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CITY OF TIGARD FERMI f #. .. . F'A. : oM J i ,� 03`4
COMMUNITY DEVELOPMENT DEPARTMENT DATE. I�.(.,UED a O 1/X5.1X36
13125£W Hall Blvd.Tigard,Oregon 97223.6199 (503)039.4171
C'AR(�E:l_s c'aJ�I14G1:)-•FiEf..ICi7
'ATE', . . . : 13567 }lJ f-s I N ' t..l
iUBDIVISION. . . . . HIL1._CMIRF ESTATES, 7ONING:R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
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C"'LA>>~QFmWORK. aNE:W.__.___.._...._._.,._......�
TYPE. OF LISLE. . . :SfF-
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OCCUPANCY CARP. s 5N
(ACC,'UPONC:Y LOAD12
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F2emar1<a: PATH I
SKYLIGH1 HOME B11IL )EFTS CO
} P 0 BOX, 2315
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L_AKE:. (.7 SWE G0 OR
PhonN *t 503-.636...2994
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SKYLIGHT HUME BUILDERS CO
p 0 Box 431.3
1.141(k. OSWEGC' OR 970::5
Phone #: :503-636•-12994
i (ley #, . t 3,417186
jlhia Cer^tifir..aate yr•;antp Occ+.iparncy of ihp a;bo%-,le referenced building or pOr^tic+n
j '.hereof and confirms that the b+..lildi,),y has beer, inspected for compliance with
° Pie Stateof Clrepon Specialty Codes feet- the+ yt-WAP, OC'CLIpA ^y, and use under
1,4hit«h the referenced j.:)evmi.t was issued.
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rMl_I)ING IN; PI].(:IOR SUILDI I OF'F'T(_IA�
POST IN C ONSF-`I C::UOUS PLACE'
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CITY OF TIGARD P�,LL)ING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Busi less Phone: 639.4171
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Inspection: .��`
Footing Susp. Ceiling Sprink. Rough-in Appr dwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL: "
Post/Ceam Mech. San. Sewef Gas Line Id9,
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Plbg. Underfloor Rain Drain Framing Iumb.`
Alarm Water Line Insulation 4vleGhi
Underflr. Insul. Shear Wall Gyp. Bd. -Elect,
Date Requested: Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dater
ED _DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTIC-7
Inspection Line (Rec O-Phone): 639 4175 Business Phone: 639-4171
inspection:_ �,��_ ,.
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwl
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
mooPost/Beam Mech. San Sewer Gas Line
-Bldg.
Plbg. Underfloor Ra;n Drain Framing -Plumb.
Alarm Water I ine Insulation
-Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Requested: L� �9 (-
---I] �_._,_ Time: AM pKI
Address:_ 4 7 `')/�/1��'YL. ���"
Builder:
Permit #: U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:__ Date: LA
N. �r' a � •,�.,
'PROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
iCall For Reinsp,
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CITY OF TIGASD BUILDING INSPEG BION NOTICE �r
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 Id '
Plbg. Underfloor Rain Drain Framing -PI
Alarm
Water Line Insulation M t ;
Underflr. Insul, Shear Wall Gyp. Bd. lect / ..
Datb Requested: [ r—{ I ci �' Time � il PM
Address: 1 3 5 1 0 —Yl,
Builder: • C Z- Permit #:
THE FOLLOWING CORRECTIONS A REQUIRED: :
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Inspector: Date:
—APPROVED ISAPPROVED PROVED SUBJEC7T TO ABOVE
�.al Reinsp.
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CITY OF TIGARD BUILDING INSPECTION ROTI
Inspection Like (R9c-O-Phone): 639-4175 Business Phone 6 -41714
Inspection: V" r
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 - dg, •.! , ti ay ;° ,
P!bg. Underfloor Rain Drain Framing
Alarm
Wator Line Insulation
1f° air ,
Unrferflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date RequwSted: Time- AM
Address:_ �6 -7
Builder:
Permit #: C_�flrf_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:_
APPROVED ISAPPROVED ^APPROVED SUBJECT 1-0 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: 4N.
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.
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Plbg. Underfloor Rain Drain Framing lu^tr l
Alarm
Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. fr,
Date RequestedTim AM PM ;
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Addre,-s•
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Buildc,: Permit 63
YI'' #: ��';�•,
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THE FOLLOWING CC,RRECTIONS ARE REQUIRED: 444
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Inspector:—�� ,�''
Date
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
ball For Reinsp. § ;
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CITY OF TIGA91) BUILDING INSPECTION NOTICE �
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in
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. -Elect.
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Date Requested: Time: PM
Address:_ Lam' A/
Builder:_` /,� _ Permit
ME FOLLOWING CORRECfICMS ARE REQUIRED:
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Insp-ctor: '� �+ — Date:
APPROVED --DISAPPRC✓EDPROVED SUBJECT 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 Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg, Underfloor Rain Drain Framing -Plumb. �rt "" � °
Alarm Water Line Insulatio -Mach, tir'
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Underflr. Insul. Shear Wall i G pi A�e) -Elect. 's )�
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Date Requested: �� ,� ' Time: AM PM ,''
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Address: J
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Builder: _Permit#: 61
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. '
Date: LEE_
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_APPROVED _DISAPPROVED -e-A'PMOVED 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 po Appr/Sdwlk
Foundation Plbg. Underslab -cRough i Fireplacee'
Post/Beam Struct, Plbg. Top Out Elea Rough-in FINAL: `
Post/Beam Mech. San. Sewer Gas Line// Bldg. w
Plbg. Underfloor Rain Drain taming Plumb.
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Alarm Water Line c_ su ao Mech '� snkfi� to
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Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:- e' Time: AM PM
_ ya
Address
Builder: Permit !�: ��/ -'n � L�
THE FOLLOWING CORRECTIONS ARE REOUIRED:
I
'spector: Date:
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD B,JILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,;•
Inspection:
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Footing Susp. Ceiling Sprink. Roligh•in �Appr/Sdwlk
Foundation Plbg. Underslab Mech. Ro Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line � Bldg.
Plbg. Underfloor Rain Drain ramin -Plumb.
Alarm Water Line nsui atiorl., -Mach.
' Underflr. Insul. Shear Wall Gyp. Bd. -Elect,
Date Requested: 1/l�(/15 Time: AM PM
Address: f35-4, �7
Builder: 3, fz. ( Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Data: i 6
YAPPROVED �SAPPROVE _APPROVED SUBJECT TO ABOVE `
Call For Reinsp. `
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CITY OF TIGAKr) BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phvie): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Roughin Appr/Sdwlk
Foundation Plbg. Underslab ec . Rough-i Fireplace
Post/Beam Struct./ Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewera ine -Bldg. ,"1'��r '�
Plbg. Underfloor Rain Drain aming' / -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time AM PM r
Address: S
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Builder: Permit #: 7 `G ,3a
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Vi to tA 51
Inspector: Date: 7—t t
—APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE
_Call For Reinsp.
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{ CITY OP'TIGARD BUILDING INSPECTION NOTICE
Ingpection 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
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Past/Beam Mech. San. Sewer Gas Line -Bldg.
'
hr �il Y�
I'Ibg. Underfloor Rain Drain Framing -Plumb.
A'arm Water Line Insulation -Mech,
Und4rflr. Insul. Shear Wall Gyp. Bd. -Elect. ,-
'
Date Requested: Time: AM PM
Address:
Builder: Permit #: '1 �t U 2- 4 t
THE FOLLOWING CORRECTIONS ARE REQUIRED: ���, ?
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Inspector: 1 eE 1
Date: ;rr' th 'r ,r
_APPROVED DISAPPROVED ZPPROVED SUBJECT TO ABOVE
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Call For RQInSp. l�-
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CITY OF TIGARD BUILDING; INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 4171 F •s f I
Inspection:
Footing Susp. Ceiling Sprink. Rough-in /Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Oyt Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor _,Rain Drain
Framing -Plumb. ,
Alarm ate'W r Line Insulation Mech.
Underflr. Insul. Shear all Gyp. Bd. -Elect.
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Date Requested: �' 3/ I '��;� Time:_Z_AM PM
Address: /..35
Builder: Permit
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insp or: Date..
7PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. !,
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CITY OF TIGARD BUILr,NG INSPECTION NOTICE
Irspection Line (Rec-O-Phone): 639-4,75 Business Phone: 639-4171
Inspection: /
Footing Susp• Ceiling Sprink. ugh-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 3/
Time:�AM PM
Address:_
Builder: 3 S�
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
Date: Z �1
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE t
�7_ _Call For Reins
ggr�ptr *rU�.... g ,7y�r vk,xV't�.,. µ,kr�,•x'i:. ... .�4ro=.`,",�,'.NKnNr XAP:YC � ,:-i"' t �''''' r.`�. t�."�",t,y,w«�`1�r.!,�p,y �i���,.
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DEPARTMENT OF LAND L'SE&TRANSPORTATION
WASH!NGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILL!SBORO,OR 97124 y
COUNTY, WSPECTION REOUES'rs: 503/840-3561/893-4415
OREGON
XXXXXXXXX--> 640-3470
r Page 1 r f 1 ;.
Date s 03/2U/95
'Time 10 : 05
Permit 'Type Residential Electrical Permit Permit # UbUbb238
Permit Status APPROVED Applied 03/1'//95 _
bit-us Address 135b'/ SW MINT PL '1'1 Issued 03/17/95
:Jermit 'Title SF'H - ELEC/NEW HOUSE Completed
Permit Descr. ro Expire 09/13/95
Project 'Vitie : 6t'R - ELEC/NEW HOUSE Project # P0048437
Project Descr . ,r EROSION
Marcel N.-: ,Iber : 261'TI - Land Use District
Valuation U
'ttt+ Legal Descr.
Uwner INSPECTION - '1'IVAHD Construction OTH
Applicant Name WiLLAMETU'E ELEC'rRIC; Classification 900
Applicant Ad(.tL . : Pfd BOX 23054'/ Occupancy Eta
} 'TIGARD, OR 9'/281 Validated by KKP i
Applicant Phone: 624-3631 Inspector Area
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k'ee description Units r'ee/Unit Ext fee Data
--------------------------------------------------- --------------------------
6quare h'ootage [Enter Sq, k''t . ] 2500 185 , 00
Subtotal Electrical Nees : 18b . 00 ,I:
State Surcharge of 5t 9 , 25
Total Electrical k''ees : 194 . 25 '
*** Nees Required *** *** Fees Collected & Credits **f>
----------------------------- -----------------------------------------------
kMethod Check # Receipt No. Date Payment
CK 6171 03/17/95 194 . 25
Nees : 194 . 25
Adjustments : UU 'Total Credits : , 00
Total tees : 194 . L5 'Total Payments : 194 , 25
Balance Due : , 00
,.I
NOTICE- This permit becomes null and void If the work or construction!or which it Is Issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the hest of our knowledge- I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All prov'sions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specifler',on the plans or noted on the pians correction sheets. I acknowledge that r
the granting of a permit does not grant authority to access private prop@ ty or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon m;calling for Inspectlans at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or upanry of the building or structure permitted prlor to approval by the
Building Department Is solely at the risk of the appllcanr and sur. ccupancy Is revocable until all Inspection requirements are satisfied and ;
approval Is given by the SuIlOng Official. I further acknnwledgr a h, may be placed on the title of the property upon which the permit Is Issued
opacifying that the use or occupancy of the building or structure a.it nal and revocable until the satisfartlnn of all Inspection requirements.
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APPLICANT'S SIGNATURE
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WASHINGTON COUNTY ELECTRICAL PERMIT
Department o. Land Use dr Transportation
Electrical Inspection Section
Hillsboro, Oregon e97124°50-12 APPLICATION
Information: (503)640.3470 Fax: (503) 693-4412 Permit
PLEASE PRINT
Number `�" �� .�� Date � f
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complete • • •
4. Complete Fee Schedule below
1. Location of Installation Number of Inspections per pen.dl allowed
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Address t S Nt;,,, T' — Service included. Items Cost(ea.) Sum
Building A. Residential- it
City T•; ,.u�J Suite foto. per unar_
1000 sq.ft.
Tenant ame or less _� s110.00 �1�_ a
(If commercial) Each additional 500 sa.It _� --
- — or pot tion thereof 3 $25.00
Map NO._ --Tax Lot _, Limited Energy $25.00 i
- - Each Manuf'd Home or Modular f
Dwelling Service or Feeder $68.00 2
Thomas Map Book: Page; Section:_ i
DI•Pr.tlons -- — B. Services or Feeders
Installation,alterations or relocation
200 amps or less $60.00 2
Commercial ❑ Residential LK 201 amps to 400 amps $80.00 ___ 2
401 amps to 600 amps _--_ $120.00 — 2
2a. Contractor Installation on 601 amps to 1000 amps $180.00 — 2
Y Over 1000 amps or volts $340.00 2
Electrical C'ontractor &), 4"�,/t�4"/�cT,t;4L Reconnect only $50.00 — 2
Address /'f? 7 _
City�}f � Stat�_�, ?IP;L�� C. Temporary Services or Feeders
Date— i Job Number _ Installation,alteration or relocation
i Property Owner JAM, 1, 200 amps or less $50.00 _ _ 2
i
Contractor's License
201 amps to 400 amps $75.00 2 1& �- Z�3 c.-- _ -- 401 amps to 600 amps _ $100,00 — 2
Contractor's Board Reg. No. _ Over 600 amps to 1000 volts see V above
f Signature of Supr. Elec'n D. Branch Circuits
I license No.1yc s--S Phone No, i tv- `Zb'S f New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner Installations: purchase of service or feeder fee.
Each branch circuit $5.00 _ 2
not nor s ame one o. -- b) The fee for branch circuits without
purchase of service or feeder fee.
1
Address — --- First branch circuit $35.00 _ 2
Each add'nl branch circuit $5.00 2
i�'y— -- tate — 1p E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle— $40.00 2
The installation is being made on property I own Each sign or outline lighting $40.00 2
which is not intended for sale, lease or rent. Signal circuit(s)or a limited
energy panel,alteration
Owner's Signature A_ or extension $40,00 2
F. Each additional inspection over the allowable
In any of the above
3. Plan Review section (!f required) Per inspection $35.00
Per hour _ $55A0
Please check appropriate hem and enter fee In section 5B. In Plant $55.00
_4 or more residential units in one structure
.- Service and feeder, 800 amps or more 5. Fees
_System over 600 volts nominal A. Enter total of above fees $
__Classified area or structure containing special 5% Surcharge (.05 X total fees) $ 9 2�:
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 $ _ A_
services. ❑ Trust Account $ _
For Inspections call Balance Due $ i 9
This permit becomes null and void"the work■uthorized try the pernill Is not corrrmemad
640-3561 or 693-4415 within.90 days from dab of Issuance of such permit or If 14 work authorized Is
suspended or abandoned at any time after work b commenced for a period of 190 days,
1 24-hour recorder, one working day In advance of need Electrical Permits are iron refundable and non-transferable.
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« DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION X1350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit II' : 05065238 Project P0048437 Status APPROVED Page I of 1
Applied : 03/17/95 Issued 03/17/95 Fxpires 09/13/95 04/14/95 05 : 58
RESELEC
Permit Title SFR - ELEC/NEW HOUSE OTH
Description Begun: 03/17/95 "
Job Address 13567 SW MINT PL TI
Owner Name INSPECTION TIGARD Re
Applicant Name WILLAMETTE ELECTRIC
Phone number 624-3631 Valuation q Appro
Inspector Comments : ejected
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IVR-RESULT:;
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REQUEST ERROR 1
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Plumbing
Mechanical : i
Elcectrical
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si-ructrual :
f#e n e r a 1
7 �
InEpected by : Date : q
Inspection Requested
+' Cover & Service 0403 E Ap ON IVR '
04/14/95 RI PH
* Service 0406 E AP ON IVR
04/14/95 RI PH k
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CITY OF TIGARD BUILDING INSPECTION NOTICE l
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 �{ f
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Insoection:
Footing Su . Ceiling Spri . Ro'gh-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/BeammStStru�c"t— Plbg. Top Out Elec. Rough-in FINAL:
,Barn Mech San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain _ ng. O -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ? /Z.Z��S Time:""4AM PM
l ��.� �
Address: �� ��Y't.�. � l
Bui-der: Permit p:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ill
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Inspector: -- Date: 1 'S
`APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Gall For Reinsp.
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CITY OF TIGoAD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O•Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk .w
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.
Ibg. Underfloo )_2,,0 Rain Draw Framing -Plumb.
Alar Water Line Insulation Mech.
t
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: T r Time: AM PM
Address:
Builder: (p(� – / ?SI Permit #: /C�
3
THE FOLLOWING CORRECTIONS ARE REOUIRED:
– -7 4` i
Ins
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pector. !�./,rr'�
�. � --t--z--�. Date: 1
APPROVED �DISAPF;'OVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE 2_1�
Inspectian Line (Rec-O-Phone): 639-4175 Business Phona: 639-4171
Inspectior
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINIAL:
Post/ e ech. ,an Sewer-, Gas Line -Bldg.
(� Plbg �r �ain.1)tain' Framing -Plumb.
Alarm v �Qlale ti Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. n-Elec .
Date Requested: /[o�C1 � Time: CA
A(M�} PM
Address:1��,.��
Builder: Permit #: c�_ O 3,2
THE FOLLOWING CORREC rIONS ARE REQUIRED:
Inspector-
_,N,/APPROVED
nspector,,APPROVED __DISAPPROVED ,APPROVED 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 Pibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam i tech. San. Sewer Gas Line Bldg.
j
Plbg. IJnderfloo� Rain Drain Framing -Plumb. ;
Alarm Water Line Insulation -Mech
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: lie, � a Time: AM XPM
Address: I S (,� l �� _
Builder: Permit #: 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— �Y 7
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Inspector Date:.__JG'
1
APPROVED X__fl1SAPPROOVVED ^APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY CF TIGARD BUILDING INSPECTION NOTICE
Inspe.tion (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Insp tion: �lL
9und�Footing's Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
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. -Elect.
Date Requested:__/ /���j Time& PM
Address:-/3,�;-4^
n
i�
Builder: Permit #: U z,a C{
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l
1
I Inspector. �-��. 1/ �-_ — _ Date:
PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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CITY OF TIGARD PLUMBING PERMIT >g
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-03�:,',
13128 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171 DATE ISSUED: 01/21/95
PARCEL: 2S 104CD--HE087
:S I l E A1}UF7ESS. . . 3 1:5`�E,7 SW MINT CT
S1. BDIVI.3I0N. . . . a HILLSHIRE ESTATES ZONING: H-7 PD
BLOCK,. . . . . . . . . . : LOT. . . . .
� . Y..87
' -�_--.—___________..___,____ _..___
CLASS OF WORK. . :NEW GARBAGE DISI=dUSALS. . : 1
T r"F'E OF USE.. . . . aSF WASHING MACH. . . . . . . al BACKFLOW PREVNTRS. . : 1
OCCl.1PANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . ■=' WATER HEATERS. . . . . . : i CATCH BASINS. . . . . . . :0
FIXTURES----.-----.__-_-.._._ LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . • 1 GREASE TRAPS. . . . . . . 0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
+UB/SHOWERG. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . ii RAIN DRAIN (ft ) . . . . :0
Remarks.. PATH 1
OWNLR a --___.___.______________________
_.___w-___..________FEES_________..._____..
'SKYLIGHT HOME BUILDERS CO TIF=" $ 1550, 00 JF 01/21/95 -
W U BOX 2315 BPRT $ 545. 50 JF 01/21/95 _.
BPI._L: $ 50. 00 JF 01/21/95 -
LAKE OSWEGO OR B51--'C $ 2 7. 28 J1= 01/21/95 -
Phone #a 51213-636--2-3194 PARK $ 500- 00 JF 01/21/95 -
MPRT $ 45. 0,271 JF 01/21/93 -
Lumbing Contractor.: _ ___._____..____._. ......_ MPLC $ 11. 25 J 01/�I/95
h
115PIC $ E. 25 JF 01/21/95 -
A a rn e " 11. �-b�-- --��� � !_.._. P� --'R T $ '225. 00 11-- 01/21/9`.i ._.
. _
^e s
Hddr : F15PL $ 11- 25 JF 01/iR1/95 -
1 City:`__ _ . - State: _ E R 0 S $ 64. 00 JF 01/21/95 - t
/i p:�____ . ._.._�_....._ Ffihone'?!: ERPC $ ='0. t30 JF' 01/21/95
rteq #a__ .... Additional. fpe= riot :shown her^e. . . . . . . . .
-- --- --
REQUIRED INSPECTIONS
--
1'1-)is permit is issued subject to the reg- ~�
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp '
1 Code, State of Ore. SpE'cialty Cosies and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plana. i'I-iis Plm/undoslab Insp Mec:hanir_al. Final
permit will expire if work is not started PLM/Underfloor Plumb Final i
within 1. 30 days of issuance, at- if work is Mechanical Insp Fad.lildi.ng Final �
suspended for more than 180 days. Plumb TOP Out Erasion Control �.
Framing Insp
Fireplace Insp
Gas Line Insp
insfi_llation Insp __
Gyp Board Insp -
-.ithorized Plumbing Contractor Signature -_—.._.._ _ _
fintrdactor NotesCell far- inspection - E,39-'41'7C',
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171
PERMIT 4#. . . . . . . ; MST94-0 124 ? l
DATE: ISSUED: 01/21/95
¢r°
PARCEL_s 2S1.04CD-HE087
14
.)ITE ADLRE:`�`J. . . : 13567 SW MINT CT a r`
SUBL)1VTSICJN., . . . 1 HILLSHIRE ESTATES 7_CINING: R-7 PD
BLOCK,. . . . . . . . . . s L.01.. . . . . . . . . . . . . :8 7
BUILDING ____-..._______...____________________.__ IJS,If
RE I SUUL:MST94-9045 DWELLING UNITS: 1 BASEMENT. . . . . . . . 10 s f
CLASS OF WORK. INEW REDRMS:4 PATHSI3 GARAGE. . . . . . . . . . ..465 sf y 4M
TYPE OF USF_. . . :SF FLOOR AREAS - - ----______ REQUIRED SETBACKS---------- -
r
TYPE OF CONST. :5N F I RST. . . . :960 s f LEFT. . :7 ''t RIGHT'. : 12 ft
OCCUPANCY GRP. :R:3 SE.COND. . . : 116a s f F'RONT. :c0 ft REAR. . :30
STORIES. . . . . . . ..2 F I NPSMENT:0 s f RE.QU I RED•-'-----____.._
I1E I CIHT. . . . . . . . 12 7 ft TOTAL- -- - -s 2122 s f SMOKE DETECTORS. I Y
r LOUR LOAD. . . . :40 psf VALUE. . . . . Ili 144775 MARKING SPAC:ES. . 11
Remarks: PATH I
PLUMBING
SINKS. . . . . . . . . . 11 FLOOR DRAINS. . .0 BACKFLOW PREVNTRS. . : 1
LAVAL URIES3. . . . . :4 WATER HEATERS. . . : i TRAPS. . . . . . . . . a . . . . :0
IUB/SHOWERS. . . . :3 LAUNDRY 'TRAYS. . . 10 CATCH BASINS. . . . . . . !0
WATER CLUSETS. . s.5 SEWER LINE (ft) . 10 GREASE TPPPS. . . . . . . 10
DISHWASHERS. . . . 11 WATrR LINE. (ft) . 1100 OTHER FIXTURES. . . . . 10
IiARBAGE DISP. . . s 1 RAIN DRAIN (ft) . 10
WASHING MACH. . . : 1 SF RA T N DRAINS. . : 1
_._.________-___ MECHANICAL - ---_________ _ _______.___.__._.__._______ FEES
I UEL 1`YPE.S----••----_-•-.--- UNIT HTRS. . :O type :amount by date recpt
/GASB/ / / VENTS . . . . . 10 T I F IS 1550. 00 JF 01/21/95 -
MAX INPIJT :O STU VENT FANS. . :4 BPRT $ 545. 50 JF 1211/21/95 -
F'URN ( 100K . . :0 HOODS. . . . . . . I BPLC $ 50. 00 JF 01/21/95
FURN ) -100K. . . : 1 WOODSTOVES. I0 B5PC It 27. 28 Jr-' 01/21/95 -
FLOUR TURN. . . . :0 CLO DRYERS. : 1 PARK $ 500. 00 JF 01/21/95 -
BOIL/CMP ( :3HP:0 OTHER UNITyc 1 MPRT $ 45. 00 JF 01,121/95 -
GAS OUTLETS I 1 MPLC $ 11. 25 JF 01/21/95 -
Owner: ____-..__._____ _______._..__._______...____M5F'C i 2. 25 JF 01/21/95 -
SKYLIGHT HOME BUILDERS CO PFIRT $ 225. 00 JF 01/21/95 -
P 0 BOX 2315 P5PL $ 11. 25 JI- 01/,-_ 1/95
EROS $ a4. 00 JF 01/21/95
LAKE. OSWEGO OR ERPC $ 20. 80 1 F 01/21/95 •--
Phone #: 503--636-2994 ERPC $ 20. 80 JF 01/21/95 -
Contractors - __.___.___._._____._..._-___________`WM $ 180. 00 JF 01/21/95 --
SKYLIGHT HOME BUILDERS CO SwM $ 100. 00 JF VII/21/95 -
P O BOX 2315
LAKE: OSWEGO OR 97035
Rhone #s 50:3-636--2994
34086
$ 3353. 13 TOTAL
Phis permit is issued subject to the egr ations contained in the -- ---- REQUIRED INSPECTIONS -- - ----
Tigard Municipal Code, State of Or Sp ialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. Allwork will be.` o, in accordance with approved F=rost/Beam 5trr_tct Gas Line Insp
plays. Thi; permit will expire -kis not started with' lid Post/Beam Mecham Insulation lnsl
days of issuance, or if work is Is e dedjfjw more days. Vilm/undslab Insp Gyp Board Insp
f'LM/Underfloor Rain drain Insp
Permittee Signatu). l`ierh.anic9Al. Insp Water, Line Insp
r P. .tmlb Top Out Appr/Sdwlk Insp
I<s u a d Fly ' -._.._.. ._.__ _.___ Framing Insp Mechanical F i n a 1
......e.......�:._....................v....,.,......,..,_._.....4-_.arw..—..._..............r_.:....,...�.....,__. _�....«,......,... ..._.. ._ .,,..,.. ._.......,:�.,._..__ .............w+san.erurrw�rorw.,._,. _...
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: GS l YYl 1 NT C'?'
'
Subdivision: F}1\\S N)fT� Fr A )F` OfticeUse Only Lot # —
N47 PlanckJRec#
Valuation:
-r Perrpit # 1 G� 2- •
Owner: SK LI b1fT Normr` 9wWr� -w1 Reissue of r11 �i�l 1 o 45-
Address: ey 6dX Z S/S Map & TL #
Phone:
Apprcvals RegIulred
� S'a�) 63b-Z�9y
p
Planning
Contractor: 1 \
Engineering
Address: Other
Phone: Items Required
Subcont�actors-_ r
Contractor's License #
(attach copy of current Oregon license) ruse Details
Subcontractors:
Plumbing: o,7 T ✓ >
Mechanical: tl)v 2 H
(attach copy of cun"ent OR Contractor's License)
Architect/Engineer:
Address:
Phone:
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COMMENTS: I
dL-e i
App 7iv
Signa re & Phone number
i
Reced )y:i (( I `b L4Li Date Received: ��
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Permit # Account Description Amount Ar-• "'. Z;^" Due
Bldg. Permit (BUILD) 5-4)—)-d Sq
Plumb. Pennit (PLUMB) 7 Z �_ 2 L "
Mech. Permit (M2CH) 4 4 "
State,Tax (TAX) q 0 7�1 ,7
Bldg: 2
Plumb:
Mech: 2 • a
Plan Check (PLANCK) '
Bldg: .50
Plumb:
I
Merh: 'Z
�!
y Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSOC) --5,
Storm Drainage Ghg (SDSDC) _
i
Residential TIF (TIF-R) % U 3 L) V'3 d
Mass Transit TIF (TIF-MT) ( ' - _
lnddsttntf-i`1F (�IF+t) r�•r,.S�U � d
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS:
3353 . 1 s ? �,3 13
S
,d I
rywd:awytart�+a+rr�«�,� r1lWMl��re
EXEMPTION FROM MAXTMTJM SHADE POINT HEIGHT STANDARD
Uwe, the undersigned, as legal owners of record of the property described as:
llS�i 1'P e- CSf, 1+ L R
Lot E- of _ Subdivision
Tigard Address
Number
Tax Map and Lot �S l v C �
do hereby release the property owners of adjacent Lot # S 7
of f11 JW i ye-, 025ubdivision, also known as Tigard address 13S� 7 ,Sl c)_122 i*h
_ and as Tax Map and Lot Number /o tle'L2 -oFd',00, from complying with �
Community Development Code Section 18.88.050.G (Ma)imum Shade Po Int Height Standard);
and agree that the structure may have a shade point height oQD feet, tht reby allowing shade
on an area :,.Iherwise protected by Code Soction 18.88.050.D.
rN
n addition, Uwe also release the City of Tigard from liability for damages resulting from this
,.pdjustment.
{ 1 7
a Si gnature
t? �, Signature
State of Oregnn )
County of acutly`o ) I
4a �� This instrument was signed or attested to before me by �c� 1;--04�t,t[x r-t..-_ and
06 q�,
on p �� / 19P-
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90'4.
< �
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r:nr,, ' err Signature of Notarial Officer
utary Seal) c:vY :y r'.;� �.. My Commission Expires:
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CITY OF T I IyARU RE:CEI rrr OF PPYME:'NT RECEIPT NO. a 45-26082E.,
CHECK AMOUNT a 3303. 13
NAME e SKYLIGHT HOMES CAS14 AMOUNT a 0. 00
ADDRESS e PAYMENT DATE. t 01/23/95
c.iE.JBDIVISION
PURPOSL OF PAYME=NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM � � �. ..�_...545. 50 PLUMBING —PE=RM + 225. 00
!
MECHANICAL PE 45. 00 ST. BUILD PER 40. 7S
E PLAN CHECK FE 11. 2:5 PARKS SDC 500, 00
RESIDENTIAL TRAFFIC FEES 1430. 00 MASS TRANSIT TIF FEES 120. 00
EROSION CONTROL PECRMITFE F 64. 00 EROSION CONTROL PLAN CK F.O. 80
EROSION CONTROL 20. 80 HPO 01_JAL I TY FAC I L.I TY FEET 180. 00
Hl:-'O QUANTITY FACILITY FEE:. 100. 00
f1
a hIST94-4324
13567 SW MINT CT
TOTAL AMOUNT PAID - - _ --> 330:x. 13
1
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A•,�x4 r '*�� l"ii;' I_NSpECTlON NOTICE City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
f, 1
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171 �'>• y r" w
�yf' wn�N Footing Plbg. Underelab Nech. Rovgh-in Appr/9dwlk �
Found. Plbg. Top Out Gas Line FINAL:41.
r
4
{ t ,
, w4 Post/Beam Struct. Framing -Bldg.
Ya lrt '�i+a Post/Beam Hoch. Rain Drain Insulation -Plumb.
fi Plbg. Underfloox Water Line Gyp. Bd. -Hoch.
Date Requested:_ --Time: _ AM PN
" Address: l 1J J_ ! �. G P
4ermit It Si(JX �7 V -Grly�
Builder: 7 ,�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l
I
Inepec j _ -- - Date•
DISAPPROVRU --._.-_ APPROVED SUBJECT TO ABOVE
v'
-Call Pot Re(nsp.
yr:
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CITY OF TIGARD NEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERM I T
13126 9W Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171 PERMIT #. . . . . . . : SWR94—0, 94
ta:39-4171 DATE- ISSUED: 09/27/94
PARCEL.: 25104CD--HE Ofd'/
SITE ADDRESS. . . . 13567 SW MINI CT
SUBDIVISION. . . . . HIL_LSHIRE ESTATE:-.) ZONING: R-7 PD
BLOCK. . . . . . . . . . .. L_0I.. . . . . . . . . . . . . :87 •
*TENANT NAME. . . . . : I.
USA NO. . . . . . . . . . FIXTURE UNITS. . . .
f,
CLASS OF WORT;. . . :NEW DWELLING UNITS. . : 1 'r
TYPES OF USE. . . . . :5F" NO. OF BUILDINGS: 1
IF\ISTALI_ TYPE'. . . . :FraUSWR IMPFRV SLJRI•=ACE.. . : : sf
Remarks: PATH 1
_s
(:.)wr.er,: _._.____..._.._........._._.__... __.............____.._.._.._.__._._._____._._—_-__._______.___.,.---__.- FEES
SKYLIGHT HOME RUIL.DLRS CCI type amoi_rnt by date r^er-,pt
P 0 HUX 2:315 F'RMT $ c:r''00. 00 JC 09/27/94 —
ii\I.L,F' $ 35. 00 ,JC 09/27/94
L_AI{E OSWEGO OR
Phone #: 503•-636--2994
COI,-aTRACTOR NOT ON FILET
Phone #: $ 22135. 00 TO"I'AI_
Reg #E. . .
REQUIRED INSPECTIONS --..__.__...
This Applicant agrees to comply with all the rules and requlations Sewer Inspect- ion _..•_____.,M••,_____ _.._
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will b forfeited if the _ �,�_,�•�__ _•w_• _,,,
permit expires. The Agency does not guarantee he a:curacy of the
side sewer lateral. If the sewer is not loc ed at the measur7ment
given, the installer shall prospect 3,fe t n all directions from
the distance given. If not so located', installer shall purchase _
p y era 1.
a "Ta and Side Sewer" Permit and t nc will install a,
Permittee Signat1_rr
Id By , - -
Ca 11 for ins per_tiori 6;39--417 .;
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4
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CITY Of 'CIC;PRI.) RF'C.'.EAPI OF PAYMHNU RI.A,t.4,1 NO. a94.-•r:'°i7'r 4
CHECK 0MC)UNT s x'235. W0
Ni 1Mf'' s SKYLIGHT HOMES UAF*4 AMOUNT a VJ. 01
4 4�PDRFSG s PAYMUMT DA IT s 1�9 P7J9ti
fyl.Iw�I1 I V I b I ON a �
I IFdf��i 14 iC
OF" P't•IYMI-.N 1AMCFI.IN I PAID t='IIFtFaC1SE:. CJF r-'HY'N:r.NT (aM17lIN 1' P'R I U I ' ' •
4 —0-29 4 '.+.WER I N`iF-'E.C;T 5 . ota
';3W MINT COURT
I :If I f HF' FST LOT 87
OTE-L AMOUNT PAID _ wl r:P;i`:°i., 00
a
� 1
I