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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF �
13125 bW Nag Blvd,Tigard,Oregon 87223.8199 (503)838-4171 OCCUPANCY
xxxx PERMIT #. . . . . . . a MST`'i4---0056
639--4171 DATE: ISGUE:Da 04/04/95
PARCF=L.a 29104CD-0 5000
SITE. ADDRESS. . . a 139J2. SW MISTLETOE DR I
SUBDIVISION. . . . t HILL. HIRE: EGTATES ZONIh'IGaR-7 PD
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 10 52 � e
I CLASS OF WOF?FS. a NEW �
7'YWE: Or.7 USE. . , t 5F
OCCUPANCY GRP. t R:3
OCCUPANCY L LAD i 227 4
TENANT NAME. . . t
MC BUILDERS, INC
P D SOX 276
I
HIL.L.SBORO OR 971c'-_'3
i Phone #a 693--04156
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Contractor: ___,...._..._.__._...W.,.__..__.__,._w._,__..._._..._.__.. ._
MG BUILDERS INC
P 0 PDX 2176
1
I' HILL_OW)RO OR 9-7123
Phone #.* 693-04")0
I' Reg #. . a 94358
OCC.upWCIJ Of the above ref erewed bui .Iding is hereby given, and c. er-tifies `
the complianc.,e with the State OF Orpgon Opecialty Codes fr►r the group, l
occuponcy, and uf.ie under which the refprenovd Pev,mit'ic
es ia!;Ued.
i
E�1.11 LD I NC INSPECTOR
pRy'"_____.___. __..._.. -•DL1 I l._ ;:Fc:I AL
POST IN CONSPICUOUS 1-LAC'F:'
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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 CX12
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb. r
Alarm Water Line Insulation - ec /
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: /�y( �J Time: AM �_4PM
Address: / 3 9� Z. ��C �c - T-t�-c- &-L
Builder:— _? `I -- `/<;L-34 J)L<_ (, , Permit #: 2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Uk iM iNu
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��'s7�s •t ry;
S�
Ins tor: Date:
i APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
P Ott ht�.r 9} t�j�
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Ufr) unified
Qogency a EROSION CONTROL INSPECTION REPORT
155 North First Avenue,Suite 270 `—
Hillsboro,Oregon 97124 /� / z^-/4�-�y '
(SOA)648-8621 or (503)640.755ri Permit# : rJ C/ -
Inspection Date:+ 1 LLIt lspector: �'t-� L l,� — y
Site Addres-� '' 17X1 Z `z� `y
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subdivision: J t �7C.1131 Tk Lot# i
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Owner/Builder: 1�f1 (° r�� � Phone#:
EROSION CONTROL DEFICIENCIES
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24 HOUR INSPECTION NOTICE REQUiRED
PRIOR TO POURiNG FOOTING/FOUNDATION
❑ PRELIMINARY NOTICE. Please comply with above recommendations within the specified time and call
i
648-8621 or 640-3558 for re-inspection.
❑ THiS iS A NOTICE OF VIOLATION OF THE USA EROSION CONTROL RESOLUTION AND OR-
DER 91-47. Please make all necessary corrections within the specified time frame anal call fora reinspection.
t Continued failure to campy with the terms or this inspection report will result in the issuance of a civil citation,
stop work order, or termination /suspension of permits, as described in USA Resolution and Order 90-63.
1 ❑ Approved: _ J)ate : ----- I'ime:��_._-� —
❑ Disapproved: _ %' i Date: _ Time:
"FINAL INSPECTION: �' Date: < i Time:.` _�1J'''' ,
f%
Note: Upon completion of construction, the owner/builder shall be responsible for requesting a final erosion
i
control inspection to detennine compliance with Appen(lix 1 of USA Resolntion.Or(ler 91-47.
While: (Prelim)towner/Builder Yell(M: Insreclttr Pink: (Final)Owner.Huilder
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INSPECTION NOTICE ��
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Orcgon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businese Phone: 639-4171
Inspection:______
Footing Plbg. UnderelabMach. Rough-in Appr/8dwlk
u
Pound. Plbg. Top Out�1 Gas Line ALt
Poet/Beam Struct. San. Sewer Framing �oac9a
"P0§+/Beam Med11Rain Drain Insulation -Plumb,
Plbg. Underfloor Nater Lino /Gyp. Bd.
Date Requested: z - 42L-a--9 Iy Time: — Ay (
Address: Z 2) �1� {'YLL�: -1�t1-� Permit f s
Builders -I t { V7 / J 7 c , Y �J ECl — IP '73
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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71,
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6
Inspectors—
Date--/ -•.�1�-
APPRAVitDAPPROVED --- APPROVED SUBJECT TO ABOVE
� /Call For Aeinep.
... ........
WIN
INSEMTION NOTICE
City of Tigard Building Depert-.0ant
13125BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone).- 639-4175 Business Phone: 639-4171
Inspect
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL.-
Post/Ream struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Hoch.
Data Time: _AM _pH
Address: -4-,
Permit #:
Builder:__
THE FOLLOWING CORRECTIONS ARF REQUIRED: L
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InOpectors
Date,
APPROVED
DISAPPROVED APPROVED SUBJECT TO Agovit
---'Call For Reinap.
Ak"i, 0
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INSPECTION NOTICE —�"
City of Tigard Building Department
x3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 619-4175 Business Phone: 639-4171
Inspect ion:____^
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line <IijiiD
Post/Beam 9truct San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulationumb
Plbg. Und,.rfloor Water Line Gyp. Bd. -Mach.
Date Requeatedt 9 / �/r,/ T
ter- Time: AM ph
Address: /S �- Permit it�J�l -
Builders__
THE FOLLOWING CORRECTIONS ARE REOZUIRED:
Inspec r: Ci ---- - nates
APPROVED DISAPPROVED APPROVED SURJRCT TO �B'OVE
--Call Por Reinep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd, Tigard, Oregon 977.23
Inspet:tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
■
Inspection.--_ ---,— ---
Footing
---
Footing Plbg. Underslab Mach. Rough-inr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Mach. Rain Drain Insulation -PluaJ3.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
C 7 (moi
Date Requented: L Time: —Z—AM _ PM
Address:i % CI� Permit
BuildersTHE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:� 7 71 _-�-__-- _-- __---_-_ Data:-_-�_
APPROVED — , DISAPPROVED APPROVED SUBJR!'TTO ABO
-Cal l For Relnap.
INSPECTION NOTICE
City of Tigard Building Departonnt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ion t _
Footing Pl.bg. Underelab Mech. R%' h-in p_ Appr/Sdwlk I
Found. Plbg. Top Out e L lF{ C- FINALt
Post/Beata Struct. San. Sewer Framing ' -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLineGyp. Bd. -Meeh.
Date Requested:_ / Time: AM _ PM
Address:_/.� I/ 7 / 1"
/ :!te_ D Permit f:_1_1.T�i_�
Builders &C
THE FOLLOWING CORRECTIONS ARE REQUIRED-
i
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tti If,+, Inspectors _-_ _ Dates_ '
11PPROVSD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE r
City of Tigard Building Departareat
13125 SN Ball Blvd. Tigard, Oregon 97223
.nepection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing -.Bldg.
Poet/Beam Mech. Rain Drain Insulatlon -Plumb.
Plbq. Underfloor Water Line yp .- ,- -Mach.
Date Requested: (O L Time:
PM
Addreee:�� � Z- Permit
Builder CJ 7
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a
Inspect :
-------. - Date:
—._ APPROVED DISAPPROVED APPROVED SURJEr1' TO ABOVE
--Call For Reinsp. !
V
NSPI'CTION NOTICE
City of Tigard Rujlding Department
13125 SN Ball Blvd. Tigard, Orzgon 97223
Inspection Line (Roe-0-Phone): 639-4175 Busineso Phone: 639-4171
Inspection: ____
Footing Plbg. Underelab Mech. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line -Hoch.
C l
Date Requested: `, Time: ��&)�/__PH
Address:J .?,�/ L YI�2�22 Permit /:
Builder:_ 6;23
THE FO/L^/L,O�WINGG CCOORR�EyC/TIONS ARE REQUIRED:
InspectJk!" / — Dater
_-_APPROVED DISAPPROVED APPROVED SUB IjXrTT TOL AnovE I
_Call For Rei.nep.
��_. _ J
INSPECTION NOTICE �\�!
City of Tigard Building Departer3rst
13125 SW Ball Blvd. Tigard, Oragon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections, —_-
Footing Plbg. Underslab Mach. Rough-fn Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wates: Line Gyp. Bd.) -Hoch.
- �-
Date Requested: Times All <A�
'
Addrees:
��� �¢ecmit f:�--
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: \
Inspectors _t Dates
—_ —._
APPROVED _ ��ISAPPAOVEU APPROVED SUBJECT TO ABOVE
� -call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaent
131.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 6?9-4171
Inspect ion s—_, - --.�-- --
Footing Plbg. Underelab M�� Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Poet/Beam Struct. San. Sewer Fr�g� -Bldg.
Poet./Beam Mach. Rain Drain ion% -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mec)l�/
Date Requested: 1 Time: _X__ AM L PM
L �►f.'_ Permit J'4—
Aaareas�: Cf /
Builders �/ /SSG'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
j Inspectors Date•-�
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For. Reinap.
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I
- �INSPECTION NOTICE C--�
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Poocinq Plbg. underslab --g—h. Rough-in
Appr/Sdwlk �•
Found.
Plbg. Top Out Gas Line FINAL= I
Poet/Beam Struct. San. Sewer Framing -Bld e
g•
Poet/Beam Mach. Rain Drain (insulation
-Plumb. I
f Plbg. Underfloor Nater Line Gyp. Bd. -Meeh. �c
i
Date Requested:_- G�- I Z Times - RNCPM
1-917-
�y
Address: "J 1 (7- Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-----
InspectoDate t
qqqq''
�__APPROVED �i DISAPPROVHU APPROVED SU&JE__C'T TO ABOVE
✓__ _Ca?I For Reinsp.
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INSPECTION NOTICE
city or Tigard Building Department
13125 Sw Aall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
+
Inspections__
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Undorrloor water Li a Gyp. Bd. -Hoch.
Date Requesteds1 Times /\ AH PH
— TTT�������
Addteee: �Gry� ��J' C1 Permit t s'1111�` U
Builders ya
q THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector — —__ Dates
APPROVED ✓/ DISAPPROVED APPROVED SUBJECT TO ABOVE f
_--- ---- _,Call For Rsinep. �!
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INSPECTION NOTICE "
City of Tigard Building Department
13125 91W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phoney 639-4171
i
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. — Gas Line FINAL:
n
Post/Beam Struct. Sa . Sewer Framing -Bldg. ,
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line/ Gyp. Ed. -Mach.
Date Requ�entteds,_ �►71 zeJ' f Tlmes �AM PM
Address s_j > C/ ,7- / /LCJ E E.� R� Permit #t
Builders_i0`( U - 5 7 -]Li 1135 rj Z
THE FOLLOWING CORRECTIONB ARE ASQUTAED: •
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Inspector: _ Date:
�(�ltPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
✓/��� ___Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 63,9-'411175Business Phone: 639-4171
Inspections ��
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
�� 9¢
Date Requested: Time: _�AM PM
Address:�� --- Permit 1: � 8
Builder-:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
jil
L rt�dEe
iv
Inspector:Jw= Dates_(
_. .__APPROVED DISAPPROVED - ✓ APPROVED SUBJECT TO ABOVE
- Call For Reinsp.
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INSPECCION NOTICE .-..J
CitT of Tigard Building Department
M 1 13125 SW Ball Blvd. Tigard, Oreglm 97223
Inspection Line (Rec-O-phone): 639-4175 Busineos Phone: 639-4171 i
i Inspection:
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post_/Beam M_ech Rain Drain Insulation _ply,
Plbg Underfloor Nater Line Gyp. Bd. -Mach.
J
1
Date Requested: d G 1 Times Vt.AN
1 I C-� 1 --yy �� Q � � $QPM
�
;q Address=�Ls .I 1 1 �rPermit�: Lel - O-.
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRRD: i
er
Inspector•_
"PROVED DISAPPROVED _-- APPROVED SUBJECT TO ABOVE
__Call For Reit:sp.
3
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INSPECTION NOTICE ^-
City of Tigard Building Department
13125 an Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
RYk, Inspection: 4
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P: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: I
Post/Beam Str�ct� San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
s
Plbg. Underfloor water Line Gyp. Bd. n� ech.
C L y/
Date Requested: \ I Time: (�4�A�M /� PH
f Address: .1L�L�" �Y� j _ ms's—_ Permit,f:.-1—!_S.la S�
1
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Builder: `(�C. --
1
THE FOLIANING CORRECTIONS ARE REQUIRED:
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Inspect
o6 Date
APPROVED DISAPPROVED APPROVED SUP-)RrT TO ABOVE
JCall For Reinap.
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j,MEE- TION NOTICE
city of Tigard Building DepartMhsnt
27.125 go Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)= 639-4175 Business Phone= 639-4171
i
Inspection:
Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk. I
Found. Plbg. TOP Out Gas Linf, FINAL=
Past/Beam Struct. 'San. Rewar 1 Framing -Bldg.
post/Beam Hoch. ( Rai`Draln Insulation -Plumb.
Plbg. Underfloor Lint _ Gyp. Bd. -Mach.
Date Requested= �I CI Time= —)LAM PM
IA
I - Permit��=
Address: c
Builder:
TELE FOLLOWING CORRECTIONS ARE REQUIRED=
I
I --
Inepecto Date=
= -- -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-- --
Call For Reinsp.
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INSPECTION NOTICE �=
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Li.ie (Rec-O-Phone): 639-4175 Business Phone: 639-4171 fl
Inspection:
Footing �- Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL:
Post/Beam Strutt. Sen. Sewer Framing -Bldg. s
Post,/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor 'nater Line Gyp. Bd. -Meth.
Date Requeeteds__ _L I("1 LI Time: M PM
Address: _Irl D_ yn: ` C U E_ 1�f.Permit Ll Ll - G)o� O
a Builder
THE FOLLOWING CORRECTIONS ARE REQUIRED:
9
Inspectors bate:
__APPROVED _-- DISAPPROVED L APPROVED SURjrrT TO ABOVE
Call Por Reinep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 6;19-4171
1 ,w
Inspection: )C l-
(Footing Plbg. Underslab Mach. Rough-in Apps*/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
r t
Post./Beam Mech. Rain Drain Insulation ^^ -Plumb. If
Plbg. Underfloor Water Line Gyp. Bd. w Mach.
`1'
Date Requeeteds ��y I I Timesr AM _ PM
Address: _ ^J � -,1 Iy1 I J I �</1� /C}._ P 1St
`-! '�sE(- (`J-
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THE FOLLOWING CORRECTIONS ARS REQUIRED:
=�r
Inspecto Dates
`APPROVED DISAPPROVED APPROVED SU&TRrT TO ABOVE
_ _Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaent
13125 aw Ball Blvd. Tigard, Oregon 97223 i
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 1
I
Inspections
looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
4
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. ?/
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Date Requested: �1 C�` / Times AM —PH
g jy Address: )�� .�� �� 1 ��"- hC 'l l�C Perm it�#,A
v24
� ±y4 p Builder: ��� ��l l 1 ��1(' �eCl �' 0(1��P
I kid"t %p ry THE FOLIA)WING OORRECTIONS ARE REQUIRED:
30ti,,,
S a o '
Inspector Dates -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
✓ Call For Reinnp,
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CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT P RMI T #. . . . . . . : MST94•- 025
13126 8W Hall Blvd.Tigard,Oregon 972230190 (503)639-417,1 DATE ISSUED: 07/11/9A t r
PARCEL: 25104CD-05200 e
SITE ADDRESS. . . : 13912 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R- 7 PD e
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
CLASS OF WORK. . :NF_•W GARBAGE= DISPOSALS. : 1
T'YP'E OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GFRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 +y jkf
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . :2 CATCH BASINS. . . . . . . :0
FILAUNDRY TROYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 ^� '
LAVATORIES. . . . . :6 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . . SEWER LINE (ft ) . . . . :0 w
WATER CLOSETS. . :4 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATI.1 I
OWNER: - - _-__________.____._..._..__.___.. __ _... _...._.__._._.____._.____._.__-FEES-.-_.--._________._ '* w
MC BUILDERS, INC TIF 1.520. 00 KS 07/11/94
P 0 BOX 276 BPRT $ 593. 00 KS 07/J. 1/94
PPL.0 $ 3B5. 45 SW 06/22/94 94 -4:`..',;3755
f1II-LSBOFIL] OR 97123 B;':i(-'C $ 29. 6 , KS 07/ 11/94 -- k' r•
Phone #: 69:3-•-0456 SS P C 280. 00 KS k
PAR[' 1+ 500. 00 IiS 07/11/94
Plumbing Cantrac for ___...___.___._.______ MF'RT $ 52. 50 KS 07/11/94
MPLC $ 13. 13 KS 07/11/94
Name :_�y_. �► _ �..1�L.]���11.1". _ M5PC °$ 2. 63 KS 07/11 /94 -
Addr°ess: �_. �,� _$_�• - P P R T $ 200. 00 KS 07/11/94 -
City :._ _�,Q(�`t-x-Q_ !r t a t e : cLtF S P'C 9 10. 00 KS 07/11/94 -
Lip:-� Z 3 _Phone#: � 0__.Z_ ( _. EROS $ 64. 00 KS 07/11/94
Reg #: Q� __�.._.)vw .�__ Additional f-ees not; shown here. . . . . . . . .
REDUI RED 1 NSPECT I ONS
This permit is issued subject to the reg-
e_Ilations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Stre_Ict; Water Line Insp
other applicable laws. All wor-k will be done Pust/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This; Plm/unclslab Insp Mechanical Final
permit will expire if work is not started PLM/Under^floor Plumb Final
within 180 days of issuance, or, if work is MechanicAl lnsp Building Final
suspended for, more than 180 days. Plumb Top Out Erosion Control.
Fr^,Imi.TIY Insp C:raw1 DI ain '
Fir-eplace Insp —__�_____ P
Gas Line Insp
Insulation Insp _
X _ (eCer . 7 / y Gyp Board Insp
---------..__ __
Ae_r horized Plumbing Contrac_�tnr 5zgnate-a-e
Call for in5pPCtion - 639-•4175
Contractor- Notes :
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CITY OF TIGARD '
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223P8199 (503)830-4171 PERMIT #. . . . . . . : MST94--0258
639-4171 DATE ISSUED: 07/11/94
PARCEL: 2S104CD-05200
SITE ADDRESS. . . : 13912 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :052
BUIL_DING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:4 BATHS:4 GARAGE. . . . . . . . . . :759 sf
TYPE OF USE. . . -SF FLOOR AREAS- ------ REQUIRED SETBACKS-------
TYPE OF CONST. :5N FIRST. . . . :2370 sf LEFT. . ::35 ft RIGHT. : 19 ft
OCCUPANCY GRP. :R3 SECOND. . . :884 sf FRONT. :21 ft REAR. . -.23 ft
STORIES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED- - -------- ---- _____
ItEIGHT. . . . . . . . :27 ft TOTAL....__._.._.___:;,. 4 S SMOKE DETECTORS. :Y �?
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $: 16.3346 PARKING SPAC:ES. . : 1 i
Remar-ks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . .6 WATER HEATERS). . . :2 TRAPS. . . . . . . . . . . . . . :0
Pfi
TUB/SHOWERS. . . . :4 LAUNDRY •TRAYS. . . : l CATCH BASING. . . . . . . :0
WATER CLOSETS. . :4 SEWER LINE (•Ft ) . :0 GREASE" TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1.010 01-HER F?XTURES. . . . . :�10
UARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL. -.___..___....__.---.._____._..__..__.____._...__._________ FEES -----------------
FUEL
-- -----____-
FUEL TYPES---•• _.._......._-_-....._.__ UNIT HTRG. . .ir type amot-int by date r,ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 KS 07/11/94 -
MAX INPUT:0 BTU VENT FANS. . BPR T $ 593. 00 KS 07/11/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPL.0 $ 385. 45 SW 06/22/94 94- 2.53755
TURN ) =100K . . : I WOODSTOVES. :0i B5PC $ 0). 63 F(S -17/11/94
FLOOR FURN. . . . :0 CI_0 DRYERS. : 1 SSDC $ 280. 00 KS 07/11/94 -
UOIL/CMF• ( 3HP:0 OTHER UNITS:` PARK $ 501x. 00 KS 07/11/94 -
GAS OUTLETS: l MPRT $ 52. 50 KS 07/11/94
Owner,: _.-_-----___.__.____._______.____.____-.__..._.__......-IhF'LC $ 13. 13 KS 07/11/94 -
1qC BUILDERS, INC M5PC $ 2. 63 KS 07/ 11/94 -
I P 0 BOX _'76 PPRT $ 200. 00 KS 07/11/94
P5PC $ 10. 00 KS 017/11/94 -
HILLSBORO OR 97123 EROS $ 64. 00 KS 07/11/94
Phone #: 693-0456 ERPC $ 20. 80 KS 07/11/94 -
Cont Tact or~: _......... $ 20. 80 KS 07/1 1/94
MC BUILDERc INC
P 0 BOX ;_L176
HILLaBORO OR 97123
I-Rhone #: 693-0456
Reg #. . . 94358 _____._____.____._______._----_-.-•----__-_---
$ 3691. 96 TOTAL .
This permit is issued subject to the regulations contained in the --- - --- REQUIRED INSPECTIONS -----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.ind Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Str^1.ict Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mer_han Insi.ilation Tnsp
days of issuance., or if work is suspended for m re than 180 days. Plm/1-incislab Insp Gyp Board Insp
F-'I....M/UndHr•floor Rain drain Insp
F'er mittei_ �i. 0A t1-11- - ` Mechanir_al Insp Water Line Insp fi
A:.
P11-imb Top Oi_it Appr•,/5dwlk Insp
F_r a m i.n g Insp Mechanical. Final a
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CITY OF TIGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 8W Hall Blvd.Tigard,Oregon 87223+8188 (503)830-4171 PERMIT #i. . . . . . . : SWR94--0246
639-4171 DATE ISSUED: 07/11/94
PARCEL: 2S104Cfl-05200 ,
SITE ADDRESS. . . : 13912 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R•-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :052
TENANT NAME. . . . . :
USA NO. . . . . . . . . . .. FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL INO UNITs. . : 1
TYPE OF USE. . . . . :SP NO. OF BUILDINGS: 1 a
INSTALL TYPE. . . . :B1_ISWR IMPERV SURFACE. . : : sf
Remarks: PATH I
Owner,: ____.___________________.__._____.___._..____._______.__._,.______.___ FEES —____._---_---- R4+,
MC BUILDERS, INC type amol.lnt by date r^ecpt
PO BOX 276 PRMT $ 2200. 00 KS 07/11/94 —
INSP $ 35. 00 KS 07/11/94 -
HILLSSORO OR 9711_3 +
Phone ##: 693-0456 r d, `
CONTRACTOR NOT ON FILE vey" N
7.
Phone #: $l2235. 00 TOTAL
Reg #. . :
- --- -- REUUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer-, Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the _ ti
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospec' 3 feet in all directions from r i,
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Per^mit tee Si 9 n t;u r e
Call far in LC,tion 639-4175
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I
Residential Building Permit Application
,f Tigard
25 SW Hall Blvd.
Tigard, on 97223 i
(503) 639-4171
Jobsite Address:
/ v Office Use Only
Subdivision: �((`= ��i -' �, ��5 Lot # { �– -, t
Valuation:
G Plandc/Rec#
Permit# �-
Owner: 1/�- G Sit r l W-P s S" li,� c , Reissue of
Address: Map&TL# ;'� .. }L/
,
•� _ Approvals Required
Phone: �_` C `/ S. <,
;gg �
Contractor: ' Engineering
Address: Other
{'hone: Items Required
Contractor's ense # y 3 S' '' Subc:ontraciprs
(attach copy of current Oregon license) Truss Details,
Contact name & phone: ,�, 'r� �►� c C -o� y " `
Subcontractors:
Plumbing:r� t Y i ,r 9
Mechanical: : ,v Al TI �1,
(attach copy of current OR Contractor' License) , / G' ✓c�v� —
Architect/Engineer:
Address:
Phone: 3
JOB DESCRIPTION:
AMOK
M Signature & Phode number
Received by: Date Received:
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Permit # Account Description Amount Amt. Pd. Bal. Due
Btdg. Permit (BUILD)
Plumb. Permit (PLUMB) U .
Mech. Permit (MECH) ,)"Y ✓ ,SL.
State Tax (TAX)
Bldg: !o
Plumb:
Mech: .G
Plan Check (PLANCK)
Bldg: c!a �r
Plumb:
Mech:
.SW�7�'e1'IL Sewer Connection (SWUSA) ,2 2 Ou _ �?vu
Sewer Inspection (SWINSP) _ 3 3 J
Parks Dev Charge (PKSDC) SOU $ V
J
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
U
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
I
Office TIF (TIF-0)
Water Ouaiity (WOUAL) _
Water Quantity (WQUANT) —
Fire District (FIRE)
Erosion C�.td Permit (ERPRMT)
Erosion PlarOdUSA (ERPLAN) ,2 y, •�i,d i
Erosion Planck/COT (EROSN) ;'U,fy
TOTALS: �� ►2G.9G •SSG, e u 'S
. uri r : 6i7rvj]' t-:'M., fij' 11�'
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JUL-07-94 THU 17 :27 SWANSON HEATING 303 357 5095 �P• 001-
SWANSON IIEATING
+ltl4 S. ALPINE • P.O. SOK 441 HEA7i
CORNELIUS. OA 97113 AIR C"T",
1 60f•!07•EOOY SHEET MV
ICS!ICS I -'?I FC��I� !FC--N K==l rtc--�^�IC_�_ IC IC�X=== C
' STATE OF OREGON . CONS'ThUC'TION CONTRACTORS BOARD
REGI.9rR LION CERTIFICATE
This Certifies that the person named hereon
is registered as provided by law as a
BREC COhTR/ALL STRUCTIMS a ti., Reglstratlon
NON—EXEK PT Number. [ 50'744
INDIVIDUAL
Expires; C 05/20/95
fSWANSON hCATIN6
-FAVID ,A ' SWANSON alb.
P6'. BOX, 441
CORNELIUS OR 97116—U441 '
R SIGN URI?OF FiEIGIISTRANT
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i EL 61111
M62S 119
1 ,.66 ✓_J
Loi. 52 Hlllnhlre EmLoLa•
13. 179 SF t
EL ere .''�� '.
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10
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12.1`11 0 111.6
is l 3 car
11 driveway
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EL 61111
6 •id.ell, N 111 11'211'11 91.67'
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C/L SW Mlwllmtom Avenue
M - C Elulldarn. Inc.
P U Box 276
Hllloboro. OR 97123
693-0456
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'.yR►,eylgMlM/r M•16'Y•1 Y•CY.�+F.-nY xry ny'linfnlf rlY0.+F'A' Ynl+e•r.+r.K"a •S.Ni:,Rlrl Ma}•C�M`�'mMixYP'xPh R'•RiI MIrYq,Y1'lw n•,dI1M' M'+N*1�IwR `M' 1
tnl �9
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CITY OF TI GARD — RECEIPT OF PAYMl:•:NTRE:I E I PT NO. #94--E!54330
CHECK AMOUNT s 5676. 96
I,-IAME A M—C BUILDERS, INC CASH AMOUNT s 0. 00
NDDRE SS s PO BOX 276 PAYMF_N'( DW T E o 07/11 /94
H I LLSBORO, ORE-14 1N 131.181)I V (S I(IN s
97123—
PURPOSE, OF PAYMFN.I AMOUNT" PAID PLIFIPOHE OF PAYMENT'
L;IJIL17INi9 C'F'RM ��MCiT�34-f11E H `ti,),�. fr10 F+I_.UMEtIN--6 PFRM
MECHANICAL PE: :52. 50 5T. BUILD VIER 4�'• �.:�i
PLAN C:IAECK FE: 14#-A- ',*.S 8 £xEWER USA 2200. LA0
fIEWE:R INSPECT CT .35. 00 PARKS UDC "500. 00
IORM D RO)N JDU Pao. 00 RES I DI-NTI AI_. T RAf-+I F FEiEE' 1410. 00
MAGS' 'T BANS I T TIF FRES 110. 00 [:ROS I ON CONTROL 64. 00
1 t: f2i_1!'ION CON T P(tl.. P1.AN CK Po. 80 F:RO i I ON C ON I ROL PE RM I T F F F CPO. so
t3912 MISTLETOE
I FII LLSH I RE ESTATES LOT 52
1 10TAL AMOUNT PAID -- — - --> 5676. 96
1
cA I'Y OF 'I I f.3(-Iru) RF-(J I P f (:IF ronyMF'h•I T• RF=(l- I I'T NO. ;cl4P,5..37;i','.i
CHE GV, AMIJUN-1 a P50. 00
NAMF I M-0 BUILDERS GASH AMOUNT s 0. 00
FtDDRf�SS I PO BOX P76 PAYMt,NI 1)O E: s 0E 1r194
H I LL.SBORO, UR St,114 f)I V 1..S I(.IN s
971P,3-- 1
HJRN=OSI; -. OF PAYMF:.NT' AMOUNT' IIAIP PLIRPObi .•: OF VAVMLW (-IMtI1.IIV1 I1141I) i
PAN CHECK FE 6•••6«314 c'SIA. 00
l
I
E'S TATFS LOT `5P
1 I
of AMOUN T' PAI 1) - > 250. 00
1 1