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1 CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phu.+ . voy-4171
Footing Rain Drain Cover/Sarvice FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation ect�
Post/Bearn Struct, Mech, Rough-in Gyp. Bd. B d�9�
San. Sewer Gas Line Appr/Sdwlk einem �` �f`rf
Other:
Date:
A.M. P.M. — Entry:
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Address:
Tenant: Ste "ST:
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BUP:
IMEC:
Con/Own: /+
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ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
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Date: 3Inspe, tor
APPROVED —DISAPPROVED/CALL FOR REINSP. CFO
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Ir- OCCUPANCY
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PEPM11 it. . . . . . . : IMST95-016-4
CITY OF TIGARD OPYE IGSLJEDs 03/21/96
COMMUNITY DEVELOPMENT DEPARTMENT
1141125 SW Hall Blvd.Tigard,Oregon 97223*81199 (503)639.4171
SITE ADDRESS. . . : 13469 SW HILLSHIRE DR
SUBDIVISION. . . . c HILLSHIRE ESTATES NO. 2 ZCINING:R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 131
---------------- ---------
CLASS OF WORK. xNEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. ,4,! +P
OCCUPANCY LOAD i J'
!�emav,ks : PATH I
Owner:
WINDWOOD CONSTRUCTION INC
t,4076 SW SENCHVIEW TERRACE t.
TIGARD OR 97224
Phone #s 509-47MO
Cont y-'actov's
WINDWOOD CONSTRUCTION, INC.
6933 SW TIERRA DEL. MAR
I BEAVERTON OR 97007
Phone 01 780-43755 M
Pep *. . o 9,0196
!his Certificate g�-ants OC(!�Upanvy of the above v-pr-pt-enced building ot, pot-tion
thet,eor- and confirms that the b,.tldiny has been inspected for- compliance with
the State of Dragon Specialty L:od,;?% for the grog occmianuy, and use under
which the v-9fevenred pet-mit was iSSIAtod.
B SUILDING OFFICIAL
In 41�N G7
POST !N CONSPICUOUS, PLAU
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line:ne: 639-4175 Business Phone: 639-4.171
Footing Rain Drain
Cover/Service FINAL:
Foundation Water Line
Gelling luii�
PcsUBeam Mech. Shear/Sheath
Framing ech.
Plbg.Und/Flr/Slab
Plbg. Top Out Insulation
Post/Beam Struct. Mech.I Rou h-in x San. Sewer g GYP• Bd. ,.,
Gas Line Appr/Sdwlk
II <_
Other: ---��--
Date:
H nn. P.M.
----
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Address: _� �� cj l� Cy ��] •� ry —�
Tenant: - –Y----
------ Ste: MST. S D L(oc
Con/Own- _ BLIP.
MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELC
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_ ROVED L� Date-
APPROVED 3
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line Rec-O-Phone : 639-4175 Business Phone: 639-4171
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yrs�.,ra t,� Inspection:
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"• 0 Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk r �
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. rA``
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear all Gyp. Bd. IectJ q ;r
Date Requested: Z —' �;, 'tic rx
� Time: AM PM
Address: (d iALt
Builder: Permit >� [�� ��
THE FOLLOWING CORRECTIONS ARE REQUIRED: w
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CITY OF TIGARD BUILDING INSPECTION NOTICE i
Inspection Line (Rec-O-Phone): 629-4175 Business Phone: 639-4171
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Inspectior:_
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Footing Susp• Ceiling !
Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Firepi3Cs
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Post/Beam Struct. Plbg. TDp Out Elec. Rough-in FINAL: `
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing ¢(u-li
Alarm ater Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Dute Requested:_ Time: AM PM
Address:
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ — Date:
_APPROVED _-DISAPPROVED —APPROVED SUBJECT TO ABOVE
JCall For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O-Phone): 639-4175 Business Phone: 639-4171 ! '
Inspection:_
Footing Susp. Ceili Sprink. Rough-in Appr dwlk I
v.t➢.I���.i� t.�,r r' 1}y � "i,f �t � R u .
Foundation rlL)g. Underslab Mech. Rough-in Fireplace
t art rel Postt'Ream Strum. Plbg. Top Out Elec. Rough-in FINAL: F I ��•
Post/Beam Mech. San. Sewer Gas Line -Bldg, ■
} " Plbg. Underfloor Rain Drain Framing -Plumb.
r Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall GyQ. Bd. Elect.
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fDate Requested: C Time: AM �PM
a3;1 " Address:
Builder: __— — ermit r L{� l S
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........ THE FOLLOWING CORRECTIONS ARE REQUIRED: h w>
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY CSF TIGARD
COMMU14ITY DEVELOPMENT DEPARTMENT
13126 SW Hai!Blvd. Tlgard,Oregon 97223.8100 (503,630-4171
PLUMPING PERMIT
PERMIT #. . . . . . . : PLM95--0316
639--•4171 DATE ISSUED: 10/18/9
PARCEL: L S 1 04CC--02500 a
SITE. ADDR'.SS. . . : 13969 SW H I L.LGH I RE DF
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
BLOCK;. . . . . . . . . LOT. . . . . . . . . . . . . : 131
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. , : ;•IOB I LE HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. .
STORIt'S. . . . . . . . :2 WATER HEATER'S. . . . . . . CATCH BASINS. . . . . . . .
LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
STNKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE' TRAPS. . . . . . . . +
f LAVATORIES. . . . . : OTHER FIXTURES. . . . .
1UB/SHOWERS.,. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE :,Ft ) . . . . :
DISF•IWASHERS. . . . : RAIN DRAIN (ft ) . . . .
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Remtarlcs : Inst.all. i.ng b<:acl(flow prevention device
Owner ---.____---_.._____..__—_ -._._____ -- _.____-_-- FEES
WINDWOOD CONSTRUCTION INC type amol_cnt by drat e recpt
141x76 SW BENCHVIEW TERRACE PRMT $ 15. 00 B 10/18/95 95-271778
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5 P C T $ 0 75 B 10/18/95 95•-2171778
TIGARD OR 97224
Phone #: 509. 4700
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Contractor:
CEDAR LANDSCAPE, INC
143705 SW PATRICIA AVE
HILLSBORO OR 97123
Phone #: 628-3411 15. 75 TOTAL
Reg #. . . 5843
REQUIRED INSPECTIONS
; h• This pervit is issued subject to the regulations contain?d in the RP/Bar_F(flow t-'rev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
eppiicable laws. All work will be done in accordance with
approved plans. This pewit will expire If work is not started
within 188 days of issuance, or if work 1s suspended for sore
than 188 days.
Permi.ttQe Si)jnat,_1rp:
Issi.ted By -
Call for, inspection — 639-4175
City otTiga J PLUMBING PERMIT APPLICATION Planck/Rec. # i
13125 SW Hall Blvd. Permit # '.M q5 ^3(!0
Tigard, OR 97223
(5103) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences 09
❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.0'? I
3 Job (�� Std 'Allwm/xr- ❑ 3 BATH HOUSE$225.00 4
Address �we�.r. y w Fee includes all plumbing fixtures it the dwellin3 and the first 100 feet
7of water service, sanitary sewer and storm sewer. See fees below.
"'^"'"^•" °'a """ FIXTURES QTY PRICE AMT
11Dr Zt9 O1"o-5 Sink 9.00 I
M."^°"" °"°^• Lavatory 9.00
Owner 06xXit/cJi Tub or Tub/Shower Comb. 9.00
'=o"""' c :b Shower Only 9.00
(.,/�y(/'� C��% 7 i TiL� Water Closet - 9.00
"" '"^"^•�"� ? Dishwasher 9.00
Occupant
-�C-{-�� { _ A . Garbage Disposal 9.00
Washing Machine 9.00
Floor Drain 9.00 r �
Water Heater 9.00 w
_ Laundry Room Tray 9.00
"•"• Unnal 9.00
Other Fixtures (Specify) 9.00
MYnO A4*- Arm.
Contractor '/'
9,00
14� 7f 94?2'6/A AVC- 9.00
c+tr�RSn: Zb
9.00
Q//L-- '�J/23 Sewer 1st 100' 30.00
°j'a- '""° Sewer-ea. Addit. 100' 25.00 gg
`j Water Service 1st 100' 30.00 2;
I hereby acknowledge that I hays read this application, that the Water Sorvice ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of -the owner, that p'ans submitted are in compliance with Slate laws, that Storm 3 Rain Drain Ist 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please _
give reasobelow,rl Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
om Any Trap or Waite Not
PW- /✓` GSC r Connected to a Fixture 9.00
Describe wor!( new addition O alteration Q repair Q Catch Basin 9.00
to be done residential (p non-residential Q Insp. of Exist. Plumbing 40.00/hr
Existing use of Specially Requested Inspectiins 40.001hr -
building or property Rain Drain, single family dwelling 30 00
Residential backflow prevention c
devices 15.00 l S
Proposed use of
building or property -
---"-' '(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME'VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WI'.;IIN 180 DA',S. OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -
FOR A PERIOD OF 180 DAYS AT ANY TIME AFT':!2 WORK IS
COMMENCED PLAIT REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions -
-- _� Date issued _ - by
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E'I._LIMIA I NG PRAM 15. 00 IS 1 . NL.I I I 11 111 {r 1 �,
F,t.. X f RICAL PF:MM1. I• 40. 00 `.i C. HI_I1.t..o 1-'I:.ka v1t+t
I :i9Li'3 ;iW;: Fi C(._L.lal1 I C2F: ON.
04MUUN I PAID ... _. _. .., t)ti. �'.
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*. Community Development RESTRICTED ENERGY ELEC fRICAL APPLICATION '
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13125 SW Hall Blvd.
Tigard,OR 97223 PERMI: #
Phone(503)639-4171 PATE ISSUED !'0 —
FAX(503)684-7297 — — _
TDD No. (503)6b 1-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
i
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
AdcJr'ss RESIDENTIAL —Restricted Energy Fee. . . . . . . . . MUM
(FOR ALL SYSTEMS)
City —T State Zip S.IIC k_iy'tc of Work Involved:
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.•ERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Auar._ and Stereo Systems*
I IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR rr��J }
180 DAYS. iBurglar Alarm
1 ❑ Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System*
Contractoi C)jrfi_ k�W rypc_�1cjpogr_ _.. ❑ Vacuum Systeme
' cJ other—
Address.
ther
Address / ?� . 94) % G A_, rrr—aw—A& W
d -f .ar
7) COMMERCIAL—Fee for each system . . . . . . $40,00
p. -- ----�- — (SEE OAR 918-260-260)
Prloerty Owner 141140 LTJ&Vrfl __90!'W_N—_ Check Tvoe of Work Involved:
Contractor's Bard Reg. No. T .3 `i ❑ Audio and Stereo Systems* i
❑ Boiler Controls
Phone# �!� r __ ❑ Clock Systems '
?. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
�'� __ _ _ ❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
'f�: -- -- -- ❑ ntercom and Paging Systems
Address
Landscape Irrigation Control*
j' City State Zip ❑ Medical
i
This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
}' restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
t fallowing:
11 Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing.These have ❑ Other
( asterisks)•)•All others need licensing).
2. Call tar an inspection when all of the installations under this permit are ready
for inspection at 503-639.4175. o _L— Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection e
when the inspector is out to inspect under this permit. •No licenses arc required. Licenses are required for all other Installations. tI
4. Assume responsibility for assuring that all co:rectlons required by the inspector
f are done,and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
1' The persor signing for this permit must he the applicant or a person a. f rater Fees
+ a rize to hir the
' - h. 5% Surcharge(.OS x total above)
Signature 00 i
TOTAL $ -
-P/0
e Authority if other than applicant
ENERGAP.CHP
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NOME- CEDAR LANDSCAPE I ie-JA (AMOUNT a 00
(40D aE.SS A 14375 SW PJAIR.[C3A AAV Pi)YM1-.N1 DOfF. Q .Iit)i l o, 45
H I LL.taH17RO UR �-AJBD I V T!,I UN e
PORPOSE' OF"' PAYMU'NT AITILIUN I PA I I'► 1-1010='l 4,E OF PWi M{.-N 1 (IM(iI.INT PAID
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PLUMBING PERM 11). 00 ,0 . FILI 11...1) P 'R._. 1.
PF.RMI 1 40. 00 I:A ., BUILD PER 00
h,
1.3969 HWS'. DR.
1 Cl1(il ►-IIYIl.t1!(4I PAID
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y � CITY OF TIGARD BUILDING INSPECTION NOTICE
IV' Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
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Inspection:
t Footing Susp. Ceiling Sprink. Rough-in pprw
Foundation Plbg. Underslab Mech. Rough-in Fireplace ui,* �t• „ ! ��•
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. '
J
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. r
Date Requested: 1 ime: AM PM t
Address:
Builder: Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED: r I + r
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_APPROVED _DISAPPROVEU�, PPROVED SUBJECT VErni
_C'all For Reinsp,
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e-lTY OF TIGARD BUILDING INSPECTION NOTICE
{ Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation P1bg. Underslab Mech. Rough-in Fireplace
Post/Bcam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. SewerFos I na'�. ..Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 0
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect '
Date Requested, 9' 1�—q Time:� APA PM
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Address: i 3 (Q C] lj C�� S, C —
Builder: Permit #:95—' 44
THE FOLLOWING CORRECTIONS ARE REQUIRED: +++
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Inspector -� Date-RTST� �
4�A`PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF
--Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Nec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppW-'vd;
Foundation Plbg. Underslab ech. Rough:in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plog. Underfloor Rain Drain Framing -Pli.mb. '
Alarm Water Line Insulation/r Mach.
Underflr. Insul. Shear Wall C3� -Elect.
Date Requested: 7 J 5� Time: AM PM
Address: I _�cJ (y i i_ t— �' �.1-it•�/�
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
_APPROVED _DISAPPROVED L'�PROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection '.;.ie (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
' 3 �
PP �I�i < � 't�1+
Footing Susp. Ceiling Sprink. hough-in A r/ w . �4 � u'
anti 4 (hCt j
Foundation; Plbg. Underslab `1Aech. Rough ill Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer
L Bldg.
r
Plbg. Underfloor Rain Drain Plumb. �t�v�,1ttr'at
Alarm Water Line a ion ?2!L-Mech.
I
Underflr• Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: `�' S Time:
AM PM
Address:
Buiide Permit
THE F G_CORRECTIONS : ..E REQUIRED:
Inspector: Date: '� 1
OVED pISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection a (Rec-O-Pho e): 639.4175 Business Phone: 639-41711
Inspection:
Footing s n® i A / wlk
UT ,
Foundation Plbg. Underslab Mech. Rough-in+►- Fireplace
Post/Beam Struct. Plbg. Top Out1�q Elec. Rough-in /IC FINAL:
Post/Beam Mech. San. Sewer Gas _ineg -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line fisulati •._� -Mech. '
Underfir. Insul. Shear Wall ,/ Gyp. Bd. Elect
Date Requested: /I� ��1 5 Time: AM �PM
Address: 26, T (;�-("_4�
Builder: Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:__ Date:
_l 4
_APPROVE) 41—NSAPPROVFD _APPROVED SUBJECT TO ABOVE
all For Reinsp.
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d CITY O_ F TIGARD BUILDING INSPECTION NOTICE
I+ Inspection Lina(Rec-O-Phone): 639-4175 Business Phone: 639-4171
I
I
Inspection:_
1 Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Hough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
3uilder. Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: �C ? 2—
.�.,� C-AI- Valc
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_APPROVED APPROVED _APPROVED SUBJECT TO ABOVE
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.CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I�fJ
Inspection: \_
Fnot?ng 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 ( nsuatiom / -Mech.
Underflr. Ins I
u. Shear Wall Gyp, Bd, -Elect
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Date Requested:_ /%'� Time: AM PM
Address
Builder: Permit #:— �>
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a c
Inspector:
Date: 7
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_APPROVEu _ SAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 l
Inspection:
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk
Foundation Plbg. Underslab �ech. Rou
� Fireplace
Po„t/Beam Struct. Plbg. Top Out-1/ki Elec. Rough-in gl( FINAL:
Post/Beam Mech. San. SewerGas Lir / ,-Bldg.
Plbg. Underfloor Rain Drain rmin ,<��� -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect. I
Date Requested: n �� ( 7 Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRFCTIONS ARE REQUIRED:
S L4._
Inspector:__ Date: O Z`'f
_APPROVED _DISAPPROVED j2�ARPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in 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. 6d. -Elect.
Date Requested: Time: AM PM
4' Address:
Builder: _Permit #: 0 1 (4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- 2J 7- - C-"
Inspector: L], T
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Date:
—APPROVED `DISAPPROVED LA-PPROVED SUBJECT TO ABOVE
J Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 `J
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderslabMech _^ X Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in i,q FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainraminn /w -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall t Gyp. Bd. -Elect. '
Date Requested:_ � {� (�� Time: AM PM
Address:
Builder:_ `,� (� � , Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:TO -7A
ler-
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inspector-__ ti -- —, Dater
_APPROVED D(QISAPPROVED _APPROVED SUBJECT TO ABOVE
lv,(;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. Ceil.'ng Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undarslab Mech. Rough-in Fireplace
Post;Beam Struct. Plbg. Top Out Elec. Ruugh-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: Time: AM PM
Address:
Builder. Permit #: (O
,d
THE FOLLOWING CORRECTIONS ARE REQUIRED: ] Z ,�
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�4al.--.rwD
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Inspector: _ —� Date: 4, Y-
-APPROVED tISAPPROVED APPROVED SUBJECT TO ABOVE
\ XCall For Reinsp
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I
Inspection:
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-n FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
1
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _Time: AM PM
Address:
i
Builder: Permit #t: �' W
THE FOLLOWING CORRECTIONS ARE REQUIRED:
oc c.`vl
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6�1
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Inspector:
_APPROVED 'DISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
InsfJection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL
Post/Boarn 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: Time: AM PM
Address:
Builder: Permit #:Q d ( �
THE FOLLOWING CORRECTIONS ARE REQUIRED: 4 61
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Inspector. Date:���pl� S
APPROVED
APPROVED _APPROVED SUBJECT TO ABOVE f
'�Il_For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
f InspSction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
t
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struc; 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. Rd. -Elect. •
i
Date Requested: Time: AM PM
Address:
Builder: Permit :
THE FOLLOWING CORRECTIONS ARE REQUIRED: C� c
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I
Inspector: 171 (.o
Date: �i
_APPROVED01,SAPPROVED _APPROVED SUBJECT TO ABOVE
For Reinsp.
Am
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CITY OF TIGARD BUILDING INSPECTION NOTICE
E
i Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rau in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer -Bldg. ■
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
6 i
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. I
Date Requested: _ �' Time: AM PM
r/
N
Address:
Builder: gg1el Permit #: —�JZ
71
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/u? P
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Inspector:/` , E=C'� -E'� , ,c-{ Dater y
_APPROVED DISAPPROVED APPROVED SUBJECT TO AROVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
y
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: I
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain ( Framing -Plumb. m
Alarm Water Line \ Insulation -Mech. y I
r �
Undedlr. Ins A. i` Shear W�ajY Gyp. Bd. -E,ect. ^ �" _
Date Requested: ?�? =� � �L Time: AM PM f
Address:— /
Builder: j�� — k� l; �; Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ y w Date:
_APPROVED `' QL5APPROVED _APPROVED SUBJECT TO TSO ABOVE
�< P4mall For Reinsr.
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
TinJIM, OR 97223 Planck/Rec. # X75'- a6 91 9r
Permit # I,C `�5—Ot°I'
Phone (503) 6.19-4171 Date Issued — �1 —
.W. FAX (503) 684-7297 Issued by IvlLA
04TY OF TIOARD TDD No. (503) 684-2772 6~'
Inspection (503) X639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Develonment_ 1 S1r 1 , Number cf Inspections per permit allowed
Address�� K L0 t t1�`cS t 1 1-` I� Service included: Items Cost(ea) Sum
4a. Residential• unit 4 '
City/State/Zip__ C�(� ,® � P�
1000 sq it or Isle 1 6110 00 LVL-' a
or name of business)
Name
Each additional 500 sq It of
( portion thereof 62500
Commercial❑ ReSld@ntlal% Limited Energy $25 00
Each Manurd F rme or Moaular 2
Dwelling Service or Feeder $88.00
29. Contractor Installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical ContfactxC P%_< 11IN amps Of leas 600.00 2
Address S 201 amps to 400 ampo $80.00 2
��' 401 amps to 600 amps $12000 2
City ><, ate Zip. 801 em1M l0 1000 amps 61610.00 2
Phone No. - Over 1000 amps or voha $34000 2
Contractor's License No. 3 –r� Reconnect only $5000
Contractor's Board Reg. No. 7?�I 7 _ 4c.Temporary Services or Feeder
r Installation,alteration,or relocation 2
J Signature of Suprr. Elec'n 200 amps or lase $60 00 2
7 License No. �ZS 0 J_ Phone No: —�` 201 amps to 400 amps $00.00 2
401 amps to 800 amps $10000
Over 800 amps to 1000 volts
2b. For owner InVallations: see V above
4d. Branch Circuits
i Print Owner's Name New,alteration or extension per panel
77 Address a)The lee for branch arcdits*Ith
CI State Zip purehaso or service or Neder be.
2
City— p--- Each branch circuit $500
Phone No. _ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of sw vke or Nader Ne. 2
First branch arruil $35,00 2
not intended for sale, lease Or rent. Each additionsi branch circuit $5 00
Owrw's Signature 4e. Miscellaneous
j (Service or feeder not included) 2
3. Plan Review section (if required): Each pump or trriga on circle $4000 2
Each sign or oulGro fighting $4000
Signal circuit(s)or a limited energy 2
Ploess check appropriate Item and enter fee in section 5B, panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) $100 DO
Service and feeder 225 amps or more
System over 600 N)Its nom nal 41.Each additional inspection over
( Classified area or structure containing special occupancy the allowable in any of the above
1 as described in N.E.C.Chapter 5 Per inspection $3500
Per hour $55 00
Submit 2 sets of plans with application where any of the above In Plant $5500
apply. Not required for temporary oonelruction services. g. Fees:
fATICE 5a. Enter total of above fees $ V C)
5%Surcharge(.05 X total fees) $ J
PERMITS BECOME VOID IF WORK OR -ONSTRUCTION 3u $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enteerofal r 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ I
COMMENCED. ❑ Trust Account ax $
Balance Due $ o'ls
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CITY OFF T I GARD — RECF I K=IT OF PnYMF"N'7' RE:CC is PT NO. n 95—•0:.'E,939
CHECK, (IM(')I..INT a its. 00
NAME' t CASCADE ELECTRIC & GASH AMOUNT a 0. 00
ADDRESS a MAINTENANCE, INC. PAYMENT DATE o 08/16/95
772n SW CIRRUS DR 3LIDDIVISION a
BEAVERTON, OR 9 7t-i�A'--
PUPPOSE: CIF PAYMENT AMOUNT PAID PURPOSE OF PA VMFNT AMOUNT PAID
ELECTRICAL PERMIT 206. P5 rT. BUILD PER 14. P5
CASCADE. ELECTRIC'
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SITE: 13969 SW i- ILLSHIRE
ELC 95--0194
TCJTAL. AMOUNT PAID _, _ _> 0. 00
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CITY 0lr TIGARD •- RECEIPT OF PAYMENT RECEIPT NCI. -.x,69189
NOME z CASCADE ELECTRIC $ CHECK AMOUNT z 299. 25
ADDRESS = MAINTENANCE, INC. CASH AMOUNT s 0. 00 I
772'7 `JW CIRRUS SJR. PAYMENT DATE: z 0F�/1 1/t.)58EAVERT0N, 0R. 97C08— SUBDIVISION a 1
PUHOQCiE C1F PAYMF:N'T
AMOUNT PA1;I PURPOSE OF PAYMENT AMOUNT PAID
ELECTRICAL. PERMIT c 6f L71 F"FR��
14. P5
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(:3�tf•9 f`HW H I I._I.sli I RF DR. BPLANC:E-•!0. oo
4 T O RL AMOUNT PAID — - _ __y c�9�3. 25
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 .. ..
Inspection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. l69. To--p ( utl Elec. Rough-in FINAL:
Post/Beam Mech. San. Sawer Gas Line -Bldg.
Plbg. Unde Ra;n Drain Framing -Plumb. •
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: `" i 1 �— Time: _AM PM
Address:: C, 1 L1 O
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
I
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Inspector: Date:
C APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
■
CITY OF TIGARD PIALDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6394171 (�►`�l
Inspeclion:
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 L!nderfloor Rain Drain Framing -Plumb. I
Alarm Water Line �'Insulation ze't
h.
Underflr. Insul. (IZear Wall C4-' Gyp. Bd. � .
Date Requested:_ ' ��� Time: AM PM
Address:
Builder: Permit #: CSS - ��
THE FOLLOWING CORRECTIONS ARE REQUIRED: t
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Inspector: `- � Date: ( ej`�'
_APPROVED _�(ISAPPROVED _APPROVED SUBJECT TO ABOVE
( Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
I �I� Inspection Line (Rei-O-Phone): 639-4175 Business Phone: 639-4171
s , Inspeclion:
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
i
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam hlech. San. Sewer Gas Line `t3
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Warr Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. Elect. `yY
Date Requested: 4�.' Z-U S� Time: AM PM
Address: OF L 7_ � (r' /ter 6- �l.(�'� L:
Builder. -- Permit #: l S`C(::�) 7
THE FOLLOWING CORRECTIONS ARE REOUIPED:2r
L_fin W C ,ti r��..` `Y,✓ t ..�-
s � LL
Inspector Date-_ 4
APPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE
._Xall For Reinsp.
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CITY OF TIGA D BUILDING INSPECTION NOTICE /
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: „�;Z�_/Yy-L
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. I
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: /Z 2/ C/ S Time: AM PM
Address:
Builder: KC' J 5 J (.� Permit #:
THE FO OWING CORRECTIONS ARE REQUIRED:
Z
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Inspector: '�--i`' I.-� _ Date:
._APPROVED _DISAPPROVED VAPPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
(ns 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 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. 2v -Elect.
// e� AM
Date Requested: /Z l ( 2 'im
PM
S
Address: LD ^, 2
Builder: permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Dale:
Inspector:
—APFROVED _\., iSAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I
Inspection:
,� ��►� t:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace Ff
i
Post/Beam Struct. Plbo.Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Wearall
Gas I ine -Bldg.
Plbg. Underfloor Framing -Plumt�.
Alarm Insulation -Mech.
.:, -Elect.
Underflr. Insul. c�
Gyp. 80.
S- Time: AM PM
Date Requested: i
'i Address:
Bu;iUeC
Permit #:
—
THE FOLLOWING CORRECTIONS ARE REQUIRED: �
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Inspector: Dater
'
,�C!PPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
—Call For Reinsp. I
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL-
Post/Beam Mech. c an. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. � �.Elect.
Date Requested: l TimeAAM y�PM s`
Address: !
Builder: Permit #: cj S d i Co
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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6-
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Inspector: Date:
PPROVED -f7T5A"IP PR0 D _APPROVED SUBJECT TO ABOVE
Ca
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,1
Inspection: '
Footing Susp. Ceiling Sprink. Roug;i-in Appr/Sdwlk
Foundation Plbg. Underslab Mach, Rough-in Fireplace 1"W-
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, c San.� ■e�V�$r Gas Line -Bldg.
Plbg. Underfloorain Dram Framing Plumb. '
Alarm > Insulatin -Mech.
Underflr. Insul. Shear Wall
Gyp. Bd. -Elect.
Date Requested:_ s S' �`JJ� Time: AM PM
Address:_ �� ` � 1 ►— ' —�� �C� !�� "l
Builder:_ Permit #:
j THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:./
-� Date:___�
APPROVED ISAPPROVED APPROVED SUBJECT TO ABOVE
,/t,-Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
Footing ::��
usp. Ceiling Sprink. Rough-in Appr/Sdwlk
aiolbg. Underslab Mech. Rough-in Fireplace
9 Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. M
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation •Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: s _ Time: (�4M PM
Address: ,
— � (L' � -t_r '-E.Ll-�L1.-7 i; ;�. �i,y�,;•��'�'I ��" ` ."��q�'�a �,
Builder: Permit #: �'.7`�lF✓' 1 ;� �t ���;kt i _
THE FOLLOWING CORRECTIONS ARE REQUIRED: hh
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Inspector: Date: y .—
,�L_APPROVED _DISAPPROVED /,'APPROVED SUBJECT TO ABOVE
Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lino (Rec-O-Phone): 639-41755 Business Phone: 639-4171
Inspection:_ ; ,,�-�
J
otin I�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 -Much. I
Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ `�G/� 4 j / Time: AM PM
Address:—J•._� � i� ! ��-�-'�=�--f'�-C. 1� „�1 _.
Builder:- %0 - (�, Permit #: j T- "-')/6 L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: `1
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_APPROVED —DISAPPROVED — PPROVED SUBJECT TO ABOVE
Call For Reinsp.
4
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�'LUMBING PEPMIT
CITY" OF TIGARD DATEPERMIT SUED . . . : 5/95
DATE ISSUED: 04/c:,:,l�C
COMMUNITY DEVELOPMENT U iPARTMENT
' 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)030-4171 PArCEL: 20104CC-02 5211 1
c?i 7 E. 1^-Eu+iiI G,ra. W 111 L_,L_51.111 1= DR
SURD I V I S I ON. . . . : H I LL SH I RE ESTATES NO. E' 70N I NG: R'-"7 rr?
+ BLOCf<. . . . . . . . . . . LOT. . . . . . . . . . . . . : 131
n,
CLASS OF WGRK. . :NEW GARDACC DISPOSALS. . ; 1
.,. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . .* 1 BACKFLOW F,RFVNTRO. . : l
i
OCCUPANCY GRP. . :R3 FLOOR DRAIN5. . . . , . _ :0 TRAPS. . . . . . . . . :0
STORIES. . . . . . . . :� WATER HEATERS. . . . . . : 1 C:•ATC:F•i BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . : 1 IF RAIN DRAINS. . . . . :4 �
SINKS. . . . . . . . . . : 1 GREASE TRAPIS. . . . . . . e0
i F�CR FIxTURC . . . .. . :1t
LAVATORIES pT
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
��..
WATER C'L_O.ZT^.:. , : WAT4:R LINE' C f' i . . . . : 100
DISHWASHERS. . . . c l RAIN DRAIN (ft ) . . . . :0
Remarks- PATH I
h, OWNER.
q �.O. 01WI �. WDOD CONTRUCTIOH Ih'ti TIC P F0S-4-1,_25-!_35 _
144176 SW HENCHVIEW TERRACE Skim $ 180. 00 B 04/25/95
SWM 1 1017+. Qik'1 D 04/25/95
-car TIGARD 0R 97C_�'4 BORT ? x,90. 5+� B 04/O5/9 -
' Phone ##; 509•-471110 BPLC is 448. 03 BON 04/11 /95 95--E64056
B"PC L 34. F3 L-+ 04/25,1 -- 1
Plumbing Cont-� . _..__.__.._-.__.__.__._.. _ r,AR,, 1. 500. 00 B 04/25/9595
4/25 95
MPRT t 4u. OQ1 $ 041c519J _
Names i1r+. IJ �!r MPLC $ 1 1. 125 B 04/23/93
M5PC $ L. i25 B 04/25/95 _
` t1tr : Y3STH #
Z _ X25. k0 B04/2x/0514
� P5Pc 9i 11. x5 B 04/25/95� �
-
Rey #:,--7/06 la — _3Y'�i��►_r ___.-___ _..__._ Additional fees riot 5)7trwr, frer-e. . . . • .
s
RCOU I RED I NSP,LCT I ONO
This per-mit i5 iss+ac?d subject, to the r,eg._
ulations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore. specialty Cad(,s and r,ll FOundtatian Insp Gyp Board Insp
Other wapplicCable laws. Ali work will be done Post/Ream Struct Rain d-,-air, Insp
in ac:cur�dance wi 1 ,approved Part /^e:am Mech,an Wate+, Line Insip
per-mitwill expire if work is not started Crawl Drain Water Service In '
within 1(31 days of i suanc:e, or if wo1 ) 5 PIM/+.lndslah Insp Appri dwlk Insp
suspended for more than 180 days. PLM!UnderfIoor- Mechanical Final
Mechanical 1nSp Plumb Fi7a1
'y Plumb Top Out Building Final
Framing Insp Lr-osion Cun.tr ul
f"ir"eplace Ini;p
x -^- Gals Line. Insp
Authu 'iced -'ILAnb.:ng Contractor Signature
Cal 1. for insper.:tion - 639-417'-
Contractor Notess
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C17Y OF TIGARD c r-RMrl1#.. f. ... .TMST95..0164 „
' COMMUNITY DEVELOPMENT DEPARTMENT DATE" ISSUED: 04/25/95
13125 SW Hell Blvd.Tigerd,Oregon 97223.6100 (603)630-4171
PARCEL_: S104CC-•002 010r
alTh. ADDRL'.35. . . : isles`: w iiii.l_5i•i1i�:. DR
SUBDIVISION. . . . s HILLSHIRE ESTATE;.'+ NO. 2' ZONING: R--7 PD
BUILDING �
RE I SSUt c DWELLING UN I TC. I BASEMCNT. . . . . . . . : 1042 s f
CLASS OF WORK. :NEW BEDRMr:4 BATHC.':3 GARAGC. . . . . . . . . . :764 sf
TYPE OF USE. . . :SF FLOOR AREnS--._._.._-_._._..,_....,_ r•EOUIRED SETi3ACF(ra_.._____-_.____
4
TYPE OF CONST. :5N F I P,ST. . . . s 1592 LEFT. . .-5 ft R I GHT. :5 ft
OCCUPANCY GRP. :P3 SECOND. . . : 115": S 1"RONT. :20 ft REAR. . :55 ft.
STORIES. . . . . . . z2 F"I NDSMENT:0 s f REQU I RED---
HEIGHT., E,
ED--HEIGHT. . . . . . . . : ^E, ft TOTAI... :i1'74It sf 7MCII'!C DETECTORS. :`(
FLOOR LOAD. . . . :401 p.:f VALUE:. . . . . F : 2`02.L 53 PARK I NLS SPACES. . : 1
Rem,-ar-ks: PATH I
4,
PLUMBING
SINKS. . . . . . . . . . .. 1 FLOOR DRAIN S. . . . :0 7ACKrLOW PREVNTR5. . : 1
LAV'ATORIES. . . . . s5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :01
TUB/SHOWERS. . . . :4 LAUI DR`r TPA.' . . . : 1 C;ATCIi F-ASING. . . . . . . .
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1. WOTCR LINE' (ft ) . : 100 OTHER FIXTURE'S. . . . . .Iz1
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . s0
WASHING MPCH. . . : 1 GF RAIN DRAI11 . . r4
MECHANICAL. -___.__._.._.____..-____.._._._. _ ._. _..__._.__.____-- FEES
I'UEL TYF'ES.__._.____.____. UNIT HTPS. . :0 tyl+t? amo�-Ent by date recpt
/GAS/ / / VENTS . . . . . :0 TIF' 1550. 00 B 04/25/95 _
MAX INPL170 BTU VENT r ANS. . : 4 SWM 11130. i'll0 1'. 04/25/15'
TURN ( 100K . . :0 HOODS. . . . . . : 1 SWM 2 1001. 00 E' 04/25/95 —
FURINI ) -100K . . - 1 WOODSTOVES. :O BFR1 G9C(). x'01 D 04/25/9n '-
i FLOOR FURN. . . . :0 CLO DRYERS. : 1 BPLC 448. 813 BnN 04/11/95 95--c:640581 '
I
1AOIL.it'MP1 ( 31.1P.0 nT1it R UNITE: 1 D'"f'C '! :j4. 53 1_ 04/,'5/')75
GAC OUTLCTS: l F.,P R K $ 31710. 00 S 1214/25/95 -
Ownrr __..._._—.____....___.-..._._......._._.._._.._..---Mr`'PT $ 4 5. 0 0 r QT4/25/9`S
WINDWOOD CONSTRUCTION INC MPLC; $ 11. `5 P 014/25/95
14076 SW C'ENCHV ICW TcnrmCE: M SPC $ c`_'S B 04/25/1r_-' 5
36TH 4 2i'";. 00 B 0!4/25/95
j TIGARD OR 9721._ PSPC ! 11. 25 B 04/25/95 -
1 Phone #: 509--4700 EROS 9+ 813. 00 V 014/L5/95
C;ontr^a+ct o5.: _ .___ .. _ - -.... _.... . ... _.. -- -- - ...._..._..CRr C t ce. h0 J-11 4'l4% /9!3
9
WINDWOOD CONST INC E•RPC 2a. f•0 B 04/25/95 -
6933 SW TILRRA DCL_ MAR
BE:CIVERTON OR 970017
Phcne #: 7CO-437" N
Rey #_ : 50196
3 394.,. 11. TOTAL +
I
This permit is issued subject to the regulations contained in the - --- - REQUIRED INSPECTIONS
- -
Tigard +nicipal Cede, State of Ch-e. Specialty Codes and all other Footing Insp Plumb Top Out
applicable law=. Al; work will be done in accordance with approved Fo�_Indat ion Insp Fl—aminy Insp
plans. This permit will expi-e if work is nrt started within IN Post/PeAn1 5tr^Lrct Fireplace Insp
days of issuance, or if we-k is suspen�p,,' c:+ acre "-nr, :80 days. Rost/Beam Mer-hAn Gas Line Insp
C.r-SWI Dr-ai.n Insulation Tnsp
rlt itten ire,, ., + Plnl/1_►nds.I,ab Insp Gyp Duard Insp
PLM/Underfloor Rain drain Insp
Issuad B l0 L� +'
Y � �.''!!Y"__ _..___..__.. _ ___... . ..___......__....__._.___ y�er h an ical Insp Water, Line Tn'llr L,
1
Call for inspection - 639-417
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SEWER CONNECTION
ITY OF TIGARD PERMIT #. . .. .
COMMUNITY DEVELOPMENT DEPARTMENTnr4TC I SUED: 1214/E5/rj5
13126 BW Hall Blvd.Tiprrd,Orpon 97223.9199 (603)939.4171
PARCEL. c:S�124CC--02500
; TE ADDRESS. . . 1:31)69 '.aW HILLSHIRE DR
5USDIVISION. . . . z HILLSHIRE ESTATES NO. ZONING: R 7 �'i)
13LOCI.. LOT. . . . . . . . . . . . . .. 131
TENANT NAME. . . . . s
USA NO. . . . . . . . . . i FIXTURE UNITS. . . :
CLASS OF WO RF'.. . , e NEW DWELL_11',10 UN I TS. . : 1
TYPE OF U!�E. . . , . o SF NO. OF BU I LD I NCS: 1 �
T(';TALL T`(F 17 . . . :SUSWR I MF'cr1'Y �ujr-Ar��. . : - S� a
Rpmarks : PATH I
-I wner: FEES
14INDWOOD CONSTRUCTION INC; -type amount: bV date recpt.
t4076 SW 13ENCHVIEW TERRACE. PRMT t 2200. 1750 S 04/25/95 —
IN SC's $ '"5„ 4'I0 n 04/215/9 _..
TIGARD OR 079224
Pl-tone #: 509•-4700
�ON7ZAGTOF. •!•I PILE
"i
low "23Z. 130 TOTAL
Reg #, . '
REDUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer-- Inspection
of tt+e Unifieo Sewage Agency. The permit expires le8 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not suarantee the accurry c; the —
Side sewer laterals. If :he sewer is not located at the measurement ..._._.___..._...._...._..__._.__.___-
given, the installer shall prospect 3 feet in all directions from
the distance gi en. If r,ct so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agercy will install a lateral. _____,____•_�_ __,__ ___.__. _ _.
P e r•m i t t e e=
Issued By :
Call for inspection 639-417)
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(5 ) 639-4171
Jobsite Address:
Subdivision: � � `-1, � y Lot# /3/ Office Use Onl
�' y
Contact Date 112- /Initials
Valuation: Result
I Planck/Rec #
New Construction Only: (Square Footage) Permit # i •f 9S -0/G
House: ,�4 Garage: 7G y Reissue of_
66 Map & TL# Z .a 104 CL -- U 2500
i
Zone (Z---i
Plat# A I - Ick w z l
� Corner Lot? � /V Flag Lot? Y N
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Owner: �Jin61&- w..� j DeAg C_ Approvals Required
Address: /`�� �sr� fi�T.w err . Planning Setbacks Q�2�So*
—1� T Engineering
/i S k.- / e Q7 D y Other
i/
Phone: ( S-03 ) 15-91, items Required
Subcontractors
Contractor: Sct ih P Truss Details
Other
Address:
Notes
9
Phone: ( )
Contractor's License 1
ttac co y of cy[�ent Oregon license
Contact Name: /�/�11 9 ) (���} 15, (e cvt 1 5
Contact Phone: ( ) 5c-tII'C �
Subcontractors. Architect/Engineer: &z 11,1111--se-
Plumbing:
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Plumbing: JZ"o,"s /�i Address: 4`'" ���� �•f�/ 7"
Mechanical: A/ V ►.,LL 1 r',1i ih�((attach copyof current OR Contractor License)pYV5�3
JOB DESCRIPTION: —
Ap Applicant Phone number
Received by: _ � Date Received: 1
M%kW1,kh4..W0
-NLNI. ta;•ni+a:.�......y' .^•" .,nbnCY.'fi aw.i....an.
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Permit S Account Description Amount Amt. Pd. Bal. Duc-. e
I
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 5--'—
Mach. Permit (MECH)
State Tax (TAX)
Bldg: ' S
Plumb: —Z
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
,$w 1< 4►- U IS L Sewer Connection (SWUSA) 2Z�'0 _ 2'
_ q
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF•R) u _ L�.�—✓ �
I
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
i
i
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
1 Water Quality ;YVQUAL)
Water Quantity (WQUANT)
Fire L.Ife Safety (FLS) —
f
Erosion Cntrl Permit (ERPRMT) S—F
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
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1391 04.uar-
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Q d�AN ON /0A& Q
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CITY OF T I OnRl) RECEIPT OF PAYMENT RECEIPT NO. s ram,-•26461 1 x
ftCHECK AMOUNT 5928. 81
NnME t WINDWOOD CONSTRUCTION CASH AMOUNT 0. 00
ADDRESS s 14076 SW BEyNCHVIE"W TERRACE PAYMENT DATE 04/25/95
TIGARD, OR SUBDIVISION s
Vie`$
97224—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE: OFF PAYMENT AMOUNT r�A I C} }
BUIL..DINC•i PERM MST9 5p-0I.64 690. 50 OLUMBING PERM 225. 00
MECHANICAL PE 45. 00 ST. BUILD PER 48. 03
PLAN CHECK FE Rio. 08 SEWER USS 2201P.I. 00 �
NEWER INSPECT 35.00 PARKS SOC °500. 00
HPO QUALITY FAF I L I TY FEE 160. 00 RESIDENTIAL. TRAFFIC FEES 1430. ki0
MA 39 TRANSIT TIC" FEES S 120. 00 H2O QUANTITY FACILITY FEE 100, 00
;.RU6TON CONTROL PE:RMITPEE 88. 00 EROSION CONTROL PLAN CK 28. 60
EROSION CONTROL 28. 60
1
1 969 SW NILLEiFiIFiF_' UR.
TOTAL AMOUN PAID - , 59c H. 91
•
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