13645 SW MICHELLE COURT k y r ,} •w 1 .r
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INSPECTION NOTICE
City of Tigard Buildiug Departsent �.
1.31-25 Sit Ball Alvd. Tigard, Oregon 97223
Inspection Line (Rac-O-Phone): 0!9•-4175 Business Phone: 639-4171
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Inspection:__—.--_----
Footin Plbg. Underelab Mech. Rough-in Appr/Sdwlk
9 mer
Plbg. Top Ott Gas Line ANAL
Found. -�
Poet/Beam Stn:rt.. Sen -Bldg.
tewec Framing 9•
Post/Beam Mech. Rain Drain
insulation •
Plbg. -Heoh.
Underfloor Water Line Gyp. Rd.
PM
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Date Requested: ---
3
v Permit i
Address.
Builder.-
ddress:Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto
APPRO•ED DISAPPROVED —_ APPROVED SUBJECT TO ABOVE
�- --JCall For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 9722308199 (603)639-4171 P'1._UM,Lx.I NG C`'1:-htM I i
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�^�i. DIREsrS..
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i, a` _'r :i l,. . :(11 :i t7(1+"ita,f 11 1::: L T{ 1'('J`.:;(+i, .. .. MUL'I t_L I'IOH
i'(f'L. JF U;�r:. . . . :;aF 4JliWiF+1t� 1!"i'ICH. . . . . . ,
BACKFLOW F-`R ::VNTRS. . : a
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t.-1ii1'K:cs. . . . . . . . W('4;LR HE(4'"iER6. . . , . . C:AIIC i B>«l:.-il'hiG. . . . . . . .
I..IUNDRY F(AiN ). ROIN=."» Al
ir=;I;NKS. . . . . . . . . . , URINAL.G. . UR!'_(kSE:: e Mf:'S. . . .
(UB/SHUWER".;. . . . .aN'v+ER LAN (f t )
W617 L R w_l"'!; f t
1GWWA.C.AiE:RS. . . . .. RAIN DRAIN f ft: )
�ertl Y•Nts s
SPRINKLE_R f;' J,'1yII'f
.aMFT'tFY..x ...._... ---___...,_ _.. ..a._:.....,.....__.._.. .. .. _. ._. _ _ _ . _.., ..... ....._. .._. _...__. F"say:;:i _.__.,.. ._.._._»..._..._ ....
i'ELDORNi1' DE::VEL_L)i'1ILNT' t. �- 7111c1t1 t try c'::ate rC��2
M08 �W NYBE.:RG ND I`Ii;Yi'1 � 12.,. 00 ,741 09/24/93 _
, UALATIN Uk '1 7 C-L:
i�r4'l� raii:l'J i"i3WUf1D C�r�t ,�
F-IKir. J6WLUU OR T70,15
7S I
_......... REQUIRED
`hit pertit is issued sublrrt to the regulations i* the
ip,U Municipal Cade, ;tate of Ore, Specialty Codes and all other I n-a i Arisp3ect; i on
l , will
t n.
ppliCable laws. R.�l wcrk w;,� be done to accordance ��
pproved plans. N5,, permit will expire if work is net starter',
ithin IN days of issuance, or if work is suspended for tore
irlspet"ticl.. (: 9 - 4175
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CITY OF T I GARD RECEIPT OF PAYMENT RECEI PT NO. t93-244525
IVAMF a RYCHF N LANDSCAPING CHECK AMOUNT s 15. 75
CASH AMOUNT a 0. 00
ADDRESS a PO BOX 2052 PAYMENT DAT a 09/P4193 ,.r.
a SUBDIVISION a
I....AKE OSWEGO•1 OR 9 70,3`- ?
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PIJRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLUMBING PERM — 15. 00 :>T. BUILD PER ._. a 0. 75 '4
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' SPRINKLER PERMIT
! i.3645 SW MICHELLE Cr
TOTAL AMOUNT PAID 155. 75
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INSPECTION NOTICE .
City w. Tigard Building Depnrtaoent
13125 BW hall Blvd. Tigard, Oregon 97223
Inspection Ltne (Rec-O-Placne): 639--4175 Bu^Cness Phone: 6J9-4171
Inspection: - ✓��� __`
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL'
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -P'Plumb.)
Plbg. Underfloor Water Line Gyp. bd. -Mech.
Date Requested: ��-�•� Time: __AM L>< PM
V `�
Address:�y`��J y �JL _ Permit-tom' q
Builder: ,_� L `� �.l t w-•.�L G _ /6 �(�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepactor!_1 _ Date'
_. — ----1.+� �.__
A.PPROVF.D DISAPPROVED APPROVED SUBJECT TO MBOVE i
Call For Reinnp.
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NI SPECTI0_t!—IMI_CE
city of Tigard BulldlZ1g Depertasent
13125 SN hall Blvd. Tigard, Oregon 97223
Inapec 'on Line (Rec-O-phone): 639-4175 Busineas Phones 639-4171
Inspect ion: ��'`')�'
\ —----
Footinq Plbg. Underelab Mech. Rough-in Appy/Sdwlk
Pound. Plbq. Top Out Gas Line fIN11L: 100,
00-4
post/Beam Struct. San. Sewer Framing
post/Beam Mech. Rain Drain Inuul.ation
Plbg. Underflcor Water Line x UYP• Bd. `
Date Requesteds_ ---Time: _ 11M t/ PN
Address! � � Iv V�1/ Permit I: �� T
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: -7--
� 7
01
VI
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Inspector:_ _
APPROVED DISAPPROVRD APPROVED SUBJECT TO ADM
Call For Reinsp.
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,NSF_ ECT_LN NOT CE
City. of Tigard Building Department.
13125 811 Hall Blvd. Tigard, Oren 97223
Inspection Line (Rec-O-Phon*): 639-4175 ',us!ness Phone: 639-4171
Invpection:
Footing PL�. Underalab Much. Rough-`in
Appr/8dwlk
Pound. Plbq. Top Out Gas Line
IxA�
Post/Beam Struct. San. Bower
Framing -Bldg.\�
Post/Beam Hech• Rain Drain
Insulation
a
Pl.bg, Underfloor Water Line
Gyp. Bd.
Date Requeateds6-4 —/ ^`3
Time: ` err
4 Address:
--Times
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+ Permit f 1,
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Builders
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TRI FOLLOWING CO
RRSCTIONS ARS REQOIASD: � � 2,••-- I Ir..
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Inspectors
Dates__
APPROVED V DISAPPROVRD APPRMD su"Lr TO x9m
RX I
(%I `- Call For Reinsp.
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INSPECTION NQTICE
City of Tigard Building DepartwMnt
13125 SII Bali Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underalab Hoch. Rough-in Appr/edwlk
Found. Pl.bg. Top Out Gas Line BINAZa
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
(=-)(—h Plbg, Underfloor Water Line C_ Gpp. Bd. -Heah. r
Date Requasted: � Y -1 Timet _ AM PH
Address: \ '� Permit #: %
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDtvCe
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Inspectors_, Datet `� _ 7-91J
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APPROVED DISAPPA(-�-/Jn _ APPROVED SUB•TECT To ABOVE
ul 't+ E C Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Departnexnt
13125 B11 Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Busi.nene Phone: 639-4171
lnepectton c ---�� -
Tooting Plbq. Underslab Moch. Rough-in Appr/Sdwlk
r►
5 Found. Plbg. Top Out (las Line FINALs
Post/Beam Struct. San. Sewer
1►raminq -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
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Pl.bq. Underfloor Water Line �~t,!+
gyp. Bd. -Mach. $Xh
Data Requeotwd:_ ` Titoe: AM PM jfin std`'
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Address:_ J /Z•< t
ids' p it
Builder:
t THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors Daty: L
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DISAPPROVED --�PPROVED SUBJ3Cf TO A80VZ
Call For Reinsp.
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.TME,I II90NOTICE •
City of Tigard Building Dopartoent
13125 811 Ball Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_ _ 40
Tooting Plbg. Undersiab
Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line TIKhL.
Post/Beam Struct. Sen. Sewer framing —Bldg.
Post/Beam Mech. Rain Drain Insulation —Plumb.
Plby. Underfloor Nater Line gyp. Bd, —!tech.
Date Requested. � - rTimet /1111 PN
Address. L -S _ C Permit
Builder.
1, THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors_� — Dates
AP PROM DISAPPROVRD
APPROVED SUBJECT To ABOVE
Call For Rainap.
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MSpEcT-p-p NOTE.T
City of Tigwrd Building balartaent
13125 BW Ball Blvd. Tiaard, Jregon 97223
Inspection Line (Rec-O-Phone) 67 175 Business Phone: 639-4171 4f
Inspection:____
Footing Plbg. Underslab Meen. Rough-in Anpr/Sdwl.k
Found. Plbg. Top Out Gas Lin dINALi
Post/Beam Str.:ct. San. Sewer ramin9 -Bldg.
Poet/Beam Hoch. Rain Drain n -Plumb.
Plhg- Undorf lunr Wat'e'ry Line Gyp, Bd. -Mach.
Date Requested: CY / `/ Timet AM _pH
Addrae s t1�(p� ! L/
Permit 1:� __���
� _���?_
Builders
TR= LLOWING CORRECTION8 ARE REQUIRED:
f FO
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— ►- 110.0i
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Inspectors Date: " 7
APPROVED y DIBAP!,RO,,rED _= APPROVED SUBJECT TO ABOVE
�'�Call Pcr Reinvp.
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City of Tigard Building Departaent l
13125 SR B&11 Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underalab ch. Rouyh-in� Appr/Sdwlk
Found. Plbg. Top Out �I rn-;.-- FINALS
Post/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Data Requesteds� J --_____Tlmes _ AM T--PH
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Addrees:-_Z2�"1 //C f �I�rm.it � ��'—�-•�--
Builders
"W FOLLOWING CORRECTIONS ARE P9Q11IRRDs
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Inspectors __
APPROVED DISAPPROVED I APPROVED STYMIECT To ADM
Call For Reinsp.
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City or Tigard Buildlzkg Departa=,nt
13125 ON Ball Blvd. Tigard, Oregon 77223
Inspection Lini(Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections_ /
Footing ib; gnderelab Hoch. Rough-in APP r/Sdwlk
i
Found. Plbg. Top Out (Sas Line FINAL:
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
'F
Plhg. Underfloor Nater Line Gyp. Bd. "f
Date Roque
etedtZs
Lme 9f � a
Address: S 2 — Permit is
M
Builders �� • `t �1�'� 3,+ : �`
TAE FOLLOWING !`OP.RECTIONS ARE REQUIRFD:
k,
Inspectors r
Inspectors
7--
..__ Date:_- Ur- 2.
✓
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECrJON NOTICE - ^i
Clty of rigard Bail
din9 Departaent
13125 aw nail Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-phone): 639-4175 Business Phone: 639-•4171
Inspections
f
Footing Mg. Onderelab Hoch. Rough-in A
ppr/3dw l k
Y
Pound. Plbq. Top out Cas Line FINAL:
Post/Boom Stcuct. San. Sewer y Framing -Bldg
Post/Beam Hoch. Rain Drain Insulation
-plumb.
P1� bg• DndOrfloor > Mater Lina
Gyp. Rd.
-Hoch.
Date Requeeteds i Tina AM _PM
�3�. ,I
Address: 1 c� �/� C.;�. Aermlt #i
Ruildfir:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
--
Inspectors
/7'�•—.�--_APD DISAPPROVED APPROVED SURJECP TO ABOVE `
I/ Call For Reinsp.
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INSPECTION NOTICE
city of Tigard Building Departnent
13125 SR Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businese Phone: 639-4171
Inspect l.on: ----- ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
V
Found. Plbg. Top Out Gas Line FINAL:
F /BeamStt>uvt. San. Sewer Framing -Bldg.
Pet/Beam Meds. Rain Drain insulation -Plumb.
Plbq. Ondt— riloo s wate'rrL na Gyp. Bd.
-Mech.
— "'7 Z� G Tlme: �AM PM
Date Requestod/t ___..-!!! n //A C�
Address$ 1.36 Permit Iz
Builderz
THE FOLLOWING CORRECTIONS ARE REQUIRED.
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Inspector: _. Date:
APPROVED DISAP ROVED APPROVED SUBJECT TO ABOVE y
Call For Reinsp. `
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INSPECTION NOTICE ��-
city of Tigard Building Department G
r 13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections —_ ---
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk 'eft
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. airs Drain Insulation -Plumb.
Plbg. Underfloor ater Line Gyp. Bd. -Mgch.
Date Requested: TisilSs C _PM
o
Address: �� zJ� L '` � Permit /: _ /z/ .
builder:
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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4 ' Inspector: Date!�� f �1
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' { � APPROVED DISAPPROVED APPROVED SUBJsCP TO ABOVE.
Cai.l For Reinsp.
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INSPECTION NOTICE 4
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Tine (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection:_,
Footing Plbg. Underelat Mech. Rough-in Appr/Sdwlk
Found Plbg. Top Out Gas Line PINALs qW
Poet/Beam Struct. San. Sewer Framing -Blue-
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underfloor Wa/er Line? Gyp. Bd. -Mech.
Date Requested: ����� ,� Ti., Q.w PM
sn
Address: /'U'1n = "!ft Perm{it 1:�/.��n� ~/
Builder:_��Y'_= ,w
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
—_Call For Reinsp.
as
INSPECTION NOTICE
City of. Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
S
/ Inspection Line (Rec-O-Phone).- 639-4175 Business Phone: 639-4171
Inspection•_—
Footing J Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gro Line FINAL:
r
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Much. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mcch.
Date Requested: c1 Time: � 'AM /) M
Addrees: J. �f Permit is-.r�J,7^(/
Builder.:
THE FOLLOWTNG CORRECTIONS ARE REQUIREDs
i
Inspectors __.. Date.-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
i
__Call For Reinep.
CITYOFTIGARD
.
C�ilf TMRD PLUMBING I RM 17
COMMUNITY DEVELOPMENT DEPARTMENT co"MoN PERMIT #. . . . . . . . Mar 9:',--¢r 14 3
13126 BW HWI Brrd P.O.Banc 23397,Tl&W,Orepn 97223(603)630.4176
. _ .
SITE ADDRESS. . . : 1:3645 SW AILHELLE Cl' PARL.EL: 2SI0400-1 :9039
SUBDIVISION— . : HILLSHIRE. ZONING. R-7 PI)
BLOCK. . . . . . . . . . . L07. . . . . . . . . . . . . .039
CLASS�GFAWDRK. . :NOWGARBAGE�DISPOSALS. 1__....,,.w._,..._...,_.._._,..._.___.._____...._...___...__---.._..._
rYPE OF USE. . . . :SF WASHING MACH. . . . . . . : i BACKFLOW PREVNTRS. . :el
OCCUPANCY GRP— :R;3 I L_OOR DRAINS„ . . . . . . a 0+ TRAPS. . . . . . . . . . . . . . ..Q,
STORIES. . . . . . . . :2 WATER HEATLRS. . . . . . 91 CATCH BASINS. . . . . . . :0 I "'
FIXTUFIEE- -_-__....._...,..._ _ .,._ .._.. LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 i
JI NKS. . . . . . . . . . : 1 GREASE= TRAPS. . . . . . . :0
i__AVA"I"DRIES. . . . . -5 OTHER F"IXTURr a. . . . . 10
TUN/SHOWERS. . . . : SLWER LINE: (ft) . . . . :0
WATER CLOSETS. . :a WATER LINE (ft) . . . . : 10'11
DISHWOSHERS. . . . .. I NPIN DRAIN (ft) . . . . :c1r
Remarks: PATI-1 I
OWNER: _____...._._w....._._._._._. ..._ .____.__... ...__.._....._.._. _...... _.....__._._.._._.____._. EES______ __..�._._._.. ....__._
SHE!.-BURNDEVELOPMENT T']:F ? 1d+C,0. 00 JH 03/19/93
1008 SW NYBERG RD E':F'RT 4- :15. 50 JH 03/19/93
BPLL 335. 08 JLH 1712/18/93
TUALATIN OR 'j706i-1 L15PC: i 25. 78 .TI-i 03/19/93
-hone #: 69t 2115 SSDL $ 21130. 00 JE-i 03/19/93 - f
tDARK $ 500. 00 J11 03/1`3/ 33
Pluwbiny Contr-actur;._ _. _ __ ly1P T $ 4'.;. 00 JI) 03/1.'3/'33 -
MPL_C $ 11. 25 JH 03/19/93
EcamP. LAA . � �_ I1513C $ r5 J11 03/19/99 I
Addr••es;s :_ .r ---------- PF"I'd'! $ 135. 00 JH 03/19/93
L i t Y' .. __ ;t at F : P513C; $ 7. 75 J14 03/ 19/93
Z i p: _.___ 1='1-10 n e#
Reg
RLOU I RED INSPECTIONS
]'his permit is issued subject: to the rey..
ulations contained in they TiycarQ Municipal. F=oot/fu,rnd Insp Rain drain Insp
Code, States of Ore. Specialty Codes and all Post/Beam Str+_cct Water Line Insp
other" applicable laws. All work will be done Post/)gleam Mechan Appr/9dwli( Insp
in accordance with approved plans. 'This Pim/undslab Insp Mechanical I innal.
permit will e)<pire of work is +lot started FDL.M/Underfloor Plumb Final
within 1.80 days of issuance, c:r 3.1' work, if, Mechanical Irysp )wilding Final
:51..cspended for more than 1801 days. Plumb Top Out Erosion Contrr, i
C"reaming Insp Crawl Drain
Fireplace Insp
Gas L.r.rr a Insp
�,�%� Insulation Insp _
X-C�.�" Q[trrls.r i�=""'� 1� �,....weer-_ _..._.___... ._ Gyp Board Insp
Authorized Plumbing Contractor Signature
Call dor• inspect irarr - 639--417
Contractor Nates
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CITYOFTIFARD
CFTYOFTMRD MASTER PERMIT
COMMUNITY DEVELOPMEN''C DEPARTMENT onooee !=T!'RM IT #. . . . . . . : MP-, 93-0149
13126 6W FW I Blvd. P.O.Bac 23347,Tipsd,O"Wn 47227(600)674.4176
-- ---. r j., .., ,:, 3
aI1'L. i4i)DRC.6b. . . : 13645 'a•'W MICHELLE":; CT PARCELu 2S10400--14SO39
SUIID1VISION. . . . : HILLSH11 RE: ZONING: R-7 PID
BLOCK. . . . . »
BUILDING
RL I S13 JE: DWELLING' UNITS.- 1 BASEMENT. . » . . . . . :0 SF
CLASS OF WORK. .-NEW BEDRMsS:3 LAA"I HS:3 GARAGE. . . . . . . . . . :715 s f
TYPE Jf" USE. . » :SF" FLOOR ARt_Ai3_ ..._ ._...._._._.__ fZF G1L11 F�Eil
TYPE OF CONST. -SN FIRST. . . . : 1 C`52 s f' LLFT. . :7 ft RIGHT. :7 ft
OCCUPI;NC`( EIRP. :CRS, SECOND. . . v !348 Sf FRONT. :20 ft REAR. . :43 f 1,
9 T o R I ILS. . . . . . . s THIRD. . :0 s f REQU I RED
HE,I GiHI . . . . . . . . .�31 ft TOTAL _._._.__._.d 2600 1,f GMOKr" DE:TECTORG. :Y
"LOOR LOAD. . . . .40 ps f VALUE. . . . . $ : 1;3E470 PARKING SPOCES » : 1 P
Ilemr.kr�ks: F'flTH I
PLUMBING
`SINKS. „ . . . . . . . . : 1
FLOOR DRAINS. 0 I3ACFS1=LClW F'RF'V1rIT ll i. . c 0
LAVAS CRIES. . . . . ..5 Wt'a I'LN I-ILATF RS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . » :0 CATCH BASINS. . . . . . » :0 �
WATER CLOSETS. . SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . .0
U I SHWASHE RS. . . . : I WA TL IR LINE (ft ) . : 1,00 OTHER FIXTURES. . . . . :0
GARBAUE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING, MACH. . . SFRAIN DRAINS . : 1
_.__.._.._ 1'11f_:C l-IANICAL _.....____._._....._..._. ...__.,_.,_ _.._. _ ._,_._.._._.___.._...__.,...._ FEES
i"UE L TYPEa UNIT IATRS. . :O type amo..Art 6-v date r^ecpt
,, CCAS/ / 1 VENTS . . . . . -0 T IF= $ 1460. 1210 JI-•I 03/19/93
11AX INF='LJT:O 13 TU VENT FANS. . :ii' DF'RT $ 515. ''14) 111 03/19/9:'
TURN ( I OOK . . :0 HOODS. . . . . . : 1 BPL.0 $ 33: . X218 JI_W 0 ;/18/93 93--2366.
TURN ) -100K , » : 1. WOODSTOVE;.S. :0 B5F-`C', $ 25. 7 8 JH 013/ 113/93 -
FLOOR F'URN. . . . :0 CLU DRYERS. r 1 GSDC $ 280. 00 JH 03/19/93
1•"zC)II__/CMP < ::aHPOIJ CIT'HEP UNITS-. 1 PARK $ 500. 00 JH 03/11)/1!3
UPS OUTLE10: 1 IvIF'RT $ 45. 00 JH 03/19/93 -
Owrre+r•: ._._ ... ._-....._ _.. _.._- --- __..._._- .__ - _..-_._._.._ - 1_i� c 1. .1. L' ) ,.TH 03/1'3/')3 -
SHELBURNE DEVE:LOPME:NT M5PC $ 2. 25 J1-I 03/19/93 -
7111f10 SW NYBERG IRI:) P,PNT t 155. 0111 J11 0;?,/1.9/ .
F'' PG $ 7. 75 JH 03/19/93
TUALA•TIN OIR 97061
PI•rone #i: 691-2115
Contractor—.
("ONT RACTOR NOT 01\1 F"ILE'.
'hc�rre it:
1 33.�/. 61 TOTPL_
This permit' is issued subject to the regulations contained in the - - REQUIRED .INSPECTIONS
Tigard Municipal lode, State of Ore. Specialty Codes and all other F o of/f o,.rnd I n s p F i re p l ac:e I rr s p
applicable laws. All work will be done in accordance with proved F)ost/Bf*am Gt;t �.1ct Gas Lane Insp
Aans, This ppreit will expire if work is not n 180 Post/Beam Mechari InsuloAti.on Inssp
�y� of issuance, or if work is s'lsp€'e' ` days. Plm/crnciylaib insp G'yp Boair-d Tnrsp
F'LM/Undei,fIc)ci i k«:in (:ir•ain Irrsp
ei,ioittee Mecl-la111cA1. Irisp Water, Lir1e Insp
Plurmb Top Ot1t Appr_,'lw;dwlli Insp
I,s�_recl Irby : ... Ftrmi.rrl:1 ?rts�r Ms?c'har�ical r�i,rral.
,
.1
�'4MSx+"• M�¢..�'liq�,!t e^'i ' �_ '��131.,�7� iA{'7zFi F � �+ n a�c.M"rzw+a�. ;.I�,aea'P � �u.*',,��,,��t- � .... . npM,.
i '� ;rpt•,�e � n ,. ,
G,� r x' � '.•r
s
d •
'7
CONNECTION
C17YOFTIGARD �OFTM� SEWER PERM .
NNE C
COMMUNITY DEVELOPMENT DEPARTMENT sowmoon ERMIT #f�. . .. ..E I T
, . . : 5WF293--01.33
13125 SW HrI BW P.O.Box 2MU,Tigard.Oregon 97?23(503)M-4175
.6
53. 1E ADDRLSL i. . , I jE:.4;r SW MICHELLE CT PARCEL: 251V14VI0-•-HSV139
t GUBD I V I S I ON. . . . : H I LL!'.*41 RE ZONING- R--7 F11)
BL.00K. . . . . . . . . , LOT. . . . . . . . . . . . . :039
TENANT Nt1ME-.
1 USA NO. . . . . . . . . . FIXTURE UNITS. . . .
i:LASG OF WORK. . . :1%!LW DWELLING UNI'TG. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS, I r
INS MLI._ TYPE. BU5WR 111111 SURFACE. . : :s f
,i
PATH I
l.1WneY,� FEES
{ .:)H[A_l3LJRi4E GEVCI_.OP111 NT' type amal_tnt by date I'eCpt;
7008 SW NYBE RG RD i' RMT $ Z 100. VILA JH 03/19/93 —
1 NEP P $ 3b. Q10 .11-1 IZ 3 1")P)3 _
I,ji TIN OR 97062
Phone 0: 691--2115
CONTRACTOR NOT 01\I FILE
E
c '
f,h a n e tt a $ 2135. V10 TOTAL
F2ey fit. . •
RECrU I READ I NEiPECT I DNS
anis Applicant agrees to comply with all the rules and regulations ewei Ins)7er:tirun
of the Unified Sewage Agency, The permit expires 180 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 latersis. If toe sewer is not located at toe measurement .--
given, the installer shall prospect 3 feet is ,?: �i^ections from
the distance given. If not to located, the in,. ,hall purchase
a "Tap and Side Sewer" Permit and theAge" '311 a lateral.
m:ittee 1 i1�T.)atl_Ir c-
Call fat-, in-pectinTr 639-417:
.4J
3, I 1 -1 4 1M.1v Yy,/ p ,c-M� ✓1Jf >r j..
1p
131755W Hca DW. PLNCK/RECT #
CITY OF TIGARD
'�.�� PERMIT; /
COMMUNITY DEI.APMBNT DEPARTMENT .
L'V
(SQ1)6"417' DATE ISSUED
ar
�.3�U a
JOB ADDRESS. /22 /���� C CC-- TAX MAP/LOT �, /6 46.0--6'0 3`j
SUB: r LOT: ._ - / LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: f NSC LSC) REISSUE OF:
ADDRESS: —
a� u�� Z/�< LAST REISSUE:
,T 1 _
—_ W ,� ,�7�/� �/ FLOOD PLAIN/
I
f
PI'ONE: Z. SENSITIVE LAND: _—
i
i
CONTRACTOR APPROVALS REQUIRED
NAME: V_ C q'l"'~ --- PLANNING: 51:C2e)MM&itr1 S
ADDRESS: _. _ _ ENGINEERING: _
_ FIRE DEPT:
PHONE: OTHER: _r F —
CONTR. BOARD #: �-�_ �-sf EXP DATE: /l -
ITEMS REQUIRED
gej
SUBCONTRACTORS: PLUMB: f _ LIST/SUBCONTRACTORS: -l1 Pqo
� r
MECH: BUS TAX: _ ----
ARCH/ENGINEER CALCULATIONS:
NAME: �` �4� �(��C� 7���L� TRUSS DETAILS:
ADDRESS: — 7,��i F' — OTHER:
PHONE:
f
PROPOSED BLDG. USE:
COMMENTS: ANY 5 t/ Fj'k' )K (VIV6171OWS
APPLICANT SIGNATURE
t Received By: - Date Received:
- 77-7—
b,l-
WIN
a
P0MIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. Okl
1215t-olu 10-432 00 Building Permit Fees ,/ ,,��/S .SZp
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees �� 'ov _ q _
10-230 01 State Building Tax (5%) S.7
Building '2
r
Plumbing 7 i
Mechanical l
10-433 00 Plans Check Fee 344• ?A a S o
Building
Plumbing
Mechanical •7 �� "
I
In-2-,3 06 Fire
30-202 00 Sewer Connection .21 u v
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 s o /-?S U
25••448-05 Mass Transit TIF Fees �' //0 _ do
52-449 00 Parks System Oev Charge (PDC)
31-450 00 Storm Drainagi Syst Dev Chrg
i
24-4.15-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL o SZ z
nm/3587P.W11F
�,F. y
W"111 14v,.a ,,ray .`'7""'�y".• � .' ry "q':A•+v�. ,.n:,q. .r^n, G wY` "'rye. .i4b r.,ryf� yl"'(M' .+ ,R+:r „y+r�M t.
1
iLE v'.PGr', 1 •
... u GwrM• tr•"
CITY OF T I GARD - REC:E I P-r OF PAYMENT RECEIPT IPT NO. :93-238024 1
CHECK AMOUN'i , 5a2a. hal `P
NAME fiF1FLBURNE DEVELOPMENT CASH AMOUNT r A. 00 1!
(40DRESS a PAYMENT DATE. s 03!1")%93 I
SUEDTVIGION : !
�s
!'I.JRG'C3SE OF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT NMOUN"" PAID r`
fi1J I L DING PERM_ 515. 50 PLUMBING PERM 155. 00 ..
MECHANICAL PE 45. (10 ST. BUILD PFR 35. 70
PLAN CHECK r-'l 96.. 3.:3 SEWER USA 2100. 00
E:WFR INSPECT 35. 11.10 PARKS SDC 500. epi
WTORM DRAIN ESRC 2180. 00 Hf.:S I DENTI AI.- TRAFFIC F Iw E-S 1:350. 1410
MASci T FRPNSJ T TIF" FEES 110. 00
I...OT 39 HII._LSHIPE
1:3643 SW MIC:HELI.F
TIITAI PMOUNT 1-Till)D •_ .. ._1 61
i
I
1
• + Vii,.
C'. I I 'r OV T I GARD - RE U I'L I'T CIF PAYhiF:N'T NF:CL I P-L No. r 9;3„-F, r6t133
• C T.' F AMOUNT s 250. 0 I
NAME : 4,HEI-BURNtw DEVI~'.1-0;-0; Cf*31.1 AMC0111T 00
fIl71,REaf3t; r
PAYME.NT DAT!:
7411PA c,',W NYF?PRf3 RD :SURD I V I13I1:N � z
?Llill..tlTThJ, Lift K►7fhE
OF PAS MU N T fINDUN'T PAID f-,L1PV,C ,L OPV)Y MI'.N 1- PrI(Jl. N I PAT 1)
PI-VIN CHLAX FE, f'-150. L40
LUT 39 HILL..SHIRr
P1,AN (:IIE:,CFC 2-4qR
Y0101 AMOUNT F'AI I)
'san r,..nw,.nryGr
it ''