
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CITY OF T I GARD — RECEIPT OF P='AYME'NT RECE I PT NO. r95-267577
CHECK AMOUNT a 42. 00
NAME a ,TERRY, ALLEN R CASH AMOUNT t wl. 00
AT)�IRE:�3S TERRY, FLI IABETH L..YN11 PAYMENT DATE 07/0`j/9!,
PO BOX 2448 SUBDIVISION t ��
LONGMONT CCI 80502--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT P=AID
1 E.LE:U`TRICALK Pr~RMIT� � 40.00 LST HUIt_D PER 2. 00
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13350 SW HILLSHIRE OR
TOTAL. AMOUNT PAID - - - > 42. 00
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CITY OF TIGARD BUILDING INSPECTION NOTICI,.
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: — 4
Footing Susp. Cei ing Sprin . Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. bg. Topes ��t 1 Elec. ough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm
Water Line Insulation -Mech.
Underflr. Insul. Sheat Wall Gyp. Bd. -Elect.
nate Requested:
Time:. PM
Address: q�—
Builder: lL 2i lD 3 r� __ Permit #:
THE FOLLOWING O R CTI NS ARE REQUIRED:
Ins ect Uate:__�_e
APPROVED _DISAPPROVED ._APPROVED SU3JECT 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: �.�k
Footing Susp. Ceiling Sprink. Roug rib' Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. _Plbg. To OALL)Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Irsulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. I
Date Requested: /1��h Time:__AM PM
Address: ~� J. �.' y/�—�� �-1� ,, _Q_ .�
Builder. - 8, Permit# ��-�
THE F4aING CORRECTIONS ARE REQUIRED:
dP
Inspector/���/w� Date
I _APPROVEG _DISAPPROVED _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: 639-41 1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Elec. Rough-in FINA'-: '
Post/Beam Mech. San. Sewer Gas Line -Bldg
Plbg. Underfloor Rain Drain Framing Plun b. I
Alarm Water Line Insulation -Mec I.
Underilr. Insul Shear Wall Gyp. Bd -El,,;t. •
Date Requested. rime AM PM
Address: C
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i.
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I
Inspector: Date:
t _APPROVED __DISAPPROVED _APPROVED SUBJECT TO AF30VF
Call For Reinsp.
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I TiuARD BUILDING INSPECTION NOTICE 1
CITY OF '
Inspection Line (Rec-O-Phono):-639.4175 Business Phono: 639-41
o Irispection: 1
FWing. Susp.Calling +'''` Sprink.Rough-in Appr/Sdwlk �..
Fotirid � O`�►pdaOrsulfa -�7w`•-�:E,1.;. K� y., nf Fire Pa
PostlBemStucse,RM-r Y
""�r..•rq •
Post/Beam hldch. San. Sewdr 1T'n V"'„ ' `�„-••••••,r,
Plbg. Underfloor Rain FramIn01`?' r' Plumbs"
Alarm Water Llrlo; s;'+•` °'1naYlation.,_. Y�+Mwh
Underfir. Insul. Shear Wall Gyp Bd.
Date Requested: I l .. / S Timm:r• M M» PM 6
Address:
J ''�v;''i��/Q� r�, •'.
Builder: Permit 0:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,
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Inspector:
j APPROVED ____DISAPPROVED APPROVED SUBJECT TO ABOVE
r Call For Reinsp.
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POOR Q ALITY ORIGI AL
WWI.
TER
CITY01' TIGARD 1-DFRMIA:i#.. . . .. M TMST`•3''i...01 94
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: OS/08/97! i
13125 SW H.11 F!vd.Tigard Oregon 97223.8190 (503)839-4171
r'AFiCC:L.: 2�:;.1.04C:F'i -06L 0@y �
17!_ ADDiiL:a J• • • 1'23t121 SW I'1i1._L_"11IR._- DR
'U13DIVISIOIV. . . . : HILLSI.IIRC 7.ONI lG: R-7 PI)
•.. . . . . . . . . . 1_0T,
BUILDING
' R L'SLUE: DWELLING Ul f I T 3: 1 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. a ALT NEDRMS: 1 BATHS: 1 GARAGE. . . . . . . . . . :0 5f ;
TYPE OF USC. . . :ST'" FLOOR ARE:Ic,.___._ ... _....__. .._ REQUIRED SETBACKS-
TYF-',E OF CONST, :GN FIRST. . . . .0 sf LEFT. . : 111r ft iRIG1iT. :4 ft As e
OCCUPANCY GRP. .R SCCOND. . . :0 S rRONT. :.I.'0 ft RF_AR. . : f, f1.
S;T'ORIEvS. . . . . . . .0 FINBSMENT_:-"80 5f REOUIRGD
HE 1 GHT. . . . . . . . .. 0 ft TOTAL-- - :280 s f SMOKE. DETECTORS. :'f
Y. FLOOR LOAD. . . . :40 psf VALUC. . . . . i : 18105 P'ARK"NG SPACE B. . : 1
Re,maii^k� : finishing fa;iaement PATH T
PLUMBING
`1INKS). . . . . . . . . . v I rLDOR DRAINS. . . . :0 PACKFL_OW 1=PEVNTRS. . :0
LAVATORIES. . . . . : 1 WATER HEATERS. . . TRAP'S. . . . . . . . . . . . . . .01
I` '1.113/C f 1QflER�. . , • : 1 Lr-)UNORY TRAYS. . . :0 CATCH BAaI N 3. . . . . . ,. :0
WATER CLOSETS. . : 1 SEWER LINE_ (ft ) , :0 GREASE TRAPS:. . . . . . . .0
" C I SHWAGHE RFs. . . . WATER L I ML (ft ) . :.0 OTHER f-I XTI!REO. . . .
GARBAGE DISD. . . :0 RAIN DPAIN (ft ) . vii
1 WASHING MACH. :0 iF RtiIN DRriTN13_ IZ+
MECHANICAL ---_._._._.__.._ ._.__ __ _.__________.---_..__ FEES
FUEL 'rYP'ES-____._._...-__ .. _ _. UMTT F-ITRS. . :0 '.-ype Lnmol.tnt. 1Jy ciate r-ecpt
/GAS/ / / VENTS . . . . . :4 RP'RT S 13'1. 50+ SW 05/ a 3/9°:, -
' MAX 1rNPUT,-43 BTU Vr"PIT FANS. . : I. f:'T'I-C 01. 4 2 Jr) 05/04/'35 ')S- 265V'--S
?"URN < 100K „ . s 0 HOODS. . . . . . .0 B5P'C t. 6, 7.5 SW 05/08,'95 -
' F'URN ) =i'w 01, . . :li! WOOL•'"'-TOVES. ,0 MPRT t 32. 50 OW 7+5/OFa/0 z
FLOOR FURN. . . . :O CLC) DRYERS. 0 MP'LC $ a. 12 SW 05/08/95 -
. D-OIL/C PF':le,l' OTHER L,'NITS.01 MSPC $ 1. G? SW 0IS/08/'?5
GAC: OUTLETS: 1 PP'RT $ 36. 00 OW 05/08/95
' 01•rntar: _...._._ ._._ ._._. _. _..._ .... .....____.__ _ ...___..._ ..... __.P''JP't' 1. 8121 SW 0a/0(3/95
ALLEN TERRY
173501 SW 1!ILLSHIRL DR
TIGARD OR 97223
NORTFHWE~T DREAM HOME3
13906 TAYLORS CREST LN
I_-I1I111- OSWEGO OR 1)7234
Phone #e 636-6438 AUS
„r Ret? #. , . 86979 _.__...._._.__...___._.__.__._._.___.. ._. _.__...__.._._.__. ..
$ 300. 71 TOTAL
This pereit is issued subject to the rpgalations contained in the _._ REOUI RED I NSPECT I ON''
Tigard Municipal Cede, State of Ore. Specialty Codes and all other Footing In5p r)-aming Irrsp
applicable laws. All work will be !Ione in accordance wit, approved FokIneiation In3,1 Fireplace Insp
ians. This perait will expire if Mork is not started within 180 Post/Bc-am Stt,v `, Cxs Linc Insp
-ys of issuance, or if cork is suipe-.led for sore tha- :80 days. roe t/Be,am Mechcxm Insulattion Insp
Drain Gyp Enar d Inytj
rmitl;ee :�iynat;�_Ir-e : ndrzr'flnar Rlechranic:Fal Final
��"`� .chanir_al Insp Plumb Final
>StJed l':.y : �lls.I�.. ._ P11am13 Top 011t Bui l�iinll F'Ina
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Call foo in:election - 639-4175
AP
Residential Building Permit Application \GLS)
City of Tigard
13125 SW Hall Blvd. 1
a
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 5 �
A (I � �S �e/ � #�a � Office Use Only
�ubdiv�sion:
c� Planck/Rec #
Valuatlon: z��U
� Permit# ,Y11 Sf'�/). 0/y�
Corner Lot? Y �y�
�
Flag Lot? Y Reissue of��
Map & TL# 2 5
Owner: 6ll,KA) /ems 14 :4: &y Approvals ReguEred
Address: 3 1 P S axll,.,ee X Planning
Q/Z 9172-2-3 Engineering
Phone: U 3) D Other
Contractor: °r Lo- es Items Required '
.\ Address: �r-- 4A- Subcontractors
Truss Details
J 1? Phone: ��n- — ��� ��-� Other
Contractor's License #
(attach copy of current Oregon license)
( Contact Name & Phone Cl'
5 - 6 Ib Y-3
Subcontractors: Arch itect/Englneer: _
i Plumbing: b L,� _ Address:
I Mechanical: y
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: Ff/y/ S�/Y 8 4-rCM4A,T
i
Appli t Signatu & hone num — -
Received by: _ _ Date Received: ( i
oil
I WIN 4V "94
1
Permit# Account Description Amount Amt. Pd. Bal. Duo
fllff�1� Bldg. Permit (BUILD) 1W. "0 13a, ��— • ,
Plumb. Permit (PLUMB) .3 e,o �
!— I
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Mach. Permit (MECH) Z >� 3
State Tax (TAX) 16,
Bldg:
Plumb:
/ I
�
Mach: /. �P 3 •
Plan Chsck (PLANCK) - 5 1 q, 2
Bldg:
Plumb: /
Mach: L r
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
I
Parks Dev Charge (PKSDC)
I Residential TIF (TIF-R)
1
Mass Transit TIF (TIF-MT)
li
Commercial TIF (TII=-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
I
Water Quality (WQUAL) _
i
Water Quantity (WQUANT)
I Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
TOTALS: ZL
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CITY OF T I GARD RECEIPT OF PAYMENT RFCE I PT NO.
CHECK AMOUNT : 217, 36 �
r NAME s TERRY, ALLEN R. CASI.1 AMOUNT c x,. 00
ADDRESS s P O BOX 2446 PAYMENT DATC a On/06/9
LONGMONT, CO. SUBDIVISION s
" PIIRPOSE OF PAYMENT 41MOLINT PAID PURPOSE: OF PAYMENT AMOUNT PATI)
RUILDING PERM MST95-0194 134. 50 PLUMBING PERM 36. 00
MECHANICAL. PE 32.50 ST. BUILD PER 10. 16
KLAN CHECK FE 4. 2P
�d
q- t3350 SW H T.L..I.1SH I RE. im
4., r O fAL AMOUNT" FA IT) ; P17. 38
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CITY OF' T 1 CARD RFCET P7 OF PAYMENT RECEIPT NO. a 95–r 6"i�liiFl
CHECK AMOUNT 91. 33
MAME a TERRY,ALIEN R CASH AMt:UN'T 0. 00
,,IDriP I;S a TERRY, ELIZABETH LYNN PAYMENT DPTF s 05/04/95
GG BOOX E448 cls ):+7.vIG,ION
LONC)MONT W 805412-12-
PURPOSE OSE (I PAYMENT AMOUNT PAID PURPOSE: CIF P'AYME'NT AMOUNT PAIL)
i.A..Ahl CHE:GKwFE �—19R
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11350 OW HILL.gHTRE DR
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DEPARTMENT OF LAND USE&TRANSPORTATION I
LAND DEVELOPMENT SERVICES DIVISION
WASHINGTON
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415
OREGON xxxxxxxxx--> 640-3470
Page 1 of 1 II
Date 01/05/95 I „ I
Time 16 : 58 II
Permit 'Type Residential Electrical Permit Permit # 05062490
Permit Status APPROVED Applied U1/U5/9155 N
Situs Address 13350 SW HILL5HIRE DR 'TI Issued 01/05/95 II
Permit Title SF'R - ELEC;/BURGLAR ALARM Completed li
Permit Descr. To Expire 07/04/95
Project Title SF'R - ELEC/BURGLAR AI.,AHM Project # : P0046623 �)
Project Descr. * EROSION * N
Parcel Number 2S1TI - Land Use District
Valuation U
Legal Descr .
Owner INSPECTION - 'TIGARD Construction OTH
Applicant Name ADT C1asE,if ication : 900
Applicant Addr. : 703 NE HANCOCK Occupancy R3
PORTLAND, OR 97211 Validated by KF
Applicant: Phone : 284-3265 lnspector Area :
Fee description Units Nee/Unit Ext fee Data
-----------------------------------------------------------------------------------
Limited Energy/Alter./Extension 1 4U . UU 40. 00
Subtotal Electrical Fees : 40 . 00
State Surcharge of 5% 2 . 00
Total Electrical Fees : 42 . OU
*** Fees Required **A *** Fees Collected & Credits ***
-----------------;------------ ----------------------•---------------------- ;..'
Method Check # Receipt No. Date Payment
DEP01/05/95 42 . 00
TO'TAL 'THIS DATE ********* 42 , 00
Fees : 42 . 00 j
Adjustments : . 00 Total credits : . 00
Total Fees : 42 . OU 'Total Payments : 42 . 00
Balance Due: . 00
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NOTICE: This permit becomes null and void If the work or construction for which It Is Issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction Is Interrupted for a period of 180 days. 1 certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
Upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or struCtUre will be compiled with whether or not specified on the plenr nr noted on the plans correction sheets. I acknowledge that
the grantlnq of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupenry of
the structure or building permitted depends upon my ceiling for Inspections at varlou..'Imes during the process of construction end the building
Inspection staff verifying compliance with the various codes. U3e or occupancy of the building or structure permitted prior to)approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspectinn requirements are satisfied and
approval Is given by the Building Official. 1 further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfactlon of all Inspection requirements.
APPLICANT'S SIGNATURE
i
1
WASHINGTON COUNTY RESTRICTED
Department of Land Use&Transportation
Electrical First Avenue,
on
50 ELECTRICAL ENERGY
155 North First Avenue,#350-12
information:Hillsboro, Oregon 97124
(603)640-3470 Fax: (503)693-0412
APPLICATION
LI CATI C N
PLEASE PRINT b '
I I
e •10te 1//secticitis, 1 ffirotigliPermit No,
1. Location of Installation
Address /5')
!
city_ / Zip Code 4. Type of work: `
Map No. Tax Lot RESIDENTIAL Restricted Energy Fee $40.00
(for all systems)
Thomas Map Book: Page ! , `, Section `i 4
Directions Check type of work Involved:
io and Stereo Systems"
Commercial r Rr�sidential [ l-� Burglar Alarm
Telephone Systems'
Tenant Name '' Garage Door Opener'
(if commercial) _ Fire Alarm
Heating,Ventilation and Air Conditioning systems' i
2. Contractor application: Vacuum Systems'
Other
Electrical Contractor —
Address COMMERCIAL Fee for each system $40.00
City_ - State IZiPJ /1 4
I Date yam- '' Job Nu bar (see OAR 018-280-2eU)
Property Owneer�� V'-V41 t
Check type of work Involved.
Contractor's License No. T2 z(r 1V1 .
Contractor's Board Reg- No. - c Boiler Controls
Phone No. _ �31& t 3 Clock Systems
Data Telecommunications Installations
3. Owner application: Fire Alarm Installation
HVAC
Instrumentation
Print Owrer's Name Phone/No. Intercom and Paging System
—__ __ Landscape Irrigation Control'
Address Medical
Nurse Calls
City – State Zip _ Outdoor Landscape Lighting*
This permit is Issued under OAR 91e-320.370. The applicant agrees Protective Signaling
to make only restr:clad energy Installations(100 volt amps or leasl Other
under this permit and to do the Wowing: — ----_
1. Only use electrical licensed persons to do Installations where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks(„). All others need licens-
Ing.)
2. Call for an Inspection when all the Installations under this permit *No licenses are required. Licenses are required for all other installations.
see ready for Inspection.
3. Purchase separate permits fnr all Installations that are not ready 5, Fees
for tion when the Inspector!s out to Inspect under this
permit. Enter�cc� $
4. Assume responsibility for assumfny•hot all corrections required i`
by the inspector are done,and �)
5. Assume responsibility for collinglor a final inspection when all of 5% 8Urdher0e (D5--K. 0tal above.) $
the corrections are completed
The persoi,signing this or It rpft be the applicant or a person _ Trust Account $authorized to bind the p/ ont. --
Signature _ h/`--- Total $
Authority if other than applicant This permit becomes null and void If the work authorized by the
permit Is not commenced within 180 days from date of Issuance
For tr apeetlons call of such permit or If the work authorized Is suspended or abandoned
640-3561 or 693-4415 at any time after work is commenced for a period of 180 days.
Electrical Permits are non-refundable and non-transferable.
24-hour recorder, one working day In advan--e of need
BI_za-t1a
Yr.�IY:qutr�]WM:;
may;.
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INSPECTION NOTICE
Citi of Tigard Building Department.
13125 SW Ball Blvd. Tigard. Oregon 97223
Inspection Line (R.-c-O-°hone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab
Hoch. Rough-in Appr/Sdwlk
1
Found. Plbg. Top out Gas Line FINAI.�
Post/Beam Ftruct. San. Sewer Framing -Bldg.
Post/Beam Nech• Rain Drain
Insulation _ply
Plbg. Underfloor Nater/Line Gyp. Bd. -Asch.
Date Requesteds T s
RM 7 PN
Addrssa:�� "JL_- p f�� —02
11
Builder: % /(ZA f;" �l c ,-i'�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
La
Inapectoc:
_ / Dates
VVV""" —�.'�"�—�—`—Jr—►,-
;��APPROVED DISAPPROVED APPROVED SUBJE TO AROVE
C411 For Reinsp.
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CITE CERTIFICATE L
T I GAR PERM
OCCUPANCY
IT il. . . . . . . s IMST�3:� -Illiwir ' w
COMMUNITY DEVELOPMENT DEANF 'A NT DATE I SSUED t 12/10/93
13126 SW Hall Blvd.Tigard,Oregon 97223.8169 (603)830.4171
PARCELS ;?S104CA•--06600
ISITE ADDRESS— : 13350 SW HILLSHIRE OR
SUBDIVISION. , . . : 14I LLSP4I Riff Z ON I Nf3 t R- 7 PD
BLOC V. . , . , . . . . . » LOT. . . . . . . . . . . . . j066
CLFi:iCi OF WORK. :NEW _....____ .__.__......._._........._.__.....___.._..._._»._..._..__......____. �
rYPE OF.' USE. »SF
OCCUPANCY ORP. a R.3
OCCUPANCY LOAD t 223 4 �
i
TENANT NAME. . . s
I
} Remalrkwt PATH i +'
Owners
I
GE:OFF BOURUEO I G
1:3906 TAYL.ORS CREST LN
LAKE OSWEGO OR 17035
Phone #s 363-•-6438
Cont rarct or t
NORTHWEST DREAM HOMES
13906 TAYLORS CREST t_.N
LAKE OSWEGO OR 97035
Phone #t 636-6438 FLUS 4
Rey #., . t 86')79
Occupancy of the above referenced bUllding it; hereby given, and certifies,
the c:ompliam:!v with the State Of Oregon Specialty CodpA for, the group,
occupancy, and USB lander which the r-eferenced permit w is nued.
i
FIRE DE'P'ARTMENT TNG I� ' F...0 T L]R
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La(1T _I)`1P 0 ICIIc1L
6-arl! 1' TN CONSPICUOUS PLACE
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INSPECTION NOTICE
City of Tigard Building Department U
13125 RO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)a 639-4175 Business Phones 639-4171
b }
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Adwlk
Found. Plbg. Top Out Gas Line �Ijtlli,i,
Post/Beam Struct. San. Hewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
IVlbg. Underfloor Nater Lino Gyp. Rd. - h,
Date ResYuostod s ( LI �� r -TL.. --1 AM PM
Address r_ �? I 1 \ �j�l -r� � ara Permit 1 e /� - �� B
Builders_J V��` �a ,IVI 41 1v 4C 1 l !
TLM FOLLOWING CORNiCTIONS ARE 34tTIREDs
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Inspectors
v �� '�1--- Date:
r 'PRO'ViD DISAPPROVED APPROVED SUBJECT To AMM `
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phones 639-4175 Business Phonar 63.-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in ppr/Sdwlk
found. Plbg. Top Out Gas Lino FINAL: ,
Post/Beam Struct. San. Sewer framing -Bldg. I
Post/Beam Mach. Rain Drain Insulation -Plumb.
1
Plbg. Underfloor Nater Line Gyp. ad. -Koch.
Date Requested: 1- -1 -R.7 Time: AM PM I
Address: j �S/�F� Permit i=
Builders N'f• I/f-lt
:!IE FOLLONING CORRECTIONS ARE REQUIRED:
42
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Inspectorr_ ,� r _ Dater
f APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departomt
13125 8W Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone): 639-4175 Business Phonsr 639-4171 ,
Inspections , .
T..
Footing Plbq. Underslab Hoch. Rough-in App:/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL ,
Post/Beam Struct. San. Sewer Framing -Bldg. I
Post/Beam Hoch. Rain Drain Insulation ■
Plbg. Underfloor Nater Line q Gyp. Bd. -Hoch,
Date Requested: / Timer AM PM
Address: — }J�-��,�� � // / Permit #z
Builder: ,i'k�44ze
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4 .
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Inspectors _ Dote: �S
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPSCTl"' NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection: I
Footing Plbg. Undermlab Koch. Rough-in Appr/Sdwlk
1
Found. Plbg. Top Out Gas Line NAL
Post/Beam Struct. San. Sewer Framing g
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Nech.
Date Roqueeteds_ /) ' !� Tomes AN PM
f 3 3.56 D.. ..1 l4'.c� 93 o 2_43
Address ermit f:
Builders_ q7- 76,3
TBi FOLLOWING CORRECPIONS ARE REQUIREDry
7IC
W ✓l.� _ � 2C�C wv�rzv _ n �,-r - _. e
y
Inspectors_VT
APPROVED Y DIS"PR�OVED APPP'wxD SUBJECT To Am"
—�✓ Call For Reinsp.
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AWLCITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMB I NC:, P im I T
13126 SW Hall Blvd.Tigard,Oregon 972234190 (643)639.4171
{;'Fv}<rhI T it , . . . . . : Pi...M9 ...Oc'11 i
C,3!)'-"1i 171 DATE 1SSULD: Ori/x;:'9/93
� i
�,-rt ru)L}r L1. %i. ., SW
.;USI)IVISION. . . . : I I LL;;,ii 11,RE ZONINUa R'-•7 PD
Cf 41C); K. . »ACID C-AIRPAGE D t S�PC5ALS !I(JU I L_E I-iU>•'!t UP(-)CLG.
r I-,E OF USE. . . . »Sf- WASHING MAC:H. . . . . . . : BACKFLOW F'REVNTRS. . : 1
_:GCUPfINC'e ORP. V'LCJUR LlRfA! lei. . . . . . . H4PS. . . . . . . . . . . . . . .
T(�it lE i. . . . . . . . :2 wATE;k HLATE:.RS. . . . . . CA f CH BASINS. . . . . . ,. .
I:t7lJL i _. LALJNV1iY 1 F,OV'3). . . .. . . . LI HGllr`i J)F2PINS. . . . . . d
SINKS. . . . . . , . . . : URINALS. . . . . . . . . . . . GRE:ASL "TRAP~ ;: . . . . . .. .
tAVOTORIL-b. r . . . . OTHER1 XTLIRE 27). .. . . . .
UB/SHOWERS. . . . . SEWER LINE ( ft ) . . . . .
InTE'r• CL(ME TS. . WPP R ,-_J INE (ft ? . . . . c
D I SHWASHERS. . . . : RBA i N DRP I N (f t) . . . ,.
�emarky:
FEES:
r,_!Jt r Y m;J uEclnl t yp ± amr:+rant by Gat ca ec:p.
' 3906 TAYLORS CREST LN 15. 00 .7H 09/29/9:3 --
a(:L: 05w[..00 OR 970``3
hane 4. 363--643'a
L'
-INC:T T.i_ PLUMB J N{
6900 SW MERLO PD
+ AVER7"UN OR 97006
,')one $ 1S. 75 TO !`PL,
E4.184
RLUUIRED INSPECTIONS
'-is aercit :s isvied subject to tte regulatirns cma—.ned it the Rp/E;Ac1i t'l ow i-"e-pv
_._....----.-...__
;gArd Municipal Code, State of Cre. Specialty Codes and all ether Final inspection
ai.plicatle ;aks. All work will be done in accrrraanc'o with
;proved p:an;, This persit ►ril: exp.--e if horn ie not started
!tlin ,80 days of :ss+xce, ar G` Debi is susp.r.ded for sora �,____. _ . � _�___ ___._.w•_._
days.
i.
Call for, i.nrpe+etian - 639_.4.175
l
PLUMBING PERMIT 13125 sw HALL BLVD. ,
Y. O. BOX 23397
Applicants muni hold Oregon Registration to conduct a plumbing T I GARD, OR 97223
businessormust beproperty owner/operatornothiringoutside help. (503)639-4175
(�— Name d Oevebpmern
- Plumbing Permit No.
Address / Dexnptwn I
ORS 814-21810 _ OUAN. PRICE AMT.
Job Tax Loi Map.No. 1
Address FIXTURES
Lot Block StAxIvlslon Sink - 7.50
7.50
Kvne(0 name c L G lavatory
.7u(1 C t�i�) 7� Tub orTubtShowerComb. - 7.50 ,
:urq rasa Shower Only 7.50
Water Closet 7.50
Owner ity/Stele zip 7.50 ■
Dishwasher --
p'O^° GarbagoDispo;al
WashingMachine - - 7.50
Name
Floor Drain _ 7•50
Ong Tess Phone Water Heater _• ,._- 7.50
Laundry Room Tray - 7.50
I
Occupant c 4ty/State Urinal 7.50
Other Fixtures(Specify) 7.50
1 /L�V/1�NN'1 G• --7.50
�-Phonee 7.50
7.50 j
Contractor Clfy/State ZIP
/ L f G �j 1 D(r MISCELLANEOUS
C" City Bue.Tax No. Sewer 1 st too. 3o.fXJ
Sewer-ea.Addis.100' 15.00
to :n. State
(Residential)/,P - t1'6 Water Service 1 s11 Co' 20.00
—1-thea=intomsaUon Water Servios ea-f ddit=r 15.00
I hereby acknowledge tiiat I lave read'this appNeatI 1hs1
given is oorrecL tial 1 am regWored with the State Buklers Board.sort also Storm b Rair.Grein 1 st 100' 30.00
haw a State Pkrrnbktg iosnse got dw4 numbers given are Correct that ON 15.00
pkunbNV work wr■be done in accordance"Join applicable provisk r4 d Ore- Stone 6 P nin Drain Addil.100'
gon Revised Statutes Chapters 417 and 893 and""cable Codes and that M"te Home Speoe 25.00
no help wo be wrrpbyed unlev�licensed under ORS 69M(M exempt from Back few Prevention
Stab regklkx
trat Please give reason bsbw)• ?evice or Anti-Pollution Device 7.50
HOMEOWNERS-I hereby certify 9W I am the owner of the property do-
scribed above.at wfnldn locallon 1 pvposs to make a pkxTi*V inslaYetbn for Any Trap or waste Not
my own use and this property is nal bekV corssbucsod to sale.tease Or rent. Corrrectied to a Fixture _ 7.50
Ce"_Basin 7.50
- —� tnsp of Exist.Pkxtnbing 40.00 Per Hr.
-- Gpeeiany Requseted Inspedlpu - 40-00 Per Hr
- A%w,of Pkxrt*V within /
an E�ia*V BkV, --- 1 S.00 nen. 4
-A[dun*mmtz_Fo siaNATURE Date Now Bldg.or 84M.Addftlrxr 25.00 mks. -
_Rain R.ain�sir le fa ml -Describe wale now❑ addition[] alteration❑ repair n CIA111713 15.00
tq be clone residential F1 noon-resklentiel
Elds*V the of
btffidkVorprwody------.____-- ---_---- --- - SUB-TOTAL k
Propowu" J -_-58 SURCHARGE - --
aptvpetty--- __--_-_ _-- _. _- 25% PLAN REVIEW
NOTICE - - - -
Tris pM., beoornee null and Wold 11 work or oorulru�n reutlwU*d Is not com- TOTAL
Ment d woldth 180 dayaror M oondru$bn or wakte MuepermW or sbbndoned Ics
a period d 190 deya at any tow a?1a.work is oornwrw vorl. '
■MCSAL ooNOmofta
Ox104 Witted by -_ -- ---
G ( �
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CI'T'Y CIF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s93—c:44645
CHECK AMOUNT 15. 7
NAME . ANCT I I_ PLUMBING CASH AMOUNT 0. 0�I
1
ADDRESS . 16900 5W MERLCI RD PAYMENT DATE
SUBD I V I S 101\1
BEAVE.RTON, OR 9 7006--
F-4IJRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
F,L.UMB'ING PF"RM� 15. 00 FST. BUILD PER 0. 75
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13350 5W HILLSHIRE
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TOTAL AMOI.IN'F PAID
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F7
INSPECTION NOTICE
City of Tigard Building Department
13125 OR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)1 639-4175 Business Phone: 639-4171
1
Inspections
Footing Plbg. Underalab Hach. Rough-in Appr/Sdwlk I I
I I 0
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. ' I
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: -93 Times -AM PH
Addre,.es_ "—y _ Permit f
i
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
A i
ii
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Inspectors _—_ Dates
/_'� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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1. I
INSPECTION NOTICR '
City of Tigard Building Department
13125 eO Ball Blvd. Tigard, Orwgoo 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171 ,
i Inspections __ I
i
Footing Plbg. Onderslab Mach. Rough-in i Appr/Sdwlk"\
Found. Plbg. Top Out clam Line FINALS '
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post'Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -Mesh.
Data Requesteds Times AM __ PM
Addreass .S$12 /4/C L t�,C " Permit ie I T
Builders i�•' !� ��iE f �• -f
-t
TBR FOLLOWING CORRECTIONS ARE REpUIREDs
{
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61ccMdog7,z" �Sn 2 I� '�,ZE
�� �- � D?-rot' To
P60,02
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&AI Ci-XI r((A7 F
Cz uBQ�lc c/ �N i i� r v-ilc41 i
/Tam[[� c,
Inspectors , LLy, -azeyi-4 J Date:
_APPROVED 1 APPROVED __ _ APPROVED SDBJECT TO ABOV1,
Call For Reinsp.
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00 0,111,11111
INSPECTION NOTICE
City of Tigard Building Departamt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections 11Li (1��1• --- '
lofting Plbg. Undorslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Roquested: Z,_ ( �� Time: AM PK
Address: ( ��^'7S O .`I l(�a�IRI r r . Permit #:
Builder: 1" ' Cy,JUJI. -
THE lOLLONING CORRECTIONS ARE REQUIRED:
yl—L:)
Inspector: _ _ Date:
L/APPROVED J DISAPPROVED V, APPRO1rRD SUBJECT TO ABOVE
Call For Roinap.
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• INSPECTION NOZICE
City of Tigard Building Departeent �o✓QQ
131.25 SW Ball Blvd. Tigard, Oregon 97223 rr !1
Inspection Line (Rec-O-Phone)t 639-41.75 Business Phone, 639-4171
Inspection:
I _
laot:ing Plbg. Underslab
Mach. Rough.-in A r w
FPSdlk/ 4
Found. Plbg. Top Out Gas Line
FINAL,
Post/Beam Struct, San, Sewer
Framing -Bldg.
Post/Beam Nech.
Raln Drain Cittsalatloe' _Plumb.
Plbg. Underfloor Water Line Gyp, Bd. -Mach.
Date Requestads �( Cl Time:_ AN pM �
Address:
\ Permit
Builder
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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2 a, \ act f
IZ
it 0 c
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Inspector: -LL_ C
Date: (1 L j
APPROVED DISAPPROVED APPROVFD SUBJECT TO ABOVE 1
For Rainsp.
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1 V"
INSPECTION NOTICE 4�
city of Tigard Building Departaent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain �/ Insulation ' ) -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: T _Time: AM _PM � '
1 t // ■
Address:
1 , �7�� 1-�� n �„--Q Permit �:`=�3- V Zai
Builders N oj
THE FOLLOWING CORRECTIONS ARE REQUIRELs
°ti's
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1
Inspectors �N -�- Dates
APPROVFD DISAPPROVED __L/APPROVED SUBJECT TO ABOVE
__Call For Reinap.
li.
'17,71M."T"FrM 77T
Ask-
■
INSPECTION NOTICE
City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Re.-.-O-Phone)s 639-4175 Business Phones
^639-4111
Inspections I Vi'''a.,
Poot•.iny Plbg. UnderslabNech. Rough-in Appr/Sdwlk
Pound. 1r� Top out (jam Line IINALs
Past/Beam Stru t.j San. Sewer `Framing) -Bldg.
� e .-
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line 0". 13d. -Koch. I
Date Requested:_ LJ Times i1M Pll
1 I 3 -v `- ■
Addreeu `J_a//`--J�� tl C\/(���_ �. Permit fs c- j
Builders
TAt FOLLOWING CORRRCTIONS ARB RBQUIREDt I
If
AM
V. 'l C, 1 .� c 2J L. ,i. C - c�' t_1
Inspectort / -- Dates
APnPwOVSD DIBAPPROVED I/ APPRm-srs susimar TO mmm
_Call For Reinsp.
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INSeNCTION NOTICE 1� 1
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223 v1 '
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171 4
Inspection:
---
Footing Plbg. Underelab U h. Aough-in / Appr/Sdwlk ,
Found. Plbg. Top Out FINAL:
Post/Beam Struct. San. Sewer Craming / -Bldg M1,
Post/Beam Mach. Rein Drain Insulation -Plumb. ,
Plbg. Underfloor Water Line Gyp. ad. -Mach.
Date Requested& J 3 ' Time: AM PM ■
� /(
Address: 1 J �U % ' `S�' l J� Permit #&<7
Builder:_
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",THE FOLLOWING CORRECTIONS ARA REQUIRED: ri
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't"Ir c�
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V -{-v
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Inspectors_ L !- Date:. h
L �
APPROVED DISAPPROVED APPROVED SUBJE(-r TO ABOVE
—_..all For Reinep. �
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� �kMY/y.,yufl,°r,`"A•'�+N:rw ...... 1... , .. ... ✓ ��y�'��I�.�rl
IlIBPECTIpN NOTICE
Cit? of Tigard Building Department n "
3-3125 BR Ball Blvd. Tigard,
3-9 . Oregon 97223
Inspection Line (Rec-o-Phone), 639-4175 Business
/P-hoones /639-4171 1
inapection-ir OVAL I (Y t- r((
Footing Plbg. Onderslab �t
ug in Appr/Sdwlk ,
Found. Plbg. Top out ' aas Line
FINAL.
�leAk
1
Post/Bean 9truetelle
. I san. , r `
_ \
-Bldg.
Post/Beam Hoch. l Rain Drain' 1 Insulation -Plumb.
Plbg. Underrloor Water Line Gyp- Bd. -Meeh.
Date Requested, \1) l- Time.
^� I AMpM
,rte �� ■
Address. 'J�/ c) I i 1 S�uN[ Permit ;t` ), D z q
Builder:
TB= FOLLONINQ COR"cTIONB Aim REQurRBD.
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Inspector, �7
I
Dates
/�-t►PFROVKD DIBAPPRovaD `
II V APPROVRD SUB.IEbT TO AB.ri/E
Call For Reinsp.
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INSPZCT O� \�
j City of Tigard Building Department
13M BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roo-o-Phone)s 639-4175 Business Phones 639-4171
Inai+wc c ion s
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
post./Beam Struct. San. Sower Framing -Bldg.
4 "
post/Beam Mach. Rain Drain Insulation -Plumb. '
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Data Requestods n 1- C1 Times AM
7�5 L, I(�,l u1rF
Addrese: '_�: Permit f e
Builder:
TBZ FOLLOWING CORRECTIONS ARZ UIRED:
6
I
N.
Inspector:
\.,���----- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rgeinep.
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INSPECT ON NONCE
of Tigard Building Depot—UL
• Citi 9 ,
13t25 M Ball Blvd. Tigard, Oregon 97223
Inspection. Lina (Roc-O-Phone): 639-4175 Business Phone: 639-4171
\ ,
Inspect lore:
looting --
Plbg. Ondersl&\ Mech. Rough in Appr/Sdwlk
_
!nand. Plbg. Top Out \ Gas Line�Y lINALs
post/Beam Struct. San. Sewer !rasing -Bldg. ,
post/gear Mach, Rain Drain Inwlation
-Plumb.
Underfloor Nater Line Gyp. Bd. -Hoch.
Date
PN t
Date Aequestedt Timet AM_//_
Address s�= ��' �`-% � Permit
Builder: Ct 1 t
THE FOILOWING CORRECTIONS ARE REQUIRED: Jtj I 4•
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C.L11 II
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Inppector: Y ' Date:
ApP� /Dy DIBAPPROVED APPROVED SUBJECT TO ABOVE
'-7 Call For Reinsp.
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INSPECTION NOTICE �\
City of Tigard Building Department
13125 SH Hall Blvd. Tigard, Oregon 97223 1
f.
L spection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,
Inspection: —
Tooting Plby. Underslab eCch. Rough-Tn Appr/sdwlk
Pound. PIbg. Top Out [ 4a Lina FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requested: C7 Time: AH PH
11
Address: V�Q Permit C� C� j
-
Builder:
TBE 1oLLGWINO CORRECTIONS ARE REQVIREDt
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77
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Inepectar:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
i , \C 4 ch V Call For Reinsp. may",;q;
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INSPECTION NOTICE
City of Tigard Building Departsrnt
13125 BU Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)c 639-4175 Business Phones 639-4171
P
Inspection:
Footing Plbg. Cnderslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. ftp Out \ Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg. I
Post/Beam Mach. Rain Drain Insulation -Plumb. .
Plbg. Underrloor Mater Line Gyp. Bd. -Mech.
Date Requested 7 Time: AN _PM I
/ . 0 �.
Address 3� �...,/ � Permit !s_�_
Builder:�/f������G
THE FOUAYOFING CORRECTIONS ARE REQUIRED:
Inepectori _!'t�aO Dates_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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INSPECTION NOTICE r?---
City of Tigard Building Department
13125 Bw Ball Blvd. Tigard, Oregon 97223 V:
Inspection Line (Rec-o-Phone): 639-4175 Business Phonec 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-!n Appr/Sdwlk
Found Plbg. Top Out -as Line FINAL: ,
Post/Beam Struct. San. Sewer Framing -Bldg. ,
Post/Beam Hoch. Rain D� Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Hoch. }
f Times AM PM '
Date Requested: Lam,— -
Addresa:� =-31_
Builder: — —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspec rs Dates /� f.
Pe �L�1.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap. Y.
1�
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!118PiCTIOl1 NOT�'E
City of Tigard Building Departs—t
131.25 W Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone)i 639-4175 Business Phones 639-4171 1
Inspection'
Footing Plbg. Underelab Koch. Rough-in Appr/sdwlk ,
Found. Plbg. Top Out sae Line FINAL' '
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Noch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Ura ayP• ad. -Mach. '
Date Requested' �=�� --' TAN _PN
Addresses/ ' (,' Pernit s
Builder'
THE FOLLONINU CORRECTIONS ARE REQUIRED'
Inspecto „L, / Date's
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
I
Call For Reinap.
I
INSPECTION NOTICE l
City of Tigard eaildlaq Department
13125 80 Ball Blvd. Tigard, Or, jou 97223
Inspection MiRoc-o-Phone)= 639-4175 Busineee Phone= 639-4171
Inspection=
Footing / P14. Underslab Mach. Rough-in J Appr/e lk
Found. Plbq. Top Out Gas Line FINAL=
Poet/Beam Btruct. Ban. Bower Fraraag -Bldg.
Poet/Beam Mach. Rain Drain Insulati-in -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Date Requested= Time= AM PM
Addresses _�3SLi Z //
Permit �_-C LI)'I
'
Builder=
THE FOLLONING CORRECTIOMB ARE REQUIRED=
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Q 7_ D1�fi✓ 0.
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Inspectors_ � Date=
APPROVED DISAPPROVED 4/APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
1 City of Tigard Bulldisg Dwpast000k
33125 ell Ball Blvd. Tigard, Oregon 97223
I�
Inspection Line (Rec-O-Phonw)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
- - 1
found. Plbg. Top Out Gas Lire FINALS
iE/Som Struat. Ban. Bower Framing -Bldg.
Post/Beam Mach. Rain Drein Insulation -Plumb. 1
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requestodt_ Time: AM PM
� _ s
Address: �> �' �/ �u 'f rmit
Builders
THE FOLLOWING OORRECTIONS ARE REQUIREDs
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Inepoctors Dates
___ Z
-`'�-
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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11
CITY OF TIGARD
+
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tlgwd,Oregon 9722398109 (603)630.4171
:it:6Pb'�t� '�};��i•:a'i CJPV. . . . : f•�1 l L.Lt�h•1 i Ehiw .
iEUfiiyi:a. , i'•fi1.4{t52
fLi F T'. . .,110 ft RIC1 , V
t LrhIL,:!)• . ♦ , i i;+. , . . timet/ f L('UIRLU __._... ._..
.. • • • •� •- ,.. f ll.. _1..''1_. _i" �ir6L.!��.1., lJ'�. I L_L.i t}{i:r. » 4, fi
i Lf4F•,l)., ii �':,'f Ja:_.={ ., , . . . z, > 1;;..5ilr_ `.:) PARKING 5PPf' . . r I
xhtfiS. . . . .. > . . ,. I i.,,f•'iiJri i:tri��I i`J!,a• ,. .. . a 4r i�iWl.:.ii1=I._t.:►f�J 1=`(-:i-..'rf"v7 rrt,�. ,. .�1 r
FigJyA'i'0R,IfE(:.::i. . . . . c.; wA7 LR HLATLRS. . . it f'riAP . . .✓t. . . . . . . . . . . a VI l«t'T(Jf'40kY r lf�l lr J. . . 1 4..t'�1 Lrf 1 `�Af1N . . . . . . . .
._Utak i'.3. « SkWir.R L.Irak, S Ft) . .0 (ifit.:+•4E.L T►2AP6. . . . . . . 20
i414§ i,3 TI ii .R r, I'1(•TURE'S. . . G11 ^'•
.-JA BACiL i:)IEW. . . . 1 i(; i4 L•ki:4 ,:4 •i L . 20
ASH 1N oll if �i 1.;1i1{+. I; 11..f'I•_.. . . i
f�FyF:.i1 ?i'J1. `. Ir : li.'i_ ,• : lir 1 174: rAl1Cll.tl"it 1]y date
VENT ;:, . . . . r.6'+ { if-: 1460. CIO JF 05/;2A/' lk.
J1 s+li f."fI R1' w43 oil. 'a0 J F 05/r-*4 - l
0i; . . :! 1(JULi J. . . . x . i lil 'L.L. `v
377.
_. .• ...."IJIt « . .. ' 377. .3 JH 04/27
1 1rLfL1.L /
JF hZ..J
tl'
..Ct00 rtJRN. . . . s1b LLL) DRY'i.:'('..:i. . 1 J.-A)L : 30. 012', JF' 05/x:4,1!.
• ` W! {F''•t[/ ... lIiL.-1 1.11`!1 rJ• i. K -s
111PN [ 'G 4'. 00 Ji
r
":flP'F' b0URGkUI'c'.) 1;'I1 3 L. -5 Ji' 05/L4/`--,
06 ``fA"(Lr.JRS f !~I _,I Ji
1 z,;1--L fi t). :.3 JF 05/24/ i.
hone #.
.�;���t'l�l'.:i i i.i'+f fll''i {•+ fl':;1.
A06 HYLURL 'i,..'RCL!t,�i l 1._14
1 iKE. iJ'_i�d [i CJ UFS
hone >r. 6,36-6438
Vj97q -__.. .__..... _..•.__ ._.__.__.... ._ .........._.._.. _.._� .
.s lstiued ldb•ject to ;he —;vlailsns c�neainen it t.,f __..w RLIDUIRED INSPEC VIL441w
x . . ..LtPal Lodes State of Ore. Spec.alt� iAdls ane ail other Fuut/f'ourld I11ap Fit,eplar-o
Jplicabie laws. All Mor+' will be dcne a F th approved Pco s t;/Segs., a1t?lu t GiAs `...x ne
.;ares. 'Ills perafl; wi:: expire t' A•'e't't /beam mec:t`tatri Ins"A.i,BL .it,rt lrl!irr
aye of issuance, or if Mark iS 5,i JV a m/undsIiAb InsF) Liyp r°rr-irJ ITisp
i•!L_i i/Under F 1 ant Pain L,.',:; i r+
it T1 i C N 1 i^. t_ WR ii,,v L i it
-v
/J F 1 '.trltE' aFt J'.li,; A ppI,
a m 1 Tl r{ 1 r1 S j.r ftl 1 5 C'_, i 1'i i j Ft L'`" u r
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+fN. nrw..................r.IWYlwikwwwr..M..w.:.i.
131ZS SW Ilan[llvd. PLNCK/RECT #
CITY OF TI GGARD M W x 23397 PERMIT # ,�� — �.z y 'S
COMMUNITY DEVELOPMENT DEPARTMENT Tgard,Onr,�n97M
(501)619-4171 DATE ISSUED
II
JOB ADDRESS: 13350 SW.1 11,4k" D �' _ TAX MAP/LOT
I
SUB: LOT: G LAND (ISE:
VALUATION:
OWNER SPECIAL NOTES
NAME: v lq So r PO -) REISSUE OF:
ADDRESS: / 3 (0 4 y/6rs host L n LAST REISSUE:
I
G/4 e�SGi�a�1 L$r _ FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: W�s r � vet., P _ PLANNING: _
ADDRESS: f 7-ce y;, .-s C��sr •-� ENGINEERING: _
I
i L ti/qC�'?5 ,_ G�. 7 C j _ FIRE DEPT: — -
PHONE: _moo G - ��/_3,�' OTHER:
CONTR. BOARD #: Z26,5-7i EXP DATE: G i- 21—
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: wokaff- LIST/SUBCONTRACTORS:
MECH: tri u./�+Fior•�as #vtl, BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: _ Date Received:
i j "tNl1
:. .., ,. a..w.vwWk1,WWM1s,MtYOY`�4PNaW
•.._..,..._.. _..._ ....r,w wan w..,......... ..rvy�.. +n... ...-......nWr.r. _'..,.wdAM'IYbgpYHlYrd+'swgM
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
1fij3,Q2X3 10-432 00 Building Permit Fees 5vim-
I
_ 10-431 00 Plumbing Permit Fees /loZ. S-D /G•z•j?,
_ 10-431 01 Mechanical Permit Fees _U _U j— _
10-230 01 State Building Tax 5q _-3 Y�L 3 5.o 3 41 ,3
Building c Z
Plumbing x.13 I
Mechanical 02 Z)
10-433 00 Plans Check Fee 3,F-Y,s 7 331L 5 G,
Building 3 Plumbing
Mechanical
10-230 06 Fire
.` }_02vJ30-202 00 Sewer Connection C,0 2/co
30-444 00 Sewer Inspection -4 )— _ 3
25-448.02 Commercial TIF Fees _
1 25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
i
25-448-01 Residential Traffic Fees /3-5 /3So
25-448-05 Mass Transit TIF Fees l/ U
52-449 00 Parks System Dev Charge (PDC) 5 cw
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL SY_1_ S y42 •2 3 /yoc', 7
nm/3587P.WP�
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1 G�I.1-Y Or TI GARD — RECEIPT OF PAYMENT RECEIPT NO. t93—P41221
NAME t NORTHWEST DREAM HOMES CHECK AMOUNT s 148. 74
CASH AMOUNT 0. X10
�al)I)RE:rS a PAYMENT DATr t 06/11/93
SUBDIVISION s
t
a
! 'URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
HUII_D NC PERK 137. 5x"1 PLANCHECKFE 56. 137T. BUILD 17FR 4. ;37
P,
I
i
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1
1:3550 SW H I LLSH I RE
ail; 'TOTAL AMOUNT PAID 148. 74
,a,. r.
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Construction 1,ispection h Related Tests
Carlson Testing, Inc.
P.O. Box 23814
Tigard,Oregon 97281
Phone(503)684-3460
June 10, 1.9 9 3 FAX#684-0954
#CP-8604
Permit No. MST93-0243
FIELD INSPECTION REPORT
DATES COVERED: June 2, 1993 y�
F
PROJECT: H111shire - Lot 66
ADDRESS: 13350 SSP Hillshire Dr. r
INSPECTOR: S. Leach
06-02-93: CTI representative witnessed the digging of the footings
j of lot #66 in Hillshire. Inspector found ti layer of unstripped
material at original footing elevation. Inspector had the
contractor remove the organic material don to undisturbed native
and fill back up with engineered granular fill (95% T-180) to
f
correct elevations .
r
Our reports pertain to the material tested/inspected only.
Information contained herein .is not to be reproduced, except, in
full, without prior authorization from this office.
d
If there are any further questions regarding this matter , please
do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTIN ; INC.
Douglas W. Leach
President
SL/cat
cc: Northwest Dream Homes
City of Tigard
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,:, k .•�`}^kk tpl.d,,
r
TNSYECTION NOTICE
City of Tigard Building Department
13125 s0 B:ai_ Blvd. Tigard, Oregon 9•/223
Inspection Line (Roo-O-Phono)s 639-4175 Business Phones 639-4171 ,
Inspections_ '—
Footing
Plbg. Underslah Neth. Rough-in Appr/Sdwlk
T Out Gas Line FINALS
Found. P%•b9• Top
� Post/Beam Struct. Ban. Sewer Framing -Bldg.
i
Post/Beam Rech. Rain Drain Insulation -plumb. f 6
t
I
Plbq. Underfloor Mater Line gyp. Bd. -Koch.
AM PK
Data Requestods Times
Address ��T� � L Permit 1s
Builders
TBE rOLLONING CORRECTIONS ARE REQUIREDs
i
a
Inspecto
r: �„_L Dates G
APPROVED DIAIlPYROVED APPROVED SUBJECT TO ABOVE
r �
Cal'. For Reinsp.
t'
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' 1771
,.,
CITY OF TIGARD 1
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard,Oregon 97223.6199 (503)539-4171
E. H V L
r;uAVLLi.IJN. . . . 1t.i1._1_.,IiTf?4 ZON1N O k .! r u
L �l. , . ?il.'I:)" IV 1'i "r�.M�a • • . . a Sr•ILiO-LOW Y1Fi�,VN 1 RG. . i V
4 ,a i.;�::�. . 1„ ; !•'N4-'':.i. . . . . . . . . . .
. „ . .. . . . . WA TE,IN 1 fw c; r h rts. . . . . . . 1 :,A T C H Elk5I1N5. . . . . . . :m
i Li,;IjN DP r" 1 1 1,
i (. .. .f t. . . . . . . : .I. GRF_,:AA—' 1 HAP-1i.
10k1L: . . . . . .
A , . . . . . ..'e ... i ._.. 1, r. i,. I'v'i..•... w . . :ICE
„1,I-s 1 Ll"t, G..OE l _.. ,. WF1 I C-.;l i.._ 1.NL t i . . . . . ] X10
ISHWPbHER:c . „ , . : i HAiN DRAIN (ft) . . . . Z�
LUrF-" t147liRliEOIS 4('0. 0 Q .II- k�"a/ i�'
"' 1?16 TAYLL)RS i;RE'-) ><JA SPRT f 443. 00 JF rt)5/r 4/93 - r
t:
OGWEIGO i.)F< r KI• E)`il'C, c.' +. 63 JF 03
one #r 363 _64.38 SSDc $ ESIA. 00 JF 05/L":
a
PARK ..OIZA. k-lit" JF 05/2 .
A.I'(r,(t) 1111 1 11';'. rc-.'i:C)" MPH" k S. 00 Ji' Oti,24!''�._.
r
, / 1F•-'!_(:: $ 11. 25 JF 05/iR4/`•,)3
y . . __ J+" 05/a4/•J,3 i
ii c1Y'P54, ,, F='F,R $ 1Gi.. 50 JF 05i'r 4/93
I fVSPL_C"F I UNS
iL .: pef•Intt 15 !t .aL7,7er.t to t"te req
..
Lations contai.rrnc�l in the Tigai,d Munic �pa 1• F"uot/fta�.knd Insp Hair) drain In:sp
)Oe, ;:itatF+ 044 Ur`e. f-.,pevialty C:ode�:, and al 1. Past /bea!n Str~ .k LA Wate;. i_j.s•q , tn;p +
t1her' app_ ic:able laws. All work will be ciune Vost/Fluairi ilechan App1,/:r:l!:_1;
T-. a( c.'ur^Ant.L* Witt) apolar uwel.: pi•trl,. ;11is mef2harlic,, i it
.rmit will expire if work ie not started f~'LM/Uncierfloar PlumbF :n�til
Lt!) : q 180 rjayf� of i :;<> _rar)c:e, or' if wo!--i, r. s Sui. ldiny F=i -
-�Ner+ded for- rpores than 1+:1+0 day�i. Plumb Tup C11wtt 4ro*;ira'l CovrvbI_nl
f ) aRainy it?ap '.cakvl bs air,
F i r e p l a c p I n s p
i, Lire 1115~
ion I n 5 p
T 1^aistor" ;NatL"i
Wow'
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMUNT MASTER R P RfYF I'T
13126 BW Hall Blvd.Tigard,Oregon 972230199 (603)839.4171
I _,.�`�• .•,1 r .. I)A'II. I:atUE:D: >�3/'c:�}./c,
l T♦~ "36 IiiLL.:iiPIR.L. li M'ORC1':L:
1JS0 I V I S ION. ZONING: R--, %'D
i J(
. . . . . . . . . . .
EIiUILL)INU. ...__..._ ......_._ .___.___.._._.___...__.____ _.._._....�._._...._._
+i_1561JE: L)WELL.1 HO UN 11::i M I Esi 1SF F+ii IV7. . . „ . . . . :0 "1 #
'L_I4USl7F WCIFtF:. «N:m:W I:iFId}RM:;:: F�Pt''1tw: GARA(3E. . . . . . . . . . a::: f+ r
YPL OF USE. . , :51 FL.TJGt� PkLi;_ P E-.0U I RED `.atv ) BH,CJC; .._ . I
i'YF+E OF CWS-V. «`:N FIRST'. . . . « 1,359 sf: LEFT. . : 10 ft AIGHT. :4
)( C UF'Fita(:Y i�'r.'F'. :12, 5t.:t.t_JR'<IJ. i iJJJ .. i FRUNI . :,.:0 f't kL0(4. . .._.'3 g
3T001Ei8. . . . . . . .i? THIRD. . . . :0 5f
3 ft 'IuIAll_ :2465 51- GIAUKL DL- ILCTORa;-3. :Y
)UR L.UAL:. . , . :40 p s f' VALUE.. . ., , . a : 1 E3121138 PARKING '3,AACE:a. . « 1
..1
Iok 5 : PES►rl-R 1
+, �. . . . . . . . : 'i i LLJI' P ORHIN'b.. . . . mit) Li4rKFL.UW F'RF::MI'M . . '0
; WATE ft liF:RTEF7: , . . z 1 rRAF=+G. . . . . . . . . . . . . . toLJ0/5H0WLrtr. . , . 7I-ALJNDPf rf AY:=;. . , I GA i:.,ti uc•ls 1 W's. . . . . . . c 0
r ,! ."ATER CLUSLT :i. . ,,3 SEEWER t_1NL ( f1 ) . ,41 GREASE l'RAPS. . . .. . . . #0
,1-IWA5J-1L'R5. . . . s i Wit TEP LI 14L (f t ) . t 1 V;k+ L) f%'r:11 F I X'T'1JRE-G. . C C)
F DIGS'. . . « 1 FAIN DRAIN (ft ) . :0
MACI i. . . : i DRJ)I Nfa. . « ;"
;1LLVIANICOL .. .. .........__._.. .._...._........_... ..__ F'Cr=G ._..__._._._.._._._._.._.__._
^�!! Lift_ TY'k6- __._.... LINT F 1-1; PS. . :+Z, ype affl0I.trit; lay date r Q!-:p.,
F.iRra"! ! / VENT'u . . . . . a 0 TIF t, 14614. iDLA JF 05/24/93
lox IRvPU7 s0 BTU VENT 1-'p1R,4S, . 4 IrAP --F $ 493. 016 JF* III;)/24"13 i
URN ( 100K , . a O HOUbs. . . . . . « 1 BPL.C: # .3,':'0. 45 ,St_t-1 C44/i-,'7/93 9,i--c,
URN ) r,:tO47K . . c 1 WLiUDS i F:1VUr:., :0 I:+::,PC "r. .T F- lb'5/2i+'/43
I_OCIR F`URN. .. . . :0 1,10 DRYL.RG,. : 1 5w3IJC; x C-'80. 00 JV 05/%:4l9;S
'01L.lcmp _ iF'sil! LJl'ilirFe iJRdI i : l ►'t,i�]: I ;,rL�0. 00 J 0:l;i :4/'%.5
GA5 r•J1_;'Tt_E;i5: 1 MI.-IRT 45. 00 JV 1215/,?4/9 F
i 1. P:.5 JF
r,
r ut'E~' i l3UF1UL,al5i M5i'C ''v , '. aS Ji::
T'i':YL_C)F2+; CREE.i T i..N pr 1, 1 '� J E+J., 50 Vii" 11=' ,'2 4i
C'
i C t U. 13 JF 05/24/9,:
Urrtt'act0r'. _. ._._.....,__.. _ _.__ .-_.._.......__,._.... .._.._.
6.36-64.313
is pervit is I s1:tk3 subject to tP,e regulations cor,tairlen in the _._._.._.._� FZr GFU I FaLp I Nf.-s-'E C F'l0N
iyaA Municipal Code, State of Ore, 4ec:aity Foden and all otnev Font/fa+ nd Insp F"ireplac,e ITtspa
laws, All 401% will be done in actorilmmte *1th appr3oed Poft !Seam '.3tr^r.tc .: t.;i•15 Litre Insp
This permit will etlpire if mot started within :Fd F'gstlE:a,;. m lied-larl Ins+.alatiorr In�sp,
4ys of i ttllftt, 0r if *64 31. Inas 1days. i•'im;'..r:rjR ;Er() 1r1sp ciyp kloar^ci Ir',sp
rF. tlndr�r fi'rur' 1+ tJt'ca.irD 9nsp
eY'tll! i GLS tl ' ,3 E? i�Ci L ir1;-. I•i,ip
Top (J:t't r ppi /Sdwll In
, r,c.{�,
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT �E:WLR LUNNmL,i iu+d
13128 8W Hall Blvd Tipud,Orpon 97223.8199 (603)839-1171
�,'i �Er2h'iI'r' fl. . . . . . . iwFtg3-•iii_
UE D 05
,I fE ADDRESi�. . . t 13,K)0)0 SW ftli_LSt`iI{tF_ UR PARGLLs 2a104i2K.
iUDDIVI"3ION. . , . „ Hli-.i..t-al• IRR Zr',NIN:;: P-_i,
iLr1Cr�. . .. . . . . . . LOT. . . . . . . . . . . . . :0 E.
LNANT NAME'. n �
;SArJi:. . . . . . . . . . . i�I XTURL UNI l 3. , . 1
WLif<i�.. . .r,�..W DWELL)NL; UriI r;.a. . i I
USE. . . . . a yi: NCl„ OF BU I LU I NUS c 1 t
�f ,TiaLL i , s'1w. . . . . tiiJ;:itn;f 1.hfF'[:fY,4 Sl'iiUW.'L. . : s 8
r
GFi BCJi)Iti, LUiu type drmurar►t by ci,:.At0 ►,ec:Pt.
3'jOr, TAYLORS CREST i_.N PRMT 6 2100. 00 JF 115/24/93
ant;r•-ac.tur1 _. ... _..._.._..._.._.... .. _..._.__._. . _.._ __. _._
06114 i-t[:TUF !VDT UN F"i:1-F
1 100 TOTAL
..... _._ RE OU I RED I NSF-'ELT1 UN-: -
is Applicant ag"ees to amply with a.: ine rider and regulatiors Sewer- III S(:iec:t ian
the Unified Sewage Agency. The Pei-fit expires IN :ay5 frot
'.e date issued. The trtal aeount paid will be forfeltec if the
-.Sit okpires, rhe Agency does not guarantee the accuracy of the
:de Sewer laterals, If the sewer is not located at the seasurta¢kr:
the installer 0811 prospec feet it all directions frog
le distar+ce given. If iiot so iocatee, the insta{ ail purchase
`lap and bide Sewer' Pertit and thr nrj� ,I G lateral.
i51,1.►etif Lar • �� / __�.,.___....__..__._..-�....�..� .__.__..._._._......._�.___..._�.
gal l fur- incPe�_,t it)it — 639•-4: 15
Fr
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13 .SW 11311 Dwa PLNCK/RECT- #
CITY OF TI GARY)
COMMUNM DEVELOPMENT DEPARTMENT
Tipntoroeon9Ttu PERMIT 6
(503)619"" DATE ISSUED _ I
JOB ADDRESS: �� 'f /� // i' �i� _ TAX MAP/LUT "
SUB: .-H I L 5H E _ ,LOT: [pLp _ LAND USE:
VALUATION: 1� c?,� , —
OWNER SPECIAL NOTES
NAME: _�(-,EQFF' EkYj FOI REISSUE OF:
ADDRESS: QLa T8YjoP5 r te" LLQ LAST REISSUE:
LALE G6 ��_ _ FLOOD PLAIN/
PHONE: _ SENSITIVE LAND:
1
CONTRACTOR APPROVALS REQUIRED Sti3
NAME: N--OP-111 ,.EST DeEgm Eama` - PLANNING: S'r3ir&/
ADDRESS: I q0(pa7L9Y ICaP� :2T 1"I__. ENGINEERING:
_L.AL.E C6WFY--() QQ q-IO—j _ FIRE DEPT:
PHONE: CQ3 LD _(Q H 3 OTHER: !/
,-;�CONTR. BOARD #: _ 0l�"!!`1 _ EXP D E: LjC?Lj_
Z'1)41 ITEMS REQUIRED
SUBCUN'fRACTORS: MB: ! jt� LIST/SUBCONTRACTORS: _
H— U BUS TAX:
ARCH/ENGINEER �s I CALCULATIONS:
NAME: F TRUSS DETAILS:
ADDRESS: 5, E , _All-' �) �50 IT n Z OTHER:
C-L Ann Rf) g7 015
PHONE:
PROPOSED BLDG. USE: _
COMMENTS: f,Q
APPLI APt SI A U E
Rece,I ved y' _ d:DL4 Z- _ ___
�_�iA!F�ri.. �.. - .... .. ":r+ irv�aarMmqn+M�ew�-„^'��^+ww+..w+ro«•*r.,�n...a..p�.,.,1`
�.J
PERMIT # ACCT # DESCRIPTION AM,0UNT / AMOUNT PD. BAL. DUE
g •' Uel 10-432 00 Building Permit Fees
10-431 00 Plumbing permit Fees /(a Z,
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) -3.�'�a> _ ��� �v>
BL''. ;Jing
Plumbing �•� �� '{
i
Mechanical �•2.f ,
10-433 00 Plans Check Fee / 331 A l 57)
Building 310. 41 /
Plumbing
Mechanical
10-230 06 Fire _
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /33 L)
25-448-05 Mass Transit TIF Fees //p
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL S1 y2• G "i
nm/3587P.WVF
f
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..�-----•--;�-•_. _. ..,....-..,...,,, ,;mss,
•
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CITY OF' T I GARD — RE=CF I PT Of PAYMENT RECEIPT NO. a 93--2.40460
CHECK. AMOUNT a ;1921. 22
NAME N(lP.T1-fl4G:'.3T DREAMS HOMES CASH AMOUNT a 0. 00
Arir)RE: PAYMENT DATA: 0 05/.:4 93
SUBDIVISION n
PURPOSE OF PAYIhF:N`I- AMi:LJNT PAID PURPOSE OF PAYMENT AMOUNT PAID
tlILL)ING F't RM 49..s. N0 Fl_I.IMBINf3 F ERM 1E+r. , 50
NE'CHAN I CAL FSE= 45. 00 ST. 1AU 1 L.D PER 315. 03
PLAN CHECF, FE: 81. 70 SE"WE=R USA r 100. 00
I SEWER I NSPf.CT 35. 00 PARKS SDC 500. 00
STORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC, FEES 1350. 00
iMASS T RAN5I T FEES 1 10. 00
I
LOT E:6 HILLSHIRF
1:3350 SW tiILLSHIRE DR
TOTAL AMOUNT PAIL) — - —) 5192. c:':
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CITY OF T I GARD — RECEIPT OF PAYMENT RECEIPT Nil. o93--239449
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CHECK AMOUNT t �-!50. 00
NAME. z NORTHWEST DREAMS HOMES CASH AMOUNT x 0. 00
ADDRESS s 139O6 TAYL.OR5 CREST LN PAYMENT UIiTF:, t 04/27/93
LAKE O WEGO, OR SUBDIVISION 4
A 97035--
IPLIf2POSE OF PAYMUIT AMOUNT PA I D PURPOSE OF PAYMENT AMnt)NT PAID a,
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13:310',0 '3W MII...1-91-ITPF DRIVE. LOT 66
;TOTAL ,jAM0UNT PAIL? ? 250. fiO
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