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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Seriice FINA �'��
Plumb.
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect.
POSUBeam Struct. Mech. Rough-in Gyp. Ed.
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San. Sewer Gas I ine Appr/Sdwlk Reins. Y ;' r
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Otilee �•�"" --— Crf
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A.M. _P.M. _ Entry:—. 3
` Date: _ - 'Y �y
r Address: s "
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Tenant: Ste:—__ BUP: ' � ? P
MEC.
Con/Own: ---.- —
PLM: ,
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR. '
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Inspector: �— — -- —---...— Date: ° jl
ROVED —DISAPPROVED/CALL FOR REINSP. CF CO °
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0 CITY OF TIGARD BUILDING INSPECTION NOTICE - '
Inspection Line: 639-4175 Business Phone:639-4171 Icy
Rain Drain Cover/Service FINAL:
OOtin1
Foundation Water Line Ceiling Plumb,
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.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: �TD A. ntry,
Addre3s:
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Tenant: Ste: MST:
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Cori/Own: 3 � �
n �.. �"� MEC `,�",
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PI.M: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
InEjector:
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Date:
_IgPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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BUILDING PERMIT �
CITY ®F T I GARD DAI*EEI ISSUED: . 05/20/966- X264
r COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Holl Blvd.Tigard,Orogon 97223:9199 (503)939.4171 PARCcL: 1*2191098A--HS239
SITE ADDRESS. . . . 113810 SW 1v1I STLE I_OE DR
SUHDIVISIC'N. . . . : HILLSHIRE SUMMIT #2 ZONING: R•-•'7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :39
RE:EISSUE: '��. FLOOR AREAv3-- ------ -- EXTERIOR WALL CONSTRUCTION.
CLASS OF WORE. FIRST. 0 s f N: S: E: W:
TYNE OF USE. . . :SF SECOND. . . : (' s f PROTECT OPENINGS?-----------
TYPE
PFNINGS?-----------_-
TYPE OF' CONST. :5N . . . : 0 sf N: S: E: W:
OC'_UF='ANCY GRP. Fr:' T Ol AI_____.._ ._..-•: 0 s f ROOF CONS-: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 st AREA SEP. RATED:
STOR. : 0 HT: 10 ft GARAGE. . . : 0 s f OCCU SEP. RATE=D:
BSMT?: ME:Z Z?: READ sETBAcXss---------- REQUIRED----------------------
FLOOR L0A1). . . . : 0 ps f LEFT: 0 ft RGHT: 10 ft FIR SPKL: SMOK DET. . :
DIWELL:iNC UNITS: 0 F'RNT:20 ft REAR: 11.1 ft FIR ALRM: F-INDICP ACL.::
I BE:DRMS: 0 BA'HAS: 0 IMP SURFACE: 0 PRO C:ORR: PARKING: 0
I
VALUE. 6501A
Rcemat-ks : OUT DOJR BASF'ET BALL. COURT- FENCE
LJwner.: —__._.___.. ____._____.- -_________. __ ____..__.__. _.......__.__-____ FEES — _._.___.____—_--•—
J. T. R RAINA BIRDE:.N type aITI0Unt by date rec.pt
1.40:;2_ SW BE_NCHV I EW PRMT $ 62. 50 JSD 05/20/96 96-279648
PLCF1, $ 40. 613 JA 05/03/96 96-278988
1 IGARD OR 97223 : PCT $ 3. 13 JSD 05/1:'0/96 96-279648
Phone #: 59-1-6235
Contr,ector:
1 SPORTCOURT OF OREGON
-704 SE BROOKLYN sT
PORTLAND OR 97202
Phone #: E46-2917 106. 26 TOTAL
Reg #. . : 0071726
REQUIRED INSPECTIONS
----This permit is issued subject to the regulations contained in the Footing I n s p
Tig-rd Municipal Code, State of Ore. Specialty Codes and all other F i ne I I n s;pect ion
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 far more
than 180 clays.
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-----
Call for inspection 639-•4175
Residential Building Permit. A" ication •
City of Tigard �, , 'j,�`` t,
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /V1(ST«-TSE
, �( Office Use Only •
Subdivision: //rLL� /i �t_Ij'YUV4t'r Lot# 3,9
Valuation: (G'����1. / Contact Date / / Initials
Result
New Construction Only: (Square Footage)
Planck.Rec #
House. Garage: _ Permit # 13U 19 -U Z(i r
Reissue of _
Map & T # ?sI Oct - o(5-7--6z--z-7
Comic- Lot? Y Flag Lot? Y
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Zone 'i'
Owner: 11w 04-0 A &P-100V Plat #
Approvals Required
Address: IGni?_ /�/�HUIF-l�
Planning Setbacks '�� Solar IU _
Engineering
Other
Phone: �SG�j ) '��7�/�' (��Z?,,.,�/�
Contractor. 5,� ��j CC:3lapir �, � Items Re wired
�� Subcontractors _
Address ��,.���'�( ,-IS L L��L_�W �T Truss Details
I'CJ/�LV`�'/W,� �. Cj)E> Other
C. ��� L 1
Phone: ( „��� ) c- Z9(_> Notes '—
Contractor's License # C-))I )2 (c" �W- ` '* q 9�O'
(attach copy of current Oregon license)
Contact Name: /1.'(-)tlr ---
Contact Pho,ie: � ) J
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone: ( )
JOB DESCRIPTION- Q.ITC 045ti— �
Applicant Sigr iture Applicant Phone number
Received by: — �'lrid�� �-`--� Date Received: AN
H 11640 MI24moo
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Permit * Account Description Amount Amt. Pd. Bal. Due
-Q[w�Bidg. Permit (BUILD)
i •
Plumb. Permit (PLUMB)
Mech. Permit (MECN)
State Tax (TAX) _3 •/ 34 -3
Bldg:
Plumb: i
i
Mech:
Plan Check (PLANCK) YQ,G 3 L/0,b,3 `�►
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF MF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
I � "
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: / ? • .Z - ID� C?S,
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I �BILIT Y:-rhe City c,t Tigard, 0,pgor,or
employees, shad not be responsible for
lis,(ro!"mcies which may appnn i'Nio,,n
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMIT NO. P i -o4` SITE ADDRESS 13r/u S,,, /►1,sL/e u4
8Y DATE
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