14252 SW MISTLETOE DRIVE - .. �`°w.�'RM�*e--.«+C •,w..,�M• ..�a•-�w ••wn+�+ 'T,.•..++�.w,... •+N....» « n��nuyw. -
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CITY OF TIGARD
13135 S.W. HALL BLVD.
TIGARD, OR 97223
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a IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
P O BOX 2007
GRESHAM OR 97030
Plumbing Signature Form
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Permit #. . . . : MOT96-0031
E Date Issued. : 11/14/96
Parcel. . . . . . : 28104CC-01200
' Site Address: 14252 8W MISTLETOE DR
Subdivision. : HILLSHIRE ESTATES NO. 2
e. Block. . . . . . . : Lot.: 117
Zoning. . . . . . . R-7 PDf
Remarks:
PATH I
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Your company has been indicated as the plumbing contractor for the permit indica
for the plumbing permit to be valid, please have the appropriate individual from
below and return this Plumbing Signature Form prior to the start of work. No pl
will be authorized until this completed form is received.
AN INR SIGNATURE I8 REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
NORTHWEST DREAM HOMES WOLCOTT PLUMBING CONT. INC
13906 SW TAYLOR CREST IN P O BOX 2007
LAKE OSWEGO OR 97035 GRESHAM OR 97030
Phone #: 636-6438 Phone #:
Reg #. . : 23847
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Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #31.0
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CITY GF TIGARD
DEVELOPMENT SERVICES
13125 SW Hell Blvd.,Tigard,OR 97223 (503)6394171
Cs=RT I F I CA`rE OF
OCCUPANCY
PERMIT i!. . „ . . . . I MST96 -0031
DATE Ic;71Sf Dt 10/31/96
PARCEL: 26104CC- 01 c:10Q,
31TE ADORESS. . , e 142!32 SW MISTLETOE UR
' SUBDIVISION, . . . a HILLSHIRE ESTATES NO. 2 ZUNINGiR-•7 r'n
BLOCK. . . . . . . . . . c LOT. . . . . . . . . . . t 1
CLASS-OFWORK. P"NEW,___,__,____
TYPE OF USC. :SF
TYPE OF f ONST R s 5N
OCCUPANCY CRP. e R3
OCCUPANCY LC.IAD c E"
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Remarks : PATH I
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Owners
NORTHWEST DREAM HOMES
1.2;906 ISW TA'YLC.,f? CREST UNI
LAKE nl0WE(30 OR 970:35
Phone #.- 6:3664,36
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Cont,ractore
NUR"rHWE:.S'T DREAM HOMES
29351 SW BAKER ROAD
SHERWOOD OR 9'7140
Phc,ne #c t't)A -6777 !Wa
# Rep #. . % 36979
Thii Cew•tifiGah e grantlF or.cuparrcy of the above refet•'enced building or portion
thereof and uorrfirmR that the blu. lcliny has been inspected from compl. iancr* with
thw State, of Orrgort '3pric:xalty Code, fcir the grc+,.1p, occurlapic:y, arnd. ,..rqe tinder
whir..h the rrferenced r.lermit; was i.nvupd.
_At J_ ._DT01�G_ . F,EC'TC)p __. .. BUILDING OF"t'ICTAL
POST IN CONFPICLJQUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service
Foundation Water Ling Ceiling
Post/Beam Mach. Shear/Sheath Framing -Mech. �i
PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk � " `
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A.M. __P.M. Entry: _
Address: _L. �� �-- �---Q 2
Tenant: ��.— _— ----- Ste:— - MSTCY•1(0_ C)
BLIP:
Con/Own: _ __ ____ MEC:
PLM: —�_
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspectpr:
'APPROVED DISAPPROVED/CALL FOR REINSP. Co
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CITY OF I A D IL 5 EC 10 TICE
Inspection Line, 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/SeMce FINAL:
Foundation Water Line Ceiling umb.
Post/Beam Mech. Shear/Sheath Framing �v`lech.
Plbg Und/Flr/Slab Plbg. Top Out Insulation -lett. Tr
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bld .
r v�` San. Sewer Gas Line Appr/Sdwlk Reim'"""
Other: Q
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4isFr Date: —1.�' �— P M.--- intry: A1�
Address
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; �' _ CITY OF TIGARD BUILDING INSPECTION NOTICE 3 „
Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
1` Foundation Water Line Ceiling -Plumb. ;
fit ,
Post/Beam Mach. Shear/Sheath Framing -Mech. +,
PIbg.Und/Fir/SlabPlbg. Top Out Insulation -Elect.
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line
ApPr/Sdwlk Reins,
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Date: -= - tel G A.M. i P,M, Entry; _
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Ste: MST:
Con/Own:JQY.� -7 3 �3 �c� w_x BLIP:
MEC:
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Date:
APPROVED _DISAPPROVED/CALL FOR REINSP, CF CO
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i CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain DrainY,+y�+�'
Cover/Service FINAL: Jr, `
Foundation Water LinpCeiling -Plumb. A' a
Post/Beam Mach. Shear/Sheath Framing -Mech.
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PIbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
i �Jost/Beam Struct. Mech. Rough-in t;
.Yp. Bd. -Bldg. �
San. Sewer t 'rys,
Gas Line r/S �gs
Reins,
Other:
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Date: A.M. —P.M. Entry:
r Address: -�--__ U Y \.c _X S� � ✓ ` $�`A5'
1 Tenant: ` -
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Con/Own: BUP:
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PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector ___--�—
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LAPPROVED DISAPPROVED/CALL FOR REINSP. CF CO a y1{t
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CITY OF TIGARD PERMIT U#t. . . . p'ERMII"L_M96--0:::41
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/19/96
13126 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171
I'='ARCM_: cS1kyA•CC-0]�:?l�+l+
SITE ADDRESS. . . : 1425 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 1.7
CLASiSi---------------------------------------------------
OF WORK. . :ALT _ GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF' WASHING MACH. . . . . . : 0 BACKFLOW PRE VN"1R5. . i
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WA-CER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
I_.AUNDRY TRAYS. . , . ,. : 0 SF RAIN DRAINS. . . . . . III
SINKS. , . . . . , . , . . 0 URINALS. . . . . . . . . . . . +7f GREASE TF2AP�a. . . . . . . +7+
L..AVATORIES. . . . . . 0 OTHER F•IXTURU,1-3. . . . : 0
TUB/SHOWERS. . . . : O SEWER LINE (ft ) . . . : 0
WATER CL0SETS. . : 0 WATER LINE (ft ) . . . : +1+
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : +11
Remarks : Installing Li residenL- ial. bac!<flow prevention device.
Owner" FEES ---__.—_--_..—__—.
JEFF BOUGOSIE type arrol_rrnt by date rer_pt
14252 SW MISTLETOE DR PRMT $ 15. 00 CTR 1218/19/96 96-28:3006
; PCT $ 0. 75 (_T13 08/19/96 9(n--28300(:G
T I GARD OR 1)7;-:.'23
Pt-lane it:
Contractor^:
ONCTIL PLUMBING INC
1.6900 SW MERLO RD
BEAVERTON OR 97008
15. 75 TOTAL
Cleg #. L,4x84
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Bacl<f law Pr'vv �,•_ •_•.. ____�___ __
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final l n=pent i on
applicable laws. All work will be done in accordance with
u approved plans. This permit will expire if work is not started
within 189 days of issuance, or if work is suspended for more
than 189 days.
P a r•m i.t t e e Si gnat 1_r r e :
i s;s t.r e d B y :
Call for inspection 639-4175
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City of Tigard PLUMBING PERMIT P lanck/Rec. # 96- _c)—g3QD
13125`SW Hall Blvd. APPLICATION Permit # PLrO9C-D 'ty
Tigard, OR 97223
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(503) 639-4171
scription
ORS 814-21_610QTY PRICE AMT
Job �� �l mil FIXTURES r
i Address
Sink
Lavatory - - I(�(. u or u ower Comb. I!,",111 � F 6 _ Shower _ _PX
—fir Closet7.50
Owner ---Dishwasher — 7.50
Gar5_66-0, Aspo -
asFAng Machine
-Fuo—rZsrain
J'o�tir/AL atereatl7 er---
Occupant �. atm��`ay
r7 in7
i --- ar Fxtures pea y
7.50
�j /y / � _-73i-
�� I DO �� /r���1 V (� 0. MISCELLANEOUS
Contractor — Zo _
,60q 01 0(t- Sewer I st TWI —
ewer-ea t.
G q Water Service I sf iW20.00
hereby acknowledge that I have read this nppkahon,-ffiat the Water Service eF.Addit. 200' 15.00
information given is correct,that I am the owner nr authorized agent of —
the owner, that plans submitted are in compliance with State laws,that 1 Storm 6 Rain Drain 1st 100' 30.00
r am registored with the Cons7uction Contractor's Board,that the number Storm&Rain Drain Addit. 100' 15.00
given is (If exempt from S e registration,please give reason _
below.) Mobile Home Space 25.00
11 Q' / c owlSrevenuon� --
V L (D (s� Device or Anti-Pollution Device 7.50
Any Trap or Waste Not
Connected to a Fixture 7,50
Describe work now U a an U_altarat�ron repair aBasin---'
to
assn- '
to be done residential non rosidential 0/ ------
Insp.of Exist. Plumbing per hr
—
-WTW
Specially Requested Inspections per hr
I Existing use of
Rain Drain,sang a amA�Ty
building or property
15.00
Residonha ac ow prevention
Proposed use of
devices — 15.00 /
j building or property
N(ExceptresidontialVackHow ——
j prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE �?
AUTHORIZED IS NOT COMMENCED WITH114 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDE)OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME:AFTER WORK IS PIAN REVIEW 25%OF SUBTOTAL
COMMENCED. — — --- -- --- G
TOTAL
Spedni Conditions
— _ Date Issued.' ' by
WM MoarT .~
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 $�
Rain Drain Cover/Service FINAL: r 'rr� sr
Footing
-Plumb.
Foundation Water Line Ceiling ,`
-Mach.
Post/Beam Mach. Shear/Sheath Framing i J;t�Ar
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
-Bldg.
Post/Beam Struct. Mach. Rouyh in Gyp. Bd.
San. Sewer pr/Sdw Reins
Gas Lina ,
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j Other:
Date: _ r A.M.—PV. En
Address R
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Ste: MST:
BLIP:
MEC:
Con/Own:— PLM: f�it
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
--- �- — — — -- 7r^
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Inspector: Data:
--- -- ---'--- —
DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639 4171
Footing Rain Drain Cover/Service FINAL: a x�
Ceiling
Foundation at r LI g -Plumb.
i Mech.
Post/Beam Mech. Shear/Sheath Framing y�efi
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Post/Beam Struct. Mech. Rough in Gyp.
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Other:
Date: _ 7 A.M. P.M. Entry:
Address
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Tenant: Ste:
BUP:
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PLM:
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ROVED __DISAPPRGVED/CALL FOR REINSP. CF CO
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�. CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
( PIbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect.
(� Post/Beam Struct. Mech. Rough-in Gyp. B -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: 0 __ A.M. _P.M. Entry:
+ j —
Address:
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Tenant: 4111 Ste: MST:
BUP:
Con/Own: --_-- —__ - MEC:
PLM: -
ELC: , r ,
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: Date:
—APPROVED __.DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
I
i
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out �uTaaton -Elect.
i Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg.
' San. Sewer Gas Line Appr/Sdwlk Reins.
I
Other: —
Date: A.M. Ent E
jAddress:
Tenant �_ _ Ste: MST: _ G C
BLIP:
Con/Own: MEC:_
f PLM:
J ELC;
THE FOLLOWING CORRECTIONS ARE REQUIRED: EI 9;
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Inspctor: Date:4
—APPROVED _ DISAPPROVED/CALL FOR REINSP CF CO
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77,77 l ,
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w `1 CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water LineCeiling Plumb,
Post'Beam Mech. Shear/Sheath _ Mech.
Plbg.Und/Flr/Slab Plbg. Top Out insulation -Elect.
I
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg,
San. Sewer GasLine
J' Ap r/Sdwlk e n
Other:
Date: A.M. P.M.�. Entry:
Address:
.
Alk
� Tenant: Ste:---- MST: e_v _�
BUP: _
Con/Own: MEC:
PLM: —
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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10,
{ Inspector: i
Date: _ tt
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO j
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 # 1
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beamgamin Beam Mech. Shear/Sheath % -Mech. '
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mech, Rough-in Gyp. Bd. -Bldg.
a+ � , San. Sewer Gas Line Appr/Sdwlk R ins.
+.drt�4hr Other: __ -- --- —
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Date: , 7//__ A.M. P.M.— _ Entry:�_ — r•
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4.+ Address:
— ---- Ste:— MS� 0�3/
Tenant: . !
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Con/Own: MEC:
PLM:
ELC: _
FOLLOWING C R C IONS ARE REQUIRED: SLR: _
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
i �k,, Post'Beam Mech. Shear/Sheath ( Fra -Mech.
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THE FOLLOWING CORRECTIONS ARE REQUIRED: R
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_-APPROVED DISAPPROVED/CALL FOR REINSP, CF CO
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain
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Water Line Ceiling -Plumb,
Post/Beam Mach. Shear/Sheath Framing
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Other: �7
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—APPROVED -DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 t
Footing Rain Drain over/ServtM P/FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
j Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ��-1 '— A.M. P.M. Entry:
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THEFOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: _ _.._.._. Date:_
LAPPROVED —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: 639-4171
Inspection-,---
Footing
nspection: _Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ech Rouay> Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainrami iTg" -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Permit #:
THE FOLLOWING CORRECTIONS .ARE REQUIRED:
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Inspector: Date:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
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Rough-in A r/Sdwlk I
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Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare 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 -Mach.
UndedIr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ Time: AM PM
Address:
Builder: Permit #:
THE FOMWING CQRRCEC�TIONSNE R�DRED:
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Inspector: — Date: b
,APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
__Call For Heinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: a
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:
Builder: Permit #:
THE FOL OWIN C RR CTI NS ARE REQUIRED:
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Inspector: Date: Z
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
" inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Pibg, Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water line Insulation -Mach.
Underflr. insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _Time: AM PM
Address:
Builder: Permit #:
THE FQ O ING CORRECTIONS A19E REQUIRED`
Inspector: ,,// Date: �17
6
_APPROVED ACQSAPPROVED _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
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, ewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: J;X,26) ,L, Time: AM �`_ PM
Address:
Builder: Permit #: "
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date:
�-APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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f CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
1 Footing Rain Drain Cover/Ser/ice FINAL:,
Foundation Water Line Ceiling -Plumb. ,
Post/Beam Mech. Shear/Sheath Frainiyg Mach.
Plbg.Und/Flr/Slab g.To Out Gai n Elect.
Post/Beam Struct, ech. Rh-in Gyp. Bd. Bldg,
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Sen. Sewer Appr/Sdwlk Reins.
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Other:
Date: J .L ytiyl ,
A.M. _ Entry:
Address:
Tenant:
Ste:�V MST:
BLIP:
Con/Own: MEC:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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ROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE Wp '
Ma Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
1PostElitarn Mach, Shear/Sheath Framing Mach. ,,a a ,•
U /Slab C- p Ou Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _—
Date: A.M.��P.M. Entry:
Address: Z
Tenant:— _ Ste: __ MST: - 4
BLIP:
Con/Own: T MEC:
PLM:
ELC: "
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: _ _-- — Date
,I —APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
4
I
,P<1 6- CITY OF TIGARD
OREGON
10 April 1996
Be Electric
Post We Box 389
Donald, regon 97020
De arty:
Thank you for the address Information for NW Dream Homes. I have looked into the
history of the permits and have discovered that our records are in agreement with the
Hillshire Estates No. 2 plat and Washing,-%n County's tax assessment maps. I have
enclosed a copy of the maps and the correct address assignments (our Engineering
Department assigns addresses). I will also let Jeff at NW Dream Homes know that he may
have two (2) Incorrectly addressed permits. Addresses must be accurate for building
Inspection record purposes, postal routes, tax payments and of course - CLOSINGI Let's
keep those title companies happy. Thanks for your concern.
If you need any further address documentation, feel free to contact any of us in
Development Services at extension 304,
r Sincerely,
Jean Heitschmidt, Development Services Technician
Community Development Department
4. /Ih
c: NW Dream Homes
} Enclosures `Zv��, �� � U✓� � k
V 17
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13125 M Hall Blvd., Tigard, OR 97223 (50. 639-4171 (503) 684-2772 —
�bW i to 1 i _ .. ... _........�... ,...
.za�47
—
} CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 MIT
4t�NJJ,11,7 .
" Footing �ainrain� Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech• Shear/Sheath Framing -Mach,
Plbg.Und/Flr/Slab Plbg.Top Out Inaulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other: — — —
Date: Z A.M. P.M. Entry:
Address:
' Tenant: ______` Ste:_ MST: OG
BUP:
Con/Own: MEC: ---
PLM:
ELC: —T
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
e�'7
i
64 L fj
-------------
i
Ins actor: � -..__ Date:
PPROVED —DISAPPROVED/CALL FOR REINSP. CF O t
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��" Yid' •� ,', �
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CITY OF TIGARD BUILDING INSPECTION NOTICE
I
Inspection Line: 639-4175 Business Phone: 639-4171
„ . Footin / Rain Drain Cover/Service FINAL: fi
j o Water Line Ceiling -Plumb.
Post/B@am Mech. Shear/Sheath Framing Mach,
.�
Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect. ■
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg 3
San. Sewer Gas Line Appr/Sdwlk Reins.
i'
I
I
Other: _
Dater A.M. P.M. Entry: _
Address:
Tenant: Ste:._ MST: �-
--- ---
i Con/Own:----- — MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: --
- C-
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Inspector: _
— - — - — Date: 1i
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC
PO BOX 389
28085 BUTTEVILLE RD NE
DONALD OR 97020
Electrical Signature Form
Permit #. . . . : MST96-0031
Date Issued. : 02/26/96
Parcel . . . . . . : 2S104CC-01200
Site Address : 14252 SW MISTLETOE DR
Subdivision. : HILLSHIRE ESTATES NO. 2
Block. . . . . . . . Lot : 117 r
Zoning. . . . . . . R-7 PD
Remarks : k
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In ?d
order for the electrical permit to be valid,
is required. the signature of the supervising electrician
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM ; +
OWNER: ELECTRICAL CONTRACTOR:
NORTHWEST DREAM HOMES BEAR ELECTRIC
13906 SW TAYLOR CREST LN PO BOX 389 a�•"
28085 BUTTEVILLE RD NE
LAY"" �8WEO0 OR 97035 DONALD OR 97020
P�.one # : 636-6438 Phone FAX-687-1108
Reg # . 2 19 ,'
ur o u rvismg ear c an
Please return this completed form to the address above. '
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
�rr�swrp�,u*aRMM/K1Nte4Rw'^".'^ `•":^+"T,q'
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f CITY OF T PERMBI BIPERMIT MST96-.-00--1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0�:/12'6/96
13126 8W Hall Blvd.Tigard,Oregon 97223.8100 (503)630-4171
PARCEL: 22C3.+114(-"C_012,00
SITE ADDRESS. . . : 1415,2 CW MISTLETOE DR
SUBDIVISION. . . . : H I LLSH I RE ESTATES NO. 2 ZONING: R•-7 Pr)
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . : 117
---- ___._ ________-
L:I_AS5 (7t`' WORK. . CGARBAGE ^GIaF'UaAL.S. . . •I�_._-.._____._......._____......_...._.•..............,..
TYPE OF USE. . . . :NEW WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
I OCCUPANCY i;RP. . :SF FLOOR DRAINS. . . . , . . : 0 TRAPS. . . . . . . . . . . . . . . 0
GT•ORIES. . . . . . . . .. WATER HEATE.RS. . . . . . . 1 CATCH BASINS. . . . . . . 0
F IX'f'UREG-- _-------------- LAUNDRY TRAYS. . . . . . : 1 CSF RAIN DRAINS. . . . . : 1.
a :�iNKS. . . . . . . . . . s 3 GREASL: TRAPS. . . . . . . :0
LA'JATOR I LG. . . . . a 6 OT HER F I X'TURE G. . . . . .. 0
1 UB/SHOWERS. . . . s 4 SEWER LINE' (ft) . . '. 0
WATER CLOSETS. . : 4 WATER E_iNE' ( Ft ) . . : 104
i
DIGHWASHERa. . . . s 1 RAIN DRAIN (ft ) . . : 0
i
Remarks: PATIA I
IJWNER s -FEES—•----.___.__._..__,_.__ (('�,
NUIRTHWES UkE'AM HOMES 3WM $ 180. 00 JSD 02/261 "?6 96 ":2176 3L'S
13906 SW TAYLOR ORES-r LN 0WM $ 100. 00 JSD 02/26/96 96-- 7763 j
EL-CI- $ c-60. 00 JSD 02/86/")6 96---,2763%?6 f
LAKE O SWEGO OR 9703; ELC5 $ 13. 00 J9D 02/26/96 96--276326
Phone #: C. 36-6438 ELRP $ 40. 00 JSD 02/26/96 96--276328
ELR5 $ 2. 00 J D 0 :/26/96 96-••27636`8
Bp,wr s "763. 00 JSD 0.'/26/96 `)6--c?76326
HPLC 1, 495. 95 JH 01/30/96 96--275487
iName ._..__...._...__._ __. _. ._ LAy1P L y '311. i S ,JE,U 96 �16:3 ,8
Address : PARK, 51'1.10. 1,10 JSD 02/26/96 96--276328
( itYs _ _.. _...._�......_..._._. _...'�trzte : _ _ Mf''f<T 4 4F.�,. 1 0 J:'1L3 0 '/ E+/96 !l f.+_276328
lip% _ �Pllane#: _ _ MPLC $ 12. 00 JSD 06/26/96 96_.27631E?s
I Reg #s Odditional fees riot Shown here. . . . . . . . .
r.
RE EUI RE.1) 11\16PECTIONS _....__._._.__._
! his permit ii: issued subject to the reag--
llations contained in the Tigard Municipal footing Insp Gas Line Insp
-ode, State of 0'+-e. Specialty Coder and all Foundation Insp Gas Fireplace
rather applicable laws. All work will be done Post/Beam Strur_t Insulation Insp
.+ n accordance with approved plans•. This Piet/beam Mechan Gyp Board Insp
permit will expire if work is not started Lt-,awl 1ra17-1 Rain drain Insp
,.within 180 days of' issuance, or if work is UnderfIoar- Water I__ine Inst_
suspended for more than 180 days. Mechanical Insp Water Service I,
Plumb Top Out Oppr-/1,3dwlk ln-,,p
Electrical Servi Electrical r- inal
Framing TnSp Mechanical F ir+,al.
Low Voltage Plumb Final
K C/ Fir enlace Insp Bari tdi.nil Final
futhorized Plumbing Contractor Siynat,_1re
i:all 1';ai- inspection 639.•.4175
i- ontractor Notess
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ale
40,
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MASTER PERMIT
CITY OF TIGARD DATE ISSUED: 02/LE/966-0031
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 07223.8100 (603)630-4171 FARCE 1_: L 104CC--IZ11 c:17 0
SITE ADDRESS. . . : 14c ._ :aW IIISTLL-TUL I?R
SUBDIVISION. . . . : 1-IILL.SHIRE ESTATES NO. iR ZOP41NG: H--7 PID
l? . . . . . . . . . . . . . . . . . . . . . . . : 1 17
Remarks: PATH I
-•--------------------------•-------------------- BUILDING --------------------------____-------------------------------
FEISSJE: STORIES.......: CFLOOR AREAS---------- BASEMENT...; 764 sf REQUIRED SETBACKS----- REOUIRED-------------
CLASS OF WORK.:NEW HEIGKT........: 2E< FIRST....: 1848 sf GARAGE.....: 832 sf LEFT..........: IT SMOKE DETECTRS: Y
'YPE OF USE...:SF FLOGS LOAD....: 40 SECOND...: 1269 sf FRONT.........120 PARKING SPACES: 1
TYPE OF CONGT.:5N DWELLING UNITS- 1 FINBSMENT: 0 sf RIGHT.........s 5
OCCUPANCY GRP.-.R3 BDRM: 3 BATH: 4 TOTAL------: 3117 sf VALUE..1: 231335 REAR..........: 85
-------------------_.------------------------------------------- PLUMBING --------------------------------------------------------------
';INKS.........
-----------."INKS.........: 3 WATER CLOSETS.: 4 WASHING MACH..: 1 LAUNDRY TRAYS.. 1 RAIN DRAIN fts 0 TRAPS.........: 0
LAVATORIES....: 6 DISHWASHERS...s 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
'UB/SHOWERS...: 4 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft. IN BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTmER FIXTURES: 0
-----------------------------------------------------__ __--- MECHANICAL ---------------------------------------------------------- ---
FUEL TYPES--------' - FURN ; 100K ..: 0 BOIL/CPP ( 3HP: 0 VENT FANS.....s 5 CLOTHES DRYERS: 1
/GAS/ / / FU'RN )=100K ..: i UNIT HEATERS..: 2 HOODS.........: 1 OTHER UNITS...: i
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.......... 0 WOODSTOVES....: 0 GAS OUTLETS,..: 1
--- -------------------------- ELECTRICAL ------------------------------.....-- -------------------
--RESIDENTIAL UNIT--- ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- ;
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 20e amp... 0 W/SVC OR FDS..: 0 PWiIRRIGATION: 0 PER INSFfCTIONs 0
EA ADD'L 500SF.: 6 201 - 400 amp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......., 0
LIMITED ENERGY'.: 0 401 - 600 amp... 0 401 - 600 amp..: 0 EA ADDL PR CIF: 0 SIGNAL/PANEL...: 0 IN PLANT......: A
MANF HM/SVC/FDR: 0 601 - 1000 asp.: 0 601+m0ps-:000 v: 0 MINOR LABEL -10: 0
1000E asp/volt.: 0 -__..___.____.._._--•---_--__----...__-_-- PLAN REVIEW SECTION ---_._------__--_------------------_
j Reconnect only.: 0 )=4 RE3 UNITS..: SVC/FDR)-225 A.. ) 600. V NOMINALs CLS AREA/SPC OCC:
__—------------------—_----- ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------------
--------------------------- B. COMMERCIAL-----------------------------------------------------------------
A. 5r RESIDENTIAL
i AUDIO 6 STEREO.: VACUUM SYSTEM.,: AUDIO 8 STEREO— FIRE ALARM.,...: INTERCOM/PAGING: OUTDOOR LNDSC LTi
BURGLAR ALARM.. : OTH: :: X BOILER......... : HVAC...........: LANDSCAPE/IRRIGs PROTECTIVE SIGNL:
GARAGE OPENCR..: CLOCK....,.....: INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL M SYSTEMS: r
---—-------------.___--___...__,_ContractorTOTAL FEES:1 2880.05
NORTHWEST DREAM HOMES NORTHWEST DREAM HOMES
1 134% SW 'TAYLOR CREST LN 13306 TAYLORS CREST 01,
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035 f
Phone #: 636443P pt-,one 1: 636-6438 BUS
Reg N..: 86979
This permit is .isued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable iaws. All work will be cane ir. accordance with approved plans, This pereit will expire :f work is not siarted within 18e
days of issuance, or if work is suspendeo for more than 180 days.
__—------------------------------------------------------ RLOUIRED INSPECTIONS _.--__-____-_......-------______...-----------......---—___--_
?r: Footing Insp PLM/Underfloor Low Voltage Gyp Board Insp Electrical Final
y Foundation Insp Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final
post/Seas 5truct Plumb Top Out Gni !.i- Tnsp Water Line Insp Plumb Final
Post/Deas Mech.:n Electrical Servi Gas a Water Service In Building
Crawl Drain Framing Insp ' AppriSdwik Insp Erosion Control
_..
i eir mitts?c JsynGatr-:r'e .�. �� _. 1ssrjed i.y •
>,r Fleet i an 639 417`.,
Slash
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PERMIT
CITY OF T DATE PERMIT ISSUED., 1 02/26/9&
R96,-0045
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 9722398199 (603)539-4171 r-,ARCE:L: `S 104CC- 01 c:00
SITE ADDRESS. . . : 14252' SW 11157LETUE: DR
SUBDIVISION. . . . : t-•IILLSHIRE LSTATEG NO. 2 ZONIN(;-j: R- 7 r'l1
LaLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 117 f
TI.NgNT+NAME. . .. . . . .
_;
i USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
■
CLASS OF- WORK. . . :NEW DWRI....J._1.NG UNIT'S. . : 1
y -rYF'E< OF' USE. . . . . :SF NO. OF PU T LD I hI(.-:)G: 1
i i\161)il_.i_ TYPE. . . . .BUSWrd I Mp'F_RV StJkr=RCL: 0 s f
Reinat-ks: PATH I
1
,
L'+wn�r ; _.____.._.,---•----....___.._.__._____ ._._._._._.__.___...__.__._..___.____ _________ FEES _-- - �— y M
!
NORTHWEST DREAM HOMES type amco�tnt by (J ate �y-eciJt_•.._
3906 SW TAYLOR CREST LN PRMT $ 21200. 00 J51) 02/26/96 96-2,76328
INSP $ .s` . 00 JSD 02/26/96 962763,28
8
LAKE OSWEGO OR 97035
Pi-rone #i: 636-6438
Contyactor.
LONTRACTOR NOT ON FILE
I
e #: p 1110 T017'4L
Berg #. .
REQUIRED INSPECTIONS
— --This Applicant agrees to cosply with ail the rules ant, regulations Sewer, In,;pect ion ____ __.�.•_�,__._._,___ '
of tie Unified Sewage Agency. The permit expires 18e days from
the date iisued. The total amount paid will be forfeited ;f the
i oermit expires. The Agency does not guarantee ,he accuracy of the _•__,_- _w_._..A_..__.
1 side sewer laterals. If the sewer is not Iocated at the measurement
given, the installer shall prospect 3 feet in all directions from ____� _ ____ _ __• W__, ____
the distance given. If not so located, t�,, installer shall purchase _. •_____,,, ____Y_._. _ _� __.._._ .._.—___. .__._...
a "Tap and Side Sewer" permit and the Ag11 a lateral,
s
I c�r•m i.t; t E i y n L,t IJ rca • - .__ .__.._. . a..�__ _ '+
1 ,
Call fat-, inspection 639-4175
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7.
City of Tigard Residential Building Permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 52
/ 1 /
Subdivision:l��� > 1 �7?ri Lot#/�% J Office Use Only
7 Contact Date / / Initials
Valuation: � i .�,j•S
Result /
New Construction Only: (Square Footage) Planck/Rec #
Permit # _ /!� T r �'
House; Garage: - P,eissue of�I*I
Corner Lot? CYf N Flag Lot? Y Map & TL#�ZQ� ('L_nja U7�
Zone
Owner: Plat #
` � f �Z , ,� Approvals Required
Address:
Planning Setbacks Solar
Engineering 9� 9 int d� (v go a, (;�. Rr►,�.
Phone: L � i ) ��'�,�' Other
Contractor: ) Items Required
Address: Subcontractors
Truss Details
Other
Phone: ( )
Notes
Contractor's License # —
attach copy of current Oregon license)
Contact Name: ,� �- __ --
Contact Phone:
Subcontractors: Architect]Engineer:
i
Plumbing: 4' C' Address:
Mechanical:
(attach copy of current OR Contractor's License) /
I C /4f� � Phone:
�. i
,JOB DES.CRI ON:
Applica,r(t Signature Applicant Phone number
Received by: Date Received:
N uoa,�dtiv...on — —
17
Permit# Account Description Amount Amt.Pd. Bal. Due
Bldg. Permit (BUILD) _ G>>
Plumb. Permit (PLUMB) 4' ,2�,
Mach. Permit (MECN) j U
4 t�7IR" ILI
Bldg:
Plumb:
Mach:
1 c "
Plan Check (PLANCK)
Bldg: Y
Plumb:
i
Mach:
/ 12,
stv4Z yG-Ol��' Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Qu AL l F 1 F S Residential TIF (TIF-R)
(c. VQLAI(A W--V Mass Transit TIF (TIF-MT) I'rt
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) � ��
Erosion Planck/L 1A (ERPLAN)
Erosion Planck/COT (EROSN)
r /
TOTALS:
1
96 JAn 26 16:15:50 R:\LT\LT117HE2 4 Alan Maecord Design (5031 226.9161
1
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2263E
BY :
i
NORTHWEST DREAM HOMES
g CITY OF TIGARD
N 89'09'54" E HILLSHIRE ESTATES NO. 2
310'
_ _ _ _ _ 9
rj 79.58' LOT 117
(
10,02 S0. FT.)
I
1 _L- --————————————
----- =----�
NOTE:
LOT EXEMPT FROM SOLAR
CODE DUE TO THE STREET
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to
1 Q O I i.�-T -_ -_ _ _ _ I cmr*�
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9,10".i.;. ��...................
WI :o; ..... g -- ....----- '�Q I 310'
cn 310' I :I MAIN FLOOR
p EL.a312.0' -` 5 co
GARA4 '
EL.:300' 6 jl N
O
17' 3"
cc
i I — 4" CONC n
DRIVEWAY ^'
o j
(3500 PSI) 0 300'
w N 82°47 16" E — L 8 207
61 14' __- ALAN MASCORD DESIGN ASSOCIATES,INC
+..a...+�� 300' 4f. ^�•- IS NOT LIABLE FOR THE ACCURACY OF THF
1, .--- - TOPOGRAPHY ITSOLE
RESPONSIBILITY OF TIE BLILOEA TO
VERIFY
ALL SITE CONDITIONS.INCLUDING AN•FILL
PLACED ON THE SITE AND WORM OWNERS
OF ANY POTENTIAL FELD MODfN;ATNIN9
30_-0'. MIN
DRIVE 01/25/96 MRR
O
ALAn f1Af ( ODD DCf10n A-TIOCIAT ( f In
1305 N.W. 18TH AVENUE, PORTLAND, OREGON 97209 (503) 225-9161 S C A L E 1 " 2 0 ' 0 "
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SIERRA PACIFIC
9np DEVELOPMENT, INC.
i P.O. Box 1754 LAKE OSWEGO, OR 97035 (503) 684-3175 FAX (503) 664-3176
1
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TIF CREDIT VOUCHER
PROJECT NAME: HILLSHIRE SUMMIT #2, HILLSHIRE ESTATES,
HILLSH.TRE ESTATES #2 .
THIS VOUCHER ENTITLES
/ a
TO ONE ( I ) TIF CREDIT FOR LOT l� "7 _ IN THE (31)at
i
SUBDIVISION.
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THIS TIE CREDIT SHALL BE APPLIED BY THE CITY OF TIGARD AGAINST
S
THE APPROVED TOTAL TIF CREDITS FOR SIERRA PACIFIC DEVELOPMENT, INC .
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AUTHORIZED SIGNATURE,
1. OREGON TITLE COMPANY
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������7%+ty��iur' w�a a 'Cwzt •�' � �� C`�t� , ��lsFwrl�a r� � r
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7.
Credit No.:
,QF Tyra aQ
Date Issued: Ing,, t5, 179 '
Engineering
TRAFFIC IMPACT FEE Authorization
Date:
CREDIT
Land Use
Casefile No.: SUB 91-0013
In accordance with Ordinance 379 Sierra Pacific Development, Inc.
is entitled to $_38,628.25 _ in Traffic Impact F edCredits that can be applied to TIF
charges for development on lot(s) as referenced in the attached letter dated April 25
1995, from Jeff .Nelson. Sierra Pacific of the Hill,.-e% Summit 02, klillshire Estates,
Hilishlre Estates #2 Development. To use this credit, present this form at the time of
issuance of the building permit.
oIrec,a
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance
9 9 38,628.25
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
k4n\vioa.vooe., Use Additional pages if necessary.
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