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City at Tigard Building Departasat J
13125 BW Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone)s 639-4175 Business P c. r fg-4171
Inspections01
,
Footing
Plbg. Underslab Hoch. Rough-in Appr/Sdwlk G ;r,
rc• ..d. Plbg. Top Out Gas Line +-
��rs�a►L�l
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation
Plbg. Underrloor Nater Line Gyp, Rd.
Date Requested, Tituet Y't pg
1 a I
Address l LL�C l o hyo _0y(,t l 1 . -_
Perolt f t r
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED,
,
1 .
Inspectoce__
4_T,�LP OVED DISAPPROVED V` APPROVED SUBJECT TO ABOVIP/
Call For Reinep.
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ISPECTIjj
ON NOTICE
City of Tigard Building Depart Ent
13125 SO Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-o-Phone)s 639-•4175 Business Phones 639-4171 1
Inspections__- 4
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk G
Found. Plbg. Top Out Gas Line FINAL! [
_ r ,
Post/Beam Struct. San. Sewer Framing -Bldg. ly
Post/Beam Mach. Rain Drain Insulation .Plumb•
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Date Requested:_ �, � Time: AM PK
Addrenss,LLlC' —__L__YLv,( S.ti IA-v�0-- Permit is1 Ly13-o2lon
Builders _ �\p \ ` LP �> At q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
N
Inspector
APPROVED `D[S11PPlAVRD APPROVED SUB.TECT TO AnOVR
call *or Rainsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 Sq Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171 }
Inspection:__
1�
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwi4
Pound. Plbg. Top Out{ Gas Line FINALi f
Post/Ream Struct. Be r Framing -Bldg.
Post/Beam Mach. Rein Drain Insulation -plumb. x j ,y•
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. y�� 4�r#��
Date Requestedt 1 ! ' Timet AN
Addzese: r + �G��� Q% ., Permit f:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDt
,
P _ _�Le'�J .rC" .". /rte^ALL '!�'�r.✓^—
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}r#kh" M Gly x Inspector: _ Dates — `
v, -—
PROVED DISAPPROVED11PPROVED SUBJECT TO ABOVE
Call For Reinap.
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CITE( CSF TIGARD
COMMUNITY DEVELOP=MENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Onpon 97223.8199 (503)830-4171
PLUMBING PERMIT
r PERMIT
#. . . . . . . . PL1193-0260
639-4171 DATE ISrU=U:
} '
12/08/93
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4� PARCEL: c S 1 16AU.�I�r2� o
ELITE ADDRESS. . . : SW MONTCREY LN
SUBDIVISION. . . . : ZONING: C
BLOCK. . . . . . . . . . : LOT.
CLASS OF WORK. . .-ALT GARBAGE D I SPOSALS. . : 1 MOBILE HOME SPACES. :
TYPE OF USE. . . . .SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . t
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . . 2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . .
LAUNDRY FRAYS. . . . . . : 1 SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . .'
LAVA'rORIES. . . . . : 1 OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : 1 SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : 1 WATER LINE (ft ) . . . .
OISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . .
Remarks : REMODEL. KITCHE19 A BATH
Owner: _______.___________._._________..___...__.___-_.__.____._..____.____ FEES
ELMF_R WRIGHT type amolint by date reept
16690 SW MONTEREY LN PRMT $ 67. 50 JH 12/08/93
KING CITY OR 97224 —
SPCT $ 3. 3B JH 12/08/93 -
Phone #:
Cont l'"in or-:
BI=AVERTON PLUMBING, INC.
1:398Q SW TUALATIN VALLEY HWY
BEAVERTON OR 97005
Phone #: 643--7615 L 70. 138 TOTAL
F2pg #. , : 12889
REQUIRED INSPECTIONS �
This permit is issued subject to the regulations contained in the (ora- nf.;t i n sf� _
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i nat l Inspection
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 Signature :
Issi.ted BY :
i Call for inspection 639--4175
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City of'Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw Hale Blvd. APPLICATION Permit # _
PO Box 23397
Tigard, OR 97223
(503) 639-4171
7escnption
L ( ORS 814.21-610 CITY FRICE AMT
Job FIXTURES
Address . n
n
Lavatory 1
.+. d ..+
S—) u or u ow- aer Comb. 7.50 ) SO
Shower Only 7.50
Water Closet 50 7,Sb
i Owner Dishwasher
.» M
Viarbago isposa
Washing Machine - 7•50
..a u..». Floor Drain
5Water eater r 507 b
+ un ry Room Troy O E
Occi!p rit Urinal_- _4 -- 7..51.
"' w •'r her 1'�+11nJres(.�7p
oci ) 7.50 17.50
7.50
1 7.5 �.
-
MISCELLANEOUS
� Contractor
., a Sewer 1sl 100' 30.00
.r r t Sewer.ea.Tddit. 100' 15.00
I z4 7 Water Service 1 st 107 20.00
_FfFere y acknowledge that I have road this app icntion,that hio Water Service on.Addit. 200' 15.00 I
information given is correct,that I am the owner or authorized agent of --
the owner,that plans subm' are in compliance witfr State laws,that I Storm 8 Rain Drain 1st 100' 30.00 K
am regi with th onstr .tion Contractor's Board,that rhe number Storm d Rain Drain Addit. 100' 15.00
giveryis rrectoxetnpt fr m State registration,please give reason
1 b Mobile Home Space 25.00 t
ck Fio`wPrevention
Device or Anti-Pollution Device _ 7.50
Any I rap or Waste Not
Connected to a F;xture 7.50 ;
etCn e wor new 0 i ion a terancm . repair — .etc asm 50
to be done residential non-residential O 40.00
Insp.of Exist. Plumbing per hr
--_—_ - 40.00
Specially Requester'.Insr y-tions per W
r=Osling"Sn o1r'7nr� n 6noie ami y
building or property _ _- dwelling 15.00
Residential backllow prevention
devices 15,00
Proposed use of
building or property
(Except residentialreck(low
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONS TRUCTiON 5%SURCHARGE 339
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF - ---
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 25%OF SUBTOTAL
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK.IS
COMMENCED. TOTAL �O'8
Special Conditions
Date issued _by, --
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DEC-X7'7-'9-3 TUE 11: 19 I I):CITY OF KING CITY FAX 177M,-8 39-3??1 ti 178 P03 --
KING CITY
A� 15300 S.1V.116th Avenue,Ding City.Oregon 972°4 Phone:639.4ng2
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions an reverse)
DATE1Z S
/ m
1. NAME OF APPL I CANT:
ADDRESS! 5 'O S.w. �� --' Phone No. 7L/9
ADDRESS OF PROPOSED IMF'IZO
Zed
2. TYPE OF CHANGE, II.LFRr.3VE2'iE`li, OR GOON
DESCRIBE. BRIT�'LY ` MUCTION FOR WHICH PERMIT IS REQUESTED,
'�`7 PI 'r F PLANS C „pINGS F
PROPOSED PROJECT: + J r/
�ctt�r dkhry loyhT ✓-P o
3. AND ADDRESS OF COM AC-I'OR
PHONE NO. 3 -7019 Ir 'EtJSE N0,_3 - i
4. NEIGHBORS WHO MAY 13E AFFEC'T'ED By THIS PROJECT' WILL BE NO'T'IFIED BY THE CITY,
5. APPLI ,Ai`I'P QTR HF.R/HIS,'fUT�tES1 6ATIVF Mud r BEP LIT AT 7
I EXT HELD / PLA72-
(ThyIi
ISSION
I REPRES %�
ATIVES ,t ,- , ' ----.
�'HCfIE NO._ /
nq City pl}�iag Commysaion will consider only those applicatyens received at least five (5) days
Drior to a neetinq,)
ST;NATURE
1:11,111rikOk 111
AFFUCATION RECEIVh
4 DATE 3
APPLICABLE FM RECIEIVED
PWINING CQHMISS DECISION: Appro _
CONDITIONSDani----,�� 4, r
i
Appro d appl' ition are vol for sit months only
/ /
Signatures — ^ Date /Z
NOTE: Of qo 'builders Law teguites that all persons whn contract r w k on the
r
it dd with the Builders hir residence be
hard which weans the contractor is bonded and insured on the job site,
or your protection, be certain your contractor is registered by calling city Hall Ph: 639-4091.
i
Nal'E: A permit must also be obtained fth
_
Ccmmmity Development e r_ity of Tigard Department of '
'- Yes_-�15�,�._
CITY OF TIaARD INSPECTION REI�ORT
{ The above listed project has been insPec:ted and A
Date PPr'o�%�?_ Denied_
Signature_ _
(&Litdin.g J"pocton: p.ecv 4e 4ztuvr o►r_e, ( 1 ) copy to
KirtQ Cs 4)
co 2-81
,�F �A h �-F.4�'I'i AMT"
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INSPECTION NOTICE f
city of Tigard Building Department
13125 SN Hall Blvd. Tigard, Or_•egon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 63
Inspecti.on:- I
Footing Plbg. Underalab kech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line INAL
Po9c/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Main Insulation -Pluusb.
Plbg. Underfloor WaterLineGyp. Bd. -Hoch.
Dote Roqueated: L--' _Time: _AN / 'PM ,
/ e 1
Add aa: �i�aCQ �'1'U �� Q.�� _ Permit f:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
� t
i' Inspect2-APPROVED
__ - Date:?-
DISAPPROVED P.PPROVFD SUBJF,CT TO ABOVE
Call For Reinsp.
I
('17YOF 71GARD
10 �iRmoo«
CoMMUNITY DEVELOPMENT DEPARTMENT13M6 SW Holl Blvd P.O.Sm 2J397,T19&M,OrOgOn v/ (603)639-4176 7 BUILDING PERMIT
-RMIT #. . .. . . . .. BUP9E
DATE ISSUED: 05/29/98
-ITE AD DRr:-SS. . . : 16640 SW MONTEREY LN PARCEL: 2SI 16AD-05900
.)UBDIVISION. . . . : ZONINGt
-OrK. . . . . .. . . . . : L01... . . . . . . . . . . . . . i
------------I--.---.--,-.- I-..---.---- --
31
REISSUE: EXTERIOR WALL CONSTRUCT I01\1
L A E;'I; OF WORK. iALT FIRST. . . . r s f N r S: E: W
OF USE. . . .-C-F SECOND. . . : s PROTECT OPEN I NGS?
T'YV-',E OF CONST. :5N THIRD. . . . . s N: S: E r W.
OCCUPANCY GRP. : R,, TOTAL--- -: 0 a-F ROOF CONST: FIRE RE'T? :
OCCUPANCY LOAD: BASEMENT. : Sf AREA SEP. RATED:
31'OR. HT. GARAGE. . . S f C)CCU 5FP. 13OTF-1):
h,'.t s wr MEZZ? : REOD SETBACKS---,------ REQUIRED---
1:-LOOR. LOAD. psf L C.F T f b PGHT;; ft F I R (,'FIKI-. SMOR D11'
DWELLING UNITS' FRNT ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: SATHS c TIAP P R 0 CO P,R PARK I N(77:
VALUE. $: 4616
1?einav,ks : ADDING SKYL.1GHTS 4 DO NOT CUT ANY TRUSSES
FEES
F-:LMER & ELMA WRIGHT type ainoi.tnt by date t-ec.ot
11�,640 13W MONTEREY LN 17,R 11 T $ 50. 50 JLH 015/213/`•32 -
PLCK $ 32. 83 JLH 05/15/92 2 P7291
i-%iNG CITY OR 5 P r.T $ 2. 53 JLH 05 2")/92 --
L'Ihoiie #.- 598-1017
DIOL ONE
P0 BOX 747
HILLSBORO OR 97123
Phone $ 8!S. 8 6 T 0 T A I..
Req 51964
-------- REO UIRED INS'PEcTIONG
This permit is issued subject to the regulations contained in the F�t^Amirlq Insp
Tigard Municioal Code, State of Ore. Specialty Codes and all other Inst.ilatiori Tnsp
applicoble law;. All work will he done in accordance with Gyp sciar-cl Irisr.)
approved plans, This permit will expire if wort is not started Final 1,,-,ppr1ion
within 100 days of issuance, or if work is suspendeei for more
than 180 days,
�-,p -mittee Sipyie
-Ati.ty,ez ......
BY :
639-4175
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CITY OF I'I GARD PO[k)x 21397 �
COMMUNITY DIs-VELOPMENTDEf'ARTIIIENT• Tprd,Orcgon 972n PERMIT # - R4/' 2 '- �l
(501)639-4171 DATE ISSUED ---
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- JOB ADDRESS /4r:-St Com- TAX MAP/LOT �S _0(lr�I _ D
SUB: LOT: LAND USE:
�_ VALUATION: y6 1,C «' A
OWNER SPECIAL NOTES
NAME: .E,�l�f s� .G!f!a CGr�QfiZ� REISSUE OF:
n
ADDRESS: - S�N� �S a6oi/� LAST REISSUE: —_
FLOOD PLAIN/
PHONE: .io-3 -- J-$?J?-/0/7 _ �' _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: .,"z o/Vf._ -- --T-- p LTD . PLANNING:
ADDRESS: 7117• ENGINEERING:
FIRE DEPT:
PHONE: _._6?1?–IJ 7S"� — OTHER: — —�_-- ---
CONTR. BOARD #: /S'6`/ EXP DATE:
ITEMS RIRFD
SUBCONTRACTORS: PLUMB: _ __ _—_ LIST/SUBCONTRACTORS: _—
MECH: _— — ---— — BUS TAX: ----- ----
/LRCH ENGINEER CALCULATIONS:
NAME: _ __— _ _ TRUSS DETAILS:
+ ADDRESS: _- OTHER:
PHONE:
PROPOSED BLDG. USE: ��a/�
COMMENTS:
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APPLICANT SIGNATUR
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Received By: — Date Received:
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. •DUE
jkG4?�ol.S� 10-432 00 Building Permit Fees Jej 'Sy -SZ
10-431 00 Plumbing Permit Fees _
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) S 3
Building �2,�3_
Plumbing —_
Mechanical
10-433 00 Plans Check Fee —
Building e
Plumbing
Mechanical
10-230 06 Fire
l 30-202 00 Sewer Connection
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
25-448-04 'ndustrial TIF Fees
25--448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
_.. \
TOTAL
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f CITY OF "r I CaARD — RECEIPT OF PAYMENT RECEIPT NO. :92-227051
7051
CHECK. AMOUNT a 53. 03
NAME: y WRIGHT, ELMA CASH AMOUNT a O. Choi
AUDRVSS 166,40 SW MONTEREY LN PAYMENT DATE a X05/::'9, 9 F
a
TIGARD, OR 97224.. SUBDIVISION
PURPOSE= OF P(TYMENT AMOUNT PAID PURPOSE OF PFIYMENT AMOUNT PA I D •
i 111JIt..DINCr F't-4tt+1
50. 50 ST. BUILD PER 4,. '53
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i `oi-r— AMOUNT PAID 03
Ar
'I C'I T Y OF T I f-.)ARE) r*'cF T rj.r OF PAYMENT F#E"C E 1 F''I' NO. t 9'?•_;'l?7291
CHECK AMOUNT a 3Z. 143
WRIGHT, E.L.MA GASH AMOUNT N. 00
ODUPESS a 166-40 UW MONTERE=�' PAYMENT DFt'rt' c Alf 13192
EiUE31)I V 1 c+1:ON a
j� KING CITY, OR 97204-..
ii (•'I_IRPOSEs" CIF' F'PYMLN'I' AMOUNT PAID PUrtPON+.'. CIF f7lAYMFNT AMOUNT PAID
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