10286 SW LADY MARION DRIVE •M nn�;x ,r r•wpxiyh ` ,•,uT rte,y �M".� ,may,l�•,,( �•e�MM�M�/A1M !A'�MI':!* w•e yap w.-„�pa`snr qea 4n
'71FF :,,� t?7' ,'rN i � ;irFr 4 ��: +'AaC'.tF t r4 a'"E�d'y�N�... ,x: ,# • 'k„ ,� . �i:a, ✓�iolr.,'��(�Y dR ! 1j'� i' „ �'.�' .
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INSPECTION NOTICE
- City of Tigard Building Depart—t
1.3125 SM Ball Blvd. Tigard, Oregon 97223
inspection Line (P-c-o-Phone): 635-4175 Rusin-don Phone: 639-417'
inspection:----- --- — ——
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line k FINAL:
Post/Beam Struct. San. Sewer Framin•:, �dg
Poet/Beam Mech. Rcin Drain Insul,:tion umb
Plbg. Underfloor Water Line Gyp. Bd. Mech.
Dr o Requested:- �> I —Time= qAM qC PM
Address: 'L'r t /f �( I1/ 1W\ ' Permit #sl",^'`AA l�S
Builder: _ —
THE 'rOLIOWINC CrRRECTIONS ARE REQUIRED: !�
1 I
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Inspector: Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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C.E RTIFIC ATE OFF
OCC:UINING
CITY OF TIGAR
} PERMIT 0. . . . . . . = Mf1T93-903
j COMMUNITY D►.VELOPMENT DEPARTMENT DATE:: ISSUED: 08/16/94
i
13125 SW Hall Blvd.Ti,:•d,Oregon 97223.8199 (503)839-4171
F'AIZCEI_a �Si i lf.'l3-•04'�(D0
'311-E ADDRESS. . . 1 10286 SW LADY MARION DR
SCJBD I V I S I ON. . . . r MARION EASTATES ZON I NO!P--3. 5
CLASS UF"" WORk. :NEW
TYPE OF USE. . . eSF
OCCUPANCY CARP. a R3
OCCUPANCY LOAD:x:'.30 4 ,
s
TENANT N14ME. . . :
Remarks a PA'T'H 1
Own,ev i __.w......_...._.� ....... __.. __._ .. _.__.._..__._. __ _.
■
m 7 CONSTRUCTION
1 y40 SW 68 PARKWAY
'( 1GARD OR 9 7RE3,
Phone #t 639....2639
j M7 CONSTRUCTION
10585 SW ROSS RD �
01..OHA OR 97007
1_,hnne M: 639-2f,39
Rey 80669
i
OccQpanr_y of the above referenced bl.tilding is hereby given, and certifies
(.he complience with the State Of Oregon Sp-jcialty Codes for the group,
jccupanc.y, and use under wh ich they refers nced_ permit wits i. %jvt.V9M
t
S _ NE JVSPECTOR
.�_._._..._..._._.. �• DU I LD I N. EI C;I AL__w_-_.�.._�.._.
P097 IN CONSPICUOUS PE..1.10E
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INSPH ION NOTICE
City o.` Tigard duilding Departaent
1.9125 BW Sill Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-1hone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Roug,i-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldq.
Poet/Beam Mech. Rain Drain Insulatio,. -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: /--/-3 - 9 e___Time: Ay pH
�t// •
Address:_/ p Lam( MQ/j_/;�
3'
Builder: v9--z- 5?; _ e
THE FOLLOWING CORRECTIONS ARE REQUIREn:
r � A A
AI
Inspector r �-G
Date*__.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp,
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INSPECTION NOTICE �.)
City of Tigard Building Department I V
13125 S71 Hall Blvd. Tigard, Oregon 97223 �.
Inspection rine tlloc-O-Phone): 639-4175 B,:ainese Phone: 639-4171
inspection: _ _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -"Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.- ✓ -Neth. a
`} �1.
Date Requenteds > 1 I
---Time: f�^ AM pg
Address. �j 7- Permit #t
Bvilder:---- M�t{� Ct 2.C� `x7�� •
THE FOLLOWING CORRECTIONS ARE REQUIrigD:
L"j
Inspector:_
Date:
APPROVED DISAPPROVra A�L APPROVP.D SUR:J9r'T T3 ABOVE
For Reinsp.
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INSPECTION NOTICE II
City of Tigard Building Department
13125 SN A.11 Blvd. Tigard, Oregon 97223 tlll�ll
Inspection Line (Rec-O--Phori): 639-4175 Business Phon*; 639-4171
Inspectiont
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbp. Top Out Gas Line FINAL:
Pout/Beam Struct. San. Sewer Tramirg-� 31dg.
Post/Beam Hoch. Rain Drain Insulation) --Plumb.
Plbg. Underfloor. Water Line Gyp. Bd. -Moch.
Date Requested: � � ch � TLmt AM PM �
Address: 02V(P 1. Pae/mit /t
Builder: `�'`�V�Q. ��-1- S��I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
61 �eTE;
Inspector: / Li �_ --��- Date•„ jr
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`_Call For Rei:.sp.
R•
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INSPECTION NOTICE /
Clty of Tigard Building Deoa.r�„
�\�\ 13125 LQ11 Ball Blvd. Tigard, Oregon 9
In pection Line �Rec-O-Phone): 639-4175 Busines hone: -4171
\l1
Inspection:_
•
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL-
Post/Beam struct. San. Sewer -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor naterGyp. Bd. -Koch.
Line
/ r
Date Requested: 2 S I Ti.. AM _ PK
Nlddreee.jC_/ .�� '� 1Permit !:
Builder: `L1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspector: �- -� Dates
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE�K
--Call For Reinsp.
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INSPECTION NOTICE %
t City of Tigard Building Departoent
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-0-Phone): 639-4175 Business Pho .� 3 -4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in App•-/Sdwlk
Pound. Plbg. Top Out ( GasLine� FINAL:
Pest/seam Strurt. San. Sewer *raminQ -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Ya
Date Requested:— � � � Tlmts AH __PM
Address..1(,Z`blC' iAAL. �A-�l�CRti"• l A _ ter■it 0, M7t X13 `ISU
Builder: 0��'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-
Inspector:__ - Date.
ROVE DISAPPROVED APPROVED SUBJECT TO ABOVV
-_-__Call For Reinep.
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6S��R;r1 .
twR�'�Ic pyY, E
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Nl SPECfION NOTICE
City of Tigard Build1rj ...,argent
13125 SIN Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O(-Phone): 639-4175 Business Phone: - 171
Inspections--- —J� ,�`�� -- -----------
Booting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. �Mg. Top Out Can Line FINAL:
Poet! uct. San. Sewer Framing -Bldg.
N Rain Driin Insulation -Plumb.
Underfl r Water Line Gyp. Bd. -Nech.
- -�i
Date Requeetedtf//_ z Z-3 y Ne
T1t L�_AN PN
Addrass:� � Vo �t��- IG71'� �- Permit 1t k JT ?3- sol- I
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
rs-tr
Inepactor: =y' - — — Date: 7 „"7Ly
- '.PPROVED -- DISAPPROVEDROVED SUBJRCT TO ABOVE
Call For Reinsp.
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INSPECTION NOT 2i
City of Tigard Building Ifepart—%t
13125 BW Ball Blvd. Tigard• Oregon 97223
inspection Line (Roc-'l-Phorm)e 639-4175 Business Phone: 639-4173
Inspection: __—
Footing Plbg. Underelab Mach. Rough-in Appr/Sdulk _--
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. (,:Ban. Sewer. Framing -Bldg.
Post/Beam Mach. (Rain Drain " Insulation -Plwob.
Plbg. Underfloor `Nater Line `i Gyp. Bd. -Hoch.
Date Requosted: L �/ Zll �� Timet C' `� _AM PN
Address: Z- ^ -6�Iu. L'
Permit #t
Builder: 1,42 ot[2-0 B
THE FOLLOWING CORRECTIONS ARE RAQUIRED: y
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Innpactors _ Date: Z ✓�`
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Bulldlaq Departmont
13125 SN Ball Blvd. Tigard, Oregon 97223
Ins?ection Line (Rec:-O-Phone)t 639-4175 Business Phore: 639-4171
Inspect ion: _
Footing Plbq, Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. Ici
8 r Framing -Bldg.
Post/Beam Mach. D ain Insulation -Plumb.
Plbg. Underfloor Lao Gyp. Bd. -Hoch.Date Regnestedt � l - p' _ ?LgBt g AM ! �� ' PM
Address LCIG,�I N�`i 4 IJI>r, lr2^�a�
Pereit i t
BuildertL(�)� _ 0 �. 61�2��
THE FOLIAMING 011MCTIONS ARE REQUIREDt
Inspector:_._ Datae�(
-_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Li all
For Reinsp.
t•
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Hall Blvd. Tig", Oregon 97223 •-�`
Inspection Line (Rec-O-Phone): 639. 405 Business Phones 639-4171
Inspectioni_ OcJQ
Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Foun... Plbg. Top Out Ors Line FINALS
Post am ruct. San. Sewer Framing -Bldg.
Post/Beam ech. Rain Drain Insulation -Plumb.
Plbg. Un orfloor Macer Line Gyp.. Bd. _Mach.
7
Date trai4d: I � �, � > __Time: AM PM
4 "43
Address % Q i 1 'Y� .� i Permit i:
Builder
THE
FO INO CORRECTIONS ARE REQUIRED:
ZiL
()
Inb � v
P�tori-- 'A/1
Date: I V
_-APPROVED DISAPPROVRU _ APPPOVRD SUBJECT TO ABOVE
Call For Relnep.
: C- 2
I
I�P��44�4+crrlcE �� �
City of Tigard Building Department
1.3125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection: II. t� !
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
nd^� Plbg. Top Out Gas Line 11:fALs
Post/Beam Strutt. San. Sewer. Framing -Bldg.
Post/Seam Mach. Rain Drain Insulation
-P):•rob.
Plbg. underfloor Mater Lige Gyp, Cd. -Mach.
Date Requested: i �� ,) Timey(
- : AM "Y PM
Address: 1"Ic I I\ i�ll�.,y 1Cn-\
_ Permit #:M`%T `373 B
Builders— �� 12e)
THE "OLLOWING CORRECTIONS ARE REQUIRED: --
i
i
Inspectors Q
// Date: ��._ y_/ 3
!APPROVED DISAPPROVED
APPROVED BUBJEr_T TO ABOVE
Call For ReLnep.
I
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Y —
1 �
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phon
Inspection:
ing Pl.by. Underslab Hoch. Rough-in Appr/Sdc,lk
OVnQ. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
zy af,n, t Post/Beam Hoch. Rain Drain Insulation -Plumb.
rpl ;V )� lik
htr k, Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
x r
h Date Requested t I -a' J _T ides AM _—PN
at� L
Addreset ld DlJ' LPermit f:
'�4,.
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRM
v
7 1J
fi
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Inspectors — Date
`
\ APPROVED VISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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` CITY OF TICARDF_'L-UMLI I t\I# . . .. I TcL i.-C2C+IIT #. . . . . . . c t4,�1 '�::;--9,.,0:e", �
DATE. ISSUED: 10/2E/93 L
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)031'4171
1 ARI:f_:I_: X51 1 1 CP•-•MC 022
SITE:. ADDRESS. . . : 102'86 5W LADY MARION DR
SUSDIVISICIN. . . . : MARION EASrATES LOHIISI(•?c R L C
BLOCK. . . . . . . . . . . . . . . . . . . . . .
C:LA95 OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . ., . 1 BACKFLOW PREVNT•RS. . :0
OCCUPANCY GRP. R3 F'!_.(30R DRAINS. . . . . . . :0 •T'RAIDS. . . . . . . . . . . . . . .0
STORIES_ . . . . . :2 WATER HE:AT'ERS. . . . . . . 1. CATCI_I BAE;INS. . . . . . . .0
FIXTURE=S _._..._ _..........._.._......_...... LOUNDRY FRAYS. •. . . . ,. :; 1. SIS RAIN DRAINS. , : 1
SINKS. . . . . . . . . . . 1 GREC:ASE: TRAPS. . „ . „ „ „ :X11 �
I_AVA1'ORICS. . . . . :5 OTHER FIXTURES. . . . . -.0
TUS/SHOWERS. . . . : SEWER LINE: (ft ) . . . . :0
WAT'wR CLOSETS. . :3 W(1TER I-INE: (ft ) . . . . : 100
DISHWASHERS. . . . 1 RAIN DRAIN (ft ) . . . . :0 q ■
Remarks : PATI-t I
OWNE=R:
M L CONSTRUCTION 1-1F $ 15`0. 00 JH 10/22/93
1L_ 40 SW 68 _'ARKWAY DPRT $ 503. 00 JH 10/22/9,3 -
lAr-'I_C. $ 3c:6. 95 JLH Z19/21/93 93--244369
TIGARD OR 9'7r:0:__j B5r� 'C $ 25. 15 .J11 1111/22/93
Phone ff: 639- ,2639 SSD('; $ 280. 00 JH 10/2E/93 •-
P0Rk" $ 500. 1110 JH 10/22/93 -
Pl.umbing C:,,T•1t)-,actor-: -._..----._..__--.____.__.......... 111--IRT $ 45. 00 JH 10/ESC%9�;
c _T �.(/�, C i/L�
MLC F $ 11. �:-'.5 JH 1.0/2L/93 -
iN.l a m ra : _ Ih'�.`,1='11; 2. 25 J H 10/2L/93
Address .- �p ���j-___. .---- _.- ---- PPRT $ 162. 'bili JH :10/22/93
CitY : ' tGi ..__.._....._..... $ 8. 13 JIE0/eLI93 -
Zi � Phone#:
Recl ti':._. ` _ __.�...____... Pti _b..�t...__. .3_- Y3.._P! -
_........ .......__ REDO I RED INSPECTIONS ----__...__
1
J Tens Permit is issued subject to the reg-
o_1
lations contained in t:he Tigard M�_irticipal Foot/found Insp Rain drain Insp
pCode, ::hate of Ore. Specialty Codes and all Past/Seam Strl.tct Water Line Insp
other appl .rcable laws. All work will be done Post/Beam Mer_han Appr/Sdwlk Insp
in nucovdance with approved 1:.11ans. This Plm "Unris .lab 11151:.1 Iler.:han:ir_al F: i.nal
permit will expire if work is riot started FILM/Underfloor Plumb Final
Within 180 days of issuance, or, if work i. <; Mechanic'al. Insp Building Final
susperided for more than 180 days. Plumb Top Out Erosion Control
Fran, , ng Insp Crawl. Drain
Fireplace Ins('
Gas L i r1 e I n F F1
Insulation Insp
.11M__._. Q -� C Z_ __.__._._ _.._ _. _ Gyp Hoard I n>>P
f .1t ized r- �.1mb y Contractor Signature ;a
Call for inspection 639--417 ;
Contractor Notes :
A
' I
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9 •,
i F CITY OF TIGARD
MASTER FE:RhIIT
r-•CRMIT #. . , . . . . . MGT93. 9';K'
COMMUNITY DEVELOPMENT DrA Wr SIT DATE ISSUED. 1012:219313125 SW Hall Blvd.Tigard,Orpon 97223.8199 (b03)63 -4171
P'f�RCL I S 1. 1 1 CA--ME:022
SITE ADDRESS. .. . : i lK:Q6 SW LADY moR I ON Dr?
SUBDIVISION. . . . MARION EASTATES ZONING: R-•3. 5
BL_OCK,. . . . . ,• „ . . „ LC]T. . . . . . . . . „ . . . :r1riZ2''2 i
BUILDING __...._._....._____...____....._..___.__...__.___._.____.___._._..._..... ..
REISSUE: DWELLING UN1T1_: 1 BASEMENT., „ . . . . . . :t36U' sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :712 5f
TYPL OF USE— . . .GF FLOOR AEZC:AG----•-'••------- REDU I RE:D .:ETFTACKS----_-_...______
TYF,E: OF CONST. :5r\1 F"IR5T. . . . : 1268 sf LEF•T. . :20 ft RIGHT. :20 ft;
OCCUPANCY LRF'. s R 13EC0NI). . . : 1002 s f FRONT. :20 ft REAR. . :'39 f t 4
STORIES. . . . . . . : THI RD, . . . :0 s REOUI RED—__ ____.. ._.__.._........ __. _.__.. .
HE I GHT. . . . . » . . .30 f•t TOTAL—— ...--:2270 s f S1Y11:JKE: DETECTORS. :Y
FLUOR LOAD. . . . :40 psf VALUE. . . . . $ 12747E3 PIARh'.ING SPACES. . : 1
Remarks : PATH I �
_.__ ._....__...._.....___.._____.__._..._.__.._.._......._._.._._____. F'LUlVIB I NCS •_._.____._._____.____._.___._._..._.__._..___.__._._-._.__..._.
51 NK S. . . . . . . . . . : 1 FLOOR DRAINS. . ,. „ :0 BACKFLOW P'REwVhITRF3. . .171
LAVATORIES . . . . :5 WATER FIE:ATE:RS. „ . : 1 -'RAP'S. . . . . . . . . . . . . . ..0
TUB, "-IiUWERS. . . . :3 I.._AUNDRY TRAYS. . . : 1. CATCH BAS TNG. . . . . . . :0
WOT1 R CLOSETS. . .3 rSEWUP LINE (ft ) . :Qt GREASE TRAP'S. . . . . . . :0
DI HWASHERG. . . . : I WATER LINE (ft ) . : 1,00 0I'liER FIXTURE:a. . . . . :Qt
GARBAGE DIGP. . , : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL _____.__._... . _...______.__._____ .___.______... FEES
FUEL_ TYF''Eca...___..____._..____ UN1*1` HIRS. . .0 type amor_tnt by date recpt
/GAS/ / / VE1\1TS . . . . . :0 TIF $ 15."0. 00 JH 10/22/93 —
MAX INPUT:@ B3HJ VENT FANS. . : 4 LAP,RT $ 503. 00 J1 10/x_'2 93 —
1-URN ( 1.001=, . . :0 HOODS. . . . . . : .I LAP'LC $ 3:6. 95 J L H 09/21/93 93--244369
TURN > =100K . . : 1. WOODSTOVES. :0 L�5P'C $ 25. 1" JH 10/22/93 •
FLUOR TURN. . . „ .0 CLU DRYERS. : 1 SSDC $ iT_'E]r). 00 JFI 10/22/93
[loll -1 OTHER S500. ID41 JI I :0/2`/x3;3
GA5 OUTLE F13: 1 MP'RT $ 4�,. 00 JFi :10/22/93
Owner: _— ___ _-._._._.._._...__._____,__..__.-__.__..__.._....._..___I�IP'I...C' 1, 11. 215 1341 1.0/22/93 —
M Z CONSTRUCTION h15PC $ 2. 2'5 JH 10/2.2/93 -
1 5 10 13W 6Ef I"'AFd w(),( PP'RT $ 1Ca '. 50 JI.1 1,16 E,/9;3
P'5PC $ 8. 13 JFd 10/22/93 �.
T'T.CARD OR 9.72x:'3
i='hone #: 639--2639
contractor : _.._...__.._..__...—.._._._._____.._..__..__....._.. .__. _
M Z CONSTRUCTION CC:1
i8583 SW ROSA RD �
ALOHA OR "17007
Phone #: 64955c7
Req #. . : 64.124 ..........
$ 33134. 23 TOTAL -.
This Gerrit is issued subject to the regulations contained in the — - REQUIRED INSF'E:CT TUNS - — —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/for.rnd Insp Firep.lac:e Insp
applicable laws. All work will be aone in accordance with approved V.ost/Beam Strr.tct Gas Line Insp
plans. This perait will expire if wrrk is not started within 180 Post/Beam Mecha.n Insulation Insp
days e° issuance, or if work is suspended fog- eor� tha^ days. P'lm/i.tndslatr Insp Gyp Board Insp
"—?,LF'Llvl/1Jnderfloor Rain drain Insp
Per-nrittee 3i.grcatr_tr-e : ( _._ Ihec::hanic_'al. Insp Water Line Insp
_- /
i
P'll.tmb Top Or.tt Appr^/Sdwlk. Insp
Iss;r.ted Ley : Framing Insp Ivlechanieal. Final
Eal •1 for inspection - 639-4175
ollp
�,.. .>.. � ',S . ..:� ; sine , �f+w,'. 'p �i'..'f«: .i«Ne` ,�; 'yh:. >`„ '•, ,r' , 'R" ,fin•
.tea
SE:.WE1 CoNNEC:T I ON
irl OF TIGARD r'r__RMz'i .
PERMIT #. . SWR93-•-04",::,
i �/4 �: ��
COMM125 iWUNITY DEVELOPMENT Dr
ISSUED:
I Blvd.Tigard,Oregon p7223•81 ;:.
3 171 i
C-*,0RCEL 51. 11GD -MSO:;
SITE F,w1Dti�ESS. . . � I1 Laj `SW LADY MARION UR ZONING: R-3- 5_
SUBDIVISION. . . . : MARION EAOTATF_G
P i_OT. . . . . . . . . . . . . :1712
LCL. CI,. . . . . .
TE_.NANT NAME. . . . .
' A NO. . . . . . F'IXTC.IRE L1N:Ii'�i
US . . . . �.
. „ .
US
CLASS OF . . . .MEW DWELL I NG UN I T'�,. . : 1
TYPE OF USE. . . . . :SFt\IO. OF k�L;I LD I NGS: :1
I.MPE;RV SURFACE_. . . =1` •
I N STALE '1'Yr'1�.. . . . :)<aIJSWR .
Remar-ks : F'A'Thi I '
i
Owner: _________.__.__._.__._._.___.._._._..._.__._.__._
type ,mmol-tnt try cJ Ate rve(-Pt
M 7 CONSTRUCTION
1-`54 1 SW Cep PARKWAY 1'RM'T' ;:;`171171. VIS JH 11Zr/: ; /'��?,
It\ISP $ 35. 171171 JH 1171/;=
T T.GARD OR 97:.23
CONTRACTOR NOT GN FILE
I f>hune #„ j,,_..3135. 0171 TOTAL
RPP if. , e
RE UIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations 4 erwF r Inspect i.nn
of the Unified sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the ---
1 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 fromthe distance given. If not so located, the installer shall purchase ____._._____-•• ------•----- -- --- -
a "Tap and Side sewer" Permit and the Agency will inst eral. --- --- -
c;e r m i t tee Si u
I �s l.t e d P y .
C:' 11 for- inr.,ps'cticrn 639-4175
i,
77 r
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?41 VNI 'mo-
�3� PLNCK RECT #
CITY OFT
I GA13125� ��
„ „�. _
Tpge,omlon97W PERMIT o fY3 SU-3
C(: IT
MMUNY DEVELOPMENT DEPARTMENT
(SOJ)d"A"' DATE ISSUED �
i
i
JOB ADDRESS: __
Ste/ GQ n ti- ,�t--lah'�� TAX MAP/LOT Z5/ rrGF� /nF z L
7
SUB: �e/O/✓ �T,A G� LOT: w "Z LAND USE: 5
VALUATION: " 7 Y. —"
OWNER SPECIAL NOTES
{ NAME: _ C ��Ir�.s% Lt L%"L&A/ REISSUE OF: _
/WX j LAST REISSUE:
ADDRESS:
-97-2--2- 3 — FLOOD PLAIN/
PHONE: -__ �'=' " SENSITIVE LAND:
CONTRACTOR APPROVALS REQU I RED c� /� q7 -Coe
NAME: A/tA� PLANNING: ' v�A / //
SPADo
ADDRESS: ENGINEERING:
_ FIRE DEPT: _
PHONE: _ OTHER: `C/
CONTR. BOARD #: _ >'G �-y _ EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS:, PLUMB: LIST/SUBCONTRACTORS:
MECH: l' ?l CCBUS TAX:
RCH ENGINEER CALCULATIONS: - I.
NAME: — G���� � _ TRUSS DETAILS:
ADDRESS: /�!�/ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: Y4 1A)t L!,ff r_ 5 IS
Y / E"
APPLICANT SIGNATURE y
Received By: _ j`=--- ----- ----� Date Received:
'e
PERMIT k ACCT # DESCRIPTION AMOUNT / AMOUNT PD. BAL. DUE
/h3t`t3 `r&,3 10-432 00 Building Permit Fees ` 0
r /fi r
10-431 00 Plumbing Permit Fees /Hl )v •'��
10-431 01 Mechanical Permit Fees (4 ? j �'-
10-230 01 State Building Tax (5y) .3 '• Sy S
I
I
Building 5 /
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
/ I
I
Mechanical
10-230 06 Fire —
.Sw!' S-o 1 30-202 00 Sewer Connection 2` `' c)L?
30-444 00 Sewer Inspection __ j-�f — 3S
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees — —
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees ---
25-448-01 Residential Traffic Fees / Vu 1 o
25-448-05 Mass Transit TIF Fees Il '� v---_
52-449 00 Parks System Dev Charge (PDC) S� ✓ _� —
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)
r�
TOTAL Z j _ ( S3�(l•L 3
nm/3587P.WPF
I
I
Lam. 4
IkA
fit}(�4"�tMNx^
CITY OF 7'IC3AFt11 Ftl::l':F:1F'1 CN= f'1avMr r�1 Fch c'F [f"1 NI.1. p9 3 :344411 �
CHECK AINI(jIJN I s 5 369). i.3
IdAMF s M7. C:C�NwTFtl.1C;"i IClN cw*i AMOUNT %
��t�1�FiFT't�fh s DO I F:.
E'31_l to o I V I S I ON
,I..IRPL7r;F OF F"AYME=.IV T AMCILlN f 'fa:E l:) PURPOSE. OF !-'AYMF N 1 f.1Mi11.11V r PA I L)
131J 1:LD[IV13 PERM ItM G,0 3. 00 Vol-UMB I N(3 f)F�RM 162. 514
35. 53
MECHANICAL P 4��» l�0 E�1'« BUILD VIER
l38. po c3F-WE.R USA �7e'0W0
01
I�I..AN t�l-IE;rK FE: 5��. 00
SEWER I N:=rPEC T ,:5. 00 PARKS S1)C;
, ORM DRAIN SDC: r:80. 00 RESIDENTIAL •TRAE=F•IC: Fw l 5 14iu�. 00
.1
IYIARf TRANSIT TIF FEES 110« 00
.10P86 f,;W I..ODY MARION DR I
'14LOT 22 MARION E_STATEl"' �
'T O TAL. AMOUNT PAIL) - - - > S369. 83 C
I
r.
r
CITY OF T I GARD RECEIPT OF PAYMENT RECEIPT NO. :.,`.,._.x'4,!1.369
CHE=CK AMOUNT x 500.00
NAME s MZ CONSTRUCTION, CASH AMOUNT 0. 00
ADDRESS s PAYMENT DATE" 09/21/93
SUBDIVISION »
PURPOS;F OF PAYMENT AMOUNT RAID PURPOSE OF PAYMENT AMOUNT PAID
PLAN CHECK FC 250. fh0 P1 AN CHECK FE 2=130. 00
LOTS 21 AND 22 MARION ESTATES
TOTAL.. AMOUNT GYf=1 i D -) 500. 00