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If this notice appears clearer than the MAY 1 9 1997
document, the document is of marginal q!rality.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
1
Inspection Line: 639-4175 Business Phone: 639.4171 `
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. ?k
ht 1
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/S wik Reins.
Other:
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i/ Date: f A.M._P. _ Ent C.—
Address: _43 r
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Tenant: —�_ Ste: MST: _ I�h rti V.
/ BLIP:
{ Con/Own: �zz— ME
C.
PL
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
4rt r��
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Inspector: G
------ Date .._.
V_APPROVED �.DISAPPROVED/CALL Fr REINSP, CF CO t
CITE' OF TIGARD
DEVELOPMENT SERVICES F'I-.UMBIIqG PERMIT
13125 SW Nall Blvd., Tigard,OR 57223 (503);,39-4171 PERMIT #. . . . . . . : PLM96-032-1
DATE ISSUED: 10/25/96
PARCEL-: 251O9BA-•HS2'4O
51 TE ADDRESS. . . : 1.3798 SW MISTLETOE D13
SUBDIVISION. . . . : Fi.ILLSHIRE SUMMIT' #r_' ZONING: R--7 PD
BLOCK. . . . . . . . . . . I_(]T.. . . . . . . . . . . . . :40
CLASS OF. WORK. . :O T R GARBAGE DISPOSALS. : 0 MOBILE HOME= SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R;?, F1._OOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . ., . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . : 0 SF= RAIN DRAIN;. . . . . : 0
STINKS. . . . . . . . . . . 0 URINAL_5. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . , : 0 OTHER F'7IXT-URES. . , . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS— : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . :
RFSmarks : ITlstalliTlg residential. backi l(.)w pt-evention device f
owner. _._______..__.____________________....._....___ _..._..__.__________..____-- FEES
CA5CADE WEST CONST. CORP type amoi_tnt by date r'ecpt
1O445 SW CANYON RD f'RMT $ 15. 00 B J.0/25/96 96-285736
SUITE # 103 SPCT $ 0. 75 LA 10/'-5/96 96--21.35736
BEAVERTON OR 97005
Phone #: 641.-7414
ICAC: WEST PLUMBING INC;
1. 10 NE CORNELL ROAD
ilIl_LSBORO OR 97124
Phone #: 648-644 $ 15. 75 TOTAL
Re g #. . : 08 1902'
------ REOL.11 RED INSPECTIONS
This permit is is7ued subject to the regulations contained in the RP/Rackflow Pr^ev
Tigard Municipal Code, State of Ore. Specialty Codes and all ether
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
%ithin 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee S ' nati-Ir^e :
Issued By
Call For- inspect iovi -- 639-4175
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CASCADE WC$NORD CORP.
10445 CANYON SUITE#13
BEAVERTON,OR 970
CITY OF TIGARD Plumbing Application Redd By .-
13125 SW HALL BLVD. Commercial and Residential Date Recd r u
P Date to E.
1 It;ARD, OR 97223 Da ---
Cate to DST
'593) 639-4171 Permit s V�fyt q� -G lam,
Print or Type Related SWR r
Incomplete or illegible applications will not be accepted called _
i
t `Nam[e�of(Dev/elopmenuProlect FIXTURES (Individual) QTY PRICE AMT
Job Lr[ Iv FT•llS�ir� SNr\�•►sF L__� Sink
9.00
I Addr.:3s street Address 9.00
� � Swte Le-vator) -� —_--
5 In` y>6 Tub or Tub/Shower Comb. —9.00
Bk1q• Cay/State Zip Shower Only 9.00
TL d�L_�e�- Z2- water CtOsel 9.00
Names
By t Aix-
. --(!» MSC Dishwasher 9.00
Owner Ma"V Address Suite Garbage Disposal 9.00
Wastn Machine 910
Clty/Stah Zlp_- Phone Floor Drain 2• 9.00
I
/ 3' 9.00- IVerne N o N _ WvC�L 4` -' 9.00
QCCUpailt Mtisg Address Suite Water Heater '- 9,00
Laundr} Room Tray 9,00
c1tv/state Zip Phone Unnat - g 00
� Name
Other Fixtures(Specify) 9.00 c
9.00
Contractor Aadin Q1IbR�(a?� 9 -• --- 9.00
9.00
Cty/State Zip Phone !, ---
2.L1 - 9.00
Oregon Const.Calif.Board Uc.ft Earp Date 9.00
Meeh Copy of fez---(r-11 S 11/2- O 9.00
I caneet Plumb r Uc,0 Fxp.'at Sewer-1 st 100' 30.00
Lkawee Sewer-each additional 100 25.00
COT Business Tax or Me.torn fo Ex Date Water Service-1st 100' - 3U.00
Name ----' -' Water Sernce-each additional 200' 25.00
I Architect Stcxm s Rain Orion-tst 100' -- 30.00 ,
Or' Madkg Addressg, ;e Storm b Ram Crala•each additional 100' 25.00
Motile Home Space 23.00
Engineer �ctylstaie Zip Phone commercial Back Flow Prevention Devote or Anti- 25.00
_ Pollution Cevoce
:)8srxo06 wait New A. Addition O AReration O Renal v Prevention Device' 151
b be done: 4es en al O Von-remential O Any Trap or Waste Not Connected to a Fixture 9 00
4ditkxW desrnpuon of work Basin 9.00
nsp, of Existing P!umomg 4000
per/hr
Use of �'---
Specialty Requested Inspecuons 40-00
S",
hr
a prop Y � 00
-- --- ----- Ram my 3000
0 Crain.single fa � dwelling 30.00 i
000sed use of Grease Trans -��- -- 9.00
uktinq a property --
_ CUI:NTITY TOTAL
U e you capping, moving or replacing any fixtures? Yes❑ No C) Isometnc_x nse !-ram u redur"it Cuanry Taal ii >9
Jf yes see back of forml _ "SUBTOTAL
'nereby acknowledge oral I have read ifs application,that the information
Mn s correct,tnat'am the owner or authorized agent of the owner.and 5%SURCHARGE
�at alans Subw,tted are'n comuliance with Oregon State Laws. -
gnat off 0,A»r/Agent Date - PLAN REVIEW 25%OF SUBTOTAL
P"U red only?lhture oty 'as1.s>
0_�L TOTi"t
.intact Person Name ^ Pho is
1 __ J
'Minimum permit fH is$25-5%surcharge.except Residential Backflow
Jit "
,�J _ l Prevention Device.which is S 15-5%surcharge
� �---- �tdstslplmapp dot 9x38 I
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ej,ESE COMP F [E-A$-APP EC T:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination _
Shower Only `
{ Water Closet
Di hwasher ..,...
' Garbage Disposal _
Washing Machine
Floor Drain 2"
4„
Water Heater
Laundry Roc:n Tray
Urina! _
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
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NAME RI CASUPOt-'. Wt-*S C' GONSf $fMR.)1JN I t 4t, VIV)
Uff)Dki-fife t 10445 f3W C.;ANY•UPt RD r�'f1''IrrlF�td1 W411-. t 10/2b/'
1E'AVt'PTUN OR ','jUt:;tjlVlsylUN
11 IFIF='OSE. OF Pt-R ME.N"! AMOUNT PAID PtJkt-l(Y-,,F. Of, 1-*i-4'rt*ri I OAMOUN'1 1441 t7
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+ CITY OF TIGARD BUILDING INSPECTION NOTICE a h'
Inspection Line: 639-4175 Business Phone: 639 41071
Footing Rain Drain CoverrS4�rvice f1L1,��,,
Foundation Water Line Ceiling Plumb. i +
Post/Beam Mach. Shear/Sheath Framing Mec v
Plbg,Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk
Other:
]- *V"�(. A.M. P.M. Entry:
Date:
i' Address:
Tenant: Ste:_.._^ MST:9 _44!L1 —
BLIP:
Con/Own: 5.1.E-��'`'�t 4�• 'MEC:
1�� D -- PLM:
v -7— t/o $5 3 ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
• f
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Inspector:
Date: l�-
APPROVED _DISAPPROVED/CAL . INS CF CO
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` CE=RTIFICATE: OF'
CITY` OF TIGARD PERMIT 4..i. . .1. . .s yhlSfTjj ;
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/29/96
13125 SW Hall Blvd.Tigard,Or»ynn 07223.8199 (503)839-4171
PARCEL:I 29109SA-•HS240
'�i ITL WI)DRESS. . . I 1..,/`JU t3W i41 t:,, I Ll_' jL. UPS
SUBDIVISION. . . . a E•1 I L.1-f-JH I RE'. SUMM 11 #ic Z ON I NC'I R ..7 PE)
BLOC:K. . . . . . . . . . r LCAT. . . . . . . . . . . . . 140
CLASS OF' WURK. :N[ W
TYPE OF USE. . . :5F ar
OCCUPANCY ORP. o 9A
II
OCCUPANCY LOAD I,:
Remarks, PAI'li 1
1 Owner: _......_.._.__._._...__._ ........... ....... .__...._. ..._._ .._ ._... ..._ ..,.
1 f';faSCADE: WEST CONST. COPP
10445 OW CANYUN RD
' UITE. d4 1I w
:'.SAVE RTON OR 97005
harm to 641--7424
1 A6CADE WEST CONSTRUCTION c OPO
0445 SW CANYON RI) SUITE 10.3
EsAVCrC:TCIIV OR 97005
Hone #o 641 -'14,.,4
1 i<eg #. ., I 62679
! �t-19.-, C:er';,ificRte Ljr-antst OLL—Llponty of the AitnAve r -+fPt etlCed bi..t.ilding car portion
i ' hvr^eof and confirms that the building hate beWrl 1n:;ppc:_te(A for compliance with
# the Gtate Of Clr�egOrl �iPV .: c)
imlty COder fOr' the yr• -r. V, OCC., anr.:y, and r.l5e under
which, the refer 4ncod per-mit wA a issued.
�SI,.111._I;ING INSPECTOP BUILDING OF'I ILIAL
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
s'
Footing Rain Drain Cover/Service FINAL: �5
Foundation Water Line Ceiling -Plumb. r
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg,Top Out insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San, Sewer Gas Line Appr/Sdwlk Reins. �f� ^
Other:
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Date: - A.M. ---P.M. Entry:
Address: 4 —
Tenant:.
Ste: MST: 0V0
—J t�ZKc MEC:
Con/Own: C 0 -
THE FOLLOWING CORRECAONS ARE REQUIRED: ELR:
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Inspector: — —Date.
—DISAPPROVED/CALL FOR REINSR CF CO t -,
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CITY OF TIGARD BUILDING INSPECTION NOTICE ' "r r
, Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line
Calling Plumb.
nV+ , Post/Beam Mach, Shear/Sheath Framing Mach.
" Plbg.Und/Flr/Slab Plbg,Top Out insulation -Elect
Post/Beam Struct. Mach, Rough-in Gyp, Bd. Id
San, Sewer Gas Line Appr/Sdwlk ein
iY
F ' " Other:
far x 1 M 1 Date:
w ' A.M, Y P.M. Ent
Address: G G<JC
Tenant:
Ste:_ MST: 55_6_�_(523
Con/Own: —_� � _ MEC:
"r PLM:ELC-
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THE FOLLOWINP, CORRECTIONS ARE REQUIRED: ELR: i
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Inspector:
--�_. Date:
APPROVEDISAPPROVED/CALL FOR REINSP. CF CO ,iy .
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CITY OF TIGARD BUILDING INSPECTION NOTICE
, w r,v I I Inspection Line;639.4175 Business Phone: 639-4171
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Footing Rain Drain
Cover/Service FINAL: r�f"
Foundation Water Line
ti Ceiling -Plumb �
Post/Beam Mech, Shear/Sheath Framing _ e
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Strucr. Mech. Rough-in Gyp, Bd. Bld
San. Sewer Gas Line Appr/Sdwlk Reins.
Other; — � ------,—
Date: �__�"�—�/_— P.M. Entry
Address:
Tenant: — — — Ste: _ MST:.
Con/Own: BLIP:
MEC:
PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Ds
bate:
_APPROVED !" DISAPPROVED/CALL FOR REINSP
CF CO .
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�`t^r Pi4r4,+ CITY OF TIGARD BUILDING INSPECTION NOTICE
a
Inspection Line: 639-4175 Business Phone: 639.4171 r
Footing
Rain Drain Cover/Service '(' �' �� �►
+ FINAL:
Foundation
Ptr ii
Water Line Ceiling -Plumb..
Post/Beam Mech.
Shear/Sheath Framing -Mach.
���'� �� ' '' Plb Und/Fir/Slab Plb To Out
r'u>1 yrt wi
g g' p Insulation eC dri4St
�N , Post/Beam Struct. Mech, Rough-in G
�1a�xi + i
Yp, Bd. -Bldg.
r �` ��r�a•/rf. �'lj�"a,t E`r Sen. Sewer
as Line^
Appn,,dwlk Reins.
r, k h Other:
tie Date:
P.M. EntrYC W r w
Address:
Tenant:
i� r �, ; --- Ste:--. MST: &I
Con/Own:
MEC:
PLMELC-
:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
t`°1r ,fir atA��3'A QIP, T
rr
s H ay»®r�'� '1q+Ni, a:
pectora — I
Date:
LAPPROVED
SAPPROVED/CALL FOR REINSP.
CF CO I ,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
r I
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
i t
Foundation Water Line Ceiling -Plumb.
C1,r+
Post/Beam Mech. Shear/Sheath Framing -Mach,
Plbg.Und/Fir/Slab Pibg. Top Out Insulation Elect.
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. ;
San. Sewer Gas Lina <ZApprrSTwjkReins.
Date: A.M._P.M./
}
r Entry,
Address:
Tenant:_ Ste: T: D 0 I
y MSBUP: r.
Con/Own: CP _ MEC-
PLM:THE FOLLOW�ORICT ER REQUIRED: ELR: a
d
Inspector: r DEte:
)�APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Se(vice FINAL:
Foundation Water LineCeiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation Elect.
Post/Beam Struct. Mech. Rough-in G B) -Bldg,
San. Sewer Gas Line Appr/Sdwlk ein
Other: _
Date: A.M. P.M. Entry:
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Address:
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Tenant:� Ste: MST: _a�
Con/Own: BUP: —_
---- MEC: _
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: ".•
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In ector: Date:
PPROVED DISAPPROVED/CALL FOR REINSR CF CO
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' CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Llne: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service N ;
Fo Jation Water Line Ceiling , P umb.
P� ?am Mech. Shear/Sheath Framing -Meeh,
Plbg.Una/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in y�G p � -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other.
Data: A.M._�P.M. Entry:
Address: , "— - � L 1
Tenant:�_ Ste:_ MST: `' U
BLIP:MEC:
con/Own: - PLM:
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ELC: _
TH F LLQ ING CORRECTIQNS ARE REQUIRED: ELR:
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Inspector: . ___ -/1 Date:
APPROVED DISAPPrOVED/CALL FOR REINSP. CF CO I
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171a�';
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mech. ;
Plb Und/Fir/Slab PIbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other.
Date: " { ev�n�V+'��
_ P.M.
A.M. _ - Entry:
Address:
Tenant:_
Ste: MST:
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BLIP: � �t
Con/Own: MEC:
PLM:
ELC:
THE FOLLO ING CORRECTIO S ARE REQUIRED: ELR:
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Inspector, - ---- -- _ Date: 1 I �� �# t � 6 ;:'"' {vw
—APPROVED .FOR REINSP. CF CO i } 4
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.417
Footing Rain Drain Cover/Service
N A,
Foundation Water Line Calling mb.
Post/Beam Mach, Shear/Sheath FramingMach.
PILg.Und/Flr/Slab Plbg, Top Out nsulatio �!`
Elect
Post/Beam Struct, Mech. Rough-in Gyp, Bd. -Bldg, ,
San. Sewer
Gas Line Appr/Sdwlk Heins,
Other:
Date: — A.M.
P.M. Entry:
1 i Address:
Tenant:
Ste:-- MST: G 3
Con/Own:- __---- BLIP:
MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date: -?
—APPROVED DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE r
Inspection Line: 639 4175 Business Phone: 639.471
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Footing Rain Drain ov_ /, ervice FINAL.
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{ Foundation Water Lin ,A.,h Ceiling Plumb.
Post/Beam Mach. Shear/S aChi/ ramrn -Meeh.
PIbg.Un Ir/Slab Plb . To Insulation -Elect.
Post/Bearn Struct, Mech. Rough-in Gyp: Bd. -Bldy.
San. Sewer as ine Appr/Sdwlk Reins.
Other: —
Date: _ .�— A.M. P.M. Entry:
Address: __ � _ 9-9
Tenant _ __.._��.____ _._ — Ste:_ MST: 5O
BLIP:
Con/Own: __ MEC:
PLM: _—
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: .__--C:L.� --- --- -- Date:
.14PROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach. `
Plbg.Und/Fir/Slab Plbg, Top Out Insulation -Elect. wt q
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. `s `
San. Sewer Gas Lin Appr/Sdwlk
Other: ,
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Date: A.M. P.M. Entry:
Address: ,�� ]-� .(1-Cx¢_.T�r� 'ter v
Tenant:- - ---—._ Ste: MST:
BUP: ,
Con/Own: MEC: "
PLM:
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TH FOLLOWING CORREC ONS ARE REQUIRED: ELR: ',
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..__APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain DrainCoverr/Servi1 FINAL-
Foundation
INAL Foundation Water Line
Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg,
San. Sewer �
Gas Line Appr/Sdwlk Reins.
Other:
Date: J/( A.M. P.M._— Entry:
Address:
Tenant:_. I
Ste:.._. MST
Con/Own: BLIP:
_ MEC:
PLr,A: A fs
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: . '°
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P_.�.�s
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Ins ector: ;lY'
Date::•
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO " "�
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CITY OF TIGARD RESTRICTED ENERGY `
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96.-00 7:
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 DATE ISSUED: 02/29/96 "!
PARCEL: 2 109SA--NS240 ;
ITL';: A&)DRESS. . . 1 13798 aW MISTL.ETOE. D
."'UDDIVISION. . . . 1. HILLSHIRE SUMMIT #C ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .40
Project Desci-iption:
A. RESIDENTIAL.--.__.___._.___ B.
AUDIO & STEREO. . . : X AUDIO & STEREO. , : INTERCOM 4 PAGING. . : +
BURGLAR ALARM. . . . : X SOILER. . . . . . . . . . : LANDSCAPE/ IRRIGAT. . :
GARAGEOPENER. , . . :X CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : X DATA/TELE COMM. . . NUROE CALL.S. . . . . . . .
VACUUM SYSTEM. . . . : X FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
S
OTHER: , : X HVAC. . . . . . . . . . . . : PROTECT I VE' S I CANAL.. ,
INSTRUMENTATION. : OTHER. . : : :
TOTAL, # OF SYSTEMS: 0
Appl iccant :
s'1 CASCADE: WEST COMMUNICATION type amol.int by date r,ecpt
PRMT $ 40. 00 CJS 02/226 96 9G--2760A7
F1: 5PCTE
2. 00 CJS 02/26/9Et 96--"-4'76287
Phone #:
Contr-actor:
GARY' 3 VACUFLO $ 42. 00 TOTAL
9015 SE FLAVEL..
REQUIRED INSPECTIONS
PORTLAND OR 97226 E:lec:t' 1 Scar^vic=e
Phone #: 503._775--2047' E:1.ect' 1 f=inal
4 Reg #. . : 26728
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I This permit is issued subject to the regulations contained in the
Tigard Municipal Code, Sitate of Ore. Specialty Codes and all other Perm i t e e c'i gn at l.tr-e
applicable laws. All work will bE One in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended fo, more —c-&—a � __
than 180 days. I s r.I.t e d By
_......................_......._.-._.._..... . _. .. ... ...-OWNER INSTALLATION ONLY ___.__.___.___.__�_.__. _..___.-____...._.........,
The installation is being made on property I own which is; not intended far
gale, lease, or, rent .
OWNER' S S SIGNATURE:: DATE.:
INSTALLATION OIN;_',. _._..____.__.._...__.._...__... ___._.__ ._. ..
AUTHORIZED SIGNATURE' ��l1Pf� DATE'. _96
LICENSE NO:
Call for inspection — 639 -4175
f1tYt� f'A?¢?4d�NM#r^..-..:WtN aMK,'�R+H>"W+�vaw�w-w,.« num..r�...,..�rc. ,.gym,..,,••..«,.,...,....,n.,,...........
.. .,.».,,....H ...,....., tt��
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 4
13125 SW Hall Blvd. �/� c
Tigard, OR 97223 PERMIT#-E-Lr� 1 cc-7. -
* Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED p)- a 6 - 96
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
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1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address RESIDENTIAL—Restricted Energy Fee. . . . , . . . . $40.00
(FOR ALL SYSTEMS) i
City State Zip Check ,yRe of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK L'1 Audio and Stereu S stems"
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. 19'lurglar Alarm
El--G, a Door Opener*
2. CONTRACTOR APPLICATION
I Heating,Ventilation and Air Conditioning System"
Contractor Type -_ . 0-'5ra-cuum Systems*
Address
GARY ' S VACUFLU. INC , 775-2042 — COMMERCIAL—Fee for each system . . . . . . . . . $40.00 �
9015 SE FLAVEL, PTLD, OR 97266 (SEF OAR 918-260-260)
DA TF.: _,�/o? i '�( JU # — Check Tyne of Work Involved:
__ — ,.,
)
OWNER:
CLE 26728 . JLE 985 , CCB: 69047 — ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# - ❑ Clock Systems
i 3. OWNFR APPLICATION ❑ Data relecommunication Installations
i ❑ Fire Alarm Installation
❑ HVAC
Print Owner's N.une Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
' City State Zip ❑ Medical �....ti
This permit Is issued under OAR 918.320.370.This applicant agrees in make only ❑ Nurse Calls
restricied energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*)•All others need licensing). --
2. Call for an Inspection when all of the installatiors under this permit are ready
for inspection at 503-639-4175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection --`——
r; when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations
4 Assume respnnsibllity for assuring that all corrections required by the Inspector --------
are done,and a
5. Assume responsibility for calling for a final inspection when all of the corrections S. FEES
d•.
are completed.
The person signin;for this permit must he the applicant or a person a, Enter Fees
authorized to hind the applicant. — - -_---
�—_
h. 5% Surcharge L0.5 x total above) $_� - _ _
Signature
TOTAL $-��—
Authority if other than applicant -
ENERGAP.CHP
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6�9-4175 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 Mech. San. Sewer -Bldg,
-Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �-! �- r_ Time: AM PM
Address:
Builder:_— _Permit #:
T1— FOLLOWING CORRECTIONS ARE REQUIRED:
ILL
Inspector: Date: Zy�
_APPROVED / DISAPPROVED APPROVED SUB IECT 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 r
Inspection:
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 -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line / Ak' Insulation -Mech.
l �
Underflr. Insul. Shear Wall Gyp. Bd. C lett.
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Date Requested: ' �' TiPM
PM
Address: 71
Builder:
Permit #: `; C"":
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
Date:
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
�1 _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE rt\\
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Linderslab Mech. Rough-in Fireplace
s
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 W ine / Insulation -Mech.
Underflr. Insul. (Shear Wall Gyp. Bd. -Elect.
Date Requested: .2 / 4 (/ Time: (A;) PM
Address:LoI `fu' lkh, 6 7 `/.'1 X1, 1C-Builder
4L,
(q/- 7'/_2I/ Permit #:
THE FOLLOWING CORRECTIONS APE REOU1RED:
_ �} _
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Inspector: Date: 7i g
__APPROVED /2��ISAPPROVED _APPROVED SUBJECT TO ABOVE
J Call For Reinsp, V'�� Lf- Q
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CITY OF TIGARD 4k
13125 S.W. HALL BLVD.
TIGARD, OR 97223 :
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IMPORTANT PERMIT NOTICE
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BEAR ELECTRIC
PO BOX 389 *�
DONALD OR 97020
Electrical Signature Farm
Permit # . . . . MST95-0403
Date Issued. : 01/25/96
Parcel . . . . . . : 2S109BA-HS240
Site Address : 13798 SW MISTLEZOE DR
Subdivision. : HILLSHIRE SUMMIT :'2
Block. . . . . . . . Tot : 40
Zoni.ng. . . . . .
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical i
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR: V
CASCADE WEST CONST. CORP BEAR ELECTRIC
10445 SW CANYON RD PO BOX 389
SUITE # 103
BEAVERTON OR 97005 DONALD OR 97020
Phone # : 641-7424 Phone # :
Reg # . . : 20919
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Signature of Supervising Electrician J
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310 z
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CITY OF TIGARD BUILDING INSPECTION NOTICE �
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 171
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Inspection:_,
Fooling Susp. Ceiling Sprink. Rough-ii Appr!Sdwlk
M
Foundation Plbg. Underslab Mech. Rough-in Fireplace li
Pdst/Beam Struct, Plbg. Top Out Elec. Rough in FINAL:
P`6st%Beam Meg. San. Sewer Gas Line -Bldg.
g. llnderil' r (\Rain�� Framing -Plumb.
Alarm (-Water Line Insulation .Mech. i
Undedlr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: /�/,T/ __Time:--AM PM
.3 �7 nZ Yl'l c.;f1(7—C . 6
Address: .••,� -
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Builder. . �., P�'� it #:
� , Perm -
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspe or: — Date: 5
PPROVED DISAPPROVE[ _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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! CITY OF TIGARD BUILDING INSPECTION NOTICE /lrh
Inspection Line (Rec-0-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. L an Sev 9;- Gas Line -Bldg.
Plbg. Underf nor �Rani Drain` Framing -Plumb.
Alarm C Water Line, Insulation -Mech.
Underllr. Insul. Shear Wall Gyp. Bd. Elec I
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Date Requested: /__ �- /(� � C, _ Time: AM PM
Address- / 3 -7 —� CY7 -k
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: —
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Inspector:�1� Date: f J
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
v
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line k1ec-O-Phone): 639-4175 Business Phone: 639-4171 ,
Inspection: ,c����: �, /{� , r"n
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk '
�wfln Plbg. Underslab Mech. Rough-in Fireplace
Past/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.
L iderflr. Insul. Shear Wall Gyp Bd. � Elect
Date Requestel: d { r j% Time. PM
Address:_ : � 2,- ; �
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
��_ �-��".1;�Lc /�i� <'��i�-x•LTA r;�-?,
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Inspector: _ Date: f
,APPROVED _DISAPPROVED Z—A"I'PHOVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY OF TIGARD BUILDING INSPEZ i ION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
( _
ootirig) r Susp. Ceiling S-= pink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rouah-in Fireplace
Post/Ream 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. PH Elect.
Date Requested: �t 1 ime:al AU _PM
Address:
Builder: Permit q: C> yU
THE FOLLOWING CORRECTIONS ARE REQUIRED:
---------------
Inspector. (71
Dater 7�
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_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
°'���;1�mtr1,1 ;l'r��X'itl�� 'p�. lnri 1� t - 4%a7�.v' r `4.,r N•ax1 Y;b ,,.as "''7� bN�hi�y�, 17P+f �'#�'''� '• ,.
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CITY OF TIGARD PLUMBING PERMIT
� F�'C=Fih'iZT #. . . Y Ih5T95-•-0/+01', A" +
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/2,R/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171
PARCEL.: 25109PA -1-132'40
SITE ADDRESS. . . : 13798 SW MISTLETOE DR
SUBDIVISION. . . . a ZONING:
BLOCK. . . . . . . . Y . Y LOT. . . . . . . . . . . Y . .
CLASS OF WORK. . : GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . .NEW WASHING MACH. . „ . . „ . : 1 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :SF FLOOR DRAINS. . . . . . . . 0 TRAPS:,. . . . . . . . . . . . . . . 0
STORIES. Y . . . . . . :2 WATER HEATERS. . . . . . . 1 CATCH I-OS I NS. . . . . . . kl
FIXTURES--____.__--__._----._ LAUNDRY TRAYS. . „ . . . : 1 GF ROIN DRAINS. . . . . J
,INKS. . . . . . . . . . . 1 t�REASE I RAPS. . . . . . . :0
LAVATORIES. . . . . : 5 OTHER FIXTURES. . . . . : 01
TUR/SHOWE:RS. . . . : 3 SEWER LINE (ft ) . . - 0
WATER CLOSETS. . : :3 WATER LINE (ft ) . . - 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . : 0
Remarks: PATH I
OWNER: _____ __________
CASCADE WEST CONST. CORP TIF $ 1590. 00 B 11 95 95 _273134
1.0445 SW CANYON RD SWM $ 180. 00 R 11/22/95 95-273134
SUITE # 103 SWM t 100. 00 B 11/22/95 95-273134
BEAVER TON OR 97005 ELCF 9; 235. 00 B 11/22/95 95-':::73134
Phone #: 641--7424 r•LC5 $ 11. 75 A 11/22/95 95-273134
ELRP 4 40. 00 B 11/22/95 95--273134
Plumbing Contractor - ----_ --- --_-- - EI_R5 $ 2'.. 00 B 11/22/95 95-2:73134
RF'RT $ 700. 50 B 11/22/95 95-273134
Name - BPLC 1, 455. 33 B 11/22/95 95-273134 r,
Wddress :_� -- __ __.._._ __ __ _ RSPC $ 35. 03 R 11/22/95 95-273134 v'
� PARK $ 500. 00 B 1 1/J.2/95 95._.2:.73134
Z i p: - _ _Phone#: .._ MPRT $ 45. 00 B 11/22/95 95--2731.34 C
jReq #:._..___.._. �_.._ _-.._......._.__....._.__._ Ar_i d i t i o n a l fees not shown here. . . . . . . . ..
REQUIRED INSPECTIONS --------
This permit is issl_1rd sl_rb.ject to the reg-- k
t 1.11ations contained in the Tigard Municipal Footing Insp Low Voltage
Cade, State of Ore. Specialty Codes and all Foundation Insp Fireplace Insp
other applicable laws. All work will be done Post/Beam Struct Gas Line Insp
in accordance wi.tli approved plans. This Post/[.Aeam Machan Insulation Insn
permit will expire if work is not started Crawl Drain Gyp Board Insp
within 180 days of issuance, at- if work is Plm/undslab Insp Rain drain Insp
suspended for- more tha ) 18111 days. PLM/Underfloor Water Line Insp
Mechanical Insp Water Service In
Plumb Top Out Appr/Sdwlk Insp
i Electrical Servi Electrical Final
f( Electrical Rough Mechanical Final
� F'r<�ming Insp Plumb Final
A1.1t}ior ix.ed lambing Contractor Signature
Cal ]. for inspection - 639-4175
!_.ontractor Notes .-
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MAG"FE:R PERMIT
PlHrRM I T ##. . . . . . . MST9 S-�-04rZ'
�"T
CITE' OF TIGARD
DATE ISBUED: 11/cc'./9`� �
m COMMUNITY DEVELOPMENT DEPARTMENT r
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 F=ARC.EL_: ''S 109PA•--HSCc'40
SIT'1� ADDRESS. . . : 1.3796 SW MISTL_E1_01_- GN
SUBDIVISION. . . . - ZONING:
131_Ocl'.. . . . . . . . . . L_O1.. . . . . . . . . . . . . .
Remarks: PATH I
--•------------------------------------------------------------- BUILDING -----------------------------------------------------------------
REISSUE: STORIES...,...: 2 FLOOR AREAS---------- NISEMENT...: 0 sf REQUIRED SETBACHS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 33 FIRST....: 155.i sf GARAGE.....: 654 sf LEFT..........: 16 SMDI(E DETECTRS: Y �►
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1469 sf FRONT.........: 24 PARKING SPACES: i
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 12
OCCUPANCY GRP,:R3 BDRM: 3 BATH: 3 TF)TAL------: 0 sf VALUE—$: 806044 REAR,.....,...: 47
----- PLUMBING ----------- ----------------------------------------------------
SINKS.........
-------•-------------------------------------------SINKS........,: 1 WATER CLOSETS,: 3 WASHING MACH..: 1 LAUNDRY TRAYS,: 1 RAIN GRAIN ft: 0 TRAPS...,,....: 0
LAVATORIES....: S DISHWASHERS...: 1 FLOOR, DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH HASINS..: 0
TUB/SHOWERS..,: 3 GARBAGE DISP..: 1 WATER HEATERS.: ! WATER LINE ft: 100 BCKFLW PREUNTR: 1 GREASE TRAPS.,: 0
OTHER FIXTURES: 0
---------------------------------------------•------------------- MECHANICAL -----------------------•------------------------------------•----
FUEL TYPES------------ FURN ( 100K ..: 0 BOIL/CMG ( 3HP: 0 VENT FANG..,..: 4 CLOTHES DRYERS: 1
!GAS/ / / FURN )=100K ..: I UNIT HEATERS..: 0 HOODS....,....: 1 OTHER UNITS.,.: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES...... 0 GAS OUTLETS...: 1
--------------------------------------------------------------- ELECTRICAL ----------------------------- _—_...----------
—RESIDENTIAL UNIT-•-- ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS----- ---ADDrL INSPECTIONS—
1000 SF OR LESS: 1 0 - r00 2mp..: 0 0 - 200 amp..: 0 W/SVC OR FDP..: 0 Ptd'/IRRIGATION: 0 PFA INSPECTION: 0
EA ADD'L 5009F.: 5 201 - 400 aeD..: 0 201 - 400 amp.,: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR....... 0
LIMITED ENERGY.: 0 401 - 600 amo..: 0 01 - 600 arae..: 0 EA ADDL BR CiR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
KINE HM/,',VC/FDR: 0 601 - 1000 amp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------•------------- PLAN REVIEW SECTION ---------------------------------
! Reconnect only.: 0 1=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
i
--•-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------------__----------•----------------------------
iA. SF RESIDENTIAL--------------------------- B. COMMERCIAL--------------------------------- ---------•----------•------------------------
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC.........,.: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPLNER,.: CLOCK..........: INSTRUMENTATION: MEDICAL......,. : OTHR:
1 HVAC,..........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
1 Owner: - --------- - - ---------------Contractor: -_.-__-_-.--------------------- TOTAL FEF..S:4 4289.56
CASCADE WEST CONST. CORP CASCADE WEST CONSTRUCTION CORP
10445 SW CANYON RD 10445 SW CANYON RD SUITE 103 7 �-
SUITE A 103
BEAVERTON OR 97005 BEAVERTON OR 97005
Phone N: 64i-1424 Phone N: 641-7424
Reg C.: 62678
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Sverialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
- ~--------------------------------------- REQUIRED INSPECTIONS --- - _.-. ------------.----.---------------------------------
Footing InsD Plm/undslab Inso Electrical Rough Insulation Insp Apor/Sdwlk Insp Erosion Control
Foundation Insp PLM/Underfloor Framinn Insp Gyp Board Insp Electrical Final
Post/Beam Struct Mechanical Insp Low Voltage Rain drain Insp Mechanical Final
Post/Beam Mechan Plumb Too Out Fireplace Insp Water Line Insp Plumb Final
Crawl Drain Ele.krical Servi Gas Line insp Water Service In Bui ing Final
V'prmi 1-teH SigT7at rr : �L �. Iss;1..aed N y . I►�'�V "�/
Call for inspection — 639-4115
7
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PERMIT
CITY OF T1%b7ARD DATA I55UED: 1 )./22/95 9J' C\45Es
COMMUNITY DEVELOPMENT DEPARTMENT
13128 SW Hall Blvd.Tlpud,Onpon 97223.8199 (503)839-4171 P()- RCEL: 2S109BA—HS240 p;
SITE: ADDRESS. . . 1::738 SW Ih I STL._CTOE DI3
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NI7W DWELL I NG Ll A I TS. . : 1
TYPE OF USE:. . . . . :BF NO. OF PU 1 l_D I NG;S: 1
INSTALL TYPE. ., ,. . :BUSWR IMP RV SURFACE:: 0 Sf {
Remarks : PATH 1
Owner: ______._____._.___.____.._____.________.___-.---__________.__--- FEES
CAGCADE WEST CONST. CORP type amol_rnt by crate r,ecpt
10445 SW CANYON RD F'RMT $ `2,0171. 00 B 11/22/95 95-2731:34
SU I'TE # 10:; I NSG' $ ?,i. 00 B 1 I/2i .'15 95 731.34
BEAVERTON OR 97005
Phone #: 641 -742,4
Conti^actor. --
— --_._-.___-----.__--_---__---___--
CONTRACTOR NOT ON FILE ';,
v.
F=hone #: 1 u'35. 00 TOTAL
lleq
REQUIRED INSPECTIONS
This P^-licant agrees to comply with all the rules and regulations Sewer-, Inspection
of thr initied Sewage Agency. The permit expires 18N Gays from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer' laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given, If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral. ______
E t e r m i t t e e S i p n 4i t 1_t r e :
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�{ Call for inspection - 639--4175
1
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
J,,)bsits Address: 13-19 ,8 Nl i 5 TL C l C)C= .
Subdivision: H I IISh�,f��
S�n�. I P ZLot# _ �^ Office Use Only
Valuation: 112-x6 ota. L) y _ Result Contact Date / ! Initials _
New Construction Only: (Square Footage) Planck/Rec# 10 q i,
2 Permit #_�rrsry s u yu .
House: 3C� 24 Garage: G _ Reissue of j
Corner Lot? Y �N) Flag Lot? Y O Map & TL #2-51 U,r d1f
Zone _
(( Plat #
Owner: ASC a LL L,�Jo-51 C-o") 5+z re,
Address: n 4d S S(-,D C c+N 0►3 kp. �" !uj
Approvals Required
cl 700 5— Planning Setbacks _ Solar
Engineering
Phone:
Other
Sr°3 L (�µ�L� __ — --
Contractor: -- Si4,-,,,A --
Items Required
Subcontractors
Address. — — Truss Details ^
Other
Phone. Notes
Contractor's License # Z -7 k�
(attach copy of current Oregon license)
Contact Name: I Ll
Contact Phone: j P}
Subcontractors: Architect/Engineer: __kV-) !Z 5 -T*-e-.(,U ct., 7
F!umbing: _ /4C U005+ 4 I u nib t nr^ Ad.'ress �Lll ( ( H Sy!tti 2-L)1
Mechanical: V�t.��Cw} �jl'1'tL �'�I _ Ov z� t U
(attach copy of current OR Contractor's License)
jt��✓ P LF C7—(z 1 G Phone: ( )
JOB DESCRIPTION:
m� g)--7 6 R r;3
Applicant Signature Applicant Phone number
Received by. l/l.C- { "" mate Received 1� G
M1l}v.,•6�•...N'rM'MM'fMfP'{.ii�. !��'�y�kf'NMATn�tY1�MA+'tiNkq�1fl11W�7�1'b..M'[C,#IYxkf.NhrIMM,WT'r.4wrywr.r.a+wrr.+..w..
IF ).i
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Permit Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) ;Z Z i v✓ ��Z��
1 Mach. Permit (MECH)
State Tax (TAX)
Bldg: •,,t
Plumb: //.L,-
Mach:
e4
/1 Oct
Plan Check (PLANCK) J -y .3 ) , 33
Bldg:
Plumb:
f Mach:
I
l
Sw ,-USI tY Sewer Connection (SWUSA) v •2Zu�
Sewer Inspection (SWINSP) 3_ J i�
Parks Dev Charge (PKSDC) 15 .5 'v
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) Zell 2-r)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL) / Lz)
Water Quantity (WQUANT)
I
Fire Life Safety (FLS)
I
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
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TOTALS: X75 S(dam
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2� Y
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IN
9npSIERRA PACIFIC
DEVELOPMENT, INC:.
P.O. Box 1754 LAKE OSWEGO, OR 97035 (503) 684-3175 FAX (503) 684-3176
TIF CREDIT VOUCHER
PROJECT NAME: HILLSHIRE SUMMIT #2, HILLSHIRE ESTATES,
HILLSHIRE ESTATES #2 .
, Y
617fi
THIS VOUCf1ER ENTITLES_ C4 - 'GL ��- _ )�� � ^+� l-(�
TO ONE ( 1 ) TIF CREDIT FOR LOT IN THE 'tt-u/&/'1C'u"
d-
SUBDIVISION.
THIS TIF CREDIT SHALL BE APPf,IED BY THE CITY OF TIGARD AGAINST
THE APPROVED TO'T'AL TIF CREDITS FOR SIERRA PACIFIC DEVELOPMENT, INC .
f Q�'k,
AUTHORIZED SIGNATURE,
OREGON TITLE COMPANY
M.bj �5 -ONO3
it 14
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Credit No.:
01Y DE T CARD Date Issued: Ingf ts, /195, "
Engineering
Authorization
TRAFFIC IMPACT FEE Date:
CREDIT
Land Use
Casefile No.: SUB 91-0013 a
In accordance with Ordinance 379 Sierra Pacific Development, Inc. ••
-- 'no"of dw•bpn)
is entitled to $ 38,628.25 in Traffic Impact Fee Credits that can be applied to TIF
charges for development on lot(s) as referenced in the attached letter dated April 25,.
1995, from Jeff NAlson, Sierra Pacific of the Ihill;hire Summit #2, 1 !illshire Estates,
jHillshlre Estates #2 Development. To use this credit, present this form at the time of
` issuance of the building permit.
olredo« C17�
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance 38,628.25 i
— _ I
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
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Use Additional pages if necessary.
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CITY OF TIGARD
EXPENDITURE REQUEST
•
This form i a ulti-use form. Appropriate receipts and documentation must
be attached o is form. Approved request due Tuesday 5:00 PM to A/P for
cheeks by Fr ay (week opposite Payroll only) .
VENDOR NO. : DATE: I L 7-
S
PAYABLE TO: C� +. REQUESTED BY: �J` ICN1
MISCELLANEOUS EXPENDITURES: ~
Date Description, Invoice No. , etc. Account No. Amount
11-11— CAatiAk rf T a C
In
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I
Mileage $0 .29
APPROPRIATION BALANCE: AS OF: _
APPROVALS:
(IF UNDER $50) Section Manager/Professio taf ��� �,
(IF UNDER $2500) Division Manager
(IF UNDER $7500) Department Manager
(IF NDER $25000) City Administrator _
(IF OVER $25000) Local Contract Review Board
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FULLER DESIGN & ENGR. 503 245 5977 P. 01
ULLER
Design & Engineering, Inc.
d
2323 SW Iowa Street, Portland, Oregon 97201-1911 Fax(503)245-6967 Phone (503) 245-5977
aero
November 13 , 1995
Ms, Bob Thompson
City of Tigard
Bureau of Buildings
Tigard, OR 972041- ' r N
RE: Lateral Analyses for Todd Pays J 2j
3w Mr5
` 17r
Dear Bob:
Please accept our lateral analysis for permit HMST950403.
Thank you for your cooperation,
Sincerely,
r
on Fuller, P.E.
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