13886 SW HILLSHIRE DRIVE '"'�' �'1 , x'".sem y.�+ � f Su'GA�: �' ijl '�'';'�r's�P £ 't e"'11'ro: '��` �i 1�' ;'�+'��4i.T 'T7n'. �' '�MA^r5'YA' ty�' .{"^; '�`-°� ��'�':._•.'y� :�,� f
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CERTIFICATE OF
CITY OF TIGARD OCCUPANCY
C J)MMUNITY DEVELOPMENT DEPA NT PERMIT #. . . , . e M aT94--0;317
13126 BW Hall Blvd.Tigard,Orpon 97223.81l)1i (503)dao- 171 DOTE I a51.1E Cis 06/12/95 .
SITE (WDRESS. . . a 1308-, rw H I LI_SH I RE DR r-'Ar2l;ELa 2115r.04r_D•-110WO
l SUBDIVISION. . . . e HILLSHIRC. E.STATE:fa NO. cZp�1zNCsR--7 PD
BLOCK ."•._. -__..`_._.__.._.__..wL'7T. . »..`Y. M. ... ^`_u151___.__..__...,..._....._.__.__.__._._.___.... .._____...._
CLASS OF WORK. s NEW
TYPE: OF USE:. . . s SF
j OCCUPANCY GRP. s R:3 ,
OL:CUPANCY LOAD a 227 4
�I TENAN 1' NAME. . . s i v
�i Remarks,e PATH I j
!� Ownerre
WINDWOOD CONST. INC
6933 SW TIE.RRA DEL MAR
BE:.AVERTON Or 97007 f
Phiine 11a 644-3657
Contra.cx„tors
WINDWOOD CONSTRUCTION, INC.
693;.3 SW TIE^RRP DEL MAR
i
BE'AVE ETON OR 97007
Phoney i1, 780--4375 M 1
Reg #. . : 501')6 I
I
This Certificate certifier, that the above r,Hferenced building ar^ portion
thereof has been insPec-ted for Compliance with the Tigard 81_iilding Code
for the twroup mnd diviuion of occupancy and use for which the above
referenced permit was i sq�ied, and occupanr-y is hereby granted.4r)
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4BU6l NCPF:.CcTOR Etttll_DINC C1F IC1AL
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POST IN CONSPICUOUS PLAf.17
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jCITY OF TIGARD BUILDING INSPECTION NOTICE r.
Inspection Line (Rec 0 Phone): 639-4175 Business Phone: 639-41714i'
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Inspection:
Footing Susp. Ceiling Sprink• Rough-in Appr :-iwlk
Foundation Plbg. Underslab Mech. Rough-in Eiraptace
w Post/Beam Struct. Plbg. Top Cut Elec. Rougn-in FINAL'
Post/Beam Mech. San. Sewer Gas Line -Bldn
PIl).. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear W Gyp. Ed. -Elect.
Date Requested: (p —12 •- 95 Tin.,—:—AM
Address: 3 F��o lV //15A"Irc �01'- • —
B01cle� to/ �/-�1� Permit #: ST(34/-0317
THE Fel_' OWING CORRECTIONS ARE REQUIRED:
(�`���rtt7[- J�/�•r/11G,� G-7 �1/i�o.5iv,.. �°v.��hy�.�;•••i,Gsry �c/-9J
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Inspector:+--/ Date:
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/,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 P lone: 639-4171
Inspection:
Footing SusF. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
F POst/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: a
Post/Beam Mech. San. Sewer Gas Line -Bldg. '
Plbg. Underfloor Rain Drain
FraminguT_:
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall
Gyp. Bd. Elect.
J^` Data RequPsted: � cs
Time. AMU PM
f` Address:
Builder: Permit #:- _�3 '7
THE FOLLO CORRECTIONS ARE F�EOUIR
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Inspector:'�� 1
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_APPROVED —DISAPPROVED-7 APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
nspection Line (Rec-O-Phone): 639-4175 Business Phone: 6394� .
Inspec'ion:_ —
Footing Susp. Ceiling -� Sprink. Rough-in Ap,jr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplac e
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg. a
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh. I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:__p �( _Time: AM PM
Address:
Builder: 2- Permit #: X117 OC�3y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. Date:
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-APPROVED —DISAPPROVED APPROVED SUBJECT TO AB VE
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Call For Reinsp.
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CITE( OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223•x199 (503)639-4171
PLUMBING PEPMIT 1
PERMIT #. . . . . . . : PLM95-phi 71;
f�39-4171 DATE: ISSUED: 02/27/95
PARCEL: 2S10/4-CD-11Q/i00
SITE ADDRESS. . . : 13886 SW 11I LLal1 I RE DR
SUBDIVISlUN. . . . : HILLSHIRL ESTATES NO. 2 ZONINU: R-7 PD
BLOCK. . . . . . . . . . . LOT'. . . . . . . „ . . . . . : 1 i w
CLASS CF WGrtK. . :ADD GARBAGE DISPOSAL-G. . MOBILE HOME SPACES. : '
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PRE_VNTRS.
OCCUPANCY G RP. . :R3 FLOOR DRA I NG. . . . . . . T-RAF-IS. . . . . . . . . . . . . . .
i STUB i h S. . . . . . . . :c WATER HEATERS. . . . . . . CATr,H BASINS. .
LAUNDRY TRAYS. . . . . . : 51- RAIN DRAINS. . . . . .
1 SiNKS. . . . . . . . . . . URINALS. . . GREASE 'TRAPS. .
1 LA VA'T0R1ES. . . . . .. OTHER FIX TURES. . . . . :
TUB/SHOWERS. .. . . s SEWER LTNF (ft ) . . . . s
WATER CLOSETS. . : WATER LINE: (ft ) . . . . s
UI SHWASHE::RS. . . . s RAIN DRAIN ( ft ) . . . . s
Remarks - Backflow prevention dgvice.
IJwner: ___.___.._________.__________.___..___-_______._________.___ - FEES
UNLET: 'RICHARDS/WINDWOOD CONST. type ramol.trt by date recpt
t,,93�s SW TIE=RRA DEL MAR PRMT $ 15. 00 BON 0c/27/95 -
5PCT $ 2. 75 PON tii:'/27/93 -
BLAVLRTON OR 97007
Phone #: 644.5657
Contractor:
CEDAR LANDSCAPING, TN(',.
14375 SW PATRICIA ST.
H.ILLSBORO OR 97123 _.________.__. _..._.____..___________.._-•---._-.._
Phone #.- 628-3411 $ 1.5. 75 T'O10L
i2ey #. . : 05643
REUU I RED 1 NSPE:L r I GNS
This pereit is issued subject to the regulations clintained in the RP/Backflow p'rev
Tigard aunicipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. p11 work will be done in accordance with
appreved plans, This persit will expire if cork is not started
within 180 do-is of issuance, or if work is suspended for more
than 180 Gays.
1 'ermittee
s5i_ted Lay: ] , y✓ i
Call f-or inspection — 639-4175
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City Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
131k� ..'W Hah Blvd. Permit # I I_
Tigard, OR 97223
(503) 639-4171
_ MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE �
N«n.a D.v.kan«n✓ New Single Family Residences Only
nae... ❑ 1 BATH HOUSE 5140.00 0 2 BATH HOUSE$195.00
.lob �.•�`/�y� /z J 3 BATH HOUSE$225.00
Address wr � �a Fee includes all plumbing fixtures in the dweiii.q and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
N«o.,«Ob arr,.«...i > FIXTURES QTY PRICE AMT
_ �. Sink 9,00
M.Ow Aft- _ - -� ��. _ ; Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00 I
c.risl«. Ik Shower Only 9.00
Water Closet 9.00
N_ .r ann I - Dishwasher 9.00
Garbage Disposal 9.00 !
Occupant M.i•p„aa,„, - Ph- Washing Machine 9.00
Floor Drain 9.00
nc Water Heater 9.00 1
Laundry Room Tray 9.00
N.m. Urinal 9.00
Ot7er Fixtures (Specify) 9.00
M."nae... R + 9.00
Contractor 9.00
�L(it rcr�7�` _ _
c sou. u 9.00
L Sewer 1st 100' 30.00
«.R.wb• N. CR+ek T..W Sewer -ea. Addit. 100' 25.00
J �_ ✓�1 1 Water Service 1st 100' 30.00
I hereby acknowledge that I hav9 read this application, thpt the Water Service ea. Addit 200' 25.00
information given is correct, that I am the owner or authorized agent of - -
the owner, that plans submitted are in complia,ice with State laws, that Ston i & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor'!: board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobilf: Home Space 25.00
^- Back Flow Prevention _Y
1 Device or Anti-Polluttc!j nevice 9.00
Any Trap or Waste Not
27-`� f-annectod to a Fixture 900
Describe work new addition () alteration U repair Q Catch Basin 9.00
to be done residential Q non-residential Q Insp. of Exist Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of r - -
Rain Drain, single family dwelling 30.00
building or property _
Residential backflow prevention
devices 1500
Proposed use of -
building or property -
"(Except residential backflow
prevention devices)
NOTICE 'Minimum !-ee $25 ut; SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZEC IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PEPIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25%. OF SUBTOTAL
TOTAL I5 7 7
Special Conditions _
-- __ Date issued l L 7 �j'� by
rCC x
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CITY OF TIGARD BUILDING INSPECTION NOTICE �r
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 L,
Inspection:
Footing Susp. CeilingSprink. Rough in Appr/Sd k�
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. I
Underflr. Insul, Shear Wall Gyp. Bd. -Elect
Date Requested: � Time: G AM PM
Address: L 'J 5?v
Builder: '/', 1L> — - f; ��— �7
C� Permit tt:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—0r '' � " r�J rL' -5
Inspector
-� —� Date: r c,
_APPROVED DISAPPROVED /PPROVE LiB�fCTTO $
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-0-Phone): 639-4 75 Business Phone: 639-4171 �V �►
Inspection:
Footing Susp. Ceiling Sprink. Hough in C� ppNS wd I
Fnundatl.,n 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 Ra',, Drain Framing Plumb.
Alarm Water Line Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_�1 �� Time: X PM
Address: '
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Builder: �� r `,' S '�� Permit #: [
THF FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
—APPROVED _DISAPPROVED (JOPPROVEDS07,7TO BOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Insp,action Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect;an: '
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
r
Post/Beam Struct. Plbg. Top Out Elec. Bough-in FINAL:
Post/Beam Mech. San. Sewor Gas Lire -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Ir::ulation -Mech.
Under!Ir. Insul. Shear Wall p. Bd. -Elect.
Date Requested: _,57 Time: AM PM
Address:
Builder:(,P /t0 3 Permit #: � ��� N
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date: T
`APPROVED _DISAPPROVED L—APPROVED SUBJECT TO ABOVE
_Call For Relnsp.
p `tom ;�^ �i �d 4 t��V-, '1 4 �•
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y ' CITY OF TIGARD BUILDING INSPECTION NO i ICE
Y, Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Idx I 4 'i
} Inspection:
,`.
Footing Susp. Ceiling Sprirk. Rough-in Appr/Sdwlk
Foundaticn Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg,
Pibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insul;-,tiionn� -Mech.
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Underflr. Insul. Shear Wall � 4
-Elect.
Date Requested: c / 1�.�.3/`/ time:_ NM _ PM
Address:_/
Builder: Permit�: d�7 .3/ 7 ;.
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THE FOLLOWING CORRECTIONS ARE REOUIREO:
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Inspector. Date:
_APPROVED PROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION Nr?TICC
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
oting Susp. Ceil;-,g Sprink. Rough-in Appr/Sd vlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam S1rUc1. Plbg. -Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas I-ine -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Clnsulat�io—n l PAech.
Underflr. Insul. Shear %vall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
0% Address:
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Puilder: _)1 l — _?2, _ Permit #: z13 /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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q � 5>✓JC � � � ;._„moo.. `,,� ,�
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_APPROVED _DISATPFIOVED V/APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTI•JN NOTICE
tiInspection Line (Rec-O-Phone): 639-4175 Business Phon : 639-4171
Inspection:, i
Footing SUsp. Ceiling Spnnk. Ro h-in -Appr/Sdwlk M
Foundation Plbg, Underslab Rough-iry Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in JNAL: ,
Post/Bearn Mech. San. Sewer Gas Line , '1 �-Bldg.
Plbg. Underfloor Rain Drain -ffami g ,i/ -Plumb.
Alarm Water Line (
_____a' Mech.
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Underflr. Insul. Shear Wall II Gyp. Bd. -Elect.
Date Requested: _l I ( l Time: _AM PM
Address: _3
Builder:_ �It� _3 _Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Dale:
/APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
L Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Y
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Inspection:
r/Sdwlk
Foaling Susp. Ceiling Sprink. Rough in APP
Foundation Plbg. llnderslab Mech. Rough-in Fireplace , I ��yi; ;
A�I, t ' 5
Post/Boam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plby. Underfloor Rain Drain Framing , i Plumb.
Alarm Water Lino Insulation -Mech.
Undorilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:
Address: iJam-
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Builder. -� � Permit#:
1 HE: FOLLOWING CORREC TIONS ARE REQUIRED: `
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Inspector: Dater
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO. t 95-c?60305
CHECK AMOUNT 15. 00
PdfaME MILLER, J'E17F CASH AMOUNT c W.I. Ate
F11>1:tRE. a a PAYMENT DATE 01/13/95
SUBDIVISION r J4 1
PURPOSE O!r VJAYME=NT AMOUNT PA 10 PURPOS.. OF PAYMENT AMOUNT PAID
M I3CEI_LANEOUS
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1.:3886 SW HILLSHIRE DR
TOTAL AMOUNT PAID - > 1 .i. Joel
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City of Tigard Building Department
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phones 639-4175 Business Phone: 639-4171
Inspection: — --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Too Out Gas Line FINAL: r
` Post/Beam Struct. Framing -Bldg. iq
Post/Beam Hoch. 7iain Drain Insulation -Plumb. '
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Date Requested: /— // Time: AM PM
Address: &V ag
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Builder: L D v
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date: /
APPROVED DISAPPROVED —_ APPROVED SUBJECT TO ABOVE
�al] For Reinep.
rAi t '2 � !Y K• I Pay
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�PSI;
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INSPECTION NOTICE
City of Tigard Building Depa +'tent. }
13125 BA Ball Blvd. Tigard, Oregon 97223 µ
tnspectkon Line 7-Phone): 639-4175 Business Phone: 639-4111
Inspection:
{ looting
Plbg. Underelab ' 4• Rough-in Appr/Sdwlk
Found. Plbg. Top Out (Cfii Line FINAL-
Post/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
j9 Plbg. Underfloor Water Line Gyp. Rd. -Meeh.
Y' A.X Date libquwsted: C1/�I)-L .�S) Time: AM PM
Address: c, L�J1.�1lt1/1 r � it f s1��.. 6317—
q 3/ 7 �
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Builders
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TBE FOLLOWING OL'4RBCTIONB ARE REQUIRED:
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` l/APPROVE: DISAPPROVED APPROVED SU9JECT TO ABOVE
! Call For Reinap.
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INBPBCTION NOTICE #:
City of Tigard Building Departmant
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1
Inspection:
f
footing Plby. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
iPost/Beam Struct. jean. Bawer -�
frami -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb, ,
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
i
Data RaWasteds�_ �. I
Time: AM PM
Address: �� r Permit �:cl--l- , '�/ •
iBuilders
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TEM FOLLOWING OORRECTIONS AM REQUIRED:
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Dates
APPROVED V DISAPPROVED APPROVED SUBJECT TO ABMR
t/Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13325 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
1
T.nepection s
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. `rPop 0uE r Gas Line FINAL,
Post/Ream Strutt. San. Sewer Framing -Bldg.
i
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach. I
( �S `l.s-
1 Date Requested t Times lx_�_AM PN
Addreae: 7 /Zi Permit 1 s- / �%-�! / •
YYY
Builder: ► �/ y
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
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- Inspector
Date:
\�APPRO D `— DISAPPROVED kPPROVED SUBJECT TU ABOVE`
Call For Reinep.
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INSPECTION NOTICE N_
City of Tigard Building Department UU��
1312S SW Hall Blvd. Tigard, Oreooa 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi ss Phone: 639-4171
Inmpections
Footing Plbg. Underslabr h- Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct, San. Sewer arcing : .Bldg.
r
Post/Beam Hoch- Rain Drain Insulation -Plumb.
t. Plbg. Underfloor Water Line Gyp. Rd. -Hoch. i
Date Requesteds i S Time: AM PH
i t
Aadrsaa s `� I�.Ck/ l�J LL/L� �s Permit #:
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I TBE FO OORRECTIONS ARE REQUIREDt
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APPROVED _,,�DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinap.
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INBPBCTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Business Phone, 639-4171
Inspection,
Footing Plbg. Underslab Hoch. —
Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
FINAL,
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Bea, Hoch. Rain Drain Insulation
-Plumb. .
j Plbg. Underfloor Nater Line
Gyp. Bd. -Hoch.
k fi
Date Requested,
Times AN PN I
' Ads reas, "> H
Permit 1, � - r .�( � f
Builders S
E
THE FOLLOWING OORRECTIONB ARSl
REQUIRED:
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Inspectors
APPROVED --'DISAPPROVED
APPRCri'SD SUBJECP TO ABOVR
�Call For Relnep.
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INSPECTION NOTICR
r City of Tigard Building Department
13125 $v Hall Blvd. Tigard, Oregon 97223
Inspection Lint (Roc-O-Phone): 639-4175 Business Phone: 639-4171 1
Inspnction:
Tooting Plbg. Underslab Ho,-,h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Qvp. Ed. -Mach.
Date Rmpeated e
Times AM pN !
C •
Address: Permit
Builder:
TBE FOLLOMINO OORRECTION$ AREREQUIRED:
LA
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Inspector: _ ��� /- — f C c
Date r / -1 3
—APPROVED /6-I$APPROVRD APPROVED
SUBJECT TO AgpyE
C1 For Reinsp.
.� INSPECTION d10TICE
Cf.ty of Tigard Building Departsumt
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (RSC-O-Phone)s 639-4175 Business Phones 639 71
Inspection:
Footing Plbg. Underslab Mach. Rom-ug� Appr/Sdwlk
found. Plbg. Top Out Gas Line PIN.ALt
` Post/Beam Struct. Sar.. Sewer Framing -Bldg.
Post/Beam Mach. Rain Davin Insulation -Plumb.
a .
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
7
Date Requested: I ) 1 Time: AM PH
Address: Permit
Builder? - _3_
THE PO N OORRECT'_ONS ARE REQUIREDs
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Inspectors
APPROVED DISAPP D APPROVED SUBJECT TO ABOVE
LCCall For Reinap.
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City of Tigard Building Department
13125 61I Y,all Blvd. Tigard, Oregon 97223 \�
t tnopection Line (Rec-o-Phones 639-4175 Business Phone: 639-4171
Inspections_ — —�---
Footing Plbg. Undorslab l�ecn Ron7h-in , X r/Sdwlk
Found. Plbg. Top Out Gas Lire FINALS
Y Post/Beam Struct. San. Sewer F•:aming -Bldg.
Post/Beam Hoch. Rain Drain Insulation -plumb.
i
i Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
{ Date Aequostade `� ��� ` Time: AH PM
r ' ■
Address s Permit 1 s
Builder: ~/
TN$ FOLLOWING OOARECTIONS ARE REQUTAEDs
f 7 1 (� V tJ �Q SIV ►—" w . ��^ I
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Inspectors Dater 4
!APPROVED DISAPPROVED __ APPROVED SUBJECT TO AB04E
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INSEECTION NOTICE
~ city of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223 „
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inepectiona_ _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
,a
r
Found. Plbg. Top Out Gas Lire FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Draln Insulation -Plumb. "
■
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requested= Times AM PN
Address Permit is
■
Builder:__
THE FOLLOWING CORRECTIONS ARE REQUIREDs r L
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CNA0
Zw�,TCI-4-^-4. ,.� `41.x.
Inrpectors_ �,J�.���- Dates_ �V�
APPROVED /DISetel
APPROVED APPROVED SUBJECT 7�0 ABOVE
For Reinsp.
is
INSPECTION NOTICE
'
City of Tigard Building Department �^✓ .
131.25 811 HAll BlVd. Tigard, Oregon 97223
i
IMPeotion Line (Ruc-O-Phones 639-4175 Business Phones 639- 1 ``
Inspections
rooting Plbg. Underslab ech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requestede_ r Time: Am PH 9
Address:T) /SEL-�.' �ermit
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspector:
``— Dates I
APPROVED DISAPPROVED _Aef!!�'APPROVBD SUBJECT TO ABOVE
, 1 Call For Reinsp.
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INSPECTION NOTICE
� } City of Tigard Building Department j
✓� 13125 BW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)e 639-4175 Business Phone: 639-4171
Inspection:
/ C i
Footing Plbg. Underelab h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
PINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb, 1
1
t
Plbg. Underfloor Water Line Gyp. Bd. Mec
Jate Requesteds � ^
s
TimePM
4 Addresss 7 '
317
7
Builders C) - j?I Ll f L/ /
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{ THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
Date:
—, APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
i
Call For ReInsp.
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INSPRCTION NOTICE
city of Tigard Bullding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 •
r
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk { i'
Found. �-Plbg. Top Outer Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. p
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line T_( �C, (�iGyp. Bd. -Hoch.1LL—L - --
Date Requested: Times AM PM
- /-_s_LJ_SZdK
Address: (, f Permit f:� U
°
Builder:,��
THE P,LLOWING CORRECTIONS ARE REQUIRED:
i
I
— — 1
Inspector:-//�C % Dates
—�APPROVED --_ DISAPPROVED �— APPROVED SUBJECT TO ABOVE
Call For Reinsp.
,'. ..7
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2PEGRION NOTICE 1
City Of Tigard Building Departaont
13125 9911 Ball Blued. Tigard, Oregon 97223
Inspection Line (Rec-O-
-Phcne)s 639-4175 Business Phonae 639-
j Inspections -
s ech. Rough-in Appr/Sdwlk
rooting Plbq. Onderelab 9
Found.
Plbq. Top Out Ons Line FINAL:
i
Poet/Beam Struct. Sen. Sewer
Framing -Bldg.
Rain Drain Insulation -Plumb.
t
Pcst/Beam Mach. i �
� Plbq. Underfloor Water Line
Oyp. Bd. -Mech. i
/J _Timor AM PM
Date Rwqueeteds _J.J-
i _Jkb Permit
y Address:_
i Builders_____..
j TBE FOLIOWINO CORRECTIONS ARE REQUIRED:
MTV" 71RIM,`
WON
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Date 7
Inspectors_ - --- - — -
1
APPROVED �SAPPROVB� APPROVED SUBJECT TO ABOVE
Call For Reim p.
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INSPECTION NOTICE 7,
s City of Tigard Building Department '
13125 SO Ball Blvd. Tigard, Oregon 97223 '
r.wpection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:.- —.--- �—
Footing Plbg. Underslab Hoch. Pouah-in Appr/Sdwlk
.) Found. Plbg. Top Out nae Line FINAL:
st/Beam Struct.- San. Sewer Framing -Bldg.
et/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor hater Line Gyp. Bd. •Meeh. I
Date Requested:- ,�--� — Tlme: AM PM ■
Address:] 3 w", 4DC— Permit 1:-.`L!. 1�
Builder:5Gl _- —
THE POLL40WINo coRRECTION3 ARE REQUIRED:
Inspector:
------ - _ _ Dake:_�7_" [ —
APPROM --...... DISAPFROVED ""rRoVgD SUBJECT To ABOVE
-_Call For Reinap.
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INSPECTION NOTICC11
City of Tigard Building Departs:a t I
13125 BE! Bell Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
K
Found. Plbg. Top Out Cas Line FINAL:
Boom Struc�t. San. Sewer !Taming -Bldg.
l
Cat/Beam Hoch. 1 :'ain Drain Insulation -Plumb.
Plbg. Underfloor Nate. Li7/2
e Gyp. Bd. -Hoch.
Date Requested: % Time: AM PN
u / /
Address:1,.3d 861 �'C/���1.GlL,l_[ 1-11- Permit #://Y-6 3 i
Builder: � -33
THE ING CORRECTIONS ARE REQUIRED:
t4 IL
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kcj
Inspector:
-- u - _— Late:�_� I
_APPROVED _DISAPPROVED AP^ROVED SUBJECT TO ABOVE
-V Call For Reinap.
INSPECTION NOTICE
C10-y of Tigard Building Department
13125 RM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-phone): 639-4175
Business Phone: 639-4171
Inspection:_ /sis.�„ ,
�r-
rooting Plbq. Underslab _ Hach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line
PINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/50&m Hoch. Rain Drain Insulation
-Plumb.
Pl.bg. Underflca > Water Lina
z, Gyp. Bd. -Hach.
Data Requesteds f
Times j?(__AT{ __PM ' I
Address
Permit 1=--9__-L--C
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: 6
•k`
ii
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1�
5
Inepec#�or:
APPROVED DISAPPROVED A."PROVED SUBJECT TO ABOVE
-"Call Por Reinep,
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INSPECTION NOTICE
l
City of Tigard Building Depart—t
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rsc-O-Phos.j): 639-4175 Business Phone: 639-4171 �
Inspections ——
Footing Pl.bg. stnderelab Mech. Rough-in Appr/Sdwlk
!bund. Plbg. Top Gas Line FINAL:
Post/Beam Struct. Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. underfloor Gyp. tld. -Mach.
Date Requested! / Times AM PM
Sl�a ,�
Addzsu s � rmit I s 7 , �
i
i
Builders &q q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
A—
I nspector — —
i
� APPROVED --- DISAPPROVBD ^— APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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.Rn". %P 'I�F \P`R tMMd "5^�'•F Y"' ^Fy V�' � � `[ S'M''•
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JrsPaarroN .•7TICE �
city or Tigard Building Department I
13125 8N gall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-6-Phonv)t 639-4175 Business Phone: 639-4171
Inspections
— I
FootingPlbg. Underslab Mech. Rough-in Appr/Sdwlk
ound._) Plbg. Top Out Gas Line
FINAL:
Post/Beam Strvct. San. Sewer1
Framing -Bldg.
Post/Beam Mech, Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requestad: L�
( TimetAM PM
Addrvs
_12&K Ps .-to, /I(M��
Kt ?; Builder:_
TBE FOLLONING CORRECTIONS ARE
REQUIREDt
I -
Inspectotrt�
Date-Z)
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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---- ---- - ---------- ------- --- ------- ---------------
INSPECTION
--- ---- - --- -- ------- --- ------- ---------------INSPECTION NOTICE 1
Cit? of Tigard Building Depart
13125 SST Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbq. Underelab
Nech. Rough-in Appr/Sdwlk
Found
Plbq. Top Out Gas Line FINAL: 1
Post/Beam Struct. San. Sewer
Framing -Bldg. I
Post/Beam Hoch. Rain Drain /
InsulatLon _ply �� / �
Pibq. Underfloor Nater Line B
Cyp. Bd. -Meeh.
Date Requested:_ �l�j�)/� j
_Times Al{ "Le
Address:_� � �R(� �.
1 —��` � Ji�l�Pec�it
Builder: �p G� r 7 y U t��—�.
TBE FOLLOWING OORRECTION3 An REQUIRED:
r
---------------
Inspector
—Inspector` --
I
APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVn
— Call For Reinsp.
ti n 1 9
.�.._. �� "'�p.J!,� - ;' '���F��""r '3EAF%-';'NmiT°'J .;,p�y�pf '�P'��l;lih...�����. '�¢ •.1 'dr� �� ,. —�
----------- -- - -------- ----- - -------------- -----
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (ROC-A-Phone)t 639-4175 Business Phone: 639-4171
Inspection:
r
Q ting) Plbg. Underslab Mach. Rough-in Appr/Sdwlk
S
Found. Plbg. Top Out Can Line Flpu,=
4 .
Post/Beam struct. San. Sewer Framing
-Bldg.
I
j Post/Beam Mach. Rain Drain Insulatlon _P1umb,
:
Plbg. Underfloor Nater Line Gyp. Dd. --Hoch. 4 B
Date Raquestwd:_ 2 r Time:
r� n j� X_AM PM
Addreas: [/ p �Iy_
ermit f: 4�1_
Buildere_0-6,6) - c97 7e) / 1
L_ {
TRE FOLLOWING ODRRECTIONS ARE REQUIRED:
t
P
i
Inspect
Data: b ! 7
APPROVED DISAPPROVED APPROVED SUBJdCT TO ABOVE
__Ca11 For Reinsp.
1(
PLUMBING PERMITCITYOF TIGARD FERMI . . . , . . .
I�ST94- c31'r
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/ 12/94
13126 SW Hall Blvd,Tigard,Orapon 07223.8100 (603)839-4171
Pi'.)RCCI_: 2S 104CD-HE 151 1
S1 I-E. ADDRE!-.;S. . . . 13,886 SW H I L.LSH I RE Dr
SUBDIVISION. . . . : H I l_LSH I RE ESTATES NO. 2 ZONING: R--7 PD ;
BLOCK. . . . . , . . . . . LO•T. . . . . . . . . . . . . : 15i
F
CLASS OF W(JRK. . :NEW GARBAGE DISPOSAL.). . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FI.._OOR DRAINS. . . . . . , :0 TRAPS. . . . . . . . . . . . . . :0 I
STORIES. . . . . . . . :2 WATER HEATERS. , . . . . : I CATCH BASINS. . . . . . . :0 r �
F IXTUREG--•- - _,_____._ __.__ LAUNDRY TRAYS. . . . . . : 1 5F RAIN DRAINS. . . . . : 1 �
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 , I
LAVATORIES. . . . . :5 O,"HiR, FIXTURES. . . . . :0 I ■
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WA TER CLOSETS. . :3 WATER LINE (ft ) . . . . . 100
DISHWASHERS. . . . : 1 RAIN DRAIN ( ft ) . . . . :0
Remarks : PATH 1
OWNER: __._.____----------.____-.._.____._..._____._ __ _____._------._FEES--_--.-----___-- u�
WINDWOOD CONST, lIVC: TIF $ 1550. 00 SW 06/121/94 -
6933 SW TIERRA DEL MAR BPRT $ 673. 00 SW 08/12/94 -
BPLC $ 437. 45 JF 08/10/94 94-255437
BEAVERTON OR 97007 B5PC $ 33. 65 SW 08/12/94 -
Phone #: 644-3657 SSDC $ 280. 00 SW 08/12/94 -
PARK $ 500. 00 SW 08/12/94 -
F'lumbing Contractor•,: --_..._..._----_------_-_._.._...._ MF-'R1 $ 45. 00 SW 08/1.,2/94 - 4
MPLC $ 11. 25 SW 08/12/94 -
Name: __. _____..._.....�--____-• M5P('_: $ 2. 25 SW LAB/12/94 -
Address: Am.ow ..._ 3BTH $ 225. 00 SW 08/12/94
C i.t y: _....... _. 5 t a t e : -- P S P C $ 11. 25 SW 08/1 c:/94
-
Zi.p:—� EROS L 64. 00 SW 08/12/94 -
Reg #: Additional fees not shown here. . . . . . . . .
REQUIRED INSPECTIONS
This permit is i-,sued st-bJec•t to the req _ 1
Ulations contained in the "Figard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codr-s and all Post/Beam Struct Water tine Insp
other applica'-Ie laws„ All work will be done Post/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final l
permit will expire if work is not started PLM/Underfloor Plumb Final
within 1.80 days of issuance, or if work is Mechanical Insp Building F=inal
suspended for mire than 180 days. Plumb Top Out Erosion Control
Framing Insp
Fireplace Insp
' Gas Line Insp —
Insulation Insp
xGyp Board Insp
-------------
__._. _ ----
A, horized V'11_Imbing Contractor-- Signature i
Call for, inspection - 639-4175 I
C u n t r•a c t o r Notes
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CITY OF TIGARD MASTER PERMIT
j COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-0317 I
# 13125 SW Hall Blvd.Tigard,Oregon 97223.81 Cg 1dfl3)4f1j"j71 DATE ISSUED: 08/12/94
PARCEL: 2S104CD-HE151 r
S IT E ADDRESS. . . : 13886 SW H 1.LLSH I RE DR
SUBDIVISION. . . . : HILLSHIRE ES'TA'TES NO. 2 ZONING: R-7 PID
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . : 151
______________._____-•----__._.__..__.__..___. BUILDING
REISSUE: DWELLING UNITS: 1 BASEMEN1.. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. :682 S �
TYNE OF USE. . . :SF FLOORAREAS- ____.____._ RF_Qll I RED
TYPE OF CONST. :5N F I RS-I". . . . : 1598 s f LEFT. , :E, ft R I CHT. :E. f t I
OCCUPANCY GRP. :R3 SECOND. . . : 1.2_'51 s .., FRONT. .20 ft REAR. . :90 ft
STORIES. . . . . . . :2 FINBSMENf:O s REQUIRED----
HEIGHT. . . . . . . . :
ED-.__HEIGHT. . . . . . . . :27 ft TOTAL----- . __ __.. :2849 s f SMOKE DETECTORS. :Y
w FLOOR LOAD. . . . :40 psf VALUE. . . . . E : 195312 PARKING SPACES. . : 1
Remarks : PPTH I
PLUMBING
61NKS. . . . . . . . . . : 1 FLOOR D.tAINS. . . . :0 BACKFLOW OREVNTRS. . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERG. . . . LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 r
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . 1. SF RAIN DRAINS-:1
MECHANICAL __..._.__.____..___._._.._____._____________- FEES -•-------------
FUEL TYPE(6---------------------•----- UNIT HTRS. . :0 type amo+.tnt by date r,ecpt
/GPS/ / / VENTS . . . . . :0 7'IF 1550. 00 SW 08/12/94 - r
MAX IIVPUT:O BTU VENT FANS. . :4 HPRT $ 6'73. 00 SW 08/12/94
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC 7 437. 45 JF 08/10/94 94--255437
FLRN ) =100K . . : 1 WOODSTOVES. :0 B5PC $ 33. 65 SW 08/12/94 --
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 SW 08/12/94
SOIL/CMP ( 3111=':0 OTHER UNITS: 1 PARK x 500. 00 SW 08/12/94 -
GAS OUTLETS: 1 MPRT 8 45. 00 SW 08/12/94 -
Owner.: - _._____ _ .__._. _.___.__.____._.____._.....__._____.-----.•---MPL.C' 9 11. 25 SW 08/1 /94 -
WINDWOOD CONS1 . INC M ;PC $ 25 SW 08/12/94 -
6933 SW 1 IERRA DEL MAR 3ST11 $ 2.25. 00 SW 08/12/94 -
P 5F'C t 11. 25 SW 08/12/94 -
BLAVE4
RTON OR 97007 EROS $ 6 . 00 SW 08/12/94
Phone #: 644-3657 ERF'C t 2.0. 80 SW 08/12/94
$ 20. 80 SW 08/12/94
WINDWOOD CONST INC
h9:33 SW T IERRP DEI__ MAR
PF:AVE RTON OR 97007
phone #: 780 -4371j M
Reg #. . : 50196
$ .:874. 45 TOTAL
This permit is issued subject to the regulations rontained in the -- --- -- REQUIRED INSPECTIONS
- --- -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp FtrPplace Insp
applicable laws. All Mork will be done in accordance with approved Post /Neam Str^i.tct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mechan Insulation Insp
days of issuance, or if work is suspended for mire t an 180 days. Plm/1_trrdslab Insp Gyp Board Insp
- VILM/Underflout- Rain drain Insp
Permittee Sagnat _ire � _ Mechanical Insp Water Line Insp
F��1 r_r m h Top U�_r t A p p r/S d w l k Insp
Iss'ted I!Y _ _ Framing Insp Mecrhanic-al Final f
:
i
Call for inspection - 639--4175 {
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CITY OF TIGARD SEWER ERMITCTION
PERMITRMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SW R94--0284
13125 SW Hall Blvd.Tigard,Oregon 972239e19RJ6R3),fj"71 DATE ISSUED: 08/12/94
PARCEL_: 2S104CD—HE151
SITE ADDRESS. . . : 13886 SW H I LLSH I RE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
BL_OCK. . . . . . . . . . .. L-OT. . . . . . . . . . . . . . 151
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNIT'S. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 �
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :NUSWR IMPERV SURFACE. . : : sf
m
Remarks: PATH I
Owner: --_______________________.__.____—________.______.__._.___ FEES
WINDWOOD CONST. INC type amol_tnt by date r•,ecpt
6933 SW TIERRA DEL MAR PRMT $ 2200. 00 SW 08/12/94 —
1 INSP $ 35. 00 SW 08/12/94 —
BEAVERTON OR 97007
+� Phone #. 644-3657
I Contractor..
CONTRACTORNOT ON FILE
------------------------------
Phone #: $ 2235. 00 TOTAL €
Reg #. . : l
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 1N days from _
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
givrn, the installer 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 will install a lateral.
Permittee Si gnaturl
I s s i.t e d B y :
Call for- inspection - 639•--417;
7
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Residential Building Permit Application
-f''ity of Tigard
f f-
13125 SW Hall Blvd. ,;.
Tigard, OR 97223
(503) 639-4171 '
Jobelte Address: _/3 1w 1411A; D✓ j
l 1 Office Use Ong
Subdivision: I-A Lot#
Valuation: / �.S .3
Z ter- Planck/Rec# -7
h� s f-��/- � 3 �� I
Corner Lot? Y Permit #��
Reissue of e
Flag Lot? Y N
Map & TL# �2-51v�lcl?— /16/ y
I
Owner: ��J Approvals Required
Address: -33 CEJ 7 L.L i1/1 Planning _
e- 7CJU"j Engineering
Phone: 7
Other
✓ contractor: Items Required
Address: Subcontractors
I iu::S Details
Phone: 4/' - (04 / Other
Contractor's License # � C.)/k .
(attach copy of current Oregon license)
Contact Name & Phone: 11
Subcontractors: Arch ltect/Engineer:
,/Plumbing: 1 1 ` ►V� 17 Address: J-,'I U ,(7u
/Mechanical: 4
(attach copy f current OR Contractor's License) , 1
Phone: 51-,JL)
r,JL) �I
JOB DESCRIPTION:
-T'
Applic rt�ture & Phone number
Received by. Date Received:
N9WORMCOMMMESAPP
I
ti Mt �,
Permit# Account Descri tion Amount Amt. Pd. Bal. Due
e
Bldg. Permit (BUILD) f
Plumb. Permit (PLUMB! c)c)"/
Mach. Permit (MECH)
State Tax (TAX) `t ' (c= ✓ L('I . 1
Bldg:
Plumb: t 1
Mach: 5kJ
Plan Check (PLANCK) (�✓�! � 2_Zn
Bldg: 1'-�� . `��'� ✓
Plumb:
1
Mech. I
ewer Connection (SWUSA) (,)
Sewer Inspection (SWINSP) z CGCG �jc� CSO
Parks Dev Charge (PKSDC) TUU
Storm Drainage Chg (SDSDC) , , �jQ �Q ,C)p ✓
Residential TIF (TIF-R) I`1 D OO 14
Mass Transit TIF (TIF-MT) 1 C • o'D
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) y
Institutionai TIF (TIF-IS)
Office TIF (TIF-O) —
Water Quality (WQUAL)
1 Water Quantity (WQUANT) _ I
Fire District (FIRE) i
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERFLAN)
Erosion Planrk/COT ,EROSN) Q
TOTALS: ( � �" r
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U('I Y I.1} I I6s-lkf) 14-4_•h:.IP 1 Ul F!FvYMfnN l (ilGA- 'I I-11 No. 4cbt+;-"
I.',F9k.f.F4 iIMIJUNT a `'W!59. 41-
NfjME a W I NWOOD CONG I RUC T"I C.1N CA48fi RMU1.IN T a 0. 00
11.4YME:N1 DOI+ A 11)(31
,13101VISION a i
(-"l.3FtPOSE OF Pf iYME fAMOUN f WA ff.) FIJI If-'U;aE: (.l( PAYM-7.IV 1 WMUUN f Wl i U
1`IU'I L—D'"T NG PERM M-51"94-0317 673. 00 PLUMB I NO PERM
�^ 811.15. 01a
MMC HANICAL PF' 405. 00 ST. BUILD PER 47. i S
PLAN C''HFC,K FE 198. 70 GF.WF.R LJS"4 il''PWIA. 00
:,(r_WE Ft I Nr3PEC 1 35.00 PARKS f3Dt: 9,500. 0vi �
wrnRM DRAIN GDC: i s(a. 00 RES I DF N T I AI„ 'T'FtI "f•I I F ERS 14'304 Oak?
MAbF) TRANSIT "f IF FEKS i e. 00 F:k0lb,T C]N GUN T Fel"U.. I IM.RM 7 l F'fiF; Wt. 00
I"fr OS ICIN CONTROL FLAN CK 20. F30 k:Ft051014 C"'ON'T RVA., r',01. 80
I
i 3 886 SW H I LLSH I RE'' LUT 17s1.
f
I U'i f'II_ AMOUNI PAID 45
i
I
CITY OF TIC-1ARD — RECEIPT OF PAYMENT REC•f:Tf'•'T NO. a94•--x-554;37 E
CHECK AMCJUNI s 2*50. lAo
NAME: a W I NDWOOD COINS T RUC T I.(:IN CASH AMOUNT a 0. 00
0
° ( ADDRESS a 693:3 f3W " TERRA i)FI. MOR PAYMENT DATE e 08/10/94
SUBDIVISION a
' BEAVERTON, OREGON 9'7007--
1 1
r
PURPOSE OF PAY14ENT AMOUNT PAID F URPUfiF Of PAYIyIFlUT AMOUNT PAID
t J
PLAN CHECK Fr 8-•113R 250. INA
1
t,
14lLLSHIRR ESTATES LOT 151
a
MTM. AMOUNT PAID ON
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