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CITY CSF TIGARD
DEVELOPMENT SERVICES
13125 SW Hag 81vd.,ilgard,OR 9Y223 (503)639417 i
CERTIFICATE OF �
OCCUPANCY
PERMIT #. . . . . . . I MST915• 0060
DATE ISSUEDI 12/04/96
PARCEL: 25104BA-04600
SITE ADDRESS.. . I 13902 SW MARCIA DR
SUBDIVISION. . . . I CASTLE FALL #2 iC?N:[NC.�nR- .lc PDBI_t7CK. . . . . . . . . . I LOT. . . . . . . . . . . . . 1079
CLASSOF WORK. aNC�W_._._ . . _.__......._.__....»____._______..__._____.__._�._,�,,.__�,_._, ,_..__.___.___.__. ..... _ •
TYPE OF USE. . . I SF
TYPE OF CONGTR:5N
OCCUPANCY GRP. :R3
OCCUPANCY LOAD k,-,
Remearksl PATtt [
Owner I _•.»_ -�_—._____, ._�..,_._ ___..._.__.___.__._
DON MORISSE.TTE
5000 SW MEADOWF;• RCS
SUITE 151
LAKE OSWEGO OR 9703'
Phone 41 620--75313
Cotrt ract or I __._.__.._...-. ..._..
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DON MOR I SSETTE HUMES
5001 Std MEADOWS RD
SUITE 131
LAKE O aWEGO OR 97035,
Phone #I 620-7538
Reg #1. . I 35533
This Certificate grants occupancy of the above rAferenc.ed building or poptior,
thereof ,and conFirmg that the building has been inspected for^ compliance with i
the Lttate of Oregon SF►ecial.ty Codes fat-, the gr Gr r, occu nc.
whictl "le r�et'er�encud permit wag issued. i• 1 p Ye and use under
BUILDINLa I
BUILDING OF' '. ICIAL
POST IN CONSPICUOUS PLACE �
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CITY OF TIGARD BUILDING INSPECTION NOTICE _
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL: '
Foundation Water Line Ceiling -Plumb,
Post/Beam Mech. Shear/Sheath Framing ec
PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect
Post/Beam Struct. Mech. Rough in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
- Date: A.M. —�P.M, Entry: �.
r Address: 2
Tenant: Ste: _ MST: TS d 3ZL
BUP:
Con/Own:— — — MEC:
PLM:
ELC: —
THELLOWING CGRRECTIONS APS REQUIRED: ELR:
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Inspector: _ Date:
(!APPROVED �_DISAPPROVED/CALL FOR REINSP. CF
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j CITY OF TIGARD BUsLDING INSPECTION NOTICE
i Inspection Line: 635-4175 Business Phone: 639-4171 ��
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling I y�rJ� p �1
1
Post/Beam Mech Shear/Sheath Framing v
ec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in uyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: �1— Z d 6 A.M. P.M. Entry:
Address: 3G1/i 2— S C.0
Tenant: -_ _ Ste: MST:
BLIP:
Con/Own:— �--'=q 5 L Z3 MEC:
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PLM:
Q�Com►' e-VkK to �t ag A-ate t, ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: --- -- Date: ( �G
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
4171
Inspection Line: 639-4175 Business Phone: 639
Footing Rain Drain Cover/Service
FINAL: r �i1arInr'r'`
Fourtlation Water Line Ceiling -Plumb. +, 4
Post/Be im Mech. Shear/Sheath Framing -Mech l��!
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date. _._ A.M. P.M. Entry:—
K `1 Address:
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Tenant: _ Ste:— MST:
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Co w _'=r—�..�— -- MEC:
PLM:
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THE FOLLOWING
OR EC1f0fl�ARE REQUIRED: ELR:
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APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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MECHANICAL
CITY OF TIGARD PERMIT
F�ERMIT #. . hiE:C�.ib-•0c:34
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUF_.C,�:� 07/30/96
13125 BW Hall Blvd.Tigard,Oregon 87223.8108 (503)838-4171 r.
PnRCEL: 2S 1040A--04 600
SITE ADDRESS. . . : 113902 SW MARCTA DR
SUBDIVISION. . . . : CASTLE HILL #2 ZONING: R-12 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . • . :079
s
CLASS OF WORK. . :ADD FI._flOR FURN. . . . : 0 E"VAi ' COOLERS: 0
TYPE OF' USE. . . . :SF UNIT` HEATERS. . : 0 VENT FANS. . . : 0
OCf.;UPANCY GRP. . :R3 VENTS W/O APPI_. 0 VENT- SYSTEMS: 0 ti
I
S.IORI ES. . , 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL TYP'..S-.----_. - 0--3 HP. . . . 0 DOMES. INCIN: III j
3--15 HP. . . . : 'C COMML. I NC:I N: 0
MAX INPUT: Q BTU t5-,30 HP. . . . : 0 REPAIR UNITS: 0 1
F IRE DAMPERS?. . : 30-50 HP. . Q, WOODSTOVES. . : 0
CTAS 11. RESSURE. . . : 50+ HES. . . . : 0 (_LO DRYERS. 0
NO. OF UN I"l'S---..__.---._ _ AIR HANDLING UPI I TC; OTHER UNITS. : 0 ¢
F URPI ( 1001.4 BTU: 0 (- 1.00470 c f m: 1. GO S OUTLETS. : ih
"URN > =:100K BTU. 0 > 10000 cf m : 0
Remar•I,s : Installing ons air- handling ;_snit to 1.0, 17100 CF]YI.
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Owner: _.____._._..---_.___.._____.___..._._.__.__._...__._...._._.______-__.__....__._.._..-__...__._._....._ FEES
WENDY ROSE type amoi.tnt by date recpt
13902 SW MARCIA DR F'RMT $ 25. 00 CJS 07!30/96 96-2822'87
3PCT E 1. 25 CJS 07/30/96 96--282j'87
TIGARD OR 97223
Phone #:
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UNIVERSAL [AEATING & A/C
4435 SE 25TH AVE.
1 ;
PORTLAND OR 97204 ____..______._______.__.____ ____. _.._.._._._.---__
F11-ione #: ;--132-1944 E `6. 2-5 TOTAL
i Reg ft. . : 01.:031
t
REQUIRED INSPECTIONS
1 This permit is issued subject to the rrgulations contained in the Mechanical Insp
j Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _.... __ _.• _�.�_._..
applicable laws. All work will be done in accordance with
approved plans, This permit will expiry if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
E e r m i t t e e
Issi-ted By :
Call for inspec-tion — 639--4175
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City of Tigard MECHANICAL_ PERMIT Planck/Rec. # uj
13125 SW Hall Blvd. APPLICATION Permit # 016C9E--c)a3y
PO Box 23397
Tigard, OR 97223
(503) 639-4171
"^• w0 ascription
Table 3A Mechanical Code CITY PRICE AMT
Job M(:),A I t R C ( �� 1) Permit Fee 0• -0• 10.00
Address �—
q' to Taj 2) Supplemental Permit 3.00
ND—".1 .
Jurnace to
1 J
,J L / incl.ducts 8 vents 6.00
.6 I Furnsce 100,000 +
OwnerLcj s .-13'T 2) incl.ducts 8 vents 7.50
" Floor Fumance
3) incl. vent 6.00
°^• ^'^^^•° •� utipe�ooter,well heater
4) or floor mounted heater 6.00
^pVent not incl, in
Occupant (�y l l - � 5) appliance permit 3.00
o Repair of heating,re ng.
6) cooling,absorption unit 6.00 f
Boiler or comp,hump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
"a •... l t �— Boiler or comp,heat pump,air cond.
Contractor -� , �l 8) 3-15 HP absorp unit to 500K BTU 11.00
//41i1 .� (I Boiler or comp, eat pump,air con .
Vf L t� q / � 9) 15-30 HP absorp unit.5.1 mil BTU 15.00
"'• "00 °RN. Boiler or comp,heat pump,air cond.
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
ere y ac o+v ge that I have read this application,t atatT Boiler or camp,heat pump, ond.
information given is correct, that I am die owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State n handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4,50
that the number given is correct. (If exempt from State registration, '— i� ing unit
please give reason below.) r3) 10,000 CTM+ 7.60
Non porta e
14) evaporate cooler 450
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) O,icluded in appliance permit 4.50
1
.,qn••••mvnw or q•n '' f-1r0 Serve y
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17) mechanical exhaust 4.50
Describe work new addition JsT alteration repair j Commercialor industrial
to be done residential G non-residential(D 18) type incinerator 30.00
Existing use o –0-t Fier i.e.,woodslove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Type of fuel-oil Q natural gas Q LPG Q electric,Q --
NOTICE—
Minimum
CMinimum Fee$25 00 SUB-OTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR S%SURCHARGE I. 2!)
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. -- —
TOTAL .^�t
Special Conditions
i —
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Date issued '� by _—
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CITY OF TIGARD 17F1TF l I SSUEDL C07/3/9�,
CQMMUNII Y DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.6109 (503)632.4171 PARCEL.- ;wa 104BA-0460vi
5I T'E Ai:i.' .
3UBDIVISIUN. . . . s CAbILL HILL. #L ZONING:R--12, PD
6L.C)CK. . e 1_.0'1.. . . . . . . . . . . . . :0'7,]
I' rojectDescription: Installing ona branch circuit.
. REaIDE1VTIAL. UNIT'___.-_ .--_.TEMP SRVC/f=E;EDC.RS—:__... _._..,._...MISCO!LPNEOUS_.---_.__
1.000 SF. OR LESS. . . . : 0 0 -- 2100 .imp. . . . . . . : 0 PUMP/ .[RRIUATTONI. . . . : 0
r=AC q ADD' L 00SF. . . : 0 201 -- 400 amp. . . . . . . : N SIGN/OUT L-INE: LTG. , 0
i...IMITE:D ENERGY. . . . .. : 0 401 — 600 amp. . . . . . . . 0 SIGNAL_/pANEi_. . . . . . . e 0
MANE. HM/ SVC/F'DR. . s 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10i . . . 0
1.-]RANCH CIRCUITS-_..___.... ___litiZ)' L :(NL=i!''F. CTIONS.. -.._
4ti 2100 amp. . . . . . : 0 W/SERVICE OR FEEDER, 0 PER INSPECTION. . . . . : 0
01 — 400 amp. . . . . . : 0 Is W/O 7RVC OR FDR. . 1 IDER HOUR. . . . . . . . . . . : 0
401 -- 600 amp. . . . . . : 0 CA ADD' L BRNCH CIRL:: 0 IN PLANT.. . . . . . . . . . . : 0
;;01 _ '10011) <amp. . . . . : 0 REVIEW SECT ION_....
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) 600 VOI..I" NOMINAL. . :
Reconnect only. . . . . . 0 5VC/I=DR AMF=',G. . : CL.AGS AREA/SI 'EC UCC:. :
)wne•r,. _._.___._.,.._.__._,._____._. ---._____._... _._____._ . ._.. __._...._..... ___._._...__. FEES
WENDY ROSE:. type ramal_tnt b>, rd-Ate r^Pcpt
:1.39021 SW MARCIA DR F'RMT t 35. 00 CJS 07/23/96 96-2131768
5PC,T 4 1. '7,;, CJS 07/2,3/96 96-281768
I IGORD OR 9-122:3
-'hone #:
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(.:ontr^actor.
3
I RF E UL T R i u 8 '5E+. `75 Tf)T'AI__
5460 BE FARAD I S:3[ LN
_..,_.__.._ REQUIRED INSPECTIONS -- --
1•1ULANO OR 97042 WaA11 Cavet- F:1eCC '
,hone #.- 503-829--4146 Llect' l c5et,vice?
'%eg #. . „ 101043
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This perait is issued Subject to the regulations contained in the _.,...._._,_......_......__.__._._..... _.._.._____._._...... _.._._ ..__ _ ;
igard Municipal Cade, State of Ore. Specialty Codes and all other Per-mittee Signaturs �
applicable laps, All work will be done in accordance with
approved plans. This perait will expire if work is not star+ed
within 138 days of issuance, or if work is suspended for sure
hap 188 days. I ssi.ted 1_+y
. ."
the installation is being made on proper-ty I own whir:h it not intenderd for
-gale, lease, or- )-ant .
1AWNER' Sa SIGNA"IURE: I107E
-(-01\17 RAC I"DR I IVS,TAL.I..AT I ON Ohal_.Y--._.._
16NATURE OF S.aUPR. ELECT N: IYMa.,le& DAT'F= 3P6
ICE-.NSE NC1 4
Call Far inspection - 62391 41-75 4
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Community Development ELECTRICAL PERMIT APPLICATION tr
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # EX(Le -OUr 3 _
Date Issued
Phone (503) 639-4171 '
CIT! Of TIOAttD FAX (503) 684-7297
TDD No. (503) 634-2772
y
Inspection (503) 639-4175
1. Job Address: VV eriAj r(-t)S Ee 4. Complete Fee Schedule Below: M
Name of _ 1 Development- Q " j l�V �4 re 1 L Number of Ins
p I 2
pectlons per permit allowed
Address h r Service included: Items Cost(ea) Sum
City/State/Zip___ -�l'} KCL L1 Z L �1 4a. Residential -per unit
l 1000 sq It or less $11000 _ 4
Name (or name of business) Each additional 500 sq it or
pr,rllon thereof $25.00
Commercial El Residential Lirpted Energy �— $2500 1
Er ch Manuf'd Homo or Modular --
Dwelling Service or Feeder $44.00 2
2a. Contractor installation only:
4b. Services or Feeders
- ' -� Installation, bon,or relocation
Electrical Contractor Lill or le
200 amps or less $00.00 2
Address_" �. j(0 �, - 201 amps to 400 amps $8000 2
City AAInt ,r State Zip �_ 401 amps to 600 amps $12000 i
Phone No. __ _ 601 amps to 1000 amps -� $140.00
Over 1000 amps or volts $340.00 2
Job NO Recoi iect only $50.00 2
contractor's license NO. _
4c. 'temporary Services or Feeders
Contractor's Board Reg. No. (� ` Installation,alteration,or relocation
Signature of Supr. Elec'n 200 amps or lecs 2
—_ 1 amps to 400 amps $50 00 2
License No. hone No. 20
� c� /. _
TTTY 401 ernes to 600 amps $7500 2
Over 600 amps to 1000 volts $100.00 -
2b. For owner installations: gee"b"above
4d. Branch Circuits
Print Owner's Name _ New,alteration or extension per pane
Address _ a)The tee for branch circuits with
City.----- _ State Zip- purchase of service or feeder roe. 2
Phone NU. — Each branch circuit $500 —
_ __ __ b)The fee for branch circuits without i
The installation is being made on property I own which is purchase of service or feeder lee. 2
not intended for sale, lease or rent. First branch circrut $3500 - 3� 2
Each additional branch circuit $5W
Owner's Signature _ 4o. Miscellaneous
(Service or feeder not included) 2
3. Each pump or litigation circle _ $4000 2
Plan Review section �IIt required): Each
sign or outline lighting $4000
Signal circuil(s)or a limited energy - 2
Please check appropriate item and enter fee In section 5B. panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) _ $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N F C Chapter 5 Per In<pection $3500
Per hour $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temoorary construction services. 5. Fees: 7
NOTICE 5a. Enter total of above fees $
5%Surcharge 105 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ -�
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of tine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED mn°meev.i.r I_ Trust Account 0
r,n nnr $
Balance Due
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NAME ORt= Frt(.FC'JRTC I Stfill AIVICIUNI (ll. 00 �
F`�I1')FtF Ei: R
M480 480 h VIARAD J:3F.. i_.N Pa a v MI'N T A)14 I F: Its 1 r r' 96
MUL.,T IVU OR c-i Hit)F,V IS X LIN z
1=l(IRVICIESE OF PAYPIV N'T ;IPII ION IPP .1! OF: I-lH Y IYIF:I4 1 FIPIO(JIA J PI-111)
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 °I
Footing Rain Drain Cover/Service FINAL: "$
Foundation Water Line Ceiling Plumb.
Post/Beam Mech, Shear/Sheath Framing CVecTo} G .
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct ech. Rough f/ Gyp, Bd. Bldg. 4 }
{2 i,r
San. Sewer G s�fne Appr/Sdwlk Reins. ��� `
a ti�
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Other, y!
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Date: A.M. P.M. Entry: 4�'`�` `
r Address:
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Tenant:_�---_—�._----_-`_-- Ste: MST:
Con/Own:.L_tIA�`�- — MEC:
f ^ _ � PLM:
ELC:
THE FOLL WING CORRECTIONS ARE REQUIRE[',: ELR:
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Inspector: Date:
_APPROVED XDISAPPROVED/CALL FOR REINSP. CF CO C,
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CITY OF TIGARD BUILDING INSPECTION NOTICE '
Inspection Line: 639-4175 Business Phone: 639-4171 �a1'
Footing Rain Drain Cover/Service FINAL: P11
Foundation Water Line Ceiling -Plu q y N
Post/Beam Mach. Shear/Sheath Framing -Mach
I Plbg.Und/Flr/Slat Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
j San. Sewer Gas Line Appr/Sdwlk Reins. Y1�I�_"+�f
1 �•
t Other: C C( e r!�tecl�. a �� Xeel4 le ie 1rne
ii .fJC� t rel'ai,•�",
Date:. "? A.M M. Entry: f6'�;% ' ," ;'�
Address: I �� D 5-,1&) /t�41te {tel Fr ,
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Tenant: _Ste:. MS ,
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PLM: _ urs
THE FOLLOWING CORR(CTIONSARE REQUIRED: ELR: o/.�
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_.APPROVED DISAPPROVED/CALL FOR REINSP. CF CO �.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 41'1
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Inspection:
ootin Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
-�
Foundation Plbg. Undersla'o Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line (1Tg
Plbg. Underfloor Rain Drain •Frami_g -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: / i 1�',`, Time: AM PM
J Address: i'� %- �. .0 f Ct Ii "�1. ag it
Builder:_ `7 c� _ �( �; .S� Permit#:
THE,.FOLLOWING CORRECTIONS ARE REQUIRED:
`�'�I�w�-) t.�S �1Z_��JLf 271'�- �►-� I
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`APPROVED _DISAPPROVED &PPROVED SUBJECT TO ABOVE a")
_Call For Reinsp.
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CI-TY OF TIGARDMASTER PERMIT
5 r-f-RMI-r I#. . . . . . . : MST95-17.1322
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/05/95
+ 13126 SW Hall Blvd.Tigard,Onpon 07223.6199 (503)639-4171
FIARCEL..: 2S 104BA--04600
SITE ADDRESS. . . s 1390 : SW MARCIA DR
SUBDIVISION. . . . : CASTLE MILL. #2 ZONING: R- 12 PD r.
13LOC:K. . . . . . . . . . s LOT. . . . . . . . . . . . . :079
__.__.___________..._.-._._________..._.__._.. BUILDING
RE I SSUE: DWELLING UNITS,0 BASEMENT. . . . . . . . :0 s f
GLASS OF WORK. :ADD BEDRMS:0 BATHSsO GARAGE. . . . . . . . . . :0 s
TYPE' OF USEE. . . :SF FLOOR AREAS - —--- — — REOU T RED SETBACKS--.-- -- -.-,_.
-rYr,E OF' CONST. :5N FIRST. . . . -352 s f LEFT. . :8 ft RIGHT. :9 f
OCCUPANCY GRP. :R3 SECOND. . . :0 s f F"PONT. :":0 ft REAR. . :45 f'"t R `w
STORIES. . . . . . . : 1 FINLISMENT:O Sf RE.OUIRED---_._._____._-.._.___.-___. 1„+;;,�•'
HE I G'HT. . . . . . . . . 3 ft TOTAL - :352. S f SMOKE DETECTORG. :Y °,;'''i•
PLOOR LOAD. . . . .6o psf VALUE. . , , „ • : 1760 PARKING SPACES. . s 1
Remarks s ADDING A DECK .352 SO FT
w_••..__.____ ..___._._------_ ._...___.__.__.. .__. PLUMBING
,INKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 SACKFLOW PREVNTR5. . :+T
LAVATORIES. . . . , :0 WATER HEATERS. . . -.0 TRAP'S. . . . . . . . . . . . . . .0
1_UN/SHOWf_-:RS. . . . .0 LAUNDRY TRAYS. . . 10 CATCH BASIN 2„ . . . . . . a14)
WATER CLOSE='r5. . :0 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . , :0
DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER FI XTURES. . . . . ;4
GARBAGE DISP. . . .0 RAIN DRAIN (ft) . s0
WASHING MAC[—". . . :0 SF RAIN DRAINS. . :0
MECHANICAL FEES
t FUE:L.. TYPES.____-_-___.__._ UNIT HTRS. . :0 type ainol-int by date v,e!cpt
VE=NTS . . . . . :0 BPRT $ 29. 50 D -.19/05/93 95-270172
MAX INPU7:0 BTU VENT FANS. . -0 BPI_.- $ 19. 13 130+ J8/14/95 95•-i-R69337
TURN ( 100K . . -0 HOODci. . . . . . .0 BSPC $ 1. 48 S OS/05/95 95--870170:
F-URN ) =100K . . :0 WOODSTOVES. r 0
FLOOR FURN. . . . :0 CLO DRYERS. : 0
ROIL/CMP ( 31.1p:O OTHER UNITS:0
GAS OUTLETS:O
,
----
MARK ROSE
201i2l SE STARK, :,T
SUITE 148
t PORTLOND OR 97223
Phorne #: 661 - 1734
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(.:1WNER .`,
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__ . 50. 16 TOTAL_
'his perait is issued subje_t to the regulations contained in the ___ REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing I n s p
Applicable laws. All work will be done in accordance with approved Foundation InSp
plans. This perait will e+oire if work is not started within 188 Fr-amir•rg Insp
days of issuance, or if work is suspender+ fc- :ore tri, 198 days. B+.1 i 1 d i n g F”i na 1
F.r`Osian Contr-al
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Residential Building Permit Application
City of Tigard
13925 SW Hall Blvd.
Tigard, OR 97223
(503) 6:39-4171
JobsiteAddress: IY\CQ
\ �� – Lot# L��_ Office Use Oniv
Subdivision: � � � �\�
Valuation: " o Contact Date / / Initials
1 � — Result
New Construction1 Only: (Square Footage) Planck/Rec # t_��C
\� Garage: _
House: Permit #Reissue of
Corner Lot? Y Flag Lot? Y DN Zo pe& TL#Z
Owner: �. � Plat # I -3,5_
hs�`�
Address: �O\a\ � t k`�c \�y Approvals Required
NAov� ) ��-;� Planning Setbacks Solar VA
Engineering
Phone: to Other
Contractor: �
Items Re wired
Address:
Subcontractors
�_:Cis� �. , s� :C,�1 Truss Details I
Other
Phone:
Notes
Contractor's License #
(attach covy of current Oregon license)
Contact Name:
Contact Phone:
Subcontractors: Arch itect/Engineer: N l
Plumbing: _ \ Address:
Mechanical: NA f\
(attach copy of current OR Contractor's License)
Phone: ( )
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JOB DESCRIPTION:
Applicant Signatufp , Applicant Phone number
Received by: Date Received: i
N Unp1\ybVnpp
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Permit S Account Description Amount Amt. Pd. Bal. Due ,
5� 2 t c Z Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech: _
Flan Check (PLANCK) <" 75� �
Bldg: r, !
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)
i
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/Cv i (EROSN) -
TOTALS: Z� �f
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Permit#: SSS
Address: °io Z-- f?C0 (vkA-kC
Issued by:t.!� �-�_ Date:
,
Statement: Information Notice to Property Owners
About Construction Responsibilities f
Note: Oregon Law, ORS 701,055(4), requires residential construction permit appli-
cants who are not registered with the Construction Cemtractors Board to sign the ! '
follc,ving statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
y need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, wid either box 3A or 38:
1. 1 own, reside in, or will reside in the completed structure.
,2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
F] 3A. My general contractor is
(Name) Contractor regis, #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
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B. 1 will be my own general contractor
if i hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. if I change my mind and hire a general contractor, 1 will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information Is correct and that i have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
nature of permit applicant) (Date)
(White cope to issuing agency pernrit file,
pink cropy to applicant)
s
Information Notice to Property Owners
c About Construction Responsibilities
Note: This Information Notice to Property Owners about Construction Responsibilitie,c
it as developed by the Construction Contractors Board in aceordanre with ORS 701.055(5).
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persr ns not registered with the Construction Contractors Board to do labor in constructing or assisting in the
constriction or improvement of a residential structure,you will,in most instances,be ruled to be an employer and the people
you hire will be employees. As the employer,you must comply with the following:
Oregon's withholding tax law: Asan employer,you must withhold income taxes from employee wages at the time employees
are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more
information,call the Oregon Dept.of Revenue at 945-8091.
Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the
wages of all cinployees. For more information,call the Oregon Employment Division at the Department of Human Resources a�
at 378-3524.
Workers'compensation insurance: As an employer,you are subject to the Oregon Workers'Compensation Law,and must
obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may
he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job, For more.information, `
call tine Workers'Compensation Divv ion at the Department of Consumer and Business Services at 945-7888.
I1.S. Internal Revenue Service: As an employer,you must withhold federal income tax from employees'wages. You will be
I iable for the ts.x payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service
at 1-500-829-1040, a
h
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Vode compliance: As the perrril holder for this project,you are responsible for resolving any failure to meet code requirements
i ) 1 may be brought to your attention through inspections. ;.
r
Liability and property damage insurance: Contactvour insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire,or work that must be
re-done.
time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the,-xpetiise to act as,your own general contractor,Inc oordi nate the work of rough-in and finish
trades,and in notify hiiilding officials it the appropriate times so they can perfin,:- the required inspections.
If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-50.52,
51)31378-4621) The Board is located at 700 Summer St. NE Suite 300, in Salem. j
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LIABILITY: The City of Tigard, Oregon, or it's FRopwq VuG
employees, shall not ,be responsible for r�
f, discrepancys which may—VPea4erem
'a AP ROVED FOP CONSTRUCTION _----�`
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Site Description: You selected a 60 Ptf live load and a 36" deep ?n-Ground 011t foundation.
Support Structure: You selel:ted a Treated Hem-Fir structure.
You selected a height o f 30" f r'„111 t}Te top o f de% k i nU tc level ground (
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HOMEBASE - Portland
Prices Exclude Special Order
DECK MATERIALS PACKAGE
Component Quantity Lumber
---------------------------------------------------------------------------••--------------------
Post 2 8' - 44 #2 & Btr Treated Hem-Fir
Beam 6 12' - ,4xfi #2 & Btr Treated Hem-Fir q fir,
Joist 8 12' - 2x8 #2 & Btr Treated Hem-Fir
Joist 6 16' - 2.x8 #2 & Btr Treated Hem-Fir
Ledger 1 12' - 2x8 #2 & Btr Treated Hem-Fir
Ledger 1 16' - 2x8 #2 & Btr Treated Hem-Fir
Decking 26 8' - 2x6 #2 & Btr Cedar
Decking 9 12' 2x6 #2 & Btr Cedar
Decking 26 16' - 2x6 #2 & Btr Cedar
Biockinq - Railing 1 12' - 2x8 #2 & Btr Treated Hem-Fir
Bridging 1 12' - 2x8 #2 & Btr Treated Hem-Fir
Bracing 1 8' - 2x6 #2 & Btr Treated Hem-Fir
Bracing 2 8' - 4x4 #2 & Btr Treated Hem-Fir
Stair Stringer 1 16' - 2x12 #2 & Btr Treated Hem-Fir
Stair Tread 4 8' - 2x6 #2 & Btr Cedar
Railing Post 7 8' - 4x4 #2 & Btr Cedar }}
Railing Top 8 8' - Option E #2 & Btr Cedar Top Rail
Railing Bottom 7 8' - Option E #2 & Btr Cedar Bottom Rail
Railing Baluster 137 Option E #2 & Btr Cedar Baluster
Lattice 4 Option B 4'x8' Cedar Lattice
Lattice Cap 12 8' - 1x2 Cedar Lattice Cap
----•-------------_.---------------•---------------------------------------------------------------
Component Quantity Other Materials '
----------------------------------------------------
Foundation Concrete 1800 lbs Premix Concrete
Foundation Bracket 5 Galv. Post Bracket with Anchor
Beam Bolt 22 1/2"x8" Galv. Bolt
Beam Bolt Hardware 44 1/2" Galv. Washer
Beam Bolt Hardware 22 1/2" Galv. Nut
Joist Hanger 14 2x Galv. Joist Hanqer
Ledger Screw 23 1/2"x7" Galy. Lag Screw ?;
Ledger Screw Hardware 23 1/2" Galv. Washer
Brace Angle 8 16 Gauge 5" Galv. Framing Angle b`
Brace Screw 6 1/2"x7" Galv. Laq Screw '
Brace Screw Hardware 6 1/2" Galv. Washer `;1
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Stair Strap 6 16 Gauge 1"x18" Galv. Tie Strap 1;
Railing Bolt 28 1/2"0" Galv. Bolts
Railing Bolt Hardware 56 1/2" Galv. Washer
Railing Bolt Hardware 28 1/2" Galv. Nut
Nails 14 lbs 16d Galv. Nails
Nails 21 lbs 12d Galv. Nails ^
Nails 4 lbs 8d Galv. Nails
Nails 3 lbs Galv. Hanger Nails
--•-------..--.-----------------------.--__...-'-------------------_..-..-_--_.-.------------------------..- ,.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-inFINAL i
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing lumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. CShear Wall/C _ Gyp. Bd. -Elect.
Date Requesstte(d:: Zs Time: AM —_PM
Address:
Builder: Permit #: C1 C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto(:��! �/y' �--- Date:
APPROVED _DISAPPR VED APPROVED SUBJECT TO ABOVE
�L'all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underclab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp, Bd. rec�,
Date Requested: -1 < < l l_Time: AM PM
Address: �-G` �--
BuilderC_J Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ��-(�� C Date: ? r l
.!'}kPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
}
_Call For Reinsp. r
Np« i x1` prl, nan +a ry !;fie�(n"FAA1v MY WWI ' a"N1V�rr
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
i
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line dg.
Plbg. Underfloor Rain Drain Taming -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd, -Elect.
Date Requested: !� -7,A � � Time: AM PM
Address: 1� O Vv\�'6-r c 1 Z. _
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED-
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Inspector: �' — Date:.Jf
lJ�'IIRPROVED DISAPPROVED —APPROVED SUBJECT TO ABOVE
!�� —Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE �
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL-
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing I 'm
Alarm Water Line Insulation �'►���,„
Underflr. Insul. Shear Wall Gyp. Bd. -EI t
Date Requested: I Time: AM PM
Address: `;'
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ]
Qv,,j Q Q—r C U-1-.
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Inspector: Da1e. i C(�—
_APPROVED r kSAPPROVED _APPROVED SUBJECT TO ABOVE
? all For Reinsp. 6
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CITY OF Tz(:'Pr)Fil) RECEIPT OF PAYMENT ReCV.1VIT NO. 14337
CHFCK AMOUNT c 1 fs,. re,69
.17824 SE ALDF R PAYMENT n(11T, 08114✓9 5 I
PORTLAND, OR 81ADIVISION
9—rP?33—
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rrl.i{POSE: f)r- PAYMF'NT AMOUNT V.,P I F) PUFM043F. OF raAYMF:NT AMOUNT PA 11)
13902 AW MAP' ! 1 DR. 8-49C
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 l
Inspection: —
Rough-in rink. ppr/Sd' Ik t i
Footing Susp. Ceiling S P
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect
Date Requested: � )1-4 I ` Time: AM PM
Address:
�� I j '
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REOI"Rln:
Inspe:tor: Dc:te:
_Ai'DROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rf .-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Merh.
Underflr. Irsul. Shear Wall Gyp ` -Elect.
Date Requested: _71�G �� —TimeXAM PM
Address: /.
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—
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Inspector: LA–A–/ Date: U rr
_APPROVED _DISAPPROVED (ROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE Al
Insr'xtion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in 10 Appr/Sdwlk
Foundation Plbg, Underslabech. Rough Fireplace
Post/Beam Struct. Plbg. Top Out Eiec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line ` -Bldg.
Plbg. Underfloor Rain Drain rramirt -Plumb. "
Alarm Water Lineleg atio -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested:__---I –' CA -IS Time: AM PM
Address: ��10 �� V�Ir--� ZA, _—
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v\,�
,
Inspector: ✓�' �-- Date:
_APPROVED _DISAPPROVED �/24PPROVED SUBJd TO ABOVE ( y
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-(` Phone): 639 4175 Business Phone: 639.4171 Q/
Inspection:
Footing Susp. Ceiling Sprink. Rough-in / Appr/Sdwlk
Foundation Plbg. Underslab 4iGle`cFi. Roygl n Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain CFram•m Plurnb.
Alarm Water Line his_ io -- Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
^'
qtr Date Requested: 4 �' Time: AM PM
Address:
Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J _
ci
U �—
Inspector: Date:
APPROVED 26ISAPPROVED _APPROVED SUBJECT TO ABOVE
- y .4�I1 For Reinsp.
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CITY OF TIRARD - RFCE IPT OP PAYMF'N7
IVraMF� RE:C'E:IF'T NO.
o DON MORI G aF_TTE HOMES .INC CHECK AMOUNT �
f l')1JFt[= CASH AMOUNT ���" 00
A a1. 00
5000 SW MEADOWS RD STE: 151 PnYMFNT DATE: o o7/pal6/9�r
L Fal<F: OSWt`_UCi OR 97'r^.arc'». Ei1 SAD I V I S 10N �
►:at_)F7F�C1! F., OF- PAyME.N'T AMf.]11NT DFI I D � .
_ PUR OSr,". f]F PAYMENT
MIk'Er1..I_ANE:C.11.1f�... ._—.__ ». ._ »..._. .� .. AMOUNT PAID
1`5. 0�
7.2
(RETNSPECTION FEC MST95-•"0o6o
7 D f Fel- AMOUNT Frit I F�
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CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
S rink. Rou '-in Appr/Sdwlk
Footing Susp. Ceiling p �
Foundation Plbg. Underslab Mach. Rough-' Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San, Sewer Gas Line / -Bldg
Plbg. Underfloor Rain Drain Framin -Plumb.
Alarm Water Line Mech.
Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:__ C> Time: AM PM
i
I
✓tw Address: / �C' �1
f ' Permit #: �'C`�t '
r +iBuilder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
rSA
Cl � - - '
_�,�Rte"y Ti.J�S • —
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Inspector:
I
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE 1
I
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:--AM PM
Address: (�
Budder: Permit #: `'t C b b`/
p C
THE FOLLOWING CORRECTIONS ARE REQUIRED: Ir? , 'Z
c� _-�—t,, -✓ ��-v�.,-- --� lam'-z,l,�,
Inspector: �r��/�/>L Date: f
—APPROVED nDISAPPROVED ,APPROVED SUBJECT TO ABOVE
/� ///���� L/all For Reinsp.
'1
CITY OF TIGARD BUILDING INSPECTION NOTICE
~' Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I ,
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plhg. Underslab <j ech. —�_1 Fireplace
Post/Beam Struct. Plbg, Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain 573[ , -Plum'j.
Alarm Water LineInsulation -Mech.
T
Undeiilr. Insul. Shear W�all / Gyp. Bd. -Elect.
Date Requested: r �l ( `1 _Time: AM PM
Address: ---
Builder: Permit #: 7 C "C-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
U, - V - '-1 OA-0 '
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701
Inspector: Dater
1r' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
j
Inspd'ction Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 i I
Inspection: ■
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underllr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: (—
Builder: Permit tl "t ) �U
THE FOLLOWING CORRECTIONS ANE REQUIRED: –2
/�_I `� L--l/'�---✓�-fr' L--,/�_C.,,-G..� T�lam✓`� '
Inspector-
L.'l/ - Dater
__APPROVFD kDISAPPROVED —APPROVED SUBJECT TO ABOVE
For Reinsp.
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" CITY OF TIGARD BUILDING INSPECTION NOTICE
ion Line Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:_
Sus Ceiling Sprink. Rough in Appr/Sdwlk s.k
Footing P• � 9 .�� �
Foundation Plbg. Underslab ech. Rough m Fireplace ,4
Post/Beam Struct. Plbg. Top Out �f Elec. ough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bkdg.
Plbg. Underfloor Rain Drainaming -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Reya^,ted:_
_qjv `1- Time: AM _XPM
/'� ,
Address: � �
����a "
Builder: ___Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
=�--�
t11
'77
mss L --.- -
�1 5 `"L 0 v
Ins ector. �---�^ Date: Z
APPROVED )SpISAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp. �)
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phcne): 639-4175 Business Phone: 639 417�I'
i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace a'+
Post/Beam Struct. Ibg. Top O Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Flumb.
Alarm Water line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elfct. ,
Date Requested: 1� �j �� Time: AM ���PM
Address: 39. 0 ZBuilder: Permit #: l s ` GC)(�<)
THE FOLLOWING CORRECTIONS ARE KOUIRED:
7 -
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Inspector: Date:
I Cr,L—APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspections Line (Rec/O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undedlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 7- Time: AM PM
Address:-_/? Ccs ��� ':
��--
Builder: _-- � � � Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector ' L Date:
/PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
� 1
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
InspAtion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Q
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer /Gas Line -Bldg. *r
Plbg. Underfloor Rain Drain 'Framing -Plumb. "
Alarm Water Line Insulation -Merh.
Underflr. Insul. Shear Wa Gyp. Bd. -Elect.
Date Requested; Cs c. Time: AM PM t I�
Address:_ \CU A-C
Builder: Permit #: r-i'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
JA
Inspector._ — Date: S�
_APPROVED _DISAPPROVED "ROVED SUBJECT TO ABOVE
_Call For Reins,n.
7
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CITY OF T I GARD _ RE:rF I PT OF PAYMENT RECEIPT NO. 19"5--P67141A
nlralaF; a DON MOR IgF1'TH 4jrJMf.S CHECK AMOUNT a 4:5. 00
CASH AMOUNT a 0. 00
f-lU1�RF�Ea
5000 SW hlf�F�i)C)WEr RD ,�Y'f' 1 al PAYMENT DATE �IG1�:�'�/9�
LAKE OSWEGO, OR
97035-- SUBDIVISION a
ptJRPOSr OF PAYMENT AMOUNT PACO) PURPOSE.. OF PAYMC NTI
AMCII.iN T F''A I IJ I
30. 00
1'190 A I
'W MARC I A - MST95) -vc'860 RE—'INSPECT FEE
1,af� 1SW NC)NTHVIEW P1�;195-010@1 RF:—INSPECT FEF'
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AMOUNT .F='A I!.1
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CITY OF TIGARD BUILDING INSPECTION NOl'ICE e
Inspection Line (Rec-O-Phoiie): 639-4175 Business Phone: 639-41 1
Inspection:_ _ --
Footing Susp. Ceiling Sprink. Rough-in Appr/S(Iwlk
Foundation Plbg. Underslab Mech. Flough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL-
Post/Beam Mech. San. Sewer as Line ) ��-� -Bldg.
Plbg. Underfloor Rain Drain Framing -Plum'.
Alarm Water Line Insulation -Mech.
Under-11r. Insul. Shear Wall Gyp. Bd. -Elec',.
Date Requested: —Ccs Z Lw) 1. ri 5 Time: AM —_PM
Address: ��C� _ I Aj
Builder: Permit M: 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector/ " / -4, Date:E,"`/ G '
_APPROVED _DISAPPROVED / APPROVED SUBJECT TO ABOVE
Call For Reinsp
.6J
4
WASHINGTON COUNTY RESTRICTED
of Land Use&Transportation
Electrical Inspection Section ELECTRICAL ENERGY
155 North First Avenue 1!350-12
Hillsboro, Oregon 97124
APPLICATION
Information: (503)840-3470 Fax: (603)693-"12
PRINTPLEASE
Please complete all sections, 1 through 5. Permit No. L p_ q5 _ Q0 15,
1. Location of Installation Date
Address ���
city- A� zip,:.ode 11 _���_ 4. Type of work:
Map No. Tax Lot RESIDENTIAL Restricted Energy Fee $40,00
(for all systema)
Thomas Map Book: Page _ Section _
Check type of work Involved:
Directions
Audio and Stereo Systems"
Commercial ❑ Residential ❑ Burglar Alarm
Telephone Systems'
Tenant Name Garage Door Opener*
(if commercial) Fire Alarm
Heating,Ventilation and Air Conditioning Systems'
2. Contractor application: Vacuum Systems* '',°
Other
Electrical Contra( — -----�
Address -- COMMERCIAL Fee for each system $40.00
City _ State---- Zip (see OAR 419-260-260)
Date Job Number _ Y
Property Owner Check type of work Involved:
_
Contractor's License No. _
Contractor's Board Reg. No, _ Boiler Controio
Phone No. Clock Systems
—�+ Data Telecommunications Installations
3. Owner a Ilcatlon: Fire Alarm Installation
' Y _�—� HVAC
`�.-.E, �,- � Instrumentation
Print Owner's e. Pone No. Intercom and Paging System
��_ �- .X `�(� -\r~ i Landscape Irrigation Control'
Atldre s Medical
Nurse Calls
''ty state 7jp Outdcor Landscape Lighting'
This permit Is Issued under OAR 91e-320-370. Tho applicant agree.. Protective Signaling
to make only restricted energy Installations(too volt amps or less) Other Y_
( under this permit and to do the following: — --
1. Only use electrical licensed persons to do Installations where
required. (Certain residential and other trensectlons are exempt Number of Systems
from licensing. These have asterisks('!). All others need Ikons- –`–
Ing.)
2. Call for an Inspection when all the Installations under this permit "No licenses are required. Licenses are required for all other installations.
are ready for Inspection. C
3. Purchase separate permits for all Installations that are not ready S. Fees
for Inspection when the inspector Is out to Inspect under this $ q
– J
permit. Enter fees y
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,and
5. Assume resp inslbillty for calling for a Pined Inspection when all of 5% Surcharge (.05 X total above) $ _
the corrections are completed.
The person signing this permit must be the applicant or a perso^ Trust Account $ _ E
authorized to bI,7d the applicant.
Signat_ue _-- ._-----------._-_._ Total $ �? "
Authority If other than applicant __--_–. This permit becomes null and void if the work authorized by the
permit Is not commenced within 160 days from date of Issuance
For inspections call of such permit or If the work authorized Is suspended or abandoned N
f�11S-3E56i- or- 1-5 El any time after work Is commenced fora period of days.
Electrical Permits are non-refundable and non-transforaerahls.
24-hour recorder, one working day In advance of need BLza-iia
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CITY OF Tlrn4ARD RFI:aEIPT OF PAYMENT RECCIP'T NO. s9�; �t1flE3Q�
CHECK AMOUNT
NAME s F2t7W--, WE.NDY R. CASH AMOUNT
fa1:)T)RE S s f7Ei«=A �aE. Fll_C�CR PAYMENT DAI+- n 0(: 16 9'.',`#
hgitTl.,-aNT1, OR9(.JjBDIVISION s
PURPOSE OF PAYMENT AMOUNT PAID VAIRf.!,OSF OF PAYMF NT AMnUNT PAI O
f L.VXJRICAL 40. 00 qT. BUILD 1'1'. R 2. 00
a
1
1
13CVt2> SW MARC I A DR
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TCrl
L. AMOUNT PWD
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CIT`( OF TIGARU BUILDING INSPECTION NOTICE 1�
Inspdction Line (Rec-O-1Phone): 639-4175 Business Phone: 639-4171
I ispection: Gr f
Footing Susn. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plh 1. Underslab Mach. Rough-in Fireplace
Post/Beam Struc;. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer Gas Line -Bldg. (,
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Waterline Insulation �-Mech.
Underilr. Insul, Shear Wall _ Gyp. Bd. -Elect.
Date Requestej: (Q'_—A —4 5 Time: AM / PM
Address: ' /C/i��
Builder,
ctrl /�r(1YI�Sse (�It a:j' 57 5--DU6OI
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t5_77—— Q Z-1 )
a � I
44-
T
Inspector: �L'l, 1.�-----__ Date:Ce: � 4 -
_APPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE
I
Call For Reinsp.
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liv
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beare Mesh. San. Sower Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd, -Elect.
Date Requested:_ Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: Z
`T
1-� c tom-
Inspector:_ l�-�.' _ Date:
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
�7 Call For Reinsp.
4
'1
CITY OF TIGARD BUILDING INSPECTION NOTICE j
Inrpectiun Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
i
Footing Susp. Ceiling Sprink. Rough-'.n 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 Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ _ Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: of
41-
-7.
�- �� rte-' �� �' �i •y.,. -�-
Inspector: Date: W 1
_APPROVED ZISAPPROVED _APPROVED SUBJECT TO ABOVE
/�� 1Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FIN
Post/Bearn Mech. San. Sewer Gas Line
qA Plbg. Underfloor Rain Drain F,aming .
Alarm Wwer_Line Insulation l� -Mech.
Underflr. Insul. (_Shear Wall Gyp. Bd. -Elect.
Date Requested: lQ - ,5- 9 S _ Time: AM PM
Address:
BuilderLay, `ti1rJ►-"/Se Permit tl`r q5- )(
—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
92 o_
fo?CP
V�� u c. •--�i 5--x.2 (?j �`j a F-- (� 1 t;.�1 S
Inspector:_ `/L./_ Date: 411 �! S
_APPROVED ,-I)ISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
r
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A.4,vk �
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• - CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business "hone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk "y
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Pr rmit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: Z-
C�- �c""�-e'. ► Com,
i
Inspector: Date: 'T
_APPROVED __111SAPPROVED APPROVED SUBJECT TO ABOVE
�--+� J / Call For Reinsp.
PERM
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CITY OF TIGARD BUILDING INSPECTION NOTICE( j
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Much. Rough-in Fi,eplace
P t.` Plbg. Top Out Elec. Rough-in FINAL.:
P earn MecSan. Sewer Gas Line -Bldg.
P - nderf�.; Rain Drain Framing -Plumb.
Water Line Insulation -Mach.
Underilr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: 5 /L��>5 Time: AM PM
Address:—/,
Builder: _ Permit p: T S -
THE FOLLOWING CORRECTIONS ARE REQUIRED.
c-
41,
Inspector: I / Date: .-
DISAPPROVED _APPROVED SUBJECT T ABOVE
>'-APPROVED
_Call For Reinsp.
'1t
...........
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Founation Plbg. Unoerslab Mech. Rough-in Fireplace
rP–os eam Stru� Plbg. Top Out Elec. Rough-in FINAL:
Fost/Beam Mech. San. Sewet Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: iS 5 Time: AM _ PM
Address:!
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: d v
Inspector. /� Date:
APPROVED —DISAPPROVED APPROVED SUBJEC TO ABOVE
Call For Reinsp.
r' j
itll.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 63- 1175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. C SA9_. Gas Line -Bldg.
Plbg. Underfloor �ain Qra� Framing -Plumb.
AlarmWater L%I Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ /�lS Time: AM Mi PM
Address: i CJ C '�l L-CQ
Builder: Permit t1:
THE FOLLOWING CORRECTIONS ARE REOUIRED:
i
i
k*
I spector Dater
PPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
L
Call For Reinsp.
'1
�r
i
'J.
ui
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 +
t
Inspection:
-Footing Susp. Ceiiing Sprink. Rough in Appr/Sdwlk
---"
n at' / Plbg. Underslab Mach. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Past/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
�' �,
PM
Data Requested: ' Time: AM
Address: 3 i (d:"� —
Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
J
l
Inspector: \. \__ l_ Date: ,:
APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
„
i
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D PLUMBING PERMIT
CITY CSF TIGAR PERMIT 4. . . . . . .. . MST95- 0061
DATE" ISSUED. 04/2-7/95
COMMUNITY DEVELOPMENT DEPARTMENT '
13126 BW Hall Blvd.Tigard,Oregon 97223.6199 (603)639.4171 PARCEL: r?5104BA-04600
'31TE ADDRESS—,., 13907� sW MAIIC:IA DR
3UDDIVISION. . . . : CASTLE HILL #2 ZONING: R- 12 PD
j L3!_l�tWf(. . . . . . •. . . . e LOT. . . . . . . . . . . . . :0171 ,..
CLASS OFYWpRFt. . :NrW__. ..._ ..011IRI'.AGI;.yD1aC'•OSALS. . .z.1.._____..
1 YPEi OF USC:. . . . :SF WASHING MACH. . . . . . . : 1 BAC,KFI_( w C''E',EVNTRS. . i 1
i:]CCLJ1--,rNrY GRP. . ,, R3 FLOOR DRAINS. . . . . . . :0 TR`4PS. . . . . . . . . . . . . . :VJ
RIES. . . . . . :2 WATER HEATERS. . . . . . : 1 CA"CH H-^.61NS. . . . . . . :Q!
"JXTUREra _} _ _..._.. LAUNDRY TRAYO. . . . . . : 1 af'" r3AIN DRAINS. . . . . . I
"I NK£3. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
'-AVATORICS. . . . . :3 OTHER C'1XTURC5. . . . . :0
TUS/SHOWERS. . . . s SEWER LINE (ft) . . . . :0
vJATC:R CLC}CE"TS. . :3 WATC.R 1_Ih.E ( ft ) . . . . : 100
DISHWASHERS, . . . : 1 RAIN DRAIN (ft ) . . . . :0
'4-m.-Arks: PATH I
1WNE R:
DON i 0"PI''332E~T1 C jWM 1' 1.10. 00 J1) 04/r_7I93 9C i L,4 7LE) c
•:]0(20 CSW MEADOWS RD E3WM $ 100. 00 JD 04/E7/95 95-2647,28
-UT•TC 151 PC'RT t 6:-8. 00 ,JD 04/27/15 95--.2f 4"l.=',9
_,AI•(E: CaWE GO OR 97035 HPLC: $ 414. 70 NAt� 02/03/95 95-2E,1320
C15PC $ 31. 90 JD 04/w:'7/95 9 'i:.64720
HPLC $ 50. 00 ,JD 04/0'7/95 9ra__►647,:::E1
p'pfZl: $ 500. 00 JD 04/.:.7/9j 05 .64 72C
T� MPRT 1s 45. 00 JD 04/2'7/9 95--P647-1:`
�-1 >t.. ` ''1E'L( . # 1 1 . L.'." I) t11.�
T /127 17 `7 c .i}
9 f r
Addt' Y .� .� �''S JD Q)4/;27/ ')S 1)�-j._.264 i i
:it'y �. Q. � � 1I1T,1 _.:: i. 00 Jf) 474 ,:'717,:� 93-2G 4 7E-'E}
•iP.- 11. 25 JD 04/27/95 95--2647LS
ic�•1ii:io;:.a : fees r•,!.rt 01own here_.
REQUIRED D INSPECTIONg __....... .
'.'hits e r m 1 t i i.ss ,ed su')jer_t t0 t Ie I-eg
.rlatior- contained in t;ie Tigard Municipal Footing I n s p Insulation Inst.
:::ode, .)tate o�F r e. Spec: alty Cocl:a and .0 1. I"'ou11 acat ion Insp Gyp Board l nsp
,ether applicablx' laws. All work will be done Po t /Beam :,truc:t Rain chain Tiisp
i.�i zu:.corcianc e with approved plans. This Post/spam Median Line InLp
.ger^mit will expire if w[Yr It i riot st�-trted Crawl Drain Water. Service 1'r,
withi!, 180 a.ar cif issuaoLe, u, if rlork is In p ANpt.•/dwlk In p
suspended for mare than 180 days. PLM/UnderfIcor Mechonic:al Final
Me,.hanic a,1 1.niip Plumb Final
pl,.imb Top O' t H+.cildinq Final
r om.ing Insp Erosion Cont "l
Fir~ep1ac..-e Insp _ ..._. __.._.__.... ......_.__.
Gats Line Insp
r"i zed Conti, to �'�� „Ll'
rt -
639-4175
"untrtactor Ncttea :
.. v._.._ _._ _..w .._ . ..n. ...._._..___....___._ .. _....._
7,1 �. ,
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I
CITY OF TIGARD MASTER PERMIT
PERMIT #. . . . . . . . MST95--41060 9
COMMUNITY DEVELOPMENT DEPARTMONT DATE ISSUED: 04/1:7/9.;
13126 BW Hall Blvd.Tigard,Orpon 97223.6109 (503)939.4171
PARCEL: 2S 104DA--04600
sI7E ADORES . . . : 1:3"103 ':;W MARCIA DR
UDDIVISION. . . . : CASTLE PALL # ZONING: R-12 PD
. . . . . . . . . . : LOT. . . . . . . . . . . :079
_...._,....._. __,. �_._. __.__..__..__._._._..,..__._._.._.._ BUILDING _._._..._-- _--•__._._____._.________._�__.____w._._.
r t:T S UE e DWELLING Ufl I Tr . I CASEMENT. . . . . . . . :0 s f
LASS OF WORK. :NEI. SEDRMS s 4 BATT-IS.3 GARAGE. . . . . . . . . . :4ZO sf
'•YPE OF USE. . . :SF FLOOR 'tREAG _ __.... ._. REOU I RE•D
TYPE OF CONST. i5N FIRST. . . . : 1;;'00 5f LEFT. . 16 fi RIGHT. :9 ft
:CCt'r(-)NCY GRP. :R3 G MOND. . . : 1500 5f FRONT. :20 ft REAR. . :45 ft
"CIRIES. . . . . . . :c FINISSMENT:O w.f REQUIRED_.______.______...__---_._.
I IE 101 iT. . . . . . . . .i, 7 Ft TOTAL `1041 s f 37,01'E DrTGCTOR S. :Y
r--_LGOR LOAD. . . . :411 pe f VALUC:. . . . . t 1 1 C. 14 1`i PARI;I NG SPACES. . : 1
i Rema-i"ks: PATH I
#
3I NK S. . . . . . . . . . : t. FLOOR DRAINS, . . . s0 BACIU-1-OW PREVNTnS. . : 1
l
LAVATORIES. . . . . ::3 WATER HEATERG. . . a 1 TRAPS. . . . . . . . . . . . . . :0
j ?'Ur3/SIdOWEF2 „ ,. -.3 I_ AUNDRY TRAY,. . . 1 CATCH BASINS. . . . . . . .,0
WATER CLOSr•TS. . :3 r,EWC:R LINE (ft) . :0 GR1'A^E TRAP;. . . . . . . :0
0111.131-IWASHGR13. . . . . 1. WATr'R LINE: (ft, ) . : 10k1
OTI IF-P FIX7CJRC~. . . . . s0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WA91-41'NG MACH. " . : 1 Sr RA1 !I DRAINS__ : 1.
MECHANICAL _..__.____..._ ___.._.._ .. _ _.._..__.._..___._._.__.._.___ ..__.. FOES
i FUr1_ TYPES-- UNIT HTP0. . :0 typo amol.irit by date r^ecpt
/GAS/ / / VE'NTf. . . . . . :0 SWM t 180. 00 JD 04/E:7/9S 95-2047488
MAX, INPUT:0 DTU VENT F-ANS. . :4 SWM $ 1 1210. 0th JD 04/4.7!95 95• � C 47,_ r�
r"(JRN ( 100K . . :0 HOODS. . . . . . : 1 SPRT b 63C- 00 Jr) 04/`7/95 9
TURN ) -10121K . . : I W0OD'T,'1'' . ,0 1..PL17 41 41.4, 70 11'OR 02/0-3/95
FLUOR F'URN. . . . 30 CLO DRYERS. : 1 85PC $ 31. 90 JI; 041:_7/95 95- 647PA
DOIL/CMP ( 3HP:0 OTHC'R UNITS:, 1 BPLC: 1• 0' .TD 04/t7;'9) ')5--;-:t,4"rw8
C)AS, 0UT'LETS: 1 F'APIJ, t, 500- 00, JD ,214/,:7/95 95-1'6471":.3
Cwner x .___ _ _._.... _ ._ MPRT f 4.5. Q,1 rI? 041C:7i95 5Z k264720
DON MORISSETTE: MPLC E 11. :'5 JD 04/:=7/95 95--2647&'f3
ti000 SW MEADOW'" r r) MCF'''; $ ".. 7, JD 01r S 95 rG47i'_rl
aLITTE 1S1 3BTH $ 5. 00 JD 04/x7,'95 95- 264728
LPKE' OSWEGO OR 970,::3 r',5f"•c t, ;. 1. __5 .JD 04/27/955 95 _'647: k?
Phone #: 620-•7538 EROS 64. 00 JD 04l27/9�� 95-C:C,47c "
349. 110 TD 04l27J05
DON MORISSETTE HOME'S E"RF'C $ 2121. 80 JD 04/'?7/95 95
7k_00 SW MEADOWS ZD
SUITE 151
LORE OSWE:GO n!; 9.7035
Phone #: 620- 7538
Reg #. . : 35513
_".1-4- 05 TOTAL
This permit is issued subject to the I•egu;itians contained in the - - - RE:QUIRE:D INSPECTIONS - -
Tigard Municipal Cade, State of Dre, 3peciaity Codes and all other Footing Irisp Plumb Top O,.lt
applicable laws, All work WE; be done in accordant ;•a ed F'w_lndation Insp r"r•aminy Inst"
plars. This permit will expire if ork is not rte 188 Past/nPaaol ";tr-,_lct Fir-eolace Insp
days of issuance, or if work is su ded mm' r.d days. Post/Ve•lin Me:-ha, Gaal Line Ir:sr
Gl-awl Dr••ain Ins:.dlation 1.
'er mitfsree �iirl ! P1111/undsla.h Tnsp Gyp Lkoar"ci
Ie;s�.led 13 : �V�F'LM/Linder Moor~ Pain drapin Ire r
y i irte(Alanic,Al Inr.�: W4�tfr. I.. i.ne Ir.
C Al. I for- inspect ion - 639-417'1
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1-:WER CONNECTION
CITY OF TIGARD ..=.. . . r C .
> r Rr~IIT {t. . . , . • . : aWR9w1 01ZrE�b
COMMUNITY DEVELOPMENT DEPAA*WNT nATr r7,",1Jr-n°
13126 8W Hall Blvd.Tigard,Oregon 97223s61 N (603)639.4171
r•F•iFt�.CL: c:.'�ii�111:11-1- 4'i/+t�4G�
'ITC ADDRC.CS. . . : 1.'.,902 SW MARCIA DR
CUDDIVISION. . . . : CASTLE HILL !k: ZONING: r- 10 Pfd
nL0CF.. . . . . . . . . . . LOT . . . :079
..._...__...«.......r:_.__.w-._-..wrw+w.r.w.u:x...._.._.,...r_..............+.«.w..._r..r_w.ww wr._._:wuw.w.n...._....._w.r......_...._.w«..r_.r......_.w_.....r._........r+._.._.......,_..._..._.._r-..n.._«.._.._.
TENANT NAME. . . . . s
IZA NO. . . . . . . . . . e FIXTUPE: UNITS. . . :
1 :LFA ,�3 OF WORK. . . .NEW DWELL I NG lJN I TS. 1
!� TYPE OF IJSE'. . . . . :SF NO. Or BU I LD I NGS: t
T,NS,Tr)LL_ TYPE. • . :SlJnWR IMPERJ SURrnCE. . : air
1
f7e may-its : r'nTH I
Owner,: _______.______.__..__..._..__..m._.__.___.._._...__..___.___.___...._..____.__ FEES
ADON MORISGGTTC. type amount t]r' Lj
'ste t^ecpt
J000 SW MEADOWS RD INSP 11 35. 00 JD 04/27/95 95•-264788
3UITL 1 113 1 PRMT 4 2200- 00 .JC 04/�"7/95 t3a- 2647.:_0
_,A11E UrWEGO OR 97035
I•'hArrE' fit: bc:0"'r5.3L�
-ontrac.:tors
0NT RACTOR NOT ON "'I LE
t "..,`1. 041 TOTAL.
Rey #. .
- - - REGnUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and reguistions Sewer' Inspection
J the Unified 6etiage Agency, The permit expires FZ days fr.:m
the dale issued. The total amount paid will be forfeited if the
permit expires. The Agency does rot guarantee the act:ur•acy of VF
side sewer laterals, If the sewe is not located at the seas,aremer,+
;A:ven, the irstailer shalt prosper.: 3 feet in all directions from
i :he distance given. If not so located, the inst urchas �_
a "Tap and Side Sewer" Permit and e Age will ' 5 a lator'al.
P)m i. 1;t e e 'i.i _....._..w_____.....
Call for inspteet ion 639-41751
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OMAI ,4f't r m t y
r17. �.fi 4,Iv• k aj.
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigara, OR 97223
(503) 639-4171 vl I - -j j 4, 3�
Jobs
Ito Address: !2 PSS
ubdivision: , �� Z Lot# Office Use Oni
Valuation:
Corner Lot? Y N Permit#
1 Flag Lot? Y N Reissue of
Map & TL# �I4�'
GY r
+
owner: l� 1 �'. c'�C�'l'� tk: 1 "1�'1[,
j Approvals Reculred
Address: �.♦`�� L_)L'V` N 1,L _.!L k l \-; t< 1 Planning
Engineering i
Phone: ��: ��,' )Jar Other , nt (1 A (� 1�.. ✓
Contractor: ��'�.�, 'Yl�, GZ GL 's'_
Items Required
Address: Subcontractors +�
I
Truss Details
Phone: Other'
Contractor's License
(attach copy of current Oregon license) F-Y-oY. }- \5 S-� -c, i
j Contact Name & Phone: } � ,�4 Y (t l_ � . �).?jC-) Cir v\Q,r O, rec`` 15
zv
1(Subpontractore: Archltact/Englneer: } U t_L
j✓
Plumbing:`�i�'1( ,W"1��LI'1.1.�� �I��' 1J+���Address:
<�lIechanicall-\(l
I� (attach copy of current OR Con rector's License)
Phone:
JOB DESCRIPTION.
Applicant Signature & Phone number
Received by: ( _ Date Received:
N tWORMCOMOMRESAPP
1. ...rwiaa-,u:..NrvMtl1RTCrtUJrMi ! kn::pp,UW-V1;:IW1 �y
.. ^If'.� �^F'll'�r �16�7L1ir4�Yt�lN 1t1 :
L a
",car fgN J
Permit# Account Description Amount Amt. Pd. Bel. Due
h;7f kS v Bldg. Permit (BUILD)
)
Plumb. Permit (PLUMB) 2 f--
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mach:
Plan Check (P NCK)
Bldg: �t 5 �.A ✓ ) Z r7 X00
Plumb:
Mech: �l Z
S«� cw�e Sewer Connection (SWUSA) >' f z�z j
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) L-
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-M-r) r1�
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) -,Py t,
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: i > �-
y
B
Solar Balance Point Standard
Box A. North-south dimension for your lot Box B. shade point height from your structure
feet
fey t
Box C. Distance to the shade rRductlon line
Peet
Distance to
shade 100-0• 95 90 85 80 75 .0 65 60 55 50 45 40
reduction line
from northern
lot line in feet
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
r 60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40 41 42
45 30 30 30 31 32 33 34 ,5 36 37 i8 39 40
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 2.8 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 3u 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 a0 21 22 23 24 25 26 27 28 29 30
15 18 i8 18 19 20 21 22 23 24 25 26 2 28
10 16 16 16 17 18 19 ?0 21 22 23 24 25 26
y 5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box "D" Maximum allowed shade point height feet
K
77
e
y
�,:�'
•
Y
f
,� .r., i'.., ,',SS'. �C.•'r ,S �{ �',�♦ "
� �:h%. ;,, �;' tri•','+• �:'ds.•` j +� fi•'•':� `sa:'s$,� '' j!�!'.':'t� �%' ,'��``�� �• eT,ii,,?;: :S,
�,�- f;,, ;! �';''r1 f�•. '•:;� ! t`;,,, Sii"t. ;;j li t S �'j ;�tl S S�s;;l �'�1 }2�tS•� �f;t'• 1 y
rrj Credit No: —_ �i",�:; ■
Cate Issued. _
TRAFFIC IMPACT FEE
CREDIT VOUCI-:'ER
tlr f% In accordance with the Traffic lmpact Fee Ordinance, Matrix Cavelopment Corporation
•�1 is entitled to$1 ,550 in Traffic IMPact,-ee Credits that can be a^ lie`'
,.p to TIF charc es
on lot(s) 68-731 of t,`e Castle hill No. 2 Develcpment. The use of TIF credits
are subject to the rules and limitations of the Tic Ordinance. WARNING:
This voucher must be presented at the tirr,e of issuance of the Building Per,it, o if deferral
wee,granted issuance of an Ocr'r!pancy Perr, it.
MA 7771X CEVELCPMENT C0AP0F,AT1Gh hereby assigns all,ts right,
•,' tille and interest in and to that certain Traffic Impact Fee Cr--dit to be granted
• '�' a^on the Issuance of a builcin ;9 f
• ;, ,:; : ,- � gpermitforLct '
CASTLE HILL NO. 2 subdivision, Klashington County Ore:on, to the order of.,
DON MORISSETTE HOMES, INC. „�.•
5000 S.W. MEADOWS ROAD "" ..
– SUITE 1.51
LAKE OSWEGO, OR 97035
This assicrmert,cf gra`;c; lrpact Fee Credit is rade andriven this
day of t_( n�.� 19 95.
AIATn1X DEVELOPMENT CORPORA 7ION, �
an Oregon Cvrporati)n
Ey
Title or Position`
� � •��• .rrr, ;C,�i ii:•; %ui 'iS'i 2:�� "i;;' :•iiS%� i,i�� ';'$ii�iSS ,�, .;, 1rf�iSi;;��di,i�i. , •��..
.���:rZ ,�, - ,•J,^,, . Z`•`' t,i,', . ij�� - � , ..;tii,�..,. ,i�� ,,iii,•... 1�,�- - ,i.�•..�;r,
''.�,i� ��' ��aa%:�', t�iC•ir=:�� '•':��i�:i5'%•. ',�•�.ii�ii ,:�5%:a•, ,�;,,t��,,?, ,,:•..5:� ,�S.i:•:? �,;s;�;i�;• ��.�.ai:•:r�' Vit:;:�::;':� '
it
.c
I
6000 S.W.Meadows Rd.,Ste.162
i Lake Oerrep,OR 97085
4 Phone:(608)620-7688
l —o
FAX.-(608)9207486
i
019
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CITY CIC=' T IGARD - RECEIPT OF PAYMENT RFCF TF,T NO. 05—P64728
CHECK AMOUNT s 4c99. 95 �
I'4�+ME r DON MORISSET'TE HOMES, INC CASH AHOUNt' a 0. 00
ADDRESS s 5000 SW MF.=ADCIWFI RV PAymrN'F DATE*' a 04/27/9
STE:. 151 SURD T V I S I ON a
LAKE" OSWEGO OR 9703n--
PURPOSE
70;3n--PURPOSES OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
I UIL.nIN13 4�F RM MST9'�r 0111E+9 225. 00 �
MECHANICAL PE: 45. 00 ST. BUILD PER 45. 40
PLAN CHECK, EE P2,5. 95 SEWER USA swn'45-0060 2,200. 00
SEr',WPR INSPECT 3~. 00 PARKS SDC r1l000. 00
1420 QUALITY FACILITY t=E:;.F. Iao. 00 HF0 QI..IANTITY FACILITY t"Fl- 100. 00
FROSION CONTROL.. PFRM3:TF1t 64. 00 ERC►SI0N CONTROL PLAN CK, 4:0. so
rms ION CONTROL "r'.'.0. 60
a
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V:ASTL.E HILL. LOT 79
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, roTAL AMOUNT Pr-')Il) _- 4;2'9'1. 95 v
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OF= T I C-10RD - RECEIPT OF' P,lYMFNT RFC:E=I P T NO. a`I�y--i=cl.i 328
r,H CK AMOUNT s PSW. IA0
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cilifIRE";SS N POYME;NT DOT[ a 02. 0;3f4 5
`MJ9DIV181(IN s
t-,IjRVIOSE CIE' PPYME"NT AMOUNT PAID PURt-'OSE. OF PAYIILNT AMOUNT VAln
l i �1N CHECK E"E !?50. 017
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139�i2 sw marc I& Dr L,, r 74
T U!Al PMOUN T PA T D - ) 2, 0. 00
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