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C.LRTIF ICATE OF
CITY OF TIGARD FERMI #OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT 1'PTEF ISSUED; 01/05/96
13126 SW Hell Blvd.Tigard,Oregon 972230199 (5;3)039-4171
PARCEL: O S 104(,D--08900
ITC ADDRESS. « 1,.•,`J 'i SW 111 i l41 PL
=;UBL)IVISION. . . . a HIL_LSV-1.IRF.. 1"Fi'T 1TES NO. 2 ?_CId1NG R-.-7 GC)
01-OCK. . . . . . . . . . a I._C]T. . . . . . . . . . . . . :�18t3
[-LAS3 OF WORK. ;NC:W �-
TYVIE Or USE. n GF +w
OCCUPANCY GRP. :5N
OCCUPANCY LOAD 12
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Rem,arks : C✓r"1TWF I
Owner.z
f'-A<YL I GWT HOMES BUILDERS
1 ' 'I :AKE OSWEGO OR 97035
i Phone #a 636-x_`994
C'.ontr,actort _....-._......._....._...-......_ . ,.__ . ._...._.___..._. .._.. ..
WOLCOTT PLUMB11d(3 (;nN'rRT9 INC;.
PO BOX :.,007
GiRE HAM OR 9 7030
Phoney #t :
This C;et-tificAte gr-ants oc:cuj--)envy rif- tt,e Fq,oaet r^eferrexrmCed building or portion
+ hereof and confirms that the L►+.lilrjilig t1as been inspected Co - complialicee with
the of C)+•egnn Sper..ialty Cadps fr,,r te+ gr c,Up, ncc.up� ,, ^y, Eanri �.Isr -1 r,rier
which the refer onced pe -mit wa,s isg�.,a d, �'
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BUIl.-DING Or IC1A1._
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CITY OF TIGARD BU;LDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phon`; 17
Inspection:
Footing Susp. Ceiling 3prink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-ire FINAL:
Post/Beam Mech. San. Sewer Gas Line C".'
Plbg. Underfloor Rain Drain Framing - lu
Alarm Water Line Insulation ec
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: ? � C, ,�
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Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector* M r
Date:
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE �~
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg, Underslab Mech Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out El(-. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas '-ine -Bldg.
Plbg. Underfloor Rain Drain Framing puRih
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: `- �' —�4 Time: AM _ PM
Address: 1 ,.�)
Builder: �2-G— 5 9'�. 1 jq]!4f. Permit #
THE FOLLOWING CORRECTIONS ARE REQUIRED:
inspector: ?�•'�— C
Date: �' 1
—APPROVED —DISAPPROVED —APF ROVED SUBJECT TO ABOVE
I For RQinsp.
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£.:. P.x
TOTAL OrIrICL"ODUCTS IIt� x
1 3 —'EES-E796
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CITY
Inspection Li a (R cl OAPho eul6 94175 S BEs nessCTIOs hone:
639-4171
Inspection:
Footing
Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab
Mach. Rough-in Firoplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Roam Mach. San. Sewer
Gas Line -Bldg.
Plbg. Underfloor Rain Drain
naming -Plumb.
Alarm Water Lino
Insulation -Mach.
Underflr. Insul, Shear Wa'I
GYP. Bd. act.
Date Requested: C ;
Time: AM PM
Address:
Builder:
Permit #:
G
THE FOLLOWING CORRECTIONS ARE REOUIRED:
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Inspector.
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_�_ PPROVED _ _DISAPPROVED i
_Call For Reinsp.
Aryn sT '4iI s J vt-. 1 fARf
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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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Inspection:
Footing Susp. Ceiling " ;P
Sprink. Rough-in Appr/Sdwlk
Foundation Mech.
Plbg. Underslab �— "
Rough-in Fireplace
Post/Beam Struct. Plbg. Top out
Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer s
Gas Line -Bldg.
Plbg, Underfloor Rain Drain
Framing -Plumb. `
AI�'rm Water Line
(dertlr. Insul. Shear Wall Insulation -Mech.
_
Gyp. Bd. -Elect.
Date Requested:` /
Time: AM PM
Address: ��l
Builder:
Permit
THE FOLLOWING CORRECTIONS ARE HEQUIRED:
-------------
Inspector.
Date:
_APPROVED `DISAPPROVED �—/
.APPROVED SUBJECT TO ABDVE
--Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE '
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Inspection Line kRec-O-Phone): 639-4175 Business Phone: 639-4171 i
Inspection:
\ i
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. Wool
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. ;% -Elect. a;}
Date Requested:_ S �J 5 Time: AM PM
Address: -5 Lf
Builder. Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—
I Insp,actor. Date: �--�—�� "� �� �•a
APPROVED DISAPPROVED gn'_-�'TPROVED SUBJECT TO ABOVE y;
._Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.41;1
Inspection:
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderslabV ech ugh-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough ' FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain amin� -Plumb.
Alarm Water LinensuIatIon -Mach.
-------------
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: �} [CF �s Time: --AM �
Address:
Builder:_ �, s Z Permit #: �7S CD cam- T
THE FOLLOWING CORRECTIONS ARE REOUIRED:
Inspector: — Date
— �- r-
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
•
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Dec Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer ..113 sCine -Bldg.
Pibg. Underfloor Rain Drainamin -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Z L; �< <;
� Time: AM �(PM
Address: l `j Ly � 22 'f -c �
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In pectora ��/ <'
'�` Date:
_APPROVED 11-131SAPPROVEU __APPROVED SUBJECT
TO ABOVE
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHPVGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470 r'
OREGON INSPECTION REQUESTS (24 hours): 503/C40-3561 0r 683-4415
Pe�rmi _ 06637!; Pr.o ject # : P0049121 St.at.us. .APPR yVED Pagr 1 cif 2
Applied 04/11/9+ Irsuad 04/13/9'. Expires 1U/10/9r. 05/15/95 as - 01
RESELEC
Permit. Title SFR -• NEW HOUSE OTH
Description Bequn : 04/13/95
Job Address 13549 SW MINT PL TI
Owner. Name INFECTION - TIMARL) Region 0
Applicant. Name WILLAMETTE .ELECTRIC /
Phone number 624-3631 Valtzat.ion 0 Approved__\`�
Inspector Comrrient.r Re jotted_
IVR-RESYILTS
REoUEST ERROR!
P 1 T.xmb i ng
' ('tecilanica.l ._..._..__..__._..____.._.___.._.._.._._._.........__...._.._.__.._...__...�._ __.._.__ ___....._,..._...._...r...._.._._._.._ ..._______......w..._ _
E l ec�t.ri r..a1 '
ttruct.rual
Ga-n•�raI
Inspected by Date
InspeII�tion Reaqu(42to*d..
* Cover 0404 E AP DN Ivi
05/1S/95 RI RIIVR 34-2.8.30 C E
* 34rvic* 0405 E AP DN 1VA
05/15/95 RI & [ IVR :34-283(7 t" E
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DEPARTMENY OF LAND USE & TRANSPOP ,ON 's
WASHINGTON LAND DEVELOPMENT SERVICES DIVISIC . #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNT PHONE: 503/640-3470
OFEGON INSPECTION REQUESTS (24 hours): 503/340-3561 or 693-4415
Ferrmit- r ..je # P0049121 :it_,at,4-.;, Ai P,k . -- kIaq z .:,t
Applied 04/13/9b Issued 04/1 .1/95 Expires 10/'10/9 05/15/91 t)1
RC:3 EI,E(7
Por.•mit Tit ! 4 SFR -- NEW E OTH .fe
Daueriptic n Roqun : 04 13. 95
Job Address 13541) :3W MINT FL TI
Locati,on DeataiI D
Arplicant Nana WILLAMETTE: ELECTRIC
Ph,-)nee number p 624--36:31 valuation: 0
Applicant Addr P . 0 BOX k 10547
-rIt3ARD; OR 972131
Parcel Numher 2S1TI -
f�
Inspection H.ir.t.ary Summary
+� Covex & 5ervi ._e 0403 E AP IV11
04/20/95 AP 11S A.PlVu LUT7 1 B::,
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u / DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY; INSPECTION REQUESTS: 503/640-3581/693-4415
OREGON XXXXXXXXX--> 640-3470
Page 1 of 1
Date 04./13/9'.
`.Time 13 : 22
Permit '1.'ype Residential Electrical hermit Permit # ()5066375 �
Permit Status APPHUVEL) Applied 04/13/95
Situs Address : 13549 SW MINT PL '1'1 issued 04/13/95
Permit 'Title SF*'--( - NEW HOUSE Completed : 1
i Permit Descr, '1'o Expirr., : 10/10/95
Project 'Pitl.e SFR NEW Hut.ItiE Project # P0049121 �
Pruject Descr, * EROSION
Marcel Number 2y1'Tl - Land Use District
Valuation U
Legal Descr .
Owner : INSPECTION - TIGARD Construction OTH
Applicant Ne ie WILLAMETTE ELEC'1.'Ft1C
Classification 900
Applicant. Addr , : P. U. BOX 2dU54'/ Occupancy
TIGARD, OR 97281 Validated by PI1
Applicant Phon+- : 624-3631 inspector Area
h'ee description Units t'ee/Unit Ext: fee Data
Square Footage [Enter Sq. Ft , ] :3000 210 . 00
Subtotal Electrical F'ees: 210 . 00
State Surcharge of 5% 10 , 50
'1'otal Elt ctrir-.al Fees : '220 . 50 ,s?
*** E'ees Required Fees Collected & Credits ***
----.-__-------._-._._-------------------------._._
Method Check # Receipt No. Date payment
CK 6321 04./13/95 220 , 50
TOTAL '1'li1S UA'1'E **'.t* * ** 220. 50
k'ees : 220 . 50
Ar-,ljustmen4S : 00 'Total Credits : . 00
Total Ir'ees : ill) , yU Total Payments : 21,0 . 50
Balance Dl.,,e: . 00
j 7
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NOTICE: This permit becomes null 1W:1d Vold 11 the work or construction for which It Is lasued Is not commenced within 180 days. Once conetructlon has started,
the permit becomes null and void If constr uctinn Is Interrupted for a period of 180 days. I certify that the Information presented ty the applicant and
his agent or agents In support of this panalt Is Crus and correct to the best of our knowledge. I acknowledge that the Building Department's rellerrce
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction shoats. I acknowledge that
the granting of s permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Ir.spectlons at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building o•structrrr i permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Of IcIal. I further acknowledge that a Ilan may be placed on the title of the property upon whit tha permit Is Issued
specifying that the use or occupancy of the building or structure Is provislonal and revocable until the s IsfactIon of all In pec on requirements.
AP C T'S SIONATU ;
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DepartWASHIment
of COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section3APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 6934417
Permit
PLEASE PRINT
_> / �j Date
Please-complete , •
4. Complete Fee Schedule below
1. Location of installation _Number of Inspections per permit allowed
w
Address Service included: Items Cost(ea.) Sum
9 Building i A. Residential-per unit
City Suite No.
1000 sq.ft.or less _L_ $110.00 /CI 4
Tenant Name Each additional 500 sq.ft
(if commercial) �_- or portion thereof $25.00
Limited Energy $25.00 1
Map NO. _ Tax Lot ___� Each Manuf'd Homo or Modular
Dwelling Service or Feeder $68.00 -., 2
Thomas Map Book: Page: Section:
Directions_ __.___� - B. Services or Feedeno
-- -- Installation,alterations or relocation
200 amps or less $60.00 2
Commercial Residential 201 amps to 400 amps $60.00 _ 2
401 amps to 600 amps $120.00 2
2a. Contractor installation only: 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts __ $340.00 2
Electrical Contractor Wim:•,,r fiC err1;�i;� /1, c- Reconnect only $50,00 _ 2
Address 6� '6uY -z ee 4 4-
Cityaa- Stated ZIP 97,?rs / C. Temporary Services or Feeders
Date--1-iu 9,ls" _ Job Number __2 Installation,alteration or relocation
Property Owner :F .4 hr�y e 6- I'd 0 As 200 amps or loss -__ $50.00 __ 2
Contractor's License 1V0. _ �4 2d 3 C- 201 amps to 400 amps $75.00 2
Contracior's Board .Re No. sz� - 401 amps to 600 amps $100.00 _ r 2
Reg. --7- -- Over 600 amps to 1000 volts see'B'above
Signature of Supr. Elec'n '� D. Branch Circuits
License No._j� 6 5 -S Phone No.""� y- 3G New,alteration or extension per panel
s) The foe for branch circuits with
2b. For owner Installations: purchase of service or feeder fee.
Each branch circuit $5.00 _ 2
rm�' tis Tfamo - - ohne ITT -- b) 'he fee for branch circuits without
purchase of service or feeder foe.
First branch circuit $35.00 _ 2
hadd'nl branch circuit_- $5,00 _+ 2
state T1 p_� ;;--neous (Service or Feeder not included)
.lp or Irrigation circle_ $40.00 2
The installation is being inade on property I own c ._. sign or outl;ne lighting _ $40.00 2
which is not intended for sale., lease or rei7t. Signal circult(s)or a limited --
energv panel,alteration
Owner's Signature _ or oxtenslon $40.00 __ 2
F. EsI0 additional inspection over the allowable
in any of the above
3. Flan Review section (if required) Per inspection $35.00
Per hour ��� $55.00
Please check appropt9,ite Nem and enter fee In section 513. In Plant $55.00
__w or more residential units in one structure
I Service and feeder, 800 amps or more 5. Fees M L
____System over 600 volts nominal A. Enter total of above fees
Classified area or structure containing special 5% Surcharge (.05 X total fees) $ -id --
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply Not required for temporary construction Subtotal $
services. f_1 Trust Acrount $
Balance Due $ tzo
For Inspections call This permit beenmes null and void If the work euthorired by the permit Is not commenced
640-3561 or 693-4415 within 160 days from date of issuance of such permd or If Ilia work auiborlred Is
suspended or abandoned at any time aper work Is commenced for a pnlod or 160 day
24-hour recorder, one working day In advance of need Elsctrlcal Permits aro non-rsfundebia and nontransferable.
8/04
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISI0I4 #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON !NSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # : 05066375 Fro tact # : P0049121 Status APPROVED Pago 1 of 1
Applied 04/13/95 Issued 04/13/95 Expires 10/10/95 04/20/95 06 : 11
RESELEC �►
Permit Title SFR - NEW HOUSE OTH
Description Bequn � 04 13/95
Job Address 1.3549 SW MINT PL TI
Owner, Name INSPECTION - TIGARD Re-4ior. �►
Applicant Nan), WILLAMETTE ELECTRIC
Phone numbNr 624-:3631 Valuation 0 Approved_�
Inspector Comments .
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IVR-RESULTS 14
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REQUEST ERROR '
Plumbing
Mechanical.—,
El e,ctricaI
St.ructrual
Inspected by T- --— - ._ Hata
Inspection Requested :
-A Cover. b Ser ,i,-e, 040:1 is AP PN IVR
04/20/95 RI 14B
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspeac^: --
Foutirg Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct.C'PIbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Win. Sewer Gas Line -Bldg.
Plbg. Underiloor Hain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
/
Date Requested: I fl I ! Time: AM —41PM
-.
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector:/ � Date'
_APPROVED —_DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (R/ec-O-Phone): 639-41175 Business Phone: 639.4171
Inspection: c� K� �–� C� << `(
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslih Mech. Rouge -in Fireplace
Post/Ream Struct. Plbg Top Out Elec. Rough-in FINAL:
Post/Beam Mer.h. San. Sewer Gas Line -Bldg.
Plbg. Underiloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -MPch.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: `� �1 j Time: AM PM
Address:
Builder:_ ! _Permit C-J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_uJ -_-
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Inspector:
—� Dater
_APPROVED _DISAPPROVED PROVED 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
Inspection: , � '' ; {''`w'(
Footing ' Susp. Gelling t
Sprink. Rough-in Appr/Sdwlk
Foundation P� Underslab Mqch. Rough-in Fireplace
st ct. Zan.'Sewer
To Out EI
P Elec. Rough-in FINAL:
�ofst�1139; MeBldg '
Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb,
J
Alarm Water Line Insulation -Mach. ,1& 5ti
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
hf ry '1r,
Date Requested: Time: AM PM
Address:
Builder: Permit #`+
TNF FOLLOWING CORRECTIONS ARE REQUIRED:
C• Ci k - k
2y'C�
In Date;
APPROVED `DISAPPROVED ROVED SUBJECT TO ABOVE i
{ ___-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
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.
QPTbg. Unde_ r(loor --" Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undeiflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: •�/ _3 f _Time: AMM
Address: f ? C/
Builder: Permit #: �J-5 `
THE FOLLOWING CORRECTIONS ARE REQUIRED:
y.
ZPPROVED
ector:
DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business 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. Siert Sew Gas Line Bldg,
Plbg. Underfloor LRT_ '' Framing Plumb.
Alarm er Lfne> Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Ei„>!
Date Requested: _3 I Time: . 7f PM
—.T_ ��'��VUUU
Address: r .�i l �_9 �'�� rt-_
Builder: ( Permit #: jr-
THE FO LOWING CORRECTIONS ARE REQUIRED: 5u'�� GI S' Cnc� (p
Inspector,
Date: _
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone 639-4171
Inspection: '
Footing_ asp. Ceiling Sprink. Rough in Appr/Sdwlk _
FoundationIbg. Underslab Mech. Rough-in Fireplace "Y
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. Y.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
I !
Date Requested: ` ` SU 4 ? ',� Time: AM
Address: f < <' i-ru•��`
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED::
Inspector: Date: � 0
APPROVED _DISAPPR�OVVED _APPROVED SUBJECT TO ABOVE
/Call For Reinsp.
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NS Bi MTN NOTICE
city or Tigard Building DePart1sent
13125 Elf Hall Blvd. Tigard. Oregon 97223 9
Inspection Line (ROC-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:_
'/
epoting Plbg. Underslab Mech. Rough-in Appr Sdwlk �1
pinund, Plbg. Top Out Gas Line PINALs
Post/-Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: / Times JJ4 PM
Address:,/ ]5 T i �n�t _ Permit l:2z__'
Bul'.der s —
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector•_/ �� W-v_ —_Y Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Relnap.
„. P "!• '�� AM' s +r!"Y�uv,avv,.t%+ttrrv.. .4 a;x•.-,�rp.W,I!d;'ri�!..r .31k,.yM ,.p�,:.x„.u,�uM �" IIIa1'�,yMr. '!�'.,.�.yw.yr .: �•
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CITY OF TIGARD ,
PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST95--00.124
13125 SW Hall Blvd.Tigard,Oregon 07223.8126 (503)637-4171 DATE ISSUED: A1/21/95
PARCEL: 2S1041:U-08900
SITE ADDRESS. . . : 135413 SW MINT PL
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2ZONING: +-7 Pl)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :068
------------------------------.___.__-____-•---_
CLASS OF' WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . -.SF WASHING MACH. . . . . . . : 1 !BACKFLOW F'RE:VN-: RS. . : i
OCCUPANCY GRP. . :R3 F"OOR DRAINS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . :0
ST(' HIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 �
I”IXTURES--- _____.___.___._ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : i
3 J NKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
L.AVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 "
TUB/SHOWERSa. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE* (ft ) . . . . i100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks : PATH 1.
UWNERe -_____....___.______------___.-._._.__._ _ ________________._FEES______________-.
`_,KYL I GHT HOMES BUILDERS TIF $ 1550. 00 JF- 01/21/35 - 4;
U BOX 2315 BPRT $ 635. 00 JF 01/21/ 315 -
BP]_C $ 50. 00 VNAR 01/06/ )5 95-260a9E,
LAKE OSWEGO OR 97035 851'IC ^I 31. 78 JF 01/: 1/')5 +'
''hone #e 636-2994 PARK V, 500. 00 JF 01/21/45 -
NPRT t 48. 00 JF 01 /2.1/115 -
! umbintJ MPLC $ 121. 00 JI= 01/21/c15 -
I MSPC $ 2. 40 IF 01/21/S 5 -
dlyie: Q l •f'1��j� -- 'h.. NPRT $ r..'. x;. 00 JF 01/21/95
Addr,es%ll_ _ P5VIC $ 11. 25 JF 01/21/95
1.,1.t y __...__.-___.._`St apt Ey : _ __.._ EROS $ 64. 00 JF 01/21/93 -"
/ iP .__..__ _-_Phnne#a ___._..-__.... ERPC $ 20. 80 JF 0.11/21/9;1 -
'�e9 Additional fees not shown here. . . . . . . . .
REUUIRED INSPE=CTIONS _
]`his pe►^mit is issued suh,ject to the r•eg
!.Mations contained in tfiie Tigard Municipal Footing Insp Insulation Insp `
Mode, State of Ov,e. Specialty Lodes and All. Foundation Insp Gyp Board Insp
,.ether applicable laws. All work will be done Post/Beam Struct Rain drain Insp
in accordlanc,e with approvers Flans. This Post/Beam Mechan Water- Line ln%p
oer,mit will expire if work is not started Crawl Drain Water Service In
within 180 days of issuance, or- f wor,l< is Plm/undslah Insp Appr/Sdwlk Insp
suspended for, more than 180 days. FILM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final !
Framing Insp Erosion Control i
Fireplace Insp
x _
Gas Line Insp
ial.ttho I F11�_�mbiny Contra�etor Signati.lr e
Mail for inspection - 639-4175
(,ontractor' Notes:
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CITY OF TIGARD PERM I T5#ER. PERMIT. . . MST9t-0024
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/21/95
13126 8W Hall Blvd.Tigard.Oregon 97223.6199 (503)639.1171
PARCEL: ES 104CD-08900
SITF- ADDRE.i;:�. . . . 1.3549 ';�W Mltdi '1_
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: FR--"7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . :088
.._____-__----___--___.___-__--__-.- BUILDING
FRE I SSUE:MSI'94-0:32:6 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s f w
CLASS OF WORK. .-NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :567 sf
TYPE OF USE. . . :SF FLOOR AREAS----,------- REQUIRED SETBACKS----•-•-------
TYPE OF CONST. :5N F I RST. . . . : 1 182 s f LEF=T. . :4121 ft R I GHT. :8 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1466 s f FRONT. :1'0 ft REAR. . :30 ft
STORIES. . . . . . . 12 F I NKSMENT:0 s f REQU IREL'
HEIGHT. . . . . . . . ::31 ft TOTAL---------v2648 s F SMOKE DETEC'TORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ 1 180445 PARKING SPACES. . : 1
Remarks: PATH I
_--__-_.._-__.__.-_-_________---.__-___ PLUMBING
;3I NKS. . . . . . . . . . : 1 FLOOR DFRAINS. . . . :0 BACKFLOW PREVNT'R!3. . : l
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 (RAPS. . . . . . . . . . . . . . :0
T"UB/SHOWERS. . . . : LAUNDRY TRAYS. . . : 1 CAICH DASINS. . . . . . . ..0
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1011 OTHER F I XT URES. .
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . -.0
WASHING MACH. . . : 1 SF [RAIN DRA I NG. r. : 1
MECHANICAL -______-_-___.__.__._._ ._._.___._.__ ____-- FEES
JE:L TYPES ---- - - - UNIT HTRS. . :0 type amount by date recpt j
(3 AS." / / VENTS . . . . . :0 TIF $ 1550. 00 JV 01/21/95 -
MAX INPUT:O BTU VENT FANS. . :5 BPRT $ 635. 00 JF 01/21/95 -
FUFRN ( LOOK . . :0 HOODS. . . . . . : 1 BPLC $ 50. 00 KAR 01/06/95 95-260296 x
FURN )=LOOK . . : 1 WOODSTOVES. :0 f15PC $ 31. 78 JF 01/21/95 --
F LOOR FURN. . . . :0 CLO DRYERS. : 1 PARK $ 500. 00 JF 01/21/95 -
BOIL/CMP ( 31-A r:0 OTHER UNITS: 1 MPRT $ 48. 00 JF 01/221/95
GAS OUTLET'S: 1 MPLC $ 122. 00 JF 01/21/95 -
tJ.yner• $ ;2. 40 ,JF 01/21/95 -
SKYLIGHT HOMES BUILDERS F'PRT $ 225. 00 JF 01/21/95 -
P 0 BOX 2315 P9PC. $ 11. 25 JF 01/21/95 -
EROS $ 64. 00 JF 01/21 /95 -
LAKE OSWEGO OFR 97035 E RPIC $ 20. 80 JF 01/.*=-'1/93
Phone #: 636.-•2994 ERPC $ 2.0. 80 JF 01/21/95 -
Contralctor: __.__._._._...______._.._.__._...._.._.........._..._.__..___-SWM $ 180. 00 JF 01/21/95 -
WULLU1T PLUMBING CONTRS INC SWM $ 100. 00 JF 01/21/95 -' {
P 0 BOX 20017 BP1_C $ 750. 00 JF 01/21/95
GRESHAM OR 97030
Phone #: 667 . 1781
Reg *. . : 23847
4 3501. 03 TOTAL
This perait is issued subject to the regu tions contained in the - ----•----- 14EQUIRED INSPECTIONS -- - - -
Tigard Municipal Code, State of Orer c lty Codes and all other Footing Insp Plumb Top Out
applicable laws. All work :ill be n accordance with approved Foundation Insp Framing Insp
plans. This persit will expire i ':o is not started within 188 Past/Beam Struct Fireplace Insp
days of issuance, or if work is 'u nded for sore than 188 days. Post/Beam Meehan Gas Line Insp
urawl Ur Sin Insulation Insp i
I Permittee Si yTi,Af� �J Vll m/and, lab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Issued By- .f.� _._._._._ .....__._.._._._..._.. Mechk.inir.ai Insp Water Line Insp
LAI l for inspection - 639-•-4175
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17 11
CITY MJF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION �
13125 SW Hall Blvd.Tigard,Oregon 972234199 (503)539-4171 PERM IT
PERMIT #. . SWR95-00, ,,
t-:39-4171. DATE ISSUED: 01/2,1/95
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PARCEL: 2G 104CD--09:300
I'E. ADDRESS. , . : 13543 SW MINT RL
:jUBDIVISION. . . . : HILI_.SHIRE: Es—rATES NO. 2 ZONING: R-7 PD r
' uLOC.K. . . . . . . . . . .. LOT. . . . . . . . . . . . . :092 �
tjbH NU. . . . . . . . . . . FIXTURE UNITS. . . : '{
LLASS OF WORE., . . :NEW DWELL_INC, UN I TS. . - 1. �
iYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 t
INSTAI-L. TYPE. . . . ..BUSWR IMPI-RV SURF=ACE. . : sf
'Finatrks: PATH 1
Nner: __________....._.___--_______________.._.___._.____._____.__...____...._. __ F'LLS
t:YLI113HT HOMLS BUILDERS type Amo+..tnt by date recpt
-' 0 HOX e.31:5 PRMT $ 2200. 00 JF 01/,'1/95
INSP $ 35. 00 •Jl' 01/21/95 -
UtN OSWEGO OR 9 7035 �
sane #: 6:36-2994
,ONTRACTOR NOT ON F=ILE �
I hone #: t 2235. O0 TOTAL
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REQUIRED INaF-+E(-T IONS - --- ---
chis Applicant agrees to comply with all the rules and reg,.latiors Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guaraRre the accuracy of the
side sewer laterals. If the sewer is not r cated at the measurement
liven, the installer shall o,-ospert WI in all directions from
the distance given, if not so locato he installer shall purchase
a "lap and Side Sewer" permit and Agency will install a lateral.
E,: In i L t;e e S i ig i i+�t+_t r _.___•_.. _ _ __..._..___....�...__.._._._.....
1 s s P_t e d By
Call for inspection - 639-4175
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Residential Building Permit Application
t,C -QS'
city of Tigard
13125 SW Hall Blvd.
rigard, OR 97223
(503) 639-4171
Jobslte Address: I SL-, MINT-
Subdivision:
M1NTSubdivision: H)1\sN�tlF Ff,7Al-)rr Lot # �� Office Use Only
lanWRec#
Valuation:
Permit #
Owner: Reissue oI1,?1 y 32�
Address: Dd gVy Z3/S MaQ& TL # »4,
I
Approvals Required
Phone:
Planning : x � .k-
Contractor: , , 1
Engineering
Address: Other
Items Re%ull i,ed
Phone: _
// Subcontr�ra �rs `-
Contractor's License # --
(attach copy of current Oregon license)
l,:Truces Details
Subcontractors:
C' Plumbing: �o J c o 7 r
,(1�4•
echanical: rY)v e
VV (attach copy of current OR Co itractor s License)
Architect/Engineer:
Address:
Phone:
COMMENT:
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App 7iv
Sign re & Phone number
R e ced by: k l �T �— Date Received:
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Permit # Account Description amount Amt. Pd. Bal. Due
;9
03� S 00'14 Bldg. Permit (BUILD) �,j5,v�' (w 35.0✓
Plumb. Permit (PLUMB) u cX1
Mech. Permit (MECH) ��,�„ �1,s �✓
State Tax (TAX) 1s,�/3 4 SS=3✓
i
Bldg: _✓
I
Plumb: Z y/
Mech: U
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: _LL-,-, o
i
.Sli,rliY' 6 Sewer Connection (SWUSA) Uv 2-z.�
` Sewer Inspection (SWINSP) .� J 3 ),—,
Parks Dev Charge (PKSDC) Sc,U _ J-� v
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) IAU 30
i Mass Transit TIF (TIF-MT)
I} e'JMM rciat-TtF (TIF-C)
IndusmtsF-'T . (TIF-1) �•G _
ir+�4iteionat'1'fF (TIF-IS) 1ti„ _ 20" ✓
Office TIF (TIF-O) - --
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: L46, 03
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SKYLIGHT HM12TVL
P.O. OOX 2315
L SAKE OSWEGO, OR 97'35
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t CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO. 0 5--2608P 1
" CHECK AMOUNT : 568c3. 03
NAME C SKYLIGHT HOMES CASH AMOUNT 0. 00
IIDDRES5, a PAYMENT DATE a 01/23/95
SUBDIVISION e
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PURPOSE OF PAYMENT AMOUNT PAID PURPO 3E OF PAYMENT AMOUNT PAID
BUILDING-1 PERM 635. O0 PLUMBING GERM 225. 00
MECHAN I CAL PIE 48. 00 ST. BUILD PER 45. 43 a �
PLAN CHEEK FE 62. 00 SEWER USA 2p—01D. 00
{ SEWER INSPECT 35. 00 PARKS SDC 500. 00
RESIDENTIAL TRAFFIC FEES 143171. 00 M(IS TRANSIT TIF FEES 1�0. 00
I1 NCSXON CONTROL PF:RMITFEE: 64. 00 EROSION CONTROL. FLAN CK 20. 80
I.RI] ION CONTROL 20. 80 H2O (QUALITY FACILITY FEE 180. 00
1.12 :) QUANTITY FACILITY FEE 100. 00 1
!r MST95--012124 1
13549 SW MINT PL.
:x TOTAL AP1OUNT PMD - > 5686. 0:5
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