10457 SW LADY MARION DRIVE '77
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1115PECTION NC:ICE
City of Tigard Building Department
2315 811 Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone): S39-4175 Business P e: 639-4171
Inspection:
looting Plbg. Underslab Rech. (tough-in Appr/Sdwlk '
round. Plbg. Tep Out Gas Line
Post/Beam Struct. Sar„ Sewer Framing -Bld .
Post/Beam Mach. Rain Drain Insulation
c-
Plbg. Underfloor Nater LineGyp. Bd. -M*
Date Requ.sted: ne �
, �' �� r / Time: XAM __PN
Address: /6 41 jSCS /�G_ / /�/4!'il1[' rmi� I:M S1 J3
Builder: A o 5 S
ITHE FOZOWING CORRECTIONS TRE REQUIRISD: —
Ins or.
P� Date' ^V L
: <
APPROVED �— DISAPPROVED APPROVEn SUBJECT TO ABOVE
Call For Reinsp.
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-' ° OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
191215 3W Hell PNd.Tigard,Oregon 07223.8100 (503)830-4171 CE R f I F I CATS OF
OCCUPANCY
x x x PERMIT *. . . . . . . m MST93--9574
639-4,171 DATE ISSUEDm 08/26/94
PARCELm 2Si11CS -04100
SITE ADDRESS. . . m 10457 SW LADY MARION DR �
SUBDIVISION. . . . m MARION ESTATES ZONINrmR--3. a
BLOCK. , . . . . . . . . m LOT. . . . . . . . . . . . . m O 14
CLA1.35 OF WORK. m NEW �
TYPE OF USE. . . m SF
C1CCtJrANCY URP. s:R3
UCCUPANCY L_OAD12-?'i 4
ji - � ■
TENANT NAME. . . so
Re mark.% m PATH I
i
.JAY ROSS
3`555 EDW t;EMINOLIF' TR.TAIL_.
TUALOTIN OR 97060
Phone #im 69P--3391
.JAY ROSS
8555 '3W SEMI NOL-I E T'RA I L.
TUALATIN OR 9706c"
Phone ##m 692•-3391
RvW #. . a 94589
U(.r.upancy of the above referenced building it hereby given, and certifies
the compliance with the State Of Oregu•,7 Specialty Codes fqh- the--4101rup,
i CLI.,prancy, and uq;a under which the refmrenc.ed permit was is%ued. II
I DIN N 3PECTOR f
EiUIL.L)INp C J"FICIAL
POST IM CONSPICUOUS PLACE
I
INSPECTION NOTICE
City of Tigard Builr.ing Department
13125 SN Ball Blvd. T.loyard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-1175 Business Phone: 639-4171 '
Inspection: T___. ----
Footing Plbg. Underslab Mech. Rough-in �Xp"�r/Sdwlk
Found. Plbg. Top Out Gas Li,.e FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -llech.
Date Requested: /( /7 _ Time: _�--AM � N •
Address:� Lt)/�� /,--7 II U )(A , L �L`L Permit
BuildRr.:- / - V !
THE FOLLOWING CORRECTIONS ARE REQUIRED!
An
pmn24-r.
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Inepect:or. �j�—�} j Cate: �j//_
APPROVED DISAPPROVED "PgOVED SUBJECT TO ABOVE.
Call For Reinsp
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INSPECTION NOTICE .�
City of Tigard Building Departwrnt ,
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-G-Phone): 639-4175 Businegs Phone: 639-4171
Inspection: t '' 01-0'fr A rt, —— ----------
Footing Plbg. Undereldh Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
I
Pust/Beam Struct. San. Sews- Framing --Bldg.
Post/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Nater Line Gyp. Bd. -Hech.
1 Date Requested: 1 / imnetS r� AM —PH
Address: ct �G PermiE
Builder:—T ILIA-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
DISAPPROVED APPROVED SUBJE TO ABO
—_—Call For Reinsp.
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�NSPECP ON NOTICE
City of Tigard Building Departnont.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phones 6 X71
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Mg. Top Out nes Line FINAL: �
Post/Beam Stru_... San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line � Oyp. Bd. -Hach.
Data Requested: �� — / % Tlmes - All SMI
�r
Address:)L) D L�5 7 1�I Petr�iit 1:q3
B,:ilder:T_^�� —
THE F.'TLOWING CORRECTIONS ARE REQUIRED:
t
Inspector: Dato s
APPROVED _� DISPLPPROVRD APPROVED SUR, LCT TO ABOVE
`Call For Reinsp.
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...............
INSPECTION NOTICE �•
City of Tigard Building Departoent �,•/
l L3125 SN Ball Blvd. Tigard, 6:egon 972
Inspection Line (Rec-O-Phone): 639-4175 Fusineas Phone: 539-4171
Inspection:
_
Footing Plbg. Underslab Mech. Rough--in Appr/sdwlk
Found. Plbg. Top Out Lias Line FINAL:
1
Pcet/Roam Struct. San, Sewer Framing -Bldg.
c �cst/Beam Hoch. Rain DrainInsulation -Plumb.
Plbg. Underfloor Water Line Gyp. 8d. -Hoch.
Date Requested: ff `� �
w \ I
Aidreaet /b- T LLL A.I �! (f _1 —, Permit /t 3 5 /
f �_
Builder:
' THF. FOLLOWING CORRECTIONS ARE REQUIRED: -7M 9556
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jInspector::.
_APPROVED DISAPPROVED APPRO"ED SUFIjECT TO ABOVE
— _Call For Reinsp.
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INSPECTION NOTICE /
City of Tigard Building Departm—t /
13125 SW Hall Blvd. Tigard, Oregon 9722:
Inbpection Line (Rec-O-P',one): 639-4175 Business Pho : 639-4171
Inapectiont- — - �-- -/ , —_�. ----- -
Footing Plbg. Underelab c Rough-i� Appr/Sdwik
Found. Plbg. Top Out Cas Linel FINAL:
Poet/Beam Struct. Sdn. Sever \ rraming I --Bldg.
Post/Beam Hoch. Rait: w-ain Insulation Plumb.
Plbg. Underfloor Water Uno Gyp. Rd. -Meeh.
Data Requested: ) __Time: _ ,AM PH ■
Addrean• 1! -L �� ((Jb�. — Permit
Builder:
THE
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InspectoLt
Date:
--- - _ �-
-APPROVED - DISAPPROVED APPROVED SURJECT TO ABOVE
Call For Reinap
INSPECTTO N _
. N UTILE
city or Tigard Batldinq De e
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections (
Footing Plbg. Underslab Meeh. hough-in ;ppr/Sdwlk
Found. Plbg. Top Out '. AN Line FINAL.
Poet/Beam Struct. San. Sewer Framing -Bldg,
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nsch.
Date Requested s f) --1- 11- Tl � AM PM
�`. 1
Address: I �1�`L �1 Y 1Uh `�1( PecM1t fs NIS(���! `/� /P�
Builders
THE FOLLOWING CORREr-TIONS ARE' REQUIRED:
Inspector•_--
-- --- Date__ l
APPROVEC — DISAPPROVED APPROVED SUBJECT TO AROVE
_`.Call For Reinsp.
li4wMo'swwarwmsuawu.v.•..._....�...__
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INSPECTION NOTICE
City of Tigard Buil4irq Departnemt
13125 SR Bsll Blvd_ ii.y'ard, Oregon 97223
Lnepection Line (Rec-0-Phone): 639-:175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in /' Appr/Sdwlk
Found. Plbg. fop Out Gas Line FINAL:
Poet/Beam Str,.ct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Tneulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
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Data Requested:_ Time: AM 7 ?M
Addresse L� �i 1 l-!+A� vv1 ` Fermi! N1 zi 1
Co�t
Buildori
TRE FOLLO"INO OORRECTIONS ARE REQUIRED:
-`6q
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CA
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1 IAS21� C4-V_ A--/- C) air
w -14 S C —�—
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Lnepector: v ' / Dat a s !
APPROVED v DISAPPROVED APPROVED SUBJVrT To ABOVE.
�Ca11 For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department F
13 flit Ball Blvd. Tigard, Oregon 97223
Inspection Li Rec-O-Phone): 639-41775 BuaineeB Phonf►: 1
Inpec':ion:__
rooting Plbg. Uncerslab Meth. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oaa Lino FINAL: !
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rein Drain Insulation -Plumb.
Plbg. Undwrfloor Water Line Gyp. Bd. -Meth.
Date Requ3eted: 7 L Time: __AM PM
-- 1
Add:asa:—L l � ��'i � � /(/lam V L Permit 1: �151
Bulidore 3�2
THE roLLowING CORRECTIONS ARE
64-5
_-(,�"p-S �/� � ✓✓� ,��%SCF �'� /�O -
Inapeator: '� Dates 7
-_APPROVED -- DISAPPRO�y�`' APPROVED SUBJECT TO ABOVE
Call For Reins .
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INSPECTION NOTICE
-ty of Tigard Building Department
13125 BW Ball B1-.t1. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phones 639-4175 Bcsiness Phone(::[ 9-4171
Inspections
Footing Plbg. Underslab Mach. Rough--in Appr/Sdwlk
found. >r1bQ. TOp Oulu Gas Line FINALS
'Mt/Beam Struct. Ban. Bowe; Framing -Bldg.
Post,'Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Meeh.
Date R-_-uesteds 7 `I -4 -Time: AM PN •
Address_ � 1 I__!'•�I' a_rrry� � R) Y Permit R
Builder:
TNM FOLLOWING OORRECTIONS ARE REQUIRED,
I
Inspect Or, Dates
APPROVED DISAPPROIED APPROVED SUBJECT TO ABOVE
---Call For Rei,isp.
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j1SPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Bea-4 Rtruct. San. Sewer Frami,:n -Bldg.
/
Post/Beam Hoch. Ve'ain_D_rain \� Insulation -Plumb.
Plbg. Underfioor <<tlatnx l.in_f Gyp. Bd. -Hoch.
Date Ruqu►ated: -� / ' 7 _Time I L/L AMS/ 7_ PH
Address: (j�-j"7/. �1-0.1, 1 y�v _fib, ik, Permit- #:
Builder:- LO L ( '((2 d
THE FOLLOWING CORRECTIONS ARS REQUIRED:
Inspector:
77
Dnte:! 2 __<
APPROVED DISAPPROVED APPROVED SUBJECT TO LEONE
Call For Reinsp.
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INSPECTION NOTICE
city or Tigard Bu.11ding (Department
13125 OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businoss Phone: 639-4171
Inspect)ons__
Footing Mg. Dnderslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINALt
Post/Beam Struct. Ban. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. l)
Plbg. Underfloor Nater Line Gyp. Ad. -Mech. I
Date Re7uest/sell CI I 1 �- 7e�CAr Time: - /,N kms_PM
Address: (QT / �'1 1' �`�( ( � .S Y Permit
Buildart
THE FOLLOWING CO:dtECTIONS ARE REQUIRED; — --
Inspector: ' — Datet
APPROM LISAPPROVED --- APPROVED SUBJECT To ABOVE
Call For Reinep.
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................
....................
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W INSPECTION NOTICE
Citi or Tigard Building Department
13125 BW Ball Bird. Tigard, Oregon 97223
Inspection Line (ROC-0-Phone): 639-4175 Business Phone: 639-4171
d
Inspeccion:_
3i rooti!.:g Plbg. Dnderslab Mach. Rough-kn APP r/Sdwlk
r' round. Plbg. Top Out Gas Line FINAL:
Past/Beam Struat. Sart. Sewer Framing -Bldg.
Post/Beam Mach. (amain DraLnInsulation _Plumb,
Plbg. Underfloor Nater LLne Gyp. ad,
-Mach.
Date Requesteds '") I / !)l Times _ AN '/ ■
PN
Address s— Q g•S.1 L(,r Permit f s Msr
Builder: UCt ZJ3�
TE'Z MLL":WING ODRRZL-TIONS ARE REQUIRED:
i
Inspector:__ ( L
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// � ate:_ ,
VXPPROVED
DISAPPROVED PROVED N"WRCT TO ABOVE
Call Por Rainsp.
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INSPECTION NOTICE I
City of Tigard Building Department
13125 t3R Ball Blued. Tigard, Oregon 97223 f�
Inspection Line (Roc-O-Phone): 639-4175 Business Pho 1
i
? Inspections
a
Footing� 9 Plbg. Underelab Mech. Rough-in Appr/Sdvlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Nat •trisat. ` San. Bower Framing -Bldg.
Post/seam Mach. j Rain Drain Insulation -Plumb.
bq. Underfloor Nater Line Gyp. Rd. -Meeh.
Date Requested:_ �d � I`� / Time s PM
I L/
Address: Permit #,I
Builder: I, r 1 7
J
THE FOLLOWING CORRECTIONS ARE REQUIRED: /M.�35D
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h-pector:� Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INBPZCTION NOTICE
City of Tigard Building Departneat
13175 SW Hall Blvd. Tigard. Crew. 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phones 39-4171
Inspections _
11--yooti Plbg. Underslab Mach. Rough-in Appr/Sdwlk
`mound. Plbg. •:'o Out Can Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
4
Poet/Beam Mech. Rain Drain Insulation -Plumb.
y.
Plbg. Undorllaor Nater LinCe� Gyp. Bd. -Mech.
Date Requested: 11 - -_ 1 3 Times I AN - p!_1
Addreses If 5_1 L� sl l A&& sl�Yl�( Permit f: M�� ��7 J 5 17
BuilAwrs
TBZ FOLLOWING OORRZCTIONS ARE RNWIRSDs
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Inspectors _ Dates
7
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
i
Call For Reinsh.
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. 'alert ' .�' 't`°tp :l;'•
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CITYPERMIT
OF TIGARD PERMIT"#. . . . . . . . MST93-957+
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/16/93
FF- -
13125 SW Hall Blvd.Tigard,Orpon 97223.8190 (503)830-4171
PARCEL: 2SIlICB-ME014
SITE ADDRESS. . . : 10457 SW LADY MARION DR
SUBDIVISION. . . . : MARION ESTATES ZONINUs R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014
CLASSOFWORK. . :NEW - _ GARBAGE-DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORlES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 "
LAUNDRY TRAY
FIXTURES--------------- �^S. . . . . . : 1 SF RAIN DRAINS
SJNKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 a
TUB/SHOWEPS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . SO
Remarks: PATH I
OWNER: ___._.___._._----.__---------____-- __.____.._____.-___--FEES----------------
JAY ROSS TIF $ 1520. 00 JH 11/16/93
8555 SW SEMINOLIE TRIAIL BPPT $ 555. 50 JH 11/16/93 - ;•
BPLC $ 361. 08 JLH 11/03/93 93-
TUALATIN OR 97062 BSPC $ 27. 78 JH 11/16/93 -
Phone #: 692•-3391 SSDC $ 280. 00 JH 11/16/93 -
PARK $ 500. 00 JH 11/16/93 -
Plumbing Contractor: ---- -- -------- MPRT $ 45. 00 JH 11/16/93 -1) 1
r MPLC $ 11. 25 JH 11/16/93 -
Name : MSPC $ 2. 25 JH 11/16/93 -
Address : - & UkI� PPRT $ 155. 00 JH 11/16/93 -
City : Q _G State : of PSPC $ 7. 75 JH 11/16/93 -
Z i p: �—_Ph o n e#:. Los 7 _103__
Reg ---
--- - -- REOU I RED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Raid drain Insp {
Code, State of Ore. Specialty Codes and all Post/Beam atruct Water Line Insp
other applicable laws. All work will be done Post/Beam Meehan Pc)pr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
x __ '� �� ti�� •.��___ Gyp Board Insp
�—
Authorized PlLlmbi g Contractor^ Signature
Call for inspection - 639--4175
Contractor Notes :
1
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CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST93-••9574
13125 8W Hall Blvd.Tigard,Oregon g7221.9/116rN )13/-1171 DATE ISSUED: 11/16/93
PARCEL: 2S111CB-ME014
SITE ADDRESS. . . : 10457 SW LADY MARION DR
SUBDIVISION. . . . : MARION ESTATES ZONING: R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014
--------------------------------•- BUILDING ----•------------------------------•----
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. sNEW BEDRMS:3 BATHS:? GARAGE. . . . . . . . . . 1688 sf
TYPE OF USE. . . :SF FLOOR AREAS--- ----- -- REQUIRED SETBACKS-•-----------
TYPE OF CONST. :5N FIRST. . . . :2125 s f LEFT. . :7 ft RIGHT. :9 ft
OCCUPANCY GRP. :R3 SECOND. . . :830 sf FRONT. :5 ft REAR. . :52 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED----•----------------
HEIGHT. . . . . . . . :27 ft TOTAL-----•-•-:2955 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 148314 PARKING SPACES. . .- 1
Remarks : PATH i
------------------ ----------------- PLUMBING ----_-_--__---------___-•-_-_---------_---
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . . : l TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : l CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER F:XTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
r
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 `
MECHANICAL ______________.._._._.____.-•-----____-- FEES
FUEL TYPES-------------- UNIT HTRS. . -0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JH 11/16/93 - M
MAX INPUT:0 BTU VENT FANS. . :4 SPIRT $ 555. 50 JH 11/16/93 - p
FURN ( 100K . . 10 HOODS. . . . . . : 1 BPLC $ 361. 08 JLH 11/03/93 93- t
FURN ) =100K . . : 1 WOOD5TOVES. :0 B5PC $ 27. 78 JH 11/16/93 - I
FLOOR FUP.N. . . . :IT CLO DRYERS. : 1 SSDC $ 280. 00 JH 11/16/93
BOIL/CMP ( 3HP-0 OTHER UNITS: 1 PARK $ 500. 00 JH 11/16/93 - t
GAS OUTLETS: 1 MPRT $ 45. 00 JH 11/16/93 -
Owner: - MF'L_C $ 11. 25 JH 11/16/93
JAY ROSS M5PC $ 2. 25 .JH 11/16/93
-
8555 SW FcMINOLIE TRIAIL PF'RT $ 155. 00 JH 11/16/93 -
P5PC $ 7. 75 JH 11/16/93 -
T'UALATIN OR 97062
Phone #: 692-3391
Contractor:
JAY ROSS
i"
8555 SW SEMINOLIE TRAIL
1
TUALATIN OR 97062
Phone #: 69�_-3391
t Reg #. . : 94589
$ 3,465. 61. TOTAL
i This permit is issued subject to the regulations contained in the -- -- - - - REQUIRED INSPECTIONS -- -----
Tinard Municipal Code, State of Ore. Specialty Codes and all other Foot/foLind Insp Fireplace Insp
applicable laws. All work will be done in acc ith approved Post/Beam Str-LIct Gas Line Insp
plans. This permit willexpire NOT4f to started Withn toil Post/Beam Mechan InsLtlation Insp
days of issuance, or if work • suspende more �ha 101 a s. Plm/undslab Insp Gyp Board Insp ,'
Permittee Si nater �/ U �r� PLM/Underfloor Rain drain Insp
i 9 -� Mechanical Insp Water Line Insp '
P1 i_imh Top 01.kt Appr^/Sdwlk Insp
IssUed Ry : _ Framing Irl ap Mechanical F inalt'
Call for inspection - 639-4175
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CITY" OF TIGARD SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . SWR93-0498
13125 8W Hall Blvd.Tigard,Oregon 97223•e1A43%6Q4l3)1•11171 DATE ISSUED: 11/16/93
PARCEL: 2SIlICB—ME014
SITE ADDRESS. . . : 10457 SW LADY MARION DR
�UBD I V I S I ON. . . . : MARION ESTATE'S ZONING: P,-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014
-------_------_—_.-------------------------------__--_—.---------•---------•------------
TENANT NAME. . . . . :
LISP NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
R
_— ___--- -- -- 1
Owner,: -------------------- ---------------------------------- FEES
JAY ROSS type amount by date recpt
8555 SW SEMINOLIE TRIAIL PRMT $ 2200. 00 JH 11/16/93 —
INSP $ 35, 00 JH 11/16/93 —
TUALATIN OR 97062
Pnone #: 692-3391
CONTRACTOR NOT ON FILE
+ ----------_--------•----•---------------
Phone #: f 22235. 00 TOTAL
Reg #. . :
-------- RLUU I RED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 190 days from —
k; the date issued. The total amount paid will be forfeited if the _
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is nct located at the measurement _
given, the installer shall prospect 3 feet in ons from
the distance given. If n wed, sta r shall urchase
a 'Tap and Side Sew Permit and the go y wit 1 n tall late al. _ N
Permittee Sig
I s s l_I e d By : 1,
Call for inspection — 639-4175
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Y 1 ..
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
639-4171
S I l 1 c l3 - rJ ol�f
Jobsite Address: ? %<
Lot �
Subdivision: wrz�ewl i sr�rJ� :
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Plandc/Rec#
Valuation:
Permit#
Owner: ` Reissue of
Address: g,15n.
App
r vats u red
Y Z;26 2
k '
ming
Phone: l 9,z- 3 3,>
�ngineerirtg k.<;
Contractor: �J/}5' �' J�? y Other„„-
Address:
J
Items Regulred
x
\� r r�L,9 77 C�i2 Y701. Z.
Phone: =fZ-3.��1. ''�+Y�y �;:•:•`." ?2'W� •��::y::..y
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Contractor's Llcose# 942"
(attach copy of current Oregon license) :•.
Subcontractors:
Plumq
Machan)kal: L �-
�, (attach copy pf current OR Contractors License)
Architect/Englmmr• �.�,nrrn�� /�✓�x'% r�i�Fhil.lJ Gr?1�I�id
Address. -JLLJ
c%722 3
Phone:
COMMENTS:
Applica igtur 4-Plione numbe,
Receiv�"J-17i: Date Received:
1 ? J
- .�Ml'ANAMIYa....... __w+.OYMn-......w.eMMANYil,ranr.m... ........... .. ..,. ....r.nf•M.JnJ91rrL•••laW.��M ��'''"fbMs+nwfrl+a..' _-...,wnw
Permit # Account Description Amount Amt. Pd. Bal. Due
S LZLI/ Bldg. Permit (BUILD) 55s,5y(
Plumb. Permit (PLUMB) S� r 'r'
Mech. Permit (MECH) �"�
State Tax (TAX) _f 37 7Y
d Bldg:
Plumb: 7. 7>
i Mech:
-v 33
Plan Check. (PLANCK) _7 3
Bldg:
Plumb:
Mech:
i
Swl �3 0 q9�' Sewer Connection (SWUSA) �Z vo
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) 5"
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) /' i / /�(J L)
Mass Transit TIF (TIF-MT) U / l/ U
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
I
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
7 f Sal
TOTALS: G U,(/ 5=�
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DAT
RECEIVED • gas.—
ADDRESS ,,D
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I H(.(::K AMOUN r o 5450. 6 1
f
NAME0 ESI C-61AY (;W`:;l 1 OMOUN 1 0. >� `
t. F-YDC)FtE ;4� s I-'r4'fmV.tdl C)ATF' 1 :1I 1r/93, l
rl..lk3(.)IV (;11ON o
I•'(,IRPOBF: OF PAYMENT AMOUNT I='A 11) F1,114 'OBF I.1F• PAYME-.N I OMOUN I t l(:I1 U j
F:� l1I...C)IN(:1 F'k::F2M �
5 . _._...._ ....._......___.____...__-.._....__,ti..__......_._..... ........__.._w___._.._W_.._..
__.__.__ —•�_,, 90 V'LAIME3.(N(r f-l::-RM 155. ow
ME('.HAN lcf-11... PF 45. 00 ST. NUIL.1) PER 371 ,18
' (=)I.._AN CHECK f-4E l .3;3 F3)E.WER USA ll.,Poo. 00
,
V' SLWF-Fi INSE-FCT 35; 00 DARKH c;D(.: 500n IM
�. 'a)1(.IRM DRAM 9DC PAA. 00 RE911)t='N VEfil.... TRAFFIC !ES 141.V:. 170
MASS T RANG 11 lit" F F FF:S (AO
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t,C)T 14 M 4141CaN F''t31'
,1045- 7 ��W I..ADY MGIk 11:1N DR {
Al AMOUNT PI1I,) I
: