9255 SW MILLEN DRIVE-1 1
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CITY OF i IGARD BUILDING INSPE ION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FIN
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing Met=>
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct• Mech. Rough-in Gyp. Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other.
Date: .'2) A.M.—P.M. `' ntry.
Address:
Tenant: Ste:-- T MS•r:�
BLIP:
Con/Own(? c4 MEC:_
PLM:
a(,0 Ccu) ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
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In ector: ._ Date:
n APPROVED --DISAPPROVED/CALL FON REINSP, CF CO
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INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41.75 Bueineas Phone. 639-4171
Inspection:��
Footing Plbg. Underelah Hoch. Rough-in Appr/Sdwlk 40
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct, San. Sewer Framing -Bldg. 40
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water LineGyp. Ed. -Heck. 6
Date Requeateds_ --__—ZI 'f Z Tiuet `/ AH PH
Address: LI '7� �
/ � lZ'fc Permit
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Builder: �e��
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THE FOLLOWING CORRECTIONS ARE REQUIREDs t .
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Inspect1APPROVED
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Date:
111 DISAPPROVED APPROVED SUBJECT TO ABOVE
Call, For Reinap.
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INSPECTION NOTICE It syr' y
City of Tigard Buil
ding Department
13125 89 Ball Blvd. Tigard, Oregon 97223
inepeation Line (Rec-O-Phone)t 639-4175 Business Phonet 639-4171 ry2; 1'
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IneTectiont_ 111�1 e cmF �i�� ,
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Footing / Plbq. U derslab Mech. ou h-in A
g PPr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam 8truct. San. Sewer Framing
-Bldg.
Poet/Beam Hoch. Rain Drain
Ke insulation -Plumb.
rrS
Plbg. Underfloor Water Line �iinlA
Cyp. Bd. -Mech.
P
Date Requeatedt2 � ;.,
Timet AN _._.__pM
Addreee t_
Permit fs
Builder:
THE P)LLOWINO CORRECTIONS ARE REQUIREDt
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Datat
APPROVED DISAPPROVED APPROVEb SUBJbfCT TO ABOVE
Call For Reinep.
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INS_PECTIO._ N NOTICE
City of Tigard Building Departd3rt
13125 SM Ball Blued. Tigani, Oregon 977.23
Inspection Line (Aec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Faoting
Plbg.+ Urde:sfab Mech. Rough-ir Appc/Sdwlk
Found. Plbg. Top Ouc
Cee Line FINAL:
POet/Beam P
.Struct. SanSewer i
Framing
-Bldg.
Post/Beam Hoch. Rhin Drain
Insulation -plums
"N"yy ' � Pibg. Underfloor
+f 44 Water. Lino
Gyp. Bd. -Hoch.
P n1 f Date Requested: -
—_ _T1Mt AM
Address• 'r
Permit
Builder:
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THE FOLLOWING CORRECTIONS ARE
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Inspectors
Dater
APPRMD
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Call For Reinep,
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INSPECTION NOTICE
City of Tigard Builditg Depart sent f'
13125 Sit Hall Blvd. Tigard, Oregon 97223 c
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections �y
Footing plbg. Undecslab- Mech. Rough-in Appr/Sdo:lk
Found. `=Plbg. Top Out Gas Line FINAL:
Poet/Beam St.tuct. an. Sew. Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: J r-� ] �� Times AM ___PM
Address:-
Builder:--_—
THE
ddress:--Builder:THE FOLLOWING CORRECTIONS ARE REQUIRED:::
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Inspectors //��✓ - Dates �G _
'APPROVED DISAPPROVED - —
APPROVED SUBJECT TO ABOVE
Call Por Reinsp.
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CRYOFTIGARD MASTER PERMIT
�TLWA 1-'ERM1. 1 #. « . . . . .COM'6AUNITY DEVkLOPMENT DEPARTMENT wi
13126 SW Hxll Blvd. P.O.Bax 2339'/,1 gaud,Oregon 77223(M),W4176
i- �, DATE ?
;SITE ADDRESS. . « 09-255 SW illi-LI 'N DR PARCEL.! 2S 114Ai1-Oc-'3047+ 40
SUBDIVISION. . . . : KNE'E'LAND ESTATES ZONING: H-••4. `S
BLOCK. . . . . . . . . . . LOT. . . . . , . . . . . . . .. 1.0
BUILDING --
REISSUE: D14 LLING UNITS41 130"WMr'N-T. . . . . . . . ..it) 5f r
CLASS OF WORK. :Alii) BE:DRMS:C BATHS: J GARAGE. . . . . . . . . . :0 5f
TYPE OF USE. . . :SF FLOOR ARE174S--.-•___..-._.-__. PEOU1RED SETBACKS—----
TYPE OF CONST. :SN FIRST. . . . :E,77 sf LEFT. . - 10 ft RIGHT. :@ ft
OGCUF=P1 Ir:Y GRP. , 113 SC CGIPID, . . :0 5 f F RON 1 :r.'0 1`t REEPR. « :C"10 f t.
STORIES. . . . . « . :2 TF41 RD. . . . :0 sf REQUIRED----------------------
i-E IGHI.. . . . . . . . ..j:,I ft TOTAl_. f 51MOPE DETECTORS. :Y
iwLUOR LOAD. . . . :4111 psf VALUE.. . . . . 3114 : PAPK.ING SPACES. . : I
ReT ar ks : PATH I ADDITION 6.77 50 FT ABOVE. GARAGE
PLUMBING
'INV
S. . . . . . . . . . .0 FLOOR DPAIN`.;. . . . :0 BACKF=LUW PRE.;VN1"RS. . :0 f'
_AVAWRIES. . . . . : .1 WATER HEATERS. . . :111 .RAPS. . . . . . . . . . . . . . 10
TIJH/(:3HOWE RG. . . . - 1 I.-nUNDRY TRAYS. . . zO CATCH BASIN`. . . . . . . . :0
kJAl' 'R CLOSE:Tii. . : ' SEWER LINE (ft ) . :LA GREASE TRAPS. . . . . . . .1A
olSHWA,HERS. . « . :0 WPILA! LINE (ft ) « :W (J11'IL::It FIXIJRE.:i. .
iaAHl AUL DISP. . . :0 RAIN URALIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS— : 1
..__________-•-- MECHANICAL FEES
-UEL TYPES•_.-_-.-_.....,_.--._._._ UN 11- HTR' . . :0 type amo-.lnt by slate recut
16A5/ i / VENTS . . . . . :h BPRT 13 20i?. 00 JH 07/e7/92 22-)
MAX INPUT:0 51 U VENT FANS. . : BPLC rF 131113,0 JI.-H 0711,3192 c +:'346,4 E
UF�1U ( 1110K . . :0 HOODS. . . . , . .0 85PC 9 10. 10 JH 07/27/92 229
-URN ) -100K . . :0 140ODaT'OVES. :llt h14'Iri 4 r.".)« ';;til 1F1 47!' '1!'� t ">
r'LOOR FURN. . . . :0 CLQ DRYERS. 1 MPLC 44 7. 38 JH 071c'7/92'' ...,'.�?
BOIL./C.11P ( 311P:0 OTHER UNIT 5:121 11151-1r:: 11 1. 48 .JH
GAS OLI-I"I..ETS:O PP R7 K 45. 00 JH 07/27/9E i G;PI'.`
Jwner: ___....___.._ ._..._.._._._...______.._.____......_....__._ .. 1= ,fi-1 4 « :.':, .JH 0e`/C:7/9,--'
(,ARUL F'NhKARU
:19259 SW MTI_I,.F"hl DR :
;'IGARD OR 972124
Phone #:
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IEC ITCO LIOn IMERRI T T
1a405 SW HEF::F= BEND #4
11�r1t;IJ CI11 97; ,::,4
�.Ihone #: -799-3858
rley #. , : 6296CA
4 "3. 01 1'O'1 r4 L.
'his pewit is issued subJect to the regulations contained :n the -- - — -- REWIRED INSPECTIONS -- ----
Tigard r-micipal Code, State of Ore. Specialty Codes and all other E'LM/Underfloor Plt_tmb Final
oplicable laws. All Mork will be done in accordance with approved Mechanical Insp Btli. 1ding Finin1
Mans, This pereit will ercire if work is not started within 188 Pl+.lmh Ton Glut Erosion Control
lays of issuance, or if work is suspended for store than 188 days, F r aminLl I,nSp
1n5I11Dt;nn InF;u
P r m i t t!
.e :3 i,q rr a t
�� CJ Board [n?(
Rain dra1i1, InsF,
l'.lsr.led By: _ hlr�ch: n9r
C:,A11 639--41715
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CITY
OF
T ( ! jar 13123 SW 11.11 Btvd. PLNCK/RECT $1 IVARD rondxz�dvr /nS�G''l
i i rd,Orc un 9721 PERMIT # "x-51
COMMUNITY DUVI?I-,O I'M ENT DECARTME,NT g
(503)639-4171 DATE ISSUED _
�d ADDRESS: 'AX MAP/LOT 2,5 Z3yU _
SUB: ,kjPP"u.A� esl-e,/,s LOT: / iJ _ LAND USE: •�
�/
VALUATION:
OWNER 161,( ..un��.� � SPECIAL NOTES
NAME: J KAY-U REISSUE OF:
ADDRESS: LAST REISSUE: _
r�:
-Tit-,,AV i -- Q -' G�'l ?1-12- -- C I-f ) L,2A - 6-I P> FLOOD PLAIN/
1 PHONE: '� = 2 ' ' K-W �'� `7ZU2 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME:: -11 G 0—Pze, ML: F--r-LTL PLANNING:
ADDRESS: ��� c _Y 4 ENGINEERING: _
(J- 17-Z4 FIRE DEPT:
PHONE: _ �P>q �? ( ' - �_' T� OTHER: ✓� ___
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CONTR. BOARD H: U UIQ EXP DATE:
Ate' ' [;(PLC `�W DAWN ITEMS REQUIRED
1-A V-E, CSW C-d o� Or.'l5
)UBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH• ___ BUS TAX:
ARCIV NGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
AonRcss ;DL� qN DA V1 (A NL#2 OTHER:
PHONE:
PROPOSED BLDG. USE: -
COMMENTS: IAPr,-A?iN6 ICY ON FILONT
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ANit I�GN A T U
- -
Roceived 13y: ---__ __-__--- Date Received:
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,P.ERMIT # ACCT N DESCRIPTION
AMOUNT AMOUNT PD. BAL..DUE
yf. 10-432 00 Building Permit Fees 07-Q.2,1.,0.
10-431 00 Plumbing Permit Feesi
10-431 01 Mechanical Perarit Fees y ,-V
10-230 01 State Building Tax (5q) /3
Building U
oft
Plumbing i�
Mechanical
10-433 00 Plans Check Fee
Building 131. 30
f
Plumbing _
Mechanical
1.0-230 06 6 Fire - — ----- ---
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees _
?5-448-04 Industrial TIF Fces
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residentizl TY'aff-, - Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Cev 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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nm/35871'.WII
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CITY UE'' T I CARD RUCE I PY OF' 1:'AYMFNT RECEIPT NO.
CHE'C'< AMOUNT .164. 98
NAME s PACKARD, C-ARCL & KELLY CASH AMOUNT t IA. 00-
(4 D 1)R E S S' 9055 SW t•lIL_E_E:N DRIVE PAYMENT DATE: a 07/I '7•r�J;?'
LISD I V I T CJN a
I BARD, OR 97 4-
f•'UF2POF--5E:' OF F'AYME='NT (AMOUNT PA I D PLIRF'MIF nr- PAYME=NT AMCIE.INT FIA 11,)
J]L_Dl:NC3 C'E'RM M -S-- 411~ -�_
+ "�'0� . 00 fW'1..EIMfill4l;
PERM �,.._�.._..� 45, 00 �
MECI-IONIC AL. PE 29. 50 £al'. BUILD r'1=R 1 3, 1:1:3
fil_rIIJ CHEU; F=E 74. 6TCII'A!_. AMOUN f I•-'fa I Ci - - > 364. 98
I:'I7Y OF TIGARE? FCFC'E:11ri OF 1"'t1YMf_N'1' F2EC::i 'EE'`I' NCI. `74 4
' ('H(---('K AMOUNT 64. 03
f•1+�1MF : t.'AE�!Cll_ R F;iwl__I_.Y C'fafaN.ARCti t.Fl�;,1-2 AMOUNT �. ��
i-tl)]JE2E':iKa ) >":�� W MII..E.E."N 1)i2'[VE POYMUNT DATE 0'7/1:'a/*)L�
iaUE�l;)]VTEiIC�IV :
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GARD, Op 9 72.::?.4 ,
i ''URPC'IP nF PAYMh N•T AMfl1._fNT PA)T E} V,L-lRt,E• qP CIF' PAYME N 1" 1''A]D
h C't_AhJ CHF(::K F-E 7_.,='1 R 64. 03
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TOTAL_ AMQEJInI'1• F''AII) hA. P}
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