13995 SW MISTLETOE DRIVE-1 *pool \ lfM�+fYMnM^I`nR•4nf'�nfh.M+ .. f �..
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INSPECTION NOTICE
City of 'Tigard Building Departeent
13125 SW Ball Blvd- Tigard, oregon 97223
Inspection Line -C(ec-O-Phone)c 6 9-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Unders Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line r_ 1.NAI.s
Poet/Beam Struct. San. Sewer Framing .-Bldg.
Poet/Beam Mech. Rain Drain Insulation
Plbq. Underfloor Water LLn/e Gyp. Bd. Koch.
Date Requested 1 1 G-4-� AN pN
Addreaa:
UL(���iC C �f��� +' P rm it
Builder: P ( ,
TN$ FOLLOWING CORRE IONS ARE REQUIRED:
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Inspectors_ �__.--.__--- Dates
APPIIOVtD —_. DISAPPP.OVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
PLUMBING PERMIT
lj1_RI1I T #. . . . . . . : PLM94-027
639-4171 DATE ISSUED: 12/22/94
PARCEL: 2S 104CD-01600
SITE. ADDRESS. . . : 1.3995 SW Ih1(5TLETOE DR 'Y
SUBDIVISION. . . . . HILL iF-1 I RE E s—rATE.5 ZONING: R-7 PD
BLOCK. .. . . . . . . . . . Lo T. . . „ . . . . . . . . . :016
--------------------
CLASS OF WORK. . »ALT GARBAGE DISPOSALS. . c MCLS T L-E HOME SPACES. :
TYPE OF USE. . . . :,SF WASHING MACH. . . . . . . : BACE<FLOW PREVNTRS. . : 1
OCCUPANCY GRP. . rR,3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . ..
FIXTURES--___-_ ___._....-__-- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . ..
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . : CREASE: TRAPS. . . . . . . a
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
'rUE3/SHIOWER S. . . . : SEWER LINE (ft) . . . . I
WATER CLOSETS. . : WAI ER LINE (ft ) . . . . :
DISHWASHE.RS. . . . . RAIN DRAIN (fit ) . . . . :
1- emar-ks : BACK FLOW DEVICE=
Owner - _._._ ______._________.____._____._____.___-_ _______ ._.. FEES
Far-1KE✓R type AmI_int by ciate r,erpt f
1:3995 SW MISTLE=TOE PRMT $ 15. 00 JF 12/22/94 -
5PCT $ I'l) 5 jF- 12/.:,L,/ 4
T I GARD OR 072,23
Phone #:
Contr^&ictor,: -_..__...__.._ __-___---___-....__-._-_.--
LARRY H(,N-KMAN DBA/CONCEP, r LANDSCAPE
PO BOX 1583
BEAVERTON OR 97075 ________._.__..____..._.____.____..__•_._----•-_--.__
Phone ,#: 644 -302'0 P '25. 73 TOTAL
i; Reg #. . : 11743
----- REQUIRED INSPECTIONS --- --•-
This permit is issued subiect to the regulations contained in the RF=C/Elackflow Pt-ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection �W_•�_- ___ Ml
applicable laws. All work will be done in accordance with �•__� _„�_ __• -__��___�., ___
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more � _ _ .•-.__�•__ _ „_ ,_�_ __
than 180 days.
Permittee
I ssi..led Dy .-
Ca11 for^ inspection - 639--4175
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City of Tigard PLUMBING PERMIT Planck/Rec. # r
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
F.
(503) 639-4171
-a -- sa,paon
ORS 814.21-610 OTYPRICE AMT
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Job
FIXTURES
Address 13 S�`�_VL1 t S ( Tr _�_ --
�- -Tab--
' a —� u c- u ower om5
6ulin , ower --- _ 7
iteroseE`1 t—- 7.50
Owner Cl C)S S vtir ws�i a9iW
r bags u1sposal
-T 0--,A CU � �`► ZZ3 asung ne —
— ram 7.50
Water Heater — - -
Occupant 3�9 S 11�k Is
Laundry Hoorn ray
�^ e Fix tures IS pea Fy}
. �i- Lcl V J_`Ce CrM -
Contractor -
�Sj 3 MISCELLANEOUS 4
r�u�
U A. C) -70-15 werist I — --fib bu-
m. sNa. 0 1 --T
wer-ea.Addit. too'
Il?y20 00
-T here y IRICKnOWlecige that 11have read us app i cat that the Water Service ea Addit. 200' 15.00 # �:
information given is correct,that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws,tltat I
Stoma 8 Rain Drain 1st Io0' 30.00
am registered with the Construction Contractor's Board,that the number Storm 6 Rain Drain Addit. 100' 15.00
giv n is correct (If exempt from State registration, please give reason
bel ) _ -- -1 Mobile Home Space 25.00
&,ick Flow Prevention
Device or Anti-Pollution Device 7.50 y
• nor Waste Not -
Connected to a Fixture 7.50
es new RD addition CF alteration ration repair atch Basin - --750 -
i
to be done rosidential® non-residential O — ---
Insp. of Exist. Plumbing per hr
-0.00 -
Existing use of
Specially Requested Inspections per hr
Rain rain, single lamily
building or property — dwelling 15.00
Residential ba I1-ow preventm
devices 15.M
Proposerl ueo of
building or property
-' xcepf rest Patti liac ow ------
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --- -- - 5%SURCHARGE S I
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF l
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL i
COMMENCED. - -- - -. -._-
TOTAL 11S
Special Conditions - _ ------ -- ,
_.- Date issued by I
wiwwarwr
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1.: [ 1V 1:11 I IC44O - HI t_:L 11•' 1 t11 P(AYMIJi1 REf.f .11-'1 W.
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NAMV: I Ifi[-.FCMFIIW, l_.(11;h(Y' 1 FN';t I (1MLIL1IV 1 n+.+
F►Li1:11 fa: iki 9 PAYr1F_,N)
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PURPOSE C')F t»'WYMF..hlT (.111100NI' 14410 1-'t. R !fllIF. Iji- l-*)YM(-.,N f11t,1110141 111.1 0
PI..I101B[Nth WVF.RMr�..._....._. L,:f 00 ST. BUILD F-TIJ?
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CITY OF TiGARD
COMMUNITY DEVELOPMENT DEPARTMENT � CE'R v IF=ICATE OF'
13,125 SW Hall Blvd.Tigard,Onpon 07223.6100 (503)630-1171 OCCUPANCY
AX'K): PERMIT #. . . . . . . a MST94--01C,
639--4171 GATE ISSUED; 11/28/94
PARCEL.
SITE ADDRk ,.' 1.3995 SW MISTLETOE DR
5UEIDIVI51ON. . . . s HILLSHIRE ESTATES ZONING:R 7 PI)
BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . � ■
CLASS OF;�WORK. ,NEW____._..____._____._.__.
TvrtiE Or~' USE. . . F I
OCCUPANCY GRP. :R3
I OCCUPANCY LOAD: 1. 16 4
TENANT NAME. . . x f
1
Remarks a PATH I
Owner: ____.........._.�._.__...._..._._._ ws...,:..__._..._ _.._... ....._ _ .....
H & M HOMES INC
P O LOX 6118 �1
ALOhIA OR 97007
I
Pham tke 649-9623 \y y
Contractors
H & M HOMES INC.
P C BOX 6118
J ALOHA OR 97007
Phone #a 849-962-3
i Reg 0. . 1 E+6852
C1cc:1_ipsrncy of the <<bove r,efer-enz.-Pd bUilding ,is hereby given, «ancl certifies Compllan�:^e with the 3ta�te Of Orregon Specialty Godes For the yruatp,
OCCUpmnr.y, and .rse under which, the r-aft*renc-tNci permit: wAs imsued.
BUI L.D T P43 I NEiFIECTOR
ji
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POST IN C:ON 9P I CUOUS, PLACE
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INSPECTION NOTICE
City of. Tigard Building Department
13125 SR Ball Blvd. Tigard, ")repon 97223
Inspection 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 C FINAL%
CCC_;
Post/Beam 9truct. San. Sewer Framing iaadq.-
Post/Beam Mech. Ral_n Drain Insulation `-Plumb. /
Plbg. Underfloor Water Line Gyp. Bd. rMech.,
Data Requested: Z / �_Tims% _______AM PM
Address: I !; ` �,C Permit
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
14'
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Inspector: ` - W' Date:
/APPROVED 01�" hOM APPROVED NIJWRCT TO Kom
Call Par RaLnep.
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INSPECTION'NOTICE
City of Tigard Building Department --�
13125 SW Ball Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•.:
Footing Plbg. Underslab Mach. Rough-in pp
g Appr/Sdwlk
Found. 11bg. Top out Cas Line
Poet/Beam Struct. Stn. Sewer Framing
Post/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. may. 1
Data Regueatodt3/I4.1 7 (/�
Timer
Address:
Permit t:
Builder2' C)
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TBE_FOLL.OWING CORRECTIONS ARE REQUIRED:
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Inspector:
Datet-1 =_.�L
APPROVED __L/DISAPPROVED APPROVED SUBJECT TO ABOVE
LCal For Reinap.
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` � �c,�'��z4�glg'i'+,i�°�.ffi���ij xi - + �� 1#�i + ���✓��'� ��eA'�"��1, p `� a
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jFaEK.QTION NOTICE
City of Tigard Build;eg Department
13125 8W Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec--O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas LineFINAL-)
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulatinn lu-sb�
Plbg. Underfloor Water /Line / Gyp. 8d. -Mach.
Date Requested:_ {�/� l � 7, f/� Times ___AM / \ PM
Addryses �. 2�CLJ� //(�,C`lLi�X Permit ds
Builder•
THE FOLLOWING CORRECTIONS ARE REQUIRED-
�-�``�
Inspectors -- nates
_ APPROVDO DISAPPROVED APPROVED SUBJECT TQ ADM
____—Call For Relnep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 311 Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 63�9-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
� u r
Found. Plbg. Top Outra.s n� PINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Meeh.
Date Requested! /L. tG
_ Time: AM PM
Address: G 2,5
�\3- r' .S /_�1 d�.�-L �1�� l) Permit
Builder: GjiVL
we 3 yci/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepert r:
---�------ _. DAtas
APPROVED DISAPPROVED APPROVED SUMcT To ABOVE
—Call For Reinap.
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INSPEC_ION NOTICE
City of Tigard Building DepartAent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-41.71
Inspection•-__-__ ------
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Foaming --Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. Line gyp. B -Meth.
Date Requested: 1J_,J —Time: AM _ PM
Address: (. L S /� "�- _._— Permit
Builder:_
THE FOLLOWING cORRECTIONS ARE REQUIRED:
Inspector: _- Date: /Y1—
APPROVED DISAPPROVRD s "APPROVED SU&JECT TO ABOVE
Call For Reinep.
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INSPECTION NOTICE
C!4-v of Tigard Building Department
13125 SW 6a-11 Blvd. Tigard, Oregon 97223
1 41
Inspection Line (Rec-O-Phone: 639-4_15 Bueineee Phone: 639-4171
Inspection:�
Footing Plby. Undersl.ab Mech. Rough-in p
/Sdwlk
Found.
Pl.bq. Top Out Gas Line PINAL: �
Poet/Ream Struct. San. Sewer Framing -•Bid .
q
Pont./Bea,;. Mech. Rain Drain Insulation
-Plumb. i
i
Plbg. Underfloor Water Line Gyp. ed. -Mech.
Date Requested:_ — �/ G C
I Time: 11H PM
-L'Address: j�j1 »y=j �1 / Permit- f: - l�"
Builder: �> -/�'J / �`f !O 4L_
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
-------------
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Inspector:
Data:
APPROVED
{ --- -- DISAPPROVED APPROVED�U��-T Tp pBpyE {
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For Reinnp.
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j 1NSPECPION NOTICE
Cite of Tigard Building Department
13125 SW Mall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-•4175 Business Phone: 639-4171
Inspection:——
Footing
nspection•-__ _Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framin -Bldg
Post/Beam Hoch. Rain Drainaulation -Plumb.
Plbg. Underfloor Water LineCC�� Gyp. Bd. -Mech. x
_L�— —�-`
Dat® Requeo77ted:n, .1-1Time: AM M
Address: J % - a�X ! _ ` L/'- Permit
Builder: ---- -'-
THE FOLLOWINGCORRECTIONSARE REQUIRED.
U-v-y--_�-U___ I
w fin. T U -yam• --__-----
Inspector:
APPROVED _-_ DISAPPROVED __0PPR0VF.D SUBJECT TO ABOVE
VZj _____Call For Reinsp.
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j 1NSPECrIok-NOTICE
City of Tigard Building Department
13125 61N Hall. Blvel. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab (Mach. Rough-i Appr/sdwlk
Found. Plbg. Top Out O e L ne FINAL:
t/Be m St�iu '-p) � San. Sewer lframing > -Bldg.
t/Beam Mech: Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Date Requested! Z!2�L/ Time: AM PM
:�
Address: I //2 / ����� Permit
Ilder- 19-
TRE FOLLOWING, CORRECTIONS ARS REQUIRED: ('^�
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Inspector: �-•"� i �".—�---- Dates�� I �Y
-. APPROVEDSAPPROVEDAPPROVED SUBJE(�f' 7'O ABOVE
C.,=C'a11 For Reinsp.
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INSPECTION NOTICE
Cit? of Tigard Building Departsmt
13125 S11 Ball Bled. Tigard, Oregon 97223
i Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
i
Inspection:
Footing Plbg. Underslab Mech. Rough-in A
ppc/Sdwlk
iFound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Lino
Gyp. ed. -Meeh.
Data Requested:_
-- _ Time: AM _PM
Address: — Permit 1:,q L/l V V
Builder:
'I TFC FOLLOWING CORRECTIONS ARE REQUIRED:rN
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Inspector: — iV V V'-'�•'� [
Date:
_-APPROVED ___,tffSAPPROVED
APPROVED 9URJECT TO ABOVE
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Ic! 1 —all For Reinep.
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INSPECTION NOTICE
City of Tigard Building Depert� �- a
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
ry" Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Ore Line
' FINAL:
! Post/Beam
Post/Beam Mech.Struet, '� San. Sewer - Framing -Bldg.
b
1 Rain Drain Insulation -Plumb.
Plbg. Underfloor Water ins Gyp. Rd. -Mach.
Date Requested: Tom:
AM PM
Address
�L �' .Psrmit
THE FOLLOWING OORRECTIONS ARE REQUIRED:
TL C
C, �. �'`� C-tt-vN VNO..k- QJS
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Inspector: Dates 2= 4
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-..—..APPROVED TAe�D ISAPPROVSD _- APPROVRD SD9JECT TD ABOVE
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For Reinep. 1
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rINSPECTIdN NOTICE �J
city or Tigard Building Departnent
13125 B1 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171 i
Inspections
Footing Plbg. Dnderelab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINALS
I
Post/Beam Struct. San. Sewer Framing -Bldg.
Ytf, I
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Rater Line Gyp. Rd. -Koch.
jDate Regstestedt Times AN PN
Permit i
Address: s -L "� o l 1p I
Builders
�} THE FOLLOWING CORRECTIONS ARE REQUIREDs
I
y Inepectors� v _ Dates
APPROVED %V DISAPPROVED APPROVED SUBJECT 7O ABOVE
\ _Call For Rei.nep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hell Blvd. Tigard, Oregon 97223
inspection Line l(Roc-Ol-Phonets 639-4175 Business Phone. 9-4171
inspection: ��/+ ��l/�' --- •
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg, Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
p1 Underfloor Nater Line Gyp. Bd. -Mach.
Data Requested- ,,¢¢�� Times AN PN
Address- ?)22,, - 1, � Permit is_1�-��«�
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector:
DISAPPROVED APPROVED SUBJECT TO ABOVE
CC -Call For RaInap.
I0SPECTI6N NOTICE
City of Tigard Building Department �/ I
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslabch Ro -itq) Appr/sdwlk
Pound. Plbg. Top Out Gas Line FINALS
et B ts1�Cs® San. Sewer -Bldg.
P at/ Neo & Rain Drain Insulation -Plumb.
bq. erf Water Line -Hach.
Date Requested: c�f � Time: AH PH
/ `-Ll t r Permit it t J
Address• `! 7 74"
Builder:
THE FOLLOWING CORRECTIONS ARE
REQUIRED:
AL
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Inspectort �'/\ � Date:�
\APPROVED �DISAPPROVBD APPROVED SUBJErT TO ABOVE
.811 For. Reinsp.
IN& FACT dN NOT CE
City of Tigard BuLWnq Departeent
ss . 13125 Bw Ball Blvd. Ti:�ard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 i
i
inspection: ---
Footing
Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found.. lbq. Top Out.)
Gas Line FINhL:
Post/Beam Struct. Ban. Hever Framing Bldg.
Post/Beam Mach. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:
4 1 Z W l y Time: —PH
c �; 111 ��,; �� a2 Permit 1: � j
AAdrese: �6 l.�
CA L_
Builder: r 3 ,--1 Ll
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. Date: .
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE k
Call For Reinap.
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INSPECTION NOTICE
city of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plug. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
k�.
Plbg. Underfloor r Lino Gyp. Bd. -Mach.
Date Requested: U Time: AM PM
Address: ` �.- �/� armit f: �
Builder:
TIM FOLLOWING CORRECTIONS ARE REQUIRED: �
--'
Of
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Inspector: //s' '_—_ _ —_ -_-- Date:
APPROVED DISAPPROVRD APPROVED SUBJECT To ABOVE
__Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departssent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 4
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strvct. San. Sewer Framing -Bldg.
i _ fff
Post/Beam Mech. Rain Drain Insulation -Plumb. f
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: (1� C/ cJ I/ /l Tlme: J —AM 1 1 .pM
Address: Z_L)2_52_5A)/ S>l�e ��' a-Permit is `// /6 4
Builder: f of 3/1/11 L
THE FOLLOWING CORRECTIONS ARE REQUIRED
- t
Inspectors_-���-�-- Dntes.l���
APPROVED DI ROVED APPROVED SUBJECT TO ABOVE
1 Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaant �✓
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection tine (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections _-
a
i Footing rai..;. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg. f
y �
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
P Date Requested: - CC C� Time: _ Am PM
hddreos: j f / ..� 1/ 5�` �t)C - Permit
a Builder: /) 1 /�C'/ » �`S ��L7C�c �� 7 7 `1— 222 5
G
THE FOLLOWING CORRECTIONS ARE REQUIRED:1A LQs Q-zt-VIA
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f
Inspector: i— _ Dates L
_-APPROVED APPROVED — DISAPPROVED - APPROVED SUNJECT TO ABOVE
I Call For Reinsp.
d
5 INSPECTION NOTICE
City of Tigard Building Department
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 .
I
Inspectiont , --
Footing\` \j Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
5
Poet/Seem struct. sen. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb. �I \
Plbg. Underfloor Water Lino Gyp. Bd. -Koch.
c- �>/ �� Time: _
Date Rsquesteds PK
Addrese: /\J ! / �� / ' i 5 �FC 4)e "Or._ Pirmitlr: / e/- 0161 (R
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C/
PA
tQ
_ _ I
Inspector:_J �' L'�J� �~--'_�� Date:
��---' 4
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
For ReLni.p.
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INSPECTION NOTICE
City Of Tigard Building Depart
13125 SW
Ball Blvd. Tigard, 6i
4 • Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
{ Inspection:
Ir
� Pp / -_r
I, Plbg. Underslab Mach. Rough-.in A r Sdwlk
Plbg. Top Out Can Line FINAL=
Post/Beam Struct. San. Sewer
Framing -Bldg.
Post/Beam Mach. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Nater Line
Gyp- Bd. -Mach.
Date Requested:
— _Time= r PM
Address: /, ��;J. rr�, ��� �� C'- D/• '
Permit t e
Builder:- —L��)l�'lP�
tTaz
FOLLONINC CORRECTIONS ARE REQUIRED: —
----------------
( 1 __�� y " \�l�_�-y�,� Lam„�_ �- .� �'•
Inspector: 1A
r - _ Date: .� �,. �•
_._____APPROVED DISAPPROVED �
_.ie. APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
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BURGSTAHLER ENGINEERS SHEET NO. M_ NGM5S_ of ° I
Clvll - Structural PE-R kI-r
30323 S.W. Heater Road CALCULATED BY G✓gj DATE 4A-i' _Sol 1-,,!)9 4-
SHERWOOD, OREGON 97140 M57°s4'-Ot 61
(503) 625.7432 CHECKED BY DATE.
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- �` PLUMBING PERMIT
CITY OF TIGARD DATEIISSUED: . 05/06/944_ 0161.
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: s 104CD-�16 '0
13125 8W Hall Blvd.Tigard,Oregon 07223.0100 (503)039-4171
ADDRESS. . . . 13995 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT.. :016
CLASS OF WORK. . :NEW GARBF13E DISPOSALS. . : 1
IvPL OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW FREVNTRS .0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FI X TURES-_.__._.---.___..___.._ LAUNDRY TRAYS. . . . . . : .1 SF RAIN DRAINS. . . . . : 1
► GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
T IUB/SHOWLRS. . . . : SEWER LINE (ft) . . . . :0
WATER CI_OGET9. . :2 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . :0
Rerr irks: PATH 1
OWNER:
1-4 a M HOMES INC: TIF $ 1500. 00 SW 05/06/94 --
F' O BOX 6118 BPR T $ 573. 00 SW 05/06/94 -
BPLC $ 372. 45 SW 04/26/94 94--E:51680
ALOHA OR 97007 B51-IC $ 28. 65 SW 05/06/94 -
VT)ane #: 649- 96,23 SSDC $ 280. 00 8W 05/06/94 -
PARK $ :j00. 00 SW 05/06/94 -
F,Iumhi.nq Cunt ractor^: ----- -- _-._.._____..___. MPRT $ 4x:. 00 SW 05/06/94 -
MPLC $ 10. 50 SW 05/06/94 _
N.-Ame : P M15PC $ 2. 10 5W 05/06/94 -
_ _.
ilr_idress:-1-7 _°ST r�.- PPRT $ 147. 50 SW 05/06/94
C:itys Sitate : _Q ' P'5F'C. $ 7. 58 SW 05/06/94 -
Zip: . exi Phone#: yf-OIgGW _
RECIUIRED INSPECTIONS
This permit is issued si_►bject to the req
ulations contained in the 'Ticlard Municipal Foot /found Insp Rain drain Insp
Code, State of U)•e. Specialty Codes and all Post/Beam Stv-u t Water Line Insp
other, applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in acc.:ordance with approved plans. This F=ilm/undslah Insin Mechanical Fina]
permit will expire if wor•,k is not started PL.M/Underfloor Plumb Final
I within 180 days of issuance, or if work is Mechanical Insp Buildinq Final
a suspended for mor^e than 180 days. Plumb Top Out Erosion, Control
Fi-aminq Insp Crawl Drain
Fireplace Insp
Gas Line Insp
' Insulation Insp
V G G y p B o ra r-d Insp
Put.l-i r•izEed F umbing Contr^actor Signature
Call for- inspection 639-4175
C o n t r•a c t a v, Notes-
ER
CITY OF T I SGA ID PERMITIIS#. .. . . . . :PERMIT
MST94•-16 1 �
COMMUNITY DEVELOPMENI'DeARhT DATE ISSUED: 05/06/94
13126 SW Hall Blvd.Tigard,Oregon 07223.8108 (603)830.4171
PARCEL.: 2S 104CD--01600
SITE ADDRESS. . . 13995 SW M I STL_ETUE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :016
___.___- ---•---------.__________._...___ BUILDING
REISSUE: DWELLING UN I'T - 1 BASEMENI.. . . . . . . . : 1.:360 sf
CLASS OF WORK. :NEW BEDRMS:3 L��THS;2 GARAGE. . . . . . . . , . :527 s f
TYPE OF USE. . . :SF FLOOR AREAS—_- -- _ — RE:GIU I I<L D SETBACKS—
TYPE
FTBACKf —__._______.TYPE OF CONST. :5N FIRST. . . . :;708 sf LEFT. . :6 ft RIGHT. :21 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :'C`_0 ft REAR. . :2 5 ft
STORIES. . . . . . . : i TH I RD. . . . :0 sf REGlU I RED-- --------------- _--
HEIGHT. . . . . . . . : 1.6 ft TOTAL•--._...-.._.._.:;__7013 sf 511OKF DETECTORS. : Y
I-LOOR LOAD. . . . :40 psf VALUE. . . . . $ : 155542 PARKING SPAC:ES. . : 1
Rem.ar-ks: PATH I
PLUMBING -- -.__--_•_—______.______.__________.._..______
SINKS. . . . . . . . . . :? FLOOR DRAINS. . . . :0 BACKFLOW PRLVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
•TUB/SHOWE:RS.. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BAGINS. . . . . . . :0 ;
WA1 ER CLOSETS. . ;2 SEWER 1_1NE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1. WATER LINE (ft ) . - 100 OTHER FIXTURES. . . . . :0
GARBHUE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . ; 1 SF 13A I N DRA I NS". . : 1
MECHANICAL __._._._.____..__________________.___.___._ FEES
F=UEL TYPES---•_—_.-_—__.___ UNIT HTRS. . :0 type amount by dAte r,ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 SW 05/06/94
MAX INPUT:O BTU VF:1`I1• FANS. . :.? BPRT $ 573. 00 SW 05/06/94 —
FURN ( 100K . . : Zi HOODS. . . . . „ : 1 BPL_C $ 372. 45 SW 04/2:6/94 94-251660
TURN > =100K . . : 1 WOODS"TOVES. :O N5PC; $ B. 65 SW 05/06/94 —
FLOCIR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 SW 05/06/94 —
BOIL_/CMP ( 3114 :0 OTHER UNITS: I PARI'. $ 500. 00 SW 05/06/94 +
GAS OUTLETS: 1 MPRT $ 42. 00 5W 05/06/94
Owner.: ________.__.______._________._.____.___..____._._..__Ihl='LF $ 10. 50 5-W 05/06/ )4 -
H R M HOMES INC 1+15PC $ 2. 10 SW 05/06/94 —
F> IJ 130X 6118 PPRT $ 147. 50 5W 05/06/94 —
P5PC $ 7. 38 SW 05/06/94 —
ALOHA OR 9.7007
Phone #: 649-9623
Contr,ar_tor•: —_____.___.____..__._____....._._..._--------
H R M HOMES INC
F-, 0 BOX 6118
(ll_(:)HA OR 97007
Phone #: 649--9623
66852 __._________._..____.---_------._________..______
$ 3483. 513 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/found Insp F ir^eplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Stt-uct Gas Line Insp `
plans. This permit will expire if work is not started within 180 Post/Beam Mec_han Insulation Insp
days of issuance, or if work is suspende or are an 18�days, Plm/undslab Insp Gyp Soar-d Insp
PLM/Uri derflaor, Rairr dr~ain Insp
Mec•hraniral. In,F Water Line Insp
Plumb
ec lisp
v : Fr arningoIn� t pA��?hanacak Final
fall far, inspection — 639-4175
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CITYGF TIGARD . . . .
F'ERM1T #. . . . . . . SWR94-016
COMMUNITY DEVELOPMENT D&AA%NT DATE ISSUED: 05/06,1134
13128 8W Hall Blvd.Tigard,Oregon 07223.8100 (603)030.4171
PARCEL.: &'S104CD-01600
SITE ADDRESS. . . . 13995 SW MISTLETOE DR
SUBDIVISION. . . . : HIL.LSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . L._O'T. . . . . . . . . . . . . :016
------------—.—___•__—.----- ---..__.__..._______________.__.____—____.______-----•—.—•----______.
TENANT NAME. . . . . ..
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORT!. . . :NEW DWELLING UN I TS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINUS: 1
INSTALL TYPE. . . . :HUSWR IMPI=RV SURFACE. . : : sf
Remar^ks: PATH I
Owner: --_--____.___._____._____._._________._._______.. FEES
H & M HOMES INC type amount by date r•ecpt
P O PDX (Ilia PRMT $ 2200. 00 5W 05/06/94 —
INSP $ 55. 00 SW 05/06/94 {
ALOHA OR 97007
'hone #: 649-96c3
Contractor: ------------------------•------ -
CONTRACTOR NOT ON FILL
—___ ____-----------------•-------------
F'hane #: :`35. 00 TOTAL
Rey it.
REQUIRED I NSPECT I ON5 •-------
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
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Age will in
Permittee Si gnat;1.are . .,r _te
r
Issued B y —_._._.__..._
Call far inspection — 639-4175
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Residential Building Permit Application
City of Tigard '..._---'"
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
� /-2)
Jobslte Address: I /"15-
Office Use Only
Subdlvislon:/�,LZ, ,/ii_C QST, Lot*
Valuation:
PlancWRec#
Permit #
Owner: Reissue of
Address:—Az), Map& TL # �� ' z
Phone: y9. ���� ,�_ 8e'2_ Approvals Required
Plannin� �%'� l�`. i�•�l./ t�f�.
Contractor: i /.�l h���rJ�S 1`.r�� . Engineering
Address: /�D. .moo x «� Other
A/emsz6P z--
Phone: -
Items Re uired
Lys 4,G�3 A9- 8�)_ ��
Contractor's License # 8 5�„ Subcontractors M e
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing: 0 Y �.G Li�di rJ6
Mechanical:l�,/.�P�,�LD /S��A7"i deS fY QCd
(attach copy of current OR Contractors License) ,!
6-1
Archltect/Englneer: J f
Address:
Phone:
COMMENTS: -
G
icant Signature & Phone number
Received by: - Date Received.-
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Permit # Account Description Amount Amt. Pd. Bal. Due
1yo1 y -"1&, Bldg. Permit (BUILD) l)/�..' .
Plumb. Permit (PLUMB)
s �
Mech. Permit (MECH) 2� ✓
State Tax (TAX)
Bldg: :ate' .G ti/ •
Plumb: 7 ?Y
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
e/L•5� Sewer Connection (SWUSA) �'
„ Sewer Inspection (SWINSP)
•)
Parks Dev Charge (PKSDC) _Sc�r 5` V
Storm Drainage Chg (SDSDC) .L
Residential TIF (TIF-R) V 14
Mass Transit TIF (TIF-MT) / (r fi
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS:
C•
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,,�TATI� OP O'RFGQ '°:coNSS�T ,IjCTION CON' 'TRACTORS BOARD
W.
This-certifles that;tbO person n od hereon
q
Is'registerpd as provided by,law as a
, Gi~N r.�'O�b7'RJRFStD�NT1Al', r � h y �.,• i
Registration
Number. 6 685 2
'CORPORATION
Expires: ( 05/23/94
N : M. HOMES INC .*
PO< 19 ox, 61,18
NATURE OF RCGtS7RANT
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CITY CII 'IJUARb F•;1 ' I-11. OF* PAYMENT !'
[:1.11.i�!4 riPl1:11•IN'1' a �t11s�,E1» ;rA ,h,,�
li;t'il.: o F4 ih 140MV:s CASH AMOUNT a 0.00
I)MI:t•>;', a cl.c). �)r;1x w,l1H PAYrIF:HI PA IT v �1l;;�F)C,/9A
4�1..(1HA, F1rc
SUBDIVISION » �
97 Pi 0 7
'-'!.►RF"(149F: UF' PAYMENT APIC1AM-41 W411) 1'1)RP(llof-' OF F•IAYPIU NT AMOUNT t'0:117
Ti D.T.NC9 6F.hpl hIST94 'f31f:•1 ;'il,;). 00 F'i._IIMPINO VIVRM 147.50
II,CJ4ANICAL PE 4P.Ma fit . 1'11.111..0 GIF; .38., 13
1 !'0h4 (":itf t:;)4 Fri::: 1 ;3P. 95 st:,WfJk kflyi) 1 SWR94-01f,05 00 I
.I.NSiPEC C 1315.00 PARKS S.1)1'; 1550..0f
'• 10HIII DRAIN c,44"' V80.,00 Ftl:':001 Nr :f.ol '1'RAF'F'll., FF:.t.F, 1µl(-:►. 'AV)
iSS 'TRANSIT 1.1:F FEE.Ti 1. vi 14
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