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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE Or`
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 OCCUPANCY }'
P='E'RMIT 4i. . . . . . . : MST93- 014G
(139-4171 DATE I SSIJED# 11/1(,/93
PARCEL :s O.S 104CA�-•04000
'iITF. ADDRESS. . . : 136c:,.:, SW MICHELLf� C7
::FUBDIVISION. . . . e HILLSHIRE ZONINOPP -7 PD
BLOCK. . . . . . . . . . a LOT. * . . . . . . . . . . . il 040
I.:LAS S U'; WORK. c NEW
t YPE OF USE. . . t SFT
OCCUPANCY ORP. a R3
OCCUPANCY Lf. AD a 2e:'9 4 +a.
TENANT NAME. . . s
Remaarksli PwrA •i I
Owners __._._....._......._._._... _..__.__.__._..._ .__.._...
P'AI IL,I SCH HOMES INC,
7155 SW VARNS
PORTLAND OR 97223
Phone Mt 684 -6453
contractot—
PAliL I SCH HOMES !NC.
15100 SW KOLL_ PKWY
St.)I TF E
HEAVER ON OR 97Q1fr 6
Phonal H: 684 64"53
F?N y -0 4206 7
Uc:C'Ltpr.lnc:y Of the agave referenced buildil,c1 i. r> tler-rt:)y given, and Certifies
they compliance with the State of Llr�1"gnn ';Cdc ialty C'acJeS for thQ group,
OCt::uPancy, and use under, which thip rete: enclej t3er•mit w r, issued.
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F1''tE Dir='FtRTME'NT __.. __..._.__ ..__.... .._ _......._ . ._. ._...._....__......_. _._..._...__..,......_._.__.._._
UL I DI NCi I F1L_.... ..__._..._
POST IN CCJNL�'1 L:Ul:al.lEi f-'P_l�t"E:
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jNSpB ZION NOTICE
City of Tigard Building Uepartaent
137.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections.
Footing Plbg. Underelab Mach. Rough-in Appy/Sdwlk
Found. rlbg. Top Out Gas Line
Post%Beam Struct. San. Sewer Framing
g. 1
Post/Beam Meeh. Rain brain Insulation -Plumb.
Plbg. Underfloor water Liue Gyp. Rd.
Date Requested
: __Tl—: _Q AM PM
Address: �PGr 7 \ 'V�C \i�11_�� Permit
Builder: —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepeector: \v "`- — Dats:
�—APPROVED �— DISAPPROVED �T APPROVED SUBJECT TO ABOVE
Call For Reinsp.
4
� IN&pLrCT„LOj1_ N 7CE I �
cl” of Tigard Building Departaont
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc/-0 hones 639-4175 Business Phone: 639-4171
innptcis.on:---- —_!_��
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out (Sas Line FINAL, oft
Post/Bean Struct. San. sewer Framing -Bldg.
Post/Berm Hoch. Rain [gain Insulation --Plumb.
Plbg. Underfloor /Watts Line Gyp. Bd.
Date RequestedsTime
//� s
�J
:�__�__ _AM PM
Addraes,���3 ✓� Permit f,9'.3
Bullders
i
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors L
Date,
_.APPROVED _� DTSAPPROVED s' APPROVED SUB.7NCT TO ABOVE
'�� Call For Reinep.
.'SlyMlgpA.f,Y. ✓
INS PEI'TION NOTICE :y
City o: Tigard Building Departal 4
13125 SN Bali Blvd. Tigard, Oregon 97223
Inspection Line ;Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
inspection:_ -- —
Footing Plbg. Underalab Mech, Rough-in Appr/Sdwlk
Found.
Plbg• Top Out Gas Line FINALS
-Bldg.
Poet/Beam Struct. San. Sewer Framing -- g•
C -rlumb
Post/Beam Meeh. Rain Drain Insulatton `--
Plbg. Underfloor Nater Line ryp. ed.
-Mach.
�� '�7 Times
Date Requested-_4I AM PK
Addrean: ✓G Z
il.l.I�Jt Permit t:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CAV
/
Date:
Inspectors -
APPROVICO DISAPPROVED APPROVED SUV.IECP TO ABOVE
Call Per Relnap.
Sam.:.wmawrx.arr�-i.ew ww..rc..-..w...r:....»........ ,..........-. .......,,..,�y�y�p,K�.
IN9PE�T�ON NOTICE
City of Tlgar3 Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phone: 639-4171
� 4w
Inspection:__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found Plbg. Top Out Gas Line FINAL:
Pest/Ronm Struct. San. Sewer Framing
Post/Beam Mect. Rain Drain Insulat.'.on
Plbg. Underfloor Mater Line Gyp. Rd. l
�r �3 6
Date Requested: •pipet rx
1
Permit #Pe'(
t�V
Buildor: �r1/��� 1< ( rI.( 7) . t/q(v
THE FOLLOWING (MRRECTIONS ARE REQUIRED:
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Inspector:_. � ---_ _ Date=
APPROVED DISAPPROOVU0 APPROVED SUBJECT To ABOVE
L, Call For Reinep.
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INSP?CTION NOTICE
City of and TI Buildi °f v
9 .nq Department
r 13125 SW Hall Blvd. Tigard, Oregon 9722.3
Inspection Line (Rec-O-Phone): 639-4175 Buui.neas Phone: 639-4171
Inspections_,
Footing Plbg. Underelab Mech. Rough.-in Appr/Sdwlk
Found. Plbg. Tnp out Gas Line FIN�Ahs
o r
Poet/Beam Struct. San. Sewer Framing -Bldg
Poet/Beam Mech. Rain Drain Inau.latior. -Plumb.
PLbg. Underfloor Water Line Gyp. Bd. Nech. 1
Date Requesteds - r' :'__Time: _AM _PM
Address:_ ` y� \.� Permit
Builder:---
THE
uilder: _THE FOLLOWING CORRECTIONS ARE REQUIREDs 1?1
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Inspector: �� Dates l �' t—l3
`-APPROVED ✓DIS�A,PP�ROVBD APPROVED SUBJECT TO ABOVE 1
V,- _Call For Reinap.
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Cit? at Tigard Building 3epartasat t
1312S BW Hall Bled. Tigard„ Oregon 97223
Inspectl.on Line (Roc-43,-Phone): 639-4:75 Business Phone: 639-4171
Inspection:-.----- --- p
Footing Plbg. Und,relab Hoch. Rough-in r/Sdwlk
Found. Plbg. Top Out Can Line FIMALt
Oft
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requestedt D l - Timet AM PM
C
Addresst_ 13 J;� 2_'!> M I L-fu-c-f ( f Permit
Builder:
THE FOLLOWING CORRECTIONS ARE Re SIRED:
JAL-t, D1,2'AiNc J J
Ai-'-'R— X71At ,4 (
Inspector
_APPROVED `Y :ISAPPROVED 1 /}PPROVED SUBJECT TO ABOVE
Call For Rainap.
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INSPECTION NOTICE
City of Tigard Building Departaent i
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inap'sction:,_ �LJ�J� PSII�-•�� ��_
Footing Plbg. Dnderelab Mech. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line (,Gyp. Hd. -Hoch.
Date Requested:'f + ` Times ? AN PM
Address: \D 7 C k"Permit #s
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
`.'�--�, \ %bra� � c ��,•-�v-� •� �.�.:J a1 �
241/
.,.j -�. �.,.-ter 4_Q
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Inapector:_ �— Dates �
I
1
APPROVED DISAPPROVED _-- APPRO\'ED SUBJECT TO ABOVE
C_ Call For Reinep.
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INSPECTION NOTICE
city of Tigard Bnllding D"rtaent
13125 Sw Ball Blvd. Tigard, oragon 97223
Inspection Line (Re^-O-Phone)s 639-4175 Business Phone: 639-4171
Inspect ion:w_ __ .---.-----------
Footing Plbg. Underelab Hoch. Roagh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strutt. San. Sewer Framing -Bld 4•
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water LinM Gyp. Bd. -Hoch.
Date Requested: (� , -_ -Tl.m8! AM -PH
Address: _ 4 Permit �1
Builder:
THE FOLLOWING CORRECTIONS ARS REQUIRED:
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Inspector: Dates
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ApP1OM DISAPPROVED APPROVED SUBJECT TO ABOVE )'
// Call For Reinap.
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INSPECTION NOTICE j
City of Tigard Building Dope--t-,a nt
13125 Sit gall Blvd. Tigard, Oregon 97223
Inspection Line (RecI-O-Phone): 639-4175 Business Phone: 635-4171
Inspection:_ ---
Footinq Plbg. Underelab Mech. rouah-3.n Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINXL:
Poet/Beam StLuct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain '�Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeetedl: /-2�/�3\��(� (� "Times —AH PM
Address: 1 `� Z- 3 ► `\
Builder: - —
THE FOLLOWING CORRECTIONS ARE REQUIREDf
� r
Int•pnccor:_ _�- �_` Date: ! ,
API`ROVEb DISAPPROVED ►' "PROVED ADBJECT To ABOVE
- - —
Call For Reinsp.
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INSPECTION NOTICE �\�\
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223 \`
Inspection Line (Rec-O-Phoneys 639-4175 Business Phone: 6394171
Inspection: � &n.""A 'c-A %-4.1 "'
Footing 111.bg. Underslab Mach. Rough-in Appr/Sdwlk
Fcnsnd. 111.bg. Top Out Gas Une FINAL: _
Post/Beam Strvct. Bart. Sewer FrMinq -Bldg.
Post/Beam Mech. Fain Drain ` Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Data Requestedr_2- Z-ZIP Timet AN �PH
Addres s s �/UC�f GL C� G permit #ie
Bu l.lder t-
THE FOLLOWING CORRECTIONS ARE RBQUIREUs
f
Uwe-►�� �;—;� ►2 'tea u
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471 eA
da
Inspectors �- _ Datw: Z 3 5 y
APPROVED DISAPPROVED --k"APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
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1NRE-CT ION N(MC9
City of Tlg4rd Building Department
13125 SW B&1.1 Blvd. Tigard, Oregon 97223
Inspection Lino (Rea-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
found. P1bq. Top Out. Gas .ins FINAL:
Post/Beam Struct. San. Sewer IF arcing -Bldg.
Post/Basin Mach. Rain Drain no ati -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requ�ested`s, i) /�-"�3/ __Timet AM PH
AddresstJi �(!/��/2LClZ� G� �P.re t
Builders l5z ✓t
THE FOLLOWING CORRECTIONS ARE REQUIREDt
i
{
Inspector'-- Dater
APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE
Call For ReLnsp.
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jNGP?CrzoN N(Y:ICE
City of Tigard Building Department /
13125 SIN Ball Blvd. Tigard, Oregon 97723
Inspection Line (Roc-O-Phons)t 639-4175 Busineee Phone: 639-4171
Inspections �S '�?�y� -•r� F � __'_
Footing Plbg. UnderslabMech. Rough-in Appr/Sdw1k
Found. Flbg. Top Out Cas Line FINAL:
Poot/Beam Struct. Ban. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insu ation -Ply.
P1hg. Underfloor Water
^Line
' Gyp. Bd. -Mach.
Date Raques/tads ^�y % / Times Am PN
e.it
Builder: l
THE FOLLOWING CORRECTIONS ARE REQUIREDt
- a
VN
v'S
InGpeatort ��i Datet
APPROVED DISAPPROVEDA' PPRpyED SU8JRCT TO ABOVR
Call For Rpinep.
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INSPA TION NOTICE _w
City of Tigard Building Department /
13125 BW :call Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
Data Requested. _Tim : _ PM
Address:1 3'- U -
Builders_
TBE FOLLOWING CORRECTIONS ARE REQUIRED: _Tlz�__
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s—�^`�' fit. rS
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Inspector: - ,�- __. '3
_ Date:
_APPROVED DISAPPROVRn __VAPPROVEDgSUUBJE-Cy/T TO ABOVE
__Call For Rainsp.
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1 INsp"� IOH NOTICE l Z �-
city 0! Tigard Building Department
...15.25 OW Hall Blvd. Tigard, Orey-.In 97223
Inspection Llne (Rec-O-Phora): 639-4175 Business Phone: 639•-4171
r �
Inspection:
Footing Plbg. Ondieralab <-Jfoch. R�ough-in Appr/sdwlk
Found. Plbg. Top out (`Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. •
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requestods ( Time:
✓ –z—ANPH AT
LlAddress:_1 .l_��vv� 3 // �(�A(� �J�� C Permit is
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: C:
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Inspector: Date: ,t
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE '
M1
—Call For Reinap.
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INSPECTION NOTICE
Citi or Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phones 639-4171 40
Inspection:`_- _
Footin
g (� Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gass Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb,
Plbg. Underfloor Nater Line OYP• Ed. ech.
Date Ae �� '
questeds- ��-�� Times AN PN
Addresses� 7��� permit b:_ zv"Iz>
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspectors -
r Dates
✓�-APPROVED DISAPPROVED APPROVED SUBJECT 77 ABOVE
Call For Reinap.
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INSP1SMON-B-CM c7E_
City of Tigard Building 1"Partaent 1
13125 RO Bsll Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phone)s 639-4175 Business Phone: 639-4171
Inspection:. --
Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. Swwet, Framing -Bldg.
Poet/Beam Mach. it! Drl Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: 17L
s: Tient —
'a LJ�i.L���G� C Permit ts_LZ�-�---�-'—f--�'-'
Addros7 �_
Builder:
THR FOLLOWING CORRECTIONS ARM RE{ R&D:
VU
Inspecto : �_ --- Date:''`
APPROVED DISAPPROVED APPROVr.D SUBJECT TO ABOVE t
call For Reinep.
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INSPECTION NOTICE
city or Tigard Building Deparl -
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Businesn Phones 639-4171
Inspection:__
Footing Plbg. Underelab Mach. hough-•in Appr/Sdwlk
�Fonnd. Pl.bq. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Leine Gyp. Bd. -Mw-,h.
Date Requestedt / O -� Tilt AM
Address$ 1?, a Permit 1t "/�^ C/ � 1
TBE POLL004ING CORRECTIONS ARE REQUIRED$
Inspectorsj�
_ ---- _ Dates �f �/9
-S
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaent
{, Y312S BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171 ON
Inspections
(footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
I � .r•
I �ou •� Plbg. Top Out Cas Line FINALc
Post/Beam Struct. San. Sower Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor N r Lino/ Gyp. Rd. _M�p���" O
f � 3
Date Requesteds /7 /� Times /� � �
Address:��'1 �1:,.( e L O C Permit #ss--f-"-
�c Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspectors_- _ C7 "Zl
Dates_ OU _
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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CITY OF TIGARD . . . . . .
MA-5 EP PE RMIT
a-�la:F�ISI 1 r .«
COMMUNITY DEVELOPMENT DEPARTMENT
" 13126 SW Hall Bbd.Tigard,Oregon 97223.0190 (601)339»4171 DA I L. r:sSUED s 04/0//9
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I SISUE s DWELL 1146 LJN I T-3 . . . . . . . . .
t_.ASS Ulw WORK. :r&W D DBMS I b BATHS.4 GARAGE'- . . . . . . . . . :53k' s f
YV'E OF USE. . . ;6F F=L,ODR (-1F<G•Fi a... ..__.
YPE OF CONST. :SN F1 RST. . . . - 1296 s f LLC 'I'. . .=J f`t I31 GI,A T„ , 1 i t
C'Ciff."=1NC:Y Ut<,P. :FiS �L L:C�i'•Ill« . . , 1146 S f F RUN F. :20 i'L RUf►13. . :3b 1.1 �
rO111 ES. . . . . . . :c THIRD. . . , :776 SF RLOU I FtE,D_._.__.._._ _.�......_...., ._..... ._..._ ._
;L I GH1 . . . . . . . . .i�,) F't TU I AL._. .. .._. ���; ;1 SMOKE r1t:"FEC ORS. :Y
I_UUR LOAD. . • • :4 @ ps f VALUE. . . • • $ ^ 158240 F'JARK 1 N(- SPAL S, . t I
PLUMBINU
LOOK 1?FZF IN,:, . . . � Zt F1AC1i,Fl_(9 v F'F@E'Uhtl F1:3. . 101'VA"fURIE:6. . . . . ;E, WATIER HEAL L:Fda. . , s 1 1 RAPS. . . . . . . . . . . . . . :rfi
JV,/�I-IQWL,F . . . :4 i_AUND[i Y' FROY:,. » 1 CATCH DAa I NS. . . . . . . s 0
0TER CLUSL' TS« . :4 GEWE:R LINE (ft ) . arh GFtk':A2L` TRAPS. . . . . . . :0
IWAS iE W.;;3. . . . : 1. WAFER i_T.NE: (ft ) . : 10Q JTH H FIXTURES. . . . . s0
3F16DASD. . . : 1 RAIN DRAIN (ft) . .0
At 113111140 MAUI 1. « . : 1 1,3f7 RAIN 1)1'11 INS. . L
_.._._ .... trIC:C,'1-1ANICAL F"ELC,
JI; .. TYPI 4'3 UNIT Ii•TRS. . :kl type olM0U11t• by mate recF,i:
i/ / y
VENT'S . . . . . s0 1'IF # 1++6r2►. r1+r7+ JH 04.!07f93
c•iX )N1 lJ 1 go is TLJ
VENT F'!•aW.1. . a',' Bpri'l $ L:,60 !:i0 JH 04/0 1/"),6 ...
;4 URN ( 100K HuUDJ. . . . . . : 1 BPL L $ 377-33 JI-Irl 02/23/93 9 3-•-;,-'.3701 Vr
X11✓;.,; ;, =1WUODEt 'FCIVILU. -0 U,15pc 1 Ia. 0", JI I oJt/ADT/r:.::i -
.CJUR F'URN. . . . : ► CL.0 DRYL 1315. l EaSDC; $ Eirs?. 1110 JH {114/07/9.j
i
711_/L Mf < .sti1='r17r U1-HER L•NITGA I ;-"AMI $ ;;41 r. 00 ,JH 4��+1'�t1P)`L
GAS 1.'JUJLE 7;.;: 1 MF'R1 % 48. 00 JH 04/0'//93
_... .1•rlPLC $ Lig- 00 J111 04r W.r/`)a
-44LISCH HUh6L 3 INC I'VISF"C c�'- 40 JI•i 04/07/93
J3.115 SW Vf-+I041pi)Wr $ 1 13:;. 410 ..FFI 04/tri'/y,5
]F2'U_f11AD OR
lvrrr� #s Lao 1:1433
H'Ai•1i..I BCW NUhtt.:5 1 hIC:.=
I'1GARD OR
3463. 51, I'FITOL.
Tis pereit is 155uec subject to the regalattocss ccntained in the _ REW1,1RL=) 1NSPEC I IONS
Tigard planlcipal Cade, State of Oet. Specialty Gales and all other I a o t f f'o_,r" ; I n=. p 1' i k-e p l eac a Irks.,
Applicable laws. all wo^k will be done in accordance ways approved p'cast/k►eatm 5t1^i,,(::t« Gas I_irie lrlsp
plans. This perai,t wall expire if work is not r,`arted within 160 Post/beam MeaLhan Instllatioti :insp "
naps at issuance, or if work is sUsperldr'"• 'N' ars-e than 160 days. PIM/Ur)dslab Irrifi Gyp briarr,cl lritp
F�'i_ ,'iJlrcJer^i' ll:)t:ll" ;"tali; LSP"cylirs Irli� ;
Ec°mkt tree bt ii; _Il �Y1�.,( �I- iI'�es-ti.R,._l i'ItF Il,::,r, c:a: 1115p F Wal:ar•• 1•.«irre I1 m t". 1:l U_t t A r /E3
w 1 k I vi
crl 1 i'"Ut 1'1c;ljec-t j , et G,; ;_.41 %W'1
2'o..,,�,�y,�, a= orf
UN A 4
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4
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT �'"' �' #. . • • . . .
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)030-4171
�s
=:l'i'lt ADDRLSS. . , ,a '�W t�llChic:.l.Ll C'{ PARC:t:L 251040W H'W
ZUNIW. t
. . . . . . . . . . LOT.. . . . . . . . . . . . . .04QI
ENi•4NT NAMG:. . . . . x
-):;A NO. . . . . . . . . . . F1MiURL C1Nl'iS. . . .
Faa i Cif" WU11K. . . :Jq «! ,odl L.L.tIWG LIN 1 TCi. . 0 1
YF'FL OF USE. . . . . .r.,i-"F INO. CIF- BUILDINGS: X �
rd ,4f4L.L 'T'YN='E.'. . . . :L3LI`aWk IM.='CWf�V t111iTF t i:, . . .�
em�ar�i�!se F�'F�Thi i
'Ain CJ V' _ _ . ...__ ._.._......__- .... _.._ _ ..._. ....._.._..,_.._.. . ....._.,..,_.._ ..._M_._...._. . �LY ES ... _._.._ _.._
HhtiLicitll F U11L. i INC.- t y P e inr)..tr)t try ditte+
-155 SW VARN5 PRM i` t IOrCI. 00 JIi
t,5. 00 Jill 04/0-IP)3
JR I LOND OR
't y*a Q .Cir' » __ ._.... _.._._. _.._.__...._.....-.,. ........ _
ldAia'f UP ;,,;OT GN F: I LL
00 TO P4i-
_.... RLLIU I RLD I k.L;I-'E C+ 10N:.,
%rs Applicant agrees to coaFty with all the, rules and regulations :.sevvt�r IrlapiPC:t UTI
the Ur tf;ed lxewage Agency. The pe,sit expires IN days fros
eo oaee mr-jad. he iotai asount paid will be forfeltea if the
r•ait expires. The Aigency does not g ara7itee the accuraty of Wf
!e sewer laterals. if the sewer is not Iccated at the eeasuresent
.ven, the installer shall prospect 3 feet ir, ail oirectictis fros
-e distance given. if not so located, the snsta ler shall purchase
lap and Side Sewer' Perait and the Agency wi.i inskali
r tri t i`. t
t
C ar11 f� I a,rts�rec_t ian Ei
AA
1
IJ 12S SW Har ON& PLNCK/RECT lr
CITE' QF TIGAIM 71��9 PERMIT / ZZb/ j
COMMUNM DEVELOPMENT DEPARTME14T
DATE ISSUEO _.
•
JOB ADDRESS: Z 3 S w M&A`!lam . / TAX MAP/LOT ,2,5 10 qUO
•
SUB: LOT: �_ LAND USE: "
VALUATION:
OWNER SPECIAL NOTES
NAME: — -- —_ REISSUE OF: _
ADDRESS: LAST REISSUE: —
FLOOD PLAIN/
PHONE: _ SENSITIVE LAND: —
CONTRACTOR APPROVALS REQUIRED &A '?O -00�
NAME. &A A. s1-ti Ho." PLANNING: _SL& CU/h�►'�fIN"f�—
!/R r n f
ADDRESS: �/��s . s. - � �,-- -rte- _ _ ENGINEERING:
FIRE DEPT:
PHONE: Csj - 4ti r — OTHER: r /f
j CONTR. BOARD P: .L z o c EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: 16�<Vt,7i - _"— LIST/SUBCONTRACTORS: N—
MECH: �_���Teti C �'.�+ --- BUS TAX: — -
ARCH/ENGINEER CALCULATIONS:
NAME: N9,f4 -,16f TRUSS DETAILS:
ADDRESS: q /dI bei. OTHER:- -_�--L-r
—
'Ole-
PHONE:
e PHONE: — a-
PROPOSED BLDG. USE:
is
COMMENTS: CAM l/UN`� tH Q S t !171SFir" n _
r
_ to,
APPLICANT SIGNATURE
Received fly: _ ��r�-t `l _ Date Received:
IZ`
I
. ,;. 0^'�YFF;� •:`;:. r ,v rm.,,:'i,M�}p,�, ,,,:: -� . .. ., re r• ;�,,..,.tyyy,; .. .;,. m e -Mi:'R' 1 vxy... ` ., ^5?ur ..k�a.�e'`�.+ s'Si,�A' cx...:� ' ,..
�� ,�;,%�,,ter of � �',•ru � n,F 4 '
Y
MRbMeMw.rww,.r.. Yq/AYFq'hYfMMVW.YW /IA11hl n'1MAI�Mk(XL1h1MGbh+L.. •. -.. .. r ':i+ .::;-.w.Wa.r.wMMuw+�a.«.. .w.�u.wMl6Yak...r.+1W -''x�f �i .
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DU
1115 3-D/ 10-432 00 Building Permit Fees + , {qy
Tt F Y lk 'i•"
10-431 00 Plumbing Permit Fees T
_ 10-431 O1 Mechanical Permit Fees ✓ $
•
10-230 01 State Building Tax (5x) aAp
Building
w
Plumbing > �a
Mechanical a, ��U
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 05 Fire
30-202 00 Sewer Connectio,, o 0
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 3� -5 0
25-448-05 Mass Transit TIF Fees //D_ 11 U
52-449 00 Parks System Dev Charge (PDC) ,S G U _ 570
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)
i
TOTAL )061.5 0
1 I
rim/3587P.Wfl(
w
• I�y
ti
CITY OF T 1 GARD - RFC:.E I F'T OF PAYME=NT RECEIPT NO. :93—F!3673(-
CHECK
93'-•c,3873{.CHECK AMOUNT t 5368. 51
NAME: s PAHL_I SCH HOMES INC CASH AMOUNT N. Li101 �
GaUC)F,E,SS e 155 SW VARNS PAYMENT DATE.'. a 04/07/93
PORTLAND, OR SUFaDIVIC;ICIN
t-`URPOSE OF PAYMENT AMOUNT PA 11) PI..JC?PUSU* OF' PAYMENT AM(A.-INT ["A I D
BUILDING PERM Ms T9;s,—tzA146 580. 50 PLUMPING W PERM 185. 00
ME:.C:HAN I CAL.. 1=E 48. 00 ST. bU I L.D PER 40.68 �
F'I_AN rHE'C;K FF 1:39. 33 S WER USA 100. 00
4::.WER INSPECT 35. 00 SDC 500. 00
{,TF:]FFM DRAIN 51DC c'AW, 00 RF.57DENT IAL_. TRArF'IC: F't_f:'t; 1:, Q(. 010
11/-4F3S TRANG i T TIF F'fES 1 10. utl.?
T(JI AI... AMOUNT PAID _ - _; 53t a. 51
rPT t_(F POYME1,IT F LLA-: T PT NU, a�l p'a't i 0
AMOUNT 1014)11h. 00
LA:C.1H (Wt_IUN 1' a tit. 00
I,t l dl;i w 71:3'r '-W '•1{akPt`:+ r f , -:i'I F. 101 PAYMENT DATE. � khl�' ,:.'_ . <13
C'1tJl•�T L.►�ah1C:!t nt, 4::s1_IbI)1 V i`31 L1P1 c
�1 I rt ,r Ltl t'"AYME:r`II ON"' LINT P0.1 II OF, pF'IYMF.RIf Amt'oINi PA 11)
fit t I I IF I I, F t r' F+'3 R >K i.:"+Cr►. 0 o t-'1..61h1 CHECK K Fr. c:' 7LAR A
1
FE 2.•_71 R !t) i*15" t. 00 1='1-01`d iz.-7i_''Ryt
I
1I1L_L_'. F41PF. I)I`t)t-1..tPMENT
1
1 t 1 Y Gil... f�IdQIJf'I'T 1 4� !1 14'(b1t;t., V)0
't 1 i." f p ' �I• f.
.. , r..• ,. --. l .1.,,,, 7.1: r .., e .. .,,:, .,. .. .. ;.,,-- ',fid'"e'S