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CITY OF TIGAR I DING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4 75 Business Phone: 639- 1
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Inspection:
' Footing S Ceili
Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line
-Bldg.
1 Plbg. Underfloor Rain Drain Framing -Plumb.
1 Alarm Water Like Insulation
-Mech.
Underflr. Insul. Shear Wall Gyp, Bd.
-Elect.
Date Requested:_. �L�.� r�
r' Time:
Address: -E—'`'-�-,�--- __.i,�� ,�PM
Builder: Permit #:X
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: /
Dater
L.APrfi'OVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE ' r'
____Call For Reinsp.
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CITY OF T1GARD Bolt N I O NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ..
Footing Susp. Ceiling rink. Rough-in r/Sdwlk
'w Foundation Plbg. Underslab Mech, Rough-in a lace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in I L:
I Post/Bearn Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water i-ine Insulation -Mech.
Unde'rtlr. Insul. Shear Wall Gyp. Bd. -Elect,
Date Requosted: \ Time- AM PM
Address:
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Builder: Permit N: M
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date: .2��� --'�
—APPROVED
_DISAPPROVED _APPROVED SUBJECT TO A80VE
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Charlotte E Wrighl
16955 SW Matador Ln ;"' w._ . e
Portland,OR 9722420x)6
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C11Y OF T1%,7ARD PERMITS#. . . . . . . .. MST944-0166
COMMUNITY DEVELOPMENT Dt0XRYIM#-SVT DATE ISSUED: 05/05/94
13125 SSW Hall Blvd.TIOard,Oregon 07223.8100 (503)630-4171
PARCEL: 2S 1 1.6AD-16000
SITE ADDRESS. . . : 16955 SW MATAD013 LN
SUBDIVISION. . . . : Z ON I NG:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . :
________ BUILDING --------------------------------------- -
REISSUE:
___________________________-__-----_._ .REISSUE: D': '-LLINf UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. .40106a14 BE )RMS:C BATHS:0 GARAGE. . . . . . . . . , :0 s f n
TYPE OF USE. . . :SF* FL, OR AREAS __._______._.._ REOUI RED SETBACKS------
TYPE OF 'CONST. 5N FIRST. . . . .0 s f LEFT. . :O ft R I GHT. :0 ft
OCCUPANCY GRP. :R3 Sr OND. . . :0 s f FRONT. :0 ft REAR. . s 0 ft
STORIES. . . . . . . : 1 TF- RD. . . . :0 s f
i 1•(E I GHT. . . . . . . . :20 ft TOTAL -_ - --:0 s f SMOKE DETECTORS. :
FLOOR LOAD. . . . :40 ps f VALUE . . . . $: 2200 PARKING SPACES. . :0
Remar•1•(s : INSTALLING 3 SKYLIGH(
PLUMBING -------------------------
SINKS. . . . . . . . . . .0
-_._____________________SINKS. . . . . . . . . . .0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :0 WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . .0
1'UB/SHOWERS. . . . .0 LAUNDRY TRAYS. . . :O CATCH BA5INS. . . . . . . :0
WATER CLOSETS. . :O SEWER LINE (ft) . sO GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WA-TER LINE (ft ) . :0 OTHER FIXTURES. . . . . :0
(GARBAGE DISP. . . :O RAIN DRAIN (ft ) . :0
WASHING MACH. . . :0 SF RAIN DRAINS. . :O
------------------ MECHANICAL - -------- --_._._....___.____.___._______ FEES ----_----_.__.__
FUEL 'TYPES-._____.___._.__ UNIT' HTRS. . :O type amol_int by date rec--pt _
VENTS . . . . . :0 BPRT $ 36. 50 SW 05/05/94 -
MAX INPUT•:0 BTU PENT FANS. . :0 BPLC $ 25. 03 SW 05/05/1)4 -
F7URN ( 100K . . :0 HOODS. . . . . . ..0 85PC $ 1. 93 SW 05/05/94 --
FURN ) =100K . . :0 WOODSTOVES. :0 ,•,° .
FLOOR FURN. . . . :0 CLO DRYERS. : 0
BOIL/CMP ( 3HP:O OTHER UNI TS:O �R ,`..•
GAS OUTLETS:O
Owner:
UHARLOTTE WRIGHT
1.6955 SW MATADOR 1_1\1
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KING CI'f V OR 97224
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Phone #: 639-1649
Contractor. ________________________--_---._-
NATURAL LIGHT SKYLIGHT CO
6965 SW OXBOW TERRACE
BEAVERTON OR
Phone #: 626•-0207
Reg #. . : 40725
$ 65. 46 TOTAL
This permit is issued subject to the requlations contained in the - ---- - REQUIRED INSPECTIONS - ---
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing insp
Applicable laws All work will be done in accordance with approved 1 n s u 1 at i o n I n s p
plans. This permit will expire if work is not started within 188 Gyp Board Insp _.._._.. _
days of issuance, or if work is suspMnde for more than 180 days. Bi-I i 1 d i n g Final
Permittee Sign a —11A
Ail.-(r e: ` il. -_ `
I s s i_t e d B y: l _-_
Call for inspection 639-4175
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Residential Building Permit Application � p
City of Tigard
13125 SW Hall Blvd. l?�
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �,7
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Subdivision: i„r c-'/�h Lot# Office Use Only
PlanckJRec# z
�Valuation:_ ���LI U •
Permit #
iOwner: T, Reissue of
Address: Map & TL #
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A-4 e-V-- LL4 1, ,
Approvals Required
Phcrle:
Planning
.y%
Contractor: Engineering
Address: / /��, d'r�
Other
Phone: 2c,�,�- 7� ��_ Items Required
Contractor's License # Subcontractors ,
(attach copy of current Oregon license) Truss Details
Subcontractors: i
Other
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
ArchltecUEnglneer:_
Address:
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Phone: ;
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COMMENTS: 4;f/L
Applicant Signature & Phone numbef/
Received by: Date Received:
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Permit tt Account Description Amount Amt. Pd. Hal. Due
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Bldg. Permit (t3Ull_U)
Plumb. Permit (PLUMES)
Mech. Permit (MECH) G
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) O�5.0 3 5 b3
Bldg: _
I
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
IndustriaLTIF (rIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
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Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire District (FIRE)
TOTALS:
J 8 Moir P 1 _
NATUWL IIGFn'SlYt.1CA-I"I1 C N° 006414
8421 S.W. 59th Avenue
jPortland. Oregor. 7219
/ (503) 245-7069•FAX 246-5567
Name c�4��4 �l- l,f'e�—�— Date
Address �� � I��i rti� �st.ur. Zip
Phone_( Work Job
Firm Name Lic No.
Billing address Zip
Contact Date Quoted / / Required__L /
P.O. No. Date Orered / / Date delivered ,
Terms: C.O.D. Account Other
NO. Manufacturer Color Glazing Series Size _ Price
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- Ole City of Tigard, Oregon, or it's
employees shall not he ,
discrepancys which may appearwi� �
,QITY OF TIGARD
PERMIT' NU. 15191/- o/EYSITE ADDRESS/Gfss 5k,/llaloul L
E3Y T DATE
Tents of payment unless otherwise agreed in writing,I must receive at least 50%of total bid price before work is j
started,the balance is to be paid in fuU within 5 days of completion.A$10.00 service charge for payments received i
after 5 days,unless otherwise agreed in writing. Any special order skylight will be pari for in advance.
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NATuRALLiGm-�'ZI�NLIGHT C(3 N2 006415
8421 S.W. 59th Avenue
Portland,Oregon 97219 `.
(503) 245-7069 • FAX 246-5567
Name d ��J r�l,� Date 25–
Address 2-2—j
Phone (•,-1 Lq6/ Work Job
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Firm Name Lic No.
Billing address ZiD
Contact Date Quoted •Required
P.O. No. Date Ore-red / / Date deLivered
Terms: C.O.D. Account Other
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NO. MAnu;acturer r Color Glazing Series Size Price
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Terms of payment unless otherwise agreed in writing,I must rel ceive at least 50%,of total bid price before work is
started,the balance is to be paid in full within 5 days of completion. A$10.00 service charge for payments received
after 5 days,unless otherwise agreed in writing.Any special order skylight will be paid for in advance.
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MAY-03-'94 TUE 13:44 ID:(:ITY OF KING CITY FAX NO: 639- 771 Ii: P01
Post-It"brand fax transmittal memo 7671 Mo1p■ye..
From
CITY CO-�s.�X-�-qs ynoknck- --Co. M e I kx�-i
A 15300 SW. 116th Avenue,King City,Oregun 97224 Ph —}_ 1 ;+
MAY 0 31994 COMMUNITY Dep` une N
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APPLICATION FO ■■n
(499 q- 7 g
COMMUNITY OEVELUPMEIIT (Instructions �-7-L
1. NASS OF APPLICANT:�'J'11 7,-� 1-/,�� Phone No. (39-
ADDRESS:1. _ `'Z�,:' n
ADDRESS OF PROPOSED IMPROVEMENT/r 9 s'S'T.�; j���`� a —
2. TYPE OF CHANCE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUES'T'ED.
Al
DESCRIBE BRIEFLY - A TWO COPIES OF PLANS OR DRAWINC98 OF
PROPOSED PKOJE(,T:
3. AME AND ADDRESS OF CMITRACTO
PHONE No,,'�i J '� L I — SE 140.-a 7,�s-
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PR0,7-CI' WILL BE NOTIFIFD BY THE CITY.
5. APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCMISSION ;
MEETINO NEXT HELD
REPRESENTATIVES NAMEPHONE NO. G'
(The Ring City Planning Commission will consider only those applications received at least five (5) days
prior to a meeting.) y
SIGNATURE . �..
APPLICATION RECEIVED BYf DATE
APPLICABLE FEE RECEIVED TOTAL
PLANNING COMMIS ION DECISION: Approved Deni e_d--
I . ITIONS21
Approved applicati s/art valid for sis months only
Signature Dat A_ � `19
NOTE: Ore aetbnl. ders Lev requires that all persona who contract for vork on their residenre be
registered vith the Builders Board which aeons the cootractor is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling city Ball Ph: 639-4082.
NME: A permit m1]lgt also be obtained fr the City of Tigard Department of
Community Dev,l l opmn nt Yes No
CITY OF TIGARD REpgff
The above listed project has been insppcced and Approved __ )enie-d
Date Camlents
Signature
lding in ep¢ctae ptAn,,-w- aatttH.rt. one- 111 Copy -to K-iia'9 UtM l
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MAY-03—'94 TUE 13:46 I U:CITY OF KING CITY ~ FAX NO:503 639--3771 #425 P02
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NATUPALLIGFUSKYLIGI-ITC N° 006415
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8421 S.W.59th Avenue
j Portland,Oregon 97219
(503)245-7069 FAX 246-5567
Name (-' c•� l�J��o.��
Date-1 `2-5- Iq �
Address S t�J /ti'lukrj zip L ( ZL
P!iune���', Work Job
Firm Name Laic No.
Billing address_ Zip
Conta-ot lhte Quoted _Required / f
P.O. No. Date Orered - / - L Date deliveredy
Terms: C.O.D. Account Other
N0. Maatufacturer Color C azirim Series Size Price
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Terms of payment unless otherwise agreed in wntiog,l must naive at least 50%of total bid price before work is
started,the balance is to be paid in full within 5 days of completion.A$10.00 service charge for payments received
after.1 days,unless otherwise agreed in writing.Any special order skylight will he paid for in advance.
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1�T C1 f-R L Frf-c-Z YLIGI--ITC N° 006414
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84_1 S.W. 59th Avenue
J Portland, bregor. 97219
1503) 245-7069 • FAX 246-5567
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Name -k4 L'�4 Date
I Address •
_Zip _
Phone—.L-3 f4 y Work � Joh ---
Firm Name I,ic No.
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Billing address Zip
Contact Date Quoted / / Required_ _L --
P.O. No. Date Orered / / Date delivered _
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Terms: C.O.D. Account Other
ManufacttLer Colo_ GlazingSeries Sine Price
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LIABILITY: The City of Tigard, Oregon, oris —
employees,- s4aU--unl__hP iegwwihle for a
discrepancys which may appear hereon.
17(7117 �--- 4
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APPROVED
1141
CITY OF TIUARD N
PERMIT 1\10. r+ I& q,Y SITE ADDRESS_/G�ss .sit/rIa w
r DY - _ - DATE 5- 3
Terms of payment unless otherwise agreed in writing,I must receive at least 5090 of total bid price before %o.k is
started, the balance is to be paid in full within 5 days of completion. A$10.00 service charge for payments received
after 5 days,unless otherwise agreed in writing Any special order skylight will be paid for in advance. ;
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NNTu"..LiarrSAyua-IT CQ N2 006415
94_1 S.W. 59th Avenue
Portland. Qre¢or. 97219
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(503) ?45-7049 •FAX 246-5567
Na.ne
- `inn �I r`�.��� Into
Address
_Zip 2-2—
Phone (,:3�1-- 1 L 4gi Work Job �
Fiim game
Iac No.
Billing address
Zip .
Contact __Date quoted Required
P.O. No. _ Date Orered _Date de Livered
Te*ms: C.O.D. Account Other
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NC Mani =actu:: Color Glazing Series Size P-ic °
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C),rFr� `fit ' �.L�rl � , l� c —�
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Terms of payment unless otherwise agreed in a .I must receive at a is
mt 50% �f total bid price before work is
started,the balance is to be paid in fill within 5, s of completion. A$10.00 service charge for payments received
after 5 days,unless otherwise agreed in writing. Any special order skyhght will be paid for in advance.
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