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City of Tigard Building Depart�ect
13125 SIP Ball Blvd. Tigard, Oregon 9722 '
Inspection Line (Rem-O-Phone)s 639-4175 Bus.inees Phones"'939-4171
inspections__._____'---�-
Footing P1Gg. Underelab Mach.. Rough-in Appr/SdwlK
round. Plhg. TOP Out Gas Lina
Post/Beam Struct. San. Sewer Framing -B'•dg•
Post/Beam Mech. Rain Drain Insulation -Plumb.
P1hg. Underfloor �f(Water Lina Gyp. Rd. -Mach. it
Date Requesteds ( I �`' --- TL.. - i 1 �'�_M1 PM
Addreess ,,, it (\ �i�(,l Permit is
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THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors _ Date:
APPROVED DISIPPROVED APPROVRD SUB TO ABC+
Call For Reinsp.
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CITY OF TIGARD
q COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Nall Blvd.Tigard,Oregon 97223"8199 (503)834.4171
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CITY OF' T I GARD - RECF'I PT OF PAYMENT RECE•I PT NO. r 9:3•--243688
NAME: t NUTTING, CHRIS CHECK AMOUNT t r:6. 25
Ar)DRE"SaCASH AMOUNT t 0. 00
10900 S,W MIRA C"i PAYME:NI DATE a 06/,3k) 93
SUBDIVISION t
TIl3AFi[), OR 97 �;3,�-_
PURPOSE OF' PAYMENT AMOUNT FSAIu F."URPOSE OF PAYMr.-N-r AMOUNT PAID
MECHAN I CAL. FSE: 00 ST. ESU I LD PIER -� ---.• _...____
1. 25
GAS INSERT
OTAL. AMOUN'r PAID > 26. i,5
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INSPECTION NOTICE
City of Tigard Building Departt:ent
13125 BW Ball Blvd. Tigard, Oregon 97223 a
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection•`_
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Footing Plbq. Underelah Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ R —/"
1 -9 Timet AM PM
Address:-
Builder.-
THE
ddress:Builder:_THF. FOLLOWING CORRECTIONS ARE REQUIRED:'
100
Inspector: I 111 ""— Date:
1___"_7:A_APPROVBD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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�8 ECTION hJT CE � ,
City of Tigard Building Department /
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line jIlec-O-Phoneys 639-4175 Bueinents Phone: 639-4171
Inspections
Footing Plbg. Under.alab Mech. Rough-in kppr/sdwlk w
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct, San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor Water Line Oyp� Bd. -Mech.
Date Requested: —Time AM _ PM
Address: ( Petm�t _ — a//S/
Builders
THE FOLLOWING CORRECTIONS ARE RRQU Ds Ii
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Inspector / i Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—`call For Reinap.
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i INSPECTION NOTICE
city of Tigard Building Departxnnt
13125 SW Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Port/Roam Struct. San. Sewer Fre.ming -Bldg.
Post/Beam Mech. Rain Drain L eulation -Plumb.
Plbg. Underflo.3r Water Llne Gyp. Bd. -Mech.
Date Requested: ��'. Time: / AM `w PH
Address:1 sd
ti ^� PermitI.�,�
Builder: r
T48 FOLLOWING CORRECTIONS ARE REST `RFD: 1./r%tC��•�
7117
Inspect or —.,------.___�-, -- Date:: L '
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APPROVzw `— DISAPPLOVBD APPROVED SUBJECT TO ABOVE.
Call For Reinsp.
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INSPECTION NOT-.CZ
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:___
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL: _
Poet/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Data Requested: ! Z Time, _�.--AN PM
s���j It� lrry y�f 4 Addi-eee:���C� C��J —�1 L/ Permit #: 2_��J ' Q�(O
Builder:
THE FOLLOWING CORRECTION3 ARE REQUIRED:
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Inspect :
---�—�� Dates
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Re).nnp.
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INSPECTION NOTICE /�^ I �VL1ry"1+
City of Tigard Building Department C �f�r�g
13125 SM Ball Blvd. Tigard, Oregon 97223 , .
Inspection Line (Rac-O-Phone): 639-4175 Business Phone: 639-4171 '
Inspection:. ---- --
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Footing Plbg. Underelab Mech. Rough-in Appr/Sdalx rL
Found. Plbg. Top Cut Gas Line FINAL: "
ost Beam etruot Ban. Sewer Framing -Bldg.
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t `\( Rain Drain Insulation -plumb.
Plbg. Underfloors Water Line! Gyp. Bd. -Mech
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Date Requented: / �`' _Time:
Address: / Permit h
Builder:
THE FOLLOWING CORRECTIONS ARE REQU D:
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Tnepectoc _. ---- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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INSPECTION NOTICE G
City of Tigard Building Department
131,25 SW Ball Blvd. Tigard, Oregon 97223 t-'
Inspection Line (Rec-o-Phone: 639-4175 Business Phone: 639-4171
Inspection:
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Footing Plbg. UnderBlab Hech. Rough-in Appr/Sdwlk
ound. / Plbg. Top Out Gas Line FINALS
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Poet/Beam Struct. San. Sewer Framing -1Bldq.
Poet/86am Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested4 :2 / Tuna. _AH PH
liddress: /�Z/��v C_-U Permit
Builder:
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THE FOLLOWING CORRECTIONS ARE REQ IRF.D:
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InspectoA...
^—— Date:__
VED nisAPPRot/ED APPROVED SUBJECT To ABOVE
_ __Call For Reinsp.
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CITYOF TIFA rt
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COMMUNITY DEVELOPMENT DEPARTMENT 0"9041 BUILDING PERMIT
13126 SW HrII Blvd. P.O.Box 23397,TlgaM,Oregon 97223(SW)839-4176 PERMIT #i•. . . . . . . : B UES 9 2-•016 C3
—_ _ -___--- ` ----- ------------ 1)A"F E: ISSUED', 106/30/9�e
' ITF_' ADDRES"S. . . : IQ1900 SW MIRA CT PARCEL: 221, 3DA-N7c100
C'UBDIVISION. . . . : MIRA PARK ZONING- R--•4. 5
BLOCK. . . . . . . . . . . LQ T. . . . . . . . . . . . . : 1'Z► �
REISSUE: FLOOR AREAS------ - EXTF:I"NIOR WALL (:;ONSTRUCTIC)nl_
CA...AS'S OF WURK. :ADI F I hST. . . . :214 S f N: S: E: W.
1"YPE OF USE. . . :GF SECOND. . . : sf PROTE-,C7
rYPE OF CONST. :3N THIRD. . . . : sf N: S: E=: We
OCCUPANCY GRP,. : R3 1"C1TA1_ �- -- : EA 4 =f r?00F= C;(.)Nc3 T
OCCUPANCY LOAD: BASEMEN"". a 5f AREA SEP. RATED:
9TOR. : i HT. : ft GARAGE. . . : qf OCC.0 SEP. RATED:
FiGMT, : MEZ Z?: RFQD SETBACKS- ______.__ REOUI
I'LOUR LOAD. . . . :40 p Ii,f LEFT: ft Rrl+T.,,56 Ft F"t R SPIKL: SMOK DET. .
DWELLING UNIATS: FRNT:29 ft REAR: '6 fit. FIR ALRM: HNDICF' ACC:
i3EDRMS: BATHS: IMF, SURFACCr:: F'RO CORP: PARK INN
VALUE.. $: 9844
[Remarks: ADI'II'IC)N OF C- 14 SGI FT PA11°1 l
Owner: - - -____.__.___.______._.________......____._._.__. __..__,_____._.__._..__ ._ FEES --__.___-_______
��rAD AND CHRIS N(.ITTIN( tyt,e amnf.lnt by date rec:'pt
1.0900 SW MIRA CT PkMT $ 80. 50 JH 06/30/92 -
PLCK $ 51_. 33 ,l UA 06/17.1;15,/92 226053
11GORD OR 97�a23 '�t'f.;l 9 4. 03 JF-1 Illi,/.30/etc:'
! ontreactor.
.IE:IL KELLY DESIGNERS/RFMODEt R
i�l14 AI ALBERTA ST
!(JK'rLAnII� OR 9'7:11; __.__._. ._._.-..._..._....._-._..,_.__.,__._.__ ._..._ _....__._.
Phc+ne #: 28,f', "A-I1 4 136. 8E: TOTAL
1663
REQUIRED READ I NSPEC r i ChisThis permit is issued subject to the regulations contained in the Fcnc)t/fc1�In(d Ins�G)
_.__._...._....m_..__....--.___-.-._. _...
"i9 ar^d Municipal Code, State of Ore. Specialty Codes and all other F-'a st/Bec?m Insp
applicable lawE. All work will be done in accordance with Fr-,.-Aminn Insp
i.00roved plans. This permit will expire if Hark is not started insulat i.an Insp
,,ithin 188 days of issuance, or if work is suspended for more Gyp Hoard Ins;p
ham
180 days. RAin drain Insp
F.inal Insr:rre(,J i tin
;erinit t e > crn,aht.Ir'R? : _ .._. _.._......-
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Cal :i for inspect ion - 639-4175
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17125 SW 11alf Bind. PLNCK/RECT N `
CITY OF 7[ I G A RD 1O Box 73397 �
COMM1IUNI"I-5 DEVELOMENT IMrAI2TMENTTi rd,dPERMIT
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(503)639 4171 DATE ISSUED
3 ADDRESS: rOL TAX MAP/LOT U I0 3,X D 7zoU
JB: ,�YG41< LOT: —/0 — _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: -grjnA aC, \x I r,,A " _ -_- REISSUE OF: --v --
ADDRESS: �.� ra LAST REISSUE:
FLOOD PLAIN/ — - -�---
PHONE: a SENSITIVE LAND:
CONTRACTOR�'� APPROVALS REQUI-RED
NAME. f:u.d_ ., 'LANNING: (W' \(Y----- - --
ADDRESS: _ —__ ENGINEERING:
_ C� 177 FIRE DEPT:
PHONE: aRS—.4_(,C . OTHER: A)Q -rlic _ _---
CONTR. BOARD #: nU-Q LQ':5 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ _ — LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCHZENGINEER CALCULATIONS:
NAME: —__— _ _ � TRUSS DLTAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
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COMMENTS:
APPSIGNATURE
CANT
Received By: _�,. %. _ Date Received:
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PERMIT # ACCT # DESCRIPTION AMOUPT AMOUNT PD. BAL. SUE
)�95', 9 -044 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
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10-431 01 Mechanical Permit Fees
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10-230 01 State Building Tax (5%) _3 .c,3
Building 4 '�
Plumbing `
Mechanical
10-433 00 Plans Check Fee 52.3
Building SZ• 3 j 1J�
' Plumbing
i) Mechanical
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10-230 06 Fire
_ 30-202. 00 Sewer Connection
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
25-448--04 Industrial TIF Fees
25-448-C6 Institutional TIF Fees
25-448-03 Office IIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC.)
31-450 00 Storm Drainage Syst Oev Chrg
(SSDC) _------- ---- ----
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 1s _�_
nm/2587P.WPF
•�.°!{� CITY U T T GArtT) F? C F I F''C (7F F'NY14[=1V'r FZFit'E:z f'I' NO. -90-22,901 .1
CHECK AMOUNT a 84. 5..,
NAME_ a 14F I t- Ktr:l._I_.Y CWSH AMOUI,%IT a 0. 00 I
IDI:F2 a s PAYMENT CJATE-"
GUMIS ION
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f•''t1NPOSE'. OF F'f1YMENT AMOUNT PAID PURPOSE OF PAYMI-:NT' 0110 JNT PAID
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IOTPL AMOUNT PAID
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f hIAiIL h11` I.1._ KE'.I...I...`( CAH14 AMOUNT a oleo
I f I)DRLF ic; a G'PYME:N'r 1)A1LrE:' a QiF 05/92
N� S�UVAD I V I IS ION a
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