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CITY OF TIC,ARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business phone: 639-4171
Footing Rain Drain Cover.'Service FINAL:
Foundation Water Line Ceiling -Plumb, .
'3ost/Beam Mech, Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg. Top Out Insu'3tion ec
Post/Beam Struct. Mech. Rough-in Gyp, U1 -Bldg. w
San. Sewer Gas Line Appr/Sdwlk Reins
Other: _Y : 3` I
Date: `' A.M. __P.M. ntry:
Address: —_ 3 cf Z
Tenant: e: MST: —_
, _
Con/ wn jN BLIP:
b2 MEC:
3 d ELC:
THE FOLLOWING CORREUTIONS ARE REQUIRED: ELR: (o dG
" a
,if
Inspec•c Date:
lCAPPROVED DISAPPROVED/CALL FOR REINSP, CF CO fr � �" � ," '" "
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CITY OF T I GARD ELECTRICAL PE.ERMIT
RGY -
' RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96--0085
13125 SW Hall Blvd.Tigard,Oregon 97223.8192 (503)939-4171 DATE ISSUED: 03/13/96
i
;
PARCEL. CG i O'3DA- FiS014
SITE ADDRE";e. . . : 1'942. SW HIGH 701DR
SUBDIVISION. . . . : HILL_SHIRE SUMMIT 70NINC:R- 7 PD
., DLOCK'. . . . . . . . LOT.. . . . . . . . . . . . . :014
Project Descriptio.,: Install but-filar- alarm.
A. RES I DENT 1
At_-._..___.___._ B.
AUDIO & aTEPEO. . . : AUDIO & STERGO. . : INTERCDM & PAGING. . : �
BURGLAR ALARM. —:X BOILER. . . . , . . . . . , LANDr�CAPE/I RR I GAT. . :
GARAGEOC-LNE'R. . . . . CI_OCI<. . . . . . . . . . . . MED i CAL. . . . . . . . . . . . ..
I•IVAC. . . . . . .. . . . . ,. . ,. DATA/TELE COMM. . ,. NUQ15E: CALLS. . . . . . . .
VACUUM 7jYL3TE;,',. . . . . riPE ALARM. . . . . . .. OUTDOOR LANDSC LITE-. ■
OTHER: . , PIVAC'. . . . . . . . . . . . . PROTECTIVE SIGNAL. .
TNSTRUMErNTATTON. : OTHEPu . : : ,•
TOTAL # OF SYSTEMSe0
A �l icant : _._.w_...._..-- --.._. ._...___._._..___._.....______..._._._� _...._. ...._ _._.__... FTE S
F�f •
IAV, SHARON ROBERTS type amol_rnt by date i-ecpt
GW hTOH TOR OR PRMT t 40. "DO CJS 03/15/96
5PCT $ L'. 00 CJS 031 . '96 96-277059
TTGARD OR 97k.223
PhOT,e #:
1
ADT SECURITY ALARMS 4e~_.. 0@ TOTAL 4
70:3 N. E. l IAR'^C1CF:
__._. _._._.. REQUIRED INSPECTIONS
pC)I?11_(4114D 013 97212 Wall Cover- Elect" 1 Final
Phune #: 503--280_1- 1549 Elect, l Ser-vice
Reg #. . : 59944
This permit is issued subject to the regulations contaired in the
Tigard Municipal Cude, State of Ore. Specialty Codes and all ether Perm i t ee Si gnat Lire
applicatle laws, All work will be dor,e in accordance with
approved plans. This permit will ehoire if war•l, is not started /
within 190 days of issuance, or if work is 31t5pended for more _.7L!/riiL(
than 198 Gays. s F'.t e d D Y
0 W N E R INSTALLATION ONLY—-----
Th e
NI_Y---___-______,___.__The installation is being oracle on proner-ty I own which is not intendad fore
sal e, l eLAse, ar• rent.
OWNER' S S1GNATURErc DATE:::
_.._.._....___.___....___._ ._......._._.__....--•-CONTRACTOR INGIHLI ATI(IN ONLY --______._. ____.__.___.__.___._•__.____.
i 11.1T1-IOR I ZED SIGNATURE': _,�t2.._.�i7 ?1_Lcc�t�r� _. D AT E:
ICENSE W:
Call fnr- insdect ion 635--4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639 4171 D DATE ISSUE „�-/5 46t FAX(503)684-7297
_ TDD No. (503)684-2772 ,
CIT( OF TIGAIRD Inspection (503)639 4175 ISSUED BY /^iia i�er �r�is,•alf ^-----
■
PLEASE COMPLE C ALL SECT�ON5
1. LOCATION OF INSTAL TION 4. TYPE OF WORK y
■
RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 144.00
Arles ,'') (FOR ALL SYSTEMS) '
City
QSt/ate Zip chi ngof Work Involved: ■
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ AU nd Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR urglar Alarm
180 DAYS.
❑ Garage Door Opener` a
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
"f AGI NCttRR?S"TfMS,IWC.T elf :e' 'L -'❑ Vacuum Systems`
Contractor _ YP U +
703 NE-HANCOM - ❑ Other 1
OWtAND,OR 91212AddresOP 2811.3265
y
COMMERCIAL—Fee for each system . . . . . . . . .
mate (SEE OAR 918-260-260)
Property Owner 1� Check Tine of Work Involved:
� __ ❑ Audio and Stereo Systems
Contractor's Board Reg. No.
❑ Boiler Controls
Phone# _- __—_- . __—. ---- ------- ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
�._-- e -- ❑ HVAC ti
Print Owner's Name Phone No ❑ Instrumentation
_ ❑ Intercom and Paging Systems
Address ❑ Landscape Irrigation Control"
t
❑ Medical
City State Zip
❑ Nurse Calls
This permit is Issued under OAR 918.320-370.This applicant ag;aes to make only 0 Outdoor Landscape Lighting`
restrir+ad energy installation nrj volt amps or less)under this pern.'-and to do the
following ❑ Protective Signaling
1. Only use electrical licensed persons to do insta..tions where required,(Certain Other
residential and other transactions are exempt from licensing.These have —
asterisks(').All others need licensing).
► 2. Call for an inspection when a 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 i
5. Assume responsibility for callin final inspection when all of the 5. FEES s
r
corrections are comp $
The persot si ing r th s eonit must be the applicant or a person a. Enter fees ,LLL//
aulhnrized in he a licant. ,�ll
�. ✓ b. 5`-/o Surcharge(05 x total above)
Signatt e $ QtJ
TOTAL
i
Authority if other than applicant
ENERGAP.CHP
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ADD RL-lib a /V,:i Nt I IIANIA.-R_" PHYly16:N I 1.11.1 I
POO 1 f...111'•I1) ON `a1.11:t1.)! t1.l ti 1l lfd
IPII NI N I IF, OF Pf-i'r MI hl 1 11101 It IN I 1-f411:) I-" ,l i1- I I I 'VI r IVIF-N I i Ihll,ll),d 1 I-'ii 1.11 1
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CITY OF TIGARD BUILDING INSPECTION NOTIC
Inspection Line (Rec-O-Phone): '39-4175 Business Phone: 639-4171
Inspection: ''=rK�. �..d�
Footing Susp. Ceiling Sprink. Dough-in AnPr'Suwlk
A Foundation Plbg. Underslab Mech Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elan Rougt-in FINAL:
1
Post/Beam Mech. San. Sewer Gas Line -tldg.
Plbg. Underfloor Rain Drain Framing -Plumt
Alarm Water Lina Insulation -Mech.
9
Underflr, Insul. Shear Wa Gyp. Bd. -Elect.
Date Requested: ( { Z 0, 2< _Time: AM PM "� x
4
Address: 3 1_1,' 2___
Builder: t Permit #:�LI'�1
THE FOI i OWING CORRECTIONS ARE REQUIRED:
ev
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T
Re
inspector:_ _ Date:
_APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reir,sp. ;
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CERTIFICATE OF
C11Y OF: T1t%"7k/A' RD 6=1 RMIT SOC
OCCUPANCY
1 �4-PJe:t74
COMMUNIIY DEVELOPMENT DEPARTMENT DATE
13125 SW Hall Blvd.'Tigard,Oregon 97223.8199 (503)839.41)�
PARCEL: 8S 1ll►c3L A-445014
BITE FIDURJ::Sa. . . t 13'J4�� ::,W I. 16H IOR DR
SUBDIVISION. . . . : HILLSHIRE SUMMIT Z.ONING:P-7 PT)
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . :01 14
4
CLASS OF WORK. :NEW
TYPE OF USE. . . :Si='
OCCUPANCY GiRP. :R3 �
OCCUPANCY LOFlfr:c: 31Zc 4
TENANT NnME. . . :
Remark s e PATH I
Owners W... ._._ ... .__...... _ ._.___.._. ._...____.. __. ....
DANA LRIKSON
8330 SW BEATON MNT CT
BEAVF_RT'ON OR 97
Phone ##: 62:6-2507
Contractor-,: ___..___._..._..._._.n._.__ .,.... ...... ..__..._...
CONTRACTOR NOT ON FILE
Phone #:
Reg #. . t
`ihii Certificate certifies that: the abol e r efet E-rrc;ed building Or portion
ther^pof has been inspected for c,omplianco with the Tigard Building Code
for the yroup and division of occccpAncy c,nd use for- whic!, the above
t-eferpnced pet-sit was issued, ,and or_c.uparlc:y is hereby granted.
Irl.)Il._UINfi INSPECTOR `�/ 1�liIL17ZPIG W F fel^( IAL_
aw
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POST 114 CON P I CUOUC PLACE
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orspon 97222.8199 (503)839.41'71 PLUMBING PERM I1' I
r ,•,. PERMIT #F. . . . . . . : PL.1195-111219
DnTF ISSUED; 08/17/95
PARCEL.911E ADDRESS. . . . 13942 EW 14101.1 TOR DR 1149'3£�A -i1 1Tr14
SUBDIVISION. . . . : HILLSHIRE SUMMIT ZONING; R--7 P1,
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :014
CLADS OF WORK, . :NEW GARBAGE DISf."OSALS. . MOBILE 140ME SPACES.
f" rYPE OF USE. . . . :.S1= WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . . 1
OCCUPANCY Gk,jRP. . P3 1`L.00R DRAIN s. . . . . . . . TRAP a. . . . . . . . . . . . . . .
TER HEATERS. . . . . . » CATCH BASINS. . . . . . .
STOF�IEWS. . . . . . . . .` WA .
FIXTURES-- _._ LAUNDRY TRAY;,. . . . . . .I 5F RAIN DRAINS. . . . . ..
1 URINALS. . GREASE TRAPS. . . . .
LAVATORIES. . . . . : OTHLP FIXTURES. . . . . :
TUB/SHOWERS. . . . s SEWER LINE (ft) . . . .
WATEr< CLOGETS. . : W A T C R I...INI" (ft ) . . . . .
{ 01SHWASHE:RS. . . . : RAIN DRAIN (ft ) . . . . t
Remarks : Instal residential backflow lor,evention device
Jw-zr•s ___ _._.__._.__--.._._W__..__._..._...._____._.._....._.__._.__.__....._.____ __._______.__.. FEES __.____...__._..--••--__-_.
)Ah,l ERIX50N tyI-)e amuunt: by dote rec,pt
3330 SW SEXTON MNI CT P,RM•r s 115. 00 JSD 08/17/95 95-12694--',,!
L(rwAvERTaN OR 9•7
r,horre #: 626 -25717
''RLCIGION LANDSCnPE A. L'ONSTRUC
L45 SW 139TIA
3EAVERTGN OR 9700C
`harle :It: $ 15. 75 TOT(;I_
ley 006554
REQUIRED INSPECTIONS --._..-._.__..
'his permit is isst;ed subject to the regulations contained in the REQ/I.AacEif-low P'r,ev
'igard Municipal Code, State of Ore. Specialty Codes and all other Final I n s pe!ct i on
ipplicabie laws. All work will be done in acc mdance with r �"
ipproved plans, This permit will expire if wank is not started
,ithin 180 days of ii:.Ance, or if work is sus-.ended for more
-han IN days.
fl rm i t t z e ri i ti,,._ f� : �`--�-�� ZM•�J•---___- _
✓✓Call fn-;- inspect inn C:39--4175
{ ..�, nmfl•+.'We.FRYaMMMrRe!�"w t1�JMM4�ik� �!�'���•h'SC:�¢'r.{ktiYM'Ski1v1$StL�OI� M: ' •c.
City of Tigara PLUMBING PERMIT APPLICATION Planck/Rec. # '
131257cW Hall Blvd. Permit # /'
Tigard, OR 07223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SUKCHARGE
wm.a o.•wom«N New Single Family Residences Only
` CJ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$1.15.00
Job c.
_ ) i
j' Z S w /fs/� C�!` .1/ O 3 BATH HOUSE$225.00
Address ar Fee includes all plumbing fixtures in the dwelling and the first 100 foot
`L V of water service sanitary sewer and storm sewer. See fees below.
I N.- «g.m.« FIXTURES QTY PRICE AMT
i Sink 9.00
M.-g Mtl - _ P- Lavatory 4.00
Owner Tub or Tub/Shower Como. - 9.00
! an spa. ec Shower Only 9.00
Water Closet 9.00
N•m•�«�•m••��•�«•� Dishwasher 9.00
Garbage Disposal 9.00
Occupant M•„ -; Vvashing Machine 9.00
Floor Drain 9.00 -
,:.Wan. �• Water He^ler 9.00 ._-
urjr i-y Room Tray (.00
-- N•m. Unnal 9.00
Other Fixtures (Specify) 9.00
M.Y1y AAtrw �.� 9.00
Contractor -
3 �c 6 /_c; � 9.00
cxpa.i. :�a 9.100
Sewer 1st 100' 30.00
Mo.R.a.a. ,N.. c1ty N. 1••N. Sewer- ej. Addit 100' 25.00
5-�V Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I at i the owner or authorized agent of
the owner, that plans submitted are in rompiiance with State laws, that Storm r Pain 'rein 1st 100' 3q.00
- i
I am registered with the Construction Contractor's Board, that the Storn &Rain Drain Addit. 100' 25.OJ
number given iE correct. (If exernpt from State registration, please - -- i
give reason below.) - Mobilr Home Space 25.00 I I
Back low Prevention
Device or Ann P-,:wiron Device 9.00 �.
so•+• •••««�q•� ^^ Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work ncJw () addition Q alteration Q repair (D Catch Basin 9.00
to be dooe residential (l r.on-residential C) Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of '-
building or properly _ Rain Drain, sirgle family dwelling 36.00
Residential ba._kflow preven ion
devices I 15.00
Proposed use of
building or property _ •(Facept residential backflow
- prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL �IQU
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZ'.:D IS NOT COMMENCED WITHIN 180 DAYS OR IF 5°o SURCHARGE t
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN' REVIEW 25% ')F SUBTOTAL
TOTAL
Special Conditions I _
Date issued Oct)t- by _
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NOME a p jil-. 31'I.JPJ I.I iIAW o I I INS1' ) ,� i �i'�11.lLIiV 1 a 0. V.11',
1-1t)T)Itl:' AS A 45 �-N J'"1591H 1 'I0'1111-1\II DIA IF 8 08/ 1. 1/9,*1 I
B[ HVF.F2T(11\1 I7.2 )OBF)IVJ.;jIuN I
I-URI..)IlSk. OF PAYMF:Nl I1MUI INT 1'11 3 Il PURVII If;F (W PHYM N 1 Pani IIlN r Nia.l.l: I
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CITY OF TIGARD bUILD;Na INSPECTION NOTICE t
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Inspection Line (Rec-O-Phone): 639-4175, Business Phone: 639-
4171
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!' Inspection:
I Footing Susp. Ceiling
C !!! Sprink. Rough-in AppNSowlk r�
Plbg. UnderslabFoundation -inMech. Rough Fireplace "
:.
j"3�
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lioe "M 'I�` a
Plbq. Underfloor Rain Drain Framing -Plumb.C
Alarm Water Line
Insulati7n eC ° <f, � ' �hw•'�t1�Mt�h�`•.
_ Underfr. Insul. Shear Wall Gyp, Bd
.Fisc!.
Date Requested:
Time: AM PM
Address: RV
Builder: �4 e-) }�, r
Permit #: ���o a 1 )! ! t' ✓y !
TN FOLLO IN COR TI
��fj � �j ARE REQUIRED:
C�W• �t� ���l�
1 7 Yi
4/—/7 ifs
/IS✓(w...�</y ..� � rci� �^��� I .i'fta��}r,i'''" �I�,u..tl�ty�l� 1i�1�
�. b/�f✓m�< .v/7KoGr �'- Z i— lrS � a �.r Y 4"' ` 1 i i�` "ya�'�3 !'�a'p�t� '
f: i at ;xct q
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Inspector: a ;
���_�� -- Date:
2l�PPROVED
_DISAPPROVED APPROVED SUB IEC i TO ABOVE
Call For Reinsp. +r �������„��•�
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CITY OF TIGARD BUILDING INSPECTION NOTICEG'"'�'�
Inspectior Line (Rec-O-Phone): 639-4175 Bu less Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. lough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Pcst/Beam Stru-:t. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfl(Y)r Rain Drain Frami ,g -Plumb..
Alarm Water I ne --dation -Mech.
Underflr. Insul. Shear Wall ;yp. Bd. -Elect.
Date Requested'
.rq.._ �_-)_' �� _zT,irne: AM _PM
Address:_1�
Builder: 2— 250 miv
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Now
i
\In ector: Date:
PROVED _DISAPPROVED APPROVED SUB
JE T TO ABOVE #
_Call For Reinsp.
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON 155
DEVELOPMENT SERVICES Q�VISION #350-12
155 NORTH FIRST, HILLSBORO, OR 971?4 ,
- COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 j
Permit. 05061766Project #t . i'0042:36 7 Status APPROVED Page 1 of
Applied 12/ 13/94 Issued 12/1:3/94 Expires 06/11/95 04/19/97 O5 Ai
RESis LEC
1 permit Title GFR -- ELEC/ALL ENCOMPASSING LV OTR
Description Begun : 07/21/94 M
Joky Address 13942 SW HIGH TOR DR TI
,Owner Name INSPECTION - TIGARD Req)or. D
4 Applicant Name 'i: GARY' .13' VACUFLO
Fi-Lone number, ` 775-2042
Va:�i$t.i,-)n: t) Approv,-d- __ ._ _ a
0U
Inspector Cuuna.,nts : Rra.jc^ct ;i»
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.�'1-ya 4d REQUEST ERROR
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Plumbing
Mechanical
Electrical
s
(,eneraI. _ C- fit)r
I n B p e c t e d by :—.--j. D at* :
Inspection kegneste•d
* Low Voltage Final 041 .1 E Off, A ON IVft
04/19/95 I4I f RIIVR ;26-7280 C
* Final Electrical 0419" E. AY r)N IV9
04/19/95 RI LG I;KBX TC)t'775-2042
y t t _� s a r •�1
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r CITY OFTIGARD BUILDING INSPECTION NOTICE II■ a „ti, ,� r;;� l w >�
¢ ' Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1
Inspoction:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
■I I
Foundation Plbg. Underslab Mech. Rough-in Fireplace I
Post/Bear,, 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 Wa I Gyp. Bd. -Elect,
Date Requested: Time:4AM PM P
Address: Z
Builder: Cid ,7 Permit #:
THE FOLLOWING CORRECTIONS ARE REGUIHED:
i
LlfIIf
Y }v s
Inspwd tor: r�/I��GL Date:—!
APPROVED DISAPPROVED PPROVED SUBJECT TO ABOVE
Call For Reinsp.
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S E OI N NOTICE
City of Tigard Building DepartsKmt
13125 RW Hall Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
InspeTtion:_- _ -
Footiny Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Gas Line FINAL:
Post/Beam S`.ruct. San. Sewer Framing -Bldg. I
Post/Beam Hoch. Rain Drain. Insulation -plumb.
Plbg. Underfloor Nater Line -Mech.
Date Reque`ted: ( I ' - _Tima: ` PM
Address s12 - Permit 1 s [ - ��`�4 B
THE FOLLOWING CORRECTIONS ARE REQUIRED:
P t
si f
d.
tnepector:.T_ ✓.i .---__--.- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reirsp.
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INSPECTION NOTICE
City or Tigard Building Dep-13mllnt
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection fine (Ric-O-Phone): 639-4175 Buaineea Phone: 639-4
Inspection'------------- — — _. --
Footing Plbg. Underelab Hech. Rough-in Appr/Sdwlk N
Found. Plbg. Top Out Gas Line FINAL: I
Poet/Beam Struct. San. Sewer Framing B1.lq.
Post/Beam Hoch. Rain Drain Irtaulat syn' -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Date Req�eeteds /_. �-.3/ /4 Tom= -AM PH
JI��� r
� C rermit 1:
Addreae:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Dates 2;�2
APPROVED __ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
A
MUNK
-- - �;
INBF&CT-ION NOTICE `+0\
Cityof Tigard Buildlo9 Departslent
13125 Bit Ball Blvd. Tigard, OLegon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: -_ _ --
Footing Plbg. Underslab `Hach_ Aough-f l_-' Appr/Sdwlk "
Found. Plbg. Top Out Gas Line r /FINAL:
Post/Beam Struct. San. Sewer gaming; -Bldg.
Poet/Beam Hoch. Rain Drain Tnsulation -Plumb. F,
1
Plbg. Underfloor Water Line 4 Gyp. Bd. -Mach.
Date Requested: \ v C`! _ Time: AN PM -
Address:�� �� »� Permit isj,
Builder:__ -
. THE FOLLOWING CORRECTIONS ARE REQUIRED:
912
Iry `f, .� � ��'� 1• ; ,4 \ "1./—"'• moi/ � _ V�'�'- �/ V —J -
Ww
_ ev 7
Iv
Inspector: Date: 12--
_
__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
( Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Dopartsent
13125 SW Nall Blvd. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Pouting Plbg. Underelab -chi Rough- Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sews_ ramrod, //' -.Bldg.
Post/Beam Mech. Rain Drain Insulation -P!.umb,
Plbg. Underfloor Water Line Gyp. Bd. 6^h.
Date Requested:_ Time:
AK PN
'
Address:
—Lir- C,iPermit
Builder: �c nom_ -�p✓ ' ��
THE FOLLOWING COR1lECTIONS ARE REQUIRED:
Inspector: ilk- —� C
Date:
APPROVED [. DISAPPROVED APPROVED SUBJECT TO ABOVE
r - -
� Q �
Call For Rei.nsp. I,
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INSPECTION NOTICE
CLtT of Tigard Building Dal artzient
13125 BW Hall Blvd. Tigard, Oregon 97223 (I
Inepeetion Line (Rac-O-Ph.ne): 639-4175 Bueineee Phone: 639-4171.
Inspection:_
1
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top fiat Lia. Lina FINAL: I
Po.t/.eam Strurt. San. Scwer Framing -Bldg.
Poet/Beim Hoch. Rain Drain Insulation -Plumb. I
i
Plbg. Unoerfloor Water Line Gyp. Bd. -Hoch. .
Data Reclue.ited: Time: ['/_AH PM
Address: //�' /. �l I-)/,� 17 Permit = 7
Builder:-6 K' S /'t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
++ I
l '
Inspector:__ Dates
APPRIVED -- DISAPPROVED -. -RROVEb SURJECT TO ABOVE
Call For Reinsp.
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INSP):CTIOI' i;^TICE
City of Tigard Bu!_a,I - Department
12125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4171
pec ��..cJ�U-
Ins tion:
Footing Plbg. Underalab Hoch. Rough-in Aper/Sdwlk '
Found. Plbg. Top Out Gas Line FINAL: I
Post/Beam Struct. San. se'wer Framing -Bldg.
E
Post/Seam Mach. *'.ain Dr- in Insulation _Plumb. I
Plbg. Underfloor Water Line Gyp. Bd. _Rech.
q� --7 l o N
equ PM
Date R asted/•_
Time:
Address: (J `-r�5 U
l Permit is������-J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
P
Inspector- L� ` �.-^ n '�
— Date: 7 L
_APPROVED DiSAPPRgVED ROVED SUBJECT TO ABOVE
��` _Call For Reinsp.
SPECTIO,—_-K NpxIt� L "�
City of Tigard Building Depnrtnrnt
13125 b'N Ball Rl�d. Tigard
Inspection Lina (Rec-(phone ��n 97223
): 639-4175 Business Phone: 339-4171
Inspection:
Root L nq '-----------__—__
Plbg, Dnderaiab Mech. Rough-in
Pound. ~' Appr/Sdwlk
.-Top Out Gas Line
Poet/Beam Strur_t. San. FINAL: I
Bawer Preminn
Poet/Beam Mech. -Bldg.
Plbq. Underfloor
Rain Drain �
Insulation
-Plumb.
Water Line
GYP. Bd.
Date Requested,_ 2( �� -Mech.
-_-AN q
Address:-/ — � � --- PM -
Permit t
Builders � `
TWE POLLOWIN(i ODRRgC1IONS ARE REQDIREDi —�_--
- _-- — iffa'
Inepector:� C�/--
-_—,-
APPROVED DISAPPROVRD
APPROVED SUBJECT
TO ABOVE
--_4Ca11
For Relnsp,
INSPECTION NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0--Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl.bq. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
f s Port/Beam Strvc San. Sower Framin
I �_._ g -Bldg.
Post/Beam Meech Rain 4Dra1n Insulati.on -Plumb.
Plbg. Underfloor Water Line Gyp. Ud. _
Date Requeeteds
- T s ___AM -_PM
4
Address-
Permit
Builder•
THE POLLCUING CORRPCTIONS ARE REQUIRED:
Inspector:
Date:
!_IAFPROVEn DISAPPROVED '
— APPROVED SUBJECT To ABOVE
For Reinsp.
INSPECTION NOTICE
City or Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phons)e 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Flbg. Top Out Gas Line PINALs
Post/Beam Struot. ' San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb,
Plbg. Underfloor Water. Line Gyp. Bd. -Mech.
Date Re C-
quested: _ -1
PM
Timet AM _
Addrese:�
--1-L 1 __ _)
� -fig-'
�� i : _ I ' � / Permit11� �iT
Buildert— �_L `. _.�� C ll_ J()"Y
TIM FOLLOWING MRRRCTIONS ARE REQUIRED:
I
i
Inspector q 4,f
Dates o �L
APPROVED V DISAPPROVED APPROVRD SUBJECT TO ABOVE
V Call For Roinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
1
Found. Plbg. Top Out Gars Line FINAL:
Post/Beam Struct. (San. Bawer Framin7 -Bldg.
Post/Beam Hoch. Rain Draln Insulation -Plumb.
I
Plbg. Underfloor water Line-) Gyp. Bd. -Hoch.
Date Requested:-- ��lS, 1�I Ti je: i AN PH
1 �'� f ` � 11
Address:—1 C J� 1�1 , t 41 cA �)\r PeA.t IT pL
Builder: .L l C1( S0_Y_N V_V�—��C ' d I I f
THE FOLLOWING CORRECTIONS ARE REQUIRED: jO
�4
•pir a���r ..r �(j tplal ry��
f
— --- —,-- Jnr M.
Inspectors
\ J
APPROVED -� DISAPPROVED APPROVED SUBJECT TO ABOVE
--_Call For Relnsp.
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.:SP_ECT?ON No ICE
City of Tigard Pvildiag Dapart—nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk I
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. Sai n. Sewer l N Framing -Bldg.
_DeetfDea H!ch. R'aiin Drain
�\i Insulation -Plumb. '
lbg. rnderfloor Isl ter Line i' Gyp. Bd. -Hoch.
Date Requested aTimesA�H P1IM
\, C)'� --- Permit #i Ll L1—1 ,
Builder:__�1_Sd��
THE FOLLOWING coRREcTION3 ARE REQUIRED:
LZe
n 4
Inspector:_ —�_ Dates -(�_ -
�= XPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
r
Ask
Construction Inspection&Related Tests
Carlson Testing, Ince GeoteC'hniCal Consulting
P.O. Box 23814
Tigard, Oregon 97281
Phone(503)684-3460
July 18, 1994 FAX#684-0954 j M
#94-1873
FIELD INSPECTION REPORT -
i DATES COVERED: July 8rh and 11th, 1994
PROJECT: Lot 14 - Hil_.shire Summit
ADDRESS: Bull Mountai=n - Tigard
INSPECTOR: James D. Imbrie, P.E.
i
07-8-94: CTI engineer, Jim Imbrie, arrived on site at 1:00 pm *o
observe the house foundation excavation. Nonengineered fill is
present across most of the lot and deepens to the east. A test pit
revealed up to 3 feet of unsuitable material remains at the east
end. The excavation should be deepened to competent native,
07-11-94: Returned to the site at 4:00 1.., to observe daepened
excavation. The excavation had been carried 'i--o competent native
i material, except for a few inches at the far southeast corner which
can be hand excavated from beneath the foundation. It is our
understanding that stumps, utility poles and other debris were
found in the fill that was removed.
Our reports pertain _ to the material tested/inspected only.
' Informati.cn contained herein is not to be reproduced, except in
full, without prior authorization from this office-
If there are any further questions regarding this matter, please do
not hesitate to contact this office.
Respectfully submitted,
CARLSON TEST
aures U. mbrie, P.E.
Geotechnical Engineer
JDI
cc: Dana Erickson
City of Tigard
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INSPECtMN NO'^ZCE
City of Tigard Nuildikg Dl'et
).3)25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rar40-Phone): 639-4175 Business Phone: 639-4171
Inspection:____—
��- r Sdwlk
pl . inderalab Mach. Rough-in APP /
b9
I
i
Footing
Gas Line FINAL:
Found. Plbg. Top Out
Framing -Bldg.
Post/Beam Struct. San. Sewer ,
-plumb.
Post/Beam Mech. Rain Drain Insulat �
-Mach. '
Plbg. Underfloor Water Line Gyp. Bd. /�:0 Ll
-H
Time: - __AM _PH ,` g
Da":n Requested:— !/y
permit 1:_GLjLa-
Addree s:--L�-��-+--f--y-
-_
THE FOLLOWING CORRECTIONS ARE REQUIRED: y.
a Inspector.
}'I
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
(c / __
M' call For Reinap.
µ
a i r k r� d °�:.• �,} -;. vf» ,M, n4f ,' ' `vpvr ,1;.i.
-; ; ^ { ,1
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LNSPECTION NOTICF.
City of Tigard Building DepartUMt
13125 SR gall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businesu Phone: 639-4171
Inspection: -
Rooting Plbg. Underslab Mech. Rou a- --- "
! g' in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL: t
Post/Beam Struct. San. Sewer Framing -Bldg. a
Post/Beam Hech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Line ;7F• Pd.
--Hoch.
a
Date Requeeted: `J j �1 �� Time: AN
PH )
Addrese:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
L
t
Inspector:
` --- Dates
__-_APPROVED DISAPPROVED APPROVFD SUB.IECT TO ABOVE
/.Call For Reinsp•
3
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ERMI
CITY OF TIGARD FERMI T #.. . Imo. . . : MST94._02264
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/12/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)630-4171
PARCEL: 2S l O')BA-HS014
'SI TE: ADDRESS. . . : 13946: SW 1-11 GH TOR DIR
SUBDIVISION. . . . : H I LLSH 1 RE SUMMIT ZONING: R-7 PID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014
___.___._____._.-•---___---------_._.._.._._..__.-_
BUILDING -____._.__._____.____.___..__-_--_______..---•_---.____.
PUISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BE:DRMS:4 BATHS:?: GARAGE. . . . . . . . . . : 1003 sf
TYPE OF USE. . . :SF FLOOR AREAS—____.._.____..___. REQUIRED SETBACKS.•__..._..._-__..__.__-
TYPE: OF CONST. :5N FIRST'. . . . : 1457 sf LEFT. . : 17 ft RIGHT. : 18 ft
OCCUPANCY GRP. :R3 SECOND. . . : 102:4 s f F RONT. :, ,0 ft REAR. . :45 ft
13TORIE.S. . . . . . . :2 THIRD. . . . :0 s REQUIRE11----------------------
HE I GMT. . . . . . . . :30 ft TOTAL_.. - - :3.2,81 5f SMOKE DETECTORS. .Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 168980 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKI'LOW PREVNTRS. . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. .21 LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :0
WATER CLOSETS. . :-3 SEWER LINE (ft ) . :0 GREASE TRAP.. . . . . . . .0
DISHWASHERS. . . . : 1 WATER LINE: (ft ) . : 1.00 OTHER FIXTURES. . . . . .0
GARBAGE= DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : I SF RAIN DRAINS. . : 1
MECHANICAL _.___________.._._____.__..____.._.._..._..._._______._._.._. __- FEES
FUEL TYPES•------•------ UNIT HTRS. . r0 type amo _int by date recpt
/GAS/ / ! VENTS . . . . . :0 TIF $ 1520. 00 JG 07/12/94 -
MAX INPUT:O B1 U VENT- FANS— -4 DPRT $ 605. 50 JG 07/12-/9 4 -
FURN ( 100K . . :0 HOODS. . . . . . . 1 BPLC $ 393. 58 JF 06/27/94 94-•253889
FURN ?=100K . . : 1 WOODSTOVES. :0 B5PC $ 30. 20 JG 07/12/94 --
FLOOR FLIRN. . . „ :0 CLO DRYERS. : i SSDC $ 280, 00 JG 07/12/94 -
LJOI1_/'1MID : Hr_':0 OTI4ER UNIT S: 1 PARK $ 500. 00 JG 07/16/94
GAO OUTL.ETS: 1 MF'RT• 4 45. 00 JG 07/12/94 -
Owner: ---- - --- ---___.________.----________._MPI_C $ 11. 25 JG 07/12/94 -
DANA ERIKSON M5PC $ 2. 25 JG 07/12/94 -
B330 3W SEXTON MNr CT PF'RT $ 1,70. 00 JG 07/12/94 -
P5PC $ 8. 50 JG 07/10/94 -
BEAVE=RTON OR 97 EROS $ 64. 00 JG 07/12/94 -
Phone #: 626--2507 ERPC $ :0. 80 JG 07/12/94 -
Conti-ac_toi-. - -___._.__________._._______________ERPC 11 20. 80 .JG 07/12/94 -
DANA ERIKSON
8330 SW !SEXTON MNT CT
BEAVERTON OR 97
Phone #: 6c"26 '507
Req . . : 12880
$ 3671. 96 TOTAL
This perait ,s issued subject to the regulations contained in the - - REQUIRED INSPECTIONS -------
Tigara mnicipal Code, State of Ore rperialty Codes and all other Foot/fol-ind Insp Fireplace Insp,
applicable laws. All nark will be a in accordance with approved Post/beam Str1_tct Gas Line Insp
plans. This perait will expire if .#ark is not started within 180 Post/E►eam Meehan Insi_ilation Insp
days of issuance, or if work is suspeptW for tore tha S. 17'lm/Lmdslab Insp Gyp Board Insp
i FILM/Underfloor Rain drain Insp
1=lei-mittee Si gnatUre : '�� -� Mechanical Insp Water, Line Insp
/ "' Plumb Top 0l_it Appr/Sdwlk Insp
T.ssued By :� 1lJ �.T___ T_ Framing Insp Mechanical E=incl.
Call for- inspection - 639--4175
SE=WER CONNECTION
CITY OF TIGAPn PERMIT #PERMIT. : 5WR94 -0252
COMMUNITY DEVELOPMENT DSR- MENT DATE ISSUED: 07/12/94
13125 SW Hall Blvd.Tigard,Oregon 87223.8199 (503)839-4171
PARCEL.: .-:.'S109BP-•HS014
SITE r')DDRESS. . . : 13942 SW HIGH TOR DR
SUBDIVISION. . . . : HILLSHIRE SUMMIT ZONING: R-7 PD
B?_JCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :014
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CL.ASS OF WORK.. . . :NEW DWELLING UNITS. . : 1
TYRE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPGRV ''SURFACE. . : sf
RemAr k s : PATH I
_._.________________._._____._.______________________ ._._._. _____-__..__._...__..__...,__
Owner: FEES
DANA ERIK.SON type ain0lint by date reept
83.30 SW SEXTON MNT C-r PRMT $ 2'LOO. 00 JG 07/12/94 —
1NSP $ 35. 00 JG 07/12/94 -
BEAVEPTON OR 97
Phone #: 626-2..507
Contractor: -----___---____________--___----
CONTRACTOR NOT ON FILE
# : $ 2235. 00 TOTAL
REQUIRED INSPECTIONS -- __..._..._.._
This Applicant agrees to comply wi+h all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The tutal amount paid will be forfeited if the
permit expires. The Agency doe, not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, 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 ggency will inst0f-a lateral..
Permittee Sig ats_rre : �
i
Call for inspection - 639--417c5p
4 cgAj—
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 2 '1,k) �1 16v' 1)✓'
II ( •.} Office Use Only
Subdivision: [jt ('SL1tV-f- Lot # (q
- / �- Planc�clRec # � 7
Valuation: 16 ,1 J l�
Permit #
Owner: Reissue of
Address:
Map & TL # ;-,2 /
r
Appro_vats Required
Phone. v 2
Plannin
Contractor: T)x1W, Engineering
Address: Other
i
Items Required '
Phone-
2 Subcontractors nf �
Contractor's License # Cl .
(attach copy of current Oregon license) Truss Deta;Is
Contact name & phone:T4lNtQ- &ICksin Othe,
Sut•contractors:
Plumbing: V-r 10- k M SOYt
Lt c-v Ve-J� "I'L `f r
` (attach copy of cunent OR Contractor's License)
, 1
Architect/Engineer:
Address: ��
Phone:
Fr
JOB DESCRIPTION:
2507
Applicant Signature & Phone number
Date Received:
i
Fli Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
Stato Tax (TAX) 4LO 3
Bldg.
1{ Plumb.
Mech.-
Plan Check (PLANCK)
Bldg: CJ
Plumb:
Mech:
C),25 Z sewer Connection (SWUSA)
Sewer Inspection (SUVINSP)
Parks Dev Charge (PKSDC) sU 0 St"t)
Storm Drainage Clig (SIDSIDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) /,/0
Commercial'flr
(TIF-C)
Industrial TIF k-TIF-1)
Instffutional TIF (TIF-IS)
Office TI I:: (rIF-O)
Water Quality (WQUAL)
Water 0uan%,*,v (WOUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Pi,:-.WUSA (ERPLAN)
Erosion Planck/COT (EROSN) U, ff t)
TOTALS:
A
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1 ,
1 L T l Y CIF" 1 11 AIM R l:F_IPI C4 r' 4YI+IF NI F UA, IP I N!:t. 5 94 6
r H[::C,K AMOUN r '56'56, ')J.
tGlh9i CA';H AMO UN T' 1& 00
PAYMENI D141 a (l7/ IP19_';
61.110)I,VISI.014
11
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I'1lri�'C,71:iF:
OF POYMCNT NM(JUNT PO1.U H'11Rr'08C OF PIJYPIE- 1 FaM111IN1 I IlI.)
f (alllLDINCl PF.Ul"I M9!")e1 PI..1IMPINO PF=_WJvI i io. JAW
j MLICHANICAL.
, 6!L. 0 f.;Rlh.C:K F•1� L'. i 1 i.l, L.Ic.,i1 }iWFt':1�a• yr `;;: � 1�N. Wet
500. Olt,
pr rTUWM 1)fi1�IN !3CJR:: 1�'.J1G1, 111111 FtF ,,� IJ i - I 1 :'1-ai I � r r i"1 llh. �h�;
'MW'-i€a TFRANI3I 1' TIF F'IE'FS 1 10. OLA F:Fr1 r ,1 i llV ! i , 1 1 ;1 r ; ! ; ►. E,4. v�G
"> k.ROS i C)N C ONTHC'll. FLAN CFC 21A. 1;A11► F It1 1''i.I I:11A
I1394�! SW 111611 IUR ON
<; IH1F.i._SHIRL UR LUT 14
110TAL AMI7!.IN r PAID - , 56056. 96
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... . . .
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r.
PLUMBING P'ERMI'T
CITY OF TIGARD DATE PERMIT ISSUED: 07: MST94-Q► C74
x/1`/94
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8166 (503)639-4171 PARCEL: 2S 109 BA-HS014
SITE ADDRESS. . . : 1`194c. SW HIGH TtIR DR
SUBDIVISION. . . . : HTL_LSHIRE SUMMIT ZONINr: R-7 PD
BLOCK. . . . . . . . . . . LOT. . :014
gym. CLASS OF WORK. . :NEIJ _ ' GARBAGE-DIS: 05ALS. . :
" TYPE OF USE. . . . :;r
1 r� WASHING �4ACH. . : 1 BACKFLOW P''"'_VNTPS.
. : 1
Y` ,',a OCCUPANCY GRP. R,7
FLOOR DRAINS. . . . . • :0 TRAP'. . :0
STOF2TES. . . . . . . . :;� WATER IHEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F I XTURES----•--
__.___. LAUNDRY TRAYS. . . . . . �,L
: 1. � _
RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . .
GREASE TRAP'S. . . . . . . :0
k LAVATORIES. . . . . : , OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . :
SEWER LINE (ft ) . . . , :ILI �
WATER CLOSETS. . :=3
WATER LINE (ft ) . . . . : 11Z10
DTSHWAShERS. . . . : ' RAIN DRAIN (ft) . . . . :0
Remarks : rATH I
OWNER:
--FEES---
DANA DANA ERIKSON TIF' � 1,, 0. 00 JG 07/12/94 -
8330 SW SEXTON MNT CT' BP'RT 'S 605. 50 JG 07/12/94 --
BPLC $ 393. 58 JF 06/27/94 94-253889
BEAVERTON OR 97 SSP'C $ 30. 26 JG 07/12/94
Phone #: 626-2507 SSDC $ 280. 00 JG 07/12'/94 -
PARK $ 300. 00 JG 07/12/94 -
P1.umbirrg Contractor: - - _ ___ ...._...... IVIP'RT $ 45. 00 JG 07/1 /94
MPLC $ 1 1. 2t; JG 07/12/94
Name: �,ry-1�,�Y-
F, �dres= • 7 r1 S 5- 5 w �.-._.-- MSPL: $ c. 5 JG 07/12/94
-
_._ _ P'PRT $ 170. 00 JG 0"7/12^/94 -
CityAc%� _5t ate : �� P'5PC g 8. 50 JG 0'7/12/94 -
Zip:�?�:='? F°hong#: /�f- Cl
EROS t 64. 00 JG 07/12/94 -
Reg #' �3Q--- Additional fees ni,t shown here. . . . . . . . .
- --- REQUIRED INSPECTIONS --
TIIi.<_; permit is issued s�_tb,jec,t to the re
_Mations contained in the Tigard MUnicig
9- pal Fout/fo�_Inr' Insp Rain drain Insp
Code, State of Or,e. Specialty Codes and all Post/Beam Stri.Ict Water, Line Insp
other applicable laws. All work will be done P'ost.'Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Ir•Isp Mach�anical Final
per'mit will expire if work is not started P'LM/Underfloor• Plumb Final
within 180 days of iss,_IanceI or if work is Mechanical Insp B�_lilding Final.
Suspended for more than 180 clays.
Plumb Top 0�_It Erosion Control
Fram.irly Insp Crawl Drain
Fireplace Insp _
Gas Line Insp
>c
a yam_ Tns�_ilation Insp
Fa_ or^ize Plumbing Contractor ,lgnat _ .e 4Gyp Board Insp
c
Call for insp tion - 639--4175
C'ontrac',or Notes :—.—
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.....w..e.s' E..«,,.. Tk .::hr.....�..rwr;.f'.r'...r ;._ _... -.�__y ... ..._... . - ..-__r.._ v ..�++...✓.....yi.ra-+VJ+ r,. .w.. - u« ..r......«.-..._......
t
• ve
(111Y (I ' 1-16AC^I11 RE'CC;'IC'T OF PAYMh:Nl' Rt--.Llfr IP'l N1). t'�4—c'7;:313H
NAME a E.-R I KSON, DANO CASH AMtlIJN T y �. ��
HI)IUF2Ei `; a Fl;s 3(� SW ,1-.X TTIN Wil N UT PAYMF-N7 04:4 rf a Of, f/94
BE'AVERTON, OR 1=il TADIVIF;CCIrrt s
1005—
I PURPUSF OF PAYIIf .Nl MAMA[C 01D I!LIItI'11:;1 CICU C'(1YMF'N C MOUNT C't I !
I
1391+2 SW HIGH TOR DR
a
HII_LSH[PF SUMMIT I_"T/1-4
TOTAL AMOUNT PATO — - — ) £35111. 00
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