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city of Tigard BuJi41A9 DOpartsent
13125 Sw Ball Blvd. Tigard, oLvujn: 97223
Inapection Ling (Rec-o-Phone)t 639-4115 Business Phones 639-4171
lnipection:
Footing Plbg. Underslab mech. Rough-ir. Appr/Sdwlk _
Round. Plbg. Top !` Gas Line IN'►L
Post/Beam 8truct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation C '>
Plbg. Underfloor stater Line Gyp. Bd. \y-Hoch.
Date Requested: / �• - / _ Time: AM PN
ermit #:9
Builder:_260' --a G-�'- L—
THE FOLLOWING cORRECtIONS ARE REQUIRED:
77
L _
;
Inspector �✓ .� __, Dater `/�
F7eC -�--
APPROVED — DISAPMNEDAPPROVED 878.*RC TO A90VE
Call
J� For Rainsp.
.............
CITY OF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW'Aall Blvd.Tigard,Oregon 972!398199 (503)'988-4171 PERMIT #. . . . . . . li
DATE ISSUED: 09/14/93
PARCEL. : -':`3I04GA---04600
SITE ADDRESS. . . c 13556 SW MICHELLE CT
SUBDIVISION. . . . a IAII LSHIRE ZON1114GiR--7 PD
BL.UCV. . . . . . . . . . a LOT. . . . . . . . . . . . . a17.14E gar
GLASS OF WORM. cNEW
I'YPE OF USE. . . 3 SF
OCCUPANCY OOP. vR,S
9CCUPANCY LOAD 1228 4
T1'.N0l,1T NAME'— a f
Remark is PATH I
Ownert
PAHI-10CH HOMES INC
7155 SW VARNS
V')ORTLAND OR 97223
1't1 n11Q #1 684-6453
wAHLI'S30-4 140MES INC.
715n SW VAPNS
1"TWIRI) 09 97r!23
P I
hone #: 684-6453
11wq O. . s 4206*7
0uckq3,%n(--y of the above referenced boildiny i -i hereby pivkon, and certifies
the compliancp with the State Of Oreagon 13pecialty Codes for the gromp,
Occupmnuyl and use under which thp rofeirencpri ppi-mit w 9.
FIRE IIENT BU INSP R ~ R
8L)I LD I N(a Of I j,(- (-1L
POST' 1114 CONSPICUOLK3 PI-14CE
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imps-Cum"ZfMq4
city of Tigard Building Dswpart—t
3.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-o.Ph�ons)s 639-4115 Burines■ Phones 639-4171
Inspectlon*,_ —
rooting plbg• Underelab Mach. Rough-in Appr/sdwlk
pound. plbg. Top Out Gas Line
post/Ream Struct. San. Sewer
Trashing '!l
Post/ism Mech.
Rain Drain Insulation —Plumb.
plbq. Underfloor Water Line
Gyp. B6. -Iteoh.
..-_Times ���� PM
Date Requested: 1
r 4 /
Addre■esr_ (� C Permit 1 s
�_f:j� t
Builders
s THE FOLLOWING OORRRCTIONS ARE RRQUIRSDs
a _
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Inspecf�ors __ _ Date:
- /APpROvRD DISAPPROVED ,--. APPi`"D llURJNC"f TO %BONE
Call For Reinsp.
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f INSPECTION NOTICE
City of Tigard Building Department
y 13125 SM Hall Blvd. Tigard, Oregon 97"3
t Inspection Line (Rec-O-Phone)s 639-4175 Buaineas Phone: 639-4171
Inspection:_
y Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line !I AL. -
Post/Beam Struct. San. Sower Framing -Bld
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Ir. t ,tr
Plbg. Underfloor Water
//Line Gyp. Bd. -Mech.
Date Requestedt Timet _ AM �PM
Addreset 136.561 vv^"�Q�A-2. r _
R Bui.lder:���45 � _Q S v V� _- 1.P0�—�skV '�
!.>
THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 �~ Z'- r utr.
X,1 r,
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IL
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Inspector:_.Y --1■�ta�'L■�.�/ Date: d - e. t
APPROVED DISAPPRROOVID APPROVED SUBJECT TO ABOVE
1
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yp4 ��a�N t:1 is yiY n.l.L
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INPECCE
' Citp of Tigard Buil
13125 Sit Ba]1 H)IJ- Tigard,�Part+�nt 1\P✓/
Inspection Line (Rec-a-Phone Oregon 47723
): 639-4175 BIJ1fneve Phone: 639-4171
Inspection:
Footing Pll,g. Underslab
Mech. Rough-in Appr/Sdwlk
Found. r-
Plbg. Top out Gas Line FINAI,
Poet/Beam Struct.
Sun. Sewer Framing
Qldg, J'
Post/Beam Mech. Rain DrainInsulation
Plbg• Undorflool" Water Line
Gyp. Bd. �Nech
Date Requested:
Addree ---Times AM PM
es_ �� �j[-7
Permit
Builder:• k���
4I sfilt r THE FOL
va �rP, LOWING CORRECTIONS ARE REQUIRED:
_
A.
CLQ C
'}�'Fiis �rve'r�9rr�.yy5
Psotor:rns ------._-_• 1
'9,: � v' � ifs Jt I ---_�•----•- n c�
3 4F n r rl 'i "'�ar4yM L � Dale:
n APPROVED DISAPPROVljp
buiy+� 4'kl ' r n�. ✓,/ APPROVED suBJECT To ABOVE
Call For Reinsp.
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City or Tigard Building Department /
13125 SW Hall Blvd. Tigard, Oregon 97223 �
y Inspection Line (Rec-O-Phone)t 639-4175 Business Phonet 639-4171
Inspections__ ( y -1
Footing Plbg. Underslab Mach. Rough-in A r edvtlk
Found. Plbq. Top out Gas Line
PINALt r
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
Pcat./Beam Mach. stain Drain Insulation
-Plumb,
Plbg. underfloor Nater Line Gyp. Bd.
-Mach. I
Date Roqueeteds_ TLMt S a
�I AI: PM
Address, e��J PermLt to �3y Ig 5-
BuIIdert
THE FOLLOWING OORRECTIONS ARE REQUIRED:
�-APPROVED DISAPPROVED
_ a APPROVED SUBJECT TO ABOVE
`___Call For Rainap.
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V'+.I"+,.+n.,,:Kin-....,;ieuwvA..•n-rc-u eDL..t.+v.•..ror.✓.
.rix.«...-........ ....�wr...ei..w...a.;M+"ym.,,.W.w+..
SP CTION N0110E �
i Char of Tigard Building Depertseont
131-25 1411 Hall Blvd. Tigard,
Inepectl.on Line (Rec-O-Phone): 6:9_41'75 Bu�saess7Phones 639-4171
223
4�
Inspecti ins S `
Footing Plbg. Under.slab Mech. Rough-in APP r/Sdwlk
Pound. w
Plbq. Top Out pas Line F-NALs
Poet/Beam 3truct, San. Sewer Framing -Bldg.
Posit/beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Linepyp, Ba•� -Meeh.
r
Data Requested: r� ` 1 Times
y AM PM
Address:! �i�� G> 1/7� �4 ^ti R ��Q 9 3 �\ � 4S—
Permit #s L.1
Buil.ders_���!
THE FOLLOWING WRRECTTONS ARE REQUIREDs
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6 C_ _a ,
64�
A-6
a�(.1.111 ���_ ,.v� �/� '.-�j p f•-O�1 �
w�R r Q -
Inspectors L �A - Datoe 1 3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOV'1
-,Call For Relnsp,
r�
JNSPECT O NOTICE
City or Tigard Building Departssent
13135 BW Ball Bleu. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ton:^
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Liu* FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Seam Mech. Rain DrainIn ua lation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
Date Request*ds (i7 /O Tunas ////�J AM PM
Address:
7 —
Bvi]-der:
TNT FOLLOWING CORRECTIONS ARE REQUIRED:
Inz;+ectors / �f
l - _ Date:
APPROVED DISAPPROVED APPROVED AURJECT To ABOVE
Call For "Insp.
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s
I�18PLCTio�+ NOT�c�
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspe,-tion Line (Rec-O-Phone): 639-4175 Busineos Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Wt Gas Line UINAL:
s
Post/Beam Struct. San. Sewer �j Framing -Bldg.
Post/Beam Macl:. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. _Hoch.
Data Requested) i 6' /l/- // Time: AM _J--PM
Addresser
Builders__ �-4 ft
THE FOLI.ONING CORRECTIONS ARE REQUIREDt
Inspector: f -- - --- ----
Dat
e:
-_---APPROVED JISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Rainap.
�^M!i'�in.. _:.,,,s "i: ..uYi Ktryry4:t':'ak a hU".wYV;if.YX�:°U[MKaw[.'E1Y'tlfMltl6Nl�41a/Y,YYYr9bH'MJf�kpYl 'n.
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INSPECTION NOTICE 7-
City of Tigard Building Depacfinent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection t.lne (Rec-O-Phone): 639-4175 Busiiious phones 637-4171
Inspection:
Footing Plbg. Underslab Asch. R,3uQh-in l Appr/Sdwlk
Found. Plbg. Top Out �Oa n FINAL:
Post/Roam Struct. San. Sewer Framing -Bldg.
Post/Seam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. --Hoch.
Date Requonted: Lf// /� _Time: AM PH
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
i
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Inspector -
APPROVleO - DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinep.
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L
•
1N5PEC1'It7N NOTIC$
ci.tr or Tigard u n diAg Departm mt ,
13125 GW Nall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Businees Phone: 639-4171
4Ar
Inspections
Footing Plbg. Underslab Hoch. Rough-in A
ppr/edNlk
Round. Plbg. Top Out 13as Line FINALS w
Post/Beam Struct. San. Se%mr Framing -Bldg.
Poet/Berm Mach. Rain Dain Insulat-lon -Plumb.
Pl.bg. Underfloor Nater Line Gyp. Bd. -Hoch.
i
Date Requestedt ---_Time
�i:" Timet
--PH
r� e
AddrA90:__ '
Permit is
Builder:
TNR FOLLOWING ODRRECrIONS ARE REQUIRED:
Inspector:_ Dat
-- --__ — -
--,-APPROVED —_ DISAPPROVED APPRWRD SU"CT TO ABOVE
Call For Reinsp.
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INSPECTIO:.s NOTICE
City of Tigard Building Department
13125 ON Ball Blvd. T19wd, Oregon 97223
Inspection Line (Rec-O-Phona)s 639-4175 Business Phone: 639--4171
Inspections_
Footing Plbg. Underelab Me=h. Roug�-tn Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer C-Framing -81,49.
Poet/Denim Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line Gyp. Rd. -Hoch.
Date Requesteds `� Q •_� Times AH P!(
Addrees s f � (tv ll LC !s'./ L t'_ _ i_ Permit #1
Builders Z—,7 C,04L
THE FFOLLOWING 0DRRECTIONS ARE REQUIRRD:
Inspeotor. Datss_r�, 6 j
APPROVNo ozaAPP mm APPROVED SUBJRc.T To ABOVE
Call For Reinap. .,>a„t, l ii
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1
11
F�
INSPECTION NOTICE
City of Tigard Building Departam s:
13125 Be (tall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underelab Mech. Rough-in Appr/Sdalk
Pound. Plbg. Top Cut Gas Line FINAL:
i
Post/Beam Struct. qai,�r Framing -Bldg.
Post/Beam Mech. in Insulation -Plumb.
Plbg. Underfloor 1BM-bilfd Gyp. Bd. -Meeh.
I LDate Requeeteds �7 z- %/ Tunas —�i1M � PN
"
Address& ���i- Permit ft 7 ~61 Vy
Builder!_ .
THE FOLLOWING COUNCTIONS ANN RWIREDt
1
11
Ins '�T--- � I
pectora_ —__ Date:
��APPROVED DISAPPHOVED APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Hlvd. Tigard, Oregon 97223
i
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ~
Inspection:_
Ing ,.� Plbg. Underalab Mech. Hough--in Appr/Sdwlk
w
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lime Gyp. Bd. N h. i
Date Requested:` l7 _ Times
PM
PN
Permit
Builder: �---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
• I
Inspector:_
Date:
APPROVED DISAPPROVED _
APPROVED SUBJECT TO ABOVE
__call For Re,lnep.
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.r. ;p�'..�1...7411MiMwr,* "a'HA�A�wflgMNeAd4fWi14M+AWrIC"4PW"r'a •'•' .ar,.0040HrNnWMAMIN WowiTr.,va w...w._.. ... ..._.,...td..d�ii1 .
5
CITYOFTIGARD MASTER PERMIT
Cny COMMUNffY DEVELOPMENT DEPARTMENT , PI-RM x'r . . . . . . . : M,T93 �h 14`i
NOON
19129&WHWIBW P.O.Bao 29307.Tig",Oregm9 ,"W)""+fS DATF� 'SSjUE'Da 03/25/93
' SITE: ADDRESS. . . : 13556 SW M I CHE:I_LF... CT
PARCEL: is 1O41D0—Hs04b r
-,UEiDIVISION. . . . s HILL.SHIRE LONING: R-•7 FAD
BLOCK a LOT. . . . . . . . . . . . . :O46
BUILDING _.,_ ._r__.._..__„. ____._._ ._.____—__.___._..... .._-----. l
RE I SSUE c DWELL_I NG UNITS: 1 BASEME'NT. . . . . . . . 10 s f
I
CLASS OF WC)RF;. s NEW 1SEDRMS:4 BATHS 13 GARAGE. , . . . . . , . . 1674 S f i
p TYPE: OF' USE. . . :SF F=LOOR Wf3E AS_ _.._ .__..___...__ REUUIREEL) 5ET11FaCK.�a _.....__._..______.•_...
i TYF="E OF: CONST. s 3N FIRST. . . . : 1337 s f L.E.F'T. . 1'7 ft RIGHT. a m; f I j
OCCUPANCY (SRF . :R3 i:iE:COND. . . : 111F3 S FRfINT. :20 ft FiE:AF2. . a2O ft
{
I
STORIES. . . . . . . .2 THIRD. . . . to s:f
HEI GHT. . . . . . . . ..28 ft TOTAL - —_ -:2455 s SMOKE DEETECTORS. :Y
i FLOOR LOAD. . . . :40 psf VALUE. . . . . t: 1215'0E.2 PARKING SPACES. . : 1
Remarliv: PBATH I
PLUMBING ----_—_.___•._.._._..____..__.___..__.___._.___..�_._._ _
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . s0 BACKFLOW PREVNTRS. . :O
{ LAVATORIES. . . . . s5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . ::3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSE:TS. . c 3 SEWER LINE (ft ) . c12) GREASE TRAPS. . . . . . . :O
DISHWASHERS. . . . i 1 WATER LINE (ft ) . a 1 ON OTHER F'I X TURF'S. . . . . a 0
i
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . it SF_- RAIN DRAINS. . : 1
_._____.._.___.•__.�_
MECHANICAL _.___. ..___.. ...__._.__.__.._......_._._w._..._.__ ._._.. _. FEES _. _�__•_.__-..__W—._.
1 FUEL_ TYPEf3 ------.- - - - UNIT i+rRs. . :0 type amount by dat a re(,pt
j /GAS/ / / VEN'T'S . . . . . :0 TI $ 1460. 00 JH 03/25/9'3
MAX INPUT-:0 BTU VENT FANS. . :4 BPRT $ 4X3. 00 JH 03/25/93 -
FURhI ( 1001'1, . . :0 HOODS. . . . . . 31 SPL.C., 1• 323. 70 JLhI O21/E 3/9.3 93•-2,.:,, t,
FURN ) -100K . . : I WOODSS'TOVLS. :Vr BF)PC b ;:'4. '30 JH O3/29. /93
FLOOR F'URN. . . . a0 CLO DRYERS. : 1 SSDC $ .-'80. 00 JH 03/,'_25/93
BOIL./CMP ( 31AP:0 OTHER UNITS: l PARK $ 500. 00 JH 03/25/9,,,
GqS OUTLETSa 1 MPRT f 4*5. 00 JH O3/25/93
Owners _._.._._.___.......__.. ....,._. . . ...._ ....._._.__.__..__....__.__...•._._._MPLC i• 11. 25 JH 03/25/93
PAHL I SCH HOMES INC MSPC, T 2. 25 JH 03/25/93
7155 5W VARIV, PPRT 4 162. 50 JH 03/215/93
PORTLAND OR 971343 V15PC K 8. 13 JH 03/25/93
Phone #: 684-•6453
Contracttorr
PAHL I SCH HOMES INC.
7155 SW VARNS
TIGARD LIR 97223
Phone M: 684•--6453
Reg M. . : 421067
♦ 3315. 73 TOTAL
1 This permit is issued subfect to the regulations contained in the — - - - REQUIRED INSPECTIONS ---
Tigard IKunicipal Code, State of Ore. Specialty Codes and all other Foot/found Insrp F-ireplace Insp
applicable laws. All work will be done in accordance with approved F;ost/beam Struct Gass Line Insp
plans. This permit will expire if work is not started within IBP Post/Ileam Me!chaln Insulation Insp
days of issuance, or if work is suspended for Gore than. 180 day.. V'lm/Undslab Insp GYP Board Inst
FILM/Underfloor Rain drain Insp
4'Wr mltte�4� Mec.hanic:ral Inap Water Line Insp
Plumb Top Out Appt^/Gdwlk Irrsp
Issued By : F"reming Insp Mer.hasnic_al Finel
Call fore inspert i on - 639- 417!5
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ON, � T.
CITYOFTIFARD
MASTER PERMIT'
GIYOFT1671RD w'E l�ryi IT'
COMMUNITY DEVELOPMENT DEPARTMENT omnooa
13125 SWHrlBNd.P.O.Box 23397,TlpW,Or"m97223(603)011"175 DA`FE ISSUED: 03/25/93
SU8DIVIaI01V. . . . : HIL.LSHIRE ZONINUc R-- ".;'
ELLUC;K. . . . . . . . . . . LO-1.. . . . . . . . . . . . . :04C.,
BUILDING
REISSUE.: DWELL I NU Ur i I T'S c 1 1AAS1-ME 11.4 T. . . . . . . . :Qi
CLASS OF WORT-',. :NEW BE:DRMS:4 W4TH6 e;s GARAGE. . . . . . . . . . .6 74 sf
TY1=E OF LISE:. . . ;'51= FLOOR REWIRED
TYPE: OF CUNST•. :5N F=IRST. . . , : 13,37 sf LEFT. . : 7 ft RIGHT. -5 ft �
OCC;UIJANCY URP. :R3 3E.G(iNU. . . : 1 1 i 13 s f FRONT. t c--'O ft RE:PH— :20 f t:
:STORIE13. . . . . . . ..2 7HIRD. . . . :txr sf. REUUr ......
HE 10-HT. . . . . . . . :aa fit -TUT FAL :u4 BF GIYIQF',E; DETECTORS. :Y
FLOUR LOAD. . . . g40 ps f VALUE. . . . . $c 12`.i(66 -, PARKING SPACES—:1
RemaH.<s: PnIA-1 I
PL.Uh'BIN6
SINRS. . . . . „ . . I r--L 0UR DR01NU. . . ,. „r!r I1AC:KF L0W pRE—VNi RG. . :0
LAVATG)RIE5. . . . . c:5 WH TER HE--ATL-::R5. . . : 1 TRAPS. . . . . . . . . . . . . . :(11
TUla/-HUWI::R5. . . . :3 L6"4L..fPd1JlJ'Y i FtWYE;. . . . 1 GFa1C:;I I F 1131Nb. . . . . . . .0
WATER CLOGE TE3. . : SEWER, L I NL t f't ) . :0 GRL(-)c3E:: TRAPS. . . . . . . :0
D I'SHWASHLRS. . . . s 1 WA'T'ER LINE (ft ,, . s 100 OTHER F"I X TURE:S. . . . . a 0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WA;31'IIN6 MALI 1. - 1 5F` RAIN DRAIN . : 1
........._..... MECHAN I LH --.__._.___.._._.___ __...__....._._..,_._.._._ ._._ ..._ FE=ES
FUEI_ TYPES— _....... ._._.___.. U1,II T HI'Rf.:i. . :4; type arnt;unt by date r•ecelot; i
/UAS / i VLNTG . . . . . :0 1 1.F b 1460. 00 ,.III
MAX INpU1 -.0 BTU VENT F-AWi. . .4 Irl=SRT * 4 iti. 00 J1 0:3 5/93 -
1='URN C 100K . . :0 HOODS. . . . . . : 1 DPL(- $ ..,Z.:.';. 70 ,JLH OZ/23/9:3 93 .E:3'1701 r
F URN ) =100K . . : I t400DvTC7VF:5. ;o E-23P'C; h 4. W JVJ 03/2 /9.3 ?
k
FLOUR F'URN. . . . :0 CLC1 DRYL'•NS. : I GSDC $ L'b0. 00 JH 03/25/93
EJC)il_tC Ml u30i>:V7 UT1 L-P UNITS l FORK $ 500. 00 ill 0,3/215/1-.i3
OH9 OUTLETS. 1 mPRT $ 45. Q10 J1-1 143/25/93
Uwn J?r". _.._.._....._._......__.._... ._ ..... MPLL: $ 1 1. 2; JI-1 03/2fa/1):3
PAHL113LH HUMLU INC iyl5PC: $ x:. 1;5 JFi 03/25/93
7155 FEW VARNS PKIR7 1 6 . `50 JH 03/x b/`:) ,
8. 13 JH 03/25/ �
PON LAND OR 1)
Pt•r on e #: 684--E,453
Contractor.- __..._---_..__.._..................__......._ ..�........_,..-. ..,_
Pr•AHL I GLH H(jl+lF.'3 11,1C.
71;:'5 5W VARNa
TIGARD OR
S:l^m rr e #. 664-1.,453
R 0 #. . 4L106 7
R :3315. .73 CC:1TAL
This permit is issued subject to the regulations contained in the ---- - -- REi(:P.LRE:D INSPECT IUNS -- --
Tigard Municipal Code, State of [Ire. Specialty Coati and all other i'; oot/foulm Insp r-'ireplac:e Insp
applicable laws. All work wi i 1 be done in accordance with approved Post/Beam sat r+m t Gas s Line: Insp
plans. This permit will expire if work is not started within 180 Pont/beam Me+chan Insulation Insp
days of issuance, or if work is suspended for more than 180 days. f''1m/1_tnUs lab Insp Gyp Board Insp
�j ��► rl_.f*r!Under t Iu�,r Rain, drain Inst.;
't 1`titt1t. '..lr'fi11► t"'! 'C.'I` anic,ai 11) 3 f Water Line Insl:i
F'Iumb lop Out Fippr Ilriw+rlk Irrsr.
ii-I!sued Dy . ._.._.._._......_.._......_.._._...._.__ ...._______ Fl-aming Insp Imec:ti,-anic.arl F irid i
CA i. 1 for nriperc;'t; i. or., .... 639-4175
..........
CITYOFTIFARD � SEWER ERMITcl`1i�N
F�,EF2Mz�..
COMMUNITY DEVELOPMENT DEPARTMENT ���� �'L F2MI'T' #, . . . , . , ; SWF2ri3- 17_r12El
M26 SW FW I BW.P.O.Bax 2W97,Tip M,Orpon g7=.1M1�*4,75
�_. Z'rf;T ' ISSUED. 03/25/9Z,'
SITE PDDRESS. . . ; 13556 SW MlLHE:LLL PARCLL; 2S1itA-00--F•1504� !' •
GUBUIV1,GION. . . . s HI't_i_'oHIPF' 2OIUNCas R-7 r,1,
BL.00:K. . . . . . . . . . s I_GI.. . . . . . . . . . . . . :04r.,
TENANT NAME. . . . ,
USA (SIO. . . . . . . . . . s F=I XTURE UNITS. .
GLASS OF WtiRK. . . :NEW DWELL I Nb UN 11 S. . ; 1
TYPE= UF USC.. . . . . s SF NO. OF DU I LD I NUS s 1
I WS VALL T'YF'L. . , , :k:AL!OWF'. I tvt1=ERV :iCJRI'PCE .
Remar-ks. PAIH I
Owner^s _..__....._. -_. ._,..__...w_._.___.__....__._.... ._._.. _..._._.__..... _
_.._. ...._. _..._.._._ ... __..._ FETES
F= 41-it-ISCFI INC type atnourtt: by date rGCp'.
71.55 SW VARNS PRMT E-100- 00 ,IH 03/25/9,7
II�I;iFr
35- 00 Jf! .;/r. 5/r33 -
Phtone #; 684-1-45,L,'
Cantr,actov-: 9741-4
{:ONTRAL -OR N01 Cl!V I:
F.yl..1r2ntY :b, x i '1;35. 00 TOi'AI,.
____...._........ ['tL ,L I RED I NSPEC;T-I ONt
This Applicant agrees to comply with all the rules and regulations `:rewer- .inspect: ic)r►
of the Unified Sewage Agency. 'he permit expires 160 days from
the date issued. The total amount paid will be forfeited if the
permit empires. The Agency does not guarantee the accuracy of the
side sewer iaterais. If the sewer is rot located at the measurement ��
given, the installer shall prospect o Deet in all directions from
the distance given. if not so located, the installer shall purchase
-rap and Side hewer" Fereit and the Agency will install a lateral.
in i t t e k i i i y n a t•.r r e ,' .vm,A
i Gr s r_te d B
v7 Ca I 1 fear inspect i.ar7 - 639--4175
R
I
0�
71
/p
j 13W sw Ha Brat PLNCK/RECT 0
CITE' OF TIGA RD
COMMUNITY DE VELOPMENT DEPARTMENT 7%wAO-g-9= PERMIT
1 (00)09417' DATE ISSUED
JOB ADDRESS: T 3 S S 5 c", /fl irty e((F c- _ TAX MAP/LOT ')—S l 6(4 00 S U y
SUB: _ ��f � 1 LOT: _ 4� LAND USE:
VALUATION: O�Z,
OWNER SPECIAL NOTES ..
NAME: REISSUE OF:
a ADDRESS: LAST REISSUE:
FI.000 PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS.REUIRED -0001
NAME: A /i'£cA le _1;11e, _ _ _ PLANNING: `_:- LOAM Fklil S
ADDRESS: 7/s-57 s. ENGINEERING:
1�'t/d__ g2,e� . 9 7 z ? FIRE DEPT:
PHONE: By_ 6,.9 j _ OTHER: r 'r,
CONTR. BOARD N: _yZ C > EXP DATE: S- 93
ITEMS REQUIRED
j SUBCONTRACTORS: PLUME: �� /�,��, ,,� LIST/SUBCONTRACTORS:
MECH: � .� 6� N �,„ (mit BUS TAX:
ARCH/ENGINEER CALCULATIONS: T
NAME: N'gjh. _�,,,, .� oe l:&fK_ TRUSS DETAILS:
ADDRESS: __e, / s� n• -de. rld OTHER:
-7aZ
PHONE: Gg s _ r��.2 -7 --
PROPOSED BLDG. USE:
COMMENTS: _ (1WIriONS MU ST j5r SA7�SFi,�� �
APPLICANT SIGNATURE r+ f
Received By:
Date Received:
A✓
F 1 1
, YN
1
i
.. 1
� V
1
• N-
PERMIT 0 ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. OU
5 >3-.0•/y > 10-432 00 Building Permit Fees 1Y 4Z,4e,
10-431-00 ... Plumbing Permit Fees,-;A-A•Lnq, { `; y ►, �,;
10-431 01 Mechanical Permit Fees �� �► —'
i
•
10-230 Ol State Building Tax (5x) _3j7,ZV' 3j-, Zb'
Building .2 q,10 k%
Plumbing 13 ✓� M
Mechanical Z ��
10-433 00 Plans Check Fee 3.3 1 y�r r' - �y, G,'
Building 3,�, 3 'vim
Plumbing _
Mechanical 1, 2 i
10-230 06 Fire
5,^ ZI 2- U1-b� 3J-202 00 Sewer Connection L)
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF 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 Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL ,5 , , 3 � �� _. / St�GO• ).3
nm/3587P.WPF
WWI . ... ...,r..... .. .__.._.
' a 4
n • - r'. ti if �1 MS an � ert�Y�l�Jst � u 1 �^eM lib"
ars:
3'.
� wI
CITY Ott— r 1i C ARD - RE CL:_i yr OF VIAYMENT RE GE T.r'r NO.
CHECK nMCIIINT :°.ic_'00. 1;:3
NW
IE IE PAHL.ISCH HOME;.G CASH (IMCIUNT 0. 00
ADDREEG a PAYMENT I WW, r V..►3✓ 5 9..;
UBDIVISION a
r.!I..11?r?0f3F' OF t7AYME'N-r AMOUNT PAID PUPPOc3k. OP PAYMENT AMOUNT PAID
gU Z I._D I NG P[=RM 498. 00 PL.I.)M•"3I NG PERM l 6r'. 50
hlE:i::l IAN I CAL_ PF 45. 00 ST. BUILD PFR R :.315. PA �
G'i,_AhJ G,HF.C:K F7>f-' A4. X15 !I' WFR US �'100. 00
*';FWE K INSPE=CT 5. 00 PPIMIS s))C 500. 00
'„STORM DRAIN SOC, 281a.00 RE'S I DENT I AI_ TRAFFIC 1='E E=S 1:35171. 00
MASS I RANGT'T TTr' r E'E:S 1 10. 00
w
N�
LOOT 46 H T I_I_5H I RI'
13"556 SW MICHF'L.L.E C:'r
( .I OTAI... AMOUNT PAID -- -- --- --) 5;'17 0. '7:3
iI
r,
1
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